Health Insurance Coverage Protection Act

HR 1558 & S 623: Pre-existing Condition Patient Protection Act HR 1708 & S 700: Ending the Medicare Disability Waiting Period Act of 2009 HR 1085 & S 442: Health Insurance Coverage Protection Act HR 2408 & S 1545: Scleroderma Research and Awareness Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 701 Medicare Patient IVIG Access Act of 2009 HR 1765, Medicare Home Infusion Legislation HR 1085/ s 442 Health Insurance Coverage Protection Act HR 3590 Patient Protection and Affordable Care Act HR 3962 Affordable Healthcare for America Act

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE

Affordable Health Care for America Act (H.R. 3962) Affordable Health Choices Act (draft) Affordable Health Choices Act (S. 1679) America's Affordable Health Choices Act (H.R. 3200) America's Healthy Future Act (Senate Finance - unnumbered) Children's Health Insurance Program Reauthorization Act (S. 275/H.R. 2) Children's Health Protection Act (S. 643/H.R. 1619) Congenital Heart Futures Act (S. 621/H.R. 1570) Health Care and Education Reconciliation Act (H.R. 4872) Health Equity and Accountability Act (H.R. 3090) Health Insurance Coverage Protection Act (S. 442/H.R. 1085) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.422/H.R. 1032) Informed Consumer Choices in Health Care Act (S. 1050/H.R. 2427) Josh Miller HEARTS Act (S. 1197/H.R. 1380) National Atrial Fibrillation Awareness Month Resolution (H.Res.255) NIH-FDA Joint Leadership Council (FDA-2010-N-0233) Patient Protection and Affordable Care Act (H.R. 3590) Preexisting Condition Exclusion Patient Protection Act (S. 623/H.R. 1558) Tri-Committee Health Care Reform Bill (House draft) Women's Health Insurance Fairness Act (S.969) Workplace Wellness Grants (H.R. 3962/H.R. 3590) Young Adult Healthcare Coverage Act of 2009 (H.R. 2831)

Client expense: $105,016 · Firm income: Not reported

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

HR 1583 (Mccarran-Ferguson). S. 819 (mandate autism coverage). HR 1253 (new plan disclosure rules). HR 1691/S. 688 (prohibit plan rescissions and establish minimum length of hospital stays for cancer patients) HR 1558/S. 623 (prohibit pre-existing condition exclusions; also HR 1619, S. 643, HR 1092) S. 442/ HR 1085 (to prohibit aggregate lifetime dollar limit) S> 697/HR 1721 (Long Term Care) H 975 (mammography mandate); HR 1339 (Mandate to cover deformities)

Client expense: $1,568,045 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Affordable Health Care for America Act (H.R. 3962) Affordable Health Choices Act (draft) Affordable Health Choices Act (S. 1679) America's Affordable Health Choices Act (H.R. 3200) America's Healthy Future Act (Senate Finance - unnumbered) Childhood Obesity Task Force Children's Health Insurance Program Reauthorization Act (S. 275/H.R. 2) Children's Health Protection Act (S. 643/H.R. 1619) Congenital Heart Futures Act (S. 621/H.R. 1570) Health Care and Education Reconciliation Act (H.R. 4872) Health Equity and Accountability Act (H.R. 3090) Health Insurance Coverage Protection Act (S. 442/H.R. 1085) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.422/H.R. 1032) Informed Consumer Choices in Health Care Act (S. 1050/H.R. 2427) Josh Miller HEARTS Act (S. 1197/H.R. 1380) National Atrial Fibrillation Awareness Month Resolution (H.Res.255) Patient Protection and Affordable Care Act (H.R. 3590) Preexisting Condition Exclusion Patient Protection Act (S. 623/H.R. 1558) Resolution Designating May 1 through May 7, 2009 as National Physical Education and Sports Week (S.RES.133/H.RES.503) Tri-Committee Health Care Reform Bill (House draft) Women's Health Insurance Fairness Act (S.969) Workplace Wellness Grants (H.R. 3962/H.R. 3590) Young Adult Healthcare Coverage Act of 2009 (H.R. 2831)

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

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

HR 1558 & S 623: Pre-existing Condition Patient Protection Act HR 1708 & S 700: Ending the Medicare Disability Waiting Period Act of 2009 HR 1085 & S 442: Health Insurance Coverage Protection Act HR 2408 & S 1545: Scleroderma Research and Awareness Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 701 Medicare Patient IVIG Access Act of 2009 HR 1765, Medicare Home Infusion Legislation HR 1085/ s 442 Health Insurance Coverage Protection Act HR 3590 Patient Protection and Affordable Care Act HR 3962 Affordable Healthcare for America Act

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE

H.R. 716, Access to Cancer Clinical Trials Act (Israel) clinical trials coverage mandate; H.R. 850, Small Business CHOICE Act (Velazquez) small employer health options; H.R. 859, Small Business CHOICE Act (Velazquez) small employer health options; (cont.) INS (Legislative) H.R. 1085, Health Insurance Coverage Protection Act (Eshoo) lifetime benefit limits; H.R. 1092, No Discrimination in Health Insurance Act (Kagen) preexisting condition exclusions, affiliation periods, uniform premiums; H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act (Burgess) disclosure of coverage exclusions; H.R. 1321, Healthy Americans Act (Eshoo) comprehensive health reform; H.R. 1558, Preexisting Condition Patient Protection Act (Courtney) preexisting condition exclusions; H.R. 1583, Insurance Industry Competition Act (DeFazio) McCarran Ferguson reforms; H.R. 1619, Children's Health Protection Act (Schwartz) preexisting condition exclusions for children; H.R. 1691, Breast Cancer Patient Protection Act (DeLauro) rescissions, hospital stays for breast cancer patients; H.R. 1721, CLASS Act (Pallone) national LTC program; H.R. 1880, National Insurance Consumer Protection Act (Bean) regulatory reform; H.R. 2360, SHOP Act (Kind) small employer health options; H.R. 2402, Woman's Health Insurance Fairness Act (Neal) gender rating for health insurance; H.R. 2413, Autism Treatment Acceleration Act (Doyle) coverage for autism spectrum disorders; H.R. 2427, Informed Consumer Choices in Health Care Act (DeLauro) federal standards for health insurance, consumer information; H.R. 2457, Right to a Second Medical Opinion Act (Davis) coverage of second opinions; H.R. 2609, Insurance Information Act (Kanjorski) Federal Office of Insurance Information; H.R. 2635, Gender Equity in Health Premiums Act (Sanchez) gender rating for health insurance; H.R. 2833, Medical Loss Ratios (Ellison) medical loss ratios; H.R. 2940, Women's Obstetrician and Gynecologist Medical Access Now Act (Davis) direct access to ob/gyns; H.R. 3200, Americas Affordable Health Choices Act (Dingell) government-run health plan, health insurance exchange, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance; H.R. 3217, Health Care Choice Act (Shadegg) national marketplace; H.R. 3584, Health Care Consumer Protection Act (Forbes) reinstatement of coverage upon payment of overdue premiums; H.R. 3590, Patient Protection and Affordable Care Act (Reid) government-run health plan, health insurance cooperatives, multi-state plans, insurance market reforms, health insurance exchanges, benefit packages, medical loss ratios, CLASS Act, regulatory reform, individual coverage requirement, premium assistance, federal rate review process, health care choice compacts, appeals procedures, disclosure requirements, high risk pool program, McCarran-Ferguson Act; H.R. 3596, Health Insurance Industry Antitrust Enforcement Act (Conyers) changes to McCarran-Ferguson Act; H.R.3681, Fairness in Health Insurance Act (Ellison) medical loss ratios; H.R. 3962, Americas Affordable Health Choices Act (Dingell) government-run health plan, health insurance exchange, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance, federal rate review process, health care choice compacts, high risk pool program, McCarran-Ferguson Act; H.R. 4078, Long-Term Care Insurance Disclosure Act (Perriello) model disclosure form for long-term care insurance; H.R. 4563, Cancer Screening Coverage Act (Maloney) coverage requirement for cancer screening; H.R. 4626, Health Insurance Industry Fair Competition Act (Perriello) McCarran-Ferguson antitrust exemption; H.R. 4757, Health Insurance Rate Authority Act (Schakowsky) federal rate review process; H.R. 4872, Health Care and Education Reconciliation Act (Spratt) changes to individual coverage requirement, grandfathered plans, immediate insurance reforms, premium assistance, CLASS Act, coverage issues, quality improvements, delivery system reforms; S. 79, Healthy Businesses, Healthy Workers Reinsurance Act (Kerry) reinsurance; S. 93, Small Business Empowerment Act (Brown) small employer health options; S. 391, Healthy Americans Act (Wyden) comprehensive health reform; S. 442, Health Insurance Coverage Protection Act (Dorgan) lifetime benefit limits; S. 488, Access to Cancer Clinical Trials Act (Brown) clinical trials coverage mandate; S. 623, Pre-existing Condition Patient Protection Act (Rockefeller) preexisting condition exclusions; S. 643, Children's Health Protection Act (Lautenberg) preexisting condition exclusions for children; S. 688, Breast Cancer Patient Protection Act (Snowe) rescissions, hospital stays for breast cancer patients; S. 697, CLASS Act (Kennedy) national LTC program; S. 819, Autism Treatment Acceleration Act (Durbin) coverage for autism spectrum disorders; S. 969, Women's Health Insurance Fairness Act (Kerry) gender rating for health insurance; S. 979, SHOP Act (Durbin) small employer health options; S. 1050, Informed Consumer Choices in Health Care Act (Rockefeller) federal standards for health insurance, consumer information; S. 1149, Annual and Lifetime Health Care Limit Elimination Act (Rockefeller) annual and lifetime coverage limits; S. 1177, Confidence in Long-Term Care Insurance Act (Kohl) LTC consumer protections; (cont.) INS (Legislative) S. 1459, Health Care Choice Act (DeMint) national marketplace; S. 1626, Long Term Care Insurance Integrity Act (Klobuchar) third party review of LTCI disputed claims; S. 1636, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) model disclosure forms for LTC insurance; S. 1679, Affordable Health Choices Act (Harkin) government-run health plan, insurance market reforms, health benefit gateways, benefit packages, medical loss ratios, CLASS Act, regulatory reform, individual coverage requirement, premium assistance; S. 1681, Health Insurance Industry Antitrust Enforcement Act (Leahy) changes to McCarran-Ferguson Act; S. 1730, Fairness in Health Insurance Act (Franken) medical loss ratios; S. 1796, Americas Healthy Future Act (Baucus) government-run health plan, health insurance cooperatives, health insurance exchange, insurance market reforms, individual coverage requirement, benefit packages, premium assistance, medical loss ratios, regulatory reform; S. 3078, Health Insurance Rate Authority Act (Feinstein) federal rate review process INS (Regulatory) Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials; implementation of the Mental Health Parity Act requirements; issues related to COBRA subsidy requirements, and issues related to genetic nondiscrimination.

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

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

Govt-run health plan, health insurance exchanges, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance, Federal rate review process, healthcare choice compacts, high risk pool program, McCarran-Ferguson Act - HR 3962, Affordable Health Care for America Act; Govt-run health plan, health insurance cooperatives, multi-state plans, health insurance exchanges, regulatory reform, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance, Federal rate review process, healthcare choice compacts, appeals procedures, disclosure requirements, high risk pool program, McCarran-Ferguson Act - HR 3590, Patient Protection and Affordable Care Act. Changes to individual coverage requirement, grandfathered plans, immediate insurance reforms, premium assistance, CLASS Act, coverage issues, quality improvements, delivery system reforms - HR 4872, Health Care and Education Reconciliation Act of 2010. *National LTC program - HR 1721, To amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes; S 697, A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes. *Clinical trials coverage mandate - HR 716, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials; S 488, A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials. *Small employer health options - HR 850, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; HR 859, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; S 93, A bill to provide quality, affordable health insurance for small employers and individuals; HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible; S 979, A bill to amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. *Lifetime benefit limits - HR 1085, To impose a limitation on lifetime aggregate limits imposed by health plans; S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. *Pre-existing condition exclusions, affiliation periods, uniform premiums - HR 1092, To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage. *Disclosure of coverage exclusions - HR 1253, To require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable. *Comprehensive health reform - HR 1321, To provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away, S 391, A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. *Pre-existing condition exclusions - HR 1558, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets; S 623, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and in health insurance coverage in the group and individual markets. *McCarran Ferguson reforms - HR 1583, To further competition in the insurance industry. *Pre-existing condition exclusions for children - HR 1619, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets; S 643, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets. *Recissions, hospital stays for breast cancer patients - HR 1691, To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations; S 688, A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. *Gender rating for health insurance - HR 2402, To amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market; HR 2635, To amend title XXVII of the Public Health Service Act to prohibit gender rating in the group and individual markets for health insurance coverage, and for other purposes; S 969, A bill to amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market. *Coverage requirement for cancer screening - HR 4563, Cancer Screening Coverage Act of 2009. *MCCarran-Ferguson antitrust exemption - HR 4626, Health Insurance Industry Fair Competition Act. *Federal standards for health insurance, consumer information - HR 2427, To amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes; S 1050, A bill to amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes. *Coverage of second opinions - HR 2457, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to require that group health plans and issuers of health insurance coverage provide coverage for second opinions. *Regulatory reform - HR 1880, To establish a system of regulation and supervision for insurers, insurance agencies, and insurance producers chartered or licensed under Federal law that ensures the stability and financial integrity of those insurers, agencies, and producers and that protects policyholders and other consumers served by such insurers, agencies, or producers. *Medical loss ratios - HR 2833, To require a minimum loss ratio for 90 percent for health insurance coverage offered through an insurance exchange. *Direct access to Ob/Gyns - HR 2940, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. *Coverage for autism spectrum disorders - HR 2413, To provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families; S 819, A bill to provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families. *Reinsurance - S 79, A bill to amend the Social Security Act to establish a Federal Reinsurance Program for Catastrophic Health Care Costs. *LTC consumer protections - S 1177, A bill to improve consumer protections for purchasers of long-term care insurance, and for other purposes. *Annual and lifetime coverage limits - S 1149, A bill to eliminate annual and lifetime aggregate limits imposed by health plans. *Lifetime benefit limits - S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. *Small employer health options - HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. *Federal office of insurance information - HR 2609, To establish an Office of Insurance Information in the Department of the Treasury. *National marketplace, health insurance coverage offered in interstate commerce; S 1459, A bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce. *Reinstatement of coverage upon payment of overdue premiums - HR 3584, To amend the Public Health Service Act to require reinstatement upon payment of all premiums due of group or individual health insurance coverage terminated by reason of nonpayment of premiums. *Changes to McCarran-Ferguson Act - HR 3596, To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers; S 1681, A bill to ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. *Medical loss ratios - HR 3681, To provide for minimum loss ratios for health insurance coverage; S 1730, A bill to provide for minimum loss ratios for health insurance coverage. *Third-party review of LTCI disputed claims - S 1626, A bill to require issuers of long term care insurance to establish third party review processes for disputed claims. *Model disclosure forms for LTC insurance - S 1636, A bill to develop a model disclosure form to assist consumers in purchasing long-term care insurance. *Model Disclosure form for long-term care insurance - HR 4078, To require the Secretary of Health and Human Services to develop a national model disclosure form to assist consumers in purchasing long-term care insurance. *Government-run health plan, health insurance cooperatives, health insurance exchange, insurance market reforms, individual coverage requirement, benefit packages, premium assistance, medical loss ratios, regulatory reform - S 1796, An original bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. *Federal rate review process - HR 4757, Health Insurance Rate Authority Act of 2010; S 3078, Health Insurance Rate Authority Act of 2010.

Client expense: Not reported · Firm income: $100,000

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

HR 1583 (McCarran-Ferguson). S 819 (Autism). HR 1253 (disclosure rules) HR 1691/S 688 (prohibit plan rescissions and establish minimum hospital stays for cancer patients) HR 1558/S623 ; also HR 1619, S. 643, HR 1092 (prohibit pre-existing condition exclusions). S. 442/ HR 1085 (prohibit aggregate lifetime limit) S. 697 /HR 1721 (Long Term Care) HR 975 (Mammography mandate) HR 1339 (Mandate to fcover deformities)

Client expense: $1,641,400 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

Affordable Health Care for America Act (H.R. 3962) Affordable Health Choices Act (draft) Affordable Health Choices Act (S. 1679) America's Affordable Health Choices Act (H.R. 3200) America's Healthy Future Act (Senate Finance - unnumbered) Childhood Obesity Task Force Children's Health Insurance Program Reauthorization Act (S. 275/H.R. 2) Children's Health Protection Act (S. 643/H.R. 1619) Congenital Heart Futures Act (S. 621/H.R. 1570) Health Care and Education Reconciliation Act (H.R. 4872) Health Equity and Accountability Act (H.R. 3090) Health Insurance Coverage Protection Act (S. 442/H.R. 1085) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.422/H.R. 1032) Informed Consumer Choices in Health Care Act (S. 1050/H.R. 2427) Josh Miller HEARTS Act (S. 1197/H.R. 1380) National Atrial Fibrillation Awareness Month Resolution (H.Res.255) Patient Protection and Affordable Care Act (H.R. 3590) Preexisting Condition Exclusion Patient Protection Act (S. 623/H.R. 1558) Resolution Designating May 1 through May 7, 2009 as National Physical Education and Sports Week (S.RES.133/H.RES.503) Tri-Committee Health Care Reform Bill (House draft) Women's Health Insurance Fairness Act (S.969) Workplace Wellness Grants (H.R. 3962/H.R. 3590) Young Adult Healthcare Coverage Act of 2009 (H.R. 2831)

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

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

H.R.914, Physician Workforce Enhancement Act of 2009, Addiction treatment workforce development. S.790, Health Access and Health Professions Supply Act of 2009, Addiction treatment workforce development. Add to #17 below: National Institute of Drug Abuse (NIDA); and Center for Substance Abuse Treatment (CSAT) H.R. 1092, No Discrimination in Health Insurance Act of 2009, Consumer and patient protections. HR 1558/S. 623, Pre-existing Condition Patient Protection Act, Consumer and patient protections. S. 442, Health Insurance Coverage Protection Act, Consumer and patient protections. H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act of 2009, Consumer and patient protections. H.R.1085, Health Insurance Coverage Protection Act, Consumer and patient protections. S. 391, Healthy Americans Act, Health care reform. H.R. 193, AmeriCare Health Insurance Act of 2009, Health care reform. S. 1050, Informed Consumer Choices in Health Care Act of 2009, Discrimination in the private health insurance market related issues. H.R.756/S.660, National Pain Care Policy Act of 2009, Pain care related issues. H.R.3200, America's Affordable Health Choices Act of 2009, Addiction treatment issues. S.1679, Affordable Health Choices Act, Addiction treatment issues. Public Law 111-148, Patient Protection and Affordable Care Act, Addiction treatment issues. H.R.4872, Health Care Reconciliation Act of 2010, Addiction Treatment issues.

Client expense: Not reported · Firm income: $30,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

H.R .1558 & S. 623: Pre-existing Condition Patient Protection Act H.R. 1708 & S. 700: Ending the Medicare Disability Waiting Perion Act of 2009 H.R .1085 & S. 442: Health Insurance Coverage Protection Act H.R. 2408 7 S. 1545: Scleroderma Research and Awareness Act H.R. 3200: America Affordable Health Care Choices Act S. 1679: Affordable Health Choices Act H.R. 3962: Affordable Health Care for America Act H.R. 3590: Patient Protection and Affordable Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1085/S. 442 - Health Insurance Coverage Protection Act; Health Insurance Access and Cost Issues, Health Reform legislation - Health Reform Legislation/HR 3200 America's Affordable Health Choices Act. HR 3590 Patent Protection and Affordable Care Act.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.422/H.R. 1032) National CPR-AED Awareness Week (S.CON.RES. 54/H.CON.RES. 215) Josh Miller HEARTS Act (H.R. 1380) Resolution for American Heart Month (H.CON.RES. 112) Workplace Wellness Resolution (S.RES. 673/H.CON.RES. 405) Sudden Cardiac Arrest Awareness Resolution (S.CON.RES 93/H.CON.RES. 393) Children's Health Insurance Program Reauthorization Act (S. 275/H.R. 2) Children's Health Protection Act (S. 643/H.R. 1619) Health Insurance Coverage Protection Act (S. 442/H.R. 1085) Preexisting Condition Exclusion Patient Protection Act (S. 623/H.R. 1558) Unique Device Identifier (FDA-2008-N-0061) 2010 Dietary Guidelines for Americans

Client expense: $240,666 · Firm income: Not reported

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

*National LTC program - HR 1721, To amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes; S 697, A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes. *Immunization coverage mandate - HR 323, To amend title XXVII of the Public Health Service Act and title I of the Employee Retirement Income Security Act of 1974 to require that group and individual health insurance coverage and group health plans provide comprehensive coverage for childhood immunization. *Coverage mandate for hormone replacement therapy - HR 584, To provide for coverage of hormone replacement therapy for treatment of menopausal symptoms, and for coverage of an alternative therapy for hormone replacement therapy for such symptoms, under the Medicare and Medicaid Programs, group health plans and individual health insurance coverage, and other Federal health insurance programs. *Clinical trials coverage mandate - HR 716, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials; S 488, A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials. *Small employer health options - HR 850, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; HR 859, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; S 93, A bill to provide quality, affordable health insurance for small employers and individuals; HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible; S 979, A bill to amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. *Coverage mandate for mammograms - HR 995, To amend the Public Health Service Act and Employee Retirement Income Security Act of 1974 to require that group and individual health insurance coverage and group health plans provide coverage for annual screening mammography for women 40 years of age or older and for such screening and annual magnetic resonance imaging for women at high risk for breast cancer if the coverage or plans include coverage for diagnostic mammography for women 40 years of age or older. *Lifetime benefit limits - HR 1085, To impose a limitation on lifetime aggregate limits imposed by health plans; S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. *Pre-existing condition exclusions, affiliation periods, uniform premiums - HR 1092, To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage. Disclosure of coverage exclusions - HR 1253, To require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable. Comprehensive health reform - HR 1321, To provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away, S 391, A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. Coverage mandate for cancer screening - HR 1330, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and title 5, United States Code, to require that group and individual health insurance coverage and group health plans and Federal employees health benefit plans provide coverage of colorectal cancer screening. Coverage mandate for treatment of a child's congenital or developmental deformity - HR 1339, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for treatment of a minor child's congenital or developmental deformity or disorder due to trauma, infection, tumor, or disease; S 1235, A bill to amend the Public Health Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for treatment of a minor child's congenital or developmental deformity or disorder due to trauma, infection, tumor, or disease. Pre-existing condition exclusions - HR 1558, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets; S 623, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and in health insurance coverage in the group and individual markets. McCarran Ferguson reforms - HR 1583, To further competition in the insurance industry. Pre-existing condition exclusions for children - HR 1619, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets; S 643, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets. Recissions, hospital stays for breast cancer patients - HR 1691, To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations; S 688, A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. Gender rating for health insurance - HR 2402, To amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market; HR 2635, To amend title XXVII of the Public Health Service Act to prohibit gender rating in the group and individual markets for health insurance coverage, and for other purposes; S 969, A bill to amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market. Federal standards for health insurance, consumer information - HR 2427, To amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes; S 1050, A bill to amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes. Coverage of second opinions - HR 2457, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to require that group health plans and issuers of health insurance coverage provide coverage for second opinions. Regulatory reform - HR 1880, To establish a system of regulation and supervision for insurers, insurance agencies, and insurance producers chartered or licensed under Federal law that ensures the stability and financial integrity of those insurers, agencies, and producers and that protects policyholders and other consumers served by such insurers, agencies, or producers. Medical loss ratios - HR 2833, To require a minimum loss ratio for 90 percent for health insurance coverage offered through an insurance exchange. Direct access to Ob/Gyns - HR 2940, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. Coverage for autism spectrum disorders - HR 2413, To provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families; S 819, A bill to provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families. Reinsurance - S 79, A bill to amend the Social Security Act to establish a Federal Reinsurance Program for Catastrophic Health Care Costs. Coverage mandate for infertility treatments - HR 697, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and chapter 89 of title 5, United States Code, to require coverage for the treatment of infertility; S 1258, A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and chapter 89 of title 5, United States Code, to require coverage for the treatment of infertility. LTC consumer protections - S 1177, A bill to improve consumer protections for purchasers of long-term care insurance, and for other purposes. Annual and lifetime coverage limits - S 1149, A bill to eliminate annual and lifetime aggregate limits imposed by health plans. Lifetime benefit limits - S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. Small employer health options - HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. Federal office of insurance information - HR 2609, To establish an Office of Insurance Information in the Department of the Treasury. Government-run health plan, health insurance exchanges, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS act, medical loss ratios, premium assistance - HR 3200, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes; S 1679, An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. National marketplace - HR 3217, To amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce; S 1459, A bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce. Reinstatement of coverage upon payment of overdue premiums - HR 3584, To amend the Public Health Service Act to require reinstatement upon payment of all premiums due of group or individual health insurance coverage terminated by reason of nonpayment of premiums. Changes to McCarran-Ferguson Act - HR 3596, To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers; S 1681, A bill to ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Medical loss ratios - HR 3681, To provide for minimum loss ratios for health insurance coverage; S 1730, A bill to provide for minimum loss ratios for health insurance coverage. Third-party review of LTCI disputed claims - S 1626, A bill to require issuers of long term care insurance to establish third party review processes for disputed claims. Model disclosure forms for LTC insurance - S 1636, A bill to develop a model disclosure form to assist consumers in purchasing long-term care insurance. Medicare physician payments - HR 3961, To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration. Model Disclosure form for long-term care insurance - HR 4078, To require the Secretary of Health and Human Services to develop a national model disclosure form to assist consumers in purchasing long-term care insurance. Government-run health plan, health insurance cooperatives, multi-state plans, insurance market reforms, health insurance exchanges, benefit packages, medical loss ratios, CLASS Act, regulatory reform, individual coverage requirement, premium assistance, federal rate review process, healthcare choice compacts, appeals procedures, disclosure requirements, high risk pool program, McCarran-Ferguson Act - HR 3590, An act entitled The Patient Protection and Affordable Care Act. Government-run health plan, health insurance exchange, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance, federal rate review process, healthcare choice compacts, high risk pool program, McCarran-Ferguson Act - HR 3962, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Government-run health plan, health insurance cooperatives, health insurance exchange, insurance market reforms, individual coverage requirement, benefit packages, premium assistance, medical loss ratios, regulatory reform - S 1796, An original bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.

Client expense: Not reported · Firm income: $100,000

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, White House Office

S. 701, "Medicare Patient IVIG Access Act of 2009" H.R. 1765, Medicare IVIG Home Infusion Legislation H.R. 1085 / S. 442 "Health Insurance Coverage Protection Act" Follow-on Biologics Legislation Medicaid Drug Rebate/Health Care Reform

Client expense: $50,000 · 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), Medicare Payment Advisory Commission (MedPAC), SENATE

Patient Protection and Affordable Care Act - H.R.3590; Affordable Health Care for America Act - HR 3962; Health Insurance Coverage Protection Act - S.442, H.R.1085 Comparative Effectiveness Research - H.R.2502, S.1213, H.R.1 Follow-on Biologics - H.R.1427, H.R.1548; Social Security compassionate allowances program; Orphan drug policy

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 323, Comprehensive Insurance Coverage of Childhood Immunization Act (Green) immunization coverage mandate; H.R. 584, Menopausal Hormone Replacement Therapies and Alternative Treatments and Fairness Act (Lee) coverage mandate for hormone replacement therapy (cont.) H.R. 697, Family Building Act (Weiner) coverage mandate for infertility treatments; H.R. 716, Access to Cancer Clinical Trials Act (Israel) clinical trials coverage mandate; H.R. 850, Small Business CHOICE Act (Velazquez) small employer health options; H.R. 859, Small Business CHOICE Act (Velazquez) small employer health options; H.R. 995, Mammogram and MRI Availability Act (Nadler) coverage mandate for mammograms; H.R. 1085, Health Insurance Coverage Protection Act (Eshoo) lifetime benefit limits; H.R. 1092, No Discrimination in Health Insurance Act (Kagen) preexisting condition exclusions, affiliation periods, uniform premiums; H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act (Burgess) disclosure of coverage exclusions; H.R. 1321, Healthy Americans Act (Eshoo) comprehensive health reform; H.R. 1330, Colorectal Cancer Screening and Detection Coverage Act (Boren) coverage mandate for cancer screening; H.R. 1339, Children's Access to Reconstructive Evaluation & Surgery Act (McCarthy) coverage mandate for treatment of a child's congenital or developmental deformity; H.R. 1558, Preexisting Condition Patient Protection Act (Courtney) preexisting condition exclusions; H.R. 1583, Insurance Industry Competition Act (DeFazio) McCarran Ferguson reforms; H.R. 1619, Children's Health Protection Act (Schwartz) preexisting condition exclusions for children; H.R. 1691, Breast Cancer Patient Protection Act (DeLauro) rescissions, hospital stays for breast cancer patients; H.R. 1721, CLASS Act (Pallone) national LTC program; H.R. 1880, National Insurance Consumer Protection Act (Bean) regulatory reform; H.R. 2360, SHOP Act (Kind) small employer health options; H.R. 2402, Woman's Health Insurance Fairness Act (Neal) gender rating for health insurance; H.R. 2413, Autism Treatment Acceleration Act (Doyle) coverage for autism spectrum disorders; H.R. 2427, Informed Consumer Choices in Health Care Act (DeLauro) federal standards for health insurance, consumer information; H.R. 2457, Right to a Second Medical Opinion Act (Davis) coverage of second opinions; H.R. 2609, Insurance Information Act (Kanjorski) Federal Office of Insurance Information; H.R. 2635, Gender Equity in Health Premiums Act (Sanchez) gender rating for health insurance; H.R. 2833, Medical Loss Ratios (Ellison) medical loss ratios; H.R. 2940, Women's Obstetrician and Gynecologist Medical Access Now Act (Davis) direct access to ob/gyns; H.R. 3200, Americas Affordable Health Choices Act (Dingell) government-run health plan, health insurance exchange, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance; H.R. 3217, Health Care Choice Act (Shadegg) national marketplace; H.R. 3584, Health Care Consumer Protection Act (Forbes) reinstatement of coverage upon payment of overdue premiums; H.R. 3590, Patient Protection and Affordable Care Act (Reid) government-run health plan, health insurance cooperatives, multi-state plans, insurance market reforms, health insurance exchanges, benefit packages, medical loss ratios, CLASS Act, regulatory reform, individual coverage requirement, premium assistance, federal rate review process, health care choice compacts, appeals procedures, disclosure requirements, high risk pool program, McCarran-Ferguson Act; H.R. 3596, Health Insurance Industry Antitrust Enforcement Act (Conyers) changes to McCarran-Ferguson Act; H.R.3681, Fairness in Health Insurance Act (cont.) H.R. 3961, Medicare Physician Payment Reform Act (Dingell) Medicare physician payment; H.R. 3962, Americas Affordable Health Choices Act (Dingell) government-run health plan, health insurance exchange, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance, federal rate review process, health care choice compacts, high risk pool program, McCarran-Ferguson Act; H.R. 4078, Long-Term Care Insurance Disclosure Act (Perriello) model disclosure form for long-term care insurance; S. 79, Healthy Businesses, Healthy Workers Reinsurance Act (Kerry) reinsurance; S. 93, Small Business Empowerment Act (Brown) small employer health options; S. 391, Healthy Americans Act (Wyden) comprehensive health reform; S. 442, Health Insurance Coverage Protection Act (Dorgan) lifetime benefit limits; S. 488, Access to Cancer Clinical Trials Act (Brown) clinical trials coverage mandate; S. 623, Pre-existing Condition Patient Protection Act (Rockefeller) preexisting condition exclusions; S. 643, Children's Health Protection Act (Lautenberg) preexisting condition exclusions for children; S. 688, Breast Cancer Patient Protection Act (Snowe) rescissions, hospital stays for breast cancer patients; S. 697, CLASS Act (Kennedy) national LTC program; S. 819, Autism Treatment Acceleration Act (Durbin) coverage for autism spectrum disorders; S. 969, Women's Health Insurance Fairness Act (Kerry) gender rating for health insurance; S. 979, SHOP Act (Durbin) small employer health options; S. 1050, Informed Consumer Choices in Health Care Act (Rockefeller) federal standards for health insurance, consumer information; S. 1149, Annual and Lifetime Health Care Limit Elimination Act (Rockefeller) annual and lifetime coverage limits; S. 1177, Confidence in Long-Term Care Insurance Act (Kohl) LTC consumer protections; S. 1235, Children's Access to Reconstructive Evaluation & Surgery Act (Landrieu) coverage mandate for treatment of a child's congenital or developmental deformity; S. 1258, Family Building Act (Gillibrand) coverage mandate for infertility treatments; S. 1459, Health Care Choice Act (DeMint) national marketplace; S. 1626, Long Term Care Insurance Integrity Act (Klobuchar) third party review of LTCI disputed claims; S. 1636, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) model disclosure forms for LTC insurance; S. 1679, Affordable Health Choices Act (Harkin) government-run health plan, insurance market reforms, health benefit gateways, benefit packages, medical loss ratios, CLASS Act, regulatory reform, individual coverage requirement, premium assistance; S. 1681, Health Insurance Industry Antitrust Enforcement Act (Leahy) changes to McCarran-Ferguson Act; S. 1730, Fairness in Health Insurance Act (Franken) medical loss ratios; S. 1796, Americas Healthy Future Act (Baucus) government-run health plan, health insurance cooperatives, health insurance exchange, insurance market reforms, individual coverage requirement, benefit packages, premium assistance, medical loss ratios, regulatory reform INS (Regulatory) Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials; implementation of the Mental Health Parity Act requirements; issues related to COBRA subsidy requirements, and issues related to genetic nondiscrimination.

Client expense: $2,540,000 · Firm income: Not reported

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

Affordable Health Care for America Act (H.R. 3962) Patient Protection and Affordable Care Act (H.R. 3590) America's Affordable Health Choices Act (H.R. 3200) Affordable Health Choices Act (S. 1679) America's Healthy Future Act (Senate Finance - unnumbered) Young Adult Healthcare Coverage Act of 2009 (H.R. 2831) Affordable Health Choices Act (draft) Children's Health Insurance Program Reauthorization Act (S. 275/H.R. 2) Children's Health Protection Act (S. 643/H.R. 1619) Congenital Heart Futures Act (S. 621/H.R. 1570) Health Equity and Accountability Act (H.R. 3090) Health Insurance Coverage Protection Act (S. 442/H.R. 1085) Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.422/H.R. 1032) Informed Consumer Choices in Health Care Act (S. 1050/H.R. 2427) Josh Miller HEARTS Act (S. 1197/H.R. 1380) National Atrial Fibrillation Awareness Month Resolution (H.Res.255) Preexisting Condition Exclusion Patient Protection Act (S. 623/H.R. 1558) Resolution Designating May 1 through May 7, 2009 as National Physical Education and Sports Week (S.RES.133/H.RES.503) Tri-Committee Health Care Reform Bill (House draft) Women's Health Insurance Fairness Act (S.969) Workplace Wellness Grants (H.R. 3962/H.R. 3590) FDA Draft Guidance on Clinical Study Designs for Surgical Ablation Devices for Treatment of Atrial Fibrilations (FDA-2009-0395) HIPAA Administrative Simplification: Standards for Privacy of Individually Identifiable Health Information (RIN-0991-AB54) Prohibiting Discrimination Based on Genetic Information: Interim Final Rules (RIN-1210-AB27; CMS-4137-IFC; REG-123829-08)

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

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

HR 1583 (McCarran-Ferguson). S 819 (Autism). HR 1253 (disclosure rules) HR 1691/S 688 (prohibit plan rescissions and establish minimum hospital stays for cancer patients) HR 1558/S623 ; also HR 1619, S. 643, HR 1092 (prohibit pre-existing condition exclusions). S. 442/ HR 1085 (prohibit aggregate lifetime limit) S. 697 /HR 1721 (Long Term Care) HR 975 (Mammography mandate) HR 1339 (Mandate to fcover deformities)

Client expense: $802,573 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

*National LTC program - HR 1721, To amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes; S 697, A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes. *Immunization coverage mandate - HR 323, To amend title XXVII of the Public Health Service Act and title I of the Employee Retirement Income Security Act of 1974 to require that group and individual health insurance coverage and group health plans provide comprehensive coverage for childhood immunization. *Coverage mandate for hormone replacement therapy - HR 584, To provide for coverage of hormone replacement therapy for treatment of menopausal symptoms, and for coverage of an alternative therapy for hormone replacement therapy for such symptoms, under the Medicare and Medicaid Programs, group health plans and individual health insurance coverage, and other Federal health insurance programs. *Clinical trials coverage mandate - HR 716, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials; S 488, A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials. *Small employer health options - HR 850, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; HR 859, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; S 93, A bill to provide quality, affordable health insurance for small employers and individuals; HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible; S 979, A bill to amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. *Coverage mandate for mammograms - HR 995, To amend the Public Health Service Act and Employee Retirement Income Security Act of 1974 to require that group and individual health insurance coverage and group health plans provide coverage for annual screening mammography for women 40 years of age or older and for such screening and annual magnetic resonance imaging for women at high risk for breast cancer if the coverage or plans include coverage for diagnostic mammography for women 40 years of age or older. *Lifetime benefit limits - HR 1085, To impose a limitation on lifetime aggregate limits imposed by health plans; S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. *Pre-existing condition exclusions, affiliation periods, uniform premiums - HR 1092, To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage. Disclosure of coverage exclusions - HR 1253, To require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable. Comprehensive health reform - HR 1321, To provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away, S 391, A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. Coverage mandate for cancer screening - HR 1330, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and title 5, United States Code, to require that group and individual health insurance coverage and group health plans and Federal employees health benefit plans provide coverage of colorectal cancer screening. Coverage mandate for treatment of a child's congenital or developmental deformity - HR 1339, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for treatment of a minor child's congenital or developmental deformity or disorder due to trauma, infection, tumor, or disease; S 1235, A bill to amend the Public Health Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for treatment of a minor child's congenital or developmental deformity or disorder due to trauma, infection, tumor, or disease. Pre-existing condition exclusions - HR 1558, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets; S 623, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and in health insurance coverage in the group and individual markets. McCarran Ferguson reforms - HR 1583, To further competition in the insurance industry. Pre-existing condition exclusions for children - HR 1619, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets; S 643, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets. Recissions, hospital stays for breast cancer patients - HR 1691, To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations; S 688, A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. Gender rating for health insurance - HR 2402, To amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market; HR 2635, To amend title XXVII of the Public Health Service Act to prohibit gender rating in the group and individual markets for health insurance coverage, and for other purposes; S 969, A bill to amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market. Federal standards for health insurance, consumer information - HR 2427, To amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes; S 1050, A bill to amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes. Coverage of second opinions - HR 2457, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to require that group health plans and issuers of health insurance coverage provide coverage for second opinions. Regulatory reform - HR 1880, To establish a system of regulation and supervision for insurers, insurance agencies, and insurance producers chartered or licensed under Federal law that ensures the stability and financial integrity of those insurers, agencies, and producers and that protects policyholders and other consumers served by such insurers, agencies, or producers. Medical loss ratios - HR 2833, To require a minimum loss ratio for 90 percent for health insurance coverage offered through an insurance exchange. Direct access to Ob/Gyns - HR 2940, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. Coverage for autism spectrum disorders - HR 2413, To provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families; S 819, A bill to provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families. Reinsurance - S 79, A bill to amend the Social Security Act to establish a Federal Reinsurance Program for Catastrophic Health Care Costs. Coverage mandate for infertility treatments - HR 697, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and chapter 89 of title 5, United States Code, to require coverage for the treatment of infertility; S 1258, A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and chapter 89 of title 5, United States Code, to require coverage for the treatment of infertility. LTC consumer protections - S 1177, A bill to improve consumer protections for purchasers of long-term care insurance, and for other purposes. Annual and lifetime coverage limits - S 1149, A bill to eliminate annual and lifetime aggregate limits imposed by health plans. Lifetime benefit limits - S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. Small employer health options - HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. Federal office of insurance information - HR 2609, To establish an Office of Insurance Information in the Department of the Treasury. Government-run health plan, health insurance exchanges, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS act, medical loss ratios, premium assistance - HR 3200, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes; S 1679, An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. National marketplace - HR 3217, To amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce; S 1459, A bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce. Reinstatement of coverage upon payment of overdue premiums - HR 3584, To amend the Public Health Service Act to require reinstatement upon payment of all premiums due of group or individual health insurance coverage terminated by reason of nonpayment of premiums. Changes to McCarran-Ferguson Act - HR 3596, To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers; S 1681, A bill to ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Medical loss ratios - HR 3681, To provide for minimum loss ratios for health insurance coverage; S 1730, A bill to provide for minimum loss ratios for health insurance coverage. Third-party review of LTCI disputed claims - S 1626, A bill to require issuers of long term care insurance to establish third party review processes for disputed claims. Model disclosure forms for LTC insurance - S 1636, A bill to develop a model disclosure form to assist consumers in purchasing long-term care insurance. Medicare physician payments - HR 3961, To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration. Model Disclosure form for long-term care insurance - HR 4078, To require the Secretary of Health and Human Services to develop a national model disclosure form to assist consumers in purchasing long-term care insurance. Government-run health plan, health insurance cooperatives, multi-state plans, insurance market reforms, health insurance exchanges, benefit packages, medical loss ratios, CLASS Act, regulatory reform, individual coverage requirement, premium assistance, federal rate review process, healthcare choice compacts, appeals procedures, disclosure requirements, high risk pool program, McCarran-Ferguson Act - HR 3590, An act entitled The Patient Protection and Affordable Care Act. Government-run health plan, health insurance exchange, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance, federal rate review process, healthcare choice compacts, high risk pool program, McCarran-Ferguson Act - HR 3962, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. Government-run health plan, health insurance cooperatives, health insurance exchange, insurance market reforms, individual coverage requirement, benefit packages, premium assistance, medical loss ratios, regulatory reform - S 1796, An original bill to provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.

Client expense: Not reported · Firm income: $100,000

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, White House Office

H.R.914, Physician Workforce Enhancement Act of 2009, Addiction treatment workforce development. S.790, Health Access and Health Professions Supply Act of 2009, Addiction treatment workforce development. Add to #17 below: National Institute of Drug Abuse (NIDA); and Center for Substance Abuse Treatment (CSAT) H.R. 1092, No Discrimination in Health Insurance Act of 2009, Consumer and patient protections. HR 1558/S. 623, Pre-existing Condition Patient Protection Act, Consumer and patient protections. S. 442, Health Insurance Coverage Protection Act, Consumer and patient protections. H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act of 2009, Consumer and patient protections. H.R.1085, Health Insurance Coverage Protection Act, Consumer and patient protections. S. 391, Healthy Americans Act, Health care reform. H.R. 193, AmeriCare Health Insurance Act of 2009, Health care reform. S. 1050, Informed Consumer Choices in Health Care Act of 2009, Discrimination in the private health insurance market related issues. H.R.756/S.660, National Pain Care Policy Act of 2009, Pain care related issues. H.R.3200, America's Affordable Health Choices Act of 2009, Addiction treatment issues. S.1679, Affordable Health Choices Act, Addiction treatment issues. H.R.3590, Patient Protection and Affordable Care Act, Addiction treatment issues.

Client expense: Not reported · Firm income: $30,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

H.R. 1558 & S. 623: Pre-existing Condition Patient Protection Act H.R. 1708 & S. 700: Ending the Medicare Disability Waiting Period Act of 2009 H.R. 1085 & S. 442: Health Insurance Coverage Protection Act H.R. 2408 & S. 1545: Scleroderma Research and Awareness Act H.R. 3200, America's Affordable Health Care Choices Act S. 1679, Affordable Health Choices Act HR 3962, Affordable Health Care for America Act HR 3590, Patient Protection and Affordable Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1030 & S 2803: Tom Lantos Pulmonary Hypertension Research and Education Act HR 1558 & S 623: Pre-existing Condition Patient Protection Act Pulmonary Hypertension Research Prog. at NIH HR 1085 & S 442: Health Insurance Coverage Protection Act Health Ins. Reform Legislation HR 1708 & S 700: Ending the Medicare Disability Waiting Period Act of 2009 H.R. 2866, Improving Access to Clinical Trials Act S. 1674, Improving Access to Clinical Trials Act H.R. 3200, America's Affordable Health Care Choices Act S. 1679, Affordable Health Choices Act H.R. 3962, Affordable Health Care for America Act H.R. 3590, Patient Protection and Affordable Care Act

Client expense: Not reported · Firm income: Not reported

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

HR 1558 & S 623: Pre-existing Condition Patient Protection Act HR 2866, Improving Access to Clinical Trials Act HR 1708 & S 700: Ending the Medicare Disability Waiting Period Act S 1674, Improving Access to Clinical Trials Act HR 1085 & S 442: Health Insurance Coverage Protection Act HR 3200, America's Affordable Health Care Choices Act Marfan Syndrome Research and Education Programs at NIH S 1679, Affordable Health Choices Act HR 3962, Affordable Health Care for America Act HR 3590, Patient Protection and Affordable Care Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 701: Medicare Patient IVIG Access Act of 2009 Medicaid Drug Rebate/Health Care Reform HR 1765: Medicare IVIG Home Infusion Legislation HR 2002: Medicare Patient IVIG Access Act HR 1085 & S 442: Health Insurance Coverage Protection Act HR 1765, IVIG Home Infusion Legislation Follow-on Biologics Legislation HR 3200, America's Affordable Health Care Choices Act S 1679, Affordable Health Choices Act HR 3962, Affordable Health Care for America Act HR 3590, Patient Protection and Affordable Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 3200: America's Affordable Health Care Choices Act S 1679: Affordable Health Choices Act HR 3590: Patient Protection and Affordable Care Act HR 3962: Affordable Health Care for America Act HR 1558 & S 623: Pre-existing Condition Patient Protection Act HR 1708 & S 700: Ending the Medicare Disability Waiting Period Act of 2009 Inflammatory Bowel Disease Research Programs at NIH and CDC HR 1085 & S 442: Health Insurance Coverage Protection Act HR 2275 & S 981: Inflammatory Bowel Disease Research and Awareness Act

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

HR 1085/S. 442 - Health Insurance Coverage Protection Act; Health Insurance Access and Cost Issues, Health Reform legislation - Senate HELP & Finance Committee Health Reform Legislation/HR 3200 America's Affordable Health Choices Act. HR 3590 Patent Protection and Affordable Care Act.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

S. 701 "Medicare Patient IVIG Access Act of 2009" HR 1765, Medicare IVIG Home Infusion Legislation HR 1085/S 442 Health Insurance Coverage Protection Act Follow-on Biologics Legislation Medicaid Drug Rebate/Health Care Reform

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE

S. 701, "Medicare Patient IVIG Access Act of 2009" H.R. 1765, Medicare IVIG Home Infusion Legislation H.R. 1085 / S. 442 "Health Insurance Coverage Protection Act" Follow-on Biologics Legislation Medicaid Drug Rebate/Health Care Reform

Client expense: $50,000 · 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), Medicare Payment Advisory Commission (MedPAC), SENATE

S.__ Affordable Healthy Futures Act; America's Affordable Health Choices Act H.R.3200; Health Insurance Coverage Protection Act- S. 442, H.R. 1085 Comparative Effectiveness Research- H.R. 2502, S. 1213, H.R. 1 Social Security compassionate allowances program; Follow-on Biologics- H.R. 1427, H.R. 1548; Orphan drug policy

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Government-run health plan, health insurance cooperatives, health insurance exchanges, insurance market reforms, individual coverage requirement, benefit packages, premium assistance, medical loss ratios, regulatory reform - Draft legislation re these issues. *National LTC program - HR 1721, To amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes; S 697, A bill to amend the Public Health Service Act to help individuals with functional impairments and their families pay for services and supports that they need to maximize their functionality and independence and have choices about community participation, education, and employment, and for other purposes. *Immunization coverage mandate - HR 323, To amend title XXVII of the Public Health Service Act and title I of the Employee Retirement Income Security Act of 1974 to require that group and individual health insurance coverage and group health plans provide comprehensive coverage for childhood immunization. *Coverage mandate for hormone replacement therapy - HR 584, To provide for coverage of hormone replacement therapy for treatment of menopausal symptoms, and for coverage of an alternative therapy for hormone replacement therapy for such symptoms, under the Medicare and Medicaid Programs, group health plans and individual health insurance coverage, and other Federal health insurance programs. *Clinical trials coverage mandate - HR 716, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials; S 488, A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group and individual health insurance coverage and group health plans to provide coverage for individuals participating in approved cancer clinical trials. *Small employer health options - HR 850, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; HR 859, To encourage the development of small business cooperatives for healthcare options to improve coverage for employees (CHOICE) including through a small business CHOICE tax credit; S 93, A bill to provide quality, affordable health insurance for small employers and individuals; HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible; S 979, A bill to amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. *Coverage mandate for mammograms - HR 995, To amend the Public Health Service Act and Employee Retirement Income Security Act of 1974 to require that group and individual health insurance coverage and group health plans provide coverage for annual screening mammography for women 40 years of age or older and for such screening and annual magnetic resonance imaging for women at high risk for breast cancer if the coverage or plans include coverage for diagnostic mammography for women 40 years of age or older. *Lifetime benefit limits - HR 1085, To impose a limitation on lifetime aggregate limits imposed by health plans; S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. *Pre-existing condition exclusions, affiliation periods, uniform premiums - HR 1092, To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit discrimination in group health coverage and individual health insurance coverage. Disclosure of coverage exclusions - HR 1253, To require that limitations and restrictions on coverage under group health plans be timely disclosed to group health plan sponsors and timely communicated to participants and beneficiaries under such plans in a form that is easily understandable. Comprehensive health reform - HR 1321, To provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away, S 391, A bill to provide affordable, guaranteed private health coverage that will make Americans healthier and can never be taken away. Coverage mandate for cancer screening - HR 1330, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and title 5, United States Code, to require that group and individual health insurance coverage and group health plans and Federal employees health benefit plans provide coverage of colorectal cancer screening. Coverage mandate for treatment of a child's congenital or developmental deformity - HR 1339, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for treatment of a minor child's congenital or developmental deformity or disorder due to trauma, infection, tumor, or disease; S 1235, A bill to amend the Public Health Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage for treatment of a minor child's congenital or developmental deformity or disorder due to trauma, infection, tumor, or disease. Pre-existing condition exclusions - HR 1558, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and health insurance coverage in the group and individual markets; S 623, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions in group health plans and in health insurance coverage in the group and individual markets. McCarran Ferguson reforsm - HR 1583, To further competition in the insurance industry. Pre-existing condition exclusions for children - HR 1619, To amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets; S 643, A bill to amend title I of the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to prohibit preexisting condition exclusions for children in group health plans and health insurance coverage in the group and individual markets. Recissions, hospital stays for breast cancer patients - HR 1691, To require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations; S 688, A bill to require that health plans provide coverage for a minimum hospital stay for mastectomies, lumpectomies, and lymph node dissection for the treatment of breast cancer and coverage for secondary consultations. Gender rating for health insurance - HR 2402, To amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market; HR 2635, To amend title XXVII of the Public Health Service Act to prohibit gender rating in the group and individual markets for health insurance coverage, and for other purposes; S 969, A bill to amend the Public Health Service Act to ensure fairness in the coverage of women in the individual health insurance market. Federal standards for health insurance, consumer information - HR 2427, To amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes; S 1050, A bill to amend title XXVII of the Public Health Service Act to establish Federal standards for health insurance forms, quality, fair marketing, and honesty in out-of-network coverage in the group and individual health insurance markets, to improve transparency and accountability in those markets, and to establish a Federal Office of Health Insurance Oversight to monitor performance in those markets, and for other purposes. Coverage of second opinions - HR 2457, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code to require that group health plans and issuers of health insurance coverage provide coverage for second opinions. Regulatory reform - HR 1880, To establish a system of regulation and supervision for insurers, insurance agencies, and insurance producers chartered or licensed under Federal law that ensures the stability and financial integrity of those insurers, agencies, and producers and that protects policyholders and other consumers served by such insurers, agencies, or producers. Medical loss ratios - HR 2833, To require a minimum loss ratio for 90 percent for health insurance coverage offered through an insurance exchange. Direct access to Ob/Gyns - HR 2940, To amend the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans permit enrollees direct access to services of obstetrical and gynecological physician services directly and without a referral. Coverage for autism spectrum disorders - HR 2413, To provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families; S 819, A bill to provide for enhanced treatment, support, services, and research for individuals with autism spectrum disorders and their families. Reinsurance - S 79, A bill to amend the Social Security Act to establish a Federal Reinsurance Program for Catastrophic Health Care Costs. Coverage mandate for infertility treatments - HR 697, To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and chapter 89 of title 5, United States Code, to require coverage for the treatment of infertility; S 1258, A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and chapter 89 of title 5, United States Code, to require coverage for the treatment of infertility. LTC consumer protections - S 1177, A bill to improve consumer protections for purchasers of long-term care insurance, and for other purposes. Annual and lifetime coverage limits - S 1149, A bill to eliminate annual and lifetime aggregate limits imposed by health plans. Lifetime benefit limits - S 442, A bill to impose a limitation on lifetime aggregate limits imposed by health plans. Small employer health options - HR 2360, To amend the Public Health Service Act to establish a nationwide health insurance purchasing pool for small businesses and the self-employed that would offer a choice of private health plans and make health coverage more affordable, predictable, and accessible. Federal office of insurance information - HR 2609, To establish an Office of Insurance Information in the Department of the Treasury. Government-run health plan, health insurance exchanges, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS act, medical loss ratios, premium assistance - HR 3200, To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes; S 1679, An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. National marketplace - HR 3217, To amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce; S 1459, A bill to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce. Reinstatement of coverage upon payment of overdue premiums - HR 3584, To amend the Public Health Service Act to require reinstatement upon payment of all premiums due of group or individual health insurance coverage terminated by reason of nonpayment of premiums. Changes to McCarran-Ferguson Act - HR 3596, To ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers; S 1681, A bill to ensure that health insurance issuers and medical malpractice insurance issuers cannot engage in price fixing, bid rigging, or market allocations to the detriment of competition and consumers. Medical loss ratios - HR 3681, To provide for minimum loss ratios for health insurance coverage; S 1730, A bill to provide for minimum loss ratios for health insurance coverage. Third-party review of LTCI disputed claims - S 1626, A bill to require issuers of long term care insurance to establish third party review processes for disputed claims. Model disclosure forms for LTC insurance - S 1636, A bill to develop a model disclosure form to assist consumers in purchasing long-term care insurance.

Client expense: Not reported · Firm income: $100,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Americas Healthy Future Act (Baucus) government-run health plan, health insurance cooperatives, health insurance exchange, insurance market reforms, individual coverage requirement, benefit packages, premium assistance, medical loss ratios, regulatory reform (cont.) H.R. 323, Comprehensive Insurance Coverage of Childhood Immunization Act (Green) immunization coverage mandate; H.R. 584, Menopausal Hormone Replacement Therapies and Alternative Treatments and Fairness Act (Lee) coverage mandate for hormone replacement therapy; H.R. 697, Family Building Act (Weiner) coverage mandate for infertility treatments; H.R. 716, Access to Cancer Clinical Trials Act (Israel) clinical trials coverage mandate; H.R. 850, Small Business CHOICE Act (Velazquez) small employer health options; H.R. 859, Small Business CHOICE Act (Velazquez) small employer health options; H.R. 995, Mammogram and MRI Availability Act (Nadler) coverage mandate for mammograms; H.R. 1085, Health Insurance Coverage Protection Act (Eshoo) lifetime benefit limits; H.R. 1092, No Discrimination in Health Insurance Act (Kagen) preexisting condition exclusions, affiliation periods, uniform premiums; H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act (Burgess) disclosure of coverage exclusions; H.R. 1321, Healthy Americans Act (Eshoo) comprehensive health reform; H.R. 1330, Colorectal Cancer Screening and Detection Coverage Act (Boren) coverage mandate for cancer screening; H.R. 1339, Children's Access to Reconstructive Evaluation & Surgery Act (McCarthy) coverage mandate for treatment of a child's congenital or developmental deformity; H.R. 1558, Preexisting Condition Patient Protection Act (Courtney) preexisting condition exclusions; H.R. 1583, Insurance Industry Competition Act (DeFazio) McCarran Ferguson reforms; H.R. 1619, Children's Health Protection Act (Schwartz) preexisting condition exclusions for children; H.R. 1691, Breast Cancer Patient Protection Act (DeLauro) rescissions, hospital stays for breast cancer patients; H.R. 1721, CLASS Act (Pallone) national LTC program; H.R. 1880, National Insurance Consumer Protection Act (Bean) regulatory reform; H.R. 2360, SHOP Act (Kind) small employer health options; H.R. 2402, Woman's Health Insurance Fairness Act (Neal) gender rating for health insurance; H.R. 2413, Autism Treatment Acceleration Act (Doyle) coverage for autism spectrum disorders; H.R. 2427, Informed Consumer Choices in Health Care Act (DeLauro) federal standards for health insurance, consumer information; H.R. 2457, Right to a Second Medical Opinion Act (Davis) coverage of second opinions; H.R. 2609, Insurance Information Act (Kanjorski) Federal Office of Insurance Information; H.R. 2635, Gender Equity in Health Premiums Act (Sanchez) gender rating for health insurance; H.R. 2833, Medical Loss Ratios (Ellison) medical loss ratios; H.R. 2940, Women's Obstetrician and Gynecologist Medical Access Now Act (Davis) direct access to ob/gyns; H.R. 3200, Americas Affordable Health Choices Act (Dingell) government-run health plan, health insurance exchange, regulatory reform, health choices commissioner, insurance market reforms, individual coverage requirement, benefit packages, CLASS Act, medical loss ratios, premium assistance; H.R. 3217, Health Care Choice Act (Shadegg) national marketplace; H.R. 3584, Health Care Consumer Protection Act (Forbes) reinstatement of coverage upon payment of overdue premiums; H.R. 3596, Health Insurance Industry Antitrust Enforcement Act (Conyers) changes to McCarran-Ferguson Act; H.R.3681, Fairness in Health Insurance Act (Ellison) medical loss ratios; S. 79, Healthy Businesses, Healthy Workers Reinsurance Act (Kerry) reinsurance; S. 93, Small Business Empowerment Act (Brown) small employer health options; S. 391, Healthy Americans Act (Wyden) comprehensive health reform;S. 442, Health Insurance Coverage Protection Act (Dorgan) lifetime benefit limits; S. 488, Access to Cancer Clinical Trials Act (Brown) clinical trials coverage mandate; S. 623, Pre-existing Condition Patient Protection Act (Rockefeller) preexisting condition exclusions; S. 643, Children's Health Protection Act (Lautenberg) preexisting condition exclusions for children; S. 688, Breast Cancer Patient Protection Act (Snowe) rescissions, hospital stays for breast cancer patients; S. 697, CLASS Act (Kennedy) national LTC program; S. 819, Autism Treatment Acceleration Act (Durbin) coverage for autism spectrum disorders; S. 969, Women's Health Insurance Fairness Act (Kerry) gender rating for health insurance; S. 979, SHOP Act (Durbin) small employer health options; S. 1050, Informed Consumer Choices in Health Care Act (Rockefeller) federal standards for health insurance, consumer information; S. 1149, Annual and Lifetime Health Care Limit Elimination Act (Rockefeller) annual and lifetime coverage limits; S. 1177, Confidence in Long-Term Care Insurance Act (Kohl) LTC consumer protections; S. 1235, Children's Access to Reconstructive Evaluation & Surgery Act (Landrieu) coverage mandate for treatment of a child's congenital or developmental deformity; S. 1258, Family Building Act (Gillibrand) coverage mandate for infertility treatments; S. 1459, Health Care Choice Act (DeMint) national marketplace; S. 1626, Long Term Care Insurance Integrity Act (Klobuchar) third party review of LTCI disputed claims; S. 1636, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) model disclosure forms for LTC insurance; S. 1679, Affordable Health Choices Act (Harkin) government-run health plan, insurance market reforms, health benefit gateways, benefit packages, medical loss ratios, CLASS Act, regulatory reform, individual coverage requirement, premium assistance; S. 1681, Health Insurance Industry Antitrust Enforcement Act (Leahy) changes to McCarran-Ferguson Act; S. 1730, Fairness in Health Insurance Act (Franken) medical loss ratios (cont.) INS (Regulatory) Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; issues relating to the coordination of benefits between private health insurance plans and Medicaid; crossover fees for Medigap claims; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials; implementation of the Mental Health Parity Act requirements; issues related to COBRA subsidy requirements, and issues related to genetic nondiscrimination.

Client expense: $2,410,000 · Firm income: Not reported

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

H.R. 6331 (110th Congress): To amend titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare Program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes. In particular, execution of the kidney education and bundling provisions. H.R. 2726: To amend the Federal Food, Drug, and Cosmetic Act to increase criminal penalties for the sale or trade of prescription drugs knowingly caused to be adulterated or misbranded, to modify requirements for maintaining records of the chain-of-custody of prescription drugs, to establish recall authority regarding drugs, and for other purposes. H.R.1: The American Recovery and Reinvestment Act (stimulus bill); Specifically focused on aspects of the bill related to comparative effectiveness research. H.R.1548 : To amend the Public Health Service Act to establish a pathway for the licensure of biosimilar biological products, and for other purposes. H.R.2502 : To amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Comparative Effectiveness Research Trust Fund, and for other purposes. S. 1679: An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. H.R.1085/S. 442: To impose a limitation on lifetime aggregate limits imposed by health plans H.R. 759, the FDA Globalization Act, as it relates to drug safety and pedigree. "America's Healthy Future Act" (unnumbered Senate bill), as it relates to Medicaid reimbursement for drugs and new fees on manufacturers of drugs and medical devices. Drug and device marketing and promotion Drug and biological product pricing and reimbursement Drug and biological product pricing and reimbursement Healthcare-acquired infections Issues regarding 340B Lifetime caps for insurance Medical product safety Prescription drug pedigree and anti-counterfeiting policy

Client expense: $1,070,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Economic Council (NEC), SENATE, State, Dept of (DOS)

Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.422/H.R. 1032) Josh Miller HEARTS Act (S. 1197/H.R. 1380) Resolution for American Heart Month (H.CON.RES. 112) America's Affordable Health Choices Act (H.R. 3200) Affordable Health Choices Act (S. 1679) America's Healthy Future Act (Senate Finance - unnumbered) Young Adult Healthcare Coverage Act of 2009 (H.R. 2831) Workplace Wellness Resolution (S.RES. 673/H.CON.RES. 405) Sudden Cardiac Arrest Awareness Resolution (S.CON.RES 93/H.CON.RES. 393) Children's Health Insurance Program Reauthorization Act (S. 275/H.R. 2) Children's Health Protection Act (S. 643/H.R. 1619) Health Insurance Coverage Protection Act (S. 442/H.R. 1085) Preexisting Condition Exclusion Patient Protection Act (S. 623/H.R. 1558) Resolution Designating May 1 through May 7, 2009 as National Physical Education and Sports Week (S.RES.133/H.RES.503) Congenital Heart Futures Act (S. 621/H.R. 1570) Affordable Health Choices Act (draft) Tri-Committee Health Care Reform Bill (House draft) Informed Consumer Choices in Health Care Act (S. 1050/H.R. 2427) Women's Health Insurance Fairness Act (S.969) National Atrial Fibrillation Awareness Month Resolution (H.Res.255) Health Equity and Accountability Act (H.R. 3090)

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

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

H.R. 6331 (110th Congress): To amend titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare Program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes. In particular, execution of the kidney education and bundling provisions. H.R. 2726: To amend the Federal Food, Drug, and Cosmetic Act to increase criminal penalties for the sale or trade of prescription drugs knowingly caused to be adulterated or misbranded, to modify requirements for maintaining records of the chain-of-custody of prescription drugs, to establish recall authority regarding drugs, and for other purposes. H.R.1: The American Recovery and Reinvestment Act (stimulus bill); Specifically focused on aspects of the bill related to comparative effectiveness research. H.R.1548 : To amend the Public Health Service Act to establish a pathway for the licensure of biosimilar biological products, and for other purposes. H.R.2502 : To amend title XI of the Social Security Act to provide for the conduct of comparative effectiveness research and to amend the Internal Revenue Code of 1986 to establish a Comparative Effectiveness Research Trust Fund, and for other purposes. S. 1679: An original bill to make quality, affordable health care available to all Americans, reduce costs, improve health care quality, enhance disease prevention, and strengthen the health care workforce. H.R.1085/S. 442: To impose a limitation on lifetime aggregate limits imposed by health plans H.R. 759, the FDA Globalization Act, as it relates to drug safety and pedigree. "America's Healthy Future Act" (unnumbered Senate bill), as it relates to Medicaid reimbursement for drugs and new fees on manufacturers of drugs and medical devices. Drug and device marketing and promotion Drug and biological product pricing and reimbursement Drug and biological product pricing and reimbursement Healthcare-acquired infections Issues regarding 340B Lifetime caps for insurance Medical product safety Prescription drug pedigree and anti-counterfeiting policy

Client expense: $1,070,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Economic Council (NEC), SENATE, State, Dept of (DOS)

H.R.914, Physician Workforce Enhancement Act of 2009, Addiction treatment workforce development. S.790, Health Access and Health Professions Supply Act of 2009, Addiction treatment workforce development. Add to #17 below: National Institute of Drug Abuse (NIDA); and Center for Substance Abuse Treatment (CSAT) H.R. 1092, No Discrimination in Health Insurance Act of 2009, Consumer and patient protections. HR 1558/S. 623, Pre-existing Condition Patient Protection Act, Consumer and patient protections. S. 442, Health Insurance Coverage Protection Act, Consumer and patient protections. H.R. 1253, Health Insurance Restrictions and Limitations Clarification Act of 2009, Consumer and patient protections. H.R.1085, Health Insurance Coverage Protection Act, Consumer and patient protections. S. 391, Healthy Americans Act, Health care reform. H.R. 193, AmeriCare Health Insurance Act of 2009, Health care reform. S. 1050, Informed Consumer Choices in Health Care Act of 2009, Discrimination in the private health insurance market related issues. H.R.756/S.660, National Pain Care Policy Act of 2009, Pain care related issues. H.R.3200, America's Affordable Health Choices Act of 2009, Addiction treatment issues. S.1679, Affordable Health Choices Act, Addiction treatment issues.

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

HR 1583 (Mccarran-Ferguson). S. 819 (mandate autism coverage). HR 1253 (new plan disclosure rules). HR 1691/S. 688 (prohibit plan rescissions and establish minimum length of hospital stays for cancer patients) HR 1558/S. 623 (prohibit pre-existing condition exclusions; also HR 1619, S. 643, HR 1092) S. 442/ HR 1085 (to prohibit aggregate lifetime dollar limit) S> 697/HR 1721 (Long Term Care) HR 975 (Mammography mandate). HR 1339 (Mandate to cover deformities)

Client expense: $580,743 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

HR 1558 & S 623: Pre-existing Condition Patient Protection Act Health Insurance Reform Legislation HR 1708 & S 700: Ending the Medicare Disability Waiting Period Act HR 1085 & S 442: Health Insurance Coverage Protection Act Marfan Syndrome Research and Education Programs at NIH H.R. 2866, Improving Access to Clinical Trials Act S. 1674, Improving Access to Clinical Trials Act H.R. 3200, America's Affordable Health Care Choices Act S. 1679, Affordable Health Choices Act S., America's Health Futures Act of 2009

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1558 & S 623: Pre-existing Condition Patient Protection Act HR 2408: Scleroderma Research and Awareness Act HR 1708 & S 700: Ending the Medicare Disability Waiting Period Act of 2009 HR 1085 & S 442: Health Insurance Coverage Protection Act Health Care Reform Legislation S. 1545, the Scleroderma Research and Awareness Act H.R. 3200, America's Affordable Health Care Choices Act S. 1679, Affordable Health Choices Act S., America's Health Futures Act of 2009

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1030: Tom Lantos Pulmonary Hypertension Research and Education Act Health Ins. Reform Legislation HR 1558 & S 623: Pre-existing Condition Patient Protection Act Pulmonary Hypertension Research Prog. at NIH HR 1085 & S 442: Health Insurance Coverage Protection Act HR 1708 & S 700: Ending the Medicare Disability Waiting Period Act of 2007 H.R. 2866, Improving Access to Clinical Trials Act S. 1674, Improving Access to Clinical Trials Act H.R. 3200, America's Affordable Health Care Choices Act S. 1679, Affordable Health Choices Act S., America's Health Futures Act of 2009

Client expense: Not reported · Firm income: Not reported

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

HR 1558 & S 623: Pre-existing Condition Patient Protection Act Health Insurance Reform Legislation HR 1708 & S 700: Ending the Medicare Disability Waiting Period Act HR 1085 & S 442: Health Insurance Coverage Protection Act Marfan Syndrome Research and Education Programs at NIH

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 701: Medicare Patient IVIG Access Act of 2009 Medicaid Drug Rebate/Health Care Reform HR 1765: Medicare IVIG Home Infusion Legislation HR 2002: Medicare Patient IVIG Access Act HR 1085 & S 442: Health Insurance Coverage Protection Act Follow-on Biologics Legislation H.R. 1765, IVIG Home Infusion Legislation H.R. 3200, America's Affordable Health Care Choices Act S. 1679, Affordable Health Choices Act S., America's Health Futures Act of 2009

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 3200: America's Affordable Health Care Choices Act S 1679: Affordable Health Choices Act S.,: America's Health Futures Act of 2009 HR 1558 & S 623: Pre-exixting Condition Patient Protection Act HR 1708 & S 700: Ending the Medicare Disability Waiting Period Act of 2009 Inflammatory Bowel Disease Research Programs at NIH and CDC HR 1085 & S 442: Health Insurance Coverage Protection Act Health Insurance Reform Legislation HR 2275 & S 981: Inflammatory Bowel Disease Research and Awareness Act

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE