MCAP Act

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.1733 - Good Samaritan Health Professionals Act of 2013 H.R.4106 - Saving Lives, Saving Costs Act S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.961 - Health Care Safety Net Enhancement Act of 2013

Client expense: $228,645 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 83, Consolidated and Further Continuing Appropriations Act - ACA risk corridor program, expatriate plans, HHS appropriations. H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency. H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation. H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices. H.R. 3077, TELE-MED Act (Nunes-Pallone) - telemedicine. H.R. 3750, Telehealth Modernization Act (Matsui-Johnson) - telemedicine. H.R. 4302, Protecting Access to Medicare Act (Pitts) - ICD-10 Implementation. S. 44, Medical Care Access Protection Act (Portman) - medical liability reform. S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation. S. 1897, Personal Data Privacy and Security Act (Leahy) - privacy, data security issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical malpractice and tort reform H.R. 1733 Good Samaritan Health Professionals Act of 2013 S. 44 Medical Care Access Protection Act of 2013

Client expense: $670,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), 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), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

Support: HR 982, Furthering Asbestos Claim Transparency (FACT) Act, & Senate companion S. 2319; HR 2655, Lawsuit Abuse Reduction Act (LARA), & Senate companion S. 1288; HR 317, Judgment Fund Transparency Act, & Senate companion S. 1420; HR 2804, ALERRT Act; S. 44, Medical Care Access Protection Act; & S. 1860, Steps Toward Access and Reform (STAR) Act. Oppose: HR 1844, Arbitration Fairness Act, & Senate companion S. 878; HR 4361, Sunshine in Litigation Act, & Senate companion S. 2364.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support: HR 982, Furthering Asbestos Claim Transparency (FACT) Act, & Senate companion S. 2319; HR 2655, Lawsuit Abuse Reduction Act (LARA), & Senate companion S. 1288; HR 317, Judgment Fund Transparency Act, & Senate companion S. 1420; HR 2804, ALERRT Act; S. 44, Medical Care Access Protection Act; & S. 1860, Steps Toward Access and Reform (STAR) Act. Oppose: HR 1844, Arbitration Fairness Act, & Senate companion S. 878; HR 4361, Sunshine in Litigation Act, & Senate companion S. 2364.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 44, Medical Care Access Protection Act of 2013: Medical liability reform S.961 - Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections S. 1152: Building a Health Care Workforce for the Future Act: grants to train more physicians S. 1516, the Concussion Treatment and Care Tools Act: Guidelines for mild traumatic brain injuryS. 2196, Good Samaritan Health Professionals Act: medical liability protections for physician volunteers in a disaster S.2220, Liability protections for sports medicine professionals S. 2405, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: grants for improving trauma and emergency care H.R. 36, Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections H.R. 307, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013: emergency and trauma care improvements H.R. 969, Medical Practice Freedom Act of 2013: Medical licensure H.R. 1098, Traumatic Brain Injury Reauthorization Act: Funding for traumatic brain injury H.R.1733 - Good Samaritan Health Professionals Act of 2013: medical liability protections for physician volunteers in a disaster H.R. 1827, Pediatric Subspecialty and Mental Health Workforce Reauthorization Act: pediatric loan repayment program H.R.3532: Protecting Student Athletes from Concussions: education and preventio nof concussions in students H.R. 3722, Liability protections for sports medicine professionals H.R. 4080, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: grants for improving trauma and emergency care H.R. 4106, Saving Lives, Saving Costs Act: medical liability reform H.R. 4750, Standard of Care Protection Act of 2013: Medical liability reform H. R. 522: National Brain Aneurysm Awareness Month No bill: Medical liability reform modeled after California's MICRA (Draft) Facilitating Participation in Clinical Data Registries Act of 2014: Requires OHRP to issue definitive guidance about the Common Rule, vis-a-vis registries, within a year of enactment

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 44, Medical Care Access Protection Act of 2013: Medical liability reform S.961 - Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections S. 1152: Building a Health Care Workforce for the Future Act: grants to train more physicians S. 1516, the Concussion Treatment and Care Tools Act: Guidelines for mild traumatic brain injuryS. 2196, Good Samaritan Health Professionals Act: medical liability protections for physician volunteers in a disaster S.2220, Liability protections for sports medicine professionals S. 2405, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: grants for improving trauma and emergency care H.R. 36, Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections H.R. 307, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013: emergency and trauma care improvements H.R. 969, Medical Practice Freedom Act of 2013: Medical licensure H.R. 1098, Traumatic Brain Injury Reauthorization Act: Funding for traumatic brain injury H.R.1733 - Good Samaritan Health Professionals Act of 2013: medical liability protections for physician volunteers in a disaster H.R. 1827, Pediatric Subspecialty and Mental Health Workforce Reauthorization Act: pediatric loan repayment program H.R.3532: Protecting Student Athletes from Concussions: education and preventio nof concussions in students H.R. 3722, Liability protections for sports medicine professionals H.R. 4080, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: grants for improving trauma and emergency care H.R. 4106, Saving Lives, Saving Costs Act: medical liability reform H.R. 4750, Standard of Care Protection Act of 2013: Medical liability reform H. R. 522: National Brain Aneurysm Awareness Month No bill: Medical liability reform modeled after California's MICRA (Draft) Facilitating Participation in Clinical Data Registries Act of 2014: Requires OHRP to issue definitive guidance about the Common Rule, vis-a-vis registries, within a year of enactment

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 44, Medical Care Access Protection (MCAP) Act- 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. (entire bill)H.R. 1473, Standard of Care Protection Act of 2013- To prevent certain Federal health care laws from establishing health care provider standards of care in medical malpractice cases, and for other purposes. (entire bill) H.R. 1733, Good Samaritan Health Professionals Act of 2013- To amend the Public Health Service Act to limit the liability of health care professionals who volunteer to provide health care services in response to a disaster. (entire bill)

Client expense: $350,000 · Firm income: Not reported

Government targets: Federal Emergency Management Agency (FEMA), Federal Reserve System, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices H.R. 3077, TELE-MED Act (Nunes-Pallone) - telemedicine H.R. 3750, Telehealth Modernization Act (Matsui-Johnson) - telemedicine H.R. 4302, Protecting Access to Medicare Act (Pitts) - ICD-10 Implementation S. 44, Medical Care Access Protection Act (Portman) - medical liability reform S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation S. 1897, Personal Data Privacy and Security Act (Leahy) - privacy, data security issues Labor, HHS, and Education Appropriations Bill (Harkin) - funding for HHS programs, ACA amendments HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; OPM data warehouse for FEHBP; 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; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital 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; prescription drug pricing; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; health insurance web portal requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment (commonly referred to as the 3 Rs); dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters for 2014; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, and issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges) and other issues relating to health care reform implementation.

Client expense: $2,010,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency. H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation. H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices. H.R. 3077, TELE-MED Act (Nunes-Pallone) - telemedicine. H.R. 3750, Telehealth Modernization Act (Matsui-Johnson) - telemedicine. H.R. 4302, Protecting Access to Medicare Act (Pitts) - ICD-10 Implementation. S. 44, Medical Care Access Protection Act (Portman) - medical liability reform. S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation. S. 1897, Personal Data Privacy and Security Act (Leahy) - privacy, data security issues. Labor, HHS, and Education Appropriations Bill (Harkin) - funding for HHS programs, ACA amendments.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical malpractice and tort reform H.R. 1733 Good Samaritan Health Professionals Act of 2013 S. 44 Medical Care Access Protection Act of 2013

Client expense: $590,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), 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), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

Medical malpractice and tort reform H.R. 1733 Good Samaritan Health Professionals Act of 2013 S. 44 Medical Care Access Protection Act of 2013

Client expense: $590,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), 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), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.297 - Children's Hospital GME Support Reauthorization Act of 2013 H.R.351 - Protecting Seniors' Access to Medicare Act of 2013H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1098 Traumatic Brain Injury Reauthorization Act of 2013 H.R.1201 - Training Tomorrow's Doctors Today Act H.R.1263 - Excellence in Mental Health Act H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1180 - Resident Physician Shortage Reduction Act of 2013 H.R.1487 - Improved Health Care Lower Cost Act of 2013 H.R.1838 Enhanced Access to Medicaid Services H.R.2186 - Verifying Authority and Legality In Drug Compounding Act of 2013 H.R.2900 - Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300 - Empowering Patients First Act of 2013 H.R.2810 Medicare Patient Access and Quality Improvement Act of 2013 H.R.3230 Veterans' Access to Care Through Choice, Accountability and Transparency Act of 2014 H.R.3392 - Patient Safety and Drug Abuse Prevention Act H.R.3527 Poison Center Network Act H.R.3528 National All Schedules Prescription Electronic Reporting Reauthorization Act of 2013 H.R.3548 - Improving Trauma Care Act of 2013 H.R.3717 Helping Families in Mental Health Crisis Act of 2013 H.R.4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4080 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.4106 - Saving Lives, Saving Costs Act H.R.4169 Stop Overdose Stat Act H.R.4290 Wakefield Act of 2014 H.R.4574 Strengthening Mental Health in Our Communities Act of 2014 H.R.5460 Medicare Ambulance Access, Fraud Prevention and Reform Act of 2014 S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.264 - Excellence in Mental Health Act S.265 - Community-Based Mental Health Infrastructure Improvements Act S.328 - Strengthening Rural Access to Emergency Services Act S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.577 - Resident Physician Shortage Reduction Act of 2013 S.755 Enhanced Access to Medicaid Services S.961 - Health Care Safety Net Enhancement Act of 2013 S.1719 Poison Center Network Act S.1871 SGR Repeal and Medicare Beneficiary Access of 2013 S.2110 Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2154 Emergency Medical Services for Children Reauthorization Act of 2014 S.2157 Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2240 Medicare Choices Empowerment and Protection Act S.2400 Field EMS Innovation Act S.2405 Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.2406 Improving Trauma Care Act of 2014 S.2450 Veterans' Access to Care Through Choice, Accountability and Transparency Act of 2014 S.2501 Hospital Readmission Accuracy and Accountability Act S.2539 Traumatic Brain Injury Reauthorization Act of 2014

Client expense: $291,064 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.1733 - Good Samaritan Health Professionals Act of 2013 H.R.4106 - Saving Lives, Saving Costs Act S.44 - Medical Care Access Protection (MCAP) Act of 2013S.961 - Health Care Safety Net Enhancement Act of 2013

Client expense: $291,064 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support: HR 982, Furthering Asbestos Claim Transparency (FACT) Act, & Senate companion S. 2319; HR 2655, Lawsuit Abuse Reduction Act (LARA), & Senate companion S. 1288; HR 317, Judgment Fund Transparency Act, & Senate companion S. 1420; HR 2804, ALERRT Act; S. 44, Medical Care Access Protection Act; & S. 1860, Steps Toward Access and Reform (STAR) Act. Oppose: HR 1844, Arbitration Fairness Act, & Senate companion S. 878; HR 4361, Sunshine in Litigation Act, & Senate companion S. 2364.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical malpractice and tort reform H.R. 1733 Good Samaritan Health Professionals Act of 2013 S. 44 Medical Care Access Protection Act of 2013

Client expense: $780,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), 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), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) price transparency16. Specific Lobbying Issues (continued): H.R. 1701, Cutting Costly Codes Act (Poe) ICD-10 implementation H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) transparency of hospital prices H.R. 3077, TELE-MED Act (Nunes-Pallone) telemedicine H.R. 4302, Protecting Access to Medicare Act (Pitts) ICD-10 Implementation S. 44, Medical Care Access Protection Act (Portman) medical liability reform S. 972, Cutting Costly Codes Act (Coburn) ICD-10 implementation S. 1897, Personal Data Privacy and Security Act (Leahy) privacy, data security issues Labor, HHS, and Education Appropriations Bill (Harkin) funding for HHS programs, ACA amendments Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; OPM data warehouse for FEHBP; 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; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital 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; prescription drug pricing; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; health insurance web portal requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment (commonly referred to as the 3 Rs); dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters for 2014; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, and issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges) and other issues relating to health care reform implementation.

Client expense: $2,530,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

S. 44, Medical Care Access Protection Act of 2013: Medical liability reform S.961 - Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections S. 1152: Building a Health Care Workforce for the Future Act: grants to train more physicians S. 1516, the Concussion Treatment and Care Tools Act: Guidelines for mild traumatic brain injuryS. 2196, Good Samaritan Health Professionals Act: medical liability protections for physician volunteers in a disaster S.2220, Liability protections for sports medicine professionals S. 2405, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: grants for improving trauma and emergency care H.R. 36, Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections H.R. 307, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013: emergency and trauma care improvements H.R. 969, Medical Practice Freedom Act of 2013: Medical licensure H.R. 1098, Traumatic Brain Injury Reauthorization Act: Funding for traumatic brain injury H.R.1733 - Good Samaritan Health Professionals Act of 2013: medical liability protections for physician volunteers in a disaster H.R. 1827, Pediatric Subspecialty and Mental Health Workforce Reauthorization Act: pediatric loan repayment program H.R.3532: Protecting Student Athletes from Concussions: education and preventio nof concussions in students H.R. 3722, Liability protections for sports medicine professionals H.R. 4080, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: grants for improving trauma and emergency care H.R. 4106, Saving Lives, Saving Costs Act: medical liability reform H.R. 4750, Standard of Care Protection Act of 2013: Medical liability reform H. R. 522: National Brain Aneurysm Awareness Month No bill: Medical liability reform modeled after California's MICRA (Draft) Facilitating Participation in Clinical Data Registries Act of 2014: Requires OHRP to issue definitive guidance about the Common Rule, vis-a-vis registries, within a year of enactment

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 44, Medical Care Access Protection Act of 2013: Medical liability reform S.961 - Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections S. 1152: Building a Health Care Workforce for the Future Act: grants to train more physicians S. 1516, the Concussion Treatment and Care Tools Act: Guidelines for mild traumatic brain injuryS. 2196, Good Samaritan Health Professionals Act: medical liability protections for physician volunteers in a disaster S.2220, Liability protections for sports medicine professionals S. 2405, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: grants for improving trauma and emergency care H.R. 36, Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections H.R. 307, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013: emergency and trauma care improvements H.R. 969, Medical Practice Freedom Act of 2013: Medical licensure H.R. 1098, Traumatic Brain Injury Reauthorization Act: Funding for traumatic brain injury H.R.1733 - Good Samaritan Health Professionals Act of 2013: medical liability protections for physician volunteers in a disaster H.R. 1827, Pediatric Subspecialty and Mental Health Workforce Reauthorization Act: pediatric loan repayment program H.R.3532: Protecting Student Athletes from Concussions: education and preventio nof concussions in students H.R. 3722, Liability protections for sports medicine professionals H.R. 4080, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: grants for improving trauma and emergency care H.R. 4106, Saving Lives, Saving Costs Act: medical liability reform H.R. 4750, Standard of Care Protection Act of 2013: Medical liability reform H. R. 522: National Brain Aneurysm Awareness Month No bill: Medical liability reform modeled after California's MICRA (Draft) Facilitating Participation in Clinical Data Registries Act of 2014: Requires OHRP to issue definitive guidance about the Common Rule, vis-a-vis registries, within a year of enactment

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.297 - Children's Hospital GME Support Reauthorization Act of 2013 H.R.351 - Protecting Seniors' Access to Medicare Act of 2013H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1098 Traumatic Brain Injury Reauthorization Act of 2013 H.R.1201 - Training Tomorrow's Doctors Today Act H.R.1263 - Excellence in Mental Health Act H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1180 - Resident Physician Shortage Reduction Act of 2013 H.R.1487 - Improved Health Care Lower Cost Act of 2013 H.R.1838 Enhanced Access to Medicaid Services H.R.2186 - Verifying Authority and Legality In Drug Compounding Act of 2013 H.R.2900 - Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300 - Empowering Patients First Act of 2013 H.R.2810 Medicare Patient Access and Quality Improvement Act of 2013 H.R.3230 Veterans' Access to Care Through Choice, Accountability and Transparency Act of 2014 H.R.3392 - Patient Safety and Drug Abuse Prevention Act H.R.3527 Poison Center Network Act H.R.3528 National All Schedules Prescription Electronic Reporting Reauthorization Act of 2013 H.R.3548 - Improving Trauma Care Act of 2013 H.R.3717 Helping Families in Mental Health Crisis Act of 2013 H.R.4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4080 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.4106 - Saving Lives, Saving Costs Act H.R.4169 Stop Overdose Stat Act H.R.4290 Wakefield Act of 2014 H.R.4574 Strengthening Mental Health in Our Communities Act of 2014 S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.264 - Excellence in Mental Health Act S.265 - Community-Based Mental Health Infrastructure Improvements Act S.328 - Strengthening Rural Access to Emergency Services Act S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.577 - Resident Physician Shortage Reduction Act of 2013 S.755 Enhanced Access to Medicaid Services S.961 - Health Care Safety Net Enhancement Act of 2013 S.1719 Poison Center Network Act S.1871 SGR Repeal and Medicare Beneficiary Access of 2013 S.2110 Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2154 Emergency Medical Services for Children Reauthorization Act of 2014 S.2157 Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2240 Medicare Choices Empowerment and Protection Act S.2400 Field EMS Innovation Act S.2405 Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.2406 Improving Trauma Care Act of 2014 S.2450 Veterans' Access to Care Through Choice, Accountability and Transparency Act of 2014 S.2501 Hospital Readmission Accuracy and Accountability Act

Client expense: $646,873 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.1733 - Good Samaritan Health Professionals Act of 2013 H.R.4106 - Saving Lives, Saving Costs Act S.44 - Medical Care Access Protection (MCAP) Act of 2013S.961 - Health Care Safety Net Enhancement Act of 2013

Client expense: $646,873 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 44, Medical Care Access Protection (MCAP) Act- 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. (entire bill)H.R. 1473, Standard of Care Protection Act of 2013- To prevent certain Federal health care laws from establishing health care provider standards of care in medical malpractice cases, and for other purposes. (entire bill) H.R. 1733, Good Samaritan Health Professionals Act of 2013- To amend the Public Health Service Act to limit the liability of health care professionals who volunteer to provide health care services in response to a disaster. (entire bill)

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

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

MCAP Act (S 44)

Client expense: $112,893 · 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

H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency. H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation. H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices. H.R. 3077, TELE-MED Act (Nunes-Pallone) - telemedicine. H.R. 4302, Protecting Access to Medicare Act (Pitts) - ICD-10 Implementation. S. 44, Medical Care Access Protection Act (Portman) - medical liability reform. S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation. S. 1897, Personal Data Privacy and Security Act (Leahy) - privacy, data security issues. Labor, HHS, and Education Appropriations Bill (Harkin) - funding for HHS programs, ACA amendments.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support: HR 982, Furthering Asbestos Claim Transparency (FACT) Act, & Senate companion S. 2319; HR 2655, Lawsuit Abuse Reduction Act (LARA), & Senate companion S. 1288; HR 317, Judgment Fund Transparency Act, & Senate companion S. 1420; HR 2804, ALERRT Act; S. 44, Medical Care Access Protection Act; & S. 1860, Steps Toward Access and Reform (STAR) Act. Oppose: HR 1844, Arbitration Fairness Act, & Senate companion S. 878; HR 4361, Sunshine in Litigation Act, & Senate companion S. 2364.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical malpractice and tort reform H.R. 1733 Good Samaritan Health Professionals Act of 2013 S. 44 Medical Care Access Protection Act of 2013

Client expense: $610,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), 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), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) price transparency16. Specific Lobbying Issues (continued): H.R. 1701, Cutting Costly Codes Act (Poe) ICD-10 implementation H.R. 2775, Continuing Appropriations Act (Black) ACA issues H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) transparency of hospital prices H.R. 3547, the Consolidated Appropriations Act (Smith) ACA issues, FY 2014 appropriations H.R. 4302, Protecting Access to Medicare Act (Pitts) ICD-10 Implementation S. 44, Medical Care Access Protection Act (Portman) medical liability reform S. 972, Cutting Costly Codes Act (Coburn) ICD-10 implementation S. 1897, Personal Data Privacy and Security Act (Leahy) privacy, data security issues U.S. Senate Special Committee on Aging Draft of Stop SCAMS Act (not yet introduced) - anti-fraud activities, including coding, Healthcare Fraud Prevention Partnership, and MEDPAC report Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; OPM data warehouse for FEHBP; 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; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital 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 relating to data breach requirements; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; health insurance web portal requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters for 2014; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, and issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges) and other issues relating to health care reform implementation. 18. Name of Lobbyists (continued): C. Lawrence: Assistant, Legislative Director for Rep. Bill Cassidy (LA-6); May 2008-July 200: Staff Assistant, Legislative Correspondent for Rep. Tom Price (GA-6)

Client expense: $2,430,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

H.R.36-Health Care Safety Net Enhancement Act of 2013 H.R.1733-Good Samaritan Health Professionals Act of 2013 H.R.4106-Saving Lives, Saving Costs Act S.44-Medical Care Access Protection (MCAP) Act of 2013S.961-Health Care Safety Net Enhancement Act of 2013

Client expense: $538,613 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.36-Health Care Safety Net Enhancement Act of 2013 H.R.235-Veteran Emergency Medical Technician Support Act of 2013 H.R.297-Children's Hospital GME Support Reauthorization Act of 2013 H.R.351-Protecting Seniors' Access to Medicare Act of 2013H.R.574-Medicare Physician Payment Innovation Act of 2013 H.R.809-Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1098-Traumatic Brain Injury Reauthorization Act of 2013 H.R.1201-Training Tomorrow's Doctors Today Act H.R.1263-Excellence in Mental Health Act H.R.1179-Improving Access to Medicare Coverage Act of 2013 H.R.1180-Resident Physician Shortage Reduction Act of 2013 H.R.1487-Improved Health Care Lower Cost Act of 2013 H.R.1838-Enhanced Access to Medicaid Services H.R.2186-Verifying Authority and Legality In Drug Compounding Act of 2013 H.R.2900-Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300-Empowering Patients First Act of 2013 H.R.2810-Medicare Patient Access and Quality Improvement Act of 2013 H.R.3392-Patient Safety and Drug Abuse Prevention Act H.R.3527-Poison Center Network Act H.R.3528-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2013 H.R.3548-Improving Trauma Care Act of 2013 H.R.3717-Helping Families in Mental Health Crisis Act of 2013 H.R.4015-SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4080-Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.4106-Saving Lives, Saving Costs Act H.R.4302 (P.L.113-93)-Protecting Access to Medicare Act of 2014 S.44-Medical Care Access Protection (MCAP) Act of 2013 S.264-Excellence in Mental Health Act S.265-Community-Based Mental Health Infrastructure Improvements Act S.328-Strengthening Rural Access to Emergency Services Act S.351-Protecting Seniors' Access to Medicare Act of 2013 S.569-Improving Access to Medicare Coverage Act of 2013 S.577-Resident Physician Shortage Reduction Act of 2013 S.755-Enhanced Access to Medicaid Services S.961-Health Care Safety Net Enhancement Act of 2013 S.1719-Poison Center Network Act S.1871-SGR Repeal and Medicare Beneficiary Access of 2013 S.2110-Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2157-Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014

Client expense: $538,613 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency; H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation; H.R. 2775, Continuing Appropriations Act (Black) - ACA issues; H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices; H.R. 3547, the Consolidated Appropriations Act - (Smith) ACA issues, FY 2014 appropriations; H.R. 4302, Protecting Access to Medicare Act (Pitts) - ICD-10 Implementation; S. 44, Medical Care Access Protection Act (Portman) - medical liability reform; S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation; S. 1897, Personal Data Privacy and Security Act (Leahy) - privacy, data security issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 44, Medical Care Access Protection (MCAP) Act H.R. 1473, Standard of Care Protection Act H.R. 1733, Good Samaritan Health Professionals Act

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

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

Medical Care Access Protection Act (regarding medical liability reform), S. 44, entire bill; Standard of Care Protection Act (regarding standards of care in medical liability lawsuits), H.R. 1473, entire bill; Standard of Care Protection Act (regarding standards of care in medical liability lawsuits), S. 1769, entire bill; Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act (regarding medical liability reform), not yet introduced, entire bill;A bill to provide protections for certain sports medicine professionals who provide certain medical services in a secondary State (regarding liability for sports medicine professionals when crossing state lines), H.R. 3722, entire bill; Medicare Patient Access and Quality Improvement Act of 2013 (regarding Medicare payment reform), H.R. 2810, Sect. 9(f) (regarding standards of care in medical liability lawsuits); SGR Repeal and Medicare Provider Payment Modernization Act of 2014 (regarding Medicare payment reform), H.R. 4015, Sect. 9(e) (regarding standards of care in medical liability lawsuits); SGR Repeal and Medicare Provider Payment Modernization Act of 2014 (regarding Medicare payment reform), H.R. 4209, Sect. 9(e) (regarding standards of care in medical liability lawsuits); SGR Repeal and Medicare Provider Payment Modernization Act of 2014 (regarding Medicare payment reform), S. 2000, Sect. 9(e) (regarding standards of care in medical liability lawsuits); Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 (regarding Medicare payment reform), S. 2110, Sect.108(e) (regarding standards of care in medical liability lawsuits); Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 (regarding Medicare payment reform), s. 2122, Sect. 108(e) (regarding standards of care in medical liability lawsuits); Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 (regarding Medicare payment reform), S. 2157, Sect. 108(e) (regarding standards of care in medical liability lawsuits)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical malpractice and tort reform H.R. 1733 Good Samaritan Health Professionals Act of 2013 S. 44 Medical Care Access Protection Act of 2013

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), 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), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) price transparency16. Specific Lobbying Issues (continued): H.R. 1701, Cutting Costly Codes Act (Poe) ICD-10 implementation H.R. 2775, Continuing Appropriations Act (Black) ACA issues H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) transparency of hospital prices S. 44, Medical Care Access Protection Act (Portman) medical liability reform S. 972, Cutting Costly Codes Act (Coburn) ICD-10 implementation S. 1284, Labor, HHS, and Education Appropriations Bill (Harkin) funding for HHS programs and agencies; amendment to block implementation of ACA individual mandate Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets, identifiers including the health plan identifier, enforcement; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; OPM data warehouse for FEHBP; 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; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital 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 relating to data breach requirements; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; health insurance web portal requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters for 2014; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, and issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges) and other issues relating to health care reform implementation.

Client expense: $3,630,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

S. 44, Medical Care Access Protection Act of 2013: Medical liability reform H.R. 36, Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections H.R. 297, Children's Hospital GME Support Reauthorization Act: Graduate medical education-residency trainingH.R. 307, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013: emergency and trauma care improvements H.R. 969, Medical Practice Freedom Act of 2013: Medical licensure H.R. 1473, Standard of Care Protection Act of 2013: Medical liability reform No bill: Medical liability reform

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 44, Medical Care Access Protection Act of 2013: Medical liability reform S.961 - Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections S. 1152: Building a Health Care Workforce for the Future Act: grants to train more physicians S. 1516, the Concussion Treatment and Care Tools Act: Guidelines for mild traumatic brain injuryH.R. 36, Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections H.R. 297, Children's Hospital GME Support Reauthorization Act: Graduate medical education-residency H.R. 307, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013: emergency and trauma care improvements H.R. 969, Medical Practice Freedom Act of 2013: Medical licensure H.R. 1473, Standard of Care Protection Act of 2013: Medical liability reform H.R.1733 - Good Samaritan Health Professionals Act of 2013: medical liability protections for physician volunteers in a disaster H.R. 1827, Pediatric Subspecialty and Mental Health Workforce Reauthorization Act: pediatric loan repayment program No bill: Medical liability reform

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 44: Medical Care Access Protection (MCAP) Act H.R. 1473, Standard of Care Protection Act H.R. 1733, Good Samaritan Health Professionals Act

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

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.297 - Children's Hospital GME Support Reauthorization Act of 2013 H.R.351 - Protecting Seniors' Access to Medicare Act of 2013H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1098 Traumatic Brain Injury Reauthorization Act of 2013 H.R.1201 - Training Tomorrow's Doctors Today Act H.R.1263 - Excellence in Mental Health Act H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1180 - Resident Physician Shortage Reduction Act of 2013 H.R.1487 - Improved Health Care Lower Cost Act of 2013 H.R.2186 - Verifying Authority & Legality in Drug Compounding Act (Griffin Discussion Draft) H.R.2900 - Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300 - Empowering Patients First Act of 2013 H.R. 2810 Medicare Patient Access and Quality Improvement Act of 2013 H.R.3527 Poison Center Network Act H.R.3528 National All Schedules Prescription Electronic Reporting Reauthorization Act of 2013 H.R.3717 Helping Families in Mental Health Crisis Act of 2013 S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.242 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 S.264 - Excellence in Mental Health Act S.265 - Community-Based Mental Health Infrastructure Improvements Act S.328 - Strengthening Rural Access to Emergency Services Act S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.577 - Resident Physician Shortage Reduction Act of 2013 S.959 - Pharmaceutical Compounding Quality and Accountability Act S.961 - Health Care Safety Net Enhancement Act of 2013 S.1719 Poison Center Network Act Senate Finance Committee Draft of the "SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013"

Client expense: $537,439 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.1733 - Good Samaritan Health Professionals Act of 2013 S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.961 - Health Care Safety Net Enhancement Act of 2013

Client expense: $537,439 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency. H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation. H.R. 2775, Continuing Appropriations Act (Black) - ACA issues. H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices. S. 44, Medical Care Access Protection Act (Portman) - medical liability reform. S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation. S. 1284, Labor, HHS, and Education Appropriations Bill (Harkin) - funding for HHS programs and agencies; amendment to block implementation of ACA individual mandate.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical Care Access Protection Act (regarding medical liability reform), S. 44, entire bill; Standard of Care Protection Act (regarding standards of care in medical liability lawsuits), H.R. 1473, entire bill; Standard of Care Protection Act (regarding standards of care in medical liability lawsuits), S. 1769, entire bill; Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act (regarding medical liability reform), not yet introduced, entire bill;A bill to provide protections for certain sports medicine professionals who provide certain medical services in a secondary State (regarding liability clarification for specific healthcare providers), H.R. 3722, entire bill

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 44, Medical Care Access Protection Act of 2013: Medical liability reform S.961 - Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections S. 1152: Building a Health Care Workforce for the Future Act: grants to train more physicians S. 1516, the Concussion Treatment and Care Tools Act: Guidelines for mild traumatic brain injuryH.R. 36, Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections H.R. 297, Children's Hospital GME Support Reauthorization Act: Graduate medical education-residency H.R. 307, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013: emergency and trauma care improvements H.R. 969, Medical Practice Freedom Act of 2013: Medical licensure H.R. 1473, Standard of Care Protection Act of 2013: Medical liability reform H.R.1733 - Good Samaritan Health Professionals Act of 2013: medical liability protections for physician volunteers in a disaster H.R. 1827, Pediatric Subspecialty and Mental Health Workforce Reauthorization Act: pediatric loan repayment program No bill: Medical liability reform

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 44, Medical Care Access Protection Act of 2013: Medical liability reform S.961 - Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections S. 1152: Building a Health Care Workforce for the Future Act: grants to train more physicians S. 1516, the Concussion Treatment and Care Tools Act: Guidelines for mild traumatic brain injuryH.R. 36, Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections H.R. 297, Children's Hospital GME Support Reauthorization Act: Graduate medical education-residency H.R. 307, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013: emergency and trauma care improvements H.R. 969, Medical Practice Freedom Act of 2013: Medical licensure H.R. 1473, Standard of Care Protection Act of 2013: Medical liability reform H.R.1733 - Good Samaritan Health Professionals Act of 2013: medical liability protections for physician volunteers in a disaster H.R. 1827, Pediatric Subspecialty and Mental Health Workforce Reauthorization Act: pediatric loan repayment program No bill: Medical liability reform

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency. H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation. H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices. S. 44, Medical Care Access Protection Act (Portman) - medical liability reform. S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation. S. 1284, Labor, HHS, and Education Appropriations Bill (Harkin) - funding for HHS programs and agencies; amendment to block implementation of ACA individual mandate.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical malpractice and tort reform H.R. 1733 Good Samaritan Health Professionals Act of 2013 S. 44 Medical Care Access Protection Act of 2013

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), 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), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Navy, Dept of, Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, U.S. Coast Guard (USCG), White House Office