Strengthening Medicare Anti-Fraud Measures Act of 2011

Issues related to oversight of implantable devices [Elizabeth Kegler, JC Scott] H.R. 675-- Strengthening Medicare Anti-Fraud Measures Act of 2011. [Elizabeth Kegler] Issues related to the implementation of Section 6002 (Transparency Reports and Reporting of Physician Ownership or Investment Interests) of the Patient Protection and Affordable Care Act (PL 111-148). [Elizabeth Kegler, Elizabeth Sharp] Issues related to physician owned distributors of devices [Elizabeth Kegler] S. 668/HR Health Care Bureaucrats Elimination Act (Repeal of IPAB). [Elizabeth Kegler, JC Scott] H.R. 452 Medicare Decisions Accountability Act of 2011(Repeal of IPAB). [Elizabeth Kegler, , JC Scott] H.R. 3497 Modernizing Our Drug & Diagnostics Evaluation and Regulatory Network Cures Act of 2011 (Payment Reform) [Duane Wright, Elizabeth Sharp, Elizabeth Kegler, JC Scott] H.R. 6446 To create incentive for innovative diagnostics by improving the process for determining Medicare payment rates for new tests. [Duane Wright, Elizabeth Sharp, Elizabeth Kegler] Issues related to deficit reduction and Medicare [Elizabeth Sharp, Elizabeth Kegler, JC Scott, Duane Wright] Issues related to gainsharing [Elizabeth Kegler, Duane Wright]

Client expense: $453,093 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, implementation S. 756 - Medicare Data Access for Transparency and Accountability Act S. 668 - Health Care Bureaucrats Elimination Act, IPAB H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 452 Medicare Decisions Accountability Act of 2011 (IPAB) H.R. 3765/H.R. 3630/H.R. 3743 - Temporary Payroll Tax Cut Continuation Act of 2011, health care provisions H.R. 5 - Protecting Access to Healthcare Act H.R. 8 - American Taxpayer Relief Act of 2012, imaging ***, no specific bill(s), gainsharing, remote monitoring, diagnostics, Medicare Physician Reimbursement; reimbursement for imaging and technology; value based purchasing, Accountable Care Organizations, Sunshine Act, bundling

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

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

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, implementation S. 668 - Health Care Bureaucrats Elimination Act, IPAB H.R. 452 Medicare Decisions Accountability Act of 2011 (IPAB) H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 8 - American Taxpayer Relief Act of 2012 ***, no specific bill(s), Medicare Coverage, Regulation and Reimbursement of Imaging Services, Medicare Physician Payment, Sunshine Act, equipment maintenance

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

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

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, implementation H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 5 - Protecting Access to Healthcare Act H.R. 8 - American Taxpayer Relief Act of 2012 ***, no specific bill(s), Medicare, Medicare Fraud, Medicare Advantage, Medicare Part D, Medicaid, Electronic Prescribing, Dual Eligibles, Medigap, claims resolution

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

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

**see addendum page PL 111-148, The Patient Protection and Affordable Care Act, implementation H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 5 - Protecting Access to Healthcare Act S. 1789, "21st Century Postal Service Act of 2012" - issues pertaining to wraparound plan for postal workers with Medigap Part A and B. H.R. 8 - American Taxpayer Relief Act of 2012 ***, no specific bill(s), Medicare, Medicare Fraud, Medicare Advantage, Medicare Part D, Medicaid, Electronic Prescribing, Health Care Reform Implementation, Medigap, Physician Payment Reform

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

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

FY 2013 Commerce-Justice-Science Appropriations - amendment to prohibit funds from being used to close or consolidate any office of the EEOC or to make reductions in force part of any workforce repositioning, restructuring, or organizing of the EEOC. FY 2013 Labor-HHS-Education Appropriations Bill - provisions on cuts in funds for job training and employment services, college aid for students, rural health care services, funding for the National Institutes of Health, and increasing the Social Security Administration's administrative budget to ease processing backlog of more than 600,000 disability claims. HR 616, Federal Employees Paid Parental Leave Act - proposal to provide federal employees who are new parents or adoptive parents with eights weeks of full pay and benefits. S 572/HR 807 - provisions to provide health care professionals with equal rights to bargain over compensation matters. S 95/HR 1941, Hiring Heroes Act, provision that would create a new direct hire authority to offer federal jobs to every veteran within the first 180 days after an honorable discharge from active duty. S 743, Whistleblower Protection Enhancement Act, provisions to reform protection from retaliation for disclosure of fraud, waste, and abuse. S 2170, the Hatch Act Modernization Act, provisions to allow state and local workers to run for political office. HR 1409/S 560, Employee Free Choice Act, establishment of a pro-worker system for employees to form, join, or assist a labor organization thus assuring workers the right to bargain for better working conditions, wages, and benefits. HR 828 - proposal to terminate federal employees who have seriously delinquent tax debt due the Internal Revenue Service. HR 1383, Air Force Depot Workers Fairness Act - provision on compensatory time and a half. HR 1169, National Guard Technician Equity Act - provisions to correct outdated sections in current laws that harm Title 32 National Guard and Reserve issues, including dual status and retiree health care. HR 3493, Locality Pay Equity Act - provisions to align blue collar and white collar wage areas. HR 673 and HR 675, Law Enforcement Officers Equity Act - provisions to provide law enforcement officer status to many different groups of federal employees. HR 324, to amend Title 10 USC to provide federal Civilian Police Officers, Civilian Criminal Investigators, and Civilian Game Law Enforcement Officers in the Department of Defense the authority to execute warrants, make arrests, and carry firearms. HR 1175/S 1645, Pepper Spray bill - provisions dealing with Bureau of Prisons management policy changes, including the use of non-lethal weaponry. HR 658, FAA Reauthorization and Reform Act of 2011, in regards to official time use of elected volunteer federal employee union representatives at FAA to engage in representation responsibilities on behalf of employees in their collective bargaining units. HR 1470, provision to extend the probationary period for federal workers from one year to two years. S 3221, RAISE Act, lobbied against giving an employer the right to ignore a negotiated and ratified collective bargaining agreement. Lobbied against Congressional Republican leadership proposal to extend current rate for student loans for one year by permanently raising taxes sole on middle income federal employees. S 2049 and HR 2977, lobbied to transition to the use of $1 coins and to end the use of $1 bills.

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

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Corps of Engineers), Army, Dept of (Other), Bureau of Citizenship & Immigration Services (BCIS), Defense Commissary Agency, Defense Finance & Accounting Service (DFAS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Labor, Dept of (DOL), Merit Systems Protection Board, Natl Institute of Mental Health (NIMH), Navy, Dept of, Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Transportation Security Administration (TSA), U.S. Customs & Border Protection, U.S. Marines, Veterans Affairs, Dept of (VA)

Issues related to oversight of implantable devices [Elizabeth Kegler, JC Scott] H.R. 675-- Strengthening Medicare Anti-Fraud Measures Act of 2011. [Elizabeth Kegler] Issues related to the implementation of Section 6002 (Transparency Reports and Reporting of Physician Ownership or Investment Interests) of the Patient Protection and Affordable Care Act (PL 111-148). [Elizabeth Kegler, Elizabeth Sharp] Issues related to physician owned distributors of devices [Elizabeth Kegler] S. 668/HR Health Care Bureaucrats Elimination Act (Repeal of IPAB). [Elizabeth Kegler, Elizabeth Sharp, JC Scott] H.R. 452 Medicare Decisions Accountability Act of 2011(Repeal of IPAB). [Elizabeth Kegler, Elizabeth Sharp, JC Scott] H.R. 3497 Modernizing Our Drug & Diagnostics Evaluation and Regulatory Network Cures Act of 2011 (Payment Reform) [Duane Wright, Elizabeth Sharp, Elizabeth Kegler, JC Scott] Issues related to deficit reduction and Medicare [Elizabeth Sharp, Elizabeth Kegler, JC Scott, Duane Wright] Issues related to gainsharing [Elizabeth Kegler, Duane Wright]

Client expense: $267,490 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 675 - Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 Public Law 110-173 - Medicare, Medicade and SCHIP Extension Act of 2007 (implementation) H.R. 5284 - Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2012 H.R. 1063 - Strengthening Medicare and Repaying Taxpayers Act of 2011 (The SMART Act)

Client expense: $768,022 · Firm income: Not reported

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

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, implementation H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 5 - Protecting Access to Healthcare Act ***, no specific bill(s), Medicare, Medicare Fraud, Medicare Advantage, Medicare Part D, Medicaid, Electronic Prescribing, Dual Eligibles, Medigap, claims resolution

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

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

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

- HR 5, "Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011", regarding all provisions. - HR 675, "Strengthening Medicare Anti-Fraud Measures Act of 2011", regarding all provisions. - Issues regarding Health Courts

Client expense: $1,420,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, implementation S. 668 - Health Care Bureaucrats Elimination Act, IPAB H.R. 452 Medicare Decisions Accountability Act of 2011 (IPAB) H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 5 - Protecting Access to Healthcare Act ***, no specific bill(s), Medicare Coverage, Regulation and Reimbursement of Imaging Services, Medicare Physician Payment, Sunshine Act

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

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

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

Client expense: $2,630,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

**see addendum page PL 111-148, The Patient Protection and Affordable Care Act, implementation H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 5 - Protecting Access to Healthcare Act S. 1789, "21st Century Postal Service Act of 2012" - issues pertaining to wraparound plan for postal workers with Medigap Part A and B. ***, no specific bill(s), Medicare, Medicare Fraud, Medicare Advantage, Medicare Part D, Medicaid, Electronic Prescribing, Health Care Reform Implementation, Medigap, Physician Payment Reform

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

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

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, implementation S. 756 - Medicare Data Access for Transparency and Accountability Act S. 668 - Health Care Bureaucrats Elimination Act, IPAB H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 452 Medicare Decisions Accountability Act of 2011 (IPAB) H.R. 3765/H.R. 3630/H.R. 3743 - Temporary Payroll Tax Cut Continuation Act of 2011, health care provisions H.R. 5 - Protecting Access to Healthcare Act ***, no specific bill(s), gainsharing, remote monitoring, diagnostics, Medicare Physician Reimbursement; reimbursement for imaging and technology; value based purchasing, Accountable Care Organizations, Sunshine Act, bundling

