Critical Access to Health Information Technology Act of 2007

-H.R. 1424, "Paul Wellstone Mental Health and Addiction Equity Act of 2007," regarding amending section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans; -H.R. 1494 / S. 830, "Pediatric Medical Device Safety and Improvement Act of 2007," regarding improving the process for the development of needed pediatric medical devices; -H.R. 1956, "Patient Protection and Innovative Biologic Medicines Act of 2007," regarding amending the public Health Service Act to provide for the approval of similar biological products; -H.R. 2193, "Animal Protection Accountability Improvement Act," regarding amending the Animal Welfare Act to increase the penalties for violations of such Act to prohibit the use of animals for marketing medical devices; -H.R. 2349/ S. 1413, "Uterine Fibroid Research and Education Act of 2007," regarding providing for research and education with respect to uterine fibroids; -H.R. 3333 / S. 1576, "Minority Health Improvement and Health Disparity Elimination Act," regarding amending the Public Health Services Act to improve the health and healthcare of racial and ethnic minority groups; -H.R. 788 / S. 468, "Food and Drug Administration Safety Act of 2007," regarding amending the Federal Food, Drug, and Cosmetic Act with respect to drug safety; -H.R. 2900, "Food and Drug Administration Amendments Act of 2007," regarding amending the Federal Food, Drug, and Cosmetic Act to revise and extend the use-fee programs for prescription drugs and for medical devices and to enhance the postmarket authorities of the Food and Drug Administration with respect to the safety of drugs; -S. 1082, "Food and Drug Administration Revitalization Act," regarding amending the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act to reauthorize drug and device user fees and ensure the safety of medical products; -S. 1695, "Biologics Price Competition and Innovation Act of 2007," regarding amending the Public Health Service Act to establish a pathway for the licensure of biosilimar products to promote innovation in the life sciences; -S. 467, "Fair Access to Clinical Trials Act of 2007 or the 'FACT Act'," regarding amending the Public Health Services Act to expand clinical trials drug data bank; -S. 558, "Mental Health Parity Act of 2007," regarding all provisions ; -S. 628, "Critical Access to Health Information Technology Act of 2007," regarding improving grants for rural health information technology development activities; -S. 993, "Pediatric Research Improvement Act," regarding improving pediatric research; issues regarding Acetemorphine and Phenelyperine; -H.R. 3580, "Food and Drug Administration Amendments Act of 2007," regarding fees related to prescription drugs, medical devices, and food safety; -H.R. 2419 / S. 2302, "Food and Energy Security Act of 2007," regarding marketing and financial assistance related to farming and food production; -H.R. 5606 / S. 2029, "Physician Payments Sunshine Act of 2007," regarding amending Title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid, or SCHIP; -S. 2221, "Transparency in Medical Device Pricing Act of 2007," regarding amending Title XVIII of the Social Security Act to provide for the reporting of sales price data for implantable devices; -H.R. 3043, "Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008," regarding appropriations for the Department of Health and Human Services; -H.R. 5629, "Pathway for Biosimilar Act," regarding amending the Public Health Service Act to establish a pathway for the licensure of biosimilar biological products; -H.R. 5839, "Safeguarding America's Pharmaceuticals Act of 2008", To Amend the Federal Food, Drug, and Cosmetic Act to improve the safety of drugs, regarding all provisions; -S. 334, "Healthy Americans Act", A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away, regarding all provisions; -H.R. 6381, "Medical Device Safety Act of 2008", To amend the Federal Food, Drug, and Cosmetic Act with respect to liability under State and local requirements respecting devices, regarding all provisions; -S. 438, "Fair Prescription Drug Competition Act", A bill to amend the Federal Food, Drug, and Cosmetic Act to prohibit the marketing of authorized generic drugs, regarding all provisions; -S.2274, "A bill to amend the Controlled Substances Act to prevent the abuse of dextromethorphan", and for other purposes, regarding all provisions. -S.3409 "A bill to amend the Federal Food, Drug, and Cosmetic Act to ensure the safety and quality of medical products and enhance the authorities of the Food and Drug Administration", and for other purposes; regarding all provisions. -S.1378 "A bill to amend the Federal Food, Drug, and Cosmetic Act with respect to the distribution of the drug dextromethorphan", and for other purposes; regarding all provisions. -S. 3408, "Comparative Effectiveness Research Act of 2008", A bill to amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Comparative Effectiveness Research Trust Fund, and for other purposes, regarding all provisions; -S. 1276, "Methamphetamine Production Prevention Act of 2008", A bill to amend the Federal Food, Drug, and Cosmetic Act with respect to liability under State and local requirements respecting devices, regarding all provisions. -Proposed Rule (CMS-1403-P), Regarding revisions to Amendment of the E-Prescribing Exemption for Computer Generated Facsimile Transmissions; -S.2424, "A bill to ensure that all Americans have basic health literacy skills to function effectively as patients and health care consumers", regarding all provisions.

Client expense: $1,440,000 · Firm income: Not reported

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

HR 1467 - 10,000 Trained by 2010 Act - in it's entirety, especially the workforce provisions HR 2406 - Healthcare Information Technology Enterprise Integration Act - health IT aspects with emphasis on terminology & classification HR 4105 - the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 - Interested in the entire bill HR 3800 - the Promoting Health Information Technology Act - Interest in the entire legislation and its focus on health information technology S 1814 - Health Information Privacy and Security Act - Interest in the entire legislation and its focus on health information technology and privacy S 1693 - WIRED for Health Care Quality Act - Interest in the entire legislation and its focus on health information technology HR 5442 - the TRUST Health Information Act of 2008 - Interest in the entire legislation and its focus on health information technology and privacy S 628 - The Critical Access to Health Information Technology Act - Interested in the legislation's provisions on ICD-10, HIPAA and standards S 605 - Allied Health Reinvestment Act - interested in the legilation's focus on growing the allied health workforce with includes health information management professionals HR 6357 - the The PROTECHT Act - Interest in the entire legislation and its focus on health information technology and privacy HR 6345 - the Patient-Controlled Health IT Act - interested in the legislation's provisions on health informaiton technology, personal health records and incentives HR 6179 - Interested in the legilation's provisions on health information technology and ICS-10. HR 2991 - the Independent Health Record Trust Act - Interested in the legislation's provisions on health record trusts (banks), personal health records and health information technology HR 2043 - the Medicaid Access Project through Health IT Act - interested in the bill's incentive programs for health IT through Medicaid HR 1952 - the National Health Information Infrastructure Incentive Act - Interested in the bill's HIT provisions and incentive provisions HR 1368 - the Personalized Health Information Act - Interested in the bill's entirety HR 6898 - the Health-e Information Technology Act of 2008 - Interested in the bill's entirety

Client expense: Not reported · Firm income: Not reported

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

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)

H.R. 3800, Promoting Health Information Technology Act S. 1456, Federal Employees Electronic Personal Health Records Act of 2007 S. 631, Remote Monitoring Access Act of 2007 S. 2408, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 H.R. 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 628, Critical Access to Health Information Technology Act of 2007 S. 1814, Health Information Privacy and Security Act S. 1915, Electronic Prescription Drug Act of 2007 S. 2029, Physician Payments Sunshine Act of 2007 H.R. 2991, Independent Health Record Trust Act of 2007 S. 1695, Biologics Price Competition and Innovation Act of 2007 S. 1693, Wired for Health Care Quality Act H.R. 1368, Personalized Health Care Quality Act S. 1783, Ten Steps to Transform Health Care in America Act S. 321, Fostering Independence Through Technology Act of 2007 H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication Through Healthcare Technology Act H.R. 6179, Promoting Health Information Technology Act H.R. 6898, Health-e Information Technology Act of 2008 S. 1456, The Federal Employees Electronic Personal Health Records Act of 2007

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

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

HR 1467 - 10,000 Trained by 2010 Act - in it's entirety, especially the workforce provisions HR 2406 - Healthcare Information Technology Enterprise Integration Act - health IT aspects with emphasis on terminology & classification HR 4105 - the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 - Interested in the entire bill HR 3800 - the Promoting Health Information Technology Act - Interest in the entire legislation and its focus on health information technology S 1814 - Health Information Privacy and Security Act - Interest in the entire legislation and its focus on health information technology and privacy S 1693 - WIRED for Health Care Quality Act - Interest in the entire legislation and its focus on health information technology HR 5442 - the TRUST Health Information Act of 2008 - Interest in the entire legislation and its focus on health information technology and privacy S 628 - The Critical Access to Health Information Technology Act - Interested in the legislation's provisions on ICD-10, HIPAA and standards S 605 - Allied Health Reinvestment Act - interested in the legilation's focus on growing the allied health workforce with includes health information management professionals HR 6357 - the The PROTECHT Act - Interest in the entire legislation and its focus on health information technology and privacy HR 6345 - the Patient-Controlled Health IT Act - interested in the legislation's provisions on health informaiton technology, personal health records and incentives HR 6179 - Interested in the legilation's provisions on health information technology and ICS-10. HR 2991 - the Independent Health Record Trust Act - Interested in the legislation's provisions on health record trusts (banks), personal health records and health information technology HR 2043 - the Medicaid Access Project through Health IT Act - interested in the bill's incentive programs for health IT through Medicaid HR 1952 - the National Health Information Infrastructure Incentive Act - Interested in the bill's HIT provisions and incentive provisions HR 1368 - the Personalized Health Information Act - Interested in the bill's entirety HR 6898 - the Health-e Information Technology Act of 2008 - Interested in the bill's entirety

Client expense: Not reported · Firm income: Not reported

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

H.R. 3800, Promoting Health Information Technology Act S. 1456, Federal Employees Electronic Personal Health Records Act of 2007 S. 631, Remote Monitoring Access Act of 2007 S. 2408, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 H.R. 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 628, Critical Access to Health Information Technology Act of 2007 S. 1814, Health Information Privacy and Security Act S. 1915, Electronic Prescription Drug Act of 2007 S. 2029, Physician Payments Sunshine Act of 2007 H.R. 2991, Independent Health Record Trust Act of 2007 S. 1695, Biologics Price Competition and Innovation Act of 2007 S. 1693, Wired for Health Care Quality Act H.R. 1368, Personalized Health Care Quality Act S. 1783, Ten Steps to Transform Health Care in America Act S. 321, Fostering Independence Through Technology Act of 2007 H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication Through Healthcare Technology Act H.R. 6179, Promoting Health Information Technology Act H.R. 6898, Health-e Information Technology Act of 2008 S. 1456, The Federal Employees Electronic Personal Health Records Act of 2007

Client expense: $205,000 · Firm income: Not reported

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

-H.R.1165, "Swift Approval, Full Evaluation Drug Act or the 'SAFE Drug Act," regarding amending the Federal Food, Drug, and Cosmetic Act to establish additional authorities to ensure the safe and effective use of drugs and to establish whistleblower protections for certain individuals; -H.R. 1424, "Paul Wellstone Mental Health and Addiction Equity Act of 2007," regarding amending section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans; -H.R. 1494 / S. 830, "Pediatric Medical Device Safety and Improvement Act of 2007," regarding improving the process for the development of needed pediatric medical devices; -H.R. 1956, "Patient Protection and Innovative Biologic Medicines Act of 2007," regarding amending the public Health Service Act to provide for the approval of similar biological products; -H.R. 2193, "Animal Protection Accountability Improvement Act," regarding amending the Animal Welfare Act to increase the penalties for violations of such Act to prohibit the use of animals for marketing medical devices; -H.R. 2349/ S. 1413, "Uterine Fibroid Research and Education Act of 2007," regarding providing for research and education with respect to uterine fibroids; -H.R. 3333 / S. 1576, "Minority Health Improvement and Health Disparity Elimination Act," regarding amending the Public Health Services Act to improve the health and healthcare of racial and ethnic minority groups; -H.R. 788 / S. 468, "Food and Drug Administration Safety Act of 2007," regarding amending the Federal Food, Drug, and Cosmetic Act with respect to drug safety; -H.R. 2900, "Food and Drug Administration Amendments Act of 2007," regarding amending the Federal Food, Drug, and Cosmetic Act to revise and extend the use-fee programs for prescription drugs and for medical devices and to enhance the postmarket authorities of the Food and Drug Administration with respect to the safety of drugs; -S. 1082, "Food and Drug Administration Revitalization Act," regarding amending the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act to reauthorize drug and device user fees and ensure the safety of medical products; -S. 1695, "Biologics Price Competition and Innovation Act of 2007," regarding amending the Public Health Service Act to establish a pathway for the licensure of biosilimar products to promote innovation in the life sciences; -S. 467, "Fair Access to Clinical Trials Act of 2007 or the 'FACT Act'," regarding amending the Public Health Services Act to expand clinical trials drug data bank; -S. 558, "Mental Health Parity Act of 2007," regarding all provisions ; -S. 628, "Critical Access to Health Information Technology Act of 2007," regarding improving grants for rural health information technology development activities; -S. 993, "Pediatric Research Improvement Act," regarding improving pediatric research; issues regarding Acetemorphine and Phenelyperine; -H.R. 3580, "Food and Drug Administration Amendments Act of 2007," regarding fees related to prescription drugs, medical devices, and food safety; -H.R. 2419 / S. 2302, "Food and Energy Security Act of 2007," regarding marketing and financial assistance related to farming and food production; -H.R. 5606 / S. 2029, "Physician Payments Sunshine Act of 2007," regarding amending Title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid, or SCHIP; -S. 2221, "Transparency in Medical Device Pricing Act of 2007," regarding amending Title XVIII of the Social Security Act to provide for the reporting of sales price data for implantable devices; -H.R. 3043, "Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008," regarding appropriations for the Department of Health and Human Services; -H.R. 5629, "Pathway for Biosimilar Act," regarding amending the Public Health Service Act to establish a pathway for the licensure of biosimilar biological products; -H.R. 5839, "Safeguarding America's Pharmaceuticals Act of 2008", To Amend the Federal Food, Drug, and Cosmetic Act to improve the safety of drugs, regarding all provisions; -S. 334, "Healthy Americans Act", A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away, regarding all provisions; -H.R. 6381, "Medical Device Safety Act of 2008", To amend the Federal Food, Drug, and Cosmetic Act with respect to liability under State and local requirements respecting devices, regarding all provisions; -S. 438, "Fair Prescription Drug Competition Act", A bill to amend the Federal Food, Drug, and Cosmetic Act to prohibit the marketing of authorized generic drugs, regarding all provisions; -S. 3408, "Comparative Effectiveness Research Act of 2008", A bill to amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Comparative Effectiveness Research Trust Fund, and for other purposes, regarding all provisions; -S. 1276, "Methamphetamine Production Prevention Act of 2008", A bill to amend the Federal Food, Drug, and Cosmetic Act with respect to liability under State and local requirements respecting devices, regarding all provisions. -Proposed Rule (CMS-1403-P), Regarding revisions to Amendment of the E-Prescribing Exemption for Computer Generated Facsimile Transmissions;

