Rural Revitalization Act of 2009

Coverage of home infusion therapy under the Medicare Program, and all provisions affecting Medicare Parts A (Hospital Insurance), B (Medical Insurance Coverage) & D (Prescription Drugs). Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation; THE HEALTH CARE & EDUCATION RECONCILIATION ACT of 2010 (H.R. 4872) The Patient Protection and Affordable Care Act of 2010 (H.R.3590)

Client expense: Not reported · Firm income: Not reported

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

Implementation of the Medicare Improvment Act; Monitored Medicare Issues, generally. Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation; THE HEALTH CARE & EDUCATION RECONCILIATION ACT of 2010 (H.R. 4872) The Patient Protection and Affordable Care Act of 2010 (H.R.3590)

S.1250; S.807; S.622; S.774; S.323; S.306; S.3231; H.R.4168; H.R. 3985; H.R.3909; H.R. 3460; H.R. 3187 H.R. 2956; H.R. 2359; H.R.1757; H.R.1698; H.R. 4940; H.R. 5142

Client expense: $213,250 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE

Coverage of home infusion therapy under the Medicare Program, and all provisions affecting Medicare Parts A (Hospital Insurance), B (Medical Insurance Coverage) & D (Prescription Drugs). Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation; THE HEALTH CARE & EDUCATION RECONCILIATION ACT of 2010 (H.R. 4872) The Patient Protection and Affordable Care Act of 2010 (H.R.3590)

Implementation of the Medicare Improvment Act; Monitored Medicare Issues, generally. Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation; THE HEALTH CARE & EDUCATION RECONCILIATION ACT of 2010 (H.R. 4872) The Patient Protection and Affordable Care Act of 2010 (H.R.3590)

H.R. 977: Derivatives Markets Transparency and Accountability Act of 2009 S. 272: Derivatives Trading Integrity Act of 2009 S. 323: Rural Revitalization Act of 2009 S. 447: Prevent Excessive Speculation Act S. 22: Omnibus Public Land Management Act of 2009 H.R. 4173: Wall Street Reform and Consumer Protection Act of 2009 H.R. 977: Derivatives Markets Transparency and Accountability Act of 2009 H.R. 3795: Over-the-Counter Derivatives Markets Act of 2009 S. 272: Derivatives Trading Integrity Act of 2009 S. 447: Prevent Excessive Speculation Act S. 1399: Carbon Market Oversight Act of 2009 S. 1412: Commodity Speculation Reform Act of 2009 S. 1682: Derivatives Market Manipulation Prevention Act of 2009 S. 1691: Comprehensive Derivatives Regulation Act of 2009 S. 3217: 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. S. 3102: Rural Energy Savings Program Act H.R. 4785: Rural Energy Savings Program Act S. 3606: Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2011 H.R. 2997: Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2010

Client expense: $947,000 · Firm income: Not reported

HR 15: National Health Insurance Act HR 676: United States National Health Care Act or the Expanded and Improved Medicare for All Act HR 956: HealthCARE Act of 2009 HR 2: Children's Health Insurance Program Reauthorization Act of 2009 HR 193: AmeriCare Health Care Act of 2009 HR 1039: Promoting Health Information Technology Act of 2009 HR 1200: American Health Security Act of 2009 HR 1321: Healthy Americans Act HR 1322: Emergency Retiree Health Benefits Protection Act of 2009 H.R. 3962: Affordable Health Care for America Act H.R. 4872: Health Care and Education Reconciliation Act of 2010, SAFRA Act S.29: Coverage Continuity Act S.266: Medicare Prescription Drug Gap Reduction Act of 2009 S. 301: Physician Payments Sunshine Act of 2009 S. 318: Medicare Rural Health Access Improvement Act of 2009 S. 323: Rural Revitalization Act of 2009 S.391: Healthy Americans Act S. 698: State-Based Health Care Reform Act S.1679: Affordable Health Choices Act S. 1796: America's Healthy Future Act of 2009

Client expense: $947,000 · Firm income: Not reported

H.R. 977: Derivatives Markets Transparency and Accountability Act of 2009 S. 272: Derivatives Trading Integrity Act of 2009 S. 323: Rural Revitalization Act of 2009 S. 447: Prevent Excessive Speculation Act S. 22: Omnibus Public Land Management Act of 2009 H.R. 4173: Wall Street Reform and Consumer Protection Act of 2009 H.R. 977: Derivatives Markets Transparency and Accountability Act of 2009 H.R. 3795: Over-the-Counter Derivatives Markets Act of 2009 S. 272: Derivatives Trading Integrity Act of 2009 S. 447: Prevent Excessive Speculation Act S. 1399: Carbon Market Oversight Act of 2009 S. 1412: Commodity Speculation Reform Act of 2009 S. 1682: Derivatives Market Manipulation Prevention Act of 2009 S. 1691: Comprehensive Derivatives Regulation Act of 2009 S. 3217: 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. S. 3102: Rural Energy Savings Program Act H.R. 4785: Rural Energy Savings Program Act S. 3606: Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2011 H.R. 2997: Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2010

Client expense: $1,068,000 · Firm income: Not reported

Pending Legislation: S.1250; S.807; S.622; S.323; S.306; H.R. 4168; H.R. 3985; H.R. 3909; H.R. 3460; H.R. 3187; H.R. 2956; H.R. 2359; H.R. 1757; H.R. 1698

Client expense: $200,161 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Energy, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 977: Derivatives Markets Transparency and Accountability Act of 2009 S. 272: Derivatives Trading Integrity Act of 2009 S. 323: Rural Revitalization Act of 2009 S. 447: Prevent Excessive Speculation Act S. 22: Omnibus Public Land Management Act of 2009 H.R. 4173: Wall Street Reform and Consumer Protection Act of 2009 H.R. 977: Derivatives Markets Transparency and Accountability Act of 2009 H.R. 3795: Over-the-Counter Derivatives Markets Act of 2009 S. 272: Derivatives Trading Integrity Act of 2009 S. 447: Prevent Excessive Speculation Act S. 1399: Carbon Market Oversight Act of 2009 S. 1412: Commodity Speculation Reform Act of 2009 S. 1682: Derivatives Market Manipulation Prevention Act of 2009 S. 1691: Comprehensive Derivatives Regulation Act of 2009 S. 3217: 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. S. 3102: Rural Energy Savings Program Act H.R. 4785: Rural Energy Savings Program Act

Client expense: $1,068,000 · Firm income: Not reported

Implementation of the Medicare Improvment Act; Monitored Medicare Issues, generally. Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation; THE HEALTH CARE & EDUCATION RECONCILIATION ACT of 2010 (H.R. 4872) The Patient Protection and Affordable Care Act of 2010 (H.R.3590)

Coverage of home infusion therapy under the Medicare Program, and all provisions affecting Medicare Parts A (Hospital Insurance), B (Medical Insurance Coverage) & D (Prescription Drugs). Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation; THE HEALTH CARE & EDUCATION RECONCILIATION ACT of 2010 (H.R. 4872) The Patient Protection and Affordable Care Act of 2010 (H.R.3590)

Coverage of home infusion therapy under the Medicare Program, and all provisions affecting Medicare Parts A (Hospital Insurance), B (Medical Insurance Coverage) & D (Prescription Drugs). Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation; THE HEALTH CARE & EDUCATION RECONCILIATION ACT of 2010 (H.R. 4872) The Patient Protection and Affordable Care Act of 2010 (H.R.3590)

Coverage of home infusion therapy under the Medicare Program, and all provisions affecting Medicare Parts A (Hospital Insurance), B (Medical Insurance Coverage) & D (Prescription Drugs). Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation; THE HEALTH CARE & EDUCATION RECONCILIATION ACT of 2010 (H.R. 4872) The Patient Protection and Affordable Care Act of 2010 (H.R.3590)

Pending Legislation: S.1250; S.807; S.622; S.323; S.306; H.R.4168; H.R.3985; H.R.3909; H.R. 3460; H.R. 3187; H.R. 2956; H.R. 2359; H.R.1757; H.R. 1698