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

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

FY 2013 Commerce-Justice-Science Appropriations - amendment to prohibit funds from being used to close or consolidate any office of the EEOC or to make reductions in force part of any workforce repositioning, restructuring, or organizing of the EEOC. FY 2013 Labor-HHS-Education Appropriations Bill - provisions on cuts in funds for job training and employment services, college aid for students, rural health care services, funding for the National Institutes of Health, and increasing the Social Security Administration's administrative budget to ease processing backlog of more than 600,000 disability claims. HR 616, Federal Employees Paid Parental Leave Act - proposal to provide federal employees who are new parents or adoptive parents with eights weeks of full pay and benefits. S 572/HR 807 - provisions to provide health care professionals with equal rights to bargain over compensation matters. S 95/HR 1941, Hiring Heroes Act, provision that would create a new direct hire authority to offer federal jobs to every veteran within the first 180 days after an honorable discharge from active duty. S 743, Whistleblower Protection Enhancement Act, provisions to reform protection from retaliation for disclosure of fraud, waste, and abuse. HR 1409/S 560, Employee Free Choice Act, establishment of a pro-worker system for employees to form, join, or assist a labor organization thus assuring workers the right to bargain for better working conditions, wages, and benefits. HR 828 - proposal to terminate federal employees who have seriously delinquent tax debt due the Internal Revenue Service. HR 1383, Air Force Depot Workers Fairness Act - provision on compensatory time and a half. HR 1169, National Guard Technician Equity Act - provisions to correct outdated sections in current laws that harm Title 32 National Guard and Reserve issues, including dual status and retiree health care. H.R.3493, Locality Pay Equity Act - provisions to align blue collar and white collar wage areas. HR 673 and HR 675, Law Enforcement Officers Equity Act - provisions to provide law enforcement officer status to many different groups of federal employees. HR 324, to amend Title 10 USC to provide federal Civilian Police Officers, Civilian Criminal Investigators, and Civilian Game Law Enforcement Officers in the Department of Defense the authority to execute warrants, make arrests, and carry firearms. HR 1175/S 1645, Pepper Spray bill - provisions dealing with Bureau of Prisons management policy changes, including the use of non-lethal weaponry. HR 658, FAA Reauthorization and Reform Act of 2011, in regards to official time use of elected volunteer federal employee union representatives at FAA to engage in representation responsibilities on behalf of employees in their collective bargaining units. HR 1470, provision to extend the probationary period for federal workers from one year to two years. S. 3221, RAISE Act, lobbied against giving an employer the right to ignore a negotiated and ratified collective bargaining agreement. Lobbied against Congressional Republican leadership proposal to extend current rate for student loans for one year by permanently raising taxes sole on middle income federal employees.

Client expense: $390,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Corps of Engineers), Army, Dept of (Other), Bureau of Citizenship & Immigration Services (BCIS), Defense Commissary Agency, Defense Finance & Accounting Service (DFAS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Labor, Dept of (DOL), Merit Systems Protection Board, Natl Institute of Mental Health (NIMH), Navy, Dept of, Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Transportation Security Administration (TSA), U.S. Customs & Border Protection, U.S. Marines, Veterans Affairs, Dept of (VA)

H.R. 675 - Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 Public Law 110-173 - Medicare, Medicade and SCHIP Extension Act of 2007 (implementation) H.R. 5284 - Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2012 H.R. 1063 - Strengthening Medicare and Repaying Taxpayers Act of 2011 (The SMART Act)

Client expense: $491,523 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.Con.Res. 112, House budget resolution (Ryan) Medicare, Medicaid, ACA issues H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 (Herger) H.R. 999, Medicare Prescription Drug Savings and Choice Act (Schakowsky) Medicare Part D changes 16. Specific Lobbying Issues (continued): H.R. 1063, Strengthening Medicare And Repaying Taxpayers Act (Murphy) Medicare secondary payer rules H.R. 1357, Puerto Rico Medicare Part B Equity Act (Pierluisi) H.R. 1580, Medicare Beneficiary Preservation of Choice Act (Gonzalez) Medicare Advantage enrollment periods H.R. 2190, Medicare Drug Savings Act (Waxman) rebates for dual eligibles H.R. 2248, Medicare Prescription Drug Price Negotiation Act (Welch) Part D price negotiation H.R. 2770, Medicare Cost Contract Extension Act (Paulsen) extension of Medicare cost plans H.R. 3399, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Roskam/Carney) H.R. 3519 (Towns) exempting Medicare from sequestration H.R. 3691, Senior Medicare Fairness Act (Paulsen) frailty adjuster for certain MA SNPs H.R. 4254, Medicare Advantage Program Integrity Act (Stark) MA payment changes H.R. 5979, Medicaid Accountability and Care Act (Cassidy) -- federal financing of state Medicaid programs S. 31, Prescription Drug and Health Improvement Act (Franken) Part D price negotiation S. 44, Medicare Prescription Drug Price Negotiation Act (Klobuchar) Part D price negotiation S. 560, Medicare Prescription Drug Savings and Choice Act (Durbin) Medicare Part D changes S. 1206, Medicare Drug Savings Act (Rockefeller) rebates for dual eligibles S. 1251, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Coburn/Carper) S. 1479, Medicare Beneficiary Preservation of Choice Act (Casey) Medicare Advantage enrollment periods S. 1497, Medicare Cost Contract Extension Act (Klobuchar) extension of Medicare cost plans S. 1999, Senior Medicare Fairness Act (Klobuchar) frailty adjuster for certain MA SNPs S. 2196, Congressional Health Care for Seniors Act (Paul) reforms affecting Medicare and Medigap S. 2243, Medicare Better Health Rewards Program Act (Wyden-Portman) incentives for wellness and prevention Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including; risk adjustment methodology, data, and audit issues; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, and audits); application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, SSA and CMS premium withhold processing issues, enrollment rules, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible Special Needs Plans (SNPs); Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; implementation of MA and Part D changes made in the Accountable Care Act (ACA), including application of the MA Star Rating system for payment purposes starting 2012 and changes to the Part D coverage gap; ongoing implementation issues for the Medicare cost plan program including enrollment, marketing materials review and approval and other operational issues; Medicare creditable drug coverage reporting requirements; implementation issues for the Medicare Retiree Drug Subsidy program; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including the Capitated Financial Alignment Demonstration; Medicaid managed care regulations and policies, including the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; issues related to Medigap coverage; and other issues relating to health care reform implementation.

Client expense: $2,240,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

- HR 5, "Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011", regarding all provisions. - HR 675, "Strengthening Medicare Anti-Fraud Measures Act of 2011", regarding all provisions. - Issues regarding Health Courts

Client expense: $1,200,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454, Strengthening Program Integrity and Accountability in Health Care Act of 2011 Various issues relating to Medicare Secondary Payer reporting requirements

Client expense: $6,260,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE, Securities & Exchange Commission (SEC)

H.Con.Res. 112, House budget resolution (Ryan) - Medicare, Medicaid, ACA issues H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 (Herger) H.R. 999, Medicare Prescription Drug Savings and Choice Act (Schakowsky) - Medicare Part D changes H.R. 1063, Strengthening Medicare And Repaying Taxpayers Act (Murphy) - Medicare secondary payer rules H.R. 1357, Puerto Rico Medicare Part B Equity Act (Pierluisi) H.R. 1580, Medicare Beneficiary Preservation of Choice Act (Gonzalez) - Medicare Advantage enrollment periods H.R. 2190, Medicare Drug Savings Act (Waxman) - rebates for dual eligibles H.R. 2248, Medicare Prescription Drug Price Negotiation Act (Welch) - Part D price negotiation H.R. 2770, Medicare Cost Contract Extension Act (Paulsen) - extension of Medicare cost plans H.R. 3399, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Roskam/Carney) H.R. 3519 (Towns) - exempting Medicare from sequestration H.R. 3691, Senior Medicare Fairness Act (Paulsen) - frailty adjuster for certain MA SNPs H.R. 4254, Medicare Advantage Program Integrity Act (Stark) - MA payment changes H.R. 5979, Medicaid Accountability and Care Act (Cassidy) -- federal financing of state Medicaid programs S. 31, Prescription Drug and Health Improvement Act (Franken) - Part D price negotiation S. 44, Medicare Prescription Drug Price Negotiation Act (Klobuchar) - Part D price negotiation S. 560, Medicare Prescription Drug Savings and Choice Act (Durbin) - Medicare Part D changes S. 1206, Medicare Drug Savings Act (Rockefeller) - rebates for dual eligibles S. 1251, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Coburn/Carper) S. 1479, Medicare Beneficiary Preservation of Choice Act (Casey) - Medicare Advantage enrollment periods S. 1497, Medicare Cost Contract Extension Act (Klobuchar) - extension of Medicare cost plans S. 1999, Senior Medicare Fairness Act (Klobuchar) - frailty adjuster for certain MA SNPs S. 2196, Congressional Health Care for Seniors Act (Paul) - reforms affecting Medicare and Medigap S. 2243, Medicare Better Health Rewards Program Act (Wyden-Portman) - incentives for wellness and prevention

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

*Part D price negotiation - S 31, Prescription Drug and Health Improvement Act of 2011; S 44, Medicare Prescription Drug Price Negotiation Act of 2011; HR 2248, Medicare Prescription Drug Price Negotiation Act of 2011. *Medicare Part D changes - HR 999, Medicare Prescription Drug Savings and Choice Act of 2011; S 560, Medicare Prescription Drug Savings and Choice Act of 2011. *Medicare secondary payer rules - HR 1063, Strengthening Medicare And Repaying Taxpayers Act of 2011. *Medicare Advantage enrollment periods - HR 1580, Medicare Beneficiary Preservation of Choice Act of 2011; S 1479, Medicare Beneficiary Preservation of Choice Act of 2011. *Rebates for dual eligibles - HR 2190, Medicare Drug Savings Act of 2011; S 1206, Medicare Drug Savings Act of 2011. *Strengthening Medicare anti-fraud measures - HR 675, Strengthening Medicare Anti-Fraud Measures Act of 2011. *Extension of Medicare cost plans - HR 2770, Medicare Cost Contract Extension Act of 2011; S 1497, Medicare Cost Contract Extension Act of 2011. *Medicare and Medicaid fraud and abuse - S 1251, Medicare and Medicaid FAST Act. *Frailty adjuster for certain MA SNPs - HR 3691, Senior Medicare Fairness Act of 2011; S 1999, Senior Medicare Fairness Act. *MA payment changes - HR 4254, Medicare Advantage Program Integrity Act of 2012. *Reforms affecting Medicare and Medigap - S 2196, Congressional Health Care for Seniors Act of 2012. *Incentives for wellness and prevention - S 2243, Medicare Better Health Rewards Program Act of 2012. *Puerto Rico Medicare Part B - HR 1357, Puerto Rico Medicare Part B Equity Act of 2011. *Medicare and Medicaid - HR 3399, Medicare and Medicaid FAST Act. *Exempting Medicare from sequestration - HR 3519, To amend to exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011. *Medicare, Medicaid, ACA issues - HConRes 112, Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022. *Federal financing of State Medicaid programs - HR 5979, Medicaid Accountability and Care Act of 2012.

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

Government targets: HOUSE OF REPRESENTATIVES

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, implementation S. 668 - Health Care Bureaucrats Elimination Act, IPAB H.R. 452 Medicare Decisions Accountability Act of 2011 (IPAB) H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 5 - Protecting Access to Healthcare Act ***, no specific bill(s), Medicare Coverage, Regulation and Reimbursement of Imaging Services, Medicare Physician Payment, Sunshine Act

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

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

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, implementation S. 756 - Medicare Data Access for Transparency and Accountability Act S. 668 - Health Care Bureaucrats Elimination Act, IPAB H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 452 Medicare Decisions Accountability Act of 2011 (IPAB) H.R. 3765/H.R. 3630/H.R. 3743 - Temporary Payroll Tax Cut Continuation Act of 2011, health care provisions H.R. 5 - Protecting Access to Healthcare Act ***, no specific bill(s), gainsharing, remote monitoring, diagnostics, Medicare Physician Reimbursement; reimbursement for imaging and technology; value based purchasing, Accountable Care Organizations, Sunshine Act, bundling

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

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

**see addendum page PL 111-148, The Patient Protection and Affordable Care Act, implementation H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 5 - Protecting Access to Healthcare Act S. 1789, "21st Century Postal Service Act of 2012" - issues pertaining to wraparound plan for postal workers with Medigap Part A and B. ***, no specific bill(s), Medicare, Medicare Fraud, Medicare Advantage, Medicare Part D, Medicaid, Electronic Prescribing, Health Care Reform Implementation, Medigap, Physician Payment Reform

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

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

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, implementation S. 756 - Medicare Data Access for Transparency and Accountability Act S. 668 - Health Care Bureaucrats Elimination Act, IPAB H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 452 Medicare Decisions Accountability Act of 2011 (IPAB) H.R. 3765/H.R. 3630/H.R. 3743 - Temporary Payroll Tax Cut Continuation Act of 2011, health care provisions H.R. 5 - Protecting Access to Healthcare Act ***, no specific bill(s), gainsharing, remote monitoring, diagnostics, Medicare Physician Reimbursement; reimbursement for imaging and technology; value based purchasing, Accountable Care Organizations, Sunshine Act, bundling, Innovation Center

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

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

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, implementation H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 5 - Protecting Access to Healthcare Act ***, no specific bill(s), Medicare, Medicare Fraud, Medicare Advantage, Medicare Part D, Medicaid, Electronic Prescribing, Dual Eligibles, Medigap, claims resolution

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

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

Health IT issues; waste, fraud, and abuse issues. H.R. 173, Medicare Fraud Prevention Act of 2011 H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 1251, Medicare and Medicaid FAST Act of 2011 H.R. 4053 / S. 1409, Improper Payments Elimination and Recovery Improvement Act of 2012.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to oversight of implantable devices [Elizabeth Kegler, JC Scott] H.R. 675-- Strengthening Medicare Anti-Fraud Measures Act of 2011. [Elizabeth Kegler] Issues related to the implementation of Section 6002 (Transparency Reports and Reporting of Physician Ownership or Investment Interests) of the Patient Protection and Affordable Care Act (PL 111-148). [Elizabeth Kegler, Elizabeth Sharp] Issues related to physician owned distributors of devices [Elizabeth Kegler] S. 668/HR Health Care Bureaucrats Elimination Act (Repeal of IPAB). [Elizabeth Kegler, Elizabeth Sharp, JC Scott] H.R. 452 Medicare Decisions Accountability Act of 2011(Repeal of IPAB). [Elizabeth Kegler, Elizabeth Sharp, JC Scott] H.R. 3497 Modernizing Our Drug & Diagnostics Evaluation and Regulatory Network Cures Act of 2011 (Payment Reform) [Duane Wright, Elizabeth Sharp, Leah Kegler, JC Scott] Issues related to deficit reduction and Medicare [Elizabeth Sharp, Elizabeth Kegler, JC Scott, Duane Wright]

Client expense: $378,488 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2013 Commerce-Justice-Science Appropriations - amendment to prohibit funds from being used to close or consolidate any office of the EEOC or to make reductions in force part of any workforce repositioning, restructuring, or organizing of the EEOC. FY 2013 Labor-HHS-Education Appropriations Bill - provisions on cuts in funds for job training and employment services, college aid for students, rural health care services, funding for the National Institutes of Health, and increasing the Social Security Administration's administrative budget to ease processing backlog of more than 600,000 disability claims. HR 616, Federal Employees Paid Parental Leave Act - proposal to provide federal employees who are new parents or adoptive parents with eights weeks of full pay and benefits. S 572/HR 807 - provisions to provide health care professionals with equal rights to bargain over compensation matters. S 95/HR 1941, Hiring Heroes Act, provision that would create a new direct hire authority to offer federal jobs to every veteran within the first 180 days after an honorable discharge from active duty. S 743, Whistleblower Protection Enhancement Act, provisions to reform protection from retaliation for disclosure of fraud, waste, and abuse. HR 1409/S 560, Employee Free Choice Act, establishment of a pro-worker system for employees to form, join, or assist a labor organization thus assuring workers the right to bargain for better working conditions, wages, and benefits. HR 828 - proposal to terminate federal employees who have seriously delinquent tax debt due the Internal Revenue Service. HR 1383, Air Force Depot Workers Fairness Act - provision on compensatory time and a half. HR 1169, National Guard Technician Equity Act - provisions to correct outdated sections in current laws that harm Title 32 National Guard and Reserve issues, including dual status and retiree health care. H.R.3493, Locality Pay Equity Act - provisions to align blue collar and white collar wage areas. HR 673 and HR 675, Law Enforcement Officers Equity Act - provisions to provide law enforcement officer status to many different groups of federal employees. HR 324, to amend Title 10 USC to provide federal Civilian Police Officers, Civilian Criminal Investigators, and Civilian Game Law Enforcement Officers in the Department of Defense the authority to execute warrants, make arrests, and carry firearms. HR 1175/S 1645, Pepper Spray bill - provisions dealing with Bureau of Prisons management policy changes, including the use of non-lethal weaponry. HR 658, FAA Reauthorization and Reform Act of 2011, in regards to official time use of elected volunteer federal employee union representatives at FAA to engage in representation responsibilities on behalf of employees in their collective bargaining units. HR 1470, provision to extend the probationary period for federal workers from one year to two years.

Client expense: $330,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Corps of Engineers), Army, Dept of (Other), Bureau of Citizenship & Immigration Services (BCIS), Defense Commissary Agency, Defense Finance & Accounting Service (DFAS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Labor, Dept of (DOL), Merit Systems Protection Board, Natl Institute of Mental Health (NIMH), Navy, Dept of, Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Transportation Security Administration (TSA), U.S. Customs & Border Protection, U.S. Marines, Veterans Affairs, Dept of (VA)

H.R. 675 - Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 Public Law 110-173 - Medicare, Medicade and SCHIP Extension Act of 2007 (implementation)

Client expense: $818,830 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Sustainable growth rate and impact on other Medicare programs, Medicare physician payment, budget offsets - HR 3630, Middle Class Tax Relief and Job Creation Act of 2012. Impact of House budget resolution on Medicare provisions - H Con Res 112, Establishing the budget for the United States Government for fiscal year 2013 and setting forth appropriate budgetary levels for fiscal years 2014 through 2022. *Part D price negotiation - S 31, Prescription Drug and Health Improvement Act of 2011; S 44, Medicare Prescription Drug Price Negotiation Act of 2011; HR 2248, Medicare Prescription Drug Price Negotiation Act of 2011. *Medicare Part D changes - HR 999, Medicare Prescription Drug Savings and Choice Act of 2011; S 560, Medicare Prescription Drug Savings and Choice Act of 2011. *Medicare secondary payer rules - HR 1063, Strengthening Medicare And Repaying Taxpayers Act of 2011. *Medicare Advantage enrollment periods - HR 1580, Medicare Beneficiary Preservation of Choice Act of 2011; S 1479, Medicare Beneficiary Preservation of Choice Act of 2011. *Rebates for dual eligibles - HR 2190, Medicare Drug Savings Act of 2011; S 1206, Medicare Drug Savings Act of 2011. *Strengthening Medicare anti-fraud measures - HR 675, Strengthening Medicare Anti-Fraud Measures Act of 2011. *Extension of Medicare cost plans - HR 2770, Medicare Cost Contract Extension Act of 2011; S 1497, Medicare Cost Contract Extension Act of 2011. *Medicare and Medicaid fraud and abuse - S 1251, Medicare and Medicaid FAST Act. *Budget offsets - S 1944, Middle Class Tax Cut Act of 2011; S 1931, Temporary Tax Holiday and Government Reduction Act. *Frailty adjuster for certain MA SNPs - HR 3691, Senior Medicare Fairness Act of 2011; S 1999, Senior Medicare Fairness Act. *Medicare physician payment, extension of QI and TMA programs, budget offsets - HR 3765, Temporary Payroll Tax Cut Continuation Act of 2011. *MA payment changes - HR 4254, Medicare Advantage Program Integrity Act of 2012. *Reforms affecting Medicare and Medigap - S 2196, Congressional Health Care for Seniors Act of 2012. *Incentives for wellness and prevention - S 2243, Medicare Better Health Rewards Program Act of 2012. *Puerto Rico Medicare Part B - HR 1357, Puerto Rico Medicare Part B Equity Act of 2011. *Medicare and Medicaid - HR 3399, Medicare and Medicaid FAST Act. *Exempting Medicare from sequestration - HR 3519, To amend to exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, implementation S. 668 - Health Care Bureaucrats Elimination Act, IPAB H.R. 452 Medicare Decisions Accountability Act of 2011 (IPAB) H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 3765/H.R. 3630/H.R. 3743 - Temporary Payroll Tax Cut Continuation Act of 2011, health care provisions H.R. 5 - Protecting Access to Healthcare Act ***, no specific bill(s), Medicare Coverage, Regulation and Reimbursement of Imaging Services, Medicare Physician Payment, Sunshine Act

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

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

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, implementation S. 756 - Medicare Data Access for Transparency and Accountability Act S. 668 - Health Care Bureaucrats Elimination Act, IPAB H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 452 Medicare Decisions Accountability Act of 2011 (IPAB) H.R. 3765/H.R. 3630/H.R. 3743 - Temporary Payroll Tax Cut Continuation Act of 2011, health care provisions H.R. 5 - Protecting Access to Healthcare Act ***, no specific bill(s), gainsharing, remote monitoring, diagnostics, Medicare Physician Reimbursement; reimbursement for imaging and technology; value based purchasing, Accountable Care Organizations, Sunshine Act, bundling

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

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

H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454, Strengthening Program Integrity and Accountability in Health Care Act of 2011 Various issues relating to Medicare Secondary Payer reporting requirements

Client expense: $5,960,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC)

- HR 5, "Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011", regarding all provisions. - HR 675, "Strengthening Medicare Anti-Fraud Measures Act of 2011", regarding all provisions. - Issues regarding Health Courts

Client expense: $2,260,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

H.Con.Res. 112, House budget resolution (Ryan) - Medicare, Medicaid, ACA issues. H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 (Herger). H.R. 1063, Strengthening Medicare And Repaying Taxpayers Act (Murphy) - Medicare secondary payer rules. H.R. 1580, Medicare Beneficiary Preservation of Choice Act (Gonzalez) - Medicare Advantage enrollment periods. H.R. 2190, Medicare Drug Savings Act (Waxman) - rebates for dual eligibles. H.R. 2248, Medicare Prescription Drug Price Negotiation Act (Welch) - Part D price negotiation. H.R. 2770, Medicare Cost Contract Extension Act (Paulsen) - extension of Medicare cost plans. H.R. 3399, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Roskam/Carney). H.R. 3519 (Towns) - exempting Medicare from sequestration. H.R. 3630, Temporary Payroll Tax Cut Continuation Act (Camp) - Medicare physician payment, extension of QI and TMA programs, budget offsets. H.R. 3691, Senior Medicare Fairness Act (Paulsen) - frailty adjuster for certain MA SNPs. H.R. 3765, Temporary Payroll Tax Cut Continuation Act (Camp) - Medicare physician payment, extension of QI and TMA programs, budget offsets.H.R. 4254, Medicare Advantage Program Integrity Act (Stark) - MA payment changes. S. 31, Prescription Drug and Health Improvement Act (Franken) - Part D price negotiation. S. 44, Medicare Prescription Drug Price Negotiation Act (Klobuchar) - Part D price negotiation. S. 560, Medicare Prescription Drug Savings and Choice Act (Durbin) - Medicare Part D changes. S. 1206, Medicare Drug Savings Act (Rockefeller) - rebates for dual eligibles. S. 1251, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Coburn/Carper). S. 1479, Medicare Beneficiary Preservation of Choice Act (Casey) - Medicare Advantage enrollment periods S. 1497, Medicare Cost Contract Extension Act (Klobuchar) - extension of Medicare cost plans. S. 1931, Temporary Tax Holiday and Government Reduction Act (Heller) -budget offsets. S. 1944, Middle Class Tax Cut Act (Casey) - budget offsets. S. 1999, Senior Medicare Fairness Act (Klobuchar) - frailty adjuster for certain MA SNPs. S. 2196, Congressional Health Care for Seniors Act (Paul) - reforms affecting Medicare and Medigap. S. 2243, Medicare Better Health Rewards Program Act (Wyden-Portman) - incentives for wellness and prevention.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

**see addendum page PL 111-148, The Patient Protection and Affordable Care Act, implementation H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 3765/H.R. 3630/H.R. 3743 - Temporary Payroll Tax Cut Continuation Act of 2011, health care provisions H.R. 5 - Protecting Access to Healthcare Act ***, no specific bill(s), Medicare, Medicare Fraud, Medicare Advantage, Medicare Part D, Medicaid, Electronic Prescribing, Health Care Reform Implementation, Medigap

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

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

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, implementation S. 756 - Medicare Data Access for Transparency and Accountability Act S. 668 - Health Care Bureaucrats Elimination Act, IPAB H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 452 Medicare Decisions Accountability Act of 2011 (IPAB) H.R. 3765/H.R. 3630/H.R. 3743 - Temporary Payroll Tax Cut Continuation Act of 2011, health care provisions H.R. 5 - Protecting Access to Healthcare Act ***, no specific bill(s), gainsharing, remote monitoring, diagnostics, Medicare Physician Reimbursement; reimbursement for imaging and technology; value based purchasing, Accountable Care Organizations, Sunshine Act, bundling, Innovation Center

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

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

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, implementation H.R. 675 - Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011 H.R. 3765/H.R. 3630/H.R. 3743 - Temporary Payroll Tax Cut Continuation Act of 2011, health care provisions H.R. 5 - Protecting Access to Healthcare Act ***, no specific bill(s), Medicare, Medicare Fraud, Medicare Advantage, Medicare Part D, Medicaid, Electronic Prescribing, Dual Eligibles, Medigap, claims resolution

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

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

FY 2012 Commerce-Justice-Science Appropriations - amendment to prohibit funds from being used to close or consolidate any office of the EEOC or to make reductions in force part of any workforce repositioning, restructuring, or organizing of the EEOC.FY 2012 Labor-HHS-Education Appropriations Bill - provisions on cuts in funds for job training and employment services, college aid for students, rural health care services, funding for the National Institutes of Health, and increasing the Social Security Administration's administrative budget to ease processing backlog of more than 600,000 disability claims. HR 616, Federal Employees Paid Parental Leave Act - proposal to provide federal employees who are new parents or adoptive parents with eights weeks of full pay and benefits. S 572/HR 807 - provisions to provide health care professionals with equal rights to bargain over compensation matters. S 95/HR 1941, Hiring Heroes Act, provision that would create a new direct hire authority to offer federal jobs to every veteran within the first 180 days after an honorable discharge from active duty. S 743, Whistleblower Protection Enhancement Act, provisions to reform protection from retaliation for disclosure of fraud, waste, and abuse. HR 1409/S 560, Employee Free Choice Act, establishment of a pro-worker system for employees to form, join, or assist a labor organization thus assuring workers the right to bargain for better working conditions, wages, and benefits. HR 828 - proposal to terminate federal employees who have seriously delinquent tax debt due the Internal Revenue Service. HR 1383, Air Force Depot Workers Fairness Act - provision on compensatory time and a half. HR 1169, National Guard Technician Equity Act - provisions to correct outdated sections in current laws that harm Title 32 National Guard and Reserve issues, including dual status and retiree health care. H.R.3493, Locality Pay Equity Act - provisions to align blue collar and white collar wage areas. HR 673 and HR 675, Law Enforcement Officers Equity Act - provisions to provide law enforcement officer status to many different groups of federal employees. HR 324, to amend Title 10 USC to provide federal Civilian Police Officers, Civilian Criminal Investigators, and Civilian Game Law Enforcement Officers in the Department of Defense the authority to execute warrants, make arrests, and carry firearms. HR 1175, Pepper Spray bill - provisions dealing with Bureau of Prisons management policy changes, including the use of non-lethal weaponry. HR 658, FAA Reauthorization and Reform Act of 2011, in regards to official time use of elected volunteer federal employee union representatives at FAA to engage in representation responsibilities on behalf of employees in their collective bargaining units. HR 1470, provision to extend the probationary period for federal workers from one year to two years.

Client expense: $380,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Corps of Engineers), Army, Dept of (Other), Bureau of Citizenship & Immigration Services (BCIS), Defense Commissary Agency, Defense Finance & Accounting Service (DFAS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Labor, Dept of (DOL), Merit Systems Protection Board, Natl Institute of Mental Health (NIMH), Navy, Dept of, Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Transportation Security Administration (TSA), U.S. Customs & Border Protection, U.S. Marines, Veterans Affairs, Dept of (VA)

Health IT issues; waste, fraud, and abuse issues. H.R. 173, Medicare Fraud Prevention Act of 2011 H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 S. 1251, Medicare and Medicaid FAST Act of 2011

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2012 Commerce-Justice-Science Appropriations - amendment to prohibit funds from being used to close or consolidate any office of the EEOC or to make reductions in force part of any workforce repositioning, restructuring, or organizing of the EEOC. FY 2012 Labor-HHS-Education Appropriations Bill - provisions on cuts in funds for job training and employment services, college aid for students, rural health care services, funding for the National Institutes of Health, and increasing the Social Security Administration's administrative budget to ease processing backlog of more than 600,000 disability claims. HR 616, Federal Employees Paid Parental Leave Act - proposal to provide federal employees who are new parents or adoptive parents with eights weeks of full pay and benefits. S 572/HR 807 - provisions to provide health care professionals with equal rights to bargain over compensation matters. S 95/HR 1941, Hiring Heroes Act, provision that would create a new direct hire authority to offer federal jobs to every veteran within the first 180 days after an honorable discharge from active duty. S 743, Whistleblower Protection Enhancement Act, provisions to reform protection from retaliation for disclosure of fraud, waste, and abuse. HR 1409/S 560, Employee Free Choice Act, establishment of a pro-worker system for employees to form, join, or assist a labor organization thus assuring workers the right to bargain for better working conditions, wages, and benefits. HR 828 - proposal to terminate federal employees who have seriously delinquent tax debt due the Internal Revenue Service. HR 1383, Air Force Depot Workers Fairness Act - provision on compensatory time and a half. HR 1169, National Guard Technician Equity Act - provisions to correct outdated sections in current laws that harm Title 32 National Guard and Reserve issues, including dual status and retiree health care. H.R.3493, Locality Pay Equity Act - provisions to align blue collar and white collar wage areas. HR 673 and HR 675, Law Enforcement Officers Equity Act - provisions to provide law enforcement officer status to many different groups of federal employees. HR 324, to amend Title 10 USC to provide federal Civilian Police Officers, Civilian Criminal Investigators, and Civilian Game Law Enforcement Officers in the Department of Defense the authority to execute warrants, make arrests, and carry firearms. HR 1175, Pepper Spray bill - provisions dealing with Bureau of Prisons management policy changes, including the use of non-lethal weaponry. HR 658, FAA Reauthorization and Reform Act of 2011, in regards to official time use of elected volunteer federal employee union representatives at FAA to engage in representation responsibilities on behalf of employees in their collective bargaining units. HR 1470, provision to extend the probationary period for federal workers from one year to two years.

Client expense: $360,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Corps of Engineers), Army, Dept of (Other), Bureau of Citizenship & Immigration Services (BCIS), Defense Commissary Agency, Defense Finance & Accounting Service (DFAS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Labor, Dept of (DOL), Merit Systems Protection Board, Natl Institute of Mental Health (NIMH), Navy, Dept of, Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Transportation Security Administration (TSA), U.S. Customs & Border Protection, U.S. Marines, Veterans Affairs, Dept of (VA)

H.R. 675 - Medicare Anti-Fraud Measures Act of 2011 S. 454 - Strengthening Program Integrity and Accountability in Health Care Act of 2011

Client expense: $608,983 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE