Better Healthcare Through Information Technology Act

Health Information Technology H.R. 747, the "National Health Information Incentive Act" H.R. 4642, the "Wired for Healthcare Quality Act" (companion to S. 1418) H.R. 4157, the "Health Information Technology Promotion Act of 2006" H.R. 4641, the Assisting Doctors to Obtain Proficient and Transmissible Health Information Technology (ADOPT HIT) Act of 2005 S. 1418, the Wired for Healthcare Quality Act S. 1355, the Better Healthcare Through Information Technology S. 1227, the Health Information Technology Act of 2005 - CMS/OIG Stark and Anti-kickback statute protections for donating health information technology Expanding Health Insurance Coverage H.R. 1399, the HealthCARE Act of 2005 S. 1049, the Covering Kids Act, S. 2772, Health Partnership Act - Health insurance reform - Medicaid - Association Health Plans, Medical Savings Accounts - Tax credits and purchasing pools Medical liability reform H.R. 5, S.11, the HEALTH Act of 2005 S. 22, Medical Care Access Protection Act of 2006 - Medical liability demonstration projects Medicare Physician Payment/Medicare Reform H.R. 2356, the Preserving Patient Access to Physicians Act S. 1356, the Medicare Value Purchasing Act of 2005 H.R. 3617, the Medicare Value-Based Purchasing for Physician Services Act S. 40, the Geriatric and Chronic Care Management Act S. 2071, the Community and Rural Medical Residency Preservation Act of 2005' H.R. 4403, the Community and Rural Medical Residency Preservation Act of 2005 H.R. 5866, Medicare Physician Payment Reform and Quality Improvement Act of 2006 - Reform of SGR, Value-based purchasing, Pay-for-Performance - Patient Centered Medical Home, Care coordination - Primary care shortage - CMS proposed changes to work relative value units (RVUs) - Medically Unbelievable Edits program - CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC) - CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates - Health Care Price Transparency FY 07 Appropriations H.R. 5647, FY 2007 appropriations for Labor/HHS/Education (including Title VII health professions and student loans) and VA healthcare and research; S. 3708, FY 2007 appropriations for Labor/HHS/Education (including Title VII health professions and student loans) and VA healthcare and research Public Health Issues - Healthcare disparities, anti-smoking, vaccines (e.g. smallpox, influenza) - CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration - DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act Student Loan Debt Relief H.R. 1338, College Loan Assistance Act H.R. 1380, Higher Education Affordability and Equity Act

Client expense: $584,100 · 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, UNDETERMINED, White House Office

H.R. 6133, S. 4056-Cytology Proficiency Improvement Act of 2006; S. 1355-Better Healthcare Through Information Technology Act; S. 1503-Healthy America Act of 2005; S. 1356-Medicare Value Purchasing Act of 2005; H.R. 3617-Medicare Value-Based Purchasing for Physician Sevices Act of 2005; H.R. 2234-21st Century Health Information Act of 2005; H.R. 4268; H.R. 4568-The Proficiency Testing Improvement Act of 2005; S. 3069, H.R. 4568-Physician Pathology Services Continuity Act of 2006

Client expense: $300,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE

S. 1276 - To amend Section 1111 of the Elementary and Secondary Education Act of 1965 regarding challenging academic content standards for physical education H.R. 2844 - National Health, Nutrition, and Physical Activity Monitoring Act of 2005 S. 772/H.R. 1634 - Workforce Health Improvement Program Act of 2005 S. 794 - Safe and Complete Streets Act of 2005 H.R. 3 - Transportation Equity Act: A Legacy for Users S. 732.PCS - Safe, Accountable, Flexible, and Efficient Transportation Equity Act of 2005 H.R. 203 - To amend the Richard B. Russell National School Lunch Act to expand the fruit and vegetable pilot program to five states, including New York, and to include Head Start programs S. 1064/H.R. 898 - Stroke Treatment and Ongoing Prevention Act S. 1418/S. 1355/S. 1227/H.R. 2234/H.R. 4142/H.R. 4157 Health information technology legislation H.R. 3617 Pay for performance legislation S. 1277 - Heart Attack Safety Act of 2005 Women and heart disease related issues Health care quality issues S. 438/H.R. 916 - Medicare Access to Rehabilitation Services Act S. 1440 - Pulmonary and Cardiac Rehabilitation Act S. 2278/H.R. 4747 - Heart disease Education, Analysis and Research, and Treatment for Women Act S. 1955 - Health Insurance Market Modernization and Affordability Act H.R. 5479 - Personal Health Investment Today H.R. 6289 - Personalized Health Information Act S. 1074 - HELP America Act S. 1325 - IMPACT Act S. 799 - Prevention of Childhood Obesity Act S. 1324 - Childhood Obesity Reduction Act

Client expense: $411,738 · 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), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA), White House Office

H.R. 6133, S. 4056-Cytology Proficiency Improvement Act of 2006; S. 1355-Better Healthcare Through Information Technology Act; S. 1503-Healthy America Act of 2005; S. 1356-Medicare Value Purchasing Act of 2005; H.R. 3617-Medicare Value-Based Purchasing for Physician Sevices Act of 2005; H.R. 2234-21st Century Health Information Act of 2005; H.R. 4268; H.R. 4568-The Proficiency Testing Improvement Act of 2005; S. 3069, H.R. 4568-Physician Pathology Services Continuity Act of 2006

Client expense: $300,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE

S 109, Pharmaceutical Market Access Act of 2005, pharmaceutical counterfeiting, importation S 334, Pharmaceutical Market Access and Drug Safety Act of 2005, pharmaceutical counterfeiting, importation, patent issues HR 3010, Department of Labor, Health and Human Service, and Education, and Related Agencies Appropriations Act, 2006, access to prescription drugs HR 3971, Social Services Emergency Relief and Recovery Act of 2005, access to prescription drugs HR 5993, Authorized Generics Prohibition, authorized generics S 3695, Authorized Generics Prohibition, authorized generics HR 4157, Better Health Information System Act, health information technology S 2300, Lower PRICED Drug Act, generic drug access, legislation on pediatric exclusivity, citizens petitions HR 6134, Ryan White Care Act, reauthorization S 2339, Ryan White Care Act, reauthorization HR 5975, Prescription Drug Comparative Effectiveness Act, drug prescriptions S 1355, Better Healthcare Through Information Technology Act, health information technology HR 6289, Personalized Health Information Act of 2006, health information technology HR 328, Pharmaceutical Market Access Act of 2005, pharmaceutical counterfeiting, importation HR 700, Pharmaceutical Market Access and Drug Safety Act of 2005, pharmaceutical counterfeiting, importation, patent issues

Client expense: $5,800,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR)

H.R. 1872: Health Care for the Uninsured Act of 2005 H.R. 1902: Healthy Families Act H.R. 2355/S. 1015: Health Care CHOICE Act of 2005 H.R. 66: Health Care Cost Deductions H.R. 4157: Health Information Technology Promotion Act of 2005 H.R. 4511: Flex HSA Act H.R. 4262: Tax-Free Health Savings Accounts S. 354: Health Care Liability Reform S. 1227: Health Information Technology Quality Act S. 1355: Health Information Technology Quality & Improvelment Act of 2005 S. 1356: Medicare Value Purchasing Act of 2005 S. 3585: Health Savings Accounts Improvement & Expansin Act of 2006 S. 3488: Tax-Free Healthcare Savings, Access & Portability Act of 2006

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

Government targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR), White House Office

S 1418. S 1356. S 1355. HR 4157, HR 3617, S 1227, HR 4641, HR 6111, HR 4859, S 3846, HR 6289

Client expense: Not reported · Firm income: Not reported

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

HR 525 Small Business Health Fairness Act of 2005 S. 1955 Small Business Health Insurance Marketplace Modernization and Affordability Act HR 4859 Federal Family Health Information Technology Act S. 22 Medicare Care Assess Protection Act S. 2563 Pharmacist Assess and Recognition in Medicare Act HR 5166 Independent Pharmacy Protection Act S. 2510 Small Employers Health Benefits Program HR 4157 Health Information Technology Promotion Act S. 1355 Health Information Technology and Improvement Act S. 1356 Medicare Value Purchasing Act HR 3205 Patient Safety and Quality Improvement Act

Client expense: $240,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of, White House Office

S. 1262, the Health Technology to Enhance Quality Act of 2005, concerning interoperability standards and funding. S. 1355, the Better Healthcare Through Information Technology Act, concerning interoperability standards and funding. S. 1418, the Wired for Health Care Quality Act, concerning interoperability standards and funding. H.R. 4157, the Health Information Technology Promotion Act of 2005, concerning interoperability standards and funding. S. 1227, the Health Information Technology Act of 2005, concerning interoperability standards and funding.

Client expense: $1,930,964 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS)

H. 376, Medicare's Equitable Drugs for Seniors Act of 2005 H.R. 1626, Medicare Prescription Drug Improvement Act S. 239, Medicare Enhancements for Needed Drugs Act of 2005 H.R. 752/S. 873, Medicare Prescription Drug Savings and Choice Act of 2005 H.R. 563, Prescription Drug Affordability Act of 2005 H.R. 753/ S. 184, Safe IMPORT Act of 2005, provisions dealing with pharmaceuticals H.R. 5/S. 1355, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2005 S. 455, Medicare Prescription Drug Price Reduction Act of 2005

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

; S. 306: "Genetic Information Nondiscrimination Act (Snowe); S. 1355: "Health Information Technology Quality and Improvement Act" (Enzi-Kennedy). Regulatory: HIPAA administrative simplification issues, including privacy, security, and electronic transactions and code sets; issues relating to market consolidation; health plan compliance with EO 13224; ERISA requirements for benefit plan reporting; and issues relating to quality improvement. H.R. 5: "HEALTH Act" (Gingrey); H.R. 1227: "Genetic Information Nondiscrimination Act" (Biggert); H.R. 2259: "Patients' Bill of Rights Act" (Dingell); H.R. 4157: "Health Information Technology Promotion Act" (Johnson)

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

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

S.1223, Information Technology for Health Care Quality Act, S.1227, Health Information Techonology Act of 2005, S.1262, Health Technology to Enhance Quality Act of 2005 S.1355, A bill to enhance the adoption of health information technology and to improve the quality and reduce the costs of healthcare in the United States, S.1356, A bill to amend title XVIII of the Social Security Act to provide incentives for the provision of high quality care under the medicare program, S.40, Geriatric and Chronic Care Management Act of 2005, H.R.2234, 21st Century Health Information Act of 2005, H.R.4641, Assisting Doctors to Obtain Proficient and Transmissible Health Information Technology (ADOPT HIT) Act of 2005, S.1418, Wired for Health Care Quality Act, S.544, Patient Safety and Quality Improvement Act of 2005, H.R.3588, Medicare Home Health Telehealth Access Act of 2005, S.1733, To establish pilot projects under the medicare program to provide incentives for home health agencies to utilize home monitoring and communications technologies, H.R.4859, Federal Family Health Information Technology Act of 2006, H.R.5438, Public Health and Medical Emergency Coordination Act of 2006, S.3042, All-Hazards Public Health Emergency and Bioterrorism Preparedness and Response Act, H.R.5524, Rural Veterans Health Care Act of 2006, H.R.5533, Biodefense and Pandemic Vaccine and Drug Development Act of 2006, H.R.4726, Wired for Health Care Quality Act, H.R.4832, Electronic Health Information Technology Act of 2006 H.R.2807, Medicare Telehealth Ehancement Act of 2005, H.R.747, National Health Information Incentive Act of 2005, H.R.4157, Better Health Information Systems Act

Client expense: $320,000 · Firm income: Not reported

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

S 109, Pharmaceutical Market Access Act of 2005, pharmaceutical counterfeiting, importation S 334, Pharmaceutical Market Access and Drug Safety Act of 2005, pharmaceutical counterfeiting, importation, patent issues HR 3010, Department of Labor, Health and Human Service, and Education, and Related Agencies Appropriations Act, 2006, access to prescription drugs HR 3971, Social Services Emergency Relief and Recovery Act of 2005, access to prescription drugs HR 5993, Authorized Generics Prohibition, authorized generics S 3695, Authorized Generics Prohibition, authorized generics HR 4157, Better Health Information System Act, health information technology S 2300, Lower PRICED Drug Act, generic drug access, legislation on pediatric exclusivity, citizens petitions HR 6134, Ryan White Care Act, reauthorization S 2339, Ryan White Care Act, reauthorization HR 5975, Prescription Drug Comparative Effectiveness Act, drug prescriptions S 1355, Better Healthcare Through Information Technology Act, health information technology HR 6289, Personalized Health Information Act of 2006, health information technology HR 328, Pharmaceutical Market Access Act of 2005, pharmaceutical counterfeiting, importation HR 700, Pharmaceutical Market Access and Drug Safety Act of 2005, pharmaceutical counterfeiting, importation, patent issues

Client expense: $7,720,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR)

H.R. 5/S. 1355, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2005 S. 455, Medicare Prescription Drug Price Reduction Act of 2005 H. 376, Medicare's Equitable Drugs for Seniors Act of 2005 H.R. 1626, Medicare Prescription Drug Improvement Act S. 239, Medicare Enhancements for Needed Drugs Act of 2005 H.R. 752/ S. 873, Medicare Prescription Drug Savings and Choice Act of 2005 Issues related to general pharmaceuticals HR 2485, DSHEA Full Implementation and Enforcement Act of 2005 OSHA regulations as they pertain to Genentech H.R.. 563, Prescription Drug Affordability Act of 2005 H.R. 753/S. 184, Safe IMPORT Act of 2005, provisions dealing with pharmaceuticals

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S1355: BETTER HEALTHCARE THROUGH INFORMATION TECHNOLOGY ACT: E-HEALTH PROVISIONS.

Client expense: $600,000 · Firm income: Not reported

Government targets: Education, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE

S. 1262, the Health Technology to Enhance Quality Act of 2005, concerning interoperability standards and funding. S. 1355, the Better Healthcare Through Information Technology Act, concerning interoperability standards and funding. S. 1418, the Wired for Health Care Quality Act, concerning interoperability standards and funding. H.R. 4157, the Health Information Technology Promotion Act of 2005, concerning interoperability standards and funding. S. 1227, the Health Information Technology Act of 2005, concerning interoperability standards and funding.

Client expense: $2,604,188 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS)

H.R. 4157, Health Information Technology Promotion Act of 2006; S. 1355, Better Healthcare Through Information Technology Act.

Client expense: Not reported · Firm income: $105,000

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

S.354/H.R.534 Medicaid Liability Reform S.473/H.R.215 Allied Health Professions Reinvestment Act of 2005 Act S.544 Patient Safety and Quality Improvement Act of 2005 S.681 Umbilical Cord Blood Stem Cell Research S.898/H.R.1812 Patient Navigator Outreach & Chronic Disease Prevention Act of 2005 S.933/H.R.2350 Rural Community Hospital Assistance Act S.1049 Covering Kids Act of 2005 S.1262/H.R.2234 Health Technology to Enhance Quality Act of 2005 & the 21st Century Health Information Act S.1355 & S.1262 Better Healthcare Through Information Technology Act S.1356/H.R.3617 Medicare Value Purchasing Act of 2005 S.1418 Wired for Health Care Quality Act S.1784 National Medical Error Disclosure & Compensation Act of 2005 S.1955 Health Insurance Marketplace Modernization & Affordability Act of 2005 S.3042 All-Hazards Public Health Emergency and Bioterrorism Preparedness and Response Act H.R.139 Health Improvement and Professionals Act of 2005 H.R.534 Rural Health Equity Act H.R.880 Rural Health Equity Act H.R.3173 Nurse Faculty Higher Education Act H.R.3373/S.1405 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act H.R.3607 The Future of Health Care-Granting Access to Innovation in America Act H.R.4157 Health Information Technology Promotion Act of 2005/Hospital Pricing Transparency H.R.5647/S.3708 Labor-Health and Human Services Educaiton Bill FFY 2007 Budget and Budget Resolutions 2007 Medicare Inpatient Hospital PPS Rules 2007 Medicare Inpatient Psychiatric Facility PPS Rules 2007 Medicare Inpatient Rehabilitation Facility PPS and “75% Rule”, Rules 2007 Medicare Outpatient PPS Rules 2007 Medicare Skilled Nursing Facility PPS Rules 2007 Medicare Home Health Agency PPS Rules 2007 Medicare Physician Fee Schedule Update “Stark” and physician self-referral regulations Hospital pricing transparency Not-for-profit hospital tax-exempt status Medicaid regulations affecting states’ Medicaid financing mechanisms Pay for Performance Health information technology Hospital charity care/financial aid Coverage for undocumented immigrants Associated health plans Coverage for the uninsured Health savings accounts and high-deductible health plans Emergency preparedness Immigration Medicare Wage Index Community Benefit Reporting Mental health parity Limited service hospitals HUD Federal Housing Assistance mortgage program for hospitals Defined benefit pension plans National Institute of Health funding Health care workforce recruiting and training funding Hospital infection reporting Medical error reporting; hospital performance measure reporting S.4 Health Technology to Enance Quality Act of 2005 S.22 Medical Care Access Protection Act of 2006 S.23 Healthy Mothers and Healthy Babies Access S.338/H.R.985 bipartisan Medicaid Commission

Client expense: $420,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

Health Care Information Technology, general issues HR 5647 and S 3709 Labor/HHS/Education Appropriation, Health IT Reserve Fund HR 247 National Health Information Incentive Act HR 2234 21st Century Health Information Act (continued on addendum) Specific Lobbying Issues continued: HR 4157 Health IT Promotion Act HR 3617 Medicare Value Based Priorities S 1223 Information Technology for Health Care Quality HR 4331 MAPIT S 4 Healthy America Act of 2005 S 1227 Health Information Technology Act of 2005 S 1262 Health Technology to Enhance Quality S 1418 Wired for Health Care Quality 2006 S 1355 Better Health Care through Information Technology S 1356 Medicare Value Purchasing Act HR 4157 Health Information Technology Promotion Act of 2006 HR 5647 and S 2708 Departments of Labor/HHS/Education and Related Agencies Act 2007 H Congressional Resolution 376 and S Congressional Resolution 83 House/Senate Budge Resolution - Health IT Reserve Fund

Client expense: $1,654,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

S.1223, Information Technology for Health Care Quality Act, S.1227, Health Information Techonology Act of 2005, S.1262, Health Technology to Enhance Quality Act of 2005 S.1355, A bill to enhance the adoption of health information technology and to improve the quality and reduce the costs of healthcare in the United States, S.1356, A bill to amend title XVIII of the Social Security Act to provide incentives for the provision of high quality care under the medicare program, S.40, Geriatric and Chronic Care Management Act of 2005, H.R.2234, 21st Century Health Information Act of 2005, H.R.4641, Assisting Doctors to Obtain Proficient and Transmissible Health Information Technology (ADOPT HIT) Act of 2005, S.1418, Wired for Health Care Quality Act, S.544, Patient Safety and Quality Improvement Act of 2005, H.R.3588, Medicare Home Health Telehealth Access Act of 2005, S.1733, To establish pilot projects under the medicare program to provide incentives for home health agencies to utilize home monitoring and communications technologies, H.R.4859, Federal Family Health Information Technology Act of 2006, H.R.5438, Public Health and Medical Emergency Coordination Act of 2006, S.3042, All-Hazards Public Health Emergency and Bioterrorism Preparedness and Response Act, H.R.5524, Rural Veterans Health Care Act of 2006, H.R.5533, Biodefense and Pandemic Vaccine and Drug Development Act of 2006, H.R.4726, Wired for Health Care Quality Act, H.R.4832, Electronic Health Information Technology Act of 2006 H.R.2807, Medicare Telehealth Ehancement Act of 2005, H.R.747, National Health Information Incentive Act of 2005, H.R.4157, Better Health Information Systems Act

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

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

S 1356 Medicare Value Purchasing Act of 2005; S 1262 Health Technology to Enhance Quality Act of 2005; S 1355 Better Healthcare Through Information Technology Act; HR 2234 21st Century Health Information Act of 2005; HR 6408, Tax Relief and HealthCare Act of 2006

Client expense: $530,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health care reform proposals; health information technology; health savings accounts H.R. 4157; H.R. 5262; H.R. 6065; H.R. 6111; H.R. 6134 S. 4; S. 1262; S. 1355; S. 1503

Client expense: $740,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Federal Energy Regulatory Commission (FERC), Federal Railroad Administration, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

patient safety, S544/HR3205, S4; emergency preparedness, HR 2360, S1393/HR3714, S.1955, S3678; information technology: S1227, HR2234, S 1262, S1355, S1418, HR 747, HR 2234, HR 4157; funding for HIV/AIDS programs: HR 6143 Legislation to expand health care coverage and access including S1104/HR1233, HR 215, HR 1175, HR 1812S/S 898, S347, S570, HR 3010, S.1955, H.R.3139, HR 4519; medical emergency reimbursement, S1393, S265, HR.3875/S 2750, HR 3875;

Client expense: $680,000 · Firm income: Not reported

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

H.R. 2650: “Patient Protection Act” (Norwood); H.R. 3204: “State High Risk Pool Funding Extension Act” (Shadegg); H.R. 4157: “Health Information Technology Promotion Act” (Johnson); H.R. 4519: “State High Risk Pool Funding Extension Act” (Shadegg); H.R. 4859: “Federal Family Health Information Technology Act” (Porter); H.R. 5559: “Independent Health Record Bank Act”; H.R. 6053: "Health Care Price Transparency Act" (Burgess); S. 4: “Healthy America Act” (Frist); S. 22: “Medical Care Access Protection Act” (Ensign); S. 23: “Healthy Mothers and Healthy Babies Access to Care Act” (Santorum); S. 288: “State High Risk Pool Funding Extension Act” (Gregg); S. 306: “Genetic Information Nondiscrimination Act” (Snowe); S. 1012: “Patients’ Bill of Rights Act” (Kennedy); S. 1262: “Health Technology to Enhance Quality Act” (Frist-Clinton); S. 1337: “Fair and Reliable Medical Justice Act” (Enzi-Baucus); S. 1355: “Health Information Technology Quality and Improvement Act” (Enzi-Kennedy); S. 1418: “Wired for Health Care Quality Act” (Enzi); S. 2300: “Lower Prices Reduced with Increased Competition and Efficient Development of Drugs Act” (Stabenow-Lott); S. 2772: “Health Partnership Act” (Voinovich-Bingaman); S. 3454: “Independent Health Record Bank Act” (Brownback); S. 3582: "Preserve Access to Affordable Generics Act" (Kohl); S. 3701 "Catastrophic Health Coverage Promotion Act" (Smith-Wyden); S. 3776 "State-Based Health Care Reform Act" (Feingold); and S. 3846 "Federal Employees Electronic Personal Health Records Act" (Carper). HCR (Regulatory Issues): HIPAA administrative simplification issues, including privacy, security, and electronic transactions and code sets; FEHBP enrollment data clearinghouse initiative; FEHBP community rating policies, including similarly sized subscriber group (SSSG) requirements; health plan compliance with Executive Order 13224; implementation of the health savings account provisions of the Medicare Act; issues related to implementation of the National Health Information Infrastructure; implementation of the National Provider Identifier (NPI) standards; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; and ERISA requirements for benefit plan reporting. HCR (Legislative Issues): H.R. 5: “HEALTH Act” (Gingrey); H.R. 1227: “Genetic Information Nondiscrimination Act” (Biggert); H.R. 1402: “Mental Health Equitable Treatment Act” (Kennedy-Ramstad); H.R. 2259: “Patients’ Bill of Rights Act” (Dingell) (continued)

Client expense: $3,700,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

S.4, Healthy America Act of 2005 S.16, Affordable Health Care Act S.123, Efficiency in Government Health Care Spending Act (Introduced in the Senate) S.160, Save Act S.309, To amend the IRS Code of 1986 to provide for the disposition of unused health benefits in cafeteria plans and flexible spending arrangements S.406, Small Business Health Fairness Act of 2005 (Introduced in the Senate) S.978, Healthcare Tax Relief for the Uninsured Act of 2005 S.1178, Securing Access, Value, and Equality in Health Care Act S.1223.IS, Information Technology for Health Care Quality Act (Introduced in the Senate) S.1355.IS, Better Healthcare Through Information Technology Act (Introduced in the Senate) S.1418.IS, Wired for Health Care Quality Act (Engrossed as agreed to or passed by the Senate) S.1418, Wired for Health Care Quality S.1418.IS, Wired for Health Care Quality Act (Introduced in the Senate) S.1418.RS, Wired for Health Care Qualit Act (Reported in the Senate) S.1418.PFH, Wired for Halth Care Quality Act (Referred to the House Committee after being received from the Senate) S.1503, Healthy America Act of 2005 S.1955, Health Insurance Marketplace Modernization and Affordability Act of 2005 (Introduced in the Senate) S.2379, To amend the IRS Code of 1986 to allow a deduction for health and long-term care insurance costs of individuals not participating in employer-subsidized health plans S.2431, Savings Competitiveness Act of 2006 S.2457, Small Business Health Insurance Relief Act of 2006 S.2494, To amend the IRS Code of 1986 to allow a deduction for the pyament of premiums for high deductible plans, to allow a credit for certain employment taxes paid with S2549, Health Savings Account Affordability Act S.2601, Health Care Choices for Seniors Act S.2701, To amend the IRS Code of 1986 to provide for refundable credit for high deductible health plans for uninsured individuals S.3488, Tax-free Healthcare Savings, Access, and Portability Act S.3585, HSA Improvement and Expansion Act of 2006 H.R.1399, HealthCare Act of 2005 H.R.1803, To amend the IRS Codeof 1986 to allow amounts in a health flexible spending arrangement that are unused during a plan year to be carried over to subsequent plan years H.R.1872, Health Coverage for the Uninsured Act of 2005 H.R.1998, To amend the IRS Code of 1986 to provide for the dispositon of unused beenfits in health flexible spending arrangements H.R.218, Health Care Tax Deduction Act of 2005 H.R.2063, To amend the IRS Code of 1986 to permit one-time, tax-free distributions from retirement plans to fund health savings accounts. H.R.2089, Securing Access, Value, and Equality in Health Care Act H.R.2003, Patients' Health Care Reform Act H.R.2234.IH, 21st Century Health Information Act of 2005 (introduced in House) H.R.2599, Medical Independence, Privacy, and Innovation Act of 2005 H.R.2830, Pension Protection Act of 2005 (Exgrossed as agreed to or passed by the House) H.R.37, Health Insurance Affordability Act of 2005 H.R.3075, Comprehensive Health Care Reform Act of 2005 H.R.3873, To amend the IRS Code of 1986 to permit rollovers from retirement plans to health savings accounts. H.R.3956, Savings for the Uninsured on Rx Expenses (SURE) Act of 2005 H.R.4157.IH, Health Information Technology Promotion Act of 2005 (Introduced in House) H.R.4157.EH, Health Information Technology Promotion Act of 2006 (Engrossed as agreed to or passed by the House) H.R.4219, Health Insurance Tax Relief Act of 2005 H.R.4505, Health Care Incentive Act H.R.4511, Flexible Health Savings Account Act H.R.4551, Health Care Choices for Seniors Act H.R.4642.IH, Wired for Health Care Quality Act (Introduced in the House) H.R.4726.IH, Wired for Health Care Quality Act (Introduced in the House) H.R.4832.IH, Electronic Health Information Technology Act of 2006 (Introduced in the House) H.R.5182, Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2006 (Introduced in the House) H.R.525, Small Business Health Fairness Act of 2005 (Introduced in the House) H.R.765, Fair Care for the Uninsured Act of 2005 H.R.578, Prescription Drug Affordability Act H.R.5262, Tax Free Health Savings Act of 2006 H.R.5475, HRA Accessibility and Portability Act of 2006 H.R.5743, HRA Improvement and Expansion Act of 2006 H.R.5843, COBRA Enhancement and Healthcare Relief Act of 2006 H.R.6111, Tax Relief and Health Care Act of 2006 H.R.6065, Tax Free Health Savings Act See attached list

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

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

Genetic Testing; Pension Reform; SSA Reform; Disability; Optional Federal Chartering:eHealth; Data Security. S.1261, S.1223, S.1227, S.1355, HR747, S.1418, HR2830, HR2831, HR3019, S.1293, S.751, S.1326, S.1332, S.1408, SMART Act, S.288, HR3204, HR4127, HR3997, S.306, S.1789, HR3140, HR4159

Client expense: $1,323,170 · Firm income: Not reported

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

Provisions related to treatment, coverage and research for rehabilitation services, especially occupational therapy • HR 1020, National Pain Care Policy Act of 2005 • S 999, Conquering Pain Act of 205 Provisions related to occupational therapy services • HR 1106, Child Health Care Crisis Relief Act of 2005 • HR 1166, Long Term Care Quality Improvement Act of 2005 • HR 1262, Ronald Reagan Alzheimer's Breakthrough Act of 2005 • HR 3205, Patient Safety and Quality Improvement Act • S 708, Long Term Care Quality and Consumer Information Improvement Act of 2005 • S 537, Child Health Care Crisis Relief Act of 2005 • S 1531, Keeping Seniors Safe From Falls Act of 2005 • S 602, Ronald Reagan Alzheimer's Breakthrough Act of 2005 All provisions • HR 1227, Genetic Information Nondiscrimination Act of 2005 • HR 1789, Health Professionals Substance Abuse Education Act • S 538, Health Professionals Substance Abuse Education Act • S 1929, Faircare Act • S 1716, Emergency Health Care Relief Act of 2005 • S 306, Genetic Information Nondiscrimination Act of 2005 • HR 1227, Genetic Information Nondiscrimination Act of 2005 • HR 1738, End Institutionalized Abuse Against Children Act of 2005 Provisions related to providers to include occupational therapy services • HR 1588, Comprehensive Assistance for Veterans Exposed to Traumatic Stressors Act of 2005 • S 3984, Comprehensive Assistance for Veterans Exposed to Traumatic Stressors Act of 2006 • S 380, Keeping Families Together Act of 2005 • HR 823, Keeping Families Together Act of 2005 Provisions related to provider and patient protections and qualification of • HR 2259, Patient's Bill of Rights Act of 2005 • S 1012, Patient's Bill of Rights Act of 2005 Provisions related to use and research of occupational therapy services • HR 2421, Combating Autism Act of 2005 • S 843, Combating Autism Act of 2005 Inclusion of occupational therapy and rehabilitation services and research and training • HR 3307, Lupus Research, Education, Awareness, Communication and Healthcare Amendments of 2005 • S 756, Lupus Research, Education, Awareness, Communication and Healthcare • S 424, Arthritis Prevention, Control and Cure Act of 2005 • HR 583, Arthritis Prevention, Control and Cure Act of 2005 • HR 5738, Traumatic Brain Injury Act of 2006 • S 3668, Traumatic Brain Injury Act of 2006 All provisions, especially those related to the provision of occupational therapy services. • HR 898, Stroke Treatment and Ongoing Prevention Act • S 1064, Stroke Treatment and Ongoing Prevention Act • S 1531, Keeping Seniors Safe from Falls Act • HR 5408, Keeping Seniors Safe from Falls Act of 2006 Provisions related to use of occupational therapy services for prevention and wellness • S 1074, HeLP America Act • HR 5951, Healthy Lifestyles & Prevention America Act • S 3717, Promoting Wellness for Individuals with Disabilities Act of 2006 Inclusion of occupational therapy and rehabilitation services • HR 2929, A bill to amend title 38, US Code for certain children with spina bifida as are currently available to veterans with service-connected disabilities • HR 3248, Lifespan Respite Care Act • HR 3000, Josephine Butler U.S. Health Service Act • HR 3063, Money Follows the Person Act • S 705, Meeting the Housing and Service Needs of Seniors Act of 2005 • HR 3859, Meeting the Housing and Service Needs of Seniors act of 2005 • S 1418, Wired for Health Care Quality Act • HR 4726, Wired for Health Care Quality Act • S 1503, Healthy America Act of 2005 • HR 963, Children's Compassionate Care Act of 2005 • S 1177, Veterans Mental Health Care Capacity Act of 2005 • S 1182, Veterans Health Care Act of 2005 • S 1116, Positive Aging Act of 2005 • S 174, Children's Compassionate Care Act of 2005 • S 4, Healthy America Act of 2005 • S 528, Money Follows the Person Act • HR 1443, Family Opportunity Act of 2005 • S 183, Family Opportunity Act of 2005 • HR 1200, American Health Security Act of 2005 • HR 2629, Positive Aging Act of 2005 • S. 2010, Elder Justice Act • HR 4993, Elder Justice Act • S 3449, Child and Adolescent Mental Health Resiliency Act of 2006 • HR 5293, Senior Independence Act of 2006 Inclusion of occupational therapy and rehabilitation technologies • S 1223, Information Technology for Health Care Quality Act of 2005 • S 1227, Health Information Technology Act of 2005 • S 1262, Health Technology to Improve Quality Act of 2005 • S 1355, Better Healthcare Through Information Technology Act

Client expense: $240,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 5115-U.S Healthcare Technologies Competitiveness Act of 2006 (Bill to modernize the tax treatment as related to medical devices and biomedical research corporations) HR 4388-Tax Revision Act of 2005 (Bills to amend the Internal Revenue Code of 1986 to extend certain expiring provisions) HR 4297-Tax Relief Extension Reconciliation Act of 2005 (Bill to extend credit for increasing research activities) HR 4845-Innovation and Competitiveness Act HR 1736/S 627-Investment in America Act of 2005 (Bills to make permanent the tax credit for increasing research activities) S 978-Healthcare Tax Relief for the Uninsured Act of 2005 HR 1872-Health Coverage for the Uninsured Act of 2005 (Bills to provide tax incentives for the purchase of quality health care, and for other purposes) HR 5-Help Efficient, Accessible, Low-Cost, Timely Healthcare (HEALTH) Act of 2005 (Bill to provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system) HR 6406-The Tax Relief and Health Care Act of 2006 (Bill to improve temporarily certain rates of duty and make other technical amendments to the trade laws, and to extend certain trade preference programs) S Cong Res 67/H Cong Res 311-Concurrent resolution urging Japan to honor its commitments under the 1986 Market-Oriented Sector-Selective (MOSS) Agreement on Medical Equipment and for other purposes (Bill to reduce regulatory barriers to the approval and adoption of new medical technologies) S 2467-United States Trade Enhancement Act of 2006 (Congressional resolutions on trade enforcement efforts as relates to trade with China) S 295-To authorize appropriate action if the negotiations with the People’s Republic of China’s undervalued currency are not successful) (Bill to impose an additional duty of 27.5% on Chinese imports) HR 3004-Currency Harmonization Initiative through Neutralizing Action Act of 2005 (Bill to impose additional tariffs on Chinese imports on the basis of the rate of manipulation by that country of the rate of exchange between the Chinese currency and the U.S dollar) HR 3283/S 1421-United States Trade Rights Enforcement Act (Bills to enhance resources to enforce U.S trade rights) HR 4157-Health Information Technology Promotion Act of 2005 (Bill to provide for establishment of uniform confidentiality and security standards with respect to individually identifiable patient health information) S 1355-Better Healthcare Through Information Technology Act S 1418-Wired for Health Care Quality Act (Bills to enhance the adoption of health information technology and to improve the quality and reduce the cost of healthcare in the United States) S 1952-Critical Access to Health Information Technology Act of 2005 (Bill to provide for grants to states to increase access to health care in rural areas by improving health information technology) S 1223-Information Technology for Health Care Quality and Improvement Act (Bill to improve the quality and efficiency of health care delivery through improvements in health care information technology) S 1262-Health Technology to Enhance Quality Act of 2005 (Bill to reduce healthcare costs, improve efficiency and healthcare quality through the development of a nation-wide interoperable health information technology system) S 2480-Contact Lens Consumer Protection Act (Bill to amend the Fairness to Contact Lens Consumers Act with respect to the availability of contact lenses) HR 6111-Tax Relief and Health Care Act of 2006 (President Bush signed into Public Law # 109-432 on 12/20/2006) HR 5975-Prescription Drug Comparative Effectiveness Act of 2006 (Bill to require the Agency for Healthcare Research and Quality, in consultation with NIH Director, to conduct research to develop valid scientific evidence regarding clinical effectiveness, outcomes, and appropriateness as relates to medical devices and procedures and for other purposes) S 4098-Pediatric Medical Devices and Safety Improvement Act of 2006 (Bill to improve the process for development of needed pediatric medical devices) S 3778-Small Business Reauthorization and Improvements Act of 2006 HR 5352-Small Business Reauthorization Act of 2006 (Bills to reauthorize programs to assist small business concerns) S 1263-Save America’s Biotechnology Innovative Research Act of 2005 HR 2943-Save Biotechnology Innovative Research Act of 2005 (Bills to establish eligibility requirements for business concerns to receive awards under the Small Business Innovative Research program) S 3678-Pandemic and All Hazards Preparedness Act (Bill with respect to public health security and all-hazards preparedness and response, and for other purposes) HR2863-Division E – Public Readiness and Emergency Preparedness Act (Division E provisions of the bill as relates to targeted liability for pandemic and epidemic products and security countermeasures) S 2564/HR 5533-Biodefense and Pandemic Vaccine and Drug Development Act of 2006 S 1873-Biodefense and Pandemic Vaccine and Drug Development Act of 2005 (Bills to prepare and strengthen the development of countermeasures or pandemic or epidemic products against deliberate, accidental, and natural outbreaks of illness) S-1880-National Biodefense and Pandemic Preparedness Act of 2005 (Bill to enhance biodefense and pandemic preparedness activities) S 2792-Emergency Preparedness and Response Security, Accountability, and Flexibility Enhancement Act (SAFE Act) (Bill to revise provisions relating to bioterrorism and other public health emergencies preparedness grants including development of measurable critical benchmarks and performance standards) S 3-Protecting American in the War on Terror Act of 2005 (Bill sets provisions concerning bioterrorism preparedness and defense as pertaining to medical devices and for other purposes) S 975-The Project Bioshield II Act of 2005 (Bill to provide incentives to increase research by private sector entities to develop medial countermeasures to prevent, detect, identify, contain, and treat illnesses, including those associated with biological, chemical, nuclear, or radiological weapons attack or an infectious disease outbreak) S 22/S23-Malpractice Liability Reform Bill (a.k.a. Medical Care Access Protection Act of 2006, MCAP Act) (Bills setting forth provisions regulating lawsuits for health care liability claims related to the provision of health care services) HR 2090- Food and Drug Administration Improvement Act of 2005 (Bill related to FDA Advisory panels) S. 3807-Enhancing Drug Safety and Innovation Act of 2006 (Draft bill to improve oversight as related to drugs includes medical devices in some provisions)

Client expense: $1,404,102 · Firm income: Not reported

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

S.1053, 527 Reform Act of 2005, A bill to amend the Federal Electon Campaign Act of 1971 to clarify when organizations described in the section 527 of the Internal Revenue Code of 1986 must register as political committees and for other purpopses. Provisions relating to political committees. S.1355, A bill to enhance the adoption of health information technology and to improve the quality and reduce the costs of healthcare in the United States. Before the Federal Trade Commission: Regarding FTC File No. PO645O5 H.R. 513, 527 Reform Act of 2006, To amend the Federal Election Campaign Act of 1971 to clarify when organizations described in section 527 of the Internal Revenue Code of 1986 must register as political committees, and for other purposes. Provisions relating to political committees.

Client expense: $4,280,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Federal Communications Commission (FCC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Natl Telecommunications & Information Administration (NTIA), Patent & Trademark Office (PTO), SENATE

* S. 2772, "Health Partnership Act" Issue: Funding Initiatives to Cover the Uninsured. S. 1355, "Health Information Technology Quality and Improvement Act" S. 1262, "Health Technology to Enhance Quality Act of 2005" S. 1418, "Wired for Healthcare Quality Act" H.R. 4157,"Health Information Technology Protection Act of 2005" S. 4024, "Minority Health and Health Disparity Elimination Act" Issues: Collection of student data; Title VII reauthorization; minority health and health disparities research at NIH. Issue: Promoting/Supporting investment in health information technologies. Issue: Reauthorization of health professions education programs under Title VII of the Public Health Service Act. Issue: Current and future physician workforce shortages. 7 8 9 10

Client expense: $240,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

S 23 Health Mothers and Healthy Babies Access to Care Act of 2006, Improve women's access to health care OB-GYN services; S 22 Medical Care Access Protection Act of 2006, Improve patient access to health care services; S 3678 Pandemic and All Hazards Preparedness Act, To amend the Public Health Service Act with respect to public health security and all-hazards preparedness and response, and for other purposes; S 367 Pregnancy and Trauma Care Access Protection Act of 2005, Improve women's access to emergency and trauma care services; S 1337 The Fair and Reliable Medical Justice Act, Restore fairness to medical justice system and promote patient safety; S 1418 Wired for Healthcare Quality Act, Adoption of nationwide health information system; HR 3875 Access to Emergency Medical Services Act of 2005, Improve access to emergency medical services through medical liability reform and Medicare payments; HR 4157 The Health Information Technology Promotion Act of 2006, Promote better health information system; HR 5573 Health Centers Renewal Act of 2006, Provide appropriations for health centers; HR 4997 Physician for Underserved Areas Act, To extend for 2 years the authority to grant waivers of the foreign country residence requirement with respect to certain international medical graduates; HR 1285 Amend the Nursing Relief for Disadvantaged Areas Act of 1999, To extend for 3 years changes to requirements for admission of non-immigrant nurses in health professional shortage areas; HR 4859 Federal Family Health Information Technology Act of 2006, To amend chapter 89 of title 5, United States Code, to provide for the implementation of a system of electronic health records under the Federal Employees Health Benefits Program. S 1355 Better Healthcare Through Information Technology Act, Enhances health information technology; S 1262 Health TEQ Act of 2005, Development of nationwide health information system;

Client expense: $140,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 1355 - Better Healthcare Through Information Technology Act HR 525 - Small Business Health Fairness Act of 2005 S 406 - Small Business Health Fairness Act of 2005 S 1418 - Wired for Health Care Quality Act HR 4642 / HR 4726 - Wired for Health Care Quality Act

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

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

HR 5631 Defense Appropriations Bill for FY 2006; S1355 bill to enhance the adoption of helath information technology and

Client expense: $1,939,404 · Firm income: Not reported

Government targets: Bureau of the Census, Commerce, Dept of (DOC), Defense, Dept of (DOD), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Natl Archives & Records Administration (NARA), Navy, Dept of, SENATE, State, Dept of (DOS), Treasury, Dept of, Veterans Affairs, Dept of (VA)

S 1262, Health Technology to Enhance Quality Act of 2005. State high-risk health insurance pools - HR 4519, State High Risk Pool Funding Extension Act of 2005. Association health plans - HR 525, Small Business Health Fairness Act of 2005; HR 1872, Health Coverage for the Uninsured Act of 2005; HR 5288, Small Business Health Plans Act of 2006; HR 5262, Tax Free Health Savings Act of 2006; HR 6134, Health Opportunity Patient Empowerment Act of 2006; S 406, Small Business Health Fairness Act of 2005; S 1955, Health Insurance Marketplace Modernization and Affordability Act of 2005; S 2510, Small Employers Health Benefits Program Act of 2006 HR 5, HEALTH Act; HR 1227, Genetic Information Non discrimination Act; HR 1402, Mental Health Equitable Treatment Act; HR 2259, Patients' Bill of Rights Act; HR 2650, Patient Protection Act; HR 3204, State High Risk Pool Funding Extension Act; HR 4859, Federal Family Health Information Technology Act; HR 5559, Independent Health Record Bank Act; HR 6053, Health Care Price Transparency Promotion Act; S 4, Healthy America Act; S 22, Medical Care Access Protection Act; S 23, Healthy Mothers and Healthy Babies Access to Care Act; S 288, State high Risk Pool Extension Act; S 306, Genetic Information Nondiscrimination Act; S 1012, Patients' Bill of Rights Act; S 1337, Fair and Reliable Medical Justice Act; S 2300 Lower Prices Reduced with Increased Competition and Efficient Development of Drugs Act; S 2772, Health Partnership Act; S 3454, Independent Health Record Act; S 3582, Preserve Access to Affordable Generics Act; S 3701, Catastrophic Health Coverage Promotion Act; S 3776, State-based Health Care Reform Act; S 3846, Federal Employees Electronic Personal Health Records Act Healthcare for the uninsured - Legislative proposal concerning this issue. Health information technology - HR 4157, Health Information Technology Promotion Act of 2005; S 1418, Wired for Health Care Quality Act; S 1355, Better Healthcare Through Information Technology Act;

Client expense: Not reported · Firm income: $180,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

S.23 Healthy Mothers and Healthy Babies Access,S.338/H.R.985 Bipartisan Medicaid Commission S.354/H.R.534 Medicaid Liability Reform,S.473/H.R.215 Allied Health Professions Reinvestment Act of 2005 Act S.544 Patient Safety and Quality Improvement Act of 2005,S.681 Umbilical Cord Blood Stem Cell Research S.898/H.R.1812 Patient Navigator Outreach & Chronic Disease Prevention Act of 2005 S.1049 Covering Kids Act of 2005,S.1262/H.R.2234 Health Technology to Enhance Quality Act of 2005 & the 21st Century Health Information Act,S.1355 & S.1262 Better Healthcare Through Information Technology Act S.1356/H.R.3617 Medicare Value Purchasing Act of 2005,S.1418 Wired for Health Care Quality Act S.1784 National Medical Error Disclosure & Compensation Act of 2005, S.1955 Health Insurance Marketplace Modernization & Affordability Act of 2005 S.3042 All-Hazards Public Health Emergency and Bioterrorism Preparedness and Response Act H.R.534 Rural Health Equity Act,H.R.880 Rural Health Equity Act,H.R.3173 Nurse Faculty Higher Education Act H.R.3373/S.1405 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act H.R.3607 The Future of Health Care-Granting Access to Innovation in America Act H.R.4157 Health Information Technology Promotion Act of 2005/Hospital Pricing Transparency H.R.5647/S.3708 Labor-Health and Human Services Education Bill FFY 2007 Budget and Budget Resolutions 2007 Medicare Inpatient Hospital PPS Rules 2007 Medicare Inpatient Psychiatric Facility PPS Rules 2007 Medicare Inpatient Rehabilitation Facility PPS and “75% Rule”, Rules 2007 Medicare Outpatient PPS Rules 2007 Medicare Skilled Nursing Facility PPS Rules 2007 Medicare Home Health Agency PPS Rules 2007 Medicare Physician Fee Schedule Update “Stark” and physician self-referral regulations Hospital pricing transparency Not-for-profit hospital tax-exempt status Medicaid regulations affecting states’ Medicaid financing mechanisms Pay for Performance Health information technology Hospital charity care/financial aid Coverage for undocumented immigrants Associated health plans Coverage for the uninsured Health savings accounts and high-deductible health plans Emergency preparedness Immigration S.4 Health Technology to Enhance Quality Act of 2005 S.22 Medical Care Access Protection Act of 2006

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

S.354/H.R.534 Medicaid Liability Reform,S.473/H.R.215 Allied Health Professions Reinvestment Act of 2005 Act S.544 Patient Safety and Quality Improvement Act of 2005S.681 Umbilical Cord Blood Stem Cell Research, S.898/H.R.1812 Patient Navigator Outreach & Chronic Disease Prevention Act of 2005,S.933/H.R.2350 Rural Community Hospital Assistance Act, S.1049 Covering Kids Act of 2005 S.1262/H.R.2234 Health Technology to Enhance Quality Act of 2005 & the 21st Century Health Information Act S.1355 & S.1262 Better Healthcare Through Information Technology Act, S.1356/H.R.3617 Medicare Value Purchasing Act of 2005,S.1418 Wired for Health Care Quality Act,S.1784 National Medical Error Disclosure & Compensation Act of 2005 S.1955 Health Insurance Marketplace Modernization & Affordability Act of 2005,S.3042 All-Hazards Public Health Emergency and Bioterrorism Preparedness and Response Act,H.R.139 Health Improvement and Professionals Act of 2005 H.R.534 Rural Health Equity Act,H.R.880 Rural Health Equity Act,H.R.3173 Nurse Faculty Higher Education Act H.R.3373/S.1405 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act H.R.3607 The Future of Health Care-Granting Access to Innovation in America Act H.R.4157 Health Information Technology Promotion Act of 2005/Hospital Pricing Transparency H.R.5647/S.3708 Labor-Health and Human Services Educaiton Bill, FFY 2007 Budget and Budget Resolutions,2007 Medicare Inpatient Hospital PPS Rules,2007 Medicare Inpatient Psychiatric Facility PPS Rules,2007 Medicare Inpatient Rehabilitation Facility PPS and “75% Rule”, Rules,2007 Medicare Outpatient PPS Rules, 2007 Medicare Skilled Nursing Facility PPS Rules,2007 Medicare Home Health Agency PPS Rules 2007 Medicare Physician Fee Schedule Update, “Stark” and physician self-referral regulations Hospital pricing transparency Not-for-profit hospital tax-exempt status Medicaid regulations affecting states’ Medicaid financing mechanisms Pay for Performance Health information technology Hospital charity care/financial aid Coverage for undocumented immigrants Associated health plans Coverage for the uninsured Health savings accounts and high-deductible health plans Emergency preparedness Immigration S.4 Health Technology to Enhance Quality Act of 2005, S.22 Medical Care Access Protection Act of 2006 S.23 Healthy Mothers and Healthy Babies Access, S.338/H.R.985 Bipartisan Medicaid Commission

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

H.R. 3617 Medicare Value- Based Purchasing for Physicians, Service act of 2005 S. 3585 HSA Improvement and Expansion Act of 2006 H.R. 6111 Tax Relief & Healthcare Act of 2006 H.R. 5864 Health partnership through creative Federalism Act H.R. 5743 HSA Improvement and Expansion Act of 2006 S. 3701 Catastrophic health Coverage Promotion Act S. 3776 State Based Healthcare Reform Act H.R. 4519 State High Risk Pool funding Extension Act of 2005 S.250 Carl Perkins Career & Technical Education Improvement Act of 2006 H.R. 1285 Nursing Relief for Disadvantage Areas reauthorization Act of 2006 S. 16 Affordable Health Care Act S. 1227 Health Information Technology Act of 2005 S. 1262 Health Technology to Enhance Quality Act S. 1355 Better Healthcare Through Information Technology Act H.R.747 National Health Information Incentive Act H.R. 2234 21st Century Health Information Act H.R. 4157 Health Information Technology Promotion Act of 2005 H.R. 5647 Department of Labor, Health and Human Services , and Education and Related Agencies Appropriations Act of 2007 S. 1789 Personal Data Privacy and Security Act of 2005 S. 3568 Data Security Act of 2006 S. 1408 Identity theft Protection Act S. 751 Notification of Risk to Personal Data Act S. 500 Information Protection and Security Act H.R. 1080 Information Protection and Security Act S. 1322 Personal Data Privacy and Security Act of 2005 H.R. 3997 Financial data Protection Act of 2006 H.R. 4127 Data Accountability and Trust Act S. 1932 Deficit Reduction Act of 2005 S. 2510 Small Employers Health Benefits Program Act of 2006 S. 2382 Small Employers Health Benefits Program Act of 2006 S. 2701 To Amend the e Internal Revenue Code of 1986 to Provide Refundable Credit for High Deductible Health Plans for Uninsured Individuals S. 2507 National Defense Authorization Act of Fiscal year 207 H.R. 5475 HSA Accessibility And Portability Act of 2006 H.R. 5613 Health Insurance Tax Credit Assistance act of 2006 H.R. 4961 Self- Employed Health Care Affordability Act of 2006 H.R. 5288 Small Business Health Plans Act of 2006 S. 2549 Health Savings Account Affordability Act S. 2607 Small Business Health Education and Awareness Act of 2006 S.2558 Keep America Competitive Tax Credit Act of 2006 H.R. 2355 Health Care Choice Act of 2005 H.R. 5586 HSA Premium Affordability Act of 2006 H.R. 4760 All Kids Health Insurance Coverage Act of 2006 S. 2759 Medicare Part D outreach and Enrollment Enhancement Act of 2006 H.R. 5171 Communities Building Access Act H. RES 802 Whereas Medicare Now offers a Prescription Drug Benefit for its Beneficiaries, Known as Medicare Part D S. 3585 HSA Improvement and Expansion Act of 2006 H.R. 4838 Medical Malpractice Reform Act of 2006 H.R. 2631 Department of Defense Appropriations Act, 2007 S. 3708 Department of Labor, Health and Human Services, and Education and Related Agencies Appropriations Act of 2007 S. 22 MCAP Act S. 2750 Access to Emergency Medical Services Act of 2006 H.R. 4838 Medical Malpractice Act of 2006 S. 1356 Medicare Value Purchasing Act of 2005 S. 1418 Wired for Health Care Quality Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR.2234 – 21st Century Health Information Act HR.3204 – State High Risk Pool Funding Extension Act HR.4157 – Health Information Technology Promotion Act of 2005 S.109 – Pharmaceutical Market Access Act of 2005 S.1227 – Health Information Technology Act of 2005 S.1262 – Health Technology to Enhance Quality Act S.1332 – Personal Data Privacy and Security Act S.1337 – Fair and Reliable Medical Justice Act S.1355 – Better Healthcare Through Information Technology Act S.1355 – Health Information Technology Quality and Improvement Act S.1408 – Identity Theft Protection Act S.1418 – Wired for Health Care Quality Act S.16 – Affordable Health Care Act S.1789 – Personal Data Privacy and Security S.184 – Safe Importation of Medical Products and Other Rx Therapies Act of 2005 S.2607 – Small Business Health Education and Awareness Act of 2006 S.288 – State High Risk Pool Funding Extension Act S.306 – Genetic Information Nondiscrimination Act S.354 – Help Efficient, Accessible, Low-Cost, Timely Healthcare Act of 2005 S.518 – National All Schedules Prescription Electronic Reporting Act of 2005 S.544 – Patient Safety and Quality Improvement Act S.751 – Notification of Risk to Personal Data Act FDA new application review

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2234, 21st Century Health Information Act of 2005. S 1355, Better Healthcare Through Information Technology Act. HR 4157, Health Information Technology Promotion Act of 2005, chronic disease management demonstration. Promote regional electronic health record demonstration and telehealth. HR 4331, to provide for a Medicaid demonstration project for chronic disease management. HR 5647, S 3708, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2007, health care information technology funding and projects. CONTINUED ON NEXT PAGE

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

Government targets: Centers For Disease Control & Prevention (CDC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Interior, Dept of (DOI), SENATE, U.S. Geological Survey (USGS)

S.1227 – Health Information Technology Act of 2005 S.1262 – Health Technology to Enhance Quality Act S.1262 – Health Technology to Enhance Quality Act S.1332 – Personal Data Privacy and Security Act S.1337 – Fair and Reliable Medical Justice Act S.1355 – Better Healthcare Through Information Technology Act S.1408 – Identity Theft Protection Act S.16 – Affordable Health Care Act S.1789 – Personal Data Privacy and Security S.2607 – Small Business Health Education and Awareness Act of 2006 S.288 – State High Risk Pool Funding Extension Act S.544 – Patient Safety and Quality Improvement Act S.751 – Notification of Risk to Personal Data Act HR.2234 – 21st Century Health Information Act HR.3204 – State High Risk Pool Funding Extension Act HR.4157 – Health Information Technology Promotion Act of 2005 HR.4157 – Health Information Technology Protection Act

Client expense: Not reported · Firm income: $90,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1337 – Fair and Reliable Medical Justice Act S.1355 – Health Information Technology Quality Improvement Act HR2234 - 21st Century Health Information Act HR4157 - Health Information Technology Promotion Act of 2005 S.16 – Affordable Health Care Act S.1262 – Health Technology to Enhance Quality Act

Client expense: Not reported · Firm income: $105,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1355 – Health Information Technology Quality and Improvement Act HR.2234 – 21st Century Health Information act HR.4157 – Health Information Technology Promotion Act of 2005 S.16 – Affordable Health Care Act S.1262 – Health Technology to Enhance Quality Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1355 – Health Information Technology Quality Improvement Act S.16 – Affordable Health Care Act S.306 – Genetic Information Nondiscrimination Act S.354 – Help Efficient, Accessible, Low-Cost, Timely Healthcare Act of 2005 HR.2234 – 21st Century Health Information Act HR.4157 – Health Information Technology Promotion Act of 2005 S.1262 – Health Technology to Enhance Quality Act S.1337 – Fair and Reliable Medical Justice Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 366, "Healthy Mothers and Healthy Babies Access to Care Act of 2005" H.R 1020, "National Pain Care Policy Act of 2005" S. 1418, "Wired for Health Care Quality Act" S. 1355, " Better Healthcare Through Information Technology Act" S. 1262, " Health TEQ Act of 2005" Dispensing of Controlled substances for legitimate medical treatment of pain. FDA warning label for Propofol. H.R. 5688, " Healthcare Truth and Transparency Act of 2006" H.R. 5, " Help, Efficient, Accessible, Low-cost, Timely Health Care Act" S. 23, " Healthy Mothers and Healthy Babies Access to Care Act" S. 22, " Medical Care Access Protection Act"

Client expense: $620,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), SENATE

Legislation to expand health care coverage and access including S1104/HR1233, HR 215, HR 1175, HR 1812S/S 898, S347, S570, HR 3010, S.1955, H.R.3139, HR 4519; medical emergency reimbursement, S1393, S265, HR.3875/S 2750; patient safety, S544/HR3205, S4; emergency preparedness, HR 2360, S1393/HR3714, S.1955; and information technology: S1227, HR2234, S 1262, S1355, S1418, HR 747, HR 2234, HR 4157

Client expense: $360,000 · 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