Medicare Better Health Rewards Program Act of 2012

Issues involving healthy lifestyles for Medicare beneficiaries. S. 2243 / H.R. 6232, Medicare Better Health Rewards Program Act, as it relates to providing wellness incentives to seniors. H.R. 8, the American Taxpayer Relief Act and issues concerning Medicare hospital outpatient Evaluation and Management (E&M) reimbursement, IME, coding, and physician reimbursement. Issues involving new GME programs and cancer hospitals. Issues involving telehealth services.

Client expense: Not reported · Firm income: $53,550

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; and community-based public health interventions. 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Middle Class Tax Relief and Job Promotion Act (H.R. 3630) 3.To Repeal the Prevention and Public Health Fund (H.R. 1217) 4.Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022 (H. Con. Res. 34) 5.FIT Kids Act (S. 576/H.R. 1057) 6.Safe Routes to School Act (S. 800) 7.Healthy Lifestyles and Prevention America Act (S. 174) 8.Energy Tax Prevention Act of 2011 (S.482/H.R. 910) 9.SBIR/STTR Reauthorization Act of 2011 (S. 493) and proposed amendments 10.EPA Stationary Source Regulations Suspension Act (S. 231) 11.S. Res. 97, affirming the importance of exercise and physical activity as key components of a healthy lifestyle, including in combating obesity, reducing chronic disease, and lowering health care costs. 12.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 13.Implementation of Pandemic and All-Hazards Preparedness Act (Public Law 109-417) 14.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 15.Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2012 (H.R. 5973/S. 2375) 16.Safe and Complete Streets Act of 2011 (H.R. 1780/S. 1056) 17.SBIR/STTR Reauthorization Act of 2011 and offered amendments related to the Environmental Protection Agency and the Clean Air Act, including amendments 183, 215, 236, and 277. 18.A resolution recognizing past, present, and future public health and economic benefits of cleaner air due to the successful implementation of the Clean Air Act (S.Res.119). 19.Healthy Children Through School Nutrition Education Act (H.R. 576) 20.Department of the Interior, Environment, and Related Agencies Appropriations Act, 2012 (H.R. 2584) 21.Healthy Families Act (H.R. 1876/S. 984) 22.Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 (H.R. 2405, S. 1855/H.R. 6672) 23.Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013 (S. 3295) 24.Department of Homeland Security Appropriations Bill, 2013 (H.R. 5855/S. 3216) 25.Transparency in Regulatory Analysis of Impacts on the Nation Act of 2011 (H.R. 2401) 26.Budget Control Act of 2011 (Public Law 112-25) 27.Surface and Air Transportation Programs Extension Act of 2011 (Public Law 112-30) 28.Health Equity and Accountability Act (HEAA) of 2011 (H.R. 2954) 29.Health Equity and Accountability Act (HEAA) of 2012 (S. 2474) 30.Preservation of Antibiotics for Medical Treatment Act (H.R. 965/S. 1211) 31.Generating Antibiotic Incentives Now Act (H.R. 2182/S. 1734) 32.Regulatory Accountability Act (S. 1606/H.R. 3010) 33.Regulations from the Executive in Need of Scrutiny Act (H.R. 10/S. 299) 34.Consolidated Appropriations Act, 2012 (Public Law 112-74) 35.Temporary Payroll Tax Cut Continuation Act of 2011 (Public Law 112-78) 36.Climate Change Health Protection and Promotion Act (H.R. 3314) 37.S. J. Res 27, a joint resolution disapproving a rule submitted by the Environmental Protection Agency relating to the mitigation by States of cross-border air pollution under the Clean Air Act. 38.MAP-21 (S. 1813) 39.FDA Safety and Innovation Act (S. 3187) 40.Student Success Act (H.R.3989) 41.Encouraging Innovation and Effective Teachers Act (H.R. 3990) 42.American Energy and Infrastructure Jobs Act of 2012 (H.R. 7) 43.Healthy Kids from Day One Act (S. 2119) 44.A joint resolution to disapprove a rule promulgated by the Administrator of the Environmental Protection Agency relating to emission standards for certain steam generating units (S.J.Res37) 45.National Surface Transportation and Freight Policy Act (S. 1950) 46.Repeal of Obamacare Act (H.R. 6079) 47.Commuter Savings Act of 2012 (H.R. 6066) 48.Immunization Improvements Act (S. 3344)The Federal Agriculture Reform and Risk Management Act of 2012 (H.R. 6083) 49.Gasoline Regulations Act of 2012 (H.R. 4471) 50.MAP-21 (Public Law 112-141) 51.Interest Rate Reduction Act (H.R. 4628) 52.Stop the Student Loan Interest Rate Hike Act of 2012 (S. 2343) 53.Elementary and Secondary Education Reauthorization Act of 2011 (S. 3578) 54.Help Obesity Prevention Efforts (HOPE) (H.R. 6143) 55.Measures to Prevent Childhood Obesity Act of 2012 (H.R. 6461 56.Agriculture Reform, Food and Jobs Act of 2012 (S. 3240) 57.Medicare Better Health Rewards Program Act (H.R. 6232/S.2243) 58.Medicaid Information Technology to Enhance Community Health Act (S. 3539) 59.Stop the War on Coal Act (H.R. 3409) 60.Common Sense Nutrition Disclosure Act (H.R. 6174) 61.Red Tape Reduction and Small Business Job Creation Act (H.R. 4078) 62.Lead Exposure Reduction Amendments Act (S. 2148) 63.Immunization Improvements Act of 2012 (S. 3344) 64.Spending Reduction Act of 2012 (H.R. 6684) 65.Supplemental Appropriations for Disaster Assistance (H.R. 1) 66.To extend certain tax relief provisions enacted in 2001 and 2003, and to provide for expedited consideration of a bill providing for comprehensive tax reform, and for other purposes (H.R. 8) 67.The Preventative Health Savings Act of 2012, H.R. 6482

Discussed importance of high-quality electronic advance medical directives (ADs) for all adults over 18 years old that can be access 24 hrs/day, 7 days/week by patients, physicians, and hospitals anywhere in the world as part of the patient's electronic health record (EHR). Seeking consideration of ADs as a core requirement under the Stage 3 Meaningful Use Rule, as recommended by the HIT Policy Committee, Joint Commission, and the National Quality Forum (NQF). Outreach to legislative offices to consider adding ADs to Medicare incentives and wellness-related legislation, such as S 2243/HR 6232, the Medicare Better Health Rewards Program Act of 2012.

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

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

Discussed importance of high-quality electronic advance medical directives (ADs) for all adults over 18 years old that can be access 24 hrs/day, 7 days/week by patients, physicians, and hospitals anywhere in the world as part of the patient's electronic health record (EHR). Seeking consideration of ADs as a core requirement under the Stage 3 Meaningful Use Rule, as recommended by the HIT Policy Committee, Joint Commission, and the National Quality Forum (NQF). Outreach to legislative offices to consider adding ADs to Medicare beneficiary incentives and wellness-related legislation, such as S 2243/HR 6232, the Medicare Better Health Rewards Program Act of 2012.

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

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

Issues involving healthy lifestyles for Medicare beneficiaries. S. 2243 / H.R. 6232, Medicare Better Health Rewards Program Act, as it relates to providing wellness incentives to seniors. Issues concerning Medicare hospital outpatient Evaluation and Management (E&M) reimbursement, IME and the SGR.

Client expense: Not reported · Firm income: $53,550

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2243 / H.R. 6232, Medicare Better Health Rewards Program Act, as it relates to providing wellness incentives to seniors. Issues related to healthy school lunches.

Client expense: Not reported · Firm income: $53,550

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 (Herger). H.R. 999, Medicare Prescription Drug Savings and Choice Act (Schakowsky) - Medicare Part D changes. H.R. 1063, Strengthening Medicare And Repaying Taxpayers Act (Murphy) - Medicare secondary payer rules. H.R. 1357, Puerto Rico Medicare Part B Equity Act (Pierluisi). H.R. 1580, Medicare Beneficiary Preservation of Choice Act (Gonzalez) - Medicare Advantage enrollment periods. H.R. 2190, Medicare Drug Savings Act (Waxman) - rebates for dual eligibles. H.R. 2248, Medicare Prescription Drug Price Negotiation Act (Welch) - Part D price negotiation. H.R. 2770, Medicare Cost Contract Extension Act (Paulsen) - extension of Medicare cost plans. H.R. 3399, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Roskam/Carney). H.R. 3519 (Towns) - exempting Medicare from sequestration. H.R. 3691, Senior Medicare Fairness Act (Paulsen) - frailty adjuster for certain MA SNPs. H.R. 4254, Medicare Advantage Program Integrity Act (Stark) - MA payment changes. H.R. 5872, Sequestration Transparency Act (Hensarling). H.R. 5979, Medicaid Accountability and Care Act (Cassidy) -- federal financing of state Medicaid programs. H.R. 6232, Medicare Better Health Rewards Program Act (Paulsen) - incentives for wellness and prevention. H.R. 6300, Medicaid Long-Term Care Reform Act (Boustany) - LTC and Medicaid issues. S. 31, Prescription Drug and Health Improvement Act (Franken) - Part D price negotiation. S. 44, Medicare Prescription Drug Price Negotiation Act (Klobuchar) - Part D price negotiation. S. 560, Medicare Prescription Drug Savings and Choice Act (Durbin) - Medicare Part D changes. S. 1206, Medicare Drug Savings Act (Rockefeller) - rebates for dual eligibles. S. 1251, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Coburn/Carper). S. 1479, Medicare Beneficiary Preservation of Choice Act (Casey) - Medicare Advantage enrollment periods. S. 1497, Medicare Cost Contract Extension Act (Klobuchar) - extension of Medicare cost plans. S. 1999, Senior Medicare Fairness Act (Klobuchar) - frailty adjuster for certain MA SNPs. S. 2196, Congressional Health Care for Seniors Act (Paul) - reforms affecting Medicare and Medigap. S. 2243, Medicare Better Health Rewards Program Act (Wyden-Portman) - incentives for wellness and prevention.

H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 (Herger) 16. Specific Lobbying Issues (continued): H.R. 999, Medicare Prescription Drug Savings and Choice Act (Schakowsky) Medicare Part D changes H.R. 1063, Strengthening Medicare And Repaying Taxpayers Act (Murphy) Medicare secondary payer rules H.R. 1357, Puerto Rico Medicare Part B Equity Act (Pierluisi) H.R. 1580, Medicare Beneficiary Preservation of Choice Act (Gonzalez) Medicare Advantage enrollment periods H.R. 2190, Medicare Drug Savings Act (Waxman) rebates for dual eligibles H.R. 2248, Medicare Prescription Drug Price Negotiation Act (Welch) Part D price negotiation H.R. 2770, Medicare Cost Contract Extension Act (Paulsen) extension of Medicare cost plans H.R. 3399, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Roskam/Carney) H.R. 3519 (Towns) exempting Medicare from sequestration H.R. 3691, Senior Medicare Fairness Act (Paulsen) frailty adjuster for certain MA SNPs H.R. 4254, Medicare Advantage Program Integrity Act (Stark) MA payment changes H.R. 5872, Sequestration Transparency Act (Hensarling) H.R. 5979, Medicaid Accountability and Care Act (Cassidy) -- federal financing of state Medicaid programs H.R. 6232, Medicare Better Health Rewards Program Act (Paulsen) incentives for wellness and prevention H.R. 6300, Medicaid Long-Term Care Reform Act (Boustany) LTC and Medicaid issues S. 31, Prescription Drug and Health Improvement Act (Franken) Part D price negotiation S. 44, Medicare Prescription Drug Price Negotiation Act (Klobuchar) Part D price negotiation S. 560, Medicare Prescription Drug Savings and Choice Act (Durbin) Medicare Part D changes S. 1206, Medicare Drug Savings Act (Rockefeller) rebates for dual eligibles S. 1251, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Coburn/Carper) S. 1479, Medicare Beneficiary Preservation of Choice Act (Casey) Medicare Advantage enrollment periods S. 1497, Medicare Cost Contract Extension Act (Klobuchar) extension of Medicare cost plans S. 1999, Senior Medicare Fairness Act (Klobuchar) frailty adjuster for certain MA SNPs S. 2196, Congressional Health Care for Seniors Act (Paul) reforms affecting Medicare and Medigap S. 2243, Medicare Better Health Rewards Program Act (Wyden-Portman) incentives for wellness and prevention Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, data, and audit issues; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, and audits); Medicare Medical Loss Ratio issues raised by initial implementation in 2014; implications of sequestration in 2013 for Medicare Advantage and Part D plans; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, SSA and CMS premium withhold processing issues, enrollment rules, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible Special Needs Plans (SNPs); Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; implementation of MA and Part D changes made in the Accountable Care Act (ACA), including application of the MA Star Rating system for payment purposes starting 2012 and changes to the Part D coverage gap; ongoing implementation issues for the Medicare cost plan program including enrollment, marketing materials review and approval and other operational issues; Medicare creditable drug coverage reporting requirements; implementation issues for the Medicare Retiree Drug Subsidy program; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including the Capitated Financial Alignment Demonstration; Medicaid managed care regulations and policies, including the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital Regulatory Issues (continued): days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; issues related to Medigap coverage; issues relating to "meaningful use" requirements for health information technology; and other issues relating to health care reform implementation.

Discussed importance of high-quality electronic advance medical directives (ADs) for all adults over 18 years old that can be access 24 hrs/day, 7 days/week by patients, physicians, and hospitals anywhere in the world as part of the patient's electronic health record (EHR). Seeking consideration of ADs as a core requirement under the Stage 3 Meaningful Use Rule, as recommended by the HIT Policy Committee, Joint Commission, and the National Quality Forum (NQF). Outreach to legislative offices to consider adding ADs to Medicare incentives and wellness-related legislation, such as S 2243/HR 6232, the Medicare Better Health Rewards Program Act of 2012.

Client expense: Not reported · Firm income: Not reported

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

Discussed importance of high-quality electronic advance medical directives (ADs) for all adults over 18 years old that can be access 24 hrs/day, 7 days/week by patients, physicians, and hospitals anywhere in the world as part of the patient's electronic health record (EHR). Seeking consideration of ADs as a core requirement under the Stage 3 Meaningful Use Rule, as recommended by the HIT Policy Committee, Joint Commission, and the National Quality Forum (NQF). Outreach to legislative offices to consider adding ADs to Medicare incentives and wellness-related legislation, such as S 2243/HR 6232, the Medicare Better Health Rewards Program Act of 2012. Also, considering possible incentives for Medicare beneficiaries who create ADs upon enrollment in the Medicare program.

Client expense: Not reported · Firm income: Not reported

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

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; and community-based public health interventions. 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Middle Class Tax Relief and Job Promotion Act (H.R. 3630) 3.To Repeal the Prevention and Public Health Fund (H.R. 1217) 4.Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022 (H. Con. Res. 34) 5.FIT Kids Act (S. 576/H.R. 1057) 6.Safe Routes to School Act (S. 800) 7.Healthy Lifestyles and Prevention America Act (S. 174) 8.Energy Tax Prevention Act of 2011 (S.482/H.R. 910) 9.SBIR/STTR Reauthorization Act of 2011 (S. 493) and proposed amendments 10.EPA Stationary Source Regulations Suspension Act (S. 231) 11.S. Res. 97, affirming the importance of exercise and physical activity as key components of a healthy lifestyle, including in combating obesity, reducing chronic disease, and lowering health care costs. 12.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 13.Implementation of Pandemic and All-Hazards Preparedness Act (Public Law 109-417) 14.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 15.Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2012 (H.R. 5973/S. 2375) 16.Safe and Complete Streets Act of 2011 (H.R. 1780/S. 1056) 17.SBIR/STTR Reauthorization Act of 2011 and offered amendments related to the Environmental Protection Agency and the Clean Air Act, including amendments 183, 215, 236, and 277. 18.A resolution recognizing past, present, and future public health and economic benefits of cleaner air due to the successful implementation of the Clean Air Act (S.Res.119). 19.Healthy Children Through School Nutrition Education Act (H.R. 576) 20.Department of the Interior, Environment, and Related Agencies Appropriations Act, 2012 (H.R. 2584) 21.Healthy Families Act (H.R. 1876/S. 984) 22.Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 (H.R. 2405, S. 1855) 23.Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013 (S. 3295) 24.Department of Homeland Security Appropriations Bill, 2013 (H.R. 5855/S. 3216) 25.Transparency in Regulatory Analysis of Impacts on the Nation Act of 2011 (H.R. 2401) 26.Budget Control Act of 2011 (Public Law 112-25) 27.Surface and Air Transportation Programs Extension Act of 2011 (Public Law 112-30) 28.Health Equity and Accountability Act (HEAA) of 2011 (H.R. 2954) 29.Health Equity and Accountability Act (HEAA) of 2012 (S. 2474) 30.Preservation of Antibiotics for Medical Treatment Act (H.R. 965/S. 1211) 31.Generating Antibiotic Incentives Now Act (H.R. 2182/S. 1734) 32.Regulatory Accountability Act (S. 1606/H.R. 3010) 33.Regulations from the Executive in Need of Scrutiny Act (H.R. 10/S. 299) 34.Consolidated Appropriations Act, 2012 (Public Law 112-74) 35.Temporary Payroll Tax Cut Continuation Act of 2011 (Public Law 112-78) 36.Climate Change Health Protection and Promotion Act (H.R. 3314) 37.S. J. Res 27, a joint resolution disapproving a rule submitted by the Environmental Protection Agency relating to the mitigation by States of cross-border air pollution under the Clean Air Act. 38.MAP-21 (S. 1813) 39.FDA Safety and Innovation Act (S. 3187) 40.Student Success Act (H.R.3989) 41.Encouraging Innovation and Effective Teachers Act (H.R. 3990) 42.American Energy and Infrastructure Jobs Act of 2012 (H.R. 7) 43.Healthy Kids from Day One Act (S. 2119) 44.A joint resolution to disapprove a rule promulgated by the Administrator of the Environmental Protection Agency relating to emission standards for certain steam generating units (S.J.Res37) 45.National Surface Transportation and Freight Policy Act (S. 1950) 46.Repeal of Obamacare Act (H.R. 6079) 47.Commuter Savings Act of 2012 (H.R. 6066) 48.Immunization Improvements Act (S. 3344)The Federal Agriculture Reform and Risk Management Act of 2012 (H.R. 6083) 49.Gasoline Regulations Act of 2012 (H.R. 4471) 50.MAP-21 (Public Law 112-141) 51.Interest Rate Reduction Act (H.R. 4628) 52.Stop the Student Loan Interest Rate Hike Act of 2012 (S. 2343) 53.Elementary and Secondary Education Reauthorization Act of 2011 (S. 3578) 54.Help Obesity Prevention Efforts (HOPE) (H.R. 6143) 55.Measures to Prevent Childhood Obesity Act of 2012 (H.R. 6461 56.Agriculture Reform, Food and Jobs Act of 2012 (S. 3240) 57.Medicare Better Health Rewards Program Act (H.R. 6232/S.2243) 58.Medicaid Information Technology to Enhance Community Health Act (S. 3539) 59.Stop the War on Coal Act (H.R. 3409) 60.Common Sense Nutrition Disclosure Act (H.R. 6174) 61.Red Tape Reduction and Small Business Job Creation Act (H.R. 4078) 62.Lead Exposure Reduction Amendments Act (S. 2148) 63.Immunization Improvements Act of 2012 (S. 3344)

H.R.5979 Medicaid Accountability and Care Act of 2012 H.R. 5707 Medicare Physician Payment Innovation Act H.R. 1063 Strengthening Medicare and Repaying Taxpayers Act S. 3539 Medicaid Information Technology to Enhance Community Health Act (MITECH Act) H.R. 6232 Medicare Better Health Rewards Program Act of 2012 S.2243 Medicare Better Health Rewards Program Act of 2012 S. 3463 Medicare Diabetes Prevention Act H.R.6142 Assuring Medicare Stability and Access for Seniors Act of 2012

Client expense: $160,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE