Federal Employees Electronic Personal Health Records Act of 2007

HCR (LEGISLATIVE ISSUES): H.R. 506: Health Partnership Through Creative Federalism Act (Baldwin) (continued) H.R. 1368: Personalized Health Information Act (Kennedy); H.R. 2184: Enhanced Health Care Value for All Act (provisions relating to comparative effectiveness research) (Allen); H.R. 2406: Healthcare Information Technology Enterprise Integration Act (Gordon); H.R. 2497: Fair and Reliable Medical Justice Act (Cooper); H.R. 2580: Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey); H.R. 2638: Consolidated Security, Disaster Assistance, and Continuing Appropriations Act (provisions relating to high risk pool funding, comparative effectiveness research funding); H.R. 3014: Health Equity and Accountability Act (provisions relating to health care disparaties) (Solis); H.R. 3341: Quality Health Care Coalition Act (Paul) (provisions relating to physician collective bargaining); H.R. 5348: American Health Benefits Program Act (Langevin-Shays); H.R. 6357: Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act (Dingell-Barton); H.R. 6444: Healthy Americans Act (Wasserman Schultz) (provisions relating to insurance reforms and subsidies); H.R. 6898 Health-e Information Technology Act (Stark) (provisions relating to standards and incentives for health information technology; privacy and security protections); S. 243: Medical Care Access Protection Act (Ensign); S. 244: Healthy Mothers and Healthy Babies Access to Care Act (Gregg); S. 325: Health Partnership Act (Bingaman); S. 334: Healthy Americans Act (Wyden); S. 1198: Catastrophic Health Coverage Promotion Act (Smith); S. 1456: Federal Employees Electronic Personal Health Records Act (Carper); S. 1481: Fair and Reliable Medical Justice Act (Baucus); S. 1490: Federal Employees Electronic Personal Health Records Act (Carper); S. 1693: Wired for Health Care Quality Act (Kennedy); S. 2041: False Claims Act Amendments (Grassley); S. 3230: Labor-HHS-Education Appropriations Act (provisions relating to high risk pool funding, comparative effectiveness research funding); and S. 3408: Comparative Effectiveness Research. Act (Baucus) and HCR (Regulatory Issues): HIPAA administrative simplification issues, including privacy, security, electronic transactions, code sets, and identifiers; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirement; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues related to provider conscience requirements; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting, and issues relating to service provider disclosure.

Client expense: $1,630,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), 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), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

S 1893, Children's Health Insurance Program Reauthorization Act of 2007 (Expansion/extension of SCHIP ); S558/HR 1424, Mental Health Parity Act of 2007 (Secure equal treatment for mental health benefits); HR 1038/S 623, Access to Life-Saving Medicine Act (Biogenerics-approving generic Bio pharmaceuticals); S 316, Preserve Access to Affordable Generics Act (Regulate Generic/Brand patent settlements); S 1501/S 1695, Affordable Biologics for Consumers Act (Generic Bio-pharmaceuticals); S 334, Healthy Americans Act (Universal health coverage replaces employer coverage); S 1899, Universal Health Coverage Act of 2007 (Mandatory health insurance coverage); S 242/HR 380, Pharmaceutical Market Access and Drug Safety Act of 2007 (Drug importation-Canada, et al.); HR 1076/S616, HIPAA Recreational Injury Technical/Correction Act (Mandatory coverage for recretional activity); HR 676, United States National Health Insurance Act (National health insurance); HR 1368, Personalized Health Information Act of 2007 (Financial incentives for personal health records); S 1490, Federal Employees Electronic Personal Health Records Act of 2007 (health information technology); S 1544, Medicare Quality Enhancement Act of 2007 (CMS data release); S 1693, Wired for Health Care Quality Act (Health information technology); HR 1368, Personalized Health Information Act of 2007; HR 5422, TRUST in Health Information Act of 2008; S 1693, Wired for Health Care Quality Act; S 1814, Health Information Privacy and Security Act; HR 6357, ProTecht Act of 2008; HR 6898, Health Information Technology Act of 2008; HR 6582, Small Business Choice Act of 2008; S 2795, SHOP Act; HR 6210, SHOP Act; S 2818, Small Busienss Health Plans Act of 2008.

