Health Information Technology Act of 2009

H.R. 200/S. 61: HELPING FAMILIES SAVE THEIR HOMES IN BANKRUPTCY ACT OF 2009; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 225: EMERGENCY HOMEOWNERSHIP AND EQUALITY PROTECTION ACT; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 703: TO PROMOTE BANK LIQUIDITY AND LENDING THROUGH DEPOSIT INSURANCE, THE HOPE FOR HOMEOWNERS PROGRAM AND OTHER ENHANCEMENTS; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 788: TO PROVIDE SAFE HARBOR FOR MORTGAGE SERVICERS WHO ENGAGE IN SPECIFIED MORTGAGE LOAN MODIFICATIONS, AND FOR OTHER PURPOSES; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 977: DERIVATIVES MARKETS TRANSPARENCY AND ACCOUNTABILITY ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 1039: PROMOTING HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY H.R. 1705/S. 566: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 2221: DATA ACCOUNTABILITY AND TRUST ACT; PROVISIONS RELATED TO DATA SECURITY BREACH H.R. 2571/S. 1363: NONADMITTED AND REINSURANCE REFORM ACT OF 2009; PROVISIONS RELATED TO STREAMLINING REINSURANCE REGULATION H.R. 2733/S. 1389: FIXED INDEXED ANNUITIES AND INSURANCE PRODUCTS CLASSIFICATION ACT OF 2009; PROVISIONS RELATED TO ANNUITIES REGULATION (SEC RULE 151A) H.R. 3399: TO AMEND THE INTERNAL REVENUE CODE OF 1986 TO PERMIT THE CONSOLIDATION OF LIFE INSURANCE COMPANIES WITH OTHER COMPANIES; PROVISIONS RELATED TO TAXATION OF LIFE INSURANCE COMPANIES H.R. 3506: ELIMINATE PRIVACY NOTICE CONFUSION ACT; ISSUES RELATED TO DATA SECURITY BREACH H.R. 3596/S. 1681: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO INSURANCE ANTI-TRUST REGULATIONS (MCCARRON-FERGUSON) AND PRIVACY H.R. 3669: EMPLOYER-OWNED LIFE INSURANCE LIMITATION ACT; PROVISIONS RELATED TO COMPANY OWNED LIFE INSURANCE H.R. 3763: TO AMEND THE FAIR CREDIT REPORTING ACT TO PROVIDE FOR AN EXCLUSION FROM RED FLAG GUIDELINES FOR CERTAIN BUSINESSES; PROVISIONS RELATED TO HEALTH CARE H.R. 4173: DODD-FRANK WALL STREET REFORM AND CONSUMER PROTECTION ACT (FKA: RESTORING AMERICAN FINANCIAL STABILITY ACT OF 2010); ALL PROVISIONS OF THE BILL H.R. 4596: HOLOCAUST INSURANCE ACCOUNTABILITY ACT OF 2010; PROVISIONS RELATED TO INSURANCE REGULATORY REFORM H.R. 5993: SECURING AMERICA'S VETERANS INSURANCE NEEDS AND GOALS (SAVINGS) ACT OF 2010; ALL PROVISIONS OF THE BILL H.CON.RES. 89: SUPPORTING THE GOALS AND OBJECTIVES OF THE PRAGUE CONFERENCE ON HOLOCAUST ERA ASSETS; PROVISIONS RELATED TO HOLOCAUST CLAIMS PERTAINING TO POLICIES ISSUED BY PARENT COMPANY, AEGON NV S. 139: DATA BREACH NOTIFICATION ACT; PROVISIONS RELATED TO DATA SECURITY BREACH S. 179: HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 272: DERIVATIVES TRADING INTEGRITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES S.344: HEDGE FUND TRANSPARENCY ACT; PROVISIONS RELATED TO REGULATORY REFORM S. 444: NATIONAL HEALTH INFORMATION TECHNOLOGY AND PRIVACY ADVANCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 1490: PERSONAL DATA PRIVACY AND SECURITY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 3098: PROTECT OUR RECOVERY THROUGH OVERSIGHT OF PROPRIETARY (PROP) TRADING ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM S. 3217: RESTORING AMERICAN FINANCIAL STABILITY ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 200/S. 61: HELPING FAMILIES SAVE THEIR HOMES IN BANKRUPTCY ACT OF 2009; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 225: EMERGENCY HOMEOWNERSHIP AND EQUALITY PROTECTION ACT; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 703: TO PROMOTE BANK LIQUIDITY AND LENDING THROUGH DEPOSIT INSURANCE, THE HOPE FOR HOMEOWNERS PROGRAM AND OTHER ENHANCEMENTS; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 788: TO PROVIDE SAFE HARBOR FOR MORTGAGE SERVICERS WHO ENGAGE IN SPECIFIED MORTGAGE LOAN MODIFICATIONS, AND FOR OTHER PURPOSES; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 977: DERIVATIVES MARKETS TRANSPARENCY AND ACCOUNTABILITY ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 1039: PROMOTING HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY H.R. 1705/S. 566: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 2221: DATA ACCOUNTABILITY AND TRUST ACT; PROVISIONS RELATED TO DATA SECURITY BREACH H.R. 2571/S. 1363: NONADMITTED AND REINSURANCE REFORM ACT OF 2009; PROVISIONS RELATED TO STREAMLINING REINSURANCE REGULATION H.R. 2733/S. 1389: FIXED INDEXED ANNUITIES AND INSURANCE PRODUCTS CLASSIFICATION ACT OF 2009; PROVISIONS RELATED TO ANNUITIES REGULATION (SEC RULE 151A) H.R. 3399: TO AMEND THE INTERNAL REVENUE CODE OF 1986 TO PERMIT THE CONSOLIDATION OF LIFE INSURANCE COMPANIES WITH OTHER COMPANIES; PROVISIONS RELATED TO TAXATION OF LIFE INSURANCE COMPANIES H.R. 3506: ELIMINATE PRIVACY NOTICE CONFUSION ACT; ISSUES RELATED TO DATA SECURITY BREACH H.R. 3596/S. 1681: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO INSURANCE ANTI-TRUST REGULATIONS (MCCARRON-FERGUSON) AND PRIVACY H.R. 3669: EMPLOYER-OWNED LIFE INSURANCE LIMITATION ACT; PROVISIONS RELATED TO COMPANY OWNED LIFE INSURANCE H.R. 3763: TO AMEND THE FAIR CREDIT REPORTING ACT TO PROVIDE FOR AN EXCLUSION FROM RED FLAG GUIDELINES FOR CERTAIN BUSINESSES; PROVISIONS RELATED TO HEALTH CARE H.R. 4173: DODD-FRANK WALL STREET REFORM AND CONSUMER PROTECTION ACT (FKA: RESTORING AMERICAN FINANCIAL STABILITY ACT OF 2010); ALL PROVISIONS OF THE BILL H.R. 4596: HOLOCAUST INSURANCE ACCOUNTABILITY ACT OF 2010; PROVISIONS RELATED TO INSURANCE REGULATORY REFORM H.CON.RES. 89: SUPPORTING THE GOALS AND OBJECTIVES OF THE PRAGUE CONFERENCE ON HOLOCAUST ERA ASSETS; PROVISIONS RELATED TO HOLOCAUST CLAIMS PERTAINING TO POLICIES ISSUED BY PARENT COMPANY, AEGON NV S. 139: DATA BREACH NOTIFICATION ACT; PROVISIONS RELATED TO DATA SECURITY BREACH S. 179: HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 272: DERIVATIVES TRADING INTEGRITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES S.344: HEDGE FUND TRANSPARENCY ACT; PROVISIONS RELATED TO REGULATORY REFORM S. 444: NATIONAL HEALTH INFORMATION TECHNOLOGY AND PRIVACY ADVANCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 1490: PERSONAL DATA PRIVACY AND SECURITY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 3098: PROTECT OUR RECOVERY THROUGH OVERSIGHT OF PROPRIETARY (PROP) TRADING ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM S. 3217: RESTORING AMERICAN FINANCIAL STABILITY ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 801: Fair Copyright in Research Works Act S 179: Health Information Technology Act HR 5116: America Competes S 3605: America COMPETES Reauthorization Act of 2010

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

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

S. 344 Hedge Fund Transparency Act. Issue: Regulatory Reform. S. 179 Health Information Technology Act of 2009. Issue: Privacy S. 444 National Health Information Technology and Privacy Advancement Act of 2009. Issue: Privacy H.R. 225 - Emergency Homeownership and Equity Protection Act. Issue: Bankruptcy Mortgage Modification H.R. 788 To provide a safe harbor for mortgage servicers who engage in specified mortgage loan modifications, and for other purposes. Issue: Bankruptcy Mortgage Modification. H.R. 703 - To promote bank liquidity and lending through deposit insurance, the HOPE for Homeowners Program, and other enhancements. Issue: Bankruptcy Mortgage Modification. H.R. 2221 - the "Accountability and Trust Act." Issue: Data Security Breach H.R. 2733/ S. 1389 - the "Fixed Indexed Annuities and Insurance Products Classification Act of 2009." Issue: SEC Rule 151A H.R. 3596 the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: McCarran-Ferguson. S. 1681 - the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: Privacy. S. 1490 the Personal Data Privacy and Security Act of 2009 A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. Issue: Privacy. H.R. 3763 a bill to amend the Fair Credit Reporting Act to provide for an exclusion from Red Flag Guidelines for certain businesses. Issue: Health Care. S. 139 Title: the Data Breach Notification Act A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. Issue: Data Security Breach. H.R. 3506 Title: the Eliminate Privacy Notification Confusion Act A bill to amend the Gramm-Leach-Bliley Act to provide an exception from the continuing requirement for annual privacy notices for financial institutions which do not share personal information with affiliates, and for other purposes. Issue: Data Security Breach. H.R. 4596 Title: the Holocaust Insurance Accountability Act of 2010. A bill to allow for enforcement of State disclosure laws and access to courts for covered Holocaust-era insurance policy claims. Issue: insurance regulatory reform. H.R. 5993/ S. 3718 Title: The Securing Americas Veterans Insurance Needs and Goals Act of 2010. A bill to ensure that beneficiaries of Servicemembers Group Life Insurance receive financial counseling and disclosure information regarding life insurance payments, and for other programs. Issue: insurance payments. H.R. 6529 Federal License for Reinsurance Act. To amend title 31, United States Code, to provide for a Federal license for reinsurers, and for other purposes. Issue: reinsurance. No bill number - Dodd-Frank Wall Street Reform and Consumer Protection Act. Issue: Regulatory Reform No bill number - Protect Our Recovery Through Oversight of Proprietary Trading Act. Issue: Regulatory Reform

Client expense: $1,631,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 46/H.R. 43 - Medicare Access to Rehabilitation Services Act; S. 54/H.R. 2273 - Registered Nurse Safe Staffing Act; S. 318 - Medicare Rural Health Access Improvement Act; H.R. 2307 - Reaching Elders with Assessment and Chronic Care Management and Coordination Act; Health Reform; S. 179 - Health Information Technology Act; S. 1174/H.R. 2350 - Preserving Patient Access to Primary Care Act; H.R. 2479 - Medicare Orthotics and Prosthetics Improvement Act; H.R. 2307 - Reaching Elders with Assessment and Chronic Care Management and Coordination Act; H.R. 3962 - Affordable Health Care for America Act; H.R. 3590 - Patient Protection and Affordable Care Act; H.R. 4787/S. 1217 - Medicaid Services Restoration Act of 2010; S. 2987 - Securing Effective and Necessary Individual Outpatient Services (SENIORS) Act of 2010; H. R. 4872 - Reconciliation Act of 2010.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE

H.R. 724 - America's Partnership for Nursing Education Act; H.R. 1460/S. 1022 - Nurses' Higher Education and Loan Repayment Act; H.R. 1494 - Nursing Home Emergency Assistance Act; S. 179 - Health Information Technology Act; S. 497/H.R. 2043 - Nurse Education, Expansion, and Development Act; H.R. 2350 - Preserving Patient Access to Primary Care Act; Health Reform; H.R. 2381 - Nurse and Health Care Worker Protection Act; H.R. 3962 - Affordable Health Care for America Act; H.R. 3590 - Patient Protection and Affordable Care Act; H.R. 307 - Christopher and Dana Reeve Paralysis Act; H.R. 868 - Direct Support Professional Fairness and Security Act; H.R. 2575/S. 3223 - Prosthetic and Custom Orthotic Parity Act; H.R. 4872 - Reconciliation Act of 2010; H. Res. 510 - Safe Patient Handling and Movement.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE

See attachment. CSP Fourth Quarter Report 2010 H.R. 225 - Emergency Homeownership and Equity Protection Act. Issue: Bankruptcy Mortgage Modification H.R. 703 - To promote bank liquidity and lending through deposit insurance, the HOPE for Homeowners Program, and other enhancements. Issue: Bankruptcy Mortgage Modification. H.R. 788 To provide a safe harbor for mortgage servicers who engage in specified mortgage loan modifications, and for other purposes. Issue: Bankruptcy Mortgage Modification. H.R. 2221 - the "Accountability and Trust Act." Issue: Data Security Breach H.R. 2733/ S. 1389 - the "Fixed Indexed Annuities and Insurance Products Classification Act of 2009." Issue: SEC Rule 151A H.R. 3506 Title: the Eliminate Privacy Notification Confusion Act A bill to amend the Gramm-Leach-Bliley Act to provide an exception from the continuing requirement for annual privacy notices for financial institutions which do not share personal information with affiliates, and for other purposes. Issue: Data Security Breach. H.R. 3596 the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: McCarran-Ferguson. H.R. 3763 a bill to amend the Fair Credit Reporting Act to provide for an exclusion from Red Flag Guidelines for certain businesses. Issue: Health Care. H.R. 5993/ S. 3718 Title: The Securing Americas Veterans Insurance Needs and Goals Act of 2010. A bill to ensure that beneficiaries of Servicemembers Group Life Insurance receive financial counseling and disclosure information regarding life insurance payments, and for other programs. Issue: insurance payments. H.R. 6529 Federal License for Reinsurance Act. To amend title 31, United States Code, to provide for a Federal license for reinsurers, and for other purposes. Issue: reinsurance. S. 139 Title: the Data Breach Notification Act A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. Issue: Data Security Breach. S. 179 Health Information Technology Act of 2009. Issue: Privacy S. 344 Hedge Fund Transparency Act. Issue: Regulatory Reform. S. 444 National Health Information Technology and Privacy Advancement Act of 2009. Issue: Privacy S. 1490 the Personal Data Privacy and Security Act of 2009 A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. Issue: Privacy. S. 1681 - the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: Privacy. No bill number - Dodd-Frank Wall Street Reform and Consumer Protection Act. Issue: Regulatory Reform No bill number - Protect Our Recovery Through Oversight of Proprietary Trading Act. Issue: Regulatory Reform

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Insurance reform and Long Term Care issues HR 1, S. 1, S. 725, S. 703, S. 623, S. 207, S. 179, S. 82, S. 45, HR 1558, HR 1495, HR 1470, HR 1468, HR 1413, HR 1279, HR 1092, HR 676, HR 563, HR 542, HR 198, HR 194, HR 109, HR 15, HR 2, S. 702, S. 94, HR 1891, HR 897, HR 3200, HR 3590, HR 3501, HR 3502, HR 3962, HR 4872, H.R. 5853

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

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

H.R.1, S.179 HIPPA - Health IT Health Reimbursement Accounts

Client expense: $660,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, White House Office

H.R.1, S.179 HIPPA - Health IT Health Reimbursement Accounts

Client expense: $660,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, White House Office

H.R. 200/S. 61: HELPING FAMILIES SAVE THEIR HOMES IN BANKRUPTCY ACT OF 2009; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 225: EMERGENCY HOMEOWNERSHIP AND EQUALITY PROTECTION ACT; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 703: TO PROMOTE BANK LIQUIDITY AND LENDING THROUGH DEPOSIT INSURANCE, THE HOPE FOR HOMEOWNERS PROGRAM AND OTHER ENHANCEMENTS; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 788: TO PROVIDE SAFE HARBOR FOR MORTGAGE SERVICERS WHO ENGAGE IN SPECIFIED MORTGAGE LOAN MODIFICATIONS, AND FOR OTHER PURPOSES; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 977: DERIVATIVES MARKETS TRANSPARENCY AND ACCOUNTABILITY ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 1039: PROMOTING HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY H.R. 1705/S. 566: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 2221: DATA ACCOUNTABILITY AND TRUST ACT; PROVISIONS RELATED TO DATA SECURITY BREACH H.R. 2571/S. 1363: NONADMITTED AND REINSURANCE REFORM ACT OF 2009; PROVISIONS RELATED TO STREAMLINING REINSURANCE REGULATION H.R. 2733/S. 1389: FIXED INDEXED ANNUITIES AND INSURANCE PRODUCTS CLASSIFICATION ACT OF 2009; PROVISIONS RELATED TO ANNUITIES REGULATION (SEC RULE 151A) H.R. 3399: TO AMEND THE INTERNAL REVENUE CODE OF 1986 TO PERMIT THE CONSOLIDATION OF LIFE INSURANCE COMPANIES WITH OTHER COMPANIES; PROVISIONS RELATED TO TAXATION OF LIFE INSURANCE COMPANIES H.R. 3506: ELIMINATE PRIVACY NOTICE CONFUSION ACT; ISSUES RELATED TO DATA SECURITY BREACH H.R. 3596/S. 1681: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO INSURANCE ANTI-TRUST REGULATIONS (MCCARRON-FERGUSON) AND PRIVACY H.R. 3669: EMPLOYER-OWNED LIFE INSURANCE LIMITATION ACT; PROVISIONS RELATED TO COMPANY OWNED LIFE INSURANCE H.R. 3763: TO AMEND THE FAIR CREDIT REPORTING ACT TO PROVIDE FOR AN EXCLUSION FROM RED FLAG GUIDELINES FOR CERTAIN BUSINESSES; PROVISIONS RELATED TO HEALTH CARE H.R. 4173: DODD-FRANK WALL STREET REFORM AND CONSUMER PROTECTION ACT (FKA: RESTORING AMERICAN FINANCIAL STABILITY ACT OF 2010); ALL PROVISIONS OF THE BILL H.R. 4596: HOLOCAUST INSURANCE ACCOUNTABILITY ACT OF 2010; PROVISIONS RELATED TO INSURANCE REGULATORY REFORM H.CON.RES. 89: SUPPORTING THE GOALS AND OBJECTIVES OF THE PRAGUE CONFERENCE ON HOLOCAUST ERA ASSETS; PROVISIONS RELATED TO HOLOCAUST CLAIMS PERTAINING TO POLICIES ISSUED BY PARENT COMPANY, AEGON NV S. 139: DATA BREACH NOTIFICATION ACT; PROVISIONS RELATED TO DATA SECURITY BREACH S. 179: HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 272: DERIVATIVES TRADING INTEGRITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES S.344: HEDGE FUND TRANSPARENCY ACT; PROVISIONS RELATED TO REGULATORY REFORM S. 444: NATIONAL HEALTH INFORMATION TECHNOLOGY AND PRIVACY ADVANCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 1490: PERSONAL DATA PRIVACY AND SECURITY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 3098: PROTECT OUR RECOVERY THROUGH OVERSIGHT OF PROPRIETARY (PROP) TRADING ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM S. 3217: RESTORING AMERICAN FINANCIAL STABILITY ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM

Client expense: $590,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 200/S. 61: HELPING FAMILIES SAVE THEIR HOMES IN BANKRUPTCY ACT OF 2009; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 225: EMERGENCY HOMEOWNERSHIP AND EQUALITY PROTECTION ACT; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 703: TO PROMOTE BANK LIQUIDITY AND LENDING THROUGH DEPOSIT INSURANCE, THE HOPE FOR HOMEOWNERS PROGRAM AND OTHER ENHANCEMENTS; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 788: TO PROVIDE SAFE HARBOR FOR MORTGAGE SERVICERS WHO ENGAGE IN SPECIFIED MORTGAGE LOAN MODIFICATIONS, AND FOR OTHER PURPOSES; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 977: DERIVATIVES MARKETS TRANSPARENCY AND ACCOUNTABILITY ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 1039: PROMOTING HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY H.R. 1705/S. 566: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 2221: DATA ACCOUNTABILITY AND TRUST ACT; PROVISIONS RELATED TO DATA SECURITY BREACH H.R. 2571/S. 1363: NONADMITTED AND REINSURANCE REFORM ACT OF 2009; PROVISIONS RELATED TO STREAMLINING REINSURANCE REGULATION H.R. 2733/S. 1389: FIXED INDEXED ANNUITIES AND INSURANCE PRODUCTS CLASSIFICATION ACT OF 2009; PROVISIONS RELATED TO ANNUITIES REGULATION (SEC RULE 151A) H.R. 3399: TO AMEND THE INTERNAL REVENUE CODE OF 1986 TO PERMIT THE CONSOLIDATION OF LIFE INSURANCE COMPANIES WITH OTHER COMPANIES; PROVISIONS RELATED TO TAXATION OF LIFE INSURANCE COMPANIES H.R. 3506: ELIMINATE PRIVACY NOTICE CONFUSION ACT; ISSUES RELATED TO DATA SECURITY BREACH H.R. 3596/S. 1681: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO INSURANCE ANTI-TRUST REGULATIONS (MCCARRON-FERGUSON) AND PRIVACY H.R. 3669: EMPLOYER-OWNED LIFE INSURANCE LIMITATION ACT; PROVISIONS RELATED TO COMPANY OWNED LIFE INSURANCE H.R. 3763: TO AMEND THE FAIR CREDIT REPORTING ACT TO PROVIDE FOR AN EXCLUSION FROM RED FLAG GUIDELINES FOR CERTAIN BUSINESSES; PROVISIONS RELATED TO HEALTH CARE H.R. 4173: DODD-FRANK WALL STREET REFORM AND CONSUMER PROTECTION ACT (FKA: RESTORING AMERICAN FINANCIAL STABILITY ACT OF 2010); ALL PROVISIONS OF THE BILL H.R. 4596: HOLOCAUST INSURANCE ACCOUNTABILITY ACT OF 2010; PROVISIONS RELATED TO INSURANCE REGULATORY REFORM H.CON.RES. 89: SUPPORTING THE GOALS AND OBJECTIVES OF THE PRAGUE CONFERENCE ON HOLOCAUST ERA ASSETS; PROVISIONS RELATED TO HOLOCAUST CLAIMS PERTAINING TO POLICIES ISSUED BY PARENT COMPANY, AEGON NV S. 139: DATA BREACH NOTIFICATION ACT; PROVISIONS RELATED TO DATA SECURITY BREACH S. 179: HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 272: DERIVATIVES TRADING INTEGRITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES S.344: HEDGE FUND TRANSPARENCY ACT; PROVISIONS RELATED TO REGULATORY REFORM S. 444: NATIONAL HEALTH INFORMATION TECHNOLOGY AND PRIVACY ADVANCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 1490: PERSONAL DATA PRIVACY AND SECURITY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 3098: PROTECT OUR RECOVERY THROUGH OVERSIGHT OF PROPRIETARY (PROP) TRADING ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM S. 3217: RESTORING AMERICAN FINANCIAL STABILITY ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM

Client expense: $590,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 200/S. 61: HELPING FAMILIES SAVE THEIR HOMES IN BANKRUPTCY ACT OF 2009; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 225: EMERGENCY HOMEOWNERSHIP AND EQUALITY PROTECTION ACT; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 703: TO PROMOTE BANK LIQUIDITY AND LENDING THROUGH DEPOSIT INSURANCE, THE HOPE FOR HOMEOWNERS PROGRAM AND OTHER ENHANCEMENTS; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 788: TO PROVIDE SAFE HARBOR FOR MORTGAGE SERVICERS WHO ENGAGE IN SPECIFIED MORTGAGE LOAN MODIFICATIONS, AND FOR OTHER PURPOSES; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 977: DERIVATIVES MARKETS TRANSPARENCY AND ACCOUNTABILITY ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 1039: PROMOTING HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY H.R. 1705/S. 566: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 2221: DATA ACCOUNTABILITY AND TRUST ACT; PROVISIONS RELATED TO DATA SECURITY BREACH H.R. 2571/S. 1363: NONADMITTED AND REINSURANCE REFORM ACT OF 2009; PROVISIONS RELATED TO STREAMLINING REINSURANCE REGULATION H.R. 2733/S. 1389: FIXED INDEXED ANNUITIES AND INSURANCE PRODUCTS CLASSIFICATION ACT OF 2009; PROVISIONS RELATED TO ANNUITIES REGULATION (SEC RULE 151A) H.R. 3399: TO AMEND THE INTERNAL REVENUE CODE OF 1986 TO PERMIT THE CONSOLIDATION OF LIFE INSURANCE COMPANIES WITH OTHER COMPANIES; PROVISIONS RELATED TO TAXATION OF LIFE INSURANCE COMPANIES H.R. 3506: ELIMINATE PRIVACY NOTICE CONFUSION ACT; ISSUES RELATED TO DATA SECURITY BREACH H.R. 3596/S. 1681: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO INSURANCE ANTI-TRUST REGULATIONS (MCCARRON-FERGUSON) AND PRIVACY H.R. 3669: EMPLOYER-OWNED LIFE INSURANCE LIMITATION ACT; PROVISIONS RELATED TO COMPANY OWNED LIFE INSURANCE H.R. 3763: TO AMEND THE FAIR CREDIT REPORTING ACT TO PROVIDE FOR AN EXCLUSION FROM RED FLAG GUIDELINES FOR CERTAIN BUSINESSES; PROVISIONS RELATED TO HEALTH CARE H.R. 4173: DODD-FRANK WALL STREET REFORM AND CONSUMER PROTECTION ACT (FKA: RESTORING AMERICAN FINANCIAL STABILITY ACT OF 2010); ALL PROVISIONS OF THE BILL H.R. 4596: HOLOCAUST INSURANCE ACCOUNTABILITY ACT OF 2010; PROVISIONS RELATED TO INSURANCE REGULATORY REFORM H.R. 5993: SECURING AMERICA'S VETERANS INSURANCE NEEDS AND GOALS (SAVINGS) ACT OF 2010; ALL PROVISIONS OF THE BILL H.CON.RES. 89: SUPPORTING THE GOALS AND OBJECTIVES OF THE PRAGUE CONFERENCE ON HOLOCAUST ERA ASSETS; PROVISIONS RELATED TO HOLOCAUST CLAIMS PERTAINING TO POLICIES ISSUED BY PARENT COMPANY, AEGON NV S. 139: DATA BREACH NOTIFICATION ACT; PROVISIONS RELATED TO DATA SECURITY BREACH S. 179: HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 272: DERIVATIVES TRADING INTEGRITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES S.344: HEDGE FUND TRANSPARENCY ACT; PROVISIONS RELATED TO REGULATORY REFORM S. 444: NATIONAL HEALTH INFORMATION TECHNOLOGY AND PRIVACY ADVANCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 1490: PERSONAL DATA PRIVACY AND SECURITY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 3098: PROTECT OUR RECOVERY THROUGH OVERSIGHT OF PROPRIETARY (PROP) TRADING ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM S. 3217: RESTORING AMERICAN FINANCIAL STABILITY ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM

Client expense: $590,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 2 Middle Class Opportunity Act, Card Check provisions; S 4 Comprehensive Health Reform Act of 2009, a bill to guarantee affordable, quality health coverage for all Americans, and for other purposes; S 45 MCAP Act, a bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; S 77 Children's Mental Health Parity Act, a bill to amend title XXI of the Social Security Act to provide for equal coverage of mental health services under the State Children's Health Insurance Program; HR 241a bill to amend title 10, United States Code, to require the amounts reimbursed to institutional providers of health care services under the TRICARE program to be the same as amounts reimbursed under Medicare, and to require the Secretary of Defense to contract for health care services with at least one teaching hospital in urban areas; HR 298 Improving Children's Doctor Access Act of 2009, a bill to amend title XXI of the Social Security Act to require SCHIP annual reports to include information on the HEDIS measure relating to access to primary care practitioners by individuals eligible for child health assistance under such plans and on State efforts to avoid certain displacement of private health coverage, and to express the sense of Congress that such States should utilize Consumer Assessment of Healthcare Providers and Systems consumer satisfaction surveys to measure access by such individuals to physicians; S 179 Health Information Technology Act of 2009, a bill to improve quality in health care by providing incentives for adoption of modern information technology; HR 468 and S 245 Retooling the Health Care Workforce for an Aging America Act of 2009, a bill to expand, train, and support all sectors of the health care workforce to care for the growing population of older individuals in the United States; HR 676 United States National Health Care Act or the Expanded and Improved Medicare for All Act, a bill to provide for comprehensive health insurance coverage for all United States residents, improved health care delivery, and for other purposes; HR 688 and S 326 Kids First Act, a bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program through fiscal year 2013, and for other purposes; Tricare letter sent to DOD from Sen. Ben Nelson urging DoD to revise the rule, expand the transition to the new payment system, offer other adjustments to cushion the financial blow on certain hospitals, and conduct a detailed analysis of its impact on the field; S 391 Healthy Americans Act, a bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away; HR 914 Physician Workforce Enhancement Act of 2009, a bill to amend title VII of the Public Health Service Act to establish a loan program for eligible hospitals to establish residency training programs; HR 936 National Trauma Center Stabilization Act of 2009, a bill to ensure the continued and future availability of lifesaving trauma health care in the United States and to prevent further trauma center closures and downgrades by assisting trauma centers with uncompensated care costs, core mission services, emergency needs, and information technology; HR 956 HealthCARE Act of 2009, a bill to expand the number of individuals and families with health insurance coverage, and for other purposes; S 408 Wakefield Act, a bill to amend the Public Health Service Act to provide a means for continued improvement in emergency medical services for children; HR 1085 Health Insurance Coverage Protection Act, a bill to impose a limitation on lifetime aggregate limits imposed by health plans; HR 1086 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009; a bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; HR 1101 Midwifery Care Access and Reimbursement Equity Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for reimbursement of certified midwife services and to provide for more equitable reimbursement rates for certified nurse-midwife services; S 441 Quality Reform Expansion and Savings Act of 2009, a bill to encourage the development of coordinated quality reforms to improve health care delivery and reduce the cost of care in the health care system; S 444 National Health Information Technology and Privacy Advancement Act of 2009, a bill to provide for the establishment of a health information technology and privacy system; S 486 Access for All America Act, a bill to achieve access to comprehensive primary health care services for all Americans and to reform the organization of primary care delivery through an expansion of the Community Health Center and National Health Service Corps programs; HR 1253 Health Insurance Restrictions and Limitations Clarification Act of 2009, a bill to require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable; HR 1296 Access for All America Act, a bill to achieve access to comprehensive primary health care services for all Americans and to reform the organization of primary care delivery through an expansion of the Community Health Center and National Health Service Corps programs; HR 1411 United States Primary and Preventive Health Care Corps Act of 2009, a bill to amend the Public Health Service Act to establish a Primary and Public Health Scholarship Program; HR 1460 Nurses Higher Education and Loan Repayment Act, a bill to amend the Public Health Service Act to establish a graduate degree loan repayment program for nurses who become nursing school faculty members; HR 1494 Nursing Home Emergency Assistance Act, a bill to ensure that a private for-profit nursing home affected by a major disaster receives the same reimbursement as a public nursing home affected by a major disaster; HR 1558 and S 623 Preexisting Condition Patient Protection Act of 2009, to prohibit health insurers from denying coverage to people with pre-existing conditions; S 616 Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009, a bill to amend the Public Health Service Act to authorize medical simulation enhancement programs, and for other purposes; HR 1581 Patient-Focused Critical Care Enhancement Act, a bill to optimize the delivery of critical care medicine and expand the critical care workforce; S 628 Conrad State 30 Improvement Act, a bill to provide incentives to physicians to practice in rural and medically underserved communities; HR 1614 and S 652 Community Coalitions for Access and Quality Improvement Act of 2009, a bill to authorize the Secretary of Health and Human Services to make grants to community health coalitions to assist in the development of integrated health care delivery; HR 1691 and S 688 Breast Cancer Patient Protection Act of 2009, 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; HR 1699 Patient Access to Critical Lab Tests Act, a bill to require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; S 698 State-Based Health Care Reform Act, a bill to ensure the provision of high-quality health care coverage for uninsured individuals through State health care coverage pilot projects that expand coverage and access and improve quality and efficiency in the health care system; S 703 American Health Security Act of 2009, a bill to provide for health care for every American and to control the cost and enhance the quality of the health care system; HR 1745 Family Health Care Accessibility Act of 2009, a bill to amend the Public Health Service Act to provide liability protections for volunteer practitioners at health centers under section 330 of such Act; S 733 National Trauma Center Stabilization Act of 2009, a bill to ensure the continued and future availability of life saving trauma health care in the United States and to prevent further trauma center closures and downgrades by assisting trauma centers with uncompensated care costs, core mission services, and emergency needs; Letter to HHS about the action plan to prevent Healthcare associated infections; Provided information to members of Congress about the Quality and Patient Safety Transparency initiatives by state; Working with Rep. Nathan Deal to get legislation introduced on provider price transparency; HR 1670 and S 683 Community Choice Act of 2009, to amend title XIX of the Social Security Act to provide individuals with disabilities and older Americans with equal access to community-based attendant services and supports and which would allow disabled Medicaid recipients to receive care in their homes rather than in nursing homes; HR 2003 and S 830 Children's Hospitals Education Equity Act, a bill to modify the definition of children's hospital for purposes of making payments to children's hospitals that operate graduate medical education programs; HR 1998 Health Care Safety Net Enhancement Act of 2009, a bill to improve access to emergency medical services; HR 2043 Nurse Education, Expansion, and Development Act of 2009, a bill to amend the Public Health Service Act to authorize capitation grants to increase the number of nursing faculty and students; HR 2066 Graduate Psychology Education Act of 2009, a bill to amend the Public Health Service Act to promote mental and behavioral health services for underserved populations; S 890 Health Information Technology (IT) Public Utility Act of 2009, a bill to provide for the use of improved health information technology with respect to certain safety net health care providers; HR 2176 Nursing and Allied Health Education Preservation Act of 2009, to amend title XVIII of the Social Security Act to continue the ability of hospitals to supply a needed workforce of nurses and allied health professionals by preserving funding for hospital operated nursing and allied health education programs; HR 2218 Parental Consent Act of 2009, a bill to prohibit the use of Federal funds for any universal or mandatory mental health screening program; S 957 Public Health Emergency Response Act of 2009, a bill to amend the Public Health Service Act to ensure that victims of public health emergencies have meaningful and immediate access to medically necessary health care services; S 958 MediKids Health Insurance Act of 2009, a bill to amend the Social Security Act to guarantee comprehensive health care coverage for all children born after 2009; HR 2231 Public Health Emergency Response Act of 2009, a bill to amend the Public Health Service Act to ensure that victims of public health emergencies have meaningful and immediate access to medically necessary health care services; HR 2233 Health Empowerment Zone Act of 2009, a bill to authorize the Secretary of Health and Human Services to designate health empowerment zones; S 966 and HR 2252 National Health Care Quality Act, a bill to improve the Federal infrastructure for health care quality improvement in the United States; HR 2249 Health Care Price Transparency Promotion Act of 2009, a bill 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; HR 2251 and S 973 Resident Physician Shortage Reduction Act of 2009, to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions; S 979 and HR 2360 SHOP Act, a bill 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; HR 2273 Nurse Staffing Standards for Patient Safety and Quality Care Act of 2009, a bill to amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals; S 999 Child Health Care Crisis Relief Act of 2009, a bill to increase the number of well-trained mental health service professionals (including those based in schools) providing clinical mental health care to children and adolescents; S 1001 Health Promotion FIRST Act, a bill to provide for increased research, coordination and expansion of health promotion programs through the Department of Health and Human Services; HR 2350 Preserving Patient Access to Primary Care Act of 2009, a bill to amend the Public Health Service Act and the Social Security Act to increase the number of primary care physicians and primary care providers and to improve patient access to primary care services; HR 2369 Improving the Quality of Mental and Substance Use Health Care Act of 2009, a bill to improve mental and substance use health care; S 1020 Patient-Focused Critical Care Enhancement Act, a bill to optimize the delivery of critical care medicine and expand the critical care workforce; S 1022 Nurses' Higher Education and Loan Repayment Act of 2009, a bill to amend the Public Health Service Act to establish a graduate degree loan repayment program for nurses who become nursing school faculty members; HR 2381 Nurse and Health Care Worker Protection Act of 2009, a bill to direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and all other health care workers by establishing a safe patient handling and injury prevention standard, and for other purposes; HR 2388 Physician Availability Act of 2009, a bill to assure that the services of a nonemergency department physician are available to hospital patients 24 hours a day, seven days a week in all non-Federal hospitals with at least 100 licensed beds; S 1028 Strengthening America's Public Health System Act, a bill to amend the Public Health Service Act to improve the Nation's surveillance and reporting for diseases and conditions; S 1031 National Nursing Shortage Reform and Patient Advocacy Act, a bill to amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals; HR 2427 and S 1050 Informed Consumer Choices in Health Care Act of 2009, a bill to amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets; HR 2520 Patients' Choice Act, a bill to provide comprehensive solutions for the health care system of the United States; HR 2535 Blueprint for Health Act of 2009, a bill to establish a Blueprint for Health in order to create a comprehensive system of care incorporating medical homes to improve the delivery and affordability of health care through disease prevention, health promotion, and education about and better management of chronic conditions; S 1104 Nurse-Managed Health Clinic Investment Act of 2009, a bill to amend the Public Health Service Act to establish the Nurse-Managed Health Clinic Investment program; HR 2536 Emergency Nursing Supply Relief Act, to provide relief for the shortage of nurses in the United States; HR 2691 a bill to provide assistance to adolescents and young adults with serious mental health disorders as they transition to adulthood ; S 1173 Community-Based Health Care Retraining Act, a bill to establish a demonstration project to train unemployed workers for employment as health care professionals; S 1174 Preserving Patient Access to Primary Care Act of 2009, a bill to amend the Public Health Service Act and the Social Security Act to increase the number of primary care physicians and primary care providers and to improve patient access to primary care services; S 1176 Allied Health Reinvestment Act, a bill to amend the Public Health Service Act to promote and improve the allied health professionals; HR 2744 Equal Rights for Health Care Act Title 42, a bill to prohibit discrimination in Federal assisted health care services and research programs on the basis of sex, race, color, national origin, sexual orientation, gender identity, or disability status; HR 2754 Nurse-Managed Health Clinic Investment Act of 2009, a bill to amend the Public Health Service Act to establish the Nurse-Managed Health Clinic Investment program; HR 2778 Health Equity and Accountability through Research Act of 2009, a bill to amend the Public Health Service Act to redesignate the National Center on Minority Health and Health Disparities as the National Institute for Minority Health and Health Disparities; S 1220 Patient Access to Critical Lab Tests Act, a bill to require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; HR 2785 Health Care Paperwork Reduction and Fraud Prevention Act of 2009, a bill to reduce the amount of paperwork and improve payment policies for health care services, to prevent fraud and abuse through health care provider education; HR 2804Ensuring Continuous Coverage under SCHIP Act of 2009, a bill to amend title XXI of the Social Security Act to require 12-month continuous coverage under the State Children's Health Insurance Program; HR 2810 Public Health Workforce Investment Act of 2009, a bill to amend the Public Health Service Act to establish various programs for the recruitment and retention of public health workers and to eliminate critical public health workforce shortages in Federal, State, local, and tribal public health agencies and health centers; HR 2816 States' Right To Innovate in Health Care Act of 2009, a bill to amend the Social Security Act to provide grants and flexibility through demonstration projects for States to provide universal, comprehensive, cost-effective systems of health care coverage, with simplified administration; HR 2824 Doctor-Patient Relationship and Research Protection Act, to enhance the conduct and support of federally funded comparative effectiveness research relating to health care; HR 2891 Access to Frontline Health Care Act of 2009, a bill to amend the Public Health Service Act to direct the Secretary of Health and Human Services to establish a Frontline Providers Loan Repayment Program; HR 2925 Communities Building Access Act, a bill to amend the Public Health Service Act to provide for community projects that will reduce the number of individuals who are uninsured with respect to health care; HR 2930 Primary Care Training Enhancement Act, a bill to enhance the primary care workforce through modifications to the medical residency training programs and use of qualified teaching health centers and through State primary care scholarship and loan repayment programs; S 1278 Consumers Health Care Act of 2009, a bill to establish the Consumers Choice Health Plan, a public health insurance plan that provides an affordable and accountable health insurance option for consumers; HR 2937 and S 1305 MRSA Infection Prevention and Patient Protection Act, a bill to prevent health care facility-acquired infections; HR 2948 Healthcare Improvements for Generating High Performance (HIGH Performance) Act of 2009, a bill to amend title IX of the Public Health Service Act to provide for the implementation of best practices in the delivery of health care in the United States; HR 2957 Rural Health Access Act of 2009, a bill to amend the Public Health Service Act to reauthorize the National Health Service Corps Scholarship and Loan Repayment Programs; S 1299 Worker Infection Protection Act, a bill to protect health care workers and first responders, including police, firefighters, emergency medical personnel, and other workers at risk of workplace exposure to infectious agents and drug resistant infections; Hatch amendment # 21 requiring the IOM to make recommendations to Congress on how to reduce unnecessary hospital readmissions; HR 2975 Medical Practice Protection Act of 2009, a bill to improve the medical care by reducing the excessive burden imposed by the civil liability system on the health care delivery system; HR 3000 Josephine Butler United States Health Service Act, a bill to establish a United States Health Service to provide high quality comprehensive health care for all Americans and to overcome the deficiencies in the present system of health care delivery; HR 3002 and S 1259 PATIENTS Act of 2009, a bill to protect all patients by prohibiting the use of data obtained from comparative effictiveness research accounts to deny coverage of items or services under Federal health care programs and to ensure that comparative effectiveness research accounts for advancements in personalized medicine and differences in patient treatment response; S 1355 Rural Health Clinic Patient Access and Improvement Act of 2009, a bill to amend title XVIII of the Social Security Act to improve access to health care for individuals residing in underserved rural areas; S. 1403 Strengthen Social Work Training Act of 2009, a bill to amend title VII of the Public Health Service Act to ensure that social work students or social work schools are eligible for support under certain programs that would assist individuals in pursuing health careers or for grants for training projects in geriatrics, and to establish a social work training program; S. 1404 Supporting Child Maltreatment Prevention Efforts in Community Health Centers Act of 2009, a bill to implement demonstration projects at federally qualified community health centers to promote universal access to family-centered, evidence-based behavioral health interventions that prevent child maltreatment and promote family well-being by addressing parenting practices and skills for families from diverse socioeconomic, cultural, racial, ethnic, and other backgrounds; HR3134 Healthcare Innovation Zone Program Act of 2009, a bill to direct the Secretary of Health and Human Services to establish a Healthcare Innovation Zone pilot program; H.R.3148, a bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings; H.R.3151 and S 1585 Rural Access to Nurse Anesthesia Services Act of 2009, a bill to permit pass-through payment for reasonable costs of certified registered nurse anesthetist services in critical access hospitals notwithstanding the reclassification of such hospitals as urban hospitals, including hospitals located in ``Lugar counties'', and for on-call and standby costs for such services; H.R.3158 Place Based Health Care Act of 2009, a bill to reform health care delivery by providing incentives for place-based health care, which seeks to bring health services to the patient by locating community health centers, federally qualified health centers, and community integrated health centers in or near settings that already serve a particular target population, such as schools, workplaces, and senior services facilities; H.R.3185 and S1569, a bill to amend title XVIII of the Social Security Act to provide payment to hospitals for costs of expanded advanced practice nurse training programs; H.R. 3191 Positive Aging Act of 2009, 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; H.R. 3199 Emergency Medic Transition (EMT) Act of 2009 , a bill to amend the Public Health Service Act to provide grants to State emergency medical service departments to provide for the expedited training and licensing of veterans with prior medical training; H.R. 3200 America's Affordable Health Choices Act of 2009, a bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending; H.R. 3217 Health Care Choice Act of 2009, a bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce; H.R. 3218 Improving Health Care for All Americans Act, a bill to provide a refundable tax credit for medical costs, to expand access to health insurance coverage through individual membership associations (IMAs), and to assist in the establishment of high risk pools; H.R.3234 Community-Based Health Care Retraining Act, a bill to establish a demonstration project to train unemployed workers for employment as health care professionals; H.R. 3242 Women's Health Office Act of 2009, a bill to improve the health of women through the establishment of Offices of Women's Health within the Department of Health and Human Services; S.1459 Health Care Choice Act of 2009, a bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce; S. 1479 NO TITLE, a bill to provide for the treatment of certain hospitals; H.R. 3391 NO TITLE, a bill to allow for the continuation of critical access hospital designation for certain hospitals in geographic areas experiencing population growth; H.R. 3400 Empowering Patients First Act, a bill to provide for incentives to encourage health insurance coverage; H.R.3421 Medical Debt Relief Act of 2009, a bill to exclude from consumer credit reports medical debt that has been in collection and has been fully paid or settled; HR 3472 a bill to provide for health insurance coverage premium discounts for healthy behavior and improvements toward healthy behavior; HR 3483 Steps Toward Access and Reform (STAR) Act of 2009, a bill to reform the medical liability system, improve access to health care for rural and indigent patients, enhance access to affordable prescription drugs, and for other purposes S 1572, a bill to provide for a point of order against any legislation that eliminates or reduces the ability of Americans to keep their health plan or their choice of doctor or that decreases the number of Americans enrolled in private health insurance, while increasing the number of Americans enrolled in government-managed health care; S 1679 Affordable Health Choices Act, an original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce; HR 3652 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2009, a bill to amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly; S 1720 Health Professions and Primary Care Reinvestment Act, a bill to amend title VII of the Public Health Service Act to provide improved training and primary care; HR 3664 Healthcare Innovation Zone Pilot Act of 2009, a bill to direct the Secretary of Health and Human Services to establish a Healthcare Innovation Zone pilot program; S 1730 Fairness in Health Insurance Act, a bill to provide for minimum loss ratios for health insurance coverage; S 1734 Medical Liability Reform Act of 2009, a bill to reduce the cost of health care and ensure patient access to doctors by ending excessive malpractice verdicts through common-sense lawsuit reform; Senate Finance Committee Americas Healthy Future Act of 2009, Senate Finance Committee health reform bill with provisions on coverage, disease prevention and wellness, delivery system reform, health care quality and efficiency, transparency and program integrity, and financing; Meeting with FTC, senate congressional staff re barriers to clinical integration; HR 3590 Patient Protection and Affordable Care Act, the merged product of the health reform bills from the Senate Finance and Health, Education, Labor and Pensions (HELP) committees; HR 3962 Affordable Health Care for America Act, a bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes; HR 3700 Health Care Bill of Rights Act, a bill to establish requirements for any health reform legislation enacted by the Congress or the President during the 111th Congress; HR 3713 American Health Care Solutions Act of 2009, a bill to provide bipartisan solutions to lower health costs, increase access to affordable coverage, and give patients more choices and control; S 1742 Women's Hospitals Education Equity Act, a bill to amend the Public Health Service Act to provide assistance for graduate medical education funding for women's hospitals; Comments to CMS proposed rule defining meaningful use of electronic Health Records concern that the rules will severely limit hospitals' ability to access federal financing for health information technology and put many hospitals at risk for Medicare payment penalties beginning in 2015; FDA Grants Hospitals 18 Months to Replace Steris System 1 Processor; HR 4626 Health Insurance Industry Fair Competition Act, to restore the application of the Federal antitrust laws to the business of health insurance to protect competition and consumers; HR 4851 Continuing Extension Act of 2010, to provide a temporary extension of certain programs; Meetings with CMS and HHS to encourage reimbursement under the National Disaster Medical System for hospitals that provided services to victims of the Haitian earthquake; HR 4700 The Transparency in All Health Care Pricing Act of 2010, to provide for transparency in health care pricing; HR 4803 The Patients Right to Know Act, to ensure health care consumer and provider access to certain health benefits plan information and to amend title XIX of the Social Security Act to provide transparency in hospital price and quality information; HR 6072 and S 3708 Electronic Health Record Incentives for Multi-Campus Hospitals Act of 2010, to amend titles XVIII and XIX of the Social Security Act to clarify the application of EHR payment incentives in cases of multi-campus hospitals; HR 6376 to amend title XVIII of the Social Security Act with respect to physician supervision of therapeutic hospital outpatient services

Client expense: $4,270,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, White House Office

See attachment. CSP Third Quarter Report 2010 H.R. 225 - Emergency Homeownership and Equity Protection Act. Issue: Bankruptcy Mortgage Modification H.R. 788 To provide a safe harbor for mortgage servicers who engage in specified mortgage loan modifications, and for other purposes. Issue: Bankruptcy Mortgage Modification. H.R. 703 - To promote bank liquidity and lending through deposit insurance, the HOPE for Homeowners Program, and other enhancements. Issue: Bankruptcy Mortgage Modification. H.R. 1705 - the Financial Product Safety Commission Act Issue: Regulatory reform H.R. 2221 - the "Accountability and Trust Act." Issue: Data Security Breach H.R. 2733/ S. 1389 - the "Fixed Indexed Annuities and Insurance Products Classification Act of 2009." Issue: SEC Rule 151A H.R. 3399 - Title: To amend the Internal Revenue Code of 1986 to permit the consolidation of life insurance companies with other companies. Issue: taxation of life insurance companies H.R. 3506 Title: the Eliminate Privacy Notification Confusion Act A bill to amend the Gramm-Leach-Bliley Act to provide an exception from the continuing requirement for annual privacy notices for financial institutions which do not share personal information with affiliates, and for other purposes. Issue: Data Security Breach. H.R. 3596 the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: McCarran-Ferguson. H.R. 3669 - Title: To prohibit employers from carrying life insurance policies on their rank and file employees. Issue: use of COLI H.R. 3763 a bill to amend the Fair Credit Reporting Act to provide for an exclusion from Red Flag Guidelines for certain businesses. Issue: Health Care. H.R. 4173 Title: The Wall Street Reform and Consumer Protection Act of 2010 A original bill to promote the financial stability of the United States by improving accountability and transparency in the financial system, to end "too big to fail", to protect the American taxpayer by ending bailouts, to protect consumers from abusive financial services practices, and for other purposes. Issue: Regulatory Reform. H.R. 5993/ S. 3718 Title: The Securing Americas Veterans Insurance Needs and Goals Act of 2010. A bill to ensure that beneficiaries of Servicemembers Group Life Insurance receive financial counseling and disclosure information regarding life insurance payments, and for other programs. S. 139 Title: the Data Breach Notification Act A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. Issue: Data Security Breach. S. 179 Health Information Technology Act of 2009. Issue: Privacy S. 272 - the "Derivatives Trading Integrity Act of 2009" A bill to amend the Commodity Exchange Act to ensure that all agreements, contracts, and transactions with respect to commodities are carried out on a regulated exchange, and for other purposes. Issue: Derivatives. S. 344 Hedge Fund Transparency Act. Issue: Regulatory Reform. S. 444 National Health Information Technology and Privacy Advancement Act of 2009. Issue: Privacy S. 1490 the Personal Data Privacy and Security Act of 2009 A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. Issue: McCarran-Ferguson. S. 1681 - the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: Privacy. S. 3098 Title: the Protect Our Recovery Through Oversight of Proprietary Trading Act of 2010 A bill to prohibit proprietary trading and certain relationships with hedge funds and private equity funds, to address conflicts of interest with respect to certain securitizations, and for other purposes. Issue: Regulatory reform. S. 3217 - Title: A original bill to promote the financial stability of the United States by improving accountability and transparency in the financial system, to end "too big to fail", to protect the American taxpayer by ending bailouts, to protect consumers from abusive financial services practices, and for other purposes. Issue: Regulatory Reform.

Client expense: $830,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 46/H.R. 43 - Medicare Access to Rehabilitation Services Act; S. 54/H.R. 2273 - Registered Nurse Safe Staffing Act; S. 318 - Medicare Rural Health Access Improvement Act; H.R. 2307 - Reaching Elders with Assessment and Chronic Care Management and Coordination Act; Health Reform; S. 179 - Health Information Technology Act; S. 1174/H.R. 2350 - Preserving Patient Access to Primary Care Act; H.R. 2479 - Medicare Orthotics and Prosthetics Improvement Act; H.R. 2307 - Reaching Elders with Assessment and Chronic Care Management and Coordination Act; H.R. 3962 - Affordable Health Care for America Act; H.R. 3590 - Patient Protection and Affordable Care Act; H.R. 4787/S. 1217 - Medicaid Services Restoration Act of 2010; S. 2987 - Securing Effective and Necessary Individual Outpatient Services (SENIORS) Act of 2010; H. R. 4872 - Reconciliation Act of 2010.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE

H.R. 724 - America's Partnership for Nursing Education Act; H.R. 1460/S. 1022 - Nurses' Higher Education and Loan Repayment Act; H.R. 1494 - Nursing Home Emergency Assistance Act; S. 179 - Health Information Technology Act; S. 497/H.R. 2043 - Nurse Education, Expansion, and Development Act; H.R. 2350 - Preserving Patient Access to Primary Care Act; Health Reform; H.R. 2381 - Nurse and Health Care Worker Protection Act; H.R. 3962 - Affordable Health Care for America Act; H.R. 3590 - Patient Protection and Affordable Care Act; H.R. 307 - Christopher and Dana Reeve Paralysis Act; H.R. 868 - Direct Support Professional Fairness and Security Act; H.R. 2575/S. 3223 - Prosthetic and Custom Orthotic Parity Act; H.R. 4872 - Reconciliation Act of 2010; H. Res. 510 - Safe Patient Handling and Movement.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE

S. 344 Hedge Fund Transparency Act. Issue: Regulatory Reform. H.CON.RES. 89 - Supporting the goals and objectives of the Prague Conference on Holocaust Era Assets. Issue: Holocaust Claims. S. 179 Health Information Technology Act of 2009. Issue: Privacy S. 444 National Health Information Technology and Privacy Advancement Act of 2009. Issue: Privacy H.R. 225 - Emergency Homeownership and Equity Protection Act. Issue: Bankruptcy Mortgage Modification H.R. 788 To provide a safe harbor for mortgage servicers who engage in specified mortgage loan modifications, and for other purposes. Issue: Bankruptcy Mortgage Modification. H.R. 703 - To promote bank liquidity and lending through deposit insurance, the HOPE for Homeowners Program, and other enhancements. Issue: Bankruptcy Mortgage Modification. H.R. 2221 - the "Accountability and Trust Act." Issue: Data Security Breach H.R. 1705 - the Financial Product Safety Commission Act Issue: Regulatory reform H.R. 2733/ S. 1389 - the "Fixed Indexed Annuities and Insurance Products Classification Act of 2009." Issue: SEC Rule 151A S. 272 - the "Derivatives Trading Integrity Act of 2009" A bill to amend the Commodity Exchange Act to ensure that all agreements, contracts, and transactions with respect to commodities are carried out on a regulated exchange, and for other purposes. Issue: Derivatives. H.R. 3596 the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: McCarran-Ferguson. S. 1681 - the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: Privacy. S. 1490 the Personal Data Privacy and Security Act of 2009 A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. Issue: Privacy. H.R. 3763 a bill to amend the Fair Credit Reporting Act to provide for an exclusion from Red Flag Guidelines for certain businesses. Issue: Health Care. H.R.3399 - Title: To amend the Internal Revenue Code of 1986 to permit the consolidation of life insurance companies with other companies. Issue: taxation of life insurance companies H.R.3669 - Title: To prohibit employers from carrying life insurance policies on their rank and file employees. Issue: use of COLI S. 139 - Title: the "Data Breach Notification Act" A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. Issue: Data Security Breach. H.R. 3506 - Title: the "Eliminate Privacy Notification Confusion Act" A bill to amend the Gramm-Leach-Bliley Act to provide an exception from the continuing requirement for annual privacy notices for financial institutions which do not share personal information with affiliates, and for other purposes. Issue: Data Security Breach. S. 3098 - Title: the "Protect Our Recovery Through Oversight of Proprietary Trading Act of 2010'' A bill to prohibit proprietary trading and certain relationships with hedge funds and private equity funds, to address conflicts of interest with respect to certain securitizations, and for other purposes. Issue: Regulatory reform. S.3217 - Title: A original bill to promote the financial stability of the United States by improving accountability and transparency in the financial system, to end "too big to fail", to protect the American taxpayer by ending bailouts, to protect consumers from abusive financial services practices, and for other purposes. Issue: Regulatory Reform. H.R. 4596 Title: the Holocaust Insurance Accountability Act of 2010. A bill to allow for enforcement of State disclosure laws and access to courts for covered Holocaust-era insurance policy claims. Issue: insurance regulatory reform. H.R. 4173 Title: The Wall Street Reform and Consumer Protection Act of 2010 A original bill to promote the financial stability of the United States by improving accountability and transparency in the financial system, to end "too big to fail", to protect the American taxpayer by ending bailouts, to protect consumers from abusive financial services practices, and for other purposes. Issue: Regulatory Reform. H.R. 5993/ S. 3718 Title: The Securing Americas Veterans Insurance Needs and Goals Act of 2010. A bill to ensure that beneficiaries of Servicemembers Group Life Insurance receive financial counseling and disclosure information regarding life insurance payments, and for other programs.

Client expense: $1,664,721 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Insurance reform and Long Term Care issues HR 1, S. 1, S. 725, S. 703, S. 623, S. 207, S. 179, S. 82, S. 45, HR 1558, HR 1495, HR 1470, HR 1468, HR 1413, HR 1279, HR 1092, HR 676, HR 563, HR 542, HR 198, HR 194, HR 109, HR 15, HR 2, S. 702, S. 94, HR 1891, HR 897, HR 3200, HR 3590, HR 3501, HR 3502, HR 3962, HR 4872, H.R. 5853

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

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

HR 801: Fair Copyright in Research Works Act S 179: Health Information Technology Act HR 5116: America Competes S 3605: America COMPETES Reauthorization Act of 2010

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

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

H. R. 1, S. 179 HIPPA - Health IT Health Reimbursement Accounts

Client expense: $990,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, White House Office

S 2 Middle Class Opportunity Act, Card Check provisions; S 4 Comprehensive Health Reform Act of 2009, a bill to guarantee affordable, quality health coverage for all Americans, and for other purposes; S 45 MCAP Act, a bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; S 77 Children's Mental Health Parity Act, a bill to amend title XXI of the Social Security Act to provide for equal coverage of mental health services under the State Children's Health Insurance Program; HR 241a bill to amend title 10, United States Code, to require the amounts reimbursed to institutional providers of health care services under the TRICARE program to be the same as amounts reimbursed under Medicare, and to require the Secretary of Defense to contract for health care services with at least one teaching hospital in urban areas; HR 298 Improving Children's Doctor Access Act of 2009, a bill to amend title XXI of the Social Security Act to require SCHIP annual reports to include information on the HEDIS measure relating to access to primary care practitioners by individuals eligible for child health assistance under such plans and on State efforts to avoid certain displacement of private health coverage, and to express the sense of Congress that such States should utilize Consumer Assessment of Healthcare Providers and Systems consumer satisfaction surveys to measure access by such individuals to physicians; S 179 Health Information Technology Act of 2009, a bill to improve quality in health care by providing incentives for adoption of modern information technology; HR 468 and S 245 Retooling the Health Care Workforce for an Aging America Act of 2009, a bill to expand, train, and support all sectors of the health care workforce to care for the growing population of older individuals in the United States; HR 676 United States National Health Care Act or the Expanded and Improved Medicare for All Act, a bill to provide for comprehensive health insurance coverage for all United States residents, improved health care delivery, and for other purposes; HR 688 and S 326 Kids First Act, a bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program through fiscal year 2013, and for other purposes; Tricare letter sent to DOD from Sen. Ben Nelson urging DoD to revise the rule, expand the transition to the new payment system, offer other adjustments to cushion the financial blow on certain hospitals, and conduct a detailed analysis of its impact on the field; S 391 Healthy Americans Act, a bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away; HR 914 Physician Workforce Enhancement Act of 2009, a bill to amend title VII of the Public Health Service Act to establish a loan program for eligible hospitals to establish residency training programs; HR 936 National Trauma Center Stabilization Act of 2009, a bill to ensure the continued and future availability of lifesaving trauma health care in the United States and to prevent further trauma center closures and downgrades by assisting trauma centers with uncompensated care costs, core mission services, emergency needs, and information technology; HR 956 HealthCARE Act of 2009, a bill to expand the number of individuals and families with health insurance coverage, and for other purposes; S 408 Wakefield Act, a bill to amend the Public Health Service Act to provide a means for continued improvement in emergency medical services for children; HR 1085 Health Insurance Coverage Protection Act, a bill to impose a limitation on lifetime aggregate limits imposed by health plans; HR 1086 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009; a bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; HR 1101 Midwifery Care Access and Reimbursement Equity Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for reimbursement of certified midwife services and to provide for more equitable reimbursement rates for certified nurse-midwife services; S 441 Quality Reform Expansion and Savings Act of 2009, a bill to encourage the development of coordinated quality reforms to improve health care delivery and reduce the cost of care in the health care system; S 444 National Health Information Technology and Privacy Advancement Act of 2009, a bill to provide for the establishment of a health information technology and privacy system; S 486 Access for All America Act, a bill to achieve access to comprehensive primary health care services for all Americans and to reform the organization of primary care delivery through an expansion of the Community Health Center and National Health Service Corps programs; HR 1253 Health Insurance Restrictions and Limitations Clarification Act of 2009, a bill to require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable; HR 1296 Access for All America Act, a bill to achieve access to comprehensive primary health care services for all Americans and to reform the organization of primary care delivery through an expansion of the Community Health Center and National Health Service Corps programs; HR 1411 United States Primary and Preventive Health Care Corps Act of 2009, a bill to amend the Public Health Service Act to establish a Primary and Public Health Scholarship Program; HR 1460 Nurses Higher Education and Loan Repayment Act, a bill to amend the Public Health Service Act to establish a graduate degree loan repayment program for nurses who become nursing school faculty members; HR 1494 Nursing Home Emergency Assistance Act, a bill to ensure that a private for-profit nursing home affected by a major disaster receives the same reimbursement as a public nursing home affected by a major disaster; HR 1558 and S 623 Preexisting Condition Patient Protection Act of 2009, to prohibit health insurers from denying coverage to people with pre-existing conditions; S 616 Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009, a bill to amend the Public Health Service Act to authorize medical simulation enhancement programs, and for other purposes; HR 1581 Patient-Focused Critical Care Enhancement Act, a bill to optimize the delivery of critical care medicine and expand the critical care workforce; S 628 Conrad State 30 Improvement Act, a bill to provide incentives to physicians to practice in rural and medically underserved communities; HR 1614 and S 652 Community Coalitions for Access and Quality Improvement Act of 2009, a bill to authorize the Secretary of Health and Human Services to make grants to community health coalitions to assist in the development of integrated health care delivery; HR 1691 and S 688 Breast Cancer Patient Protection Act of 2009, 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; HR 1699 Patient Access to Critical Lab Tests Act, a bill to require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; S 698 State-Based Health Care Reform Act, a bill to ensure the provision of high-quality health care coverage for uninsured individuals through State health care coverage pilot projects that expand coverage and access and improve quality and efficiency in the health care system; S 703 American Health Security Act of 2009, a bill to provide for health care for every American and to control the cost and enhance the quality of the health care system; HR 1745 Family Health Care Accessibility Act of 2009, a bill to amend the Public Health Service Act to provide liability protections for volunteer practitioners at health centers under section 330 of such Act; S 733 National Trauma Center Stabilization Act of 2009, a bill to ensure the continued and future availability of life saving trauma health care in the United States and to prevent further trauma center closures and downgrades by assisting trauma centers with uncompensated care costs, core mission services, and emergency needs; Letter to HHS about the action plan to prevent Healthcare associated infections; Provided information to members of Congress about the Quality and Patient Safety Transparency initiatives by state; Working with Rep. Nathan Deal to get legislation introduced on provider price transparency; HR 1670 and S 683 Community Choice Act of 2009, to amend title XIX of the Social Security Act to provide individuals with disabilities and older Americans with equal access to community-based attendant services and supports and which would allow disabled Medicaid recipients to receive care in their homes rather than in nursing homes; HR 2003 and S 830 Children's Hospitals Education Equity Act, a bill to modify the definition of children's hospital for purposes of making payments to children's hospitals that operate graduate medical education programs; HR 1998 Health Care Safety Net Enhancement Act of 2009, a bill to improve access to emergency medical services; HR 2043 Nurse Education, Expansion, and Development Act of 2009, a bill to amend the Public Health Service Act to authorize capitation grants to increase the number of nursing faculty and students; HR 2066 Graduate Psychology Education Act of 2009, a bill to amend the Public Health Service Act to promote mental and behavioral health services for underserved populations; S 890 Health Information Technology (IT) Public Utility Act of 2009, a bill to provide for the use of improved health information technology with respect to certain safety net health care providers; HR 2176 Nursing and Allied Health Education Preservation Act of 2009, to amend title XVIII of the Social Security Act to continue the ability of hospitals to supply a needed workforce of nurses and allied health professionals by preserving funding for hospital operated nursing and allied health education programs; HR 2218 Parental Consent Act of 2009, a bill to prohibit the use of Federal funds for any universal or mandatory mental health screening program; S 957 Public Health Emergency Response Act of 2009, a bill to amend the Public Health Service Act to ensure that victims of public health emergencies have meaningful and immediate access to medically necessary health care services; S 958 MediKids Health Insurance Act of 2009, a bill to amend the Social Security Act to guarantee comprehensive health care coverage for all children born after 2009; HR 2231 Public Health Emergency Response Act of 2009, a bill to amend the Public Health Service Act to ensure that victims of public health emergencies have meaningful and immediate access to medically necessary health care services; HR 2233 Health Empowerment Zone Act of 2009, a bill to authorize the Secretary of Health and Human Services to designate health empowerment zones; S 966 and HR 2252 National Health Care Quality Act, a bill to improve the Federal infrastructure for health care quality improvement in the United States; HR 2249 Health Care Price Transparency Promotion Act of 2009, a bill 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; HR 2251 and S 973 Resident Physician Shortage Reduction Act of 2009, to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions; S 979 and HR 2360 SHOP Act, a bill 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; HR 2273 Nurse Staffing Standards for Patient Safety and Quality Care Act of 2009, a bill to amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals; S 999 Child Health Care Crisis Relief Act of 2009, a bill to increase the number of well-trained mental health service professionals (including those based in schools) providing clinical mental health care to children and adolescents; S 1001 Health Promotion FIRST Act, a bill to provide for increased research, coordination and expansion of health promotion programs through the Department of Health and Human Services; HR 2350 Preserving Patient Access to Primary Care Act of 2009, a bill to amend the Public Health Service Act and the Social Security Act to increase the number of primary care physicians and primary care providers and to improve patient access to primary care services; HR 2369 Improving the Quality of Mental and Substance Use Health Care Act of 2009, a bill to improve mental and substance use health care; S 1020 Patient-Focused Critical Care Enhancement Act, a bill to optimize the delivery of critical care medicine and expand the critical care workforce; S 1022 Nurses' Higher Education and Loan Repayment Act of 2009, a bill to amend the Public Health Service Act to establish a graduate degree loan repayment program for nurses who become nursing school faculty members; HR 2381 Nurse and Health Care Worker Protection Act of 2009, a bill to direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and all other health care workers by establishing a safe patient handling and injury prevention standard, and for other purposes; HR 2388 Physician Availability Act of 2009, a bill to assure that the services of a nonemergency department physician are available to hospital patients 24 hours a day, seven days a week in all non-Federal hospitals with at least 100 licensed beds; S 1028 Strengthening America's Public Health System Act, a bill to amend the Public Health Service Act to improve the Nation's surveillance and reporting for diseases and conditions; S 1031 National Nursing Shortage Reform and Patient Advocacy Act, a bill to amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals; HR 2427 and S 1050 Informed Consumer Choices in Health Care Act of 2009, a bill to amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets; HR 2520 Patients' Choice Act, a bill to provide comprehensive solutions for the health care system of the United States; HR 2535 Blueprint for Health Act of 2009, a bill to establish a Blueprint for Health in order to create a comprehensive system of care incorporating medical homes to improve the delivery and affordability of health care through disease prevention, health promotion, and education about and better management of chronic conditions; S 1104 Nurse-Managed Health Clinic Investment Act of 2009, a bill to amend the Public Health Service Act to establish the Nurse-Managed Health Clinic Investment program; HR 2536 Emergency Nursing Supply Relief Act, to provide relief for the shortage of nurses in the United States; HR 2691 a bill to provide assistance to adolescents and young adults with serious mental health disorders as they transition to adulthood ; S 1173 Community-Based Health Care Retraining Act, a bill to establish a demonstration project to train unemployed workers for employment as health care professionals; S 1174 Preserving Patient Access to Primary Care Act of 2009, a bill to amend the Public Health Service Act and the Social Security Act to increase the number of primary care physicians and primary care providers and to improve patient access to primary care services; S 1176 Allied Health Reinvestment Act, a bill to amend the Public Health Service Act to promote and improve the allied health professionals; HR 2744 Equal Rights for Health Care Act Title 42, a bill to prohibit discrimination in Federal assisted health care services and research programs on the basis of sex, race, color, national origin, sexual orientation, gender identity, or disability status; HR 2754 Nurse-Managed Health Clinic Investment Act of 2009, a bill to amend the Public Health Service Act to establish the Nurse-Managed Health Clinic Investment program; HR 2778 Health Equity and Accountability through Research Act of 2009, a bill to amend the Public Health Service Act to redesignate the National Center on Minority Health and Health Disparities as the National Institute for Minority Health and Health Disparities; S 1220 Patient Access to Critical Lab Tests Act, a bill to require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; HR 2785 Health Care Paperwork Reduction and Fraud Prevention Act of 2009, a bill to reduce the amount of paperwork and improve payment policies for health care services, to prevent fraud and abuse through health care provider education; HR 2804Ensuring Continuous Coverage under SCHIP Act of 2009, a bill to amend title XXI of the Social Security Act to require 12-month continuous coverage under the State Children's Health Insurance Program; HR 2810 Public Health Workforce Investment Act of 2009, a bill to amend the Public Health Service Act to establish various programs for the recruitment and retention of public health workers and to eliminate critical public health workforce shortages in Federal, State, local, and tribal public health agencies and health centers; HR 2816 States' Right To Innovate in Health Care Act of 2009, a bill to amend the Social Security Act to provide grants and flexibility through demonstration projects for States to provide universal, comprehensive, cost-effective systems of health care coverage, with simplified administration; HR 2824 Doctor-Patient Relationship and Research Protection Act, to enhance the conduct and support of federally funded comparative effectiveness research relating to health care; HR 2891 Access to Frontline Health Care Act of 2009, a bill to amend the Public Health Service Act to direct the Secretary of Health and Human Services to establish a Frontline Providers Loan Repayment Program; HR 2925 Communities Building Access Act, a bill to amend the Public Health Service Act to provide for community projects that will reduce the number of individuals who are uninsured with respect to health care; HR 2930 Primary Care Training Enhancement Act, a bill to enhance the primary care workforce through modifications to the medical residency training programs and use of qualified teaching health centers and through State primary care scholarship and loan repayment programs; S 1278 Consumers Health Care Act of 2009, a bill to establish the Consumers Choice Health Plan, a public health insurance plan that provides an affordable and accountable health insurance option for consumers; HR 2937 and S 1305 MRSA Infection Prevention and Patient Protection Act, a bill to prevent health care facility-acquired infections; HR 2948 Healthcare Improvements for Generating High Performance (HIGH Performance) Act of 2009, a bill to amend title IX of the Public Health Service Act to provide for the implementation of best practices in the delivery of health care in the United States; HR 2957 Rural Health Access Act of 2009, a bill to amend the Public Health Service Act to reauthorize the National Health Service Corps Scholarship and Loan Repayment Programs; S 1299 Worker Infection Protection Act, a bill to protect health care workers and first responders, including police, firefighters, emergency medical personnel, and other workers at risk of workplace exposure to infectious agents and drug resistant infections; Hatch amendment # 21 requiring the IOM to make recommendations to Congress on how to reduce unnecessary hospital readmissions; HR 2975 Medical Practice Protection Act of 2009, a bill to improve the medical care by reducing the excessive burden imposed by the civil liability system on the health care delivery system; HR 3000 Josephine Butler United States Health Service Act, a bill to establish a United States Health Service to provide high quality comprehensive health care for all Americans and to overcome the deficiencies in the present system of health care delivery; HR 3002 and S 1259 PATIENTS Act of 2009, a bill to protect all patients by prohibiting the use of data obtained from comparative effictiveness research accounts to deny coverage of items or services under Federal health care programs and to ensure that comparative effectiveness research accounts for advancements in personalized medicine and differences in patient treatment response; S 1355 Rural Health Clinic Patient Access and Improvement Act of 2009, a bill to amend title XVIII of the Social Security Act to improve access to health care for individuals residing in underserved rural areas; S. 1403 Strengthen Social Work Training Act of 2009, a bill to amend title VII of the Public Health Service Act to ensure that social work students or social work schools are eligible for support under certain programs that would assist individuals in pursuing health careers or for grants for training projects in geriatrics, and to establish a social work training program; S. 1404 Supporting Child Maltreatment Prevention Efforts in Community Health Centers Act of 2009, a bill to implement demonstration projects at federally qualified community health centers to promote universal access to family-centered, evidence-based behavioral health interventions that prevent child maltreatment and promote family well-being by addressing parenting practices and skills for families from diverse socioeconomic, cultural, racial, ethnic, and other backgrounds; HR3134 Healthcare Innovation Zone Program Act of 2009, a bill to direct the Secretary of Health and Human Services to establish a Healthcare Innovation Zone pilot program; H.R.3148, a bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings; H.R.3151 and S 1585 Rural Access to Nurse Anesthesia Services Act of 2009, a bill to permit pass-through payment for reasonable costs of certified registered nurse anesthetist services in critical access hospitals notwithstanding the reclassification of such hospitals as urban hospitals, including hospitals located in ``Lugar counties'', and for on-call and standby costs for such services; H.R.3158 Place Based Health Care Act of 2009, a bill to reform health care delivery by providing incentives for place-based health care, which seeks to bring health services to the patient by locating community health centers, federally qualified health centers, and community integrated health centers in or near settings that already serve a particular target population, such as schools, workplaces, and senior services facilities; H.R.3185 and S1569, a bill to amend title XVIII of the Social Security Act to provide payment to hospitals for costs of expanded advanced practice nurse training programs; H.R. 3191 Positive Aging Act of 2009, 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; H.R. 3199 Emergency Medic Transition (EMT) Act of 2009 , a bill to amend the Public Health Service Act to provide grants to State emergency medical service departments to provide for the expedited training and licensing of veterans with prior medical training; H.R. 3200 America's Affordable Health Choices Act of 2009, a bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending; H.R. 3217 Health Care Choice Act of 2009, a bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce; H.R. 3218 Improving Health Care for All Americans Act, a bill to provide a refundable tax credit for medical costs, to expand access to health insurance coverage through individual membership associations (IMAs), and to assist in the establishment of high risk pools; H.R.3234 Community-Based Health Care Retraining Act, a bill to establish a demonstration project to train unemployed workers for employment as health care professionals; H.R. 3242 Women's Health Office Act of 2009, a bill to improve the health of women through the establishment of Offices of Women's Health within the Department of Health and Human Services; S.1459 Health Care Choice Act of 2009, a bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce; S. 1479 NO TITLE, a bill to provide for the treatment of certain hospitals; H.R. 3391 NO TITLE, a bill to allow for the continuation of critical access hospital designation for certain hospitals in geographic areas experiencing population growth; H.R. 3400 Empowering Patients First Act, a bill to provide for incentives to encourage health insurance coverage; H.R.3421 Medical Debt Relief Act of 2009, a bill to exclude from consumer credit reports medical debt that has been in collection and has been fully paid or settled; HR 3472 a bill to provide for health insurance coverage premium discounts for healthy behavior and improvements toward healthy behavior; HR 3483 Steps Toward Access and Reform (STAR) Act of 2009, a bill to reform the medical liability system, improve access to health care for rural and indigent patients, enhance access to affordable prescription drugs, and for other purposes S 1572, a bill to provide for a point of order against any legislation that eliminates or reduces the ability of Americans to keep their health plan or their choice of doctor or that decreases the number of Americans enrolled in private health insurance, while increasing the number of Americans enrolled in government-managed health care; S 1679 Affordable Health Choices Act, an original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce; HR 3652 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2009, a bill to amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly; S 1720 Health Professions and Primary Care Reinvestment Act, a bill to amend title VII of the Public Health Service Act to provide improved training and primary care; HR 3664 Healthcare Innovation Zone Pilot Act of 2009, a bill to direct the Secretary of Health and Human Services to establish a Healthcare Innovation Zone pilot program; S 1730 Fairness in Health Insurance Act, a bill to provide for minimum loss ratios for health insurance coverage; S 1734 Medical Liability Reform Act of 2009, a bill to reduce the cost of health care and ensure patient access to doctors by ending excessive malpractice verdicts through common-sense lawsuit reform; Senate Finance Committee Americas Healthy Future Act of 2009, Senate Finance Committee health reform bill with provisions on coverage, disease prevention and wellness, delivery system reform, health care quality and efficiency, transparency and program integrity, and financing; Meeting with FTC, senate congressional staff re barriers to clinical integration; HR 3590 Patient Protection and Affordable Care Act, the merged product of the health reform bills from the Senate Finance and Health, Education, Labor and Pensions (HELP) committees; HR 3962 Affordable Health Care for America Act, a bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes; HR 3700 Health Care Bill of Rights Act, a bill to establish requirements for any health reform legislation enacted by the Congress or the President during the 111th Congress; HR 3713 American Health Care Solutions Act of 2009, a bill to provide bipartisan solutions to lower health costs, increase access to affordable coverage, and give patients more choices and control; S 1742 Women's Hospitals Education Equity Act, a bill to amend the Public Health Service Act to provide assistance for graduate medical education funding for women's hospitals; Comments to CMS proposed rule defining meaningful use of electronic Health Records concern that the rules will severely limit hospitals' ability to access federal financing for health information technology and put many hospitals at risk for Medicare payment penalties beginning in 2015; FDA Grants Hospitals 18 Months to Replace Steris System 1 Processor; HR 4626 Health Insurance Industry Fair Competition Act, to restore the application of the Federal antitrust laws to the business of health insurance to protect competition and consumers; HR 4851 Continuing Extension Act of 2010, to provide a temporary extension of certain programs; Meetings with CMS and HHS to encourage reimbursement under the National Disaster Medical System for hospitals that provided services to victims of the Haitian earthquake; HR 4700 The Transparency in All Health Care Pricing Act of 2010, to provide for transparency in health care pricing; HR 4803 The Patients Right to Know Act, to ensure health care consumer and provider access to certain health benefits plan information and to amend title XIX of the Social Security Act to provide transparency in hospital price and quality information.

Client expense: $4,230,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, White House Office

S. 46/H.R. 43 - Medicare Access to Rehabilitation Services Act; S. 54/H.R. 2273 - Registered Nurse Safe Staffing Act; S. 318 - Medicare Rural Health Access Improvement Act; H.R. 2307 - Reaching Elders with Assessment and Chronic Care Management and Coordination Act; Health Reform; S. 179 - Health Information Technology Act; S. 1174/H.R. 2350 - Preserving Patient Access to Primary Care Act; H.R. 2479 - Medicare Orthotics and Prosthetics Improvement Act; H.R. 2307 - Reaching Elders with Assessment and Chronic Care Management and Coordination Act; H.R. 3962 - Affordable Health Care for America Act; H.R. 3590 - Patient Protection and Affordable Care Act; H.R. 4787/S. 1217 - Medicaid Services Restoration Act of 2010; S. 2987 - Securing Effective and Necessary Individual Outpatient Services (SENIORS) Act of 2010; H. R. 4872 - Reconciliation Act of 2010.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE

H.R. 724 - America's Partnership for Nursing Education Act; H.R. 1460/S. 1022 - Nurses' Higher Education and Loan Repayment Act; H.R. 1494 - Nursing Home Emergency Assistance Act; S. 179 - Health Information Technology Act; S. 497/H.R. 2043 - Nurse Education, Expansion, and Development Act; H.R. 2350 - Preserving Patient Access to Primary Care Act; Health Reform; H.R. 2381 - Nurse and Health Care Worker Protection Act; H.R. 3962 - Affordable Health Care for America Act; H.R. 3590 - Patient Protection and Affordable Care Act; H.R. 307 - Christopher and Dana Reeve Paralysis Act; H.R. 868 - Direct Support Professional Fairness and Security Act; H.R. 2575/S. 3223 - Prosthetic and Custom Orthotic Parity Act; H.R. 4872 - Reconciliation Act of 2010; H. Res. 510 - Safe Patient Handling and Movement.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE

H.R. 200/S. 61: HELPING FAMILIES SAVE THEIR HOMES IN BANKRUPTCY ACT OF 2009; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 225: EMERGENCY HOMEOWNERSHIP AND EQUALITY PROTECTION ACT; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 703: TO PROMOTE BANK LIQUIDITY AND LENDING THROUGH DEPOSIT INSURANCE, THE HOPE FOR HOMEOWNERS PROGRAM AND OTHER ENHANCEMENTS; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 788: TO PROVIDE SAFE HARBOR FOR MORTGAGE SERVICERS WHO ENGAGE IN SPECIFIED MORTGAGE LOAN MODIFICATIONS, AND FOR OTHER PURPOSES; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 977: DERIVATIVES MARKETS TRANSPARENCY AND ACCOUNTABILITY ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 1039: PROMOTING HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY H.R. 1705/S. 566: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 2221: DATA ACCOUNTABILITY AND TRUST ACT; PROVISIONS RELATED TO DATA SECURITY BREACH H.R. 2571/S. 1363: NONADMITTED AND REINSURANCE REFORM ACT OF 2009; PROVISIONS RELATED TO STREAMLINING REINSURANCE REGULATION H.R. 2733/S. 1389: FIXED INDEXED ANNUITIES AND INSURANCE PRODUCTS CLASSIFICATION ACT OF 2009; PROVISIONS RELATED TO ANNUITIES REGULATION (SEC RULE 151A) H.R. 3399: TO AMEND THE INTERNAL REVENUE CODE OF 1986 TO PERMIT THE CONSOLIDATION OF LIFE INSURANCE COMPANIES WITH OTHER COMPANIES; PROVISIONS RELATED TO TAXATION OF LIFE INSURANCE COMPANIES H.R. 3506: ELIMINATE PRIVACY NOTICE CONFUSION ACT; ISSUES RELATED TO DATA SECURITY BREACH H.R. 3596/S. 1681: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO INSURANCE ANTI-TRUST REGULATIONS (MCCARRON-FERGUSON) AND PRIVACY H.R. 3669: EMPLOYER-OWNED LIFE INSURANCE LIMITATION ACT; PROVISIONS RELATED TO COMPANY OWNED LIFE INSURANCE H.R. 3763: TO AMEND THE FAIR CREDIT REPORTING ACT TO PROVIDE FOR AN EXCLUSION FROM RED FLAG GUIDELINES FOR CERTAIN BUSINESSES; PROVISIONS RELATED TO HEALTH CARE H.R. 4173/S. 3217: RESTORING AMERICAN FINANCIAL STABILITY ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM H.R. 4596: HOLOCAUST INSURANCE ACCOUNTABILITY ACT OF 2010; PROVISIONS RELATED TO INSURANCE REGULATORY REFORM H.CON.RES. 89: SUPPORTING THE GOALS AND OBJECTIVES OF THE PRAGUE CONFERENCE ON HOLOCAUST ERA ASSETS; PROVISIONS RELATED TO HOLOCAUST CLAIMS PERTAINING TO POLICIES ISSUED BY PARENT COMPANY, AEGON NV S. 139: DATA BREACH NOTIFICATION ACT; PROVISIONS RELATED TO DATA SECURITY BREACH S. 179: HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 272: DERIVATIVES TRADING INTEGRITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES S.344: HEDGE FUND TRANSPARENCY ACT; PROVISIONS RELATED TO REGULATORY REFORM S. 444: NATIONAL HEALTH INFORMATION TECHNOLOGY AND PRIVACY ADVANCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 1490: PERSONAL DATA PRIVACY AND SECURITY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 3098: PROTECT OUR RECOVERY THROUGH OVERSIGHT OF PROPRIETARY (PROP) TRADING ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM

Client expense: $810,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 200/S. 61: HELPING FAMILIES SAVE THEIR HOMES IN BANKRUPTCY ACT OF 2009; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 225: EMERGENCY HOMEOWNERSHIP AND EQUALITY PROTECTION ACT; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 703: TO PROMOTE BANK LIQUIDITY AND LENDING THROUGH DEPOSIT INSURANCE, THE HOPE FOR HOMEOWNERS PROGRAM AND OTHER ENHANCEMENTS; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 788: TO PROVIDE SAFE HARBOR FOR MORTGAGE SERVICERS WHO ENGAGE IN SPECIFIED MORTGAGE LOAN MODIFICATIONS, AND FOR OTHER PURPOSES; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 977: DERIVATIVES MARKETS TRANSPARENCY AND ACCOUNTABILITY ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 1039: PROMOTING HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY H.R. 1705/S. 566: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 2221: DATA ACCOUNTABILITY AND TRUST ACT; PROVISIONS RELATED TO DATA SECURITY BREACH H.R. 2571/S. 1363: NONADMITTED AND REINSURANCE REFORM ACT OF 2009; PROVISIONS RELATED TO STREAMLINING REINSURANCE REGULATION H.R. 2733/S. 1389: FIXED INDEXED ANNUITIES AND INSURANCE PRODUCTS CLASSIFICATION ACT OF 2009; PROVISIONS RELATED TO ANNUITIES REGULATION (SEC RULE 151A) H.R. 3399: TO AMEND THE INTERNAL REVENUE CODE OF 1986 TO PERMIT THE CONSOLIDATION OF LIFE INSURANCE COMPANIES WITH OTHER COMPANIES; PROVISIONS RELATED TO TAXATION OF LIFE INSURANCE COMPANIES H.R. 3506: ELIMINATE PRIVACY NOTICE CONFUSION ACT; ISSUES RELATED TO DATA SECURITY BREACH H.R. 3596/S. 1681: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO INSURANCE ANTI-TRUST REGULATIONS (MCCARRON-FERGUSON) AND PRIVACY H.R. 3669: EMPLOYER-OWNED LIFE INSURANCE LIMITATION ACT; PROVISIONS RELATED TO COMPANY OWNED LIFE INSURANCE H.R. 3763: TO AMEND THE FAIR CREDIT REPORTING ACT TO PROVIDE FOR AN EXCLUSION FROM RED FLAG GUIDELINES FOR CERTAIN BUSINESSES; PROVISIONS RELATED TO HEALTH CARE H.R. 4173/S. 3217: RESTORING AMERICAN FINANCIAL STABILITY ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM H.R. 4596: HOLOCAUST INSURANCE ACCOUNTABILITY ACT OF 2010; PROVISIONS RELATED TO INSURANCE REGULATORY REFORM H.CON.RES. 89: SUPPORTING THE GOALS AND OBJECTIVES OF THE PRAGUE CONFERENCE ON HOLOCAUST ERA ASSETS; PROVISIONS RELATED TO HOLOCAUST CLAIMS PERTAINING TO POLICIES ISSUED BY PARENT COMPANY, AEGON NV S. 139: DATA BREACH NOTIFICATION ACT; PROVISIONS RELATED TO DATA SECURITY BREACH S. 179: HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 272: DERIVATIVES TRADING INTEGRITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES S.344: HEDGE FUND TRANSPARENCY ACT; PROVISIONS RELATED TO REGULATORY REFORM S. 444: NATIONAL HEALTH INFORMATION TECHNOLOGY AND PRIVACY ADVANCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 1490: PERSONAL DATA PRIVACY AND SECURITY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 3098: PROTECT OUR RECOVERY THROUGH OVERSIGHT OF PROPRIETARY (PROP) TRADING ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM

Client expense: $810,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 200/S. 61: HELPING FAMILIES SAVE THEIR HOMES IN BANKRUPTCY ACT OF 2009; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 225: EMERGENCY HOMEOWNERSHIP AND EQUALITY PROTECTION ACT; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 703: TO PROMOTE BANK LIQUIDITY AND LENDING THROUGH DEPOSIT INSURANCE, THE HOPE FOR HOMEOWNERS PROGRAM AND OTHER ENHANCEMENTS; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 788: TO PROVIDE SAFE HARBOR FOR MORTGAGE SERVICERS WHO ENGAGE IN SPECIFIED MORTGAGE LOAN MODIFICATIONS, AND FOR OTHER PURPOSES; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 977: DERIVATIVES MARKETS TRANSPARENCY AND ACCOUNTABILITY ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 1039: PROMOTING HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY H.R. 1705/S. 566: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 2221: DATA ACCOUNTABILITY AND TRUST ACT; PROVISIONS RELATED TO DATA SECURITY BREACH H.R. 2571/S. 1363: NONADMITTED AND REINSURANCE REFORM ACT OF 2009; PROVISIONS RELATED TO STREAMLINING REINSURANCE REGULATION H.R. 2733/S. 1389: FIXED INDEXED ANNUITIES AND INSURANCE PRODUCTS CLASSIFICATION ACT OF 2009; PROVISIONS RELATED TO ANNUITIES REGULATION (SEC RULE 151A) H.R. 3399: TO AMEND THE INTERNAL REVENUE CODE OF 1986 TO PERMIT THE CONSOLIDATION OF LIFE INSURANCE COMPANIES WITH OTHER COMPANIES; PROVISIONS RELATED TO TAXATION OF LIFE INSURANCE COMPANIES H.R. 3506: ELIMINATE PRIVACY NOTICE CONFUSION ACT; ISSUES RELATED TO DATA SECURITY BREACH H.R. 3596/S. 1681: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO INSURANCE ANTI-TRUST REGULATIONS (MCCARRON-FERGUSON) AND PRIVACY H.R. 3669: EMPLOYER-OWNED LIFE INSURANCE LIMITATION ACT; PROVISIONS RELATED TO COMPANY OWNED LIFE INSURANCE H.R. 3763: TO AMEND THE FAIR CREDIT REPORTING ACT TO PROVIDE FOR AN EXCLUSION FROM RED FLAG GUIDELINES FOR CERTAIN BUSINESSES; PROVISIONS RELATED TO HEALTH CARE H.R. 4173/S. 3217: RESTORING AMERICAN FINANCIAL STABILITY ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM H.R. 4596: HOLOCAUST INSURANCE ACCOUNTABILITY ACT OF 2010; PROVISIONS RELATED TO INSURANCE REGULATORY REFORM H.CON.RES. 89: SUPPORTING THE GOALS AND OBJECTIVES OF THE PRAGUE CONFERENCE ON HOLOCAUST ERA ASSETS; PROVISIONS RELATED TO HOLOCAUST CLAIMS PERTAINING TO POLICIES ISSUED BY PARENT COMPANY, AEGON NV S. 139: DATA BREACH NOTIFICATION ACT; PROVISIONS RELATED TO DATA SECURITY BREACH S. 179: HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 272: DERIVATIVES TRADING INTEGRITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES S.344: HEDGE FUND TRANSPARENCY ACT; PROVISIONS RELATED TO REGULATORY REFORM S. 444: NATIONAL HEALTH INFORMATION TECHNOLOGY AND PRIVACY ADVANCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 1490: PERSONAL DATA PRIVACY AND SECURITY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 3098: PROTECT OUR RECOVERY THROUGH OVERSIGHT OF PROPRIETARY (PROP) TRADING ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM

Client expense: $810,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See attachment. CSP Second Quarter Report 2010 H.R. 200 - Helping Families Save Their Homes in Bankruptcy Act of 2009. Issue: Bankruptcy Mortgage Modification. H.R. 225 - Emergency Homeownership and Equity Protection Act. Issue: Bankruptcy Mortgage Modification H.R. 703 - To promote bank liquidity and lending through deposit insurance, the HOPE for Homeowners Program, and other enhancements. Issue: Bankruptcy Mortgage Modification. H.R. 788 To provide a safe harbor for mortgage servicers who engage in specified mortgage loan modifications, and for other purposes. Issue: Bankruptcy Mortgage Modification. H.R. 977 Derivatives Markets Transparency and Accountability Act of 2009. Issue: Regulatory Reform. H.R. 1039 - Promoting Health Information Technology Act of 2009. Issue: Privacy. H.R. 1705 - the Financial Product Safety Commission Act Issue: Regulatory reform H.R. 2221 - the "Accountability and Trust Act." Issue: Data Security Breach H.R. 2733/ S. 1389 - the "Fixed Indexed Annuities and Insurance Products Classification Act of 2009." Issue: SEC Rule 151A H.R. 3399 - Title: To amend the Internal Revenue Code of 1986 to permit the consolidation of life insurance companies with other companies. Issue: taxation of life insurance companies H.R. 3506 Title: the Eliminate Privacy Notification Confusion Act A bill to amend the Gramm-Leach-Bliley Act to provide an exception from the continuing requirement for annual privacy notices for financial institutions which do not share personal information with affiliates, and for other purposes. Issue: Data Security Breach. H.R. 3596 the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: McCarran-Ferguson. H.R. 3669 - Title: To prohibit employers from carrying life insurance policies on their rank and file employees. Issue: use of COLI H.R. 3763 a bill to amend the Fair Credit Reporting Act to provide for an exclusion from Red Flag Guidelines for certain businesses. Issue: Health Care. H.R. 4173 Title: The Wall Street Reform and Consumer Protection Act of 2010 A original bill to promote the financial stability of the United States by improving accountability and transparency in the financial system, to end "too big to fail", to protect the American taxpayer by ending bailouts, to protect consumers from abusive financial services practices, and for other purposes. Issue: Regulatory Reform. S. 61 - Helping Families Save Their Homes in Bankruptcy Act of 2009. Issue: Bankruptcy Mortgage Modification. S. 139 Title: the Data Breach Notification Act A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. Issue: Data Security Breach. S. 179 Health Information Technology Act of 2009. Issue: Privacy S. 272 - the "Derivatives Trading Integrity Act of 2009" A bill to amend the Commodity Exchange Act to ensure that all agreements, contracts, and transactions with respect to commodities are carried out on a regulated exchange, and for other purposes. Issue: Derivatives. S. 344 Hedge Fund Transparency Act. Issue: Regulatory Reform. S. 444 National Health Information Technology and Privacy Advancement Act of 2009. Issue: Privacy S. 566 - Financial Product Safety Commission Act of 2009. Issue: Regulatory Reform S. 1490 the Personal Data Privacy and Security Act of 2009 A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. Issue: Privacy. S. 1681 - the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: McCarran-Ferguson. S. 3098 Title: the Protect Our Recovery Through Oversight of Proprietary Trading Act of 2010 A bill to prohibit proprietary trading and certain relationships with hedge funds and private equity funds, to address conflicts of interest with respect to certain securitizations, and for other purposes. Issue: Regulatory reform. S.3217 - Title: A original bill to promote the financial stability of the United States by improving accountability and transparency in the financial system, to end "too big to fail", to protect the American taxpayer by ending bailouts, to protect consumers from abusive financial services practices, and for other purposes. Issue: Regulatory Reform.

Client expense: $1,620,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See attachment. FIN Second Quarter Report 2010 H.R. 200 - Helping Families Save Their Homes in Bankruptcy Act of 2009. Issue: Bankruptcy Mortgage Modification. H.R. 225 - Emergency Homeownership and Equity Protection Act. Issue: Bankruptcy Mortgage Modification H.R. 703 - To promote bank liquidity and lending through deposit insurance, the HOPE for Homeowners Program, and other enhancements. Issue: Bankruptcy Mortgage Modification. H.R. 788 To provide a safe harbor for mortgage servicers who engage in specified mortgage loan modifications, and for other purposes. Issue: Bankruptcy Mortgage Modification. H.R. 977 Derivatives Markets Transparency and Accountability Act of 2009. Issue: Regulatory Reform. H.R. 1039 - Promoting Health Information Technology Act of 2009. Issue: Privacy. H.R. 1705 - the Financial Product Safety Commission Act Issue: Regulatory reform H.R. 2221 - the "Accountability and Trust Act." Issue: Data Security Breach H.R. 2733/ S. 1389 - the "Fixed Indexed Annuities and Insurance Products Classification Act of 2009." Issue: SEC Rule 151A H.R. 3399 - Title: To amend the Internal Revenue Code of 1986 to permit the consolidation of life insurance companies with other companies. Issue: taxation of life insurance companies H.R. 3506 Title: the Eliminate Privacy Notification Confusion Act A bill to amend the Gramm-Leach-Bliley Act to provide an exception from the continuing requirement for annual privacy notices for financial institutions which do not share personal information with affiliates, and for other purposes. Issue: Data Security Breach. H.R. 3596 the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: McCarran-Ferguson. H.R. 3669 - Title: To prohibit employers from carrying life insurance policies on their rank and file employees. Issue: use of COLI H.R. 3763 a bill to amend the Fair Credit Reporting Act to provide for an exclusion from Red Flag Guidelines for certain businesses. Issue: Health Care. H.R. 4173 Title: The Wall Street Reform and Consumer Protection Act of 2010 A original bill to promote the financial stability of the United States by improving accountability and transparency in the financial system, to end "too big to fail", to protect the American taxpayer by ending bailouts, to protect consumers from abusive financial services practices, and for other purposes. Issue: Regulatory Reform. S. 61 - Helping Families Save Their Homes in Bankruptcy Act of 2009. Issue: Bankruptcy Mortgage Modification. S. 139 Title: the Data Breach Notification Act A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. Issue: Data Security Breach. S. 179 Health Information Technology Act of 2009. Issue: Privacy S. 272 - the "Derivatives Trading Integrity Act of 2009" A bill to amend the Commodity Exchange Act to ensure that all agreements, contracts, and transactions with respect to commodities are carried out on a regulated exchange, and for other purposes. Issue: Derivatives. S. 344 Hedge Fund Transparency Act. Issue: Regulatory Reform. S. 444 National Health Information Technology and Privacy Advancement Act of 2009. Issue: Privacy S. 566 - Financial Product Safety Commission Act of 2009. Issue: Regulatory Reform S. 1490 the Personal Data Privacy and Security Act of 2009 A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. Issue: Privacy. S. 1681 - the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: McCarran-Ferguson. S. 3098 Title: the Protect Our Recovery Through Oversight of Proprietary Trading Act of 2010 A bill to prohibit proprietary trading and certain relationships with hedge funds and private equity funds, to address conflicts of interest with respect to certain securitizations, and for other purposes. Issue: Regulatory reform. S.3217 - Title: A original bill to promote the financial stability of the United States by improving accountability and transparency in the financial system, to end "too big to fail", to protect the American taxpayer by ending bailouts, to protect consumers from abusive financial services practices, and for other purposes. Issue: Regulatory Reform.

Client expense: $1,620,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See attachment. INS Second Quarter Report 2010 H.R. 200 - Helping Families Save Their Homes in Bankruptcy Act of 2009. Issue: Bankruptcy Mortgage Modification. H.R. 225 - Emergency Homeownership and Equity Protection Act. Issue: Bankruptcy Mortgage Modification H.R. 703 - To promote bank liquidity and lending through deposit insurance, the HOPE for Homeowners Program, and other enhancements. Issue: Bankruptcy Mortgage Modification. H.R. 788 To provide a safe harbor for mortgage servicers who engage in specified mortgage loan modifications, and for other purposes. Issue: Bankruptcy Mortgage Modification. H.R. 977 Derivatives Markets Transparency and Accountability Act of 2009. Issue: Regulatory Reform. H.R. 1039 - Promoting Health Information Technology Act of 2009. Issue: Privacy. H.R. 1705 - the Financial Product Safety Commission Act Issue: Regulatory reform H.R. 2221 - the "Accountability and Trust Act." Issue: Data Security Breach H.R. 2733/ S. 1389 - the "Fixed Indexed Annuities and Insurance Products Classification Act of 2009." Issue: SEC Rule 151A H.R. 3399 - Title: To amend the Internal Revenue Code of 1986 to permit the consolidation of life insurance companies with other companies. Issue: taxation of life insurance companies H.R. 3506 Title: the Eliminate Privacy Notification Confusion Act A bill to amend the Gramm-Leach-Bliley Act to provide an exception from the continuing requirement for annual privacy notices for financial institutions which do not share personal information with affiliates, and for other purposes. Issue: Data Security Breach. H.R. 3596 the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: McCarran-Ferguson. H.R. 3669 - Title: To prohibit employers from carrying life insurance policies on their rank and file employees. Issue: use of COLI H.R. 3763 a bill to amend the Fair Credit Reporting Act to provide for an exclusion from Red Flag Guidelines for certain businesses. Issue: Health Care. H.R. 4173 Title: The Wall Street Reform and Consumer Protection Act of 2010 A original bill to promote the financial stability of the United States by improving accountability and transparency in the financial system, to end "too big to fail", to protect the American taxpayer by ending bailouts, to protect consumers from abusive financial services practices, and for other purposes. Issue: Regulatory Reform. S. 61 - Helping Families Save Their Homes in Bankruptcy Act of 2009. Issue: Bankruptcy Mortgage Modification. S. 139 Title: the Data Breach Notification Act A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. Issue: Data Security Breach. S. 179 Health Information Technology Act of 2009. Issue: Privacy S. 272 - the "Derivatives Trading Integrity Act of 2009" A bill to amend the Commodity Exchange Act to ensure that all agreements, contracts, and transactions with respect to commodities are carried out on a regulated exchange, and for other purposes. Issue: Derivatives. S. 344 Hedge Fund Transparency Act. Issue: Regulatory Reform. S. 444 National Health Information Technology and Privacy Advancement Act of 2009. Issue: Privacy S. 566 - Financial Product Safety Commission Act of 2009. Issue: Regulatory Reform S. 1490 the Personal Data Privacy and Security Act of 2009 A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. Issue: Privacy. S. 1681 - the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: McCarran-Ferguson. S. 3098 Title: the Protect Our Recovery Through Oversight of Proprietary Trading Act of 2010 A bill to prohibit proprietary trading and certain relationships with hedge funds and private equity funds, to address conflicts of interest with respect to certain securitizations, and for other purposes. Issue: Regulatory reform. S. 3217 - Title: A original bill to promote the financial stability of the United States by improving accountability and transparency in the financial system, to end "too big to fail", to protect the American taxpayer by ending bailouts, to protect consumers from abusive financial services practices, and for other purposes. Issue: Regulatory Reform.

Client expense: $1,620,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 566 - Financial Product Safety Commission Act of 2009. Issue: Regulatory Reform S. 344 Hedge Fund Transparency Act. Issue: Regulatory Reform. H.R. 977 Derivatives Markets Transparency and Accountability Act of 2009. Issue: Regulatory Reform. H.CON.RES. 89 - Supporting the goals and objectives of the Prague Conference on Holocaust Era Assets. Issue: Holocaust Claims. S. 179 Health Information Technology Act of 2009. Issue: Privacy H.R. 1039 - Promoting Health Information Technology Act of 2009. Issue: Privacy. S. 444 National Health Information Technology and Privacy Advancement Act of 2009. Issue: Privacy S. 61 - Helping Families Save Their Homes in Bankruptcy Act of 2009. Issue: Bankruptcy Mortgage Modification. H.R. 200 - Helping Families Save Their Homes in Bankruptcy Act of 2009. Issue: Bankruptcy Mortgage Modification. H.R. 225 - Emergency Homeownership and Equity Protection Act. Issue: Bankruptcy Mortgage Modification H.R. 788 To provide a safe harbor for mortgage servicers who engage in specified mortgage loan modifications, and for other purposes. Issue: Bankruptcy Mortgage Modification. H.R. 703 - To promote bank liquidity and lending through deposit insurance, the HOPE for Homeowners Program, and other enhancements. Issue: Bankruptcy Mortgage Modification. H.R. 2221 - the "Accountability and Trust Act." Issue: Data Security Breach H.R. 2571/ S. 1363 - the "Nonadmitted and Reinsurance Reform Act of 2009" issue: to stream line reinsurance regulation. H.R. 1705 - the Financial Product Safety Commission Act Issue: Regulatory reform H.R. 2733/ S. 1389 - the "Fixed Indexed Annuities and Insurance Products Classification Act of 2009." Issue: SEC Rule 151A S. 272 - the "Derivatives Trading Integrity Act of 2009" A bill to amend the Commodity Exchange Act to ensure that all agreements, contracts, and transactions with respect to commodities are carried out on a regulated exchange, and for other purposes. Issue: Derivatives. H.R. 3596 the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: McCarran-Ferguson. S. 1681 - the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: Privacy. S. 1490 the Personal Data Privacy and Security Act of 2009 A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. Issue: Privacy. H.R. 3763 a bill to amend the Fair Credit Reporting Act to provide for an exclusion from Red Flag Guidelines for certain businesses. Issue: Health Care. H.R.3399 - Title: To amend the Internal Revenue Code of 1986 to permit the consolidation of life insurance companies with other companies. Issue: taxation of life insurance companies H.R.3669 - Title: To prohibit employers from carrying life insurance policies on their rank and file employees. Issue: use of COLI S. 139 Title: the Data Breach Notification Act A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. Issue: Data Security Breach. H.R. 3506 Title: the Eliminate Privacy Notification Confusion Act A bill to amend the Gramm-Leach-Bliley Act to provide an exception from the continuing requirement for annual privacy notices for financial institutions which do not share personal information with affiliates, and for other purposes. Issue: Data Security Breach. S. 3098 Title: the Protect Our Recovery Through Oversight of Proprietary Trading Act of 2010 A bill to prohibit proprietary trading and certain relationships with hedge funds and private equity funds, to address conflicts of interest with respect to certain securitizations, and for other purposes. Issue: Regulatory reform. S.3217 - Title: A original bill to promote the financial stability of the United States by improving accountability and transparency in the financial system, to end "too big to fail", to protect the American taxpayer by ending bailouts, to protect consumers from abusive financial services practices, and for other purposes. Issue: Regulatory Reform. H.R. 4596 Title: the Holocaust Insurance Accountability Act of 2010. A bill to allow for enforcement of State disclosure laws and access to courts for covered Holocaust-era insurance policy claims. Issue: insurance regulatory reform. H.R. 4173 Title: The Wall Street Reform and Consumer Protection Act of 2010 A original bill to promote the financial stability of the United States by improving accountability and transparency in the financial system, to end "too big to fail", to protect the American taxpayer by ending bailouts, to protect consumers from abusive financial services practices, and for other purposes. Issue: Regulatory Reform.

Client expense: $2,316,895 · Firm income: Not reported

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

S. 566 - Financial Product Safety Commission Act of 2009. Issue: Regulatory Reform S. 344 - Hedge Fund Transparency Act. Issue: Regulatory Reform. H.R. 977 Derivatives Markets Transparency and Accountability Act of 2009. Issue: Regulatory Reform. H.CON.RES. 89 - Supporting the goals and objectives of the Prague Conference on Holocaust Era Assets. Issue: Holocaust Claims. S. 179 Health Information Technology Act of 2009. Issue: Privacy H.R. 1039 - Promoting Health Information Technology Act of 2009. Issue: Privacy. S. 444 National Health Information Technology and Privacy Advancement Act of 2009. Issue: Privacy S. 61 - Helping Families Save Their Homes in Bankruptcy Act of 2009. Issue: Bankruptcy Mortgage Modification. H.R. 200 - Helping Families Save Their Homes in Bankruptcy Act of 2009. Issue: Bankruptcy Mortgage Modification. H.R. 225 - Emergency Homeownership and Equity Protection Act. Issue: Bankruptcy Mortgage Modification H.R. 788 To provide a safe harbor for mortgage servicers who engage in specified mortgage loan modifications, and for other purposes. Issue: Bankruptcy Mortgage Modification. H.R. 703 - To promote bank liquidity and lending through deposit insurance, the HOPE for Homeowners Program, and other enhancements. Issue: Bankruptcy Mortgage Modification. H.R. 2221 - the "Accountability and Trust Act." Issue: Data Security Breach H.R. 2571/ S. 1363 - the "Nonadmitted and Reinsurance Reform Act of 2009" issue: to stream line reinsurance regulation. H.R. 1705 - the Financial Product Safety Commission Act Issue: Regulatory reform H.R. 2733/ S. 1389 - the "Fixed Indexed Annuities and Insurance Products Classification Act of 2009." Issue: SEC Rule 151A S. 272 - the "Derivatives Trading Integrity Act of 2009" A bill to amend the Commodity Exchange Act to ensure that all agreements, contracts, and transactions with respect to commodities are carried out on a regulated exchange, and for other purposes. Issue: Derivatives. H.R. 3596 the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: McCarran-Ferguson. S. 1681 - the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: Privacy. S. 1490 the Personal Data Privacy and Security Act of 2009 A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. Issue: Privacy. H.R. 3763 a bill to amend the Fair Credit Reporting Act to provide for an exclusion from Red Flag Guidelines for certain businesses. Issue: Health Care. H.R.3399 - Title: To amend the Internal Revenue Code of 1986 to permit the consolidation of life insurance companies with other companies. Issue: taxation of life insurance companies. H.R.3669 - Title: To prohibit employers from carrying life insurance policies on their rank and file employees. Issue: use of COLI. S. 139 Title: the Data Breach Notification Act A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. Issue: Data Security Breach. H.R. 3506 Title: the Eliminate Privacy Notification Confusion Act A bill to amend the Gramm-Leach-Bliley Act to provide an exception from the continuing requirement for annual privacy notices for financial institutions which do not share personal information with affiliates, and for other purposes. Issue: Data Security Breach. S. 3098 Title: the Protect Our Recovery Through Oversight of Proprietary Trading Act of 2010 A bill to prohibit proprietary trading and certain relationships with hedge funds and private equity funds, to address conflicts of interest with respect to certain securitizations, and for other purposes. Issue: Regulatory reform. S.3217 - Title: A original bill to promote the financial stability of the United States by improving accountability and transparency in the financial system, to end "too big to fail", to protect the American taxpayer by ending bailouts, to protect consumers from abusive financial services practices, and for other purposes. Issue: Regulatory Reform. H.R. 4173 Title: The Wall Street Reform and Consumer Protection Act of 2010 A original bill to promote the financial stability of the United States by improving accountability and transparency in the financial system, to end "too big to fail", to protect the American taxpayer by ending bailouts, to protect consumers from abusive financial services practices, and for other purposes. Issue: Regulatory Reform. H.R. 4596 Title: the Holocaust Insurance Accountability Act of 2010. A bill to allow for enforcement of State disclosure laws and access to courts for covered Holocaust-era insurance policy claims. Issue: insurance regulatory reform.

Client expense: $2,316,895 · Firm income: Not reported

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

S. 566 - Financial Product Safety Commission Act of 2009. Issue: Regulatory Reform S. 344 - Hedge Fund Transparency Act. Issue: Regulatory Reform. H.R. 977 Derivatives Markets Transparency and Accountability Act of 2009. Issue: Regulatory Reform. H.CON.RES. 89 - Supporting the goals and objectives of the Prague Conference on Holocaust Era Assets. Issue: Holocaust Claims. S. 179 Health Information Technology Act of 2009. Issue: Privacy H.R. 1039 - Promoting Health Information Technology Act of 2009. Issue: Privacy. S. 444 National Health Information Technology and Privacy Advancement Act of 2009. Issue: Privacy S. 61 - Helping Families Save Their Homes in Bankruptcy Act of 2009. Issue: Bankruptcy Mortgage Modification. H.R. 200 - Helping Families Save Their Homes in Bankruptcy Act of 2009. Issue: Bankruptcy Mortgage Modification. H.R. 225 - Emergency Homeownership and Equity Protection Act. Issue: Bankruptcy Mortgage Modification H.R. 788 To provide a safe harbor for mortgage servicers who engage in specified mortgage loan modifications, and for other purposes. Issue: Bankruptcy Mortgage Modification. H.R. 703 - To promote bank liquidity and lending through deposit insurance, the HOPE for Homeowners Program, and other enhancements. Issue: Bankruptcy Mortgage Modification. H.R. 2221 - the "Accountability and Trust Act." Issue: Data Security Breach H.R. 2571/ S. 1363 - the "Nonadmitted and Reinsurance Reform Act of 2009" issue: to stream line reinsurance regulation. H.R. 1705 - the Financial Product Safety Commission Act Issue: Regulatory reform H.R. 2733/ S. 1389 - the "Fixed Indexed Annuities and Insurance Products Classification Act of 2009." Issue: SEC Rule 151A S. 272 - the "Derivatives Trading Integrity Act of 2009" A bill to amend the Commodity Exchange Act to ensure that all agreements, contracts, and transactions with respect to commodities are carried out on a regulated exchange, and for other purposes. Issue: Derivatives. H.R. 3596 the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: McCarran-Ferguson. S. 1681 - the Health Insurance Industry Antitrust Enforcement Act of 2009 To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Issue: Privacy. S. 1490 the Personal Data Privacy and Security Act of 2009 A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. Issue: Privacy. H.R. 3763 a bill to amend the Fair Credit Reporting Act to provide for an exclusion from Red Flag Guidelines for certain businesses. Issue: Health Care. H.R.3399 - Title: To amend the Internal Revenue Code of 1986 to permit the consolidation of life insurance companies with other companies. Issue: taxation of life insurance companies H.R.3669 - Title: To prohibit employers from carrying life insurance policies on their rank and file employees. Issue: use of COLI S. 139 Title: the Data Breach Notification Act A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. Issue: Data Security Breach. H.R. 3506 Title: the Eliminate Privacy Notification Confusion Act A bill to amend the Gramm-Leach-Bliley Act to provide an exception from the continuing requirement for annual privacy notices for financial institutions which do not share personal information with affiliates, and for other purposes. Issue: Data Security Breach. S. 3098 Title: the Protect Our Recovery Through Oversight of Proprietary Trading Act of 2010 A bill to prohibit proprietary trading and certain relationships with hedge funds and private equity funds, to address conflicts of interest with respect to certain securitizations, and for other purposes. Issue: Regulatory reform. S.3217 - Title: A original bill to promote the financial stability of the United States by improving accountability and transparency in the financial system, to end "too big to fail", to protect the American taxpayer by ending bailouts, to protect consumers from abusive financial services practices, and for other purposes. Issue: Regulatory Reform. H.R. 4596 Title: the Holocaust Insurance Accountability Act of 2010. A bill to allow for enforcement of State disclosure laws and access to courts for covered Holocaust-era insurance policy claims. Issue: insurance regulatory reform. H.R. 4173 Title: The Wall Street Reform and Consumer Protection Act of 2010 A original bill to promote the financial stability of the United States by improving accountability and transparency in the financial system, to end "too big to fail", to protect the American taxpayer by ending bailouts, to protect consumers from abusive financial services practices, and for other purposes. Issue: Regulatory Reform.

Client expense: $2,316,895 · Firm income: Not reported

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

Health Insurance reform and Long Term Care issues HR 1, S. 1, S. 725, S. 703, S. 623, S. 207, S. 179, S. 82, S. 45, HR 1558, HR 1495, HR 1470, HR 1468, HR 1413, HR 1279, HR 1092, HR 676, HR 563, HR 542, HR 198, HR 194, HR 109, HR 15, HR 2, S. 702, S. 94, HR 1891, HR 897, HR 3200, HR 3590, HR 3962, HR 4872

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

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

HR 801: Fair Copyright in Research Works Act S 179: Health Information Technology Act HR 5116: America Competes

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

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

H.R. 200: HELPING FAMILIES SAVE THEIR HOMES IN BANKRUPTCY ACT OF 2009; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 225: EMERGENCY HOMEOWNERSHIP AND EQUALITY PROTECTION ACT; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 703: TO PROMOTE BANK LIQUIDITY AND LENDING THROUGH DEPOSIT INSURANCE, THE HOPE FOR HOMEOWNERS PROGRAM AND OTHER ENHANCEMENTS; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 788: TO PROVIDE SAFE HARBOR FOR MORTGAGE SERVICERS WHO ENGAGE IN SPECIFIED MORTGAGE LOAN MODIFICATIONS, AND FOR OTHER PURPOSES; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 977: DERIVATIVES MARKETS TRANSPARENCY AND ACCOUNTABILITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES, AND REGULATORY REFORM H.R. 1039: PROMOTING HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY H.R. 1705: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 2221: DATA ACCOUNTABILITY AND TRUST ACT; PROVISIONS RELATED TO DATA SECURITY BREACH H.R. 2571/S. 1363: NONADMITTED AND REINSURANCE REFORM ACT OF 2009; PROVISIONS RELATED TO STREAMLINING REINSURANCE REGULATION H.R. 2733/S. 1389: FIXED INDEXED ANNUITIES AND INSURANCE PRODUCTS CLASSIFICATION ACT OF 2009; PROVISIONS RELATED TO ANNUITIES REGULATION (SEC RULE 151A) H.R. 3399: TO AMEND THE INTERNAL REVANUE CODE OF 1986 TO PERMIT THE CONSOLIDATION OF LIFE INSURANCE COMPANIES WITH OTHER COMPANIES; PROVISIONS RELATED TO TAXATION OF LIFE INSURANCE COMPANIES H.R. 3506: ELIMINATE PRIVACY NOTICE CONFUSION ACT; ISSUES RELATED TO DATA SECURITY BREACH H.R. 3596: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO INSURANCE ANTI-TRUST REGULATIONS (MCCARRON-FERGUSON) H.R. 3669: EMPLOYER-OWNED LIFE INSURANCE LIMITATION ACT; PROVISIONS RELATED TO COMPANY OWNED LIFE INSURANCE H.R. 3763: TO AMEND THE FAIR CREDIT REPORTING ACT TO PROVIDE FOR AN EXCLUSION FROM RED FLAG GUIDELINES FOR CERTAIN BUSINESSES; PROVISIONS RELATED TO HEALTH CARE H.CON.RES. 89: SUPPORTING THE GOALS AND OBJECTIVES OF THE PRAGUE CONFERENCE ON HOLOCAUST ERA ASSETS; PROVISIONS RELATED TO HOLOCAUST CLAIMS PERTAINING TO POLICIES ISSUED BY PARENT COMPANY, AEGON NV S. 139: DATA BREACH NOTIFICATION ACT; PROVISIONS RELATED TO DATA SECURITY BREACH S. 179: HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 272: DERIVATIVES TRADING INTEGRITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES S.344: HEDGE FUND TRANSPARENCY ACT; PROVISIONS RELATED TO REGULATORY REFORM S. 444: NATIONAL HEALTH INFORMATION TECHNOLOGY AND PRIVACY ADVANCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 566: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM S. 1490: PERSONAL DATA PRIVACY AND SECURITY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 1681: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 3098: PROTECT OUR RECOVERY THROUGH OVERSIGHT OF PROPRIETARY (PROP) TRADING ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM

Client expense: $1,020,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 200/S. 61: HELPING FAMILIES SAVE THEIR HOMES IN BANKRUPTCY ACT OF 2009; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 225: EMERGENCY HOMEOWNERSHIP AND EQUALITY PROTECTION ACT; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 703: TO PROMOTE BANK LIQUIDITY AND LENDING THROUGH DEPOSIT INSURANCE, THE HOPE FOR HOMEOWNERS PROGRAM AND OTHER ENHANCEMENTS; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 788: TO PROVIDE SAFE HARBOR FOR MORTGAGE SERVICERS WHO ENGAGE IN SPECIFIED MORTGAGE LOAN MODIFICATIONS, AND FOR OTHER PURPOSES; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 977: DERIVATIVES MARKETS TRANSPARENCY AND ACCOUNTABILITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES, AND REGULATORY REFORM H.R. 1039: PROMOTING HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY H.R. 1705: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 2221: DATA ACCOUNTABILITY AND TRUST ACT; PROVISIONS RELATED TO DATA SECURITY BREACH H.R. 2571/S. 1363: NONADMITTED AND REINSURANCE REFORM ACT OF 2009; PROVISIONS RELATED TO STREAMLINING REINSURANCE REGULATION H.R. 2733/S. 1389: FIXED INDEXED ANNUITIES AND INSURANCE PRODUCTS CLASSIFICATION ACT OF 2009; PROVISIONS RELATED TO ANNUITIES REGULATION (SEC RULE 151A) H.R. 3399: TO AMEND THE INTERNAL REVENUE CODE OF 1986 TO PERMIT THE CONSOLIDATION OF LIFE INSURANCE COMPANIES WITH OTHER COMPANIES; PROVISIONS RELATED TO TAXATION OF LIFE INSURANCE COMPANIES H.R. 3506: ELIMINATE PRIVACY NOTICE CONFUSION ACT; ISSUES RELATED TO DATA SECURITY BREACH H.R. 3596: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO INSURANCE ANTI-TRUST REGULATIONS (MCCARRON-FERGUSON) H.R. 3669: EMPLOYER-OWNED LIFE INSURANCE LIMITATION ACT; PROVISIONS RELATED TO COMPANY OWNED LIFE INSURANCE H.R. 3763: TO AMEND THE FAIR CREDIT REPORTING ACT TO PROVIDE FOR AN EXCLUSION FROM RED FLAG GUIDELINES FOR CERTAIN BUSINESSES; PROVISIONS RELATED TO HEALTH CARE H.CON.RES. 89: SUPPORTING THE GOALS AND OBJECTIVES OF THE PRAGUE CONFERENCE ON HOLOCAUST ERA ASSETS; PROVISIONS RELATED TO HOLOCAUST CLAIMS PERTAINING TO POLICIES ISSUED BY PARENT COMPANY, AEGON NV S. 139: DATA BREACH NOTIFICATION ACT; PROVISIONS RELATED TO DATA SECURITY BREACH S. 179: HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 272: DERIVATIVES TRADING INTEGRITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES S.344: HEDGE FUND TRANSPARENCY ACT; PROVISIONS RELATED TO REGULATORY REFORM S. 444: NATIONAL HEALTH INFORMATION TECHNOLOGY AND PRIVACY ADVANCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 566: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM S. 1490: PERSONAL DATA PRIVACY AND SECURITY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 1681: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 3098: PROTECT OUR RECOVERY THROUGH OVERSIGHT OF PROPRIETARY TRADING ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM

Client expense: $1,020,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 200/S. 61: HELPING FAMILIES SAVE THEIR HOMES IN BANKRUPTCY ACT OF 2009; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 225: EMERGENCY HOMEOWNERSHIP AND EQUALITY PROTECTION ACT; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 703: TO PROMOTE BANK LIQUIDITY AND LENDING THROUGH DEPOSIT INSURANCE, THE HOPE FOR HOMEOWNERS PROGRAM AND OTHER ENHANCEMENTS; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 788: TO PROVIDE SAFE HARBOR FOR MORTGAGE SERVICERS WHO ENGAGE IN SPECIFIED MORTGAGE LOAN MODIFICATIONS, AND FOR OTHER PURPOSES; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 977: DERIVATIVES MARKETS TRANSPARENCY AND ACCOUNTABILITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES, AND REGULATORY REFORM H.R. 1039: PROMOTING HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY H.R. 1705: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 2221: DATA ACCOUNTABILITY AND TRUST ACT; PROVISIONS RELATED TO DATA SECURITY BREACH H.R. 2571/S. 1363: NONADMITTED AND REINSURANCE REFORM ACT OF 2009; PROVISIONS RELATED TO STREAMLINING REINSURANCE REGULATION H.R. 2733/S. 1389: FIXED INDEXED ANNUITIES AND INSURANCE PRODUCTS CLASSIFICATION ACT OF 2009; PROVISIONS RELATED TO ANNUITIES REGULATION (SEC RULE 151A) H.R. 3399: TO AMEND THE INTERNAL REVANUE CODE OF 1986 TO PERMIT THE CONSOLIDATION OF LIFE INSURANCE COMPANIES WITH OTHER COMPANIES; PROVISIONS RELATED TO TAXATION OF LIFE INSURANCE COMPANIES H.R. 3506: ELIMINATE PRIVACY NOTICE CONFUSION ACT; ISSUES RELATED TO DATA SECURITY BREACH H.R. 3596: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO INSURANCE ANTI-TRUST REGULATIONS (MCCARRON-FERGUSON) H.R. 3669: EMPLOYER-OWNED LIFE INSURANCE LIMITATION ACT; PROVISIONS RELATED TO COMPANY OWNED LIFE INSURANCE H.R. 3763: TO AMEND THE FAIR CREDIT REPORTING ACT TO PROVIDE FOR AN EXCLUSION FROM RED FLAG GUIDELINES FOR CERTAIN BUSINESSES; PROVISIONS RELATED TO HEALTH CARE H.R. 4173: WALL STREET REFORM AND CONSUMER PROTECTION ACT OF 2009; PROVISIONS RELATED TO CREDIT INSURANCE H.CON.RES. 89: SUPPORTING THE GOALS AND OBJECTIVES OF THE PRAGUE CONFERENCE ON HOLOCAUST ERA ASSETS; PROVISIONS RELATED TO HOLOCAUST CLAIMS PERTAINING TO POLICIES ISSUED BY PARENT COMPANY, AEGON NV S. 139: DATA BREACH NOTIFICATION ACT; PROVISIONS RELATED TO DATA SECURITY BREACH S. 179: HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 272: DERIVATIVES TRADING INTEGRITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES S.344: HEDGE FUND TRANSPARENCY ACT; PROVISIONS RELATED TO REGULATORY REFORM S. 444: NATIONAL HEALTH INFORMATION TECHNOLOGY AND PRIVACY ADVANCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 566: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM S. 1490: PERSONAL DATA PRIVACY AND SECURITY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 1681: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 3098: PROTECT OUR RECOVERY THROUGH OVERSIGHT OF PROPRIETARY (PROP) TRADING ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM

Client expense: $1,020,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 200: HELPING FAMILIES SAVE THEIR HOMES IN BANKRUPTCY ACT OF 2009; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 225: EMERGENCY HOMEOWNERSHIP AND EQUALITY PROTECTION ACT; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 703: TO PROMOTE BANK LIQUIDITY AND LENDING THROUGH DEPOSIT INSURANCE, THE HOPE FOR HOMEOWNERS PROGRAM AND OTHER ENHANCEMENTS; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 788: TO PROVIDE SAFE HARBOR FOR MORTGAGE SERVICERS WHO ENGAGE IN SPECIFIED MORTGAGE LOAN MODIFICATIONS, AND FOR OTHER PURPOSES; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 977: DERIVATIVES MARKETS TRANSPARENCY AND ACCOUNTABILITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES, AND REGULATORY REFORM H.R. 1039: PROMOTING HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY H.R. 1705: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 2221: DATA ACCOUNTABILITY AND TRUST ACT; PROVISIONS RELATED TO DATA SECURITY BREACH H.R. 2571/S. 1363: NONADMITTED AND REINSURANCE REFORM ACT OF 2009; PROVISIONS RELATED TO STREAMLINING REINSURANCE REGULATION H.R. 2733/S. 1389: FIXED INDEXED ANNUITIES AND INSURANCE PRODUCTS CLASSIFICATION ACT OF 2009; PROVISIONS RELATED TO ANNUITIES REGULATION (SEC RULE 151A) H.R. 3399: TO AMEND THE INTERNAL REVANUE CODE OF 1986 TO PERMIT THE CONSOLIDATION OF LIFE INSURANCE COMPANIES WITH OTHER COMPANIES; PROVISIONS RELATED TO TAXATION OF LIFE INSURANCE COMPANIES H.R. 3506: ELIMINATE PRIVACY NOTICE CONFUSION ACT; ISSUES RELATED TO DATA SECURITY BREACH H.R. 3596: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO INSURANCE ANTI-TRUST REGULATIONS (MCCARRON-FERGUSON) H.R. 3669: EMPLOYER-OWNED LIFE INSURANCE LIMITATION ACT; PROVISIONS RELATED TO COMPANY OWNED LIFE INSURANCE H.R. 3763: TO AMEND THE FAIR CREDIT REPORTING ACT TO PROVIDE FOR AN EXCLUSION FROM RED FLAG GUIDELINES FOR CERTAIN BUSINESSES; PROVISIONS RELATED TO HEALTH CARE H.CON.RES. 89: SUPPORTING THE GOALS AND OBJECTIVES OF THE PRAGUE CONFERENCE ON HOLOCAUST ERA ASSETS; PROVISIONS RELATED TO HOLOCAUST CLAIMS PERTAINING TO POLICIES ISSUED BY PARENT COMPANY, AEGON NV S. 139: DATA BREACH NOTIFICATION ACT; PROVISIONS RELATED TO DATA SECURITY BREACH S. 179: HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 272: DERIVATIVES TRADING INTEGRITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES S.344: HEDGE FUND TRANSPARENCY ACT; PROVISIONS RELATED TO REGULATORY REFORM S. 444: NATIONAL HEALTH INFORMATION TECHNOLOGY AND PRIVACY ADVANCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 566: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM S. 1490: PERSONAL DATA PRIVACY AND SECURITY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 1681: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 3098: PROTECT OUR RECOVERY THROUGH OVERSIGHT OF PROPRIETARY (PROP) TRADING ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 200/S. 61: HELPING FAMILIES SAVE THEIR HOMES IN BANKRUPTCY ACT OF 2009; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 225: EMERGENCY HOMEOWNERSHIP AND EQUALITY PROTECTION ACT; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 703: TO PROMOTE BANK LIQUIDITY AND LENDING THROUGH DEPOSIT INSURANCE, THE HOPE FOR HOMEOWNERS PROGRAM AND OTHER ENHANCEMENTS; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 788: TO PROVIDE SAFE HARBOR FOR MORTGAGE SERVICERS WHO ENGAGE IN SPECIFIED MORTGAGE LOAN MODIFICATIONS, AND FOR OTHER PURPOSES; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 977: DERIVATIVES MARKETS TRANSPARENCY AND ACCOUNTABILITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES, AND REGULATORY REFORM H.R. 1039: PROMOTING HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY H.R. 1705: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 2221: DATA ACCOUNTABILITY AND TRUST ACT; PROVISIONS RELATED TO DATA SECURITY BREACH H.R. 2571/S. 1363: NONADMITTED AND REINSURANCE REFORM ACT OF 2009; PROVISIONS RELATED TO STREAMLINING REINSURANCE REGULATION H.R. 2733/S. 1389: FIXED INDEXED ANNUITIES AND INSURANCE PRODUCTS CLASSIFICATION ACT OF 2009; PROVISIONS RELATED TO ANNUITIES REGULATION (SEC RULE 151A) H.R. 3399: TO AMEND THE INTERNAL REVENUE CODE OF 1986 TO PERMIT THE CONSOLIDATION OF LIFE INSURANCE COMPANIES WITH OTHER COMPANIES; PROVISIONS RELATED TO TAXATION OF LIFE INSURANCE COMPANIES H.R. 3506: ELIMINATE PRIVACY NOTICE CONFUSION ACT; ISSUES RELATED TO DATA SECURITY BREACH H.R. 3596: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO INSURANCE ANTI-TRUST REGULATIONS (MCCARRON-FERGUSON) H.R. 3669: EMPLOYER-OWNED LIFE INSURANCE LIMITATION ACT; PROVISIONS RELATED TO COMPANY OWNED LIFE INSURANCE H.R. 3763: TO AMEND THE FAIR CREDIT REPORTING ACT TO PROVIDE FOR AN EXCLUSION FROM RED FLAG GUIDELINES FOR CERTAIN BUSINESSES; PROVISIONS RELATED TO HEALTH CARE H.CON.RES. 89: SUPPORTING THE GOALS AND OBJECTIVES OF THE PRAGUE CONFERENCE ON HOLOCAUST ERA ASSETS; PROVISIONS RELATED TO HOLOCAUST CLAIMS PERTAINING TO POLICIES ISSUED BY PARENT COMPANY, AEGON NV S. 139: DATA BREACH NOTIFICATION ACT; PROVISIONS RELATED TO DATA SECURITY BREACH S. 179: HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 272: DERIVATIVES TRADING INTEGRITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES S.344: HEDGE FUND TRANSPARENCY ACT; PROVISIONS RELATED TO REGULATORY REFORM S. 444: NATIONAL HEALTH INFORMATION TECHNOLOGY AND PRIVACY ADVANCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 566: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM S. 1490: PERSONAL DATA PRIVACY AND SECURITY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 1681: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 3098: PROTECT OUR RECOVERY THROUGH OVERSIGHT OF PROPRIETARY TRADING ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 200/S. 61: HELPING FAMILIES SAVE THEIR HOMES IN BANKRUPTCY ACT OF 2009; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 225: EMERGENCY HOMEOWNERSHIP AND EQUALITY PROTECTION ACT; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 703: TO PROMOTE BANK LIQUIDITY AND LENDING THROUGH DEPOSIT INSURANCE, THE HOPE FOR HOMEOWNERS PROGRAM AND OTHER ENHANCEMENTS; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 788: TO PROVIDE SAFE HARBOR FOR MORTGAGE SERVICERS WHO ENGAGE IN SPECIFIED MORTGAGE LOAN MODIFICATIONS, AND FOR OTHER PURPOSES; PROVISIONS RELATED TO BANKRUPTCY MORTGAGE MODIFICATION H.R. 977: DERIVATIVES MARKETS TRANSPARENCY AND ACCOUNTABILITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES, AND REGULATORY REFORM H.R. 1039: PROMOTING HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY H.R. 1705: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM H.R. 2221: DATA ACCOUNTABILITY AND TRUST ACT; PROVISIONS RELATED TO DATA SECURITY BREACH H.R. 2571/S. 1363: NONADMITTED AND REINSURANCE REFORM ACT OF 2009; PROVISIONS RELATED TO STREAMLINING REINSURANCE REGULATION H.R. 2733/S. 1389: FIXED INDEXED ANNUITIES AND INSURANCE PRODUCTS CLASSIFICATION ACT OF 2009; PROVISIONS RELATED TO ANNUITIES REGULATION (SEC RULE 151A) H.R. 3399: TO AMEND THE INTERNAL REVANUE CODE OF 1986 TO PERMIT THE CONSOLIDATION OF LIFE INSURANCE COMPANIES WITH OTHER COMPANIES; PROVISIONS RELATED TO TAXATION OF LIFE INSURANCE COMPANIES H.R. 3506: ELIMINATE PRIVACY NOTICE CONFUSION ACT; ISSUES RELATED TO DATA SECURITY BREACH H.R. 3596: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO INSURANCE ANTI-TRUST REGULATIONS (MCCARRON-FERGUSON) H.R. 3669: EMPLOYER-OWNED LIFE INSURANCE LIMITATION ACT; PROVISIONS RELATED TO COMPANY OWNED LIFE INSURANCE H.R. 3763: TO AMEND THE FAIR CREDIT REPORTING ACT TO PROVIDE FOR AN EXCLUSION FROM RED FLAG GUIDELINES FOR CERTAIN BUSINESSES; PROVISIONS RELATED TO HEALTH CARE H.R. 4173: WALL STREET REFORM AND CONSUMER PROTECTION ACT OF 2009; PROVISIONS RELATED TO CREDIT INSURANCE H.CON.RES. 89: SUPPORTING THE GOALS AND OBJECTIVES OF THE PRAGUE CONFERENCE ON HOLOCAUST ERA ASSETS; PROVISIONS RELATED TO HOLOCAUST CLAIMS PERTAINING TO POLICIES ISSUED BY PARENT COMPANY, AEGON NV S. 139: DATA BREACH NOTIFICATION ACT; PROVISIONS RELATED TO DATA SECURITY BREACH S. 179: HEALTH INFORMATION TECHNOLOGY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 272: DERIVATIVES TRADING INTEGRITY ACT OF 2009; PROVISIONS RELATED TO DERIVATIVES S.344: HEDGE FUND TRANSPARENCY ACT; PROVISIONS RELATED TO REGULATORY REFORM S. 444: NATIONAL HEALTH INFORMATION TECHNOLOGY AND PRIVACY ADVANCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 566: FINANCIAL PRODUCT SAFETY COMMISSION ACT OF 2009; PROVISIONS RELATED TO REGULATORY REFORM S. 1490: PERSONAL DATA PRIVACY AND SECURITY ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 1681: HEALTH INSURANCE INDUSTRY ANTITRUST ENFORCEMENT ACT OF 2009; PROVISIONS RELATED TO PRIVACY S. 3098: PROTECT OUR RECOVERY THROUGH OVERSIGHT OF PROPRIETARY (PROP) TRADING ACT OF 2010; PROVISIONS RELATED TO REGULATORY REFORM

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 109, America's Affordable Health Care Act (Fortenberg) - essential benefits plan, high risk pools; H.R. 544, Flexible Health Savings Act (Royce) - FSA rollovers; H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey) - medical liability reform; (cont.) HCR (Legislative) H.R. 1468, Medical Justice Act (Burgess) medical liability reform; H.R. 1493, Quality Health Care Coalition Act (Paul) antitrust exemption for physicians; H.R. 1658, Veterans Healthcare Commitment Act (Tiahrt) third party billing by VA for service-connected disabilities; H.R. 2221, Data Accountability and Trust Act (Rush) data security; H.R. 2249, Health Care Price Transparency Promotion Act (Burgess) price transparency; H.R. 2502, Comparative Effectiveness Research Act (Schrader) comparative effectiveness research; H.R. 2520, Patients Choice Act (Ryan) comprehensive health reform; H.R. 2607: Small Business Health Coverage (Johnson) association health plans; H.R. 2668, Choice in Health Options Insures Care for Everyone Act (Murphy) government run health plan; H.R. 2847, Jobs for Main Street Act (Mollohan) extension of COBRA subsidies for the unemployed; H.R. 3002, PATIENTS Act (Boehner) comparative effectiveness research; H.R. 3200, Americas Affordable Health Choices Act (Dingell) coverage expansions, quality improvements, delivery system reforms, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; H.R. 3400, Empowering Patients First Act (Price) premium subsidies, national marketplace, medical liability reforms, wellness, transparency, quality; H.R. 3468, Prevention and Wellness Programs (Castle) incentives for prevention and wellness; H.R. 3472, Premium Discounts for Healthy Behavior (Dahlkemper) premium discounts for healthy behavior; H.R. 3590, Patient Protection and Affordable Care Act (Reid) coverage expansions, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; H.R. 3962, Americas Affordable Health Choices Act (Dingell) coverage expansions, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; H.R. 4061, Cybersecurity Enhancement Act (Lipinski) privacy protections for health information technology; H.R. 4213, Tax Extenders Act (Rangel) COBRA assistance; H.R. 4691, Temporary Extension Act (Rangel) COBRA assistance; H.R. 4700, Transparency in All Health Care Pricing Act (Kagen) transparency in health care pricing; H.R. 4803, Patients' Right to Know Act (Barton) health benefits plan information, transparency in hospital price and quality information; H.R. 4851, Continuing Extension Act (Levin) COBRA assistance, electronic health records; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; S. 139, Data Breach Notification Act (Feinstein) data security; S. 179, Health Information Technology Act (Stabenow) health information technology; S. 458, False Claims Act Clarification Act (Grassley) fraud and abuse; S. 698, State-Based Health Care Reform Act (Feingold) pilot projects for state-based health reforms; S. 913, Workforce Health Improvement Program Act (Cornyn) wellness incentives; S. 988, SIMPLE Cafeteria Plan Act (Snowe) cafeteria plans, flexible spending arrangements; S. 1099, Patients Choice Act (Coburn) comprehensive health reform; S. 1213, Patient-Centered Outcomes Research Act (Baucus) comparative effectiveness research; S. 1259, PATIENTS Act (Kyl) comparative effectiveness research; S. 1278, Consumers Health Care Act (Rockefeller) government run health plan; S. 1490, Personal Data Privacy and Security Act (Leahy) privacy, identity theft; S. 1679, Affordable Health Choices Act (Harkin) coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; S. 1734, Medical Liability Reform (Kyl) medical liability reform; S. 1796, Americas Healthy Future Act (Baucus) coverage expansions, quality improvements, delivery system reforms, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; S. 2730, COBRA Subsidy Extension and Enhancement Act (Brown) COBRA subsidies for the unemployed; S. 3153, Continuing Extension Act (Grassley) COBRA assistance, electronic health records HCR (Regulatory Issues): HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets; HIPAA enforcement; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirement; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues related to genetics and genetic nondiscrimination; issues relating to mental health parity; issues relating to data breach requirements; issues relating to "meaningful use" requirements for health information technology; and issues relating to Form 5500 reporting requirements.

Client expense: $2,700,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

S. 1796, to provide affordable, quality health care for all Americans and reduce the growth in health care spending HR 859 To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit HR 956 To expand the number of individuals and families with health insurance coverage, and for other purposes HR 1558 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 in group health plans and health insurance coverage in the group and individual markets H.R. 1897 to amend the Internal Revenue Code of 1986 to provide a tax credit to employers for the costs of implementing wellness programs, and for other purposes H.R. 2520 to provide comprehensive solutions for the health care system of the United States, and for other purposes HR 2847COBRA, extend benefits period; extend termination date eligibility to June 30, 2010 HR 3200 America's Affordable Health Choices Act of 2009 H.R.3590: An act entitled The Patient Protection and Affordable Care Act. H.R.3596: To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. H.R. 3925, to amend the Employee Retirement Income Security Act of 1974 to preclude preemption of a state cause of action relating to a denial of a claim for benefits under a health care plan H.R. 3930, to extend for 6 months the maximum COBRA continuation coverage period for individuals who were involuntarily terminated between April 1, 2009, and Dec. 31, 2009, and to amend the American Reinvestment and Recovery Act of 2009 to extend the eligibility period and maximum assistance period for COBRA premium assistance under such Act. H.R.3962: To provide affordable, quality health care for all Americans and reduce the growth in health care spending. H.R. 3326: Extends from nine to 15 months the 65% COBRA health insurance subsidy for individuals who have lost their jobs. The job lost eligibility date is extended in the provision to February 28, 2010. Approximately seven million people benefited from the premium subsidy provided in the Recovery Act. HR 4757 to provide for the establishment of a health insurance rate authority to establish limits on premium rating HR 4872 The bill makes a number of health-related financing and revenue changes to the Patient Protection and Affordable Care Act enacted by H.R.3590 and modifies higher education assistance provisions S 179 To improve quality in health care by providing incentives for adoption of modern information technology S 623 To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and in health insurance coverage in the group and individual markets S 803 A bill to amend the Internal Revenue Code of 1986 to provide a tax credit to employers for the costs of implementing wellness programs, and for other purposes. S. Amdt 98 In the nature of a substitute S. 1099 to provide comprehensive solutions for the health care system of the United States, and for other purposes S. 1149 to eliminate annual and lifetime aggregate limits imposed by health plans S. 1152 to allow Americans to earn paid sick time so that they can address their own health needs and the health needs of their families S. Res. 156 expressing the sense of the Senate that reform of our nation's health care system should include the establishment of a federally-backed insurance pool S. 1488 to extend temporarily the 18-month period of continuation coverage under group health plans required under COBRA continuation coverage provisions so as to provide for a total period of continuation coverage of up to 24 months S. 1679 the Affordable Health Choices Act -- An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. S.1681: A bill to ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers S. 1796, to provide affordable, quality health care for all Americans and reduce the growth in health care spending S. 3078 to provide for the establishment of a health insurance rate authority to establish limits on premium rating

Client expense: $1,050,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

S 2 Middle Class Opportunity Act, Card Check provisions; S 4 Comprehensive Health Reform Act of 2009, a bill to guarantee affordable, quality health coverage for all Americans, and for other purposes; S 45 MCAP Act, a bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; S 77 Children's Mental Health Parity Act, a bill to amend title XXI of the Social Security Act to provide for equal coverage of mental health services under the State Children's Health Insurance Program; HR 241a bill to amend title 10, United States Code, to require the amounts reimbursed to institutional providers of health care services under the TRICARE program to be the same as amounts reimbursed under Medicare, and to require the Secretary of Defense to contract for health care services with at least one teaching hospital in urban areas; HR 298 Improving Children's Doctor Access Act of 2009, a bill to amend title XXI of the Social Security Act to require SCHIP annual reports to include information on the HEDIS measure relating to access to primary care practitioners by individuals eligible for child health assistance under such plans and on State efforts to avoid certain displacement of private health coverage, and to express the sense of Congress that such States should utilize Consumer Assessment of Healthcare Providers and Systems consumer satisfaction surveys to measure access by such individuals to physicians; S 179 Health Information Technology Act of 2009, a bill to improve quality in health care by providing incentives for adoption of modern information technology; HR 468 and S 245 Retooling the Health Care Workforce for an Aging America Act of 2009, a bill to expand, train, and support all sectors of the health care workforce to care for the growing population of older individuals in the United States; HR 676 United States National Health Care Act or the Expanded and Improved Medicare for All Act, a bill to provide for comprehensive health insurance coverage for all United States residents, improved health care delivery, and for other purposes; HR 688 and S 326 Kids First Act, a bill to amend title XXI of the Social Security Act to reauthorize the State Children's Health Insurance Program through fiscal year 2013, and for other purposes; Tricare letter sent to DOD from Sen. Ben Nelson urging DoD to revise the rule, expand the transition to the new payment system, offer other adjustments to cushion the financial blow on certain hospitals, and conduct a detailed analysis of its impact on the field; S 391 Healthy Americans Act, a bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away; HR 914 Physician Workforce Enhancement Act of 2009, a bill to amend title VII of the Public Health Service Act to establish a loan program for eligible hospitals to establish residency training programs; HR 936 National Trauma Center Stabilization Act of 2009, a bill to ensure the continued and future availability of lifesaving trauma health care in the United States and to prevent further trauma center closures and downgrades by assisting trauma centers with uncompensated care costs, core mission services, emergency needs, and information technology; HR 956 HealthCARE Act of 2009, a bill to expand the number of individuals and families with health insurance coverage, and for other purposes; S 408 Wakefield Act, a bill to amend the Public Health Service Act to provide a means for continued improvement in emergency medical services for children; HR 1085 Health Insurance Coverage Protection Act, a bill to impose a limitation on lifetime aggregate limits imposed by health plans; HR 1086 Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2009; a bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; HR 1101 Midwifery Care Access and Reimbursement Equity Act of 2009, a bill to amend title XVIII of the Social Security Act to provide for reimbursement of certified midwife services and to provide for more equitable reimbursement rates for certified nurse-midwife services; S 441 Quality Reform Expansion and Savings Act of 2009, a bill to encourage the development of coordinated quality reforms to improve health care delivery and reduce the cost of care in the health care system; S 444 National Health Information Technology and Privacy Advancement Act of 2009, a bill to provide for the establishment of a health information technology and privacy system; S 486 Access for All America Act, a bill to achieve access to comprehensive primary health care services for all Americans and to reform the organization of primary care delivery through an expansion of the Community Health Center and National Health Service Corps programs; HR 1253 Health Insurance Restrictions and Limitations Clarification Act of 2009, a bill to require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable; HR 1296 Access for All America Act, a bill to achieve access to comprehensive primary health care services for all Americans and to reform the organization of primary care delivery through an expansion of the Community Health Center and National Health Service Corps programs; HR 1411 United States Primary and Preventive Health Care Corps Act of 2009, a bill to amend the Public Health Service Act to establish a Primary and Public Health Scholarship Program; HR 1460 Nurses Higher Education and Loan Repayment Act, a bill to amend the Public Health Service Act to establish a graduate degree loan repayment program for nurses who become nursing school faculty members; HR 1494 Nursing Home Emergency Assistance Act, a bill to ensure that a private for-profit nursing home affected by a major disaster receives the same reimbursement as a public nursing home affected by a major disaster; HR 1558 and S 623 Preexisting Condition Patient Protection Act of 2009, to prohibit health insurers from denying coverage to people with pre-existing conditions; S 616 Enhancing Safety in Medicine Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of 2009, a bill to amend the Public Health Service Act to authorize medical simulation enhancement programs, and for other purposes; HR 1581 Patient-Focused Critical Care Enhancement Act, a bill to optimize the delivery of critical care medicine and expand the critical care workforce; S 628 Conrad State 30 Improvement Act, a bill to provide incentives to physicians to practice in rural and medically underserved communities; HR 1614 and S 652 Community Coalitions for Access and Quality Improvement Act of 2009, a bill to authorize the Secretary of Health and Human Services to make grants to community health coalitions to assist in the development of integrated health care delivery; HR 1691 and S 688 Breast Cancer Patient Protection Act of 2009, 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; HR 1699 Patient Access to Critical Lab Tests Act, a bill to require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; S 698 State-Based Health Care Reform Act, a bill to ensure the provision of high-quality health care coverage for uninsured individuals through State health care coverage pilot projects that expand coverage and access and improve quality and efficiency in the health care system; S 703 American Health Security Act of 2009, a bill to provide for health care for every American and to control the cost and enhance the quality of the health care system; HR 1745 Family Health Care Accessibility Act of 2009, a bill to amend the Public Health Service Act to provide liability protections for volunteer practitioners at health centers under section 330 of such Act; S 733 National Trauma Center Stabilization Act of 2009, a bill to ensure the continued and future availability of life saving trauma health care in the United States and to prevent further trauma center closures and downgrades by assisting trauma centers with uncompensated care costs, core mission services, and emergency needs; Letter to HHS about the action plan to prevent Healthcare associated infections; Provided information to members of Congress about the Quality and Patient Safety Transparency initiatives by state; Working with Rep. Nathan Deal to get legislation introduced on provider price transparency; HR 1670 and S 683 Community Choice Act of 2009, to amend title XIX of the Social Security Act to provide individuals with disabilities and older Americans with equal access to community-based attendant services and supports and which would allow disabled Medicaid recipients to receive care in their homes rather than in nursing homes; HR 2003 and S 830 Children's Hospitals Education Equity Act, a bill to modify the definition of children's hospital for purposes of making payments to children's hospitals that operate graduate medical education programs; HR 1998 Health Care Safety Net Enhancement Act of 2009, a bill to improve access to emergency medical services; HR 2043 Nurse Education, Expansion, and Development Act of 2009, a bill to amend the Public Health Service Act to authorize capitation grants to increase the number of nursing faculty and students; HR 2066 Graduate Psychology Education Act of 2009, a bill to amend the Public Health Service Act to promote mental and behavioral health services for underserved populations; S 890 Health Information Technology (IT) Public Utility Act of 2009, a bill to provide for the use of improved health information technology with respect to certain safety net health care providers; HR 2176 Nursing and Allied Health Education Preservation Act of 2009, to amend title XVIII of the Social Security Act to continue the ability of hospitals to supply a needed workforce of nurses and allied health professionals by preserving funding for hospital operated nursing and allied health education programs; HR 2218 Parental Consent Act of 2009, a bill to prohibit the use of Federal funds for any universal or mandatory mental health screening program; S 957 Public Health Emergency Response Act of 2009, a bill to amend the Public Health Service Act to ensure that victims of public health emergencies have meaningful and immediate access to medically necessary health care services; S 958 MediKids Health Insurance Act of 2009, a bill to amend the Social Security Act to guarantee comprehensive health care coverage for all children born after 2009; HR 2231 Public Health Emergency Response Act of 2009, a bill to amend the Public Health Service Act to ensure that victims of public health emergencies have meaningful and immediate access to medically necessary health care services; HR 2233 Health Empowerment Zone Act of 2009, a bill to authorize the Secretary of Health and Human Services to designate health empowerment zones; S 966 and HR 2252 National Health Care Quality Act, a bill to improve the Federal infrastructure for health care quality improvement in the United States; HR 2249 Health Care Price Transparency Promotion Act of 2009, a bill 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; HR 2251 and S 973 Resident Physician Shortage Reduction Act of 2009, to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions; S 979 and HR 2360 SHOP Act, a bill 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; HR 2273 Nurse Staffing Standards for Patient Safety and Quality Care Act of 2009, a bill to amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals; S 999 Child Health Care Crisis Relief Act of 2009, a bill to increase the number of well-trained mental health service professionals (including those based in schools) providing clinical mental health care to children and adolescents; S 1001 Health Promotion FIRST Act, a bill to provide for increased research, coordination and expansion of health promotion programs through the Department of Health and Human Services; HR 2350 Preserving Patient Access to Primary Care Act of 2009, a bill to amend the Public Health Service Act and the Social Security Act to increase the number of primary care physicians and primary care providers and to improve patient access to primary care services; HR 2369 Improving the Quality of Mental and Substance Use Health Care Act of 2009, a bill to improve mental and substance use health care; S 1020 Patient-Focused Critical Care Enhancement Act, a bill to optimize the delivery of critical care medicine and expand the critical care workforce; S 1022 Nurses' Higher Education and Loan Repayment Act of 2009, a bill to amend the Public Health Service Act to establish a graduate degree loan repayment program for nurses who become nursing school faculty members; HR 2381 Nurse and Health Care Worker Protection Act of 2009, a bill to direct the Secretary of Labor to issue an occupational safety and health standard to reduce injuries to patients, direct-care registered nurses, and all other health care workers by establishing a safe patient handling and injury prevention standard, and for other purposes; HR 2388 Physician Availability Act of 2009, a bill to assure that the services of a nonemergency department physician are available to hospital patients 24 hours a day, seven days a week in all non-Federal hospitals with at least 100 licensed beds; S 1028 Strengthening America's Public Health System Act, a bill to amend the Public Health Service Act to improve the Nation's surveillance and reporting for diseases and conditions; S 1031 National Nursing Shortage Reform and Patient Advocacy Act, a bill to amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals; HR 2427 and S 1050 Informed Consumer Choices in Health Care Act of 2009, a bill to amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets; HR 2520 Patients' Choice Act, a bill to provide comprehensive solutions for the health care system of the United States; HR 2535 Blueprint for Health Act of 2009, a bill to establish a Blueprint for Health in order to create a comprehensive system of care incorporating medical homes to improve the delivery and affordability of health care through disease prevention, health promotion, and education about and better management of chronic conditions; S 1104 Nurse-Managed Health Clinic Investment Act of 2009, a bill to amend the Public Health Service Act to establish the Nurse-Managed Health Clinic Investment program; HR 2536 Emergency Nursing Supply Relief Act, to provide relief for the shortage of nurses in the United States; HR 2691 a bill to provide assistance to adolescents and young adults with serious mental health disorders as they transition to adulthood ; S 1173 Community-Based Health Care Retraining Act, a bill to establish a demonstration project to train unemployed workers for employment as health care professionals; S 1174 Preserving Patient Access to Primary Care Act of 2009, a bill to amend the Public Health Service Act and the Social Security Act to increase the number of primary care physicians and primary care providers and to improve patient access to primary care services; S 1176 Allied Health Reinvestment Act, a bill to amend the Public Health Service Act to promote and improve the allied health professionals; HR 2744 Equal Rights for Health Care Act Title 42, a bill to prohibit discrimination in Federal assisted health care services and research programs on the basis of sex, race, color, national origin, sexual orientation, gender identity, or disability status; HR 2754 Nurse-Managed Health Clinic Investment Act of 2009, a bill to amend the Public Health Service Act to establish the Nurse-Managed Health Clinic Investment program; HR 2778 Health Equity and Accountability through Research Act of 2009, a bill to amend the Public Health Service Act to redesignate the National Center on Minority Health and Health Disparities as the National Institute for Minority Health and Health Disparities; S 1220 Patient Access to Critical Lab Tests Act, a bill to require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; HR 2785 Health Care Paperwork Reduction and Fraud Prevention Act of 2009, a bill to reduce the amount of paperwork and improve payment policies for health care services, to prevent fraud and abuse through health care provider education; HR 2804Ensuring Continuous Coverage under SCHIP Act of 2009, a bill to amend title XXI of the Social Security Act to require 12-month continuous coverage under the State Children's Health Insurance Program; HR 2810 Public Health Workforce Investment Act of 2009, a bill to amend the Public Health Service Act to establish various programs for the recruitment and retention of public health workers and to eliminate critical public health workforce shortages in Federal, State, local, and tribal public health agencies and health centers; HR 2816 States' Right To Innovate in Health Care Act of 2009, a bill to amend the Social Security Act to provide grants and flexibility through demonstration projects for States to provide universal, comprehensive, cost-effective systems of health care coverage, with simplified administration; HR 2824 Doctor-Patient Relationship and Research Protection Act, to enhance the conduct and support of federally funded comparative effectiveness research relating to health care; HR 2891 Access to Frontline Health Care Act of 2009, a bill to amend the Public Health Service Act to direct the Secretary of Health and Human Services to establish a Frontline Providers Loan Repayment Program; HR 2925 Communities Building Access Act, a bill to amend the Public Health Service Act to provide for community projects that will reduce the number of individuals who are uninsured with respect to health care; HR 2930 Primary Care Training Enhancement Act, a bill to enhance the primary care workforce through modifications to the medical residency training programs and use of qualified teaching health centers and through State primary care scholarship and loan repayment programs; S 1278 Consumers Health Care Act of 2009, a bill to establish the Consumers Choice Health Plan, a public health insurance plan that provides an affordable and accountable health insurance option for consumers; HR 2937 and S 1305 MRSA Infection Prevention and Patient Protection Act, a bill to prevent health care facility-acquired infections; HR 2948 Healthcare Improvements for Generating High Performance (HIGH Performance) Act of 2009, a bill to amend title IX of the Public Health Service Act to provide for the implementation of best practices in the delivery of health care in the United States; HR 2957 Rural Health Access Act of 2009, a bill to amend the Public Health Service Act to reauthorize the National Health Service Corps Scholarship and Loan Repayment Programs; S 1299 Worker Infection Protection Act, a bill to protect health care workers and first responders, including police, firefighters, emergency medical personnel, and other workers at risk of workplace exposure to infectious agents and drug resistant infections; Hatch amendment # 21 requiring the IOM to make recommendations to Congress on how to reduce unnecessary hospital readmissions; HR 2975 Medical Practice Protection Act of 2009, a bill to improve the medical care by reducing the excessive burden imposed by the civil liability system on the health care delivery system; HR 3000 Josephine Butler United States Health Service Act, a bill to establish a United States Health Service to provide high quality comprehensive health care for all Americans and to overcome the deficiencies in the present system of health care delivery; HR 3002 and S 1259 PATIENTS Act of 2009, a bill to protect all patients by prohibiting the use of data obtained from comparative effictiveness research accounts to deny coverage of items or services under Federal health care programs and to ensure that comparative effectiveness research accounts for advancements in personalized medicine and differences in patient treatment response; S 1355 Rural Health Clinic Patient Access and Improvement Act of 2009, a bill to amend title XVIII of the Social Security Act to improve access to health care for individuals residing in underserved rural areas; S. 1403 Strengthen Social Work Training Act of 2009, a bill to amend title VII of the Public Health Service Act to ensure that social work students or social work schools are eligible for support under certain programs that would assist individuals in pursuing health careers or for grants for training projects in geriatrics, and to establish a social work training program; S. 1404 Supporting Child Maltreatment Prevention Efforts in Community Health Centers Act of 2009, a bill to implement demonstration projects at federally qualified community health centers to promote universal access to family-centered, evidence-based behavioral health interventions that prevent child maltreatment and promote family well-being by addressing parenting practices and skills for families from diverse socioeconomic, cultural, racial, ethnic, and other backgrounds; HR3134 Healthcare Innovation Zone Program Act of 2009, a bill to direct the Secretary of Health and Human Services to establish a Healthcare Innovation Zone pilot program; H.R.3148, a bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings; H.R.3151 and S 1585 Rural Access to Nurse Anesthesia Services Act of 2009, a bill to permit pass-through payment for reasonable costs of certified registered nurse anesthetist services in critical access hospitals notwithstanding the reclassification of such hospitals as urban hospitals, including hospitals located in ``Lugar counties'', and for on-call and standby costs for such services; H.R.3158 Place Based Health Care Act of 2009, a bill to reform health care delivery by providing incentives for place-based health care, which seeks to bring health services to the patient by locating community health centers, federally qualified health centers, and community integrated health centers in or near settings that already serve a particular target population, such as schools, workplaces, and senior services facilities; H.R.3185 and S1569, a bill to amend title XVIII of the Social Security Act to provide payment to hospitals for costs of expanded advanced practice nurse training programs; H.R. 3191 Positive Aging Act of 2009, 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; H.R. 3199 Emergency Medic Transition (EMT) Act of 2009 , a bill to amend the Public Health Service Act to provide grants to State emergency medical service departments to provide for the expedited training and licensing of veterans with prior medical training; H.R. 3200 America's Affordable Health Choices Act of 2009, a bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending; H.R. 3217 Health Care Choice Act of 2009, a bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce; H.R. 3218 Improving Health Care for All Americans Act, a bill to provide a refundable tax credit for medical costs, to expand access to health insurance coverage through individual membership associations (IMAs), and to assist in the establishment of high risk pools; H.R.3234 Community-Based Health Care Retraining Act, a bill to establish a demonstration project to train unemployed workers for employment as health care professionals; H.R. 3242 Women's Health Office Act of 2009, a bill to improve the health of women through the establishment of Offices of Women's Health within the Department of Health and Human Services; S.1459 Health Care Choice Act of 2009, a bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce; S. 1479 NO TITLE, a bill to provide for the treatment of certain hospitals; H.R. 3391 NO TITLE, a bill to allow for the continuation of critical access hospital designation for certain hospitals in geographic areas experiencing population growth; H.R. 3400 Empowering Patients First Act, a bill to provide for incentives to encourage health insurance coverage; H.R.3421 Medical Debt Relief Act of 2009, a bill to exclude from consumer credit reports medical debt that has been in collection and has been fully paid or settled; HR 3472 a bill to provide for health insurance coverage premium discounts for healthy behavior and improvements toward healthy behavior; HR 3483 Steps Toward Access and Reform (STAR) Act of 2009, a bill to reform the medical liability system, improve access to health care for rural and indigent patients, enhance access to affordable prescription drugs, and for other purposes S 1572, a bill to provide for a point of order against any legislation that eliminates or reduces the ability of Americans to keep their health plan or their choice of doctor or that decreases the number of Americans enrolled in private health insurance, while increasing the number of Americans enrolled in government-managed health care; S 1679 Affordable Health Choices Act, an original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce; HR 3652 Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2009, a bill to amend the Public Health Service Act and title XVIII of the Social Security Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly; S 1720 Health Professions and Primary Care Reinvestment Act, a bill to amend title VII of the Public Health Service Act to provide improved training and primary care; HR 3664 Healthcare Innovation Zone Pilot Act of 2009, a bill to direct the Secretary of Health and Human Services to establish a Healthcare Innovation Zone pilot program; S 1730 Fairness in Health Insurance Act, a bill to provide for minimum loss ratios for health insurance coverage; S 1734 Medical Liability Reform Act of 2009, a bill to reduce the cost of health care and ensure patient access to doctors by ending excessive malpractice verdicts through common-sense lawsuit reform; Senate Finance Committee Americas Healthy Future Act of 2009, Senate Finance Committee health reform bill with provisions on coverage, disease prevention and wellness, delivery system reform, health care quality and efficiency, transparency and program integrity, and financing; Meeting with FTC, senate congressional staff re barriers to clinical integration; HR 3590 Patient Protection and Affordable Care Act, the merged product of the health reform bills from the Senate Finance and Health, Education, Labor and Pensions (HELP) committees; HR 3962 Affordable Health Care for America Act, a bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes; HR 3700 Health Care Bill of Rights Act, a bill to establish requirements for any health reform legislation enacted by the Congress or the President during the 111th Congress; HR 3713 American Health Care Solutions Act of 2009, a bill to provide bipartisan solutions to lower health costs, increase access to affordable coverage, and give patients more choices and control; S 1742 Women's Hospitals Education Equity Act, a bill to amend the Public Health Service Act to provide assistance for graduate medical education funding for women's hospitals; Comments to CMS proposed rule defining meaningful use of electronic Health Records concern that the rules will severely limit hospitals' ability to access federal financing for health information technology and put many hospitals at risk for Medicare payment penalties beginning in 2015; FDA Grants Hospitals 18 Months to Replace Steris System 1 Processor; HR 4626 Health Insurance Industry Fair Competition Act, to restore the application of the Federal antitrust laws to the business of health insurance to protect competition and consumers; HR 4851 Continuing Extension Act of 2010, to provide a temporary extension of certain programs; Meetings with CMS and HHS to encourage reimbursement under the National Disaster Medical System for hospitals that provided services to victims of the Haitian earthquake.

Client expense: $3,730,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 1, S. 179 - HIPPA - Health IT

Client expense: $830,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, White House Office