Seniors' Medication Copayment Reduction Act of 2009

Medically Fragile Children's Act (H.R. 1117) Medicare Access to Rehabilitation Services Act (S. 46/H.R. 43) Medicare National Coverage Analysis: Ventricular Assist Devices (CAG-00119R2) Medicare Telehealth Enhancement Act (H.R. 2068) Rural Telemedicine Enhancing Community Health Act (S. 2741) Senior's Medication Co-payment Reduction Act (S. 1040) Temporary Extension Act of 2010 (Medicare Therapy Caps) (H.R. 4691)

Client expense: $135,901 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

Medically Fragile Children's Act (H.R. 1117) Medicare Access to Rehabilitation Services Act (S. 46/H.R. 43) Medicare Telehealth Enhancement Act (H.R. 2068) Rural Telemedicine Enhancing Community Health Act (S. 2741) Senior's Medication Co-payment Reduction Act (S. 1040) Medicare National Coverage Analysis: Counseling to Prevent Tobacco Use and Tobacco-Caused Disease (CAG-00420N)

Client expense: $208,767 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

S. 634/HR 1585, HR 1324, HR 1995/S. 844, HR 2426/S.1048, HR 2575, HR 3200, S. 1679, Americas Healthy Future Act (no number assigned to date), HR 2590, S. 1040, HR 2730, S. 254/HR 574, HR 2360/S. 979, HR 3668, S. 1473/HR 1402. (See next page) S. 634/HR 1585, The Fitness Integrated with Teaching Kids Act Support entire bill; Amends the Elementary and Secondary Education Act of 1965 to improve standards for physical education. (Lobbyists used: Meghan Riley) HR 1324, The Child Nutrition Promotion and School Lunch Protection Act of 2009 Support entire bill; To amend the Child Nutrition Act of 1966 to improve the nutrition and health of school children by updating the definition of `food of minimal nutritional value' to conform to current nutrition science and to protect the Federal investment in the national school lunch and breakfast programs. (Lobbyists used: Meghan Riley) HR 1995/S. 844, The Eliminating Disparities in Prevention, Access and Care Act Support entire bill: Would expand resources at NIH and CDC to promote research, treatment, and education regarding diabetes in minority populations. (Lobbyists used: Meghan Riley, Kathryn Murray) HR 2426/S.1048, The Menu Education and Labeling (MEAL) Act - ADA supports legislation to provide nutritional information on menus in chain restaurants. ADA also supports menu labeling language included in the S. 1679, Affordable Health Choices Act (Lobbyist used: Meghan Riley) HR 2575, The Prosthetic and Custom Orthotic Parity Act of 2009 ADA supports the entire bill; to ensure equal treatment for patients who have suffered limb loss. (Lobbyists used: Meghan Riley) HR 3200, America's Affordable Health Choices Act of 2009 ADA is interested in any reform of the health care system and has spoken with offices about this legislation. Specifically, ADA is working to discuss coverage, access, quality, prevention issues. We are supportive of health care reform but have not given expressed support of this bill. (Lobbyists used: Tekisha Dwan Everette, Kathryn Murray, Meghan Riley) S. 1679, Affordable Health Choices Act - ADA is interested in any reform of the health care system and has spoken with offices about legislation. Specifically, ADA is working on coverage, access, quality, and prevention issues. We are supportive of health care reform but have not endorsed any specific piece of legislation in the Senate. (Lobbyists used: Tekisha Dwan Everette, Kathryn Murray, Meghan Riley) Americas Healthy Future Act (no number assigned to date) - ADA is interested in any reform of the health care system and has spoken with offices about legislation. Specifically, ADA is working on coverage, access, quality, and prevention issues. We are supportive of health care reform but have not endorsed any specific piece of legislation in the Senate. (Lobbyists used: Tekisha Dwan Everette, Kathryn Murray, Meghan Riley) HR 2590, The Preventing Diabetes in Medicare Act - ADA supports the entire bill to provide for medical nutrition therapy under Medicare. (Lobbyists used: Meghan Riley) S. 1040, Seniors Medication Co-Payment Reduction Act - ADA supports the entire bill to provide value-based insurance design. (Lobbyist used: Meghan Riley) HR 2730, The Student-to-School Nurse Ratio Improvement Act - ADA supports the entire bill to increase the number of school nurses relative to students. (Lobbyist used: Meghan Riley) S. 254/HR 574, Medicare Home Infusion Therapy Coverage Act ADA supports the entire bill to provide coverage of home infusion therapy under the Medicare program. (Lobbyist Used: Kathryn Murray) HR 2360/S. 979, The Small Business Health Options Program Act of (SHOP Act). Neutral, but held conversations about possible changes; To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. (Lobbyists used: Kathryn Murray) HR 3668 - ADA supports the entire bill; A bill to reauthorize the Special Diabetes Programs for Type 1 diabetes and Indians. (Lobbyist Used: Tekisha Dwan Everette) S. 1473/HR 1402, Catalyst to Better Diabetes Care Act of 2009 ADA supports the entire bill to change the care and treatment of diabetes in the US. (Lobbyist Used: Kathryn Murray) Issues worked on the Hill not yet reflected in legislation: The Gestational Diabetes Act (GeDi Act) - Support entire bill; Legislation expands screening, diagnosis, data collection and treatment of gestation diabetes and the children born from women with gestational diabetes. (Lobbyists used: Kathryn Murray, Meghan Riley) The Diabetes Treatment and Prevention Act Support entire bill; Amends the Public Health Service Act to require the Director of the Centers for Disease Control and Prevention (CDC) to establish the Division of Diabetes Translation to eliminate diabetes, allocates funding for the Division of Diabetes Translation, and provides for pilot programs for diabetes. (Lobbyists used: Meghan Riley, Kathryn Murray) Diabetes coordinator; ADA is interested in supporting legislation that will create a diabetes coordinator within the Department of Health and Human Services. (Lobbyist used: Meghan Riley, Kathryn Murray) Diabetes Prevention Program; ADA is pursuing legislation to expand the DPPI, a community-based diabetes prevention program that stemmed from the successful NIH Clinical Trial. (Lobbyist used: Meghan Riley)

S. 1110 - Medicare Payment Advisory Commission (MedPAC) Reform Act of 2009 S. 1040 - Seniors' Medication Copayment Reduction Act of 2009 S. 1679 - Affordable Health Choices Act S. 1131 - Independence at Home Act of 2009 HR 3200: America's Affordable Health Choices Act of 2009 Senate Finance Committee Version: America's Healthy Future Act of 2009

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Medicare Access to Rehabilitation Services Act (S. 46/H.R. 43) Public Law 110-73 (S. 2499) Medically Fragile Children's Act (H.R. 1117) Senior's Medication Co-payment Reduction Act (S. 1040) Medicare Telehealth Enhancement Act (H.R. 2068) Medicare Program; Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY2010 (CMS-1413-P) Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and CY2010 Payment Rates (CMS-1414-P) MEDCAC; Use of Catheter Ablation for the Treatment of Atrial Fibrillation (CMS-3214-N)

Client expense: $194,898 · Firm income: Not reported

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

Medicare Access to Rehabilitation Services Act (S. 46/H.R. 43) Public Law 110-73 (S. 2499) Medically Fragile Children's Act (H.R. 1117) Senior's Medication Copayment Reducation Act (S. 1040) Medicare Telehealth Enhancement Act (H.R. 2068) Medicare National Coverage Analysis for Magnetic Resonance Imaging (CAG-00399R) Medicare National Coverage Analysis for Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting (CAG-00085RT) Proposed Changes to the Hospital Inpatient Prospective Payment System for Acute Care Hospitals and Fiscal Year 2010 Rates (CMS-1406P)

Client expense: $319,568 · Firm income: Not reported

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

S.1040 "Bill to establish a demonstration program requiring the utilization of Value-Based Insurance Design" Health Care Reform - no specific legislation - issues pertaining to hospitals, health benefits reform, children's health and employer provided insurance

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

Government targets: Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, HOUSE OF REPRESENTATIVES, Natl Science Foundation (NSF), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Veterans Affairs, Dept of (VA)