Medicare Late Enrollment Assistance Act of 2006

MMM (Regulatory Issues) Ongoing implementation issues for the Medicare Advantage and Medicare Part D prescription drug programs, including risk adjustment methodology and data issues, bidding and payment (including Part D reinsurance and low income subsidies), benefit design rules, SSA and CMS premium withhold processing issues, systems issues affecting enrollment and disenrollment processing, enrollment rules, marketing materials review and approval, measurement and oversight of plan performance, grievance and appeals processes, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, and other operational issues; Medicare creditable drug coverage reporting requirements; implementation issues for the Medicare Retiree Drug Subsidy program; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education program; ongoing implementation issues for the Medicare cost plan program including enrollment, marketing materials review and approval, systems issues affecting enrollment and disenrollment processing, payment and other operational issues; Medicare demonstration program on performance-based payments for physician groups; Medicare coverage policy and national coverage decisions; Medicare clinical trials; Medicaid managed care regulations and policies, including the Medicaid managed care actuarial soundness standard, quality oversight, grievance and appeals processes, beneficiary information requirements, and other issues affecting Medicaid health plan operations; Medicaid prescription drug cost/rebate issues affecting Medicaid health plans; health plan-related State Children’s Health Insurance Program (SCHIP) issues, including eligibility and outreach issues; and implementation of Medicaid changes made in Deficit Reduction Act of 2005, including documentation of citizenship requirements, state benefit flexibility options, and Medicaid managed care organization provider tax issues; standards for electronic prescribing; and CMS RFI concerning health information technology. H.R. 4297: “Tax Relief Extension Reconciliation Act” (Thomas); H.R. 4719: Medicare Advantage Funding (Dingell); H.R. 5166: “Independent Pharmacy Protection Act” (Wicker); H.R. 5399: “Medicare Drug Benefit Enrollment Fairness Act" (Johnson); H.R. 4939: “Emergency Supplemental Appropriations Act” (Lewis); H.R. 5647: Labor-HHS-Education Appropriations Act (Regula); H.R. 5866 "Medicare Physician Payment Reform and Quality Improvement Act" (Burgess); H.R. 6077: SCHIP Funding (Norwood); H.R. 6098 "Keep Children Covered Act" (Barrow); H.R. 6111: Medicare and Medicaid Provisions; H.R. 6164: SCHIP Funding (Barton); H.Con.Res. 376: Budget Resolution (Nussle); S. 124: Repeal of the Medicare Advantage Stabilization Fund (Feingold); S. 1356: “Medicare Value Purchasing Act” (Grassley-Baucus); S. 1778: QI-1 Extension/Ban on Coverage of ED Drugs (Grassley); S. 1932: Budget Reconciliation Bill (Gregg); S. 2255: “Medicare Drug Formulary Protection Act” (Feinstein-Collins); S. 2260: Medicare Advantage Funding (Clinton); S. 2354: “Medicare Prescription Drug Gap Reduction Act” (Nelson-Collins); S. 2409: “Home and Community Services Copayment Equity Act” (Smith-Bingaman); S. 2563: “Pharmacist Access and Recognition in Medicare Act” (Cochran); S. 2664: “Pharmacy Access Improvement Act” (Baucus); S. 2665: “Medicare Prescription Drug Simplification Act” (Baucus); S. 2810: “Medicare Late Enrollment Assistance Act” (Grassley-Baucus); S. 3647: "Prescription For Fairness Act" (Dorgan); S. 3897: "Medicare Data Access and Research Act" (Grassley); S. 3900: "Medicare Quality Enhancement Act" (Gregg); S. 3193: "Keep Children Covered Act" (Rockefeller); S. 3972: "Fair-SCHIP Act" (Grassley); S.Con.Res. 83: Budget Resolution (Gregg). MMM (Legislative Issues): H.R. 3617: “Medicare Value-Based Purchasing for Physicians' Services Act” (Johnson); H.R. 4241: Budget Reconciliation Bill (Nussle) (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

HR 5647: FY 2007 Labor-HHS-Education Appropriations; SCHIP implementation; S 2810, HR 5399: Medicare Late Enrollment Assistance Act of 2006; S 3705/HR 5834: Protecting Children's Health in Schools Act; HR 6111: Tax Relief and Health Care Act of 2006. Managed Care Reform/Patients' right legislation; HR 3248, S. 1283: Lifespan Respite Care Act of 2005; S. 1932: budget reconciliation legislation; HR 4281: Small Business Health Fairness Act; HR 5293: Senior Independence Act of 2006; S 5370 Older Americans Act Amendments of 2006;

Client expense: $110,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, White House Office

Medicare Payment and operational issues. HR 1, S.1, HR2427, S.1225, PL108-173, HR4337, S.2413, HR4304, S.2343, S.2339/HR4195, S.2810, S.2354, HR5156, S.2255, HR3617, S.2664, S.2665, S.2300, S.2357, S.2234, S.2130, S.2053, S.2076, S.1995, HR3767, HR3711, S.2563, HJ Resolution 107, S.1356, HR1932

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

HR. 4157- Health Information Technology Promotion Act of 2006- all provisions S. 2397- Long Term Care Trust Act- all provisions S. 2810/HR 5399- Medicare Late Enrollment Assistance Act- all provisions

Client expense: $4,926,984 · Firm income: Not reported

Government targets: Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

* "Pharmacy Access Improvement Act" - S 2664 A bill to amend Title XVIII of the Social Security Act to improve access to pharmacies under part D, issues relating to health plans. Sponsor: Senator Max Baucus "Bipartisan Commission on the Medicaid Act of 2005" - S 338 To provide for the establishment of a Bipartisan commission on Medicaid, issues relating to health plans. Sponsor: Senator Gordon Smith "Medicare Value Purchasing Act of 2005" - S 1356 To amend Title XVIII of the Social Security Act to provide incentives for the provision of high quality care under the Medicare program, issues relating to health plans. Sponsor: Senator Charles Grassley "Bipartisan Commission on Medicaid Act of 2005" - HR 985 To provide for the establishment of a Bipartisan Commission on Medicaid, issues relating to health plans. Sponsor: Congresswoman Heather Wilson "Medicare Cost Contract Extension and Refinement Act of 2005" - HR 4050 To amend title XVIII of the Social Security Act to extend reasonable cost contracts under Medicare, issues relating to health plan. Sponsor: Senator Ron Wyden "No Title – an amendment to the Deficit Reduction Act of 2005" - S 3590 To amend title XIX of the Social Security Act to delay the effective date of the amendments made by the Deficit Reduction Act of 2005 requiring documentation evidencing citizenship or nationality "Medicare Prescription Drug Simplification Act of 2006" - S 2665 A bill to amend Title XVIII of the Social Security Act to simplify and improve the Medicare prescription drug program, issues relating to health plans. Sponsor: Senator Max Baucus "Medicare Drug Benefit Enrollment Fairness Act of 2006" - HR 5399 To amend title XVIII of the Social Security Act to eliminate the Medicare prescription drug late enrollment penalty for months during 2006, and for other purposes, issues relating to health plans. Sponsor: Rep. Nancy Johnson for State Health Insurance Counseling Programs and area Agencies on Aging, and for other purposes, issues related to health plans. Sponsor(s) Sens. Charles Grassley and Max Baucus “Medicare Late Enrollment Assistance Act of 2006” – S 2810 To amend title XVIII of the Social Security Act to eliminate months in 2006 from the calculation of any late enrollment penalty under the Medicare Part D prescription drug program and to provide for additional funding as a condition for receipt of medical assistance under the Medicaid program, issues relating to health plans. Sponsor: Senator Daniel Akaka "Medicare Drug Formulary Protection Act of 2006" - S 2255 A bill to amend Title XVIII of the Social Security Act to prohibit removal of covered part D drugs from a prescription drug plan formulary during the plan year once an individual has enrolled in the plan, issues relating to health plans. Sponsor: Senator Diane Feinstein and organizations, and congressional support agencies, issues relating to health plans. Sponsor: Senator Ron Grassley “Federal Family Health Information Technology Act of 2006” – HR 4859 To establish electronic health records for federal workers, retirees, and their dependents, issues relating to health plans. Sponsor: Rep. Jon Porter "Medicare Data Access and Research Act" - S 3897 A bill to amend Titles XI and XVIII of the Social Security Act to provide for the sharing of certain data collected by the Centers for Medicare & Medicaid Services with certain agencies, research centers 1 2 3 4 5 6 7 8 9 10 11

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

43. H.R. 1539, a bill to amend the Public Health Service Act with respect to the responsibilities of a pharmacy when a pharmacist employed by the pharmacy refuses to fill a valid prescription for a drug 44. S. 338, the Bipartisan Commission on Medicaid Act of 2005 45. H.R. 985, the Bipartisan Commission on Medicaid Act of 2005 46. S. Con.Res.18, Budget FY2006 Appropriations resolution 47. H. Con.Res.95, 18, Budget FY2006 Appropriations resolution 48. S. 1262, the Health Technology to Enhance Quality Act of 2005 49. S.3678, the Pandemic and All-Hazards Preparedness Act 50. S.2564, the Biodefense and Pandemic Vaccine and Drug Development Act of 2006 51. H.R. 5533, the Biodefense and Pandemic Vaccine and Drug Development Act 52. H.R. 5262, Tax Free Savings Act of 2006 53. S. 3546, the Dietary Supplement and Nonprescription Drug Consumer Protection Act 54. H.R. 4157, the Health Information Technology Promotion Act of 2006 55. S. 2766, the National Defense Authorization Act for Fiscal Year 2007 56. H.R.5122, the National Defense Authorization Act for Fiscal Year 2007 57. S.2810, the Medicare Late Enrollment Assistance Act of 2006 58. H.R.5399, the Medicare Drug Benefit Enrollment Fairness Act of 2006 59. H.R. 5182, the Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2006 60. S. 2563, the Pharmacist Access and Recognition in Medicare (PhARM) Act of 2006 61. S. 2664, the Pharmacy Access Improvement (PhAIm) Act of 2006 62. H.R. 4769, the Prescription Drug Elimination Act of 2006 63. S. 2300, the Lower Prices With Increased Competition and Efficient Development of Drugs Act (the Lower Priced Drugs Act) 64. H.R. 5166 – The Independent Pharmacy Protection Act of 2006 65. S. 2181, the Medicare State Reimbursement Act 66. S. 2183, the Requiring Emergency Pharmaceutical Access for Individual Relief (REPAIR) Act 67. H.R. 4297, the Tax Relief Extension Reconciliation Act 68. H.R. 5384, the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2007 69. H.R.5441, the Department of Homeland Security Appropriations Act, 2007 70. S. 2020, Tax Relief Act of 2005 71. HR 5122 - FY2007 National Defense Authorization Act (joint project with the National Community Pharmacists Association for Coalition for Community Pharmacy Action) 72. HR 5182 - Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2006 (joint project with the National Community Pharmacists Association for Coalition for Community Pharmacy Action) 73. S. 2563 - Pharmacist Access and Recognition in Medicare (PHARM) Act of 2006 (joint project with the National Community Pharmacists Association for Coalition for Community Pharmacy Action) 74. S. 1932 - Deficit Reduction Act (joint project with the National Community Pharmacists Association for Coalition for Community Pharmacy Action) 1. H.R. 4241, the Deficit Reduction Act of 2005 2. S. 1932, the Senate Deficit Reduction Act of 2005 3. H.R. 6111, the Tax Relief and Health Care Act of 2006 4. H.R. 5280, the Dextromethorphan Distribution Act of 2006 5. S.3807. the Enhancing Drug Safety and Innovation Act of 2006 6. H.R. 6257, the Access to Life-Saving Medicine Act 7. H.R. 5970, the Estate Tax and Extension of Tax Relief Act of 2006 8. S. 1716, Emergency Health Care Relief Act of 2005 9. H.R. 4297, the Tax Relief Extension Reconciliation Act 10. H.R. 3010, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2006 11. S. 544, the Patient Safety and Quality Improvement Act of 2005 12. H.R. 3205, the Patient Safety and Quality Improvement Act of 2005 13. H.R. 1132, the National All Schedules Prescription Electronic Reporting Act of 2005 14. S. 518, the National All Schedules Prescription Electronic Reporting Act of 2005 15. S. 1392, the Federal Trade Commission Reauthorization Act of 2005 16. S. 334, the Pharmaceutical Market Access and Drug Safety Act 17. H.R. 700, the Pharmaceutical Market Access and Drug Safety Act of 2005 18. S. 309, the Pharmaceutical Market Access Act 19. H.R. 328, the Pharmaceutical Market Access Act 20. H.R. 3010, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2006 21. H.R. 1808, the Safe Online Drug Act of 2005 22. S. 399, the Ryan Haight Internet Pharmacy Consumer Protection Act of 2005 23. H.R. 840, the Ryan Haight Internet Pharmacy Consumer Protection Act of 2005 24. S. 14, the Fair Wage, Competition, and Investment Act of 2005 25. S. 534, the Health Efficient, Accessible, Low-Cost, Timely Healthcare Act of 2005 26. H.R. 5, the Health Efficient, Accessible, Low-Cost, Timely Healthcare Act of 2005 27. H.R. 1669, the Pharmacy Benefit Manager Transparency Act of 2005 28. H.R. 1671, the Community Pharmacy Fairness Act of 2005 29. S. 103, the Combat Meth Act of 2005 30. H.R. 314, the Combat Meth Act of 2005 31. S. 102, the Exile Meth Act 32. H.R. 313, the Exile Meth Act 33. H.R. 3889, Meth Epidemic Elimination Act 34. H.R. 1378, the Ephedrine Alkaloids Regulation Act of 2005 35. H.R. 2829, the Office of National Drug Control Policy Reauthorization Act of 2005 36. H.R. 3617, the Medicare Value-Based Purchasing for Physicians' Services Act of 2005 37. S. 1356, the Medicare Value Purchasing Act of 2005 38. S. 1408, the Identity Theft Protection Act 39. S. 1332, the Personal Data Privacy and Security Act of 2005 40. S. 930, the Food and Drug Administration Safety Act of 2005 41. H.R. 1652, the Access to Legal Pharmaceuticals Act 42. S. 809, the Access to Legal Pharmaceuticals Act See addendum

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, White House Office

HR 3617, Medicare Value-Based Purchasing for Physicians' Services Act of 2005; HR 4078, Maintaining Medicare Access Act of 2005; HR 5916, Patients' Access to Physicians Act of 2006; HR 4388, Tax Revision Act of 2005; HR 6408, Tax Relief and Health Care Act of 2006; HR 6111, Tax Relief and Health Care Act of 2006; S 1081, Preserving Patient Access to Physicians Act of 2005; S 1356, Medicare Value Purchasing Act of 2005. HR 4241, Budget Reconciliation Bill; HR 4297, Tax Relief Extension Reconciliation Act; HR 4719, Medicare Advantage Funding; HR 5166, Independent Pharmacy Protection Act; HR 5399, Medicare Drug Benefit Enrollment Fairness Act; HR 4939, Emergency Supplemental Appropriations Act; HR 5647, Labor-HHS-Education Appropriations Act; HR 5866, Medicare Physician Payment Reform and Quality Improvement Act; HR 6077, SCHIP Funding; HR 6098, Keep Children Covered Act; HR 6164, SCHIP Funding; H Con Res 376, Budget Resolution; S 124 Repeal of the Medicare Advantage Stabilization Act; S 1778, QI-1 Extension/Ban on Coverage of ED Drugs; S 1932, Budget Reconciliation Act; S 2255, Medicare Drug Formulary Protection Act; S 2260, Medicare Advantage Funding; S 2354, Medicare Prescription Drug Gap Reduction Act; S 2409, Home and Community Services Copayment Equity Act; S 2563, Pharmacist Access and Recognition in Medicare Act; S 2664, Pharmacy Access Improvement Act; S 2665, Medicare Prescription Drug Simplification Act; S 2810 Medicare Late Enrollment Assistance Act; S 3647, Prescription for Fairness Act; S 3897, Medicare Data Access and Research Act; S 3900, Medicare Quality Enhancement Act; S 3913, Keep Children Covered Act; S 3972, FAIR-SCHIP Act; S Con Res 83, Budget Resolution Implementation of Medicare Part C (Medicare Advantage) - Executive action concerning this issue. Medicare Part D - Executive action concerning this issue. Medicare update for physicians, stabilization fund - HR 2356, Preserving Patient Access to Physicians Act of 2005;

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

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

S.1356 – Medicare Value Purchasing Act S.1589 – Affordability in Medicare Premiums Act of 2005 S.18 – Meeting Our Responsibility to Medicare Beneficiaries Act of 2005 S.2072 – Medicare Early Access Act of 2005 S.2255 – Medicare Drug Formulary Protection Act S.2260 – Medicare Advantage Funding S.2354 – Medicare Prescription Drug Gap Reduction Act S.2409 – Home and Community Services Copayment Equity Act S.2563 – Pharmacist Access and Recognition in Medicare Act S.2664 – Pharmacy Access Improvement Act S.2665 – Medicare Prescription Drug Simplification Act S.2810 – Medicare Late Enrollment Assistance Act S.334 – Pharmaceutical Market Access and Drug Safety Act S.345 – Medicare Prescription Drug Savings and Choice Act of 2005 S.445 – Medicare Prescription Drug Price Reductions Act of 2005 S.566 – Medicare Dual Eligible Prescription Drug Coverage Act of 2005 S.581 – Medicare Prescription Drug Cost Containment Act of 2005 S.873 – Medicare Prescription Drug Savings and Choice Act of 2005 HR.3617 – Medicare Value-Based Purchasing for Physicians’ Services Act of 2005 HR.4557 – Medicare Prescription Drug Affordability Act of 2005 HR.5399 – Medicare Drug Benefit Enrollment Fairness Act S.124 – Repeal of the Medicare Advantage Stabilization Fund

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2354 – Medicare Prescription Drug Gap Reduction Act S.2409 – Home and Community Services Copayment Equity Act S.2563 – Pharmacist Access and Recognition in Medicare Act S.2664 – Pharmacy Access Improvement Act S.2665 – Medicare Prescription Drug Simplification Act S.2810 – Medicare Late Enrollment Assistance Act S.334 – Pharmaceutical Market Access and Drug Safety Act HR.5399 – Medicare Drug Benefit Enrollment Fairness Act S.2072 – Medicare Early Access Act of 2005 S.2255 – Medicare Drug Formulary Protection Act S.2260 – Medicare Advantage Funding

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.18 – Meeting Our Responsibility to Medicare Beneficiaries Act of 2005 S.2255 – Medicare Drug Formulary Protection Act S.2260 – Medicare Advantage Funding S.2354 – Medicare Prescription Drug Gap Reduction Act S.2409 – Home and Community Services Copayment Equity Act S.2563 – Pharmacist Access and Recognition in Medicare Act S.2664 – Pharmacy Access Improvement Act S.2665 – Medicare Prescription Drug Simplification Act S.2810 – Medicare Late Enrollment Assistance Act S.345 – Medicare Prescription Drug Savings and Choice Act of 2005 S.445 – Medicare Prescription Drug Price Reductions Act of 2005 S.566 – Medicare Dual Eligible Prescription Drug Coverage Act of 2005 S.581 – Medicare Prescription Drug Cost Containment Act of 2005 S.873 – Medicare Prescription Drug Savings and Choice Act of 2005 HR.4557 – Medicare Prescription Drug Affordability Act of 2005 HR.5399 – Medicare Drug Benefit Enrollment Fairness Act S.1356 – Medicare Value Purchasing Act S.1589 – Affordability in Medicare Premiums Act of 2005

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2260 – Medicare Advantage Funding S.2354 – Medicare Prescription Drug Gap Reduction Act S.2409 – Home and Community Services Copayment Equity Act S.2563 – Pharmacist Access and Recognition in Medicare Act S.2664 – Pharmacy Access Improvement Act S.2665 – Medicare Prescription Drug Simplification Act S.2810 – Medicare Late Enrollment Assistance Act HR.5399 – Medicare Drug Benefit Enrollment Fairness Act S.124 – Repeal of the Medicare Advantage Stabilization Fund S.1356 – Medicare Value Purchasing Act S.2255 – Medicare Drug Formulary Protection Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2260 – Medicare Advantage Funding S.2354 – Medicare Prescription Drug Gap Reduction Act S.2409 – Home and Community Services Copayment Equity Act S.2563 – Pharmacist Access and Recognition in Medicare Act S.2664 – Pharmacy Access Improvement Act S.2665 – Medicare Prescription Drug Simplification Act S.2810 – Medicare Late Enrollment Assistance Act HR.5399 – Medicare Drug Benefit Enrollment Fairness Act S.124 – Repeal of the Medicare Advantage Stabilization Fund S.1356 – Medicare Value Purchasing Act S.2255 – Medicare Drug Formulary Protection Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2255 – Medicare Drug Formulary Protection Act S.2260 – Medicare Advantage Funding S.2354 – Medicare Prescription Drug Gap Reduction Act S.2409 – Home and Community Services Copayment Equity Act S.2563 – Pharmacist Access and Recognition in Medicare Act S.2664 – Pharmacy Access Improvement Act S.2665 – Medicare Prescription Drug Simplification Act S.2810 – Medicare Late Enrollment Assistance Act HR.3617 – Medicare Value-Based Purchasing for Physicians’ Services Act of 2005 HR.5399 – Medicare Drug Benefit Enrollment Fairness Act S.124 – Repeal of the Medicare Advantage Stabilization Fund S.1356 – Medicare Value Purchasing Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. H.R. 4241, House Deficit Reduction Act of 2005 2. S. 1932, Senate Deficit Reduction Act of 2005 3. H.R. 3199, USA Patriot Act Reauthorization 4. S. 1716, Emergency Health Care Relief Act of 2005 5. H.R. 4297, the Tax Relief Extension Reconciliation Act 6. H.R. 3010, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2006 7. S. 544, the Patient Safety and Quality Improvement Act of 2005 8. H.R. 3205, the Patient Safety and Quality Improvement Act of 2005 9. H.R. 1132, the National All Schedules Prescription Electronic Reporting Act of 2005 10. S. 518, the National All Schedules Prescription Electronic Reporting Act of 2005 11. S. 1392, the Federal Trade Commission Reauthorization Act of 2005 12. S. 334, the Pharmaceutical Market Access and Drug Safety Act 13. H.R. 700, the Pharmaceutical Market Access and Drug Safety Act of 2005 14. S. 309, the Pharmaceutical Market Access Act 15. H.R. 328, the Pharmaceutical Market Access Act 16. S.3, the Protecting America in the War on Terror Act of 2005 17. H.R. 3010, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2006 18. H.R. 1808, the Safe Online Drug Act of 2005 19. S. 399, the Ryan Haight Internet Pharmacy Consumer Protection Act of 2005 20. H.R. 840, the Ryan Haight Internet Pharmacy Consumer Protection Act of 2005 21. S. 14, the Fair Wage, Competition, and Investment Act of 2005 22. S. 534, the Health Efficient, Accessible, Low-Cost, Timely Healthcare Act of 2005 23. H.R. 5, the Health Efficient, Accessible, Low-Cost, Timely Healthcare Act of 2005 24. H.R. 1669, the Pharmacy Benefit Manager Transparency Act of 2005 25. H.R. 1671, the Community Pharmacy Fairness Act of 2005 26. S. 103, the Combat Meth Act of 2005 27. H.R. 314, the Combat Meth Act of 2005 28. S. 102, the Exile Meth Act 29. H.R. 313, the Exile Meth Act 30. H.R. 3889, Meth Epidemic Elimination Act 31. H.R. 1446, the Methamphetamine Abuse Prevention Act of 2005 32. H.R. 1055, the Comprehensive Methamphetamine Response Act 33. H.R. 1056, the Methamphetamine Precursor Control Act of 2005 34. H.R. 1378, the Ephedrine Alkaloids Regulation Act of 2005 35. H.R. 2829, the Office of National Drug Control Policy Reauthorization Act of 2005 36. H.R. 3617, the Medicare Value-Based Purchasing for Physicians' Services Act of 2005 37. S. 1356, the Medicare Value Purchasing Act of 2005 38. S. 1408, the Identity Theft Protection Act 39. S. 1332, the Personal Data Privacy and Security Act of 2005 40. S. 930, the Food and Drug Administration Safety Act of 2005 41. H.R. 1652, the Access to Legal Pharmaceuticals Act 42. S. 809, the Access to Legal Pharmaceuticals Act 43. H.R. 1539, a bill to amend the Public Health Service Act with respect to the responsibilities of a pharmacy when a pharmacist employed by the pharmacy refuses to fill a valid prescription for a drug 44. S. 338, the Bipartisan Commission on Medicaid Act of 2005 45. H.R. 985, the Bipartisan Commission on Medicaid Act of 2005 46. S. Con.Res.18, Budget FY2006 Appropriations resolution 47. H. Con.Res.95, 18, Budget FY2006 Appropriations resolution 48. S. 1262, the Health Technology to Enhance Quality Act of 2005 49. S.3678, the Pandemic and All-Hazards Preparedness Act 50. S.2564, the Biodefense and Pandemic Vaccine and Drug Development Act of 2006 51. H.R. 5533, the Biodefense and Pandemic Vaccine and Drug Development Act 52. H.R. 5262, Tax Free Savings Act of 2006 53. S. 3546, the Dietary Supplement and Nonprescription Drug Consumer Protection Act 54. H.R. 4157, the Health Information Technology Promotion Act of 2005 55. S. 2766, the National Defense Authorization Act for Fiscal Year 2007 56. S.2810, the Medicare Late Enrollment Assistance Act of 2006 57. H.R.5399, the Medicare Drug Benefit Enrollment Fairness Act of 2006 58. H.R. 5182, the Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2006 59. S. 2563, the Pharmacist Access and Recognition in Medicare (PhARM) Act of 2006 60. S. 2664, the Pharmacy Access Improvement (PhAIm) Act of 2006 61. H.R. 4769, the Prescription Drug Elimination Act of 2006 62. S. 2300, the Lower Prices With Increased Competition and Efficient Development of Drugs Act (the Lower Priced Drugs Act) 63. H.R. 5166 – The Independent Pharmacy Protection Act of 2006 64. S. 2181, the Medicare State Reimbursement Act 65. S. 2183, the Requiring Emergency Pharmaceutical Access for Individual Relief (REPAIR) Act 66. H.R. 4297, the Tax Relief Extension Reconciliation Act 67. H.R. 5384, the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2007 68. H.R.5441, the Department of Homeland Security Appropriations Act, 2007 69. S. 2020, Tax Relief Act of 2005

Client expense: $460,000 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Personnel Management (OPM), SENATE, White House Office

HR 525 HR 371 HR 2238 HR 5006 HR 3205 HR 1313  S 172 S 1081 S 1355 S 2810

Client expense: $491,294 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE