Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2013

HR 1146 and S. 642 - The Consistency, Accuracy, Responsibility and Excellence (CARE) in Medical Imaging & Radiation Therapy bills and and legislation affecting the practice of radiologic technologists, radiation therapists and related professions; or legislation affecting payment for services performed by these individuals to facilities providing care to Medicare patients. HR 1148 - The Medicare Access to Radiology Care Act (MARCA) and any legislation regarding Medicare recognition of the radiologist assistant, reduction of supervision levels for qualified individuals performing services on Medicare patients and reimbursment for radiologist assistant services to facilities employment radiologist-extender personnel.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1146 - Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2013: Legislation to amend the Public Health Service Act to require personnel who perform or plan the technical component of either medical imaging examinations or radiation therapy procedures for medical purposes to possess certain certification or licensure, effective January 1, 2014, and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act (S 642/HR 1146)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 351/S. 351 to repeal the Medicare Independent Payment Advisory Board (IPAB); Medicare Physician Payment Reform; H.R. 911, the Competitive Health Insurance Reform Act; Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act (S 642/HR 1146); H.R. 523/S 232 the Medical Device Access and Innovation Protection Act; Earnings Contingent Education Loans Act (ExCEL Act)

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

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

Natural gas supply and related issues; Transmission siting, permitting, management issues generally and associated return on equity; Extension of Presidential memorandum on implementation of energy savings projects and performance-based contracting for energy savings.H.R. 2, the American Energy Solutions for Lower Costs and More American Jobs Act; H.R. 271, the Resolving Environmental and Grid Reliability Conflicts Act of 2013; H.R. 400, the Clean Energy Technology Manufacturing and Export Assistance Act of 2013; H.R. 540, the Energy Efficient Government Technology Act, (energy efficiency); H.R. 596, the Public Lands Renewable Energy Development Act of 2013; H.R. 835, the Energy Assistance for American Families Act, (Low Income Home Energy Assistance Program); H.R. 1616, the Energy Savings and Industrial Competitiveness Act of 2013; H.R. 1659, the Federal Buildings Energy Savings Act of 2013; H.R. 2126, the Better Buildings Act of 2013, (building energy benchmarking); H.R. 2128, the Home Owner Managing Energy Savings Act of 2013 (HOMES Act); H.R. 2351, to repeal the fossil fuel consumption percentage reduction requirements for Federal buildings under the Energy Conservation and Production Act; H.R. 2689, the Energy Savings Through Public-Private Partnerships Act (energy efficiency); H.R. 2803, to establish a natural gas turbine RD&D program; H.R. 3301, the North American Energy Infrastructure Act (permitting for cross-border energy infrastructure projects); H.R. 3654, the Renewable Electricity Standard Act of 2013; H.R. 3860, the Low Income Heating Improvement Act; H.R. 3963, the Federal Leadership in Energy Efficient Transportation (FLEET) Act of 2014; H.R. 4066, to modify the efficiency standards for grid-enabled water heaters; H.R. 4327, regarding FERC decisions affecting electricity costs; H.R. 4536, the Department of Defense Energy Security Act; H.R. 4553, the Fossil Energy Encouragement and Accountability Act of 2014; H.R. 5072, the American Renewable Energy and Efficiency Act, to establish federal RES and EERS; H.R. 5301, the American Renewable Energy and Efficiency Act, to establish federal RES and EERS; H.R. 5322, the Consolidate Heavy-handed and Outdated Programs Act of 2014, to establish the Department of Energy and the Environment; H.R. 5335, the Marine and Hydrokinetic Renewable Energy Promotion Act of 2014; H.R. 5548, the Consortia-Led Energy and Advanced Manufacturing Networks Act; S. 52, the Promoting Efficiency and Savings in Government Act, (Federal Building energy efficiency); S. 279, the Public Land Renewable Energy Development Act of 2013; S. 552, the Quadrennial Energy Review Act of 2013; S. 570, the Clean Energy Race to the Top Act of 2013, (energy efficiency; clean energy and carbon reduction measures); S. 717, the Nonprofit Energy Efficiency Act; S. 1020, the All-Of-The-Above Federal Building Energy Conservation Act of 2013; S. 1084, the Streamlining Energy Efficiency for Schools Act of 2013; S. 1106, the SAVE Act; S. 1191, the Better Buildings Act, (building energy benchmarking); S. 1199, the All-Of-The-Above Federal Building Energy Conservation Act of 2013; S. 1200, the Residential Energy Savings Act of 2013; S. 1205, the Local Energy Supply and Resiliency Act of 2013; S.1240, A bill to establish a new organization to manage nuclear waste, provide a consensual process for siting nuclear waste facilities, ensure adequate funding for managing nuclear waste, and for other purposes. HR 3354, To require that spent nuclear fuel be stored in certified dry cask storage, and for other purposes. HR 3766, To amend the Atomic Energy Act of 1954 to require congressional approval of agreements for peaceful nuclear cooperation with foreign countries, and for other purposes; S. 1206, a bill to encourage benchmarking and disclosure of energy information for commercial buildings; S. 1218, the Senate Energy Race to the Top Initiative Act of 2013; S. 1230, the Alternative Fueled Vehicles Competitiveness and Energy Security Act of 2013; S. 1261, the Energy Efficient Government Technology Act (energy efficiency); S. 1308, the Energy Savings Through Public-Private Partnerships Act (energy efficiency); S. 1392, the Energy Savings and Industrial Competitiveness Act of 2013 (energy efficiency); S. 1595, the Renewable Electricity Standard Act of 2013; S. 1627, the American Renewable Energy and Efficiency Act (Energy Efficiency Resource Standard; RES);S. 1739, a bill to modify the efficiency standards for grid-enabled water heaters; S. 2074, the Energy Savings and Industrial Competitiveness Act of 2014; S. 2152, the Advanced Clean Coal Technology Investment in Our Nation (ACCTION) Act; S. 2165, the Access to Consumer Energy Information Act; S. 2262, the Energy Savings and Industrial Competitiveness Act of 2013 (energy efficiency); S. 2273, the Department of Defense Energy Security Act; S. 2823, the North American Energy Infrastructure Act; S. 2901, to provide rebates for purchase and installation of photovoltaic systems; Extension of Presidential memorandum on implementation of energy savings projects and performance-based contracting for energy savings; S. 2244, A bill to extend the termination date of the Terrorism Insurance Program established under the Terrorism Risk Insurance Act of 2002, and for other purposes. S. 2326, A bill to amend the Atomic Energy Act of 1954 to provide for consultation with State and local governments, the consideration of State and local concerns, and the approval of post-shutdown decommissioning activities reports by the Nuclear Regulatory Commission. H.R.259, To amend the Internal Revenue Code of 1986 to terminate certain energy tax subsidies and lower the corporate income tax rate. H.R.367, To amend chapter 8 of title 5, United States Code, to provide that major rules of the executive branch shall have no force or effect unless a joint resolution of approval is enacted into law. H.R.761, To require the Secretary of the Interior and the Secretary of Agriculture to more efficiently develop domestic sources of the minerals and mineral materials of strategic and critical importance to United States economic and national security and manufacturing competitiveness. H.R.1146, To amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly. HR 2641, To provide for improved coordination of agency actions in the preparation and adoption of environmental documents for permitting determinations, and for other purposes. H.R. 4186, To provide for investment in innovation through scientific research and development, to improve the competitiveness of the United States, and for other purposes. H.R. 4667, To amend the Atomic Energy Act of 1954 to provide for consultation with State and local governments, the consideration of State and local concerns, and the approval of post-shutdown decommissioning activities reports by the Nuclear Regulatory Commission. H.R. 4869, To provide for Department of Energy fundamental science, basic research activities, and applied energy research and development; Promote & protect the interests of natural gas utilities in any legislation considered by the House Energy & Commerce Committee and the Senate Energy & Natural Resources Committee regarding energy and climate legislation affecting natural gas utilities, including efficiency mandates. These issues arose in: S 2262: Energy Savings and Industrial Competitiveness Act of 2014 HR 1616: Energy Savings and Industrial Competitiveness Act of 2013 HR 1659: Federal Buildings Energy Savings Act of 2013 HR 2351: To repeal the fossil fuel consumption percentage reduction requirements for Federal buildings under the Energy Conservation and Production Act. H.R. 2689 Energy Savings Through Public Private Partnership Draft legislation on energy efficiency and codes and standards

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

Government targets: Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT), White House Office

Support for legislation to rebase the Medicare physician payment formula to stabilize physician payments. Support for legislation to insure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services.Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act (HR 1146). Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for preserving access to radiation therapy services under the Medicare Physician Fee Schedule Support for repeal of Medicare sequestration cuts under the Budget Control Act of 2011 Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Support for H.R. 2914, Promoting Integrity in Medicare Act of 2013, which amends title XVIII (Medicare) of the Social Security Act (SSA) with respect to the general exceptions to both ownership and compensation arrangement prohibitions against physician self-referrals of Medicare patients to the entity with which a physician has a certain financial relationship. Support for H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) repeal sustainable growth rate (SGR) methodology from the determination of annual conversion factors in the formula for payment for physicians' services; and (2) prescribe an update to the single conversion factor for 2014 through 2018, as well as 2019 all subsequent years, of 0.5%. Support the SGR repeal and Medicare Beneficiary Access Improvement Act of 2013 Printed

Client expense: $157,732 · 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), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), SENATE

Issues relating to oral health and/or dental practice in the following: H.R. 307 Pandemic and All-Hazards Preparedness Reauthorization Act H.R. 963 Coordination of Pro Bono Medically Recommended Dental Care Act H.R. 1146 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2013H.R. 1285 Safe Prescribing Act of 2013 H.R. 1366 Stop Oxy Abuse Act of 2013 H.R. 1473 Standard of Care Protection Act of 2013 H.R. 1733 Good Samaritan Health Professionals Act of 2013 H.R. 1853 Medicaid Accountability and Care Act of 2013 H.R. 2130 Access to Substance Abuse Treatment Act of 2013 H.R. 3120 Comprehensive Dental Reform Act of 2013 H.R. 4077 Quality Health Care Coalition Act of 2014 H.R. 4395 Action for Dental Health Act of 2014 H.R. 5022 Enhanced Dental Care of Veterans Act of 2014 S. 242 Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 S. 466 Coordination of Pro Bono Medically Recommended Dental Care Act S. 621 Safe Prescribing Act of 2013 S. 642 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2013 S. 1028 Older Americans Act Amendments of 2013 S. 1522 Comprehensive Dental Reform Act of 2013 S. 1562 Older Americans Act Reauthorization Act of 2013 S 1586 Enhanced Dental Care for Veterans Act of 2013 S 1950 Comprehensive Veterans Health and Benefits and Military Retirement Pay Restoration Act of 2014 S 1982 Comprehensive Veterans Health and Benefits and Military Retirement Pay Restoration Act of 2014 S. 2196 Good Samaritan Health Professionals Act of 2014 Medicaid Recovery Audit Contractor (RAC) Program Medicare Part D Prescription Drug Opt In/Opt Out Teaching Health Centers Graduate Medical Education

Client expense: $590,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

Issues relating to oral health and/or dental practice in the following: H.R. 307 Pandemic and All-Hazards Preparedness Reauthorization Act H.R. 963 Coordination of Pro Bono Medically Recommended Dental Care Act H.R. 1146 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2013H.R. 1285 Safe Prescribing Act of 2013 H.R. 1366 Stop Oxy Abuse Act of 2013 H.R. 1473 Standard of Care Protection Act of 2013 H.R. 1733 Good Samaritan Health Professionals Act of 2013 H.R. 1853 Medicaid Accountability and Care Act of 2013 H.R. 2130 Access to Substance Abuse Treatment Act of 2013 H.R. 3120 Comprehensive Dental Reform Act of 2013 H.R. 4077 Quality Health Care Coalition Act of 2014 H.R. 4395 Action for Dental Health Act of 2014 H.R. 5022 Enhanced Dental Care of Veterans Act of 2014 S. 242 Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 S. 466 Coordination of Pro Bono Medically Recommended Dental Care Act S. 621 Safe Prescribing Act of 2013 S. 642 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2013 S. 1028 Older Americans Act Amendments of 2013 S. 1522 Comprehensive Dental Reform Act of 2013 S. 1562 Older Americans Act Reauthorization Act of 2013 S 1586 Enhanced Dental Care for Veterans Act of 2013 S 1950 Comprehensive Veterans Health and Benefits and Military Retirement Pay Restoration Act of 2014 S 1982 Comprehensive Veterans Health and Benefits and Military Retirement Pay Restoration Act of 2014 S. 2196 Good Samaritan Health Professionals Act of 2014 Medicaid Recovery Audit Contractor (RAC) Program Medicare Part D Prescription Drug Opt In/Opt Out Teaching Health Centers Graduate Medical Education

Client expense: $590,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

H.R. 1146, Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy (CARE): issues related to the regulation of medical imaging.

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

Issues relating to oral health and/or dental practice in the following: H.R. 307 Pandemic and All-Hazards Preparedness Reauthorization Act H.R. 963 Coordination of Pro Bono Medically Recommended Dental Care Act H.R. 1146 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2013H.R. 1285 Safe Prescribing Act of 2013 H.R. 1366 Stop Oxy Abuse Act of 2013 H.R. 1473 Standard of Care Protection Act of 2013 H.R. 1853 Medicaid Accountability and Care Act of 2013 H.R. 2130 Access to Substance Abuse Treatment Act of 2013 H.R. 3120 Comprehensive Dental Reform Act of 2013 H.R. 4077 Quality Health Care Coalition Act of 2014 H.R. 4395 Action for Dental Health Act of 2014 S. 242 Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 S. 466 Coordination of Pro Bono Medically Recommended Dental Care Act S. 621 Safe Prescribing Act of 2013 S. 642 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2013 S. 1028 Older Americans Act Amendments of 2013 S. 1522 Comprehensive Dental Reform Act of 2013 S. 1562 Older Americans Act Reauthorization Act of 2013 Medicaid Recovery Audit Contractor (RAC) Program Teaching Health Centers Graduate Medical Education

Client expense: $780,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act (S 642/HR 1146)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 351/S. 351 to repeal the Medicare Independent Payment Advisory Board (IPAB); Medicare Physician Payment Reform; H.R. 911, the Competitive Health Insurance Reform Act; Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act (S 642/HR 1146); H.R. 523/S 232 the Medical Device Access and Innovation Protection Act; Earnings Contingent Education Loans Act (ExCEL Act)

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

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

H.R. 1146 - Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2013: Legislation to amend the Public Health Service Act to require personnel who perform or plan the technical component of either medical imaging examinations or radiation therapy procedures for medical purposes to possess certain certification or licensure, effective January 1, 2014, and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for legislation to rebase the Medicare physician payment formula to stabilize physician payments. Support for legislation to insure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services.Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act (HR 1146). Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for preserving access to radiation therapy services under the Medicare Physician Fee Schedule Support for repeal of Medicare sequestration cuts under the Budget Control Act of 2011 Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Support for H.R. 2914, Promoting Integrity in Medicare Act of 2013, which amends title XVIII (Medicare) of the Social Security Act (SSA) with respect to the general exceptions to both ownership and compensation arrangement prohibitions against physician self-referrals of Medicare patients to the entity with which a physician has a certain financial relationship. Support for H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) repeal sustainable growth rate (SGR) methodology from the determination of annual conversion factors in the formula for payment for physicians' services; and (2) prescribe an update to the single conversion factor for 2014 through 2018, as well as 2019 all subsequent years, of 0.5%. Support the SGR repeal and Medicare Beneficiary Access Improvement Act of 2013

Client expense: $276,361 · 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), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), SENATE

H.R. 1146, Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy (CARE): issues related to the regulation of medical imaging.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1146 and S 642 - The Consistency, Accuracy, Responsibility and Excellence (CARE) in Medical Imaging & Radiation Therapy Act and legislation affecting the practice of radiologic technologists, radiation therapists and related professions; and legislation affecting payment for services performed by these individuals to facilities providing care to Medicare patients. HR 1148 - The Medicare Access to Radiology Care Act (MARCA) and any legislation regarding Medicare recognition of the radiologist assistant, reduction of supervision levels for qualified individuals performing services on Medicare patients and reimbursement for radiologist assistant services to facilities employing radiologist-extender personnel.

Client expense: $38,614 · Firm income: Not reported

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

Issues relating to oral health and/or dental practice in the following: H.R. 307 Pandemic and All-Hazards Preparedness Reauthorization Act H.R. 963 Coordination of Pro Bono Medically Recommended Dental Care Act H.R. 1146 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2013H.R. 1285 Safe Prescribing Act of 2013 H.R. 1366 Stop Oxy Abuse Act of 2013 H.R. 1473 Standard of Care Protection Act of 2013 H.R. 1853 Medicaid Accountability and Care Act of 2013 H.R. 2130 Access to Substance Abuse Treatment Act of 2013 H.R. 3120 Comprehensive Dental Reform Act of 2013 H.R. 4077 Quality Health Care Coalition Act of 2014 H.R. 4395 Action for Dental Health Act of 2014 S. 242 Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 S. 466 Coordination of Pro Bono Medically Recommended Dental Care Act S. 621 Safe Prescribing Act of 2013 S. 642 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2013 S. 1028 Older Americans Act Amendments of 2013 S. 1522 Comprehensive Dental Reform Act of 2013 S. 1562 Older Americans Act Reauthorization Act of 2013 Medicaid Recovery Audit Contractor (RAC) Program Teaching Health Centers Graduate Medical Education

Client expense: $610,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act (S 642/HR 1146)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 351/S. 351 to repeal the Medicare Independent Payment Advisory Board (IPAB); Medicare Physician Payment Reform; H.R. 911, the Competitive Health Insurance Reform Act; Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act (S 642/HR 1146); H.R. 523/S 232 the Medical Device Access and Innovation Protection Act; Earnings Contingent Education Loans Act (ExCEL Act)

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

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

Sustainable Growth Rate Formula Reform; Medicaid (general); Primary care payment bonuses.S. 351/H.R. 351, Protecting Seniors Access to Medicare Act; H.R. 1146/S. 642, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act; S. 1871, SGR Repeal and Medicare Beneficiary Access Act; H.R. 1838/S. 755, Enhanced Access to Medicaid Services Act; H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013; H.R. 4015/S. 2000 SGR Repeal and Medicare Provider Payment Modernization Act; H.R. 4302, Protecting Access to Medicare Act; S. 2122, Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; S. 2157, Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014.

Client expense: $432,030 · 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), Defense, Dept of (DOD), Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

-- H.R. 1146 - Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2013: Legislation to amend the Public Health Service Act to require personnel who perform or plan the technical component of either medical imaging examinations or radiation therapy procedures for medical purposes to possess certain certification or licensure, effective January 1, 2014, and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Support for legislation to rebase the Medicare physician payment formula to stabilize physician payments. Support for legislation to insure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services.Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act (HR 1146). Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for preserving access to radiation therapy services under the Medicare Physician Fee Schedule Support for repeal of Medicare sequestration cuts under the Budget Control Act of 2011 Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Support for H.R. 2477, the Planning Actively for Cancer Treatment (PACT) Act, to establish a new Medicare service for cancer care planning and coordination. Support for H.R. 2914, Promoting Integrity in Medicare Act of 2013, which amends title XVIII (Medicare) of the Social Security Act (SSA) with respect to the general exceptions to both ownership and compensation arrangement prohibitions against physician self-referrals of Medicare patients to the entity with which a physician has a certain financial relationship. Support for H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) repeal sustainable growth rate (SGR) methodology from the determination of annual conversion factors in the formula for payment for physicians' services; and (2) prescribe an update to the single conversion factor for 2014 through 2018, as well as 2019 all subsequent years, of 0.5%. Support the SGR repeal and Medicare Beneficiary Access Improvement Act of 2013

Client expense: $191,001 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Energy, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), SENATE

HR 1146 and S. 642 - The Consistency, Accuracy, Responsibility and Excellence (CARE) in Medical Imaging & Radiation Therapy bills and and legislation affecting the practice of radiologic technologists, radiation therapists and related professions; or legislation affecting payment for services performed by these individuals to facilities providing care to Medicare patients.

Client expense: $43,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1146, Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy (CARE): issues related to the regulation of medical imaging.

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

Government targets: SENATE

H.R. 1146, Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy (CARE): issues related to the regulation of medical imaging.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-- H.R. 1146 - Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2013: Legislation to amend the Public Health Service Act to require personnel who perform or plan the technical component of either medical imaging examinations or radiation therapy procedures for medical purposes to possess certain certification or licensure, effective January 1, 2014, and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Issues relating to oral health and/or dental practice in the following: H.R. 307 Pandemic and All-Hazards Preparedness Reauthorization Act H.R. 963 Coordination of Pro Bono Medically Recommended Dental Care Act H.R. 1146 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2013H.R. 1285 Safe Prescribing Act of 2013 H.R. 1366 Stop Oxy Abuse Act of 2013 H.R. 1473 Standard of Care Protection Act of 2013 H.R. 1853 Medicaid Accountability and Care Act of 2013 H.R. 2130 Access to Substance Abuse Treatment Act of 2013 H.R. 3120 Comprehensive Dental Reform Act of 2013 S. 242 Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 S. 466 Coordination of Pro Bono Medically Recommended Dental Care Act S. 621 Safe Prescribing Act of 2013 S. 642 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2013 S. 1028 Older Americans Act Amendments of 2013 S. 1522 Comprehensive Dental Reform Act of 2013 S. 1562 Older Americans Act Reauthorization Act of 2013 Teaching Health Centers Graduate Medical Education Tax Exempt Status for Indian Health Service Loan Repayments

Client expense: $700,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

Sustainable Growth Rate Formula Reform (general); Medicaid (general); Strong Start Initiative; Primary care payment bonuses.S. 351/H.R. 351, Protecting Seniors Access to Medicare Act; H.R. 1146/S. 642, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act; S. 1871, SGR Repeal and Medicare Beneficiary Access Act; H.R. 1838/S. 755, Enhanced Access to Medicaid Services Act; H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013; Primary care reimbursement.

Client expense: $356,100 · 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), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 1146, Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy (CARE): issues related to the regulation of medical imaging.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.552A bill to amend the Department of Energy Organization Act to replace the current requirement for biennial energy policy plan with a Quadrennial Energy Review, and for other purposesH.R.933Making appropriations for the Department of Defense, the Department of Veterans Affairs, and other departments and agencies for the fiscal year ending September 30, 2013, and for other purposes S.CON.RES.8 An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2014, revising the appropriate budgetary levels for fiscal year 2013, and setting forth the appropriate budgetary levels for fiscal years 2015 through 2023 H.CON.RES.25 Establishing the budget for the United States Government for fiscal year 2014 and setting forth appropriate budgetary levels for fiscal years 2015 through 2023 S.332 A bill to address climate disruptions, reduce carbon pollution, enhance the use of clean energy, and promote resilience in the infrastructure of the United States, and for other purposes S.642 A bill to amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly H.R.259To amend the Internal Revenue Code of 1986 to terminate certain energy tax subsidies and lower the corporate income tax rate H.R.527To amend the Helium Act to complete the privatization of the Federal helium reserve in a competitive market fashion that ensures stability in the helium markets while protecting the interests of American taxpayers, and for other purposes H.R.1146 To amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly H.R. 2281To combat cyber espionage of intellectual property of United States persons, and for other purposes S. 1240A bill to establish a new organization to manage nuclear waste, provide a consensual process for siting nuclear waste facilities, ensure adequate funding for managing nuclear waste, and for other purposes H.R. 2449To authorize the President to extend the term of the Agreement for Cooperation between the Government of the United States of America and the Government of the Republic of Korea Concerning Civil Uses of Nuclear Energy for a period not to exceed March 19, 2016 S. 642A bill to amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly H.R. 1960To authorize appropriations for fiscal year 2014 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes S. 1243An original bill making appropriations for the Departments of Transportation, and Housing and Urban Development, and related agencies for the fiscal year ending September 30, 2014, and for other purposes S. 1245An original bill making appropriations for energy and water development and related agencies for the fiscal year ending September 30, 2014, and for other purposes H.R. 1121To protect cyber privacy, and for other purposes H.R. 1468To improve information security, and for other purposes H.R. 756To advance cybersecurity research, development, and technical standards, and for other purposes H.R. 967To amend the High-Performance Computing Act of 1991 to authorize activities for support of networking and information technology research, and for other purposes H.R. 2217Making appropriations for the Department of Homeland Security for the fiscal year ending September 30, 2014, and for other purposes H.R. 2216Military Construction and Veterans Affairs, and Related Agencies Appropriations Act, 2014 H.R. 2397Making appropriations for the Department of Defense for the fiscal year ending September 30, 2014, and for other purposes H.J Res 59Making continuing appropriations for fiscal year 2014, and for other purposes. S.1353A bill to provide for an ongoing, voluntary public-private partnership to improve cybersecurity, and to strengthen cybersecurity research and development, workforce development and education, and public awareness and preparedness, and for other purposes. S.1513A bill ensures stability in the helium markets while protecting the interests of American taxpayers, and for other purposes.to amend the Helium Act to complete the privatization of the Federal helium reserve in a competitive market fashion that H.R. 3766To amend the Atomic Energy Act of 1954 to require congressional approval of agreements for peaceful nuclear cooperation with foreign countries, and for other purposes H.J Res 81Making continuing appropriations for the National Nuclear Security Administration and the Office of Environmental Management of the Department of Energy for fiscal year 2014, and for other purposes. H.J Res 76National Nuclear Security Administration Continuing Appropriations Resolution, 2014

Client expense: $460,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

H.R.933Making appropriations for the Department of Defense, the Department of Veterans Affairs, and other departments and agencies for the fiscal year ending September 30, 2013, and for other purposesS.CON.RES.8 An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2014, revising the appropriate budgetary levels for fiscal year 2013, and setting forth the appropriate budgetary levels for fiscal years 2015 through 2023 H.CON.RES.25 Establishing the budget for the United States Government for fiscal year 2014 and setting forth appropriate budgetary levels for fiscal years 2015 through 2023 S.332A bill to address climate disruptions, reduce carbon pollution, enhance the use of clean energy, and promote resilience in the infrastructure of the United States, and for other purposes H.R.624To provide for the sharing of certain cyber threat intelligence and cyber threat information between the intelligence community and cybersecurity entities, and for other purposes H.R.527To amend the Helium Act to complete the privatization of the Federal helium reserve in a competitive market fashion that ensures stability in the helium markets while protecting the interests of American taxpayers, and for other purposes H.R.1146 To amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly H.R. 2281To combat cyber espionage of intellectual property of United States persons, and for other purposes S. 1240A bill to establish a new organization to manage nuclear waste, provide a consensual process for siting nuclear waste facilities, ensure adequate funding for managing nuclear waste, and for other purposes H.R. 2449To authorize the President to extend the term of the Agreement for Cooperation between the Government of the United States of America and the Government of the Republic of Korea Concerning Civil Uses of Nuclear Energy for a period not to exceed March 19, 2016 H.R. 1960To authorize appropriations for fiscal year 2014 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes S. 1243An original bill making appropriations for the Departments of Transportation, and Housing and Urban Development, and related agencies for the fiscal year ending September 30, 2014, and for other purposes S. 1245An original bill making appropriations for energy and water development and related agencies for the fiscal year ending September 30, 2014, and for other purposes H.R. 1121To protect cyber privacy, and for other purposes H.R. 1468To improve information security, and for other purposes H.R. 756To advance cybersecurity research, development, and technical standards, and for other purposes H.R. 967To amend the High-Performance Computing Act of 1991 to authorize activities for support of networking and information technology research, and for other purposes H.R. 2217Making appropriations for the Department of Homeland Security for the fiscal year ending September 30, 2014, and for other purposes H.R. 2216Military Construction and Veterans Affairs, and Related Agencies Appropriations Act, 2014 H.R. 2397Making appropriations for the Department of Defense for the fiscal year ending September 30, 2014, and for other purposes H.J Res 59Making continuing appropriations for fiscal year 2014, and for other purposes. S.1353A bill to provide for an ongoing, voluntary public-private partnership to improve cybersecurity, and to strengthen cybersecurity research and development, workforce development and education, and public awareness and preparedness, and for other purposes. S.1513A bill ensures stability in the helium markets while protecting the interests of American taxpayers, and for other purposes.to amend the Helium Act to complete the privatization of the Federal helium reserve in a competitive market fashion that H.R.3132To ensure orderly conduct of Nuclear Regulatory Commission actions H.R. 3354To require that spent nuclear fuel be stored in certified dry cask storage, and for other purposes H.R. 3766To amend the Atomic Energy Act of 1954 to require congressional approval of agreements for peaceful nuclear cooperation with foreign countries, and for other purposes H.R. 3132To ensure orderly conduct of Nuclear Regulatory Commission actions H.J Res 81Making continuing appropriations for the National Nuclear Security Administration and the Office of Environmental Management of the Department of Energy for fiscal year 2014, and for other purposes. H.J Res 76National Nuclear Security Administration Continuing Appropriations Resolution, 2014

Client expense: $460,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

H.R.933Making appropriations for the Department of Defense, the Department of Veterans Affairs, and other departments and agencies for the fiscal year ending September 30, 2013, and for other purposes S.CON.RES.8 An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2014, revising the appropriate budgetary levels for fiscal year 2013, and setting forth the appropriate budgetary levels for fiscal years 2015 through 2023H.CON.RES.25 Establishing the budget for the United States Government for fiscal year 2014 and setting forth appropriate budgetary levels for fiscal years 2015 through 2023 H.R.624To provide for the sharing of certain cyber threat intelligence and cyber threat information between the intelligence community and cybersecurity entities, and for other purposes H.R.259To amend the Internal Revenue Code of 1986 to terminate certain energy tax subsidies and lower the corporate income tax rate H.R.1146 To amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costl fiscal year ending September 30, 2012, and for other purposes H.R. 1960To authorize appropriations for fiscal year 2014 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes S. 1243An original bill making appropriations for the Departments of Transportation, and Housing and Urban Development, and related agencies for the fiscal year ending September 30, 2014, and for other purposes S. 1245An original bill making appropriations for energy and water development and related agencies for the fiscal year ending September 30, 2014, and for other purposes H.R. 2217Making appropriations for the Department of Homeland Security for the fiscal year ending September 30, 2014, and for other purposes H.R. 2216Military Construction and Veterans Affairs, and Related Agencies Appropriations Act, 2014 H.R. 2397Making appropriations for the Department of Defense for the fiscal year ending September 30, 2014, and for other purposes H.J Res 59Making continuing appropriations for fiscal year 2014, and for other purposes. S.1353A bill to provide for an ongoing, voluntary public-private partnership to improve cybersecurity, and to strengthen cybersecurity research and development, workforce development and education, and public awareness and preparedness, and for other purposes. S.1513A bill ensures stability in the helium markets while protecting the interests of American taxpayers, and for other purposes.to amend the Helium Act to complete the privatization of the Federal helium reserve in a competitive market fashion that H.R. 3354To require that spent nuclear fuel be stored in certified dry cask storage, and for other purposes H.R. 3766To amend the Atomic Energy Act of 1954 to require congressional approval of agreements for peaceful nuclear cooperation with foreign countries, and for other purposes H.R. 3132To ensure orderly conduct of Nuclear Regulatory Commission actions H.J Res 81Making continuing appropriations for the National Nuclear Security Administration and the Office of Environmental Management of the Department of Energy for fiscal year 2014, and for other purposes. H.J Res 76National Nuclear Security Administration Continuing Appropriations Resolution, 2014

Client expense: $460,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

H.R.933Making appropriations for the Department of Defense, the Department of Veterans Affairs, and other departments and agencies for the fiscal year ending September 30, 2013, and for other purposesS.CON.RES.8 An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2014, revising the appropriate budgetary levels for fiscal year 2013, and setting forth the appropriate budgetary levels for fiscal years 2015 through 2023 H.CON.RES.25 Establishing the budget for the United States Government for fiscal year 2014 and setting forth appropriate budgetary levels for fiscal years 2015 through 2023 S.332A bill to address climate disruptions, reduce carbon pollution, enhance the use of clean energy, and promote resilience in the infrastructure of the United States, and for other purposes H.R.624To provide for the sharing of certain cyber threat intelligence and cyber threat information between the intelligence community and cybersecurity entities, and for other purposes S.642A bill to amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly H.R.527To amend the Helium Act to complete the privatization of the Federal helium reserve in a competitive market fashion that ensures stability in the helium markets while protecting the interests of American taxpayers, and for other purposes H.R.1146 To amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly H.R. 2281To combat cyber espionage of intellectual property of United States persons, and for other purposes S. 1240A bill to establish a new organization to manage nuclear waste, provide a consensual process for siting nuclear waste facilities, ensure adequate funding for managing nuclear waste, and for other purposes H.R. 2449To authorize the President to extend the term of the Agreement for Cooperation between the Government of the United States of America and the Government of the Republic of Korea Concerning Civil Uses of Nuclear Energy for a period not to exceed March 19, 2016 S. 642A bill to amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly H.R. 1960To authorize appropriations for fiscal year 2014 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes S. 1245An original bill making appropriations for energy and water development and related agencies for the fiscal year ending September 30, 2014, and for other purposes H.R. 1121To protect cyber privacy, and for other purposes H.R. 1468To improve information security, and for other purposes H.R. 756To advance cybersecurity research, development, and technical standards, and for other purposes H.R. 967To amend the High-Performance Computing Act of 1991 to authorize activities for support of networking and information technology research, and for other purposes H.R. 2217Making appropriations for the Department of Homeland Security for the fiscal year ending September 30, 2014, and for other purposes H.R. 2397Making appropriations for the Department of Defense for the fiscal year ending September 30, 2014, and for other purposes H.J Res 59Making continuing appropriations for fiscal year 2014, and for other purposes. S.1353A bill to provide for an ongoing, voluntary public-private partnership to improve cybersecurity, and to strengthen cybersecurity research and development, workforce development and education, and public awareness and preparedness, and for other purposes. S.1513A bill ensures stability in the helium markets while protecting the interests of American taxpayers, and for other purposes.to amend the Helium Act to complete the privatization of the Federal helium reserve in a competitive market fashion that H.R.3132To ensure orderly conduct of Nuclear Regulatory Commission actions H.R. 3354To require that spent nuclear fuel be stored in certified dry cask storage, and for other purposes H.R. 3766To amend the Atomic Energy Act of 1954 to require congressional approval of agreements for peaceful nuclear cooperation with foreign countries, and for other purposes H.R. 3132To ensure orderly conduct of Nuclear Regulatory Commission actions H.J Res 81Making continuing appropriations for the National Nuclear Security Administration and the Office of Environmental Management of the Department of Energy for fiscal year 2014, and for other purposes. H.J Res 76National Nuclear Security Administration Continuing Appropriations Resolution, 2014

Client expense: $460,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

S.552A bill to amend the Department of Energy Organization Act to replace the current requirement for biennial energy policy plan with a Quadrennial Energy Review, and for other purposesH.R.933Making appropriations for the Department of Defense, the Department of Veterans Affairs, and other departments and agencies for the fiscal year ending September 30, 2013, and for other purposes S.CON.RES.8 An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2014, revising the appropriate budgetary levels for fiscal year 2013, and setting forth the appropriate budgetary levels for fiscal years 2015 through 2023 H.CON.RES.25 Establishing the budget for the United States Government for fiscal year 2014 and setting forth appropriate budgetary levels for fiscal years 2015 through 2023 S.332A bill to address climate disruptions, reduce carbon pollution, enhance the use of clean energy, and promote resilience in the infrastructure of the United States, and for other purposes H.R.624To provide for the sharing of certain cyber threat intelligence and cyber threat information between the intelligence community and cybersecurity entities, and for other purposes S.642A bill to amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly H.R.259To amend the Internal Revenue Code of 1986 to terminate certain energy tax subsidies and lower the corporate income tax rate H.R.527To amend the Helium Act to complete the privatization of the Federal helium reserve in a competitive market fashion that ensures stability in the helium markets while protecting the interests of American taxpayers, and for other purposes H.R.1146 To amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly H.R. 2281To combat cyber espionage of intellectual property of United States persons, and for other purposes S. 1240A bill to establish a new organization to manage nuclear waste, provide a consensual process for siting nuclear waste facilities, ensure adequate funding for managing nuclear waste, and for other purposes H.R. 2449To authorize the President to extend the term of the Agreement for Cooperation between the Government of the United States of America and the Government of the Republic of Korea Concerning Civil Uses of Nuclear Energy for a period not to exceed March 19, 2016 S. 642A bill to amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly H.R. 1960To authorize appropriations for fiscal year 2014 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes S. 1245An original bill making appropriations for energy and water development and related agencies for the fiscal year ending September 30, 2014, and for other purposes H.R. 1121To protect cyber privacy, and for other purposes H.R. 1468To improve information security, and for other purposes H.R. 756To advance cybersecurity research, development, and technical standards, and for other purposes H.R. 967To amend the High-Performance Computing Act of 1991 to authorize activities for support of networking and information technology research, and for other purposes H.R. 2217Making appropriations for the Department of Homeland Security for the fiscal year ending September 30, 2014, and for other purposes H.R. 2216Military Construction and Veterans Affairs, and Related Agencies Appropriations Act, 2014 H.R. 2397Making appropriations for the Department of Defense for the fiscal year ending September 30, 2014, and for other purposes H.J Res 59Making continuing appropriations for fiscal year 2014, and for other purposes. S.1353A bill to provide for an ongoing, voluntary public-private partnership to improve cybersecurity, and to strengthen cybersecurity research and development, workforce development and education, and public awareness and preparedness, and for other purposes. S.1513A bill ensures stability in the helium markets while protecting the interests of American taxpayers, and for other purposes.to amend the Helium Act to complete the privatization of the Federal helium reserve in a competitive market fashion that H.R.3132To ensure orderly conduct of Nuclear Regulatory Commission actionsH.R. 3354To require that spent nuclear fuel be stored in certified dry cask storage, and for other purposes H.R. 3766To amend the Atomic Energy Act of 1954 to require congressional approval of agreements for peaceful nuclear cooperation with foreign countries, and for other purposes H.R. 3132To ensure orderly conduct of Nuclear Regulatory Commission actions H.J Res 81Making continuing appropriations for the National Nuclear Security Administration and the Office of Environmental Management of the Department of Energy for fiscal year 2014, and for other purposes. H.J Res 76National Nuclear Security Administration Continuing Appropriations Resolution, 2014

Client expense: $460,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

S.552A bill to amend the Department of Energy Organization Act to replace the current requirement for biennial energy policy plan with a Quadrennial Energy Review, and for other purposesS.CON.RES.8 An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2014, revising the appropriate budgetary levels for fiscal year 2013, and setting forth the appropriate budgetary levels for fiscal years 2015 through 2023 H.CON.RES.25 Establishing the budget for the United States Government for fiscal year 2014 and setting forth appropriate budgetary levels for fiscal years 2015 through 2023 S.332A bill to address climate disruptions, reduce carbon pollution, enhance the use of clean energy, and promote resilience in the infrastructure of the United States, and for other purposes H.R.527To amend the Helium Act to complete the privatization of the Federal helium reserve in a competitive market fashion that ensures stability in the helium markets while protecting the interests of American taxpayers, and for other purposes H.R.1146 To amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly. S. 1240A bill to establish a new organization to manage nuclear waste, provide a consensual process for siting nuclear waste facilities, ensure adequate funding for managing nuclear waste, and for other purposes H.R. 1960To authorize appropriations for fiscal year 2014 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes S. 1245An original bill making appropriations for energy and water development and related agencies for the fiscal year ending September 30, 2014, and for other purposes H.R. 2217Making appropriations for the Department of Homeland Security for the fiscal year ending September 30, 2014, and for other purposes H.R. 2397Making appropriations for the Department of Defense for the fiscal year ending September 30, 2014, and for other purposes H.J Res 59Making continuing appropriations for fiscal year 2014, and for other purposes. S.1513A bill ensures stability in the helium markets while protecting the interests of American taxpayers, and for other purposes.to amend the Helium Act to complete the privatization of the Federal helium reserve in a competitive market fashion that H.R. 3766To amend the Atomic Energy Act of 1954 to require congressional approval of agreements for peaceful nuclear cooperation with foreign countries, and for other purposes H.J Res 81Making continuing appropriations for the National Nuclear Security Administration and the Office of Environmental Management of the Department of Energy for fiscal year 2014, and for other purposes. H.J Res 76National Nuclear Security Administration Continuing Appropriations Resolution, 2014

Client expense: $460,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

Support for legislation to rebase the Medicare physician payment formula to stabilize physician payments. Support for legislation to insure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services.Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act (HR 1146). Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for preserving access to radiation therapy services under the Medicare Physician Fee Schedule Support for repeal of Medicare sequestration cuts under the Budget Control Act of 2011 Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Support for H.R. 2477, the Planning Actively for Cancer Treatment (PACT) Act, to establish a new Medicare service for cancer care planning and coordination. Support for H.R. 2914, Promoting Integrity in Medicare Act of 2013, which amends title XVIII (Medicare) of the Social Security Act (SSA) with respect to the general exceptions to both ownership and compensation arrangement prohibitions against physician self-referrals of Medicare patients to the entity with which a physician has a certain financial relationship. Support for H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) repeal sustainable growth rate (SGR) methodology from the determination of annual conversion factors in the formula for payment for physicians' services; and (2) prescribe an update to the single conversion factor for 2014 through 2018, as well as 2019 all subsequent years, of 0.5%. Support the SGR repeal and Medicare Beneficiary Access Improvement Act of 2013

Client expense: $177,656 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Energy, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), SENATE, Veterans Affairs, Dept of (VA)

Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act (S 642/HR 1146)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 351/S. 351 to repeal the Medicare Independent Payment Advisory Board (IPAB); Medicare Physician Payment Reform; H.R. 911, the Competitive Health Insurance Reform Act; Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act (S 642/HR 1146); H.R. 523/S 232 the Medical Device Access and Innovation Protection Act; Earnings Contingent Education Loans Act (ExCEL Act)

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

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

S.642, H.R. 1146 The Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2013.

Client expense: Not reported · Firm income: Not reported

S.642, H.R. 1146 The Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act of 2013.

Client expense: Not reported · Firm income: Not reported

Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act (S 642/HR 1146)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 351/S. 351 to repeal the Medicare Independent Payment Advisory Board (IPAB); Medicare Physician Payment Reform; H.R. 911, the Competitive Health Insurance Reform Act; Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act (S 642/HR 1146); H.R. 523/S 232 the Medical Device Access and Innovation Protection Act; Earnings Contingent Education Loans Act (ExCEL Act)

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

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

H.R.933Making appropriations for the Department of Defense, the Department of Veterans Affairs, and other departments and agencies for the fiscal year ending September 30, 2013, and for other purposes S.CON.RES.8 An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2014, revising the appropriate budgetary levels for fiscal year 2013, and setting forth the appropriate budgetary levels for fiscal years 2015 through 2023H.CON.RES.25 Establishing the budget for the United States Government for fiscal year 2014 and setting forth appropriate budgetary levels for fiscal years 2015 through 2023 H.R.624To provide for the sharing of certain cyber threat intelligence and cyber threat information between the intelligence community and cybersecurity entities, and for other purposes H.R.259To amend the Internal Revenue Code of 1986 to terminate certain energy tax subsidies and lower the corporate income tax rate H.R.1146 To amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costl fiscal year ending September 30, 2012, and for other purposes H.R. 1960To authorize appropriations for fiscal year 2014 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes S. 1243An original bill making appropriations for the Departments of Transportation, and Housing and Urban Development, and related agencies for the fiscal year ending September 30, 2014, and for other purposes S. 1245An original bill making appropriations for energy and water development and related agencies for the fiscal year ending September 30, 2014, and for other purposes H.R. 2217Making appropriations for the Department of Homeland Security for the fiscal year ending September 30, 2014, and for other purposes H.R. 2216Military Construction and Veterans Affairs, and Related Agencies Appropriations Act, 2014 H.R. 2397Making appropriations for the Department of Defense for the fiscal year ending September 30, 2014, and for other purposes H.J Res 59Making continuing appropriations for fiscal year 2014, and for other purposes. S.1353A bill to provide for an ongoing, voluntary public-private partnership to improve cybersecurity, and to strengthen cybersecurity research and development, workforce development and education, and public awareness and preparedness, and for other purposes. S.1513A bill ensures stability in the helium markets while protecting the interests of American taxpayers, and for other purposes.to amend the Helium Act to complete the privatization of the Federal helium reserve in a competitive market fashion that

Client expense: $480,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

S.552A bill to amend the Department of Energy Organization Act to replace the current requirement for biennial energy policy plan with a Quadrennial Energy Review, and for other purposesS.CON.RES.8 An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2014, revising the appropriate budgetary levels for fiscal year 2013, and setting forth the appropriate budgetary levels for fiscal years 2015 through 2023 H.CON.RES.25 Establishing the budget for the United States Government for fiscal year 2014 and setting forth appropriate budgetary levels for fiscal years 2015 through 2023 S.332A bill to address climate disruptions, reduce carbon pollution, enhance the use of clean energy, and promote resilience in the infrastructure of the United States, and for other purposes H.R.527To amend the Helium Act to complete the privatization of the Federal helium reserve in a competitive market fashion that ensures stability in the helium markets while protecting the interests of American taxpayers, and for other purposes H.R.1146 To amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly. S. 1240A bill to establish a new organization to manage nuclear waste, provide a consensual process for siting nuclear waste facilities, ensure adequate funding for managing nuclear waste, and for other purposes H.R. 1960To authorize appropriations for fiscal year 2014 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes S. 1245An original bill making appropriations for energy and water development and related agencies for the fiscal year ending September 30, 2014, and for other purposes H.R. 2217Making appropriations for the Department of Homeland Security for the fiscal year ending September 30, 2014, and for other purposes H.R. 2397Making appropriations for the Department of Defense for the fiscal year ending September 30, 2014, and for other purposes H.J Res 59Making continuing appropriations for fiscal year 2014, and for other purposes. S.1513A bill ensures stability in the helium markets while protecting the interests of American taxpayers, and for other purposes.to amend the Helium Act to complete the privatization of the Federal helium reserve in a competitive market fashion that

Client expense: $480,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)