Affordable Health Care Act

S.2229—A bill to provide quality, affordable health care for all Americans. S.2510—A bill to establish a national health program administered by the Office of Personnel Management to offer health benefits plans to individuals who are not Federal employees, and for other purposes. S.2772—A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S.3701—A bill to determine successful methods to provide protection from catastrophic health expenses for individuals who have exceeded health insurance coverage for uninsured individuals, and for other purposes. S.3585—A bill to amend the Internal Revenue Code of 1986 to improve and expand the availability of health savings accounts, and for other purposes. S. 3701: A bill to determine successful methods to provide protection from catastrophic health expenses for individuals who have exceeded health insurance coverage for uninsured individuals, and for other purposes. S. 3900: A bill to amend title XVIII of the Social Security Act to improve the quality and efficiency of health care, to provide the public with information on provider and supplier performance, and to enhance the education and awareness of consumers for evaluating health care services through the development and release of reports based on Medicare enrollment, claims, survey, and assessment data. H.R. 5864: To provide for innovation in health care through State initiatives that expand coverage and access. H.R. 5886: To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for a AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R. 6134: To amend the Internal Revenue Code of 1986 to expand health coverage through the use of high deductible health plans and to encourage the use of health savings accounts. S.4—Title: A bill to reduce healthcare costs, expand access to affordable healthcare coverage, and improve healthcare and strengthen the healthcare safety net, and for other purposes. S.16—Title: A bill to reduce to the cost of quality health care coverage and improve the availability of health care coverage for all Americans. S.306—Title: A bill to prohibit discrimination on the basis of genetic information with respect to health insurance and employment. S.309—Title: A bill to amend the Internal Revenue Code of 1986 to provide for the disposition of unused health benefits in cafeteria plans and flexible spending arrangements. S.544—Title: A bill to amend title IX of the Public Health Service Act to provide for the improvement of patient safety and to reduce the incidence of events that adversely effect patient safety. S.637—Title: A bill to establish a national health program administered by the Office of Personnel Management to offer health benefits plans to individuals who are not Federal employees, and for other purposes. S.1015—Title: A bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce. S. 1085: A bill to provide for paid sick leave to ensure that Americans can address their own health needs and the health needs of their families. S.1286—Title: A bill to require States to report data on Medicaid beneficiaries who are employed. S.1356—Title: 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.1418—A bill to enhance the adoption of a nationwide inter operable health information technology system and to improve the quality and reduce the costs of health care in the United States. S.1932—An original bill to provide for reconciliation pursuant to section 202(a) of the concurrent resolution on the budget for fiscal year 2006, including provisions to include value based purchasing in Medicare. S.1955—A bill to amend title I of the Employee Retirement Security Act of 1974 and the Public Health Service Act to expand health care access and reduce costs through the creation of small business health plans and through modernization of the health insurance marketplace. entrepreneurs with small businesses with respect to medical care for their employees. H.R.1227—To prohibit discrimination on the basis of genetic information with respect to health insurance and employment. H.R.1872—To amend the Internal Revenue Code of 1986 to provide tax incentives for the purchase of qualified health insurance, and for other purposes. H.R. 1902: To provide for paid sick leave to ensure that Americans can address their own health needs and the health needs of their families. H.R.2071—To amend titles XIX and XXI of the Social Security Act to provide for FamilyCare coverage for parents of enrolled children, and for other purposes. H.R.2073—To amend the Internal Revenue Code of 1986 to provide tax subsidies to encourage small employers to offer affordable health coverage to their employees through qualified health pooling arrangements, to encourage the establishment and operation of these arrangements, and for other purposes. H.R.2203—To amend the Internal Revenue Code of 1986 to allow individuals a refundable and advanceable credit against income tax for health insurance costs, to allow employees who elect not to participate in employer subsidized health plans an exclusion from gross income for employer payments in lieu of such participation, and for other purposes. H.R.2234—To authorize the Secretary of Health and Human Services to make health information technology grants, and for other purposes. H.R.2355—To amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce. H.R. 4157: To promote a better health information system. H.R.4511—To amend the Internal Revenue Code of 1986 to allow the use of flexible spending and health reimbursement arrangements in combination with health savings accounts, and for other purposes. H.R. 4859: 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. H.R.4832—To amend the Social Security Act to establish an Office of Health Information Technology for the purpose of creating a national interoperable health information infrastructure, to provide loans to health care entities seeking to implement such infrastructure, and to provide exceptions to certain health anti-kickback laws to encourage the dissemination of health information technology. H.R.5262—To amend the Internal Revenue Code of 1986 to provide tax incentives for the payment of premiums for high deductible health plans, and for other purposes. H.R.5586—To amend the Internal Revenue Code of 1986 to allow distributions from health savings accounts to be used for the purchase of non-group coverage under high deductible health insurance. H.R. 5743: To amend the Internal Revenue Code of 1986 to improve and expand the availability of health savings accounts, and for other purposes. H.R.66—To amend the Internal Revenue Code of 1986 to improve health care choice by providing for the tax deductibility of medical expenses by individuals. H.R.525—To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for

Client expense: Not reported · Firm income: $320,996

Government targets: Equal Employment Opportunity Commission (EEOC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE, Treasury, Dept of, White House Office

HR 22 Postal Accountability and Enhancement Act HR 184 Controlled Substances Export Reform Act of 2005 HR 218 Health Care Tax Deduction Act of 2005 HR 328 Pharmaceutical Market Access Act of 2005 HR 700 Pharmaceutical Market Access and Drug Safety Act of 2005 HR 753 Safe Importation of Medical Products and Other Rx Therapies Act of 2005 HR 747 National Health Information Incentive Act of 2005 HR 1132 National All Schedules Prescription Electronic Reporting Act of 2005 HR 1223 Information Technology for Health Care Quality Act HR 4832 Electronic Health Information Technology Act of 2006 HR 4157 Health Information Technology Promotion Act of 2005 HR 5166 Independent Pharmacy Protection Act of 2006 HR 5182 Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2006 HR 1626 Medicare Prescription Drug Improvement Act HR 1669 Pharmacy Benefit Manager Transparency Act of 2005 HR 1671 Community Pharmacy Fairness Act of 2005 HR 1710 Internet Police Protection Act of 2005' HR 1808 Safe Online Drug Act of 2005 HR 2234 21st Century Health Information Act of 2005 HR 2664 Biennial Budgeting and Appropriations Act of 2005 HR 2774 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act of 2006 HR 5384 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act of 2007 S 4 Healthy America Act of 2005 S 16 Affordable Health Care Act S 109 Pharmaceutical Market Access Act of 2005 S 184 Safe Importation of Medical Products and Other Rx Therapies Act of 2005 S 334 Pharmaceutical Market Access and Drug Safety Act of 2005 S 518 National All Schedules Prescription Electronic Reporting Act of 2005 S 662 Postal Accountability and Enhancement Act S 975 Project BiosSheild II Act of 2005 S 1223 Information Technology for Health Care Quality Act S 1227 Health Information Technology Act of 2005 S 1262 Health Technology to Enhance Quality Act of 2005 S 1418 Wired for Health Care Quality Act S 2072 Medicare Early Access Act of 2005 S 2090 Food and Drug Administration Act of 2005 S 2551 Prompt Payment of Health Benefits Claims Act of 2006 S 2563 Pharmacist Access and Recognition in Medicare (PhARM) Act of 2006 S. 2665 Pharmacy Access Improvement (PhAIm) Act of 2006 See next page

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 22 Postal Accountability and Enhancement Act HR 184 Controlled Substances Export Reform Act of 2005 HR 218 Health Care Tax Deduction Act of 2005 HR 328 Pharmaceutical Market Access Act of 2005 HR 700 Pharmaceutical Market Access and Drug Safety Act of 2005 HR 753 Safe Importation of Medical Products and Other Rx Therapies Act of 2005 HR 747 National Health Information Incentive Act of 2005 HR 1132 National All Schedules Prescription Electronic Reporting Act of 2005 HR 1223 Information Technology for Health Care Quality Act HR 4832 Electronic Health Information Technology Act of 2006 HR 4157 Health Information Technology Promotion Act of 2005 HR 5166 Independent Pharmacy Protection Act of 2006 HR 5182 Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2006 HR 1626 Medicare Prescription Drug Improvement Act HR 1669 Pharmacy Benefit Manager Transparency Act of 2005 HR 1671 Community Pharmacy Fairness Act of 2005 HR 1710 Internet Police Protection Act of 2005' HR 1808 Safe Online Drug Act of 2005 HR 2234 21st Century Health Information Act of 2005 HR 2664 Biennial Budgeting and Appropriations Act of 2005 HR 2774 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act of 2006 HR 5384 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act of 2007 S 4 Healthy America Act of 2005 S 16 Affordable Health Care Act S 109 Pharmaceutical Market Access Act of 2005 S 184 Safe Importation of Medical Products and Other Rx Therapies Act of 2005 S 334 Pharmaceutical Market Access and Drug Safety Act of 2005 S 518 National All Schedules Prescription Electronic Reporting Act of 2005 S 662 Postal Accountability and Enhancement Act S 975 Project BiosSheild II Act of 2005 S 1223 Information Technology for Health Care Quality Act S 1227 Health Information Technology Act of 2005 S 1262 Health Technology to Enhance Quality Act of 2005 S 1418 Wired for Health Care Quality Act S 2072 Medicare Early Access Act of 2005 S 2090 Food and Drug Administration Act of 2005 S 2551 Prompt Payment of Health Benefits Claims Act of 2006 S 2563 Pharmacist Access and Recognition in Medicare (PhARM) Act of 2006 S. 2665 Pharmacy Access Improvement (PhAIm) Act of 2006 See next page

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 22 Postal Accountability and Enhancement Act HR 184 Controlled Substances Export Reform Act of 2005 HR 218 Health Care Tax Deduction Act of 2005 HR 328 Pharmaceutical Market Access Act of 2005 HR 700 Pharmaceutical Market Access and Drug Safety Act of 2005 HR 753 Safe Importation of Medical Products and Other Rx Therapies Act of 2005 HR 747 National Health Information Incentive Act of 2005 HR 1132 National All Schedules Prescription Electronic Reporting Act of 2005 HR 1223 Information Technology for Health Care Quality Act HR 4832 Electronic Health Information Technology Act of 2006 HR 4157 Health Information Technology Promotion Act of 2005 HR 5166 Independent Pharmacy Protection Act of 2006 HR 5182 Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2006 HR 1626 Medicare Prescription Drug Improvement Act HR 1669 Pharmacy Benefit Manager Transparency Act of 2005 HR 1671 Community Pharmacy Fairness Act of 2005 HR 1710 Internet Police Protection Act of 2005' HR 1808 Safe Online Drug Act of 2005 HR 2234 21st Century Health Information Act of 2005 HR 2664 Biennial Budgeting and Appropriations Act of 2005 HR 2774 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act of 2006 HR 5384 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act of 2007 S 4 Healthy America Act of 2005 S 16 Affordable Health Care Act S 109 Pharmaceutical Market Access Act of 2005 S 184 Safe Importation of Medical Products and Other Rx Therapies Act of 2005 S 334 Pharmaceutical Market Access and Drug Safety Act of 2005 S 518 National All Schedules Prescription Electronic Reporting Act of 2005 S 662 Postal Accountability and Enhancement Act S 975 Project BiosSheild II Act of 2005 S 1223 Information Technology for Health Care Quality Act S 1227 Health Information Technology Act of 2005 S 1262 Health Technology to Enhance Quality Act of 2005 S 1418 Wired for Health Care Quality Act S 2072 Medicare Early Access Act of 2005 S 2090 Food and Drug Administration Act of 2005 S 2551 Prompt Payment of Health Benefits Claims Act of 2006 S 2563 Pharmacist Access and Recognition in Medicare (PhARM) Act of 2006 S. 2665 Pharmacy Access Improvement (PhAIm) Act of 2006 See next page

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S. 309 To amend the Internal Revenue Code of 1986 to provide for the disposition of unused health benefits in cafeteria plans and flexible spending arrangements. S. 334 Pharmaceutical Market Access and Drug Safety Act of 2005 S. 354 Help Efficient, Accessible, Low-Cost, Timely Healthcare Act of 2005 or the `HEALTH Act of 2005 S. 406 Small Business Health Fairness Act of 2005 S. 544 Patient Safety and Quality Improvement Act of 2005 S. 577 HIPAA Recreational Injury Technical Correction Act S. 772 Workforce Health Improvement Program Act of 2005 S. 978 Healthcare Tax Relief for the Uninsured Act of 2005 S. 1015 Health Care Choice Act of 2005 S. 1244 Long-Term Care and Retirement Security Act of 2005 S. 1356 Medicare Value Purchasing Act of 2005 S. 1418 Wired for Health Care Quality Act S. 1447 Tax Technical Corrections Act of 2005 S. 1932 Deficit Reduction Act of 2005 S. 3585 HSA Improvement and Expansion Act of 2006 HR 5 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2005 HR 525 Small Business Health Fairness Act of 2005 HR 700 Pharmaceutical Market Access and Drug Safety Act of 2005 HR 1227 Genetic Information Nondiscrimination Act of 2005 HR 1402 Paul Wellstone Mental Health Equitable Treatment Act of 2005 HR 1634 Workforce Health Improvement Program Act of 2005 HR 1872 Health Coverage for the Uninsured Act of 2005 HR 1998 To amend the Internal Revenue Code of 1986 to provide for the disposition of unused benefits in health flexible spending arrangements. HR 2234 21st Century Health Information Act of 2005 HR 2355 Health Care Choice Act of 2005 HR 2682 Long-Term Care and Retirement Security Act of 2005 HR 2793 HIPAA Recreational Injury Technical Correction Act HR 2830 Pension Protection Act of 2005 HR 3204 State High Risk Pool Funding Extension Act of 2005 HR 3205 Patient Safety and Quality Improvement Act of 2005 HR 3376 Tax Technical Corrections Act of 2005 HR 4157 Health Information Technology Promotion Act of 2006 HR 4241 Deficit Reduction Act of 2005 HR 4262 Tax-Free Health Savings Act of 2006 HR 4511 Health Flex Act HR 5586 HSA Premium Affordability Act of 2006 HR 5743 HSA Improvement and Expansion Act of 2006 HR 6111 The Tax Relief and Health Care Act of 2006 HR 6134 Health Opportunity and Patient Empowerment Act of 2006 HR 5262 Tax Free Health Savings Act of 2006 S. 4 Healthy America Act of 2005 S. 16 Affordable Health Care Act S. 288 State High Risk Pool Funding Extension Act of 2005 S. 306 Genetic Information Nondiscrimination Act of 2005

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

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

S.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

H.R.870, Pharmaceutical Research and Manufacturers Accountability Act of 2005, Lobbied to prevent provisions adverse to prescription drug approval process. S.16, Affordable Health Care Act, Lobbied to prevent provisions adverse to prescription drug approval process. S.930, Food and Drug Administration Safety Act of 2005, Lobbied to prevent adverse to prescription drug approval process. S.184, Safe IMPORT Act of 2005, Lobbied to prevent unsafe importation of prescription drugs. S.470, FACT Act, Fair Access to Clinical Trials Act of 2005, Lobbied to prevent provisions adverse to prescription drug approval process. S.3650, The Helping to Fill the Medicare Rx Gap Act, Lobbied for final passage of the bill. H.R.2090, Food and Drug Administration Improvement Act of 2005, Lobbied to prevent provisions adverse to prescription drug approval process. H.R.753, Safe IMPORT Act of 2005, Lobbied to prevent unsafe importation of prescription drugs.

Client expense: $2,980,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 22 Postal Accountability and Enhancement Act HR 184 Controlled Substances Export Reform Act of 2005 HR 218 Health Care Tax Deduction Act of 2005 HR 328 Pharmaceutical Market Access Act of 2005 HR 700 Pharmaceutical Market Access and Drug Safety Act of 2005 HR 753 Safe Importation of Medical Products and Other Rx Therapies Act of 2005 HR 747 National Health Information Incentive Act of 2005 HR 1132 National All Schedules Prescription Electronic Reporting Act of 2005 HR 1223 Information Technology for Health Care Quality Act HR 4832 Electronic Health Information Technology Act of 2006 HR 4157 Health Information Technology Promotion Act of 2005 HR 5166 Independent Pharmacy Protection Act of 2006 HR 5182 Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2006 HR 1626 Medicare Prescription Drug Improvement Act HR 1669 Pharmacy Benefit Manager Transparency Act of 2005 HR 1671 Community Pharmacy Fairness Act of 2005 HR 1710 Internet Police Protection Act of 2005' HR 1808 Safe Online Drug Act of 2005 HR 2234 21st Century Health Information Act of 2005 HR 2664 Biennial Budgeting and Appropriations Act of 2005 HR 2774 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act of 2006 HR 5384 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act of 2007 S 4 Healthy America Act of 2005 S 16 Affordable Health Care Act S 109 Pharmaceutical Market Access Act of 2005 S 184 Safe Importation of Medical Products and Other Rx Therapies Act of 2005 S 334 Pharmaceutical Market Access and Drug Safety Act of 2005 S 518 National All Schedules Prescription Electronic Reporting Act of 2005 S 662 Postal Accountability and Enhancement Act S 975 Project BiosSheild II Act of 2005 S 1223 Information Technology for Health Care Quality Act S 1227 Health Information Technology Act of 2005 S 1262 Health Technology to Enhance Quality Act of 2005 S 1418 Wired for Health Care Quality Act S 2072 Medicare Early Access Act of 2005 S 2090 Food and Drug Administration Act of 2005 S 2551 Prompt Payment of Health Benefits Claims Act of 2006 S 2563 Pharmacist Access and Recognition in Medicare (PhARM) Act of 2006 S. 2665 Pharmacy Access Improvement (PhAIm) Act of 2006 See next page

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 22 Postal Accountability and Enhancement Act HR 184 Controlled Substances Export Reform Act of 2005 HR 218 Health Care Tax Deduction Act of 2005 HR 328 Pharmaceutical Market Access Act of 2005 HR 700 Pharmaceutical Market Access and Drug Safety Act of 2005 HR 753 Safe Importation of Medical Products and Other Rx Therapies Act of 2005 HR 747 National Health Information Incentive Act of 2005 HR 1132 National All Schedules Prescription Electronic Reporting Act of 2005 HR 1223 Information Technology for Health Care Quality Act HR 4832 Electronic Health Information Technology Act of 2006 HR 4157 Health Information Technology Promotion Act of 2005 HR 5166 Independent Pharmacy Protection Act of 2006 HR 5182 Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2006 HR 1626 Medicare Prescription Drug Improvement Act HR 1669 Pharmacy Benefit Manager Transparency Act of 2005 HR 1671 Community Pharmacy Fairness Act of 2005 HR 1710 Internet Police Protection Act of 2005' HR 1808 Safe Online Drug Act of 2005 HR 2234 21st Century Health Information Act of 2005 HR 2664 Biennial Budgeting and Appropriations Act of 2005 HR 2774 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act of 2006 HR 5384 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act of 2007 S 4 Healthy America Act of 2005 S 16 Affordable Health Care Act S 109 Pharmaceutical Market Access Act of 2005 S 184 Safe Importation of Medical Products and Other Rx Therapies Act of 2005 S 334 Pharmaceutical Market Access and Drug Safety Act of 2005 S 518 National All Schedules Prescription Electronic Reporting Act of 2005 S 662 Postal Accountability and Enhancement Act S 975 Project BiosSheild II Act of 2005 S 1223 Information Technology for Health Care Quality Act S 1227 Health Information Technology Act of 2005 S 1262 Health Technology to Enhance Quality Act of 2005 S 1418 Wired for Health Care Quality Act S 2072 Medicare Early Access Act of 2005 S 2090 Food and Drug Administration Act of 2005 S 2551 Prompt Payment of Health Benefits Claims Act of 2006 S 2563 Pharmacist Access and Recognition in Medicare (PhARM) Act of 2006 S. 2665 Pharmacy Access Improvement (PhAIm) Act of 2006 See next page

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 22 Postal Accountability and Enhancement Act HR 184 Controlled Substances Export Reform Act of 2005 HR 218 Health Care Tax Deduction Act of 2005 HR 328 Pharmaceutical Market Access Act of 2005 HR 700 Pharmaceutical Market Access and Drug Safety Act of 2005 HR 753 Safe Importation of Medical Products and Other Rx Therapies Act of 2005 HR 747 National Health Information Incentive Act of 2005 HR 1132 National All Schedules Prescription Electronic Reporting Act of 2005 HR 1223 Information Technology for Health Care Quality Act HR 4832 Electronic Health Information Technology Act of 2006 HR 4157 Health Information Technology Promotion Act of 2005 HR 5166 Independent Pharmacy Protection Act of 2006 HR 5182 Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2006 HR 1626 Medicare Prescription Drug Improvement Act HR 1669 Pharmacy Benefit Manager Transparency Act of 2005 HR 1671 Community Pharmacy Fairness Act of 2005 HR 1710 Internet Police Protection Act of 2005' HR 1808 Safe Online Drug Act of 2005 HR 2234 21st Century Health Information Act of 2005 HR 2664 Biennial Budgeting and Appropriations Act of 2005 HR 2774 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act of 2006 HR 5384 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act of 2007 S 4 Healthy America Act of 2005 S 16 Affordable Health Care Act S 109 Pharmaceutical Market Access Act of 2005 S 184 Safe Importation of Medical Products and Other Rx Therapies Act of 2005 S 334 Pharmaceutical Market Access and Drug Safety Act of 2005 S 518 National All Schedules Prescription Electronic Reporting Act of 2005 S 662 Postal Accountability and Enhancement Act S 975 Project BiosSheild II Act of 2005 S 1223 Information Technology for Health Care Quality Act S 1227 Health Information Technology Act of 2005 S 1262 Health Technology to Enhance Quality Act of 2005 S 1418 Wired for Health Care Quality Act S 2072 Medicare Early Access Act of 2005 S 2090 Food and Drug Administration Act of 2005 S 2551 Prompt Payment of Health Benefits Claims Act of 2006 S 2563 Pharmacist Access and Recognition in Medicare (PhARM) Act of 2006 S. 2665 Pharmacy Access Improvement (PhAIm) Act of 2006 See next page

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), 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

S.1418 – Wired for Health Care Quality Act S.16 – Affordable Health Care Act S.184 – Safe Importation of Medical Products and Other Rx Therapies Act of 2005 S.518 – National All Schedules Prescription Electronic Reporting Act of 2005 HR.2234 – 21st Century Health Information Act H.R.4157 – Health Information Technology Promotion Act of 2005 S.109 – Pharmaceutical Market Access Act of 2005 S.1262 – Health Technology to Enhance Quality Act

Client expense: Not reported · Firm income: $75,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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. 16, Affordable Health Care Act, provisions related to frailty adjuster for Medicare providers.

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

Government targets: SENATE

H.R.2090, Food and Drug Administration Improvement Act of 2005, Lobbied to prevent provisions adverse to prescription drug approval process. H.R.753, Safe IMPORT Act of 2005, Lobbied to prevent unsafe importation of prescription drugs. H.R.870, Pharmaceutical Research and Manufacturers Accountability Act of 2005, Lobbied to prevent provisions adverse to prescription drug approval process. S.16, Affordable Health Care Act, Lobbied to prevent provisions adverse to prescription drug approval process. S.930, Food and Drug Administration Safety Act of 2005, Lobbied to prevent provisions adverse to prescription drug approval process. S.184, Safe IMPORT Act of 2005, Lobbied to prevent unsafe importation of prescription drugs. S.470, FACT Act, Fair Access to Clinical Trials Act of 2005, Lobbied to prevent provisions adverse to prescription drug approval process. S.3650, The Helping to Fill the Medicare Rx Gap Act, lobbied for final passage of the bill.

Client expense: $2,760,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Associated Health Plans H.R.525/S.406; Small Employer Health Benefits Plans S.637/S.1955; Medikids Health Insurance Act-S.1303/H.R.3055; Medicaid Formula Fairness Act, S.1007/H.R.2258; Securing Access, Value and Equity Act-S.160/H.R.4219; "Diabetes Retinopathy Prevention Act" H.R.801; Health Information Technology Act, S.1227/ H.R.4157; Health TEQ Act of 2005-S.1262; Medicare Telehealth Enhancement Act of 2005-H.R.2807; Community Health Center Volunteer Protection Act, H.R.1313/S.1058; Protecting Every Health Center Act, H.R.1633; "Wired for Health Care Quality Act"-S.1418; FTCA for Employees and Volunteers in Public Health Emergencies-H.R.3962; "Public Health and Health Insurance Emergency Response Act of 2005"-S.1769; FTCA for Volunteer Providers-S.1344; Community and Rural Medical Residency Act of 2005-S.2071/H.R.4473 Affordable Health Care Act-S.16, Faircare Act-S.1929; Healthy America Act-S.1503; Ryan White Treatment Modernization Act-S.2823; Health Centers Renewal Act-H.R.5201; Health Centers Reauthorization Act-H.R.-5573.

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

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

H.R.2090, Food and Drug Administration Improvement Act of 2005, Lobbied to prevent provisions adverse to prescription drug approval process. H.R.753, Safe IMPORT Act of 2005, Lobbied to prevent unsafe importation of prescription drugs. H.R.870, Pharmaceutical Research and Manufacturers Accountability Act of 2005, Lobbied to prevent provisions adverse to prescription drug approval process. S.16, Affordable Health Care Act, Lobbied to prevent provisions adverse to prescription drug approval process. S.930, Food and Drug Administration Safety Act of 2005, Lobbied to prevent provisions adverse to prescription drug approval process. S.184, Safe IMPORT Act of 2005, Lobbied to prevent unsafe importation of prescription drugs. S.470, FACT Act, Fair Access to Clinical Trials Act of 2005, Lobbied to prevent provisions adverse to prescription drug approval process.

Client expense: $2,580,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 16: A bill to reduce to the cost of quality health care coverage and improve the availability of health care coverage for all Americans. Lobbied to protect the interests of the Biotech drug industry. S. 109, H.R. 328: A bill entitled the "Pharmaceutical Market Access Act of 2005". Lobbied for an exemption for biologics.S.184,H.R. 753: A bill to amend the Federal Food, Drug, and Cosmetic Act to protect the public health from the unsafe importation of prescription drugs and from counterfeit prescription drugs, and for other purposes. Lobbied for an exemption for biologics. S. 334, H.R. 700: A bill to amend the Federal Food, Drug, and Cosmetic Act with respect to the importation of prescription drugs, and for other purposes. Lobbied for an exemption for biologics. H.R. 563: To amend part D of title XVIII of the Social Security Act to require the Secretary of Health and Human Services to negotiate and disclose lowest possible prices for prescription drug prices for Medicare beneficiaries, and with respect to the Federal Food, Drug, and Cosmetic Act, to provide waivers that permit such beneficiaries to import prescription drugs from Canada. Lobbied for an exemption for biologics. H.R. 578: To amend the Internal Revenue Code of 1986 with respect to the purchase of prescription drugs by individuals who have attained retirement age, and to amend the Federal Food, Drug, and Cosmetic Act with respect to the importation of prescription drugs and the sale of such drugs through Internet sites. Lobbied for an exemption for biologics. H.R.1626: To amend part D of the title XVIII of the Social Security Act to authorize the Secretary of Health and Human Services to negptiate for lower prices for Medicare prescription drugs and to eliminate the gap in coverage of Medicare prescrition durg benefits, to the Secretary of Health and Human Services to promulgate regulations for the reimportation of prescription drugs, and for other purposes. Lobbied for an exemption for biologics. H.R. 2599: To improve the quality, availability, diversity, personal privacy, and innovation of health care in the United States. Lobbied for an exemption for biologics.. H.R.16: To authorize the use of Federal funds for research on human embryonic stem cells irrrespective of the date on which such stem cells were derived, and for other purposes. Lobbied to prevent the unreasonable restriction of legitimate medical research or clinical trials. H.R. 596, S. 681: To amend the Public Health Service Act to establish a National Cord Blood Stem Cell Bank Network to prepare, store, and distribute human umbilical cord blood stem cells for the treatment of patients and to support peer-reviewed research using such cells. Lobbied to prevent the unreasonable restriction of legitimate medical research or clinical trials. H.R. 810, S. 471: To amend the Public Health Service Act to provide for human embryonic stem cell research. H.R.1650: To amend the Internal Revenue Code of 1986 to allow tax credits to holders of stem cell research bonds. Lobbied to prevent the unreasonable restriciton of legitimate medical research or clinical trials. H.R. 1822, S. 876: To prohibit human cloning and protect stem cells research. Lobbied to prevent the unreasonable restriction of legitimate medical research or clinical trials. H.R. 2541: To amend the Public Health Service Act to provide for the expansion, intensification, and coordination of the activities of the National Institutes of Health regarding qualifying adult stem cell research, and for other purposes. Lobbied to prevent the unreasonable restriction of legitimate medical research or clinical trials. H.R.2520, S.1317: To provide for the collection and maintenance of human cord blood stem cells for the treatment of patients and research, and to amend the Public Health Service Act to authorize the C.W. Bill Young Cell Transplantation Program. Lobbied to prevent the unreasonable restriction of legitimate medical research or clinical trials. H.R. 2574: To amend the Public Health Service Act to provide for a program at the National Institutes of Health to conduct and support research on animals to develop techniques for the derivation of stem cells from embryos that do not harm the embryos, and for other purposes. Lobbied to prevent the unreasonable restriction of legitimate medical research or clinical trials. S.1392: A bill to reauthorize the Federal Trade Commission. (Dorgan/Snowe Drug Importation Amendment). Lobbied for an exemption for biologics. H.R.3144: To amend the Public Health Service Act to provide for a program at the National Institutes of Health to conduct and support research in the derivation and use of human pluripotent stem cells by means that do not harm human embryos, and for other purposes. Lobbied for the interests of the vaccine industry. H.R.3423,S.1420: To amend the Federal Food, Drug, and Cosmetic Act with respect to medical device user fees. Lobbied for the interests of the medical device industry. S.226: A bill to amend the Public Health Service Act to improve immunization rates by increasing the supply of vaccines. Lobbied for the interst of the vaccine industry. S.521,H.R.1290: A bill to amend the Public Health Service Act to direct the Secretary of Health and Human Services to establish, promote, and support a comprehensive prevention, research, and medical management referral program for hepatitis C virus infection. Supported bill. S.969,H.R.3369: A bill to amend the Public Health Service Act with respect to preparation for an influenza pandemic, including an avian influenza pandemic, and for other purposes. Lobbied for the interests of the vaccine industry. S.1422,H.R.881: A bill to amend the Federal Food, Drug, and Cosmetic Act to reduce human exposure to mercury through vaccines. Lobbied for the interests of the vaccine industry. H.R.650: To establish reasonable legal reforms that will facilitate the manufacture of vital, life-saving vaccines, and for other purposes. Lobbied for the interests of the vaccine industry. H.R.1297: To amend the Public Health Service Act with respect to the National Vaccine Injury Compensation Program. Lobbied for the interests of the vaccine industry. S.930: A bill to amend the Federal Food, Drug, and Cosmetic Act with respect to drug safety, and for other purposes. Lobbied to prevent the unreasonable restricition of legitimate medical research or clinical trials. S.470: A bill to amend the Public Health Service Act to expand the clinical trials drug data bank. Lobbied to provide the best information to the patient. H.R.2090: To amend the Federal Food, Drug, and Cosmetic Act to provide for the deposit in the general fund of the Treasury of fees that are collected from manufacturers of drugs and devices under chapter VII of such Act, to terminate the authority of the Food and Drug administration to negotiate with the manufacturers on particular uses of the fees, to establish a Center for Postmarket Drug Safety and Effectiveness, to establish additional authorities to ensure the safe and effective use of drugs, and for other purposes. Lobbied for provisions that promoted the development safe and effective drugs. H.R.2124,H.R.2308: To amend the Public Health Service Act to provide for clinical research support grants, clinical research infrastructure grants, and a demonstration program on partnerships in clinical research, and for other purposes. Lobbied for reasonable provisions that support research and clinical trials. H.R.2650: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to protect consumers in managed care plans and other health coverage. Lobbied for the interests of the industry. H.R.2792: To permit an individual to be treated by a health care practitioner with any method of medical treatment such individual requests, and for other purposes. Lobbied for the interests of the industry. H.R.3196,H.R.2259,S.1012: To amend the Public Health Service Act to expand the scope of information required for the data bank on clinical trials of drugs, and for other purposes. Lobbied for reasonable provisions that support research and clinical trials. S.1128: A bill to amend title XIX of the Social Security Act to provide for increased rebates under the medicaid program for prescription drugs that are directly advertised to consumers, to require other Federal programs purchasing or reimbursing for such drugs to establish payment and reimbursement mechanisms that reduce the costs of those drugs, and for other purposes. Lobbied to ensure that any enacted restrictions would not impede access of the consumer to accurate information about pharmaceutical products. H.R.840,S.399: A bill to amend the Federal Food, Drug and Cosmetic Act with respect to the sale of prescription drugs through the internet, and for other purposes. Lobbied to ensure that the internet would not be used to import counterfeit and defective medical products. H.R.1808,S.334: To amend the Federal Food, Drug, and Cosmetic Act to create a uniform certification standard for Internet pharmacies and to prohibit Internet pharmacies from engaging in certain advertising activities, to prohibit the use of certain bank instruments for purchases associated with illegal Internet pharmacies, and for other purposes. Lobbied to ensure that the internet would not be used to import counterfeit and defective medical products. H.R.4395: To amend titles XVIII and XIX of the Social Security Act to provide for an improved voluntary Medicare prescription drug benefit, to provide greater access to affordable pharmaceuticals, and for other purposes. Lobbied for an exemption for biologics in the Drug Importation section. S.470: A bill to amend the Public Health Service Act to expand the clinical trials drug data bank. Lobbied to prevent the unreasonable restriction of legitimate medical research or clinical trials. S.930: A bill to amend the Federal Food, Drug, and Cosmetic Act with respect to drug safety, and for other purposes. Lobbied to prevent the unreasonable restricition of legitimate medical research or clinical trials. S.1873: A bill to prepare and strengthen the biodefenses of the United States against deliberate, accidental, and natural outbreaks of illness, and for other purposes. Lobbied for a vaccine liability and compensation program for Pandemic Vaccines. H.R.2345: To amend the Federal Food, Drug, and Cosmetic Act to increase criminal penalties for the sale or trade of prescription drugs knowingly caused to be adulterated or misbranded, to modify requirements for maintaining records of the chain-of-custody of prescription drugs, to establish recall authority regarding drugs, and for other purposes. Lobbied in support of enhanced FDA authorities over counterfeit products. H.R.3052,S.1527: Vaccine Access and Supply Act, lobbied for provisions to strengthen the domestic vaccine industry. H.R.3970: Bioterror and Pandemic Preparedness Protection Act, lobbied in support of provisions to assure domestic pandemic preparedness. S.1821: Pandemic Preparedness and Response Act, lobbied in support of provisions to assure domestic pandemic preparedness. S.1828: Influenza Vaccine Security Act of 2005, lobbied in support of provisions to assure as strong domestic vaccine industry. S.1912: Global Network for Avian Influenza Surveillance Act, lobbied in support of domestic pandemic preparedness. S.375: Flu Protection Act of 2005, lobbied in support of domestic influenza provisions to stabilize production and supply. S.969: Attacking Viral Influenza Across Nations Act of 2005, lobbied in support of influenza provisions. General matters related to vaccine industry stability, pandemic preparedness, avian influenza.

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

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

HR 2863 Defense Appropriations Bill for fy 2006 HR 1815 Defense Authorization Act for FY 2006 S 1355 a bill to enhance the adoption of health information technology and improve and reduce the costs of health care in the US HR 2234 To authorize the Sec of HHS to make heatlh information technology grants HR 3205 to amend Title IX of PHS Act to provide for the improvement of patient safety HR 747 to amend Title XI of SS Act to achieve a national health information infrastructure S 1223 a bill to amend the PHS Act to improve the quality and efficiency of health care delivery S 544 a bill to amend title IX of the PHS Act to provide for the improvement of patient safety S 16 a bill to reduce the cost of quality health care coverage

Client expense: $1,362,071 · Firm income: Not reported

Government targets: Bureau of the Census, 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), White House Office

S.3 "Bio-preparedness Act" S.1262 "Health Technology to Enhance Quality Act" S.16 "Affordable Health Care Act" S.109 "Pharmaceutical Market Access Act of 2005" S.184 "Safe Importation of Medical Products and Other Rx Therapies Act of 2005" S.518 "National All Schedules Prescription Electronic Reporting Act of 2005"S.975 "Project BioSheild II Act of 2005" S1418 "Wired for Health Care Quality Act" HR.2234 "21 Century Health Information Act"

Client expense: Not reported · Firm income: $75,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR.2234 21 Century Health Information ActŽ S.16 ŽAffordable Health Care ActŽ S.306 Genetic Information Nondiscrimination ActŽ S.354 Help Efficient, Accessible, Low-Cost, Timely Healthcare Act of 2005'Ž S.1262 ŽHealth Technology to Enhance Quality ActŽ S.1337  Fair and Reliable Medical Justice ActŽS.1355 Health Information Technology Quality Improvement ActŽ

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.3 "Biopreparedness Act" S.16 ŽAffordable Health Care ActŽ S.306 Genetic Information Nondiscrimination ActŽ S.1262 ŽHealth Technology to Enhance Quality ActŽ S.1337  Fair and Reliable Medical Justice ActŽ S.1355 Health Information Technology Quality Improvement ActŽHR.2234 21 Century Health Information ActŽ

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Access to Dental Services-S.1142; Health Center Week-H.Res289 S.Res 31, Associated Health Plans H.R.5251/S.406; Small Employer Health Benefits Plan S.637/H.R.1955 Legislation to temporarily increase th federal medical assistance percentage for the Medicaid program-S.2570; Patient Navigator, Outreach, and Chronic Disease Prevention - S.898/H.R.1812; Domestic Violence Screening, Treatment and Prevention Act of 2003-H.R.1267; Access to Affordable Health Care Act-S.1225; Medikids Health Insurance Act S.1303/H.R.3055; Hispanic Health Improvement Act-S.1159, H.R.2258; Children's Dental Health Improvement Act-S.1142; Sicke Cell Treatment Act-S.874, H.R.1736; Securing Access, Value and Equity Act-S.160; Hospital Mortgage Insurance Act of 2003-H.R.659; Diabetes Prevention Access and Care Act H.R.1916; "Diabetic Retinopathy Prevention Act" H.R.801 Drug Addiction Treatment Expansion Act"-H.R.3634; "Dental Healthcare Provider Shortage Act"-S.2740 "Faircare Act of 2004-S.2594; Children's Vision Improvement and Learning Readiness Act of 2003-H.R.2173; Health Information Technology Act, S.1227; Health TEQ Act of 2005-S.1262; Medicare Telehealth Enhancement Act of 2005-H.R.2807; Community Health Center Volunteer Protection Act, H.R. 1313, S.1058; Protecting Every Health Center Act, H.R.1633; "Wired for Health Care Quality Act"-S.1418; FTCA for Employees and Volnteers in Public Health Emergencies-H.R.3962; "Public Health and Health Insurance Emergency Response Act of 2005"-S.1769; FTCA for volunteer providers-S.1344; Community and Rural Medical Residency Act of 2005-S.2071/H.R.4473 Affordable Health Care Act -S.16; Faircare Act-S.1929; Healthy Americans Act-S.1503.

Client expense: $260,000 · Firm income: Not reported

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

S.3 "Biopreparedness Act" S.334 "Pharmaceutical Market Access and Drug Safety Act" S.1262 "Health Technology to Enhance Quality Act" S.1337 "Fair and Reliable Medical Justice Act" S.1355 "Health Information Technology Quality and Improvement Act" S.16 "Affordable Health Care Act" HR.328 "Pharmaceutcial Market Access Act" HR.2234 "21st Century Health Information Act"

Client expense: Not reported · Firm income: $75,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.16 "Affordable Health Care Act" S.5 "Class Action Fairness Act" S.306 "Genetic Information Nondiscrimination Act" S.1262 "Health Technology to Enhance Quality Act" S.1337 "Fair and Reliable Medical Justice Act" S.1355 "Health Information Technology Quality Improvement Act" HR.2234 "21st Century Health Information Act"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.16 "Affordable Health Care Act" S.5 "Class Action Fairness Act" S.306 "Genetic Information Nondiscrimination Act" S.1262 "Health Technology to Enhance Quality Act" S.1337 "Fair and Reliable Medical Justice Act" S.1355 "Health Information Technology Quality and Improvement Act" HR.2234 "21st Century Health Information Act"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 16: “Affordable Health Care Act” Legislation to reduce the cost of quality healthcare coverage and improve the availability of healthcare coverage for all Americans. S. 470, H.R. 3196: “Fair Access to Clinical Trials Act of 2005” Legislation to amend the Public Health Service Act to expand the clinical trials drug data bank. S. 810, H.R. 1653: “Safeguarding Americans From Exporting Identification Data Act” Legislation to prohibit the transfer of personal information to any person outside the United States, without notice and consent, and for other purposes. S. 930: “Food and Drug Administration Safety Act of 2005” Legislation to amend the Federal Food, Drug, and Cosmetic Act with respect to drug safety, and for other purposes. S. 1020: “Hospital Fair Competition Act of 2005” Legislation to amend title XVIII of the Social Security Act to make improvements in payments to hospitals under the Medicare program, and for other purposes – provisions related to gainsharing and DRG refinements. S. 1355: “Better Healthcare Through Information Technology Act” Legislation to enhance the adoption of health information technology and to improve the quality and reduce the costs of healthcare in the United States. H.R. 2234: “21st Century Health Information Act of 2005” Legislation to authorize the Secretary of Health and Human Services to make health information technology grants, and for other purposes. Communications regarding modifications to P.L. 107-250, The Medical Device User Fee and Modernization Act of 2002. Communications regarding FDA regulation of pediatric devices. Communications regarding physician pay-for-performance.

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)