Affordability in the Individual Market Act

S. 2554, Affordability in the Individual Market Act, Expands the definition of what is deductible under IRS for Health Savings Accounts and the co-payment of health insurance. S. 1002, Hospital Fair Competition Act, Definition and treatment of specialty hospitals and physicians’ referral of their patients. S. 3500, Rural Hospital and Provider Equity Act, Extends through 2008 the Medicare incentive payment program for physician scarcity areas. S. 3521, Stop Over Spending Act, Would cap Medicare and Medicaid expenditures. S. 3701, Catastrophic Health Care Coverage Promotion Act, Would create a pilot program to give access to health insurance to uninsured Americans and those with catastrophic health care costs. S. 2701/HR 4403, Community and Rural Medical Residency Preservation Act , Clarifies that the intent of Congress is to encourage the use of ambulatory sites with voluntary preceptors in the primary care residency programs. HR 676, US Physician Shortage Elimination Act, Additional support for medical students and residents who commit to work in underserved areas. HR 5647, Labor, HHS, Education Appropriations, Funding for Title VII Health Professions Grants; Agency for Healthcare Research and Quality. HR 5856, AmeriCare Act, Would provide universal health care eligibility for all residents of the US for Medicare. HR 5866, Medicare Physician Payment Reform and Quality Improvement Act, Would repeal the Sustainable Growth Rate (SGR) formula used in calculating an annual Medicare payment rate. HR 6111, Tax Fairness & Health Care Act of 2006, Institutes a pay-for-performance system for physicians Prevents cuts to physician payment rates under Medicare. HR 8916, Patients’ Access to Physicians Act, Would specify that Medicare payment to physicians for 2007 and 2008 would be the MEI, plus one percent. No bill, Medicaid reforms, Discussions of how to reform the Medicaid program to control costs and improve quality.

Client expense: $903,802 · Firm income: Not reported

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

S. 1002, Hospital Fair Competition Act, Definition and treatment of specialty hospitals and physicians’ referral of their patients. S. 1418, Wired for Health Care Quality Act, Requires interoperability standards in health information technology. S. 1955, Health Insurance Marketplace Modernization and Affordability Act, Would allow small businesses to pool their risk in plans that are not subject to state insurance regulations. S. 2510, Small Employers Health Benefits Act, Would allow small business to pool their risk in plans that are subject to state insurance regulations. S. 2554, Affordability in the Individual Market Act, Expands the definition of what is deductible under IRS for Health Savings Accounts and the co-payment of health insurance. S. 2772, Health Partnership Act, Federal grant program to assist states in expanding and improving access to quality health care. S. 3500, Rural Hospital and Provider Equity Act, Extends through 2008 the Medicare incentive payment program for physician scarcity areas. S. 3701, Catastrophic Health Care Coverage Promotion Act, Would create a pilot program to give access to health insurance to uninsured Americans and those with catastrophic healthcare costs. S. 3708, Translational Research at NIH, The appropriations committee’s report on Labor/HHS encouraged research into translating basic science into practice in the physician’s office. S. 2071/HR 4403, Community and Rural Medical Residency Preservation Act, Would provide a legislative directive to CMS to resolve the issue of volunteer faculty precepting. HR 4157, Health Information Technology Promotion Act, Funding for health information technology. HR 5573, The Health Centers Renewal Act, Renews the Community Health Centers program. HR 5647, Pandemic Flu, Public health awareness & preparedness. HR 5856, AmeriCare Act, Would provide universal health care eligibility for all residents of the US for Medicare. HR 6111, Tax Fairness & Health Care Act of 2006, Institutes a pay-for-performance system for physicians Prevents cuts to physician payment rates under Medicare. No bill, Medicaid reforms, Discussions of how to reform the Medicaid program to control costs and improve quality.

HR 5743 - HSA Improvement and Expansion Act; HR 6111 - The Tax Relief and Health Care Act of 2006; HR 6134 - The Health Opportunity Patient Empowerment Act of 2006; S. 309 - FSA Rollovers; S. 1783 - Pension Security & Transparency Act; S. 2424 - Increased Incentives for HSAs; S. 2494 - Tax Incentives for HSAs; S. 2549 - Health Savings Account Affordability Act; S. 2554 - Affordability in the Individual Market Act; S. 2701 - Incentives for HSAs; S 3585 - HSA Improvement and Expansion Act HR 1872 - Health Coverage for the Uninsured; HR 1998 - FSA Rollovers; HR 2830 - Pension Protection Act of 2005; HR 4511 - Flex Health Savings Account Act; HR 5262 - Tax Free Health Savings Act; HR 5475 - HSA Accessibility and Portability Act;

Client expense: $1,800,000 · Firm income: Not reported

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

Vaccine & immunization programs; product liability; influenza vaccine stockpiles & appropriations & safety: S.2554, S. 3678, H.R. 5533, H.R. 5647, S. 3708, S. 1880, H.R. 2863, H.R. 5587, H.R. 4245, S. 1821, S. 96, S. 3627, S. 843, H.r. 3970, S. 1826, S. 1437, S. 969, S. 3492, S. 1527, H.R. 3502

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

S.2424, To amend the Internal Revenue Code of 1986 to increase the contribution limits for health savings accounts, and for other purposes. H.R.5176, Fair Flat Tax Act of 2006 S.2558, To amend the Internal Revenue Code of 1986 to provide a tax credit to employers for employee catastrophic health care costs and to health insurance companies for insurer catastrophic health care costs, and for other purposes. S.2554, To amend the Internal Revenue Code of 1986 to expand the permissible use of health savings accounts to include premiums for non-group high deductible health plan coverage. S.2549, To amend the Internal Revenue Code of 1986 to expand the use of health savings accounts for the payment of health insurance premiums for high deductible health plans purchased in the individual market. S.2494, To amend the Internal Revenue Code of 1986 to allow a deduction for the payment of premiums for high deductible health plans, to allow a credit for certain employment taxes paid with respect to premiums for high deductible health plans and contributions to health savings accounts, and for other purposes. H.R.5422, To amend the Internet Tax Freedom Act to make permanent the moratorium on taxes on internet access and on multiple and discriminatory taxes on electronic commerce. H.R.5262, Tax Free Health Savings Act of 2006 H.R. 5479, To amend the Internal Revenue Code of 1986 to treat certain amounts paid for exercise equipment and physical fitness programs as amounts paid for medical care. H.R.5743, HSA Improvement and Expansion Act of 2006 S.3585, HSA Improvement and Expansion Act of 2006 H.R.5970, To amend the Internal Revenue Code of 1986 to increase the unified credit against the estate tax to an exclusion equivalent of $5,000,000, to repeal the sunset provision for the estate and generation-skipping taxes, and to extend expiring provisions, and for other purposes. H.R.4961, To amend the Internal Revenue Code of 1986 to provide that the deduction for the health insurance costs of self-employed individuals be allowed in determining self-employment tax.

H.R. 4511: “Flex Health Savings Accounts Act” (Cantor); H.R. 5262: “Tax Free Health Savings Act” (Cantor); H.R. 5475: “HSA Accessibility and Portability Act” (Rogers); H.R. 5743: “HSA Improvement and Expansion Act” (Ryan); H.R. 5970: "Estate Tax and Extension of Tax Relief Act" (Thomas); H.R. 6111: HSA Provisions: H.R. 6134: Health Opportunity Patient Empowerment Act (Cantor); S. 309: FSA Rollovers (DeMint); S. 602: “Ronald Reagan Alzheimer's Breakthrough Act” (Mikulski-Bond); S. 978: “Healthcare Tax Relief for the Uninsured Act” (Santorum); S. 1244: “Long-Term Care and Retirement Security Act” (Grassley-Lincoln); S. 1602: “Improving Long-Term Care Choices Act” (Grassley-Bayh-Clinton); S. 1706: “Long-Term Care Act” (Allen); S. 2281: “Aging with Respect and Dignity Act” (Santorum); S. 2397: “Long-Term Care Trust Account Act” (Smith-Lincoln); S. 2424: Increased Contribution Limits for HSAs (Allen); S. 2494: Tax Incentives for HSAs (Burns); S. 2549: “Health Savings Account Affordability Act” (DeMint); S. 2554: “Affordability in the Individual Market Act” (Ensign); S. 2701: Tax Incentives for HSAs (Santorum); and S. 3585: “HSA Improvement and Expansion Act” (Hatch). TAX (Tax) Regulatory: Implementation of the health savings account provisions of the Medicare Act. TAX (Tax) (Legislative): H.R. 4: "Pension Protection Act" (Boehner); H.R. 37: “Health Insurance Affordability Act” (King); H.R. 976: “Long-Term Care Act” (Lee Terry); H.R. 1872: “Health Coverage for the Uninsured Act” (Johnson); H.R. 1998: FSA Rollovers (McCrery) (see next page)

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

S. 1706, the Long-Term Care Act of 2005 S. 663, the Equity for Our Nation's Self-Employed Act H.R. 1872, the Health Coverage for the Uninsured Act H.R. 1362, the Hospital Price Disclosure Act of 2005 H.R. 2355, the Health Care Choice Act S. 1015, the Health Care Choice Act H.R. 4451, the Health Care Choices for Seniors Act S. 1955, the Health Insurance Modernization & Affordability Act S. 2510, the Small Employers Health Benefits Program Act S. 2554, the Affordability in the Individual Market Act H.R. 5262, the Tax Free Health Savings Act H.R. 5475, the HSA Accessibility & Portability Act H.R. 5647, FY2007 Labor, Health & Human Services and Education and Related Agencies Appropriations S. 3708, FY2007 Labor, Health & Human Services and Education and Related Agencies Appropriations H.R. 6134, the Health Opportunity Patient Empowerment Act S.3754, the Tax Equity and Affordability Act H.R. 6111, the Tax Relief and Health Care Act S. 1951, the Community Living Assistance Services and Supports (CLASS) Act H.R. 37, the Health Insurance Affordability Act of 2005 H.R. 490, the Small Business Healthcare Savings Act H.R. 765, the Fair Care for the Uninsured Act of 2005 H.R. 976, the Long-Term Care Insurance Act of 2005

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

S.1706, the Long-Term Care Act of 2005 S.663, the Equity for Our Nation's Self-Employed Act H.R. 1872, the Health Coverage for the Uninsured Act H.R. 1362, the Hospital Price Disclosure Act H.R. 2355, the Health Care Choice Act S. 1015, the Health Care Choice Act H.R. 4451, the Health Care Choices for Seniors Act S. 1955, the Health Insurance Modernization & Affordability Act S. 2510, the Small Employers Health Benefits Program Act S. 2554, the Affordability in the Individual Market Act H.R. 5262, the Tax Free Health Savings Act H.R. 5475, the HSA Accessibility & Portability Act H.R. 5647, FY2007 Labor, Health & Human Services and Educational and Related Agencies Appropriations S. 3708, FY2007 Labor, Health & Human Services and Educational and Related Agencies Appropriations H.R. 6134, the Health Opportunity Patient Empowerment Act S. 3754, the Tax Equity and Affordability Act H.R. 6111, the Tax Relief and Health Care Act S. 1951, the Community Living Assistance Services and Supports (CLASS) Act H.R. 37, the Health Insurance Affordability Act of 2005 H.R. 490, the Small Business Healthcare Savings Act H.R. 765, the Fair Acre for the Unisured Act of 2005 H.R. 976, the Long-Term Care Insurance Act of 2005

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

S.1706, the Long-Term Care Act of 2005 S.663, the Equity for Our Nation's Self-Employed Act H.R. 1872, the Health Coverage for the Uninsured Act H.R. 1362, the Hospital Price Disclosure Act of 2005 H.R. 2355, the Health Care Choice Act S. 1015, the Health Care Choice Act H.R. 4451, the Health Care Choices for Seniors Act S. 1955, the Health Insurance Modernization & Affordability Act S. 2510, the Small Employers Health Benefits Program Act S. 2554, the Affordability in the Individual Market Act H.R. 5263, the Tax Free Health Savings Act H.R. 5475, the HSA Accessibility & Portability Act H.R. 5647, the FY2007 Labor, Health & Human Services and Education and Related Agencies Appropriations S. 3708, FY2007 Labor, Health & Human Services and Education and Related Agencies Appropriations H.R. 6134, the Health Opportunity Patient Empowerment Act S. 3754, the Tax Equity and Affordability Act H.R. 6111, the Tax Relief and Health Care Act S. 1951, the Community Living Assistance Services and Supports (CLASS) Act H.R. 37, the Health Insurance Affordability Act of 2005 H.R. 490, the Small Business Healthcare Savings Act H.R. 765, the Fair Care for the Uninsured Act of 2005 H.R. 976, the Long-Term Care Insurance Act of 2005

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

HR 5262, Tax Free Health Savings Act; HR 5475, HSA Accessibility and Portability Act; HR 5743, HSA Improvement and Expansion Act; HR 5970, Estate Tax and Extension of Tax Relief Act; HR 6111, HSA provisions; HR 6134, Health Opportunity Patient Empowerment Act; S 309, FSA Rollovers; S 602, Ronald Reagan Alzheimer's Breakthrough Act; S 978, Healthcare Tax Relief for the Uninsured Act; S 1244, Long-Term Care And Retirement Security Act; S 1602, Improving Long-Term Care Choices Act; S 1706, Long-Term Care Act; S 2281, Aging with Respect and Dignity Act; S 2397, Long-Term Care Trust Account Act; S 2424, Increased Contribution Limits for HSAs; S 2494, Tax Incentives for HSAs; S 2549, Health Savings Account Affordability Act; S 2554, Affordability in the Individual Market Act; S 2701, Tax incentives for HSAs; S 3585, HSA Improvement and Expansion Act HR 4, Pension Protection Act; HR 37, Health Insurance Affordability Act; HR 976, Long-Term Care Act; HR 1872, Health Coverage for the Uninsured Act; HR 1998, FSA Rollovers; HR 2682, Long-Term Care and Retirement Security Act; HR 2830, FSA Rollovers; HR 45121, Flex Health Savings Accounts Act;

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

H.R. 2355 Health Care Choice Act; S.1955 Health Insurance Market and Modernization Act; H.R. 4511 - Flex HSA Act; H.R. 5262 Tax Free Health Savings Act; S.2554 Affordability in the Individual Market Act

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

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

H.R. 525/S. 406/S. 1955 - AHPs/SBHPs H.R. 1872/S. 978/H.R. 5262/H.R. 4511/S. 2554/S. 2549/S. 2424/S. 2494/S. 2379 -HSAs/Tax Credits H.R. 1998/S. 309/H.R. 2830 - FSA Rollover H.R. 534/S. 354 - Medical Liabilty Reform S. 334/H.R. 700 - Pharmaceutical Market Access & Drug Safety Act of 2005 H.R. 328/S. 109/S. 184 - Pharmaceutical Market Access of 2005 H.R. 2355/S. 1015 - Internet National Market, Health Care Choice Act H.R. 2234 - 21st Century Health IT Act S. 1955 - Health Insurance Modernization and Affordability Act of 2005 S. 1418 - Wired for Health Care Quality Act H.R. 4157 - Health IT H.R. 4511 - Flex Health Savings Accounts Act of 2005 H.R. 6111, The Tax Relief and Health Care Act of 2006 S. 3488 Tax-Free Healthcare Savings, Access and Portability Act S. 2549, Health Savings Account Affordability Act S. 2494, to amend the Internal Revenue Code of 1986 S. 2424, to amend the Internal Revenue Code of 1986 S. 978, Healthcare Tax Relief for the Uninsured Act of 2005 S. 406: Small Business Health Fairness Act S. 2607: Small Business Health Education and Awareness Act of 2006 H.R. 525: Small Business Health Fairness Act Health Care Costs for Small Business Health Savings Accounts H.R. 6111: "The Tax Relief and Health Care Act of 2006"

Client expense: $31,440,000 · Firm income: Not reported

H.R. 1998/S. 309 - FSA Rollover H.R. 534/S. 354 - Medical Liabilty Reform H.R. 4511 - Flex Health Savings Accounts Act of 2005 H.R. 5242: Small Business Paperwork Amnesty Act of 2006 S. 2656: Small Business Paperwork Amnesty Act of 2006 H.R. 6111, The Tax Relief and Health Care Act of 2006 S. 3488 Tax-Free Healthcare Savings, Access and Portability Act S. 978, Healthcare Tax Relief for the Uninsured Act of 2005 H.R. 525/S. 406/S. 1955 - AHPs/SBHPs H.R. 1872/S. 978/H.R. 5262/H.R. 4511/S. 2554/S. 2549/S. 2424/S. 2494/S. 2379 -HSAs/Tax Credits

Client expense: $31,440,000 · Firm income: Not reported