Access to Durable Medical Equipment Act

S.1934/H.R.3933, Foreign Account Tax Compliance Act of 2009 - foreign income reporting S.3018, Bipartisan Tax Fairness and Simplification Act of 2010 - tax reform S.3217, Restoring American Financial Stability Act of 2010 - Executive Compensation/Proxy Rules S. 3816, Creating Jobs and Ending Offshoring Act - international tax provisions H.R.1083, Business Activity Tax Simplification Act of 2009 and P.L. 86-272 - federal preemption H.R.1586, The FAA Air Transportation Modernization and Safety Improvement Act - Senate amendment 4575 with international tax offsets H.R.2110, Mobile Workforce State Income Tax Fairness and Simplification Act - multistate taxation H.R.4213, The American Jobs and Closing Tax Loopholes Act of 2010 - tax extenders H.R.5013, Implementing Management for Performance and Related Reforms to Obtain Value in Every Acquisition Act of 2010, to repeal S.511 of the Tax Increase and Prevention Act and related IRS notice 2008-38 H.R. 5715, Lifelong Learning Accounts Act of 2010 - employee learning accounts H.R. 5893, Investing in American Jobs and Closing Tax Loopholes Act of 2010 - international tax provisions Deferral, foreign tax credit rules and H.R. 3970 (110th Cong.), "Tax Reduction and Reform act of 2007" Treasury "Check-the-Box" Entity Classification Regulations Treasury Reg. Section 338 on denial of foreign credits for covered asset acquisitions Treasury Reg. Section 956 on foreign tax credit planning Contract manufacturing in 954(d) and Treasury regs 1.954-3 Economic substance doctrine codification and modification Support Centers Excise Tax Treasury cost-sharing regulations under 1.482-7T (g) Bilateral tax treaties for Spain, Singapore, Korea, China, India and Brazil OECD Guidelines on taxation of cross-border services, business restructuring and permanent establishment Bonus depreciation

Client expense: $1,040,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Natl Security Agency (NSA), Office of Science & Technology Policy (OSTP), Office of Special Counsel, Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)

H.R.3590, Patient Protection and Affordable Care Act H.R.4872, Reconciliation Act of 2010 H.R.616/S.511, Access to Durable Medical Equipment Act, related to the exemption of pharmacies from Medicare accreditation requirements. S.525, Pharmaceutical Market Access Act S.1232, Pharmaceutical Market Access and Drug Safety Act H.R.1970/S.956, Preserve Patient Access to Reputable DMEPOS Providers Act of 2009, as related to pharmacy exemption from Medicare Part B regulations. H.R.3108, the Medication Therapy Management Benefits Act, as related to expanded MTM services in the Medicare Part D program. H.R.3663, as related to the delay of pharmacy accreditation requirements under the Medicare DME program. H.R.3962, Affordable Health Care for America Act, as related to the role of pharmacy in healthcare reform, specifically in the Medicare and Medicaid programs. S.256, Combat Methamphetamine Enhancement Act of 2009, as related to the abuse of methamphetamine. S.1490, Personal Data Privacy and Security Act of 2009, as related to provider privacy requirements. H.R.2221, Data Accountability and Trust Act, as related to provider privacy requirements. H.R.4489, The Federal Employees Health Benefits Program (FEHBP) Prescription Drug Integrity, Transparency, and Cost Savings Act, as related to pharmacy participation, reimbursement, and disclosure requirements in the FEHBP. S.3000, A bill to extend the increase in the FMAP provided in the American Recovery and Reinvestment Act of 2009 for an additional 6 months, as related to the increase in federal Medicaid matching funds. S.3543, The Medication Therapy Management, MTM, Expanded Benefits Act of 2010. H.R.5136, National Defense Authorization Act for Fiscal Year 2011. S.3454, National Defense Authorization Act for Fiscal Year 2011. H.R.5235, Medicare Access to Diabetes Supplies Act. S.80, Pharmaceutical Market ccess Act of 2009. S.511, Access to Durable Medical Equipment Act S.956, Preserve Patient Access to Reputable DMEPOS Providers Act of 2009.

Client expense: $400,000 · Firm income: Not reported

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

S. 307 / H.R. 668: Critical Access Hospital Flexibility Act S. 318: Medicare Rural Health Access Improvement Act H.R. 362: Rural Hospital Assistance Act of 2009 S. 511: Access to Durable Medical Equipment Act of 2009 S. 1157: Craig Thomas Rural Hospital and Provider Equity Act of 2009 H.R. 3590: Patient Protection and Affordable Care Act H.R. 4872: Health Care and Education Reconciliation Act H.R. 6346: Rural Hospital Protection Act H.R. 6072: Electronic Health Record Incentives for Multi-Campus Hospitals Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

Client expense: Not reported · Firm income: Not reported

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

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

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

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

All legislative and executive actions concerning healthcare reform, including provisions related to medication therapy management (MTM), average manufacturer's price (AMP), durable medical equipment (DME), pharmacy dispensing fees, privacy, drug safety, and reimportation. S 956 - A bill to amend title XVIII of the Social Security Act to exempt unsanctioned State-licensed retail pharmacies from the surety bond requirement under the Medicare Program for suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) HR 1970 - To amend title XVIII of the Social Security Act to exempt unsanctioned State-licensed retail pharmacies from the surety bond requirement under the Medicare Program for suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). S 511 - A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. HR 616 - To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S 510 - The Food Safety Modernization Act HR 3108 - Medication Therapy Management Benefits Act of 2009 S 3543 - Medication Therapy Management Expanded Benefits Act of 2010 PL 111-148 - The Patient Protection and Affordable Care Act; provisions related to provider screening and documentation for referral of DME PL 111-152 - Health Care and Education Reconciliation Act; provisions related to provider screening and documentation for referral of DME Implementation of the Medicare Provider Enrollment, Chain and Ownership System (PECOS) S 3397 - Secure & Responsible Drug Disposal Act of 2010 S 3454 - National Defense Authorization Act for Fiscal Year 2011; potential proposals related to TRICARE pharmacy co-payments PL 111-226; provisions related to AMP and Medicaid funding

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

H.R. 422, To ... increase and make permanent the alternative simplified research tax credit / S. 1203, Grow Research Opportunities with Taxcredits' Help, R&D tax credits H.R. 1083, Business Activity Tax Simplification Act of 2009 and P.L. 86-272, federal preemption H.R. 2110, Mobile Workforce State Income Tax Fairness and Simplification Act, multistate taxation H.R. 3933 / S. 1934, Foreign Account Tax Compliance Act of 2009, foreign income reporting H.R. 4213, The American Jobs and Closing Tax Loopholes Act of 2010, tax extenders H.R. 5013, Implementing Management for Performance and Related Reforms to Obtain Value in Every Acquisition Act of 2010, to repeal S.511 of the Tax Increase and Prevention Act and related IRS notice 2008-38 S. 3018, Bipartisan Tax Fairness and Simplification Act of 2010, tax reform S.3217, Restoring American Financial Stability Act of 2010, Executive Compensation/Proxy Rules Deferral, foreign tax credit rules and H.R. 3970 (110th Cong.), "Tax Reduction and Reform act of 2007" Treasury "Check-the-Box" Entity Classification Regulations Treasury Reg. Section 338 on denial of foreign credits for covered asset acquisitions Treasury Reg. Section 956 on foreign tax credit planning Contract manufacturing in 954(d) and Treasury regs 1.954-3 Economic substance doctrine codification and modification Lifelong Learning Accounts Act of 2009, employee learning accounts Support Centers Excise Tax Treasury cost-sharing regulations under 1.482-7T (g) Bilateral tax treaties for Spain, Singapore, Korea, China, India and Brazil OECD Guidelines on taxation of cross-border services, business restructuring and permanent establishment Bonus depreciation

Client expense: $730,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Director of National Intelligence (ODNI), Education, Dept of, Federal Communications Commission (FCC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

H.R. 3590, Patient Protection and Affordable Care Act H.R. 4872, Reconciliation Act of 2010 H.R. 616/S.511, Access to Durable Medical Equipment Act, related to the exemption of pharmacies from Medicare accreditation requirements. H.R. 1970/S.956, Preserve Patient Access to Reputable DMEPOS Providers Act of 2009, as related to pharmacy exemption from Medicare Part B regulations. H.R.3108, the Medication Therapy Management Benefits Act, as related to expanded MTM services in the Medicare Part D program. H.R. 3663, as related to the delay of pharmacy accreditation requirements under the Medicare DME program. H.R. 3962, Affordable Health Care for America Act, as related to the role of pharmacy in healthcare reform, specifically in the Medicare and Medicaid programs. S. 256, Combat Methamphetamine Enhancement Act of 2009, as related to the abuse of methamphetamine. S.1490, Personal Data Privacy and Security Act of 2009, as related to provider privacy requirements. H.R. 2221, Data Accountability and Trust Act, as related to provider privacy requirements. H.R. 4489, The Federal Employees Health Benefits Program (FEHBP) Prescription Drug Integrity, Transparancy, and Cost Savings Act, as related to pharmacy participation, reimbursement, and disclosure requirements in the FEHBP. S.3000, A bill to extend the increase in the FMAP provided in the American Recovery and Reinvestment Act of 2009 for an additional 6 months, as related to the increase in federal Medicaid matching funds. S. 3532, The Medication Therapy Management, MTM, Expanded Benefits Act of 2010.

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

All legislative and executive actions concerning healthcare reform, including provisions related to medication therapy management (MTM), average manufacturer's price (AMP), durable medical equipment (DME), pharmacy dispensing fees, privacy, drug safety, and reimportation. S 956 - A bill to amend title XVIII of the Social Security Act to exempt unsanctioned State-licensed retail pharmacies from the surety bond requirement under the Medicare Program for suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) HR 1970 - To amend title XVIII of the Social Security Act to exempt unsanctioned State-licensed retail pharmacies from the surety bond requirement under the Medicare Program for suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). S 511 - A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. HR 616 - To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. S 510 - The Food Safety Modernization Act HR 3108 - Medication Therapy Management Benefits Act of 2009 PL 111-148 - The Patient Protection and Affordable Care Act; provisions related to provider screening and documentation for referral of DME PL 111-152 - Health Care and Education Reconciliation Act; provisions related to provider screening and documentation for referral of DME Implementation of the Medicare Provider Enrollment, Chain and Ownership System (PECOS)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

S. 307 / H.R. 668: Critical Access Hospital Flexibility Act S. 318: Medicare Rural Health Access Improvement Act H.R. 362: Rural Hospital Assistance Act of 2009 S. 511: Access to Durable Medical Equipment Act of 2009 S. 1157: Craig Thomas Rural Hospital and Provider Equity Act of 2009 H.R. 3590: Patient Protection and Affordable Care Act H.R. 4872: Health Care and Education Reconciliation Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

Client expense: Not reported · Firm income: Not reported

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

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

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

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

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

Client expense: Not reported · Firm income: Not reported

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

Deferral, foreign tax credit rules and H.R. 3970 Tax Reduction and Reform act of 2007 H.R. 4213 American workers, state and business relief act of 2010 - tax extenders H.R. 2098 to extend look-through for payments between CFCs under 954 (c ) 6 Treasury "Check-the-Box" Regulations Contract manufacturing in 954(d) and Treasury regs 1.954-3 Economic substance codification H.R. 2110 Mobile Workforce and State Taxation Fairness Act Lifelong Learning Accounts Act of 2008 H.R. 4297 to repeal S. 511 of the Tax Increase and Prevention Act and related IRS notice 2008-38 H.R. 422, Increase and make permanent the alternative simplified credit S. 1203, Increase and make permanent the alternative simplified credit H.R. 1083 Business Activity Tax Simplification Act of 2009 and P.L. 86-272 Treasury cost-sharing regulations under 1.482-7T (g) Bilateral treaties for Spain, Singapore, Korea, China, India and Brazil S. 1934, "Foreign Account Tax Compliance Act of 2009" and H.R. 3933 S.__ - Restoring American Financial Stability Act of 2010 (Executive Compensation/Proxy Access)

Client expense: $1,810,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Security Council (NSC), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR)

Deferral, foreign tax credit rules and H.R. 3970 Tax Reduction and Reform act of 2007 H.R. 4213 American workers, state and business relief act of 2010 - tax extenders H.R. 2098 to extend look-through for payments between CFCs under 954 (c ) 6 Treasury "Check-the-Box" Regulations Contract manufacturing in 954(d) and Treasury regs 1.954-3 Economic substance codification H.R. 2110 Mobile Workforce and State Taxation Fairness Act Lifelong Learning Accounts Act of 2008 H.R. 4297 to repeal S. 511 of the Tax Increase and Prevention Act and related IRS notice 2008-38 H.R. 422, Increase and make permanent the alternative simplified credit S. 1203, Increase and make permanent the alternative simplified credit H.R. 1083 Business Activity Tax Simplification Act of 2009 and P.L. 86-272 Treasury cost-sharing regulations under 1.482-7T (g) Bilateral treaties for Spain, Singapore, Korea, China, India and Brazil S. 1934, "Foreign Account Tax Compliance Act of 2009" and H.R. 3933 S.__ - Restoring American Financial Stability Act of 2010 (Executive Compensation/Proxy Access)

Client expense: $1,770,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Security Council (NSC), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR)

HR 2718/S 1110 - MedPAC Reform Act of 2009 HR 2307/S 1004 - Reaching Elders with Assessment and Chronic Care Management and Coordination Act Under Line 17: We would like to include the Dept of Health and Human Services' Office of the National Coordinator for Health Information Technology (ONC) and the Office of Inspector General (OIG) S 1634 - The Medicare Prescription Drug Improvement Act of 2009 S 266 - Medicare Prescription Drug Gap Reduction Act of 2009 HR 203 - Medicare Fraud Prevention Act of 2009 HR 27 - Medicare Fraud Prevention and Enforcement Act of 2009 HR 616/S 511 - Access to Durable Medical Equipment Act HR 574/S 254 - Medicare Home Infusion Therapy Coverage Act of 2009 HR 2560/S 1131 - Independence At Home Act HR 1970/S 956 - Preserve Patient Access to the Reputable DMEPOS Providers Act of 2009 HR 3700/S 1951 - Fair Medicaid Drug Payment Act (From 110th Congress)/Concept to Include Medicaid Average Manufacturers Price Reimbursement Formula in Health Care Reform HR 3108 - Medication Therapy Management Benefits Act of 2009/Concept to Include Medication Therapy Management Provisions in Health Care Reform S 683 - Community Choice Act of 2009 HR 1392/S 1221 - Amends the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under Part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price S AMDT 3320 to the Commerce, Justice, Science, and Related Agencies Appropriations Act, 2010 (H.R.2847) [Section on the treatment of pharmacies under durable medical equipment accreditation requirements] (Public Law 110-275) Medicare Improvements for Patients and Providers Act of 2008 sections on Medicare DMEPOS (Docket Number CMS-4085-P) Medicare Program; Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs (Docket Number: CMS1561IFC) Medicare Program; Changes to the Competitive Acquisition of Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) by Certain Provisions of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) (Docket Number: CMS-1540-F) Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2007; Certain Provisions Concerning Competitive Acquisition for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS); Accreditation of DMEPOS Suppliers (Docket Number: CMS-6006-F) Medicare Program: Surety Bond Requirement for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) (Docket Number: CMS-0033-P) Medicare and Medicaid Programs; Electronic Health Record Incentive Program; Proposed Rule (Docket Number: RIN 0991-AB58) Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology (Docket Number: RIN 0991AB59) Proposed Establishment of Certification Programs for Health Information Technology (74 FR 28937) ONC Draft Recommendations for the Term "Meaningful Use" of Electronic Health Records CMS August 2009 Memo: Fraud, Waste and Abuse (FWA) Training Clarification (regarding changes to 42 C.F.R. 422.503(b)(4)(vi) and 42 C.F.R. 423.504 (b)(4)(vi)) Final 2010 Medicare Part D Call Letter on NDC Non-Matched List 2011 Preliminary Advanced Notice with Draft Call Letter to Medicare Plans 2011 Preliminary Advanced Notice with Final Call Letter to Medicare Plans Draft Medicare Part D Model Notices for Beneficiaries: Mail-Order and Excluded Provider GAO Report on Medicaid Outpatient Prescription Drugs: Second Quarter 2008 Federal Upper Limits for Reimbursement Compared with Average Retail Pharmacy Acquisition Costs OIG Report on A Comparison of Medicaid Federal Upper Limit Amounts to Acquisition Costs, Medicare Payment Amounts, and Retail Prices

Client expense: $149,615 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

S 511 Access to Durable Medical Equipment Act.

Client expense: $80,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

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

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

H.R. 1204, the "Community Pharmacy Fairness Act of 2009", and S. 2161 Community Pharmacy Fairness Act from the 110th Congress; H.R. 616 and S. 511, the "Access to Durable Medical Equipment Act of 2009"; H.R. 1970 and S. 956, the "Preserve Patient Access to Reputable DMEPOS Providers Act of 2009"; H.R. 6331 (110th Congress), the "Medicare Improvements for Patients and Providers Act of 2008." Sec. 154 related to Medicare DMEPOS competitive acquisition program; and Sec. 172, related to submission of claims by pharmacies located in or contracting with long-term care facilities; Sec. 203, related to pharmacy payment under Medicaid; H.R. 1, "American Recovery and Reinvestment Act - P.L. 111-5 -- provisions related to Health Information Technology and HIPPA requirements; H.R. 5839 of the 110th Congress, the "Safeguarding America's Pharmaceuticals Act of 2008", provision relating to pedigree and track and trace requirements; H.R. 1427, the "Promoting Innovation and Life Savings Medicines Act of 2009"; H.R. 2647 and S. 1390, National Defense Authorization Act for 2010-Provides for the funding for the Department of Defense for fiscal year 2010-including the Tricare pharmacy program; H.R. 3108, the "Medication Therapy Benefits Act of 2009"; S. 1649, the "Weapons of Mass Destruction (WMD) Prevention and Preparednesss Act of 2009, pharmacy provider provisions; S. 1383, the "Dextromethorphan Abuse Reduction Act; H.R.3663: To amend title XVIII of the Social Security Act to delay the date on which the accreditation requirement under the Medicare Program applies to suppliers of durable medical equipment that are pharmacies; H.R. 2891, the "Access to Frontline Health Care Act of 2009"; H.R. 3200, the "America's Affordable Health Choices Act of 2009"; the draft Senate HELP Committee's "Affordable Health Choices Act of 2009"; Senate Finance Committee draft health care reform bill, all provisions related to Medicaid AMP pharmacy reimbursement, Medicare Part B DMEPOS accreditation and surety bond requirements, medication therapy management, public plan option and pharmacy benefit manager transparency requirements; H.R.3590: An act entitled The Patient Protection and Affordable Care ActDME Accreditation, AMP Fix, PBM Transparency, MTM Expansion, OPM PBA v. PBM; Senator Akaka Amendment to Senate version of H.R. 3590 to establish automatic enrollment into a Medicare Part D "chronic care management" program for targeted individuals; Senator Brown amendment to H.R. 3590 eliminating DMEPOS surety bond requirement for retail pharmacies; Senator Dorgan Drug Reimportation amendment to H.R. 3590; FSA Debit Card Programseeking Congressional support to amend IRS guidance (no legislation). P.L. 110-275, the Medicare Improvements for Patients and Providers Act of 2008, implementation of Part D prompt payment and Part B DMEPOS provisions; H.R. 4213, American Workers, State, and Business Relief Act of 2010, section 213, Medicare Part B DMEPOS accreditation requirements; H.R. 4872 and substitute amendment to H.R. 4872, the Health Care and Education Affordability Reconciliation Act of 2010, section 1101, the Medicare Part D "donut hole", section 1305, oversight of DMEPOS suppliers.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), SENATE, Small Business Administration (SBA), Treasury, Dept of

All legislative and executive actions concerning healthcare reform, including provisions related to medication therapy management (MTM), average manufacturer's price (AMP), durable medical equipment (DME), pharmacy dispensing fees, privacy, drug safety, and reimportation. S 956 - A bill to amend title XVIII of the Social Security Act to exempt unsanctioned State-licensed retail pharmacies from the surety bond requirement under the Medicare Program for suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) HR 1970 - To amend title XVIII of the Social Security Act to exempt unsanctioned State-licensed retail pharmacies from the surety bond requirement under the Medicare Program for suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). S 511 - A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. HR 616 - To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. HR 3200: America's Affordable Health Choices Act of 2009 HR 3590: The Patient Protection and Affordable Care Act HR 3962: Affordable Health Care for America Act S 1679: Affordable Health Choices Act S 1796: America's Healthy Future Act of 2009 HR 4872 - Health Care and Education Reconciliation Act of 2010 HR 3108 - Medication Therapy Management Benefits Act of 2009

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

H.R.3590, Patient Protection and Affordable Care Act H.R.4872: Reconciliation Act of 2010 H.R.616/S.511, Access to Durable Medical Equipment Act, related to the exemptionof pharmacies from Medicare accreditation requirements. H.R. 1970/S.956, Preserve Patient Access to Reputable DMEPOS Providers Act of 2009, as related to pharmacy exmpetion from Medicare Part B reguations. H.R.3108, the Medication Therapy Management Benefits Act, as related to expanded MTM services in the Medicare Part D program. H.R.3663, as related to the delay of pharmacy accreditation requirements under the Medicare DME program. H.R.3962, Affordable Health Care for America Act, as related to the role of pharmacy in healthcare reform, specifically in the Medicare and Medicaid programs. S. 256, Combat Methamphetamine Enhancement Act of 2009, as related to the abuse of methamphetamine. S. 1490, Personal Data Privacy and Security Act of 2009, as related to provider privacy requirements. H.R. 2221 Data Accountability and Trust Act, as related to provider privacy requirements. H.R. 4489, The Federal Employees Health Benefits Program (FEHBP) Prescription Drug Integrity, Transparency, and Cost Savings Act, as related to pharmacy participation, reimbursement, and dislosure requirements in the FEHBP. S. 3000, A bill to extend the increase in the FMAP provided in the American Recovery and Reinvestment Act of 2009 for an additional 6 months, as related to the increase in federal Medicaid matching funds.

Client expense: $470,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

H.R. 616 & S. 511 - Relating to pharmacy exemption from Medicare Accreditation requirements H.R. 3590 - Patient Protection and Affordability Act H.R. 3962 - Relating to Medicaid pharmacy reimbursement

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1548 & S. 1427 to amend title XIX of the Society Security Act to ensure that individuals eligible for medical assistance under the Medicaid Program continue to have access to prescription drugs, and for other purposes Average Manufacturers Price H.R. 616 & S. 511 to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals H.R. 1970 & S. 956 to amend title XVIII of the Social Security Act to exempt unsanctioned State-licensed retail pharmacies from the surety bond requirement under the Medicare program for suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS)

Client expense: $2,030,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Council on Environmental Quality (CEQ), Energy, Dept of, Federal Energy Regulatory Commission (FERC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), Natl Security Council (NSC), Office of Natl Drug Control Policy (NDCP), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

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

Client expense: Not reported · Firm income: Not reported

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

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

Client expense: Not reported · Firm income: Not reported

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

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

Client expense: Not reported · Firm income: Not reported

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

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

Client expense: Not reported · Firm income: Not reported

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

S 511. Access to Durable Medical Equipment Act.

Client expense: $75,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, SENATE

HR 2718/S 1110 - MedPAC Reform Act of 2009 HR 2307/S 1004 - Reaching Elders with Assessment and Chronic Care Management and Coordination Act S 1634 - The Medicare Prescription Drug Improvement Act of 2009 Under Line 17: We would like to include the Office of the National Coordinator for Health Information Technology S 266 - Medicare Prescription Drug Gap Reduction Act of 2009 HR 203 - Medicare Fraud Prevention Act of 2009 HR 27 - Medicare Fraud Prevention and Enforcement Act of 2009 HR 616/S 511 - Access to Durable Medical Equipment Act HR 574/S 254 - Medicare Home Infusion Therapy Coverage Act of 2009 HR 2560/S 1131 - Independence At Home Act HR 1970/S 956 - Preserve Patient Access to the Reputable DMEPOS Providers Act of 2009 HR 3700/S 1951 - Fair Medicaid Drug Payment Act (From 110th Congress)/Concept to Include Medicaid Average Manufacturers Price Reimbursement Formula in Health Care Reform HR 3108 - Medication Therapy Managament Benefits Act of 2009/Concept to Include Medication Therapy Management Provisions in Health Care Reform HR 3663 - Amends the Social Security Act to delay the October 1, 2009 deadline on which the accreditation requirement under the Medicare Program applies to suppliers of durable medical equipment that are pharmacies. (Public Law 111-72) S 683 - Community Choice Act of 2009 HR 1392/S 1221 - Amends the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under Part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price (Public Law 110-275) Medicare Improvements for Patients and Providers Act of 2008 sections on Medicare DMEPOS (Docket Number CMS-4085-P) Medicare Program; Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs (Docket Number: CMS1561IFC) Medicare Program; Changes to the Competitive Acquisition of Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) by Certain Provisions of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) (Docket Number: CMS-1540-F) Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2007; Certain Provisions Concerning Competitive Acquisition for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS); Accreditation of DMEPOS Suppliers (Docket Number: CMS-6006-F) Medicare Program: Surety Bond Requirement for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) (Docket No. CMS-4085-P) Medicare Program; Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs Docket Number: CMS-10260 (OMB#: 0938-1051) Collection Activities; Medicare Advantage and Prescription Drug Program: Final Marketing Provisions (74 FR 28937) ONC Draft Recommendations for the Term "Meaningful Use" of Electronic Health Records CMS August 2009 Memo: Fraud, Waste and Abuse (FWA) Training Clarification (regarding changes to 42 C.F.R. 422.503(b)(4)(vi) and 42 C.F.R. 423.504 (b)(4)(vi)) Final 2010 Medicare Part D Call Letter Draft Part D Model Notices for Beneficiaries: Mail-Order and Excluded Provider

Client expense: $117,517 · Firm income: Not reported

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

H.R. 1204, the "Community Pharmacy Fairness Act of 2009", and S. 2161 Community Pharmacy Fairness Act from the 110th Congress; H.R. 616 and S. 511, the "Access to Durable Medical Equipment Act of 2009"; H.R. 1970 and S. 956, the "Preserve Patient Access to Reputable DMEPOS Providers Act of 2009"; H.R. 6331 (110th Congress), the "Medicare Improvements for Patients and Providers Act of 2008." Sec. 154 related to Medicare DMEPOS competitive acquisition program; and Sec. 172, related to submission of claims by pharmacies located in or contracting with long-term care facilities; Sec. 203, related to pharmacy payment under Medicaid; H.R. 1, "American Recovery and Reinvestment Act - P.L. 111-5 -- provisions related to Health Information Technology and HIPPA requirements; H.R. 5839 of the 110th Congress, the "Safeguarding America's Pharmaceuticals Act of 2008", provision relating to pedigree and track and trace requirements; H.R. 1427, the "Promoting Innovation and Life Savings Medicines Act of 2009"; H.R. 2647 and S. 1390, National Defense Authorization Act for 2010-Provides for the funding for the Department of Defense for fiscal year 2010-including the Tricare pharmacy program; H.R. 3108, the "Medication Therapy Benefits Act of 2009"; S. 1649, the "Weapons of Mass Destruction (WMD) Prevention and Preparednesss Act of 2009, pharmacy provider provisions; S. 1383, the "Dextromethorphan Abuse Reduction Act; H.R.3763: To amend the Fair Credit Reporting Act to provide for an exclusion from Red Flag Guidelines for certain businesses, pharmacy provision; H.R.3663: To amend title XVIII of the Social Security Act to delay the date on which the accreditation requirement under the Medicare Program applies to suppliers of durable medical equipment that are pharmacies; H.R. 2891, the "Access to Frontline Health Care Act of 2009"; H.R. 3200, the "America's Affordable Health Choices Act of 2009"; the draft Senate HELP Committee's "Affordable Health Choices Act of 2009"; Senate Finance Committee draft health care reform bill, all provisions related to Medicaid AMP pharmacy reimbursement, Medicare Part B DMEPOS accreditation and surety bond requirements, medication therapy management, public plan option and pharmacy benefit manager transparency requirements; H.R.3590: An act entitled The Patient Protection and Affordable Care ActDME Accreditation, AMP Fix, PBM Transparency, MTM Expansion, OPM PBA v. PBM; Senator Akaka Amendment to Senate version of H.R. 3590 to establish automatic enrollment into a Medicare Part D "chronic care management" program for targeted individuals; Senator Brown amendment to H.R. 3590 eliminating DMEPOS surety bond requirement for retail pharmacies; Senator Dorgan Drug Reimportation amendment to H.R. 3590; FSA Debit Card Programseeking Congressional support to amend IRS guidance (no legislation).

Client expense: $180,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), SENATE, Small Business Administration (SBA), Treasury, Dept of

H.R. 616 & S. 511 - Issues relating to pharmacy exemption from Medicare Accreditation requirements; H.R. 1970 - Preserve Patient Access to reputable DMEPOS Providers Act of 2009; H.R. 3700 & S. 1951 - Fair Medicaid Drug Payment Act of 2009; Issue relating to Medicare Part D medication therapy management; America's Healthy Future Act; S. 1679 The Affordable Health Choices Act; America's Affordable Health Choices Act; Issues relating to PBM transparency; H.R. 3590 - Patient Protection and Affordability Act; H.R. 3962 - Affordable Healthcare for American Act; Issues related to Medicaid pharmacy reimbursement; issues related to mail order prescriptions; S. 2838 - Rural Health Access and improvement Act of 2009

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

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

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

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

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

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

All legislative and executive actions concerning healthcare reform, including provisions related to medication therapy management (MTM), average manufacturer's price (AMP), durable medical equipment (DME), pharmacy dispensing fees, privacy, and reimportation. S 956 - A bill to amend title XVIII of the Social Security Act to exempt unsanctioned State-licensed retail pharmacies from the surety bond requirement under the Medicare Program for suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) HR 1970 - To amend title XVIII of the Social Security Act to exempt unsanctioned State-licensed retail pharmacies from the surety bond requirement under the Medicare Program for suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). S 511 - A bill to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. HR 616 - To amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals. HR 3200: America's Affordable Health Choices Act of 2009 HR 3590: The Patient Protection and Affordable Care Act HR 3962: Affordable Health Care for America Act S 1679: Affordable Health Choices Act S 1796: America's Healthy Future Act of 2009

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1, the American Recovery and Reinvestment Act, as related to health information technology and state Medicaid programs. H.R. 1259, the Dextromethorphan Distribution Act, as related to the abuse of dextromethorphan. H.R. 1427, Promoting Innovation and Access to Life-Saving Medicine Act, as related to the approval of generic biopharmaceuticals. S. 726, Promoting Innovation and Access to Life-Saving Medicine Act, as related to the approval of generic biopharmaceuticals. H.R.616/S.511, Access to Durable Medical Equipment Act, related to the exemption of pharmacies from Medicare accreditation requirements. H.R.759, Food and Drug Administration Globalization Act of 2009, as related to the safety of prescription drugs. H.R. 1191/S.1336, Safe Drug Disposal Act of 2009, as related to the role of pharmacy in the disposal of prescription drugs. H.R. 1256, the Family Smoking Prevention and Tobacco Control Act, as related to the importation of prescription drugs. H.R. 1298/S.525,S.1232, Pharmaceutical Market Access and Drug Safety Act, as related to the importation of prescription drugs. H.R. 1359, Secure and Responsible Drug Disposal Act of 2009, as related to the role of pharmacy in the disposal of prescription drugs. H.R. 1450, Counterfeit Drug Prevention Act of 2009, as related to the prosecution of prohibited acts related to prescription drugs. H.R. 1548, Pathway for Biosimilars Act, as related to the approval of generic biopharmaceuticals by the FDA. H.R. 1970/S.956, Preserve Patient Access to Reputable DMEPOS Providers Act of 2009, as related to pharmacy exemption from the Medicare Bart B surety bond requirement. H.R. 2221, Data Accountability and Trust Act, related to the use of prescription drug data by pharmacies. H.R. 2552, Medical Waste Management Act of 2009, as related to the role of pharmacy in the disposal of prescription drugs. H.R. 2923/S.256, Combat Methamphetamine Enhancement Act, as related to the abuse of methamphetamine. H.R. 2997/S.1406, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2010, as related to the importation of prescription drugs. H.R. 3108, the Medication Therapy Management Benefits Act, as related to an expanded MTM program in the Medicare Part D program. H.R. 3200, America's Affordable Health Choices Act of 2009, related to changes in pharmacy Medicaid reimbursement and the role of pharmacy and pharmacists in healthcare reform. H.R. 3590, Patient Protection and Affordable Care Act, as related to the role of pharmacy in healthcare reform, specifically related to Medicare and Medicaid issues. H.R. 3663, as related to the delay of pharmacy accreditation requirements under the Medicare DME Program. H.R.3962, Affordable Health Care for America Act, as related to the role of pharmacy in healthcare reform, specifically related to Medicare and Medicaid issues. S.1383, Dextromethorphan Abuse Reduction Act, as related to the abuse of dextromethorphan.

Client expense: $450,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

S. 307 / H.R. 668: Critical Access Hospital Flexibility Act S. 318: Medicare Rural Health Access Improvement Act H.R. 362: Rural Hospital Assistance Act of 2009 S. 511: Access to Durable Medical Equipment Act of 2009 S. 1157: Craig Thomas Rural Hospital and Provider Equity Act of 2009 S. 1279 / H.R. 3256: Rural Community Hospital Demonstration Extension Act H.R. 2251: Resident Physician Shortage Reduction Act of 2009 H.R. 3200: America's Affordable Health Choices Act of 2009 S. 1679: Affordable Health Choices Act America's Healthy Future Act of 2009 H.R. 444: 340B Program Improvement and Integrity Act of 2009 S. 1585 / H.R. 3151: Rural Access to Nurse Anesthesia Services Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 616 and S. 511, Access to Durable Medical Equipment Act, to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applied to certain professionals; exempts pharmacists and pharmacies from accreditation requirements in the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies program. House Tri-Committee Health Care Reform Legislation - Discussion Draft, Section 1841, Pages 708 - 710 - AMP Medicaid Reimbursement Formula. HR 1970 - Preserve Patient Access to Reputable DMEPOS Providers Act, support full text. HR 616 - Access to Durable Medical Equipment Act, support full text. S. 511 - Access to Durable Medical Equipment Act, support full text. HR 3663 - Full text- Extension of Medicare DME Accreditation Deadline for Certain Pharmacies. S 956 - Preserve Patient Access to Reputable DMEPOS Providers Act, support full text. Health Information Technology for Economic and Clinical Health Act (HITECH Act) is in the American Recovery and Reinvestment Act (ARRA)- Public Law 111-5. Provided input to HHS as they begin development of regulations to implement the HITECH Act of 2009. Specific areas addressed are Description of Health Care Messaging Programs, Consumer Choice, Transparency of Sponsorship and Discretion. Senate Finance and HELP Committee Health Care Reform Proposals: HELP Section 212; Finance Title II, Subtitle B; Finance Title III, Subtitle A, Part III -Integrated Care Models such as medical homes, accountable care organizations,community health teams, and home-based chronic care programs. HELP Section 216; Finance Title III, Subtitle A, Part III - Transitional Care Activities such as medication reconciliation, medication records,and discharge planning that may include medication therapy management services. HELP Section 213; Finance Title III, Subtitle A, Part III - Grant Programs aimed at evaluating the effectiveness of patient-centered, teambased practice approaches; specifically the programs that support medication therapy management. Finance Title III, Subtitle C - Incentive Programs that provide Medicare Advantage plans incentives to provide robust medication therapy management programs.

Client expense: $1,027,870 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

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

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

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

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

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

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

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

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

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

H.R. 1548 & S. 1427 - to amend title XIX of the Society Security Act to ensure that individuals eligible for medical assistance under the Medicaid Program continue to have access to prescription drugs, and for other purposes - Average Manufacturer's Price H.R. 616 & S. 511 - to amend part B of title XVIII of the Social Security Act to provide for an exemption of pharmacies and pharmacists from certain Medicare accreditation requirements in the same manner as such exemption applies to certain professionals H.R. 1970 & S. 956 - to amend title XVIII of the Social Security Act to exempt unsanctioned State-licensed retail pharmacists from the surety bond requirement under the Medicare program for suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS)

Client expense: $1,620,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Council of Economic Advisers (CEA), Energy, Dept of, Environmental Protection Agency (EPA), Federal Energy Regulatory Commission (FERC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

S266 - Medicare Prescription Drug Gap Reduction Act of 2009 HR203 - Medicare Fraud Prevention Act of 2009 HR27 - Medicare Fraud Prevention and Enforcement Act of 2009 Under Line 17: We would like to include the Office of the National Coordinator for Health Information Technology HR616/S511 - Access to Durable Medical Equipment Act HR574/S254 - Medicare Home Infusion Therapy Coverage Act of 2009 HR2560/S1131 - Independence At Home Act HR1970/S956 - Preserve Patient Access to the Reputable DMEPOS Providers Act of 2009 HR3700/S1951 - Fair Medicaid Drug Payment Act (From 110th Congress)/Concept to Include Medicaid Average Manufacturers Price Reimbursement Formula in Health Care Reform HR3108 - Medication Therapy Managament Benefits Act of 2009/Concept to Include Medication Therapy Management Provisions in Health Care Reform HR3663 - Amends the Social Security Act to delay the October 1, 2009 deadline on which the accreditation requirement under the Medicare Program applies to suppliers of durable medical equipment that are pharmacies. S683 - Community Choice Act of 2009 HR1392/S1221 - Amends the Social Security Act to ensure more appropriate payment amounts for drugs and biologicals under Part B of the Medicare Program by excluding customary prompt pay discounts extended to wholesalers from the manufacturer's average sales price (Public Law 110-275) Medicare Improvements for Patients and Providers Act of 2008 sections on Medicare DMEPOS (Docket Number: CMS1561IFC) Medicare Program; Changes to the Competitive Acquisition of Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) by Certain Provisions of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) (Docket Number: CMS-1540-F) Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2007; Certain Provisions Concerning Competitive Acquisition for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS); Accreditation of DMEPOS Suppliers (Docket Number: CMS-6006-F) Medicare Program: Surety Bond Requirement for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) [Document Number: CMS-10260 (OMB#: 0938-1051)] Collection Activities; Medicare Advantage and Prescription Drug Program: Final Marketing Provisions (74 FR 45206) HRSA Notice Regarding 340B Pricing Program - Children's Hospitals (74 FR 28937) ONC Draft Recommendations for the Term "Meaningful Use" of Electronic Health Records CMS August 2009 Memo: Fraud, Waste and Abuse (FWA) Training Clarification (regarding changes to 42 C.F.R. 422.503(b)(4)(vi) and 42 C.F.R. 423.504 (b)(4)(vi)) Final 2010 Medicare Part D Call Letter

Client expense: $157,696 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, SENATE, White House Office