To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research.

See complete MMM issue list on page three. MMM- Medicare/Medicaid Issues: H.R. 3003 - Congressional Gold Medal bill (112th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H. R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H. R. 969 - Medical Practice Freedom Act of 2011 H. R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R. 2405 - Pandemic and All Hazards Preparedness Act Reauthorization S. 1173/H.R. 2108 - Ambulatory Surgical Centers Quality and Access Act of 2011 S. 958/H.R. 1852- Children's Hospital GME Support Reauthorization Act of 2011 H.R. 2020- Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2011 S. 365Budget Control Act of 2011 S. 1627Resident Physician Shortage Reduction Act of 2011 S. 668/H.R. 452Healthcare Bureaucrats Elimination Act S. 1286Trade Adjustment Assistance Act of 2011 H.R. 1159To repeal certain provisions of the Patient Protection and Affordable Care Act relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals and to transparency reports and reporting of physician ownership or investment interests. Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Volunteer Liability Protections Scope of Practice/VA Eye Care Pediatric Loan Repayment Funding Medical School Debt Joint Select Committee on Deficit Reduction Emergency Care Coordination Field Emergency Medical Services Health Systems Surge Capacity

Client expense: $47,205 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

See complete HCR issues list on page five. HCR- Health Issues H.R. 3003 - Congressional Gold Medal bill (112th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H. R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H. R. 969 - Medical Practice Freedom Act of 2011 H. R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R. 2405 - Pandemic and All Hazards Preparedness Act Reauthorization S. 1173/H.R. 2108 - Ambulatory Surgical Centers Quality and Access Act of 2011 S. 958/H.R. 1852- Children's Hospital GME Support Reauthorization Act of 2011 H.R. 2020- Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2011 S. 365Budget Control Act of 2011 S. 1627Resident Physician Shortage Reduction Act of 2011 S. 668/H.R. 452Healthcare Bureaucrats Elimination Act S. 1286Trade Adjustment Assistance Act of 2011 H.R. 1159To repeal certain provisions of the Patient Protection and Affordable Care Act relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals and to transparency reports and reporting of physician ownership or investment interests. Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Volunteer Liability Protections Scope of Practice/VA Eye Care Pediatric Loan Repayment Funding Medical School Debt Joint Select Committee on Deficit Reduction Emergency Care Coordination Field Emergency Medical Services Health Systems Surge Capacity

Implementation of Pub. Law No. 111-148, the Patient Protection and Affordable Care Act, primarily patient protection provisions and provisions on breast health education and appointments to advisory boards. H.R. 1, Full-Year Continuing Appropriations Act, 2011, primarily matters related to appropriations for cancer research and cancer control programs. Implementation of Public Law No. 112-8, Further Additional Continuing Appropriations Amendments, 2011, primarily matters related to appropriations for cancer research and cancer control programs. H.R. 466 / S. 384, Breast Cancer Research Stamp Reauthorization Act. House Res 234 and Senate Res 144, Congressional Resolution for continued funding for the National Breast Cancer and Cervical Cancer Early Detection Program.

Client expense: $260,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE

Implementation of Pub. Law No. 111-148, the Patient Protection and Affordable Care Act, primarily patient protection provisions and provisions on breast health education and appointments to advisory boards. H.R. 1, Full-Year Continuing Appropriations Act, 2011, primarily matters related to appropriations for cancer research and cancer control programs. Implementation of Public Law No. 112-8, Further Additional Continuing Appropriations Amendments, 2011, primarily matters related to appropriations for cancer research and cancer control programs. H.R. 466 / S. 384, Breast Cancer Research Stamp Reauthorization Act. House Res 234 and Senate Res 144, Congressional Resolution for continued funding for the National Breast Cancer and Cervical Cancer Early Detection Program.

