To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings.

H.R. 6482, The Preventative Health Savings Act of 2012 (modernizing cost estimates with respect to preventative health and legislation (scoring)); S. 3463/H.R. 6548, National Diabetes Prevention Program.

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

(1) Issues related to Public Law 111-148- The Patient Protection and Affordable Care Act (provisions related to Medicaid and Medicare); (2) Issues related to Public Law 111-152- Health Care and Education Reconciliation Act of2010 (provisions related to Medicaid and Medicare); (3) Issues raised by H.R. 5979 - Medicaid Accountability and Care Act of2012 (capping the federal government's share of every state's Medicaid expenditures); (4) Issues raised by H.R. 6498 - Medicaid Integrity Act (require independent audits and actuarial services under Medicaid managed care programs); (5) Issues raised by H.R. 6482- The Preventative Health Savings Act of20l2 (wellness programs and population health); (6) Issues pertaining to entitlement reform, Medicare Advantage, premium support models, reimbursement and enrollment; and (7) Issues related to the reauthorization of special needs plans (SNPs).

Client expense: $1,280,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Treasury, Dept of

H.J. Res. Res. 112 (P.L. 112-175). H.R. 8. American Taxpayer Relief Act of 2012 Multiple clauses, H.R. 6684. Spending Reduction Act. P.L. 112-25/S. 365, Budget Control Act. S. 3295. Departments of Labor, Health and Human Services, and Education and Related Agencies (LHHS) Appropriations Act for FY13 Multiple clauses. H.R. 6482, to amend the Congressional Budget Act of 1974. Please see next page. H.J. Res. Res. 112 (P.L. 112-175). Continuing Appropriations Act Multiple clauses; Provides funding for the Centers for Disease Control and Prevention (CDC) as well as funding for research at the National Institutes of Health (NIH). Our efforts were focused on increased funding for both of these agencies, specifically at the CDCs Division of Diabetes Translation and the National Diabetes Prevention Program at the agency, and the NIHs National Institute of Diabetes and Digestive and Kidney Diseases on behalf of those who will benefit from the diabetes research and education/information programs that they provide. H.R. 8. American Taxpayer Relief Act of 2012 Multiple clauses; averts spending reductions required by the sequestration process, reauthorizes the Special Diabetes Program for Type 1 diabetes at NIH and the Special Diabetes Program for Indians at the Indian Health Service, and expands Medicare Competitive Bidding Program Single Payment Amount (SPA) to non-mail order settings for diabetes testing supplies. Our efforts are focused on the impact of sequestration on diabetes research and prevention programs at the NIH and CDC, and provisions of the bill that reauthorized the Special Diabetes Programs. H.R. 6684. Spending Reduction Act Oppose the following provisions: repeal of the Prevention and Public Health Fund; repeal of mandatory funding used to support the establishment of state-based health insurance exchanges; repeal of repayment caps for low- and moderate-income families who are eligible to receive tax credits for health insurance; and repeal of the Medicaid and Childrens Health Insurance Program maintenance of effort requirement. P.L. 112-25/S. 365, Budget Control Act. The Act increased the debt ceiling and included provisions requiring substantial cuts in federal spending to achieve further reductions in the nations debt. All sectors of the federal budget will be on the table, including entitlement spending and taxes, which has an impact on programs at NIH, CDC, as well as Medicaid and Medicare. S. 3295. Departments of Labor, Health and Human Services, and Education and Related Agencies (LHHS) Appropriations Act for FY13 Multiple clauses; Provides funding for the Division of Diabetes Translation (DDT) and the National Diabetes Prevention Program at the Centers for Disease Control and Prevention (CDC) as well as funding for research at the National Institutes of Diabetes and Digestive and Kidney Diseases (NIDDK) at the National Institutes of Health (NIH). Our efforts are focused on increased funding for both of these agencies, on behalf of those who will benefit from the research and education/information programs that they provide. H.R. 6482, to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health services. Support entire bill that allows the use of long-term scoring windows for preventive health initiatives by the Congressional Budget Office. Issues worked on the Hill not yet reflected in legislation: Departments of Labor, Health and Human Services, and Education and Related Agencies (LHHS) Appropriations Act for FY13 Multiple clauses; Provides funding for the Division of Diabetes Translation (DDT) at the Centers for Disease Control and Prevention (CDC) as well as funding for research at the National Institutes of Diabetes and Digestive and Kidney Diseases (NIDDK) at the National Institutes of Health (NIH). Our efforts are focused on increased funding for both of these agencies, on behalf of those who will benefit from the research and education/information programs that they provide. Additionally, we are interested in the allocation of $80 million for the implementation of the National Diabetes Prevention Program (NDPP). Opposing cost-shifting, cuts to or the block granting of federal entitlement programs, specifically Medicaid and Medicare. In addition, opposing the repeal of the Medicaid maintenance of effort provision.

Client expense: $188,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

S. 3295 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act FY2013 (National Diabetes Prevention Program); HR 6482 The Preventative Health Savings Act of 2012 (modernizing cost estimates with respect to CBO scoring of preventive health legislation); and National Diabetes Prevention Program

Client expense: $270,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE

Projects for WRDA (Water Resources Development Act); EPA Diesel Emission Reduction program; HR6184; HR 6482; Monitor and report on EPA programs generally

Client expense: Not reported · Firm income: $30,000

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

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

Client expense: $35,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

1. The Budget Control Act of 2011 (Pub. L. No. 112-25, S. 365), provisions relating to the use of sequestration and payment cuts to hospitals. 2. The Long-Term Care Hospital Improvement Act of 2011 (S. 1486), relating to the creation of patient criteria and elimination of the 25 percent rule. 3. The Temporary Payroll Tax Cut Continuation Act of 2011 (H.R. 3630), provisions related to Medicare physician payments, cuts to hospital reimbursement, and the elimination of rural hospital payment programs. 4. Provided education to Members of Congress and their staff about the submission of a Medicare 1115 Waiver by the state of Texas to modify payments made under the Upper Payment Limit (UPL) Program. 5. The Rural Hospital Access Act of 2012 (H.R. 5943/S. 2620), legislation would reauthorize the Medicare-Dependent Hospital Program and extend the enhanced low-volume Medicare adjustment for prospective payment system hospitals for one year through September 2013. 6. The Patient Protection and Affordable Care Act (Pub. L. No. 111-148), provisions relating to payment cuts by hospitals and the Medicaid expansion by states. 7. The Preventive Health Savings Act of 2012 (H.R. 6482), request to co-sponsor bill that allows CBO to score legislation outside the ten-year window. 8. The American Taxpayer Relief Act of 2012 (Pub. L. No. 112-240), provisions related to hospital payments, the sustainable growth rate and sequestration.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Urge Congress to avoid sequestration and rebasing to ensure ESRD patient access and quality of care H.R. 6482 - to better reflect the impact of prevention in scoring potential legislation Address reimbursement cuts restricting access to intradialytic parenteral therapy (IDPN) & intraperitoneal parenteral nutrition (IPN)

Client expense: $10,000 · 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), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), SENATE, Treasury, Dept of, White House Office

H.R. 8 American Taxpayer Relief Act of 2012 H.R. 5979 Medicaid Accountabilty and Care Act H.R. 6433 FDA User Fee Corrections Act of 2012 S.3684 - Senior Navigation and Planning Act H.R.6626 - Health Care Innovation and the Marketplace Technologies Act of 2012 H.R. 6482 Preventive Health Savings Act of 2012 S. 3414 Cybersecurity Act of 2012

Client expense: $120,000 · Firm income: Not reported

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

H.R. 6482, The Preventative Health Savings Act of 2012 (modernizing cost estimates with respect to preventative health and legislation (scoring)); S. 3463/H.R. 6548, National Diabetes Prevention Program.

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. The Budget Control Act of 2011 (Pub. L. No. 112-25, S. 365), provisions relating to the use of sequestration and payment cuts to hospitals. 2. The Long-Term Care Hospital Improvement Act of 2011 (S. 1486), relating to the creation of patient criteria and elimination of the 25 percent rule. 3. The Temporary Payroll Tax Cut Continuation Act of 2011 (H.R. 3630), provisions related to Medicare physician payments, cuts to hospital reimbursement, and the elimination of rural hospital payment programs. 4. Provided education to Members of Congress and their staff about the submission of a Medicare 1115 Waiver by the state of Texas to modify payments made under the Upper Payment Limit (UPL) Program. 5. The Rural Hospital Access Act of 2012 (H.R. 5943/S. 2620), legislation would reauthorize the Medicare-Dependent Hospital Program and extend the enhanced low-volume Medicare adjustment for prospective payment system hospitals for one year through September 2013. 6. The Patient Protection and Affordable Care Act (Pub. L. No. 111-148), provisions relating to payment cuts by hospitals and the Medicaid expansion by states. 7. The Preventive Health Savings Act of 2012 (H.R. 6482), request to co-sponsor bill that allows CBO to score legislation outside the ten-year window.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6482, The Preventative Health Savings Act of 2012

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

(1) Issues related to Public Law 111-148 The Patient Protection and Affordable Care Act (provisions related to Medicaid and Medicare); (2) Issues related to Public Law 111-152 Health Care and Education Reconciliation Act of 2010 (provisions related to Medicaid and Medicare); (3) Issues raised by H.R. 5979 Medicaid Accountability and Care Act of 2012 (capping the federal government's share of every state's Medicaid expenditures); (4) Issues raised by H.R. 6498 Medicaid Integrity Act (require independent audits and actuarial services under Medicaid managed care programs); (5) Issues raised by H.R. 6482 The Preventative Health Savings Act of 2012 (wellness programs and population health); and (6) Issues pertaining to entitlement reform, Medicare Advantage, premium support models, reimbursement and enrollment.

Client expense: $760,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Treasury, Dept of

Implementation of P.L. 111-148The Patient Protection and Affordable Care Act; Title IIIImproving the Quality and Efficiency of Health Care. H.R. 5651, the FDA Reform Act of 2012 - Sec. 773; report on health information technology. S. 3463: Medicare Diabetes Prevention Act of 2012. H. R. 6482 to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings.

Client expense: Not reported · Firm income: $30,000

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

Legislation and issues relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Nurse Education, Expansion, and Development Act; Nursing provisions in potential job creation legislation; Anti-competitive barriers to practice; Negotiated Rulemaking on Designation of Medically Underserved and Health Professional Shortage Areas; Administration review of current regulations; Prevention and Public Health Fund; Definition of essential health benefits; Health information technology and electronic health records; HRSA nurse practitioner national sample survey; Amendments to the Consumer Product Safety Improvement Act; Menu and Nutrition Labeling; Draft legislation to reauthorize the Prescription Drug User Fee Act (PDUFA); Draft legislation on Congressional Budget Office scoring of preventive health services; Draft legislation on voluntary tandem licensing and credentialing for federal telemedicine services; Draft legislation on reauthorization of the National Quality Forum; H.R. 5/S. 218/S. 1099 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act; H.R. 5 - Protecting Access to Healthcare (PATH) Act; H.R. 451 - Healthcare Truth and Transparency Act of 2011; S. 248/H.R. 844 - Empowering States to Innovate Act; S. 174 - Healthy Lifestyles and Prevention Act; H.R. 10/S. 299/S. 1720/S. 1786 - Regulations From the Executive in Need of Scrutiny (REINS) Act; H.R. 1217 - to repeal the Prevention and Public Health Fund; H.R. 1683/S. 868 - State Flexibility Act; H.R. 2465 - Federal Workers' Compensation Modernization and Improvement Act; S. 261 - Federal Employees' Compensation Reform Act; H.R. 469 - Protecting Student Athletes from Concussions Act; S. 601/H.R. 1127 - Childrens Sports Athletic Equipment Safety Act; Concussion Treatment and Care Tools (ConTACT) Act; S. 54 - Supporting Child Maltreatment Prevention Efforts in Community Health Centers Act; S. 55 - Nursing School Clinics Act; H.R. 157 - Health Care Safety Net Enhancement Act; H.R. 227 - Child Gun Safety and Gun Access Prevention Act; H.R. 338 - Protecting Our Kids' Medicine Act; H.R. 469 - Protecting Student Athletes from Concussions Act; H.R. 576 - Healthy Children Through School Nutrition Education Act; H.R. 713 - Keeping Families Together Act; H.R. 751 - Mental Health in Schools Act; H.R. 1214 - to repeal mandatory funding for school-based health center construction; S. 961 - Reconnecting Youth to Prevent Homelessness Act; S. 1165, Button Cell Battery Safety Act; H.R. 1852/S. 958 - Childrens Hospital GME Support Reauthorization Act; H.R. 115 - CHAMPVA Childrens Protection Act; H.R. 364 - Common Sense Health Reform Americans Actually Want Act; H.R. 614 - Post 9/11 G.I. Bill Dependent Coverage Improvement Act; H.R. 978 - Seniors Identity Protection Act; H.R. 989 - Voluntary State Discount Prescription Drug Plan Act; H.R. 1035/S. 1504 - Medicaid Coverage for Citizens of Freely Associated States Act; H.R. 2029/S. 1131 - Birth Defects Prevention, Risk Reduction, and Awareness Act; H.R. 2758/S. 1463 - Breastfeeding Promotion Act; H.R. 2229 - Student-to-School Nurse Ratio Improvement Act. H.R. 3679 - National Nurse Act; H.R. 4274 - BPCA and PREA Reauthorization Act; S. 2289 - Better Pharmaceuticals and Devices for Children Act; H.R. 5651 - Food and Drug Administration Reform Act; H.R. 5842 - Restoring Access to Medication Act; S. 3187 - FDA Safety and Innovation Act; S. 2474 - Health Equity and Accountability Act; S. 1789 - 21st Century Postal Service Act; S. 847 - Safe Chemicals Act; H.R. 2405/S. 1855 - Pandemic and All-Hazards Preparedness Act (PAHPA); H.R. 2359 - Safe Cosmetics Act; H.R. 6482 - Preventive Health Savings Act; Supplemental Nutrition Assistance Program (SNAP) provisions of H.R. 6083, Federal Agriculture Reform and Risk Management (FARRM) Act, and S.3240, Agriculture Reform, Food, and Jobs Act.

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), 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

Legislation and issues relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Nurse Education, Expansion, and Development Act; Nursing provisions in potential job creation legislation; Anti-competitive barriers to practice; Negotiated Rulemaking on Designation of Medically Underserved and Health Professional Shortage Areas; Administration review of current regulations; Prevention and Public Health Fund; Definition of essential health benefits; Health information technology and electronic health records; HRSA nurse practitioner national sample survey; Draft legislation to reauthorize the Prescription Drug User Fee Act (PDUFA); Draft legislation on Congressional Budget Office scoring of preventive health services; Draft legislation on voluntary tandem licensing and credentialing for federal telemedicine services; Draft legislation on reauthorization of the National Quality Forum; H.R. 5/S. 218/S. 1099 - Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act; H.R. 5 - Protecting Access to Healthcare (PATH) Act; H.R. 451 - Healthcare Truth and Transparency Act of 2011; S. 248/H.R. 844 - Empowering States to Innovate Act; S. 174 - Healthy Lifestyles and Prevention Act; H.R. 10/S. 299/S. 1720/S. 1786 - Regulations From the Executive in Need of Scrutiny (REINS) Act; H.R. 1217 - to repeal the Prevention and Public Health Fund; H.R. 1683/S. 868 - State Flexibility Act; H.R. 2465 - Federal Workers' Compensation Modernization and Improvement Act; S. 261 - Federal Employees' Compensation Reform Act; H.R. 469 - Protecting Student Athletes from Concussions Act; S. 601/H.R. 1127 - Childrens Sports Athletic Equipment Safety Act; Concussion Treatment and Care Tools (ConTACT) Act; H.R. 3679 - National Nurse Act; H.R. 4274 - BPCA and PREA Reauthorization Act; S. 2289 - Better Pharmaceuticals and Devices for Children Act; H.R. 5651 - Food and Drug Administration Reform Act; H.R. 5842 - Restoring Access to Medication Act; S. 3187 - FDA Safety and Innovation Act S. 2474 - Health Equity and Accountability Act; S. 1789 - 21st Century Postal Service Act; H.R. 6482 - Preventive Health Savings Act; Supplemental Nutrition Assistance Program (SNAP) provisions of H.R. 6083, Federal Agriculture Reform and Risk Management (FARRM) Act, and S.3240, Agriculture Reform, Food, and Jobs Act.

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

Licensing and credentialing for federal telemedicine services; Health information technology and electronic health records; Definition of "essential health benefits"; Anti-competitive barriers to practice; H.R. 2465 - Federal Workers' Compensation Modernization and Improvement Act; S. 261 - Federal Employees' Compensation Reform Act; S. 1789 - 21st Century Postal Service Act; H.R. 6482 - Preventive Health Savings Act; Supplemental Nutrition Assistance Program (SNAP) provisions of H.R. 6083, Federal Agriculture Reform and Risk Management (FARRM) Act, and S.3240, Agriculture Reform, Food, and Jobs Act.

Client expense: Not reported · Firm income: $7,500

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), 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

Urge Congress to avoid sequestration and the disproportionate cuts for treating ESRD patients Facilitating patient choice and access to all modalities for VA dialysis patients H.R. 6482 - to better reflect the impact of prevention in scoring potential legislation Address reimbursement cuts restricting access to intradialytic parenteral therapy (IDPN) & intraperitoneal parenteral nutrition (IPN)

Client expense: $20,000 · 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), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Projects for WRDA (Water Resources Development Act); EPA Diesel Emission Reduction program; HR6184; HR 6482

Client expense: Not reported · Firm income: $30,000

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), SENATE, Transportation, Dept of (DOT)

S. 3295. Departments of Labor, Health and Human Services, and Education and Related Agencies (LHHS) Appropriations Act for FY13 Multiple clauses. P.L. 112-25/S. 365, Budget Control Act. H.R. 6482, the Preventive Health Savings Act. Please see next page. S. 3295. Departments of Labor, Health and Human Services, and Education and Related Agencies (LHHS) Appropriations Act for FY13 Multiple clauses; Provides funding for the Division of Diabetes Translation (DDT) and the National Diabetes Prevention Program at the Centers for Disease Control and Prevention (CDC) as well as funding for research at the National Institutes of Diabetes and Digestive and Kidney Diseases (NIDDK) at the National Institutes of Health (NIH). Our efforts are focused on increased funding for both of these agencies, on behalf of those who will benefit from the research and education/information programs that they provide. P.L. 112-25/S. 365, Budget Control Act. The Act increased the debt ceiling and included provisions requiring substantial cuts in federal spending to achieve further reductions in the nations debt. All sectors of the federal budget will be on the table, including entitlement spending and taxes, which has an impact on programs at NIH, CDC, as well as Medicaid and Medicare. H.R. 6482, the Preventive Health Savings Act. Support entire bill to modernize the Congressional Budget Office through the use of long-term scoring windows for preventive health initiatives. Issues worked on the Hill not yet reflected in legislation: Departments of Labor, Health and Human Services, and Education and Related Agencies (LHHS) Appropriations Act for FY13 Multiple clauses; Provides funding for the Division of Diabetes Translation (DDT) at the Centers for Disease Control and Prevention (CDC) as well as funding for research at the National Institutes of Diabetes and Digestive and Kidney Diseases (NIDDK) at the National Institutes of Health (NIH). Our efforts are focused on increased funding for both of these agencies, on behalf of those who will benefit from the research and education/information programs that they provide. Additionally, we are interested in the allocation of $80 million for the implementation of the National Diabetes Prevention Program (National DPP). Opposing cost-shifting, cuts to or the block granting of federal entitlement programs, specifically Medicaid and Medicare. In addition, opposing the repeal of the Medicaid maintenance of effort provision. Prevention and Public Health FundOppose legislative efforts to cut or eliminate the Prevention and Public Health Fund.

Client expense: $209,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

S. 3295 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act FY2013 (National Diabetes Prevention Program); HR 6482 The Preventative Health Savings Act of 2012 (modernizing cost estimates with respect to CBO scoring of preventive health legislation); and National Diabetes Prevention Program

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, White House Office

S. 3295 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act FY2013 (National Diabetes Prevention Program); HR 6482 The Preventative Health Savings Act of 2012 (modernizing cost estimates with respect to preventive health legislation (scoring)); National Diabetes Prevention Program

Client expense: Not reported · Firm income: $30,000

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE

Projects for WRDA (Water Resources Development Act); EPA Diesel Emission Reduction program; HR6184; HR 6482

Client expense: Not reported · Firm income: $30,000

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), SENATE, Transportation, Dept of (DOT)

Projects for WRDA (Water Resources Development Act); EPA Diesel Emission Reduction program; HR6184; HR 6482

Client expense: Not reported · Firm income: $30,000

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), SENATE, Transportation, Dept of (DOT)

Projects for WRDA (Water Resources Development Act); EPA Diesel Emission Reduction program; HR6184; HR 6482

Client expense: Not reported · Firm income: $30,000

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), SENATE, Transportation, Dept of (DOT)

Projects for WRDA (Water Resources Development Act); EPA Diesel Emission Reduction program; HR6184; HR 6482

Client expense: Not reported · Firm income: $30,000

Government targets: Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), Navy, Dept of, SENATE, Transportation, Dept of (DOT)

Projects for WRDA (Water Resources Development Act); Clean Truck Initiative; EPA Diesel Emission Reduction program; HR6184; HR 6482

Client expense: Not reported · Firm income: $30,000

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), Navy, Dept of, SENATE, Transportation, Dept of (DOT)

Projects for WRDA (Water Resources Development Act); Clean Truck Initiative; EPA Diesel Emission Reduction program; HR6184; HR 6482

Client expense: Not reported · Firm income: $30,000

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), Navy, Dept of, SENATE, Transportation, Dept of (DOT)