Helping Sick Americans Now Act

HR 81, HR 105, HR.RES.17, HR 344, HR 544, HR 582, HR 607, HR 675, HR 762, HR 763, HR 903, HR 1076, HR 1200, HR 1205, HR 1239, HR 1248, HR 1254, HR 1342, HR 1549, HR 1558, HR 2328, HR 2527, HR 2575, HR 2577, HR 2667, HR 2995, HR 2988, HR 3362, HR 3367, HR 4244, HR 4128, HR 4144, HR 2453, HR 4160, HR 4302, HR 1179, HR 5183, HR 5557, S.CON. RES.8, S24, S351, S399, S.AMDT.409, S482, S603, S650, S701, S764, S1188, S1729, S2069, S2173, S2174, S2175, S2546,S2783, H.R.5860, H.R. 3512

Client expense: $45,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

Americans Giving Care to Elders Act (S.1485) Authority for Mandate Delay Act (H.R.2667) Comments/Testimony to FDA-Sec.907 of FDASIA Comments to CMS-Exchanges & Health Plans Qulaity Rating SystemCommunity Parks Revitalization Act (H.R.2424) Community Prevention Grants Continuous Coverage Act (S.1699) Draft Research Priorities (PCORI) EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2011 (H.R.3144) Fairness for American Families Act (H.R.2668) Food and Drug Administration Strategic Priorities 2014-2018 (FDA-2014-N-0833) Health Care Waiver Fairness Act (H.R. 2700) Health Equity and Accountability Act (H.R.5294) Healthy Kids Outdoors Act (H.R.4706) HHS- Clinical Trials Insurance Coverage (ACA Sec. 2709) If You Like Your Health Care, You Can Keep It Act (S.1617) Josh Miller Helping Everyone Access Responsive Treatment in Schools (HEARTS) Act (H.R.1377) Keeping the Affordable Care Act Promise Act (S.1642) Keep Your Health Plan Act (H.R.3350) Menu Labeling (ACA Section 4205) Newborn Screening Saves Lives Reauthorization Act of 2013 (H.R. 1281/ S.1471) No Child Left Inside Act of 2013 (H.R.2702) Next Generation Research Act (S.1552) Palliative Care and Hospice Education Training Act (H.R.1339 & S.641) Patient Centered Quality Care for Life Act (H.R.1666) Patient Protection and Affordable Care Act (P.L. 111-148; P.L. 111-152) - Implementation Physical Activity Guidelines for Americans Act (S.531 & H.R.2179) 2015 Physician Fee Schedule (CMS-1612-P) Prevention and Public Health Fund (ACA Section 4002) Proposed Rule on 90-Day Waiting Period (DOL/CMS/IRS) Proposed Rule on Exchange & Market Standards (CMS) Providing Accountability and Transperency to Incentivize Economically Necessary Transition in Health Care Act (H.R. 2688) Quality Rating System Scoring Specifications Comments (CMS) Research for All Act (H.R. 4879) Return to Work Act (S.1026 & H.R.3351) Revised Medical Criteria for Evaluating Neurological Disorders (SSA-2006-0140) The HELP America Act (S.39) To Improve, Coordinate & Enhance Rehabilitation Research at NIH (S.1027) The Helping Sick Americans Now Act (H.R.1549) The Personal Health Investment Today Act (H.R. 956) Veterans Emergency Medical Technician Act of 2013 (H.R. 1281/ S. 1471) Wireless E911 Location Accuracy Requirements (07-114; FCC 14-13) Women's Preventive Health Awareness Campaign Act (H.R. 2457)

Client expense: $19,160 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

Issues related to the prevention and treatment of lung disease including the following legislation: H.R.1007 Asthma Management Plans in School Act; H.R. 1220 Asthma Inhalers Relief Act of 2013; H.R.275 End Radon in Schools;H.R.1549 Helping Sick Americans Now Act; H.R.1578 To amend section 1101 of the Patient Protection and Affordable Care Act to provide additional funds to permit additional individuals to enroll under the preexisting condition insurance program and expand eligibility, to be funded through a temporary increase in the cigarette tax, and for other purposes; H.R. 4384 America HEALS Act; S. 2115 American Cures Act; H.R. 4108 Breath of Fresh Air Act; H.R. 4012 the Secret Science Reform Act of 2014; H.J. Res 124 Continuing Appropriations Resolution, 2015; H.R.4800 - Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2015; S. 2389 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2015; H.R.4870 - Department of Defense Appropriations Act, 2015; H.R.4660 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2015; S 2437 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2015; H.R.4486 - Military Construction and Veterans Affairs, and Related Agencies Appropriations Act, 2015; H.R.5013 - Department of State, Foreign Operations, and Related Programs Appropriations Act, 2015; S. 2499 - Department of State, Foreign Operations, and Related Programs Appropriations Act, 2015; S 2438 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2015; Issues related to Fiscal Year 2015 Labor/HHS/Education Appropriations; HR 5464 Making appropriations for Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2015, and for other purposes H. R. 4695 To amend title XVIII of the Social Security Act to add sleep apnea screening to the initial preventive physical examination under the Medicare program; H.R.4879 Research for All Act of 2014; S.2658 Accelerating Biomedical Research Act; S 1347; S.1347 Conference Accountability Act of 2014; Issues related to the prevention of lung disease; Issues related to tobacco cessation; Issues related to the National Institutes of Health; Issues related to the implementation of the Affordable Care Act; Issues related to the Children's Health Insurance Program; Issues relating to chronic obstructive pulmonary disease; Issues related to tuberculosis; Issues related to lung cancer; Issues related health disparities and health equity; Issues related to influenza; Issues related to asthma; Issues related to smokefree air; Issues related to the implementation of the Presecription Drug User Fee Act; Issues related to the Family Asthma Act; Issues related to the President's Budget; Issues related to the Budget Control Act;

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Postal Regulatory Commission, SENATE, U.S. Trade Representative (USTR), White House Office

HR 81, HR 105, HR.RES.17, HR 344, HR 544, HR 582, HR 607, HR 675, HR 762, HR 763, HR 903, HR 1076, HR 1200, HR 1205, HR 1239, HR 1248, HR 1254, HR 1342, HR 1549, HR 1558, HR 2328, HR 2527, HR 2575, HR 2577, HR 2667, HR 2995, HR 2988, HR 3362, HR 3367, HR 4244, HR 4128, HR 4144, HR 2453, HR 4160, HR 4302, HR 1179, HR 5183, HR 5557, S.CON. RES.8, S24, S351, S399, S.AMDT.409, S482, S603, S650, S701, S764, S1188, S1729, S2069, S2173, S2174, S2175, S2546,S2783

Client expense: $45,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

Americans Giving Care to Elders Act (S.1485) Authority for Mandate Delay Act (H.R.2667) Comments/Testimony to FDA-Sec.907 of FDASIA Comments to CMS-Exchanges & Health Plans Qulaity Rating SystemCommunity Parks Revitalization Act (H.R.2424) Community Prevention Grants Continuous Coverage Act (S.1699) Draft Research Priorities (PCORI) EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2011 (H.R.3144) Fairness for American Families Act (H.R.2668) Health Care Waiver Fairness Act (H.R. 2700) Healthy Kids Outdoors Act (H.R.4706) HHS- Clinical Trials Insurance Coverage (ACA Sec. 2709) If You Like Your Health Care, You Can Keep It Act (S.1617) Josh Miller Helping Everyone Access Responsive Treatment in Schools (HEARTS) Act (H.R.1377) Keeping the Affordable Care Act Promise Act (S.1642) Keep Your Health Plan Act (H.R.3350) Menu Labeling (ACA Section 4205) Newborn Screening Saves Lives Reauthorization Act of 2013 (H.R. 1281/ S.1471) No Child Left Inside Act of 2013 (H.R.2702) Next Generation Research Act (S.1552) Palliative Care and Hospice Education Training Act (H.R.1339 & S.641) Patient Centered Quality Care for Life Act (H.R.1666) Patient Protection and Affordable Care Act (P.L. 111-148; P.L. 111-152) - Implementation Physical Activity Guidelines for Americans Act (S.531 & H.R.2179) Prevention and Public Health Fund (ACA Section 4002) Proposed Rule on 90-Day Waiting Period (DOL/CMS/IRS) Proposed Rule on Exchange & Market Standards (CMS) Providing Accountability and Transperency to Incentivize Economically Necessary Transition in Health Care Act (H.R. 2688) Quality Rating System Scoring Specifications Comments (CMS) Research for All Act (H.R. 4879) Return to Work Act (S.1026 & H.R.3351) Revised Medical Criteria for Evaluating Neurological Disorders (SSA-2006-0140) The HELP America Act (S.39) The Helping Sick Americans Now Act (H.R.1549) The Personal Health Investment Today Act (H.R. 956) Veterans Emergency Medical Technician Act of 2013 (H.R. 1281/ S. 1471) Wireless E911 Location Accuracy Requirements (07-114; FCC 14-13) Women's Preventive Health Awareness Campaign Act (H.R. 2457)

Client expense: $205,194 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

Issues related to the prevention and treatment of lung disease including the following legislation: H.R.1007 Asthma Management Plans in School Act; H.R. 1220 Asthma Inhalers Relief Act of 2013; H.R.275 End Radon in Schools;H.R.1549 Helping Sick Americans Now Act; H.R.1578 To amend section 1101 of the Patient Protection and Affordable Care Act to provide additional funds to permit additional individuals to enroll under the preexisting condition insurance program and expand eligibility, to be funded through a temporary increase in the cigarette tax, and for other purposes; H.R. 4384 America HEALS Act; S. 2115 American Cures Act; H.R. 4108 Breath of Fresh Air Act; H.R. 4012 the Secret Science Reform Act of 2014; Issues related relating to Fiscal Year 2015 Labor/HHS/Education Appropriations; Issues relating to Fiscal Year 2015 Interior & Environment Appropriations; H.R.4800 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2015; S.2389 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2015; H.R.4660 Commerce, Justice, Science, and Related Agencies Appropriations Act, 2015; S.2437 Commerce, Justice, Science, and Related Agencies Appropriations Act, 2015; H.R.4870 Department of Defense Appropriations Act, 2015; H.R.4923 Energy and Water Development and Related Agencies Appropriations Act, 2015; H.R.4486 Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015; H.R.5013 Department of State, Foreign Operations, and Related Programs Appropriations Act, 2015; S.2499 Department of State, Foreign Operations, and Related Programs Appropriations Act, 2015; H.R.4745 Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2015; S.2438 Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2015; H.Con.Res.96 Establishing the budget for the United States Government for fiscal year 2015 and setting forth appropriate budgetary levels for fiscal years 2016 through 2024; H. R. 4695 To amend title XVIII of the Social Security Act to add sleep apnea screening to the initial preventive physical examination under the Medicare program; H.R.4879 Research for All Act of 2014; Issues related to the prevention of lung disease; Issues related to tobacco cessation; Issues related to the National Institutes of Health; Issues related to the implementation of the Affordable Care Act; Issues related to the Children's Health Insurance Program; Issues relating to chronic obstructive pulmonary disease; Issues related to tuberculosis; Issues related to lung cancer; Issues related health disparities and health equity; Issues related to influenza; Issues related to asthma; Issues related to smokefree air; Issues related to the implementation of the Presecription Drug User Fee Act; Issues related to the Family Asthma Act; Issues related to the President's Budget; Issues related to the Budget Control Act;

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Postal Regulatory Commission, SENATE, U.S. Trade Representative (USTR), White House Office

HR 81, HR 105, HR.RES.17, HR 344, HR 544, HR 582, HR 607, HR 675, HR 762, HR 763, HR 903, HR 1076, HR 1200, HR 1205, HR 1239, HR 1248, HR 1254, HR 1342, HR 1549, HR 1558, HR 2328, HR 2527, HR 2575, HR 2577, HR 2667, HR 2995, HR 2988, HR 3362, HR 3367, HR 4244, HR 4128, HR 4144, HR 2453, HR 4160, HR 4302, HR 1179, S.CON. RES.8, S24, S351, S399, S.AMDT.409, S482, S603, S650, S701, S764, S1188, S1729, S2069, S2173, S2174, S2175, S2546

Client expense: $45,000 · Firm income: Not reported

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

S.452, Medicare Diabetes Prevention Act - Discussed bill with Senate. Discussed draft language on senior mental health with Senate HELP Committee staff. (no bill) Discussed Medicare Reform (no bill) Discussed Age Rating in the ACA and rate shock. (no bill)Labor, HHS Appropriations bill, 2015-Lobbied on preserving funding for the ACA; defended meaningful use of the ACA. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) H.R. 1099, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund, an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 1416/H.R. 2645 (112th Congress), Medigap Medical Loss Ratio Improvement Act of 2011. Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) Discussed dual eligibles. (no bill) Discussed S.1119, Positive Aging Act of 2013. H.R. 2641, Farm Program bill-Discussed the severed nutrition programs from Farm Bill. S. 562, Seniors Mental Health Access Improvement Act - Discussed the bill for eventual endorsement. Discussed Care Corps. (no bill) Discussed need to suport family caregivers and long-term services and supports. (no bill) Discussed repeal of medical device tax. (no bill) Discussed proposed regulation relating to Medicaid expansion coverage and minimum essential coverage. (no bill) Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. (no bill) Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) H.R.3850/S. 1562, Discussed Older Americans Act reauthorization legislation.Discussed FTC participation in state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed Social Security programs. (no bill) Lobbied against cuts to the health care prevention fund. (no bill) Discussed deficit reduction issues dealing with Medicare and Medicaid including concerns over increasing Medicare's age of eligibility, chained CPI, and cuts to Medicaid. (no bill) Discussed Affordable Care Medicaid expansion issues. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicaid reform, Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed Medicaid expansion implementation, as included in the ACA (P.L. 111-140). Discussed Medicaid including concerns over cuts to Medicaid flexibility and Medicaid structural reforms to. (no bill) Discussed implementation of the Affordable Care Act, its provisions and H.R. 95 to repeal the Patient Protection and Affordable Care Act. S. Con. Res. 8/ H.Con. Res. 25, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. H.R. 1549, Helping Sick Americans Now Act - Discussed cuts to the health care prevention fund. The Labor, Health and Human Services Appropriations Act, 2015 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. (no bill) Discussed Affordable Care Act Medicaid expansion issues, including questions related to the use of premium assistance authority to expand Medicaid. (no bill) H.R. 1263, Excellence in Mental Health Act - Discussed the bill for eventual endorsement. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid, Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed perspectives on proposed ideas for legislation to address health disparities with HHS and CMS officials. Discussed H.R. 3717, the Helping Families in Mental Health Crisis Act. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed National Alzheimer's Project Act 111-375. Discussed the Convention on the Rights of Persons with Disabilities. (no bill) Discussed family caregiving, doctors and health professionals engaging family caregivers of older adults with multiple chronic conditions, family caregiver assessment, shared relevant information. (no bill) H.R. 2835/S. 1647, Restoring Access to Medication Act of 2013 - Urged co-sponsorship of these bills. Submitted statement for the record to the Advisory Counsel on Alzheimer's Disease, Research, Care & Services for their April meeting. Discussed hospital readmissions. (no bill)

Client expense: $2,360,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; and community-based public health interventions. 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148)1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Middle Class Tax Relief and Job Promotion Act (H.R. 3630) 3.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 4.Implementation of Pandemic and All-Hazards Preparedness Act (Public Law 109-417) 5.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 6.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 7.Delivering Antimicrobial Transparency in Animals Act of 2013 (H.R. 820) 8.Animal Drug and Animal Generic Drug User Fee Act (S. 622/H.R.___) 9.Healthier Lifestyles and Prevention America Act (S. 39) 10.Promoting Health as Youth Skills in Classrooms and Life Act (S. 392) 11.Medicare Diabetes Prevention Act (S. 452/H.R. 962) 12.Personal Health Investment Today Act (H.R. 956) 13.A bill to provide for a sequester replacement (S. 16) 14.American Family Economic Protection Act of 2013 (S. 388) 15.Consolidated and Further Continuing Appropriations Act, 2013 (H.R. 933) 16.Regulations From the Executive in Need of Scrutiny Act of 2013 (S. 15 / H.R. 367) 17.To repeal the Prevention and Public Health Fund (H.R. 1099) 18.Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (Public Law 113-5) 19.National Diabetes Clinical Care Commission Act (H.R. 1074/S. 539) 20.Physical Activity Guidelines for Americans Act (S. 531) 21.Firearm Safety and Public Health Research Act (H.R. 321) 22.Helping Sick Americans Now Act (H.R. 1549) 23.Energy Consumers Relief Act (H.R. 1582) 24.Common Sense Nutrition Disclosure Act (H.R. 1249) 25.Improve Nutrition Program Integrity and Deficit Reduction Act (S. 458/H.R. 1510) 26.A bill to amend the Food and Nutrition Act of 2008 to improve the supplemental nutrition assistance program (S. 762/H.R. 1657) 27.Agriculture Reform, Food, and Jobs Act (S. 954/H.R. 2498) 28.Federal Agriculture Reform and Risk Management Act (H.R. 1947) 29.FIT Kids Act (S. 1033/H.R. 2178) 30.Strengthening Americas Schools Act (S. 840) 31.Access to Quality Diabetes Education Act (S. 945/H.R. 1274) 32.Fit to Serve Act (S. 976) 33.Climate Change Health Protection and Promotion Act (H.R. 2023) 34.Treat and Reduce Obesity Act (S. 1184 / H.R. 2415) 35.Student Success Act (H.R. 5) 36.To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act (H.R. 45) 37.Medicare Better Health Rewards Program Act (S. 1228/H.R. 2524) 38.Senate FY14 Labor, Health and Human Services, and Education Bill 39.House of Representatives FY14 Labor, Health and Human Services, and Education Bill 40.Pharmacy Compounding Quality and Accountability Act (S. 959) 41.Safeguarding Americas Pharmaceuticals Act (H.R. 1919) 42.Drug Supply Chain Security Act (S. 957) 43.Preservation of Antibiotics for Medical Treatment Act (H.R. 1150)/Preventing Antibiotic Resistance Act of 2013 (S. 1256) 44.Healthy Families Act (H.R. 1286/S. 631) 45.FY2014 Continuing Resolution (H.J. Res. 59) 46.Drug Quality and Security Act (H.R. 3204) 47.Pharmaceutical Quality, Security and Accountability Act (S. 959) 48.Energy Consumers Relief Act (H.R. 1582) 49.Increasing the Safety of Prescription Drug User Act (not yet introduced proposed by Sen. Udall-NM) 50.National Energy Tax Repeal Act (S. 1324)51.Saving Coal Jobs Act of 2013 (S. 1514) 52.Community Parks Revitalization Act (H.R. 2424) 53.A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings (S. 1422/H.R. 2663) 54.School-based Health Centers Program Reauthorization Act of 2013 (H.R. 2632) 55.Nutrition Reform and Work Opportunity Act (H.R. 3102) 56.Health Equity and Accountability Act (not yet introduced) 57.Secure America for Education (SAFE) in Our Schools Act of 2013 (H.R. 3158) 58.Continuing Appropriations Resolution, 2014 (H.J. Res 59) 59.Continuing Resolution FY 2014 (HR 2775, PL 113-46) 60.A bill to amend title 23, United States Code, with respect to the establishment of performance measures for the highway safety improvement program, and for other purposes. (H.R. 3493/S. 1708) 61.The Farm Bill (S. (S. 954/H.R. 2498; H.R. 1947, and H.R. 3102) 62.Better Care, Lower Cost Act (S. 1932/H.R. 3890) 63.Antibiotic Development to Advance Patient Treatment Act of 2013 (ADAPT Act) (H.R. 3742) 64.Preventing Antibiotic Resistance Act (S. 1256) 65.The Consolidated Appropriations Act of 2014 66.Strategies to Address Antimicrobial Resistance (STAAR) Act 67.New Opportunities for Bicycling and Pedestrian Infrastructure Financing Act of 2014 (H.R. 3978) 68.Eliminating Disparities in Diabetes Prevention, Access, and Care Act (H.R. 3322) 69.Electricity Security and Affordability Act (HR 3826) 70.Stop Overdose Stat Act (HR 4169) and Senate companion bill soon to be introduced by Senator Reed 71.Opioid Overdose Reduction Act (S. 2092/H.R. 4288) 72.Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms Act of 2014 (DISARM Act) (H.R. 4186) 73.Child Care and Development Block Grant Act of 2014 (S. 1086) 74.Departments of Labor, Health and Human Services and Education And Related Agencies Fiscal Year 2015 Appropriations Bill 75.Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2015 (S. 2389 / H.R. 4800) 76.Department of the Interior, Environment, and Related Agencies appropriations legislation, 2015 77.MAP-21 Reauthorization Act (S. 2322) 78.Stop Subsidizing Childhood Obesity Act (S. 2342/H.R. 2831) 79.ENRICH Act (H.R. 4427) 80.Agricultural Act of 2014 (Public Law 113-79) 81.Healthy Kids Outdoors Act of 2014 (S. 2367/H.R. 4706) 82.A bill to amend the Richard B. Russell National School Lunch Act to improve the efficiency of summer meals (S. 2527) 83.Summer Meals Act of 2014 (HR. 5012) 84.Long-Term SCORE Act (H.R. 4444) 85.American Cures Act (S. 2115/H.R. 4384) 86.A joint resolution to disapprove a rule of the Environmental Protection Agency relating to greenhouse gas emissions from electric utility generating units. (S.J. Res 30) 87.Fit for Life Act of 2014 (H.R.4765) 88.School Food Modernization Act (S. 2210/H.R. 1783) 89.Protecting Children from Electronic Cigarette Advertising Act of 2014 (S. 2014/H.R. 4325) 90.Pedestrian Safety Act of 2014 (S. 2284) 91.Safe Streets Act of 2014 (S. 2004/H.R. 2468) 92.The Recovery Enhancement for Addiction Treatment Act (not yet introduced, by Senator Markey) 93.FY 2015 Financial Services and General Government Appropriations bill, in support of an appropriation for the National Alliance for Model State Drug Laws

Client expense: $38,000 · Firm income: Not reported

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

S. CON.RES.8, S24, S351, S399, SADMT.409, S482, S603, S650, S701, S764, S1188, S1729, S2069, S2173, S2174, S2175, HR81, HR105, H.RES175, HR344, HR544, HR582, HR607, HR675, HR762, HR763, HR779, HR903, HR1076, HR1140, HR1200, HR1205, HR1239, HR1248, HR1254, HR1342, HR1549, HR1558, HR2328, HR2527, HR2575, HR2577, HR2667, HR2995, HR2988, HR3362, HR3367, HR4244, HR4128, HR4144, HR2453, HR4160, HR4302

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; and community-based public health interventions. 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148)1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Middle Class Tax Relief and Job Promotion Act (H.R. 3630) 3.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 4.Implementation of Pandemic and All-Hazards Preparedness Act (Public Law 109-417) 5.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 6.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 7.Delivering Antimicrobial Transparency in Animals Act of 2013 (H.R. 820) 8.Animal Drug and Animal Generic Drug User Fee Act (S. 622/H.R.___) 9.Healthier Lifestyles and Prevention America Act (S. 39) 10.Promoting Health as Youth Skills in Classrooms and Life Act (S. 392) 11.Medicare Diabetes Prevention Act (S. 452/H.R. 962) 12.Personal Health Investment Today Act (H.R. 956) 13.A bill to provide for a sequester replacement (S. 16) 14.American Family Economic Protection Act of 2013 (S. 388) 15.Consolidated and Further Continuing Appropriations Act, 2013 (H.R. 933) 16.Regulations From the Executive in Need of Scrutiny Act of 2013 (S. 15 / H.R. 367) 17.To repeal the Prevention and Public Health Fund (H.R. 1099) 18.Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (Public Law 113-5) 19.National Diabetes Clinical Care Commission Act (H.R. 1074/S. 539) 20.Physical Activity Guidelines for Americans Act (S. 531) 21.Firearm Safety and Public Health Research Act (H.R. 321) 22.Helping Sick Americans Now Act (H.R. 1549) 23.Energy Consumers Relief Act (H.R. 1582) 24.Common Sense Nutrition Disclosure Act (H.R. 1249) 25.Improve Nutrition Program Integrity and Deficit Reduction Act (S. 458/H.R. 1510) 26.A bill to amend the Food and Nutrition Act of 2008 to improve the supplemental nutrition assistance program (S. 762/H.R. 1657) 27.Agriculture Reform, Food, and Jobs Act (S. 954/H.R. 2498) 28.Federal Agriculture Reform and Risk Management Act (H.R. 1947) 29.FIT Kids Act (S. 1033/H.R. 2178) 30.Strengthening Americas Schools Act (S. 840) 31.Access to Quality Diabetes Education Act (S. 945/H.R. 1274) 32.Fit to Serve Act (S. 976) 33.Climate Change Health Protection and Promotion Act (H.R. 2023) 34.Treat and Reduce Obesity Act (S. 1184 / H.R. 2415) 35.Student Success Act (H.R. 5) 36.To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act (H.R. 45) 37.Medicare Better Health Rewards Program Act (S. 1228/H.R. 2524) 38.Senate FY14 Labor, Health and Human Services, and Education Bill 39.House of Representatives FY14 Labor, Health and Human Services, and Education Bill 40.Pharmacy Compounding Quality and Accountability Act (S. 959) 41.Safeguarding Americas Pharmaceuticals Act (H.R. 1919) 42.Drug Supply Chain Security Act (S. 957) 43.Preservation of Antibiotics for Medical Treatment Act (H.R. 1150)/Preventing Antibiotic Resistance Act of 2013 (S. 1256) 44.Healthy Families Act (H.R. 1286/S. 631) 45.FY2014 Continuing Resolution (H.J. Res. 59) 46.Drug Quality and Security Act (H.R. 3204) 47.Pharmaceutical Quality, Security and Accountability Act (S. 959) 48.Energy Consumers Relief Act (H.R. 1582) 49.Increasing the Safety of Prescription Drug User Act (not yet introduced proposed by Sen. Udall-NM) 50.National Energy Tax Repeal Act (S. 1324) 51.Saving Coal Jobs Act of 2013 (S. 1514) 52.Community Parks Revitalization Act (H.R. 2424) 53.A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings (S. 1422/H.R. 2663) 54.School-based Health Centers Program Reauthorization Act of 2013 (H.R. 2632) 55.Nutrition Reform and Work Opportunity Act (H.R. 3102) 56.Health Equity and Accountability Act (not yet introduced) 57.Secure America for Education (SAFE) in Our Schools Act of 2013 (H.R. 3158) 58.Continuing Appropriations Resolution, 2014 (H.J. Res 59) 59.Continuing Resolution FY 2014 (HR 2775, PL 113-46) 60.A bill to amend title 23, United States Code, with respect to the establishment of performance measures for the highway safety improvement program, and for other purposes. (H.R. 3493/S. 1708) 61.To provide direction to the Administrator of the Environmental Protection Agency regarding the establishment of standards for emissions of any greenhouse gas from fossil fuel-fired electric utility generating units, and for other purposes. (H.R. 3826) 62.Potential conference report for the Farm Bill (S. (S. 954/H.R. 2498; H.R. 1947, and H.R. 3102) 63.Senators Wyden and Isakson proposal on chronic disease care coordination in Medicare (not yet introduced) 64.Antibiotic Development to Advance Patient Treatment Act of 2013 (ADAPT Act) (H.R. 3742) 65.Preventing Antibiotic Resistance Act (S. 1256) 66.The Consolidated Appropriations Act of 2014 67.Strategies to Address Antimicrobial Resistance (STAAR) Act 68.New Opportunities for Bicycling and Pedestrian Infrastructure Financing Act of 2014 (H.R. 3978) 69.Eliminating Disparities in Diabetes Prevention, Access, and Care Act (H.R. 3322) 70.Electricity Security and Affordability Act (HR 3826) 71.Stop Overdose Stat Act (HR 4169) 72.Opioid Overdose Reduction Act (S. 2092/H.R. 4288)

Client expense: $33,000 · Firm income: Not reported

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

Issues related to the prevention and treatment of lung disease including the following legislation: H.R.1007 Asthma Management Plans in School Act; H.R. 1220 Asthma Inhalers Relief Act of 2013; H.R.275 End Radon in Schools;H.R.1549 Helping Sick Americans Now Act; H.R.1578 To amend section 1101 of the Patient Protection and Affordable Care Act to provide additional funds to permit additional individuals to enroll under the preexisting condition insurance program and expand eligibility, to be funded through a temporary increase in the cigarette tax, and for other purposes; H.R.3547 Consolidated Appropriations Act, 2014; H.R. 4384 America HEALS Act; S. 2115 American Cures Act; H.R. 4108 Breath of Fresh Air Act; H.R. 4012 the Secret Science Reform Act of 2014; Issues related relating to Fiscal Year 2015 Labor/HHS/Education Appropriations; Issues relating to Fiscal Year 2015 MilCon VA Appropriations; Issues relating to Fiscal Year 2015 State/Foreign Operations Appropriations; Issues relating to Fiscal Year 2015 Defense Appropriations; Issues relating to Fiscal Year 2015 Agriculture-FDA Appropriations; Issues relating to Fiscal Year 2015 Interior & Environment Appropriations; Issues related to the prevention of lung disease; Issues related to tobacco cessation; Issues related to the National Institutes of Health; Issues related to the implementation of the Affordable Care Act; Issues related to the Children's Health Insurance Program; Issues relating to chronic obstructive pulmonary disease; Issues related to tuberculosis; Issues related to lung cancer; Issues related health disparities and health equity; Issues related to influenza; Issues related to asthma; Issues related to smokefree air; Issues related to the implementation of the Presecription Drug User Fee Act; Issues related to the Family Asthma Act; Issues related to the President's Budget; Issues related to the Budget Control Act;

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Postal Regulatory Commission, SENATE, U.S. Trade Representative (USTR), White House Office

Americans Giving Care to Elders Act (S.1485) Authority for Mandate Delay Act (H.R.2667) Comments/Testimony to FDA-Sec.907 of FDASIA Comments to CMS-Exchanges & Health Plans Qulaity Rating SystemCommunity Parks Revitalization Act (H.R.2424) Community Prevention Grants Continuous Coverage Act (S.1699) Draft Research Priorities (PCORI) Education and Training (EAT) for Health Act (H.R.2424) EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2011 (H.R.3144) Fairness for American Families Act (H.R.2668) Health Care Waiver Fairness Act (H.R. 2700) Health Risk Assessments in Medicare Comments (CDC) Healthy Kids Outdoors Act (TBD) HHS- Clinical Trials Insurance Coverage (ACA Sec. 2709) If You Like Your Health Care, You Can Keep It Act (S.1617) Interest Rate Reduction Act (H.R.4628/S.2366) and other legislation using Prevention Fund to offset student loans Josh Miller Helping Everyone Access Responsive Treatment in Schools (HEARTS) Act (H.R.1377) Keeping the Affordable Care Act Promise Act (S.1642) Keep Your Health Plan Act (H.R.3350) Menu Labeling (ACA Section 4205) Newborn Screening Saves Lives Reauthorization Act of 2013 (H.R. 1281/ S.1471) No Child Left Inside Act of 2013 (H.R.2702) Next Generation Research Act (S.1552) Patient Protection and Affordable Care Act (P.L. 111-148; P.L. 111-152) - Implementation Physical Activity Guidelines for Americans Act (S.531 & H.R.2179) Prevention and Public Health Fund (ACA Section 4002) Proposed rule on Community Health Needs Assessment Requirements for Charitable Hospitals (IRS) Proposed rule on Medicaid Essential Health Benefits (CMS) Proposed rule on Minimum Value of Employer Health Coverage (IRS) Proposed rule on Multi-State Plans Program (OPM) Proposed rule on Workplace Wellness Programs (HHS-Labor) Providing Accountability and Transperency to Incentivize Economically Necessary Transition in Health Care Act (H.R. 2688) Return to Work Act (S.1026 & H.R.3351) Tentative Determination Regarding Partially Hydogenated Oils ( FDA-2013-N-1317) The HELPAmerica Act (S.39) The Helping Sick Americans Now Act (H.R.1549) The Personal Health Investment Today Act (H.R. 956) Veterans Emergency Medical Technician Act of 2013 (H.R. 1281/ S. 1471) Women's Preventive Health Awareness Campaign Act (H.R. 2457)

Client expense: $174,517 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

S.452, Medicare Diabetes Prevention Act - Discussed bill with Senate. Discussed draft language on senior mental health with Senate HELP Committee staff. (no bill) Discussed Medicare Reform (no bill) Discussed Age Rating in the ACA and rate shock. (no bill)Lobbied on preserving funding for the ACA; defended meaningful use of the ACA. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) H.R. 1099, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund, an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 1416/H.R. 2645 (112th Congress), Medigap Medical Loss Ratio Improvement Act of 2011. Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) Discussed dual eligibles. (no bill) Discussed S.1119, Positive Aging Act of 2013. H.R. 2641, Farm Program bill-Discussed the severed nutrition programs from Farm Bill. S. 562, Seniors Mental Health Access Improvement Act - Discussed the bill for eventual endorsement. Discussed Care Corps. (no bill) Discussed need to suport family caregivers and long-term services and supports. (no bill) Discussed repeal of medical device tax. (no bill) Discussed proposed regulation relating to Medicaid expansion coverage and minimum essential coverage. (no bill)Discussed FTC participation in state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed Social Security programs. (no bill) Lobbied against cuts to the health care prevention fund. (no bill) Discussed deficit reduction issues dealing with Medicare and Medicaid including concerns over increasing Medicare's age of eligibility, chained CPI, and cuts to Medicaid. (no bill) Discussed Affordable Care Medicaid expansion issues. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicaid reform, Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed Medicaid expansion implementation, as included in the ACA (P.L. 111-140). Discussed Medicaid including concerns over cuts to Medicaid flexibility and Medicaid structural reforms to. (no bill) Discussed implementation of the Affordable Care Act, its provisions and H.R. 95 to repeal the Patient Protection and Affordable Care Act. H. R. 933, Consolidated and Further Continuing Appropriations Act, 2013 - Lobbied to protect vital health and social services programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. S. Con. Res. 8/ H.Con. Res. 25, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. H.R. 1549, Helping Sick Americans Now Act - Discussed cuts to the health care prevention fund. S. 1284, The Labor, Health and Human Services Appropriations Act, 2014 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. Discussed Affordable Care Act Medicaid expansion issues, including questions related to the use of premium assistance authority to expand Medicaid. (no bill) H.R. 1263, Excellence in Mental Health Act - Discussed the bill for eventual endorsement. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid, Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed perspectives on proposed ideas for legislation to address health disparities with HHS and CMS officials. H.R 3547/H.J.R. 59/H.R. 2775/H.J.R. 106, Consolidated Appropriations Act, 2014 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. Discussed H.R. 3717, the Helping Families in Mental Health Crisis Act. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed National Alzheimer's Project Act 111-375.

Client expense: $1,990,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

S.CON.RES.8, S 24, S 351, S 399, S.AMDT.409, S 482, S 603, S 701, S 764, S 1188, HR105, HR 81, HR.RES.175, HR 344, HR 544, HR 582, HR 607, HR675, HR 762, HR 763, HR 779, HR 903, HR 1076, HR 1200, HR 1205, HR 1239, HR 1248, HR 1254, HR 1342, HR 1549, HR 1558, HR 2328, HR 2527, HR 2575, HR 2577, HR 2667, HR 2668

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

S.CON.RES.8, S 24, S 351, S 399, S.AMDT.409, S 482, S 603, S 701, S 764, S 1188, HR105, HR 81, HR.RES.175, HR 344, HR 544, HR 582, HR 607, HR675, HR 762, HR 763, HR 779, HR 903, HR 1076, HR 1200, HR 1205, HR 1239, HR 1248, HR 1254, HR 1342, HR 1549, HR 1558, HR 2328, HR 2527, HR 2575, HR 2577, HR 2667, HR 2668

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

FY 2011 AG APRO BILL, 2008 & 2012 FARM BILL, ECONOMIC CRISIS IN PORK INDUSTRY, ANTIBIOTICS, FOOD SAFETY, MEXICAN TRUCKING, FREE TRADE AGREEMENTS, DOJ-USDA WORKSHOPS TO EXPLORE COMPETITION & REGULATORY ISSUES IN THE AG INDUSTRY, S. 3656 MANDATORY PRICE REPORTING ACT OF 2010, GIPSA PROPOSED RULE TO IMPLEMENT LIVESTOCK REGULATIONSHR 814 TRACEABILITY HR 815 AMENDMENT TO FEDERAL MEAT INSPECTION HR 875 FOOD SAFETY ADMINISTRATION HR 1332 SAFETY OF THE FOOD SUPPLY HR 2454 CLIMATE CHANGE HR 5504 IMPROVING NUTRITION FOR AMERICAS CHILDREN ACT S 3263/HR 5015 CHIEF VETERINARY OFFICER BILL S 3112/HR 4645 TRAVEL RESTRICTION REFORM & EXPORT ENHANCEMENT ACT S 510/HR 2749 FOOD SAFETY S 337/HR 1226 PROHIBITION OF IMPORTS (SWINE) FROM ARGENTINA S 3656/HR 5852 MANDATORY PRICE REPORTING ACT OF 2010 S 1089 PROMOTING AMERICAN AGRICULTURE & MEDICAL EXPORTS TO CUBA ACT OF 2009 S 1086 PACKERS/STOCKYARDS S 619/HR 1549 ANTIBIOTICS S 460 SPOT MARKETS S 3307 HEALTHY, HUNGER-FREE KIDS ACT OF 2010 HR 176 Anti-Hunger Empowerment Act of 2009 HR 305 Transportation of Horses HR 503 Prevention of Equine Cruelty Act of 2009 HR 540 Summer Food Service Rural Expansion Act HR 759 Food and Drug Administration Globalization Act of 2009 HR 814 Tracing and Recalling Agricultural Contamination Everywhere Act of 2009 HR 815 Safe and Fair Enforcement and Recall for Meat, Poultry and Food (SAFER) Act of 2009 HR 875 Food Safety Modernization Act of 2009 HR 999 A bill to amend the Federal Food, Drug and Cosmetic Act to improve food safety. HR 1225 Select Agent Program and Biosafety Improvement Act of 2009 (S 485) S 337/HR 1226 A bill to prohibit the importation of ruminants and swine, and fresh and frozen meat and products of ruminants and swine, from Argentina until the secretary of Agriculture certifies to Congress that every region of Argentina is free of foot and mouth disease without vaccination. S 92 Imported Seafood Safety Enhancement Act of 2009 S 337 Foot and Mouth Disease Prevention Act of 2009 (HR 1226) S 425 A bill to amend the Federal Food, Drug and Cosmetic Act to provide for the establishment of a traceability system for food, to amend the Federal Meat Inspection Act, the Poultry Products Inspections Act, the Egg Products Inspection Act and the Federal Food, Drug and Cosmetic Act to provide for improved public health and food safety through enhanced enforcement, and for other purposes. S 429 A bill to ensure the safety of imported food products for the citizens of the United States, and for other purposes. S 485 - Select Agent Program and Biosafety Improvement Act of 2009 (HR 1225) HR 5027 Eating Healthy School Act of 2010

Client expense: $310,137 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)

FY 2011 AG APRO BILL, 2008 & 2012 FARM BILL, ECONOMIC CRISIS IN PORK INDUSTRY, ANTIBIOTICS, FOOD SAFETY, MEXICAN TRUCKING, FREE TRADE AGREEMENTS, DOJ-USDA WORKSHOPS TO EXPLORE COMPETITION & REGULATORY ISSUES IN THE AG INDUSTRY, S. 3656 MANDATORY PRICE REPORTING ACT OF 2010, GIPSA PROPOSED RULE TO IMPLEMENT LIVESTOCK REGULATIONSHR 814 TRACEABILITY HR 815 AMENDMENT TO FEDERAL MEAT INSPECTION HR 875 FOOD SAFETY ADMINISTRATION HR 1332 SAFETY OF THE FOOD SUPPLY HR 2454 CLIMATE CHANGE HR 5504 IMPROVING NUTRITION FOR AMERICAS CHILDREN ACT S 3263/HR 5015 CHIEF VETERINARY OFFICER BILL S 3112/HR 4645 TRAVEL RESTRICTION REFORM & EXPORT ENHANCEMENT ACT S 510/HR 2749 FOOD SAFETY S 337/HR 1226 PROHIBITION OF IMPORTS (SWINE) FROM ARGENTINA S 3656/HR 5852 MANDATORY PRICE REPORTING ACT OF 2010 S 1089 PROMOTING AMERICAN AGRICULTURE & MEDICAL EXPORTS TO CUBA ACT OF 2009 S 1086 PACKERS/STOCKYARDS S 619/HR 1549 ANTIBIOTICS S 460 SPOT MARKETS S 3307 HEALTHY, HUNGER-FREE KIDS ACT OF 2010 HR 176 Anti-Hunger Empowerment Act of 2009 HR 305 Transportation of Horses HR 503 Prevention of Equine Cruelty Act of 2009 HR 540 Summer Food Service Rural Expansion Act HR 759 Food and Drug Administration Globalization Act of 2009 HR 814 Tracing and Recalling Agricultural Contamination Everywhere Act of 2009 HR 815 Safe and Fair Enforcement and Recall for Meat, Poultry and Food (SAFER) Act of 2009 HR 875 Food Safety Modernization Act of 2009 HR 999 A bill to amend the Federal Food, Drug and Cosmetic Act to improve food safety. HR 1225 Select Agent Program and Biosafety Improvement Act of 2009 (S 485) S 337/HR 1226 A bill to prohibit the importation of ruminants and swine, and fresh and frozen meat and products of ruminants and swine, from Argentina until the secretary of Agriculture certifies to Congress that every region of Argentina is free of foot and mouth disease without vaccination. S 92 Imported Seafood Safety Enhancement Act of 2009 S 337 Foot and Mouth Disease Prevention Act of 2009 (HR 1226) S 425 A bill to amend the Federal Food, Drug and Cosmetic Act to provide for the establishment of a traceability system for food, to amend the Federal Meat Inspection Act, the Poultry Products Inspections Act, the Egg Products Inspection Act and the Federal Food, Drug and Cosmetic Act to provide for improved public health and food safety through enhanced enforcement, and for other purposes. S 429 A bill to ensure the safety of imported food products for the citizens of the United States, and for other purposes. S 485 - Select Agent Program and Biosafety Improvement Act of 2009 (HR 1225) HR 5027 Eating Healthy School Act of 2010

Client expense: $267,709 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)

FY 2011 AG APRO BILL, 2008 & 2012 FARM BILL, ECONOMIC CRISIS IN PORK INDUSTRY, ANTIBIOTICS, FOOD SAFETY, MEXICAN TRUCKING, FREE TRADE AGREEMENTS, DOJ-USDA WORKSHOPS TO EXPLORE COMPETITION & REGULATORY ISSUES IN THE AG INDUSTRY, S. 3656 MANDATORY PRICE REPORTING ACT OF 2010, GIPSA PROPOSED RULE TO IMPLEMENT LIVESTOCK REGULATIONSHR 814 TRACEABILITY HR 815 AMENDMENT TO FEDERAL MEAT INSPECTION HR 875 FOOD SAFETY ADMINISTRATION HR 1332 SAFETY OF THE FOOD SUPPLY HR 2454 CLIMATE CHANGE HR 5504 IMPROVING NUTRITION FOR AMERICAS CHILDREN ACT S 3263/HR 5015 CHIEF VETERINARY OFFICER BILL S 3112/HR 4645 TRAVEL RESTRICTION REFORM & EXPORT ENHANCEMENT ACT S 510/HR 2749 FOOD SAFETY S 337/HR 1226 PROHIBITION OF IMPORTS (SWINE) FROM ARGENTINA S 3656/HR 5852 MANDATORY PRICE REPORTING ACT OF 2010 S 1089 PROMOTING AMERICAN AGRICULTURE & MEDICAL EXPORTS TO CUBA ACT OF 2009 S 1086 PACKERS/STOCKYARDS S 619/HR 1549 ANTIBIOTICS S 460 SPOT MARKETS S 3307 HEALTHY, HUNGER-FREE KIDS ACT OF 2010 HR 176 Anti-Hunger Empowerment Act of 2009 HR 305 Transportation of Horses HR 503 Prevention of Equine Cruelty Act of 2009 HR 540 Summer Food Service Rural Expansion Act HR 759 Food and Drug Administration Globalization Act of 2009 HR 814 Tracing and Recalling Agricultural Contamination Everywhere Act of 2009 HR 815 Safe and Fair Enforcement and Recall for Meat, Poultry and Food (SAFER) Act of 2009 HR 875 Food Safety Modernization Act of 2009 HR 999 A bill to amend the Federal Food, Drug and Cosmetic Act to improve food safety. HR 1225 Select Agent Program and Biosafety Improvement Act of 2009 (S 485) S 337/HR 1226 A bill to prohibit the importation of ruminants and swine, and fresh and frozen meat and products of ruminants and swine, from Argentina until the secretary of Agriculture certifies to Congress that every region of Argentina is free of foot and mouth disease without vaccination. S 92 Imported Seafood Safety Enhancement Act of 2009 S 337 Foot and Mouth Disease Prevention Act of 2009 (HR 1226) S 425 A bill to amend the Federal Food, Drug and Cosmetic Act to provide for the establishment of a traceability system for food, to amend the Federal Meat Inspection Act, the Poultry Products Inspections Act, the Egg Products Inspection Act and the Federal Food, Drug and Cosmetic Act to provide for improved public health and food safety through enhanced enforcement, and for other purposes. S 429 A bill to ensure the safety of imported food products for the citizens of the United States, and for other purposes. S 485 - Select Agent Program and Biosafety Improvement Act of 2009 (HR 1225) HR 5027 Eating Healthy School Act of 2010

Client expense: $249,690 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)

S.CON.RES.8, S 24, S 351, S 399, S.AMDT.409, S 482, S 603, S 701, S 764, S 1188, HR105, HR 81, HR.RES.175, HR 344, HR 544, HR 582, HR 607, HR675, HR 762, HR 763, HR 779, HR 903, HR 1076, HR 1200, HR 1205, HR 1239, HR 1248, HR 1254, HR 1342, HR 1549, HR 1558, HR 2328, HR 2527, HR 2575, HR 2577, HR 2667, HR 2668

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of

After School for America's Children Act Authority for Mandate Delay Act (H.R.2667) Comments to FDA-Collection,Analysis, & Availability of Demographic Data, Ensuring Access to Info on Medical Products Draft Guidance on Laboratory Developed Tests (FDA)Draft Research Priorities (PCORI) EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2011 (H.R.3144) Fairness for American Families Act (H.R.2668) Health Care Waiver Fairness Act (H.R. 2700) Health Risk Assessments in Medicare Comments (CDC) Healthy Kids Outdoors Act (TBD) HHS- Clinical Trials Insurance Coverage (ACA Sec. 2709) Interest Rate Reduction Act (H.R.4628/S.2366) and other legislation using Prevention Fund to offset student loans Josh Miller Helping Everyone Access Responsive Treatment in Schools (HEARTS) Act (H.R.1377) Menu Labeling (ACA Section 4205) Newborn Screening Saves Lives Reauthorization Act of 2013 (H.R. 1281/ S.1471) No Child Left Inside Act of 2013 (H.R.2702) Next Generation Research Act (S.1552) Patient Protection and Affordable Care Act (P.L. 111-148; P.L. 111-152) - Implementation Physical Activity Guidelines for Americans Act (S.531 & H.R.2179) Prevention and Public Health Fund (ACA Section 4002) Proposed rule on Community Health Needs Assessment Requirements for Charitable Hospitals (IRS) Proposed rule on Medicaid Essential Health Benefits (CMS) Proposed rule on Minimum Value of Employer Health Coverage (IRS) Proposed rule on Multi-State Plans Program (OPM) Proposed rule on Workplace Wellness Programs (HHS-Labor) Providing Accountability and Transperency to Incentivize Economically Necessary Transition in Health Care Act (H.R. 2688) The HELPAmerica Act (S.39) The Helping Sick Americans Now Act (H.R.1549) The Personal Health Investment Today Act (H.R. 956) The Sensible School Lunch Act (S.247) Veterans Emergency Medical Technician Act of 2013 (H.R. 1281/ S. 1471) Women's Preventive Health Awareness Campaign Act (H.R. 2457)

Client expense: $157,182 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; and community-based public health interventions. 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148)1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Middle Class Tax Relief and Job Promotion Act (H.R. 3630) 3.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 4.Implementation of Pandemic and All-Hazards Preparedness Act (Public Law 109-417) 5.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 6.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 7.Delivering Antimicrobial Transparency in Animals Act of 2013 (H.R. 820) 8.Animal Drug and Animal Generic Drug User Fee Act (S. 622/H.R.___) 9.Healthier Lifestyles and Prevention America Act (S. 39) 10.Promoting Health as Youth Skills in Classrooms and Life Act (S. 392) 11.Medicare Diabetes Prevention Act (S. 452/H.R. 962) 12.Personal Health Investment Today Act (H.R. 956) 13.A bill to provide for a sequester replacement (S. 16) 14.American Family Economic Protection Act of 2013 (S. 388) 15.Consolidated and Further Continuing Appropriations Act, 2013 (H.R. 933) 16.Regulations From the Executive in Need of Scrutiny Act of 2013 (S. 15 / H.R. 367) 17.To repeal the Prevention and Public Health Fund (H.R. 1099) 18.Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (Public Law 113-5) 19.National Diabetes Clinical Care Commission Act (H.R. 1074/S. 539) 20.Physical Activity Guidelines for Americans Act (S. 531) 21.Firearm Safety and Public Health Research Act (H.R. 321) 22.Helping Sick Americans Now Act (H.R. 1549) 23.Energy Consumers Relief Act (H.R. 1582) 24.Common Sense Nutrition Disclosure Act (H.R. 1249) 25.Improve Nutrition Program Integrity and Deficit Reduction Act (S. 458/H.R. 1510) 26.A bill to amend the Food and Nutrition Act of 2008 to improve the supplemental nutrition assistance program (S. 762/H.R. 1657) 27.Agriculture Reform, Food, and Jobs Act (S. 954/H.R. 2498) 28.Federal Agriculture Reform and Risk Management Act (H.R. 1947) 29.FIT Kids Act (S. 1033/H.R. 2178) 30.Strengthening Americas Schools Act (S. 840) 31.Access to Quality Diabetes Education Act (S. 945/H.R. 1274) 32.Fit to Serve Act (S. 976) 33.Climate Change Health Protection and Promotion Act (H.R. 2023) 34.Treat and Reduce Obesity Act (S. 1184 / H.R. 2415) 35.Student Success Act (H.R. 5) 36.To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act (H.R. 45) 37.Medicare Better Health Rewards Program Act (S. 1228/H.R. 2524) 38.Senate FY14 Labor, Health and Human Services, and Education Bill 39.House of Representatives FY14 Labor, Health and Human Services, and Education Bill 40.Pharmacy Compounding Quality and Accountability Act (S. 959) 41.Safeguarding Americas Pharmaceuticals Act (H.R. 1919) 42.Drug Supply Chain Security Act (S. 957) 43.Preservation of Antibiotics for Medical Treatment Act (H.R. 1150)/Preventing Antibiotic Resistance Act of 2013 (S. 1256) 44.Healthy Families Act (H.R. 1286/S. 631) 45.FY2014 Continuing Resolution (H.J. Res. 59) 46.Drug Quality and Security Act (H.R. 3204) 47.Pharmaceutical Quality, Security and Accountability Act (S. 959) 48.Energy Consumers Relief Act (H.R. 1582) 49.Increasing the Safety of Prescription Drug User Act (not yet introduced proposed by Sen. Udall-NM) 50.National Energy Tax Repeal Act (S. 1324) 51.Saving Coal Jobs Act of 2013 (S. 1514) 52.Community Parks Revitalization Act (H.R. 2424) 53.A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings (S. 1422/H.R. 2663) 54.School-based Health Centers Program Reauthorization Act of 2013 (H.R. 2632) 55.Nutrition Reform and Work Opportunity Act (H.R. 3102) 56.Health Equity and Accountability Act (not yet introduced) 57.Secure America for Education (SAFE) in Our Schools Act of 2013 (H.R. 3158) 58.Continuing Appropriations Resolution, 2014 (H.J. Res 59) 59.Continuing Resolution FY 2014 (HR 2775, PL 113-46) 60.A bill to amend title 23, United States Code, with respect to the establishment of performance measures for the highway safety improvement program, and for other purposes. (H.R. 3493/S. 1708) 61.To provide direction to the Administrator of the Environmental Protection Agency regarding the establishment of standards for emissions of any greenhouse gas from fossil fuel-fired electric utility generating units, and for other purposes. (H.R. 3826) 62.Potential conference report for the Farm Bill (S. (S. 954/H.R. 2498; H.R. 1947, and H.R. 3102) 63.Senators Wyden and Isakson proposal on chronic disease care coordination in Medicare (not yet introduced) 64.Antibiotic Development to Advance Patient Treatment Act of 2013 (ADAPT Act) (H.R. 3742) 65.Preventing Antibiotic Resistance Act (S. 1256) 66.The Consolidated Appropriations Act of 2014

Client expense: $37,000 · Firm income: Not reported

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

S.CON.RES.8;S24,S351,S399,S.AMDT.409, S482,S 603, S 650, S 701, S 764, S 1188, S 1729, HR 81, HR 105, H.RES.175, HR.344, HR 544, HR 582, HR 607, HR675, HR 762, HR 763, HR 779,HR 903, HR 1076, HR 1200, HR 1205, HR 1239, HR 1248, HR 1254, HR 1342, HR 1549, HR 1558, HR 2328, HR 2575, HR 2577, HR 2667, HR 2995, HR 2988, HR 3362

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), President of the U.S., SENATE, Treasury, Dept of

S.452, Medicare Diabetes Prevention Act - Discussed bill with Senate. Discussed draft language on senior mental health with Senate HELP Committee staff. (no bill) Discussed Medicare Reform (no bill) Discussed Age Rating in the ACA and rate shock. (no bill)Lobbied on preserving funding for the ACA; defended meaningful use of the ACA. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) H.R. 1099, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund, an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 1416/H.R. 2645 (112th Congress), Medigap Medical Loss Ratio Improvement Act of 2011. Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) Discussed dual eligibles. (no bill) Discussed support for H.R. 2181, Safe Foods for Seniors Act of 2013. Discussed S.1119, Positive Aging Act of 2013. H.R. 2641, Farm Program bill-Discussed the severed nutrition programs from Farm Bill. S. 562, Seniors Mental Health Access Improvement Act - Discussed the bill for eventual endorsement. Discussed Care Corps. (no bill) Discussed grandparents raising grandchildren and ACA provision extending coverage to those under age 26. (no bill) Discussed need to suport family caregivers and long-term services and supports. (no bill) Discussed repeal of medical device tax. (no bill) Discussed consumer directed care. (no bill) Discussed policy related to dementia. (no bill) Discussed no wrong door system. (no bill) Discussed data on LTSS and women. (no bill)Discussed FTC participation in state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed Social Security programs. (no bill) Lobbied against cuts to the health care prevention fund. (no bill) Discussed deficit reduction issues dealing with Medicare and Medicaid including concerns over increasing Medicare's age of eligibility, chained CPI, payroll tax holiday extension, and cuts to Medicaid. (no bill) Discussed Affordable Care Medicaid expansion issues. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicaid reform, Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed Medicaid expansion implementation, as included in the ACA (P.L. 111-140). Discussed Medicaid including concerns over cuts to Medicaid flexibility and Medicaid structural reforms to. (no bill) PL 112-240 of 2012, American Taxpayer Relief Act - Discussed the Commission on Long-Term Care and and service delivery workforce and caregiving, financing and related long-term care issues and data. Discussed implementation of the Affordable Care Act, its provisions and H.R. 95 to repeal the Patient Protection and Affordable Care Act. H. R. 933, Consolidated and Further Continuing Appropriations Act, 2013 - Lobbied to protect vital health and social services programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. S. Con. Res. 8/ H.Con. Res. 25, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. H.R. 1549, Helping Sick Americans Now Act - Discussed cuts to the health care prevention fund. S. 1284, The Labor, Health and Human Services Appropriations Act, 2014 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. Discussed Affordable Care Act Medicaid expansion issues, including questions related to the use of premium assistance authority to expand Medicaid. (no bill) H.R. 1263, Excellence in Mental Health Act - Discussed the bill for eventual endorsement. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid, Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed perspectives on proposed ideas for legislation to address health disparities with HHS and CMS officials. H.J.R. 59/H.R. 2775, Continuing Appropriations Act, 2014 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance.

Client expense: $2,500,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Council on Disability, Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

HR 1549 regarding public health prevention fund

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

Government targets: Army, Dept of (Corps of Engineers), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, U.S. Fish & Wildlife Service (USFWS), U.S. Immigration & Customs Enforcement (ICE)

S.CON.RES.9; S.24; S.354; S.399. S.AMDT 409; S.482; S.603; S.650; S.701; S764; S.1188; HR. 81; HR 105; HR RES 175; HR 344; HR 544; HR582; HR 607; HR 675; HR 762; HR 763; HR 779; HR 903; HR 1076; HR 1200; HR 1205; HR 1239; HE 1248; HR 1254; HR 1342; HR 1549; HR 1558; 2527; HR 2575; HR2577; HR 2667; HR 2995; HR 2988

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; and community-based public health interventions. 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148)1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Middle Class Tax Relief and Job Promotion Act (H.R. 3630) 3.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 4.Implementation of Pandemic and All-Hazards Preparedness Act (Public Law 109-417) 5.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 6.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 7.Delivering Antimicrobial Transparency in Animals Act of 2013 (H.R. 820) 8.Animal Drug and Animal Generic Drug User Fee Act (S. 622/H.R.___) 9.Healthier Lifestyles and Prevention America Act (S. 39) 10.Promoting Health as Youth Skills in Classrooms and Life Act (S. 392) 11.Medicare Diabetes Prevention Act (S. 452/H.R. 962) 12.Personal Health Investment Today Act (H.R. 956) 13.A bill to provide for a sequester replacement (S. 16) 14.American Family Economic Protection Act of 2013 (S. 388) 15.Consolidated and Further Continuing Appropriations Act, 2013 (H.R. 933) 16.Regulations From the Executive in Need of Scrutiny Act of 2013 (S. 15 / H.R. 367) 17.To repeal the Prevention and Public Health Fund (H.R. 1099) 18.Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (Public Law 113-5) 19.National Diabetes Clinical Care Commission Act (H.R. 1074/S. 539) 20.Physical Activity Guidelines for Americans Act (S. 531) 21.Firearm Safety and Public Health Research Act (H.R. 321) 22.Helping Sick Americans Now Act (H.R. 1549) 23.Energy Consumers Relief Act (H.R. 1582) 24.Common Sense Nutrition Disclosure Act (H.R. 1249) 25.Improve Nutrition Program Integrity and Deficit Reduction Act (S. 458/H.R. 1510) 26.A bill to amend the Food and Nutrition Act of 2008 to improve the supplemental nutrition assistance program (S. 762/H.R. 1657) 27.Agriculture Reform, Food, and Jobs Act (S. 954/H.R. 2498) 28.Federal Agriculture Reform and Risk Management Act (H.R. 1947) 29.FIT Kids Act (S. 1033/H.R. 2178) 30.Strengthening Americas Schools Act (S. 840) 31.Access to Quality Diabetes Education Act (S. 945/H.R. 1274) 32.Fit to Serve Act (S. 976) 33.Climate Change Health Protection and Promotion Act (H.R. 2023) 34.Treat and Reduce Obesity Act (S. 1184 / H.R. 2415) 35.Student Success Act (H.R. 5) 36.To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act (H.R. 45) 37.Medicare Better Health Rewards Program Act (S. 1228/H.R. 2524) 38.Senate FY14 Labor, Health and Human Services, and Education Bill 39.House of Representatives FY14 Labor, Health and Human Services, and Education Bill 40.Pharmacy Compounding Quality and Accountability Act (S. 959) 41.Safeguarding Americas Pharmaceuticals Act (H.R. 1919) 42.Drug Supply Chain Security Act (S. 957) 43.Preservation of Antibiotics for Medical Treatment Act (H.R. 1150)/Preventing Antibiotic Resistance Act of 2013 (S. 1256) 44.Healthy Families Act (H.R. 1286/S. 631) 45.FY2014 Continuing Resolution (H.J. Res. 59) 46.Drug Quality and Security Act (H.R. 3204) 47.Pharmaceutical Quality, Security and Accountability Act (S. 959) 48.Energy Consumers Relief Act (H.R. 1582) 49.Increasing the Safety of Prescription Drug User Act (not yet introduced proposed by Sen. Udall-NM) 50.National Energy Tax Repeal Act (S. 1324) 51.Saving Coal Jobs Act of 2013 (S. 1514) 52.Community Parks Revitalization Act (H.R. 2424) 53.A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings (S. 1422/H.R. 2663) 54.School-based Health Centers Program Reauthorization Act of 2013 (H.R. 2632) 55.Nutrition Reform and Work Opportunity Act (H.R. 3102) 56.Health Equity and Accountability Act (not yet introduced) 57.Secure America for Education (SAFE) in Our Schools Act of 2013 (H.R. 3158)

Client expense: $38,000 · Firm income: Not reported

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

HR 1549 regarding public health prevention fund

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

Government targets: Army, Dept of (Corps of Engineers), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, U.S. Fish & Wildlife Service (USFWS), U.S. Immigration & Customs Enforcement (ICE)

S.452, Medicare Diabetes Prevention Act - Discussed bill with Senate. Discussed draft language on senior mental health with Senate HELP Committee staff. (no bill) Discussed Medicare Reform (no bill) Discussed Age Rating in the ACA and rate shock. (no bill)Lobbied on preserving funding for the ACA; defended meaningful use of the ACA. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) H.R. 1099, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund, is an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 1416/H.R. 2645 (112th Congress), Medigap Medical Loss Ratio Improvement Act of 2011. Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) Discussed dual eligibles. (no bill) Discussed support for H.R. 2181, Safe Foods for Seniors Act of 2013. Discussed S.1119, Positive Aging Act of 2013. H.R. 2641, Farm Program bill-Discussed the severed nutrition programs from Farm Bill.Discussed inviting FTC to participate in a webinar on how they are and can be engaged on state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed Medicare and Social Security programs. (no bill) Lobbied against cuts to the health care prevention fund. (no bill) Discussed deficit reduction issues dealing with Medicare and Medicaid including concerns over increasing Medicare's age of eligibility, chained CPI, payroll tax holiday extension, and cuts to Medicaid. (no bill) Discussed Affordable Care Medicaid expansion issues. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicaid reform, Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed Medicaid expansion implementation, as included in the ACA (P.L. 111-140). Discussed Medicaid including concerns over cuts to Medicaid flexibility and Medicaid structural reforms to. (no bill) Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations and other CMS demonstration initiatives. (no bill) PL 112-240 of 2012, American Taxpayer Relief Act - Discussed the Commission on Long-Term Care and and service delivery workforce and caregiving, financing and related long-term care issues and data. Discussed implementation of the Affordable Care Act, its provisions and H.R. 95 to repeal the Patient Protection and Affordable Care Act. H. R. 933, Consolidated and Further Continuing Appropriations Act, 2013 - Lobbied to protect vital health and social services programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. S. Con. Res. 8/ H.Con. Res. 25, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. H.R. 1549, Helping Sick Americans Now Act - Discussed cuts to the health care prevention fund. S. 1284, The Labor, Health and Human Services Appropriations Act, 2014 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. Discussed Affordable Care Act Medicaid expansion issues, including questions related to the use of premium assistance authority to expand Medicaid. (no bill) Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) H.R. 1263, Excellence in Mental Health Act - Discussed the bill for eventual endorsement. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. (no bill)

Client expense: $2,520,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Council on Disability, Natl Highway Traffic Safety Administration (NHTSA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

After School for America's Children Act (S.39) Authority for Mandate Delay Act (H.R.2667) Comments on Report on Ensuring Access to Info on Medical Products for All (FDA) Common Sense Nutrition Disclosure (H.R.1249)Draft Guidance on Laboratory Developed Tests (FDA) Draft Research Priorities (PCORI) EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2011 (H.R.3144) Fairness for American Families Act (H.R.2668) Health Care Waiver Fairness Act (H.R. 2700) Health Risk Assessments in Medicare Comments (CDC) Healthy Kids Outdoors Act (TBD) Interest Rate Reduction Act (H.R.4628/S.2366) and other legislation using Prevention Fund to offset student loans Josh Miller Helping Everyone Access Responsive Treatment in Schools (HEARTS) Act (H.R.1377) Menu Labeling (ACA Section 4205) Newborn Screening Saves Lives Reauthorization Act of 2013 (H.R. 1281/ S.1471) No Child Left Inside Act of 2013 (H.R.2702) Next Generation Research Act (S.1552) Patient Protection and Affordable Care Act (P.L. 111-148; P.L. 111-152) - Implementation Physical Activity Guidelines for Americans Act (S.531 & H.R.2179) Prevention and Public Health Fund (ACA Section 4002) Proposed rule on Community Health Needs Assessment Requirements for Charitable Hospitals (IRS) Proposed rule on Medicaid Essential Health Benefits (CMS) Proposed rule on Minimum Value of Employer Health Coverage (IRS) Proposed rule on Multi-State Plans Program (OPM) Proposed rule on Workplace Wellness Programs (HHS-Labor) Providing Accountability and Transperency to Incentivize Economically Necessary Transition in Health Care Act (H.R. 2688) The HELPAmerica Act (S.39) The Helping Sick Americans Now Act (H.R.1549) The Personal Health Investment Today Act (H.R. 956) The Sensible School Lunch Act (S.247) The Stopping Taxpayer Outlays for Propaganda Act (H.R.1572) Veterans Emergency Medical Technician Act of 2013 (H.R. 1281/ S. 1471) Women's Preventive Health Awareness Campaign Act (H.R. 2457)

Client expense: $80,180 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

Contacts in support of No Taxpayer Funding for Abortion Act (H.R. 7, S. 946), to codify government-wide policy against funding abortion. Contacts in support of the District of Columbia Pain-Capable Unborn Child Protection Act (S. 886). (continued)Contacts in support of the Pain-Capable Unborn Child Protection Act (H.R. 1797), to protect pain-capable unborn children beginning at 20 weeks fetal age (passed by the House of Representatives on June 18, 2013), and Senate companion legislation (not introduced this quarter). Contacts in support of Prenatal Nondiscrimination Act (PRENDA), to ban sex-selection abortions (S. 138, HR 447). Consultations on various draft legislative proposals (not introduced) to tighten qualifications for abortion providers. Contacts in support of legislation to repeal Public Law 111-148 ("Obamacare"), H.R. 45. Contacts in support of Blackburn Amendment to continuing resolution H.J.Res. 59, to delay implementation of certain objectionable components of Obamacare law. Contacts in support of certain revisions made in committee to "Helping Sick Americans Now Act" (H.R. 1549), legislation dealing with high-risk insurance pools; NRLC took no position for or against H.R. 1549 as a whole, as amended. Contacts in support of Child Interstate Abortion Notification Act (CIANA)(S. 369, HR 732), to require an abortionist to notify a parent before performing an abortion on a minor from a different state, with certain exceptions. Contacts in support of the Health Care Conscience Rights Act (HR 940, S. 1204), to prevent the imposition of regulatory mandates that violate the religious or moral convictions of those who purchase or provide health insurance, to prevent any level of government from discriminating against health care providers who decline to participate in abortions, and to empower victims to seek relief in court for violations of the federal conscience laws. Contacts in support of carry over abortion-related limitation provisions in FY 2014 appropriations bills, including Hyde Amendment in HHS appropriations bill, and other carry-over abortion limitation provisions in FY 2014 appropriations bills, Commerce-Justice-Science (H.R. 2787/.S. 1329), Financial Services (H.R. 2786/S. 1371), Labor-HHS (House bill unnumbered, S. 1284), and State-Foreign Operations (H.R. 2855/ S. 1372). Contacts in support of the Homeland Security Respect for Life Act (H.R. 493), to prevent federal funding of abortion under programs within the Department of Homeland Security, with certain exceptions, and comparable limitation language to FY 2014 Homeland Security appropriations bill (section 563 of H.R. 2217). Contacts in support of S. 154/HR 346, to prevent coverage of abortion, with certain exceptions, in "multi-state" (national) health plans, created by PL 111-148, to be administered by the Office of Personnel Management, and comparable language ("Nunnelee Amendment") in FY 2014 Financial Services appropriations bill (H.R. 2786). Contacts in support of the Title X Abortion Provider Prohibition Act (HR 217/S. 135). Consultations regarding other legislative concepts relating to Title X, including legislation dealing with adoption-counseling requirements with respect to Title X, including H.R. 3062, S. 1539, and other draft legislation not introduced; NRLC took no position on these measures. Contacts in opposition to legislation to empower Federal Trade Commission to harass or persecute pregnancy resource centers (H.R. 2030, S. 981). Consultations regarding abortion-related components of "American Health Care Reform Act" (H.R. 3121). See HCR page for additional information on contacts on this legislation. Consultations regarding proposed rule published by Office of Personnel Management in August 8, 2013 Federal Register, 78 Fed. Reg. 48337 (2013), concerning subsidies for health plans to be purchased by members of Congress and certain congressional staff on Obamacare exchanges. The OPM proposal would allow payments to flow through OPM to plans that cover elective abortion, in violation of the Smith Amendment, a limitation amendment to the Financial Services appropriations bill.Consultations on draft legislation later introduced as "Abortion Insurance Full Disclosure Act" (H.R. 3279); NRLC supports this legislation. Consultation regarding draft "court stripping" legislation, later introduced as HR 2764; NRLC took no position on this measure. Consultation regarding draft legislation, "Rape Survivor Child Custody Act" later introduced as H.R. 2772; NRLC took no position on this legislation. Consultations on S. 959, related to drug compounding; NRLC took no position on this legislation.

Client expense: $111,435 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Authority for Mandate Delay Act (H.R.2667) Draft Guidance on Laboratory Developed Tests (FDA) Draft Research Priorities (PCORI) EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2011 (H.R.3144)Fairness for American Families Act (H.R.2668) Health Risk Assessments in Medicare Comments (CDC) Health Risk Assessments in Medicare Comments (CDC) Interest Rate Reduction Act (H.R.4628/S.2366) and other legislation using Prevention Fund to offset student loans Josh Miller Helping Everyone Access Responsive Treatment in Schools (HEARTS) Act (H.R.1377) Menu Labeling (ACA Section 4205) No Child Left Inside Act of 2013 (H.R.2702) Patient Protection and Affordable Care Act (P.L. 111-148; P.L. 111-152) - Implementation Physical Activity Guidelines for Americans Act (S.531 & H.R.2179) Prevention and Public Health Fund (ACA Section 4002) Proposed rule on Community Health Needs Assessment Requirements for Charitable Hospitals (IRS) Proposed rule on Medicaid Essential Health Benefits (CMS) Proposed rule on Minimum Value of Employer Health Coverage (IRS) Proposed rule on Multi-State Plans Program (OPM) Proposed rule on Workplace Wellness Programs (HHS-Labor) Request for Comments Surgeon General's Report on Walking The HELPAmerica Act (S.39) The Helping Sick Americans Now Act (H.R.1549) The Personal Health Investment Today Act (H.R. 956) The Sensible School Lunch Act (S.247) The Stopping Taxpayer Outlays for Propaganda Act (H.R.1572)

Client expense: $251,785 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

H.R. 1549 Helping Sick Americans Now Act H.R. 2009 Keep the IRS Off Your Health Care Act of 2013

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

Government targets: Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE, U.S. International Trade Commission (ITC)

HR1549 "Helping Sick Americans Now Act," all provisions. HR1908 "Federal Repeal of Expensive Exchanges Act," all provisions. Issues relating to legislation to repeal or delay cost provisions of the Affordable Care Act, including its connection to an increase in the debt ceiling. Issues relating to potential legislation addressing High Risk Pools. Issues relating to IRS Federal Exchange regulations. Issues relating to health care reform including the tax treatment of health care and reforms meant to hold down costs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

April 1, 2013-June 30, 2013 Lobbying on issues related to preventing and reducing tobacco use and its harm (See addendum) ***Lobbying Report April 1-June 30 2013 Legislation H.R. 792 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2013 (Lobbying activities related to opposing exemption of cigars from FDA oversight) S. 772 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2013 (Lobbying activities related to opposing exemption of cigars from FDA oversight) H.R. 2410 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2014 (Lobbying activities related to FDA authority to regulate tobacco products) S. 1244 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2014 (Lobbying activities related to FDA authority to regulate tobacco products) S. 39 Healthy Lifestyle and Prevention America Act (Lobbying activities related to the tobacco control provisions of the Act) S. 194 Tobacco Tax Equity Act of 2013 (Lobbying activities related to equalizing taxes on tobacco products) S. 826 Tobacco Tax and Enforcement Reform Act (Lobbying activities related to increasing tobacco taxes and preventing smuggling of tobacco products) H.R. 1549 Helping Sick Americans Now Act (Lobbying activities related to opposing the use of the prevention fund as an offset for a temporary high risk health insurance pool program) Senate Labor-HHS-Education Appropriations bill (Lobbying activities related to funding tobacco prevention and cessation programs) Issues Tobacco tax increase of $0.94 proposed by President Obama in his budget. Prevention and Public Health Fund (Lobbying activities related to maintaining the Prevention Fund) Lobbying activities related to the prevention of tobacco products smuggling Tobacco Taxes (Lobbying activities related to equalizing taxes on tobacco products and increasing taxes on all tobacco products) Affordable Care Act (Lobbying activities related to clarifying the smoking cessation provisions of the Act) International Trade (Lobbying activities related to international trade agreements that may limit national sovereignty to regulate tobacco products, including the Trans-Pacific Partnership)

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

S.452, Medicare Diabetes Prevention Act - Discussed bill with Senate. Discussed draft language on senior mental health with Senate HELP Committee staff. (no bill) Discussed Medicare Reform (no bill) Discussed Age Rating in the ACA and rate shock. (no bill)Lobbied on preserving funding for the ACA; defended meaningful use of the ACA. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) H.R. 1099, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund, is an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 1416/H.R. 2645 (112th Congress), Medigap Medical Loss Ratio Improvement Act of 2011. Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) Discussed dual eligibles. (no bill)Discussed inviting FTC to participate in a webinar on how they are and can be engaged on state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed Medicare and Social Security programs. (no bill) Lobbied against cuts to the health care prevention fund. (no bill) Discussed deficit reduction issues dealing with Medicare and Medicaid including concerns over increasing Medicare's age of eligibility, chained CPI, payroll tax holiday extension, and cuts to Medicaid. (no bill) Discussed Affordable Care Medicaid expansion issues. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicaid reform, Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed Medicaid expansion implementation, as included in the ACA (P.L. 111-140). Discussed Medicaid including concerns over cuts to Medicaid. (no bill) Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations and other CMS demonstration initiatives. (no bill) H.R. 8/PL 112-240 of 2012, American Taxpayer Relief Act - Discussed the establishment of the Commission on Long-Term Care and process related to the Commission. Discussed Senate amendment 99 to H.R. 933, the Consolidated and Further Continuing Appropriations Act (PL 113-6). Also made changes to Commission on Long-Term Care. Discussed implementation of the Affordable Care Act, its provisions and H.R. 95 to repeal the Patient Protection and Affordable Care Act. H. R. 933, Consolidated and Further Continuing Appropriations Act, 2013 - Lobbied to protect vital health and social services programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. S. Con. Res. 8/ H.Con. Res. 25, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. H.R. 1549, Helping Sick Americans Now Act - Discussed cuts to the health care prevention fund. The Labor, Health and Human Services Appropriations Act, 2014 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. (no bill) Discussed Affordable Care Act Medicaid expansion issues, including questions related to the use of premium assistance authority to expand Medicaid. (no bill) Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill)

Client expense: $2,460,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Council on Disability, Natl Highway Traffic Safety Administration (NHTSA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

HR 1549 Helping Sick Americans Now Act (all sections of full text)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 452 and HR 962, the Medicare Diabetes Prevention Act. H.R. 1074/S. 539. H.R. 1915/S. 907. H.R. 1549. H.R. 45. H.R. 1099. H.R. 1249, the Common Sense Nutrition Disclosure Act. H.R. 2178/S. 1033, the Fitness Integrated in Teaching (FIT) Kids Act. H.R. 1783, the School Food Modernization Act. H.R. 2343, the Healthy Food Financing Initiative. H.R. 1947, the Federal Agriculture Reform and Risk Management Act/S. 954, the Agriculture Reform, Food and Jobs Act. H.R. 2433.S 452 and HR 962, the Medicare Diabetes Prevention Act. Support entire bill providing for Medicare Coverage of National Diabetes Prevention Program. H.R. 1074/S. 539, the National Diabetes Clinical Care Commission Act. Support entire bill; establishes the National Diabetes Clinical Care Commission within the Department of Health and Human Services which is charged with evaluating federal programs that support appropriate clinical care for people with prediabetes and diabetes and providing recommendations on how to better coordinate and leverage program resources. H.R. 1915/S. 907, the Gestational Diabetes Act of 2013. Support entire bill; provides funding for the establishment of a tracking and surveillance system at the Centers for Disease Control and Prevention and provides grant funding for public health research on gestational diabetes. H.R. 1549, the Helping Sick Americans Act. Oppose entire bill; transfers funding from the Prevention and Public Health Fund to carry out the temporary high risk health insurance pool program. H.R. 45. Oppose entire bill; repeals the Patient Protection and Affordable Care Act. H.R. 1099. Oppose entire bill; repeals the Prevention and Public Health Fund established by the Patient Protection and Affordable Care Act. H.R. 1249, the Common Sense Nutrition Disclosure Act. Oppose entire bill; makes exemptions to nutrition labeling in chain restaurants as required by the Patient Protection and Affordable Care Act. H.R. 2178/S. 1033, the Fitness Integrated in Teaching (FIT) Kids Act. Support entire bill; requires states to report on and reach physical education benchmarks; and requires training of physical education teachers and school administrators; physical education curriculum; and dedicated school space for physical education and physical activity. H.R. 1783, the School Food Modernization Act. Support entire bill, provides loan guarantees and grants for schools to improve their facilities in order to prepare and serve healthier meals. H.R. 2343, the Healthy Food Financing Initiative. Support entire bill; to provide financing to expand or improve supermarkets, grocery stores and other retail food options in underserved areas in order to make healthier food options available. H.R. 1947, the Federal Agriculture Reform and Risk Management Act/S. 954, the Agriculture Reform, Food and Jobs Act (the Farm Bill). Support Healthy Food Financing Provision, to provide financing to expand or improve supermarkets, grocery stores and other retail food options in underserved areas in order to make healthier food options available. H.R. 2433, the Stem Cell Research Advancement Act. Support entire bill; to codify the Obama Administration guidelines regarding human stem cell research, including human embryonic stem cell research, and for other purposes. Issues worked on the Hill not yet reflected in legislation: Health Disparities Past support for entire Eliminating Disparities in Diabetes Prevention, Access and Care Act, which would expand resources at NIH, CDC, and HRSA to promote research, treatment, and education regarding diabetes in minority populations. In 113th Congress support similar, but updated legislative proposal to reduce the burden of diabetes related disparities. Also follow the Health Equity and Accountability Act, disparities legislation likely to be introduced by the TriCouncil, for possible support. United States Preventive Services Task Forcesupport any efforts to require the USPSTF to update its recommendation for diabetes screening including gestational diabetes screening based on new evidence. Seek support for nomination of Dr. Elbert Huang to serve on the USPSTF.National Nutrition Standardseducate Congress about the need for strong, science-based national nutrition standards for foods sold outside of the school meal program related to USDA proposed regulation. Special Diabetes Program educate Congress on the good work the program is doing in research and prevention and the need to reauthorize this program.

Client expense: $194,000 · Firm income: Not reported

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

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; and community-based public health interventions. 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148)1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Middle Class Tax Relief and Job Promotion Act (H.R. 3630) 3.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 4.Implementation of Pandemic and All-Hazards Preparedness Act (Public Law 109-417) 5.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 6.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 7.Delivering Antimicrobial Transparency in Animals Act of 2013 (H.R. 820) 8.Animal Drug and Animal Generic Drug User Fee Act (S. 622/H.R.___) 9.Healthier Lifestyles and Prevention America Act (S. 39) 10.Promoting Health as Youth Skills in Classrooms and Life Act (S. 392) 11.Medicare Diabetes Prevention Act (S. 452/H.R. 962) 12.Personal Health Investment Today Act (H.R. 956) 13.A bill to provide for a sequester replacement (S. 16) 14.American Family Economic Protection Act of 2013 (S. 388) 15.Consolidated and Further Continuing Appropriations Act, 2013 (H.R. 933) 16.Regulations From the Executive in Need of Scrutiny Act of 2013 (S. 15 / H.R. 367) 17.To repeal the Prevention and Public Health Fund (H.R. 1099) 18.Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (Public Law 113-5) 19.National Diabetes Clinical Care Commission Act (H.R. 1074/S. 539) 20.Physical Activity Guidelines for Americans Act (S. 531) 21.Firearm Safety and Public Health Research Act (H.R. 321) 22.Helping Sick Americans Now Act (H.R. 1549) 23.Energy Consumers Relief Act (H.R. 1582) 24.Common Sense Nutrition Disclosure Act (H.R. 1249) 25.Improve Nutrition Program Integrity and Deficit Reduction Act (S. 458/H.R. 1510) 26.A bill to amend the Food and Nutrition Act of 2008 to improve the supplemental nutrition assistance program (S. 762/H.R. 1657) 27.Agriculture Reform, Food, and Jobs Act (S. 954/H.R. 2498) 28.Federal Agriculture Reform and Risk Management Act (H.R. 1947) 29.FIT Kids Act (S. 1033/H.R. 2178) 30.Strengthening Americas Schools Act (S. 840) 31.Access to Quality Diabetes Education Act (S. 945/H.R. 1274) 32.Fit to Serve Act (S. 976) 33.Climate Change Health Protection and Promotion Act (H.R. 2023) 34.Treat and Reduce Obesity Act (S. 1184 / H.R. 2415) 35.Student Success Act (H.R. 5) 36.To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act (H.R. 45) 37.Medicare Better Health Rewards Program Act (S. 1228/H.R. 2524) 38.Senate FY14 Labor, Health and Human Services, and Education Bill 39.House of Representatives FY14 Labor, Health and Human Services, and Education Bill 40.Pharmacy Compounding Quality and Accountability Act (S. 959) 41.Safeguarding Americas Pharmaceuticals Act (H.R. 1919) 42.Drug Supply Chain Security Act (S. 957) 43.Preservation of Antibiotics for Medical Treatment Act (H.R. 1150)/Preventing Antibiotic Resistance Act of 2013 (S. 1256) 44.Healthy Families Act (H.R. 1286/S. 631)

Client expense: $38,700 · Firm income: Not reported

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

Authority for Mandate Delay Act (H.R.2667) Draft Guidance on Laboratory Developed Tests (FDA) Draft Research Priorities (PCORI) EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2011 (H.R.3144)Fairness for American Families Act (H.R.2668) Health Risk Assessments in Medicare Comments (CDC) Health Risk Assessments in Medicare Comments (CDC) Interest Rate Reduction Act (H.R.4628/S.2366) and other legislation using Prevention Fund to offset student loans Josh Miller Helping Everyone Access Responsive Treatment in Schools (HEARTS) Act (H.R.1377) Menu Labeling (ACA Section 4205) No Child Left Inside Act of 2013 (H.R.2702) Patient Protection and Affordable Care Act (P.L. 111-148; P.L. 111-152) - Implementation Physical Activity Guidelines for Americans Act (S.531 & H.R.2179) Prevention and Public Health Fund (ACA Section 4002) Proposed rule on Community Health Needs Assessment Requirements for Charitable Hospitals (IRS) Proposed rule on Medicaid Essential Health Benefits (CMS) Proposed rule on Minimum Value of Employer Health Coverage (IRS) Proposed rule on Multi-State Plans Program (OPM) Proposed rule on Workplace Wellness Programs (HHS-Labor) Request for Comments Surgeon General's Report on Walking The HELPAmerica Act (S.39) The Helping Sick Americans Now Act (H.R.1549) The Personal Health Investment Today Act (H.R. 956) The Sensible School Lunch Act (S.247) The Stopping Taxpayer Outlays for Propaganda Act (H.R.1572)

Client expense: $132,605 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

Oppose efforts to repeal or weaken the Affordable Care Act Support Medicare Diabetes Prevention Act Comments to the Internal Revenue Service on the proposed rule: Shared Responsibility for Employers Regarding Health Coverage Support for the Prevention and Public Health FundComments to the Internal Revenue Service on the proposed rule: Shared Responsibility for Employers Regarding Health Coverage Comments to the Centers for Medicare and Medicaid Services on the notice of proposed rulemaking on insurer and employer coverage of contraceptive service Comments to the Centers for Medicare and Medicaid Services on the proposed rule on standards for Navigators and non-Navigator assistance personnel Comments to the Internal Revenue Service on the proposed rule outlining Community Health Needs Assessment standards Support of the Medicare Diabetes Prevention Act of 2013 Oppose H.R. 1549, the Helping Sick Americans Now Act, legislation that would divert $4 billion from the Prevention and Public Health Fund Support for adquate funding for preparedness programs authorized under the Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 Support for funding CDC's Advanced Molecular Detection and Response to Infectious Disease Outbreaks (AMD) initiative as proposed in the president's FY 2014 budget proposal Opposition of the District of Columbia Pain-Capable Unborn Child Protection Act Support for lifting age restrictions on emergency contraception products Support for the Senate Pharmaceutical Compounding Quality and Accountability Act Support for Fitness Integrated with Teaching Kids Act Opposition to the Pain-Capable Unborn Child Protection Act

Client expense: $423,156 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Council on Environmental Quality (CEQ), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Office of Management & Budget (OMB), Office of the Vice President of the United States, SENATE, White House Office

S.CON.RES.8: To establish a deficit-neutral reserve fund to sunset the provision of Patient Protection and Affordable Care Act that increases payments to hospitals in a few states by reducing payments to the majority of State through the Medicare hospital wage index; S 24: Small Business Health Relief Ac of 2013; S 351: Protecting Seniors Access to Medicare Act of 2013; S 399: American Job Protection Act;S.AMDT.409: To establish a deficit-neutral reserve fund to sunset the provision of Patient Protection and Affordable Care Act that increases paymnts to hospitals in a few sates by reducing payments to the majority of States through the Medicare hospital wage index; S 482: Health Insurance Rate Review Act; S 603: Jobs and Premium Protection Act; S 610: Family Health Care Flexibility Act; S 650: Access to Independent Health Insurance Advisors Act of 2013; S 701: Forty Hours is Full Time Act; S 764: Patients Right to Know Act of 2013; S 1188: Forty Hours is Full Time Act of 2013; HR 81: To amend subtitle B of title 1 of the Patient Protectin and Affordable Care Act to extend the temporary high-risk insurance pool program to the territories; HR 105: Reclaiming Individual Liberty Act; H.RES.175: Providing for consideration of the bill (H.R. 1549) to amend Public Law 111-148 to transfer fiscal year 2013 through fiscal year 2016 funds from the Prevention and Public Health Fund to carry out the temporary high risk health insurance pool program for individuals with preexisting conditions, and to extend access to such program to such individuals who have had credible coverage during the 6 months prior to application for coverage through such program; HR 261 Public Option Deficit Reduction Act; HR 344: Competitive Health Insurance Act; HR 544: Letting Insurance Benefit Everyone Regardless of Their Youth (LIBERTY) Act; HR 582: Healthcare Tax Relief of Mandate Repeal Act; HR 607: To delay until 2016 provisions of the Patient Protection and Affordable Care Act scheduled to take effect in 2014 or 2015 and to delay the application of sequestration until 2014; HR 675: Part-Time Worker Bill of Rights Act of 2013; HR 762: Health Care Choice Act of 2013; HR 763: To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act; HR 779: Access to Insurance for All Americans Act; HR 903: American Job Protection Act; HR 1019: Health Insurance Rate Review Act; HR 1076: To amend the Patient Protection and Affordable Care Act to provide for savings to the Federal Government by permitting pass-through funding for State authorized public entity health benefits pools; HR 1140: Family Friendly HSA Improvement Act of 2013; HR 1200: American Health Secuirty Act of 2013; HR 1205: Patients Right to Know Act; HR 1239: Accessing Medicare Therapies Act of 2013; HR 1248: Family Health Care Flexibility Act; HR 1254: Auto Enroll Repeal Act; HR 1342: Helping Save Americans Health Care Choices Act of 2013; HR 1549: Helping Sick Americans Now Act; HR 1558: Small Business Health Relief Act of 2013; HR 2328: Access to Professional Health Insurance Advisors Act of 2013; HR 2527: To amend title 38, United States Code, to provide veterans with counceling and treatment for sexual trauma that occurred during inactive duty training; HR 2575: To Save Americans Workers Act; HR 2577: To amend the Internal Revenue Code of 1986 to modify the definition of applicable larger employer purposes of the emoployer mandate in the Patient Protection and Affordable Care Act; HR 2667; Authority for Mandate Delay Act; HR 2668: Fairness for American Families Act;

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

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

HR 1549 regarding public health prevention fund

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

Government targets: Army, Dept of (Corps of Engineers), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, U.S. Fish & Wildlife Service (USFWS), U.S. Immigration & Customs Enforcement (ICE)

Supported all provisions: S.482, The Health Insurance Rate Review Act H.R. 1286/S. 631, The Healthy Families Act S. Amdt 1317 to S. 744, Taxpayer Eligibility for Federal ProgramsOpposed all Provisions: H.R. 2328, Access to Professional Health Insurance Advisors Act of 2013 S. Amdt 1248 to S. 744, Application of Waiting Periods for Purposes of PPACA H.R. 45, To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010. H.R. 1549, the Helping Sick Americans Now Act Supported Some Health Related Provisions and Opposed Some Health Related Provisions: S. 744, Border Security, Economic Opportunity, and Immigration Modernization Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Contacts in support of No Taxpayer Funding for Abortion Act (H.R. 7, S. 946), to codify government-wide policy against funding abortion. Contacts in support of the District of Columbia Pain-Capable Unborn Child Protection Act (S. 886) and the Pain-Capable Unborn Child Protection Act (H.R. 1797), to protect pain-capable unborn children beginning at 20 weeks fetal age. (continued)Contacts in support of Prenatal Nondiscrimination Act (PRENDA), to ban sex-selection abortions (S. 138, HR 447). In support of legislation to repeal Public Law 111-148 ("Obamacare"), H.R. 45. Contacts in support of certain revisions made in committee to "Helping Sick Americans Now Act" (H.R. 1549), legislation dealing with high-risk insurance pools; NRLC took no position for or against H.R. 1549 as a whole, as amended. Contacts in support of Child Interstate Abortion Notification Act (CIANA)(S. 369, HR 732), to require an abortionist to notify a parent before performing an abortion on a minor from a different state, with certain exceptions. Contacts in support of the Health Care Conscience Rights Act (HR 940, S. 1204), to prevent the imposition of regulatory mandates that violate the religious or moral convictions of those who purchase or provide health insurance, to prevent any level of government from discriminating against health care providers who decline to participate in abortions, and to empower victims to seek relief in court for violations of the federal conscience laws. Contacts in support of carry over abortion-related limitation provisions in FY 2014 appropriations bills, including Hyde Amendment in HHS appropriations bill, and comparable provisions in Homeland Security appropriations bill (H.R. 2217) and other FY 2014 appropriations bills not yet numbered. Contacts in support of the Homeland Security Respect for Life Act (H.R. 493), to prevent federal funding of abortion under programs within the Department of Homeland Security, with certain exceptions, and comparable limitation language to FY 2014 Homeland Security appropriations bill (section 563 of H.R. 2217). Contacts in support of S. 154/HR 346, to prevent coverage of abortion, with certain exceptions, in "multi-state" (national) health plans, created by PL 111-148, to be administered by the Office of Personnel Management, and comparable language in FY 2014 Financial Services appropriations bill (as yet unnumbered). Consultations regarding letters sent by to state attorneys general by House Judiciary Committee, seeking information on state laws pertaining to protection of newborn infants and related matters. Consultations regarding letters sent by House Energy & Commerce Committee to heads of state public health agencies posing certain questions relating to regulation of abortion. Consultations regarding possible legislative remedies for certain abuses associated with the abortion industry (including failure to protect rights of infants born alive during abortions), including but not limited to contacts in support of S. Res. 133 (Lee), expressing the sense of the Senate that Congress and the States "should investigate and correct abusive, unsanitary, and illegal abortion practices," and that "there is a compelling governmental interest in protecting the lives of unborn children beginning at least from the stage at which substantial medical evidence indicates that they are capable of feeling pain . . .". Contacts in opposition to S. Res. 134 (Blumenthal), a sham resolution contrived to obstruct S. Res. 133. Contacts in support of the Title X Abortion Provider Prohibition Act (HR 217/S. 135) and consultations regarding other legislative concepts relating to Title X. Contacts in opposition to legislation to empower Federal Trade Commission to harass or persecute pregnancy resource centers (H.R. 2030, S. 981).

Client expense: $89,222 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE