Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013

S. 2157, the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 2019 Gabriella Miller Kids First Research Act H.R. 1037 Occupational Therapy in Mental Health Act H.R. 1178 Creating Access to Residency Education Act of 2013H.R. 1180 Resident Physician Shortage Reduction Act of 2013 H.R. 1201 Training Tomorrow's Doctors Act H.R. 1252 Physical Therapist Workforce and Patient Access Act of 2013 H.R. 1274 Access to Quality Diabetes Education Act of 2013 H.R. 1326 Health Care Price Transparency Promotion Act of 2013 H.R. 1339 Palliative Care and Hospice Education and Training Act H.R. 1427 Truth in Healthcare Marketing Act of 2013 H.R. 1790 Health IT Modernization for Underserved Communities Act of 2013 H.R. 1814 Equitable Access to Care and Health (EACH) Act H.R. 1821 Registered Nurse Safe Staffing Act of 2013 H.R. 1827 Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 1838 Enhanced Access to Medicaid Services Act of 2013 H.R. 1874 Pro-Growth Budgeting Act H.R. 1907 Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 H.R. 1976 Access to Certified Professional Midwives Act of 2013 H.R. 2131 Supplying Knowledge-based Immigrants and Lifting Levels of STEM (SKILLS) Visas Act of 2013 H.R. 235 Veteran Emergency Medical Technician Support Act of 2013 H.R. 2415 Treat and Reduce Obesity Act H.R. 244 Physician Availability Act of 2013 H.R. 2453 Medicare Beneficiary Preservation of Choice Act of 2013 H.R. 2484 Conrad State 30 and Physician Access Act H.R. 2619 Medicare Repiratory Therapist Access Act of 2013 H.R. 2651 Critical Care Assessment and Improvement Act of 2013 H.R. 2663 Preventive Health Savings Act H.R. 2801 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2810 Medicare Patient Access and Quality Improvement Act of 2013 H.R. 2843/S. 1180 Medicare Data Access for Transparency and Accountability Act H.R. 2867 Medicare Hospice Care Access Act of 2013 H.R. 2969 Medicare Patient Access to Hospice Act of 2013 H.R. 297 Children's Hospital GME Support Reauthorization Act of 2013 H.R. 2986 Protecting Access to Primary Care Act H.R. 3077 TELEmedicine for MEDicare Act of 2013 or TELE-MED Act of 2013 H.R. 3120 Comprehensive Dental Reform Act of 2013 H.R. 3303 Sensible Oversight for Technology which Advances Regulatory Efficiency (SOFTWARE) Act H.R. 3306 Telehealth Enhancement Act of 2013 H.R. 3362, Exchange Information Disclosure Act H.R. 3392 Medicare Part D Patient Safety and Drug Abuse Prevention Act of 2013 H.R. 3474 Hire More Heroes Act of 2013 H.R. 3507 21st Century Care for Military and Veterans Act H.R. 3717, the Helping Families in Mental Health Crisis Act of 2013 H.R. 3811, Health Exchange Security and Transparency Act H.R. 3979 Protecting Volunteer Firefighters and Emergency Responders Act of 2014 H.R. 4106, Barr-Bera Saving Lives, Saving Costs Act H.R. 4118, The SIMPLE Fairness Act H.R. 4160 - the "Keep the Promise to Seniors Act of 2014." H.R. 4177: a bill to amend the Internal Revenue Code of 1986 to Allow Medicare beneficiaries participating in a Medicare Advantage MSA to contribute their own money to their MSA. H.R. 4180: a bill to amend the Internal Revenue Code of 1986 to permit rollovers from health savings accounts to Medicare Advantage MSAs H.R. 4196: Seniors' Fairness Act of 2014H.R. 4201: Seniors' Rights to Know Act H.R. 487 Primary Care Workforce Access Improvement Act of 2013 H.R. 574 Medicare Physician Payment Innovation Act of 2013 H.R. 7, No Taxpayer Funding for Abortion Act H.R. 794 To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R. 962 Medicare Diabetes Prevention Act H.R. 2575, the "Save American Workers Act of 2014," H.R. 4064, FAIR ACT of 2014 H.R. 4302, the Protecting Access to Medicare Act of 2014 H.RES.356 A resolution recognizing that access to hospitals and other health care providers for patients in rural areas of the United States is essential to the survival and success of communities in the United States. H.R.1024 The Medication Therapy Management Empowerment Act IMPACT Act of 2014 (Improving Medicare Post-Acute Care Transformation Act of 2014) S. 1060 Veterans to Paramedics Transition Act S. 1061 Veterans Access to Care Act S. 1064 Medicare Mental Health Access Act S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act S. 1152 Building a Health Care Workforce for the Future Act S. 1184 Treat and Reduce Obesity Act S. 1193 Data Security and Breach Notification Act of 2013 S. 1228 Medicare Better Health Rewards Program Act S. 1422 Preventive Health Savings Act S. 1439 Care Planning Act of 2013 S. 1444 Medicare Access to Rural Anesthesiology Act of 2013 S. 1445 National Health Service Corps Improvement Act of 2013 S. 1475 National Nurse Act of 2013 S. 1517 Behavioral Health Information Technology Act of 2013 S. 1522 Comprehensive Dental Reform Act of 2013 S. 1557 Children's Hospital GME Support Reauthorization Act of 2013 S. 1685 Behavioral Health Information Technology Coordination Act of 2013 S. 1729 - Expanded Consumer Choice Act S. 1758 Quality Data, Quality Healthcare Act of 2013 S. 1871, SGR Repeal and Medicare Beneficiary Improvement Act of 2013 S. 2000/H.R. 4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2007, Preventing Regulatory Overreach To Enhance Care Technology Act of 2014 (PROTECT Act) S. 2110, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2166 Treating Families Fairly Act S. 2168 amends the definition from 50 100 employees for the purposes of the employer mandate S. 2173 the CHOICE Act S. 2175 Enhancing Access to Agents and Brokers Act S. 2240 The Medicare Choices Empowerment and Protection Act S. 236 Medicare Patient Empowerment Act S. 328 Strengthening Rural Access to Emergency Services Act S. 382 A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs.S. 452 Medicare Diabetes Prevention Act S. 557 The Medication Therapy Management Empowerment Act S. 577 The Resident Physician Shortage Reduction Act of 2013 S. 602 Physical Therapist Workforce and Patient Access Act of 2013 S. 616 Conrad State 30 and Physician Access Act S. 641 Palliative Care and Hospice Education and Training Act S. 739 National Nursing Shortage Reform and Patient Advocacy Act S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act S. 755 Enhanced Access to Medicaid Services Act of 2013 S. 945 Access to Quality Diabetes Education Act of 2013 S.1067 Innovation Inspiration School Grant Program Act S.1897 Personal Data Privacy and Security Act of 2014 S.1927 The Data Security Act of 2014 S.1932/H.R. 3890 The Better Care, Lower Cost Act S.1976 Data Security and Breach Notification Act of 2014 S.1995 Personal Data Protection and Breach Accountability Act S.2106, FAIR Act of 2014 S.236 / H.R. 1310 - Medicare Patient Empowerment Act of 2013 S.577 Resident Physician Shortage Reduction Act of 2013 S.RES.26 A resolution recognizing that access to hospitals and other health care providers for patients in rural areas of the United States is essential to the survival and success of communities in the United States.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 676: Single-payer issues H.R. 1907: Nurse Staffing Standards for Patient Safety and Quality Car Act of 2013 Hospital companies' impacts on patients and nurses Health care policy, generally

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L 111-148, Patient Protection and Affordable Care Act: implementation, state exchanges, provisions affecting multiemployer health plans, Healthcare.gov launch, employer reporting, premium tax credits, fees, transitional reinsurance fee Preservation of the income tax exclusion for employer-provided benefits Preservation of Medicare: Medicare eligibility age cost-sharing requirementsP.L. 111-152, Health Care and Education Reconciliation Act of 210: implementation H.R 1907, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013: provisions related to required nurse-to-patient ratios and protections for workers in nursing S. 739, National Nurse Shortage Reform and Patient Advocacy Act: provisions related to required nurse-to-patient ratios and protections for workers in nursing H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013

Client expense: $800,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Export-Import Bank of the United States (EXIM Bank), Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Security Council (NSC), Occupational Safety & Health Administration (OSHA), Office of the Vice President of the United States, Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

P.L 111-148, Patient Protection and Affordable Care Act: implementation, state exchanges, provisions affecting multiemployer health plans, Healthcare.gov launch, employer reporting, premium tax credits, fees, transitional reinsurance fee Preservation of the income tax exclusion for employer-provided benefits Preservation of Medicare: Medicare eligibility age cost-sharing requirementsP.L. 111-152, Health Care and Education Reconciliation Act of 210: implementation H.R 1907, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013: provisions related to required nurse-to-patient ratios and protections for workers in nursing S. 739, National Nurse Shortage Reform and Patient Advocacy Act: provisions related to required nurse-to-patient ratios and protections for workers in nursing H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013

Client expense: $800,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Export-Import Bank of the United States (EXIM Bank), Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Security Council (NSC), Occupational Safety & Health Administration (OSHA), Office of the Vice President of the United States, Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 676; single-payer issues H.R. 1907: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 Hospital companies' impacts on patients and nurses Health care policy, generally

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 676; single-payer issues H.R. 1907: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 Hospital companies' impacts on patient and nurses. Health care policy, generally

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 676; single-payer issues H.R. 1907: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 Hospital companies impacts on patients and nurses. Health care policy, generally

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1907/S.739: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 H.R. 676: The Expanded & Improved Medicare for All Act; single payer issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L 111-148, Patient Protection and Affordable Care Act: implementation, state exchanges, provisions affecting multiemployer health plans, Healthcare.gov launch, employer reporting, premium tax credits, fees, transitional reinsurance fee Preservation of the income tax exclusion for employer-provided benefits Preservation of Medicare: Medicare eligibility age cost-sharing requirementsP.L. 111-152, Health Care and Education Reconciliation Act of 210: implementation H.R 1907, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013: provisions related to required nurse-to-patient ratios and protections for workers in nursing S. 739, National Nurse Shortage Reform and Patient Advocacy Act: provisions related to required nurse-to-patient ratios and protections for workers in nursing H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013

Client expense: $800,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Export-Import Bank of the United States (EXIM Bank), Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Security Council (NSC), Occupational Safety & Health Administration (OSHA), Office of the Vice President of the United States, Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

P.L 111-148, Patient Protection and Affordable Care Act: implementation, state exchanges, provisions affecting multiemployer health plans, Healthcare.gov launch, employer reporting, premium tax credits, fees, transitional reinsurance fee Preservation of the income tax exclusion for employer-provided benefits Preservation of Medicare: Medicare eligibility age cost-sharing requirementsP.L. 111-152, Health Care and Education Reconciliation Act of 210: implementation H.R 1907, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013: provisions related to required nurse-to-patient ratios and protections for workers in nursing S. 739, National Nurse Shortage Reform and Patient Advocacy Act: provisions related to required nurse-to-patient ratios and protections for workers in nursing H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013

Client expense: $800,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Export-Import Bank of the United States (EXIM Bank), Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Security Council (NSC), Occupational Safety & Health Administration (OSHA), Office of the Vice President of the United States, Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Lobbied for advance appropriations for VA health care to shield most employees during in anticipation of furloughs. Lobbied on Veterans Benefits Continuing Appropriations Resolution to fund benefits paid to veterans and personnel costs for processing disability payments, GI Bill, education training, and VA home loans.HR 813/S 932 - to extend advance appropriations to benefits, cemeteries, and other VA operations to further stabilize VA operations and staffing. HR 1907 - the Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013. HR 2765 - to extend veterans' preference rights to over 80,000 VA health care employees (both Hybrid Title 38 and Pure Title 38). HR 813/ S 932, Putting Veterans Funding First Act of 2013 to expand advance appropriations to the rest of the VA budget, beyond health care. S 928, Claims Processing Improvement Act of 2013 - lobbying to establish a working group to improve work credit and work management systems of the Veterans Benefits Administration and mandate of additional help to veterans to secure federal records. Continue lobbying efforts on legislation to: --Provide and expand title 38 bargaining rights; --Provide VA Canteen Service employees with Title 5 rights to appeal terminations. --Request for oversight of VA health care personnel issues, including recruitment and retention of VA physicians and registered nurses.

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

H.R.2775 Continuing Appropriations Act, 2014 H.J. Res 59 Bipartisan Budget Act of 2013 H.R. 2810 The Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3077 TELE-MED Act of 2013H.R. 3303 Sensible Oversight for Technology which Advances Regulatory Efficiency (SOFTWARE) Act H.R. 2725 FDA Safety Over Sequestration Act H.R. 3204 Drug Quality and Security Act H.R. 2651 Critical Care Assessment and Improvement Act of 2013 S. 1439 Care Planning Act of 2013 S. 1193 Data Security and Breach Notification Act of 2013 S.1927 The Data Security Act of 2014 H.R. 3696 National Cybersecurity and Critical Infrastructure Protection Act of 2013 H.R. 3811 Healthcare Exchange Security and Transparency Act of 2014 S.1897 Personal Data Privacy and Security Act of 2014 H.R. 1326 Health Care Price Transparency Promotion Act of 2013 H.R. 2651 Critical Care Assessment and Improvement Act of 2013 H.R. 2843 Medicare Data Access for Transparency and Accountability Act S. 1180 Medicare Data Access for Transparency and Accountability Act S. 1758 Quality Data, Quality Healthcare Act of 2013 H.R.3367 To amend section 9010 of the Patient Protection and Affordable Care Act to delay the application of the health insurance provider annual fee until 2016 and to provide a process to return to consumers any amounts attributable to the expected application of the annual fee to 2014 or 2015 H.R. 1037 Occupational Therapy in Mental Health Act H.R. 3120 Comprehensive Dental Reform Act of 2013 H.R. 3306 Telehealth Enhancement Act of 2013 H.R. 3507 21st Century Care for Military and Veterans Act H.R. 487 Primary Care Workforce Access Improvement Act of 2013 H.R. 574 Medicare Physician Payment Innovation Act of 2013 H.R. 1180 Resident Physician Shortage Reduction Act of 2013 H.R. 1201 Training Tomorrow's Doctors Act H.R. 1252 Physical Therapist Workforce and Patient Access Act of 2013 H.R. 1274 Access to Quality Diabetes Education Act of 2013 H.R. 1339 Palliative Care and Hospice Education and Training Act H.R. 1427 Truth in Healthcare Marketing Act of 2013 H.R. 1790 Health IT Modernization for Underserved Communities Act of 2013 H.R. 1821 Registered Nurse Safe Staffing Act of 2013 H.R. 1827 Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 1838 Enhanced Access to Medicaid Services Act of 2013 H.R. 1907 Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 H.R. 1976 Access to Certified Professional Midwives Act of 2013 H.R. 2131 Supplying Knowledge-based Immigrants and Lifting Levels of STEM (SKILLS) Visas Act of 2013 H.R. 235 Veteran Emergency Medical Technician Support Act of 2013 H.R. 244 Physician Availability Act of 2013 H.R. 2484 Conrad State 30 and Physician Access Act H.R. 2619 Medicare Repiratory Therapist Access Act of 2013 H.R. 2801 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2867 Medicare Hospice Care Access Act of 2013 H.R. 2969 Medicare Patient Access to Hospice Act of 2013 H.R. 297 Children's Hospital GME Support Reauthorization Act of 2013 H.R. 2986 Protecting Access to Primary Care ActH.R. 794 To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. S. 1060 Veterans to Paramedics Transition Act S. 1061 Veterans Access to Care Act S. 1064 Medicare Mental Health Access Act S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act S. 1152 Building a Health Care Workforce for the Future Act S. 1444 Medicare Access to Rural Anesthesiology Act of 2013 S. 1445 National Health Service Corps Improvement Act of 2013 S. 1475 National Nurse Act of 2013 S. 1517 Behavioral Health Information Technology Act of 2013 S. 1522 Comprehensive Dental Reform Act of 2013 S. 1557 Children's Hospital GME Support Reauthorization Act of 2013 S. 1685 Behavioral Health Information Technology Coordination Act of 2013 S. 236 Medicare Patient Empowerment Act S. 328 Strengthening Rural Access to Emergency Services Act S. 382 A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S. 602 Physical Therapist Workforce and Patient Access Act of 2013 S. 616 Conrad State 30 and Physician Access Act S. 641 Palliative Care and Hospice Education and Training Act S. 739 National Nursing Shortage Reform and Patient Advocacy Act S. 755 Enhanced Access to Medicaid Services Act of 2013 S. 945 Access to Quality Diabetes Education Act of 2013 S.577 Resident Physician Shortage Reduction Act of 2013 S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act H.R. 2663 Preventive Health Savings Act S. 1422 Preventive Health Savings Act S. 1228 Medicare Better Health Rewards Program Act S. 1184 Treat and Reduce Obesity Act H.R. 2415 Treat and Reduce Obesity Act H.R. 2810 Medicare Patient Access and Quality Improvement Act H.R. 2642 Federal Agriculture Reform and Risk Management (FARRM) Act S. 954 Agriculture Reform, Food and Jobs Act

H.R.1907/S.739 -- Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 H.R. 676 -- The Expanded & Improved Medicare For All Act; single payer issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1907/S.739 -- Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 H.R. 676 -- The Expanded & Improved Medicare For All Act; single payer issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1907; S. 739 -- Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 Safe Patient Handling

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

Government targets: HOUSE OF REPRESENTATIVES, Occupational Safety & Health Administration (OSHA), SENATE

S.739/H.R.1907 -- Nurse Staffing Ratios

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied for advance appropriations for VA health care to shield most employees during in anticipation of furloughs. Lobbied on Veterans Benefits Continuing Appropriations Resolution to fund benefits paid to veterans and personnel costs for processing disability payments, GI Bill, education training, and VA home loans.HR 813/S 932 - to extend advance appropriations to benefits, cemeteries, and other VA operations to further stabilize VA operations and staffing. HR 1907 - the Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013. HR 2765 - to extend veterans' preference rights to over 80,000 VA health care employees (both Hybrid Title 38 and Pure Title 38). HR 813/ S 932, Putting Veterans Funding First Act of 2013 to expand advance appropriations to the rest of the VA budget, beyond health care. S 928, Claims Processing Improvement Act of 2013 - lobbying to establish a working group to improve work credit and work management systems of the Veterans Benefits Administration and mandate of additional help to veterans to secure federal records. Continue lobbying efforts on legislation to: --Provide and expand title 38 bargaining rights; --Provide VA Canteen Service employees with Title 5 rights to appeal terminations. --Request for oversight of VA health care personnel issues, including recruitment and retention of VA physicians and registered nurses.

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

P.L 111-148, Patient Protection and Affordable Care Act: implementation of individual mandate, state exchanges, provisions affecting multiemployer health plans, Health care.gov launch, employer reporting, premium tax credits, fees Preservation of the income tax exclusion for employer-provided benefits Preservation of Medicare: Medicare eligibility age cost-sharing requirementsTaft Hartley Health Plans S. 408, Medicare Prescription Drugs Savings Act of 2013 H.R 928, Medicare Prescription Drugs Savings Act of 2013 H.R 261, Public Option Deficit Reduction Act P.L. 111-152, Health Care and Education Reconciliation Act of 2010: implementation H.R 1907, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013: provisions related to required nurse-to-patient ratios and protections for workers in nursing S. 739, National Nurse Shortage Reform and Patient Advocacy Act: provisions related to required nurse-to-patient ratios and protections for workers in nursing Affordable Care Act: premium tax credits Medicaid: premium assistance Medicare Sustainable Growth Medicare physician fee system

Client expense: $1,040,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of the Vice President of the United States, Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

P.L 111-148, Patient Protection and Affordable Care Act: implementation of individual mandate, state exchanges, medical loss Preservation of the income tax exclusion for employer-provided healthcare benefits Preservation of Medicare: Medicare eligibility age cost-sharing requirements Taft Hartley Health PlansACA Implementation: conference call with agencies S. 408, Medicare Prescription Druge Savings Act of 2013 H.R 928, Medicare Prescription Druge Savings Act of 2013 H.R 261, Public Option Deficit Reduction Act H.R1406, Working Families Flexibility Act of 2013: FLSA, home health care regs, comp time P.L. 111-152, Health Care and Education Reconciliation Act of 2010: implementation H.R 1907, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013: provisions related to required nurse-to-patient ratios and protections for workers in nursing S. 739, National Nurse Shortage Reform and Patient Advocacy Act: provisions related to required nurse-to-patient ratios and protections for workers in nursing H.R 1200, American Health Security Act of 2013: provisions related to providing universal health care coverage S. 1198, Medicare Fair Share Act of 2013: provisions related to incoming-relating premiums for Medicare beneficiaries H.R 982, Furthering Asbestos Claim Transparency (FACT) Act of 2013 Affordable Care Act: premium tax credits, multi-state plans Wellness Programs Proposed Rule: call with OMB

Client expense: $1,080,000 · Firm income: Not reported

Improving Quality Home Care Proposals to reform/cut Medicare and Medicaid HR 1907 - Nurse Staffing Standards for Patient Safety and Quality Act of 2013 S 739 - National Nursing Shortage Reform and Patient Advocacy ActS.Res.128, H.Res.187 - Long-term Care Supports and Services Nomination of Marilyn Tavenner to the position of Administrator of CMS HR 2328 - ACA HR 45 - Repeal of ACA S 1028 - Older Americans Act reauthorization Federal Tax exclusion for employer-sponsored health insurance

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office