Client expense: $260,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE

See page five for specific HCR issues. HCR - Health Issues: H.R. 6073 - Congressional Gold Medal bill (111th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H. R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H. R. 969 - Medical Practice Freedom Act of 2011 H. R. 1540 - National Defense Authorization Act for Fiscal Year 2012 H. R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Pandemic All Hazards Preparedness Act Reauthorization

Client expense: $28,409 · Firm income: Not reported

See page three for specific MMM issues. MMM - Medicare/Medicaid Issues: H.R. 6073 - Congressional Gold Medal bill (111th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H. R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H. R. 969 - Medical Practice Freedom Act of 2011 H. R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Pandemic All Hazards Preparedness Act Reauthorization

Client expense: $28,409 · Firm income: Not reported

See page five for specific HCR issues. HCR - Health Issues: H.R. 6073 - Congressional Gold Medal bill (111th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H. R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H. R. 969 - Medical Practice Freedom Act of 2011 H. R. 1540 - National Defense Authorization Act for Fiscal Year 2012 H. R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Pandemic All Hazards Preparedness Act Reauthorization

Client expense: $10,565 · Firm income: Not reported

See page three for specific MMM issues. MMM - Medicare/Medicaid Issues: H.R. 6073 - Congressional Gold Medal bill (111th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 S. 1099/H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act H.R. 1256 - Medicare Physician Payment Transparency and Assessment Act of 2011 H. R. 1955 - Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 H. R. 969 - Medical Practice Freedom Act of 2011 H. R. 2205 - Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education AARP Oversight Electronic Prescribing Issues Health Insurance Exchanges Created by Patient Protection & Affordable Care Act Medicare Physician Payment/Sustainable Growth Rate Formula Reform in Debt Ceiling Legislation Proposed Cuts in Medicare Reimbursement for Imaging Services Pandemic All Hazards Preparedness Act Reauthorization

Client expense: $10,565 · Firm income: Not reported

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 5360, HR 5225, HR 5120, HR 4894, HR 4887, HR 4477, HR 4048, HR 3949, HR 3491, HR 3219, HR 3155, HR 3082, HR 2990, HR 2980, HR 2898, HR 2879, HR 2770, HR 2738, HR 2734, HR 2713, HR 2583, HR 2573, HR 2443, HR 2419, HR 2389, HR 2388, HR 2383, HR 2377, HR 2342, HR 2300, HR 2254, HR 2187, HR 2180, HR 2148, HR 2055, HR 2053, HR 2052, HR 2046, HR 1979, HR 1947, HR 1941, HR 1930, HR 1879, HR 1854, HR 1826, HR 1818, HR 1811, HR 1742, HR 1671, HR 1657, HR 1546, HR 1454, HR 1388, HR 1377, HR 1335, HR 1302, HR 1293, HR 1285, HR 1260, HR 1211, HR 1204, HR 1203, HR 1197, HR 1178, HR 1171, HR 1169, HR 1133, HR 1092, HR 1088, HR 1017, HR 1016, HR 953, HR 952, HR 816, HR 813, HR 812, HR 811, HR 810, HR 809, HR 806, HR 805, HR 803, HR 802, HR 775, HR 667, HR 658, HR 612, HR 593, HR 539, HR 466, HR 465, HR 456, HR 411, HR 341, HR 333, HR 329, HR 309, HR 303, HR 297, HR 296, HR 295, HR 294, HR 293, HR 248, HR 240, H.RES. 261, HR 186, HR 178, HR 177, HR 120, HR 115, HR 114, HR 108, H. Con. Res 85, HR 32, HR 26, S 3234, S 3148, S 1963, S 1939, S 1779, S 1407, S 1237, S 1204, S 1184, S 1172, S 1154, S 1148, S 1147, S 1127, S 1124, S 1123, S 1104, S 1060, S 1017, S 951, S 944, S 935, S 914, S 910, S 894, S 874, S 873, S 847, S 821, S 820, S 816, S 801, S 798, S 769, S 728, S 696, S 658, S 642, S 597, S. 546, S 536, S 535, S 490, S 423, S 411, S 407, S 404, S 344, S 277, S 260, S 252, S 223, S 66, S 68, S 67, S. Con. Res 60, S. Con. Res. 13, S. Res. 160

Client expense: $180,000 · Firm income: Not reported

Implementation of Pub. Law No. 111-148, the Patient Protection and Affordable Care Act, primarily patient protection provisions and provisions on breast health education and appointments to advisory boards. H.R. 1, Full-Year Continuing Appropriations Act, 2011, primarily matters related to appropriations for cancer research and cancer control programs. Implementation of Pub. Law No: 112-8, Further Additional Continuing Appropriations Amendments, 2011, primarily matters related to appropriations for cancer research and cancer control programs. H.R. 466 / S. 384, Breast Cancer Research Stamp Reauthorization Act.

Client expense: $150,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

See page five for specific HCR issues. H.Res.9 - Instructing certain committees to report legislation replacing the job-killing health care law H.R. 6073 - Congressional Gold Medal bill (111th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 2 - Repealing the Job-Killing Health Care Law Act H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education

Client expense: $14,284 · Firm income: Not reported

See page three for specific MMM issues. H.Res.9 - Instructing certain committees to report legislation replacing the job-killing health care law H.R. 6073 - Congressional Gold Medal bill (111th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 2 - Repealing the Job-Killing Health Care Law Act H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education

Client expense: $14,284 · Firm income: Not reported

See page three for specific MMM issues. H.Res.9 - Instructing certain committees to report legislation replacing the job-killing health care law H.R. 6073 - Congressional Gold Medal bill (111th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 2 - Repealing the Job-Killing Health Care Law Act H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education

Client expense: $26,751 · Firm income: Not reported

See page five for specific HCR issues. H.Res.9 - Instructing certain committees to report legislation replacing the job-killing health care law H.R. 6073 - Congressional Gold Medal bill (111th Congress) H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 816 - Provider Shield Act of 2011 H.R. 466/S. 384 - To amend title 39, United States Code, to extend the authority of the United States Postal Service to issue a semipostal to raise funds for breast cancer research. H.R. 2 - Repealing the Job-Killing Health Care Law Act H.R. 531 - Access to Frontline Health Care Act of 2011 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 756 Medicare Data Access for Transparency and Accountability Act Surgical Workforce Shortage/General Surgery Medicare Bonus Independent Payment Advisory Board/Health Care Reform American College of Surgeons National Surgical Quality Improvement Program Accountable Care Organizations Graduate Medical Education

Client expense: $26,751 · Firm income: Not reported

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 5360, HR 5225, HR 5120, HR 4894, HR 4887, HR 4477, HR 4048, HR 3949, HR 3491, HR 3219, HR 3155, HR 3082, HR 2990, HR 2980, HR 2898, HR 2879, HR 2770, HR 2738, HR 2734, HR 2713, HR 2583, HR 2573, HR 2419, HR 2389, HR 2342, HR 2254, HR 2180, HR 1879, HR 1818, HR 1546, HR 1388, HR 1377, HR 1335, HR 1302, HR 1293, HR 1211, HR 1204, HR 1203, HR 1197, HR 1178, HR 1171, HR 1169, HR 1133, HR 1092, HR 1088, HR 1017, HR 1016, HR 953, HR 952, HR 816, HR 813, HR 811, HR 810, HR 809, HR 806, HR 805, HR 803, HR 775, HR 667, HR 658, HR 612, HR 593, HR 539, HR 466, HR 465, HR 456, HR 411, HR 341, HR 333, HR 329, HR 309, HR 303, HR 297, HR 296, HR 295, HR 294, HR 293, HR 248, HR 240, H.RES. 261, HR 186, HR 178, HR 177, HR 120, HR 115, HR 114, HR 108, H. Con. Res 85, HR 32, HR 26, S 3234, S 3148, S 1963, S 1939, S 1779, S 1407, S 1237, S 1204, S 944, S 847, S 821, S 820, S 801, S 728, S 658, S 642, S 597, S. 546, S 536, S 535, S 490, S 423, S 411, S 407, S 404, S 344, S 277, S 260, S 252, S 223, S 66, S 68, S 67, S. Con. Res 60, S. Con. Res. 13

Client expense: $200,000 · Firm income: Not reported