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

HCR (LEGISLATIVE ISSUES): H.R. 506: Health Partnership Through Creative Federalism Act (Baldwin) (continued) H.R. 1368: Personalized Health Information Act (Kennedy); H.R. 2184: Enhanced Health Care Value for All Act (provisions relating to comparative effectiveness research) (Allen); H.R. 2497: Fair and Reliable Medical Justice Act (Cooper); H.R. 2580: Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey); H.R. 2406: Healthcare Information Technology Enterprise Integration Act (Gordon); H.R. 3014: Health Equity and Accountability Act (provisions relating to health care disparaties) (Solis); H.R. 3341: Quality Health Care Coalition Act (provisions relating to collective bargaining) (Paul); H.R.3796: Early Warning and Health Care for Workers Affected by Globalization Act (Miller); H.R. 5348: American Health Benefits Program Act (Langevin-Shays); H.R. 6331 (provisions relating to Medicare Advantage, Medicare part D, Medigap, Medicaid, health care disparities, and electronic prescribing); H.R. 6357: Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act (Dingell-Barton); S. 243: Medical Care Access Protection Act (Ensign); S. 244: Healthy Mothers and Healthy Babies Access to Care Act (Gregg); S. 325: Health Partnership Act (Bingaman); S. 334: Healthy Americans Act (Wyden); S. 1198: Catastrophic Health Coverage Promotion Act (Smith); S. 1456: Federal Employees Electronic Personal Health Records Act (Carper); S. 1481: Fair and Reliable Medical Justice Act (Baucus); S. 1490: Federal Employees Electronic Personal Health Records Act (Carper); S. 1693: Wired for Health Care Quality Act (Kennedy); S. 2041: False Claims Act Amendments (Grassley); Labor-HHS-Education Appropriations Act for fiscal year 2009 (provisions relating to high risk pool funding and comparative effectiveness research funding) (draft bills by Harkin and Obey); S.Con.Res. 70: Budget Resolution for FY 2009 (provisions relating to Medicare Advantage funding, Medicaid/SCHIP funding) (Conrad); H.Con.Res. 312: Budget Resolution for FY 2009 (provisions relating to Medicare Advantage funding, Medicaid/SCHIP funding) (Spratt). HCR (Regulatory Issues): HIPAA administrative simplification issues, including privacy, security, electronic transactions, code sets, and identifiers; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, similarly sized subscriber group (SSSG) requirement, and Medicare secondary payer reporting requirements; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting, and issues relating to service provider disclosure.

Long-term care - Proposed legislation re this issue. Healthcare issues - HR 2184, Enhanced Health Care Value for All Act of 2007; HR 1368, Personalized Health Information Act of 2007; S 1490, Federal Employees Electronic Personal Health Records Act of 2007; S 1481, Fair and Reliable Medical Justice Act; HR 2497, Fair and Reliable Medical Justice Act; S 334, Healthy Americans Act; S 1198, Catastrophic Health Coverage Promotion Act; S 1693, Wired for Health Care Quality Act; HR 2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007; S 325, Health Partnership Act; HR 506, Health Partnership Through Creative Federalism Act; S 243, MCAP Act; S 244, Healthy Mothers and Healthy Babies Access to Care Act; HR 3341, Quality Health Care Coalition Act of 2007; HR 2406, Healthcare Information Technology Enterprise Integration Act; HR 3796, Early Warning and Health Care for Workers Affected by Globalization Act; S 1456, Federal Employees Electronic Personal Health Records Act of 2007; HR 5348, American Health Benefits Program Act of 2008; HR 6357, PRO(TECH)T Act of 2008; HR 3014, Health Equity and Accountability Act of 2007; SConRes 70, Setting forth the congressional budget for the United States Government for fiscal year 2009; HConRes 312, CONCURRENT RESOLUTION ON THE BUDGET FOR FISCAL YEAR 2009; S 2041, False Claims Act Correction Act of 2007; proposed legislation re these issues.

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

S 1893, Children's Health Insurance Program Reauthorization Act of 2007 (Expansion/extension of SCHIP ); S558/HR 1424, Mental Health Parity Act of 2007 (Secure equal treatment for mental health benefits); HR 1038/S 623, Access to Life-Saving Medicine Act (Biogenerics-approving generic Bio pharmaceuticals); S 316, Preserve Access to Affordable Generics Act (Regulate Generic/Brand patent settlements); S 1501/S 1695, Affordable Biologics for Consumers Act (Generic Bio-pharmaceuticals); S 334, Healthy Americans Act (Universal health coverage replaces employer coverage); S 1368 Personalized Health Information Act of 2007 (Health information technology);S 1899, Universal Health Coverage Act of 2007 (Mandatory health insurance coverage); S 242/HR 380, Pharmaceutical Market Access and Drug Safety Act of 2007 (Drug importation-Canada, et al.); HR 1076/S616, HIPAA Recreational Injury Technical/Correction Act (Mandatory coverage for recretional activity); HR 676, United States National Health Insurance Act (National health insurance); HR 1368, Personalized Health Information Act of 2007 (Financial incentives for personal health records); S 1490, Federal Employees Electronic Personal Health Records Act of 2007 (health information technology); S 1544, Medicare Quality Enhancement Act of 2007 (CMS data release); S 1693, Wired for Health Care Quality Act (Health information technology); HR 1368, Personalized Health Information Act of 2007; HR 5422, TRUST in Health Information Act of 2008; S 1693, Wired for Health Care Quality Act; S 1814, Health Information Privacy and Security Act

Client expense: $488,276 · Firm income: Not reported

HR 1038 Access to Life Saving Medicine Act HR 1076 HIPAA Recreational Injury Technical Correction Act; HR 5442, TRUST in Health Information Act of 2008 HR 676 US National Health Insurance Act S 1490 Federal Employees Electronic Personal Health Records Act of 2007 S 1501 Affordable Biologics for Consumers Act S 1544 Medicare Quality Enhancement Act of 2007 S 1814, Health Information Privacy and Security Act S 1899 Universal Health Coverage Act of 2007 S 242 Pharmaceutical Market Access and Drug Safety Act of 2007 S 316 Preserve Access to Affordable Generics Act S 616 HIPAA Recreational Injury Technical Correction Act S 623 Access to Life Saving Medicine Act Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Uninsured: S1019 "Health Care Choice Act of 2007"; HR3163 "Healthy Americans Act" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007 Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007" TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" Comparative Effectiveness Reseaarch: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Accounts/Medical Savings Accounts; SCHIP, Small Group Market/Small Business Healthcare S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims Printed S. 1783: Ten Steps to Transform Health Care in America Act H.R. 853: Wellness and Prevention Act of 2007 H.R. 2147: Healthy Kids Act of 2007 S. 1364: Healthy Kids Act of 2007 S. 334: Healthy Americans Act H.R. 5348: American Health Benefits Program Act of 2008 (AHBP Act) H.R. 1328: The Indian Health Care Improvement Act H.R. 5544: The Patients and Public Health Partnership Act of 2008 H.R. 5545: Ensuring the Future Physician Workforce Act of 2008 S. 2729: Ensuring the Future Physician Workforce Act of 2008 S. 2708: Caring for an Aging America Act of 2008 H.R. 5496: Public Health Preparedness Workforce Development Act of 2008 H.R. 2991: Independent Health Record Trust Act H.R. 5442: TRUST in Health Information Act S. 2672: A bill to provide incentives to physicians to practice in rural and medically underserved communities H.R. 5174: Nursing and Allied Health Education Preservation Act of 2008 HR 380 Pharmaceutical Market Access and Drug Safety Act of 2007 HR 493 Genetic Information Nondiscrimination Act of 2007 HR 1368 Personalized Health Information Act of 2007 HR 1432 Preserve Access to Affordable Generics Act HR 1666 Health Care Price Transparency Promotion Act of 2007 HR 1902 Protecting Consumer Access to Generic Drugs Act of HR 1956 Patient Protection and Innovative Biologic Medicines Act of 2007 HR 3800 Promoting Health Information Technology Act H.R. 5629 Pathway for Biosimilars Act S 28 Generics First Act of 2007 S 251 Pharmaceutical Market Access Act of 2007 S 273 Prescription Drug and Health Improvement Act of 2007 S 316 Preserve Access to Affordable Generics Act S 358 Genetic Information Nondiscrimination Act of 2007 S 596 Safe Internet Pharmacy Act of 2007 S 628 Critical Access to Health Information Technology Act of 2007 S 976 Genomics and Personalized Medicine Act of 2007 S 1408 Health Information Technology Act of 2007 S 1455 National Health Information Technology and Privacy Advancement Act of 2007 S 1505 Affordable Biologics for Consumers Act S 1693 Wired for Health Care Quality Act S 1695 Biologics Price Competition and Innovation Act of 2007 S. 1814 Health Information Privacy and Security Act S 2408 Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 Health Information Technology Electronic Prescribing Genetic Nondiscrimination Inappropriate use of Human Growth Hormone Confidentiality of Health Information Generic Drugs Generic Biologics S. 1456 Federal Employees Electronic Personal Health Records Act S. 1693 Wired for Health Care Quality Act S 1338/HR 1293 Access to Medicare Imaging Act of 2007 S. 1042/HR 583 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 HR 2708 Mammogram and MRI Availability Act of 2007

HCR (LEGISLATIVE ISSUES): H.R. 506: Health Partnership Through Creative Federalism Act (Baldwin) (continued) H.R. 1368: Personalized Health Information Act (Kennedy); H.R. 2184: Enhanced Health Care Value for All Act (Allen); H.R. 2497: Fair and Reliable Medical Justice Act (Cooper); H.R. 2580: Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey); H.R. 2406: Healthcare Information Technology Enterprise Integration Act (Gordon); H.R. 3341: Quality Health Care Coalition Act (Paul); H.R.3796: Early Warning and Health Care for Workers Affected by Globalization Act (Miller); S. 243: Medical Care Access Protection Act (Ensign); S. 244: Healthy Mothers and Healthy Babies Access to Care Act (Gregg); S. 325: Health Partnership Act (Bingaman); S. 334: Healthy Americans Act (Wyden); S. 1198: Catastrophic Health Coverage Promotion Act (Smith); S. 1456: Federal Employees Electronic Personal Health Records Act (Carper); S. 1481: Fair and Reliable Medical Justice Act (Baucus); S. 1490: Federal Employees Electronic Personal Health Records Act (Carper); S. 1693: Wired for Health Care Quality Act (Kennedy) HCR (Regulatory Issues): HIPAA administrative simplification issues, including privacy, security, electronic transactions, code sets, and identifiers; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirements; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; and issues relating to hospital outpatient measurement and reporting.

HR 1038 Access to Life Saving Medicine Act HR 1076 HIPAA Recreational Injury Technical Correction Act HR 1368, Personalized Health Information Act of 2007 HR 1424 Mental Health Parity Act of 2007 HR 380 Pharmaceutical Market Access and Drug Safety Act of 2007 HR 5442, TRUST in Health Information Act of 2008 HR 676 US National Health Insurance Act S 1490 Federal Employees Electronic Personal Health Records Act of 2007 S 1501 Affordable Biologics for Consumers Act S 1544 Medicare Quality Enhancement Act of 2007 S 1693, Wired for Health Care Quality Act S 1695 Affordable Biologics for Consumers Act S 1814, Health Information Privacy and Security Act S 1899 Universal Health Coverage Act of 2007 S 242 Pharmaceutical Market Access and Drug Safety Act of 2007 S 316 Preserve Access to Affordable Generics Act S 334 Healthy Americans Ace S 558 Mental Health Parity Act of 2007 S 616 HIPAA Recreational Injury Technical Correction Act S 623 Access to Life Saving Medicine Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Healthcare issues - HR 2184, Enhanced Health Care Value for All Act of 2007; HR 1368, Personalized Health Information Act of 2007; S 1490, Federal Employees Electronic Personal Health Records Act of 2007; S 1481, Fair and Reliable Medical Justice Act; HR 2497, Fair and Reliable Medical Justice Act; S 334, Healthy Americans Act; S 1198, Catastrophic Health Coverage Promotion Act; S 1693, Wired for Health Care Quality Act; HR 2580, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2007; S 325, Health Partnership Act; HR 506, Health Partnership Through Creative Federalism Act; S 243, MCAP Act; S 244, Healthy Mothers and Healthy Babies Access to Care Act; HR 3341, Quality Health Care Coalition Act of 2007; HR 2406, Healthcare Information Technology Enterprise Integration Act; HR 3796, Early Warning and Health Care for Workers Affected by Globalization Act; S 1456, Federal Employees Electronic Personal Health Records Act of 2007; HR 5348, American Health Benefits Program Health Benefits Act.

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

S 1893, Children's Health Insurance Program Reauthorization Act of 2007 (Expansion/extension of SCHIP ); S558/HR 1424, Mental Health Parity Act of 2007 (Secure equal treatment for mental health benefits); HR 1038/S 623, Access to Life-Saving Medicine Act (Biogenerics-approving generic Bio pharmaceuticals); S 316, Preserve Access to Affordable Generics Act (Regulate Generic/Brand patent settlements); S 1501/S 1695, Affordable Biologics for Consumers Act (Generic Bio-pharmaceuticals); S 334, Healthy Americans Act (Universal health coverage replaces employer coverage); S 1368 Personalized Health Information Act of 2007 (Health information technology);S 1899, Universal Health Coverage Act of 2007 (Mandatory health insurance coverage); S 242/HR 380, Pharmaceutical Market Access and Drug Safety Act of 2007 (Drug importation-Canada, et al.); HR 1076/S616, HIPAA Recreational Injury Technical/Correction Act (Mandatory coverage for recretional activity); HR 676, United States National Health Insurance Act (National health insurance); HR 1368, Personalized Health Information Act of 2007 (Financial incentives for personal health records); S 1490, Federal Employees Electronic Personal Health Records Act of 2007 (health information technology); S 1544, Medicare Quality Enhancement Act of 2007 (CMS data release); S 1693, Wired for Health Care Quality Act (Health information technology); HR 1368, Personalized Health Information Act of 2007; HR 5422, TRUST in Health Information Act of 2008; S 1693, Wired for Health Care Quality Act; S 1814, Health Information Privacy and Security Act

Client expense: $575,459 · Firm income: Not reported

HCR (LEGISLATIVE ISSUES): H.R. 506: Health Partnership Through Creative Federalism Act (Baldwin) (continued) H.R. 1368: Personalized Health Information Act (Kennedy); H.R. 2184: Enhanced Health Care Value for All Act (Allen); H.R. 2497: Fair and Reliable Medical Justice Act (Cooper); H.R. 2580: Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey); S. 243: Medical Care Access Protection Act (Ensign); S. 244: Healthy Mothers and Healthy Babies Access to Care Act (Gregg); S. 325: Health Partnership Act (Bingaman); S. 334: Healthy Americans Act (Wyden); S. 1198: Catastrophic Health Coverage Promotion Act (Smith); S. 1481: Fair and Reliable Medical Justice Act (Baucus); S. 1490: Federal Employees Electronic Personal Health Records Act (Carper); S. 1693: Wired for Health Care Quality Act (Kennedy); S. 1710: Labor-HHS-Education Appropriations Act (Harkin) HCR (Regulatory Issues): HIPAA administrative simplification issues, including privacy, security, and electronic transactions and code sets; FEHBP enrollment data clearinghouse initiative; FEHBP community rating policies, including similarly sized subscriber group (SSSG) requirements; implementation of the health savings account provisions of the Medicare Act; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; and issues relating to hospital outpatient measurement and reporting.

Client expense: $3,420,000 · Firm income: Not reported

* HR 3162, Children's Health and Medicare Protection Act of 2007; HR 976, Small Business Tax Relief Act of 2007; HR 562, Medicare Long-Term Care Hospital Improvement Act of 2007; S 338 Medicare Long-Term Care Hospital Improvement Act of 2007; S 1842, Safe Nursing and Patient Care Act of 2007; HR 2122, Safe Nursing and Patient Care Act of 2007; S 543, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007; S 2319, National Trauma Center Stabilization Act of 2007; HR 1459, To improve Medicare beneficiary access by extending the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility; S 1490, Federal Employees Electronic Personal Health Records Act of 2007; HR 1591, U.S. Troop Readiness, Veterans' Health, and Iraq Accountability Act, 2007; HR 2050, Medicaid Emergency Psychiatric Care Act of 2007; HR 3963, Children's Health Insurance Program Reauthorization Act of 2007; S 2499, Medicare, Medicaid, and SCHIP Extension Act of 2007; HR 2764, Department of State, Foreign Operations Appropriations for Fiscal Year 2008; HR 4355, To impose a moratorium on certain Medicaid payment restrictions; S 2460, To impose a moratorium on certain Medicaid payment restrictions. HR 1459, To improve Medicare beneficiary access by extending the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility; S 1490, Federal Employees Electronic Personal Health Records Act of 2007; HR 1591, U.S. Troop Readiness, Veterans' Health, and Iraq Accountability Act, 2007; HR 2050, Medicaid Emergency Psychiatric Care Act of 2007; HR 3963, Children's Health Insurance Program Reauthorization Act of 2007; S 2499, Medicare, Medicaid, and SCHIP Extension Act of 2007; HR 2764, Department of State, Foreign Operations Appropriations for Fiscal Year 2008; HR 4355, To impose a moratorium on certain Medicaid payment restrictions; S 2460, To impose a moratorium on certain Medicaid payment restrictions.

H.R. 2184 Enhanced Health Care Value for All Act H.R.1368 Personalized Health Information Act S. 1490 Federal Employees Electronic Personal Health Records Act S. 334 Healthy Americans Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Care and managed care. Patients' Bill of Rights; AHPs; Generic Drugs; Confidentiality; Health Mandates; Patient Safety; Drug Importation; Biogenerics; TRICARE; S.1893, S.558, HR 1424, HR 241, HR 1082, HR 1038/S.623, S.316, HR 3580, S.1695, S.334, HR 1368, S.459/HR 758, S.242,/HR380, HR 1076/S.616, S.400, HR 506/S.325, S.334, HR 676, HR 1368, S.1490, S.1544, S.1693, S.1814, HR 3963

Client expense: $872,033 · Firm income: Not reported

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

S 1490, Federal Employees Electronic Personal Health Record Act of 2007 S 1693, Wired for Health Care Quality Act HR 493, Genetic Information Nondiscriminationi Acato of 2007 HR 1467, 10,000 Trained by 2010 Act HR 2406, NIST/HIT Bill S 35, Genetic Information Nondiscrimination Act of 2007 S 628, Critical Access to Health Information Technology Act of 2007 S 1408, Health Information Technology Act of 2007 S 1456 Federal Employees Electronic Personal Health Records Act of 2007

Client expense: $43,000 · Firm income: Not reported

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

* H.R. 3162, Children's Health and Medicare Protection Act of 2007; H.R. 976, Small Business Tax Relief Act of 2007; H.R. 562, Medicare Long-Term Care Hospital Improvement Act of 2007; S. 338, Medicare Long-Term Care Hospital Improvement Act of 2007; S. 1842, Safe Nursing and Patient Care Act of 2007; H.R. 2122, Safe Nursing and Patient Care Act of 2007; H.R. 1459, To improve Medicare beneficiary access by extending the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility; S. 543, Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2007; S. 1490, Federal Employees Electronic Personal Health Records Act of 2007; H.R. 1591, U.S. Troop Readiness, Veterans' Health, and Iraq Accountability Act, 2007; H.R. 2050, Medicaid Emergency Psychiatric Care Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1082: FDA Revitalization Act S. 623: Access to Life-Saving Medicine Act H.R. 1038: Access to Life-Saving Medicine Act H.R. 1368: Personalized Health Information Act S. 1695: Biologics Price Competition and Innovation Act S. 1693: Wired for Health Care Quality Act H.R. 2900: FDA Amendments Act S. 334 Healthy Americans Act H.R. 1535 Children’s Health First Act S. 895 Children’s Health First Act S. 628 Critical Access to Health Information Technology Act of 2007 S. 1408 Health Information Technology Act of 2007 S. 1577 Patient Safety and Abuse Prevention Act of 2007 H.R. 2723 Children’s Health Care Quality Act S. 1226 Children’s Health Care Quality Act S. 1364 Healthy Kids Act of 2007 H.R. 1368 Personalized Health Information Act of 2007 S. 1714 Small Business Children’s Health Education Act of 2007 H.R. 2132 Small Business Health Plans Act of 2007 S. 158 Access to Affordable Health Care Act H.R. 2147 Health Kids Act of 2007 S. 401 Keep Children Covered Act of 2007 S. 1753 Health Workforce Act of 2007 S. 1455 National Health Information Technology and Privacy Advancement Act of 2007 HR 788 Food and Drug Administration Safety Act of 2007 HR 1432 Preserve Access to Affordable Generics Act HR 1666 Health Care Price Transparency Promotion Act of 2007 HR 1902 Protecting Consumer Access to Generic Drugs Act of HR 1952 National Health Information Incentive Act of 2007 HR 1956 Patient Protection and Innovative Biologic Medicines Act of 2007 HR 2273 Food and Drug Administration Improvement Act of 2007 HR 2592 Safe and Effective Drug Development Act of 2007 HR 2626 Comprehensive HealthCARE Act of 2007 S 28 Generics First Act of 2007 S 158 Access to Affordable Health Care Act S 242 Pharmaceutical Market Access and Drug Safety Act of 2007 S 251 Pharmaceutical Market Access Act of 2007 S 273 Prescription Drug and Health Improvement Act of 2007 S 316 Preserve Access to Affordable Generics Act S 468 Food and Drug Administration Safety Act of 2007 S 976 Genomics and Personalized Medicine Act of 2007 S 1505 Affordable Biologics for Consumers Act Antitrust and Health Insurance Reform: S 618 “Insurance Industry Competition Act of 2007” Health Information Technology Standards; Electronic Health Records; ICD 10 Implementation; HR1368 “Personalized Health Information Act of 2007” ; S 1693 and S 1783 “Wired for Health Care Quality Act”; Insurance Market Reform; Association Health Plans; Uninsured: S 1019 “Health Care Choice of 2007” Genetic Non-discrimination: HR 493 and S 358 “Genetic Information Nondiscrimination Act of 2007 Mental Health Parity: HR 1424 “Paul Wellstone Mental Health and Addiction Equity Act of 2007” and S 558 “Mental Health Parity Act of 2007” H.R. 2184 Enhanced Health Care Value for All Act S. 1490 Federal Employees Electronic Personal Health Records Act

H.R. 2184-Enhanced Health Care Value for All Act; H.R. 1368-Personalized Health Information Act; S. 1490-Federal Employees Electronic Personal Health Records Act; S. 334-Healthy Americans Act; S. 1693-Wired for Health Care Quality Act

Client expense: $2,320,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of

H.R. 2184 Enhanced Health Care Value for All Act H.R.1368 Personalized Health Information Act H.R. 698 Bill to Amend the Federal Deposit Insurannce Act S. 1356 Bill to Amend the Federal Deposit Insurance Act S. 1490 Federal Employees Electronic Personal Health Records Act S. 334 Healthy Americans Act - Implementation of the Medicare Modernization Act, including Health Savings Accounts - Prescription Drug Discount Card and Transitional Assistance Program - Health Information Technology Procurement Issues - S. 1693 Wired for Health Care Quality Act

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

H.R. 1368: Personalized Health Information Act (Kennedy); H.R. 2184: Enhanced Health Care Value for All Act (Allen); H.R. 2497: Fair and Reliable Medical Justice Act (Cooper); H.R. 2580: Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey); S. 243: Medical Care Access Protection Act (Ensign); S. 244: Healthy Mothers and Healthy Babies Access to Care Act (Gregg); S. 325: Health Partnership Act (Bingaman); S. 334: Healthy Americans Act (Wyden); S. 1198: Catastrophic Health Coverage Promotion Act (Smith); S. 1481: Fair and Reliable Medical Justice Act (Baucus); S. 1490: Federal Employees Electronic Personal Health Records Act (Carper); S. 1693: Wired for Health Care Quality Act (Kennedy); S. 1710: Labor-HHS-Education Appropriations Act (Harkin) HCR (Regulatory Issues): HIPAA administrative simplification issues, including privacy, security, and electronic transactions and code sets; FEHBP enrollment data clearinghouse initiative; FEHBP community rating policies, including similarly sized subscriber group (SSSG) requirements; implementation of the health savings account provisions of the Medicare Act; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; and issues relating to hospital outpatient measurement and reporting. HCR (LEGISLATIVE ISSUES): H.R. 506: Health Partnership Through Creative Federalism Act (Baldwin) (continued)

Client expense: $3,420,000 · Firm income: Not reported

HR 1368, S. 459/HR 758, S. 242/HR 380, HR 1076/S. 616, S. 400, HR 506/S. 325, S. 334, HR 676, HR 1368, S. 1490, S. 1544, S. 1693 Health care and managed care. Patient's Bill of Rights; AHPs; Generic Drugs; Confidentiality; Health Mandates; Patient Safety; Drug Importation, Biogenerics, TRICARE, HR 3162, S. 1893, HR 976, S. 558, HR 1424, HR 241, HR 1082, HR 1038/S. 623, S. 316,

Client expense: $1,219,469 · Firm income: Not reported

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

S. 334 Healthy Americans Act S. 1693 Wired for Health Care Quality Act H.R. 2184 Enhanced Health Care Value for All Act H.R.1368 Personalized Health Information Act S. 1490 Federal Employees Electronic Personal Health Records Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE