Positive Aging Act of 2007

1. H.R. 1669/S. 982, "Positive Aging Act of 2007". Support all provisions. The bill would improve access to mental health services for older adults by integrating mental health services into primary and community settings through demonstration projects that target urban and rural medically underserved areas. Interdisciplinary teams of mental health professionals working in collaboration wiht other providers of health care and social services would provide these evidence-based services. 2. H.R. 1424, the "Paul Wellstone Mental Health and Addiction Equity Act" - Support all provisions. The bill expands the Mental Health Parity Act of 1996 by requiring group health plans that offer benefits for mental health and addiction to do so on the same terms as care for other diseases. 3. H.R. 2502, "Geriatricians Loan Forgiveness Act of 2007". Support all provisions. The bill would extend the National Health Service Corps Loan Repayment Program to geriatric training, forgiving $35,000 of educational debt incurred by medical students for each year of advanced training to obtain a certificate of added qualifications in geriatric medicine or geriatric psychiatry. 4. S. 558, the "Mental Health Parity Act of 2007". Support provisions to prohibit private health insurance plans from imposing treatment limitations or financial requirements on mental health benefits unless comparable limitations or requirements are imposed on medical and surgical benefits. 5. Discussed with House and Senate staff the need to include older adults in clinical trials, following the 2007 release of a GAO report on this issue. 6. S. 1628, a bill to amend the Public Health Service Act to authorize programs to increase the number of nurse faculty and to increase the domestic nursing and physical therapy workforce. Support all provisions. 7. S. 1854, the "Stop Senior Suicide Act". Support provisions to repeal the 50 percent Medicare outpaitent mental health coinsurance rate; improve interagency coordination; provide grants for elderly suicide early intervention and prevention strategies; and enhance the existing Suicide Prevention Resource Center. 8. Support H. R. 3411, the "Juvenile Crime Reduction Act of 2007," to provide strategies to help to decrease the prevalence of young people with mental disorders who come into contact with the juvenile justice system. 9. S. 2708 and H.R. 6337, the "Caring for an Aging America Act of 2008. Support all provisions. The bill would provide for the establishment of a new geriatric and gerontology loan repayment program. 10. Reauthorization of the Substance Abuse and Mental Health Services Administration - discuss inclusion of provisions from S. 982 (the "Positive Aging Act of 2007") and S. 1854 (the "Stop Senior Suicide Act") with Senate staff. 11. Discussed with House and Senate staff the need for additonal health care professionals trained in geriatrics and the need for a study on the mental health care workforce that will be needed to treat older adults with mental disorders over the next three decades. 12. Support S. 2641, the "Nursing Home Transparency and Improvement Act of 2008". Support all provisions. The bill would increase public transparency and accountability of nursing home owners and operators, including nursing home chains, by requiring them to disclose the corporate entities that own nursing homes and their affiliated entities. 13. Support H.R. 6375, "Healthy Transitions Act". Support all provisions. The bill would establish planning and implementation grants to states to assist in the development of a coordinated service delivery system to maximize continuity of care and access to services for young adults who are transitioning to the adult mental health system. 14. Support H.R. 1424, Emergency Economic Stabilization Act of 2008". Support provision to provide mental health parity to require group health plans that offer mental health and substance abuse benefits to do so on the same terms as medical and surgical benefits. 15. S. 3335, the "Jobs, Eneergy, Families and Disaster Relief Act of 2008". Support mental health parity provision. 16. S. 3155, a bill to reauthorize the "Juvenile Justice and Delinquency Prevention Act of 1974". Urge that the bill include provisions to address the plight to young people with mental disorders intersecting with the juvenile justice system. 17. S. 3730, the "Retooling the Health Care Workforce for an Aging America Act of 2008". Support all provisions. This bill addresses the current and future shortage of health care personnel who are trained to care for older adults.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. H.R. 1669/S. 982, "Positive Aging Act of 2007". Support all provisions. The bill would improve access to mental health services for older adults by integrating mental health services into primary and community settings through demonstration projects that target urban and rural medically underserved areas. Interdisciplinary teams of mental health professionals working in collaboration wiht other providers of health care and social services would provide these evidence-based services. 2. H.R. 1424, the "Paul Wellstone Mental Health and Addiction Equity Act" - Support all provisions. The bill expands the Mental Health Parity Act of 1996 by requiring group health plans that offer benefits for mental health and addiction to do so on the same terms as care for other diseases. 3. H.R. 2502, "Geriatricians Loan Forgiveness Act of 2007". Support all provisions. The bill would extend the National Health Service Corps Loan Repayment Program to geriatric training, forgiving $35,000 of educational debt incurred by medical students for each year of advanced training to obtain a certificate of added qualifications in geriatric medicine or geriatric psychiatry. 4. S. 558, the "Mental Health Parity Act of 2007". Support provisions to prohibit private health insurance plans from imposing treatment limitations or financial requirements on mental health benefits unless comparable limitations or requirements are imposed on medical and surgical benefits. 5. Discussed with House and Senate staff the need to include older adults in clinical trials, following the 2007 release of a GAO report on this issue. 6. S. 1628, a bill to amend the Public Health Service Act to authorize programs to increase the number of nurse faculty and to increase the domestic nursing and physical therapy workforce. Support all provisions. 7. S. 1854, the "Stop Senior Suicide Act". Support provisions to repeal the 50 percent Medicare outpaitent mental health coinsurance rate; improve interagency coordination; provide grants for elderly suicide early intervention and prevention strategies; and enhance the existing Suicide Prevention Resource Center. 8. Support H. R. 3411, the "Juvenile Crime Reduction Act of 2007," to provide strategies to help to decrease the prevalence of young people with mental disorders who come into contact with the juvenile justice system. 9. S. 2708 and H.R. 6337, the "Caring for an Aging America Act of 2008. Support all provisions. The bill would provide for the establishment of a new geriatric and gerontology loan repayment program. 10. Reauthorization of the Substance Abuse and Mental Health Services Administration - discuss inclusion of provisions from S. 982 (the "Positive Aging Act of 2007") and S. 1854 (the "Stop Senior Suicide Act") with Senate staff. 11. Discussed with House and Senate staff the need for additonal health care professionals trained in geriatrics and the need for a study on the mental health care workforce that will be needed to treat older adults with mental disorders over the next three decades. 12. Support S. 2641, the "Nursing Home Transparency and Improvement Act of 2008". Support all provisions. The bill would increase public transparency and accountability of nursing home owners and operators, including nursing home chains, by requiring them to disclose the corporate entities that own nursing homes and their affiliated entities. 13. Support H.R. 6375, "Healthy Transitions Act". Support all provisions. The bill would establish planning and implementation grants to states to assist in the development of a coordinated service delivery system to maximize continuity of care and access to services for young adults who are transitioning to the adult mental health system. 14. Support H.R. 1424, Emergency Economic Stabilization Act of 2008". Support provision to provide mental health parity to require group health plans that offer mental health and substance abuse benefits to do so on the same terms as medical and surgical benefits. 15. S. 3335, the "Jobs, Eneergy, Families and Disaster Relief Act of 2008". Support mental health parity provision. 16. S. 3155, a bill to reauthorize the "Juvenile Justice and Delinquency Prevention Act of 1974". Urge that the bill include provisions to address the plight to young people with mental disorders intersecting with the juvenile justice system.

H.R. 2073/S. 1572 - Child Health Care Crisis Relief Act H.R. 20 - Melanie Blocker-Stokes Postpartum Depression Research and Care Act S. 1375 - MOTHERS Act S. 3297 - Advancing America's Priorities Act H.R. 1669 /S. 982 Positive Aging Act of 2007 P.L. 108-355 - Garrett Lee Smith Memorial Act H.R. 2677 - Improved Nutrition and Physical Activity Act H.R. 2188/S.661 Kinship Caregiver Support Act Bureau of Health Professions Reauthorization and Appropriations SAMHSA Reauthorization S. 1224 Childrens Health Insurance Program Reauthorization Act of 2007 S. 1050 Promoting Wellness for Individuals with Disabilities Act of 2007 S. 651 Play Every Day HR. 1198/S. 1069 Early Hearing Detection and Intervention Act of 2007 S. 1576 Minority Health Improvement and Health Disparity Elimination Act HR. 3014 Health Equity and Accountability Act of 2007 House NIST Health IT Bill H.R. 3195 ADA Amendments Act Developmental Disabilities Act Regulations Home and Community Based Services Regulations Transition for Youth with Serious Mental Illness Childrens Mental Health H.R. 1108/S. 625 The Family Smoking Prevention and Tobacco Control Act H.R. 4232 Improving the Quality of Mental and Substance Use Health Care Act of 2007 NIH Appropriations Federal Response to Eliminate Eating Disorders Act S. 793 Traumatic Brain Injury Act S. 358/H.R. 493 - Genetic Information Nondiscrimination Act S. 3311 Mental Health on Campus Improvement Act Childhood obesity Comparative Effectiveness Research Act of 2008

Client expense: $162,195 · Firm income: Not reported

S 898/HR 1560 - Alzheimer's Breakthrough Act of 2007 S 558 - Mental Health Parity Act of 2007 S 325/HR 506 - Health Partnership Act H.R.6282/S 2950 - Helping HANDS for Autism Act of 2008 H.R. 1669/S 982 - Positive Aging Act of 2007 H.R. 1424 - Emergency Economic Stabilization Act of 2008 H.R. 3 - Stem Cell Research Enhancement Act of 2007 H.R. 1621/ S 799- Community Choice Act of 2007 S. 2267- Americans Giving Care to Elders Act of 2007 S. 1758/HR 3001- Community Living Assistance Services and Supports Act H.R. 4897- Stop Senior Suicide Act H.R. 977 - The Genomic Research and Accessibility Act Long-Term Care Social Service Block Grant S 1758/HR 30001 - CLASS Act S 937/HR 1881 - Expanding the Promise for Individuals With Autism Act of 2007 HR 6983 - To amend 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, and for other purposes. HR 7202- Temporary Tax Relief Act of 2008 HR 6049- Renewable Energy and Job Creation Act of 2008

Client expense: $51,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), SENATE, State, Dept of (DOS), White House Office

1. H.R. 1669/S. 982, "Positive Aging Act of 2007". Support all provisions. The bill would improve access to mental health services for older adults by integrating mental health services into primary and community settings through demonstration projects that target urban and rural medically underserved areas. Interdisciplinary teams of mental health professionals working in collaboration wiht other providers of health care and social services would provide these evidence-based services. 2. H.R. 1424, the "Paul Wellstone Mental Health and Addiction Equity Act" - Support all provisions. The bill expands the Mental Health Parity Act of 1996 by requiring group health plans that offer benefits for mental health and addiction to do so on the same terms as care fo rother diseases. 3. H.R. 2502, "Geriatricians Loan Forgiveness Act of 2007". Support all provisions. The bill would extend the National Health Service Corps Loan Repayment Program to geriatric training, forgiving $35,000 of educational debt incurred by medical students for each year of advanced training to obtain a certificate of added qualifications in geriatric medicine or geriatric psychiatry. 4. S. 558, the "Mental Health Parity Act of 2007". Support provisions to prohibit private health insurance plans from imposing treatment limitations or financial requirements on mental health benefits unless comparable limitations or requirements are imposed on medical and surgical benefits. 5. Discussed with House and Senate staff the need to include older adults in clinical trials, following the 2007 release of a GAO report on this issue. 6. S. 1628, a abill to amend the Public Health Service Act to authorize programs to increase the number of nurse faculty and to increase the domestic nursing and physical therapy workforce. Support all provisions. 7. S. 1854, the "Stop Senior Suicide Act". Support provisions to repeal the 50 percent Medicare outpaitent mental health coinsurance rate; improve interagency coordination; provide grants for elderly suicide early intervention and prevention strategies; and enhance the existing Suicide Prevention Resource Center. 8. Support H. R. 3411, the "Juvenile Crime Reduction Act of 2007," to provide strategies to help to decrease the prevalence of young people with mental disorders who come into contact with the juvenile justice system. 9. S. 2708 and H.R. 6337, the "Caring for an Aging America Act of 2008. Support all provisions. The bill would provide for the establishment of a new geriatric and gerontology loan repayment program. 10. Reauthorization of the Substance Abuse and Mental Health Services Administration - discuss inclusion of provisions from S. 982 (the "Positive Aging Act of 2007") and S. 1854 (the "Stop Senior Suicide Act") with Senate staff. 11. Discussed with House and Senate staff the need for additonal health care professionals trained in geriatrics and the need for a study on the mental health care workforce that will be needed to treat older adults with mental disorders over the next three decades. 12. Support S. 2641, the "Nursing Home Transparency and Improvement Act of 2008". Support all provisions. The bill would increase public transparency and accountability of nursing home owners and operators, including nursing home chains, by requiring them to disclose the corporate entities that own nursing homes and their affiliated entities. 13. Co-hosted Capitol Hill briefing for House and Senate staff members on mental health needs of older adults, including the need fo rmore geriatric health specialists, the need to integrate mental health care with primary care and the need for parity for Medicare outpatient mental health services.

S 898/HR 1560 - Alzheimer's Breakthrough Act of 2007 S 558 - Mental Health Parity Act of 2007 S 325/HR 506 - Health Partnership Act H.R.6282/S 2950 - Helping HANDS for Autism Act of 2008 H.R. 1669/S 982 - Positive Aging Act of 2007 H.R. 1424 - Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R. 3 - Stem Cell Research Enhancement Act of 2007 H.R. 1621/ S 799- Community Choice Act of 2007 S. 2267- Americans Giving Care to Elders Act of 2007 S. 1758/HR 3001- Community Living Assistance Services and Supports Act H.R. 4897- Stop Senior Suicide Act S. 358/HR 493 - Genetic Information Nondiscrimination Act of 2007 H.R. 977 - The Genomic Research and Accessibility Act Long-Term Care Social Service Block Grant S 1758/HR 30001 - CLASS Act S 937/HR 1881 - Expanding the Promise for Individuals With Autism Act of 2007

Client expense: $68,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), SENATE, State, Dept of (DOS), White House Office

H.R. 2073/S. 1572 - Child Health Care Crisis Relief Act H.R. 20 - Melanie Blocker-Stokes Postpartum Depression Research and Care Act S. 1375 - MOTHERS Act H.R. 1669 /S. 982 - Positive Aging Act of 2007 P.L. 108-355 - Garrett Lee Smith Memorial Act H.R. 2677 - Improved Nutrition and Physical Activity Act H.R. 2188/S.661 Kinship Caregiver Support Act Bureau of Health Professions Reauthorization and Appropriations SAMHSA Reauthorization S. 1224 Childrens Health Insurance Program Reauthorization Act of 2007 S. 1050 Promoting Wellness for Individuals with Disabilities Act of 2007 S. 651 Play Every Day HR. 1198/S. 1069 Early Hearing Detection and Intervention Act of 2007 S. 1576 Minority Health Improvement and Health Disparity Elimination Act HR. 3014 Health Equity and Accountability Act of 2007 House NIST Health IT Bill H.R. 3195 ADA Amendments Act Developmental Disabilities Act Regulations Home and Community Based Services Regulations Transition for Youth with Serious Mental Illness Childrens Mental Health H.R. 1108/S. 625 The Family Smoking Prevention and Tobacco Control Act H.R. 4232 Improving the Quality of Mental and Substance Use Health Care Act of 2007 NIH Appropriations Federal Response to Eliminate Eating Disorders Act S. 793 Traumatic Brain Injury Act S. 358/H.R. 493 - Genetic Information Nondiscrimination Act

Client expense: $165,660 · Firm income: Not reported

HR 2073/S. 1572 - Child Health Care Crisis Relief Act HR 20 - Melanie Blocker-Stokes Postpartum Depression Research and Care Act S. 1375 - MOTHERS Act HR 1669/S 982 - Positive Aging Act of 2007 PL 108-335 Garrett Lee Smith memorial Act HR 2677 - Improved Nutrition and Physical Activity Act HR 2188/S 661 - Kinship Caregiver Support Act Bureau of Health Professions Reauthorization and Appropriations SAMHSA Reauthorization State Children's Health Insurance Program S. 1050 - Promoting Wellness for Individuals with Disabilities Act of 2007 S. 651 - Play Every Day S. 1576 - Minority Health Improvement and Health Disparity Elimination Act HR 3014 - Health Equity and Accountability Act of 2007 Americans with Disabilities Act restoration House NIST Health IT Bill Children's Mental Health HR 1108/S 625 - The Family Smoking Prevention and Tobacco Control Act HR 4232 - Improving the Quality of Mental and Substance Use Health Care Act of 2007 NIH Appropriations

Client expense: $133,967 · Firm income: Not reported

Combating Autism Act and Expanding the Promise for Individuals with Autism Act S. 898 - Alzheimer's Breakthrough Act of 2007 S. 558- Mental Health Parity Act of 2007 S. 325 - Health Partnership Act H.R. 1688 - All Healthy Children Act of 2007 H.R. 1669 - Positive Aging Act of 2007 H.R. 1560 - Alzheimer's Breakthrough Act of 2007 H.R. 1424 - Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R. 506 - Health Partnership Act H.R. 3 - Stem Cell Research Enhancement Act of 2007 H.R. 1621- Community Choice Act of 2007 S. 799- Community Choice Act of 2007 H.R. 3533- Public and Teaching Hospital Preservation Act S. 1893 Children's Health Insurance Program Reauthorization Act of 2007 S. 2267- Americans Giving care to Elders Act of 2007 S. 1758- Community Living Assistance Services and Supports Act H.R. 4897- Stop Senior Suicide Act H.R. 3001 Community Living Assitance Services and Supports Act Social Security Block Grants S. 358 - Genetic Information Nondiscrimination Act of 2007 H.R. 977 - The Genomic Research and Accessibility Act H.R. 493 - Genetic Information Nondiscrimination Act of 2007 S. 982 - Positive Aging Act of 2007 Long-Term Care Medicaid Medicare Long-Term Care Reform Mental Health parity Older Americans Act Title IV Social Security Block Grants Mental Health Approps Autism Community Living Assistance Services and Supports Act Health Partnership Act

Client expense: $66,771 · Firm income: Not reported

1. H. R. 1669/S. 982," Positive Aging Act of 2007". Support all provisions. The bill would improve access to mental health services for older adults by integrating mental health services into primary and community settings through demonstration projects that target urban and rural medically underserved areas. Interdisciplinary teams of mental health professionals working in collaboration with other providers of health care and social services would provide these evidence-based services. 2. H.R. 1424, the "Paul Wellstone Mental Health and Addiction Equity Act". Support all provisions: The bill expands the Mental Health Parity Act of 1996 by requireing group health plans that offer benefits for mental heatlh and addiction to do so on the same terms as care for other diseases. 3. H.R. 2502, "Geriatricians Loan Forgiveness Act of 2007". Support all provisions. The bill owuld extend the National Health Service Corps Loan Repayment Program to geriatric training, forgiving $35,000 of educational debt incurred by medical students for each year of advanced training to obtain a certificate of added qualifications in geriatric medicine or geriatric psychiatry. 4. S. 558, the "Mental Health Parity Act of 2007". Support provisions to prohibit private health insurance plans from imposing treatment limitations or financial requirements on mental health benefits unless comparable limitations or requirements are imposed on medical and surgical benefits. 5. Discussed with House and Senate staff the need to include older adults in clinical trials, following the 2007 release of a GAO report on this issue. 6. S. 1628, a bill to amend the Public Health Service Act to authorize programs to increase the number of nurse faculty and to increase the domestic nursing and physical therapy workforce. Support all provisions. 7. S. 1854, the "Stop Senior Suicide Act". Support provisions to repeal the 50 percent Medicare outpatient mental health coinsurance rate; improve interagency coordination; provide grants for elderly suicide early interventiona nd prevention strategies; and enhance the existing Suicide Prevention Resource Center. 8. Support H. R. 3411, the "Juvenile Crime Reduction Act of 2007," to provide strategies to help to decrease the prevalence of young people with mental disorders who come into contact with the juvenile justice system. 9. S. 2708, the "Caring for an Aging America Act of 2008". Support all provisions. The bill would provide for the establishment of a new geriatric and gerontology loan repayment program. 10. Reauthorization of the Substance Abuse and Mental Health Service Administration - discuss inclusion of provisions from S. 982 (the "Positive Aging Act of 2007") and S. 1854 (the "Stop Senior Suicide Act") with Senate staff.

HR 2073/S 1572 Child Health Care Crisis Relief Act HR 20 Melanie Blocker-Stokes Postpartum Depression Research and Care Act S 1375 MOTHERS Act HR 1669/S 982 Positive Aging Act of 2007 PL 108-355 Garrett Lee Smith Memorial Act HR 2677 Improved Nutrition and Physical Activity Act HR 2188/S.661 Kinship Caregiver Support Act Bureau of Health Professions Reauthorization and Appropriations SAMHSA Reauthorization S 1224 Children's Health Insurance Program Reauthorization Act of 2007 S 1050 Promoting Wellness for Individuals with Disabilities Act of 2007 S. 651 Play Every Day HR 1198/S 1069 Early Hearing Detection and Intervention Act of 2007 S 1576 Minority Health Improvement and Health Disparity Elimination Act HR 3014 Health Equity and Accountability Act of 2007 Americans with Disabilities Act restoration House NIST Health IT Bill Children's Mental Health HR 1108/S 625 The Family Smoking Prevention and Tobacco Control Act HR 4232 Improving the Quality of Mental and Substance Use Health Care Act of 2007

Client expense: $350,137 · Firm income: Not reported

1. H.R. 1669/S. 982, "Positive Aging Act of 2007". Support all provisions. The bill would improve access to mental health services for older adults by integrating mental health services into primary and community settings through demonstration projects that target urban and rural medically underserved areas. Interdisciplinary teams of mental health professionals working in collaboration with other providers of health care and social services would provide these evidence-based services. 2. H.R. 1424, the "Paul Wellstone Mental Health and Addiction Equity Act". Support all provisions. The bill expands the Mental Health Parity Act of 1996 by requiring group health plans that offer benefits for mental health and addiction to do so on the same terms as care for other diseases. 3. H.R. 2502, "Geriatricians Loan Forgiveness Act of 2007". Support all provisions. The bill would extend the National Health Service Corps Loan Repayment Program to geriatric training, forgiving $35,000 of educational debt incurrred by medical students for each year of advanced training to obtain a certificate of added qualifications in geriatric medicine or geriatric psychiatry. 4. S. 558, the "Mental Health Parity Act of 2007". Support provisions to prohibit private health insurance plans from imposing treatment limitations or financial requirements on mental health benefits unless comparable limitations or requirements are imposed on medical and surgical benefits. 5. Discussed with House and Senate staff the need to include older adults in clinical trials. 6. Provided comments to the Substance Abuse and Mental Health Services Administration (SAMHSA) on the revisions proposed for the Community Mental Health Services Block Grant Application Guidance and Instruction for Fiscal Years 2008-2010. Expressed strong support for SAMHSA's proposed requirement that State Plans include a description of the services provided to older adults under criterion 4 of the State's plan. 7. S. 1628, a bill to amend the Public Health Service Act to authorize programs to increase the number of nurse faculty and to increase the domestic nursing and physical therapy workforce. Support all provisions. 8. S. 1854, the "Stop Senior Suicide Act". Support provisions to repeal the 50 percent Medicare outpatient mental health coinsurance rate; improve interagency coordination; provide grants for elderly suicide early intervention and prevention strategies; and enhance the existing Suicide Prevention Resource Center. 9. Support H. R. 3411, the "Juvenile Crime Reduction Act of 2007," to provide strategies to help to decrease the prevalence of young people with mental disorders who come into contact with the juvenile justice system.

HR 2073/S 1572 Child Health Care Crisis Relief Act HR 20 Melanie Blocker-Stokes Postpartum Depression Research and Care Act S 1375 MOTHERS Act HR 1669/S 982 Positive Aging Act of 2007

Client expense: $350,137 · Firm income: Not reported

S. 358 - Genetic Information Nondiscrimination Act of 2007 H.R. 977 - The Genomic Research and Accessibility Act H.R. 493 - Genetic Information Nondiscrimination Act of 2007 S. 982 - Positive Aging Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS), Treasury, Dept of, White House Office

1. H.R. 1669/S. 982, "Positive Aging Act of 2007". Support all provisions. The bill would improve access to mental health services for older adults by integrating mental health services into primary and community settings through demonstration projects that target urban and rural medically underserved areas. Interdisciplinary teams of mental health professionals working in collaboration with other providers of health care and social services would provide these evidence-based services.

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Alzheimer's Treatment and Caregiver Support Act (H.R. 1032) Postive Aging Act (S. 982/H.R. 1669) Alzheimer's Breakthrough Act (S. 898/H.R. 1560) Geriatric Assessment and Chronic Care Coordination Act (S. 1340/H.R. 2244)

Client expense: Not reported · Firm income: Not reported

Alzheimer's Treatment and Caregiver Support Act (H.R. 1032) Postive Aging Act (S. 982/H.R. 1669) Alzheimer's Breakthrough Act (S. 898/H.R. 1560) Geriatric Assessment and Chronic Care Coordination Act (S. 1340/H.R. 2244)

Client expense: Not reported · Firm income: Not reported

Alzheimer's Treatment and Caregiver Support Act (H.R. 1032) Postive Aging Act (S. 982/H.R. 1669) Alzheimer's Breakthrough Act (S. 898/H.R. 1560) Geriatric Assessment and Chronic Care Coordination Act (S. 1340/H.R. 2244)

Client expense: Not reported · Firm income: Not reported

Alzheimer's Treatment and Caregiver Support Act (H.R. 1032) Postive Aging Act (S. 982/H.R. 1669) Alzheimer's Breakthrough Act (S. 898/H.R. 1560) Geriatric Assessment and Chronic Care Coordination Act (S. 1340/H.R. 2244)

Client expense: Not reported · Firm income: Not reported

H.RES.13: Encouraging increased public awareness of eating disorders and expanded research for treatment and cures. H.R.15: To provide a program of national health insurance, and for other purposes. H.R.20: To provide for research on, and services for individuals with, postpartum depression and psychosis. H.R.63: To provide that the approved application under the Federal Food, Drug, and Cosmetic Act for the drug commonly known as RU-486 is deemed to have been withdrawn, to provide for the review by the Comptroller General of the United States of the process by which the Food and Drug Administration approved such drug, and for other purposes. H.R.113: To amend the Internal Revenue Code of 1986 to require group health plans to provide coverage for reconstructive surgery following mastectomy, consistent with the Women's Health and Cancer Rights Act of 1998. H.R.119: To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. H.R.152: To amend title XXVII of the Public Health Service Act and title I of the Employee Retirement Income Security Act of 1974 to require that group and individual health insurance coverage and group health plans provide comprehensive coverage for childhood immunization. H.R.282: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for second opinions. H.R.283: To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. H.R.324: To increase the minimum wage, to provide access to health care coverage to employees of small businesses, and to preserve American jobs. H.R.506: To provide for innovation in health care through State initiatives that expand coverage and access. H.R.636: To amend the Internal Revenue Code of 1986 to improve health care choice by providing for the tax deductibility of medical expenses by individuals. H.R.676: To provide for comprehensive health insurance coverage for all United States residents, and for other purposes. H.R.914: To amend the Internal Revenue Code of 1986 to allow individuals a refundable credit against income tax for the purchase of private health insurance, and for other purposes. H.R.971: To ensure and foster continued patient safety and quality of care by making the antitrust laws apply to negotiations between groups of independent pharmacies and health plans and health insurance issuers (including health plans under parts C and D of the Medicare Program) in the same manner as such laws apply to protected activities under the National Labor Relations Act. H.R.979: To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to protect consumers in managed care plans and other health coverage. H.R.1076: To promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. H.R.1368: To establish a program to provide financial incentives to encourage the adoption and use of interactive personal health records. H.R.1424: To amend 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.1535: To amend titles XIX and XXI of the Social Security Act to ensure that every child in the United States has access to affordable, quality health insurance coverage, and for other purposes. H.R.1666: To amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs. H.R.1669: To amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes. H.R.1802: To amend the Internal Revenue Code of 1986 to provide a refundable tax credit to small businesses for the costs of qualified health insurance. H.R.1820: To amend the Internal Revenue Code of 1986 to extend the exclusion from gross income for employer-provided health coverage for employees' spouses and dependent children to coverage provided to other eligible designated beneficiaries of employees. H.R.1841: To amend the Social Security Act and the Internal Revenue Code of 1986 to provide for an AmeriCare that assures the provision of health insurance coverage to all residents, and for other purposes. H.R. 2034, to provide quality, affordable health care for all Americans. H.R. 2132: to amend the Public Health Service Act to establish a small business health benefits program. H.R. 2302: to amend the Internal Revenue Code of 1986 to allow a deduction for premiums for high deductible health plans required with respect to health savings accounts. H.R. 2633: to improve the health of Americans and reduce health care costs by reorienting the nation's health care system toward prevention, wellness, and self care. H.R. 2626: to provide for incentives to encourage health insurance coverage, and for other purposes. H.R. 2737: to amend the Internal Revenue Code of 1986 to allow previously uninsured individuals a refundable credit for health insurance costs and to provide tax incentives to encourage small business health plans. H.R. 2842: To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets. H.R. 2892: to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, chapter 89 of title 5, U.S. Code, and title 10, U.S. Code, to require coverage for the treatment of infertility. H.R.1111: To amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. H.R.1367: To amend 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. S.46: A bill to amend the Internal Revenue Code of 1986 to expand the permissible use of health savings accounts to include premiums for non-group high deductible health plan coverage. S.95: A bill to amend titles XIX and XXI of the Social Security Act to ensure that every uninsured child in America has health insurance coverage, and for other purposes. S.99: A bill to amend the Internal Revenue Code of 1986 to provide a refundable credit for small business employee health insurance expenses. S.158: A bill to expand access to affordable health care and to strengthen the health care safety net and make health care services more available in rural and underserved areas. S.244: A bill to improve women's access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the delivery of obstetrical and gynecological services. S.325: A bill to provide for innovation in health care through State initiatives that expand coverage and access and improve quality and efficiency in the health care system. S.334: A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. S.397: A bill to amend the Internal Revenue Code of 1986 to allow individuals a refundable credit against income tax for the purchase of private health insurance, and for other purposes. S.400: A bill to amend the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code of 1986 to ensure that dependent students who take a medically necessary leave of absence do not lose health insurance coverage, and for other purposes. S.459: A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. S.558: A bill to provide parity between health insurance coverage of mental health benefits and benefits for medical and surgical services. S.616: A bill to promote health care coverage parity for individuals participating in legal recreational activities or legal transportation activities. S.651: A bill to help promote the national recommendation of physical activity to kids, families, and communities across the United States. S.655: A bill to amend the Congressional Charter of The American National Red Cross to modernize its governance structure, to enhance the ability of the board of governors of The American National Red Cross to support the critical mission of The American Red Cross in the 21st century, and for other purposes. S.733: A bill to promote the development of health care cooperatives that will help businesses to pool the health care purchasing power of employers, and for other purposes. S.895: A bill to amend titles XIX and XXI of the Social Security Act to ensure that every child in the United States has access to affordable, quality health insurance coverage, and for other purposes. S.982: A bill to amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes. S.1019: A bill to provide comprehensive reform of the health care system of the United States, and for other purposes. S.1050: A bill to amend the Rehabilitation Act of 1973 and the Public Health Service Act to set standards for medical diagnostic equipment and to establish a program for promoting good health, disease prevention, and wellness and for the prevention of secondary conditions for individuals with disabilities, and for other purposes. S. 1198: to determine successful methods to provide protection from catastrophic health expenses for individuals who have exceeded health insurance lifetime limits, to provide catastrophic health insurance coverage for uninsured individuals, and for other purposes. S. 1218: to provide quality, affordable health care for all Americans. S. 1298: to amend the Social Security Act to establish a federal reinsurance program for catastrophic health care costs. S.1342: A bill to improve the health of Americans and reduce health care costs by reorienting the Nation's health care system toward prevention, wellness, and self care. S.1693: A bill to enhance the adoption of a nationwide interoperable health information technology system and to improve the quality and reduce the costs of health care in the United States.

P.L. 108-355 Garrett Lee Smith Memorial Act HR 2677 Improved Nutrition and Physical Activity Act HR 2188/S.661 Kinship Caregiver Support Act PL 109-365 Lifespan Respite Care Act Bureau of Health Professions Reauthroization and Appropriations SAMHSA Reauthroization S. 1224 Children's Health Insurance Program Reauthorization Act of 2007 S. 1050 Promoting Wellness for Individuals with Disabilities Act of 2007 S. 651 Play Every Day HR 1198/S. 1069 Early Hearing Detection and Intervention Act of 2007 S. 1576 Minority Health Improvement and Health Disparity Elimination Act HR 3014 Health Equity and Accountability Act of 2007 Americans with Disabilities Act restoration House NIST Health IT Bill HR 2073/S. 1572 Child Health Care Crisis Relief Act HR 20 - Melanie Blocker-Stokes Postpartum Depression Research and Care Act S. 1375 - MOTHERS Act HR 1669/S. 982 - Positive Aging Act of 2007

Client expense: $219,164 · Firm income: Not reported

S. 898 - Alzheimer's Breakthrough Act of 2007 S. 558 - Mental Health Parity Act of 2007 S. 325 - Health Partnership Act S. 5 - Stem Cell Research Enhancement Act of 2007 H.R. 1688 - All Healthy Children Act of 2007 H.R. 1669 - Positive Aging Act of 2007 H.R. 1560 - Alzheimer's Breakthrough Act of 2007- H.R. 1424 - Paul Wellstone Mental Health and Addiction Equity Act of 2007 H.R. 506 - Health Partnership Act H.R. 3 - Stem Cell Research Enhancement Act of 2007 S. 358 - Genetic Information Nondiscrimination Act of 2007 H.R. 977 - The Genomic Research and Accessibility Act H.R. 493 - Genetic Information Nondiscrimination Act of 2007 S. 982 - Positive Aging Act of 2007

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS), Treasury, Dept of, White House Office

2. H.R. 1424, the “Paul Wellstone Mental Health and Addiction Equity Act”. Support all provisions. The bill expands the Mental Health Parity Act of 1996 by requiring group health plans that offer benefits for mental health and addiction to do so on the same terms as care for other diseases. 3. H.R. 2502, “Geriatricians Loan Forgiveness Act of 2007”. Support all provisions. The bill would extend the National Health Service Corps Loan Repayment Program to geriatric training, forgiving $35,000 of educational debt incurred by medical students for each year of advanced training to obtain a certificate of added qualifications in geriatric medicine or geriatric psychiatry. 4. S. 558, the “Mental Health Parity Act of 2007”. Support provisions to prohibit private health insurance plans from imposing treatment limitations or financial requirements on mental health benefits unless comparable limitations or requirements are imposed on medical and surgical benefits. 5. Discussed with House and Senate staff the need to include older adults in clinical trials. 6. Provided comments to the Substance Abuse and Mental Health Services Administration (SAMHSA) on the revisions proposed for the Community Mental Health Services Block Grant Application Guidance and Instruction for Fiscal Years 2008-2010. Expressed strong support for SAMHSA’s proposed requirement that State plans include a description of the services provided to older adults under criterion 4 of the State’s plan. 7. S. 1628, a bill to amend the Public Health Service Act to authorize programs to increase the number of nurse faculty and to increase the domestic nursing and physical therapy workforce. Support all provisions. 1. H.R. 1669/S. 982, “Positive Aging Act of 2007”. Support all provisions. The bill would improve access to mental health services for older adults by integrating mental health services into primary and community settings through demonstration projects that target urban and rural medically underserved areas. Interdisciplinary teams of mental health professionals working in collaboration with other providers of health care and social services would provide these evidence-based services.