Patient Safety and Quality Improvement Act of 2005

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

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

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

S. 544/ H.R. 3205- Patient Safety and Quality Improvement Act STS members presented at the FDA Circulatory System Devices Panel.

Client expense: $370,775 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), 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.- Entire Bill HR.1803-To amend the Internal Revenue Code of 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... - Entire Bill S.406-Small Business Health Fairness Act of 2005 - Entire bill HR.525-Small Business Health Fairness Act of 2005 - Entire bill HR.918-Medicare Prescription Drug Cost Containment Act of 2005 - Entire Bill S.581-Medicare Prescription Drug Cost Containment Act of 2005 - Entire Bill S.345-Medicare Prescription Drug Savings and Choice Act of 2005- Entire Bill S.873-Medicare Prescription Drug Savings and Choice Act of 2005 - Entire Bill HR.752-Medicare Prescription Drug Savings and Choice Act of 2005 - Entire Bill S.544-Patient Safety and Quality Improvement Act of 2005- Entire Bill S.306-Genetic Information Nondiscrimination Act of 2005 - Entire Bill S.1955.IS Health Insurance Marketplace Modernization and Affordability Act of 2005 - Entire Bill H.R.5288. Small Business Health Plans Act of 2006 - Entire Bill S.2607 Small Business Health Education and Awareness Act of 2006 - Entire Bill S.2457 Small Business Health Insurance Relief Act of 2006- Entire bill H.R.2002 Small Business Health Insurance Affordability Act of 2005- Entire Bill H.R.4527 Health Care Relief Act of 2005- Entire Bill H.R.2001 Small Business Health Insurance Expansion Act of 2005- Entire Bill H.R.2073 Small Business Health Insurance Promotion Act of 2005- Entire Bill H.R.1955 Small Employers Health Benefits Program Act of 2005- Entire Bill S.874 Small Employers Health Benefits Program Act of 2005- Entire Bill H.R.525 Small Business Health Fairness Act of 2005- Entire Bill S.16 Affordable Health Care Act - Entire Bill S.1012 Patients' Bill of Rights Act of 2005 - Entire Bill H.R.2259 Patients' Bill of Rights Act of 2005- Entire Bill H.R.3205 Patient Safety and Quality Improvement Act- Entire Bill H.R.6111 Tax Relief and Health Care Act of 2006- Entire Bill H.R.6030 Health Care Access and Rural Equity- Entire Bill HR.1998-To amend the Internal Revenue Code of 1986 to provide for the disposition of unused benefits in health flexible spending arrangements.

Client expense: $2,041,826 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Federal Energy Regulatory Commission (FERC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Management & Budget (OMB), Pension & Welfare Benefits Administration, Pension Benefit Guaranty Corporation (PBGC), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, U.S. Agency for International Development (USAID), White House Office

S. 544 Patient Safety and Quality Improvement Act of 2005 S. 1227 Health Information Technology Act of 2005 S. 1223 Information Technology for Health Care Quality Act H.R. 3010 Labor/HHS/Education Appropriations Act S. 1418 Wired for Healthcare Quality Act H.R. 4157 Health Information Technology Promotion Act of 2006 Healthcare and RFID S. 2668 Reducing Fraudulent Imitation Drugs Act H.R. 4859 Federal Family Health Information Technology Act of 2006 H.R. 747 National Health Information Incentive Act of 2005 Health Information Technology H.R. 2234 21st Century Health Information Act of 2005 S. 16 Affordable Health Care Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Council of Economic Advisers (CEA), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Export-Import Bank of the United States (EXIM Bank), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Technology Administration, Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

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.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

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

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

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

HR 1222 Nurse Staffing Standards for Patient Safety and Quality Care Act HR 525 Small Business Health Fairness Act of 2005 S 345 Medicare Prescription Drug Savings S 1932 Medicare/Medicaid Part D of Medicare Prescription Drug Program S 2229 Medicare for All Act HR 4903 Office of National Nurse HR 5295 Student and Teacher Safety Act HR 4903 National Nurse Act of 2006 HR 778/S 1107 Head Start S 544 Patient Safety and Quality Improvement Act HR 791/S 351 Safe Nursing and Patient Care Act

Client expense: $382,166 · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

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

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

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

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

OSHA Tuberculosis Standard-related legislation (H.R. 3010) Patient Navigator and Chronic Disease Prevention Act (H.R. 1812) Health Information Technology Promotion Act (H.R. 4157), Wired for Healthcare Quality Act (S. 1418), and general health information technology legislation Health Technology to Enhance Quality Act (S. 1262) and general health care quality improvement legislation Pandemic and All-Hazards Preparedness Act (S. 3678)- public health preparedness funding issues Safety Net Inpatient Drug Affordability Act (H.R. 3547, S. 1840)- prescription drug discount program provisions Minority Health Improvement and Health Disparity Elimination Act (S. 4204) - all provisions Racial and Ethnic Minorities in Health/Language Access/Cultural Competence Financing proposals targeting the uninsured Patient safety legislation (S. 544) Health professionals workforce legislation

Client expense: $320,000 · 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), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA)

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

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

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

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

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

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

H.R. 4157, Health Information Technology Promotion Act of 2006. S. 1418, Wired for Health Care Quality Act. H.R. 1227, The Genetic Information non-discrimination Act. H.R. 3196 & S. 470, Fair Access to Clinical Trials (FACT). S. 285 & H.R. 1246, The Children's Hospitals Education Equity and Research Act. Support medical liability reforms. S. 544 Medical Errors/patient safety legislation-monitor and track. The genetic information non-discrimination legislation. Pediatric Research. Clinical research issues. Asthma Legislation. H.R. 2098, the "Asthma Act." S. 1489, the Family Asthma Act. H.R. 5574, Children's Hospital GME Support Reauthorization Act. FDA Drug Safety Issues. FDA Conflict of Interest Issues.

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

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

HR1175, S473/HR215, S236?HR1016, S.544, HR4568, S306

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

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

HR 3378, Comprehensive Medical Malpractice Reform Act of 2005, Title III, provisions regarding patient safety; S. 1418, Wired for Health Care Quality Act, all provisions relating to health care data; S. 1784, National Medical Error Disclosure and Compensation (MEDIC) Act, entire bill. S. 544 and HR 3205, Patient Safety and Quality Improvement Act of 2005, all provisioins relating to confidentiality; HR 2657, Comprehensive Medical Malpractice Reform Act of 2005, Title III, provisions regarding patient safety;

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

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

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

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

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

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

CMS - Implementation of MMA - Prescription Drug Benefit and MTM Services S. 544 - Patient Safety & Quality Improvement Act of 2005 S. 2563 - Pharmacist Access & REcognition in Medicare Act of 2006

Client expense: $77,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1049, Covering Kids Act of 2005, Health care issues. H.R.534/ S.354, Health Act of 2005, Health care issues. H.R.215/S.473, Reinvestment Act of 2005, Health care issues. H.R.3373/S.1405, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005, Health care issues. H.R.916/S.438, Medicare Access to Rehabilitation Services Act of 2005, Heal H.R.2350/S.933, Rural Community Hospital Assistance Act of 2005, Health care issues. S.544, Patient Safety and Quality Improvement Act of 2005, health care issues. H.R.1872/S.978, Health coverage for the Uninsured Act of 2005, Health care issues.

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

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

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

Client expense: $360,000 · Firm income: Not reported

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

CMS - Implementation of MMA - Prescription Drug Benefit & MTM Services S.544 - Patient Safety & Quality Improvement Act of 2005 S. 2563 - Pharmacist Access & Recognition in Medicare Act of 2006

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

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); 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 & the 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 Affecting States' Medicaid Financing Mechanisms; Hospital Charity Care/Financial Aid; Emergency Preparedness; Medicare Wage Index; Health Care Workforce Recruiting and Training Funding; Medical Error Reporting

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

HEALTH Act; Medicare Physician Payment/Medicare Reform; HR2356, Preserving Patient Access to Physicians Act; S1356, Medicare Value Purchasing Act of 2005, HR3617, Medicare Value-Based Purchasing for Physician Services Act, Reforming the Sustainable Growth Rate, Pay for Performance, Care Coordination, Primary care shortage, Treatment of prisoners and detainees, Amendment to the Defense Authorization bill dealing with the humane treatment of prisoners and detainees; S1716 Emergency Healthcare Relief Act of 2005; disaster relief in response to hurricane Katrina; FY05-06 Appropriations and budget resolutions, HR3010, FY05-06 Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research; Public Health Issues - healthcare disparities, anti-smoking, vaccines (e.g. small pox influenza); patient safety, S544 and HR3205, the Patient Safety and Quality Improvement Act of 2005; Student Loan Debt Relief - HR1338, College Loan Assistance Act; HR1380, Higher Education Affordability and Equity Act.

Client expense: $584,100 · Firm income: Not reported

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

S. 1405 / H. R. 3373 - Preserving Patient Access to Inpatient Rehabilitation Hospital Act S.933 / H.R. 2350 - The Rural Community Hospital Assistance Act Specialty Hospitals (physician-owned, limited-service hospitals); Medicare Inpatient Transfer Provision; Medicaid Funding S. 544 / H.R. 3205 - Patient Safety and Quality Improvement Act of 2005

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

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

S. 1405/H.R. 3373 - Preserving Patient Access to Inpatient Rehabilitation Hospital Act S.933/H.R. 2350 - The Rural Community Hospital Assistance Act Specialty Hospitals (physician-owned, limited-service hospitals) Medicare Inpatient Transfer Provision Medicaid Funding S. 544/H.R. 3205 Patient Safety and Quality Improvement Act of 2005

Client expense: $148,314 · Firm income: Not reported

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

Wired for Health Care Quality Act (S1418) Pharmaceutical Market Access and Drug Safety Act (S109/S334/HR328/HR700) "Conscience Clause" legislation (HR1539) Pharmacy Benefit Manager Transparency Act (HR1669) Community Pharmacy Fairness Act (HR 1671) Patient Safety and Quality Improvement Act (S544/HR3205) Fair Access to Clinical Trials Act (S470/HR3196) National All Schedules Prescription Electronic Reporting Act (S518/HR1132) FDA Improvement Act (S930/HR2090)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Bipartisan Medicaid Commission (S.338/H.R.985); Rural Health Equity Act (S.pending/H.R.534); Medical Liability Reform/Help Efficient, Accessible, Low Cost, Timely Health Care Act of 2005 (S.354/H.R.534); Health Improvement and Professionals Act of 2005 (S.pending/H.R.139); Patient Safety/Patient Safety and Quality Improvement Act of 2005 (S.544/H.R. Pending); Allied Health Professions Reinvestment Act of 2005 (S.473/H.R.215)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3205, S 544 (Patient Safety and Quality Improvement Act of 2005) -- requirements for podiatrists HR 1416, HR 2324 (diabetic shoe bills) -- expansion of podiatric medical benefits HR 1719 (Diabetic Foot Complication and Lower Extremity Amputation Reduction Act of 2005) -- expansion of podiatric medical benefits HR 1819, S 1593 (Medicare Payment Adjustment To Community Health Centers Act of 2005) -- inclusion of podiatric medical services

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

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

Clinical trials; Katrina public health; S.544 & HR 3205 Patient safety; S.470 Fact Act; S.1418 Health Information Technology; S.930 Food and Drug Administration Safety Act

Client expense: $278,948 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Consumer Product Safety Commission (CPSC), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Office of the Comptroller of the Currency (OCC), SENATE, State, Dept of (DOS)

FY 2006 Budget reconciliation legislation (S. 1932) including hurricane relief provisions FY 2006 Appropriations for the Healthy Communities Access Program (H.R. 3010) Racial and Ethnic Minorities in Health/Language Access/Cultural Competence (no specific legislation) Financing proposals targeting the uninsured (general legislation) Patient safety legislation (S. 544 and general legislation) Health professionals workforce legislation (general legislation) OSHA Tuberculosis Standard-related legislation (H.R. 3010) Patient Navigator and Chronic Disease Prevention Act (H.R. 1812) Health information technology legislation (S. 1418, S. 1355 and general legislation) Health care quality improvement (S. 1262 and general legislation)

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

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

HR 1998, to amend the IRS Code of 1986 to provide for the disposition of unused benefits in health flexible spending arrangements, flexible spending accounts rollover; HR 2002, Small Business Health Insurance Affordability Act of 2005, entire bill; HR 2063, to amend the IRS Code of 1986 to permit one-time, tax-free distributions from retirement plans to fund health savings accounts, health savings accounts; HR 2234, 21st Century Health Information Act of 2005, health information technology;HR 2259 and S.1012, Patients' Bill of Rights Act of 2005, entire bill; HR 525 and S.406, Small Business Health Fairness Act of 2005, AHPs; S.1223, Information technology for Health Care Quality Act, entire bill; S.1225, Access to Affordable Health Care Act, entire bill; S.1227, Health Information Technology Act of 2005, health information technology; S.1262, Health Technology to Enhance Quality Act of 2005, entire bill; S.751 and S.1326, Notification of Risk to Personal Data Act, privacy; S.1332, a bill to prevent and mitigate identity theft; to ensure privacy; and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information, privacy; S.1355, a bill to enhance the adoption of health information technology and to improve the quality and reduce the costs of healthcare in the U.S., entire bill; S.309, a bill to amend the IRS Code of 1986 to provide for the disposition of unused health benefits in cafeteria plans and flexible spending arrangements, flexible spending accounts rollover; S.544, Patient Safety and Quality Improvement Act of 2005, entire bill.

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

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

Support medical liability reforms. S. 544 Medical Errors/patient safety legislation-monitor and track. The genetic information non-discrimination legislation. Pediatric Research. Clinical research issues. Asthma Legislation, H.R. 2098, the "Asthma Act".

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

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

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

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

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

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

Client expense: $340,000 · Firm income: Not reported

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

FFY2005 Budget Resolution and Appropriation Bills FFY2006 Budget Resolution and Appropriation Bills S.1932 Deficit Reduction Omnibus Reconciliation Act of 2005 2006 Budget reconciliation bill H.R.5/H.R.534/S.354 S.338/H.R.985 Bipartisan Medicaid Commission S.933/H.R.2350 Rural Community Hospital Assistance Act S.1356/H.R.3617 Medicare Value Purchasing Act of 2005 S.1784 National Medical Error Disclosure and Compensation Act of 2005 H.R.3607 The future of Health Care-Granting Access to Innovation in America Act H.R.880 Rural Health Equity Act S.473/H.R.215 Allied Health Professions Reinvestment Act S.898/H.R.1812 Patient navigator Outreach & Chronic Disease Prevention Act of 2005 H.R.139 Health Improvement and Professions Act of 2005 H.R.3173 Nurse Faculty Higher Education Act s.1262/H.R.2234 Health Technology to Enhance Quality Act of 2005 and The 21sst Century Health Information Act S.1355 and S.1262 the Better Healthcare Through Information Technology Act S.1049 Covering Kids Act of 2005 S.681 Umbilical Cord Blood Stem Cell Research S.544/H.R.3205 Patient Safety and quality Improvement Act of 2005 S.4 Health Technology to Enhance Quality Act of 2005 H.R.3373/S.1405 Preserving Patient Access to Inpatient Rehabilitation Hospitals Act Proposed Rules for Medicare Inpatient Psychiatric Facility Payment System (IPF PPS) Visa quota delays Proposed revisiosn to certification requirements for ERSD facilities and OPOs Proposed rule changes for hospital conditions of participation Final Medicare Inpatient PPS rule for FFY2006 Final Outpatient PPS rule for FFY2006 CMS data validation process rules Proposed Medicare inpatient rehabilitation facility (IRF) and skilled nursing facility (SNF) PPS rules for FFY2006 Proposed Post-acute transfer policy Proposed rate update for Medicare Home Health Agency (HHA) PPS Propsoed e-prescribing and electronic health records regulations Mental health parity law extension

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

Communicated several issues concerning academic health centers to the Secretary of Health and Human Services and his office including: implementation of HIPAA rules, the development of regional electronic patient record systems, and concerns about physician reimbursement rates, medical liability, patient safety, bioterrorism and facilities and administration support. Worked in cooperation with AAMC and AHA to appeal to CMS to consider adjustments to the Medicare sustainable growth rate formula. Johns Hopkins is part of the Maryland/DC Collaborative for Healthcare Information Technology (formerly Maryland/DC E-Health Initiative) to develop and implement a regional electronic patient record system. Continue to keep all members of the Maryland Delegation apprised of the progress Monitored S. 1418 ‘Wired for Health Care Quality Access” Monitored S. 544 “Patient Safety & Quality Improvement Act of 2005” ,; monitored progress of medical liability reform proposals in the House and Senate; and monitored any Congressional activity that may result from recent court decisions regarding patent infringement claims. Also monitored: HR 869/S. 45 re. removing the statutory limit on physician group practices that treat substance abuse patients Advocated funding and monitored NIH and NSF budgets along with the Association of American Universities (AAU) and Association of American Medical Colleges (AAMC)-see budget section. Monitored amendments, which would potentially alter the funding of specific NIH-sponsored research projects that had undergone the established peer review processes. Continue to monitor legislative efforts on patient safety, physician reimbursement rates, quality improvement and medical liability.

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Natl Aeronautics & Space Administration (NASA), SENATE, State, Dept of (DOS)