Medicare Diabetes Prevention Act of 2013

S. 452/H.R. 962, the Medicare Diabetes Prevention Act. H.R. 1915/S. 907, the Gestational Diabetes Act of 2013. H.R. 2178/S. 1033, the Fitness Integrated in Teaching (FIT) Kids Act. H.R. 2663/S. 1422, the Preventive Health Savings Act. H.R. 5294, the Health Equity and Accountability Act. S. 2210/H.R. 1783, the School Food Modernization Act.S. 452/H.R. 962, the Medicare Diabetes Prevention Act. Support entire bill; provides for Medicare coverage of National Diabetes Prevention Program. 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 CDC and provides grant funding for public health research on gestational diabetes. 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. 2663/S. 1422, the Preventive Health Savings Act. Support entire bill; requires the Director of the Congressional Budget Office, upon a request by the chairman or ranking minority member of certain congressional committees, to determine if proposed legislation would result in reductions in budget outlays in budgetary outyears through the use of preventive health and preventive health services. H.R. 5294, the Health Equity and Accountability Act. Support provisions addressing diabetes, including the Eliminating Disparities in Diabetes Prevention, Access and Care Act (sections 771-775) and the Gestational Diabetes Act (section 509). S. 2210/H.R. 1783, the School Food Modernization Act. Support entire bill; provides loans to schools to update kitchen equipment in order to prepare healthy foods for students. Issues worked on not yet reflected in legislation: The Physician Payments Sunshine Act (also called the Open Payments Program) of the Affordable Care Act. Requires manufacturers of drugs, medical devices and biologicals that participate in U.S. federal health care programs to report certain payments and items of value given to physicians and teaching hospitals. The Association would like to see the Centers for Medicare and Medicaid Services make an Open Payments Program reporting exemption for indirect payments made to voluntary health agencies (VHAs) in cases when an applicable manufacturer grants full and independent discretion to VHAs in selecting recipients for funding. 21st Century Cures Initiative. The initiative was convened by the House Energy and Commerce Committee to address ways to improve medical research and development and delivery of innovative new treatments and cures. The Committee is developing legislation and the Association is particularly interested in any provisions that may relate to medical research. Surgeon General of the United States: Support the confirmation of Dr. Vivek Murthy for the post of Surgeon General of the United States. Support Draft Recommendation for Screening for Type 2 diabetes released by the United States Preventive Services Task Force. The draft recommendation suggests screening for type 2 diabetes in adults with multiple risk factors.

Client expense: $128,000 · Firm income: Not reported

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

FY 2014 Omnibus HR 3547 FY 2014 Continuing Resolution H J Res 106 PL 113-73 FY 2014 Continuing Resolution H J Res 59 PL 113-67 HR 4302 SGR Patch Protecting Access to Medicare Act of 2014 - Public Law No: 113-93 In all of the above the specific issues included potential Medicare offsets that might be applied to prescription drugs HR 962/S 452 - Medicare Diabetes Prevention Act of 2013 HR 1257 Prevent Diabetes Medicare Act of 2013 HR 1274/S 945 Access to Quality Diabetes Education Act of 2013; HR 1588/ S 740 -- Medicare Drug Savings Act of 2013 HR 2415/ S 1184 - Treat and Reduce Obesity Act of 2013; HR 2663/S 1422 - Scoring of Preventive Health Savings Medicare diabetes screening and self management

Client expense: Not reported · Firm income: $27,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2014 Omnibus HR 3547 FY 2014 Continuing Resolution H J Res 106 PL 113-73 FY 2014 Continuing Resolution H J Res 59 PL 113-67 HR 4302 SGR Patch Protecting Access to Medicare Act of 2014 - Public Law No: 113-93 In all of the above the specific issues included potential Medicare offsets that might be applied to prescription drugs HR 962/S 452 Medicare Diabetes Prevention Act of 2013; HR 1257 - Prevent Diabetes in Medicare Act of 2013; HR 1247/S 945 - Access to Quality Diabetes Education Act of 2013; HR 2663/ S 1422 Scoring of Preventive Health Savings; and S 1284 - Department of Labor, Health and Human Services and Education and Related Agencies Appropriations Act of 2014, specifically NDPP funding HR 83 - Consolidated and Further Continuing Appropriations Act, 2015

Client expense: Not reported · Firm income: $27,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 962 and S. 452, the Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in Pub. L. 112-25, the Budget Control Act of 2011 and H.R. 8, the American Taxpayer Relief Act of 2012; H.R. 1588 and S. 740, the Medicare Drug Savings Act of 2013; H.R. 1257, the Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S. 945, the Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare); Medicare diabetes screening generally; diabetes screening recommendations under USPSTF.

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

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

Issues related to Medicare Part D and Medicaid rebates; H.R.962/S. 452, Medicare Diabetes Prevention Act of 2013.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in P.L. 112-25 Budget Control Act of 2011 and H.R. 8 American Taxpayer Relief Actof 2012; H.R. 1588 & S. 740 Medicare Drug Savings Act of 2013; H.R. 1257 Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S 945 Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare);Medicare diabetes screening generally; S. 1184 and H.R. 2415 Treat and Reduce Obesity Act of 2013 and obesity medication coverage generally; Diabesity amendment to S. 1871 SGR Repeal and Medicare Beneficiary Access; Physician Quality and Reporting System (PQRS)

Client expense: $280,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

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 and prescription drug abuse. 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148)2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Delivering Antimicrobial Transparency in Animals Act of 2013 (H.R. 820) 7.Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 8.Healthier Lifestyles and Prevention America Act (S. 39) 9.Promoting Health as Youth Skills in Classrooms and Life Act (S. 392/H.R. 2160) 10.Medicare Diabetes Prevention Act (S. 452/H.R. 962) 11.Personal Health Investment Today Act (H.R. 956) 12.A bill to provide for a sequester replacement (S. 16/S. 799) 13.American Family Economic Protection Act of 2013 (S. 388) 14.Consolidated and Further Continuing Appropriations Act, 2013 (H.R. 933/Public Law 113-6) 15.Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (Public Law 113-5) 16.National Diabetes Clinical Care Commission Act (H.R. 1074/S. 539) 17.Physical Activity Guidelines for Americans Act (S. 531/H.R. 2179) 18.Firearm Safety and Public Health Research Act (H.R. 321) 19.Energy Consumers Relief Act (S. 1363/H.R. 1582) 20.Common Sense Nutrition Disclosure Act (H.R. 1249/S. 1756) 21.Improve Nutrition Program Integrity and Deficit Reduction Act (S. 458/H.R. 1510) 22.A bill to amend the Food and Nutrition Act of 2008 to improve the supplemental nutrition assistance program (S. 762/H.R. 1657) 23.Agriculture Reform, Food, and Jobs Act (S. 954/H.R. 2498) 24.Federal Agriculture Reform and Risk Management Act (H.R. 1947) 25.FIT Kids Act (S. 1033/H.R. 2178) 26.Strengthening Americas Schools Act (S. 1094) 27.Access to Quality Diabetes Education Act (S. 945/H.R. 1274) 28.Fit to Serve Act (S. 976) 29.Climate Change Health Protection and Promotion Act (H.R. 2023/S. 2864) 30.Treat and Reduce Obesity Act (S. 1184 / H.R. 2415) 31.Student Success Act (H.R. 5) 32.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) 33.Medicare Better Health Rewards Program Act (S. 1228/H.R. 2524) 34.Senate FY14 Labor, Health and Human Services, and Education Bill (S. 1284) 35.House of Representatives FY14 Labor, Health and Human Services, and Education Bill 36.Pharmacy Compounding Quality and Accountability Act (S. 959) 37.Safeguarding Americas Pharmaceuticals Act (H.R. 1919) 38.Implementation of Drug Supply Chain Security Act (P.L. 113-54) 39.Preservation of Antibiotics for Medical Treatment Act (H.R. 1150)/Preventing Antibiotic Resistance Act of 2013 (S. 1256) 40.Healthy Families Act (H.R. 1286/S. 631) 41.FY2014 Continuing Resolution (H.J. Res. 59) 42.Pharmaceutical Quality, Security and Accountability Act (S. 959) 43.Energy Consumers Relief Act (S. 1363/H.R. 1582) 44.Increasing the Safety of Prescription Drug Use Act (S. 1657) 45.National Energy Tax Repeal Act (S. 1324) 46.Saving Coal Jobs Act of 2013 (S. 1514/H.R. 5077) 47.Community Parks Revitalization Act (H.R. 2424) 48.A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings (S. 1422/H.R. 2663) 49.School-based Health Centers Program Reauthorization Act of 2013 (H.R. 2632) 50.Nutrition Reform and Work Opportunity Act (H.R. 3102) 51.Health Equity and Accountability Act (H.R. 5294) 52.Secure America for Education (SAFE) in Our Schools Act of 2013 (H.R. 3158) 53.Continuing Appropriations Resolution, 2014 (H.J. Res 59) 54.Continuing Resolution FY 2014 (HR 2775, PL 113-46) 55.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) 56.The Farm Bill (S. (S. 954/H.R. 2498; H.R. 1947, and H.R. 3102, Public Law 113-79) 57.Better Care, Lower Cost Act (S. 1932/H.R. 3890) 58.Antibiotic Development to Advance Patient Treatment Act of 2013 (ADAPT Act) (H.R. 3742) 59.The Consolidated Appropriations Act of 2014 (H.R. 3547/Public Law 113-76 60.Strategies to Address Antimicrobial Resistance (STAAR) Act (S. 2236/H.R. 2285) 61.New Opportunities for Bicycling and Pedestrian Infrastructure Financing Act of 2014 (H.R. 3978) 62.Eliminating Disparities in Diabetes Prevention, Access, and Care Act (H.R. 3322) 63.Electricity Security and Affordability Act (S. 1905/H.R. 3826) 64.Stop Overdose Stat Act (HR 4169) 65.Overdose Prevention Act (S 2755) 66.Opioid Overdose Reduction Act (S. 2092/H.R. 4288) 67.Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms Act of 2014 (DISARM Act) (H.R. 4187) 68.Child Care and Development Block Grant Act of 2014 (S. 1086) 69.Departments of Labor, Health and Human Services and Education And Related Agencies Fiscal Year 2015 Appropriations Bill (including H.R. 5464) 70.Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2015 (S. 2389 / H.R. 4800) 71.Department of the Interior, Environment, and Related Agencies appropriations legislation, 2015 (including H.R. 5171) 72.MAP-21 Reauthorization Act (S. 2322) 73.Stop Subsidizing Childhood Obesity Act (S. 2342/H.R. 2831) 74.ENRICH Act (H.R. 4427) 75.Healthy Kids Outdoors Act of 2014 (S. 2367/H.R. 4706) 76.Summer Meals Act of 2014 (S. 2527/HR. 5012) 77.Long-Term SCORE Act (H.R. 4444) 78.American Cures Act (S. 2115/H.R. 4384) 79.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) 80.Fit for Life Act of 2014 (H.R.4765) 81.School Food Modernization Act (S. 2210/H.R. 1783) 82.Protecting Children from Electronic Cigarette Advertising Act of 2014 (S. 2014/H.R. 4325) 83.Pedestrian Safety Act of 2014 (S. 2284) 84.Safe Streets Act of 2014 (S. 2004/H.R. 2468) 85.The Recovery Enhancement for Addiction Treatment Act (S. 2645) 86.FY 2015 Financial Services and General Government Appropriations bill, in support of an appropriation for the National Alliance for Model State Drug Laws (including H.R. 5016) 87.Vector-Borne Disease Research Accountability and Transparency Act (H.R. 4701) 88.Highway and Transportation Funding Act of 2014 (H.R. 5021/Public Law 113-520) 89.Full-Service Community Schools Act of 2014 (H.R. 5168) 90.PREPARE Act of 2014 (H.R. 5314) 91.Waters of the United States Regulatory Overreach Protection Act of 2014 (S. 2496/H.R. 5078) 92.American Energy Solutions for Lower Costs and More American Jobs Act (H.R.

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)

Issues related to Medicare Part D and Medicaid rebates; H.R.962/S. 452, Medicare Diabetes Prevention Act of 2013.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 452/H.R. 962, the Medicare Diabetes Prevention Act. H.R. 1915/S. 907, the Gestational Diabetes Act of 2013. H.R. 2178/S. 1033, the Fitness Integrated in Teaching (FIT) Kids Act. H.R. 2663/S. 1422, the Preventive Health Savings Act. H.R. 3322, the Eliminating Disparities in Diabetes Prevention, Access and Care Act. S. 1932, the Better Care, Lower Cost Act. H.R. 5294, the Health Equity and Accountability Act. S. 2210/H.R. 1783, the School Food Modernization Act.S. 452/H.R. 962, the Medicare Diabetes Prevention Act. Support entire bill; provides for Medicare coverage of National Diabetes Prevention Program. 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 CDC and provides grant funding for public health research on gestational diabetes. 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. 2663/S. 1422, the Preventive Health Savings Act. Support entire bill; requires the Director of the Congressional Budget Office, upon a request by the chairman or ranking minority member of certain congressional committees, to determine if proposed legislation would result in reductions in budget outlays in budgetary outyears through the use of preventive health and preventive health services. H.R. 3322, the Eliminating Disparities in Diabetes Prevention, Access and Care Act. Support entire bill; expands resources at NIH, CDC, the Health Resources and Services Administration, and the Indian Health Service to promote research, treatment and education regarding diabetes in minority populations. S. 1932, the Better Care, Lower Cost Act. Support part of bill; establishes a Medicare Better Care Program to provide integrated care for Medicare beneficiaries with chronic conditions, and for other purposes. H.R. 5294, the Health Equity and Accountability Act. Support provisions addressing diabetes, including the Eliminating Disparities in Diabetes Prevention, Access and Care Act (sections 771-775) and the Gestational Diabetes Act (section 509). S. 2210/H.R. 1783, the School Food Modernization Act. Support entire bill; provides loans to schools to update kitchen equipment in order to prepare healthy foods for students. Issues worked on the Hill not yet reflected in legislation: Special Diabetes Program. The Special Diabetes Program consists of two mandatory funding streams Special Diabetes Program for type 1 and Special Diabetes Program for Indians. The funding is set to expire September 30, 2015 unless Congress acts to reauthorize the program. United States Preventive Services Task Force (USPSTF). Support any efforts to require the USPSTF to update its recommendation for diabetes screening, including gestational diabetes screening, based on new evidence. The Physician Payments Sunshine Act (also called the Open Payments Program) of the Affordable Care Act. Requires manufacturers of drugs, medical devices and biologicals that participate in U.S. federal health care programs to report certain payments and items of value given to physicians and teaching hospitals. The Association would like to see the Centers for Medicare and Medicaid Services make an Open Payments Program reporting exemption for indirect payments made to voluntary health agencies (VHAs) in cases when an applicable manufacturer grants full and independent discretion to VHAs in selecting recipients for funding.

Client expense: $123,000 · Firm income: Not reported

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

Implementation of P.L. 111-148, The Patient Protection and Affordable Care Act; Title III- Improving the Quality and Efficiency of Health Care; S. 452/H.R. 962, The Medicare Diabetes Prevention Act of 2013; S. 351/H.R. 351, Protecting Seniors Access to Medicare Act of 2013; H.R. 241/S. 1184. Treat and Reduce Obesity Act- All provisions; H.R. 2663, To Amend the Congressional Budget Act Respecting Scoring of Prevention Health Savings- All Provisions; H.R. 4015/S.2000, The SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions.

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

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

H.R. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in P.L. 112-25 Budget Control Act of 2011 and H.R. 8 American Taxpayer Relief Act of 2012; H.R. 1588 & S. 740 Medicare Drug Savings Act of 2013; H.R. 1257 Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S 945 Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare);Medicare diabetes screening generally; S. 1184 and H.R. 2415 Treat and Reduce Obesity Act of 2013; Physician Quality and Reporting System (PQRS). Diabesity amendment to S. 1871 SGR Repeal and Medicare Beneficiary Access.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

FY 2014 Omnibus HR 3547 FY 2014 Continuing Resolution H J Res 106 PL 113-73 FY 2014 Continuing Resolution H J Res 59 PL 113-67 HR 4302 SGR Patch Protecting Access to Medicare Act of 2014 - Public Law No: 113-93 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/no Senate companion yet HJ Res 124 Continuing Appropriations Resolution, 2015 In all of the above the specific issues included potential Medicare offsets that might be applied to prescription drugs HR 962/S 452 Medicare Diabetes Prevention Act of 2013; HR 1257 - Prevent Diabetes in Medicare Act of 2013; HR 1247/S 945 - Access to Quality Diabetes Education Act of 2013; HR 2663/ S 1422 Scoring of Preventive Health Savings; and S 1284 - Department of Labor, Health and Human Services and Education and Related Agencies Appropriations Act of 2014, specifically NDPP funding

Client expense: Not reported · Firm income: $27,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2014 Omnibus HR 3547 FY 2014 Continuing Resolution H J Res 106 PL 113-73 FY 2014 Continuing Resolution H J Res 59 PL 113-67 HR 4302 SGR Patch Protecting Access to Medicare Act of 2014 - Public Law No: 113-93 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/no Senate companion yet, HJ Res 124 Continuing Appropriations Resolution, 2015 In all of the above the specific issues included potential Medicare offsets that might be applied to prescription drugs HR 962/S 452 - Medicare Diabetes Prevention Act of 2013 HR 1257 Prevent Diabetes Medicare Act of 2013 HR 1274/S 945 Access to Quality Diabetes Education Act of 2013; HR 1588/ S 740 -- Medicare Drug Savings Act of 2013 HR 2415/ S 1184 - Treat and Reduce Obesity Act of 2013; HR 2663/S 1422 - Scoring of Preventive Health Savings Medicare diabetes screening and self management

Client expense: Not reported · Firm income: $27,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 962 and S. 452, the Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in Pub. L. 112-25, the Budget Control Act of 2011 and H.R. 8, the American Taxpayer Relief Act of 2012; H.R. 1588 and S. 740, the Medicare Drug Savings Act of 2013; H.R. 1257, the Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S. 945, the Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare); Medicare diabetes screening generally; diabetes screening recommendations under USPSTF.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1179, Improving Access to Medicare Coverage Act of 2013, all provisions S. 569, Improving Access to Medicare Coverage Act of 2013, all provisions H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisionsH.R. 1180, Resident Physician Shortage Reduction Act of 2013, all provisions S. 577, Resident Physician Shortage Reduction Act of 2013, all provisions H.R. 962, Medicare Diabetes Prevention Act of 2013, all provisions S. 452, Medicare Diabetes Prevention Act of 2013, all provisions H.R. 4302, Protecting Access to Medicare Act of 2014, provisions relating to Physician Payment Reform/SGR Repeal S. 2501, Hospital Readmissions Program Accuracy and Accountability Act of 2014, all provisions S. 2694, Ensuring Access to Primary Care for Women & Children Act, all provisions S. 2552, Medicare Advantage Participant Bill of Rights Act of 2014, all provisions S. 1180, Medicare Data Access for Transparency and Accountability Act, all provisions H.R. 3698, Two-Midnight Rule Delay Act of 2013, all provisions H.R. 4282, Creating Access to Residency Education Act of 2014, all provisions H.R. 5481, To continue the use of a 3-month quarter EHR reporting period for health care providers to demonstrate meaningful use for 2015 under the Medicare and Medicaid EHR incentive payment programs, and for other purposes, all provisions Medicare program: Protecting Integrity in Medicare Act (PIMA) of 2014 Medicare program: Stop Scams Act Medicare program: Medicare Advantage Medicare program: Medicare Part D Medicare program: Medicare claims data release Medicare program: SGR Repeal Medicare program: Graduate Medical Education Medicare program: Sunshine Act (Open Payments Program) Notice of a New System of Records Medicare program: Electronic Health Records Meaningful Use Regulations/program flexibility Medicare program: ICD-10 Repeal Medicare program: CPT Medicare program: HIPAA Medicare program: RUC - Misvalued and Care Coordination Codes Medicare program: Local Coverage Determinations Medicare program: Physician payment and delivery reform Medicare program: Physician Compare Medicare program: Telemedicine and Medicare payment policy Medicare program: Practice Transformation Medicare program: In-Office Ancillary Services Exception Medicare program: Independent Payment Advisory Board (IPAB) Repeal Medicare program: Private Contracting Medicare program: New payment models/measuring quality performance Medicare program: Hospital short-stay issue Medicare program: Physician Consortium for Performance Improvement (PCPI) Medicare program: Recovery Audit Contractors Medicare program: Program Integrity Medicare program: Home health Medicare program: Funding for quality measure development Medicare program: Payment neutrality/hospital inpatient and outpatient sites Medicare program: Value-Based Modifier and Quality Resource Use Reports Medicare program: Laboratory Developed Tests - coding, coverage and payment Medicaid program: Medicaid expansion

Client expense: $4,230,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Natl Drug Control Policy (NDCP), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in P.L. 112-25 Budget Control Act of 2011 and H.R. 8 American Taxpayer Relief Actof 2012; H.R. 1588 & S. 740 Medicare Drug Savings Act of 2013; H.R. 1257 Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S 945 Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare);Medicare diabetes screening generally; S. 1184 and H.R. 2415 Treat and Reduce Obesity Act of 2013 and obesity medication coverage generally; Diabesity amendment to S. 1871 SGR Repeal and Medicare Beneficiary Access; Physician Quality and Reporting System (PQRS)

Client expense: $910,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

H.R. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in P.L. 112-25 Budget Control Act of 2011 and H.R. 8 American Taxpayer Relief Act of 2012; H.R. 1588 & S. 740 Medicare Drug Savings Act of 2013; H.R. 1257 Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S 945 Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare);Medicare diabetes screening generally.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to Medicare Part D and Medicaid rebates; H.R.962/S. 452, Medicare Diabetes Prevention Act of 2013; "Diabesity" amendment to S. 1871, SGR Repeal and Medicare Beneficiary Access.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 452/H.R. 962, the Medicare Diabetes Prevention Act., H.R. 1915/S. 907, the Gestational Diabetes Act of 2013, H.R. 2178/S. 1033, the Fitness Integrated in Teaching (FIT) Kids Act, H.R. 2343, the Healthy Food Financing Initiative, H.R. 2663/S. 1422, the Preventive Health Savings Act, H.R. 3322, Eliminating Disparities in Diabetes Prevention, H.R. 3591, Minority Diabetes Initiative Act, S. 1932, Better Care, Lower Cost Act. ( See next page for details).S. 452/H.R. 962, the Medicare Diabetes Prevention Act. Support entire bill providing for Medicare Coverage of National Diabetes Prevention Program. 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. 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. 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. 2663/S. 1422, the Preventive Health Savings Act. Support entire bill; to require the Director of the Congressional Budget Office (CBO), upon a request by the chairman or ranking minority member of certain congressional committees, to determine if proposed legislation would result in reductions in budget outlays in budgetary outyears through the use of preventive health and preventive health services. H.R. 3322, Eliminating Disparities in Diabetes Prevention, Access and Care Act. Support entire bill; expands resources at NIH, CDC, HRSA, and IHS to promote research, treatment, and education regarding diabetes in minority populations. H.R. 3591, Minority Diabetes Initiative Act. Support entire bill; provides grants for improved diabetes care for minority populations. S. 1932, Better Care, Lower Cost Act. Support part of bill; establishes a Medicare Better Care Program to provide integrated care for Medicare beneficiaries with chronic conditions, and for other purposes. Issues worked on the Hill not yet reflected in legislation: 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.

Client expense: $138,000 · Firm income: Not reported

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

H.R. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in P.L. 112-25 Budget Control Act of 2011 and H.R. 8 American Taxpayer Relief Act of 2012; H.R. 1588 & S. 740 Medicare Drug Savings Act of 2013; H.R. 1257 Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S 945 Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare);Medicare diabetes screening generally; S. 1184 and H.R. 2415 Treat and Reduce Obesity Act of 2013; Physician Quality and Reporting System (PQRS). Diabesity amendment to S. 1871 SGR Repeal and Medicare Beneficiary Access.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

Implementation of P.L. 111-148, The Patient Protection and Affordable Care Act; Title III - Improving the Quality and Efficiency of Health Care; S. 452/H.R. 962, The Medicare Diabetes Prevention Act of 2013; S. 351/H.R. 351, Protecting Senior's Access to Medicare Act of 2013; H.R. 2415/S. 1184. Treat and Reduce Obesity Act- All Provisions; H.R. 2663, To Amend the Congressional Budget Act Respecting Scoring of Prevention Health Savings - All Provisions; H.R. 4015/S.2000, The SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions.

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

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

FY 2014 Omnibus HR 3547 FY 2014 Continuing Resolution H J Res 106 PL 113-73 FY 2014 Continuing Resolution H J Res 59 PL 113-67 HR 4302 SGR Patch Protecting Access to Medicare Act of 2014 - Public Law No: 113-93 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/no Senate companion yet In all of the above the specific issues included potential Medicare offsets that might be applied to prescription drugs HR 962/S 452 Medicare Diabetes Prevention Act of 2013; HR 1257 - Prevent Diabetes in Medicare Act of 2013; HR 1247/S 945 - Access to Quality Diabetes Education Act of 2013; HR 2663/ S 1422 Scoring of Preventive Health Savings; and S 1284 - Department of Labor, Health and Human Services and Education and Related Agencies Appropriations Act of 2014, specifically NDPP funding

Client expense: Not reported · Firm income: $27,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2014 Omnibus HR 3547 FY 2014 Continuing Resolution H J Res 106 PL 113-73 FY 2014 Continuing Resolution H J Res 59 PL 113-67 HR 4302 SGR Patch Protecting Access to Medicare Act of 2014 - Public Law No: 113-93 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/no Senate companion yetIn all of the above the specific issues included potential Medicare offsets that might be applied to prescription drugs HR 962/S 452 - Medicare Diabetes Prevention Act of 2013 HR 1257 Prevent Diabetes Medicare Act of 2013 HR 1274/S 945 Access to Quality Diabetes Education Act of 2013; HR 1588/ S 740 -- Medicare Drug Savings Act of 2013 HR 2415/ S 1184 - Treat and Reduce Obesity Act of 2013; HR 2663/S 1422 - Scoring of Preventive Health Savings Medicare diabetes screening and self management

Client expense: Not reported · Firm income: $27,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2552, A bill to enhance beneficiary and provider protections and improve transparency in the Medicare Advantage market, and for other purposes, all provisions H.R. 1180, Resident Physician Shortage Reduction Act of 2013, all provisions S. 577, Resident Physician Shortage Reduction Act of 2013, all provisionsH.R. 1701, Cutting Costly Codes Act of 201, all provisions S. 972, Cutting Costly Codes Act of 2013, all provisions H.R. 1179, Improving Access to Medicare Coverage Act of 2013, all provisions S. 569, Improving Access to Medicare Coverage Act of 2013, all provisions H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions H.R. 962, Medicare Diabetes Prevention Act of 2013, all provisions S. 452, Medicare Diabetes Prevention Act of 2013, all provisions H.R. 1070, Removing Barriers to Colorectal Cancer Screening Act of 2013, all provisions S. 2348, Removing Barriers to Colorectal Cancer Screening Act of 2014, all provisions H.R. 3750, Telehealth Modernization Act of 2013, all provisions H.R. 3698, Two-Midnight Rule Delay Act of 2013, all provisions S. 1180, Medicare Data Access for Transparency and Accountability Act, all provisions H.R. 4188, Establishing Beneficiary Equity in the Hospital Readmission Program Act, all provisions S. 2501, Hospital Readmissions Program Accuracy and Accountability Act of 2014, all provisions H.R. 4302, Protecting Access to Medicare Act of 2014, provisions relating to the SGR patch Medicare program - Medicare Advantage Medicare program - SGR Repeal Medicare program - ICD-10 Repeal Medicare program - HIPAA (ICD-10, EFT) Medicare program - Physician payment and delivery reform issues Medicare program - Payment for short hospital stays Medicare program - Quality reporting penalty Medicare program - Independent Payment Advisory Board (IPAB) Medicare program - Medicare Patient Empowerment Act Medicare program - Funding for quality measure development Medicare program - Claims Data release Medicare program - Telemedicine Medicare program - Molecular diagnostics Medicare program - In-office Ancillary Services Exception Medicare program - Laboratory payments Medicare program - Graduate Medical Education Medicare program - Continuity of Care Medicare program - Coding Issues (Misvalued Codes and RUC Timeline) Medicare program - Current Procedural Terminology (CPT) Medicare program - Two-Midnight Rule Medicare program - Recovery Audit Contractors (RACs) Medicare program - Appeals backlog Medicare program - Program Integrity Medicare program - EHR Fraud Medicare program - Nursing home patients' access to Schedule II pain medication Medicare program - Physician identity theft Medicare program - Enrollment Medicare program - Grace period Medicare program - Exchanges Medicare program - Smart Cards Medicare program - Electronic Submission of Medical Documentation (esMD) Medicare program - Licensure Medicare program - Part D and Hospice Patients Medicare program - Physician Compare Medicare program - Conditions of Participation Medicare program - Quality resource use reports Medicare program - Physician Quality Reporting System (PQRS)Medicare program - Value-based modifier Medicare program - Narrow networks Medicare program - Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) survey Medicare and Medicaid programs - Meaningful Use of EHRs/Health Information Technology Medicare and Medicaid programs - Mental health care Medicaid program - Parity for primary care physician services

Client expense: $3,860,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Office of Natl Drug Control Policy (NDCP), President of the U.S., SENATE, Treasury, Dept of, U.S. Secret Service, White House Office

HR 962 / S 452 - Medicare Diabetes Prevention Act of 2013; HR 1074 / S 539 - National Diabetes Clinical Care Commission Act; HR 1257 - Preventing Diabetes in Medicare Act; HR 1274 / S 945 - Access to Quality Diabetes Education Act of 2013; S 557 - Medication Therapy Management Empowerment Act; HR 3322 - Eliminating Disparities in Diabetes Prevention, Access and cAre Act of 2013; HR 2845 / S 1935 - Diabetic Testing Supply Access of 2013/14; H.R. 3591 - Minority Diabetes Initiative Act; HR 2415 / S 1184 - Treat and Reduce Obesity Act of 2013; and S 596 - Fostering Independence Through Technology Act of 2013.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in P.L. 112-25 Budget Control Act of 2011 and H.R. 8 American Taxpayer Relief Actof 2012; H.R. 1588 & S. 740 Medicare Drug Savings Act of 2013; H.R. 1257 Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S 945 Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare);Medicare diabetes screening generally; S. 1184 and H.R. 2415 Treat and Reduce Obesity Act of 2013; Diabesity amendment to S. 1871 SGR Repeal and Medicare Beneficiary Access; Physician Quality and Reporting System (PQRS)

Client expense: $440,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

S. 2176, the Commonsense Reporting Act of 2014 H.R. 4414, the Expatriate Health Coverage Clarification Act of 2014 H.R. 3474, the Hire More Heroes Act of 2014 H.R. 1814, the EACH ActH.R. 3979, the Emergency Unemployment Compensation Extension Act of 2014 S. 1729, Expanded Consumer Choice Act S. 1333, Increased Competition for Consumers Act S. 2069, Small Business Tax Credit Accessibility Act S. 2173, CHOICE Act H.R. 2575, the Save American Workers of 2014 H.R. 4118, the SIMPLE Fairness Act S. 2461, the CHIP Extension Act of 2014 S. 2446, Truth in Obamacare Accounting Act H.R.4865 / S.2434, Family Coverage Act H.R. 4406, Taxpayer Bailout Protection Act H.R. 4438, American Research and Competitiveness Act of 2014 H.R. 4106, Saving Lives, Saving Costs Act S. 2229, the Expanding Primary Care Access and Workforce Act H.R. 2663 / S. 1422, the Preventive Health Savings Act H.R. 4574, Strengthening Mental Health in Our Communities Act of 2014 H.R.3717, Helping Families in Mental Health Crisis Act of 2013 H.R.4775 / S.2462, Safeguarding Classrooms Hurt by ObamaCare's Obligatory Levies H.R. 3303, Sensible Oversight for Technology Which Advances Regulatory Efficiency (SOFTWARE) Act S. 2007, Preventing Regulatory Overreach To Enhance Care Technology (PROTECT) Act of 2014 H.R. 1074/S. 539, the National Diabetes Clinical Care Commission Act H.R.962/S. 452, the Medicare Diabetes Prevention Act H.R. 1024/ S. 557 the Medication Therapy Management Empowerment H.R. 4444, the Long-Term Studies of Comprehensive Outcomes and Returns for the Economy (SCORE) Act

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. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in P.L. 112-25 Budget Control Act of 2011 and H.R. 8 American Taxpayer Relief Act of 2012; H.R. 1588 & S. 740 Medicare Drug Savings Act of 2013; H.R. 1257 Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S 945 Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare);Medicare diabetes screening generally.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of P.L. 111-148, The Patient Protection and Affordable Care Act; Title III - Improving the Quality and Efficiency of Health Care; S. 452/H.R. 962, The Medicare Diabetes Prevention Act of 2013; S. 351/H.R. 351, Protecting Senior's Access to Medicare Act of 2013; H.R. 2415/S. 1184. Treat and Reduce Obesity Act- All Provisions; H.R. 2663, To Amend the Congressional Budget Act Respecting Scoring of Prevention Health Savings - All Provisions; H.R. 4015/S.2000, The SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions.

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

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

H.R. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in P.L. 112-25 Budget Control Act of 2011 and H.R. 8 American Taxpayer Relief Act of 2012; H.R. 1588 & S. 740 Medicare Drug Savings Act of 2013; H.R. 1257 Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S 945 Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare);Medicare diabetes screening generally.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 452/H.R. 962, the Medicare Diabetes Prevention Act. H.R. 1915/S. 907, the Gestational Diabetes Act of 2013. 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. H.R. 2663/S. 1422, the Preventive Health Savings Act. H.R. 3322, H.R. 3591, S. 1932. See next page.S. 452/H.R. 962, the Medicare Diabetes Prevention Act. Support entire bill providing for Medicare Coverage of National Diabetes Prevention Program. 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. 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. 2663/S. 1422, the Preventive Health Savings Act. Support entire bill; to require the Director of the Congressional Budget Office (CBO), upon a request by the chairman or ranking minority member of certain congressional committees, to determine if proposed legislation would result in reductions in budget outlays in budgetary outyears through the use of preventive health and preventive health services H.R. 3322, Eliminating Disparities in Diabetes Prevention, Access and Care Act. Support entire bill; expands resources at NIH, CDC, HRSA, and IHS to promote research, treatment, and education regarding diabetes in minority populations. H.R. 3591, Minority Diabetes Initiative Act. Support entire bill; provides grants for improved diabetes care for minority populations. S. 1932, Better Care, Lower Cost Act. Support part of bill; establishes a Medicare Better Care Program to provide integrated care for Medicare beneficiaries with chronic conditions, and for other purposes. Issues worked on the Hill not yet reflected in legislation: 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. Support Surgeon General nominee Vivek Murthy. Special Diabetes Program educate Congress on the good work the program is doing in research and prevention and the need to reauthorize this program; Also support provision in the Senate Finance mark of the Sustainable Growth Rate which reauthorized the program for 5 years. Medicare Sustainable Growth Ratesupport efforts to include Medicare Diabetes Prevention Act and the Special Diabetes Program in moving legislation.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, 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) 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)

FY 2014 Omnibus HR 3547 FY 2014 Continuing Resolution H J Res 106 PL 113-73 FY 2014 Continuing Resolution H J Res 59 PL 113-67 HR 4302 SGR Patch Protecting Access to Medicare Act of 2014 - Public Law No: 113-93 In all of the above the specific issues included potential Medicare offsets that might be applied to prescription drugs HR 962/S 452 Medicare Diabetes Prevention Act of 2013; HR 1257 - Prevent Diabetes in Medicare Act of 2013; HR 1247/S 945 - Access to Quality Diabetes Education Act of 2013; HR 2663/ S 1422 Scoring of Preventive Health Savings; and S 1284 - Department of Labor, Health and Human Services and Education and Related Agencies Appropriations Act of 2014, specifically NDPP funding

Client expense: Not reported · Firm income: $27,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2014 Omnibus HR 3547 FY 2014 Continuing Resolution H J Res 106 PL 113-73 FY 2014 Continuing Resolution H J Res 59 PL 113-67 HR 4302 SGR Patch Protecting Access to Medicare Act of 2014 - Public Law No: 113-93 In all of the above the specific issues included potential Medicare offsets that might be applied to prescription drugs HR 962/S 452 - Medicare Diabetes Prevention Act of 2013 HR 1257 Prevent Diabetes Medicare Act of 2013 HR 1274/S 945 Access to Quality Diabetes Education Act of 2013; HR 1588/ S 740 -- Medicare Drug Savings Act of 2013 HR 2415/ S 1184 - Treat and Reduce Obesity Act of 2013; HR 2663/S 1422 - Scoring of Preventive Health Savings Medicare diabetes screening and self management

Client expense: Not reported · Firm income: $27,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in P.L. 112-25 Budget Control Act of 2011 and H.R. 8 American Taxpayer Relief Act of 2012; H.R. 1588 & S. 740 Medicare Drug Savings Act of 2013; H.R. 1257 Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S 945 Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare);Medicare diabetes screening generally; S. 1184 and H.R. 2415 Treat and Reduce Obesity Act of 2013; Physician Quality and Reporting System (PQRS). Diabesity amendment to S. 1871 SGR Repeal and Medicare Beneficiary Access.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE

H.R. 962 / S. 452 - Medicare Diabetes Prevention Act of 2013 H.R. 1074 / S. 539 - National Diabetes Clinical Care Commission Act H.R. 1257 - Preventing Diabetes in Medicare Act H.R. 1274 / S. 945 - Access to Quality Diabetes Education Act of 2013 S. 557 - Medication Therapy Management Empowerment Act H.R. 3322 - Eliminating Disparities in Diabetes Prevention, Access, and Care Act of 2013 H.R. 2845 / S. 1935 - Diabetic Testing Supply Access of 2013/14 H.R. 3591 - Minority Diabetes Initiative Act H.R. 2415 / S. 1184 - Treat and Reduce Obesity Act of 2013 S. 596 - Fostering Independence Through Technology Act of 2013 H.R. 2524 / S. 1228 - Medicare Better Health Rewards Program Act of 2013

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to Medicare Part D and Medicaid rebates; H.R.962/S. 452, Medicare Diabetes Prevention Act of 2013; "Diabesity" amendment to S. 1871, SGR Repeal and Medicare Beneficiary Access.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4015, "SGR Repeal and Medicare Provider Payment Modernization Act of 2014," all provisions S. 2000, "SGR Repeal and Medicare Provider Payment Modernization Act of 2014," all provisions H.R. 4302, "Protecting Access to Medicare Act of 2014," all provisions S. 2157, "Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014," all provisionsS. 2122, "Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014," all provisions S. 2110, "Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014," all provisions H.R. 2810, "Medicare Patient Access and Quality Improvement Act of 2013," all provisions S. 1871, "SGR Repeal and Medicare Beneficiary Access Act of 2013," all provisions S. 540, "Temporary Debt Limit Extension Act," all provisions H.R. 1180, "Resident Physician Shortage Reduction Act of 2013," all provisions S. 577, "Resident Physician Shortage Reduction Act of 2013," all provisions H.R. 1701, "Cutting Costly Codes Act of 2013," all provisions S. 972, "Cutting Costly Codes Act of 2013," all provisions H.R. 1179, "Improving Access to Medicare Coverage Act of 2013," all provisions S. 569, "Improving Access to Medicare Coverage Act of 2013," all provisions H.R. 1024, "Medication Therapy Management Empowerment Act of 2013," all provisions H.R. 4190, "To amend title XVIII of the Social Security Act to provide for coverage under the Medicare program of pharmacist services," all provisions H.R. 3890, "Better Care, Lower Cost Act," all provisions S. 1932, "Better Care, Lower Cost Act," all provisions H.R. 962, "Medicare Diabetes Prevention Act of 2013," all provisions S. 452, "Medicare Diabetes Prevention Act of 2013," all provisions H.R. 3698, "Two-Midnight Rule Delay Act of 2013," all provisions H.R. 3077, "TELEmedicine for MEDicare Act of 2013," all provisions Medicare program - Private Contracting Medicare program - Quality measure development Medicare program - Value-Based Modifier Medicare program - SGR Repeal Medicare program - Independent Payment Advisory Board (IPAB) repeal Medicare program - Relative Value Scale Update Committee (RUC) Medicare program - Claims data release Medicare program - Observation care/two midnights policy/site neutral inpatient/outpatient care Medicare program - Timing of annual payment changes Medicare program - Cost measures Medicare program - Quality and Resource Use Reports Medicare program - 2015 physician update Medicare program - Payment reform Medicare program - Impact of sequester cuts on physicians Medicare program - 90-day grace period Medicare program - Appeals backlog Medicare program - Molecular pathology diagnostics Medicare program - Alternative payment models Medicare program - Graduate Medical Education Medicare program - Diabetes Medicare program - In-office Ancillary Services Exception Medicare program - Recovery Audit Contractors (RACs) Medicare program - Consolidation of audits Medicare program - Program Integrity Medicare program - Exchanges Medicare program - Mopath Codes Medicare program - CPT Medicare program - Medicare Advantage Medicare program - Narrow networks Medicare and Medicaid programs - Electronic Health Records/Meaningful Use Regulations Medicare and Medicaid programs - ICD-10 Repeal Medicare and Medicaid programs - Mental health care

Client expense: $6,310,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Issues related to Medicare Part D and Medicaid rebates; H.R.962/S. 452, Medicare Diabetes Prevention Act of 2013; "Diabesity" amendment to S. 1871, SGR Repeal and Medicare Beneficiary Access.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in P.L. 112-25 Budget Control Act of 2011 and H.R. 8 American Taxpayer Relief Actof 2012; H.R. 1588 & S. 740 Medicare Drug Savings Act of 2013; H.R. 1257 Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S 945 Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare);Medicare diabetes screening generally; S. 1184 and H.R. 2415 Treat and Reduce Obesity Act of 2013; Diabesity amendment to S. 1871 SGR Repeal and Medicare Beneficiary Access; Physician Quality and Reporting System (PQRS)

Client expense: $710,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

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

S.236 / H.R. 1310 - Medicare Patient Empowerment Act of 2013 S. 755 Enhanced Access to Medicaid Services Act of 2013 S. 641 Palliative Care and Hospice Education and Training Act S. 452 Medicare Diabetes Prevention ActS. 2240 The Medicare Choices Empowerment and Protection Act S. 236 Medicare Patient Empowerment Act S. 2110, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1932/H.R. 3890 The Better Care, Lower Cost Act S. 2000/H.R. 4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 1871, SGR Repeal and Medicare Beneficiary Improvement Act of 2013 S. 1439 Care Planning Act of 2013 S. 1444 Medicare Access to Rural Anesthesiology Act of 2013 S. 1228 Medicare Better Health Rewards Program Act S. 1064 Medicare Mental Health Access Act IMPACT Act of 2014 (Improving Medicare Post-Acute Care Transformation Act of 2014) H.R. 4302, the Protecting Access to Medicare Act of 2014 H.R. 962 Medicare Diabetes Prevention Act H.R. 574 Medicare Physician Payment Innovation Act of 2013 H.R. 4160 - the "Keep the Promise to Seniors Act of 2014." H.R. 3392 Medicare Part D Patient Safety and Drug Abuse Prevention Act of 2013 H.R. 3077 TELEmedicine for MEDicare Act of 2013 (TELE-MED Act of 2013) 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. 2619 Medicare Repiratory Therapist Access Act of 2013 H.R. 1838 Enhanced Access to Medicaid Services Act of 2013 S. 2157, the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014

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. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in P.L. 112-25 Budget Control Act of 2011 and H.R. 8 American Taxpayer Relief Act of 2012; H.R. 1588 & S. 740 Medicare Drug Savings Act of 2013; H.R. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; H.R. 1257 Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare); Medicare diabetes screening generally.

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

Government targets: HOUSE OF REPRESENTATIVES, 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) 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)