Client expense: $1,500,000 · Firm income: Not reported

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

S. 2029 - The Physician Payments Sunshine Act of 2007 H.R. 3023 - The Drug and Medical Device Company Gift Disclosure Act of 2007 S. 2313 / H.R. 3697 - The Strategies to Address Antimicrobial Resistance Act of 2007 S. 628 - The Critical Access to Health Information Technology Act of 2007 S. 2351 / H.R. 4200 - A bill to amend the Internal Revenue Code of 1986 to provide a tax credit for medical research related to developing qualified infectious disease products. H.R. 3610 - Food and Drug Import Safety Act of 2007 H.R. 5839 - Safeguarding America's Pharmaceuticals Act of 2008 E-Records Patient Safety Erisa Preservation CE bill (Baucus and Allen) - S. 3408 - Comparative Effectiveness Research Act; H.R. 2184 - Enhanced Health Care Value For All Act. Wydan bill - S. 334 and H.R. 3163 - Healthy Americans Act; and new chron care bill, S. 3613 - Independence At Home Act. Ryan Tax/Health bill - H.R. 6110 - Roadmap For America's Future Act.

Client expense: $220,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Highway Administration (FHA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

H.R. 3800, Promoting Health Information Technology Act S. 1456, Federal Employees Electronic Personal Health Records Act of 2007 S. 631, Remote Monitoring Access Act of 2007 S. 2408, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 H.R. 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 628, Critical Access to Health Information Technology Act of 2007 S. 1814, Health Information Privacy and Security Act S. 1915, Electronic Prescription Drug Act of 2007 S. 2029, Physician Payments Sunshine Act of 2007 H.R. 2991, Independent Health Record Trust Act of 2007 S. 1695, Biologics Price Competition and Innovation Act of 2007 S. 1693, Wired for Health Care Quality Act H.R. 1368, Personalized Health Care Quality Act S. 1783, Ten Steps to Transform Health Care in America Act S. 321, Fostering Independence Through Technology Act of 2007 H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication Through Healthcare Technology Act H.R. 6179, Promoting Health Information Technology Act H.R. 6898, Health-e Information Technology Act of 2008 S. 1456, The Federal Employees Electronic Personal Health Records Act of 2007

Client expense: Not reported · Firm income: $30,000

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

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

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

HR 1467 - 10,000 Trained by 2010 Act - in it's entirety, especially the workforce provisions HR 2406 - Healthcare Information Technology Enterprise Integration Act - health IT aspects with emphasis on terminology & classification HR 4105 - the Medicare Recovery Audit Contractor Program Moratorium Act of 2007 - Interested in the entire bill HR 3800 - the Promoting Health Information Technology Act - Interest in the entire legislation and its focus on health information technology S 1814 - Health Information Privacy and Security Act - Interest in the entire legislation and its focus on health information technology and privacy S 1693 - WIRED for Health Care Quality Act - Interest in the entire legislation and its focus on health information technology HR 493/S 358 - Genetic Information Nondiscrimination Act of 2007 - Interest in the entire legislation and its focus on privacy, nondiscrimination and health information HR 5442 - the TRUST Health Information Act of 2008 - Interest in the entire legislation and its focus on health information technology and privacy S 628 - The Critical Access to Health Information Technology Act - Interested in the legislation's provisions on ICD-10, HIPAA and standards S 695 - Allied Health Reinvestment Act - interested in the legilation's focus on growing the allied health workforce with includes health information management professionals HR 6357 - the The PROTECHT Act - Interest in the entire legislation and its focus on health information technology and privacy HR 6345 - the Patient-Controlled Health IT Act - interested in the legislation's provisions on health informaiton technology, personal health records and incentives HR 6179 - Interested in the legilation's provisions on health information technology and ICS-10. HR 2991 - the Independent Health Record Trust Act - Interested in the legislation's provisions on health record trusts (banks), personal health records and health information technology HR 2043 - the Medicaid Access Project through Health IT Act - interested in the bill's incentive programs for health IT through Medicaid HR 1952 - the National Health Information Infrastructure Incentive Act - Interested in the bill's HIT provisions and incentive provisions HR 1368 - the Personalized Health Information Act - Interested in the bill's entirety

Client expense: $30,000 · Firm income: Not reported

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

S. 2029 - The Physician Payments Sunshine Act of 2007. H.R. 3023 - The Drug and Medical Device Company Gift Disclosure Act of 2007. S. 2313 / H.R. 3697 - The Strategies to Address Antimicrobial Resistance Act of 2007. S. 628 - The Critical Access to Health Information Technology Act of 2007. S. 2351 / H.R. 4200 - A bill to amend the Internal Revenue Code of 1986 to provide a tax credit for medical research related to developing qualified infectious disease products Food and Drug Import Safety Act of 2007 - H.R. 3610 Safeguarding America's Pharmaceuticals Act of 2008 - H.R. 5839 E-Records Patient Safety Erisa Preservation

Client expense: $330,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Highway Administration (FHA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), 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.

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

H.R. 3800, Promoting Health Information Technology Act S. 1456, Federal Employees Electronic Personal Health Records Act of 2007 S. 631, Remote Monitoring Access Act of 2007 S. 2408, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 H.R. 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 628, Critical Access to Health Information Technology Act of 2007 S. 1814, Health Information Privacy and Security Act S. 1915, Electronic Prescription Drug Act of 2007 S. 2029, Physician Payments Sunshine Act of 2007 H.R. 2991, Independent Health Record Trust Act of 2007 S. 1695, Biologics Price Competition and Innovation Act of 2007 S. 1693, Wired for Health Care Quality Act H.R. 1368, Personalized Health Care Quality Act S. 1783, Ten Steps to Transform Health Care in America Act S. 321, Fostering Independence Through Technology Act of 2007 H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication Through Healthcare Technology Act H.R. 6179, Promoting Health Information Technology Act

Client expense: $205,000 · Firm income: Not reported

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

H.R. 3800, Promoting Health Information Technology Act S. 1456, Federal Employees Electronic Personal Health Records Act of 2007 S. 631, Remote Monitoring Access Act of 2007 S. 2408, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 H.R. 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 628, Critical Access to Health Information Technology Act of 2007 S. 1814, Health Information Privacy and Security Act S. 1915, Electronic Prescription Drug Act of 2007 S. 2029, Physician Payments Sunshine Act of 2007 H.R. 2991, Independent Health Record Trust Act of 2007 S. 1695, Biologics Price Competition and Innovation Act of 2007 S. 1693, Wired for Health Care Quality Act H.R. 1368, Personalized Health Care Quality Act S. 1783, Ten Steps to Transform Health Care in America Act S. 321, Fostering Independence Through Technology Act of 2007 H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication Through Healthcare Technology Act H.R. 6179, Promoting Health Information Technology Act

Client expense: Not reported · Firm income: $30,000

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

H.R.1165, "Swift Approval, Full Evaluation Drug Act or the 'SAFE Drug Act," regarding amending the Federal Food, Drug, and Cosmetic Act to establish additional authorities to ensure the safe and effective use of drugs and to establish whistleblower protections for certain individuals; H.R. 1424, "Paul Wellstone Mental Health and Addiction Equity Act of 2007," regarding amending section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision o mental health and substance-related disorder benefits under group health plans; H.R. 1494 / S. 830, "Pediactric Medical Device Safety and Improvement Act of 2007," regarding improving the process for the development of needed pediactric medical devices; H.R. 1956, "Patient Protection and Innovative Biologic Medicines Act of 2007," regarding amending the public Health Service Act to provide for the approval of similar biological products; H.R. 2193, "Animal Protection Accountability Improvement Act," regarding amending the Animal Welfare Act to increase the penalties for violations of such Act to prohibit the use of animals for marketing medical devices; H.R. 2349/ S. 1413, "Uterine Fibroid Research and Education Act of 2007," regarding providing for research and education with respect to uterine fibroids; H.R. 3333 / S. 1576, "Minority Health Improvement and Health Disparity Elimination Act," regarding amending the Public Health Services Act to improve the health and healthcare of racial and ethnic minority groups; H.R. 788 / S. 468, "Food and Drug Administration Safety Act of 2007," regarding amending the Federal Food, Drug, and Cosmetic Act with respect to drug safety; H.R. 2900, "Food and Drug Administration Amendments Act of 2007," regarding amending the Federal Food, Drug, and Cosmetic Act to revise and extend the use-fee programs for prescription drugs and for medical devices and to enhance the postmarket authorities of the Food and Drug Administration with respect to the safety of drugs; S. 1082, "Food and Drug Administration Revitalization Act," regarding amending the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act to reauthorize drug and device user fees and ensure the safety of medical products; S. 1695, "Biologics Price Competition and Innovation Act of 2007," regarding amending the Public Health Service Act to establish a pathway for the licensure of biosilimar products to promote innovation in the life sciences; S. 467, "Fair Access to Clinical Trials Act of 2007 or the 'FACT Act'," regarding amending the Public Health Services Act to expand clinical trials drug data bank; S. 558, "Mental Health Parity Act of 2007," regarding all provisions ; S. 628, "Critical Access to Health Information Technology Act of 2007," regarding improving grants for rural health information technology development activities; S. 993, "Pediatric Research Improvement Act," regarding improving pediatric research; issues regarding Acetemorphine and Phenelyperine; H.R. 3580, "Food and Drug Administration Amendments Act of 2007," regarding fees related to prescription drugs, medical devices, and food safety; H.R. 2419 / S. 2302, "Food and Energy Security Act of 2007," regarding marketing and financial assistance related to farming and food production; H.R. 5606 / S. 2029, "Physician Payments Sunshine Act of 2007," regarding amending Title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid, or SCHIP; S. 2221, "Transparency in Medical Device Pricing Act of 2007," regarding amending Title XVIII of the Social Security Act to provide for the reporting of sales price data for implantable devices; H.R. 3043, "Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008," regarding appropriations for the Department of Health and Human Services; H.R. 5629, "Pathway for Biosimilar Act," regarding amending the Public Health Service Act to establish a pathway for the licensure of biosimilar biological products; H.R. 5839, "To Amend the Federal Food, Drug, and Cosmetic Act to improve the safety of drugs", regarding all provisions; S. 334, "A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away", regarding all provisions; H.R. 6381, "To amend the Federal Food, Drug, and Cosmetic Act with respect to liability under State and local requirements respecting devices", regarding all provisions; S. 438, "A bill to amend the Federal Food, Drug, and Cosmetic Act to prohibit the marketing of authorized generic drugs", regarding all provisions.

Client expense: $1,700,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), 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 H.R 6357, To amend the Public Health Services Act to promote the adoption fo health information technology as it pertains to the adoption of a nationawide health infomation system

Client expense: $210,000 · 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

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

Client expense: Not reported · Firm income: $75,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2991, Independent Health Record Trust Act of 2007 S. 1456, Federal Employees Electronic Personal Health Records Act of 2007 S. 631, Remote Monitoring Access Act of 2007 S. 2408, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 H.R. 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 628, Critical Access to Health Information Technology Act of 2007 H.R. 3800, Promoting Health Information Technology Act S. 1814, Health Information Privacy and Security Act S. 1915, Electronic Prescription Drug Act of 2007 S. 2029, Physician Payments Sunshine Act of 2007 S. 1695, Biologics Price Competition and Innovation Act of 2007 S. 1693, Wired for Health Care Quality Act H.R. 1368, Personalized Health Care Quality Act S. 1783, Ten Steps to Transform Health Care in America Act S. 321, Fostering Independence Through Technology Act of 2007

Client expense: $155,000 · Firm income: Not reported

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

H.R.1165, "Swift Approval, Full Evaluation Drug Act or the 'SAFE Drug Act," regarding amending the Federal Food, Drug, and Cosmetic Act to establish additional authorities to ensure the safe and effective use of drugs and to establish whistleblower protections for certain individuals; H.R. 1424, "Paul Wellstone Mental Health and Addiction Equity Act of 2007," regarding amending section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision o mental health and substance-related disorder benefits under group health plans; H.R. 1494 / S. 830, "Pediactric Medical Device Safety and Improvement Act of 2007," regarding improving the process for the development of needed pediactric medical devices; H.R. 1956, "Patient Protection and Innovative Biologic Medicines Act of 2007," regarding amending the public Health Service Act to provide for the approval of similar biological products; H.R. 2193, "Animal Protection Accountability Improvement Act," regarding amending the Animal Welfare Act to increase the penalties for violations of such Act to prohibit the use of animals for marketing medical devices; H.R. 2349/ S. 1413, "Uterine Fibroid Research and Education Act of 2007," regarding providing for research and education with respect to uterine fibroids; H.R. 3333 / S. 1576, "Minority Health Improvement and Health Disparity Elimination Act," regarding amending the Public Health Services Act to improve the health and healthcare of racial and ethnic minority groups; H.R. 788 / S. 468, "Food and Drug Administration Safety Act of 2007," regarding amending the Federal Food, Drug, and Cosmetic Act with respect to drug safety; H.R. 2900, "Food and Drug Administration Amendments Act of 2007," regarding amending the Federal Food, Drug, and Cosmetic Act to revise and extend the use-fee programs for prescription drugs and for medical devices and to enhance the postmarket authorities of the Food and Drug Administration with respect to the safety of drugs; S. 1082, "Food and Drug Administration Revitalization Act," regarding amending the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act to reauthorize drug and device user fees and ensure the safety of medical products; S. 1695, "Biologics Price Competition and Innovation Act of 2007," regarding amending the Public Health Service Act to establish a pathway for the licensure of biosilimar products to promote innovation in the life sciences; S. 467, "Fair Access to Clinical Trials Act of 2007 or the 'FACT Act'," regarding amending the Public Health Services Act to expand clinical trials drug data bank; S. 558, "Mental Health Parity Act of 2007," regarding all provisions ; S. 628, "Critical Access to Health Information Technology Act of 2007," regarding improving grants for rural health information technology development activities; S. 993, "Pediatric Research Improvement Act," regarding improving pediatric research; issues regarding Acetemorphine and Phenelyperine; H.R. 3580, "Food and Drug Administration Amendments Act of 2007," regarding fees related to prescription drugs, medical devices, and food safety; H.R. 2419 / S. 2302, "Food and Energy Security Act of 2007," regarding marketing and financial assistance related to farming and food production; H.R. 5606 / S. 2029, "Physician Payments Sunshine Act of 2007," regarding amending Title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid, or SCHIP; S. 2221, "Transparency in Medical Device Pricing Act of 2007," regarding amending Title XVIII of the Social Security Act to provide for the reporting of sales price data for implantable devices; H.R. 3043, "Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2008," regarding appropriations for the Department of Health and Human Services; H.R. 5629, "Pathway for Biosimilar Act," regarding amending the Public Health Service Act to establish a pathway for the licensure of biosimilar biological products.

Client expense: $1,440,000 · Firm income: Not reported

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

S. 2029 - The Physician Payments Sunshine Act of 2007. H.R. 3023 - The Drug and Medical Device Company Gift Disclosure Act of 2007. S. 2662 / H.R. 5480 - The Medicare Funding Warning Response Act of 2008. H.R. 3162 - The Children's Health and Medicare Protection Act of 2007. S. 2313 / H.R. 3697 - The Strategies to Address Antimicrobial Resistance Act of 2007. S. 2351 / H.R. 4200 - A bill to amend the Internal Revenue Code of 1986 to provide a tax credit for medical research related to developing qualified infectious disease products. S. 628 - The Critical Access to Health Information Technology Act of 2007. E-Records Patient Safety Medicare Reform Implementation Erisa Preservation

Client expense: $345,159 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), Government Printing Office (GPO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

H.R. 2991, Independent Health Record Trust Act of 2007 S. 1456, Federal Employees Electronic Personal Health Records Act of 2007 S. 631, Remote Monitoring Access Act of 2007 S. 2408, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 H.R. 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 628, Critical Access to Health Information Technology Act of 2007 H.R. 3800, Promoting Health Information Technology Act S. 1814, Health Information Privacy and Security Act S. 1915, Electronic Prescription Drug Act of 2007 S. 2029, Physician Payments Sunshine Act of 2007 S. 1695, Biologics Price Competition and Innovation Act of 2007 S. 1693, Wired for Health Care Quality Act H.R. 1368, Personalized Health Care Quality Act S. 1783, Ten Steps to Transform Health Care in America Act S. 321, Fostering Independence Through Technology Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), 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: $290,000 · 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

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; S. 1224, CHIP Reauthorization Act of 2007; 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.1367 / H.R. 1424, Paul Wellstone Mental Health and Addiction Equity 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 Appropriations bill, as it relates to SCHIP funding, payments to Medicare Advantage Plans, and other spending offsets.

Client expense: Not reported · Firm income: $45,750

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

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 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 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

Client expense: Not reported · Firm income: $75,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2991, Independent Health Record Trust Act of 2007 S. 1456, Federal Employees Electronic Personal Health Records Act of 2007 S. 631, Remote Monitoring Access Act of 2007 S. 2408, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 H.R. 4296, Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007 S. 628, Critical Access to Health Information Technology Act of 2007 H.R. 3800, Promoting Health Information Technology Act S. 1814, Health Information Privacy and Security Act S. 1915, Electronic Prescription Drug Act of 2007 S. 2029, Physician Payments Sunshine Act of 2007 S. 1695, Biologics Price Competition and Innovation Act of 2007 S. 1693, Wired for Health Care Quality Act H.R. 1368, Personalized Health Care Quality Act S. 1783, Ten Steps to Transform Health Care in America Act S. 321, Fostering Independence Through Technology Act of 2007

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

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

See attached list S.2300, Lower PRICED Drugs Act S.1893/H.R.976, Childrens Health Insurance Program Reauthorization Act of 2007 S.358, Genetic Information Nondiscrimination Act S.910, Healthy Families Act S.885, Community Pharmacy Fairness Act of 2007 S.628, Critical Access to Health Information Technology Correction Act S.558, Mental Health Parity Act of 2007 S.495, Personal Data Privacy and Security Act of 2007 S.400, Michelles Law S.397, Tax Equity and Affordability Act of 2007 S.3585, HSA Improvement and Expansion Ac of 2006 S.358, Genetic Information Nondiscrimination Act of 2007 S.3488, Tax-free Healthcare Savings, Access, and Portability Act S.334, Healthy Americans Act S.325/H.R. 506, Health Partnership Act of 2007 S.273, Prescription Drug Health Improvement Act of 2007 S.2601/H.R.4551, Health Care Choices for Seniors Act S.2549, Health Savings Account Affordability Act S.1753, Healthy Workforce Act of 2007 S.1739, TAA Health Coverage Improvement Act of 2007 S.1693, Wired for Health Care Quality Act S.1690, Small Business Health Insurance Options Act of 2007 S.158, Access to Affordable Health Care Act S.1576, Minority Health Improvement and Health Disparity Elimination Act of 2007 S.1556, Tax Equity for Domestic Partner and Health Plan Beneficiaries Act S.1507, Access to Medicare Data Act of 2007 S.1503, Healthy America Act of 2005 S.1455, National Health Information Technology and Privacy Advancement Act of 2007 S.1408, Health Information Technology Act of 2007 S.1342, Healthy Lifestyles and Prevention (HeLP) America Act S.1224, Childrens Health Insurance Program (CHIP) Reauthorization Act of 2007 S.1223.IS, Information Technology for Health Care Quality Act S.1221, Countdown to Coverage Act of 2007 S.1178, Securing Access, Value, and Equality in Health Care Act S.1169, State-Based Health Care Reform Act S.1082, Prescription Drug User Fee Amendments of 2007 S.1067, Healthy Places Act of 2007 S.1050, Promoting Wellness for Individuals with Disabilities Act of 2007 S.1023, A bill to eliminate the remainder of funding shortfalls for the State Children's Health Insurance Program (SCHIP) for fiscal 2007 S.1022, A bill to eliminate the remainder of funding shortfalls for the State Children's Health Insurance Program (SCHIP) for fiscal 2007 S.1019, Universal Health Care Choice and Access Act S.099, Small Business Health Care Tax Credit Act S.004, Healthy America Act 2005 S.1218, Medicare for All Act H.R.914, Tax Equity and Affordability Act of 2007 H.R.847, Healthcare Disclosure Act H.R.2737, Health Care Relief Act of 2007 H.R.2639, Promoting Health for Future Generations Act of 2007 H.R.2633, Healthy Lifestyles and Prevention (HeLP) America Act H.R.2412, Equity in Prescription Insurance and Contraceptive Coverage Act of 2007 H.R.2351, Health Coverage, Affordability, Responsibility, and Equity (Health CARE) Act of 2007 H.R.2302, Health Insurance Affordability Act of 2007 H.R.227, Health Care Tax deduction Act of 2007 H.R.2184, Enhanced Health Care Value for All Act of 2007 H.R.2132, Small Business Health Plans Act of 2007 H.R.2089, Securing Access, Value, and Equality in Health Care Act H.R.2047, Health Insurance for Life Act of 2007 H.R.1952, National Health Information Act of 2007 H.R.1820, Tax Equity for Health Plan Beneficiaries Act of 2007 H.R.1666, Health Care Price Transparency Promotion Act of 2007 H.R.1542, Healthy Families Act H.R.1489, A bill to eliminate the remainder of the funding shortfalls in the State Children's Health Insurance Program (SCHIP) for fiscal year 2007 H.R.1368, Personalized Health Information Act of 2007 H.R.1367, Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R.1329, Guaranteed Access for SCHIPs Target Population Act of 2007 H.R.1012, Small Business Growth Act of 2007 H.R.015, National Health Insurance Act H.R.4511, Flexible Health Savings Account Act H.R.4505, Health Care Incentive Act H.R.298, Flexible Spending Accounts Growth and Opportunities Act of 2007 H.R.636, HC Freedom of Choice Act H.R. 3162.IH, Children's Health and Medicare Protection Act of 2007

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Economic Council (NEC), SENATE, Transportation, Dept of (DOT), UNDETERMINED, 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; S. 1224, CHIP Reauthorization Act of 2007; S. 1022, A bill to eliminate funding shortfalls

Client expense: Not reported · Firm income: $91,500

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

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

HR 1424, "Paul Wellstone Mental Health and Addiction Equity Act of 2007,” regarding amending section 712 of the Employee Retirement Income Security Act of 1974, section 2705 of the Public Health Service Act, and section 9812 of the Internal Revenue Code of 1986 to require equity in the provision of mental health and substance-related disorder benefits under group health plans; HR 1494 / S 830, “Pediatric Medical Device Safety and Improvement Act of 2007,” regarding improving the process for the development of needed pediatric medical devices; HR 1956, “Patient Protection and Innovative Biologic Medicines Act of 2007,” regarding amending the Public Health Service Act to provide for the approval of similar biological products; HR 2193, “Animal Protection Accountability Improvement Act,” regarding amending the Animal Welfare Act to increase the penalties for violations of such Act and to prohibit the use of animals for marketing medical devices; HR 2349 / S 1413, “Uterine Fibroid Research and Education Act of 2007,” regarding providing for research and education with respect to uterine fibroids; HR 3333 / S. 1576, “Minority Health Improvement and Health Disparity Elimination Act,” regarding amending the Public Health Service Act to improve the health and healthcare of racial and ethnic minority groups; HR 788 / S 468, “Food and Drug Administration Safety Act of 2007,” regarding amending the Federal Food, Drug, and Cosmetic Act with respect to drug safety; HR 2900, “Food and Drug Administration Amendments Act of 2007,” regarding amending the Federal Food, Drug, and Cosmetic Act to revise and extend the user-fee programs for prescription drugs and for medical devices and to enhance the postmarket authorities of the Food and Drug Administration with respect to the safety of drugs; S 1082, “Food and Drug Administration Revitalization Act,” regarding amending the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act to reauthorize drug and device user fees and ensure the safety of medical products; S 1695, “Biologics Price Competition and Innovation Act of 2007,” regarding amending the Public Health Service Act to establish a pathway for the licensure of biosimilar biological products and to promote innovation in the life sciences; S 467, “Fair Access to Clinical Trials Act of 2007 or the `FACT Act',” regarding amending the Public Health Service Act to expand the clinical trials drug data bank; S 558, “Mental Health Parity Act of 2007,” regarding all provisions; S 628, “Critical Access to Health Information Technology Act of 2007,” regarding providing grants for rural health information technology development activities; S 993, “Pediatric Research Improvement Act,” regarding improving pediatric research; issues regarding Acetemorphine and Phenelyperine.   HR 1165, “Swift Approval, Full Evaluation Drug Act or the `SAFE Drug Act',” regarding amending the Federal Food, Drug, and Cosmetic Act to establish additional authorities to ensure the safe and effective use of drugs and to establish whistleblower protections for certain individuals;

Client expense: $3,820,000 · Firm income: Not reported

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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. 1367 Paul Wellstone Mental Health and Addiction Equity Act of 2007; H.R. 1329, Guaranteed Access for SCHIP's Target Population Act of 2007. 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. 1693, Wired for Health Care Quality Act; S. 1408, Health Information Technology Act of 2007; S. 1224, CHIP Reauthorization Act of 2007;

Client expense: Not reported · Firm income: $45,750

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

S. 334, Healthy Americans Act; all provisions S. 628, Critical Access to Health Information Technology Act of 2007; provisions relating to health information technology S. 1082, Prescription Drug User Fee Amendments of 2007; provisions relating to the importation of medicine into the United States and “forced sale” S. 1481, Fair and Reliable Medical Justice Act; all provisions S. 1544, Medicare Quality Enhancement Act of 2007; all provisions S. 1693, Wired for Health Care Quality Act; all provisions S. 1783, Ten Steps to Transform Health Care in America Act; all provisions Bill not yet assigned, Health Care Bill; provisions relating to value-driven health care Bill not yet assigned, Health Care Bill; provisions relating to the President’s health care and tax proposal Bill not yet assigned, Health Care Bill; provisions relating to State waivers to Employee Retirement Income Security Act preemption Bill not yet assigned, Health Care Bill; provisions relating to regulatory pathway for follow-on biologics H.R. 1111, Kids Come First Act of 2007; all provisions H.R. 2055, Improving Children's Access to Health Care Act of 2007; all provisions H.R. 2497, Fair and Reliable Medical Justice Act; all provisions S. 95, Kids Come First Act of 2007; all provisions

Client expense: $4,600,000 · Firm income: Not reported

Government targets: Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, U.S. Trade Representative (USTR)

H.R.914, Tax Equity and Affordability Act of 2007 H.R.847, Healthcare Disclosure Act H.R.2737, Health Care Relief Act of 2007 H.R.2639, Promoting Health for Future Generations Act of 2007 H.R.2633, Healthy Lifestyles and Prevention (HeLP) America Act H.R.2412, Equity in Prescription Insurance and Contraceptive Coverage Act of 2007 H.R.2351, Health Coverage, Affordability, Responsibility, and Equity (Health CARE) Act of 2007 H.R.2302, Health Insurance Affordability Act of 2007 H.R.227, Health Care Tax deduction Act of 2007 H.R.2184, Enhanced Health Care Value for All Act of 2007 H.R.2132, Small Business Health Plans Act of 2007 H.R.2089, Securing Access, Value, and Equality in Health Care Act H.R.2047, Health Insurance for Life Act of 2007 H.R.1952, National Health Information Act of 2007 H.R.1820, Tax Equity for Health Plan Beneficiaries Act of 2007 H.R.1666, Health Care Price Transparency Promotion Act of 2007 H.R.1542, Healthy Families Act H.R.1489, A bill to eliminate the remainder of the funding shortfalls in the State Children's Health Insurance Program (SCHIP) for fiscal year 2007 H.R.1368, Personalized Health Information Act of 2007 H.R.1367, Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R.1329, Guaranteed Access for SCHIP’s Target Population Act of 2007 H.R.1012, Small Business Growth Act of 2007 H.R.015, National Health Insurance Act H.R.4511, Flexible Health Savings Account Act H.R.4505, Health Care Incentive Act H.R.298, Flexible Spending Accounts Growth and Opportunities Act of 2007 H.R.636, HC Freedom of Choice Act S.2300, Lower PRICED Drugs Act S.1893/H.R.976, Children’s Health Insurance Program Reauthorization Act of 2007 S.358, Genetic Information Nondiscrimination Act S.910, Healthy Families Act S.885, Community Pharmacy Fairness Act of 2007 S.628, Critical Access to Health Information Technology Correction Act S.558, Mental Health Parity Act of 2007 S.495, Personal Data Privacy and Security Act of 2007 S.400, Michelle’s Law S.397, Tax Equity and Affordability Act of 2007 S.3585, HSA Improvement and Expansion Ac of 2006 S.358, Genetic Information Nondiscrimination Act of 2007 S.3488, Tax-free Healthcare Savings, Access, and Portability Act S.334, Healthy Americans Act S.325/H.R. 506, Health Partnership Act of 2007 S.273, Prescription Drug Health Improvement Act of 2007 S.2601/H.R.4551, Health Care Choices for Seniors Act S.2549, Health Savings Account Affordability Act S.1753, Healthy Workforce Act of 2007 S.1739, TAA Health Coverage Improvement Act of 2007 S.1693, Wired for Health Care Quality Act S.1690, Small Business Health Insurance Options Act of 2007 S.158, Access to Affordable Health Care Act S.1576, Minority Health Improvement and Health Disparity Elimination Act of 2007 S.1556, Tax Equity for Domestic Partner and Health Plan Beneficiaries Act S.1507, Access to Medicare Data Act of 2007 S.1503, Healthy America Act of 2005 S.1455, National Health Information Technology and Privacy Advancement Act of 2007 S.1408, Health Information Technology Act of 2007 S.1342, Healthy Lifestyles and Prevention (HeLP) America Act S.1224, Children’s Health Insurance Program (CHIP) Reauthorization Act of 2007 S.1223.IS, Information Technology for Health Care Quality Act S.1221, Countdown to Coverage Act of 2007 S.1178, Securing Access, Value, and Equality in Health Care Act S.1169, State-Based Health Care Reform Act S.1082, Prescription Drug User Fee Amendments of 2007 S.1067, Healthy Places Act of 2007 S.1050, Promoting Wellness for Individuals with Disabilities Act of 2007 S.1023, A bill to eliminate the remainder of funding shortfalls for the State Children's Health Insurance Program (SCHIP) for fiscal 2007 S.1022, A bill to eliminate the remainder of funding shortfalls for the State Children's Health Insurance Program (SCHIP) for fiscal 2007 S.1019, Universal Health Care Choice and Access Act S.099, Small Business Health Care Tax Credit Act S.004, Healthy America Act 2005 S.1218, Medicare for All Act See attached list

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

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

Iroquois Healthcare Alliance Federal legislation for January 1 – June 30, 2007: Physician Shortage Elimination Act of 2007 [S.896.IS] United States Physician Shortage Elimination Act of 2007 [H.R.410. IH] 340B Program Improvement and Integrity Act of 2007 [H.R. 2606] [S1376.IS] Nurse Faculty Higher Education Act [H.R.2384] Health Care Access and Rural Equity (H-CARE) Act of 2007[H.R.2860.IH] Allied Health Reinvestment Act [S.605.IS] Wired for Health Care Quality Act [S.1693 IS] Allied Health Professions Reinvestment Act of 2005 [H.R.215.IH][S.473.IS] Healthy Communities Act of 2007 [S.1068.IS] Healthy Hospitals Act of 2007 [H.R.1174] Ensuring the Future Physician Workforce Act of 2007 [H.R. 2585 IH] Rural Physicians Relief Act of 2007 [S.290.IS] National Health Information Incentive Act of 2007 [H.R.1952 IH] National Health Information Technology & Privacy Advancement Act of 2007 [S. 1455] Rural Preventive Health Care Training Act of 2007 [S.53.IS] Critical Access to Health Information Technology Act of 2007 [S.628.IS] Rural Health Services Preservation Act of 2007 [S.630.IS] [H.R.2159 .IH] [H.R.1563] SCHIP Reauthorization and Reform Act of 2007 [H.R. 3176] Revised Continuing Appropriations Resolution, 2007 [H.J.RES.20.RDS], [H.J.RES.20.EH], [H.J.RES.20.IH], [H.J.RES.20.ENR], [H.J.RES.20.PCS] FFY 2008 Budget and Budget Resolutions FFY 2008 Labor, Health and Human Services, Education and Pension Appropriations Bill See attached

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1688 All Healthy Children Act of 2007 S. 325 Health Partnership Act H.R. 15 National Health Insurance Act S. 1169 State Based Health Reform Act S. 1564 All Healthy Children Act of 2007 H.R. 1329 Guaranteed Access for SCHIP’s Target Population Act of 2007 S. 1221 Countdown to Coverage Act of 2007 H.R. 2639 Promoting Health for Future Generations Act of 2007 S. 273 Prescription Drug and Health Improvement Act of 2007 H.R. 2971 Health Care Accountability Act S. 1102 Part D Equity for Low Income Seniors Act of 2007 S. 1753 Health Workforce Act of 2007 S. 1455 National Health Information Technology and Privacy Advancement Act of 2007 S. 1218 Medicare for All Act H.R. 2034 Medicare for All Act S. 895 Children’s Health First Act H.R. 2995 Small Business Liability Reform Act of 2007 H.R. 1012 Small Business Growth Act of 2007 H.R. 1542 Healthy Families Act H.R. 1626 Family Health Care Accessibility Act of 2007 S. 733 Promoting Health Care Purchasing Cooperatives Act H.R. 2351 HealthCARE Act 2007 S. 40 National Insurance Act of 2007 H.R. 493 Genetic Information Nondiscrimination Act of 2007 S. 359 Genetic Information Nondiscrimination Act of 2007 H.R. 677 The Nursing School Capacity Act of 2007 S. 446 Nurse Education, Expansion, and Development Act 0f 2007 H.R. 772 Nurse Education, Expansion, and Development Act 0f 2007 S. 605 Allied Health Reinvestment Act S. 620 Community – Based Health Care Retraining Act H.R. 1279 Direct Support Professionals Fairness and Security Act of 2007 H.R. 1134 Physical Therapist Student Loan Repayment Eligibility Act of 2007 S. 718 Patient – Focused Critical Care Enhancement Act H.R. 1884 National Health Service Corps Improvement Act of 2007 Act H.R. 410 United States Physician Shortage Elimination Act S.224 Standards to Provide Educational Achievement for All Kids H.R. 325 Standards to Provide Educational Achievement for All Kids H.R. 2497 Fair and Reliable Medical Justice Act S. 1481 Fair and Reliable Medical Justice Act H.R. 1174 Healthy Hospitals Act of 2007 H.R. 378 Nurse and Patient Safety and Protection Act of 2007 H.R. 2123 Nurse Staff and Standards for Patient Safety and Quality Care Act of 2007 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 S. 1693 Wired for Health Care Quality Act H.R. 2723 Children’s Healthcare Quality Act S. 1226 Children’s Healthcare Quality Act H.R. 1952 National Health Information Incentive Act of 2007 H. R. 2580 Help Efficient, Accessible, Low cost, Timely Healthcare (HEALTH) Act of 2007 S. 1364 Healthy Kids Act of 2007 S. 484 Enhancing Drug Safety and Innovation Act of 2007 H.R. 1561 Enhancing Drug Safety and Innovation Act of 2007 S. 1082 Prescription Drug User Fee Amendments of 2007 H.R. 3014 Health Equity and Accountability Act of 2007 H.R. 1165 SAFE Drug Act S. 1023 “To amend Title XXI of the Social Security Act […]” S. 554 Act for our Kids H.R. 1200 American Health Security Act of 2007 H.R. 15 National Health Insurance Act S. 1224 Children’s Health Insurance Program (CHIP) Reauthorization Act of 2007 H.R. 1368 Personalized Health Information Act of 2007 H.R. 676 United States National Health Insurance Act H.R. 1459 “To improve Medicare beneficiary access […]” H.R. 2737 Health Care Relief Act of 2007 S. 1714 Small Business Children’s Health Education Act of 2007 S. 1198 HealthCARE Act of 2007 H.R. 1802 Keeping Small Business Healthy Act of 2007 H.R. 2626 Comprehensive HealthCARE Act of 2007 H.R. 2842 Children’s Health Protection Act of 2007 S. 95 Kids Come First Act of 2007 H.R. 1111 Kids Come First Act of 2007 H.R. 493 Genetic Information Non-Discrimination Act of 2007 H.R. 2948 Increased Access to Health Insurance Act of 2007 S. 158 Access to Affordable Health Care Act S. 358 Genetic Information Non-Discrimination Act of 2007 H.R. 1012 Small Business Growth Act of 2007 H.R. 2147 Health Kids Act of 2007 S. 1298 Healthy Businesses, Healthy Workers Reinsurance Act of 2007 S. 21 Prevention First Act H.R. 819 Prevention First Act H.R. 593 Children’s Health Insurance Promotion Act of 2007 H.R. 1666 Health Care Price Transparency Promotion Act of 2007 H.R. 2302 Health Insurance Affordability Act of 2007 H.R. 2359 SBA Entrepreneurial Development Programs Act of 2007 H.R. 2357 MediKids Health Insurance Act of 2007 S. 401 Keep Children Covered Act of 2007 S. 2512 Reducing Coverage Gaps for Kids Act of 2007 H.R. 2055 Improving Children’s Access to Health Care Act of 2007 S. 1213 Children’s Express Lane to Heath Coverage Act of 2007 S. 334 Healthy Americans Act S. 1019 Universal Healthcare Choice and Access Act H.R. 1535 Children's Health First Act S. 895 Children's Health First Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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 HR 2900 Food and Drug Administration Amendments 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 1082 Prescription Drug User Fee Amendments of 2007 S 1408 Health Information Technology Act of 2007 S 1505 Affordable Biologics for Consumers Act S 1695 Biologics Price Competition and Innovation Act of 2007 S 628 Critical Access to Health Information Technology Act of 2007 HR 788 Food and Drug Administration Safety Act of 2007 HR 1368 Personalized Health Information Act of 2007 HR 1432 Preserve Access to Affordable Generics Act

Client expense: Not reported · Firm income: $105,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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 S. 1693 Wired for Health Care Quality Act H.R. 2723 Children’s Health Care Quality Act S. 1226 Children’s Health Care Quality Act S. 1364 Healthy Kids Act of 2007 S. 1082 Prescription Drug User Fee Amendments 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 S. 334 Healthy Americans Act S. 1019 Universal Healthcare Choice and Access Act H.R. 1535 Children’s Health First Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 3 Medicare Prescription Drug Price Negotiation Act of 2007 S 28 Generics First Act of 2007 S 130 Medicare Cost Contract Extension and Refinement Act of 2007 S 137 Preserving Medicare for All Act of 2007 S 158 Access to Affordable Health Care Act S 173 Medicare Health Savings Accounts Act of 2007 S 242 Pharmaceutical Market Access and Drug Safety Act of 2007 S 250 The Medicare Enhancements for Needed Drugs 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 355 The Social Security and Medicare Solvency Commission Act S 358 Genetic Information Nondiscrimination Act of 2007 S 468 Food and Drug Administration Safety Act of 2007 S. 628 - Critical Access to Health Information Technology Act of 2007 S 976 Genomics and Personalized Medicine Act of 2007 S 885 Community Pharmacy Fairness Act of 2007 S 980 Online Pharmacy Consumer Protection Act of 2007 S 1082 Prescription Drug User Fee Amendments of 2007 S 1108 Medicare Part D Outreach and Enrollment Enhancement Act of 2007 S 1161 Medicare Medical Nutrition Therapy Act of 2007 S 1198 Catastrophic Health Coverage Promotion Act S 1218 Medicare for All Act S 1307 Medicare Provider Accountability Act S 1338 Access to Medicare Imaging Act of 2007 HR 4 Medicare Prescription Drug Price Negotiation Act of 2007 HR 205 Medicare Prescription Drug Enrollment Extension Act of 2007 HR 493 Genetic Information Nondiscrimination Act of 2007 HR 788 Food and Drug Administration Safety Act of 2007 HR 971 Community Pharmacy Fairness Act of 2007 HR 1218 Medicare Prescription Drug Improvement Act HR 1277 Medicare Prescription Drug Benefits Gap Elimination Act of 2007 HR 1282 Medigap Access Improvement Act of 2007 HR 1310 Relief and Elimination of the Medicare Enrollment Deadline Penalty (REMEDY) Act of 2007 HR 1368 Personalized Health Information Act of 2007 HR 1432 Preserve Access to Affordable Generics Act HR 1474 Fair and Speedy Treatment (FAST) of Medicare Prescription Drug Claims Act of 2007 HR 1521 Universal Health Act of 2007: Repeal of the Late Enrollment Penalty in Medicare Part D 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 2009 To repeal the Medicare cost containment provisions contained in subtitle A of title VIII of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. HR 2043 Medicare for All Act HR 2058 Helping Fill the Medicare Rx Gap Act of 2007 HR 2065 Medicare Drug Savings Through Choice Act of 2007 HR 2149 Healthcare Eligibility for Late Participants (HELP) in Medicare Part D Act of 2007 HR 2231 Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007 HR 2273 Food and Drug Administration Improvement Act of 2007 HR 2307 Preventing Medicare Seniors from being Confused due to Abusive Marketing (Prevent Medicare SCAMs) Act of 2007 HR 2549 . Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2007 HR 2567 Medicare Home Infusion Therapy Coverage Act of 2007 HR 2592 Safe and Effective Drug Development Act of 2007 HR 2606 340B Program Improvement and Integrity Act of 2007 HR 2626 Comprehensive HealthCARE Act of 2007 HR 2827 Medicare Equity and Accessibility Act of 2007 HR 2900 Food and Drug Administration Amendments Act of 2007 HR 2914 Medicare IVIG Access Act of 2007 See next page

Client expense: $890,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE