Resident Physician Shortage Reduction Act of 2012

H.R. 8 - American Taxpayer Relief Act of 2012 H.R. 6562 - Resident Physician Shortage reducation Act of 2012

Client expense: $80,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 6562 Resident Physician Shortage Reduction Act of 2012; HR 8 American Taxpayer Relief Act of 2012

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor implementation of the Patient Protection and Affordable Care Act. (P.L. 111-148) S. 2113, Transforming the Regulatory Environment to Accelerate Access to Treatments. S. 3295, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013. Draft, House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013. H.R. 4209, Patients' Access to Treatments Act of 2012. H.R. 451, Healthcare Truth and Transparency Act of 2011. H.R. 5707, Medicare Physician Payment Innovation Act of 2012. H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act. H.R. 6482, To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. H.R. 6562, Resident Physician Shortage Reduction Act of 2012. H.R. 8, American Taxpayer Relief Act of 2012. Monitor the implementation of the Continuing Appropriations Resolution, 2013. (P.L. 112-175) Monitor federal issues and legislation associated with health care policy.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.8: American Taxpayer Relief Act of 2012; H.R.6352: Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transfer Act; H.R.6575: The Medicare Audit Improvement Act of 2012; H.J. Res.66: Permanent Tax Relief for Families and Small Businesses Act of 2012; S. 958 Children's Hospital GME Support Reauthorization Act of 2011 S. 2620/H.R. 5943, Rural Hospital Access Act (MDH/LV Adjustment 1-year extension) S. 1680/H.R. 3859, Craig Thomas Rural Hospital and Provider Equity (R-HOPE) Act S.1627/H.R. 6562, Resident Physician Shortage Reduction Act (Medicare residency slots) Medicare physician fee schedule fix Medicare and Medicaid Recovery Audit Contractor (RAC) Programs New York State 1115 Medicaid Waiver Application to CMS Medicare and Medicaid Payment reductions, including Graduate Medical Education, bad debt payments, post-acute care payments, CAH payments, IPPS coding offset, rural hospital payments, Medicare Dependent Hospital authorization, inpatient coding offset, outpatient department hold harmless for certain rural and Sole Community Hospitals, hospital outpatient department (HOPD) evaluation and management (E/M) services, and Medicaid provider taxes. Medicare and Medicaid Programs; Electronic Health Record Incentive ProgramStage 2; Health Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition; Revisions to the Permanent Certification Program for Health Information Technology; Final Rules (CMS and ONC Medicare and Medicaid EHR Meaningful Use Incentive Program Stage 2 final rules) Issues related to Superstorm Sandy and the supplemental appropriations bills

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

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

H.R. 5652, Sequester Replacement Reconciliation Act (Medicaid provider taxes) Medicare physician fee schedule fix Medicare hospital wage index H.R. 3519, To exempt the Medicaqre program from fallback sequestration under the Budget Control Act of 2011 Medicaid provider taxes Medicare and Medicaid Payment reductions, including Graduate Medical Education, bad debt payments, post-acute care payments, CAH payments, IPPS coding offset, rural hospital payments, section 508 wage index reclassification, Medicare Dependent Hospital authorization, inpatient coding offset, small rural clinical hold harmless, Sole Community Hospital (SCH) outpatient department hold harmless, outpatient therapy cap moratorium, and hospital outpatient department (HOPD) evaluation and management (E/M) service. H.R. 3519, To exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011 S. 2620/H.R. 5943, Rural Hospital Access Act (MDH/LV Adjustment 1-year extension) S. 1680/H.R. 3859, Craig Thomas Rural Hospital and Provider Equity (R-HoPE) Act H.R. 2224, Improving Physician Access to Teaching Hospitals Act (Medicare residency slots) S.1627/H.R. 6562, Resident Physician Shortage Reduction Act (Medicare residency slots) H.R. 452, Medicare Decisions Accountability Act of 2011 (IPAB repeal) Medicare and Medicaid Programs; Electronic Health Record Incentive ProgramStage 2; Health Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition; Revisions to the Permanent Certification Program for Health Information Technology; Final Rules (CMS and ONC Medicare and Medicaid EHR Meaningful Use Incentive Program Stage 2 final rules) New York State 1115 Medicaid Waiver Application to CMS Medicare and Medicaid Recovery Audit Contractor (RAC) Programs

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L. 111-148 - Patient Protection and Affordable Care Act Health Information Technology H.R. 2224 - Improving Physician Access in Teaching Hospitals (PATH) Act S. 1052, H.R. 1970 - National Childhood Brain Tumor Prevention Network Act Health workforce shortage issues, Title VII and Title VIII of the Public Health Service Act, nursing, graduate nursing education, nursing-managed health clinics Health wellness and prevention programs H.R. 5707 - Medicare Physician Payment Innovation Act H.R.5651, Food and Drug Administration Reform Act of 2012 H.R. 6352 Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act (Schock Bill combines Schumer/Nelson/Reid bill and Reed RI bills) H.R. 6562 Resident Physician Shortage Reduction Act of 2012

Client expense: $70,000 · 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

S. 1627: The Resident Physician Shortage Reduction Act of 2011--entire bill HR 6352:Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act--entire bill HR 6562:Resident Physician Shortage Reduction Act of 2012--entire bill HR 8: American Taxpayer Relief Act of 2012 -- provisions related to graduate medical education

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Presidents Budget, 2013, Department of Health and Human Services Unnumbered House subcommittee bill/S.3295 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Restore NIH salary cap to Executive Level I. Oppose elimination of AHRQ, and research policy provisions in House subcommittee bill H.R. 6400, RDOCS Act of 2012 Issue: Support additional scholarship opportunities for medical students. President's Budget, 2013, Department of Health and Human Services Issues: Oppose proposed reduction in Medicare Graduate Medical Education (GME) support and proposed Medicaid reductions and reforms. Presidents Budget, 2014, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps. Debt in Health Education Loan programs (Dbt HELP) bill proposal (draft) Issue: Expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 1627, Resident Physician Shortage Reducation Act Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issue: Implementing provisions reauthorizing health professions education programs under Title VII of the Public Health Service Act, and reauthorizing National Health Service Corps. S. 3201 Graduate Medical Education Reform Act of 2012 Issue: Increase Medicare Graduate Medical Education (GME) accountability H.R. 3667, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act Section 5503 and 5506 Issue: Redistribution of residency positions Issue: Implementation of Teaching Health Center Graduate Medical Education programs under section 340G of the Public Health Service Act. H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 S. 1440, The Prematurity Research Expansion and Education for Mothers who Deliver Infants Early Act. Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. H.R. 1855/H.R. 2405, Pandemic and All-Hazards Preparedness Reauthorization Act. Issue: Complete reauthorization of preparedness legislation Act. H.R. 5707, Medicare Physician Payment Innovation Act Issue: Repeal of Medicare's sustainable growth rate (SGR) formula. H.R. 1513/S. 810, Great Ape Protection and Cost Saving Act of 2011 H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparency. H.R. 6562, Resident Physician Reduction Shortage Act of 2012 Issue: Support lifting cap on the number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments. Issue: Promote interprofessional education and training of the health care workforce. S. 799, Commercial Privacy Bill of Rights Act of 2011 Issue: Collection, retention, and dissemination of personal health information. Issue: Discuss with Administration impact of Medicaid expansions and Medicaid DSH cuts under the Affordable Care Act on AAMC member institutions. Issue: Funding for the National Healthcare Workforce Commission. H.R. 2954/S. 2474, Health Equity and Accountability Act of 2011 Issue: Developing health care workforce that promotes health equity. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Institute of Medicine (IOM) study on Graduate Medical Education (GME) financing and policies Issue: Support Medicare physician payment reform Issue: Oppose reduction in Medicare hospital outpatient department reimbursement Issue: Clarify policy changes on how to count Labor and Delivery beds when calculating Medicare GME payments. Issue: Oppose Medicare Graduate Medical Education (GME) spending cuts through sequestration. Issue: 340b Drug Discount program eligibility Issue: Oppose nondefense discretionary spending cuts through sequestration, including NIH and Title VII and VIII health professions and nursing education programs. Issue: Preventing, Identifying, and Treating Prescription Drug Abuse Issue: Primary Care Workforce Development Issue: Funding for Title VII and VIII in President's FY 2014 Budget Issue: Implementation of ACA Exchanges and Medicaid Expansions. Submitted comments on: AHRQ's Consumer Reporting System for Patient Safety Events Enhancing Community-Engaged Research Through the Clinical and Translational Science Awards Program

Client expense: $960,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

President's Budget, 2013, Department of Health and Human Services Issue: Oppose proposed reductions in Medicare GME support and proposed reductions and reforms in Medicaid. S. 1627, Resident Physician Shortage Reduction Act Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. Issue: Implementation of Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Institute of Medicine (IOM) study on Graduate Medical Education (GME) financing and policies. Issue: Support Medicare physician payment reform Issue: Oppose reduction in Medicare hospital outpatient department reimbursement Issue: Oppose restrictions on states' use of Medicaid provider assessments to pay for reduced student loan interest rates. S. 3201 Graduate Medical Education Reform Act of 2012 Issue: Support legislation to increase Medicare GME accountability and support H.R. 3667, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act Section 5503 and 5506 (Redistribution of Residency Positions) Issue: Redistribution of residency positions Issue: Support draft legislation to create womens hospital Graduate Medical Education program H.R. 5707, Medicare Physician Payment Innovation Act Issue: Repeal of Medicare's sustainable growth rate (SGR) formula. H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparancy. H.R. 6562, Resident Physician Reduction Shortage Act of 2012 Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments Issue: Discuss with Administration Impact of Medicaid expansions and Medicaid DSH cuts under the Affordable Care Act on AAMC member institutions Issue: Preventing, identifying, and treating prescription drug abuse Issue: Primary Care Workforce Development Issue: Implementation of ACA Exchanges and Medicaid expansions

Client expense: $960,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

H.R.5-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 8- American Taxpayer Relief Act of 2012 H.R.157-Health Care Safety Net Enhancement Act of 2011 H.R.314-Medical Liability Procedural Reform Act of 2011 H.R.376-Volunteer Emergency Services Recruitment and Retention Act of 2011 H.R.436-Health Care Cost Reduction Act of 2012 H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.816-Provider Shield Act of 2011 H.R.896-Medical Justice Act of 2011 H.R.969- Medical Practice Freedom Act of 2011 H.R. 971-Critical Care Assessment and Improvement Act of 2011 H.R.1004-Health Flexible Spending Arrangements Improvements Act of 2012 H.R.1117-Air Ambulance Patient Safety, Protection, and Coordination Act H.R. 1063-Strengthening Medicare And Repaying Taxpayers Act of 2011 H.R. 1206- Access to Professional Health Insurance Advisors Act of 2011 H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1310-To amend the Internal Revenue Code of 1986 to exempt certain emergency medical devices from the excise tax on medical devices, and for other purposes H.R.1629-Family Health Care Accessibility Act of 2011 H.R.1668-Danny McIntosh Emergency Medical Service Providers Protection Act H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.1941-Hiring Heroes Act of 2011 H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.2205-Ending Defensive Medicine and Encouraging Innovative Reforms Act of 2011 H.R.2353-Volunteer Responder Incentive Protection Reauthorization Act of 2011 H.R.2405-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011 H.R.2472-Health Care Professionals Protection Act of 2011 H.R.2488-SERVE Act of 2011 H.R.2523-Physician Availability Act of 2011 H.R.2853-Emergency Medic Transition (EMT) Act of 2011 H.R.2903-Federal Emergency Management Agency (FEMA) Reauthorization Act of 2012 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.3511- Cardiac Arrest Survival Act of 2011 H.R.3586-Good Samaritans Health Professionals Act of 2011 H.R.3625-Cardiomyopathy Health Education, Awareness, Risk Assessment, and Training in the Schools (HEARTS) Act of 2011 H.R.4124-Veteran Emergency Medical Technician Support Act of 2012 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R.5707-Medicare Physician Payment Innovation Act of 2012 H.R.5842-Restoring Access to Medication Act of 2012 H.R.5858-Health Savings Accounts Improvements Act of 2012 H.R. 6079-Repeal of Obama Care Act H.R. 6142-Assuring Medicare Stability and Access for Seniors Act of 2012 H.R. 6163-National Pediatric Research Network Act of 2012 H.R. 6562-Resident Physician Shortage Reduction Act of 2012 H.R. 6672- Pandemic and All-Hazards Preparedness Reauthorization Act of 2012 H.R. 6719- Telehealth Promotion Act of 2012 S.223-FAA Air Transportation Modernization and Safety Improvement Act S.385-Dale Long Emergency Medical Services Providers Protection Act S.668-Health Care Bureaucrats Elimination Act S.868-State Flexibility Act S.932-SERVE Act of 2011 S.933-Volunteer Responder Incentive Protection Reauthorization Act of 2011 S.951-Hiring Heroes Act of 2011 S.958-Children's Hospital GME Support Reauthorization Act of 2011 S.1059-Family Health Care Accessibility Act of 2011 S.1099-Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 S.1407-Air Ambulance Medicare Accreditation and Accountability Act S.1855-Pandemic and All-Hazards Preparedness Reauthorization Act of 2011

Client expense: $695,377 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.3000-Empowering Patients First Act H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R. 6163-National Pediatric Research Network Act of 2012 H.R. 6562-Resident Physician Shortage Reduction Act of 2012 S.958-Children's Hospital GME Support Reauthorization Act of 2011

Client expense: $695,377 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 8- American Taxpayer Relief Act of 2012 H.R.452-Medicare Decisions Accountability Act of 2011 H.R.541-Pay for all your Undocumented Procedures (PAY UP) Act of 2011 H.R.1256-Medicare Physician Payment Transparency and Assessment Act of 2011 H.R.1683-State Flexibility Act H.R.1852-Children's Hospital GME Support Reauthorization Act of 2011 H.R.2104-Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy (CARE) Act of 2011 H.R.3000-Empowering Patients First Act H.R.3144-Field EMS Quality Innovation and Cost Effectiveness Improvements Act H.R.3269-Diagnostic Imaging Services Protection Act of 2011 H.R.4242-Ensuring Quality Health Care for All Americans Act of 2012 H.R.5707-Medicare Physician Payment Innovation Act of 2012 H.R. 6142-Assuring Medicare Stability and Access for Seniors Act of 2012 H.R. 6163-National Pediatric Research Network Act of 2012 H.R. 6562-Resident Physician Shortage Reduction Act of 2012 H.R. 6719- Telehealth Promotion Act of 2012 S.868-State Flexibility Act S.958-Children's Hospital GME Support Reauthorization Act of 2011

Client expense: $695,377 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

House Budget Resolution (H.Con.Res. 112), provisions related to Medicaid and Medicare; President Obama's FY 2013 Budget, provisions related to Medicaid provider taxes, DSH, Medicare Independent Payment Advisory Board, graduate medical education, bad debt; Affordable Care Act (P.L. 111-148, P.L. 111-52), provisions affecting hospital reimbursement; Improving Physician Access in Teaching Hospitals Act (H.R. 2224); H.R. 5, the Protecting Access to Healthcare Act, provisions relating to Medicare and medical malpractice; The Resident Physician Shortage Reduction Act of 2011 (S.1627); The Budget Control Act of 2011 (S.365, P.L. 112-25); Middle Class Tax Relief and Job Creation Act of 2011 (H.R.3630), provisions relating to Medicare hospital reimbursement; Temporary Payroll Tax Cut Continuation Act of 2011 (H.R. 3765); H.R. 3519, a bill to exempt the Medicare program from fallback sequestration; President Obama's deficit reduction recommendations to the Supercommittee; conference agreement to H.R. 3630, provisions relating to Medicare hospital reimbursement and Medicaid payments to states; Highway and Student Loan converence agreement (H.R.4348), provisions relating to Medicaid provider taxes and pension rules; Sequester Replacement Reconciliation Act of 2012 (H.R.5652, provisions relating to Medicare hospital reimbursement and Medicaid payments to states; Graduate Medical Education Reform Act of 2012 (S.3201); Federal Medicaid 1115 Waiver issues; Medicare payments for hospital observation stays; CMS-1588-P Medicare Program proposed rule, Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2013 Rates, including Medicare coding offset proposed cut; The Resident Physician Shortage Reduction Act of 2012 (H.R. 6562); Medicare outpatient hospital payments; Congressional activities related to the IOM Committee on Governance and Financing of GME; the American Taxpayer Relief Act (H.R. 8), provisions related to Medicare hospital reimbursement, Medicaid, and charitable contributions; The Medicare Audit Improvement Act of 2012 (H.R. 6575).

Client expense: $220,000 · Firm income: Not reported

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

House Budget Resolution (H.Con.Res. 112), provisions related to Medicaid and Medicare; President Obama's FY 2013 Budget, provisions related to Medicaid provider taxes, DSH, Medicare Independent Payment Advisory Board, graduate medical education, bad debt; Affordable Care Act (P.L. 111-148, P.L. 111-52), provisions affecting hospital reimbursement; Improving Physician Access in Teaching Hospitals Act (H.R. 2224); H.R. 5, the Protecting Access to Healthcare Act, provisions relating to Medicare and medical malpractice; The Resident Physician Shortage Reduction Act of 2011 (S.1627); The Budget Control Act of 2011 (S.365, P.L. 112-25); Middle Class Tax Relief and Job Creation Act of 2011 (H.R.3630), provisions relating to Medicare hospital reimbursement; Temporary Payroll Tax Cut Continuation Act of 2011 (H.R. 3765); H.R. 3519, a bill to exempt the Medicare program from fallback sequestration; President Obama's deficit reduction recommendations to the Supercommittee; conference agreement to H.R. 3630, provisions relating to Medicare hospital reimbursement and Medicaid payments to states; Highway and Student Loan converence agreement (H.R.4348), provisions relating to Medicaid provider taxes and pension rules; Sequester Replacement Reconciliation Act of 2012 (H.R.5652, provisions relating to Medicare hospital reimbursement and Medicaid payments to states; Graduate Medical Education Reform Act of 2012 (S.3201); Federal Medicaid 1115 Waiver issues; Medicare payments for hospital observation stays; CMS-1588-P Medicare Program proposed rule, Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2013 Rates, including Medicare coding offset proposed cut; The Resident Physician Shortage Reduction Act of 2012 (H.R. 6562); Medicare outpatient hospital payments; Congressional activities related to the IOM Committee on Governance and Financing of GME; the American Taxpayer Relief Act (H.R. 8), provisions related to Medicare hospital reimbursement, Medicaid, and charitable contributions; The Medicare Audit Improvement Act of 2012 (H.R. 6575).

Client expense: $220,000 · Firm income: Not reported

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

S.3187 - Food and Drug Administration and Safety and Innovation Act and Related Conference Report PL 112-144 (drug shortage provisions). S.296/H.R.2245 - Preserving Access to Life-Saving Medications Act (drug shortage provisions). S.319 - Pharmaceutical Market Access and Drug Safety Act (drug shortages provisions). H.R.5651 - Food and Drug Administration Reform Act (drug shortage provisions). H.R.3839 - Drug Shortage Prevention Act (drug shortage provisions). Medicare physician fee schedule fix (issue only). Medicare hospital wage index (issue only). Inpatient Prospective Payment system final proposed regulation (coding offset). H.R.3519 - To exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011, (entire bill). S.2620/H.R.5943 - Rural Hospital Access Act, (entire bill). H.R.2224 - Improving Physician Access to Teaching Hospitals Act, (entire bill). S.1627/H.R.6562 - Resident Physician Shortage Reduction Act (entire bill). H.R.452 - Medicare Decisions Accountability Act (IPAB repeal). S.668 - Health Care Bureaucrats Elimination Act. Resident Physician Shortage Reduction and Graduate Medical Education Accountability Act, H.R.6352 (entire bill).

Client expense: $209,000 · 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), Medicare Payment Advisory Commission (MedPAC), SENATE

Medicare Better Health Rewards Program Act of 2012 (S.2243), provisions related to wellness behaviors and measures. Resident Physician Shortage Reduction Act of 2012 (H.R.6562), provisions related to physician residency training. Children's Hospital GME Reauthorization Act of 2011 (H.R. 1852 and S.958), provisions related to the Childrens Hospital Graduate Medical Education (CHGME) Payment Program.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 6352: Resident Physician Shortage Reduction and Graduate Medical Education Transparency Act; accountability and extension of sustainable growth rate and impact of reduction rate on faculty practice and care of medicare patients HR 6562, S 1627: Resident Physician Shortage Act- encouraged Congressman and Senators to co-sponsor legislation

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5 Protecting Access to Healthcare Act; H.R. 2245 / S. 296 Preserving Access to Life-Saving Medications Act; H.R. 3839 Drug Shortage Prevention Act; H.R. 4209 Patients' Access to Treatments Act; H.R. 6352 Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act; H.R. 6482 To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health services; H.R. 6562 Resident Physician Shortage Reduction Act

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

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

"S. 3187, Food and Drug Administration Safety and Innovation Act (drug shortages in hospitals) and Related Conference Report PL 112-144 "S. 296/H.R. 2245, Preserving Access to Life-Saving Medications Act (drug shortages in hospitals) "S. 319, Pharmaceutical Market Access and Drug Safety Act (drug shortages in hospitals) H.R. 5651, Food and Drug Administration Reform Act (drug shortages in hospitals) H.R. 3839, Drug Shortage Prevention Act (drug shortages in hospitals) Medicaid provider taxes Medicare and Medicaid Payment reductions, including Graduate Medical Education, bad debt payments, post-acute care payments, CAH payments, IPPS coding offset, rural hospital payments, section 508 wage index reclassification, Medicare Dependent Hospital authorization, inpatient coding offset, small rural clinical hold harmless, Sole Community Hospital (SCH) outpatient department hold harmless, outpatient therapy cap moratorium, and hospital outpatient department (HOPD) evaluation and management (E/M) service. Medicare physician fee schedule fix Medicare hospital wage index H.R. 3519, To exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011 S. 2620/H.R. 5943, Rural Hospital Access Act (MDH/LV Adjustment 1-year extension) S. 1680/H.R. 3859, Craig Thomas Rural Hospital and Provider Equity (R-HoPE) Act H.R. 2224, Improving Physician Access to Teaching Hospitals Act (Medicare residency slots) S.1627/H.R. 6562, Resident Physician Shortage Reduction Act (Medicare residency slots) H.R. 452, Medicare Decisions Accountability Act of 2011 (IPAB repeal) Medicare and Medicaid Programs; Electronic Health Record Incentive ProgramStage 2; Health Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition; Revisions to the Permanent Certification Program for Health Information Technology; Final Rules (CMS and ONC Medicare and Medicaid EHR Meaningful Use Incentive Program Stage 2 final rules) New York State 1115 Medicaid Waiver Application to CMS Medicare and Medicaid Recovery Audit Contractor (RAC) Programs

Client expense: Not reported · Firm income: Not reported

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

- S.3187, Food and Drug Administraton Safety and Innovation Act (drug shortages in hospitals) and Related Conference Report P.L.112-144. - S.296/H.R.2245, Preserving Access to Life-Saving Medications Act (drug shortages in hospitals). - H.R.3839, Drug Shortage Prevention Act (drug shortages in hospitals) - S.319, Pharmaceutical Market Access and Drug Safety Act (drug shortages in hospitals). - H.R.5651, Food and Drug Administration Reform Act (drug shortages in hospitals). - Medicaid provider taxes. - Medicare and Medicaid Payment reductions, including Graduate Medical Education, bad debt payments, post-acute care payments, CAH payments, IPPS coding offset, rural hospital payments, section 508 wage index reclassification, Medicare Dependent Hospital authorization, inpatient coding offset, small rural clinical hold harmless, Sole Community Hospital (SCH) outpatient department hold harmless, outpatient therapy cap moratorium, and hospital outpatient department (HOPD) evaluation and management (E/M) service. - Medicare physician fee schedule fix. - Medicare hospital wage index. - H.R.3519, To exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011. - S.2620/H.R.5943, Rural Hospital Access Act (MDH/LV Adjustment 1-year extension). - S.1680/H.R.3859, Craig Thomas Rural Hospital and Provider Equity (R-HoPE) Act. - H.R.2500, The Equal Access and Parity for Multi-Campus Hospitals Act (Electronic Health Record multi-campus incentive bill). - H.R.2224, Improving Physician Access to Teaching Hospitals Act (Medicare residency slots). - S.1627/H.R.6562, Resident Physician Shortage Reduction Act (Medicare residency slots). - H.R.452, Medicare Decisions Accountability Act of 2011 (IPAB repeal). - S.668, Health Care Bureaucrats Elimination Act (IPAB repeal). - Medicare and Medicaid Programs; Electronic Health Record Incentive ProgramStage 2; Health Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition; Revisions to the Permanent Certification Program for Health Information Technology; Final Rules (CMS and ONC Medicare and Medicaid EHR Meaningful Use Incentive Program Stage 2 final rules). - New York State 1115 Medicaid Waiver Application to CMS. - H.R.6118, Taking Essential Steps for Testing (TEST) Act (unintentional proficiency testing laboratory referrals). - Medicare and Medicaid Recovery Audit Contractor (RAC) Programs.

Client expense: $190,000 · Firm income: Not reported

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

Monitor implementation of the Patient Protection and Affordable Care Act. (P.L. 111-148) S. 2113, Transforming the Regulatory Environment to Accelerate Access to Treatments. S. 2196, Congressional Health Care for Seniors Act of 2012. S. 2236, Advancing Breakthrough Therapies for Patients Act of 2012. S. 3295, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013. Draft, House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013. H.R. 5, Protecting Access to Healthcare Act. H.R. 452, Medicare Decisions Accountability Act of 2011. H.R. 3839, Drug Shortage Prevention Act of 2012. H.R. 4209, Patients' Access to Treatments Act of 2012. H.R. 451, Healthcare Truth and Transparency Act of 2011. H.R. 5707, Medicare Physician Payment Innovation Act of 2012. H.R. 6142, Assuring Medicare Stability and Access for Seniors Act of 2012. H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act. H.R. 6482, To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. H.R. 6562, Resident Physician Shortage Reduction Act of 2012. HJRes 117, Continuing Appropriations Resolution, 2013. (P.L. 112-175) Ryans Fy2013 Budget: A Path to Prosperity: A Blueprint for American Renewal Monitor federal issues and legislation associated with health care policy.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

President's Budget, 2013, Department of Health and Human Services Issue: Oppose proposed reductions in Medicare GME support and proposed reductions and reforms in Medicaid. S. 1627, Resident Physician Shortage Act Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. Issue: Implementation of Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Institute of Medicine (IOM) study on Graduate Medical Education (GME) financing and policies. Issue: Support Medicare physician payment reform Issue: Oppose reduction in Medicare hospital outpatient department reimbursement Issue: Clarify policy changes on how to count Labor and Delivery beds when calculating Medicare GME payments. Issue: Oppose restrictions on states' use of Medicaid provider assessments to pay for reduced student loan interest rates. S. 3201 Graduate Medical Education Reform Act of 2012 Issue: Support legislation to increase Medicare GME accountability and support H.R. 3667, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act Section 5503 and 5506 (Redistribution of Residency Positions) Issue: Redistribution of residency positions Issue: Support draft legislation to create womens hospital Graduate Medical Education program H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparancy. H.R. 6562, Resident Physician Reduction Shortage Act of 2012 Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments Issue: Discuss with Administration scenarios for Medicaid expansions and Medicaid DSH cuts under the Affordable Care Act and impact on AAMC member institutions Submitted comments on: CY 2013 End Stage Renal Disease Quality Incentive Program CDC Request for Information Regarding Inclusion of Work Information in EHR CY 2013 Physician Fee Schedule Proposed Rule CY 2013 Hospital Outpatient and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs

Client expense: $450,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

Issue: Support highest possible 302(b) allocation for Labor-HHS-Education Appropriations Subcommittee. Presidents Budget, 2013, Department of Health and Human Services Unnumbered House subcommittee bill/S.3295 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Restore NIH salary cap to Executive Level I. Oppose elimination of AHRQ, research policy provisions in House subcommittee bill H.R. 6400, RDOCS Act of 2012 Issue: Support additional scholarship opportunities for medical students. President's Budget, 2013, Department of Health and Human Services Issues: Oppose proposed reduction in Medicare Graduate Medical Education (GME) support and proposed Medicaid reductions and reforms. Presidents Budget, 2014, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps. Health professions loans reform bill proposal (draft) Issue: Expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 1627, Resident Physician Shortage Act Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issue: Implementing provisions reauthorizing health professions education programs under Title VII of the Public Health Service Act, and reauthorizing National Health Service Corps. S. 3201 Graduate Medical Education Reform Act of 2012 Issue: Increase GME accountability H.R. 3667, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act Section 5503 and 5506 Issue: Redistribution of residency positions Issue: Implementation of Teaching Health Center Graduate Medical Education programs under section 340G of the Public Health Service Act. H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparency. H.R. 6562, Resident Physician Reduction Shortage Act of 2012 Issue: Support lifting cap on the number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments. Issue: Promote interprofessional education and training of the health care workforce. S. 799, Commercial Privacy Bill of Rights Act of 2011 Issue: Collection, retention, and dissemination of personal health information. Issue: Discuss with Administration scenarios for Medicaid expansions and Medicaid DSH cuts under the Affordable Care Act and impact on AAMC member institutions. Issue: Funding for the National Healthcare Workforce Commission. H.R. 2954/S. 2474, Health Equity and Accountability Act of 2011 Issue: Developing health care workforce that promotes health equity. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Institute of Medicine (IOM) study on Graduate Medical Education (GME) financing and policies Issue: Support Medicare physician payment reform Issue: Support draft legislation to create womens hospital Graduate Medical Education program Issue: Oppose reduction in Medicare hospital outpatient department reimbursement Issue: Clarify policy changes on how to count Labor and Delivery beds when calculating Medicare GME payments. Issue: Oppose restrictions on states' use of Medicaid provider assessments to pay for reduced student loan interest rates. Issue: Oppose Medicare Graduate Medical Education (GME) spending cuts through sequestration. Issue: 340b Drug Discount program eligibility Issue: Oppose nondefense discretionary spending cuts through sequestration, including NIH and Title VII and VIII health professions and nursing education programs. Submitted comments on: CY 2013 End Stage Renal Disease Quality Incentive Program CDC Request for Information Regarding Inclusion of Work Information in EHR CY 2013 Physician Fee Schedule Proposed Rule CY 2013 Hospital Outpatient and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs IRS Proposed Rule for Additional Requirements for Charitable Hospitals

Client expense: $450,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), 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)

S. 3187, Food and Drug Administration and Safety and Innovation Act and Related Conference Report PL 112-144 (drug shortage provisions) S. 296/H.R. 2245, Preserving Access to Life-Saving Medications Act (drug shortage provisions) S. 319, Pharmaceutical Market Access and Drug Safety Act (drug shortages provisions) H.R. 5651, Food and Drug Administration Reform Act (drug shortage provisions) H.R. 3839, Drug Shortage Prevention Act (drug shortage provisions) Medicare physician fee schedule fix (issue only) Medicare hospital wage index (issue only) Inpatient Prospective Payment system final proposed regulation (coding offset) H.R. 3519, To exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011, (entire bill) S. 2620/H.R. 5943, Rural Hospital Access Act, (entire bill) H.R. 2224, Improving Physician Access to Teaching Hospitals Act, (entire bill) S.1627/H.R. 6562, Resident Physician Shortage Reduction Act (entire bill) H.R. 452, Medicare Decisions Accountability Act (IPAB repeal) S. 668, Health Care Bureaucrats Elimination Act Resident Physician Shortage Reduction and Graduate Medical Education Accountability Act, H.R. 6352 (entire bill)

Client expense: $628,940 · 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), Medicare Payment Advisory Commission (MedPAC), SENATE

Medicare physician fee schedule fix (issue only) Medicare hospital wage index (issue only) Inpatient Prospective Payment system final proposed regulation (coding offset) H.R. 3519, To exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011, (entire bill) S. 2620/H.R. 5943, Rural Hospital Access Act, (entire bill) H.R. 2224, Improving Physician Access to Teaching Hospitals Act, (entire bill) S. 1627/H.R. 6562, Resident Physician Shortage Reduction Act, (entire bill) Resident Physician Shortage Reduction and Graduate Medical Education Accountability Act, H.R. 6352, (entire bill)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L. 111-148 - Patient Protection and Affordable Care Act Health Information Technology H.R. 2224 - Improving Physician Access in Teaching Hospitals (PATH) Act S. 1052, H.R. 1970 - National Childhood Brain Tumor Prevention Network Act Health workforce shortage issues, Title VII and Title VIII of the Public Health Service Act, nursing, graduate nursing education, nursing-managed health clinics Health wellness and prevention programs H.R. 5707 - Medicare Physician Payment Innovation Act H.R.5651, Food and Drug Administration Reform Act of 2012 H.R. 6352 Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act (Schock Bill combines Schumer/Nelson/Reid bill and Reed RI bills) H.R. 6562 Resident Physician Shortage Reduction Act of 2012

Client expense: $70,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1627: The Resident Physician Shortage Reduction Act of 2011--entire bill HR 6352:Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act--entire bill HR 6562:Resident Physician Shortage Reduction Act of 2012--entire bill

Client expense: $80,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6079: Repeal of Obamacare Act S.3228 Sequestration: Transparency Act of 2012 H.R.5872 Sequestration: Transparency Act of 2012 S. 2068: Access to Independent Health Insurance Advisors Act of 2012 H.R. 1206 Access to Professional Health insurance Advisors Act H.R. 6283 Guaranteed Access to Health Insurance Act of 2012 H.R. 5652 Sequester Replacement Reconciliation Act of 2012 H.R. 1004 Health Flexible Spending Arrangements Improvements Act of 2012 H.R. 5858 Health Savings Account Improvements Act of 2012 H.R. 5842 Restoring Access to Medication Act of 2012 H.R. 5651 Food and Drug Administration Reform Act of 2012 S. 2516 Food and Drug Administration Reform Act of 2012 H.R. 436 Protect Medical Innovation Act of 2012 S. 3187 Food and Drug Administration Safety and Innovation Act H.R. 5 Help Efficient, Accessible, Low-cost, and Timely Healthcare Act H.R. 5652 Sequester Replacement Reconciliation Act of 2012 S. 1099 Seniors Choice Act S. 3414 Cybersecurity Act of 2012 S.3351 Protect our Health Privacy Act S. 3333 Data Security and Breach Notification Act of 2012 H.R. 6352 Physician Shortage Reduction and Graduate Medical Education Accountability Act S.3201 Graduate Medical Education Reform Act S.1627 Resident Physician Shortage H.R. 6174 Common Sense Nutrition Disclosure Act H.R.6482 To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. H.R.6429 STEM Jobs Act of 2012 S. 3276 FISA Amendments Act Reauthorization Act of 2012 H.R. 5949 FISA Amendments Act Reauthorization Act of 2012 S.3465 Care Coordination for Older Americans Act of 2012 S.3430 National Diabetes Clinical Care Commission Act of 2012 H.R. 6562 Resident Physician Shortage Reduction Act of 2012 H.R.6083 Federal Agriculture Reform and Risk Management Act of 2012 H.R.4348 MAP-21

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

House Budget Resolution (H.Con.Res. 112), provisions related to Medicaid and Medicare; President Obama's FY 2013 Budget, provisions related to Medicaid provider taxes, DSH, Medicare Independent Payment Advisory Board, graduate medical education, bad debt; Affordable Care Act (P.L. 111-148, P.L. 111-52), provisions affecting hospital reimbursement; Improving Physician Access in Teaching Hospitals Act (H.R. 2224); H.R. 5, the Protecting Access to Healthcare Act, provisions relating to Medicare and medical malpractice; The Resident Physician Shortage Reduction Act of 2011 (S.1627); The Budget Control Act of 2011 (S.365, P.L. 112-25); Middle Class Tax Relief and Job Creation Act of 2011 (H.R.3630), provisions relating to Medicare hospital reimbursement; Temporary Payroll Tax Cut Continuation Act of 2011 (H.R. 3765); H.R. 3519, a bill to exempt the Medicare program from fallback sequestration; President Obama's deficit reduction recommendations to the Supercommittee; conference agreement to H.R. 3630, provisions relating to Medicare hospital reimbursement and Medicaid payments to states; Highway and Student Loan converence agreement (H.R.4348), provisions relating to Medicaid provider taxes and pension rules; Sequester Replacement Reconciliation Act of 2012 (H.R.5652, provisions relating to Medicare hospital reimbursement and Medicaid payments to states; Graduate Medical Education Reform Act of 2012 (S.3201); Federal Medicaid 1115 Waiver issues; Medicare payments for hospital observation stays; CMS-1588-P Medicare Program proposed rule, Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2013 Rates, including Medicare coding offset proposed cut; The Resident Physician Shortage Reduction Act of 2012 (H.R. 6562); Medicare outpatient hospital payments; Congressional activities related to the IOM Committee on Governance and Financing of GME.

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

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