Behavioral Health Information Technology Act of 2012

S 539 "The Behavioral Health Information Technology Act," all provisions. HR 6043 "Behavioral Health Information Technology Act of 2012," all provisions. S 689 The Mental Health Awareness and Improvement Act," all provisions. S 1517/HR 2957 "Behavioral Health Information Technology Act," all provisions.

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 539, "The Behavioral Health Information Technology Act," all provisions. HR 6043 "Behavioral Health Information Technology Act of 2012," all provisions. S 689 The Mental Health Awareness and Improvement Act," all provisions.

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of H.R. 3590, The Patient Protection and Affordable Care Act Sections (P.L. 111-148) Title III--Improving the Quality and Efficiency of Health Care, and H.R. 3590 provisions relating to Health Information Technology; Implementation of the American Recovery and Reinvestment Act of 2009, (P.L. 111-5) Title XIII the Health Information Technology for Economic and Clinical Health Act (HITECH Act); H.R. 3239, Safeguarding Access for Every Medicare Patient Act, all provisions;H.R. 6043, Behavioral Health Information Technology Act of 2012, all provisions; H.R. 3962, Affordable Health Care for America Act, provisions relating to Health Information Technology; H.R. 2663, To Amend the Congressional Budget Act Respecting Scoring of Prevention Health Savings; Legislation to Repeal the SGR in the Medicare Physician Payment Formula.

Client expense: Not reported · Firm income: $40,000

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

Implementation of H.R. 3590, The Patient Protection and Affordable Care Act Sections (P.L. 111-148) Title III--Improving the Quality and Efficiency of Health Care, and H.R. 3590 provisions relating to Health Information Technology; Implementation of the American Recovery and Reinvestment Act of 2009, (P.L. 111-5) Title XIII the Health Information Technology for Economic and Clinical Health Act (HITECH Act); H.R. 3239, Safeguarding Access For Every Medicare Patient Act, all provisions; H.R. 6043, Behavioral Health Information Technology Act of 2012, all provisions; H.R. 3962, Affordable Health Care for America Act, provisions relating to Health Information Technology.

Client expense: Not reported · Firm income: $25,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Transportation Security Administration (TSA), White House Office

S 539, "The Behavioral Health Information Technology Act," all provisions. HR 6043 "Behavioral Health Information Technology Act of 2012," all provisions. S 689 The Mental Health Awareness and Improvement Act," all provisions.

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 451: Health Care Truth and Transparency Act of2011, all provisions of this bill to ensure that patients receive accurate health care information by prohibiting misleading and deceptive advertising or representation in the provision of health care services, and to require the identification of the license of health care professionals. HR. 6043: Behavioral Health Information Technology Act of 2011, all provisions of this bill to amend the Public Health Services Act and the Social Security Act to extend health information technology assistance eligibility to behavioral health, mental health, and substance abuse professionals and facilities.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

House FY 13 Budget (H.Con.Res. 112) Mental Health in Schools Act (H.R. 751) Labor, Health and Human Services, and Education, and Related Agencies FY 12 Appropriations Act (S.1599/H.R.3070) Behavioral Health Information Technology Act of 2011 (S. 539/H.R. 6043)Healthy Lifestyles and Prevention America Act (S.174) Medicare Mental Health Access Act (S.483) Seniors Mental Health Access Improvement Act of 2011 (S.604) Medicare Mental Health Inpatient Equity Act (S.374) A Bill To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges (HR 1213) A Bill To repeal mandatory funding for school-based health center construction (HR 1214) A Bill To repeal the Prevention and Public Health Fund (HR 1217) Patients Rights Repeal Act (H.R. 2) Medicaid Maintenance-Of-Effort Repeal (H.R.1683/S. 868) The Garrett Lee Smith Memorial Act (GLSMA) Reauthorization of 2011 (S. 740) The Sergeant Coleman S. Bean Reserve Component Suicide Prevention Act (H.R. 1089/S. 579) The Keeping All Students Safe Act (H.R. 1381/S.2020) The Ryan Creedon Act of 2011 (H.R. 2119) Mental Health on Campus Improvement Act, H.R. 1833 Constitutional Balanced Budget Amendment (H.J.Res. 1/S.J.Res. 23) Agriculture FY12 Appropriations (HR 2112) Military/Veterans FY12 Appropriations (HR 2055) Medicare Decisions Accountability Act of 2011 (IPAB; HR 452/S. 668) Cap, Cut and Balance Bill (HR 2560/S. 1340) CAMPUS Safety Act of 2011 (HR 2342) Health Equity and Accountability Act of 2011 (H.R.2954) Continuing Appropriations Act, 2012 (HR 2608) Medigap Medical Loss Ratio Improvement Act (S.1416/H.R.2645) Improving Access to Medicare Coverage Act of 2011 (S.818) Stop Child Abuse in Residential Programs for Teens Act of 2011 (H.R.3126) Commerce/Justice/State FY12 Appropriations Act (HR.2596/S.1572) Promoting Accountability and Excellence in Child Welfare Act (S. 1509) Lifespan Respite Reauthorization Act (HR 3266) Consolidated FY2012 Appropriations Act (was Military/Veterans; HR 2055) Children's Budget Act (S.1396) Middle Class Tax Cut Act of 2011 (H.R. 3630) Speak Up Act Letter of Support (S. 1877) Reauthorization of Drug-Free Communities Support Program (S. 2159) WIPA and PABSS Continuation of Services Act of 2012 (H.R.6061) The Childrens Mental Health Accessibility Act (S. 3289) Departments of Labor, Health and Human Services, and Education Appropriations Act, 2013 (S.3295) Military/Veterans FY13 Appropriations (H.R. 5854/S. 3215) Excellence in Mental Health (S. 2257/H.R. 5989) Mental Health First Aid Higher Education Act (S. 3325/H.R. 5996) Health Equity and Accountability Act (HEAA) of 2012 (S. 2474) Pharmaceutical Stewardship Act of 2011 (H.R. 2939) Food and Drug Administration Reform Act of 2012 (H.R. 5651/S. 3187) Mental Health ACCESS Act of 2012 (S. 3340) Medicaid Information Technology to Enhance Community Health Act of 2012 (S.3539) Recidivism Reduction Act (H.R.6256) To provide payment for patient navigator services under title XIX of the Social Security Act (H.R.6521) 21st Century Language Act of 2012 (S. 2367) Continuing Appropriations Act (through 3/27/2013), HJRes117 Averting the Fiscal Cliff Act/American Taxpayer Relief Act of 2012 (H.R. 8/H.R. 6688) To establish and operate a National Center for Campus Public Safety (H.R.6691) CAMPUS Safety Act of 2012 (S.3682) A bill to provide grants to establish veteran's treatment courts (S.3702)Training of mental health counselors for members of the Armed Forces, veterans, and their families. (S.3254) To improve mental health care programs and activities for members of the Armed Forces and veterans. ( S.3254) Servicemember Mental Health Review Act (H.R.6574)

Client expense: $8,158 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Departments of Labor, Health and Human Services, and Education Appropriations Act, 2013 (S.3295) House FY 13 Budget (H.Con.Res. 112) The Ryan Creedon Act of 2011 (H.R. 2119) Cap, Cut and Balance Bill (HR 2560/S. 1340)Commerce/Justice/Science FY13 Appropriations (H.R. 5326/S. 2323) Consolidated FY2012 Appropriations Act (was Military/Veterans; HR 2055) Reauthorization of Drug-Free Communities Support Program (S. 2159) Food and Drug Administration Reform Act of 2012 (H.R. 5651/S. 3187) Access to Substance Abuse Treatment Act of 2012 (H.R. 5711) Excellence in Mental Health (S. 2257/H.R. 5989) Behavioral Health Information Technology Act of 2011 (S. 539/H.R. 6043) Health Equity and Accountability Act (HEAA) of 2012 (S. 2474/H.R.2954) Pharmaceutical Stewardship Act of 2011 (H.R. 2939) Mental Health ACCESS Act of 2012 (S. 3340) Medicaid Information Technology to Enhance Community Health Act of 2012 (S.3539) Recidivism Reduction Act (H.R.6256) Continuing Appropriations Act (through 3/27/2013), HJRes117 Averting the Fiscal Cliff Act/American Taxpayer Relief Act of 2012 (H.R. 8/H.R. 6688)

Client expense: $8,158 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

House FY 13 Budget (H.Con.Res. 112) Mental Health in Schools Act (H.R. 751) Medicaid Maintenance-Of-Effort Repeal (H.R.1683/S. 868) Behavioral Health Information Technology Act of 2011 (S. 539/H.R. 6043)Healthy Lifestyles and Prevention America Act (S.174) Medicare Mental Health Access Act (S.483) Seniors Mental Health Access Improvement Act of 2011 (S.604) Medicare Mental Health Inpatient Equity Act of 2011 (S.374/H.R.2783) CAP Act of 2011 (H.R. 1605/S. 245) Constitutional Balanced Budget Amendment (H.J.Res. 1/S.J.Res. 23) Mental Health on Campus Improvement Act, H.R. 1833 Medicare Decisions Accountability Act of 2011 (HR 452/S 668) Cap, Cut and Balance Bill (HR 2560/S. 1340) Health Equity and Accountability Act of 2011 (H.R.2954) Continuing Appropriations Act, 2012 (HR 2608) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2012 (S.1599/H.R.3070) Medigap Medical Loss Ratio Improvement Act (S.1416/H.R.2645) Improving Access to Medicare Coverage Act of 2011 (S.818) Consolidated FY2012 Appropriations Act (was Military/Veterans; HR 2055) Excellence in Mental Health Act (S.2257) Children's Budget Act (S.1396) Middle Class Tax Cut Act of 2011 (H.R.3630) Speak Up Act Letter of Support (S. 1877) WIPA and PABSS Continuation of Services Act of 2012 (H.R. 6061) The Childrens Mental Health Accessibility Act (S.3289) Departments of Labor, Health and Human Services, and Education Appropriations Act, 2013 (S.3295) Excellence in Mental Health (S. 2257/H.R.5989) Mental Health First Aid Higher Education Act (S. 3325/H.R.5996) Health Equity and Accountability Act (HEAA) of 2012 (S.2474) Mental Health ACCESS Act of 2012 (S.3340) Medicaid Information Technology to Enhance Community Health Act of 2012 (S.3539) Recidivism Reduction Act (H.R.6256) To provide payment for patient navigator services under title XIX of the Social Security Act (H.R.6521) Continuing Appropriations Act (through 3/27/2013), HJRes117 Averting the Fiscal Cliff Act/American Taxpayer Relief Act of 2012 (H.R. 8/H.R. 6688)

Client expense: $8,158 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

House FY 13 Budget (H.Con.Res. 112) Mental Health in Schools Act (H.R. 751) Labor-HHS-Education FY 12 Appropriations (S.1599/H.R.3070) Achievement Through Prevention Act (S. 541)The Keeping All Students Safe Act (H.R. 1381/S.2020) Garrett Lee Smith Memorial Act (GLSMA) Reauthorization of 2011 (S. 740) Safe Schools Improvement Act of 2011 (H.R.1648/S.506) IDEA Full Funding Act (S.1403) State and Local Funding Flexibility Act (H.R. 2445) The Academic, Social, and Emotional Learning Act of 2011 (H.R. 2437) GREAT Teachers and Principals Act (HR 1250) CAMPUS Safety Act of 2011 (HR 2342) Mental Health on Campus Improvement Act (H.R. 1833) Success in the Middle Act of 2011 (H.R.1547/S. 833) IDEA Full Funding Act (S.1403) Positive Behavior for Safe and Effective Schools Act (H.R.3165) Stop Child Abuse in Residential Programs for Teens Act of 2011 (H.R.3126) Cap, Cut and Balance Bill (HR 2560/S. 1340) Continuing Appropriations Act, 2012 (HR 2608) Consolidated FY2012 Appropriations Act (was Military/Veterans; HR 2055) Children's Budget Act (S.1396) Middle Class Tax Cut Act of 2011 (H.R. 3630) Speak Up Act Letter of Support (S. 1877) Elementary and Secondary Education Amendments Act of 2011 (S.1571) Excellence in Mental Health (S. 2257/H.R. 5989) Behavioral Health Information Technology Act of 2011 (S. 539/H.R. 6043) The Childrens Mental Health Accessibility Act (S. 3289) Departments of Labor, Health and Human Services, and Education Appropriations Act, 2013 (S.3295) Mental Health First Aid Higher Education Act (S. 3325/H.R. 5996) Health Equity and Accountability Act (HEAA) of 2012 (S. 2474) Community-Based Mental Health Infrastructure Improvements Act (S. 2256) Mental Health ACCESS Act of 2012 (S. 3340) 21st Century Language Act of 2012 (S. 2367) Continuing Appropriations Act (through 3/27/2013), HJRes117 Averting the Fiscal Cliff Act/American Taxpayer Relief Act of 2012 (H.R. 8/H.R. 6688) To establish and operate a National Center for Campus Public Safety (H.R.6691) CAMPUS Safety Act of 2012 (S.3682)

Client expense: $8,158 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S 539, "The Behavioral Health Information Technology Act," all provisions. HR 6043 "Behavioral Health Information Technology Act of 2012," all provisions.

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to the effective implementation of PL 111-148 "The Patient Protection and Affordable Care Act," all provisions relating to mental health, and the ensuing budget reconciliation legislation, PL 111-152 "The Reconciliation Act of 2010," all provisions relating to mental health. S 539 / HR 6043, "The Behavioral Health Information Technology Act of 2012," all provisions. Issues relating to federal recognition of Community Mental Health Centers. HR 5636 Mental Health and Addiction Safety Net Equity Act," all provisions. S 4038 Excellence in Mental Health Act, all provisions. S 2257 / HR 5989 "Excellence in Mental Health Act," all provisions relating to federal recognition of Community Mental Health Centers. S. 3325/HR 5996 The Mental Health First Aid Higher Education Act, all provisions.

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, 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

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 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

Client expense: $87,126 · 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 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: $87,126 · 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

Appropriations for Patient Protection and Affordable Care Act (ACA) Behavioral Health Information Technology Act (S. 539) (HR 6043) State Flexibility Act (HR 1683) The BPCA and PREA Reauthorization Act (HR 4274) Preserving Access to Life Saving Medication Act (S 296) (HR 2245) Drug Shortage Prevention Act (HR 3839) Department of Labor, Health and Human Services and Education Related Agencies Appropriations Act 2013 (S 3295) (HR 3070) Protect our Kids Act of 2012 (S 3705) (HR 6655)

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 S.539 - Behavioral Health Information Technology Act of 2011 H.R. 6043 - Behavior Health Information Technology Act of 2012 H.J.Res. 117 - Continuing Appropriations Resolution, 2013 H.R. 8 - The American Taxpayer Relief Act

Client expense: Not reported · Firm income: $50,000

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 S.539 - Behavioral Health Information Technology Act of 2011 H.R. 6043 - Behavior Health Information Technology Act of 2012 H.J.Res. 117 - Continuing Appropriations Resolution, 2013 H.R. 8 - The American Taxpayer Relief Act

Client expense: Not reported · Firm income: $50,000

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Implementation of H.R. 3590, The Patient Protection and Affordable Care Act Sections (P.L. 111-148) Title IIIImproving the Quality and Efficiency of Health Care; Implementation of the American Recovery and Reinvestment Act of 2009,(P.L. 111-5) Title XIII the Health Information Technology for Economic and Clinical Health Act (HITECH Act); H.R.3239, Safeguarding Access For Every Medicare Patient Act, all provisions. H.R. 6043: Behavioral Health Information Technology Act of 2012, all provisions. H.R.3962 - Affordable Health Care for America Act - Provisions relating to Health Information Technology H.R.3590 - Patient Protection and Affordable Care Act- Provisions relating to Health Information Technology

Client expense: Not reported · Firm income: $25,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Transportation Security Administration (TSA), White House Office

Meaningful Use Program, Small Business Committee, H.R. 3239, the SAFE Medicare Patient Protection Act, Behavioral Health Information Technology Act of 2012 (HR 6043), Safeguarding Access for Every Medicare Patient Act (HR 3239), VETs Act

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S.913: Do-Not-Track Online Act of 2011-privacy implications. S.799: The Commercial Privacy Bill of Rights-privacy implications. S.501: Fostering Independence Through Technology Act-any health IT implications. S.539: Behavior Health Information Technology Act-expanding health IT incentives to additional covered entities. S. 1789: The 21st Century Postal Service Act. This bill contains language that would limit federal agency employees participation and attendance at association conferences. H.R.3239: Safeguarding Access For Every Medicare Patient Actinterested in the safe harbor issues with regard to the implementation of certified health IT. H.R.2500: Equal Access and Parity for Multi-Campus Hospitals Actexpanding HIT incentives to new covered entities. H.R.1895: A Bill to Amend the Children's Online Privacy Protection Actprivacy implications. H.R.1841: Data Accountability and Trust Act (DATA) of 2011privacy implications. H.R.1473: A bill to make further continuing appropriations for Fiscal Year 2011 (updated)provisions concerning ONC funding, health IT and the rider concerning a unique healthcare identifier for individuals. H.R.1363: A bill to further continuing appropriations for Fiscal Year 2011any health IT implications H.R.1: Continuing Resolution and Consolidated Appropriations Act of 2011any health IT implications. H.R.408: To reduce Federal spending by $2.5 trillion through fiscal year 2021any health IT implications. H.R.2: Repealing of the Job-Killing Health Care Law Actany health IT implications and provisions concerning ICD-10 mapping and operating rules for HIPAA transactions. H.R. 2146: Digital Accountability and Transparency Act. This bill includes language that would limit federal employees from attending association conferences. HR 6079: Repeal of Obamacare Act. This will overturn most provisions in the Patient Protection and Affordable Care Act. H.R. 6107: The VETS Act, which would allow Veterans Affairs providers to deliver telemedicine services to vets regardless of site of origin or delivery. H.R. 6043: Behavioral Health Information Technology Act, which would expand the MU program to mental and behavioral health care providers. The bill also incorporates the Marino SAFE act, which would create liability protections for providers and vendors who report errors in use of technology. HR6575: Medicare Audit Improvement Act of 2012- this bill would amend the process for conducting RAC audits.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248/ HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act S. 1627, Resident Physician Shortage Reduction Act of 2011, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. S. 1542, H.R. 2883, Child and Family Services Improvement and Innovation Act S. 1925, H.R. 4970 Violence against Women Act Reauthorization Act S. 3604, A bill to amend title XVIII of the Social Security Act to provide for the implementation of prescriber education programs and to establish requirements relating to the administration of antipsychotics to residents of skilled nursing facilities and nursing facilities under the Medicare and Medicaid programs, and for other purposes. H.R. 6043, the Behavioral Health Information Technology Act of 2012 H.R. 5989, the Excellence in Mental Health Act of 2012 H.R. 5996, the Mental Health First Aid Higher Education Act of 2012 H.R. 5707, the Medicare Physician Payment Innovation Act of 2012 H. R. 6562, the Resident Physician Shortage Act of 2012 H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act of 2012 H.R. 6079, the Repeal of Obamacare Act H.R. 8, American Taxpayer Relief Act H.R. 6645, Save and Stregthen Medicare Act of 2012 H.R. 6598, Electronic Health Records Improvement Act Proposed Rule on the Patient Protection and Affordable Care Act: Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation. CMS-2012-0142-0001.

Client expense: $122,658 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, Office of Management & Budget (OMB), SENATE

HR 340, To amend title XIX of the Social Security Act to remove the exclusion from medical assistance under the Medicaid Program of items and services for patients in an institution for mental diseases. HR 831/S 483, to amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare program S.483, Medicare Mental Health Access Act (companion bill to HR 831 above) HR 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S 374, Medicare Mental Health Inpatient Equity Act S. 525, Positive Aging Act of 2011 S 539, Behavioral Health Information Technology Act of 2011 S. 1627, Resident Physician Shortage Reduction Act of 2011, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. H.R. 6043, the Behavioral Health Information Technology Act of 2012 H.R. 5707, the Medicare Physician Payment Innovation Act of 2012 H.R. 5989, the Excellence in Mental Health Act of 2012 H. R. 6562, the Resident Physician Shortage Act of 2012 H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act of 2012 H.R. 6079, the Repeal of Obamacare Act H.R. 6598, Electronic Health Records Improvement Act H.R. 6645, Save and Strength Medicare Act of 2012 Medicare Program: Revisions to Payment Policies Under the Physician Fee Schedule, DME Face to Face Encounters, Elimination of the Requirement for Termination of Non-Random Prepayment Complex Medical Review and Other Revisions to Part B for CY 2013. (CMS-2012-0083-3524) Medicaid Program: Payments for Services Furnished by Certain Primary Care Physicians and Charges for Vaccine Administration under the Vaccines for Children Program; Correction. (CMS-2012-0061-0150)

Client expense: $122,658 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, Office of Management & Budget (OMB), SENATE

HR 451: Health Care Truth and Transparency Act of 2011, all provisions of this bill to ensure that patients receive accurate health care information by prohibiting misleading and deceptive advertising or representation in the provision of health care services, and to require the identification of the license of health care professionals. HR 6043: Behavioral Health Information Technology Act of 2011, all provisions of this bill to amend the Public Health Services Act and the Social Security Act to extend health information technology assistance eligibility to behavioral health, mental health, and substance abuse professionals and facilities.

Client expense: $350,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 539 and H.R. 6043.

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to community behavioral health centers, issues relating to behavioral healthcare; S. 539 - The Behavioral Health Information Technology Act of 2011; H.R. 6043 - Behavioral Health Information Technology Act of 2012; H.R. 5989 & S. 2257 - Excellence in Mental Health Act; S.3325 - Mental Health First Aid Higher Education Act.

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Excellence in Mental Health Act (S. 2257/H.R. 5989), all provisions related to expanding access to mental health and addictions care by supporting FQCBHCs in treating all individuals regardless of their ability to pay, with a comprehensive array of outpatient behavioral health services Mental Health in Schools Act of 2011 (H.R. 751), all provisions related to revising community children and violence program to assist local communities and schools in applying a public health approach to mental health services Mental Health First Aid Higher Education Act of 2012 (S. 3325/H.R. 5996), all provisions related to authorizing a demonstration program to train college faculty and staff in Mental Health First Aid, a community education program that helps people identify, understand, and respond to signs of mental illnesses and addictions and deal with psychiatric crises Behavioral Health Information Technology Act (S. 539/H.R. 6043), all provisions related to expanding federal incentive payments for the adoption and meaningful use of electronic health records to behavioral health providers and facilities

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Inclusion of psychologists under the Medicare physician definition (H.R.831, S. 483). Halting the 26.5% SGR cut in Medicare fees (S. 483) Making psychologists eligibile for incentive payments to integrate electronic record keeping into their practices (H.R. 6043 S. 539)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

House FY 13 Budget (H.Con.Res. 112) Mental Health in Schools Act (H.R. 751) Labor-HHS-Education FY 12 Appropriations (S.1599/H.R.3070) Achievement Through Prevention Act (S. 541) The Keeping All Students Safe Act (H.R. 1381/S.2020) Garrett Lee Smith Memorial Act (GLSMA) Reauthorization of 2011 (S. 740) Safe Schools Improvement Act of 2011 (H.R.1648/S.506) IDEA Full Funding Act (S.1403) State and Local Funding Flexibility Act (H.R. 2445) The Academic, Social, and Emotional Learning Act of 2011 (H.R. 2437) GREAT Teachers and Principals Act (HR 1250) CAMPUS Safety Act of 2011 (HR 2342) Mental Health on Campus Improvement Act (H.R. 1833) Success in the Middle Act of 2011 (H.R.1547/S. 833) IDEA Full Funding Act (S.1403) Positive Behavior for Safe and Effective Schools Act (H.R.3165) Stop Child Abuse in Residential Programs for Teens Act of 2011 (H.R.3126) Cap, Cut and Balance Bill (HR 2560/S. 1340) Continuing Appropriations Act, 2012 (HR 2608) Consolidated FY2012 Appropriations Act (was Military/Veterans; HR 2055) Children's Budget Act (S.1396) Middle Class Tax Cut Act of 2011 (H.R. 3630) Speak Up Act Letter of Support (S. 1877) Elementary and Secondary Education Amendments Act of 2011 (S.1571) Excellence in Mental Health (S. 2257/H.R. 5989) Behavioral Health Information Technology Act of 2011 (S. 539/H.R. 6043) The Childrens Mental Health Accessibility Act (S. 3289) Departments of Labor, Health and Human Services, and Education Appropriations Act, 2013 (S.3295) Mental Health First Aid Higher Education Act (S. 3325/H.R. 5996) Health Equity and Accountability Act (HEAA) of 2012 (S. 2474) Community-Based Mental Health Infrastructure Improvements Act (S. 2256) Mental Health ACCESS Act of 2012 (S. 3340) 21st Century Language Act of 2012 (S. 2367)

Client expense: $8,670 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Departments of Labor, Health and Human Services, and Education Appropriations Act, 2013 (S.3295) House FY 13 Budget (H.Con.Res. 112) The Ryan Creedon Act of 2011 (H.R. 2119) Cap, Cut and Balance Bill (HR 2560/S. 1340) Commerce/Justice/Science FY13 Appropriations (H.R. 5326/S. 2323) Consolidated FY2012 Appropriations Act (was Military/Veterans; HR 2055) Reauthorization of Drug-Free Communities Support Program (S. 2159) Food and Drug Administration Reform Act of 2012 (H.R. 5651/S. 3187) Access to Substance Abuse Treatment Act of 2012 (H.R. 5711) Excellence in Mental Health (S. 2257/H.R. 5989) Behavioral Health Information Technology Act of 2011 (S. 539/H.R. 6043) Health Equity and Accountability Act (HEAA) of 2012 (S. 2474/H.R.2954) Pharmaceutical Stewardship Act of 2011 (H.R. 2939) Mental Health ACCESS Act of 2012 (S. 3340) Medicaid Information Technology to Enhance Community Health Act of 2012 (S.3539) Recidivism Reduction Act (H.R.6256)

Client expense: $8,670 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

House FY 13 Budget (H.Con.Res. 112) Mental Health in Schools Act (H.R. 751) Labor, Health and Human Services, and Education, and Related Agencies FY 12 Appropriations Act (S.1599/H.R.3070) Behavioral Health Information Technology Act of 2011 (S. 539/H.R. 6043) Healthy Lifestyles and Prevention America Act (S.174) Medicare Mental Health Access Act (S.483) Seniors Mental Health Access Improvement Act of 2011 (S.604) Medicare Mental Health Inpatient Equity Act (S.374) A Bill To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges (HR 1213) A Bill To repeal mandatory funding for school-based health center construction (HR 1214) A Bill To repeal the Prevention and Public Health Fund (HR 1217) Patients Rights Repeal Act (H.R. 2) Medicaid Maintenance-Of-Effort Repeal (H.R.1683/S. 868) The Garrett Lee Smith Memorial Act (GLSMA) Reauthorization of 2011 (S. 740) The Sergeant Coleman S. Bean Reserve Component Suicide Prevention Act (H.R. 1089/S. 579) The Keeping All Students Safe Act (H.R. 1381/S.2020) The Ryan Creedon Act of 2011 (H.R. 2119) Mental Health on Campus Improvement Act, H.R. 1833 Constitutional Balanced Budget Amendment (H.J.Res. 1/S.J.Res. 23) Agriculture FY12 Appropriations (HR 2112) Military/Veterans FY12 Appropriations (HR 2055) Medicare Decisions Accountability Act of 2011 (IPAB; HR 452/S. 668) Cap, Cut and Balance Bill (HR 2560/S. 1340) CAMPUS Safety Act of 2011 (HR 2342) Health Equity and Accountability Act of 2011 (H.R.2954) Continuing Appropriations Act, 2012 (HR 2608) Medigap Medical Loss Ratio Improvement Act (S.1416/H.R.2645) Improving Access to Medicare Coverage Act of 2011 (S.818) Stop Child Abuse in Residential Programs for Teens Act of 2011 (H.R.3126) Commerce/Justice/State FY12 Appropriations Act (HR.2596/S.1572) Promoting Accountability and Excellence in Child Welfare Act (S. 1509) Lifespan Respite Reauthorization Act (HR 3266) Consolidated FY2012 Appropriations Act (was Military/Veterans; HR 2055) Children's Budget Act (S.1396) Middle Class Tax Cut Act of 2011 (H.R. 3630) Speak Up Act Letter of Support (S. 1877) Reauthorization of Drug-Free Communities Support Program (S. 2159) WIPA and PABSS Continuation of Services Act of 2012 (H.R.6061) The Childrens Mental Health Accessibility Act (S. 3289) Departments of Labor, Health and Human Services, and Education Appropriations Act, 2013 (S.3295) Military/Veterans FY13 Appropriations (H.R. 5854/S. 3215) Excellence in Mental Health (S. 2257/H.R. 5989) Mental Health First Aid Higher Education Act (S. 3325/H.R. 5996) Health Equity and Accountability Act (HEAA) of 2012 (S. 2474) Pharmaceutical Stewardship Act of 2011 (H.R. 2939) Food and Drug Administration Reform Act of 2012 (H.R. 5651/S. 3187) Mental Health ACCESS Act of 2012 (S. 3340) Medicaid Information Technology to Enhance Community Health Act of 2012 (S.3539) Recidivism Reduction Act (H.R.6256) To provide payment for patient navigator services under title XIX of the Social Security Act (H.R.6521)

Client expense: $8,670 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Meaningful Use Program, Small Business Committee, H.R.3239, the SAFE Medicare Patient Protection Act, HR 6043, FDA Modernization Act 2012, VETs Act,

Client expense: Not reported · Firm income: $20,000

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S 539, "The Behavioral Health Information Technology Act," all provisions. HR 6043 "Behavioral Health Information Technology Act of 2012," all provisions.

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to the effective implementation of PL 111-148 "The Patient Protection and Affordable Care Act," all provisions relating to mental health, and the ensuing budget reconciliation legislation, PL 111-152 "The Reconciliation Act of 2010," all provisions relating to mental health. S 539 / HR 6043, "The Behavioral Health Information Technology Act of 2012," all provisions. Issues relating to federal recognition of Community Mental Health Centers. HR 5636 Mental Health and Addiction Safety Net Equity Act," all provisions. S 4038 Excellence in Mental Health Act, all provisions. S 2257 / HR 5989 "Excellence in Mental Health Act," all provisions relating to federal recognition of Community Mental Health Centers. S. 3325/HR 5996 The Mental Health First Aid Higher Education Act, all provisions.

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.913: Do-Not-Track Online Act of 2011-privacy implications. S.799: The Commercial Privacy Bill of Rights-privacy implications. S.501: Fostering Independence Through Technology Act-any health IT implications. S.539: Behavior Health Information Technology Act-expanding health IT incentives to additional covered entities. S. 1789: The 21st Century Postal Service Act. This bill contains language that would limit federal agency employees participation and attendance at association conferences. H.R.3239: Safeguarding Access For Every Medicare Patient Actinterested in the safe harbor issues with regard to the implementation of certified health IT. H.R.2500: Equal Access and Parity for Multi-Campus Hospitals Actexpanding HIT incentives to new covered entities. H.R.1895: A Bill to Amend the Children's Online Privacy Protection Actprivacy implications. H.R.1841: Data Accountability and Trust Act (DATA) of 2011privacy implications. H.R.1473: A bill to make further continuing appropriations for Fiscal Year 2011 (updated)provisions concerning ONC funding, health IT and the rider concerning a unique healthcare identifier for individuals. H.R.1363: A bill to further continuing appropriations for Fiscal Year 2011any health IT implications H.R.1: Continuing Resolution and Consolidated Appropriations Act of 2011any health IT implications. H.R.408: To reduce Federal spending by $2.5 trillion through fiscal year 2021any health IT implications. H.R.2: Repealing of the Job-Killing Health Care Law Actany health IT implications and provisions concerning ICD-10 mapping and operating rules for HIPAA transactions. H.R. 2146: Digital Accountability and Transparency Act. This bill includes language that would limit federal employees from attending association conferences. HR 6079: Repeal of Obamacare Act. This will overturn most provisions in the Patient Protection and Affordable Care Act. H.R. 6107: The VETS Act, which would allow Veterans Affairs providers to deliver telemedicine services to vets regardless of site of origin or delivery. H.R. 6043: Behavioral Health Information Technology Act, which would expand the MU program to mental and behavioral health care providers. The bill also incorporates the Marino SAFE act, which would create liability protections for providers and vendors who report errors in use of technology.

Client expense: $10,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 S.539 - Behavioral Health Information Technology Act of 2011 H.R. 6043 - Behavior Health Information Technology Act of 2012 H.J.Res. 117 - Continuing Appropriations Resolution, 2013

Client expense: Not reported · Firm income: $50,000

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.3082 - Continuing Appropriations & Surface Transportation Extensions Act, 2011 H.J.Res. 48 - Additional Continuing Appropriations Amendments, 2011 H.R.1363 - Further Additional Continuing Appropriations Amendments, 2011 H.R.1 - Full-Year Continuing Appropriations Act, 2011 H.R.1473 - Department of Defense and Full-Year Continuing Appropriations Act, 2011 S.539 - Behavioral Health Information Technology Act of 2011 H.R. 6043 - Behavior Health Information Technology Act of 2012 H.J.Res. 117 - Continuing Appropriations Resolution, 2013

Client expense: Not reported · Firm income: $50,000

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Implementation of H.R. 3590, The Patient Protection and Affordable Care Act Sections (P.L. 111-148) Title IIIImproving the Quality and Efficiency of Health Care; Implementation of the American Recovery and Reinvestment Act of 2009,(P.L. 111-5) Title XIII the Health Information Technology for Economic and Clinical Health Act (HITECH Act); H.R.3239, Safeguarding Access For Every Medicare Patient Act, all provisions. H.R. 6043: Behavioral Health Information Technology Act of 2012, all provisions. H.R.3962 - Affordable Health Care for America Act - Provisions relating to Health Information Technology H.R.3590 - Patient Protection and Affordable Care Act- Provisions relating to Health Information Technology

Client expense: Not reported · Firm income: $25,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Transportation Security Administration (TSA), White House Office

HR 2/S 192, Repealing the Job-Killing Health Care Law Act HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 HR 439/S 73, State Leadership in Health Care Act H.R.451, Healthcare Truth and Transparency Act of 2011 H.R.751, Mental Health in Schools Act of 2011 H.R. 831/S 483, To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program S.483, Medicare Mental Health Access Act S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S.539, Behavioral Health Information Technology Act of 2011 S 248/ HR 844, Empowering States to Innovate Act S. 525, Positive Aging Act of 2011 S 650/HR 1184, Health Care Waiver Transparency Act S. 374, Medicare Mental Health Inpatient Equity Act S. 1627, Resident Physician Shortage Reduction Act of 2011, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. HR 5/S 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H Res 92, Providing for consideration of the bill (H.R. 1) making appropriations for the Department of Defense and the other departments and agencies of the Government for the fiscal year ending September 30, 2011, and for other purposes, and waiving a requirement of clause 6(a) of rule XIII with respect to consideration of certain resolutions reported from the Committee on Rules. S. 1542, H.R. 2883, Child and Family Services Improvement and Innovation Act S. 1925, H.R. 4970 Violence against Women Act Reauthorization Act S. 3604, A bill to amend title XVIII of the Social Security Act to provide for the implementation of prescriber education programs and to establish requirements relating to the administration of antipsychotics to residents of skilled nursing facilities and nursing facilities under the Medicare and Medicaid programs, and for other purposes. H.R. 6043, the Behavioral Health Information Technology Act of 2012 H.R. 5989, the Excellence in Mental Health Act of 2012 H.R. 5996, the Mental Health First Aid Higher Education Act of 2012 H.R. 5707, the Medicare Physician Payment Innovation Act of 2012 H. R. 6562, the Resident Physician Shortage Act of 2012 H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act of 2012 H.R. 6079, the Repeal of Obamacare Act Proposed Rule on Patient Protection and Affordable Care Act; Data Collection To Support Standards Related to Essential Health Benefits; Recognition of Entities for the Accreditation of Qualified Health. Posted June 6, 2012. (CMS-2012-0071-0001)

Client expense: $143,731 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

HR 340, To amend title XIX of the Social Security Act to remove the exclusion from medical assistance under the Medicaid Program of items and services for patients in an institution for mental diseases. HR 831/S 483, to amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare program S.483, Medicare Mental Health Access Act (companion bill to HR 831 above) HR 1256, Medicare Physician Payment Transparency and Assessment Act of 2011 S.37, Autonomy for Psychologists and Social Workers Act of 2011 S.40, Graduate Psychology Education Act of 2011 S.43, Psychologists in the Service of the Public Act of 2011 S 374, Medicare Mental Health Inpatient Equity Act S. 525, Positive Aging Act of 2011 S 539, Behavioral Health Information Technology Act of 2011 S. 1627, Resident Physician Shortage Reduction Act of 2011, A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes. H.R. 6043, the Behavioral Health Information Technology Act of 2012 H.R. 5707, the Medicare Physician Payment Innovation Act of 2012 H.R. 5989, the Excellence in Mental Health Act of 2012 H. R. 6562, the Resident Physician Shortage Act of 2012 H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act of 2012 H.R. 6079, the Repeal of Obamacare Act Proposed Rule on Medicare Programs: Revisions to Payment Policies Under Physician Fee Schedule, DME Face to Face Encounters, etc. Posted July 30, 2012 (CMS-2012-0083-0075)

Client expense: $143,731 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

Excellence in Mental Health Act (S. 2257/H.R. 5989), all provisions related to expanding access to mental health and addictions care by supporting FQCBHCs in treating all individuals regardless of their ability to pay, with a comprehensive array of outpatient behavioral health services Mental Health in Schools Act of 2011 (H.R. 751), all provisions related to revising community children and violence program to assist local communities and schools in applying a public health approach to mental health services Mental Health First Aid Higher Education Act of 2012 (S. 3325/H.R. 5996), all provisions related to authorizing a demonstration program to train college faculty and staff in Mental Health First Aid, a community education program that helps people identify, understand, and respond to signs of mental illnesses and addictions and deal with psychiatric crises Behavioral Health Information Technology Act (S. 539/H.R. 6043), all provisions related to expanding federal incentive payments for the adoption and meaningful use of electronic health records to behavioral health providers and facilities Childrens Mental Health Accessibility Act of 2012 (S. 3289), all provisions related to expanding Medicaid 1915(c) waiver and removing mentally retarded from statute Repeal of Obamacare Act (H.R. 6079), all provisions related to repealing the health care provisions of the Health Care and Education and Reconciliation Act of 2010, effective as of the Act's enactment and restoring provisions of law amended by the Act's health care provisions. Recidivism Reduction Act (H.R. 6256), all provisions related to amending title XVI (Supplemental Security Income for Aged, Blind, and Disabled) of the Social Security Act to require the reinstatement upon release of an otherwise eligible disabled inmate for SSI benefits which were terminated because of the inmate's incarceration in a jail, prison, penal institution, or correctional facility for a period of 12 or more consecutive months.

Client expense: $11,975 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 539 and H.R. 6043.

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Appropriations for Patient Protection and Affordable Care Act (ACA) Behavioral Health Information Technology Act (S. 539) (HR 6043) State Flexibility Act (HR1683) The BPCA and PREA Reauthorization Act (HR4274) Preserving Access to Life Saving Medication Act (S. 296) (HR2245) Drug Shortage Prevention Act (HR3839) Food and Drug Administration Safety and Innovation Act (S. 3187) (HR 5651) Synthetic Drug Abuse Prevention Act (S. 3190) (HR 1254) Synthetics are Dangerous Act (HR 4205) Department of Labor, Health and Human Services and Education and Related Agencies Appropriations Act 2013 (S. 3295) (HR 3070)

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)