Fiscally Responsible Relief for Our States Act of 2010

H.R. 3590: An act entitled The Patient Protection and Affordable Care Act.-all provisions related to health, coverage, benefits and Medicaid (all provisions). H.R. 4872: An act to provide reconciliation pursuant to Title II of the concurrent resolution on the budget for fiscal year 2010. (S. Con. Res. 13). (all provisions) H.R. 1: American Recovery and Reinvestment Act of 2009 (all provisions) H.R. 1585: FIT Kids Act (all provisions) H.R.1586: FAA Air Transportation Modernization and Safety Improvement Act (all provisions related to FMAP) H.R. 3081: Continuing Appropriations Act, 2011 H.R. 4851: Continuing Extension Act of 2010 - Fiscally Responsible Relief for Our States Act of 2010 (all provisions related to health coverage, benefits and Medicaid) HR 4994: Taxpayer Assistance Act of 2010 (all provisions related to health coverage, benefits and Medicaid) H.R.5471: To amend the American Recovery and Reinvestment Act of 2009 to extend for 6 months the increase provided under that Act in the Medicaid Federal medical assistance percentage (FMAP). H.R.5712: Veterans', Seniors', and Children's Health Technical Corrections Act of 2010 (all provision regarding Childern's Health) H.R.6258: Fit for LIFE Act of 2010 (all provisions related to health coverage, benefits and Medicaid) S. 11: To restore the application of the 340B drug discount program to orphan drugs with respect to children's hospitals. (all provisions) S. 1796: Provide affordable, quality health care for all Americans and reduce the growth in health care spending (all provisions related to health coverage, benefits and Medicaid). S. 2898: Child Safety Care and Educational Continuity Act of 2010 (all provisions regarding Medicaid and CHIP) S. 3551: Fiscally Responsible Relief for Our States Act of 2010 (all provisions related to health coverage, benefits and Medicaid) S. 3793: Job Creation and Tax Cuts Act of 2010 (all provisions related to health coverage, benefits and Medicaid) HIT Certification Standards for Meaningful Use - 45 CFR Part 170 Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology; Final Rule (All provisions) State Exchanges - 45 CFR Part 170 Planning and Establishment of State-Level Exchanges; Request for Comments Regarding Exchange- Related Provisions in Title I of the Patient Protection and Affordable Care Act (Provisions affecting children) Medical homes for individuals with chronic conditions - Section 2703 of the Patient Protection and Affordable Care Act (PPACA) Non-payment for Hospital-Acquired Conditions - Section 2702 of the Patient Protection and Affordable Care Act Childrens Hospitals Graduate Medical Education -- Changes to Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates; Changes to the Ambulatory System and CY 2011 Payment Rates; Proposed Changes to Payments to Hospitals for Certain Inpatient Hospital Services and for Graduate Medical Education Costs; and Proposed Changes to Physician Self-Referral Rules and Related Changes to Provider Agreement Regulations (Provisions affecting CHGME)

Client expense: $370,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), SENATE, White House Office

H.R. 3590: An act entitled The Patient Protection and Affordable Care Act.-all provisions related to health, coverage, benefits and Medicaid (all provisions). H.R. 4872: An act to provide reconciliation pursuant to Title II of the concurrent resolution on the budget for fiscal year 2010. (S. Con. Res. 13). (all provisions) H.R. 1: American Recovery and Reinvestment Act of 2009 (all provisions) H.R. 1585: FIT Kids Act (all provisions) H.R.1586: FAA Air Transportation Modernization and Safety Improvement Act (all provisions related to FMAP) H.R. 3081: Continuing Appropriations Act, 2011 H.R. 4851: Continuing Extension Act of 2010 - Fiscally Responsible Relief for Our States Act of 2010 (all provisions related to health coverage, benefits and Medicaid) H.R.5471: To amend the American Recovery and Reinvestment Act of 2009 to extend for 6 months the increase provided under that Act in the Medicaid Federal medical assistance percentage (FMAP). H.R.5712: Veterans', Seniors', and Children's Health Technical Corrections Act of 2010 (all provision regarding Childern's Health) H.R.6258: Fit for LIFE Act of 2010 (all provisions related to health coverage, benefits and Medicaid) S. 1796: Provide affordable, quality health care for all Americans and reduce the growth in health care spending (all provisions related to health coverage, benefits and Medicaid). S. 2898: Child Safety Care and Educational Continuity Act of 2010 (all provisions regarding Medicaid and CHIP) S. 3551: Fiscally Responsible Relief for Our States Act of 2010 (all provisions related to health coverage, benefits and Medicaid) HIT Certification Standards for Meaningful Use - 45 CFR Part 170 Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology; Final Rule (All provisions) State Exchanges - 45 CFR Part 170 Planning and Establishment of State-Level Exchanges; Request for Comments Regarding Exchange- Related Provisions in Title I of the Patient Protection and Affordable Care Act (Provisions affecting children) Medical homes for individuals with chronic conditions - Section 2703 of the Patient Protection and Affordable Care Act (PPACA) Non-payment for Hospital-Acquired Conditions - Section 2702 of the Patient Protection and Affordable Care Act Childrens Hospitals Graduate Medical Education -- Changes to Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates; Changes to the Ambulatory System and CY 2011 Payment Rates; Proposed Changes to Payments to Hospitals for Certain Inpatient Hospital Services and for Graduate Medical Education Costs; and Proposed Changes to Physician Self-Referral Rules and Related Changes to Provider Agreement Regulations (Provisions affecting CHGME)

H.R. 2098 CFC Look-thru extension; Proposal to repeal deferral of U.S. taxation of foreign source income; Administration International Tax Proposals, including foreign tax credit, deferral of deduction and entity classification; Tax Treaty Policy; H.R. 2847, Hiring Incentives to Restore Employment Act; H.R. 4213/S. 3551, American Jobs and Closing Loopholes Act of 2010; H.R. 5297, The Small Business Jobs Act; S. 2816, The Creating American Jobs and Ending Offshoring Act H.R. 4849, Small Business and Infrastructure Jobs Tax Act of 2010

Client expense: $1,030,211 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Natl Security Council (NSC), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

H.R. 2758 - The Medicare Speciality Care Improvement and Protection Act of 2009- Medicare special needs plans and the alignment of Medicare and Medicaid for dually eligible individuals S. 1307 - Medicare Special Needs Plans - Medicare special needs plans and the alignment of Medicare and Medicaid for dually eligible individuals. H.R. 904 - Medicaid Prescription Drug Rebate Equalization Act of 2009 - Medicaid Drug Rebate equalization for managed care organizations. S. 547 - Medicaid Prescription Drug Rebate Equalization Act of 2009 - Medicaid Drug Rebate equalization for managed care organizations. H.R. 3200 - America's Affordable Health Choices Act of 2009 - Medicaid Drug Rebate equalization for managed care organizations. S. 1679 - The Affordable Health Choices Act - Medicaid Drug Rebate equalization for managed care organizations. S. 1796 - America's Healthy Future Act 2009 - Medicaid Drug Rebate equalization for managed care organizations. H.R. 3962 - Affordable Health Care for America Act - health care reform legislation - Medicaid Drug Rebate equalization for managed care organizations. H.R. 3590 - The Patient Protection and Affordable Care Act - heatlh care reform legislation - Medicaid Drug Rebate equalization for managed care organizations. [became PL 111-148] S. 3551 - Fiscally Responsible Relief for Our States Act of 2010, a bill to temporarily increase federal matching funds for Medicaid - In support of entire bill

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

H.R. 5471, A bill to amend the American Recovery and Reinvestment Act of 2009 to extend for six months the increase provided under that act in the Medicaid federal medical assistance percentage (FMAP)., all provisions S. 3000, A bill to amend the American Recovery and Reinvestment Act of 2009 to extend for six months the increase provided under that act in the Medicaid federal medical assistance percentage (FMAP), all provisions S. 3551, Fiscally Responsible Relief for Our States Act of 2010, all provisions

Client expense: $431,413 · Firm income: Not reported

Government targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, Office of the Vice President of the United States, SENATE, State, Dept of (DOS), White House Office

H.R. 3590: An act entitled The Patient Protection and Affordable Care Act.-all provisions related to health, coverage, benefits and Medicaid (all provisions). H.R. 4872: An act to provide reconciliation pursuant to Title II of the concurrent resolution on the budget for fiscal year 2010. (S. Con. Res. 13). (all provisions) H.R. 1: American Recovery and Reinvestment Act of 2009 (all provisions) H.R. 1585: FIT Kids Act (all provisions) H.R.1586: FAA Air Transportation Modernization and Safety Improvement Act (all provisions related to FMAP) H.R. 3081: Continuing Appropriations Act, 2011 H.R. 4851: Continuing Extension Act of 2010 - Fiscally Responsible Relief for Our States Act of 2010 (all provisions related to health coverage, benefits and Medicaid) H.R.5471: To amend the American Recovery and Reinvestment Act of 2009 to extend for 6 months the increase provided under that Act in the Medicaid Federal medical assistance percentage (FMAP). H.R.5712: Veterans', Seniors', and Children's Health Technical Corrections Act of 2010 (all provision regarding Childern's Health) H.R.6258: Fit for LIFE Act of 2010 (all provisions related to health coverage, benefits and Medicaid) S. 1796: Provide affordable, quality health care for all Americans and reduce the growth in health care spending (all provisions related to health coverage, benefits and Medicaid). S. 2898: Child Safety Care and Educational Continuity Act of 2010 (all provisions regarding Medicaid and CHIP) S. 3551: Fiscally Responsible Relief for Our States Act of 2010 (all provisions related to health coverage, benefits and Medicaid) Dependent Coverage up to age 26 - Group Health Plans and Health Insurance Issuers Relating to Dependent Coverage of Children to Age 26 Under the Patient Protection and Affordable Care Act; Interim Final Rule and Proposed Rule (all provisions) 45 CFR Part 170 HIT Certification Standards for Meaningful Use - Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology; Final Rule (All provisions) Private Insurance reforms for children -- Patient Protection and Affordable Care Act; Requirements for Group Health Plans and Health Insurance Issuers Under the Patient Protection and Affordable Care Act Relating to Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, and Patient Protections; Final Rule and Proposed Rule (All provisions) Preventive Services for children - Interim Final Rules for Group Health Plans and Health Insurance Issuers Relating to Coverage of Preventive Services (All provisions related to children) Grandfathered health plans - Interim Final Rules for Group Health Plans and Health Insurance Coverage Relating to Status as a Grandfathered Health Plan Under the Patient Protection and Affordable Care Act (all provisions) 45 CFR Part 170 - State Exchanges- Planning and Establishment of State-Level Exchanges; Request for Comments Regarding Exchange- Related Provisions in Title I of the Patient Protection and Affordable Care Act (Provisions affecting children) Section 2702 & 2703 - of the Patient Protection and Affordable Care Act (PPACA) (All provisions related to children) Childrens Hospitals Graduate Medical Education -- Changes to Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates; Changes to the Ambulatory System and CY 2011 Payment Rates; Proposed Changes to Payments to Hospitals for Certain Inpatient Hospital Services and for Graduate Medical Education Costs; and Proposed Changes to Physician Self-Referral Rules and Related Changes to Provider Agreement Regulations (Provisions affecting CHGME)

H.R. 4213, American Jobs and Closing Tax Loopholes Act: Medicare payment issues. (Became PL 111-205 on 7-22-10) H.R. 5471, to amend the American Recovery and Reinvestment Act of 2009 to extend for six months the increase provided under that Act in the Medicaid Federal medical assistance percentage (FMAP) (FMAP issues) See continuation page ... S. 3551, Fiscally Responsible Relief for Out States Act of 2010, a bill to provide a fully offset extension of unemployment insurance, enhanced FMAP, and summer youth employment (FMAP issues) Quality payments to providers.

Client expense: Not reported · Firm income: $60,000

International tax issues, including deferral and extension of the CFC look-through rule. H.R. 4213/S. 3551, American Jobs and Closing Tax Loopholes Act of 2010. (Became PL 111-205 on 7/22/10.)

Client expense: Not reported · Firm income: $50,000

Health reform issues related to children's hospitals, including reimbursement for children's hospitals and providers. Medicaid reform and reimbursement issues, State Medicaid funding issues. (continued on next page) H.R. 4213, American Jobs and Closing Tax Loopholes Act of 2010 (Became PL 111-205 on July 22, 2010) H.R. 5471, To amend the American Recovery and Reinvestment Act of 2009 to extend for 6 months the increase provided under that Act in the Medicaid Federal medical assistance percentage (FMAP) S. 3551, Fiscally Responsible Relief for our States Act of 2010

Client expense: Not reported · Firm income: $50,000

Tax issues, including repatriation, deferral and carried interest. H.R. 4213/S. 3551, American Jobs and Closing Tax Loopholes Act of 2010 (business tax provisions). (Became PL 111-205 on 7/22/10)

Client expense: Not reported · Firm income: $50,000

Health care reform law (PL 111-148) -- implementation issues, including pharmaceutical taxes, Medicaid changes, and comparative effectiveness. (Continued on following page.) H.R. 4213/S. 3551, American Jobs and Closing Tax Loopholes Act of 2010: health care provisions including drug pricing provisions, drug importation, physician payment (SGR), FMAP and COBRA. (Became PL 111-205 on 7/22/10)

Client expense: Not reported · Firm income: $50,000

H.R. 2098 CFC Look-thru extension; Proposal to repeal deferral of U.S. taxation of foreign source income; Administration International Tax Proposals, including foreign tax credit, deferral of deduction and entity classification; Tax Treaty Policy; H.R. 2847, Hiring Incentives to Restore Employment Act; H.R. 4213/S. 3551, American Jobs and Closing Loopholes Act of 2010 H.R. 4849, Small Business and Infrastructure Jobs Tax Act of 2010

Client expense: $1,079,067 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Natl Security Council (NSC), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

H.R. 4213, American Jobs and Closing Tax Loopholes Act: Medicare payment issues. H.R. 5471, to amend the American Recovery and Reinvestment Act of 2009 to extend for six months the increase provided under that Act in the Medicaid Federal medical assistance percentage (FMAP) (FMAP issues) See continuation page ... S. 3551, Fiscally Responsible Relief for Out States Act of 2010, a bill to provide a fully offset extension of unemployment insurance, enhanced FMAP, and summer youth employment (FMAP issues) H.R. 3962, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 (FMAP issues).

Client expense: Not reported · Firm income: $60,000

Health reform issues related to children's hospitals, including reimbursement for children's hospitals and providers. Medicaid reform and reimbursement issues, State Medicaid funding issues. H.R. 3962, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010; (continued on next page) H.R. 4213, American Jobs and Closing Tax Loopholes Act of 2010 H.R. 4851, Continuing Extension Act of 2010 H.R. 5471, To amend the American Recovery and Reinvestment Act of 2009 to extend for 6 months the increase provided under that Act in the Medicaid Federal medical assistance percentage (FMAP) S. 3551, Fiscally Responsible Relief for our States Act of 2010

Client expense: Not reported · Firm income: $50,000

S.301, Physician Payments Sunshine Act of 2009; Grassley/Kohl Bill (regarding proposal to require pharmaceutical manufacturers to disclose provision of items of value to physicians on an annual basis). Health care reform law -- implementation issues, including pharmaceutical taxes, Medicaid changes, and comparative effectiveness. H.R. 4213/S. 3551, American Jobs and Closing Tax Loopholes Act of 2010: health care provisions including drug pricing provisions, drug importation, physician payment (SGR), FMAP and COBRA.

Client expense: Not reported · Firm income: $50,000

Tax issues, including repatriation, deferral and carried interest. H.R. 4213/S. 3551, American Jobs and Closing Tax Loopholes Act of 2010 (business tax provisions).

Client expense: Not reported · Firm income: $50,000

H.R. 2758 - The Medicare Speciality Care Improvement and Protection Act of 2009- Medicare special needs plans and the alignment of Medicare and Medicaid for dually eligible individuals S. 1307 - Medicare Special Needs Plans - Medicare special needs plans and the alignment of Medicare and Medicaid for dually eligible individuals. H.R. 904 - Medicaid Prescription Drug Rebate Equalization Act of 2009 - Medicaid Drug Rebate equalization for managed care organizations. S. 547 - Medicaid Prescription Drug Rebate Equalization Act of 2009 - Medicaid Drug Rebate equalization for managed care organizations. H.R. 3200 - America's Affordable Health Choices Act of 2009 - Medicaid Drug Rebate equalization for managed care organizations. S. 1679 - The Affordable Health Choices Act - Medicaid Drug Rebate equalization for managed care organizations. Unnumbered Bill - America's Healthy Future Act 2009 - Medicaid Drug Rebate equalization for managed care organizations. H.R. 3962 - Affordable Health Care for America Act - health care reform legislation - Medicaid Drug Rebate equalization for managed care organizations. H.R. 3590 - The Patient Protectin and Affordable Care Act - heatlh care reform legislation - Medicaid Drug Rebate equalization for managed care organizations. S. 3551 - Fiscally Responsible Relief for Our States Act of 2010, a bill to temporarily increase federal matching funds for Medicaid - In support of entire bill

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

health reform law implementation issues; HR 4213/S 3551, American Jobs and Closing Tax Loopsholes Act of 2010; health care provisions including physician payment reform; HR 5440, Genomics and Personalized Medicine Act of 2010; FDA oversight of laboratory developed tests; physician self referral of anatomic pathology services; medical device taxation

Client expense: $198,000 · Firm income: Not reported

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

Health reform law implementation issues including application of medical device tax to clinical laboratory tests and cut to laboratory fee schedule update. H.R. 4213/S. 3551, American Jobs and Closing Tax Loopholes Act of 2010: health care provisions including physician payment (SGR), FMAP and Cobra. H.R. 5440, Genomics and Personalized Medicine Act of 2010: FDA oversight of laboratory developed tests (LDTs).

Client expense: Not reported · Firm income: $60,000

Health reform law implementation issues including application of medical device tax to clinical laboratory tests and cut to laboratory fee schedule update. H.R. 4213/S. 3551, American Jobs and Closing Tax Loopholes Act of 2010: health care provisions including physician payment (SGR), FMAP and Cobra. H.R. 5440, Genomics and Personalized Medicine Act of 2010: FDA oversight of laboratory developed tests (LDTs).

Client expense: Not reported · Firm income: $60,000

Health care reform law: implementation issues. H.R. 4213/S. 3551, American Jobs and Closing Tax Loopholes Act of 2010 (health care provisions and business tax provisions).

Client expense: Not reported · Firm income: $50,000

International tax issues, including deferral, entity classification and extension of the CFC look-through rule. H.R. 4213/S. 3551, American Jobs and Closing Tax Loopholes Act of 2010

Client expense: Not reported · Firm income: $50,000

Health care reform law: implementation issues. H.R. 4213/S. 3551, American Jobs and Closing Tax Loopholes Act of 2010 (health care provisions and business tax provisions). FDA oversight of Laboratory-Developed Tests (LDTs).

Client expense: Not reported · Firm income: $50,000