Medical Education Affordability Act

Health Information Technology (HIT); providing incentives for the successful adoption of HIT: S.1693, the Wired for Healthcare Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 1952, the National Health Information Incentive Act of 2007; H.R. 6357, the Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act of 2008. Expanding health insurance coverage to ensure that more Americans will have access to affordable health insurance: H.R. 506/S.325, Health Partnership through Creative Federalism Act; Health insurance reform, Medicaid, Association Health Plans, Medical Savings Accounts, Tax credits and purchasing pools; S. 1169, the State-Based Health Care Reform Act; H.R. 2351, the Health Care Act of 2007. Reforming the medical liability system in this country to ease existing financial burdens on practicing physicians and to ensure greater patient access to care: S. 243, the Medical Care Access Protection Act of 2007 (MCAP Act); H.R. 2580, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007. Medical liability demonstration projects. Reforming the Medicare physician reimbursement formula to provide for greater predictability and stability in payments: S. 40, the Geriatric and Chronic Care Management Act, Reform the Sustainable Growth Rate - S. 2785, Save Medicare Act of 2008, H. R. 5445; H.R. 5545 and S. 2729, the Ensuring the Future Physician Workforce Act of 2008, Pay-for-Performance, Patient Centered Medical Home H.R. 3162, the CHAMP Act, care coordination, primary care shortage, CMS proposed changes to work relative value units (RVUs), Medically Unbelievable Edits program, CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC), CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates, Health Care Price Transparency. H.R. 6331/S.3101, the Medicare Improvements for Patients and Providers Act. Ensure adequate funding for federal health programs in the FY08 and FY09 appropriations: Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research). Address inadequacies in public health programs and funding: Healthcare disparities, anti-smoking (S.625/H.R. 1108, the Family Smoking Prevention and Tobacco Control Act), vaccines (e.g. smallpox, influenza), CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration, DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act. Provide loan debt relief for medical students through enhancements to existing programs and the creation of new programs: H.R. 1093, Resident Physician Shortage Reduction Act of 2007; S. 588, Resident Physician Shortage Reduction Act of 2007; S. 1066, Medical Education Affordability Act; Reauthorization of the Higher Education Act, including the restoration of the 20/220 pathway; S. 2303/H.R. 4344, a bill to amend section 435 of the Higher Education Act of 1965 regarding the definition of economic hardship. Preserving the safety net function of federally-funded health care programs, such as SCHIP: H.R. 5268, providing for a temporary increase of the Federal medical assistance percentage under the Medicaid Program; Include expansion of the medical home as well as transformation grants for the medical home in SCHIP re-authorizing legislation. Preserving access to primary care services: the impending shortage of primary care physicians, designation of primary care as a shortage profession, scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas, grants for medical school mentorship programs and primary care training in community health centers, increased Title VII funding for primary care health programs, Medicare payment reforms to support the Patient Centered Medical Home, regulatory relief, studies on primary care; S. 1340/H.R. 2244, the Geriatric Assessment and Chronic Care Coordination Act of 2007. Economic Stimulus Package: Increase the federal matching rate under the Medicaid program, re-authorize the SCHIP program with additional funding to assure adequate coverage of all eligible children, targeted increases in Medicare payments for primary care physicians, targeted incentives directed toward primary care physicians in smaller practices to acquire health information technology (HIT) applications to support care coordination through the medical home.

Client expense: $142,652 · 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

See page 7 for specific Health Care issues. Specific Health Issue bills: H.R. 5605/S. 2029, the Physician Payment Sunshine Act H.R. 1407, the Higher Education Affordability and Equity Act S. 1066, the Medical Education Affordability Act H.R. 2583, the Physician Workforce and Graduate Medical Education Enhancement Act HR 7192, Preserving Patient Access to Primary Care Act H.R. 6357, the ProTECHt Act H.R. 5442 TRUST in Health Information Act of 2008 H.R. 6898 Health-e Information Technology Act of 2008 S. 1693 Wired for Health Care Quality Act of 2008 H.R. 6791 The National Cancer Act of 2008

Client expense: $61,364 · Firm income: Not reported

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

S. 3230 - Labor HHS appropriations S. 588; H.R. 1093 Residency Caps H.R. 3; S. 5; S. 30 Stem Cell S. 1576 Minority Improvent S. 1066 Medical Affordability Act H.R. 4854, S. 2041 False Claims Correction Act S. 484 Research Misconduct Clinical Trials The role of gene patents in research and genetic testing

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

S. 1066 - Medical Education Affordability Act S. 2303 - A bill to amend section 435(o) of the HEA regarding the definition of economic hardship S. 1642 - Higher Education Amendments of 2007 S. 359 - Student Debt Relief Act of 2007 H.R. 4137 - College Opportunity and Affordability Act H.R. 1777 - Need-Based Educational Aid Act Higher Education Amendments of 2007

Client expense: $94,018 · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

See page 7 for specific Health Care issues. Specific Health Issue bills: H.R. 5605/S. 2029, the Physician Payment Sunshine Act H.R. 1407, the Higher Education Affordability and Equity Act S. 1066, the Medical Education Affordability Act H.R. 2583, the Physician Workforce and Graduate Medical Education Enhancement Act HR 7192, Preserving Patient Access to Primary Care Act H.R. 6357, the ProTECHt Act H.R. 5442 TRUST in Health Information Act of 2008 H.R. 6898 Health-e Information Technology Act of 2008 S. 1693 Wired for Health Care Quality Act of 2008 H.R. 6791 The National Cancer Act of 2008

Client expense: Not reported · Firm income: Not reported

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

See page 7 for specific Health Care issues. Specific Health Issue bills: H.R. 5605/S. 2029, the Physician Payment Sunshine Act H.R. 1407, the Higher Education Affordability and Equity Act S. 1066, the Medical Education Affordability Act H.R. 2583, the Physician Workforce and Graduate Medical Education Enhancement Act HR 7192, Preserving Patient Access to Primary Care Act H.R. 6357, the ProTECHt Act H.R. 5442 TRUST in Health Information Act of 2008 H.R. 6898 Health-e Information Technology Act of 2008 S. 1693 Wired for Health Care Quality Act of 2008 H.R. 6791 The National Cancer Act of 2008

Client expense: $97,022 · Firm income: Not reported

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

Health Information Technology (HIT); providing incentives for the successful adoption of HIT: S.1693, the Wired for Healthcare Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 1952, the National Health Information Incentive Act of 2007; H.R. 6357, the Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act of 2008. Expanding health insurance coverage to ensure that more Americans will have access to affordable health insurance: H.R. 506/S.325, Health Partnership through Creative Federalism Act; Health insurance reform, Medicaid, Association Health Plans, Medical Savings Accounts, Tax credits and purchasing pools; S. 1169, the State-Based Health Care Reform Act; H.R. 2351, the Health Care Act of 2007. Reforming the medical liability system in this country to ease existing financial burdens on practicing physicians and to ensure greater patient access to care: S. 243, the Medical Care Access Protection Act of 2007 (MCAP Act); H.R. 2580, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007. Medical liability demonstration projects. Reforming the Medicare physician reimbursement formula to provide for greater predictability and stability in payments: S. 40, the Geriatric and Chronic Care Management Act, Reform the Sustainable Growth Rate - S. 2785, Save Medicare Act of 2008, H. R. 5445; H.R. 5545 and S. 2729, the Ensuring the Future Physician Workforce Act of 2008, Pay-for-Performance, Patient Centered Medical Home H.R. 3162, the CHAMP Act, care coordination, primary care shortage, CMS proposed changes to work relative value units (RVUs), Medically Unbelievable Edits program, CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC), CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates, Health Care Price Transparency. H.R. 6331/S.3101, the Medicare Improvements for Patients and Providers Act. Ensure adequate funding for federal health programs in the FY08 and FY09 appropriations: Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research). Address inadequacies in public health programs and funding: Healthcare disparities, anti-smoking (S.625/H.R. 1108, the Family Smoking Prevention and Tobacco Control Act), vaccines (e.g. smallpox, influenza), CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration, DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act. Provide loan debt relief for medical students through enhancements to existing programs and the creation of new programs: H.R. 1093, Resident Physician Shortage Reduction Act of 2007; S. 588, Resident Physician Shortage Reduction Act of 2007; S. 1066, Medical Education Affordability Act; Reauthorization of the Higher Education Act, including the restoration of the 20/220 pathway; S. 2303/H.R. 4344, a bill to amend section 435 of the Higher Education Act of 1965 regarding the definition of economic hardship. Preserving the safety net function of federally-funded health care programs, such as SCHIP: H.R. 5268, providing for a temporary increase of the Federal medical assistance percentage under the Medicaid Program. Preserving access to primary care services: the impending shortage of primary care physicians, designation of primary care as a shortage profession, scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas, grants for medical school mentorship programs and primary care training in community health centers, increased Title VII funding for primary care health programs, Medicare payment reforms to support the Patient Centered Medical Home, regulatory relief, studies on primary care; S. 1340/H.R. 2244, the Geriatric Assessment and Chronic Care Coordination Act of 2007.

