False Claims Act Clarification Act of 2009

H.R. 3590: the Patient Protection and Affordable Care Act H.R. 4872: the Health Care and Education Reconciliation Act of 2010 H.R. 5712: Veterans', Seniors', Childrens', Health Tech. Corrections Act of 2010. S. 534: A bill to amend title XVIII of the Social Security Act to reduce cost-sharing under part D of such title for certain non-institutional full-benefit dual eligible individuals. S. 647: A bill to amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the targeting of the enforcement of requirements with respect to such facilities. S.1110: A bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy. S. 683: A bill to amend title XIX of the Social Security Act to provide individuals with disabilities and older American with equal access to community-based attendant services and supports, and for other purposes. S. 46: A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S. 750: A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R. 2006: To amend the Social Security Act to enhance the social security of the Nation by ensuing adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect and exploitation, and for other purposes. H.R. 43: To amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. H.R. 448: Elder Abuse Victims Act of 2009. H.R. 3200: America's Affordable Health Choices Act of 2009. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 1407: To amend title XVIII of the Social Security Act to reduce cost-sharing under Part D of such title of certain non-instutional full-benefit dual eligible individuals. S. 702: A bill to amend the Internal Revenue Code of 1986 to allow long-term care insurance to be offered under Cafeteria plans and flexible spending arrangements and to provide additional consumer protections for long-term care insurance. H.R. 1255: To protect the interests of each resident of intermediate care facilities for the mentally retarded in class action lawsuits on behalf of such resident. H.R. 1457: To amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, and for other purposes. H.R. 3962: 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. H.R. 2223: To provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 1131: A bill to amend title XVIII of the Social Security Act to provide certain high cost Medicare beneficiaries suffering from multiple chronic conditions with access to coordinated, primary care medical services in lower cost treatment settings, such as their residences, under a plan of care developed by a team of qualified and experiences health care professionals. S.1004: A bill to amend title XVIII of the Social Security Act to provide Medicare beneficiaries with access to geriatric assessments and chronic care management and coordination services, and for other purposes. H.R. 2: To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S. 795: A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, and for other purposes. S.631: A bill to provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 458: A bill to amend the False Claims Act. H.R. 2043: To amend the Public Health Service Act to authorize capitation grants to increase the number of nursing faculty and students, and for other purposes. H.R. 1642: To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R. 1494: To ensure that a private for-profit nursing home affected by a major disaster receives the same reimbursement as a public nursing home affected by a major disaster. H.R. 448: To protect seniors in the United States from elder abuse by establishing specialized elder abuse prosecution and research programs and activities to aid victims of elder abuse, to provide training to prosecutors and other law enforcement related to elder abuse prevention and protection, to establish programs that provide for emergency crisis response teams to combat elder abuse, and for other purposes. H.R. 3191: To amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes. S. 386: A bill to improve enforcement of mortgage fraud, securities fraud, financial institutional fraud, and other frauds related to federal assistance and relief programs, for the recovery of funds lost to these frauds, and for other purposes. H.R. 5457: Nursing Home Patient and Medicaid Assistance Act of 2010. H.R. 6130: The Strengthening Medicare Anti-Fraud Measures Act of 2010. H.R. 6261: To amend titles XVIII and XIX of the Social Security Act to improve oversight of nursing facilities under the Medicare and Medicaid programs by ensuring adequate, trained surveyors, and for other purposes. H.R. 1586: FAA Air Transportation Modernization and Safety Improvement Act-which provides for an extension of additional FMAP support until June 2011. H.R. 6074: Enhancing Quality through Survey System Improvements Act of 2010. H.R. 5950: A bill introduced on June 29th, Rep Joe Courtney (D-CT), introduced the Improving Access to Medicare Coverage Act of 2010, which requires observation stays exceeding 24 hours to be considered as inpatient days for the purpose of meeting the 3-day inpatient hospital requirement for Medicare coverage of SNF stays. H.R. 5546: To provide for the establishment of a fraud, waste and abuse detection and mitigation program for the Medicare program under Titles XVIII of the Social Security Act. S. 2781: Rosa's Law. H.R. 5457: Nursing Home Patient and Medicaid Assistance Act of 2010. H.R. 4494: Medicare and Medicaid Extenders Act of 2010. H.R. 2520: the Patient's Choice Act. H.R. 4529: Roadmap for America's Future Act of 2010. This bill raises several major concerns for LTC financing, including impacts on providers and beneficiaries of all types.

Client expense: $500,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), SENATE

H.R. 1020/ S. 931. Arbitration Fairness Act (entire bill) H.R. 1237/ S. 512. Fairness in Nursing Home Arbitration Act (entire bill) H.R. 991. Consumer Fairness Act (entire bill) S. 458. False Claims Clarification Act (entire bill) H.R. 1788. False Claims Corrections Act (entire bill) S. 386. Fraud enforcement and Recovery Act, Section 4 H.R. 1346/ S. 540. Medical Device Safety Act (entire bill) H.R. 759. Food and Drug Administration Globalization Act (entire bill) H.R. 609. Right to Clean Vehicles Act (entire bill) H.R. 1508/ S.537. Sunshine in Litigation Act (entire bill) H.R. 812. Commonsense Consumption Act of 2009 (entire bill) S. 1504. Notice Pleading Restoration Act (entire bill) S. 1551. Liability for Aiding and Abetting Securities Violations Act (entire bill) H.R. 3326. FY 2010 DOD Appropriations ( Sec 8116. Arbitration) H.R. 4115. Open Access to Court (entire bill) S. 3305/ H.R. 5214. Big Oil Bailout Prevention Liability Act (entire bill) S. 3472. Big Oil Bailout Prevention Unlimited Liability Act (entire bill) H.R. 5069. Fair Payment of Court Fees Act (entire bill) H.R. 5419. Sunshine on Litigation Act (entire bill) H.R. 5503. SPILL Act (entire bill) H.R. 5629. Oil Spill Accountability Act (entire bill)

Client expense: $310,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT), Treasury, Dept of

Implementation of healthcare reform laws - Executive Branch actions re PL 111-148/PL 111-152. Repeal Patient Protection and Affordable Health Care Acts (PL 111-148/PL 111-152) - HR 4901, To repeal the Patient Protection and Affordable Care Act; HR 4903, To repeal the Patient Protection and Affordable Care Act; HR 4910, To repeal the Patient Protection and Affordable Care Act and enact the Empowering Patients First Act in order to provide incentives to encourage health insurance coverage; HR 4919, To repeal the Patient Protection and Affordable Care Act; HR 4972, To repeal the Patient Protection and Affordable Care Act; HR 5005, To repeal the Patient Protection and Affordable Care Act; HR 5073, To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 and enact the OPTION Act of 2009; HR 5216, To repeal the Patient Protection and Affordable Care Act; HR 5421, To repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, repeal the 7.5 percent threshold on the deduction for medical expenses, provide for increased funding for high-risk pools, allow acquiring health insurance across State lines, and allow for the creation of association health plans; HR 5424, Reform Americans Can Afford Act of 2010 ; HR 5444, Private Option Health Care Act; HR 6355, STAT Act of 2010; S 3147, Patient Choice Restoration Act; S 3152, A bill to repeal the Patient Protection and Affordable Care Act. *Medical liability reform - HR 1468, To provide health care liability reform, and for other purposes; S 45, A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; HR 5690, Meaningful End to Defensive Medicine & Aimless Lawsuits (MedMal) Act of 2010; S 1734, A bill to reduce the cost of health care and ensure patient access to doctors by ending excessive malpractice verdicts through common-sense lawsuit reform. *Antitrust exemption for physicians - HR 1493, To ensure and foster continued patient safety and quality of care by exempting health care professionals from the Federal antitrust laws in their negotiations with health plans and health insurance issuers. *Third-party billing by VA for service-connected disabilities - HR 1658, To amend title 38, United States Code, to prohibit the recovery by the United States of charges from a third party for hospital care or medical services furnished to a veteran for a service-connected disability. * COBRA subsidies for the unemployed - S 2730, COBRA Subsidy Extension and Enhancement Act of 2009. *COBRA extension - HR 5324, COBRA Health Benefits Extension Act of 2010; S 3393, COBRA Health Benefits Extension Act of 2010. *Transparency in healthcare pricing - HR 4700, Transparency in All Health Care Pricing Act of 2010. *Health benefits plan information, transparency in hospital price and quality information - HR 4803, To ensure health care consumer and provider access to certain health benefits plan information and to amend title XIX of the Social Security Act to provide transparency in hospital price and quality information. *Privacy protections for health information technology - HR 4061, To advance cybersecurity research, development, and technical standards, and for other purposes. *Fraud and abuse - S 458, A bill to amend the False Claims Act. *Cafeteria plans, flexible spending arrangements - S 988, A bill to amend the Internal Revenue Code of 1986 to allow small businesses to set up simple cafeteria plans to provide nontaxable employee benefits to their employees, to make changes in the requirements for cafeteria plans, flexible spending accounts, and benefits provided under such plans or accounts, and for other purposes. * Coverage expansion, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse - HR 3590, Patient Protection and Affordable Care Act. *Amendments on employer reporting requirements - S 510, FDA Food Safety Modernization Act. *Employer reporting requirement - S 3946, Small Business Paperwork Relief Act. *Data security - HR 2221, To protect consumers by requiring reasonable security policies and procedures to protect computerized data containing personal information, and to provide for nationwide notice in the event of a security breach; S 139, A bill to require Federal agencies, and persons engaged in interstate commerce, in possession of data containing sensitive personally identifiable information, to disclose any breach of such information. *Price transparency - HR 2249, To amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs. *Association health plans - HR 2607, To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees. *Privacy, identity theft - S 1490, A bill to prevent and mitigate identity theft, to ensure privacy, to provide notice of security breaches, and to enhance criminal penalties, law enforcement assistance, and other protections against security breaches, fraudulent access, and misuse of personally identifiable information. *Premium assistance for unemployed - S 3421, Protecting Against Indebting our Descendants through Fully Offset Relief (PAID FOR) Temporary Extension Act of 2010; S 3548, Extend COBRA Premium Assistance Program Act of 2010. *Continuing resolution with temporary funding for HHS programs and agencies - HR 3081, Continuing Appropriations Act, 2011; HR 3082, Continuing Appropriations and Surface Transportation Extensions Act, 2011; S 3686, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2011. *Data security, privacy - HR 5777, To foster transparency about the commercial use of personal information, provide consumers with meaningful choice about the collection, use, and disclosure of such information; S 3579, Data Security Act of of 2010; S 3742, Data Security and Breach Notification Act of 2010. *Privacy proposal, collection and disclosure of certain personal information - Proposed legislation re this issue.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1508 and S. 537, "Sunshine in Litigation Act of 2009," which relates to protective orders, sealing of cases from disclosures of discovery information in civil actions. H.R. 1788 and S. 458, which would expand the "False Claims Act." S. 1504 and H.R. 4115, the "Notice Pleading Restoration Act and the Open Access to Court Act of 2009," which would change civil procedure standards for dismissing lawsuit complaints for failure to state a meritorious claim. H.R. 5503, "Securing Protections for the Injured from Limitations Act," which would amend the Class Action Fairness Act. H.R. 4326, "Attorney-Client Privilege Protection Act," which would limit DOJ requests for privileged information.

Client expense: $880,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Office of Thrift Supervision (OTS), SENATE, Securities & Exchange Commission (SEC), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

S. 386, Fraud Enforcement and Recovery Act of 2009 S. 458, False Claims Act Clarification Act of 2009 H.R. 4113, Federal Courts Jurisdiction and Venue Clarification Act of 2010 15 U.S.C. 78dd-1, Foreign Corrupt Practices Act of 1977, including potential amendments General background on Federal Civil and Criminal enforcement against business, and the issue of over-criminalization of federal law (specific legislation not yet introduced) Various other unintroduced legislation relating to a proposed rule change on corporate sentencing guidelines Continued from section 17, page 2: U.S. Sentencing Commission

Client expense: $14,490,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC)

S. 386, Fraud Enforcement and Recovery Act of 2009 (P.L. 111-21) S. 458, False Claims Act Clarification Act of 2009 S. 139, Data Breach Notification Act S. 418, Secondary Metal Theft Prevention Act of 2009, specifically state attorney general provisions H.R. 5175 / S. 3295, Democracy is Strengthened by Casting Light on Spending in Elections (DISCLOSE) Act H.R. 1788, False Claims Act Correction Act of 2009 General background and information on the doctrine of Federal preemption, State Attorneys General and their enforcement authority/activities, campaign finance reform and draft legislation, and current judicial nominees including Louis Butler and Jack McConnell (specific legislation not yet introduced)

Client expense: $14,490,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC)

HR 1020, HR 1346, HR 1508, HR 2975, HR 3054, HR 3459, HR 4113, HR 5503, HR 5676, S 1734, S 301, S 386, S 458, S 537, S 540, S 657, S 882, S 931

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

Government targets: Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

S 458, the False Claims Act Corrections Act of 2009, sections concerning proposed changes to liability, CID provisions and retaliation provisions; H.R. 1020/S. 931, the Arbitration Fairness Act of 2009, including provisions that would effectively remove arbitration as a means of settling disputes and call into question all existing arbitration contracts; S. 1551, the Liability for Aiding and Abetting Securities Violations Act of 2009, including provisions regarding the Supreme Courts StoneRidge decision; H.R. 5503, Securing Protections for the Injured from Limitations on Liability, including provisions expanding liability, amending the Class Action Fairness Act, and those regarding protective orders

Client expense: Not reported · Firm income: $110,000

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

HR 1020 Arbitration Fairness Act HR 1237, S 512 Fairness in Nursing Home Arbitration Act HR 911 Consumer Fairness Act S 458 False Claim Clarification Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

False Claims Act expansion legislation (Fraud Enforcement and Recovery Act of 2009 (S. 386), False Claims Act Clarification Act of 2009 (S. 458/H.R. 1788)); Medical malpractice reform issues (in various health care reform proposals (including the American Health Care Choices Act (S. 1679); Patient Protection and Affordable Care Act (H.R.3590, P.L.111-148); Affordable Health Care for America Act (H.R. 3962); and stand-alone medical malpractice legislation (H.R. 1086; H.R. 3459); Fraud legislation (S.3632).

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

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

FY 2010 Appropriations S. 588; H.R. 1093 Residency Caps H.R. 3; S. 5; S. 30 Stem Cell S. 1576 Minority Improvement S. 1066 Medical Affordability Act H. R. 1788, S. 458 False Claims Correction Act S. 484 Research Misconduct Clinical Trials NIOSH Education and Research Centers for Occupational Health and Safety Pathways for Biosimilars Act (H.R. 1548) Prevention Research Centers Resident Physician Shortage Reduction Act of 2009 Health Care Reform (H.R. 3590)

Client expense: $88,684 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

H.R. 759 Food and Drug Administration Globalization Act of 2009 S. 882 Drug and Device Accountability Act of 2009 H.R. 1346 Medical Device Safety Act of 2009 S. 540 Medical Device Safety Act of 2009 H.R. 1508 Sunshine in Litigation Act of 2009 S.537 Sunshine in Litigation Act of 2009 S. 386 Fraud Enforcement and Recovery Act of 2009 S. 458 False Claims Act Clarification Act of 2009 H.R. 1298 Pharmaceutical Market Access and Drug Safety Act of 2009 S. 525 Pharmaceutical Market Access and Drug Safety Act of 2009 S. 1232 Pharmaceutical Market Access and Drug Safety Act of 2009 S. 301 Physician Payments Sunshine Act of 2009 H.R. 1166 E-fencing Enforcement Act of 2009 H.R. 1173 Organized Retail Crime Act of 2009 S. 470 Combating Organized Retail Crime Act of 2009 H.R. 1788 False Claims Act Correction Act of 2009 H.R. 2892 Department of Homeland Security Appropriations, 2010 - provisions pertaining to Importation. H.R. 3202 Water Protection and Reinvestment Act - provisions pertaining to pharmaceuticals in the environment S. 1504 Notice Pleading Restoration Act of 2009 S. 1679 Affordable Health Choices Act H.R. 3200 America's Affordable Health Choices Act of 2009 S. 1796 America's Affordable Health Choices Act of 2009 H.R. 3590 Patient Protection and Affordable Care Act America's Healthy Future Act of 2009 H.R. 3974 Viral Hepatitis and Liver Cancer Control and Prevention Act of 2009 H.R. 2596 No Child Left Unimmunized Against Influenza Act of 2009 S. 2964 Strengthening Program Integrity and Accountability in Health Care Act S. 3002 Dietary Supplement Safety Act of 2010 H.R. 4872 Health Care and Education Affordability Reconciliation Act H.R. 5516 Access to Appropriate Immunizations for Veterans Act of 2010 H.R. 5503 Securing Protections for the Injured from Limitations on Liability Act H.R. 4899 Supplemental Appropriations Act, 2010 - provisions pertaining to Bio-defense funding and the Ryan White CARE Act S. 3686 Fiscal Year 2011 Labor HHS Appropriations, all provisions pertaining to the Ryan White CARE Act as well as related House Fiscal Year 2011 Labor-HHS Appropriations Ryan White CARE Act provisions H.R. 5923 Patients Freedom to Choose Act, reimbursement of OTC drugs under Flexible and Health Savings accounts S. 3673 Patients Freedom to Choose Act, reimbursement of OTC drugs under Flexible and Health Savings accounts S. 3397 Secure and Responsible Drug Disposal Act, drug safety

Client expense: $1,600,000 · Firm income: Not reported

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

H.Res. 1493 (Spratt) budget enforcement resolution; H.R. 1468, Medical Justice Act (Burgess) medical liability reform; H.R. 1493, Quality Health Care Coalition Act (Paul) antitrust exemption for physicians (cont.) H.R. 1658, Veterans Healthcare Commitment Act (Tiahrt) third party billing by VA for service-connected disabilities; H.R. 2221, Data Accountability and Trust Act (Rush) data security; H.R. 2249, Health Care Price Transparency Promotion Act (Burgess) price transparency; H.R. 2607: Small Business Health Coverage (Johnson) association health plans; H.R. 3081, Continuing Appropriations Act (Lowey) continuing resolution with temporary funding for HHS programs and agencies; H.R. 4061, Cybersecurity Enhancement Act (Lipinski) privacy protections for health information technology; H.R. 4213, Tax Extenders Act (Rangel/Baucus) premium assistance for unemployed, Roberts amendment addressing individual coverage requirement; H.R. 4700, Transparency in All Health Care Pricing Act (Kagen) transparency in health care pricing; H.R. 4803, Patients' Right to Know Act (Barton) health benefits plan information, transparency in hospital price and quality information; H.R. 5136, National Defense Authorization Act (Skelton) coverage for dependents under TRICARE; H.R. 5324, COBRA Health Benefits Extension Act (Davis) COBRA extension; H.R. 5690, MedMal Act (Gingrey) medical liability reform; H.R. 5777, Best PRACTICES Act (Rush) data security, privacy; DRAFT Boucher-Stearns privacy proposal collection and disclosure of certain personal information; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; S. 139, Data Breach Notification Act (Feinstein) data security; S. 458, False Claims Act Clarification Act (Grassley) fraud and abuse; S. 988, SIMPLE Cafeteria Plan Act (Snowe) cafeteria plans, flexible spending arrangements; S. 1490, Personal Data Privacy and Security Act (Leahy) privacy, identity theft; S. 1734, Medical Liability Reform (Kyl) medical liability reform; S. 2730, COBRA Subsidy Extension and Enhancement Act (Brown) premium assistance for unemployed; S. 3393, COBRA Health Benefits Extension Act (Brown) COBRA extension; S. 3421, Temporary Extension Act (Grassley) premium assistance for unemployed; S. 3548, Extend COBRA Premium Assistance Program Act (Casey) premium assistance for unemployed; S. 3579, Data Security Act (Carper) data security, privacy; S. 3686, Labor-HHS-Education Appropriations Act (Harkin) funding for HHS programs and agencies; S. 3742, Data Security and Breach Notification Act (Pryor) data security, privacy HCR (Regulatory Issues): HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets; HIPAA enforcement; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirement; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues related to genetics and genetic nondiscrimination; issues relating to mental health parity; issues relating to data breach requirements; issues relating to "meaningful use" requirements for health information technology; issues relating to Form 5500 reporting requirements; medical loss ratios; review of rates for reasonableness; health insurance exchanges; pre-existing condition insurance plans; accountable care organizations; internal claims and appeals and external review processes; coverage of preventive services; pre-existing condition exclusions; lifetime and annual dollar limits on benefits rescissions; patient protections; grandfathered health plan provisions; health insurance web portal requirements; dependent coverage; and other issues relating to health care reform implementation.

Client expense: $2,330,000 · 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

H.R. 1020 / S. 931 - Arbitration Fairness Act H.R. 1237 - S. 512 - Fairness in Nursing Home Arbitration Act H.R. 991 - Consumer Fairness Act S. 458 - False Claims Clarification Act H.R. 1178 - False Claims Corrections Act S. 386 - Fraud Enforcement and Recovery Act H.R. 1346 / S. 540 - Medical Device Safety Act H.R. 759 - Food and Drug Administration Globalization Act H.R. 609 - Right to Clean Vehicles Act S. 537 / H.R. 1508 - Sunshine in Litigation Act H.R. 1105 - Omnibus Appropriations Act H.R. 1214 - Payday Loan Reform Act of 2009 S. 263 - Servicemembers Access to Justice Act of 2009 H.R. 1748 - Fight Fraud Act S. 448 / H.R. 985 - Free Flow of Information Act S. 1504 - Notice Pleading Restoration Act of 2009 H.R. 4115 - Open Access to Courts Act S. 1606 - Foreign Manufacturers Legal Accountability Act of 2009 S. 1551 - Liability for Aiding and Abetting Securities Violations Act of 2009 H.R. 3871 - Investor Protection Act H.R. 3200 - Medial Malpractice issues n the "America's Affordable Health Choices Act" H.R. 3200 - Medicare Secondary Payer provisions in the "America's Affordable Health Choices Act" H.R. 3451 - Arbitration related provisions in the "America's Affordable Health Choices Act" S. 560 / H.R. 1409 - All provisions of the Employee Free Choice Act H.R. 1788 - All provisions of the False Claims Act Correction Act S. 2831 (110th congress bill) - All provisions of the 110th Congress' Federal Trade Commission Reauthorization Act P.L. 110-314 - All provisions of the Consumer Product Safety Improvement Act H.R. 1 / Senate Amendment 570 to the same, P.L. 111-5 - the State AG HIPPA enforcement provisions of the American Recovery and Reinvestment Act H.R. 1106 / Senate Amendment 673 to the same, P.S. 111-8 - the State AG HIPPA enforcement provisions of the American Recovery and Reinvestment Act No bill number - General background on U.S. capitol markets competitiveness and regulation No bill number - Potential legislation dealing with the Medicare Secondary Payer provisions of the Medicare Statute No bill number - General background on drug and device labeling rules ad the doctrine of Federal preemption S. 437 / H.R. 2519 - All aspects of untitled legislation to amend the Internal Revenue Code of 1986 to allow the deduction of attorney-advanced expenses and court costs in contingency fee cases No bill number - General background on U.S. capitol markets competitiveness and regulation No bill number - General background on securities litigation and P.L. 104-67, the Private Securities Litigation Reform Act No bill number - Potential legislation dealing with attorney pay-to-play issues in securities litigation No bill number - General background on arbitration and other alternative dispute resolution mechanisms No bill number - General background on State AGs and their enforcement authority / activities H.R. 2309 - State AG enforcement provisions of Consumer Credit Protection Improvement Act H.R. 609 - All provisions of the Right to Clean Vehicles Act S. 585 - Arbitration provisions of the Taxpayer Abuse Prevention Act No bill number - All provisions of the Non-Deductibility of Punitive Damages Proposal in the President's Budget Submission

Client expense: $697,169 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1020, HR 1346, HR 1508, HR 2975, HR 3054, HR 3459, HR 4113, HR 5503, HR 5676, S 1734, S 301, S 386, S 458, S 537, S 540, S 657, S 882, S 931

Client expense: $1,170,000 · Firm income: Not reported

Government targets: Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

H.R. 1020, Arbitration Fairness Act of 2009 S. 458, to amend the False Claims Act H.R. 1788, False Claims Act Correction Act of 2009 H.R. 5419, The Sunshine in Litigation Act of 2010 Issues relating to federal preemption S. 537, Sunshine in Litigation Act H.R. 1237, Fairness in Nursing Home Arbitration Act of 2009 S.512, Fairness in Nursing Home Arbitration Act of 2009 H.R. 991, Consumer Fairness Act H.R. 4115, Open Access to Courts Act S. 1504, the Notice Pleading Restoration Act of 2009 S. 931, Arbitration Fairness Act of 2009 H.R. 5503, The Securing Protections for the Injured from Limitations on Liability Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 386, P.L. 111-21, Fraud Enforcement and Recovery Act of 2009 H.R.1788, False Claims Act Correction Act of 2009 S. 458, False Claims Act Clarification Act of 2009 S. 139, Data Breach Notification Act S. 418, Secondary Metal Theft Prevention Act of 2009, provisions on state attorney general H.R. 5175/S. 3295, Democracy is Strengthened by Casting Light on Spending in Elections (DISCLOSE) Act General background on campaign finance reform and draft legislation to same, the doctrine of Federal preemption, State Attorneys General and their enforcement authority/activities, and current judicial nominees including Elena Kagan, Louis Butler and Jack McConnell (specific legislation not yet introduced)

Client expense: $7,420,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC)

S. 458, the False Claims Act Corrections Act of 2009, sections concerning proposed changes to liability, CID provisions and retaliation provisions; H.R. 1020/S. 931, the Arbitration Fairness Act of 2009, including provisions that would effectively remove arbitration as a means of settling disputes and call into question all existing arbitration contracts; S. 1551, the Liability for Aiding and Abetting Securities Violations Act of 2009, including provisions regarding the Supreme Court's StoneRidge decision; H.R. 5503, Securing Protections for the Injured from Limitations on Liability, including provisions expanding liability, amending the Class Action Fairness Act, and those regarding protective orders

Client expense: Not reported · Firm income: $70,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1237: The Fairness in Nursing Home Arbitration Act. H.R. 1020: Arbitration Fairness Act of 20009. H.R. 5546: To provide for the establishment of a fraud, waste & abuse detection and mitigation program for the Medicare program under title XVIII of the Social Security Act. H.R. 1788: The False Claims Correction Act of 2009. S. 512: A bill to amend chapter 1 of title 9, United States Code with respect to arbitration. S. 458: A bill to amend the False Claims Act. S. 931: Arbitration Fairness Act of 2009. H.R. 1237: Fairness in Nursing Home Arbitration Act of 2009.

Client expense: $500,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), SENATE

H.R. 3590: the Patient Protection and Affordable Care Act H.R. 4872: the Health Care and Education Reconciliation Act of 2010 S. 534: A bill to amend title XVIII of the Social Security Act to reduce cost-sharing under part D of such title for certain non-institutional full-benefit dual eligible individuals. S. 647: A bill to amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the trageting of the enforcement of requirements with respect to such facilities. S.1110: A bill to amend title XVIII of the Social Security Act to create a sensible infrastructure for delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy. S. 683: A bill to amend title XIX of the Social Security Act to provide individuals with disabilities and older American with equal access to community-based attendant services and supports, and for other purposes. S. 46: A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S. 750: A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R. 2006: To amend the Social Security Act to enhance the social security of the Nation by ensuing adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect and exploitation, and for other purposes. H.R. 43: To amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. H.R. 448: Elder Abuse Victims Act of 2009. H.R. 3200: America's Affordable Health Choices Act of 2009. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 1407: To amend title XVIII of the Social Security Act to reduce cost-sharing under Part D of such title of certain non-instutional full-benefit dual eligible individuals. S. 702: A bill to amend the Internal Revenue Code of 1986 to allow long-term care insurance to be offered under Cafeteria plans and flexible spending arrangements and to provide additional consumer protections for long-term care insurance. H.R. 1255: To protect the interests of each resident of intermediate care facilities for the mentally retarded in class action lawsuits on behalf of such resident. H.R. 1457: To amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, and for other purposes. H.R. 3962: To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 4505: A bill that will allow state veterans homes to provide services to non-veteran parents of any child (one or more) who died while serving in the armed forces, has passed in the House and Senate. 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. 2223: To provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 1131: A bill to amend title XVIII of the Social Security Act to provide certain high cost Medicare beneficiaries suffering from multiple chronic conditions with access to coordinated, primary care medical services in lower cost treatment settings, such as their residences, under a plan of care developed by a team of qualified and experiences health care professionals. S.1004: A bill to amend title XVIII of the Social Security Act to provide Medicare beneficiaries with access to geriatric assessments and chronic care management and coordination services, and for other purposes. H.R. 2: To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S. 795: A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, and for other purposes. S.631: A bill to provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 458: A bill to amend the False Claims Act. H.R. 2043: To amend the Public Health Service Act to authorize capitation grants to increase the number of nursing faculty and students, and for other purposes. H.R. 1642: To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R. 1494: To ensure that a private for-profit nursing home affected by a major disaster receives the same reimbursement as a public nursing home affected by a major disaster. H.R. 448: To protect seniors in the United States from elder abuse by establishing specialized elder abuse prosecution and research programs and activities to aid victims of elder abuse, to provide training to prosecutors and other law enforcement related to elder abuse prevention and protection, to establish programs that provide for emergency crisis response teams to combat elder abuse, and for other purposes. H.R. 3191: To amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes. S. 386: A bill to improve enforcement of mortgage fraud, securities fraud, financial institutional fraud, and other frauds related to federal assistance and relief programs, for the recovery of funds lost to these frauds, and for other purposes. H.R. 5457: Nursing Home Patient and Medicaid Assistance Act of 2010. H.R. 6130: The Strengthening Medicare Anti-Fraud Measures Act of 2010. H.R. 6261: To amend titles XVIII and XIX of the Social Security Act to improve oversight of nursing facilities under the Medicare and Medicaid programs by ensuring adequate, trained surveyors, and for other purposes. H.R. 5712: Veterans', Seniors', Childrens', Health Tech. Corrections Act of 2010. H.R. 1586: FAA Air Transportation Modernization and Safety Improvement Act-which provides for an extension of additional FMAP support until June 2011. H.R. 6074: Enhancing Quality through Survey System Improvements Act of 2010. H.R. 5950: A bill introduced on June 29th, Rep Joe Courtney (D-CT), introduced the Improving Access to Medicare Coverage Act of 2010, which requires observation stays exceeding 24 hours to be considered as inpatient days for the purpose of meeting the 3-day inpatient hospital requirement for Medicare coverage of SNF stays. H.R. 5850: To solve the staffing issues and backlog in processing HUD 232 loans. H.R. 5950: Improving Access to Medicare Coverage Act of 2010. H.R. 5546: To provide for the establishment of a fraud, waste and abuse detection and mitigation program for the Medicare program under Titles XVIII of the Social Security Act. S. 2781: Rosa's Law. H.R. 5457: Nursing Home Patient and Medicaid Assistance Act of 2010.

Client expense: $500,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), SENATE

H.R. 1508 and S. 537, "Sunshine in Litigation Act of 2009," which relate to protective orders, sealing of cases from disclosures of discovery information in civil actions. H.R. 1788 and S. 458, which would expand the "False Claims Act." S. 1504 and H.R. 4115, the "Notice Pleading Restoration Act and the Open Access to Court Act of 2009," which would change civil procedure standards for dismissing lawsuit complaints for failure to state a meritorious claim. H.R. 5503, "Securing Protections for the Injured from Limitations Act," which would amend the Class Action Fairness Act. H.R. 4326, "Attorney-Client Privilege Protection Act," which would limit DOJ requests for privileged information.

Client expense: $560,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Office of Thrift Supervision (OTS), SENATE, Transportation, Dept of (DOT), White House Office

H.R. 1020/ S. 931. Arbitration Fairness Act (entire bill) H.R. 1237/ S. 512. Fairness in Nursing Home Arbitration Act (entire bill) H.R. 991. Consumer Fairness Act (entire bill) S. 458. False Claims Clarification Act (entire bill) H.R. 1788. False Claims Corrections Act (entire bill) S. 386. Fraud enforcement and Recovery Act, Section 4 H.R. 1346/ S. 540. Medical Device Safety Act (entire bill) H.R. 759. Food and Drug Administration Globalization Act (entire bill) H.R. 609. Right to Clean Vehicles Act (entire bill) H.R. 1508/ S.537. Sunshine in Litigation Act (entire bill) H.R. 812. Commonsense Consumption Act of 2009 (entire bill) S. 1504. Notice Pleading Restoration Act (entire bill) S. 1551. Liability for Aiding and Abetting Securities Violations Act (entire bill) H.R. 3326. FY 2010 DOD Appropriations ( Sec 8116. Arbitration) H.R. 4115. Open Access to Court (entire bill) S. 3305/ H.R. 5214. Big Oil Bailout Prevention Liability Act (entire bill) S. 3472. Big Oil Bailout Prevention Unlimited Liability Act (entire bill) H.R. 5069. Fair Payment of Court Fees Act (entire bill) H.R. 5419. Sunshine on Litigation Act (entire bill) H.R. 5503. SPILL Act (entire bill) H.R. 5629. Oil Spill Accountability Act (entire bill)

Client expense: $330,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT), Treasury, Dept of

False Claims Act expansion legislation (Fraud Enforcement and Recovery Act of 2009 (S. 386), False Claims Act Clarification Act of 2009 (S. 458/H.R. 1788)); Medical malpractice reform issues (in various health care reform proposals (including the American Health Care Choices Act (S. 1679); Patient Protection and Affordable Care Act (H.R.3590, P.L.111-148); Affordable Health Care for America Act (H.R. 3962); and stand-alone medical malpractice legislation (H.R. 1086; H.R. 3459); Fraud legislation (S.3632).

Client expense: $300,000 · Firm income: Not reported

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

Litigation issues: Sunshine in Litigation Act of 2009 - HR 1508, S. 537, HR 5419 False Claims Act Clarification Act of 2009 - S. 458; False Claims Act Correction Act of 2009 - HR 1788 Liability for Aiding and Abetting Securities Violations Act of 2009 - S. 1551, HR 5042 S 3217/HR 4173- Wall Street Reform & Consumer Protection Act: efforts to overturn Stoneridge case regarding third party liability Various proposals related to oil spill liability limits

Client expense: $260,000 · Firm income: Not reported

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

FY 2010 Appropriations S. 588; H.R. 1093 Residency Caps H.R. 3; S. 5; S. 30 Stem Cell S. 1576 Minority Improvement S. 1066 Medical Affordability Act H. R. 1788, S. 458 False Claims Correction Act S. 484 Research Misconduct Clinical Trials NIOSH Education and Research Centers for Occupational Health and Safety Pathways for Biosimilars Act (H.R. 1548) Prevention Research Centers Resident Physician Shortage Reduction Act of 2009 Health Care Reform (H.R. 3590)

Client expense: $110,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

HR 1020 Arbitration Fairness Act HR 1237, S 512 Fairness in Nursing Home Arbitration Act HR 911Consumer Fairness Act S 458 False Claim Clarification Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.Res. 1493 (Spratt) budget enforcement resolution; H.R. 1468, Medical Justice Act (Burgess) medical liability reform; (cont.) H.R. 1493, Quality Health Care Coalition Act (Paul) antitrust exemption for physicians; H.R. 1658, Veterans Healthcare Commitment Act (Tiahrt) third party billing by VA for service-connected disabilities; H.R. 2221, Data Accountability and Trust Act (Rush) data security; H.R. 2249, Health Care Price Transparency Promotion Act (Burgess) price transparency; H.R. 2607: Small Business Health Coverage (Johnson) association health plans; H.R. 3590, Patient Protection and Affordable Care Act (Reid) coverage expansions, quality improvements, delivery system reforms, cost containment, health information technology, comparative effectiveness research, administrative simplification, health disparities, prevention and wellness, public health and workforce issues, fraud and abuse; H.R. 4061, Cybersecurity Enhancement Act (Lipinski) privacy protections for health information technology; H.R. 4213, Tax Extenders Act (Rangel/Baucus) premium assistance for unemployed, Roberts amendment addressing individual coverage requirement; H.R. 4691, Temporary Extension Act (Rangel) premium assistance for unemployed; H.R. 4700, Transparency in All Health Care Pricing Act (Kagen) transparency in health care pricing; H.R. 4803, Patients' Right to Know Act (Barton) health benefits plan information, transparency in hospital price and quality information; H.R. 4851, Continuing Extension Act (Levin) premium assistance for unemployed, electronic health records; H.R. 5136, National Defense Authorization Act (Skelton) coverage for dependents under TRICARE; H.R. 5324, COBRA Health Benefits Extension Act (Davis) COBRA extension; H.R. 5486, Small Business Jobs Tax Relief Act (Levin) Camp motion addressing individual coverage requirement; H.R. 5690, MedMal Act (Gingrey) medical liability reform; S.Con.Res. 60, FY 2011 Budget Resolution (Conrad) reserve funds for health priorities; S. 45, Medical Care Access Protection Act (Ensign) medical liability reform; S. 139, Data Breach Notification Act (Feinstein) data security; S. 458, False Claims Act Clarification Act (Grassley) fraud and abuse; S. 988, SIMPLE Cafeteria Plan Act (Snowe) cafeteria plans, flexible spending arrangements; S. 1490, Personal Data Privacy and Security Act (Leahy) privacy, identity theft; S. 1734, Medical Liability Reform (Kyl) medical liability reform; S. 2730, COBRA Subsidy Extension and Enhancement Act (Brown) premium assistance for unemployed; S. 3393, COBRA Health Benefits Extension Act (Brown) COBRA extension; S. 3421, Temporary Extension Act (Grassley) premium assistance for unemployed; S. 3548 (Casey) premium assistance for unemployed HCR (Regulatory Issues): HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets; HIPAA enforcement; FEHBP enrollment data clearinghouse initiative; issues relating to health insurance plan participation in FEHBP, including contract requirements related to interoperability of health information technology, community rating policies, and similarly sized subscriber group (SSSG) requirement; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues related to genetics and genetic nondiscrimination; issues relating to mental health parity; issues relating to data breach requirements; issues relating to "meaningful use" requirements for health information technology; issues relating to Form 5500 reporting requirements; and issues relating to health care reform implementation.

Client expense: $2,290,000 · 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

H.R. 759 Food and Drug Administration Globalization Act of 2009 S. 882 Drug and Device Accountability Act of 2009 H.R. 1346 Medical Device Safety Act of 2009 S. 540 Medical Device Safety Act of 2009 H.R. 1508 Sunshine in Litigation Act of 2009 S.537 Sunshine in Litigation Act of 2009 S. 386 Fraud Enforcement and Recovery Act of 2009 S. 458 False Claims Act Clarification Act of 2009 H.R. 1298 Pharmaceutical Market Access and Drug Safety Act of 2009 S. 525 Pharmaceutical Market Access and Drug Safety Act of 2009 S. 1232 Pharmaceutical Market Access and Drug Safety Act of 2009 S. 301 Physician Payments Sunshine Act of 2009 H.R. 1166 E-fencing Enforcement Act of 2009 H.R. 1173 Organized Retail Crime Act of 2009 S. 470 Combating Organized Retail Crime Act of 2009 H.R. 1788 False Claims Act Correction Act of 2009 H.R. 2892 Department of Homeland Security Appropriations, 2010 - provisions pertaining to Importation. H.R. 3202 Water Protection and Reinvestment Act - provisions pertaining to pharmaceuticals in the environment S. 1504 Notice Pleading Restoration Act of 2009 S. 1679 Affordable Health Choices Act H.R. 3200 America's Affordable Health Choices Act of 2009 S. 1796 America's Affordable Health Choices Act of 2009 H.R. 3590 Patient Protection and Affordable Care Act America's Healthy Future Act of 2009 H.R. 3974 Viral Hepatitis and Liver Cancer Control and Prevention Act of 2009 H.R. 2596 No Child Left Unimmunized Against Influenza Act of 2009 S. 2964 Strengthening Program Integrity and Accountability in Health Care Act S. 3002 Dietary Supplement Safety Act of 2010 H.R. 4872 Health Care and Education Affordability Reconciliation Act H.R. 5516 Access to Appropriate Immunizations for Veterans Act of 2010 H.R. 5503 Securing Protections for the Injured from Limitations on Liability Act H.R. 4899 Supplemental Appropriations Act, 2010 - provisions pertaining to Bio-defense funding and the Ryan White CARE Act Fiscal Year 2011 Labor, Health and Human Services Appropriations - provisions pertaining to the Ryan White CARE Act

Client expense: $1,210,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1020 / S. 931 - Arbitration Fairness Act H.R. 1237 / S. 512 - Fairness in Nursing Home Arbitration Act H.R. 991 - Consumer Fairness Act S. 458 - False Claims Clarification Act H.R. 1178 - False Claims Corrections Act S. 386 - Fraud Enforcement and Recovery Act H.R. 1346 / S. 540 - Medical Device Safety Act H.R. 759 - Food and Drug Administration Globalization Act H.R. 609 - Right to Clean Vehicles Act S. 537 / H.R. 1508 - Sunshine in Litigation Act H.R. 1105 - Omnibus Appropriations Act H.R. 1214 - Payday Loan Reform Act of 2009 S. 263 - Servicemembers Access to Justice Act of 2009 H.R. 1748 - Fight Fraud Act S. 448 / H.R. 985 - Free Flow of Information Act S. 1504 - Notice Pleading Restoration Act of 2009 H.R. 4115 - Open Access to Courts Act S. 1606 - Foreign Manufacturers legal Accountability Act of 2009 S. 1551 - Liability for Aiding and Abetting Securities Violations Act of 2009 H.R. 3871 - Investor Protection Act H.R. 3200 - Medical Malpractice issues in the "America's Affordable Health Choices Act" H.R. 3200 - Medicare Secondary Payer provisions in the "America's Affordable Health Choices Act" H.R. 3451 - Arbitration related provisions in the "America's Affordable Health Choices Act" S. 560 / H.R. 1409 - All provisions of the Employee Free Choice Act H.R. 1788 - All provisions of the False Claims Act Correction Act S. 2831 - (110th Congress bill) - All provisions of the 110th Congress' Federal Trade Commission Reauthorization Act P.L. 110-314 - All provisions of the Consumer Product Safety Improvement Act H.R. 1 / Senate Amendment 570 to the same, P.L. 111-5 - The State AG HIPPA enforcement provisions of the American Recovery and Reinvestment Act H.R. 1106 / Senate Amendment 673 to the same, P.L. 111-8 - The State AG HIPPA enforcement provisions of the American Recovery and Reinvestment Act No bill number - General background and information on the doctrine of Federal preemption No bill number - Potential legislation dealing with the Medicare Secondary Payer provisions of the Medicare Statute No bill number - General background on drug and device labeling rules and the doctrine of Federal preemption S. 437 / H.R. 2519 - All aspects of untitled legislation to amend the Internal Revenue Code of 1986 to allow the deduction of attorney-advanced expenses and court costs in contingency fee cases No bill number - General background on U.S. capitol markets competitiveness and regulation No bill number - General background on securities litigation and P.L. 104-67, the Private Securities Litigation Reform Act No bill number - Potential legislation dealing with attorney pay-to-play issues in securities litigation No bill number - General background on arbitration and other alternative dispute resolution mechanisms No bill number - General background on State AGs and their enforcement authority / activities H.R. 2309 - State AG enforcement provisions of Consumer Credit Protection Improvement Act H.R. 609 - All provisions of the Right to Clean Vehicles Act S. 585 - Arbitration provisions of the Taxpayer Abuse Prevention Act No bill number - All provisions of the Non-Deductibility of Punitive Damages Proposal in the President's Budget Submission

Client expense: $932,499 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1020, Arbitration Fairness Act of 2009 S. 458, to amend the False Claims Act H.R. 1788, False Claims Act Correction Act of 2009 H.R. 5419, The Sunshine in Litigation Act of 2010 Issues relating to federal preemption S. 537, Sunshine in Litigation Act H.R. 1237, Fairness in Nursing Home Arbitration Act of 2009 S.512, Fairness in Nursing Home Arbitration Act of 2009 H.R. 991, Consumer Fairness Act H.R. 4115, Open Access to Courts Act S. 1504, the Notice Pleading Restoration Act of 2009 S. 931, Arbitration Fairness Act of 2009 H.R. 5503, The Securing Protections for the Injured from Limitations on Liability Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Litigation issues: Sunshine in Litigation Act of 2009 - HR 1508, S. 537 False Claims Act Clarification Act of 2009 - S. 458; False Claims Act Correction Act of 2009 - HR 1788 Liability for Aiding and Abetting Securities Violations Act of 2009 - S. 1551, HR 5042 S 3217/HR 4173- Wall Street Reform & Consumer Protection Act: efforts to overturn Stoneridge case regarding third party liability Various proposals related to oil spill liability limits

Client expense: $1,090,000 · Firm income: Not reported

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

H.R. 1020/ S. 931. Arbitration Fairness Act (entire bill) H.R. 1237/ S. 512. Fairness in Nursing Home Arbitration Act (entire bill) H.R. 991. Consumer Fairness Act (entire bill) S. 458. False Claims Clarification Act (entire bill) H.R. 1788. False Claims Corrections Act (entire bill) S. 386. Fraud enforcement and Recovery Act, Section 4 H.R. 1346/ S. 540. Medical Device Safety Act (entire bill) H.R. 759. Food and Drug Administration Globalization Act (entire bill) H.R. 609. Right to Clean Vehicles Act (entire bill) H.R. 1508/ S.537. Sunshine in Litigation Act (entire bill) H.R. 812. Commonsense Consumption Act of 2009 (entire bill) S. 1504. Notice Pleading Restoration Act (entire bill) S. 1551. Liability for Aiding and Abetting Securities Violations Act (entire bill) H.R. 3326. FY 2010 DOD Appropriations ( Sec 8116. Arbitration) H.R. 4115. Open Access to Court (entire bill) S. 3305/ H.R. 5214. Big Oil Bailout Prevention Liability Act (entire bill) S. 3472. Big Oil Bailout Prevention Unlimited Liability Act (entire bill) H.R. 5069. Fair Payment of Court Fees Act (entire bill) H.R. 5419. Sunshine on Litigation Act (entire bill) H.R. 5503. SPILL Act (entire bill) H.R. 5629. Oil Spill Accountability Act (entire bill) S.A. 3776. Overturn Stoneridge vs. Scientific Atlanta (entire amendment) S.A. 3794. Financial Fund Provisions (entire amendment)

Client expense: $340,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

H.R. 1508 and S. 537, "Sunshine in Litigation Act of 2009," which relate to protective orders, sealing of cases from disclosures of discovery information in civil actions. H.R. 1788 and S. 458, which would expand the "False Claims Act." S. 1504 and H.R. 4115, the "Notice Pleading Restoration Act and the Open Access to Court Act of 2009," which would change civil procedure standards for dismissing lawsuit complaints for failure to state a meritorions claim. H.R. 5503, "Securing Protections for the Injured from Limitations Act," which would amend the Class Action Fairness Act. H.R. 4326, "Attorney-Client Privilege Protection Act," which would limit DOJ requests for privileged information.

Client expense: $640,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Office of Thrift Supervision (OTS), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

HR 1020, HR 1346, HR 1508, HR 2975, HR 3054, HR 3459, HR 4113, HR 5503, HR 5676, S 1734, S 301, S 386, S 458, S 837, S 540, S 657, S 882, S 931

Client expense: $1,490,000 · Firm income: Not reported

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

S. 386, Fraud Enforcement and Recovery Act of 2009 S. 458, False Claims Act Clarification Act of 2009 General background on: over-criminalization of federal law, corporate sentencing guidelines, Federal Civil and Criminal enforcement against business (no specific legislation introduced)

Client expense: $3,750,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE, Securities & Exchange Commission (SEC)

General background on current judicial nominees including Louis Butler and Jack McConnell S. 386, Fraud Enforcement and Recovery Act of 2009 H.R. 1788/S. 458, False Claims Act Clarification Act S. 139, Data Breach Notification Act S. 418, Secondary Metal Theft Prevention Act of 2009, provisions on state Attorney Generals H.R. 3200, Americas Affordable Health Choices Act H.R. 5175/S. 3295, Democracy is Strengthened by Casting Light on Spending in Elections Act General background on: campaign finance reform, state Attorneys General and their enforcement authority/activities and the doctrine of Federal preemption (no specific legislation introduced)

Client expense: $3,750,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE, Securities & Exchange Commission (SEC)

H.R. 1237: The Fairness in Nursing Home Arbitration Act. H.R. 1020: Arbitration Fairness Act of 20009. H.R. 1788: Oppose the False Claims Correction Act of 2009. S. 512: A bill to amend chapter 1 of title 9, United States Code with respect to arbitration. S. 458: A bill to amend the False Claims Act. S. 931: Arbitration Fairness Act of 2009 introduced in the Senate.

Client expense: $480,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), SENATE

H.R. 3590: the Patient Protection and Affordable Care Act H.R. 4872: the Health Care and Education Reconciliation Act of 2010 S. 534: A bill to amend title XVIII of the Social Security Act to reduce cost-sharing under part D of such title for certain non-institutional full-benefit dual eligible individuals. S. 647: A bill to amend titles XVIII and XIX of the Social Security Act to improve the transparency of information on skilled nursing facilities and nursing facilities and to clarify and improve the trageting of the enforcement of requirements with respect to such facilities. S.1110: A bill to amend title XVIII of the Social Security Act to create a sensible infrastructure ofr delivery system reform by renaming the Medicare Payment Advisory Commission, making the Commission an executive branch agency, and providing the Commission new resources and authority to implement Medicare payment policy. S. 683: A bill to amend title XIX of the Social Security Act to provide individuals with disabilities and older American with equal access to community-based attendant services and supports, and for other purposes. S. 46: A bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. S. 750: A bill to amend the Public Health Service Act to attract and retain trained health care professionals and direct care workers dedicated to providing quality care to the growing population of older Americans. H.R. 2006: To amend the Social Security Act to enhance the social security of the Nation by ensuing adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute edler abuse, neglect and exploitation, and for other purposes. H.R. 43: To amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps. H.R. 448: Elder Abuse Victims Act of 2009. H.R. 3200: America's Affordable Health Choices Act of 2009. To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. H.R. 1407: To amend title XVIII of the Social Security Act to reduce cost-sharing under Part D of such title of certain non-instutional full-benefit dual eligible individuals. S. 702: A bill to amend the Internal Revenue Code of 1986 to allow long-term care insurance to be offered under Cafeteria plans and flexible spending arrangements and to provide additional consumer protections for long-term care insurance. H.R. 1255: To protect the interests of each resident of intermediate care facilities for the mentally retarded in class action lawsuits on behalf of such resident. H.R. 1457: To amend the Public Health Service Act to deem certain geriatric health training to be obligated service for purposes of the National Health Service Corps Loan Repayment Program, and for other purposes. H.R. 3962: 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. H.R. 2223: To provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 1131: A bill to amend title XVIII of the Social Security Act to provide certain high cost Medicare beneficiaries suffering from multiple chronic conditions with access to coordinated, primary care medical services in lower cost treatment settings, such as their residences, under a plan of care developed by a team of qualified and experiences health care professionals. S.1004: A bill to amend title XVIII of the Social Security Act to provide Medicare beneficiaries with access to geriatric assessments and chronic care management and coordination services, and for other purposes. H.R. 2: To amend title XXI of the Social Security Act to extend and improve the Children's Health Insurance Program, and for other purposes. S. 795: A bill to amend the Social Security Act to enhance the social security of the Nation by ensuring adequate public-private infrastructure and to resolve to prevent, detect, treat, intervene in, and prosecute elder abuse, neglect, and exploitation, and for other purposes. S.631: A bill to provide for nationwide expansion of the pilot program for national and State background checks on direct patient access employees of long-term care facilities or providers. S. 458: A bill to amend the False Claims Act. H.R. 2043: To amend the Public Health Service Act to authorize capitation grants to increase the number of nursing faculty and students, and for other purposes. H.R. 1642: To provide loans and grants for fire sprinkler retrofitting in nursing facilities. H.R. 1494: To ensure that a private for-profit nursing home affected by a major disaster receives the same rreimbursement as a public nursing home affected by a major disaster. H.R. 448: To protect seniors in the United States from elder abuse by establishing specialized elder abuse prosecution and research programs and activities to aid victims of elder abuse, to provide training to prosecutors and other law enforcement related to elder abuse prevention and protection, to establish programs that provide for emergency crisis response teams to combat elder abuse, and for other purposes. H.R. 3191: To amend the Public Health Service Act to provide for integration of mental health services and mental health treatment outreach teams, and for other purposes. S. 386: A bill to improve enforcement of mortgage fraud, securities fraud, financial institutional fraud, and other frauds related to federal assistance and relief programs, for the recovery of funds lost to these frauds, and for other purposes. H.R. 5457: Nursing Home Patient and Medicaid Assistance Act of 2010.

Client expense: $480,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), SENATE

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

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

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

S. 386, Fraud Enforcement and Recovery Act, Sec. 4, Clarifications to the False Claims Act to Reflect the Original Intent of the Law S. 458, False Claims Clarification Act of 2009, entire bill H.R. 1788, False Claims Act Correction Act of 2009, entire bill

Client expense: $140,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 458, the False Claims Act Corrections Act of 2009, sections concerning proposed changes to liability, CID provisions and retaliation provisions; H.R. 1020/S. 931, the Arbitration Fairness Act of 2009, including provisions that would effectively remove arbitration as a means of settling disputes and call into question all existing arbitration contracts; S. 1551, the Liability for Aiding and Abetting Securities Violations Act of 2009, including provisions regarding the Supreme Court's StoneRidge decision; H.R. 5503, Securing Protections for the Injured from Limitations on Liability, including provisions expanding liability, amending the Class Action Fairness Act, and those regarding protective orders

Client expense: Not reported · Firm income: $90,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2010 Appropriations S. 588; H.R. 1093 Residency Caps H.R. 3; S. 5; S. 30 Stem Cell S. 1576 Minority Improvement S. 1066 Medical Affordability Act H. R. 1788, S. 458 False Claims Correction Act S. 484 Research Misconduct Clinical Trials NIOSH Education and Research Centers for Occupational Health and Safety Pathways for Biosimilars Act (H.R. 1548) Prevention Research Centers Resident Physician Shortage Reduction Act of 2009 Health Care Reform (H.R. 3590)

Client expense: $110,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

False Claims Act expansion legislation (Fraud Enforcement and Recovery Act of 2009 (S. 386), False Claims Act Clarification Act of 2009 (S. 458/H.R. 1788)); Medical malpractice reform issues (in various health care reform proposals (including the American Health Care Choices Act (S. 1679); Patient Protection and Affordable Care Act (H.R.3590, P.L.111-148); Affordable Health Care for America Act (H.R. 3962); and stand-alone medical malpractice legislation (H.R. 1086; H.R. 3459).

Client expense: $420,000 · Firm income: Not reported

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

HR 1020 Arbitration Fairness Act HR 1237 S 512 Fairness in Nursing Home Arbitration Act HR 911 Consumer Fairness Act S 458 False Claim Clarification Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE