Physician Reentry Demonstration Program Act

See page six for specific Health Care Issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 H. R. 6043 - Behavioral Health Information Technology Act of 2012 H.R. 6352 - Resident Physician Shortage Reduction and Graduate Medical Education Accountability & Transparency Act H. R. 6598 - Electronic Health Records Improvement Act S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization (HCR Continued) Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Physician Quality Reporting System (PQRS) Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Surgical Consumer Assessment of Healthcare Providers and Systems (S-CAHPS) Trauma Appropriations Value-Based Update (VBU) Proposal

Client expense: $16,647 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

See page three for specific Medicare/Medicaid issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 H. R. 6043 - Behavioral Health Information Technology Act of 2012 H.R. 6352 - Resident Physician Shortage Reduction and Graduate Medical Education Accountability & Transparency Act H. R. 6598 - Electronic Health Records Improvement Act S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization (MMM Continued) Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Physician Quality Reporting System (PQRS) Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Surgical Consumer Assessment of Healthcare Providers and Systems (S-CAHPS) Trauma Appropriations Value-Based Update (VBU) Proposal

See page six for specific Health Care Issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 H. R. 6043 - Behavioral Health Information Technology Act of 2012 H.R. 6352 - Resident Physician Shortage Reduction and Graduate Medical Education Accountability & Transparency Act H. R. 6598 - Electronic Health Records Improvement Act S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization (HCR Continued) Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Physician Quality Reporting System (PQRS) Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Surgical Consumer Assessment of Healthcare Providers and Systems (S-CAHPS) Trauma Appropriations Value-Based Update (VBU) Proposal

HR5888 Physician Re-entry Demonstration Program, Bill attempts to address the shortage of primary care physicians. No Bill Number, Health research, Primary Care research agenda.

Client expense: $633,350 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR3667, GME Modernization pilot program authorization. HR5888, Physician Reentry Demonstration Program, Bill to address the shortage of primary care physicians. HR6400, Restoring the Doctors of our Country through scholarships RDOCS Act, Support medical student debt relief, increase family physician workforce. HR6688, Averting the Fiscal Cliff Act, American Tax Payer Relief Act, Prevent SGR sequester Medicare payment cuts, protect Medicaid parity primary care rates. Avoid sequester cuts to title VII primary care training grants, GME, AHRQ, NHSC, Prevention and public health trust funds, stop the 2% cut due January 2, 2013. S3295, Department of Labor Appropriations Act, 2013, Support increased FY13 spending on Title VII Sec 747 primary care training grants and AHRQ funding. S507, Prescription Drug Abuse Prevention and Treatment Act, Support for national database and opposition to mandated CME.

Client expense: $633,350 · Firm income: Not reported

HR2119, Ryan Creedon Act, Opposing a requirement that physicians be specifically trained on the dangers of addictive drugs. HR3630, Welfare Integrity and Data Improvement Act, Ten month extension of Medicare physician fee schedule. HR3667, Primary Care Workforce Access Improvement Act of 2011, GME modernization pilot program authorization and funding for non-hospital training sites. HR5, Medical liability reform and IPAB repeal Protecting Access to Healthcare Act, Medical liability reform. HR452, Medicare Decision Accountability Act, Revamping the Independent Payment Advisory Board. HR5707, Medicare Physician Payment Innovation Act of 2012, Replace Medicare physician payment's SGR with higher payment rates for primary care. HR5888, Physician Reentry Demonstration Program Act, Revise bill so sub-specialists do not reenter practice as primary care docs in CHCs, VA clinics and school based centers. S3187, Synthetic Drug Abuse Prevention Act of 2012, discussion on Opioid abuse and pain management as part of PDUFA reauthorization. Support appropriate prescription drug monitoring which is not burdensome to family physicians. S3295, Department of Labor Appropriations Act 2013, Support increased appropriations for Agency for Healthcare Research and Quality in FY2013, AHRQ funding budget priority, Support increased FY13 spending on Title VII Sec 747 primary care training grants. No Bill Number, FDA/CDER meeting on chronic pain management, Effective pain management. No Bill Number, 2013 Family Physician of the Year competition judge. No Bill Number, Protect access to healthcare act, Medical liability reform. No Bill Number, Medicare physician payment reform of the Sustainable Growth Rate, Medicare physician pay cuts scheduled for 2013. No Bill Number, Increasing physician awareness of TBI and PTSD, Promoting family physician ability to assist with these conditions. No Bill Number, Comprehensive Primary Care, Medical Home and Healthcare Reform. No Bill Number, PCPCC Center for Consumer Engagement, Medical Home and Health Care Reform. No Bill Number, Tobacco cessation, Health of the public. No Bill Number, Primary care meeting, Medical Home and Health Care Reform. No Bill Number, Meaningful Use meetings, Medical Home and Health Care Reform. No Bill Number, Electronic Health Records, Ensuring payments for true primary care physicians. No Bill Number, 2013 proposed inpatient PPS, Supporting GME slots for primary care. No Bill Number, Valuation of Primary Care, strategies for improving primary care payment in the physician fee schedule. No Bill Number, Primary care incentive payment PCIP, Re-question CMS release data on PCIP use. No Bill Number, National Priorities and Research Agenda, PCORI should focus research on more common medical conditions first. No Bill Number, National School lunch program, Improve school nutrition programs accessed through state education by providing incentives for school nutrition providers to replace foods with little or no nutritional value. No Bill Number, Oppose repeal of subsidies for health insurance exchanges. No Bill Number, Medicare physician fee schedule for 2013, Support for short term payment reforms to allow primary care access to non face to face codes. No Bill Number, Comprehensive Primary Care Initiative, Promote the CPCI to family physician practices in the seven geographic markets. No Bill Number, Medicaid payments to primary care physicians, Oppose expansion of definition of physicians who are eligible for primary care Medicaid support. No Bill Number, White House meeting on improving health care coordination and quality. Support for Patient Centered Medical Home as a health care delivery model to improve coordination of care. No Bill Number, White House meeting on implementation of meaningful use of HIT, Support for standards of interoperability of HIT systems. No Bill Number, Adequacy and accuracy of Medicare physician payment, Positive payment differential for primary care physicians. No Bill Number, Patient Centered Medical Home, Increasing support for the concept in discussing delivery system reform.

HR 5888; HR 6352

Client expense: $90,000 · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

H.R. 5888, Physician Reentry Demonstration Program Act, all provisions S. 3245, To extend by 3 years the authorization of the EB-5 Regional Center Program, the E-Verify Program, the Special Immigrant Nonminister Religious Worker Program, and the Conrad State 30 J-1 Visa Waiver Program, provisions relating to J-1 Visa Waiver Program Reauthorization, Section 4 State Action Doctrine FTC and Licensure DOJ/FTC Health Care Antitrust Guidelines Health Care Market Competition

Client expense: $3,680,000 · Firm income: Not reported

See page three for specific Medicare/Medicaid issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Trauma Appropriations Value-Based Update (VBU) Proposal

See page six for specific Health Issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Trauma Appropriations Value-Based Update (VBU) Proposal

See page three for specific Medicare/Medicaid issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Trauma Appropriations Value-Based Update (VBU) Proposal

See page six for specific Health Issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H. R. 1700 The Medicare Patient Empowerment Act H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5937 Breast Cancer Patient Education Act of 2012 H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Issues Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program HAI prevention Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Physician Fee Schedule and OPPS/ASC CY 2012 Proposed Rule Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule Risk pool legislation RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Sequestration Trauma Appropriations Value-Based Update (VBU) Proposal

H.R.5888, Physician Reentry Demonstration Program, Bill attempts to address the shortage of primary care physicians.

Client expense: $449,038 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

HR2119, Ryan Creedon Act, Opposing a requirement that physicians be specifically trained on the dangers of addictive drugs. HR3667, Primary Care Workforce Access Improvement Act of 2011, GME modernization pilot program authorization and funding for non-hospital training sites. HR5888, Physician Reentry Demonstration Program, Bill attempts to address the shortage of primary care physicians. S3295, Department of Labor Appropriations Act, 2013, Support increased FY13 spending on Title VII Sec 747 primary care training grants. S507, Prescription Drug Abuse Prevention and Treatment Act, funding for state monitoring of prescription drug use. No Bill Number, Labor HHS Appropriations Bill, Support for funding Health Professions grants program and funding for HRSA and AHRQ. J. J. Res. 117, Labor HHS Appropriations Bills, Support for funding Health Professions Grant Program and HRSA and AHRQ. No Bill Number, Advisory Committee on Training in Primary are Medicine and Dentistry supporting Title VII training grants to family medicine.

Client expense: $449,038 · Firm income: Not reported

HR2119, Ryan Creedon Act, Opposing a requirement that physicians be specifically trained on the dangers of addictive drugs. HR3630, Welfare Integrity and Data Improvement Act, Ten month extension of Medicare physician fee schedule. HR3667, Primary Care Workforce Access Improvement Act of 2011, GME modernization pilot program authorization and funding for non-hospital training sites. HR5, Medical liability reform and IPAB repeal Protecting Access to Healthcare Act, Medical liability reform. HR452, Medicare Decision Accountability Act, Revamping the Independent Payment Advisory Board. HR5707, Medicare Physician Payment Innovation Act of 2012, Replace Medicare physician payment's SGR with higher payment rates for primary care. HR5888, Physician Reentry Demonstration Program Act, Revise bill so sub-specialists do not reenter practice as primary care docs in CHCs, VA clinics and school based centers. H. Con. Res. 112, Oppose repeal of subsidies for health insurance exchanges. H.J. Res117, Labor, HHS Appropriations Bills, Support for funding health professions grant program and funding for HRSA and AHRQ. S3295, Department of Labor Appropriations Act 2013, Support increased appropriations for Agency for Healthcare Research and Quality in FY2013, AHRQ funding budget priority, Support increased FY13 spending on Title VII Sec 747 primary care training grants. S507, Prescription drug abuse prevention and treatment Act, support state programs to monitor prescription drug abuse. No Bill Number, National Drug Control Strategy, State Grants for screening, brief intervention and referral to treatment. New CME for prescribers of opioid analgesics - support drug control policies that are not burdensome to family physicians. No Bill Number, Advisory committee on training in primary care medicine and dentistry, supporting Title VII training grants to family medicine. No Bill Number, Medicare physician payment reform of the sustainable growth rate, Medicare physician pay cuts scheduled for 2013. No Bill Number, Comprehensive primary care, medical home and health care reform, promote CPCI to family physician practices in the seven geographic markets. No Bill Number, Observation care, 2013 proposed inpatient PPS. No Bill Number, Home Health Documentation requirements, Face to face documentation requirements in the 2013 proposed home health regulation. No Bill Number, Primary Care Meeting, Medical Home and Health Care Reform. No Bill Number, Meaningful Use Meetings, Medical Home and Health Care Reform. No Bill Number, Electronic Health Records, Meaningful use funds and quality improvement. No Bill Number, Medicaid parity for primary care, Ensuring payments for true primary care physicians. No Bill Number, Valuation of Primary Care, Strategies for improving primary care payment in the physician fee schedule. No Bill Number, Primary Care Incentive Payment (PCIP), Requesting CMS release data on PCIP use. No Bill Number, National Priorities Research Agenda, PCORI should focus research on more common medical conditions at first. No Bill Number, Medicare Physician fee schedule for 2013, Support for short term payment reforms to allow primary care access to non face to face codes. No Bill Number, Medicaid Payments to primary care physicians, Oppose expansion of definition of physicians who are eligible for primary care Medicaid support. No Bill Number, Health Delivery Transformation, White House meeting to support Patient Centered Medical Home as a health care delivery model to improve coordination of care. No Bill Number, SGR Fix, Stop 27% cut due to go into effect January 1, 2013. No Bill Number, Sequester fiscal cliff, stop 2% cut due January 2, 2013.

H.R.5888, Physician Reentry Demonstration Program, Bill attempts to address the shortage of primary care physicians.

Client expense: $449,038 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

HR2119, Ryan Creedon Act, Opposing a requirement that physicians be specifically trained on the dangers of addictive drugs. HR3667, Primary Care Workforce Access Improvement Act of 2011, GME modernization pilot program authorization and funding for non-hospital training sites. HR5888, Physician Reentry Demonstration Program, Bill attempts to address the shortage of primary care physicians. S3295, Department of Labor Appropriations Act, 2013, Support increased FY13 spending on Title VII Sec 747 primary care training grants. S507, Prescription Drug Abuse Prevention and Treatment Act, funding for state monitoring of prescription drug use. No Bill Number, Labor HHS Appropriations Bill, Support for funding Health Professions grants program and funding for HRSA and AHRQ. J. J. Res. 117, Labor HHS Appropriations Bills, Support for funding Health Professions Grant Program and HRSA and AHRQ. No Bill Number, Advisory Committee on Training in Primary are Medicine and Dentistry supporting Title VII training grants to family medicine.

Client expense: $449,038 · Firm income: Not reported

HR2119, Ryan Creedon Act, Opposing a requirement that physicians be specifically trained on the dangers of addictive drugs. HR3630, Welfare Integrity and Data Improvement Act, Ten month extension of Medicare physician fee schedule. HR3667, Primary Care Workforce Access Improvement Act of 2011, GME modernization pilot program authorization and funding for non-hospital training sites. HR5, Medical liability reform and IPAB repeal Protecting Access to Healthcare Act, Medical liability reform. HR452, Medicare Decision Accountability Act, Revamping the Independent Payment Advisory Board. HR5707, Medicare Physician Payment Innovation Act of 2012, Replace Medicare physician payment's SGR with higher payment rates for primary care. HR5888, Physician Reentry Demonstration Program Act, Revise bill so sub-specialists do not reenter practice as primary care docs in CHCs, VA clinics and school based centers. H. Con. Res. 112, Oppose repeal of subsidies for health insurance exchanges. H.J. Res117, Labor, HHS Appropriations Bills, Support for funding health professions grant program and funding for HRSA and AHRQ. S3295, Department of Labor Appropriations Act 2013, Support increased appropriations for Agency for Healthcare Research and Quality in FY2013, AHRQ funding budget priority, Support increased FY13 spending on Title VII Sec 747 primary care training grants. S507, Prescription drug abuse prevention and treatment Act, support state programs to monitor prescription drug abuse. No Bill Number, National Drug Control Strategy, State Grants for screening, brief intervention and referral to treatment. New CME for prescribers of opioid analgesics - support drug control policies that are not burdensome to family physicians. No Bill Number, Advisory committee on training in primary care medicine and dentistry, supporting Title VII training grants to family medicine. No Bill Number, Medicare physician payment reform of the sustainable growth rate, Medicare physician pay cuts scheduled for 2013. No Bill Number, Comprehensive primary care, medical home and health care reform, promote CPCI to family physician practices in the seven geographic markets. No Bill Number, Observation care, 2013 proposed inpatient PPS. No Bill Number, Home Health Documentation requirements, Face to face documentation requirements in the 2013 proposed home health regulation. No Bill Number, Primary Care Meeting, Medical Home and Health Care Reform. No Bill Number, Meaningful Use Meetings, Medical Home and Health Care Reform. No Bill Number, Electronic Health Records, Meaningful use funds and quality improvement. No Bill Number, Medicaid parity for primary care, Ensuring payments for true primary care physicians. No Bill Number, Valuation of Primary Care, Strategies for improving primary care payment in the physician fee schedule. No Bill Number, Primary Care Incentive Payment (PCIP), Requesting CMS release data on PCIP use. No Bill Number, National Priorities Research Agenda, PCORI should focus research on more common medical conditions at first. No Bill Number, Medicare Physician fee schedule for 2013, Support for short term payment reforms to allow primary care access to non face to face codes. No Bill Number, Medicaid Payments to primary care physicians, Oppose expansion of definition of physicians who are eligible for primary care Medicaid support. No Bill Number, Health Delivery Transformation, White House meeting to support Patient Centered Medical Home as a health care delivery model to improve coordination of care. No Bill Number, SGR Fix, Stop 27% cut due to go into effect January 1, 2013. No Bill Number, Sequester fiscal cliff, stop 2% cut due January 2, 2013.

H.R. 5888, Physician Reentry Demonstration Program Act, all provisions FTC and Medical Licensing Boards Health Insurer Mergers Antitrust DOJ-FTC Health Care Antitrust Guidelines Health Care Market Competition

Client expense: $4,400,000 · Firm income: Not reported

H.R. 816, Provider Shield Act of 2011, all provisions H.R. 3586, Good Samaritan Health Professionals Act of 2011, all provisions H.R. 5, Protecting Access to Healthcare Act, all provisions H.R. 5888, Physician Reentry Demonstration Program Act, provisions relating to liability Medical Liability Reform

Client expense: $4,400,000 · Firm income: Not reported

See page 6 for specific HCR issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Proposed Rule Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Trauma Appropriations

See page three for specific MMM issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Proposed Rule Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Trauma Appropriations

See page six for specific HCR issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Proposed Rule Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Trauma Appropriations

See page three for specific Medicare/Medicaid issues. H.R. 1409 - Quality Health Care Coalition Act of 2011 H.R. 157 - Health Care Safety Net Enhancement Act of 2011 H.R. 2104 - Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2011 H.R. 2119 - Ryan Creedon Act of 2011 H.R. 2405 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R. 2600 - National Pediatric Acquired Brain Injury Plan Act of 2011 H.R. 3239 - Safeguarding Access For Every Medicare Patient Act H.R. 3474 - PRIME Act of 2011 H.R. 3586 - Good Samaritan Health Professionals Act of 2011 H.R. 4310 - National Defense Authorization Act for Fiscal Year 2013 H.R. 451 - Healthcare Truth and Transparency Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 5651 - Food and Drug Administration Reform Act of 2012 H.R. 5707 - Medicare Physician Payment Innovation Act of 2012 H.R. 5888 - Physician Reentry Demonstration Program Act H.R. 5998 - USPSTF Transparency and Accountability Act of 2012 S. 1099 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 1855 - Pandemic and All-Hazards Preparedness Act Reauthorization of 2011 S. 2516 - Food and Drug Administration Safety and Innovation Act S. 3201 - Graduate Medical Education Reform Act of 2012 Accountable Care Organizations Final Rule ACS VBU (Value Based-Update) proposal Ambulatory Surgical Centers Cancer programs appropriations Children's Hospitals Graduate Medical Education Payment Program funding CMS EHR Stage 2 Proposed Rule CMS RUC Refinement Electronic Health Record Meaningful Use Stage 2 Proposed Rule Federal Privacy laws Health Information Technology (45 CFR Part 170) HHS ASPR/MSET Program Imaging Inspiring Quality Campaign IPAB Medical Device User Fee and Modernization Act (MDUFMA) Medicare audit programs Medicare fraud identification efforts Medicare Inpatient Prospective Payment System Proposed Rule Medicare Liability Reform Medicare SGR and Overseas Contingency Operations funds NIH Appropriations Nominations for the Committee on Governance and Financing of Graduate Medical Education Nominations for the Medicare Payment Advisory Commission Pediatric subspecialty loan repayment program Prescription Drug User Fee Act (PDUFA) reauthorization Quality and Value Based Purchasing Provisions of Medicare Physician Fee Schedule Final Rule RUC Refinement panel valuation problem Rx Drug and Surgical Workforce shortages Trauma Appropriations

-Prescriber / patient education and responsible opioid prescribing policies to combat prescription drug abuse; -State-based medical licensure; -Improving provider screening to combat waste, fraud, and abuse in Medicare and Medicaid; -Federal Trade Commission and the role of state medical boards in state-based health professional regulation; - The Online Pharmacy Safety Act / Food and Drug Administration Safety and Innovation Act; - H.R. 5888, The Physician Reentry Demonstration Program Act; -Participated on policy workgroup to support the expanded use of prescription drug monitoring programs (PDMP); -Physician Volunteer Licensure; -Submitted regulatory comment in support of the proposed establishment of the National Institute of Substance Use and Addiction Disorders within the National Institutes of Health (NIH)

Client expense: $210,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

S. 3187, Food and Drug Administration Safety and Innovation Act, Drug shortages; H.R. 4138, Neuromyelitis Optica Consortium Act, Neurology research; H.R. 5888, Physician Reentry Demonstration Program Act, Primary care; S. 3240, Agriculture Reform, Food and Jobs Act of 2012, Antimicrobial use in food animal production; Hand transplant research; Health care coverage for military retirees and their families; Health care quality and safety; Injury prevention; Bio-Health Regional Innovation Clusters; Pediatric vision benefit in health exchanges; Health information technology and medical informatics; Alternatives to animal toxicity testing

Client expense: $100,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, U.S. Agency for International Development (USAID)

HR2119, Ryan Creedon Act, Opposing a requirement that physicians be specifically trained on the dangers of addictive drugs. HR3630, Welfare Integrity and Data Improvement Act, Ten month extension of Medicare physician fee schedule. HR3667, Primary Care Workforce Access Improvement Act of 2011, GME modernization pilot program authorization and funding for non-hospital training sites. HR5, Medical liability reform and IPAB repeal Protecting Access to Healthcare Act, Medical liability reform. HR452, Medicare Decision Accountability Act, Revamping the Independent Payment Advisory Board. HR5707, Medicare Physician Payment Innovation Act of 2012, Replace Medicare physician payment's SGR with higher payment rates for primary care. HR5888, Physician Reentry Demonstration Program Act, Revise bill so sub-specialists do not reenter practice as primary care docs in CHCs, VA clinics and school based centers. S3187, Synthetic Drug Abuse Prevention Act of 2012, discussion on Opioid abuse and pain management as part of PDUFA reauthorization. Support appropriate prescription drug monitoring which is not burdensome to family physicians. S3295, Department of Labor Appropriations Act 2013, Support increased appropriations for Agency for Healthcare Research and Quality in FY2013, AHRQ funding budget priority, Support increased FY13 spending on Title VII Sec 747 primary care training grants. No Bill Number, FDA/CDER meeting on chronic pain management, Effective pain management. No Bill Number, 2013 Family Physician of the Year competition judge. No Bill Number, Protect access to healthcare act, Medical liability reform. No Bill Number, Medicare physician payment reform of the Sustainable Growth Rate, Medicare physician pay cuts scheduled for 2013. No Bill Number, Increasing physician awareness of TBI and PTSD, Promoting family physician ability to assist with these conditions. No Bill Number, Comprehensive Primary Care, Medical Home and Healthcare Reform. No Bill Number, PCPCC Center for Consumer Engagement, Medical Home and Health Care Reform. No Bill Number, Tobacco cessation, Health of the public. No Bill Number, Primary care meeting, Medical Home and Health Care Reform. No Bill Number, Meaningful Use meetings, Medical Home and Health Care Reform. No Bill Number, Electronic Health Records, Ensuring payments for true primary care physicians. No Bill Number, 2013 proposed inpatient PPS, Supporting GME slots for primary care. No Bill Number, Valuation of Primary Care, strategies for improving primary care payment in the physician fee schedule. No Bill Number, Primary care incentive payment PCIP, Re-question CMS release data on PCIP use. No Bill Number, National Priorities and Research Agenda, PCORI should focus research on more common medical conditions first. No Bill Number, National School lunch program, Improve school nutrition programs accessed through state education by providing incentives for school nutrition providers to replace foods with little or no nutritional value. No Bill Number, Oppose repeal of subsidies for health insurance exchanges. No Bill Number, Medicare physician fee schedule for 2013, Support for short term payment reforms to allow primary care access to non face to face codes. No Bill Number, Comprehensive Primary Care Initiative, Promote the CPCI to family physician practices in the seven geographic markets. No Bill Number, Medicaid payments to primary care physicians, Oppose expansion of definition of physicians who are eligible for primary care Medicaid support. No Bill Number, White House meeting on improving health care coordination and quality. Support for Patient Centered Medical Home as a health care delivery model to improve coordination of care. No Bill Number, White House meeting on implementation of meaningful use of HIT, Support for standards of interoperability of HIT systems. No Bill Number, Adequacy and accuracy of Medicare physician payment, Positive payment differential for primary care physicians. No Bill Number, Patient Centered Medical Home, Increasing support for the concept in discussing delivery system reform.