Client expense: $276,799 · 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

Health Information Technology (HIT); providing incentives for the successful adoption of HIT: S.1693, the Wired for Healthcare Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 1952, the National Health Information Incentive Act of 2007; H.R. 6357, the Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act of 2008. Expanding health insurance coverage to ensure that more Americans will have access to affordable health insurance: H.R. 506/S.325, Health Partnership through Creative Federalism Act; Health insurance reform, Medicaid, Association Health Plans, Medical Savings Accounts, Tax credits and purchasing pools; S. 1169, the State-Based Health Care Reform Act; H.R. 2351, the Health Care Act of 2007. Reforming the medical liability system in this country to ease existing financial burdens on practicing physicians and to ensure greater patient access to care: S. 243, the Medical Care Access Protection Act of 2007 (MCAP Act); H.R. 2580, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007. Medical liability demonstration projects. Reforming the Medicare physician reimbursement formula to provide for greater predictability and stability in payments: S. 40, the Geriatric and Chronic Care Management Act, Reform the Sustainable Growth Rate - S. 2785, Save Medicare Act of 2008, H. R. 5445; H.R. 5545 and S. 2729, the Ensuring the Future Physician Workforce Act of 2008, Pay-for-Performance, Patient Centered Medical Home H.R. 3162, the CHAMP Act, care coordination, primary care shortage, CMS proposed changes to work relative value units (RVUs), Medically Unbelievable Edits program, CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC), CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates, Health Care Price Transparency. H.R. 6331/S.3101, the Medicare Improvements for Patients and Providers Act. Ensure adequate funding for federal health programs in the FY08 and FY09 appropriations: Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research). Address inadequacies in public health programs and funding: Healthcare disparities, anti-smoking (S.625/H.R. 1108, the Family Smoking Prevention and Tobacco Control Act), vaccines (e.g. smallpox, influenza), CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration, DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act. Provide loan debt relief for medical students through enhancements to existing programs and the creation of new programs: H.R. 1093, Resident Physician Shortage Reduction Act of 2007; S. 588, Resident Physician Shortage Reduction Act of 2007; S. 1066, Medical Education Affordability Act; Reauthorization of the Higher Education Act, including the restoration of the 20/220 pathway; S. 2303/H.R. 4344, a bill to amend section 435 of the Higher Education Act of 1965 regarding the definition of economic hardship. Preserving the safety net function of federally-funded health care programs, such as SCHIP: H.R. 5268, providing for a temporary increase of the Federal medical assistance percentage under the Medicaid Program. Preserving access to primary care services: the impending shortage of primary care physicians, designation of primary care as a shortage profession, scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas, grants for medical school mentorship programs and primary care training in community health centers, increased Title VII funding for primary care health programs, Medicare payment reforms to support the Patient Centered Medical Home, regulatory relief, studies on primary care; S. 1340/H.R. 2244, the Geriatric Assessment and Chronic Care Coordination Act of 2007.

Client expense: $167,205 · 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

S 1642, HR 4137, S 1066, HR 5496, HR 1884, HR 2269, HR 3014 - seeking provisions to enhance podiatric education and accreditation, including loan deferment, incentives, retention, scholarships, and loan repayment

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

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

H.R. 3043; S. 1710 - Labor HHS appropriations S. 588; H.R. 1093 Residency Caps H.R. 3; S. 5; S. 30 Stem Cell S. 1576 Minority Improvent S. 1066 Medical Affordability Act H.R. 4854, S. 2041 False Claims Correction Act S. 484 Research Misconduct Clinical Trials

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

S 1642, HR 4137, S 1066, HR 5496, HR 1884, HR 2269, HR 3014 - seeking provisions to enhance podiatric education and accreditation, including loan deferment, incentives, retention, scholarships, and loan repayment

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

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

Health Information Technology (HIT); providing incentives for the successful adoption of HIT: S.1693, the Wired for Healthcare Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 1952, the National Health Information Incentive Act of 2007. Expanding health insurance coverage to ensure that more Americans will have access to affordable health insurance: H.R. 506 /S.325, Health Partnership through Creative Federalism Act; Health insurance reform, Medicaid, Association Health Plans, Medical Savings Accounts, Tax credits and purchasing pools; S. 1169, the State-Based Health Care Reform Act; H.R. 2351, the Health Care Act of 2007. Reforming the medical liability system in this country to ease existing financial burdens on practicing physicians and to ensure greater patient access to care: S. 243, the Medical Care Access Protection Act of 2007 (MCAP Act); H.R. 2580, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007. Medical liability demonstration projects. Reforming the Medicare physician reimbursement formula to provide for greater predictability and stability in payments: S. 40, the Geriatric and Chronic Care Management Act, Reform the Sustainable Growth Rate - S. 2785, Save Medicare Act of 2008, H. R. 5445; H.R. 5545 and S. 2729, the Ensuring the Future Physician Workforce Act of 2008, Pay-for-Performance, Patient Centered Medical Home H.R. 3162, the CHAMP Act, care coordination, primary care shortage, CMS proposed changes to work relative value units (RVUs), Medically Unbelievable Edits program, CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC), CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates, Health Care Price Transparency. H.R. 6331/S.3101, the Medicare Improvements for Patients and Providers Act. Ensure adequate funding for federal health programs in the FY08 and FY09 appropriations: Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research). Address inadequacies in public health programs and funding: Healthcare disparities, anti-smoking, vaccines (e.g. smallpox, influenza), CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration, DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act. Provide loan debt relief for medical students through enhancements to existing programs and the creation of new programs: H.R. 1093, Resident Physician Shortage Reduction Act of 2007; S. 588, Resident Physician Shortage Reduction Act of 2007; S. 1066, Medical Education Affordability Act; Reauthorization of the Higher Education Act, including the restoration of the 20/220 pathway; S. 2303/H.R. 4344, a bill to amend section 435 of the Higher Education Act of 1965 regarding the definition of economic hardship. Preserving the safety net function of federally-funded health care programs, such as SCHIP: H.R. 5268, providing for a temporary increase of the Federal medical assistance percentage under the Medicaid Program. Preserving access to primary care services: the impending shortage of primary care physicians, designation of primary care as a shortage profession, scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas, grants for medical school mentorship programs and primary care training in community health centers, increased Title VII funding for primary care health programs, Medicare payment reforms to support the Patient Centered Medical Home, regulatory relief, studies on primary care; S. 1340/H.R. 2244, the Geriatric Assessment and Chronic Care Coordination Act of 2007.

Client expense: $334,690 · 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

Health Information Technology (HIT); providing incentives for the successful adoption of HIT: S.1693, the Wired for Healthcare Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 1952, the National Health Information Incentive Act of 2007. Expanding health insurance coverage to ensure that more Americans will have access to affordable health insurance: H.R. 506 Health Partnership through Creative Federalism Act; Health insurance reform, Medicaid, Association Health Plans, Medical Savings Accounts, Tax credits and purchasing pools; H.R. 2351, the Healthcare Act of 2007; S. 1169, the State-Based Health Care Reform Act. Reforming the medical liability system in this country to ease existing financial burdens on practicing physicians and to ensure greater patient access to care: S. 243, the Medical Care Access Protection Act of 2007 (MCAP Act); H.R. 2580, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007. Medical liability demonstration projects. Reforming the Medicare physician reimbursement formula to provide for greater predictability and stability in payments: S. 40, the Geriatric and Chronic Care Management Act, Reform the Sustainable Growth Rate - S. 2785, Save Medicare Act of 2008, H. R. 5445; H.R. 5545 and S. 2729, the Ensuring the Future Physician Workforce Act of 2008, Pay-for-Performance, Patient Centered Medical Home H.R. 3162, the CHAMP Act, care coordination, primary care shortage, CMS proposed changes to work relative value units (RVUs), Medically Unbelievable Edits program, CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC), CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates, Health Care Price Transparency. H.R. 6331/S.3101, the Medicare Improvements for Patients and Providers Act. Ensure adequate funding for federal health programs in the FY08 and FY09 appropriations: Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research). Address inadequacies in public health programs and funding: Healthcare disparities, anti-smoking, vaccines (e.g. smallpox, influenza), CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration, DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act. Provide loan debt relief for medical students through enhancements to existing programs and the creation of new programs: H.R. 1093, Resident Physician Shortage Reduction Act of 2007; S. 588, Resident Physician Shortage Reduction Act of 2007; S. 1066, Medical Education Affordability Act; Reauthorization of the Higher Education Act, including the restoration of the 20/220 pathway; S. 2303/H.R.. 4344, a bill to amend section 435 of the Higher Education Act of 1965 regarding the definition of economic hardship. Preserving the safety net function of federally-funded health care programs, such as SCHIP: H.R. 5268, providing for a temporary increase of the Federal medical assistance percentage under the Medicaid Program. Preserving access to primary care services: the impending shortage of primary care physicians, designation of primary care as a shortage profession, scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas, grants for medical school mentorship programs and primary care training in community health centers, increased Title VII funding for primary care health programs, Medicare payment reforms to support the Patient Centered Medical Home, regulatory relief, studies on primary care; S. 1340/H.R. 2244, the Geriatric Assessment and Chronic Care Coordination Act of 2007.

Client expense: $334,690 · 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

Health Information Technology (HIT); providing incentives for the successful adoption of HIT: S.1693, the Wired for Healthcare Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 1952, the National Health Information Incentive Act of 2007. Expanding health insurance coverage to ensure that more Americans will have access to affordable health insurance: H.R. 506 Health Partnership through Creative Federalism Act; Health insurance reform, Medicaid, Association Health Plans, Medical Savings Accounts, Tax credits and purchasing pools; H.R. 2351, the Healthcare Act of 2007; S. 1169, the State-Based Health Care Reform Act. Reforming the medical liability system in this country to ease existing financial burdens on practicing physicians and to ensure greater patient access to care: S. 243, the Medical Care Access Protection Act of 2007 (MCAP Act); H.R. 2580, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007. Medical liability demonstration projects. Reforming the Medicare physician reimbursement formula to provide for greater predictability and stability in payments: S. 40, the Geriatric and Chronic Care Management Act, Reform the Sustainable Growth Rate - S. 2785, Save Medicare Act of 2008, H. R. 5445; H.R. 5545 and S. 2729, the Ensuring the Future Physician Workforce Act of 2008, Pay-for-Performance, Patient Centered Medical Home H.R. 3162, the CHAMP Act, care coordination, primary care shortage, CMS proposed changes to work relative value units (RVUs), Medically Unbelievable Edits program, CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC), CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates, Health Care Price Transparency. H.R. 6331/S.3101, the Medicare Improvements for Patients and Providers Act. Ensure adequate funding for federal health programs in the FY08 and FY09 appropriations: Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research). Address inadequacies in public health programs and funding: Healthcare disparities, anti-smoking, vaccines (e.g. smallpox, influenza), CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration, DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act. Provide loan debt relief for medical students through enhancements to existing programs and the creation of new programs: H.R. 1093, Resident Physician Shortage Reduction Act of 2007; S. 588, Resident Physician Shortage Reduction Act of 2007; S. 1066, Medical Education Affordability Act; Reauthorization of the Higher Education Act, including the restoration of the 20/220 pathway; S. 2303/H.R. 4344, a bill to amend section 435 of the Higher Education Act of 1965 regarding the definition of economic hardship. Preserving the safety net function of federally-funded health care programs, such as SCHIP: H.R. 5268, providing for a temporary increase of the Federal medical assistance percentage under the Medicaid Program. Preserving access to primary care services: the impending shortage of primary care physicians, designation of primary care as a shortage profession, scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas, grants for medical school mentorship programs and primary care training in community health centers, increased Title VII funding for primary care health programs, Medicare payment reforms to support the Patient Centered Medical Home, regulatory relief, studies on primary care; S. 1340/H.R. 2244, the Geriatric Assessment and Chronic Care Coordination Act of 2007.

Client expense: $173,509 · 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

H.R. 3043; S. 1710 - Labor HHS appropriations S. 588; H.R. 1093 Residency Caps H.R. 3; S. 5; S. 30 Stem Cell S. 1576 Minority Improvent S. 1066 Medical Affordability Act S. 484 Research Misconduct Clinical Trials

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

S 1642 - Higher Education Amendments of 2007 - supporting provisions that enhance podiatric education and accreditation; S 1066 - Medical Education Affordability Act - supporting loan repayment deferment for podiatric medical residents and fellows; Support for initiatives to ensure appropriate retention, recruitment, scholarships, loans, and loan repayment for podiatric students and residents;

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

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

Health Information Technology (HIT); providing incentives for the successful adoption of HIT: S.1693, the Wired for Healthcare Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 1952, the National Health Information Incentive Act of 2007; Expanding health insurance coverage to ensure that more Americans will have access to affordable health insurance: H.R. 506, Health Partnership through Creative Federalism Act; Health insurance reform, Medicaid, Association Health Plans, Medical Savings Accounts, Tax credits and purchasing pools. Reforming the medical liability system in this country to ease existing financial burdens on practicing physicians and to ensure greater patient access to care: S. 243, the Medical Care Access Protection Act of 2007 (MCAP Act); H.R. 2580, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007. Medical liability demonstration projects. Reforming the Medicare physician reimbursement formula to provide for greater predictability and stability in payments: S. 40, the Geriatric and Chronic Care Management Act, Reform the Sustainable Growth Rate - S. 2785, Save Medicare Act of 2008, H. R. 5445; H.R. 5545 and S. 2729, the Ensuring the Future Physician Workforce Act of 2008, Pay-for-Performance, Patient Centered Medical Home H.R. 3162, the CHAMP Act, care coordination, primary care shortage, CMS proposed changes to work relative value units (RVUs), Medically Unbelievable Edits program, CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC), CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates, Health Care Price Transparency. Ensure adequate funding for federal health programs in the FY08 and FY09 appropriations: Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research). Address inadequacies in public health programs and funding: Healthcare disparities, anti-smoking, vaccines (e.g. smallpox, influenza), CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration, DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act. Provide loan debt relief for medical students through enhancements to existing programs and the creation of new programs: H.R. 1093, Resident Physician Shortage Reduction Act of 2007; S. 588, Resident Physician Shortage Reduction Act of 2007; S. 1066, Medical Education Affordability Act; Reauthorization of the Higher Education Act, including the restoration of the 20/220 pathway. Preserving the safety net function of federally-funded health care programs, such as SCHIP: H.R. 5268, providing for a temporary increase of the Federal medical assistance percentage under the Medicaid Program. Preserving access to primary care services: the impending shortage of primary care physicians, designation of primary care as a shortage profession, scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas, grants for medical school mentorship programs and primary care training in community health centers, increased Title VII funding for primary care health programs, Medicare payment reforms to support the Patient Centered Medical Home, regulatory relief, studies on primary care.

Client expense: $225,704 · 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

Health Information Technology (HIT); providing incentives for the successful adoption of HIT: S.1693, the Wired for Healthcare Quality Act; H.R. 3800, Promoting Health Information Technology Act; H.R. 1952, the National Health Information Incentive Act of 2007. Expanding health insurance coverage to ensure that more Americans will have access to affordable health insurance: H.R. 506, Health Partnership through Creative Federalism Act; Health insurance reform, Medicaid, Association Health Plans, Medical Savings Accounts, Tax credits and purchasing pools. Reforming the medical liability system in this country to ease existing financial burdens on practicing physicians and to ensure greater patient access to care: S. 243, the Medical Care Access Protection Act of 2007 (MCAP Act); H.R. 2580, the Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2007. Medical liability demonstration projects. Reforming the Medicare physician reimbursement formula to provide for greater predictability and stability in payments: S. 40, the Geriatric and Chronic Care Management Act, Reform the Sustainable Growth Rate - S. 2785, Save Medicare Act of 2008, H. R. 5445; H.R. 5545 and S. 2729, the Ensuring the Future Physician Workforce Act of 2008, Pay-for-Performance, Patient Centered Medical Home H.R. 3162, the CHAMP Act, care coordination, primary care shortage, CMS proposed changes to work relative value units (RVUs), Medically Unbelievable Edits program, CMS Request for Information (RFI) for Cycle 1 of the Medicare Administrative Contractor (MAC), CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates, Health Care Price Transparency. Ensure adequate funding for federal health programs in the FY08 and FY09 appropriations: Labor/HHS/Education Appropriations bill (including Title VII health professions and student loans) and VA healthcare and research). Address inadequacies in public health programs and funding: Healthcare disparities, anti-smoking, vaccines (e.g. smallpox, influenza), CMS - Payment for the recently approved Herpes Zoster (Shingles) vaccine and its administration, DEA how e-prescribing systems can meet the Drug Enforcement Administrations (DEAs) prescription requirements under the Controlled Substances Act. Provide loan debt relief for medical students through enhancements to existing programs and the creation of new programs: H.R. 1093, Resident Physician Shortage Reduction Act of 2007; S. 588, Resident Physician Shortage Reduction Act of 2007; S. 1066, Medical Education Affordability Act; Reauthorization of the Higher Education Act, including the restoration of the 20/220 pathway. Preserving the safety net function of federally-funded health care programs, such as SCHIP: H.R. 5268, providing for a temporary increase of the Federal medical assistance percentage under the Medicaid Program. Preserving access to primary care services: the impending shortage of primary care physicians, designation of primary care as a shortage profession, scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas, grants for medical school mentorship programs and primary care training in community health centers, increased Title VII funding for primary care health programs, Medicare payment reforms to support the Patient Centered Medical Home, regulatory relief, studies on primary care.

Client expense: $175,401 · 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

S. 1066 - Medical Education Affordability Act S. 2303 - A bill to amend section 435(o) of the HEA regarding the definition of economic hardship S. 1642 - Higher Education Amendments of 2007 S. 359 - Student Debt Relief Act of 2007 H.R. 4137 - College Opportunity and Affordability Act H.R. 1777 - Need-Based Educational Aid Act

Client expense: $131,683 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

S. 2303, "A bill to amend section 435(0) of the Higher Education Act of 1965, H.R. 4344 regarding the definition of economic hardship" S. 1066, "Medical Education Affordability Act" Issue: Reinstate and expand the debt-to-income ratio of the economic hardship deferment.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Health Information Technology - H.R.1952, the National Health Information Incentive Act of 2007; S.1408, the Health Information Technology Act of 2007; S.1693, the Wired for Healthcare Quality Act of 2007. Expanding health insurance coverage - HR2351, the Health Coverage Affordability, Responsibility, and Equity Act of 2007; HR506, the Health Partnership through Creative Federalism Act of 2007; S.325, the Health Partnership Act of 2007; HR3162, the Childrens' Health and Medicare Protection Act of 2007; S.1893, the Children's Health Insurance Program Reauthorization Act of 2007; HR1663, the Medicare Mental Health Modernization Act of 2007; Medicare Physician Payment/Medicare reform - HR3162, the Children's Health and Medicare Protection Act of 2007; S1340, the Geriatric Assessment and Chronic Care Coordination Act of 2007; Patient Centered Medical Home Demonstration project, Medicare's sustainable growth rate, pay-for-performance and quality improvement initiatives, Medicare Part D, ICD-10 Coding System, Medicare Advantage, increasing the tobacco tax; Professional Liability Reform - S243, the Medicare Access Protection Act of 2007; FY2008 Appropriations - HR3043, the FY2008 Labor/HHS/Education Appropriations Act of 2007, AHRQ funding, Title VII funding, VA Medical and Prosthetics Research Program, ONCHIT funding, NIH funding; Student Debt Relief - S1066, the Medical Education Affordability Act of 2007; Healthcare in Underserved Areas - HR1332, the Small Business Lending Improvement Act of 2007; Physician Shortage/Graduate Medical Education - HR2584, the High-Need Physician Workforce Incentive Act of 2007; S588, the Resident Physician Shortage Reduction Act of 2007; HR410, the U.S. Physician Shortage Elimination Act of 2007; S896, the Physician Shortage Elimination Act of 2007; S1093, the Resident Physicians Shortage Reduction Act of 2007; Prospective Payment System; Public Health Issues - S1576, the Minority Health Improvement and Disparity Elimination Act of 2007; Healthcare disparities, increasing the tobacco tax, preventive care, vaccines.

Client expense: $426,833 · 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

Health Information Technology - H.R.1952, the National Health Information Incentive Act of 2007; S.1408, the Health Information Technology Act of 2007; S.1693, the Wired for Healthcare Quality Act of 2007. Expanding Health Insurance Coverage - HR2351, the Health Coverage Affordability, Responsibility, and Equity Act of 2007; HR506, the Health Partnership through Creative Federalism Act of 2007; S.325, the Health Partnership Act of 2007; HR3162, the Childrens' Health and Medicare Protection Act of 2007; S.1893, the Children's Health Insurance Program Reauthorization Act of 2007; HR1663, the Medicare Mental Health Modernization Act of 2007; Medicare Physician Payment/Medicare reform - HR3162, the Children's Health and Medicare Protection Act of 2007; S1340, the Geriatric Assessment and Chronic Care Coordination Act of 2007; Patient Centered Medical Home Demonstration project, Medicare's sustainable growth rate, pay-for-performance and quality improvement initiatives, Medicare Part D, ICD-10 Coding System, Medicare Advantage, increasing the tobacco tax; Professional Liability Reform - S243, the Medicare Access Protection Act of 2007; FY2008 Appropriations - HR3043, the FY2008 Labor/HHS/Education Appropriations Act of 2007, AHRQ funding, Title VII funding, VA Medical and Prosthetics Research Program, ONCHIT funding, NIH funding; Student Debt Relief - S1066, the Medical Education Affordability Act of 2007; Healthcare in Underserved Areas - HR1332, the Small Business Lending Improvement Act of 2007; Physician Shortage/Graduate Medical Education - HR2584, the High-Need Physician Workforce Incentive Act of 2007; S588, the Resident Physician Shortage Reduction Act of 2007; HR410, the U.S. Physician Shortage Elimination Act of 2007; S896, the Physician Shortage Elimination Act of 2007; S1093, the Resident Physicians Shortage Reduction Act of 2007; Prospective Payment System; Public Health Issues - S1576, the Minority Health Improvement and Disparity Elimination Act of 2007; Healthcare disparities, increasing the tobacco tax, preventive care, vaccines.

Client expense: $338,352 · 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

H.R. 3043; S. 1710 - Labor HHS appropriations S. 588; H.R. 1093 Residency Caps H.R. 3; S. 5; S. 30 Stem Cell S. 1576 Minority Improvent S. 1066 Medical Affordability Act S. 484 Research Misconduct Clinical Trials

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

H.R. 2584- High Need Physician Workforce Incentives Act of 2007 S. 1066- Medical Education Affordability Act S. 1642- The Higher Education Amendments Act of 2007 H.R. 4137- The College Opportunity and Affordability Act of 2007

Client expense: $330,000 · 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), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

HR 598 Student Loan Interest Full Deductibility Act HR 1556 Married Student Debt Relief Act S 486/HR 890 Student Loan Sunshine Act S 511 Student Borrower Bill of Rights Act S 359 Student Debt Relief Act of 2007 S 1066 Medical Education Affordability Act S 1792/HR 2669 College Cost Reduction Act HR 4137 College Opportunity and Affordability Act S 1030 Financial Aid Form Simplification and Access Act

Client expense: Not reported · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

H.R. 3043; S. 1710 - Labor HHS appropriations S. 588; H.R. 1093 Residency Caps H.R. 3; S. 5; S. 30 Stem Cell S. 1576 Minority Improvent S. 1066 Medical Affordability Act S. 484 Research Misconduct Clinical Trials

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

Physicians in Armed Forces Managed Care Reform S. 588 - Resident Physician Shortage Reduction Act of 2007 S. 1066 - Medical Education Affordability Act H.R. 1093 - Resident Physician Shortage Reduction Act of 2007 Health Information Technology

Client expense: $10,332,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

H.R. 2584- High-Need Physician Workforce Incentives Act of 2007 S. 1066- Medical Education Affordability Act S. 1642- The Higher Education Amendments Act of 2007

Client expense: $209,030 · 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

H.R. 477, the Stroke Treatment and Ongoing Prevention Act – authorization to fund stroke prevention and treatment programs H. R. 727, the Trauma Care Systems Planning and Development Act of 2007– reauthorize trauma care systems grant program H.R. 2052, Shaken Baby Syndrome Prevention Act of 2007 – authorization of funds for public awareness and prevention of shaken baby syndrome H.R. 2184, the Enhanced Health Care Value for All Act – establishes new center for comparative effectiveness research H.R. 2464, the Wakefield Act -- to reauthorize the Emergency Medical Services for Children program H.R. 2580, the Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 – medical liability reform H.R. 2626, the Comprehensive HealthCARE Act of 2007 – antitrust relief for physicians, Medicare payment reform, EMTALA reform, medical liability reform H.R. 2497, Fair and Reliable Medical Justice Act – demonstration programs for alternative medical liability reform systems S. 60, the Wakefield Act -- to reauthorize the Emergency Medical Services for Children program S. 243, the Medical Care Access Protection Act – medical liability reform S. 657, Trauma Care Systems Planning and Development Act of 2007 – reauthorize trauma care systems grant program S. 793, Reauthorization of the Traumatic Brain Injury Act – expand and improve traumatic brain injury programs S. 999, STOP Stroke Act – authorization to fund stroke prevention and treatment programs S.1066, Medical Education Affordability Act – allows physicians to defer repayment of student loans S. 1082, the Prescription Drug User Fee Amendments of 2007 – FDA advisory panel requirements S.1204, Shaken Baby Syndrome Prevention Act of 2007 – authorization of funds for public awareness and prevention of shaken baby syndrome S. 1481, Fair and Reliable Medical Justice Act – demonstration programs for alternative medical liability reform systems S. 1693, the Wired for Health Care Act – standards for health information technology

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

* changes in accreditation criteria and reporting, loan forgiveness, increasing Stafford loan limits, financial aid administration oversight. S. 1066, "Medical Education Affordability Act" Issue: Expansion of the Economic Hardship Deferment. H.R. 410/S. 896, "The United States Physician Shortage Elimination Act" H.R. 2584, "High-Need Physician Workforce Incentives Act of 2007" Issue: Increase funding for the National Health Service Corps and for Medical Schools to increase enrollment. H.R. 890/S. 486, Student Loan Sunshine Act. Issue: Financial Aid administration oversight. H.R. 2669, "College Cost Reduction Act of 2007," Title I. S. 1642, "Higher Education Amendments of 2007," Title I and Title IV. S. 1762, "Higher Education Access Act of 2007," Title I, III and VIII. Issue: Reauthorization of the Higher Education Act, expansion of the Economic Hardship Deferment, 7 8 9

Client expense: $280,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

S. 290, Rural Physicians’ Relief Act, The bill would provide primary care physicians with a $1000 tax credit for each month she provided services in a designated “frontier” area. S. 334, Healthy Americans Act, The bill would create tax credits for health insurance. S. 1066, Medical Education Affordability Act, Medical student loan debt relief. S. 1307, Medicare Provider Accountability Act, The bill would have CMS withhold Medicare payments from providers who owe federal taxes. S. 1693, Wired for Health Care Quality Act, The bill would provide grants to physician practices to implement health information technology. HR 1332, Small Business Lending Improvements Act, The bill would provide special loan incentives to encourage medical professionals to locate in designated shortage areas.

Client expense: $1,250,381 · Firm income: Not reported

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

S. Con. Res. 21, 2008 Federal Budget Resolution, Budget resolutions would include funding for Medicare payments to physicians, Children’s health insurance program and Health Professions Grants for Family Medicine Training. S. 290, Rural Physicians’ Relief Act, The bill would provide primary care physicians with a $1000 tax credit for each month she provided services in a designated “frontier” area. S. 334, Healthy Americans Act, The bill would create tax credits for health insurance. S. 358, Genetic Information Nondiscrimination Act, The bill would prohibit genetic discrimination by employers and health insurance providers. S. 498, Rural Medicare Equity Act, The bill would provide additional support payments for physicians in rural areas. S. 558, Paul Wellstone Mental Health Equitable Treatment Act , The bill would require insurers offering mental health coverage impose financial requirements for mental health benefits that are no more restrictive than those applied to other medical benefits. S. 624, National Breast and Cervical Cancer Early Detection Program Reauthorization Act, The bill would reauthorize programs for subsidized mammography exams, PAP tests, and other screenings. S. 625, Family Smoking Prevention and Tobacco Control Act, The bill would allow the Food and Drug Administration to regulate tobacco products. AAFP supports this from a public health perspective. S. 634, Newborn Screening Saves Lives Act of 2007, Authorize HRSA grants for education and training in newborn screening for congenital, genetic, and metabolic disorders. S. 657, Trauma Care Systems Planning and Development Act, The bill would authorize several emergency services and trauma care programs. S. 1066, Medical Education Affordability Act, Medical student loan debt relief. S. 1218, Medicare for All, The bill would extend Medicare coverage to all Americans who are not otherwise covered by health insurance. S. 1224, Children’s Health Insurance Program Reauthorization Act, The bill extends the Children’s Health Insurance Program; the House version should include Medicare physician payment provisions. S. 1481, Fair and Reliable Medical Justice Act, Medical liability reform. S. 1693, Wired for Health Care Quality Act, The bill would provide grants to physician practices to implement health information technology. S. 1710, 2008 Labor, HHS, and Education Appropriations Act, The bill would fund grants for health professions development programs and the Agency for Healthcare Research and Quality. H. Con. Res. 99, 2008 Federal Budget Resolution, Budget resolutions would include funding for Medicare payments to physicians, Children’s health insurance program and Health Professions Grants for Family Medicine Training. HR 140, US. Physician Shortage Elimination Act, The bill would provide scholarships and tuition assistance for family medicine students and grants for physicians who practice in community health centers. HR 477, Stroke Treatment and Ongoing Prevention Act, The bill would authorize several programs related to education, prevention and treatment of stroke and to encourage the use of telemedicine. HR 493, Genetic Information Nondiscrimination Act, The bill would prohibit genetic discrimination by employers and health insurance providers. HR 727 (PL110-23), Trauma Care Systems Planning and Development Act, The bill would authorize several emergency services and trauma care programs. HR 1108, Family Smoking Prevention and Tobacco Control Act, The bill would allow the Food and Drug Administration to regulate tobacco products. AAFP supports this from a public health perspective. HR 1132 (PL110-18), National Breast and Cervical Cancer Early Detection Program Reauthorization Act, The bill would reauthorize programs for subsidized mammography exams, PAP tests, and other screenings. HR 1332, Small Business Lending Improvements Act, The bill would provide special loan incentives to encourage medical professionals to locate in designated shortage areas. HR 1368, Personalized Health Information Act, The bill would require HHS to establish a program to provide financial incentives for the establishment of interactive personal health records for Medicare beneficiaries. HR 1424, Paul Wellstone Mental Health Equitable Treatment Act , The bill would require insurers offering mental health coverage impose financial requirements for mental health benefits that are no more restrictive than those applied to other medical benefits. HR 1591, FY 2007 Supplemental Spending Act, The bill would provide funding to cover the SCHIP shortfall, delay proposed Medicaid rules on GME and IGTs, require the use of tamper-proof prescription pads, and fund flu pandemic preparation and response efforts. HR 1781, Children’s Health Insurance Program Reauthorization Act, The bill extends the Children’s Health Insurance Program; the House version should include Medicare physician payment provisions. HR 2034, Medicare for All, The bill would extend Medicare coverage to all Americans who are not otherwise covered by health insurance. HR 2206, FY 2007 Supplemental Spending Act, The bill would provide funding to cover the SCHIP shortfall, delay proposed Medicaid rules on GME and IGTs, require the use of tamper-proof prescription pads, and fund flu pandemic preparation and response efforts. HR 2497, Fair and Reliable Medical Justice Act, Medical liability reform. HR 2580, Help Efficient, Accessible, Low-Cost, Timely Healthcare Act, The bill would cap non-economic damages that could be recovered in a medical malpractice lawsuits. HR 3043, 2008 Labor, HHS, and Education Appropriations Act, The bill would fund grants for health professions development programs and the Agency for Healthcare Research and Quality. No Bill Number, Title VII health professions programs reauthorization, Enhance Family Medicine training programs administered by the Health Resources and Services Administration. No Bill Number, Medicare physician payment reforms, Repeal Medicare Sustainable Growth Rate and provide positive annual updates of Medicare physician payment. No Bill Number, Medical Home, Place patient-centered medical home in legislation.

Client expense: $1,250,381 · Firm income: Not reported

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

S. Con. Res. 21, 2008 Federal Budget Resolution, Budget resolutions would include funding for Medicare payments to physicians, Children’s health insurance program and Health Professions Grants for Family Medicine Training. S 1066, Medical Education Affordability Act, Medical student loan debt relief. S. 1710, 2008 Labor, HHS, and Education Appropriations Act, The bill would fund grants for health professions development programs and the Agency for Healthcare Research and Quality. H. Con. Res. 99, 2008 Federal Budget Resolution, Budget resolutions would include funding for Medicare payments to physicians, Children’s health insurance program and Health Professions Grants for Family Medicine Training. HR 140, US. Physician Shortage Elimination Act, The bill would provide scholarships and tuition assistance for family medicine students and grants for physicians who practice in community health centers. HR 477, Stroke Treatment and Ongoing Prevention Act, The bill would authorize several programs related to education, prevention and treatment of stroke and to encourage the use of telemedicine. HR 1132 (PL110-18), National Breast and Cervical Cancer Early Detection Program Reauthorization Act, The bill would reauthorize programs for subsidized mammography exams, PAP tests, and other screenings. HR 3043, 2008 Labor, HHS, and Education Appropriations Act, The bill would fund grants for health professions development programs and the Agency for Healthcare Research and Quality. No Bill, No Bill Title, CMS issued a final rule for Graduate Medical Education policy for payments to teaching hospitals when residents are being trained in a non-hospital site (like a family doctor’s office). No Bill, No Bill Title, CMS proposed a rule to eliminate Graduate Medical Education Funding through Medicaid. No Bill, VII Health Professions Programs Reauthorization, Enhance Family Medicine training programs administered by the Health Resources and Services Administration.

Client expense: $1,250,381 · Firm income: Not reported

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

* H.R. 362 - To authorize sci scholarships for educ math & sci teachers, & for other purposes, Title I, all prov rel to sci scholar; Sec. 103, all prov rel to pol objective; Title II, all prov rel to math & sci educ improve; Sec. 201, all prov rel to math & sci educ partnerships amendments; Sec. 203, all prov rel to grad degree prog; Sec. 205, all prov rel to sci, tech, eng, & math talent expansion prog; Sec. 208, all prov rel to lab sci pilot program. H.R. 363 - Sowing the Seeds Through Sci and Eng Res Act, Sec.2, every subsec, all prov rel to Natl Sci Foundation Early Career Awards for sci & eng researchers; Sec.3, every subsec, all prov rel to Dept of Energy Early Career Awards for sci & eng res; Sec.4, every subsec, all prov rel to Integrative Grad Educ & Res Traineeship Prog; Sec.5, every subsec, all prov rel to Pres Innov Award; Sec.6, every subsec, all prov rel to Natl Coord Ofc for Res Infrastructure; Sec.7, all prov rel to res on innov and inventiveness; Sec.8, every subsect, all prov rel to Report on Natl Inst of Stand & Tech efforts to recr & ret early career sci & eng res; Sec.9, every subsec, all prov rel to NASA's contrib to innov; Sec.10, every subsec, all prov rel to undergrad scholar for sci, tech, eng, & math. H.R. 477 - Stroke Treatment & Ongoing Prevention Act, Sec. 399II, all prov rel to author of approps; Sec. 1251, all prov rel to med professional develop in advanced stroke and traumatic injury treatment and prevention; (1), all prov rel to grants; Sec. 330M (a), all prov rel to Telehealth Stroke Treatment Grant Program. H.R. 890 - Student Loan Sunshine Act, Sec. 2, all prov rel to institution & lender reporting & discl requiremts; Part E, all prov rel to lender & inst require rel to educ loans; Sec. 152, all prov rel to require for lenders & institu partic in pref lender arrngmnts; Sec. 153, all prov rel to int rate report for inst & lenders partic in pref lender arrangmnts; Sec. 155, all prov rel to integ prov; Sec. 156, all prov rel to compl and enforcement, Sec. 3, all prov rel to prog partic agreements; Sec. 4, all prov rel to notice of avail of funds from fed sources; Sec. 5, all prov rel to impr information concern the fed student financial aid website. H.R. 990 - Pell Grant Equity Act of 2007, Sec. 2, all prov rel to tuition sensitivity. H.R. 1010 - Student Aid Reward Act of 2007, Sec. 2, all prov rel to student aid reward prog; Sec. 489A, all prov rel to student aid reward prog; (a), all prov rel to prog authorized; (b), all prov rel to prog requirements; (3)(A)(B), all prov rel to distrib rules; (4)(A)(B), all prov rel to distribution to students. H.R. 1068 - To amend the High-Performance Computing Act of 1991; Section 1, every subsection, all prov rel to high-performance computing research and development program. H.R. 1093 - Resident Physician Shortage Reduc Act of 2007, Sec. 2, all prov rel to increasing the Medicare caps on grad med educ positions for states with a shortage of residents; (a) all prov rel to direct grad med edu. H.R. 1232 - Veterinary Public Health Workforce Expansion Act of 2007, Sec. 2, every subsec, all prov rel to Competitive Grants Program. H.R. 1467 - 10,000 Trained by 2010 Act, Sec. 4, all prov rel to Natl Sci Foundation res; (a), all prov rel to grants; (b), all prov rel to informatics res centers; Sec. 5, all prov rel to Natl Sci Foundation information progs; (a), all prov rel to capacity bldg grants. H.R. 1469 - Sen P Simon Study Abroad Found Act of 2007, Sec. 5, all prov rel to establish & managemt of the Sen P Simon Study Abroad Found; Sec. 6, all prov rel to establishmt and operation of prog; Sec. 10, all prov rel to author of approps. H.R. 1561 - Enhancing Drug Safety and Innovation Act of 2007; Title II, all prov rel to Reagan-Udall Institute for Applied Biomedical Research; Sec. 201, all prov rel to the Reagan-Udall Institute for Applied Biomedical Research. H.R. 1585 - Natl Def Author Act for Fiscal Year 2008, Title II, all prov rel to res, develop, test, and eval; Sec. 201, all prov rel to author of approps; Sec. 202, all prov rel to amount for def sci and technology. H.R. 1700 - COPS Improve Act of 2007, Sec. 2, all prov rel to COPS grant improve; Sec. 1703, all prov rel to renewal of grants. provisions relating to National Heart, Lung, and Blood Institute, all provisions relating to National Institute of Dental and Craniofacial Research, all provisions relating to National Institute Diabetes and Digestive and Kidney Diseases, National Institute of Dental and Craniofacial Research, all provisions relating to National Institute Diabetes and Digestive and Kidney Diseases, all provisions relating to National Institute of Neurological Disorders and Stroke, all provisions relating to National Institute of Allergy and Infectious Diseases, all provisions relating to National Institute of General Medical Sciences, all provisions relating to National Institute of Child Health and Human Development, all provisions relating to National Eye Institute, all provisions relating to National Institute of Environmental Health Sciences, all provisions relating to National Institute on Aging, all provisions relating to National Institute of Arthritis and Musculoskeletal and Skin Diseases, all provisions relating to National Institute on Deafness and Other Communication Disorders, all provisions relating to National Institute of Nursing Research, all provisions relating to National Institute on Alcohol Abuse and Alcoholism; all provisions relating to National Institute on Drug Abuse, all provisions relating to National Institute of Mental Health, all provisions relating to National Human Genome Research Institute, all provisions relating to National Institute of Biomedical Imaging and Bioengineering; Title III, all provisions relating to Department of Education, all provisions relating to Impact Aid, all provisions relating to School Improvement Program. S. 572 - Student Aid Reward Act of 2007, Sec. 2, all prov rel to Student Aid Reward Program; Sec. 489A, every subsection, all prov rel to Student Aid Reward Program. S. 114 - Innovation Districts for School Improvement Act, Sec. 4, (b)(1), all provisions relating to grant program; (c)(1), all provisions relating to accountability. S. 368 - COPS Improvements Act of 2007, Sec. 2, all prov rel to COPS grant improvements; Sec. 1703, all prov rel to renewal of grants; (a) all prov rel to general; (b), all prov rel to no cost extensions; (d)(1), all prov rel to limitation on use of funds. S. 484 - Enhancing Drug Safety and Innovation Act of 2007, Title II, all provisions relating to Reagan-Udall Institute for Applied Biomedical Research; Sec. 201, all provisions relating to the Reagan-Udall Institute for Applied Biomedical Research; Subchapter I, all provisions relating to Reagan-Udall Institute for Applied Biomedical Research. S. 1145 - Patent Reform Act of 2007, Sec. 3, every subsection, all provisions relating to right of the first inventor to file; Sec. 4, all provisions relating to inventor's oath or declaration; Sec. 5, all provisions relating to right of the inventor to obtain damages; Sec. 6, all provisions relating to post-grant procedures and other quality enhancements; Chapter 32, all provisions relating to post-grant review procedures; Sec. 7, all provisions relating to definitions; Patent Trial and Appeal Board. S.Con.Res. 21 - Setting forth the congressional budget for the US Government for fy 2008 and incl the appropriate budgetary levels for fyrs 2007 and 2009 through 2012, Title I, all prov rel to recommended levels and amounts; Sec. 101, all prov rel to recommended levels and amts; Sec. 103, all prov rel to major functional categories; Title II, all prov rel to budget process; Sec. 207, all prov rel to discretionary spending limits, program integrity initiatives, and other adjustments. H.R. 3043 - Depts of Labor, Health and Human Serv, and Educ, and Rel Agencies Approps Act, 2008, Title II, all prov rel to Dept of Health and Human Ser, all prov rel to disease control, res, and training, all prov rel to Natl Cancer Inst, all prov rel to Natl Heart, Lung, and Blood Inst, all prov rel to Natl Inst of Dental and Craniofacial Res, all prov rel to Natl Inst of Diabetes and Digestive and Kidney Diseases, all prov rel to Natl Inst of Neurological Disorders and Stroke, all prov rel to Natl Inst of Allergy and Infectious Diseases, all prov rel to Natl Inst of General Medical Sci, all prov rel to Natl Inst of Child Health and Human Devel, all prov rel to Natl Eye Inst, all prov rel to Natl Inst of Environtl Health Sci, all prov rel to Natl Inst on Aging, all prov rel to Natl Inst of Arthritis and Musculoskeletal and Skin Diseases, all prov rel to Natl Inst on Deafness and Other Communication Disorders, all prov rel to Natl Inst of Nursing Res, Natl Inst on Alcohol Abuse and Alcoholism, all prov rel to Natl Inst on Drug Abuse, all prov rel to Natl Inst of Mental Health, all prov rel to Natl Human Genome Res Inst, all prov rel to Natl Institute of Biomedical Imaging and Bioengineering, all prov rel to Natl Center for Research Resources; Title III, all prov rel to Depart of Educ, all prov rel to impact aid. S. 1642 - Higher Educ Amendments of 2007, Title I, all prov rel to general prov; Sec. 102, all prov rel to general definition of institution of higher ed; Sec. 103, all prov rel to definition of inst of higher ed for purposes of Title IV progs; Sec. 104, all prov rel to protection of student speech and association rights; Sec. 108, all prov rel to transparency in college tuition for consumers; Sec. 132, all prov rel to transparency in college tuition for consumers; Sec. 109, all prov rel to databases of student infor prohibited; Sec. 133, all prov rel to database of student infor prohibited; Sec. 113, all prov rel to inst and lender reporting and disclosure requirements; Part E, all prov rel to lender and inst requirements rel to educ loans; Sec. 152, all prov rel to requirements for lenders and institutions partic in educ loan requirements; Sec. 153, all prov rel to int rate report for inst and lenders partic in educ loan arrangements; Title III, all prov rel to inst aid; Sec. 307, all prov rel to grants to institutions; Title IV, all prov rel to student assist; Part A, all prov rel to grants to students in attendance at inst of higher ed; Sec. 401, all prov rel to Fed Pell Grants; Sec. 402, all prov rel to academ competitiveness grants; Sec. 403, all prov rel to Fed Trio progs; Sec. 404, all prov rel to gaining early awareness and readiness for undergrad progs; Sec. 406, all prov rel to fed supp educ opp grants; Part B, all prov rel to Fed Family Educ Loan Prog; Sec. 421, all prov rel to fed payments to reduce student interest costs; Sec. 422, all prov rel to fed consolidation loans; Sec. 423, all prov rel to default reduction prog; Sec. 424, all prov rel to consumer reporting agencies and institutions of higher ed; Sec. 425, all prov rel to common forms and formats; Sec. 426, all prov rel to student loan information by eligible lenders; Sec. 427, all prov rel to consumer educ information; Sec. 433A, all prov rel to consumder educ information; Sec. 428, all prov rel to definition of elig lender; Sec. 429, all prov rel to discharge and cancellation rights in cases if disability; Part C, all prov rel to fed work study progs; Sec. 441, all prov rel to author of approps; Sec. 442, all prov rel to allowance for books and supplies; Part D, all prov rel to Fed Perkins Loans; Sec. 451, all prov rel to prog auth; Part E, all prov rel to need analysis; Part F, all prov rel to gen prov rel to student assist; Part G, all prov rel to prog integrity; Title VI, all prov rel to interntl educ progs; Sec. 602, all prov rel grad and undergrad lang and area centers and progs; Sec. 603, all prov rel to undergrad internatl studies and for lang progs; Sec. 604, all prov rel to res; studies; Sec. 605, all prov rel to tech innov and cooperation for foreign infor access; Sec. 606, all prov rel to selec of certain grant recip; Title VII, all prov rel to grad and postsecondary and improvement progs, Sec. 702, all prov rel to alloc of Jacob K. Javits Fellow; Sec. 704, all prov rel to author of approps for Jacob K. Javits Fellowship, Sec. 717, all prov rel to res grants; Part E, all prov rel to res grants; Sec. 781, all prov rel to res grants. S. 746 - Vet Pub Health Workforce Expansion Act of 2007, Sec. 2, every subsection, all prov rel to competitive grants program. S. 761 - America Creating Opportunities to Meaningfully Promote Excellence in Technology, Educ, and Sci Act, Division A, all prov rel to commerce and sci; Title I, all prov rel to Office of Sci and Tech Policy; government-wide science; Title II, all prov rel to innovation promotion; Sec. 1202, all prov rel to innovation acceleration res; Title III, all prov rel to NASA; Sec. 1303, all prov relating to basic res enhancement; Sec. 1306, all prov rel to FY 2008 basic sci and res funding; Title IV, all prov rel to Natl Inst of Standards and Tech; Sec. 1401, all prov rel to author of approps; Sec. 1405, all prov rel to experimental prog to stimulate competitive tech; Title V, all prov rel to ocean and atmospheric progs; Division B, all prov rel to Dept of Energy; Sec. 2003, all prov rel to math, sci, and eng educ at the Dept of Energy; Subpart A, all prov rel to sci educ enhancement; Subpart B, all prov rel to math, sci, and eng educ progs; Chapter 5, all prov rel to nuclear sci educ; Sec. 3191, all prov rel to Nuclear Sci Talent Expan Prog for Institutions of Higher Educ; Chapter 7, all prov rel to natl energy educ devel; Sec. 2004, all prov rel to Dept of Energy early-career res grants; Sec. 2005, all prov rel to author of approps for the Dept of Energy for basic res; Title V, all prov rel to math and sci partnership bonus grants; Sec. 3501, all prov rel to math and sci partnerships bonus grants; Sec. 3502, all prov rel to author of approps; Division D, all prov rel to Natl Sci Foundation; Sec. 4003, all prov rel to grad fellowships and grad traineeships; Sec. 4004, all prov rel to professional sci master's degree progs; Sec. 4005, all prov rel to increased support for sci educ through the Natl Science Foundation; Sec. 4006, all prov rel to meeting critical natl sci needs. S. 991 - Senator Paul Simon Study Abroad Foundation Act of 2007, Sec. 5, all prov rel to establishment and management of the Senator Paul Simon Study Abroad Foundation; Sec. 6, all prov rel to establishment and operation of program. S. 999 - Stroke Treatment and Ongoing Prevention Act of 2007, Part S, all prov rel to stroke prevention, treatment, and rehabilitation progs; Subpart III, all prov rel to general prov; Sec. 399MM, all prov rel to general provisions. S. 1066 - Medical Education Affordability Act, Sec. 2, every subsection, all prov rel to regulation revision required. S. 1094 - CREATE-21 Act of 2007, Title I, all prov rel to Natl Inst for Food and Ag; Sec. 103, all prov rel to organization of Natl Inst for Food and Agriculture; Sec. 104, all prov rel to funding; Title III, all prov rel to extensions; Sec. 301, all prov rel to grants and fellowships for food and ag sci educ; Sec. 303, all prov rel to policy res centers; Sec. 304, all prov rel to human nutrition intervention and health promotion res prog; Sec. 305, all prov rel to pilot research prog to combine med and ag res; Sec. 306, all prov rel to nutrition educ prog; Sec. 307, all prov rel to continuing animal health and disease res progs; Sec. 308, all prov rel to approps for res on natl or regional problems; Sec. 310, all prov rel to national res and training virtual centers; Sec. 314, all prov rel to res equip grants; Sec. 315, all prov rel to univ res; Sec. 316, all prov rel to exten serv; Sec. 331, all prov rel to Natl Genetics Resources prog; Sec. 332, all prov rel to high-priority res and exten initiatives; Sec. 333, all prov rel to nutrient management res and exten initiative; Sec. 334, all prov rel to organic and ag res and exten initiative; Sec. 335, all prov rel to ag telecom prog; Sec. 337, all prov rel to Natl Rural Infor Center Clearinghouse; Subtitle C, all prov rel to Ag Res, Extension, and Educ Reform Act of 1998; Sec. 341, all prov rel to partnerships for high-value ag product quality res; Sec. 342, all prov rel to precision ag; Sec. 343, all prov rel to biobased products; Sec. 345, all prov rel to integ res, educ, and exten competitive grants prog; Sec. 349, all prov rel to ag biotech res and devel for developing countries; Sec. 373, all prov rel to Ag Exper Sta Res Facilities Act; Sec. 374, all prov rel to Natl Ag Res, Exten; Sec. 349, all prov rel to ag biotech res and develop for developing countries; Sec. 373, all prov rel to Ag Exper Sta Res Facil Act; Sec. 374, all prov rel to Natl Ag Res, Exten, and Teaching Policy Act Amendments of 1985; Sec. 375, all prov rel to Competitive, Special, and Facil Res Grant Act (Natl Research Initiative). S. 1328 - Uniting American Families Act of 2007, Sec. 5, all prov rel to alloc of imm visas; Sec. 6, all prov rel to procedure for granting immigrant status. S. 1547 - Natl Def Author Act for Fiscal Year 2008, Title II, all prov rel to res, devel, test, and eval; Sec. 201, all prov rel to authorization of appropriations; Sec. 202, all provisions relating to amount for defense science and technology. S. 1548 - Department of Defense Authorization Act for Fiscal Year 2008, Title II, all prov rel to res, devel, test, and eval; Sec. 201, all prov rel to author of approps; Sec. 202, all prov rel to amount for defense sci and tech. H.R. 1716 - Green Energy Education Act of 2007, Sec. 3, all prov rel to grad training in energy res and develop; Sec. 4, all prov rel to curriculum develop for high performance building design; (a), all prov rel to funding. H.R. 1867 - Natl Sci Foun Author Act of 2007, Sec. 3, all prov rel to author of approps; Sec. 4, all prov rel to centers for res on learning & educ improve; Sec. 5, all prov rel to interdis res; Sec. 6, all prov rel to pilot prog of grants for new invest; Sec. 7, all prov rel to broader impacts merit rev criterion; Sec. 8, all prov rel to postdoc res fellows; Sec. 9, all prov rel to respnsble cond of res; Sec. 10, all prov rel to reporting of res results; Sec. 11, all prov rel to sharing res results; Sec. 12, all prov rel to funding for successful stem educ progs. H.R. 1868 - Techn Innova & Manufact Situation Act of 2007, Title I, all prov rel to author of approps; Sec.101, all prov rel to sci & tech res serv; Title II, all prov rel to innov & tech pol reforms; Sec. 203, all prov rel to manufac exten partnership; Sec.204, all prov rel to tech innov prog; Sec.205, all prov rel to res fellow; Sec.206, all prov rel to collab manufac res pilot grants; Sec.33, all prov rel to collab manufac res pilot prog; Sec.207, all prov rel to manufact fellowship prog; Sec. 208, all prov rel to meetings of Visiting Committee on Advanced Technology. H.R. 1908 - Patent Reform Act of 2007, Sec. 3, all prov rel to right of the first inventor to file; Sec. 102, all prov rel to cond for patentability; novelty; Sec. 103, all prov rel to cond for patentability; nonobvious subj matter; Sec. 134, all prov rel to appeal to the Patent Trial & Appeal Board; Sec. 135, all prov rel to deriv proceedings; Sec. 146, all prov rel to civil action in case of deriv proceeding; Sec. 4, all prov rel to inventor's oath or decl; Sec. 115, all prov rel to inventor's oath or decl; Sec. 118, all prov rel to filing by other than inventor; Sec. 5, all prov rel to right of the inventor to obt damages; Sec. 273, all prov rel to special defenses to and exempt from infringement; Sec. 6, all prov rel to post-grant procedures and other quality enhancements; Chapter 32, every section, all prov rel to post-grant review procedures. H.R. 1994 - Financial Aid Accountability and Transparency Act of 2007, Part E, all prov rel to inst require rel to student loans; Sec. 151, all prov rel to def; (3), all prov rel to loan; (B), all prov rel to fed student loan; (C), all prov rel to fed direct loan; Sec. 152(1)(2)(3), all prov rel to recom lenders; Sec. 153, all prov rel to discl; (3), all prov rel to infor on fed student loans; Sec. 154, all prov rel to Code of Conduct; (a), all prov rel to Code of Conduct req; (b), all prov rel to contents of Code; (c), all prov rel to training and compliance; (d) all prov rel to ban on educ loan arrangements; (e), all prov rel to ban on staffing assistance. H.R. 2221 - Uniting American Families Act of 2007, Sec. 6, all provisions relating to procedure for granting immigration status. H.R. 2272 - 21st Century Comp, Title I, all prov rel to sci and mathematics scholar and educ improve; Subtitle A, all prov rel to sci scholar; Sec. 113, all prov rel to pol object; Subtitle B, all prov rel math and sci educ improve; Sec. 121, all prov rel to math and sci educ partnerships amend; Sec. 123, all prov rel to grad deg prog; Sec. 125, all prov rel to Sci, Tech, Eng, and Math Talent Expan Prog; Sec. 128, all prov rel to Lab Sci Pilot Prog; Title II, all prov rel to sci and eng res; Sec. 202, all prov rel to Natl Sci Found Early Career Awards for Sci and Eng Res; Sec. 203, all prov rel to Dept of Energy Early Career Aws for Sci and Eng Res; Sec. 204, all prov rel to Integ Grad Edu and Res Traineeship Prog; Sec. 207, all prov rel to res on innov and inventiveness; Sec. 210, all prov rel undergrad scholar for sci, tech, eng, and math; Title III, all prov rel to Natl Sci Found; Sec. 303, all prov rel to author of approps; Sec. 304, all provs rel centers for res on learning and ed improve; Sec. 305, all prov rel to interdis res; Sec. 308, all prov rel to postdoc res fellows; Sec. 309, all prov rel to resp conduct of res; Sec. 310, all prov rel to reporting of res results; Sec. 311, all prov rel to sharing res results; Sec. 312, all prov rel to funding for successful stem educ progs; Title IV, all prov rel to Natl Inst of Standards and Tech; Subtitle A, all prov rel to author of approps; Sec. 411, all prov rel to sci and tech res and serv; Subtitle B, all prov rel to innovation and tech policy reforms; all prov rel to Tech Innov Prog; Sec. 425, all prov rel to research fellowships; Sec. 426, all prov rel to collab manufact res pilot grants. H.R. 2398 - CREATE-21 Act of 2007, Title III, all prov rel to extensions; Sec. 301, all prov rel to grants and fellowships for food and ag sci educ; Sec. 303, all prov rel to policy res centers; Sec. 304, all prov rel to human nutrition intervention and health promotion res prog; Sec. 305, all prov rel to pilot research prog to combine med and ag res; Sec. 306, all prov rel to Nutrition Educ Prog; Sec. 307, all prov rel to continuing animal health and disease res progs; Sec. 308, all prov rel to approps for res on natl or regional problems; Sec. 310, all prov rel to natl res and training virtual centers, Sec. 313, all prov rel to competitive grants for internatl ag sci and educ progs; Sec. 314, all prov rel to res equip grants; Sec. 315, all prov rel to univ res; Sec. 316, all prov rel to extension service; Subtitle B, all prov rel to Food, Ag, Conservation, and Trade Act of 1990; Sec. 331, all prov rel to H.R. 5 - College Student Relief Act of 2007, Sec. 2, all provisions relating to interest rate reductions; (a), all provisions relating to FFEL interest rates; (4), all provisions relating to reduced rates for undergraduate subsidized loans; (b), all provisions relating to direct loan interest rates; (D), all provisions relating to reduced rates for undergraduate FDSL; Sec. 6, all provisions relating to reduction of lender special allowance payments. S. 1704 - First Higher Education Extension Act of 2007, Sec. 2, all provisions relating to extension of programs. S. 1710 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008, Title II, all provisions relating to Department of Health and Human Services, all provisions relating to National Institutes of Health, all Natl Genetics Resources Prog; Sec. 332, all prov rel to high-priority res and exten initiatives; Sec. 333, all prov rel to Nutrient Management Research and Exten Initiative; Sec. 334, all prov rel to Organic Ag Res and Exten Initiative; Sec. 335, all prov rel to ag telecom prog; Sec. 337, all prov rel to Natl Rural Information Center Clearinghouse; Subtitle C, all prov rel to Ag Res, Exten, and Educ Reform Act of 1998; Sec. 345, all prov rel to Integrated Res, Educ, and Exten Comp Grants Prog; Sec. 349, all prov rel to ag biotech res and devel for developing countries; Subtitle G, all prov rel to energy; Sec. 472, all prov rel to bioenergy devel grants; Sec. 473, all prov rel to biodiesel fuel educ and devel grants; Sec. 476, all prov rel to biomass res and devel; Sec. 477, all prov rel to cooperative res and exten projects; carbon cycle research. H.R. 2419 - Farm Bill Extension Act of 2007, Title VII, all prov rel to res and related matters; Sec. 7001, all prov rel to Natl Ag Res, Exten, Educ, and Economics Advisory Board, Sec. 7002, all prov rel to grants and fellowships for food and ag sci educ; Sec. 7004, all prov rel to policy res centers; Sec. 7005, all prov rel to human nutrition intervention and health promotion res prog; Sec. 7006, all prov rel to pilot res prog to combine med and ag res; Sec. 7007, all prov rel to Nutrition Educ Prog; Sec. 7008, all prov rel to continuing animal health and disease res progs; Sec. 7011, all prov rel to natl res and training virtual centers; Sec. 7014, all prov rel to competitive grants for interntl ag sci and educ progs; Sec. 7015, all prov rel to res equip grants; Sec. 7016, all prov rel to univ res; Sec. 7017, all prov rel to exten serv; Subtitle C, all prov rel to Ag Res, Extension, and Educ Reform Act of 1998; Sec. 7203, all prov rel to biobased products; Sec. 7205, all prov rel to Integrated Res, Educ, and Extension Competitive Grants Program. H.Con.Res. 99 - Resolved by the House of Representatives, Sec. 1, all prov rel to concurrent resolution on the budget for fiscal year 2008; Sec. 101, all prov rel to recommended levels and amounts; Sec. 102, all prov rel to major functional categories; Sec. 204, all prov rel to reserve fund for ag; Sec. 205, all prov rel to reserve fund for higher ed; Sec. 206, all prov rel to reserve fund for improvements in Medicare. H.J. Res. 20 (Pub. L. No. 110-5) - Revised Cont Approps Res, 2007, Division B, all prov rel to Continuing Approps Resolution, 2007; Title I, all prov rel to full-year continuing approps; Title II, all prov rel to elim of earmarks, adjustmts in funding, and other prov; Chap 1, all prov rel to Ag, Rural Develop, Food and Drug Admin, and Related Agencies; Chapter 2, all prov rel to Dept of Defense; Chapter 3, all prov rel to energy and water develop; Chapter 5, all prov rel to Dept of the Interior, Environ, and Related Agencies; Chapter 6, all prov rel to Depts of Labor, Health, and Human Services, and Educ, and Related Agencies; Chapter 9, all prov rel to Sci, State, Justice, Commerce, and Related Agencies; Chapter 11, all prov rel to Depart of Homeland Security. S. 7 - College Opportunity Act of 2007, Section 1, all prov rel to amend the Title IV of the Higher Ed Act of 1965 and other laws and prov to make college more affordable through incr Fed Pell Grant and providing more fav student loans and other benefits. S. 359 - Student Debt Relief Act of 2007, Sec. 2, all prov rel to increase in Fed Pell Grants; Sec. 3, all prov rel to student aid reward prog; Sec. 489A, all prov rel to student aid reward prog; Sec. 4, all prov rel to interest rate deductions; Sec. 11, all prov rel to consolidation loan changes; Sec. 12, all prov rel to reduction of direct loan origination fees; Sec. 13, all prov rel to administrative account for direct loan program. S. 486 - Student Loan Sunshine Act, Sec. 2, all prov rel to institution and lender reporting and disclosure requirements; Part E, all prov rel to lender and institution requirements rel to educ loans; Sec. 152, all prov rel to requirements for lenders and institutions partic in educ loan arrangements; Sec. 153, all prov rel to int rate report for institutions and lenders partic in educ loan arrangements; Sec. 155, all prov rel to gift ban for employees for institutions; Sec. 156, all prov rel to compliance and enforcement; Sec. 3, all prov rel to prog partic agreements; Sec. 4, all prov rel to notice of avail of funds from fed sources. S. 567 - Natl Defense Author Act for Fiscal Year 2008, Title II, all prov rel to res, devel, test, and eval; Sec. 201, all prov rel to author of approps; Title XIII, all prov rel to matters related to defense against terrorism and related security matters; Sec. 1406, all prov rel to res, devel, test, and eval. S. 588 - Resident Physician Shortage Reduction Act of 2007, Sec. 2, every subsection, all prov rel to increasing the Medicare gaps on graduate medical education positions for states with a shortage of residents. S. 707 - Pell Equity Grant Act of 2007, Sec. 2, all provisions relating to tuition sensitivity. 22

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

Government targets: Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Federal Aviation Administration (FAA), Federal Highway Administration (FHA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Aeronautics & Space Administration (NASA), Natl Endowment for the Arts, Natl Endowment for the Humanities, Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, Transportation, Dept of (DOT), U.S. Agency for International Development (USAID), U.S. Forest Service, Veterans Affairs, Dept of (VA)

HR362 - To authorize science scholarships for educating mathematics and science teachers, and for other purposes HR890/S486 - Student Loan Sunshine Act HR2272 - 21st Century Competitiveness Act of 2007 HR2559/S1704 - First Higher Education Extension Act of 2007 House Draft/S1710 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008 HR2669 - College Cost Reduction Act of 2007 S1642 - Higher Education Amendments of 2007 S359 - Student Debt Relief Act of 2007 HR1010/S572 - Student Aid Reward Act of 2007 HR990 - Pell Grant Equity Act of 2007 HR5 - College Student Relief Act of 2007 HR1469 - Senator Paul Simon Study Abroad Foundation Act of 2007 S945 - College Textbook Affordability Act of 2007 S939 - Financial Aid Form Simplification and Access Act HR1467 - 10,000 Trained by 2010 Act S1066 - Medical Education Affordability Act

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Aeronautics & Space Administration (NASA), Natl Institutes of Health (NIH), Natl Oceanic & Atmospheric Administration (NOAA), Natl Science Foundation (NSF), SENATE, Veterans Affairs, Dept of (VA)