Patients First Act of 2003

S.1125 - "Fairness in Asbestos Injury Resolution Act of 2003" or "Fair Act of 2003" S.11 - "Patients First Act of 2003" J/R/5 - "Help Efficient, Accessible, Low Cost, Timely Health Care (Health Act of 2003)" S.274/H.R. 1115 - "Class Action Fairness Act of 2003" S. 1751 - "Class Action Fairness Act of 2003" S.2290 - "Fairness on Asbestos Injury Resolution Act of 2004" or "Fair Act of 2004"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1125 - "Fairness in Asbestos Injury Resolution Act of 2003" or "Fair Act of 2003" S.11 - "Patients First Act of 2003" J/R/5 - "Help Efficient, Accessible, Low Cost, Timely Health Care (Health Act of 2003" S.274/H.R. 1115 - "Class Action Fairness Act of 2003" S. 1751 - "Clas Action Fairness Act of 2003" S.2290 - "Fairness on Asbestos Injury Resolution Act of 2004" or "Fair Act of 2004"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1125 - "Fairness in Asbestos Injury Resolution Act of 2003" or "Fair act of 2003" S.11 - "Patients First Act of 2003" J/R/5 - "Help Efficient, Accessible, Low Cost, Timely Health Care (Health) Act of 2003" S.274/H.R. 1115 - "Class Action Fairness Act of 2003" S.1751 - "Class Action Fairness Act of 2003" S.2290 - "Fairness on Asbestos Injury Resolution Act of 2004" or "Fair Act of 2004"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1125 - "Fairness in Asbestos Injury Resolution Act of 2003" or "Fair Act of 2003" S.11 - "Patients First Act of 2003" J/R/5 - "Help efficient, Accessible, Low Cost, Timely Health Care (Health) Act of 2003" S.274/H.R. 1115 - "Class Action Fairness Act of 2003" S.1751 - "Class Action Fairness Act of 2003" S. 2290 - "Fairness on Asbestos Injury Resolution Act of 2004" or "Fair Act of 2004"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1125 - :Fairness in Asbestos Injury Resolution Act of 2003" or "Fair Act of 2003" S.11 - "Patients First Act of 2003" J/R/5 - "Help Efficient, Accessible, Low Cost, Timely Health Care (Health) Act of 2003" S. 274 / H.R. 1115 - "Class Action Fairness Act of 2003" S. 1751 - "Class action Fairness Act of 2003" S. 2290 - "Fairness on Asbestos Injury Resolution Act of 2004" or "Fair Act of 2004"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1125 - "Fairness in Asbestos Injury Resolution Act of 2003" or "Fair Act of 2003" S. 11 - "Patients First Act of 2003" J/R/5 - "Help Efficient, Accessible, Low Cost, Timely Health Care (Health) Act of 2003" S. 274 / H.R. 1115 - "Class Action Fairness Act of 2003" S. 1751 - "Class Action Fairness Act of 2003" S. 2290 - "Fairness on Asbestos Injury Resolution Act of 2004" or "Fair Act of 2004"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1125 - "Fairness in Asbestos Injury Resolution Act of 2003" or "Fair Act of 2003" S. 11 - "Patients First Act of 2003" J/R/5 - "Help Efficient, Accessible, Low Cost, Timely Health Care (Health) Act of 2003" S. 274 / H.R. 1115 - "Class Action Fairness Act of 2003" S. 1751 - "Class Action Fairness Act of 2003" S. 2290 - "Fairness on Asbestos Injury Resolution Act of 2004" or "Fair Act of 2004"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1125 - "Fairness in Asbestos Injury Resolution Act of 2003" or "Fair Act of 2003" S. 11 - "Patients First Act of 2003" J/R/5 - "Help Efficient, Accessible, Low Cost, Timely Health Care (Health) Act of 2003" S. 274 / H.R. 1115 - "Class Action fairness Act of 2003" S. 1751 - "Class Action Fairness Act of 2003" S. 2290 - "Fairness on Asbestos Injury Resolution Act of 2004" or "Fair Act of 2004"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1125 - "Fairness in Asbestos Injury Resolution Act of 2003" or "Fair Act of 2003" S.11 - "Patients First Act of 2003" J/R/5 - "Help Efficient, Accessible, Low Cost, Timely Health Care (Health) Act of 2003" S.274 / H.R.1115 - "Class Action Fairness Act of 2003" S.1751 - "Class Action Fairness Act of 2003" S.2290 - "Fairness on Asbestos Injury Resolution Act of 2004" or "Fair Act of 2004"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1125 - "Fairness in Asbestos Injury Resolution Act of 2003" or "Fair Act of 2003" S.11 - "Patients First Act of 2003" J/R/5 - "Help Efficient, Accessible, Low Cost, Timely Health Care (Health) Act of 2003" S.274 / H.R.1115 - "Class Action Fairness Act of 2003" S.1751 - "Class Action Fairness Act of 2003" S.2290 - "Fairness on Asbestos Injury Resolution Act of 2004" or "Fair Act of 2004"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1125 - "Fairness in Asbestos Injury Resolution Act of 2003" or "Fair Act of 2003" S. 11 - "Patients First Act of 2003" J/R/5 - "Help Efficient, Accessible, Low Cost, Timely Health Care (Health) Act of 2003" S. 274 / H.R. 1115 - "Class Action Fairness Act of 2003"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1751 - "Class Action Fairness Act of 2003" S.2290 - "Fairness in Asbestos Injury Resolution Act of 2004" OR "Fair Act of 2004" S.1125 - "Fairness in Asbestos Injury Resolution Act of 2003" OR "FAIR Act of 2003" S.11 - "Patients First Act of 2003" H.R.5 - "Help Efficient, Accessible, Low Cost, Timely Health Care (Health) Act of 2003" S274 / H.R. 1115 - "Class Action Fairness Act of 2003"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical liability (S.11, H.R.5); Association Health Plan Legislation (H.R.660, S.545); genetic nondiscrimination legislation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HEALTH Care Act, S. 1030, H.R. 2402 Support funding to expand existing public programs such as Medicaid and SCHIP to expand coverage for the uninsured, Family Care Act of 2003, S. 1843, Association Health Plans, Medical Savings Accounts, Pay for Performance,Healthcare Disparities, Smoking Prevention,H.R.4433. FY'04-05 Appropriations and budget resolutions (Labor/HHS/Education, VA Research and Medical Care Funding,Bioterrorism)H.R.2660,H.R.2673. Healthcare Anti-trust Improvement Act of 2003,H.R.1120 Patient Safety and Quality Improvement,S.720,H.R.663 National Health Information Infrastructure Act,H.R.2915 Medical Liability,HEALTH Act also Patients First,S.11,H.R.5 Geriatric Care Act(Assessment and Coordination) H.R.102,S.387 College Loan Assistance Act of 2003,H.R.2505 Higher Education Affordability Act(H.R.3412) Improved Vaccine Affordability and Availability Act, S.754 Smallpox Emergency Personnel Protection Act of 2003,P-L108,S.719 Implementation of HIPAA

Client expense: $1,060,000 · Firm income: Not reported

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

S. 11: “Medical Malpractice Liability Bill” Legislation to protect patients' access to quality and affordable health care by reducing the effects of excessive liability costs. S. 607, H.R. 5, H. Res. 139: “HEALTH Act of 2003” Legislation to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. S. 1518: “Reliable Medical Justice Act” Legislation to restore reliability to the medical justice system by fostering alternatives to current medical tort litigation, and for other purposes. Discussions with FDA regarding role of FDA in preempting conflicting state law; impact on tort reform debate.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

S. 306, A bill to prohibit discrimination on the basis of genetic information with respect to health insurance and employment. HR 2596, MSAS Health Savings Acct. HR 660 Assn Health Plans. S 1929, Mental Health Parity Extension. S 486, Sen Paul Wellstone Mental Health Parity Extension S 1450 FSA Rollovers Flexible Sprening Accts HR 3901 HR 4372 HR 4520 (S 1637) S 1974 HR 2427 S 2307 S 2328, S 2493 HR 4759 S 2207 HR 4628 S 1945 HR 4279 HR 4372 HR 4280 HR 5 S 11 S 2061 HR 4281 HR 663/S 720 HR 3722 S 486 HR 853 S 1637 HR 4520 S 2572 HR 4694 HR 1818

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health issues included medical liability legislation (H.R.5, S.11) and legislation to address subrogation issues (no bills introduced).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Appropriations Issuses for Veterans Administration,AHRQ,NIH,CDC. Issuses related to proposed reform of the A.W.P. drug pricing methodology. S.11 Patients First Act of 2003 Physician Reimbursement Patient Safety The Arthrits Prevention,Control & Cure Act The Medicare Osteoporosis Measuement Act of 2003

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

S 1125 Fairness in Asbestos Injury Resolution Act of 2003 S 11 Patients First Act of 2003 HR 5 Help Efficient Accessible Low Cost Timely Health Care Act of 2003 s 274/HR 1115 Class Action Fairness Act of 2003

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 1125 Fairness in Asbestos Injury Resolution Act of 2003. S 11 Patients First Act of 2003. HR 5 Help Efficient Accessible Low Cost Timely Health Care Act of 2003. S 274/HR 1115 Class Action Fairness Act of 2003.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 720, Patient Safety and Quality Improvement Act; H.R. 663 Patient Safety and Quaility Improvement Act; S. 11, Patients First Act; S. 1278/H.R. 2507, Conquering Pain Act; programs and legislation that promotes access to health care.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1 Medicare Prescription Drug Act and Modernization S 11 Patients First Act HR 5 Help Effiecient, Accessible, Low Cost, Timely Healthcare Act S1 Prescription Drug and Medicare Improvement AND the inclusion of parts of all of these bills in other legislation

Client expense: $150,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Export-Import Bank of the United States (EXIM Bank), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Overseas Private Investment Corp (OPIC), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade & Development Agency (USTDA), U.S. Trade Representative (USTR), White House Office

HEALTH Care Act, S. 1030, H.R. 2402 Support funding to expand existing public programs such as Medicaid and SCHIP to expand coverage for the uninsured, Family Care Act of 2003, S. 1843, Smoking Preventions,H.R.4433. FY ’03-’04 and FY'04-05' Appropriations and budget resolutions (Labor/HHS/Education, VA Research and Medical Care Funding, Bioterrorism)H.R.2660,H.R.2673. Healthcare Anti-trust Improvement Act of 2003,H.R.1120 Patient Safety and Quality Improvement, S.720,H.R.663 National Health Information Infrastructure Act, H.R.2915 Medical Liability, HEALTH Act also Patients First,S.11.H.R.5 Geriatric Care Act (Assessment and Coordination)H.R.102,S.387 College Loan Assistance Act of 2003, H.R.2505 Higher Education Affordability Act (H.R.3412) Improved Vaccine Affordiabilty and Availability Act,S.754 Smallpox Emergency Personnel Protection Act of 2003,P-L108,S.719 Project Bioshield Act of 2003,S.15 Implementation of HIPAA

Client expense: $1,060,000 · Firm income: Not reported

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

P.L.108-214-Medical Devices Technical Corrections Act (Public Law to make technical corrections relating to the amendments made by the Medical Device User Fee and Modernization Act of 2002 and to prohibit FDA from arbitrarily raising medical device user fees.) S.15-Project BioShield Act of 2004 H.R.3266-Faster and Smarter Funding for First Responders Act of 2004 H.R.2122-Project BioShield Act of 2003 (Bills to enhance, research, development, procurement, and use of biomedical countermeasures to respond to public health threats affecting national security.) H.R.663/S.720-Patient Safety and Quality Improvement Act (Bills to reduce the number of health care mistakes by defining a new voluntary medical error reporting system.) H.R.3658/S.1909-The Stroke Treatment and Ongoing Prevention Act (To strengthen education, prevention, and treatment programs relating to stroke.) H.R.4280/H.R.5-Medical Malpractice Liability Limitation (HEALTH) Act of 2004 S.11-Patients First Act of 2003 (Bills to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system.) S.2061-Healthy Mothers and Healthy Babies Access to Care Act of 2003 S.2207-Pregnancy and Trauma Care Access Protection Act of 2004 (Bills to improve women's health access to health care services and provide improved medical care by reducing excessive burden the liability system places on the delivery of obstetrical and gynecological services.) S.Con.Res.80/H.Con.Res.324-Concurrent Resolutions urging Japan to honor its commitments under the 1986 Market-Oriented Sector-Selective (MOSS) Agreement on Medical Equipment and Pharmaceuticals, and for other purposes.) (Concurrent Resolutions providing that medical technology has driven dynamic productivity gains for the benefit of patients, providers, employers, and our economy.) P.L.108-286-United States-Australia Free Trade Agreement Implementation Act (Public Law to approve the U.S.-Australia Free Trade Agreement entered into with the Government of Australia, and the statement of administrative action proposed to implement the Agreement.) H.R.4281-Small Business Health Fairness Act of 2004 (Bill to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees.)

Client expense: $2,900,000 · Firm income: Not reported

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

AHPs: S545 & HR660 "Small Business Health Fairness Act of 2003"; BCBSA Uninsured Proposal (No Bill); Uninsured issues; Patient Safety: S720 "Medical Safety Bill" and HR877 "Patient Safety Improvement Act of 2003"; Medical Malpractice: HR5 "Malpractice Liability Bill" and S11 "Medical Malpractice Liability Bill"; Genetic Nondiscrimination; HIPAA Privacy Issues; Health IT Issues; Federal Insurance Regulation; TAA: Amendment to FSC/ETI Bill; HSAs: HR3901 "Amend IRS Code of 1986 to allow a deduction for premiums for high deductible plans required with respect to health savings accounts" and Treasury HSA Regulatory Guidance; BCBS Plan Reserves; S486 "Senator Paul Wellstone Mental Health Equitable Treatment Act of 2003"; Genetic Nondiscrimination: S1053 "Genetic Information Nondiscrimination Act of 2003"; Patients' Bill of Rights; SEHBP - Small Employer Health Benefits Plan proposals; FEHBP Cost Accounting Standards; HR3751 and S2657 "Federal Employee Dental and Vision Benefits Enhancement Act of 2004"; and HSAs in FEHBP.

Client expense: $2,900,000 · Firm income: Not reported

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

Appropriations for Veterans Administration, AHRQ,NIH,CDC. Issuses related to proposed reform of the A.W.P. drug pricing methodology. S.11 Patients First Act of 2003 Physician Reimbursement Patient Safety The Arthrits Prevention,Control & Cure Act The Medicare Osteoporosis Measurement Act of 2003

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

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

AHPs: S545 & HR660 "Small Business Health Fairness Act of 2003"; BCBSA Uninsured Proposal (No Bill); Uninsured issues; Medical Malpractice: HR5 "Malpractice Liability Bill" and S11 "Medical Malpractice Liability Bill"

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 11: “Medical Malpractice Liability Bill” Legislation to protect patients' access to quality and affordable health care by reducing the effects of excessive liability costs. S. 607, H.R. 5, H. Res. 139: “HEALTH Act of 2003” Legislation to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. S. 1518: “Reliable Medical Justice Act” Legislation to restore reliability to the medical justice system by fostering alternatives to current medical tort litigation, and for other purposes. Discussions with FDA regarding role of FDA in preempting conflicting state law; impact on tort reform debate.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

S. 11: “Medical Malpractice Liability Bill” Legislation to protect patients' access to quality and affordable health care by reducing the effects of excessive liability costs. S. 607, H.R. 5, H. Res. 139: “HEALTH Act of 2003” Legislation to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system. S. 1518: “Reliable Medical Justice Act” Legislation to restore reliability to the medical justice system by fostering alternatives to current medical tort litigation, and for other purposes. Discussions with FDA regarding role of FDA in preempting conflicting state law; impact on tort reform debate.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

Medical liability (S.11, H.R.5); Association Health Plan Legislation (H.R.660, S.545); genetic nondiscrimination legislation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 720, Patient Safety and Quality Improvement Act; H.R. 663, Patient Safety and Quality Improvement Act; S. 11, Patients First Act of 2003; HR 663, Patient Safety and Quality Improvement Act; HR 1116, Medical Malpractice Insurance and Litigation Reform Act; S. 1278 & HR 2507, Conquering Pain Act of 2003; Programs and legislation that promotes access to health care for those who are uninsured.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 1125 Fairness in Asbestos Injury Resolution Act of 2003 S 11 Patients First Act of 2003 HR 5 Help Efficient Accessible Low Cost Timely Health Care Act of 2003 s 274/HR 1115 Class Action Fairness Act of 2003

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 1125 Fairness in Asbestos Injury Resolution Act of 2003. S 11 Patients First Act of 2003. HR 5 Help Efficient Accessible Low Cost Timely Health Care Act of 2003. S 274/HR 1115 Class Action Fairness Act of 2003.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 11, Patients First Act of 2003; HR 663, Patient Safety and Quality Improvement Act; HR 1116, Medical Malpractice Insurance and Litigation Reform Act; S. 1278 & HR 2507, Conquering Pain Act of 2003; Programs and legislation that promotes more health care access for individuals who are uninsured; Establishment of Critical Access Clinics under Public Health Act.

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

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

S. 11, Patients First Act of 2003 S. 607, Help Efficient, Accessible, Low-Cost, Timely Healthcare Act of 2003 H.R. 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2003

Client expense: $3,475,000 · Firm income: Not reported

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

Health issues include medical liability legislation (H.R.5, S.11); and retiree health savings account proposals (H.R.1). Contacts with executive branch include contact with Treasury Department on Rev. Ruling re: health reimbursement accounts.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Pl-107-250-Medical Device User Fee and Modernization Act of 2002. (Bill that became the law to finance faster FDA reviews of new medical devices and to make improvements in the regulation of medical devices.) H.R.3493/S.1881-Medical Devices Technical Corrections Act. (Bills to make technical corrections relating to the amendments made by the Medical Device User Fee and Modernizatoin Act of 2002.) S.15/H.R.2122-Project BioShield Act of 2003. S.754-Improved Vaccine Affordability and Availability Act. (Bills to enhance, research, development, procurement, and use of biomedical countermeasures to respond to public health threats affecting national security.) S.877-Patient Safety Improvement Act of 2003. H.R. 663/S.720-Patient Safety and Quality Improvement Act. S. 1775/H.R. 3038-Healthcare Safety Net Amendments Technical Corrections Act of 2003. (Bills intended to provide for the improvement of patient safety and to reduce the incidence of medical errors that adversely affect patient safety.) H.R.5-Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2003. S.11-Patients First Act of 2003. (Bills to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system.) H.R.3140 (PL 108-164)/H.R.2221-Fairness to Contact Lens Consumers Act. H.R.2218/S.1747-To Amend Food and Drug, and Cosmetic Act to Provide for the regulation of all contact lenses as medical devices, and for other purposes. (Bills to regulate all contact lenses as medical devices.) S. Con. Res.80/H. Con. Res. 324-Concurrent resolution urging Japan to honor its commitments under the 1986 Market-Oriented Sector-Selective (MOSS) Agreeement on Medical Equipment and Pharmaceuticals, and for other purposes. (Bills providing that the revolution in medical technology has improved our ability to respond to emerging threats and prevent, identify, treat, and cure a broad range of diseases and disabilities, and has the proven potential to bring even more valuable advances in the future.) H.R.1828-Syria Accountability and Lebanese Sovereignty Restoration Act of 2003. (Section of the bill related to lifting sanctions against export of medical devices as related to Syria and Lebanon.) H.R.1561-United States Patent and Trademark Fee Modernizaton Act of 2003. (The bill to lower patent filing and basic national fees as related to medical devices.)

Client expense: $2,440,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR), White House Office

HEALTH Care Act, S. 1030, H.R. 2402 Support funding to expand existing public programs such as Medicaid and SCHIP to expand coverage for the uninsured, Family Care Act of 2003, S. 1843 FY ’03-’04 Appropriations and budget resolutions (Labor/HHS/Education, VA Research and Medical Care funding, and Bioteerrorism), H.R.2660, H.R.2673 Healthcare Anti-trust Improvement Act of 2003,H.R.1120 Patient Safety and Quality Improvement, S.720,H.R.663 National Health Information Infrastructure Act, H.R.2915 Medical Liability, HEALTH Act, also Patients First, S.11,H.R.5 Geriatric Care Act (Assessment and Coordunation),H.R.102,S.387 College Loan Assistance Act of 2003,H.R.2505 Improved Vaccine Affordability and Availability Act,S.754 Smallpox Emergency Personnel Protection Act of 2003,P-L108-20,S.719 Project Bioshield Act of 2003,S.15 Implementation of HIPAA

Client expense: $1,060,000 · Firm income: Not reported

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

H.R.1784 - Medicare Renal Dialysis Payment Fairness Act of 2003. H.R.1004 - Kidney Patient Daily Dialysis Quality Act of 2003. S.191 - Immunosuppresive Drug Coverage Act of 2003. H.R.128 - Medicare Coverage of Replacement Calcitrol Act of 2003. S.114 - Kidney Disease Educational Benefits Act f 2003. S.1./H.R.1 - Prescription Drug and Medicare Act of 2003. H.R. 3635 - Medicare Chronic Kidney Disease Management Act of 2003. S.1781/H.R.2223 - Comprehensive Immuno Suppresive Drug Coverage for Transplant Patients Act of 2003. S.11 - Patients First Act Of 2003. S.607/H.R.5 - Health Act of 2003.

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

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

Appropriations for Veterans Administration,AHRQ,NIH,CDC. Issues related to proposed reform of the A.W.P. drug pricing methodology. S.1/H.R.1 - Prescription Drug and Medicare Act of 2003. S.11 - Patients First Act of 2003

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

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

H.R. 4 The Personal Responsiblity, Work and Family Promotion Act of 2003, related Bills: H.RES 69 S.11 Patients First act of 2003 H.R. 2596 The Health Savings and AFfordability Act of 2003 All issues related to the use of information technology H.R. 2861 Depts of Veterans Affairs and HUD Appropriation Bill for FY 2004. Focus on budgetary resources for the Veterans Health Administration.

Client expense: $1,556,249 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Reserve System, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Intl Trade Administration (ITA), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

H.R. 663, Patient Safety and Quality Improvement Act of 2003 S. 720, Patient Safety and Quality Improvement Act of 2003 H.R. 5, Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2003 (also known as S. 607, S. 11) H.R. 296, Treatment of Children's Deformities Act of 2003 (also known as S. 977) H.R. 1770, Smallpox Emergency Personnel Protection Act of 2003 (also S. 719) H.R. 2122, Project BioShield Act of 2003 (also S. 1504) Isotretinoin regulatory program Tanning bed regulatory program CLIA regulatory program

Client expense: $250,000 · Firm income: Not reported

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

H.R. 663, Patient Safety and Quality Improvement Act of 2003 S. 720, Patient Safety and Quality Improvement Act of 2003 H.R. 5, Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2003 (also known as S. 607, S.11) H.R. 296, Treatment of Children's Deformities Act of 2003 (also known as S. 977) H.R. 1770, Smallpox Emergency Personnel Protection Act of 2003 (also S. 719) H.R. 2122, Project BioShield Act of 2003 (also S. 1504) Isotretinoin regulatory program Tanning bed regulatory program CLIA regulatory program

Client expense: $250,000 · Firm income: Not reported

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

PL 107-250-Medical Device User Fee and Modernization Act of 2002 (Bill that became the law to finance faster FDA reviws of new medical devices and to make improvements in the regulation of medical devices.) H.R.2122/S.15-Project BioShield Act of 2003 S. 754-Improved Vaccine Affordability and Availability Act (Bills to enhance, research, development, procurement, and use of biomedical countermeasures to respond to public health threats affecting natinal security.) H.R.663/S.720-Patient Safety and Quality Improvement Act S. 877-Patient Safety Improvement Act of 2003 (Bills intended to provide for the improvment of patient safety and to reduce the incidence of medical errors that adversely affect patient safety.) H.R.5-Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2003 S.11-Patients First Act of 2003 (Bills to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system.)

Client expense: $2,440,000 · Firm income: Not reported

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