Healthy America Act of 2005

H.R. 2761 Terrorism Risk Insurance Revision and Extension Act of 2007 Issues related to homeland security, cargo screening H.R. 1 Implementing the 9/11 Commission Recommendations Act of 2007 S. 4 Improving America's Security by Implementing Unfinished Recommendations of the 9/11 Commission Act of 2007 H.R. 1401 Rail and Public Transportation Act of 2007

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

Executive Branch activities: DHS - regarding security measures impacting member airlines FAA - regarding safety and operational measures impacting member airlines DOT - regarding aviation liberalization issues Department of State- regarding international relations issues impacting member airlines cargo security, HR 1 / S. 4 Implementing the 9/11 Commission Recommendations Act of 2007 reinstating the LUST tax exemption for aviation fuel used in international commerce, H.R. 6264 Technical Corrections bill FAA reauthorization and finance system restructuring, H.R. 1356

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

Government targets: Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

S4 - Healthy America Act of 2005 S2509 - National Insurance Act of 2006 HR 5637 - Nonadmitted and Reinsurance Reform Act of 2006 HR 4 - To provide economic security for all Americans, and for other purposes.

Client expense: $65,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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. Other Matters: Department of Health and Human Services - Centers for Medicare and Medicaid Services, relating to guidance clarifying reimbursement for drugs that can be covered under Parts B and D of Medicare. 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.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.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. 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. 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.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. 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. H.R.525--To amend Title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees.

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

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

S.4, H.R. 3547. S. 1840 - 340B Prescription Drug Program

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

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

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

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

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

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

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

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

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

Family and Medical Leave Act (FLMA) reform H.R. 6134, to improve health savings accounts ADA accessibility rules H.R. 4175, S. 1418, Health IT bills H.R. 525, Association health plans Long-term healthcare H.R. 1227, Biggert-Slaughter Genetics Bill S. 306, Genetic Information Nondiscrimination Act S. 309, FSA rollover E-health initiatives H.R. 2335, the Health Care Choice Act H.R. 5, the HEALTH Act H.R. 3204, the State High Risk Pool Funding Extension Act S. 544, Patient Safety and Quality Improvement Act Health care gainsharing H.R. 4511, Flex Savings Accounts (Flex HSAs) Act S. 1955, Health Insurance Marketplace Modernization and Affordability Act H.R. 4157, Health Information Technology Promotion Act H.R. 5262, Tax-Free Health Savings Act Health care transparency S. 3900, Medicare Quality Enhancement Act Internet pharmacies/drug importation S. 4, Healthy America Prescription drug safety H.R. 5, Medical liability reform

Client expense: $3,640,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Treasury, Dept of, U.S. Postal Service (USPS), U.S. Trade Representative (USTR), White House Office

H.R. 5 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2005; H.R. 4544 - 340B Program Revision and Expansion Act of 2005; S. 1840/H.R. 3547 Safety Net Inpatient Drug Affordability Act of 2005; S.4/S. 1503 - Healthy America Act of 2005; S. 1420/H.R. 3423 - Medical Device User Fee Stabilization Act of 2005; H.R. 2234 - 21st Century Health Information Act of 2005; S. 3685/H.R. 5993 - To amend the Federal Food, Drug and Comestic Act to prohinit the marketing of authorized generic drug; S. 1903 - Generic Presription Drug Fairness Act of 2005; S. 3582 - Preserve Access to Affordable Generic Act of 2006; S. 4016/H.R. 6257 - Access to Life-Saving Medicine Act of 2006; S. 306/H.R. 1227 - Genetic Information Non-Discrimination act of 2005 S. 334/S. 109 - Pharmacetuical Market Access and Drug Safety Act of 2005; S. 1418 - Wired for Health Care Quality Act of 2005; S. 1233 - Information Technology for Health Care Quality Act of 2005

Client expense: $1,040,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR)

HR 525, Small Business Health Fairness Act; HR 810 & S. 471, Stem Cell Research Enhancement Act of 2005; HR 2355 & S. 1015, Health Care Choice Act of 2005; S. 366, Healthy Mothers and Healthy Babies Access to Care Act of 2005; HR 4157, Health Information Technology Promotion Act of 2005; S. 1574 & HR 2356, Preserving Patient Access to Physicians Act of 2005; HR 5118, Medicare Rural Health Provider Payment Extension Act of 2006. S. 1418, Health Information Technology Act; S. 4, Healthy America Act; S. 544, Patient Safety and Quality Act; HR 5 & HR 3378, Medical Liability Reform Act;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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. 4, a bill to reduce healthcare costs, expand access to affordable healthcare coverage and improve healthcare and strengthen the healthcare safety net.

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

Government targets: Agriculture, Dept of (USDA), Defense, Dept of (DOD), Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, 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. 1262 - Health Technology to Enhance Quality Act; S. 1337 - Health Information Technology Quality and Improvement Act;S. 1418 - Wired for Health Care Quality Act HR 1402 - Mental Health Equitable Treatment Act; HR 4157 - Health Information Technology Promotion Act; HR 4859 - Federal Family Health Information Technology Act; S. 4 - Healthy America 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

Health Care Choice (HR 2355, S 1015), Health Care for the Uninsured (HR 1872, S 978), Health Information Technology (S 1418), High Risk Pools (HR 3004, HR 3204, HR 4519, S 288), Hospital Price Transparency and Litigation Protections (HR 4450), Small Business Health Fairness (HR 525, S 406), Small Business Health Plans (S 1955), Transparency in Pricing for Services Covered by Consumer Directed Health Plans (HR 3139, S 1827), Pension Reform Covering Hybrid Plans (HR 2830 and HR 4), Postal Reform (HR 22, S 662), Terrorism Risk Insurance Including Group Life (S467, HR 1153), Life Insurance Coverage – Travel to High Risk Terrorism Areas (HR 3639), Data Breach and Notification to Prevent ID Theft (S 1408, S 115, HR 3997), Optional Federal Charter (S. 2509), Tax Relief and Health Care Act of 2006 (HR 6111) Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Bills which were lobbied included: Comprehensive Health Care and Insurance Market Reform (S 4), Flexible Health Savings Accounts (HR 4511), - see addendum

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

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

Health Care Choice (HR 2355, S 1015), Health Care for the Uninsured (HR 1872, S 978), Health Information Technology (S 1418), High Risk Pools (HR 3004, HR 3204, HR 4519, S 288), Hospital Price Transparency and Litigation Protections (HR 4450), Small Business Health Fairness (HR 525, S 406), Small Business Health Plans (S 1955), Transparency in Pricing for Services Covered by Consumer Directed Health Plans (HR 3139, S 1827), Pension Reform Covering Hybrid Plans (HR 2830 and HR 4), Postal Reform (HR 22, S 662), Terrorism Risk Insurance Including Group Life (S467, HR 1153), Life Insurance Coverage – Travel to High Risk Terrorism Areas (HR 3639), Data Breach and Notification to Prevent ID Theft (S 1408, S 115, HR 3997), Optional Federal Charter (S. 2509), Tax Relief and Health Care Act of 2006 (HR 6111) Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Bills which were lobbied included: Comprehensive Health Care and Insurance Market Reform (S 4), Flexible Health Savings Accounts (HR 4511), - see addendum

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

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

Health Care Choice (HR 2355, S 1015), Health Care for the Uninsured (HR 1872, S 978), Health Information Technology (S 1418), High Risk Pools (HR 3004, HR 3204, HR 4519, S 288), Hospital Price Transparency and Litigation Protections (HR 4450), Small Business Health Fairness (HR 525, S 406), Small Business Health Plans (S 1955), Transparency in Pricing for Services Covered by Consumer Directed Health Plans (HR 3139, S 1827), Pension Reform Covering Hybrid Plans (HR 2830 and HR 4), Postal Reform (HR 22, S 662), Terrorism Risk Insurance Including Group Life (S467, HR 1153), Life Insurance Coverage – Travel to High Risk Terrorism Areas (HR 3639), Data Breach and Notification to Prevent ID Theft (S 1408, S 115, HR 3997), Optional Federal Charter (S. 2509), Tax Relief and Health Care Act of 2006 (HR 6111) Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Bills which were lobbied included: Comprehensive Health Care and Insurance Market Reform (S 4), Flexible Health Savings Accounts (HR 4511), - see addendum

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

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

Health Care Choice (HR 2355, S 1015), Health Care for the Uninsured (HR 1872, S 978), Health Information Technology (S 1418), High Risk Pools (HR 3004, HR 3204, HR 4519, S 288), Hospital Price Transparency and Litigation Protections (HR 4450), Small Business Health Fairness (HR 525, S 406), Small Business Health Plans (S 1955), Transparency in Pricing for Services Covered by Consumer Directed Health Plans (HR 3139, S 1827), Pension Reform Covering Hybrid Plans (HR 2830 and HR 4), Postal Reform (HR 22, S 662), Terrorism Risk Insurance Including Group Life (S467, HR 1153), Life Insurance Coverage – Travel to High Risk Terrorism Areas (HR 3639), Data Breach and Notification to Prevent ID Theft (S 1408, S 115, HR 3997), Optional Federal Charter (S. 2509), Tax Relief and Health Care Act of 2006 (HR 6111) Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Bills which were lobbied included: Comprehensive Health Care and Insurance Market Reform (S 4), Flexible Health Savings Accounts (HR 4511), - see addendum

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

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

Health Care Choice (HR 2355, S 1015), Health Care for the Uninsured (HR 1872, S 978), Health Information Technology (S 1418), High Risk Pools (HR 3004, HR 3204, HR 4519, S 288), Hospital Price Transparency and Litigation Protections (HR 4450), Small Business Health Fairness (HR 525, S 406), Small Business Health Plans (S 1955), Transparency in Pricing for Services Covered by Consumer Directed Health Plans (HR 3139, S 1827), Pension Reform Covering Hybrid Plans (HR 2830 and HR 4), Postal Reform (HR 22, S 662), Terrorism Risk Insurance Including Group Life (S467, HR 1153), Life Insurance Coverage – Travel to High Risk Terrorism Areas (HR 3639), Data Breach and Notification to Prevent ID Theft (S 1408, S 115, HR 3997), Optional Federal Charter (S. 2509), Tax Relief and Health Care Act of 2006 (HR 6111) Legislation and regulations affecting insurance products including flood, terrorism, health insurance and HSA expansion, as well as tax issues. Bills which were lobbied included: Comprehensive Health Care and Insurance Market Reform (S 4), Flexible Health Savings Accounts (HR 4511), - see addendum

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

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

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

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

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

S. 3274, Fairness in Asbestos Injury Resolution Act of 2006. H.R. 420, Lawsuit Abuse Reduction Act of 2005 (LARA). H.R. 1038, Multidistrict Litigation Restoration Act of 2005. H.R. 1360, Fairness in Asbestos Injury Resolution Act of 2005. H.R. 1957, Asbestos Compensation Fairness Act of 2005. S. 852, Fairness in Asbestos Injury Resolution Act of 2005. S. 908, Commonsense Consumption Act of 2005. S. 4/S. 1503, Healthy America Act of 2005. S. 22, Medical Care Access Protection Act.

Client expense: $1,870,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of, White House Office

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

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

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

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

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

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

S 366 - 'Healthy Mothers & Healthy Babies Access to Care Act of 2005' All provisions pertaining to the bill. S 367 - 'Pregnancy & Trauma Care Access Protection Act of 2005' All provisions pertaining to the bill. S 406 - 'H.E.A.L.T.H. (Help Efficient, Accessible, Low-Cost, Timely Health Care) Act' All provisions pertaining to the bill. S544 - 'Patient Safety and Quality Improvement Act' All provisions pertaining to the bill. S 723 - 'SIMPLE Cafeteria Plan Act' All provisions pertaining to the bill. S 978 - 'Health Care Tax Relief for the Uninsured Act of 2005 ' All provisions pertaining to the bill. S 1015 - 'Health Care Choice Act' All provisions pertaining to the bill. S 1244 - 'Long-Term Care & Retirement Security Act of 2005' All provisions pertaining to the bill. S 1418 - 'Wired for Health Care Quality Act' All provisions pertaining to the bill. S 1569 - 'State Long Term Care Partnership Act of 2005' All provisions pertaining to the bill. S 1602 - 'Long-Term Care Choices Act of 2005' All provisions pertaining to the bill. S 1659 - 'State Long-Term Care Partnership Act of 2005' All provisions pertaining to the bill. S 1932 - 'Deficit Reduction Act of 2005' All provisions pertaining to long-term care and Medicaid reform. S 1955 - 'Health Insurance Marketplace Modernization & Affordability Act of 2005' All provisions pertaining to small group reform. S 2300 - 'Lower PRICED Drugs Act' All provisions pertaining to the bill. HR 525/994 - 'Small Business Health Fairness Act': all provisions related to the allowance of federal, civilian and military retirees to pay health insurance premiums on a pre-tax basis, and allowing tax deductions for TRICARE supplemental premiums. HR 534 - 'Help Efficient, Accessible, Low-Cost, Timely Healthcare ("HEALTH") Act All provisions related to the bill HR 976 - 'Long-Term Care Act of 2005' All provisions related to the bill. HR 1227 - 'Genetic Information Non-Discrimination Act' All provisions related to the bill. HR 1872 - 'Health Coverage for the Uninsured Act' All provisions related to the bill. HR 2071 - 'Family Care Act' All provisions related to the bill. HR 2355 - 'Health Care Choice Act' All provisions related to the bill. HR 2682 - 'Long Term Care and Retirement Security Act' All provisions related to the bill. HR 2830 - 'Pension Protection Act' All provisions related to the bill. HR 3204 - 'State High Risk Pool Funding Extension Act of 2005' All provisions related to the bill. HR 3511 - 'Medicaid State Long Term Care Partnership Program Act of 2005' All provisions related to the bill. HR 4157 - 'Health Information Technology Promotion Act' All provisions related to the bill. HR 4241 - 'Budget Reconciliation' All provisions related to health care or similar budget amounts. HR 4511 - 'Flex Saving Accounts Act of 2005' All provisions related to the bill. HR 5262 - 'Tax Free Health Savings Act of 2006' All provisions pertaining to the bill. HR 5384 - 'Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2007' All provisions related to additional emergency funding to aid FDA backlog. S 4 - 'Healthy America Act of 2005' All provisions pertaining to the bill. S 5 - 'Class Action Fairness' All provisions pertaining to the bill. S 109 - 'Pharmaceutical Market Access Act' All provisions pertaining to the bill. S 160 - 'S.A.V.E. Act' All provisions pertaining to the bill. S 184 - 'Safe Import Act' All provisions pertaining to the bill. S 288 - 'State High Rick Poll Funding Extension Act' All provisions pertaining to the bill. S 306 - 'Genetic Information Nondiscrimination Act' All provisions pertaining to the bill. S 309 - which proposes to amend the IRS Code of 1986 to provide for the disposition of unused health benefits in cafeteria and flexible spending arrangements. All provisions pertaining to the bill. S 354 - 'The Long Term Care and Retirement Security Act of 2003' All provisions pertaining to the bill. HR 218 - 'Health Care Tax Deduction Act' All provisions related to the bill.

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Treasury, Dept of, White House Office

Implementation of Medicare law--P.L. 108-173; all sections related to prescription drugs. S. 184, Safe Importation of Medical Products and Other Rx Therapies Act of 2004. S. 2307, Reliable Entry for Medicines at Everyday Discounts through Importation with Effective Safeguards Act of 2004. S. 4, Medicare Modernization Act Implementation. H.R. 2744, Agriculture Appropriations, relating to FDA appropriations. S. 328, Pharmaceutical Market Access Act. H.R. 2744, Agriculture, Rural Development, Food & Drug Administration and Related Agencies Appropriations Act, 2004, sections related to FDA funding. S. 334/H.R. 700, Pharmaceutical Market Access and Drug Safety Act of 2005, relating to reimportation.

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

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

S.2383, S.2307, S.15, HR3751, S.2657, S.2710, HR1308, HR3204, S.2283, S.2300, HR2863, HR4579, S.4, HR2355, S.1015, S.577 Health care and managed care. Patient's Bill of Rights; AHPs; Generic Drugs; Confidentiality; Health Mandates; Patient Safety; Drug Importation. S/637, HR1955, HR525/S.406, HR2259, S.1012, HR2650, HR1402, S.486, HR1849, S.1225, HR1120, S.544, HR2862, HR2744, S.344, HR700, HR1562, HR3751, S.2493,

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

Provision and coverage of occupational therapy services • HR 1443, Family Opportunity Act of 2005 • S 183, Family Opportunity Act of 2005 Provisions related to parity and inclusion of occupational therapy • HR 1125, Medicare Mental Health Copayment Equity Act of 2005 • HR 1946, Medicare Mental Health Modernization Act of 2005 • S 1152, Medicare Mental Health Copayment Equity Act of • S 927, Medicare Mental Health Modernization Act of 2005 All provisions • HR 1333, Medicare Patient Access to Physical Therapists Act of 2003 • HR 2869, Ending the Medicare Disability Waiting Period Act of 2005 • HR 3373, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005 • HR 3022, Medicare Occupational Therapy Coverage Eligibility Act of 2005 • HR 4223, Medicaid Preservation Act of 2005 • HR 916, Medicare Access to Rehabilitation Services Act of 2005 • S 1217, Ending the Medicare Disability Waiting Period Act of 2005 • S 1405, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005 • S 1716, Emergency Health Care Relief Act of 2005 • HR 3952, Emergency Health Care Relief Act of 2005 • S 2181, Medicare State Reimbursement Act • S 1951, CLASS Act - Community Living Assistant Service and Supports Act • S 438, Medicare Access to Rehabilitation Services Act of • S 647, Medicare Patient Access to Physical Therapists Act of 2003' • S. 3912, Securing Effective and Necessary Individual Outpatient Rehabilitation Services Act of 2006 • HR 6132, Securing Effective and Necessary Individual Outpatient Rehabilitation Services Act of 2006 Provisions related to occupational therapy services • HR 1381, Medicare Nursing Facility Pay-for-Performance Act of 2005 • HR 2487, Preserving Medicare for All Act of 2005 • S 3963, Access to Physical Medicine & Rehabilitation Services Improvement Act of 2006 Inclusion of occupational therapy and rehabilitation services • HR 2629, Positive Aging Act of 2005 • S 1116, Positive Aging Act of 2005 • HR 2807, Medicare Telehealth Enhancement Act of 2005 • S 1225, Access to Affordable Health Care Act • S 1503, Healthy America Act of 2005 • S 4, Healthy America Act of 2005 Provisions related to Medicare coverage of occupational therapy services, training and education under Title VII of the Public Health Service Act, and funding for IDEA • HR 5647, Making Appropriations for Depts of Labor, Health and Human Svcs. And Education, and related agencies for year ending Sept. 30, 2007 • S 3708, Making Appropriations for Depts of Labor,Health and Human Svcs and Education and related agencies for year ending Sept 30 2007 Inclusion of occupational therapy practitioners • HR 3074, Quality Healthcare Coalition Act of 2005 Provisions related to reimbursement for occupational therapy services • HR 3617, Medicare Value Based Purchasing for Physician's Services Act of 2005 • HR 4520, Medicare Physician Payment Reform Act of 2005 Provisions related to occupational therapy and rehabilitation services • S 1356, Medicare Value Purchasing Act of 2005 • S 1440, Pulmonary and Cardiac Rehabilitation Act of 2005 • HR 4824, Pulmonary and Cardiac Rehabilitation Act of 2005 • S 1580, A bill to improve the health of minority individuals • HR 3561, A bill to improve the health of minority individuals • S 2022, Remote Monitoring Access Act of 2005 • S 1909, Medicare Telehealth Enhancement Act All provisions, especially as related to occupational therapy services • HR 898, Stroke Treatment and Ongoing Prevention Act • S 1064, Stroke Treatment and Ongoing Prevention Act Provisions related to extension of therapy caps exceptions process: • HR 6111, Tax Relief and Health Care Act of 2006 • S 3523, Tax Relief and Health Care Act of 2006 Issues regarding 5-year review and SGR fix - no bills related to this topic.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Provisions related to parity and provision of occupational therapy services • HR 1402, Paul Wellstone Mental Health Equitable Treatment Act of 2005 Provisions related to provider and patient protections and qualification of providers • HR 2259, Patient's Bill of Rights Act of 2005 • HR 2650, Patient Protection Act of 2005 • S 1012, Patient's Bill of Rights Act of 2005 Provisions related to application of payment system to occupational therapy • HR 2356, Preserving Patient Access to Physicians Act of 2005 Provision of occupational therapy and rehabilitation services • HR 3000, Josephine Butler U.S. Health Service Act Provisions related to safeguards, protections and access to services, including occupational therapy • HR 525, The Small Business Health Fairness Act of 2005 • S 637, Small Employers Health Benefits Program Act of 2005 Inclusion of occupational therapy and provision of rehabilitation services • S 1503, Healthy America Act of 2005 • S 4, Healthy America Act of 2005 • HR 3074, Quality Healthcare Coalition Act of 2005 • S 1951, CLASS Act • HR 3248, Lifespan Respite Care Act Provisions related to occupational therapy services • S 708, Long Term Care Quality and Consumer Information Improvement Act of 2005 All provisions, especially as related to occupational therapy services • HR 898, Stroke Treatment and Ongoing Prevention Act • S 1064, Stroke Treatment and Ongoing Prevention Act All provisions • HR 1227, Genetic Information Nondiscrimination Act of 2005 • S 306, Genetic Information Nondiscrimination Act of 2005 • HR 3254, CARE Act of 20005 • S 2244, Caregiver Assistance and Relief Effort Act of 2005 Provisions related to inclusion of rehabilitation services, especially occupational therapy • HR 1200, American Health Security Act of 2005 • S 1955, Health Insurance Marketplace Modernization & Affordability Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Allied health Professions Reinvestment Act of 2005 (S.473/H.R.215); Patient Safety and Quality Improvement Act of 2005 (S.544); Rural Community Hospital Assistance Act (S.933/H.R.2350); Health Technology to Enhance Quality Act of 2005 & 21st Century Health Information Act (S.1262/H.R.2234); Medicare Value Purchasing Act of 2005 (S.1356/H.R.3617); National Medical Error Disclosure & Compensation Act of 2005 (S.1784); Health Improvement and Professionals Act of 2005 (H.R.139); Rural Health Equity Act (H.R.534/H.R.880); Health Information Technology Promotion Act of 2005/Hospital Pricing Transparency (H.R.4157); FFY 2007 Budget and Budget Resolutions; FFY 2007 Medicare Inpatient Hospital PPS Rules; FFY 2007 Medicare Inpatient Rehabilitation Facility PPS and 75% Rule; CY 2007 Medicare Outpatient PPS Rules; Pay for Performance; Not for Profit Hospital Tax-Exempt Status; Medicaid Regulations Affection States' Medicaid Financing Mechanisms; Hospital Charity Care/Financial Aid; Emergency Preparedness; Medicare Wage Index; Health Care Workforce Recruiting and Training Funding; Medical Error Reporting Health Technology to Enhance Quality Act of 2005 (S.4); Medical Care Access Protection Act of 2006 (S.22); Bipartisan Medicaid Commission (S.338/H.R.985); Medicaid Liability Reform (S.354/H.R.534);

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

NAIFA & AHIA is working with NAIC to strengthen the provisions in S.1995. HR 1150 & S 602 - NAIFA supports these additional incentives to purchase LTCI including an above-the-line deduction for individual purchae of LTCI in S.602. HR 118 - would provide generous tax credits to small businesses for providing health coverage to workers. NAIFA supports. Health Care Choice Act - would allow health insruance insurers to choose one state and use that state's rules in all other states where they operate. NAIFA studying proposal. S.288 - The State High Risk Pool Funding Extension Act - NAIFA supports. HR 176 & HR 1177 - would allow unused flexible spending arrangement funds to be carried over to the next year. NAIFA & AHIA favors this option. HR 27 - An "Above the line" deduction for "higher deductible" health plans coupled with HSA's. NAIFA supports. S.4 the Health American Act. NAIFA supports many provisions but concerned over the bills support for AHPs. HR 37, S. 978, Hr 1872, HR 2063, Hr 3873 creates Health Savings Accounts. NAIFA supports. HR 3511, S 1569. NAIFA supports allowing sttaes to establish LTC partnerships. HR 525 & S 406 - Association Health Plans. NAIFA opposes exempting AHP's from state benefit, regulatory oversight and solvency laws. S. 1995 allows AHP's to offer only issued plans that are subject to state solvency standards. Some regulatory oversight and an "average" of state mandated coverages.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

S. 406/H.R. 525; S. 4; S. 1955

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5631: Making appropriations for the Department of Defense for the fiscal year ending September 30, 2007, and for other purposes/Continuing Appropriations Resolution, 2007. H.R. 5647: Making appropriations for the Departments of Labor, Health and Human Services and Education, and related Agencies for the fiscal year ending September 30, 2007, and for other purposes. S 4 / S 1503 - Healthy America Act of 2005 Legislation involving: “safety net” providers; rural health issues; and rural health clinic reimbursement. HR 880 - To amend part C of title XVIII of the Social Security Act to require Medicare Advantage (MA) organizations to pay for critical access hospital services and rural health clinic services at a rate that is at least 101 percent of the payment rate otherwise applicable under the Medicare Program S 2819 - Rural Health Services Preservation Act of 2006 S 1932 - Deficit Reduction Omnibus Reconciliation Act of 2005 HR 4241 - Deficit Reduction Act of 2005 HR 6030 - The Health Care Access and Rural Equity Act of 2006 (H-CARE) H.J.Res. 100: Making further continuing appropriations for the fiscal year 2007, and for other purposes H.J.Res. 102: Making further continuing appropriations for the fiscal year 2007, and for other purposes S 3500 - Rural Hospital and Provider Equity (HoPE) Act of 2006

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE

S. 22, Medical Care Access Protection (MCAP) Act, all provisions relating to medical liability; S. 23 Healthy Mothers and Healthy Babies Access to Care Act, all provisions relating to medical liability; S. 23 Healthy Mothers and Healthy Babies Access to Care Act, all provisions relating to medical liability; S. 354, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2005, all provisions relating to medical liability; S. 366, Healthy Mothers and Healthy Babies Access to Care Act of 2005, all provisions relating to medical liability; S. 367, Pregnancy and Trauma Care Access Protection Act of 2005, all provisions relating to medical liability; S. 4 and S. 1503, Healthy America Act of 2005, Title I subtitle A, provisions related to medical liability lawsuits; S. 1337, Fair and Reliable Medical Justice Act, all provisions relating to medical liability; S. 1058 and HR 1313, Community Health Center Volunteer Physician Protection Act, all provisions relating to medical liability; HR 3359, Medical Malpractice and Insurance Reform Act of 2005, Title II, provisions relating to lawsuits; HR 3875, Access to Emergency Medical Services Act of 2005, Title I, provision regarding medical liability reform; HR 2657, Comprehensive Medical Malpractice Reform Act of 2005, Titles I & II, provisions regarding medical liability; HR 3378, Comprehensive Medical Malpractice Reform Act of 2005, Titles I & II, provisions regarding medical liability; S. 1747, Good Samaritan Liability Improvement and Volunteer Encouragement (GIVE) Act of 2005, Title I, provisions related to liability for volunteers; HR 1546, Medical Liability Procedural Reform Act, all provisions relating to medical liability; HR 4838, Medical Malpractice Reform Act of 2006, all provisions relating to medical liability; HR 6246, Physicians and Taxpayers Protection from Frivolous Litigation Act, all provisions relating to medical liability; S. 2750, Access to Emergency Medical Services Act, Title I, provisions regarding medical liability. HR 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2005, all provisions relating to medical liability; HR 534, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2005, all provisions relating to medical liability;

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

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

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

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

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

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

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

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

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

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

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

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

H.R. 525 Small Business Fairness Act S. 4, The Healthy America Act of 2005

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

Government targets: Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE