Health Information Technology Act of 2007

Promoting Health Information Technology Act (H.R. 3800) Personalized Health Information Act (H.R. 1368) Health Information Technology Act (S. 1408) PRO(TECH)T Act of 2008 (H.R. 6357) Michelle's Law (S. 400) PLAY Every Day Act (S. 651/H.R. 2045) Stroke Treatment and Ongoing Prevention Act (STOP Stroke Act) (S. 999/H.R. 477) National Childhood Stroke Awareness Day (S.RES. 184) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S. 573/H.R. 1014) Indian Health Care Improvement Act (S. 1200/H.R. 1328) Minority Health Improvement and Health Disparity Elimination Act (S. 1576/H.R. 3333) Health Equity and Accountability Act (H.R. 3014) Wired for Health Care Quality Act (S. 1693) National CPR-AED Awareness Week (S.CON.RES. 54/H.CON.RES. 215) Josh Miller HEARTS Act (H.R. 4926) Resolution for American Heart Month (H.CON.RES. 972) Workplace Wellness Resolution (S.RES. 673/H.CON.RES. 405) Sudden Cardiac Arrest Awareness Resolution (S.CON.RES 93/H.CON.RES. 393) Advancing America's Priorities Act (S. 3297)

Client expense: $269,618 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

Legislation to expand health care coverage and access including provisions contained bills in which would offer Medicare, Medicaid and/or SCHIP to more children, create parity in coverage of mental health benefits, foster reform at the state level, stabilize trauma care, prevent healthcare acquired infections, ensure hospital preparedness, expand the use of health information technology, provide funding for Ryan White programs, increase and stabilize the healthcare workforce. HR 2357; MediKids Health Insurance Act of 2007"; to create a new federal healthcare program to provide comprehensive health benefits to children S 1218 /HR 2034, Medicare for All Act; expanding the Medicare program to those under age 65. S 1169; State-Based Health Care Reform Act; to create a five-year pilot program in several states to develop coverage plans for the uninsured HR 1424; Paul Wellstone Mental Health and Addiction Equity Act require group health plans to provide comparable treatment limits and beneficiary cost sharing for medical and mental health benefits. HR 1663, Medicare Mental Health Modernization Act to provide mental health parity in private health insurance and Medicare, and improves coverage for cost-effective and community-based mental health treatment services for seniors and people with disabilities S 895/HR 1535; Children's Health First Act allow states to expand children's health coverage to families up to 400 percent of the Federal poverty level HR 1308S/764, Legal Immigrant Children's Health Improvement Act to permit states the option of coverage of legal immigrants under the Medicaid Program and the State Children's Health Insurance Program S 558, Mental Health Parity Act of 2007 would preserve state laws that are more comprehensive while creating parity in health plans offering mental health coverage by equating financial requirements and treatment limitations for mental health benefits with medical and surgical benefits. S 325/HR 506, Health Partnership Act would provide grants to individual states, groups of states, and portions of states to test various health reform strategies HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) HR 2055 Improving Children's Access to Health Care Act, to improve children's access to health care coverage under the Medicaid Program and the State Children's Health Insurance Program (SCHIP). HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program HR 3221: Housing and Economic Recovery Act provision that would allow federal home loan banks to issue letters of credit for tax-exempt hospital bonds. HR 7110: Job Creation and Unemployment Relief Act: Title III, temporary increase in Medicaid matching rate Legislation to expand health care coverage and access including provisions which would stabilize medical emergency reimbursement, HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals S 657, A bill to amend the Public Health Service Act to add requirements regarding trauma care HR 6394: Border Health Care Relief Act of 2008 Amends the MPDIMA to extend Sec. 1011 through FY2012 for federal reimbursement of emergency health services furnished to undocumented aliens Legislation to expand health care coverage and access including provisions to ensure patient safety, H.J.RES. 20, Making further continuing appropriations for the fiscal year 2007 provision annual fit-testing of respirators for occupational exposure to tuberculosis. S 2278/HR 4214 Community and Healthcare-Associated Infections Reduction Act to improve the prevention, detection, and treatment of community and healthcare-associated infections Legislation to expand health care coverage and access including provisions to ensure emergency preparedness, HR 727, Trauma Care Systems Planning and Development Act of 2007 would authorize an additional $46 million between fiscal years 2008 and 2012 in spending for rural medical centers that treat patients during times of national crisis HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for hospital preparedness S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for hospital preparedness HR 3043; Labor, HHS Appropriations bill, provide funds for hospital preparedness Legislation to expand health care coverage and access including provisions to promote the use of health information technology: S 1418, Wired for Health Care Quality Act HR3043/S1710, Appropriations Labor, Health and Human Services (HHS), Education, and Related Agencies FY 08, funding for HIT programs HR 1467, 10,000 Trained by 2010 Act, award competitive grants for basic research on innovative approaches to improve health care information systems HR 2406, Healthcare Information Technology Enterprise Integration,guidelines and mechanisms to promote the integration of the healthcare information enterprise. S 1408, Health Information Technology Act, would provide tax incentives and resources to offset the costs of investing in new health information technology. HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for HIT S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for HIT HR 3043, Labor, HHS Appropriations bill, provide funds for HIT HR 2764; omnibus appropriations bill for FY2008 provide funds for HIT HR 6357 : Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act, Legislation to expand health care coverage and access including provisions funding HIV/AIDS programs: HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Ryan White programs S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for Ryan White programs HR3043/S1710, FY 2008 Labor HHS Appropriations Bill, funding for Ryan White programs HR 2764; omnibus appropriations bill for FY2008, funding for Ryan White programs Legislation to expand health care coverage and access including provisions to ensure sufficient workforce within in the healthcare sector S 1604, Nursing Education and Quality of Health Care Act, increases the nurse workforce in rural areas, expands nursing school faculty, and develops initiatives to integrate patient safety practices into nursing education HR 2122, Safe Nursing and Patient Care Act of 2007", limiting the number of mandatory overtime hours a nurse may be required to work S 1639, Comprehensive Immigration Reform, the point-based system for visas, to give nurses special consideration under the point system HR800/S1041, Employee Free Choice Act, require the NLRB to certify a bargaining representative if a majority of the bargaining unit employees have authorized designation of the representative (card-check) HR 2123, Nurse Staffing Standards for Patient Safety and Quality Care Act, to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals HR 378, Nurse and Patient Safety & Protection Act direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and other health care providers by establishing a safe patient handling standard. HR 1644, Re-Empowerment of Skilled and Professional Employees and Construction Tradesworkers (RESPECT) Act, to amend the National Labor Relations Act to clarify the definition of "supervisor" S446, Nurse Education, Expansion, and Development (NEED) Act, grants based on the number of nursing students enrolled to hire and retain new nursing faculty S 718, The Patient-Focused Critical Care Enhancement Act, provision study the impact of differences in staffing, organization, size, and structure of intensive care units on access, quality, and efficiency of care HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Nursing Education programs, , national health service corp HR 677, Nursing School Capacity Act authorize IOM study to identify constraints encountered by schools of nursing in admitting and graduating sufficient number of nurses S1577, Patient Safety and Abuse Prevention Act screening of direct patient access employees HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp. S 588/HR 1093, Resident Physician Shortage Act, to expand the number of physician training positions in 24 states with shortages HR 5924, The Emergency Nurse Supply Relief Act, which would address the retrogression backlog of visas for internationally-educated nurses who have been hired by U.S. hospitals but are not able to come here because of the unavailability of an employment-based (EB) visa.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE, White House Office

S 1408, Health Information Technology Act of 2007, Sections requiring the Department of Health and Human Services to establish a program to utilize health Information electronic technology to improve delivery and care to patients S 1693, Wired for Health Care Quality Act, Sections requiring the Department of Health and Human Services to establish a program to utilize health Information electronic technology to improve delivery and care to patients S 1695, Biologics Price Competition and Innovation Act of 2007, Sections regarding interchangeability, patent and exclusivity issues related to Food and Drug Administration approval of biogeneric drugs. S 691/ HR 1193, Kidney Care Quality and Educations Act of 2007, Section regarding increased costs to employers health plans. HR 5629, The Pathway for Biosimilars Act, Sections regarding interchangeability, patent and exclusivity issues related to Food and Drug Administration approval of biogeneric drugs. S 1082, Food and Drug Administration Revitalization Act, Provisions related to generic pharmaceuticals HR 2900, Food and Drug Administration Amendments Act of 2007, Provisions related to generic pharmaceuticals HR1 of 2003, Medicare Modernization Act, Employee Medicare Prescription Drug Subsidy

Client expense: $1,925,000 · Firm income: Not reported

Government targets: Energy, Dept of, Environmental Protection Agency (EPA), Export-Import Bank of the United States (EXIM Bank), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

S. 358 / H.R. 493, Genetic Information Nondiscrimination Act of 2007; S. 628, Critical Access to Health Information Technology Act of 2007; S. 558, Mental Health Parity Act of 2007; S. 495, Personal Data Privacy and Security Act of 2007; S. 1693, Wired For Health Care Quality Act; S. 1455, National Health Information Technology and Privacy Advancement Act of 2007; S. 1408, Health Information Technology Act of 2007; H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Care Technology Act (PRO(TECH)T) Act; H.R. 1368, Personalized Health Information Act of 2007; H.R.1367 / H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007; H.R. 6331 / S. 3101, Medicare Improvements for Patients and Providers Act, as it pertains to availability of Medicare Advantage to seniors; S. 3118, Preserving Access to Medicare Act, as it pertains to availability of Medicare Advantage to seniors; H.R. 1424, Emergency Economic Stabilization Act, as it pertains to mental health parity; H.R. 6049, Energy & Tax Extenders Act, as it pertains to mental health parity.

Client expense: Not reported · Firm income: $60,750

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

Health Information Technology, Electronic Prescribing, Comparative Effectiveness, Confidentiality of Health Information, Generic Drugs, Generic Biologics, Carve-out of Generic Drugs from State Generic Substituion Laws HR 971 and S 885 - Community Pharmacy Fairness Act of 2007; all aspects HR 1432 and S. 316 - Preserve Access to Affordable Generics Act; all aspects HR 1956 - Patient Protection and Innovative Biologic Medicines Act of 2007; all aspects HR 2567 and S. 3505 and S 870 - Medicare Home Infusion Therapy Consolidated Coverage Act of 2008; all aspects HR 2914 and S 2990 - Medicare IVIG Access Act of 2007; all aspects HR 3800 - Promoting Health Information Technology Act; all aspects HR 5629 - Pathway for Biosimilars Act; all aspects HR 6357- Protecting Records, Optimizing Treatment and Easing Communcations through Healthcare Technology PRO(TECH)T Act of 2008; all aspects HR 6898 - Health-e-Information Technology Act of 2008; all aspects S 976 - Genomics and Personalized Medicine Act of 2007; all aspects S 1408 - Health Information Technology Act of 2007; all aspects S 1693 - Wired for Health Care Quality Act; all aspects S 1695 - Biologics Price Competition and Innovation Act of 2007; all aspects S. 1814 - Health Information Privacy and Security Act; all aspects

Client expense: $780,000 · 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), SENATE

Issues related to drug coverage including pharmacy payments, reimbursement, competition and plan administration; Health Information Technology with respect to data privacy and electronic prescribing of prescription drugs; Promotion of competition in the prescription drug marketplace including the drug approval process; Additional Issues - see addendum Issues related to drug coverage including pharmacy payments, reimbursement, competition and plan administration HR 1474 - Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2007; HR 3140 - Saving Our Community Pharmacies Act of 2007 HR 3193 - Access to Community Pharmacy Preservation Act of 2007 S 1954 - Pharmacy Access Improvement (PhAIm) Act of 2007 S 2161 - Community Pharmacy Fairness Act of 2007 Health information technology with respect to data privacy and electronic prescribing of prescription drugs HR 4296 and S 2408 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 HR 3800 - Promoting Health Information Technology Act HR 6357 - Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH) Act of 2008 HR 6898 - Health e-Information Technology Act S 1408 - Health Information Technology Act of 2007 S 1693 - Wired for Health Care Quality Act S. 1814 - Health Information Privacy and Security Act Promotion of competition in the prescription drug marketplace including the drug approval process HR 1432 and S. 316 - Preserve Access to Affordable Generics Act HR 1956 - Patient Protection and Innovative Biologic Medicines Act of 2007 HR 5629 - Pathway for Biosimilars Act S 28 - Generics First Act of 2007 S 1695 - Biologics Price Competition and Innovation Act of 2007 HR 1038 / S 623 - Access to Life-Saving Medicine Act S 316 Preserve Access to Affordable Generics Act HR 1505 / S 1695 Affordable Biologics for Consumers Act HR 5629 - Pathway for Biosimilars Act Additional Issues HR 5683 - Government Accountability Office Act of 2008 S 1507 - Access to Medicare Data Act of 2007 S 273 - Prescription Drug and Health Improvement Act of 2007 HR 3610 - Food and Drug Import Safety Act of 2007

Client expense: $314,868 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 1038/S. 623: Access to Life-Saving Medicine Act H.R. 1368: Personalized Health Information Act S. 558: Mental Health Parity Act H.R. 758/S. 459: Breast Cancer Patient Protection Act H.R. 1076:S.616: HIPAA Recreational Injury Technical Correction Act S. 1408: Health Information Technology Act H.R. 2015: Employment Non-Discrimination Act S. 1693: Wired for Health Care Quality Act H.R. 1542/S. 910: Healthy Families Act H.R. 369: Family Leave Insurance Act H.R. 2693: Popcorn Workers Lung Disease Prevention Act H.R. 493/S. 358: Genetic Information Nondiscrimination Act H.R. 976/S. 1893: Children's Health Insurance Reauthorization Act H.R. 3234: HSAs Improvement and Expansion Act H.R. 3195/S. 1881: ADA Restoration Act H.R. 2769: Miner Health Enhancement Act of 2007: NIOSH related provisions S. 897: Alzheimer's Family Assistance Act H.R. 1327: Protective Equipment for America's Workforce Act S. 1881: Americans with Disabilities Act Restoration Act S. 910: Healthy Families Act H.R. 3717/S. 1753: Healthy Workforce Act of 2007

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

Government targets: Agriculture, Dept of (USDA), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 2406 - To authorize the National Institute of Standards and Technology to increase its efforts in support of the integration of the healthcare information enterprise in the United States. H.R. 6357 - To amend the Public Health Service Act to promote the adoption of health information technology, and for other purpos S.1408 - A bill to improve quality in health care by providing incentives for adoption of modern information technology. S. 1693 - A bill to enhance the adoption of a nationwide interoperable health information technology system and improve the quality and reduce the costs of health care in the United States.

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

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Wired for Healthcare Quality Act (S.1693, H.R.3800) provisions relating to encouraging the use of IT in healthcare and promoting an interoperable system of electronic health records; the Pro(TECH)+ Act of 2008 (H.R.6357). The Wired for Health Care Quallity Act (S.1693); bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the U.S.; Health Information Technology Act (S.1408); The 10,000 Trained by 1020 Act (H.R.1467); TRUST in Health Information Act (H.R.5442); National Health Information Incentive Act (H.R.1952), to amend Title XI of SSA to achieve a national health information infrastructure; Promoting Health Information Technology (H.R.3800) - to advance the adoption of nationwide interoperable health information technology and to improve health care quality and reduce health care costs in the U.S.; Protecting Records, Optimizing Treatment and Easing communication through Healthcare Technology Act of 2008 (H.R.6357).

Client expense: $1,350,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Telecommunications & Information Administration (NTIA), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

See attached list. H.R. 1367/H.R. 1424 -- Paul Wellstone Mental Health and Addiction Equity Act of 2007, as it pertains to health insurance regulations. H.R. 2406 -- Healthcare Information Technology Enterprise Intergration Act, as it relates to the establishment of a single standard for health information technology systems used by health providers. H.R. 758 -- Breast Cancer Patient Protection Act S.1693 -- Wired for Health Care Quality Act S.1693 -- Wired for Health Care Quality Act, as it pertains to the adoption of a nationwide health information system. S.1224 -- SCHIP Reauthorization S.1408 -- Health Information Technology Act of 2007 S.1455 -- National Health Information Technology and Privacy Advancement Act of 2007 S.334/H.R. 3163/ H.R. 6444 -- Healthy Americans Act S.495 -- Personal Data Privacy and Security Act of 2007 S.628 -- Critical Access to Health Information Technology Act of 2007 H.R. 7129 -- Several Approaches to Reduce the Uninsured Act of 2008

Client expense: $480,000 · Firm income: Not reported

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

HR 2472, the Essential Oral Health Care Act HR 1781 and S. 739, Children's Dental Health Improvement Act HR 2371, Deamonte's Law S. 3064 Oral Health Initiative Act of 2008 S. 3708 Health Professions Primary Care Reinvestment Act H.R.1343 : To amend the Public Health Service Act to provide additional authorizations of appropriations for the health centers program under section 330 of such Act, and for other purposes (COmmunity Health Center Reauthorization). HR 3186 and S. 1906, Meth Mouth Prevention and Community Recovery Act HR 3187 and S. 1907, Meth Mouth Correctional Costs HR 1108 and S. 625, Family Smoking Prevention and Tobacco Control Act HR 6331 Medicare Improvements for Patients and Providers Act of 2008 HR 976 and 3162, Children's Health and Medicare Protection Act of 2007 (SCHIP Reauthorization) S. 1893 Children's Health Insurance Program Reauthorization Act of 2007 (SCHIP Reauthorization) S.2723 and H.R.5549 Deamonte Driver Dental Care Access Improvement Act S. 3067 Dental Health Improvement Act of 2008 Secretarys Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020 S.901 and HR 1343 Health Centers Renewal Act of 2007 HR 6357 Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act H.R. 2184, Enhanced Health Care Value for All Act of 2007 H.R. 3163 and S. 771, Child Nutrition Promotion and School Lunch Protection Act of 2007 S 1693 Wired for Health Care Quality Act S 334 Healthy Americans Act HR 5442 Technologies for Restoring Users' Security and Trust (TRUST) in Health Information Act HR 6331/S3101 Medicare Improvements for Patients and Providers Act HR 6898 Health-e Information Technology Act of 2008 S 628 Critical Access to Health Information Technology Act of 2007 S 980 Online Pharmacy Consumer Protection Act of 2007 S 1408 Health Information Technology Act of 2007 S 2408 Medicare Electronic Medication and Safety Protection (E-MEDS) Act S 2729 Ensuring the Future Physician Workforce Act of 2008 S 3072 Making Health Care More Affordable Act of 2008 HR 1467 10,000 Trained by 2010 Act HR 2377 Assisting Doctors to Obtain Proficient and Transmissible Health Information Technology (ADOPT HIT) Act of 2007 HR 6613 Improving Dental Access in Underserved Communities Act of 2008 HR 5885 Health Information Technology Promotion Act of 2008 HR 6179 Promoting Health Information Technology Act of 2008 S 1019 Universal Health Care Choice and Access Act S 1783 Ten Steps to Transform Health Care in America Act S 2105 A bill to provide for the establishment of the Federal Health Care Board. S. 3408 Comparative Effectiveness Research Act of 2008 H.R. 6845 Fair Copyright in Research Works Act of 2008

Client expense: $434,564 · Firm income: Not reported

Government targets: Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Navy, Dept of, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, U.S. Marines, Veterans Affairs, Dept of (VA)

HR 971 and S 885 - Community Pharmacy Fairness Act of 2007; all aspects HR 1432 and S. 316 - Preserve Access to Afforadable Generics Act; all aspects HR 1956 - Patient Protection and Innovative Biologic Medicines Act of 2007; all aspects HR 2567 and S. 3505 and S. 870 - Medicare Home Infusion Therapy Consolidated Coverage Act of 2008; all aspects HR 2914 and S. 2990 - Medicare IVIG Acces Act of 2007; all aspects HR. 3800 - Promoting Health Information Technology Act; all aspects HR 5629 - Pathway for Biosimilars Act; all aspects HR 6357 - Protecting Records, Optimimizing Treatment and Easing Communications through Healthcare Technology (PRO[TECH]HIT) Act of 2008; all aspects HR 6898 - Health-e-Information Technology Act of 2008; all aspects S 976 - Genomics and Personlized Medicine Act of 2007; all aspects S 1408 - Health Information Technology Act of 2007; all aspects S 1693 - Wired for Health Care Quality Act; all aspects S 1695 - Biologics Price Competition and Innovation Act of 2007; all aspects S 1814 - Health Information Privacy and Security Act; all aspects

Client expense: Not reported · Firm income: $50,000

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

HR 493/S 358, Genetic Information Nondiscrimination Act of 2007; H 2761, Terrorism Risk Insurance Revision and Extension Act of 2007 (Include life insurance provision); S1588, Children's Access to Reconstructive Evaluation and Surgery Act (Mandated coverage for congenital disease/deformity); H836, Cyber-Security Enhancement and Consumer Data Protection Act of 2007 (Privacy and data security provisions); HR 948, Social Security Number Protection Act of 2007; S 495, Personal Data Privacy and Security Act of 2007; S 1408, Health Information Technology Act of 2007 (Provision on using technology for quality); HR 3425, Cancer Screening Coverage Act of 2007 (Mandated cancer screening); HR 3341, Quality Health Care Coalition Act of 2007 (Provision exempting physicians from antitrust laws); S 459/HR 758, Breast Cancer Patient Protection Act of 2007 (Minimum hospital stay for breast cancer); S 40, National Insurance Act of 2007 (Optional federal charter for insurance); S 400/HR 2851, Michelle's Law (Mandatory coverage for students when on medical leave); HR 4460/S 2477, Health Care Choice Act of 2007 (Cross-state selling of insurance); HR 4986, National Defense Authorization Act for Fiscal Year 2008 (Provision that extends Family Medical Leave Act to service members); S 1881/HR 3195, ADA Restoration Act of 2007; HR 6142, (ERISA and disability benefit damages); HR 5840, Insurance Information Act of 2008; S 3406, ADA Amendments Act.

Client expense: $517,594 · Firm income: Not reported

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

S. 1408 - Health Information Technology Acct of 2007 S. 1455 - To provide for the establishment of a health information technology and privacy system S. 1693 - Wired for Healthcare Quality Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 1218/ HR 2034, Medicare for All Act, Amending the Social Security Act to add a new Title (XXII) to expand health care coverage S 1408, Health Information Technology Act of 2007, Sections requiring the Department of Health and Human Services to establish a program to utilize health Information electronic technology to improve delivery and care to patients S 1693, Wired for Health Care Quality Act, Sections requiring the Department of Health and Human Services to establish a program to utilize health Information electronic technology to improve delivery and care to patients S 1695, Biologics Price Competition and Innovation Act of 2007, Sections regarding interchangeability, patent and exclusivity issues related to Food and Drug Administration approval of biogeneric drugs. S 691/ HR 1193, Kidney Care Quality and Educations Act of 2007, Section regarding increased costs to employers health plans. HR 5629, The Pathway for Biosimilars Act, Sections regarding interchangeability, patent and exclusivity issues related to Food and Drug Administration approval of biogeneric drugs. S 1082, Food and Drug Administration Revitalization Act, Provisions related to generic pharmaceuticals HR 2900, Food and Drug Administration Amendments Act of 2007, Provisions related to generic pharmaceuticals HR1 of 2003, Medicare Modernization Act, Employee Medicare Prescription Drug Subsidy

Client expense: $1,925,000 · Firm income: Not reported

Government targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, SENATE

Promoting Health Information Technology Act (H.R. 3800) Personalized Health Information Act (H.R. 1368) Health Information Technology Act (S. 1408) PRO(TECH)T Act of 2008 (h.r. 6357) Michelle's Law (S. 400) PLAY Every Day Act (S. 651/H.R. 2045) Stroke Treatment and Ongoing Prevention Act (STOP Stroke Act) (S. 999/H.R. 477) National Childhood Stroke Awareness Day (S.RES. 184) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S. 573/H.R. 1014) Indian Health Care Improvement Act (S. 1200/H.R. 1328) Minority Health Improvement and Health Disparity Elimination Act (S. 1576/H.R. 3333) Health Equity and Accountability Act (H.R. 3014) Wired for Health Care Quality Act (S. 1693) Prescription Drug User Fee Amendments of 2007 (PDUFA) (S. 1082) National CPR-AED Awareness Week (S.CON.RES. 54/H.CON.RES. 215) Josh Miller HEARTS Act (H.R. 4926) Resolution for American Heart Month (H.CON.RES. 972) Workplace Wellness Resolution (S.RES. 673/H.CON.RES. 405) Sudden Cardiac Arrest Awareness Resolution (S.CON.RES 93/H.CON.RES. 393) Advancing America's Priorities Act (S. 3297)

Client expense: $411,823 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

Issues related to drug coverage including pharmacy payments, reimbursement, competition and plan administration; Health Information Technology with respect to data privacy and electronic prescribing of prescription drugs; Promotion of competition in the prescription drug marketplace including the drug approval process; Additional Issues - see addendum Issues related to drug coverage including pharmacy payments, reimbursement, competition and plan administration HR 1474 - Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2007; HR 3140 - Saving Our Community Pharmacies Act of 2007 HR 3193 - Access to Community Pharmacy Preservation Act of 2007 S 1954 - Pharmacy Access Improvement (PhAIm) Act of 2007 S 2161 - Community Pharmacy Fairness Act of 2007 Health information technology with respect to data privacy and electronic prescribing of prescription drugs HR 4296 and S 2408 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 HR 3800 - Promoting Health Information Technology Act HR 6357 - Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH) Act of 2008 HR 6898 - Health e-Information Technology Act S 1408 - Health Information Technology Act of 2007 S 1693 - Wired for Health Care Quality Act S. 1814 - Health Information Privacy and Security Act Promotion of competition in the prescription drug marketplace including the drug approval process HR 1432 and S. 316 - Preserve Access to Affordable Generics Act HR 1956 - Patient Protection and Innovative Biologic Medicines Act of 2007 HR 5629 - Pathway for Biosimilars Act S 28 - Generics First Act of 2007 S 1695 - Biologics Price Competition and Innovation Act of 2007 HR 1038 / S 623 - Access to Life-Saving Medicine Act S 316 Preserve Access to Affordable Generics Act HR 1505 / S 1695 Affordable Biologics for Consumers Act HR 5629 - Pathway for Biosimilars Act Additional Issues HR 5683 - Government Accountability Office Act of 2008 S 1507 - Access to Medicare Data Act of 2007 S 273 - Prescription Drug and Health Improvement Act of 2007 HR 3610 - Food and Drug Import Safety Act of 2007

Client expense: $324,944 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 2406 - To authorize the National Institute of Standards and Technology to increase its efforts in support of the integration of the healthcare information enterprise in the United States. H.R. 6357 - To amend the Public Health Service Act to promote the adoption of health information technology, and for other purpos S.1408 - A bill to improve quality in health care by providing incentives for adoption of modern information technology. S. 1693 - A bill to enhance the adoption of a nationwide interoperable health information technology system and improve the quality and reduce the costs of health care in the United States.

Client expense: $390,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Family Health Care Accessibility Act-H.R.1626; Protecting Every Health Center Act-H.R.2270; FTCA for Employees and Volunteers in Public Health Emergencies-H.R.870; Health Centers Renewal Act-H.R.-1343/S.901; Minority Health Improvement and Health Disparity Elimination Act-H.R. 3333/S.1576; Health Partnership Act-S.325; Health Care Safety Net Act of 2008-S.901/H.R.1343; Health Equity and Accountability Act of 2007-H.R.3014; Deamontes Law-H.R.2371; U.S. Physician Shortage Elimination Act of 2007-H.R.410/S.896; Health Partnership Through Creative Federalism Act-H.R. 506; Inclusion of CHC Employees in Federal Health Benefits Program-H.R.1518; Americare Health Care Act of 2007-H.R. 1841; Community Health Centers Investment Act-S. 941; Ten Steps to Transform Health Care in America Act-S.1783; National Health Service Corps. and Loan Repayment Programs Reauthorization Act of 2007-H.R.4205; NHSC Scholarship and Loan Repayment Programs Reauthorization Act of 2007-H.R.2915; NHSC Improvement Act of 2007-H.R. 1884; Inclusion of Health Center Employees in Federal Health Benefits Program-S.2186; Wired for Health Care Quality Act-S.1693; Health Information Technology Act-S.1408; Craig Thomas Rural Hospital and Provider Equity Act of 2007-S.1605; Conrad State 30 Improvement Act. -S.2672-; Deamonte Drive Dental Care Access Improvement Act of 2008-S.2723/H.R.5549; Pro(TECH) T Act-H.R.6357; Dental Health Improvement Act of 2008-S.3067; Access for All America Act-S.3412.

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

Government targets: Executive Office of the President (EOP), Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB)

Legislation to expand health care coverage and access including provisions contained bills in which would offer Medicare, Medicaid and/or SCHIP to more children, create parity in coverage of mental health benefits, foster reform at the state level, stabilize trauma care, prevent healthcare acquired infections, ensure hospital preparedness, expand the use of health information technology, provide funding for Ryan White programs, increase and stabilize the healthcare workforce HR 2357; MediKids Health Insurance Act of 2007"; to create a new federal healthcare program to provide comprehensive health benefits to children S 1218 /HR 2034, Medicare for All Act; expanding the Medicare program to those under age 65. S 1169; State-Based Health Care Reform Act; to create a five-year pilot program in several states to develop coverage plans for the uninsured HR 1424; Paul Wellstone Mental Health and Addiction Equity Act require group health plans to provide comparable treatment limits and beneficiary cost sharing for medical and mental health benefits. HR 1663, Medicare Mental Health Modernization Act to provide mental health parity in private health insurance and Medicare, and improves coverage for cost-effective and community-based mental health treatment services for seniors and people with disabilities S 895/HR 1535; Children's Health First Act allow states to expand children's health coverage to families up to 400 percent of the Federal poverty level HR 1308S/764, Legal Immigrant Children's Health Improvement Act to permit states the option of coverage of legal immigrants under the Medicaid Program and the State Children's Health Insurance Program S 558, Mental Health Parity Act of 2007 would preserve state laws that are more comprehensive while creating parity in health plans offering mental health coverage by equating financial requirements and treatment limitations for mental health benefits with medical and surgical benefits. S 325/HR 506, Health Partnership Act would provide grants to individual states, groups of states, and portions of states to test various health reform strategies HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) HR 2055 Improving Children's Access to Health Care Act, to improve children's access to health care coverage under the Medicaid Program and the State Children's Health Insurance Program (SCHIP). HR 5268: To provide for a temporary increase of the Federal medical assistance percentage under the Medicaid Program HR 3221: Housing and Economic Recovery Act provision that would allow federal home loan banks to issue letters of credit for tax-exempt hospital bonds. HR 7110: Job Creation and Unemployment Relief Act: Title III, temporary increase in Medicaid matching rate Legislation to expand health care coverage and access including provisions which would stabilize medical emergency reimbursement, HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals S 657, A bill to amend the Public Health Service Act to add requirements regarding trauma care HR 6394: Border Health Care Relief Act of 2008 Amends the MPDIMA to extend Sec. 1011 through FY2012 for federal reimbursement of emergency health services furnished to undocumented aliens Legislation to expand health care coverage and access including provisions to ensure patient safety, H.J.RES. 20, Making further continuing appropriations for the fiscal year 2007 provision annual fit-testing of respirators for occupational exposure to tuberculosis. S 2278/HR 4214 Community and Healthcare-Associated Infections Reduction Act to improve the prevention, detection, and treatment of community and healthcare-associated infections Legislation to expand health care coverage and access including provisions to ensure emergency preparedness, HR 727, Trauma Care Systems Planning and Development Act of 2007 would authorize an additional $46 million between fiscal years 2008 and 2012 in spending for rural medical centers that treat patients during times of national crisis HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for hospital preparedness S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for hospital preparedness HR 3043; Labor, HHS Appropriations bill, provide funds for hospital preparedness Legislation to expand health care coverage and access including provisions to promote the use of health information technology: S 1418, Wired for Health Care Quality Act HR3043/S1710, Appropriations Labor, Health and Human Services (HHS), Education, and Related Agencies FY 08, funding for HIT programs HR 1467, 10,000 Trained by 2010 Act, award competitive grants for basic research on innovative approaches to improve health care information systems HR 2406, Healthcare Information Technology Enterprise Integration,guidelines and mechanisms to promote the integration of the healthcare information enterprise. S 1408, Health Information Technology Act, would provide tax incentives and resources to offset the costs of investing in new health information technology. HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for HIT S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for HIT HR 3043, Labor, HHS Appropriations bill, provide funds for HIT HR 2764; omnibus appropriations bill for FY2008 provide funds for HIT HR 6357 : Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act, Legislation to expand health care coverage and access including provisions funding HIV/AIDS programs: HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Ryan White programs S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for Ryan White programs HR3043/S1710, FY 2008 Labor HHS Appropriations Bill, funding for Ryan White programs HR 2764; omnibus appropriations bill for FY2008, funding for Ryan White programs Legislation to expand health care coverage and access including provisions to ensure sufficient workforce within in the healthcare sector S 1604, Nursing Education and Quality of Health Care Act, increases the nurse workforce in rural areas, expands nursing school faculty, and develops initiatives to integrate patient safety practices into nursing education HR 2122, Safe Nursing and Patient Care Act of 2007", limiting the number of mandatory overtime hours a nurse may be required to work S 1639, Comprehensive Immigration Reform, the point-based system for visas, to give nurses special consideration under the point system HR800/S1041, Employee Free Choice Act, require the NLRB to certify a bargaining representative if a majority of the bargaining unit employees have authorized designation of the representative (card-check) HR 2123, Nurse Staffing Standards for Patient Safety and Quality Care Act, to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals HR 378, Nurse and Patient Safety & Protection Act direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and other health care providers by establishing a safe patient handling standard. HR 1644, Re-Empowerment of Skilled and Professional Employees and Construction Tradesworkers (RESPECT) Act, to amend the National Labor Relations Act to clarify the definition of "supervisor" S446, Nurse Education, Expansion, and Development (NEED) Act, grants based on the number of nursing students enrolled to hire and retain new nursing faculty S 718, The Patient-Focused Critical Care Enhancement Act, provision study the impact of differences in staffing, organization, size, and structure of intensive care units on access, quality, and efficiency of care HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Nursing Education programs, , national health service corp HR 677, Nursing School Capacity Act authorize IOM study to identify constraints encountered by schools of nursing in admitting and graduating sufficient number of nurses S1577, Patient Safety and Abuse Prevention Act screening of direct patient access employees HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp. S 588/HR 1093, Resident Physician Shortage Act, to expand the number of physician training positions in 24 states with shortages HR 5924, The Emergency Nurse Supply Relief Act, which would address the retrogression backlog of visas for internationally-educated nurses who have been hired by U.S. hospitals but are not able to come here because of the unavailability of an employment-based (EB) visa.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE, White House Office

HR 493/S 358, Genetic Information Nondiscrimination Act of 2007; H 2761, Terrorism Risk Insurance Revision and Extension Act of 2007 (Include life insurance provision); S1588, Children's Access to Reconstructive Evaluation and Surgery Act (Mandated coverage for congenital disease/deformity); H836, Cyber-Security Enhancement and Consumer Data Protection Act of 2007 (Privacy and data security provisions); HR 948, Social Security Number Protection Act of 2007; S 495, Personal Data Privacy and Security Act of 2007; S 1408, Health Information Technology Act of 2007 (Provision on using technology for quality); HR 3425, Cancer Screening Coverage Act of 2007 (Mandated cancer screening); HR 3341, Quality Health Care Coalition Act of 2007 (Provision exempting physicians from antitrust laws); S 459/HR 758, Breast Cancer Patient Protection Act of 2007 (Minimum hospital stay for breast cancer); S 40, National Insurance Act of 2007 (Optional federal charter for insurance); S 400/HR 2851, Michelle's Law (Mandatory coverage for students when on medical leave); HR 4460/S 2477, Health Care Choice Act of 2007 (Cross-state selling of insurance); HR 4986, National Defense Authorization Act for Fiscal Year 2008 (Provision that extends Family Medical Leave Act to service members); S 1881/HR 3195, ADA Restoration Act of 2007; HR 6142, (ERISA and disability benefit damages); HR 5840, Insurance Information Act of 2008; S 3406, ADA Amendments Act.

Client expense: $452,449 · Firm income: Not reported

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

Wired for Healthcare Quality Act (S.1693, H.R.3800) provisions relating to encouraging the use of IT in healthcare and promoting an interoperable system of electronic health records; the Pro(TECH)+ Act of 2008 (H.R.6357). The Wired for Health Care Quallity Act (S.1693); bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the U.S.; Health Information Technology Act (S.1408); The 10,000 Trained by 1020 Act (H.R.1467); TRUST in Health Information Act (H.R.5442); National Health Information Incentive Act (H.R.1952), to amend Title XI of SSA to achieve a national health information infrastructure; Promoting Health Information Technology (H.R.3800) - to advance the adoption of nationwide interoperable health information technology and to improve health care quality and reduce health care costs in the U.S.; Protecting Records, Optimizing Treatment and Easing communication through Healthcare Technology Act of 2008 (H.R.6357).

Client expense: $760,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

S3182-Commerce, Justice appropriations; S3230-Depts Labor, HHS appropriations; HR2642- '08 Supplemental Appropriations; S1693-Wired for Health Care Quality Act; S1408-Health Information Technology Act of 2007; S1471- Improved Medical Decision Incentive Act of 2007; HR2406 -Healthcare Information Technology Enterprise Integration Act; HR2991 -Independent Health Record Trust Act of 2007; HR 1467; S1455

Client expense: $38,719 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See attached list. H.R. 1367 /H.R.1424--Paul Wellstone Mental Health and Addiction Equity Act of 2007, as it pertains to health insurance regulations. H.R. 2406--Healthcare Information Technology Enterprise Integration Act, as it relates to the establishment of a single standard for health information technology systems used by health providers. H.R.758--Breast Cancer Patient Protection Act. S.1693--Wired for Health Care Quality Act. S. 1693--Wired for Health Care Quality Act, as it pertains to the adoption of a nationwide health information system. S. 358--Genetic Information Nondiscrimination Act of 2007. S. 1224--SCHIP Reauthorization. S. 1408--Health Information Technology Act of 2007. S. 1455--National Health Information Technology and Privacy Advancement Act of 2007. S. 334--Healthy Americans Act. S. 495--Personal Data Privacy and Security Act of 2007. S. 628--Critical Access to Health Information Technology Act of 2007.

Client expense: $341,436 · Firm income: Not reported

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

H.R. 1038/S. 623: Access to Life-Saving Medicine Act H.R. 1368: Personalized Health Information Act S. 558: Mental Health Parity Act H.R. 1424: Paul Wellstone Mental Health and Addiction Equity Act; P.L. 110-343 H.R. 758/S. 459: Breast Cancer Patient Protection Act H.R. 1076:S.616: HIPAA Recreational Injury Technical Correction Act S. 1408: Health Information Technology Act H.R. 2015: Employment Non-Discrimination Act S. 1693: Wired for Health Care Quality Act H.R. 1542/S. 910: Healthy Families Act H.R. 369: Family Leave Insurance Act H.R. 2693: Popcorn Workers Lung Disease Prevention Act H.R. 493/S. 358: Genetic Information Nondiscrimination Act H.R. 976/S. 1893: Children's Health Insurance Reauthorization Act H.R. 3234: HSAs Improvement and Expansion Act H.R. 3195/S. 1881: ADA Restoration Act H.R. 2769: Miner Health Enhancement Act of 2007: NIOSH related provisions S. 897: Alzheimer's Family Assistance Act H.R. 1327: Protective Equipment for America's Workforce Act S. 1881: Americans with Disabilities Act Restoration Act S. 910: Healthy Families Act H.R. 3717/S. 1753: Healthy Workforce Act of 2007

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

Government targets: Agriculture, Dept of (USDA), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE

S. 358 / H.R. 493, Genetic Information Nondiscrimination Act of 2007; S. 628, Critical Access to Health Information Technology Act of 2007; S. 558, Mental Health Parity Act of 2007; S. 495, Personal Data Privacy and Security Act of 2007; S. 1693, Wired For Health Care Quality Act; S. 1455, National Health Information Technology and Privacy Advancement Act of 2007; S. 1408, Health Information Technology Act of 2007; H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Care Technology Act (PRO(TECH)T) Act; H.R. 1368, Personalized Health Information Act of 2007; H.R.1367 / H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007; H.R. 6331 / S. 3101, Medicare Improvements for Patients and Providers Act, as it pertains to availability of Medicare Advantage to seniors; S. 3118, Preserving Access to Medicare Act, as it pertains to availability of Medicare Advantage to seniors; H.R. 1424, Emergency Economic Stabilization Act, as it pertains to mental health parity; H.R. 6049, Energy & Tax Extenders Act, as it pertains to mental health parity.

Client expense: Not reported · Firm income: $60,750

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

HR 2472, the Essential Oral Health Care Act HR 1781 and S. 739, Children's Dental Health Improvement Act HR 2371, Deamonte's Law S. 3064 Oral Health Initiative Act of 2008 HR 3186 and S. 1906, Meth Mouth Prevention and Community Recovery Act HR 3187 and S. 1907, Meth Mouth Correctional Costs HR 1108 and S. 625, Family Smoking Prevention and Tobacco Control Act HR 6331 Medicare Improvements for Patients and Providers Act of 2008 HR 976 and 3162, Children's Health and Medicare Protection Act of 2007 (SCHIP Reauthorization) S. 1893 Children's Health Insurance Program Reauthorization Act of 2007 (SCHIP Reauthorization) S.2723 and H.R.5549 Deamonte Driver Dental Care Access Improvement Act S. 3067 Dental Health Improvement Act of 2008 Secretarys Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020 S.901 and HR 1343 Health Centers Renewal Act of 2007 HR 6357 Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act H.R. 2184, Enhanced Health Care Value for All Act of 2007 H.R. 3163 and S. 771, Child Nutrition Promotion and School Lunch Protection Act of 2007 S 1693 Wired for Health Care Quality Act S 334 Healthy Americans Act HR 5442 Technologies for Restoring Users' Security and Trust (TRUST) in Health Information Act HR 6331/S3101 Medicare Improvements for Patients and Providers Act HR 6898 Health-e Information Technology Act of 2008 S 628 Critical Access to Health Information Technology Act of 2007 S 980 Online Pharmacy Consumer Protection Act of 2007 S 1408 Health Information Technology Act of 2007 S 2408 Medicare Electronic Medication and Safety Protection (E-MEDS) Act S 2729 Ensuring the Future Physician Workforce Act of 2008 S 3072 Making Health Care More Affordable Act of 2008 HR 1467 10,000 Trained by 2010 Act HR 2377 Assisting Doctors to Obtain Proficient and Transmissible Health Information Technology (ADOPT HIT) Act of 2007 HR 6613 Improving Dental Access in Underserved Communities Act of 2008 HR 5885 Health Information Technology Promotion Act of 2008 HR 6179 Promoting Health Information Technology Act of 2008 S 1019 Universal Health Care Choice and Access Act S 1783 Ten Steps to Transform Health Care in America Act S 2105 A bill to provide for the establishment of the Federal Health Care Board. S. 3408 Comparative Effectiveness Research Act of 2008 H.R. 6845 Fair Copyright in Research Works Act of 2008

Client expense: $316,307 · Firm income: Not reported

Government targets: Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Navy, Dept of, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, U.S. Marines, Veterans Affairs, Dept of (VA)

S. 358 / H.R. 493, Genetic Information Nondiscrimination Act of 2007; S. 628, Critical Access to Health Information Technology Act of 2007; S. 558, Mental Health Parity Act of 2007; S. 495, Personal Data Privacy and Security Act of 2007; S. 1693, Wired For Health Care Quality Act; S. 1455, National Health Information Technology and Privacy Advancement Act of 2007; S. 1408, Health Information Technology Act of 2007; H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Care Technology Act (PRO(TECH)T) Act; H.R. 1368, Personalized Health Information Act of 2007; H.R.1367 / H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007; H.R. 6331 / S. 3101, Medicare Improvements for Patients and Providers Act, as it pertains to availability of Medicare Advantage to seniors; S. 3118, Preserving Access to Medicare Act, as it pertains to availability of Medicare Advantage to seniors; H.R. 1424, Emergency Economic Stabilization Act, as it pertains to insurance coverage of treatment for mental illness.

Client expense: Not reported · Firm income: $60,750

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

The Wired for Health Care Quallity Act (S.1693); bill to enhancethe adoption of a nationwide interoperable health information technoloyg system and to imporve the quality and reduce the costs of health care in ght US; Heatlh Information Technology Act S. 1408; The 10,000 Trained by 1020 Act H.R. 1467; TRUST in Health Information Act H.R. 5442; National health Information Incentive Act H.R. 1952 to amend Title XI of SSA to achieve a national health information infrastructure; Promoting Health Information Technology H.R. 3800 - to advance the adoption of nationwide interoperable health information technology and to improve health care quality and reduce health care costs in the US; Protecting Records, Optimizing Treatment and Easing communication through Healthcare Technology Act of 2008, H.R. 6357

Client expense: $653,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Energy, Dept of, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), SENATE, State, Dept of (DOS), Treasury, Dept of, Veterans Affairs, Dept of (VA)

Health Information Technology, Electronic Prescribing, Inappropriate use of Human Growth Hormone, Comparative Effectiveness, 340B Program, Confidentiality of Health Information, Generic Drugs, Generic Biologics, Internet Pharmacies, Carve-out of Generic Drugs from State Generic Substitution Laws HR 971 and S 885 - Community Pharmacy Fairness Act of 2007; all aspects HR 1432 and S. 316 - Preserve Access to Affordable Generics Act; all aspects HR 1474 - Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2007; all aspects HR 1956 - Patient Protection and Innovative Biologic Medicines Act of 2007; all aspects HR 2567 and S 870 - Medicare Home Infusion Therapy Coverage Act of 2007; all aspects HR 2606 and S 1376 - 340B Program Improvement and Integrity Act of 2007; all aspects HR 2914 - Medicare IVIG Access Act of 2007; all aspects HR 2970 - Pharmacy Benefit Manager Transparency Act of 2007; all aspects HR 3140 - Saving Our Community Pharmacies Act of 2007; all aspects HR 3090 - Patient and Pharmacy Protection Act of 2007; all aspects HR 3193 - Access to Community Pharmacy Preservation Act of 2007; all aspects HR 3800 - Promoting Health Information Technology Act; all aspects HR 3932 - Medicare Prescription Drug Savings and Choice Act of 2007; all aspects HR 4296 and S 2408 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007; all aspects HR 5629 - Pathway for Biosimilars Act; all aspects HR 5683 - Government Accountability Office Act of 2008, section 721 HR 6357 - Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH) Act of 2008; all aspects HR 6898 - Health e-Information Technology Act; all aspects S 28 - Generics First Act of 2007; all aspects S 242 - Pharmaceutical Market Access and Drug Safety Act of 2007; all aspects S 251 - Pharmaceutical Market Access Act of 2007; all aspects S 273 - Prescription Drug and Health Improvement Act of 2007; all aspects S 596 - Safe Internet Pharmacy Act of 2007; section 511(c) S 976 - Genomics and Personalized Medicine Act of 2007; all aspects S 980 - Ryan Haight Online Pharmacy Consumer Protection Act of 2007; all aspects S 1408 - Health Information Technology Act of 2007; all aspects S 1507 - Access to Medicare Data Act of 2007; all aspects S 1693 - Wired for Health Care Quality Act; all aspects S 1695 - Biologics Price Competition and Innovation Act of 2007; all aspects S. 1814 - Health Information Privacy and Security Act; all aspects S 1954 - Pharmacy Access Improvement (PhAIm) Act of 2007; all aspects S 2161 - Community Pharmacy Fairness Act of 2007; all aspects

Client expense: $434,097 · 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), SENATE

HR 1432 and S. 316 - Preserve Access to Affordable Generics Act; all aspects HR 1474 - Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2007; all aspects HR 1956 - Patient Protection and Innovative Biologic Medicines Act of 2007; all aspects HR 2567 and S 870 - Medicare Home Infusion Therapy Coverage Act of 2007; all aspects HR 2606 and S 1376 - 340B Program Improvement and Integrity Act of 2007; all aspects HR 2914 - Medicare IVIG Access Act of 2007; all aspects HR 2970 - Pharmacy Benefit Manager Transparency Act of 2007; all aspects HR 3140 - Saving Our Community Pharmacies Act of 2007; all aspects HR 3090 - Patient and Pharmacy Protection Act of 2007; all aspects HR 3193 - Access to Community Pharmacy Preservation Act of 2007; all aspects HR 3800 - Promoting Health Information Technology Act; all aspects HR 3932 - Medicare Prescription Drug Savings and Choice Act of 2007; all aspects HR 4296 and S 2408 - Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007; all aspects HR 5629 - Pathway for Biosimilars Act; all aspects HR 5683 - Government Accountability Office Act of 2008, section 721 HR 6357 - Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH) Act of 2008; all aspects HR 6898 - Health e-Information Technology Act; all aspects S 28 - Generics First Act of 2007; all aspects S 242 - Pharmaceutical Market Access and Drug Safety Act of 2007; all aspects S 251 - Pharmaceutical Market Access Act of 2007; all aspects S 273 - Prescription Drug and Health Improvement Act of 2007; all aspects S 596 - Safe Internet Pharmacy Act of 2007; section 511(c) S 976 - Genomics and Personalized Medicine Act of 2007; all aspects S 980 - Ryan Haight Online Pharmacy Consumer Protection Act of 2007; all aspects S 1408 - Health Information Technology Act of 2007; all aspects S 1507 - Access to Medicare Data Act of 2007; all aspects S 1693 - Wired for Health Care Quality Act; all aspects S 1695 - Biologics Price Competition and Innovation Act of 2007; all aspects S. 1814 - Health Information Privacy and Security Act; all aspects S 1954 - Pharmacy Access Improvement (PhAIm) Act of 2007; all aspects S 2161 - Community Pharmacy Fairness Act of 2007; all aspects

Client expense: Not reported · Firm income: $50,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Medicare Payment Advisory Commission (MedPAC), SENATE

S 1343, HR 2241, S 2479, HR 3373, HR 3544, S 755 - supporting diabetes treatment and prevention; HR 1952, HR 2377, HR 3800, S 1693, HR 6357, S 1408, S 1814 - supporting development of HIT and infrastructure; HR 2580, HR 5480, S 2662 - seeking professional liability reform; HR 5559, HR 5543, HR 6110, S 158, S 2050 - ensuring parity for podiatric physicians in statutory definitions of physician and services; HR 3163, S 334 - supporting national health care reform

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

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

S. 1408 - Health Information Technology Acct of 2007 S. 1455 - To provide for the establishment of a health information technology and privacy system S. 1693 - Wired for Healthcare Quality Act H.R. 2580 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007 H.R. 3162 - Children's Health and Medicare Protection Acvt H.R. 3176 - SCHIP Reauthorization and Reform Act H.R. 3584 - Extending Funding for SCHIP H.R. 6357 - Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008 or the PRO(TECH)T Act of 2008

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See attached list. S. 334, Healthy Americans Act (Wyden) S.1693, Wired for Health Care Quality Act (Kennedy) H.R. 2406, Healthcare Information Technology Enterprise Integration Act, as it relates to the establishment of a single standard for health information technology systems used by health providers. S. 1693, Wired for Health Care Quality Act, as it pertains to the adoption of a nationwide health information system. H.R. 1367 /H.R.1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007, as it pertains to health insurance regulations. S. 558, Mental Health Parity Act, as it pertains to the provisions of mental health benefits. Educate specific Members of Congress on CIGNA bid for a Medicare Administrative contract and any change that will impact providers in their constituencies as a result of being awarded or losing a bid. S. 358/H.R. 493, Genetic Information Nondiscrimination Act of 2007 S. 628, critical Access to Health Information Technology Act of 2007 S. 495, Personal Data Privacy and Security Act of 2007 S. 1455, National Health Information Technology and Privacy Advancement Act of 2007 S. 1408, Health Information Technology Act of 2007 S. 1224, CIPH Reauthorization S. 1022, A bill to eliminate funding shortfalls for SCHIP S. 1023, A bill to eliminate funding shortfalls for SCHIP H.R. 1368, Personalized Health Information Act of 2007 H.R. 1329, Guaranteed Access for SCHIP's Target Population Act of 2007 H.R. 976, Children's Health Insurance Program Reauthorization Act as it pertains to health insurance coverage of children H.R. 3162, CHAMP Act, as it pertains to coverage of children, payments to Medicare Advantage plans, and other spending offsets H.R. 2764, the Department of State, Foreign Operations & Related Programs Appropriation bills, as it realtes to SCHIP fudning, payments to Medicare Advantage Plans, and other spending offsets.

Client expense: $230,000 · Firm income: Not reported

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

Promoting Health Information Technology Act (H.R. 3800) Personalized Health Information Act (H.R. 1368) Health Information Technology Act (S. 1408) PRO(TECH)T Act of 2008 (HR 6357) Michelle's Law (S. 400) PLAY Every Day Act (S. 651/H.R. 2045) Stroke Treatment and Ongoing Prevention Act (STOP Stroke Act) (S. 999/H.R. 477) National Childhood Stroke Awareness Day (S. Res. 184) Heart disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S. 573/H.R. 1014) Indian Health Care Improvement Act (S. 1200/H.R. 1328) Minority Health Improvement and Health Disparity Elimination Act (S. 1576/H.R. 3333) Health Equity and Accountability Act (H.R. 3014) Wired for Health Care Quality Act (S. 1693) Prescription Drug User Fee Amendments of 2007 (PDUFA) (S. 1082) "National CPR - AED Awareness Week" (S.Con.Res. 54/H.Con.Res. 215) Josh Miller HEARTS Act (H.R. 4926) Resolution for American Heart Month (H.Res.972) FDA Food Labeling: Revision of Reference Values and Mandatory Nutrients (2006N-0168) FDA Cardiovascular Assessment in the Pre-approval and Post-approval Settings for Drugs and Biologics for the Treatment of Type 2 Diabetes Mellitus SSA Revised Medical Criteria for Evaluating Cardiovascular Disorders (SSA-2007-0102)

Client expense: $453,031 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

H.R. 1038/S. 623: Access to Life-Saving Medicine Act H.R. 1368: Personalized Health Information Act S. 558: Mental Health Parity Act H.R. 1424: Paul Wellstone Mental Health and Addiction Equity Act H.R. 758/S. 459: Breast Cancer Patient Protection Act H.R. 1076:S.616: HIPAA Recreational Injury Technical Correction Act S. 1408: Health Information Technology Act H.R. 2015: Employment Non-Discrimination Act S. 1693: Wired for Health Care Quality Act H.R. 1542/S. 910: Healthy Families Act H.R. 369: Family Leave Insurance Act H.R. 2693: Popcorn Workers Lung Disease Prevention Act H.R. 493/S. 358: Genetic Information Nondiscrimination Act H.R. 976/S. 1893: Children's Health Insurance Reauthorization Act H.R. 3234: HSAs Improvement and Expansion Act H.R. 3195/S. 1881: ADA Restoration Act H.R. 2769: Miner Health Enhancement Act of 2007: NIOSH related provisions S. 897: Alzheimer's Family Assistance Act H.R. 1327: Protective Equipment for America's Workforce Act S. 1881: Americans with Disabilities Act Restoration Act S. 910: Healthy Families Act H.R. 3717/S. 1753: Healthy Workforce Act of 2007

Client expense: $400,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE

Family Health Care Accessibility Act-H.R.1626; Protecting Every Health Center Act-H.R.2270; FTCA for Employees and Volunteers in Public Health Emergencies-H.R.870; Health Centers Renewal Act-H.R.-1343/S.901; Minority Health Improvement and Health Disparity Elimination Act-H.R. 3333/S.1576; Health Partnership Act-S.325; Health Care Safety Net Act of 2007-S.901; Health Equity and Accountability Act of 2007-H.R.3014; Deamontes Law-H.R.2371; U.S. Physician Shortage Elimination Act of 2007-H.R.410/S.896; Health Partnership Through Creative Federalism Act-H.R. 506; Inclusion of CHC Employees in Federal Health Benefits Program-H.R.1518; Americare Health Care Act of 2007-H.R. 1841; Community Health Centers Investment Act-S. 941; Ten Steps to Transform Health Care in America Act-S.1783; National Health Service Corps. and Loan Repayment Programs Reauthorization Act of 2007-H.R.4205; NHSC Scholarship and Loan Repayment Programs Reauthorization Act of 2007-H.R.2915; NHSC Improvement Act of 2007-H.R. 1884; Inclusion of Health Center Employees in Federal Health Benefits Program-S.2186; Wired for Health Care Quality Act-S.1693; Health Information Technology Act-S.1408. Craig Thomas Rural Hospital and Provider Equity Act of 2007-S.1605; S.2672-Conrad State 30 Improvement Act. ; Deamonte Drive Dental Care Access Improvement Act of 2008-S.2723/H.R.5549; H.R.6357 Pro(TECH) T Act.

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

Government targets: Executive Office of the President (EOP), Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB)

Family Health Care Accessibility Act-H.R.1626; Protecting Every Health Center Act-H.R.2270; FTCA for Employees and Volunteers in Public Health Emergencies-H.R.870; Health Centers Renewal Act-H.R.-1343/S.901; Minority Health Improvement and Health Disparity Elimination Act-H.R. 3333/S.1576; Health Partnership Act-S.325; Health Care Safety Net Act of 2007-S.901; Health Equity and Accountability Act of 2007-H.R.3014; Deamontes Law-H.R.2371; U.S. Physician Shortage Elimination Act of 2007-H.R.410/S.896; Health Partnership Through Creative Federalism Act-H.R. 506; Inclusion of CHC Employees in Federal Health Benefits Program-H.R.1518; Americare Health Care Act of 2007-H.R. 1841; Community Health Centers Investment Act-S. 941; Ten Steps to Transform Health Care in America Act-S.1783; National Health Service Corps. and Loan Repayment Programs Reauthorization Act of 2007-H.R.4205; NHSC Scholarship and Loan Repayment Programs Reauthorization Act of 2007-H.R.2915; NHSC Improvement Act of 2007-H.R. 1884; Inclusion of Health Center Employees in Federal Health Benefits Program-S.2186; Wired for Health Care Quality Act-S.1693; Health Information Technology Act-S.1408. Craig Thomas Rural Hospital and Provider Equity Act of 2007-S.1605; S.2672-Conrad State 30 Improvement Act. ; Deamonte Drive Dental Care Access Improvement Act of 2008-S.2723/H.R.5549; H.R.6357 Pro(TECH) T Act.

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

Government targets: Executive Office of the President (EOP), Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB)

S. 358 / H.R. 493, Genetic Information Nondiscrimination Act of 2007; S. 628, Critical Access to Health Information Technology Act of 2007; S. 558, Mental Health Parity Act of 2007; S. 495, Personal Data Privacy and Security Act of 2007; S. 1693, Wired For Health Care Quality Act; S. 1455, National Health Information Technology and Privacy Advancement Act of 2007; S. 1408, Health Information Technology Act of 2007; H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Care Technology Act (PRO(TECH)T) Act; H.R. 1368, Personalized Health Information Act of 2007; H.R.1367 / H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007; H.R. 6331 / S. 3101, Medicare Improvements for Patients and Providers Act, as it pertains to availability of Medicare Advantage to seniors; S. 3118, Preserving Access to Medicare Act, as it pertains to availability of Medicare Advantage to seniors.

Client expense: Not reported · Firm income: $60,750

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

Legislation to expand health care coverage and access including provisions contained bills in which would offer Medicare, Medicaid and/or SCHIP to more children, create parity in coverage of mental health benefits, foster reform at the state level, stabilize trauma care, prevent healthcare acquired infections, ensure hospital preparedness, expand the use of health information technology, provide funding for Ryan White programs, increase and stabilize the healthcare workforce HR 2357; MediKids Health Insurance Act of 2007"; to create a new federal healthcare program to provide comprehensive health benefits to children S 1218 /HR 2034, Medicare for All Act; expanding the Medicare program to those under age 65. S 1169; State-Based Health Care Reform Act; to create a five-year pilot program in several states to develop coverage plans for the uninsured HR 1424; Paul Wellstone Mental Health and Addiction Equity Act require group health plans to provide comparable treatment limits and beneficiary cost sharing for medical and mental health benefits. HR 1663, Medicare Mental Health Modernization Act to provide mental health parity in private health insurance and Medicare, and improves coverage for cost-effective and community-based mental health treatment services for seniors and people with disabilities S 895/HR 1535; Children's Health First Act allow states to expand children's health coverage to families up to 400 percent of the Federal poverty level HR 1308S/764, Legal Immigrant Children's Health Improvement Act to permit states the option of coverage of legal immigrants under the Medicaid Program and the State Children's Health Insurance Program S 558, Mental Health Parity Act of 2007 would preserve state laws that are more comprehensive while creating parity in health plans offering mental health coverage by equating financial requirements and treatment limitations for mental health benefits with medical and surgical benefits. S 325/HR 506, Health Partnership Act would provide grants to individual states, groups of states, and portions of states to test various health reform strategies HR1111, Kids Come First Act to ensure that every uninsured child in America has health insurance coverage, HR 3162, "Children's Health and Medicare Protection Act" HR 976 in the Senate, Children's Health Insurance Program Reauthorization Act S 2049, The Better Health for America's Children Act," to block a new policy to limit states' ability to enroll children in the State Children's Health Insurance Program S 2152, Kids First Actalternative SCHIP bill that would restrict coverage to individuals younger than age 19 in low-income families HR 3963; Children's Health Insurance Program Reauthorization Act revised bill to extend and expand the State Childrens Health Insurance Program (SCHIP) HR 2055 Improving Children's Access to Health Care Act, to improve children's access to health care coverage under the Medicaid Program and the State Children's Health Insurance Program (SCHIP). Legislation to expand health care coverage and access including provisions which would stabilize medical emergency reimbursement, HR 882, Access to Emergency Services Act that would increase by 10 percent Medicare reimbursements to physicians who provide care in emergency departments (EDs) or post-stabilization care related to emergency medical conditions in other areas of hospitals S 657, A bill to amend the Public Health Service Act to add requirements regarding trauma care Legislation to expand health care coverage and access including provisions to ensure patient safety, H.J.RES. 20, Making further continuing appropriations for the fiscal year 2007 provision annual fit-testing of respirators for occupational exposure to tuberculosis. S 2278/HR 4214 Community and Healthcare-Associated Infections Reduction Act to improve the prevention, detection, and treatment of community and healthcare-associated infections Legislation to expand health care coverage and access including provisions to ensure emergency preparedness, HR 727, Trauma Care Systems Planning and Development Act of 2007 would authorize an additional $46 million between fiscal years 2008 and 2012 in spending for rural medical centers that treat patients during times of national crisis HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for hospital preparedness S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for hospital preparedness HR 3043; Labor, HHS Appropriations bill, provide funds for hospital preparedness Legislation to expand health care coverage and access including provisions to promote the use of health information technology: S 1418, Wired for Health Care Quality Act HR3043/S1710, Appropriations Labor, Health and Human Services (HHS), Education, and Related Agencies FY 08, funding for HIT programs HR 1467, 10,000 Trained by 2010 Act, award competitive grants for basic research on innovative approaches to improve health care information systems HR 2406, Healthcare Information Technology Enterprise Integration,guidelines and mechanisms to promote the integration of the healthcare information enterprise. S 1408, Health Information Technology Act, would provide tax incentives and resources to offset the costs of investing in new health information technology. HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for HIT S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for HIT HR 3043, Labor, HHS Appropriations bill, provide funds for HIT HR 2764; omnibus appropriations bill for FY2008 provide funds for HIT Legislation to expand health care coverage and access including provisions funding HIV/AIDS programs: HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Ryan White programs S Con Res 21/H Con Res 99, Budget resolution -- extending program to provide funds for Ryan White programs HR3043/S1710, FY 2008 Labor HHS Appropriations Bill, funding for Ryan White programs HR 2764; omnibus appropriations bill for FY2008, funding for Ryan White programs Legislation to expand health care coverage and access including provisions to ensure sufficient workforce within in the healthcare sector S 1604, Nursing Education and Quality of Health Care Act, increases the nurse workforce in rural areas, expands nursing school faculty, and develops initiatives to integrate patient safety practices into nursing education HR 2122, Safe Nursing and Patient Care Act of 2007", limiting the number of mandatory overtime hours a nurse may be required to work S 1639, Comprehensive Immigration Reform, the point-based system for visas, to give nurses special consideration under the point system HR800/S1041, Employee Free Choice Act, require the NLRB to certify a bargaining representative if a majority of the bargaining unit employees have authorized designation of the representative (card-check) HR 2123, Nurse Staffing Standards for Patient Safety and Quality Care Act, to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals HR 378, Nurse and Patient Safety & Protection Act direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and other health care providers by establishing a safe patient handling standard. HR 1644, Re-Empowerment of Skilled and Professional Employees and Construction Tradesworkers (RESPECT) Act, to amend the National Labor Relations Act to clarify the definition of "supervisor" S446, Nurse Education, Expansion, and Development (NEED) Act, grants based on the number of nursing students enrolled to hire and retain new nursing faculty S 718, The Patient-Focused Critical Care Enhancement Act, provision study the impact of differences in staffing, organization, size, and structure of intensive care units on access, quality, and efficiency of care HJ Res. 20, Making further continuing appropriations for the fiscal year 2007, extending program to provide funds for Nursing Education programs, , national health service corp HR 677, Nursing School Capacity Act authorize IOM study to identify constraints encountered by schools of nursing in admitting and graduating sufficient number of nurses S1577, Patient Safety and Abuse Prevention Act screening of direct patient access employees HR3043/S1710; Labor, HHS Appropriations bill; nursing education, national health service corp. S 588/HR 1093, Resident Physician Shortage Act, to expand the number of physician training positions in 24 states with shortages HR 5924, The Emergency Nurse Supply Relief Act, which would address the retrogression backlog of visas for internationally-educated nurses who have been hired by U.S. hospitals but are not able to come here because of the unavailability of an employment-based (EB) visa.

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

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

S 1218/ HR 2034, Medicare for All Act, Amending the Social Security Act to add a new Title (XXII) to expand health care coverage S 1408, Health Information Technology Act of 2007, Sections requiring the Department of Health and Human Services to establish a program to utilize health Information electronic technology to improve delivery and care to patients S 1693, Wired for Health Care Quality Act, Sections requiring the Department of Health and Human Services to establish a program to utilize health Information electronic technology to improve delivery and care to patients S 1695, Biologics Price Competition and Innovation Act of 2007, Sections regarding interchangeability, patent and exclusivity issues related to Food and Drug Administration approval of biogeneric drugs. S 691/ HR 1193, Kidney Care Quality and Educations Act of 2007, Section regarding increased costs to employers health plans. HR 5629, The Pathway for Biosimilars Act, Sections regarding interchangeability, patent and exclusivity issues related to Food and Drug Administration approval of biogeneric drugs. S 1082, Food and Drug Administration Revitalization Act, Provisions related to generic pharmaceuticals HR 2900, Food and Drug Administration Amendments Act of 2007, Provisions related to generic pharmaceuticals HR1 of 2003, Medicare Modernization Act, Employee Medicare Prescription Drug Subsidy

Client expense: $1,925,000 · Firm income: Not reported

Government targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, SENATE

Promoting Health Information Technology Act (H.R. 3800) Personalized Health Information Act (H.R. 1368) Health Information Technology Act (S. 1408) PRO(TECH)T Act of 2008 (HR 6357) Michelle's Law (S. 400) PLAY Every Day Act (S. 651/H.R. 2045) Stroke Treatment and Ongoing Prevention Act (STOP Stroke Act) (S. 999/H.R. 477) National Childhood Stroke Awareness Day (S. Res. 184) Heart disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S. 573/H.R. 1014) Indian Health Care Improvement Act (S. 1200/H.R. 1328) Minority Health Improvement and Health Disparity Elimination Act (S. 1576/H.R. 3333) Health Equity and Accountability Act (H.R. 3014) Wired for Health Care Quality Act (S. 1693) Prescription Drug User Fee Amendments of 2007 (PDUFA) (S. 1082) "National CPR - AED Awareness Week" (S.Con.Res. 54/H.Con.Res. 215) Josh Miller HEARTS Act (H.R. 4926) Resolution for American Heart Month (H.Res.972) FDA Food Labeling: Revision of Reference Values and Mandatory Nutrients (2006N-0168) FDA Cardiovascular Assessment in the Pre-approval and Post-approval Settings for Drugs and Biologics for the Treatment of Type 2 Diabetes Mellitus SSA Revised Medical Criteria for Evaluating Cardiovascular Disorders (SSA-2007-0102)

Client expense: $453,031 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

H.R.2406 - To authorize the National Institute of Standards and Technology to increase its efforts in support of the integration of the healthcare information enterprise in the United States. S.1408 - A bill to improve quality in health care by providing incentives for adoption of modern information technology. S.1693 - A bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States. H.R.6357 - To amend the Public Health Service Act to promote the adoption of health information technology, and for other purposes.

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

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

S 1343, HR 2241, S 2479, HR 3373, HR 3544, S 755 - supporting diabetes treatment and prevention; HR 1952, HR 2377, HR 3800, S 1693, HR 6357, S 1408, S 1814 - supporting development of HIT and infrastructure; HR 2580, HR 5480, S 2662 - seeking professional liability reform; HR 5559, HR 5543, HR 6110, S 158, S 2050 - ensuring parity for podiatric physicians in statutory definitions of physician and services; HR 3163, S 334 - supporting national health care reform

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

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