COBRA Subsidy Extension and Enhancement Act of 2009

S.937 - Sewage Overflow Community Right-to-Know Act H.R. 1262 - Water Quality Investment Act of 2009 S.787 - Clean Water Restoration Act H.R. 3265 - Chesapeake Bay Restoration Act of 2009 H.R. 5088- America's Commitment to Clean Water Act H.R. 1908 - Water Accountability Tax Efficiency Reinvestment Act of 2009 S. 1321 - Water Accountability Tax Efficiency Reinvestment Act of 2009 H.R. 2222 - Green Communities Act H.R. 135 - Twenty-first Century Water Commission Act of 2009 H.R. 3202 - Water Protection and Reinvestment Act S. 1005 - Water Infrastructure Financing Act H.R. 2093 - Clean Coastal Environment and Public Health Act of 2009 S.237 - Great Lakes Collaboation Implementation Act of 2009 H.R. 2368 - Water Advanced Technologies for Efficient Resource Act of 2009 H.R. 2969 - Water System Adaptation Partnerships Act of 2009 S. 1712 - Water Efficiency, Conservation, and Adaptation Act of 2009 S. 1816 - Chesapeake Bay Program Reauthorization Act H.R. 3852 - Chesapeake Bay Program Reauthorization Act H.R. 4202 - Green Infrastructure for Clean Water Act of 2009 S. 3561 Green Infrastructure for Clean Water Act of 2010 H.R. 5320 Assistance, Quality, and Affordability Act of 2010 H.R. 3617 - Surface Transportation Extension Act of 2009 S. 1498 - Surface Transportation Extension Act of 2009 H.R. 3747- Water Efficiency, Conservation, and Adaptation Act of 2009 H.R.4715- Clean Estuaries Act of 2010 H.R.1191- Safe Drug Disposal Act of 2009 S 1336 - Safe Drug Disposal Act of 2009 S. 933 - Contaminated Sediment Remediation Reauthorization Act S. 878 - Clean Coastal Environment and Public Health Act of 2009 H.R. 4029 - Puget Sound Recovery Act of 2009 S. 2730 - Puget Sound Recovery Act of 2009 H.R. 4001- Lake Tahoe Restoration Act of 2009 S. 2724 - Lake Tahoe Restoration Act of 2009 H.R. 4755 - Great Lakes Ecosystem Protection Act of 2010 S. 3073 - Great Lakes Ecosystem Protection Act of 2010 H.R. 4698 - Delaware River Basin Conservation Act of 2010 H.R. 4652 - Columbia River Restoration Act of 2010 S. 3025- Columbia River Restoration Act of 2010 S. 3550 Columbia River Basin Restoration Act of 2010 S. 1311- Gulf of Mexico Restoration and Protection Act S. 3119 Long Island Sound Restoration and Stewardship Act H.R. 5061 San Francisco Bay Improvement Act H.R. 5892- Water Resources Development Act Unnumbered Senate bill- Water Resources Development Act H.R. 5509 - Chesapeake Bay Program Reauthorization and Improvement Act S. 3539 - San Francisco Bay Restoration Act S. 1328 - Mercury Pollution Reduction Act of 2009 H.R. 5629 - Oil Spill Accountability and Environmental Protection Act Unnumbered Senate Bill- Great Waters Omnibus S. 3602 - Safe Treatment of Polluted Stormwater Runoff Act of 2010

Client expense: $18,057 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Natl Park Service (NPS), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), U.S. Fish & Wildlife Service (USFWS), U.S. Forest Service

H.Res. 1493 (Spratt) budget enforcement resolution; H.R. 1468, Medical Justice Act (Burgess) medical liability reform; H.R. 1493, Quality Health Care Coalition Act (Paul) antitrust exemption for physicians (cont.) 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. 2607: Small Business Health Coverage (Johnson) association health plans; H.R. 3081, Continuing Appropriations Act (Lowey) continuing resolution with temporary funding for HHS programs and agencies; H.R. 4061, Cybersecurity Enhancement Act (Lipinski) privacy protections for health information technology; H.R. 4213, Tax Extenders Act (Rangel/Baucus) premium assistance for unemployed, Roberts amendment addressing individual coverage requirement; 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. 5136, National Defense Authorization Act (Skelton) coverage for dependents under TRICARE; H.R. 5324, COBRA Health Benefits Extension Act (Davis) COBRA extension; H.R. 5690, MedMal Act (Gingrey) medical liability reform; H.R. 5777, Best PRACTICES Act (Rush) data security, privacy; DRAFT Boucher-Stearns privacy proposal collection and disclosure of certain personal information; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; S. 139, Data Breach Notification Act (Feinstein) data security; S. 458, False Claims Act Clarification Act (Grassley) fraud and abuse; S. 988, SIMPLE Cafeteria Plan Act (Snowe) cafeteria plans, flexible spending arrangements; S. 1490, Personal Data Privacy and Security Act (Leahy) privacy, identity theft; S. 1734, Medical Liability Reform (Kyl) medical liability reform; S. 2730, COBRA Subsidy Extension and Enhancement Act (Brown) premium assistance for unemployed; S. 3393, COBRA Health Benefits Extension Act (Brown) COBRA extension; S. 3421, Temporary Extension Act (Grassley) premium assistance for unemployed; S. 3548, Extend COBRA Premium Assistance Program Act (Casey) premium assistance for unemployed; S. 3579, Data Security Act (Carper) data security, privacy; S. 3686, Labor-HHS-Education Appropriations Act (Harkin) funding for HHS programs and agencies; S. 3742, Data Security and Breach Notification Act (Pryor) data security, privacy 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; issues relating to Form 5500 reporting requirements; medical loss ratios; review of rates for reasonableness; health insurance exchanges; pre-existing condition insurance plans; accountable care organizations; internal claims and appeals and external review processes; coverage of preventive services; pre-existing condition exclusions; lifetime and annual dollar limits on benefits rescissions; patient protections; grandfathered health plan provisions; health insurance web portal requirements; dependent coverage; and other issues relating to health care reform implementation.

Implementation of healthcare reform legislation, coverage expansions, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public heath and workforce issues, fraud and abuse - Executive Branch actions re PL 111-148/PL 111-152 *Data security - HR 2221, To protect consumers by requiring reasonable security policies and procedures to protect computerized data containing personal information, and to provide for nationwide notice in the event of a security breach; S 139, 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. *Price transparency - HR 2249, 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. *Association health plans - HR 2607, To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees. *Privacy, identity theft - S 1490, 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. *Coverage for dependents under TRICARE - HR 5136, National Defense Authorization Act for Fiscal Year 2011. *Budget enforcement resolution - H.Res 1493, Providing for budget enforcement for fiscal year 2011. *Premium assistance for unemployed - S 3421, Protecting Against Indebting our Descendants through Fully Offset Relief (PAID FOR) Temporary Extension Act of 2010; S 3548, Extend COBRA Premium Assistance Program Act of 2010. *Continuing resolution with temporary funding for HHS programs and agencies - HR 3081, Continuing Appropriations Act, 2011; S 3686, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2011. *Data security, privacy - HR 5777, To foster transparency about the commercial use of personal information, provide consumers with meaningful choice about the collection, use, and disclosure of such information; S 3579, Data Security Act of of 2010; S 3742, Data Security and Breach Notification Act of 2010. *Privacy proposal, collection and disclosure of certain personal information - Proposed legislation re this issue. *Medical liability reform - HR 1468, To provide health care liability reform, and for other purposes; S 45, 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 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010; S 1734, 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. *Antitrust exemption for physicians - HR 1493, To ensure and foster continued patient safety and quality of care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers. *Third-party billing by VA for service-connected disabilities - HR 1658, To amend title 38, United States Code, to prohibit the recovery by the United States of charges from a third party for hospital care or medical services furnished to a veteran for a service-connected disability. *COBRA assistance - HR 4213, American Workers, State, and Business Relief Act of 2010. * COBRA subsidies for the unemployed - S 2730, COBRA Subsidy Extension and Enhancement Act of 2009. *COBRA extension - HR 5324, COBRA Health Benefits Extension Act of 2010; S 3393, COBRA Health Benefits Extension Act of 2010. *Transparency in healthcare pricing - HR 4700, Transparency in All Health Care Pricing Act of 2010. *Health benefits plan information, transparency in hospital price and quality information - HR 4803, 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. *Privacy protections for health information technology - HR 4061, To advance cybersecurity research, development, and technical standards, and for other purposes. *Fraud and abuse - S 458, A bill to amend the False Claims Act. *Cafeteria plans, flexible spending arrangements - S 988, A bill to amend the Internal Revenue Code of 1986 to allow small businesses to set up simple cafeteria plans to provide nontaxable employee benefits to their employees, to make changes in the requirements for cafeteria plans, flexible spending accounts, and benefits provided under such plans or accounts, and for other purposes.

H.Res. 1493 (Spratt) budget enforcement resolution; H.R. 1468, Medical Justice Act (Burgess) medical liability reform; (cont.) 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. 2607: Small Business Health Coverage (Johnson) association health plans; 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. 4061, Cybersecurity Enhancement Act (Lipinski) privacy protections for health information technology; H.R. 4213, Tax Extenders Act (Rangel/Baucus) premium assistance for unemployed, Roberts amendment addressing individual coverage requirement; H.R. 4691, Temporary Extension Act (Rangel) premium assistance for unemployed; 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) premium assistance for unemployed, electronic health records; H.R. 5136, National Defense Authorization Act (Skelton) coverage for dependents under TRICARE; H.R. 5324, COBRA Health Benefits Extension Act (Davis) COBRA extension; H.R. 5486, Small Business Jobs Tax Relief Act (Levin) Camp motion addressing individual coverage requirement; H.R. 5690, MedMal Act (Gingrey) medical liability reform; S.Con.Res. 60, FY 2011 Budget Resolution (Conrad) reserve funds for health priorities; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; S. 139, Data Breach Notification Act (Feinstein) data security; S. 458, False Claims Act Clarification Act (Grassley) fraud and abuse; S. 988, SIMPLE Cafeteria Plan Act (Snowe) cafeteria plans, flexible spending arrangements; S. 1490, Personal Data Privacy and Security Act (Leahy) privacy, identity theft; S. 1734, Medical Liability Reform (Kyl) medical liability reform; S. 2730, COBRA Subsidy Extension and Enhancement Act (Brown) premium assistance for unemployed; S. 3393, COBRA Health Benefits Extension Act (Brown) COBRA extension; S. 3421, Temporary Extension Act (Grassley) premium assistance for unemployed; S. 3548 (Casey) premium assistance for unemployed 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; issues relating to Form 5500 reporting requirements; and issues relating to health care reform implementation.

S.937 - Sewage Overflow Community Right-to-Know Act H.R. 1262 - Water Quality Investment Act of 2009 S.787 - Clean Water Restoration Act H.R. 3265 - Chesapeake Bay Restoration Act of 2009 H.R. 5088- America's Commitment to Clean Water Act H.R. 1908 - Water Accountability Tax Efficiency Reinvestment Act of 2009 S. 1321 - Water Accountability Tax Efficiency Reinvestment Act of 2009 H.R. 2222 - Green Communities Act H.R. 135 - Twenty-first Century Water Commission Act of 2009 H.R. 3202 - Water Protection and Reinvestment Act S. 1005 - Water Infrastructure Financing Act H.R. 2093 - Clean Coastal Environment and Public Health Act of 2009 S.237 - Great Lakes Collaboation Implementation Act of 2009 H.R. 2368 - Water Advanced Technologies for Efficient Resource Act of 2009 H.R. 2969 - Water System Adaptation Partnerships Act of 2009 S. 1712 - Water Efficiency, Conservation, and Adaptation Act of 2009 S. 1816 - Chesapeake Bay Program Reauthorization Act H.R. 3852 - Chesapeake Bay Program Reauthorization Act H.R. 4202 - Green Infrastructure for Clean Water Act of 2009 S. 3561 Green Infrastructure for Clean Water Act of 2010 H.R. 5320 Assistance, Quality, and Affordability Act of 2010 H.R. 3617 - Surface Transportation Extension Act of 2009 S. 1498 - Surface Transportation Extension Act of 2009 H.R. 3747- Water Efficiency, Conservation, and Adaptation Act of 2009 H.R.4715- Clean Estuaries Act of 2010 H.R.1191- Safe Drug Disposal Act of 2009 S 1336 - Safe Drug Disposal Act of 2009 S. 933 - Contaminated Sediment Remediation Reauthorization Act S. 878 - Clean Coastal Environment and Public Health Act of 2009 H.R. 4029 - Puget Sound Recovery Act of 2009 S. 2730 - Puget Sound Recovery Act of 2009 H.R. 4001- Lake Tahoe Restoration Act of 2009 S. 2724 - Lake Tahoe Restoration Act of 2009 H.R. 4755 - Great Lakes Ecosystem Protection Act of 2010 S. 3073 - Great Lakes Ecosystem Protection Act of 2010 H.R. 4698 - Delaware River Basin Conservation Act of 2010 H.R. 4652 - Columbia River Restoration Act of 2010 S. 3025- Columbia River Restoration Act of 2010 S. 3550 Columbia River Basin Restoration Act of 2010 S. 1311- Gulf of Mexico Restoration and Protection Act S. 3119 Long Island Sound Restoration and Stewardship Act H.R. 5061 San Francisco Bay Improvement Act Unnumbered House bill- Water Resources Development Act Unnumbered Senate bill- Water Resources Development Act H.R. 5509 - Chesapeake Bay Program Reauthorization and Improvement Act S. 3539 - San Francisco Bay Restoration Act S. 1328 - Mercury Pollution Reduction Act of 2009 H.R. 5629 - Oil Spill Accountability and Environmental Protection Act

Community Pharmacy Fairness Act of 2009 H.R. 1204 Healthy Americans Act H.R. 1321A Emergency Retiree Health Benefits Protection Act H.R. 1322 Family Leave Insurance Act of 2009 H.R. 1723 Long-Term Care Affordability and Security Act of 2009 H.R. 2096 Healthy Families Act H.R. 2460 The Patients Choice Act H.R. 2520 Tax Equity for Health Plan Beneficiaries Act of 2009 H.R. 2625 Health Care Reform regulatory implementation and compliance issues from the Patient Protection and Affordable Care Act (PPACA) Public Law No: 111-148 & the Health Care and Education Reconciliation Act of 2010 (HCERA) Public Law No: 111-152 Prevent application of ERISA preemption to state law causes of action - H.R. 3925 Affordable Health Care for America Act H.R. 3962 Common Sense Health Care Reform and Affordability Act H.R. 4038 American Workers, State, and Business Relief Act H.R. 4213, & substitute amendment Jobs for Main Street Act House Amendment to the Senate Amendment to H.R. 2847 Senate Healthy Americans Act - S. 391 Long-Term Care Affordability and Security Act of 2009 S. 702 The Patients Choice Act S. 1099 Healthy Families Act S. 1152 Tax Equity for Health Plan Beneficiaries Act of 2009 S. 1153 Confidence in Long-Term Care Insurance Act S. 1177 Patient Centered Outcomes Research Act S. 1213 The COBRA Subsidy Extension and Enhancement Act S. 2730 Health Care Reform regulatory implementation and compliance issues from the Patient Protection and Affordable Care Act (PPACA) Public Law No: 111-148 & the Health Care and Education Reconciliation Act of 2010 (HCERA) Public Law 111-152 American Workers, State, and Business Relief Act H.R. 4213 & substitute amendment Temporary Extension Act of 2010 H.R. 4691 Public Law No: 111-144 COBRA Subsidy Program extension Continuing Extension Act H.R. 4851: short-term COBRA extension The Democratic Substitute/Revised Version to the Continuing Extension Act H.R. 4851 Regulatory communication with covered federal officials on legislative issues Proposed rule on application of ERISA to state/local health reform efforts. COBRA premium subsidy assistance extension American Recovery and Reinvestment Act of 2009 (ARRA) included in the Department of Defense Appropriations Act of 2010. Guidance for and implementation of the Patient Protection and Affordable Care Act (PPACA) & the Health Care and Education Reconciliation Act of 2010 (HCERA) employer responsibility provisions, tax treatment of certain plans, transition period and good faith compliance standard, CLASS Act provisions, Early Retiree Reinsurance Program (ERRP), grandfathered plans, grandfathering rules as applied to collectively bargained health plans, coverage of adult children, medical loss ratios (MLRs), quality improvement initiatives, retiree-only plans, preexisting conditions, annual & lifetime limits, patient protections. Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 comments on Interim Final Regulations. Genetic Information Nondiscrimination Act (GINA) of 2008

Implementation of healthcare reform legislation, PL 111-148 (coverage expansions, quality improvements, delivery system refors, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse) - Executive Branch actions re these issues. *Data security - HR 2221, To protect consumers by requiring reasonable security policies and procedures to protect computerized data containing personal information, and to provide for nationwide notice in the event of a security breach; S 139, 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. *Price transparency - HR 2249, 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. *Association health plans - HR 2607, To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees. *Privacy, identity theft - S 1490, 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. *Coverage for dependents under TRICARE - HR 5136, National Defense Authorization Act for Fiscal Year 2011. *Camp motion addressing individual coverage requirement - HR 5486, To amend the Internal Revenue Code of 1986 to provide tax incentives for small business job creation, and for other purposes. *Budget enforcement resolution - H.Res 1493, Providing for budget enforcement for fiscal year 2011. *Premium assistance for unemployed - S 3421, Protecting Against Indebting our Descendants through Fully Offset Relief (PAID FOR) Temporary Extension Act of 2010; S 3548, Extend COBRA Premium Assistance Program Act of 2010. *Reserve funds for health priorities - S Con Res 60, An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2011, revising the appropriate budgetary levels for fiscal year 2010, and setting forth the appropriate budgetary levels for fiscal years 2012 through 2015. *Medical liability reform - HR 1468, To provide health care liability reform, and for other purposes; S 45, 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 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010; S 1734, 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. *Antitrust exemption for physicians - HR 1493, To ensure and foster continued patient safety and quality of care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers. *Third-party billing by VA for service-connected disabilities - HR 1658, To amend title 38, United States Code, to prohibit the recovery by the United States of charges from a third party for hospital care or medical services furnished to a veteran for a service-connected disability. *COBRA assistance - HR 4213, American Workers, State, and Business Relief Act of 2010 ; HR 4691, Temporary Extension Act of 2010 *COBRA assistance, electronic health records - HR 4851, Continuing Extension Act of 2010. * COBRA subsidies for the unemployed - S 2730, COBRA Subsidy Extension and Enhancement Act of 2009. *COBRA extension - HR 5324, COBRA Health Benefits Extension Act of 2010; S 3393, COBRA Health Benefits Extension Act of 2010. *Transparency in healthcare pricing - HR 4700, Transparency in All Health Care Pricing Act of 2010. *Health benefits plan information, transparency in hospital price and quality information - HR 4803, 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. *Privacy protections for health information technology - HR 4061, To advance cybersecurity research, development, and technical standards, and for other purposes. *Fraud and abuse - S 458, A bill to amend the False Claims Act. *Cafeteria plans, flexible spending arrangements - S 988, A bill to amend the Internal Revenue Code of 1986 to allow small businesses to set up simple cafeteria plans to provide nontaxable employee benefits to their employees, to make changes in the requirements for cafeteria plans, flexible spending accounts, and benefits provided under such plans or accounts, and for other purposes.

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.

America's Affordable Health Choices Act, H.R. 3200 and S. 1796, various versions of comprehensive health care reform legislation; provisions dealing with "employer mandate," treatment of multi-employer health and welfare funds, exemptions for small business, proposed financing scheme. Affordable Health Care for America Act, H.R. 3962, comprehensive health care reform legislation that passed the House; provisions dealing with cost control, financing, employer mandate, and subsidies. Patient Protection and Affordable Care Act, H.R. 3590, Senate floor version of comprehensive health care reform; provisions related to revenue generation and the excise tax on high-cost health plans. COBRA Subsidy Expansion and Enhancement Act of 2009, S. 2730, provisions related to retiree health plans and eligibility. H.R. 4872, Health Care and Education Reconciliation Act, provisions related to excise tax on high-cost health care plans and multi-employer health and welfare trusts.

Client expense: $130,000 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE

Community Pharmacy Fairness Act of 2009 H.R. 1204 Healthy Americans Act H.R. 1321 Emergency Retiree Health Benefits Protection Act H.R. 1322 Family Leave Insurance Act of 2009 H.R. 1723 Long-Term Care Affordability and Security Act of 2009 H.R. 2096 Healthy Families Act (mandatory sick leave) H.R. 2460 The Patients Choice Act H.R. 2520 Tax Equity for Health Plan Beneficiaries Act of 2009 H.R. 2625 Health Care Reform issues affecting employer sponsored plans, employer responsibilities, accounting for part-time workers, ERISA preemption, quality, wellness provisions, financing, delivery, costs, coverage, tax policy; minimum benefits standard, pay or play requirements, public health insurance plan option, taxation of Medicare Part D subsidy, The Community Living Assistance Services and Support Program (CLASS Act), Health Savings Accounts (HSAs), Flexible Spending Arrangements (FSAs), effectives dates and transition period Patient Protection and Affordable Care Act (PPACA) H.R. 3590, Public Law No: 111-148 Prevent application of ERISA preemption to state law causes of action - H.R. 3925 Extended COBRA Continuation Protection Act of 2009 H.R. 3930 Affordable Health Care for America Act H.R. 3962 Common Sense Health Care Reform and Affordability Act H.R. 4038 American Workers, State, and Business Relief Act H.R. 4213, & substitute amendment Department of Defense Appropriations Act for Fiscal Year 2010 (House Amendment to the Senate Amendment to H.R. 3326. Public Law No: 111-118 COBRA Subsidy Program Jobs for Main Street Act House Amendment to the Senate Amendment to H.R. 2847 Temporary Extension Act of 2010 H.R. 4691 Public Law No: 111-144, COBRA Subsidy Program extension Health Care and Education Affordability Reconciliation Act of 2010 H.R. 4872: package of modifications to H.R. 3590 Fiscal Year 2011 Budget health plan proposals Presidents Proposal on Health Care Reform summary (2/22) Healthy Americans Act - S. 391 Long-Term Care Affordability and Security Act of 2009 S. 702 The Patients Choice Act S. 1099 Healthy Families Act (mandatory sick leave) S. 1152 Tax Equity for Health Plan Beneficiaries Act of 2009 S. 1153 Confidence in Long-Term Care Insurance Act S. 1177 Patient Centered Outcomes Research Act S. 1213 Health Care Reform issues affecting employer sponsored plans, employer responsibilities, part-time, seasonal, and short-term worker issues, ERISA preemption, quality, wellness provisions, financing, delivery, costs, coverage, tax policy; minimum benefits standard, pay or play requirements, public health insurance plan option, taxation of Medicare Part D subsidy, The Community Living Assistance Services and Support Program (CLASS Act), Health Savings Accounts (HSAs), Flexible Spending Arrangements (FSAs), effectives dates and transition period The COBRA Subsidy Extension and Enhancement Act S. 2730 Patient Protection and Affordable Care Act (PPACA) H.R. 3590, Law No: 111-148 American Workers, State, and Business Relief Act H.R. 4213 & substitute amendment Temporary Extension Act of 2010 H.R. 4691 Public Law No: 111-144 COBRA Subsidy Program extension Health Care and Education Affordability Reconciliation Act of 2010 H.R. 4872: package of modifications to H.R. 3590 Continuing Extension Act H.R. 4851: short-term COBRA extension Hiring Incentives to Restore Employment Act (HIRE) COBRA subsidy extension Fiscal Year 2011 Budget health plan proposals Presidents Proposal on Health Care Reform summary (2/22) Regulatory communication with covered federal officials on legislative issues DOL/Employee Benefits Security Administration, EBSA) health care reform legislation and implementation, ERISA preemption DOL/Employee Benefits Security Administration (EBSA)/Office of Management and Budget (OMB) - proposed rule on application of ERISA to state/local health reform efforts DOL /EBSA)/IRS/Treasury/HHS - Genetic Information Nondiscrimination Act (GINA) of 2008 Treasury/IRS/DOL/EBSA COBRA premium subsidy assistance extension American Recovery and Reinvestment Act of 2009 (ARRA) included in the Department of Defense Appropriations Act of 2010 DOL/HHS-CMS/Treasury/IRS Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 Interim Final Regulations Commerce, Office of the Secretary taxation of Medicare Part D subsidy White House/Executive Office of the President: OMB & NEC Stand for Quality Coalition health care reform White House/Executive Office of the President - health care reform Office of the Vice President health care reform: taxation of Medicare Part D Subsidy

S.937 - Sewage Overflow Community Right-to-Know Act H.R. 1262 - Water Quality Investment Act of 2009 S.787 - Clean Water Restoration Act Unnumbered House bill - America's Commitment to Clean Water Act H.R. 3265 - Chesapeake Bay Restoration Act of 2009 H.R. 1908 - Water Accountability Tax Efficiency Reinvestment Act of 2009 S. 1321 - Water Accountability Tax Efficiency Reinvestment Act of 2009 H.R. 2222 - Green Communities Act H.R. 135 - Twenty-first Century Water Commission Act of 2009 H.R. 3202 - Water Protection and Reinvestment Act S. 1005 - Water Infrastructure Financing Act H.R. 2093 - Clean Coastal Environment and Public Health Act of 2009 S.237 - Great Lakes Collaboration Implementation Act of 2009 H.R. 2368 - Water Advanced Technologies for Efficient Resource Act of 2009 H.R. 2969 - Water System Adaptation Partnerships Act of 2009 S. 1712 - Water Efficiency, Conservation, and Adaptation Act of 2009 S. 1816 - Chesapeake Bay Program Reauthorization Act H.R. 3852 - Chesapeake Bay Program Reauthorization Act H.R. 4202 - Green Infrastructure for Clean Water Act of 2009 Unnumbered House bill - Drinking Water State Revolving Fund Reauthorization H.R. 3617 - Surface Transportation Extension Act of 2009 S. 1498 - Surface Transportation Extension Act of 2009 H.R. 3747- Water Efficiency, Conservation, and Adaptation Act of 2009 H.R.4715- Clean Estuaries Act of 2010 H.R.1191- Safe Drug Disposal Act of 2009 S 1336- Safe Drug Disposal Act of 2009 S. 933- Contaminated Sediment Remediation Reauthorization Act S. 878- Clean Coastal Environment and Public Health Act of 2009 H.R. 4029- Puget Sound Recovery Act of 2009 S. 2730- Puget Sound Recovery Act of 2009 H.R. 4001- Lake Tahoe Restoration Act of 2009 S. 2724- Lake Tahoe Restoration Act of 2009 H.R. 4755- Great Lakes Ecosystem Restoration Act of 2010 S. 3073- Great Lakes Ecosystem Restoration Act of 2010 H.R. 4698- Delaware River Basin Conservation Act of 2010 H.R. 4652- Columbia River Restoration Act of 2010 S. 3025- Columbia River Restoration Act of 2010 S. 1311- Gulf of Mexico Restoration and Protection Act S. 3119 Long Island Sound Restoration and Stewardship Act H.R. 5061 San Francisco Bay Improvement Act Unnumbered House bill- Water Resources Development Act Unnumbered Senate bill- Water Resources Development Act

H.R. 15, National Health Insurance Act (Dingell) single-payer health reform; H.R. 109, America's Affordable Health Care Act (Fortenberg) essential benefits plan, high risk pools; H.R. 193, AmeriCare Health Care Act (Stark) new government health program; H.R. 544, Flexible Health Savings Act (Royce) FSA rollovers; H.R. 676, United States National Health Care Act (Conyers) single payer health reform; H.R. 1086, Help Efficient, Accessible, Low-cost, Timely Healthcare Act (Gingrey) medical liability reform; H.R. 1200, American Health Security Act (McDermott) single-payer health reform; 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. 3288, Consolidated Appropriations Act (Olver) high risk pool funding, comparative effectiveness research, HHS programs; H.R. 3293, Labor, HHS, Education Appropriations Act (Obey/Harkin) high risk pool funding, comparative effectiveness research, HHS programs; H.R. 3326, Defense Appropriations Act (Murtha) extension of COBRA subsidies for the unemployed; 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; 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. 703, American Health Security Act (Sanders) single-payer health reform; 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 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.

America's Affordable Health Choices Act, H.R. 3200 and S. 1796, various versions of comprehensive health care reform legislation; provisions dealing with "employer mandate," treatment of multi-employer health and welfare funds, exemptions for small business, proposed financing scheme. Affordable Health Care for America Act, H.R. 3962, comprehensive health care reform legislation that passed the House; provisions dealing with cost control, financing, employer mandate, and subsidies. Patient Protection and Affordable Care Act, H.R. 3590, Senate floor version of comprehensive health care reform; provisions related to revenue generation and excise tax on high-cost health plans. COBRA Subsidy Expansion and Enhancement Act of 2009. S. 2730, provisions related to retiree health plans and eligibility.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Community Pharmacy Fairness Act of 2009 H.R. 1204 Healthy Americans Act H.R. 1321 Emergency Retiree Health Benefits Protection Act H.R. 1322 Family Leave Insurance Act of 2009 H.R. 1723 Long- Community Living Assistance Services and Supports Act CLASS Act H.R. 1721 Term Care Affordability and Security Act of 2009 H.R. 2096 Healthy Families Act (mandatory sick leave) H.R. 2460 The Patients Choice Act H.R. 2520 Tax Equity for Health Plan Beneficiaries Act of 2009 H.R. 2625 Health Care Reform issues affecting employer sponsored plans, ERISA preemption, quality, financing, delivery, costs, coverage, and tax policy; minimum benefits standard, pay or play requirements, public health insurance plan option, taxation of Medicare Part D subsidy Americas Affordable Health Choices Act of 2009 (Tri-Committee Bill) H.R. 3200 Prevent application of ERISA preemption to state law causes of action - H.R. 3925 Extended COBRA Continuation Protection Act of 2009 H.R. 3930 Emergency Influenza Containment Act H.R. 3991 Affordable Health Care for America Act H.R. 3962 merged bill, managers amendment Common Sense Health Care Reform and Affordability Act (Republican Substitute) H.R. 4038 Department of Defense Appropriations Act for Fiscal Year 2010 (House Amendment to the Senate Amendment to H.R. 3326. Public Law No: 111-118 COBRA Subsidy Program Jobs for Main Street Act (House Amendment to the Senate Amendment to H.R. 2847) Disability policy Issues issues affecting employer sponsored plans Senate Healthy Americans Act - S. 391 Long-Term Care Affordability and Security Act of 2009 S. 702 The Patients Choice Act S. 1099 Healthy Families Act (mandatory sick leave) S. 1152 Tax Equity for Health Plan Beneficiaries Act of 2009 S. 1153 Confidence in Long-Term Care Insurance Act S. 1177 Patient Centered Outcomes Research Act S. 1213 Health Care Reform - issues affecting employer sponsored plans, ERISA preemption, quality, financing, delivery, costs, coverage, and tax policy; minimum benefits standard, pay or play requirements, public health insurance plan option, taxation of Medicare Part D subsidy Senate Health, Education, Labor and Pensions Committee (HELP) Affordable Health Choices Act S. 1679 - Community Living Assistance Services Supports Act CLASS Act - S. 697 Senate Finance Committee Version Americas Healthy Future Act of 2009 S. 1796 -executive compensation amendment Section 162 (m) Patient Protection and Affordable Care Act H.R. 3590 The COBRA Subsidy Extension and Enhancement Act S. 2730 Disability policy issues issues affecting employer sponsored plans Regulatory communication with covered federal officials on legislative issues White House/Executive Office of the President: OMB & NEC Stand for Quality Coalition health care reform White House/Executive Office of the President - health care reform White House Genetic Information Nondiscrimination Act (GINA) of 2008, Employer wellness programs Office of the Vice President health care reform: taxation of Medicare Part D Subsidy HHS/Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer (MSP) Recovery Process DOL (Employee Benefits Security Administration EBSA)/IRS/Treasury/HHS - Genetic Information Nondiscrimination Act (GINA) of 2008 Treasury/IRS/DOL/ temporary subsidy of COBRA coverage guidance, HHS H1N1 coverage

Supported all provisions unless otherwise indicated: H.R. 3200, America's Affordable Health Choices Act of 2009 H.R. 3930, Extended COBRA Continuation Protection Act of 2009 H.R. 3962, Affordable Health Care for America Act - in addition to supporting bill, in particular supported increasing Medicaid Supported all provisions unless otherwise indicated: Continuation of H.R. 3962 from page 2: eligibility to 150 percent of the federal poverty level H.R. 3966, To amend the American Reinvestment and Recovery Act of 2009 to extend for 6 months the period of eligibility for COBRA premium assistance under such Act. Senate Finance Committee Chairman's Mark, America's Healthy Future Act - in addition to supporting Mark, in particular supported subsidy cap at two percent for low-income people. S. 1730, Fairness in Health Insurance Act S. 2730, COBRA Subsidy Extension and Enhancement Act of 2009 H.R. 3590, in the Senate, Patient Protection and Affordable Care Act - in addition to supporting bill, specifically opposed Section 1333 relating to Health Care Choice Compacts and "nationwide plan" and opposed Section 2705 relating to wellness provisions. In addition to supporting H.R. 3590, in particular supported provisions for low-income people: increasing Medicaid eligibility to 150 percent of the federal poverty level; offering stronger premium subsidies for people below 250 percent of the federal povery level; reducing high deductibles and high copayments and improving out-of-pocket limits for low-income people; and also supported closing the doughnut hole for Medicare beneficiaries. Also supported Subtitle D physician payments sunshine provision. Supported the following amendments to H.R. 3590: S.Amdt. 2790 (improve CHIP), S.Amdt. 2868 (include language services and cultural competency training in market-based incentives provision), S.Amdt. 2910 (require 90% minimum loss ratios for health insurance coverage), S.Amdt. 2919 (add external appeals process), S.Amdt. 2920 (insurance company reporting requirements regarding the rate of denial of coverage and enrollment), S.Amdt. 2991 (lift five-year ban on Medicaid for legal immigrant adults), S.Amdt. 3004 (price transparency), S.Amdt. 3065 (make good the provisions of the 2001 Patients' Bill of rights that both House and Senate passed but weren't signed into law), S.Amdt. 3076 (extend cessation benefits to all Medicaid recipients), S.Amdt. 3086 (provide incentives to states to offer home and community-based services as long-term care alternatives to nursing homes), and S.Amdt. 3167 (streamline enrollment). Opposed the following amendment to H.R. 3590: S.Amdt. 3189 (provisions related to Medicare and health behaviors). .

The association monitors and reacts to policy concepts that may impact its ability to continue providing its high quality Group Health Plan to members, their employees, and the association staff at affordable rates and on reasonable terms and conditions. During the reporting period the association contacted officials about the following measures: Health Care Coverage: S 1679 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 all sections. S 2730 to A bill to extend and enhance the COBRA subsidy program under the American Recovery and Reinvestment Act of 2009 all sections. HR 3200 to provide affordable, quality health care for all Americans and reduce the growth in health care spending all sections. HR 3326 & PL 111-118 Department of Defense Appropriations Act for FY 2010 Note: Pursuant to H Res 976, the Department of Defense Appropriations Act, 2010, HR 3326 was modified in part to include extensions of some direct spending programs and other authorities as Division B ("Other Matters") of the Act. The report of the House Rules Committee on H Res 976 (H.Rept. 111-380, pp. 4-5) summarized the matter included in Division B of the Act concerning SBA loan guarantees; the Patriot Act; flood insurance; Medicare physician payments; surface transportation; unemployment insurance; COBRA; copyright; the Supplemental Nutrition Assistance Program (SNAP); and poverty guidelines COBRA sections. HR 3590 an Act entitled the Patient Protection And Affordable Care Act. Note: The bill is the Senate vehicle for health care reform legislation all sections. HR 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 all sections. HR. 3930 to extend for 6 months the maximum COBRA continuation coverage period for individuals who were involuntarily terminated between April 1, 2009, and December 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 all sections