Client expense: $635,750 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Energy, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE

American Recovery and Reinvestment Act of 2009 - HR 1, S 1 American Recovery and Reinvestment Act of 2009 - S 336 Rural Revitalization Act of 2009 - S 323 S 1054 - Supplemental Appropriations Act, 2009 HR 679 - American Recovery and Reinvestment Act of 2009 HR 2346 - Supplemental Appropriations Act, 2009 HR 1105 - Omnibus Appropriations Act, 2009 HJ RES 38 - Making further continuing appropriations for fiscal year 2009 and for other purposes HR 1763 - Responsible Reinvestment Act of 2009 HR 3293 - Departments of Labor, Health and Human Services, Education and Related Agencies Appropriations Act, 2010 HR 3964 - Spending, Deficit, and Debt Control Act of 2009. Budget Enforcement and Congressional Control Act of 2009. Budget Reform and Long-Term Sustainability Act of 2009. Commission on the Accountability and Review of Federal Agencies Act of 2009 Enhanced Spending Control and Budget Enforcement Act of 2009. Federal Program Sunset Act of 2009 Legislative Line-Item Veto Act of 2009 Spending Enforcement and Reform Act of 2009 Transparency in Budgeting Act of 2009 HR 4872 - Health care and education affordability reconciliation act of 2010 HR 3590 - Patient Protection and Affordable Care Act

Client expense: $337,205 · Firm income: Not reported

Coverage of home infusion therapy under the Medicare Program, and all provisions affecting Medicare Parts A (Hospital Insurance), B (Medical Insurance Coverage) & D (Prescription Drugs). Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation; THE HEALTH CARE & EDUCATION RECONCILIATION ACT of 2010 (H.R. 4872) The Patient Protection and Affordable Care Act of 2010 (H.R.3590)

Implementation of the Medicare Improvment Act; Monitored Medicare Issues, generally. Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation; THE HEALTH CARE & EDUCATION RECONCILIATION ACT of 2010 (H.R. 4872) The Patient Protection and Affordable Care Act of 2010 (H.R.3590)

H.R. 977: Derivatives Markets Transparency and Accountability Act of 2009 S. 272: Derivatives Trading Integrity Act of 2009 S. 323: Rural Revitalization Act of 2009 S. 447: Prevent Excessive Speculation Act S. 22: Omnibus Public Land Management Act of 2009 H.R. 4173: Wall Street Reform and Consumer Protection Act of 2009 H.R. 977: Derivatives Markets Transparency and Accountability Act of 2009 H.R. 3795: Over-the-Counter Derivatives Markets Act of 2009 S. 272: Derivatives Trading Integrity Act of 2009 S. 447: Prevent Excessive Speculation Act S. 1399: Carbon Market Oversight Act of 2009 S. 1412: Commodity Speculation Reform Act of 2009 S. 1682: Derivatives Market Manipulation Prevention Act of 2009 S. 1691: Comprehensive Derivatives Regulation Act of 2009 S. 3217: 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.

Client expense: $1,011,000 · Firm income: Not reported

HR 2: Children's Health Insurance Program Reauthorization Act of 2009 HR 15: National Health Insurance Act HR 193: AmeriCare Health Care Act of 2009 HR 676: United States National Health Care Act or the Expanded and Improved Medicare for All Act HR 956: HealthCARE Act of 2009 HR 1039: Promoting Health Information Technology Act of 2009 HR 1200: American Health Security Act of 2009 HR 1321: Healthy Americans Act HR 1322: Emergency Retiree Health Benefits Protection Act of 2009 S. 4: Comprehensive Health Reform Act of 2009 S.29: Coverage Continuity Act S.266: Medicare Prescription Drug Gap Reduction Act of 2009 S. 301: Physician Payments Sunshine Act of 2009 S. 318: Medicare Rural Health Access Improvement Act of 2009 S. 323: Rural Revitalization Act of 2009 S 350: HITECH Act (included in H.R. 1 as passed) S.391: Healthy Americans Act S. 698: State-Based Health Care Reform Act H.R. 3200: Tri-Committee Health Care Reform Bill S.1679: Affordable Health Choices Act Senate Finance Committee "Baucus Bill" as approved by committee H.R. 3590: The Patient Protection and Affordable Care Act of 2009 S. 1796: America's Healthy Future Act of 2009 H.R. 3200: America's Affordable Health Choices Act of 2009 H.R. 3962: Affordable Health Care for America Act H.R. 4872: Health Care and Education Reconciliation Act of 2010, SAFRA Act

Client expense: $1,011,000 · Firm income: Not reported

Coverage of home infusion therapy under the Medicare Program, and all provisions affecting Medicare Parts A (Hospital Insurance), B (Medical Insurance Coverage) & D (Prescription Drugs). Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals.

Client expense: Not reported · Firm income: Not reported

Coverage of home infusion therapy under the Medicare Program, and all provisions affecting Medicare Parts A (Hospital Insurance), B (Medical Insurance Coverage) & D (Prescription Drugs). Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals.

Client expense: Not reported · Firm income: Not reported

Coverage of home infusion therapy under the Medicare Program, and all provisions affecting Medicare Parts A (Hospital Insurance), B (Medical Insurance Coverage) & D (Prescription Drugs). Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation

Coverage of home infusion therapy under the Medicare Program, and all provisions affecting Medicare Parts A (Hospital Insurance), B (Medical Insurance Coverage) & D (Prescription Drugs). Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation

Pending Legislation: S.1250; S.807; S.622; S.323; S.306; H.R. 4168; H.R. 3985; H.R. 3909; H.R. 3460; H.R. 3187; H.R. 2956; H.R. 2359; H.R. 1757; H.R. 1698;

Client expense: $184,061 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Energy, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 977: Derivatives Markets Transparency and Accountability Act of 2009 S. 272: Derivatives Trading Integrity Act of 2009 S. 323: Rural Revitalization Act of 2009 S. 447: Prevent Excessive Speculation Act S. 22: Omnibus Public Land Management Act of 2009 H.R. 4173: Wall Street Reform and Consumer Protection Act of 2009 H.R. 977: Derivatives Markets Transparency and Accountability Act of 2009 H.R. 3795: Over-the-Counter Derivatives Markets Act of 2009 S. 272: Derivatives Trading Integrity Act of 2009 S. 447: Prevent Excessive Speculation Act S. 1399: Carbon Market Oversight Act of 2009 S. 1412: Commodity Speculation Reform Act of 2009 S. 1682: Derivatives Market Manipulation Prevention Act of 2009 S. 1691: Comprehensive Derivatives Regulation Act of 2009

Client expense: $1,107,000 · Firm income: Not reported

HR 2: Children's Health Insurance Program Reauthorization Act of 2009 HR 15: National Health Insurance Act HR 193: AmeriCare Health Care Act of 2009 HR 676: United States National Health Care Act or the Expanded and Improved Medicare for All Act HR 956: HealthCARE Act of 2009 HR 1039: Promoting Health Information Technology Act of 2009 HR 1200: American Health Security Act of 2009 HR 1321: Healthy Americans Act HR 1322: Emergency Retiree Health Benefits Protection Act of 2009 S. 4: Comprehensive Health Reform Act of 2009 S.29: Coverage Continuity Act S.266: Medicare Prescription Drug Gap Reduction Act of 2009 S. 301: Physician Payments Sunshine Act of 2009 S. 318: Medicare Rural Health Access Improvement Act of 2009 S. 323: Rural Revitalization Act of 2009 S 350: HITECH Act (included in H.R. 1 as passed) S.391: Healthy Americans Act S. 698: State-Based Health Care Reform Act H.R. 3200: Tri-Committee Health Care Reform Bill S.1679: Affordable Health Choices Act Senate Finance Committee "Baucus Bill" as approved by committee H.R. 3590: The Patient Protection and Affordable Care Act of 2009 S. 1796: America's Healthy Future Act of 2009 H.R. 3200: America's Affordable Health Choices Act of 2009 H.R. 3962: Affordable Health Care for America Act H.R. 3936: Preserve Benefits and Jobs Act of 2009

Client expense: $1,107,000 · Firm income: Not reported

American Recovery and Reinvestment Act of 2009 - HR 1, S 1 American Recovery and Reinvestment Act of 2009 - S 336 Rural Revitalization Act of 2009 - S 323 S 1054 - Supplemental Appropriations Act, 2009 HR 679 - American Recovery and Reinvestment Act of 2009 HR 2346 - Supplemental Appropriations Act, 2009 HR 1105 - Omnibus Appropriations Act, 2009 HJ RES 38 - Making further continuing appropriations for fiscal year 2009 and for other purposes HR 1763 - Responsible Reinvestment Act of 2009 HR 3293 - Departments of Labor, Health and Human Services, Education and Related Agencies Appropriations Act, 2010 HR 3964 - Spending, Deficit, and Debt Control Act of 2009. Budget Enforcement and Congressional Control Act of 2009. Budget Reform and Long-Term Sustainability Act of 2009. Commission on the Accountability and Review of Federal Agencies Act of 2009 Enhanced Spending Control and Budget Enforcement Act of 2009. Federal Program Sunset Act of 2009 Legislative Line-Item Veto Act of 2009 Spending Enforcement and Reform Act of 2009 Transparency in Budgeting Act of 2009

Client expense: $378,165 · Firm income: Not reported

Children's Health and Medicare Protection, generally and provisions related to Medicare Part B (Medical Insurance Coverage). Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation

Coverage of home infusion therapy under the Medicare Program, and all provisions affecting Medicare Parts A (Hospital Insurance), B (Medical Insurance Coverage) & D (Prescription Drugs). Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation

Implementation of the Medicare Improvment Act; Monitored Medicare Issues, generally. Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation

H.R. 977: Derivatives Markets Transparency and Accountability Act of 2009 S. 272: Derivatives Trading Integrity Act of 2009 S. 323: Rural Revitalization Act of 2009 S. 447: Prevent Excessive Speculation Act S. 22: Omnibus Public Land Management Act of 2009

Client expense: $1,249,000 · Firm income: Not reported

HR 2: Children's Health Insurance Program Reauthorization Act of 2009 HR 15: National Health Insurance Act HR 193: AmeriCare Health Care Act of 2009 HR 676: United States National Health Care Act or the Expanded and Improved Medicare for All Act HR 956: HealthCARE Act of 2009 HR 1039: Promoting Health Information Technology Act of 2009 HR 1200: American Health Security Act of 2009 HR 1321: Healthy Americans Act HR 1322: Emergency Retiree Health Benefits Protection Act of 2009 S. 4: Comprehensive Health Reform Act of 2009 S.29: Coverage Continuity Act S.266: Medicare Prescription Drug Gap Reduction Act of 2009 S. 301: Physician Payments Sunshine Act of 2009 S. 318: Medicare Rural Health Access Improvement Act of 2009 S. 323: Rural Revitalization Act of 2009 S 350: HITECH Act (included in H.R. 1 as passed) S.391: Healthy Americans Act S. 698: State-Based Health Care Reform Act H.R. 3200: Tri-Committee Health Care Reform Bill S.1679: Affordable Health Choices Act Senate Finance Committee "Baucus Bill" as approved by committee

Client expense: $1,249,000 · Firm income: Not reported

American Recovery and Reinvestment Act of 2009 - HR 1, S 1 American Recovery and Reinvestment Act of 2009 - S 336 Rural Revitalization Act of 2009 - S 323 S 1054 - Supplemental Appropriations Act, 2009 HR 679 - American Recovery and Reinvestment Act of 2009 HR 2346 - Supplemental Appropriations Act, 2009 HR 1105 - Omnibus Appropriations Act, 2009 HJ RES 38 - Making further continuing appropriations for fiscal year 2009 and for other purposes HR 1763 - Responsible Reinvestment Act of 2009 HR 3293 - Departments of Labor, Health and Human Services, Education and Related Agencies Appropriations Act, 2010

Client expense: $358,329 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Defense Advanced Research Projects Agency (DARPA), Defense, Dept of (DOD), Director of National Intelligence (ODNI), Education, Dept of, Energy, Dept of, Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Joint Chiefs of Staff, Justice, Dept of (DOJ), Labor, Dept of (DOL), Library of Congress (LOC), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Institute of Standards & Technology (NIST), Natl Science Foundation (NSF), Natl Security Agency (NSA), Natl Telecommunications & Information Administration (NTIA), Navy, Dept of, Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Secretary of Defense, Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Fish & Wildlife Service (USFWS), U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Marines, U.S. Trade Representative (USTR), White House Office

Implementation of the Medicare Improvment Act; Monitored Medicare Issues, generally. Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation

Children's Health and Medicare Protection, generally and provisions related to Medicare Part B (Medical Insurance Coverage). Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation

Coverage of home infusion therapy under the Medicare Program, and all provisions affecting Medicare Parts A (Hospital Insurance), B (Medical Insurance Coverage) & D (Prescription Drugs). Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. Provisions of above contained in: HR 3200, America's Affordable Health Choices Act of 2009; America's Healthy Future Act of 2009 (Senate Finance Committee' Baucus Bill Proposal) Affordable Health Choices Act of 2009 (Senate Committee on Health, Education, Labor and Pensions Committee Proposed Legislation

American Recovery and Reinvestment Act of 2009 - HR 1, S 1 American Recovery and Reinvestment Act of 2009 - S 336 Rural Revitalization Act of 2009 - S 323 S 1054 - Supplemental Appropriations Act, 2009 HR 679 - American Recovery and Reinvestment Act of 2009 HR 2346 - Supplemental Appropriations Act, 2009 HR 1105 - Omnibus Appropriations Act, 2009

Client expense: $378,471 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Defense Advanced Research Projects Agency (DARPA), Defense, Dept of (DOD), Director of National Intelligence (ODNI), Education, Dept of, Energy, Dept of, Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Joint Chiefs of Staff, Justice, Dept of (DOJ), Labor, Dept of (DOL), Library of Congress (LOC), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Institute of Standards & Technology (NIST), Natl Science Foundation (NSF), Natl Security Agency (NSA), Natl Telecommunications & Information Administration (NTIA), Navy, Dept of, Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Secretary of Defense, Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Fish & Wildlife Service (USFWS), U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Marines, U.S. Trade Representative (USTR), White House Office

American Recovery and Reinvestment Act of 2009 - HR 1, S 1 American Recovery and Reinvestment Act of 2009 - S 336 Rural Revitalization Act of 2009 - S 323 S 1054 - Supplemental Appropriations Act, 2009 HR 679 - American Recovery and Reinvestment Act of 2009 HR 2346 - Supplemental Appropriations Act, 2009 HR 1105 - Omnibus Appropriations Act, 2009

Client expense: $378,471 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Defense Advanced Research Projects Agency (DARPA), Defense, Dept of (DOD), Director of National Intelligence (ODNI), Education, Dept of, Energy, Dept of, Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Joint Chiefs of Staff, Justice, Dept of (DOJ), Labor, Dept of (DOL), Library of Congress (LOC), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Institute of Standards & Technology (NIST), Natl Science Foundation (NSF), Natl Security Agency (NSA), Natl Telecommunications & Information Administration (NTIA), Navy, Dept of, Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Secretary of Defense, Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Fish & Wildlife Service (USFWS), U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Marines, U.S. Trade Representative (USTR), White House Office

H.R. 977: Derivatives Markets Transparency and Accountability Act of 2009 S. 272: Derivatives Trading Integrity Act of 2009 S. 323: Rural Revitalization Act of 2009 S. 447: Prevent Excessive Speculation Act S. 22: Omnibus Public Land Management Act of 2009

Client expense: $1,270,000 · Firm income: Not reported

HR 2: Children's Health Insurance Program Reauthorization Act of 2009 HR 15: National Health Insurance Act HR 193: AmeriCare Health Care Act of 2009 HR 321: SCHIP Plus Act of 2009 H.R.598: To provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. (included in H.R. 1 as passed) HR 676: United States National Health Care Act or the Expanded and Improved Medicare for All Act H.R.694: COBRA Coverage Extension Act of 2009 HR 956: HealthCARE Act of 2009 HR 1039: Promoting Health Information Technology Act of 2009 HR 1200: American Health Security Act of 2009 HR 1321: Healthy Americans Act HR 1322: Emergency Retiree Health Benefits Protection Act of 2009 HR 1619: Children's Health Protection Act of 2009 S. 4: Comprehensive Health Reform Act of 2009 S.29: Coverage Continuity Act S.266: Medicare Prescription Drug Gap Reduction Act of 2009 S 275: Children's Health Insurance Program Reauthorization Act of 2009 S. 301: Physician Payments Sunshine Act of 2009 S. 318: Medicare Rural Health Access Improvement Act of 2009 S. 323: Rural Revitalization Act of 2009 S 350: HITECH Act (included in H.R. 1 as passed) S.391: Healthy Americans Act S. 698: State-Based Health Care Reform Act Draft House Tri-Committee Health Care Reform Bill (unnumbered) Senate HELP Committee Affordable Health Choices Act (unnumbered) Senate Finance Committee Draft Health Care Bill (unnumbered)

Client expense: $1,270,000 · Firm income: Not reported

American Recovery and Reinvestment Act of 2009 - HR 1, S 1 American Recovery and Reinvestment Act of 2009 - S 336 Rural Revitalization Act of 2009 - S 323 S 1054 - Supplemental Appropriations Act, 2009 HR 679 - American Recovery and Reinvestment Act of 2009 HR 2346 - Supplemental Appropriations Act, 2009 HR 1105 - Omnibus Appropriations Act, 2009

Client expense: $378,471 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Defense Advanced Research Projects Agency (DARPA), Defense, Dept of (DOD), Director of National Intelligence (ODNI), Education, Dept of, Energy, Dept of, Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Joint Chiefs of Staff, Justice, Dept of (DOJ), Labor, Dept of (DOL), Library of Congress (LOC), Natl Aeronautics & Space Administration (NASA), Natl Guard, Natl Institute of Standards & Technology (NIST), Natl Science Foundation (NSF), Natl Security Agency (NSA), Natl Telecommunications & Information Administration (NTIA), Navy, Dept of, Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Secretary of Defense, Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Marines, U.S. Trade Representative (USTR), White House Office

Children's Health and Medicare Protection, generally and provisions related to Medicare Part B (Medical Insurance Coverage). Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals.

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

Coverage of home infusion therapy under the Medicare Program, and all provisions affecting Medicare Parts A (Hospital Insurance), B (Medical Insurance Coverage) & D (Prescription Drugs). Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals.

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

Implementation of the Medicare Improvment Act; Monitored Medicare Issues, generally. Medicare Provisions of the following: H.R.2 : To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. H.R.362 : To amend title XVIII of the Social Security Act to provide for temporary improvements to the Medicare inpatient hospital payment adjustment for low-volume hospitals and to provide for the use of the non-wage adjusted PPS rate under the Medicare-dependent hospital (MDH) program, and for other purposes H.R.616 : To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S.46 : A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S.275 : An original bill to amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S.323 : A bill to provide infrastructure, nutrition, and housing assistance to rural areas of the United States. S.350 : An original bill to provide for a portion of the economic recovery package relating to revenue measures, unemployment, and health. S.511 : A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals.

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

Lobbied for permanent Medicare reimbursement increases for ambulance service providers and to improve Medicare reimbursement and coverage policies of ambulance services. Lobbied on legislation as follows: 1) Medicare Ambulance Access Preservation Act (S.1066, H.R. 2443); 2) Craig Thomas Rural Hospital and Provider Equity Act (S.1157); 3) Rural Revitalization Act (S.323); 4) Medicare Paramedic Intercept Services Coverage Act; and, 5) House Tri-Committee Discussion Draft on Health Care Reform.

Client expense: $240,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE