A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule relating to status as a grandfathered health plan under the Patient Protection and Affordable Care Act.

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; women's and children's health; and community-based public health interventions. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 1.Clean Energy Jobs and American Power Act (S. 1733) 2.Clean, Low-Emission, Affordable, New Transportation Efficiency Act (S. 575) 3.Complete Streets Act of 2009 (S. 584/H.R. 1443) 4.Public Health Emergency Response Act of 2009 (S. 957/H.R. 2231) 5.Public Health Workforce Development Act of 2009 (S. 1143/H.R. 2620) 6.Livable Communities Act of 2009 (S. 1619) 7.Health Care and Education Reconciliation Act of 2010 (H.R. 4872) 8.Child Safety, Care, and Education Continuity Act of 2010 (S. 2898) 9.Preservation of Antibiotics for Medical Treatment Act of 2009 (S. 619/H.R. 1549) 10.Healthy, Hunger-Free Kids Act of 2010 (S. 3307) 11.Child Nutrition Promotion and School Lunch Protection Act of 2009 (H.R. 1324/S. 934) 12.Healthy Local Policies for Schools Act (S. 3126) 13.Healthy Families Act (H.R. 2460/S. 1152) 14.Strategies to Address Antimicrobial Resistance Act (H.R. 2400) 15.FDA Food Safety Modernization Act (S. 510) 16.Viral Hepatitis and Liver Cancer Control and Prevention Act of 2009 (H.R. 3974/S. 3711) 17.WMD Prevention and Preparedness Act of 2010 (H.R.5498) 18.Weapons of Mass Destruction Prevention and Preparedness Act of 2009 (S. 1649) 19.Small Business Jobs and Credit Act (H.R. 5297) 20.Joint resolution providing for congressional disapproval under chapter 8 of Title 5, U.S. Code, of the rule relating to status as a grandfathered health plan under the Patient Protection and Affordable Care Act (S.J. Res 39) 21.National Commission on Children and Disasters Reauthorization Act of 2010 (H.R. 5266) 22.Stationary Source Regulations Delay Act (S. 3072) 23.National Foundation on Fitness, Sports, and Nutrition Establishment Act (S.1275) 24.Healthy Kids from Day One Act (S. 3298)

Client expense: $25,166 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandenic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety; environmental health; women's and children's health; and community-based public health interventions. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 1.Clean Energy Jobs and American Power Act (S. 1733) 2.Clean, Low-Emission, Affordable, New Transportation Efficiency Act (S. 575) 3.Complete Streets Act of 2009 (S. 584/H.R. 1443) 4.Public Health Emergency Response Act of 2009 (S. 957/H.R. 2231) 5.Public Health Workforce Development Act of 2009 (S. 1143/H.R. 2620) 6.Livable Communities Act of 2009 (S. 1619) 7.Health Care and Education Reconciliation Act of 2010 (H.R. 4872) 8.Child Safety, Care, and Education Continuity Act of 2010 (S. 2898) 9.Preservation of Antibiotics for Medical Treatment Act of 2009 (S. 619/H.R. 1549) 10.Healthy, Hunger-Free Kids Act of 2010 (S. 3307) 11.Child Nutrition Promotion and School Lunch Protection Act of 2009 (H.R. 1324/S. 934) 12.Healthy Local Policies for Schools Act (S. 3126) 13.Healthy Families Act (H.R. 2460/S. 1152) 14.Strategies to Address Antimicrobial Resistance Act (H.R. 2400) 15.FDA Food Safety Modernization Act (S. 510) 16.Viral Hepatitis and Liver Cancer Control and Prevention Act of 2009 (H.R. 3974/S. 3711) 17.WMD Prevention and Preparedness Act of 2010 (H.R.5498) 18.Weapons of Mass Destruction Prevention and Preparedness Act of 2009 (S. 1649) 19.Small Business Jobs and Credit Act (H.R. 5297) 20.Joint resolution providing for congressional disapproval under chapter 8 of Title 5, U.S. Code, of the rule relating to status as a grandfathered health plan under the Patient Protection and Affordable Care Act (S.J. Res 39) 21.National Commission on Children and Disasters Reauthorization Act of 2010 (H.R. 5266) 22.Stationary Source Regulations Delay Act (S. 3072) 23.National Foundation on Fitness, Sports, and Nutrition Establishment Act (S.1275) 24.Healthy Kids from Day One Act (S. 3298)

Client expense: $25,166 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; public health bioterrorism preparedness; environmental health; womens and childrens health; and community based public health interventions. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 1.Clean Energy Jobs and American Power Act (S. 1733) 2.Clean, Low-Emission, Affordable, New Transportation Efficiency Act (S. 575) 3.Complete Streets Act of 2009 (S. 584/H.R. 1443) 4.Public Health Emergency Response Act of 2009 (S. 957/H.R. 2231) 5.Public Health Workforce Development Act of 2009 (S. 1143/H.R. 2620) 6.Livable Communities Act of 2009 (S. 1619) 7.Health Care and Education Reconciliation Act of 2010 (H.R.4872) 8.Child Safety, Care, and Education Continuity Act of 2010 (S. 2898) 9.Preservation of Antibiotics for Medical Treatment Act of 2009 (S. 619/H.R. 1549) 10.Healthy, Hunger-Free Kids Act of 2010 (S. 3307) 11.Child Nutrition Promotion and School Lunch Protection Act of 2009 (H.R. 1324/S. 934) 12.Healthy Local Policies for Schools Act (S. 3126) 13.Healthy Families Act (H.R. 2460/S. 1152) 14.Strategies to Address Antimicrobial Resistance Act (H.R. 2400) 15.FDA Food Safety Modernization Act (S. 510) 16.Viral Hepatitis and Liver Cancer Control and Prevention Act of 2009 (H.R. 3974/S. 3711) 17.WMD Prevention and Preparedness Act of 2010 (H.R.5498) 18.Weapons of Mass Destruction Prevention and Preparedness Act of 2009 (S. 1649) 19.Small Business Jobs and Credit Act (H.R. 5297) 20.Joint resolution providing for congressional disapproval under chapter 8 of Title 5, U.S. Code, of the rule relating to status as a grandfathered health plan under the Patient Protection and Affordable Care Act (S.J. Res 39)

Client expense: $22,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT)

H.R.3962, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R.3590, Patient Protection and Affordable Care Act H.R.3162, Public Safety Officer Family Health Benefits Act H.R.5902, Direct Care Workforce Empowerment Act S.J.Res.39, A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule relating to status as a grandfathered health plan under the Patient Protection and Affordable Care Act Issues related to health care reform and quality measurement Prescription Drug User Fee Act renewal, provisions related to direct consumer advertising and consumer protections Issues related to FDA reform and drug importation FDA user fee budget proposal, issues related to user fees for reinspections

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Consumer Product Safety Commission (CPSC), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Highway Traffic Safety Administration (NHTSA), Office of Science & Technology Policy (OSTP), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

HR 3590 - Patient Protection and Affordable Care Act HR 2381, S 1788 - Nurse and Health Care Worker Protection Act of 2009 S 1031 - National Nursing Shortage Reform and Patient Advocacy Act HR 2273 - Nurse Staffing Standards for Patient Safety and Quality Care Act of 2009 HR 5902, S 3696 - Direct Care Workforce Empowerment Act HR 1586, FMAP and Education funding Health Care Reform Law Implementation HR 3200, HR 3962, S 1679, S 1796 - Health Care reform HR 4213 - Increasing FMAP and Education Aid Opposition to S. Amendment 4596 to HR 5297 which would roll back elements of the Patient Protection and Affordable Care Act Opposition to S.J. Res. 39 to disapprove regulations regarding grandfathering health plans under the Patient Protection and Affordable Care Act HR 847, S 1334 - James Zadroga 9/11 Health and Compensation Act

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

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

Heart Disease Education, Analysis and Research, and Treatment for Women Act (HEART for Women Act) (S.422/H.R. 1032) Josh Miller HEARTS Act (S. 1197/H.R. 1380) Small Business Jobs Credit Act (H.R. 5297) - Johanns Amendment Resolution of Disapproval on Grandfather Plan Rules (S.J. Res. 39) Oversight of Laboratory Developed Tests; Request for Comments (FDA-2010-N-0274) Patient Protection and Affordable Care Act (H.R. 3590) Report of the 2010 Dietary Guidelines Advisory Committee

Client expense: $141,999 · Firm income: Not reported

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

Employer Health Insurance Mandates S 3501- American Job Protection Act Epansion of Small Business Health Coverage; Possible Limits on Itemized Deductions as Pay-Fors; Affordability Tax Credits S 979 - Small Business Health Options Program (SHOP) Act S 1679 - Affordable Health Choices Act S 1796- America's Healthy Future Act of 2009 HR 2360- Small Business Health Options Program (SHOP) Act of 2009 HR 3200- America's Affordable Health Choices Act of 2009 HR 3962- Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 HR 1470- Equity for Our Nation's Self-Employed Act of 2009 S 725- Equity for Our Nation's Self-Employed Act of 2009 Expansion of Small Business Health Coverage S 45- Medical Care Access Protection (MCAP) Act of 2009 S 79- Healthy Businesses, Healthy Workers Reinsurance Act S 93- Small Business Empowerment Act S 391 - Healthy Americans Act HR 193 - AmeriCare Health Insurance Act of 2009 HR 859- Small Business Cooperative for Healthcare Options to Improve Coverage for Employees (CHOICE) Act of 2009 HR 879- Affordable Health Care Expansion Act of 2009 Employer Health Insurance Mandates S 3393 - COBRA Health Benefits Extension Act of 2010 S J Res 39 - A joint resolution providing for congressional disapproval under chapter eight of Title 5, United States Code, of the rule relating to status as a grandfathered health plan under the Patient Protection and Affordable Care Act. HR 5324 - COBRA Health Benefits Extension Act of 2010 Changes to Federal Health Laws HR 5808 - A bill to amend the Patient Protection and Affordable Care Act to establish a public health insurance option. Changes to Information Reporting Requirements Related to Health Laws S 3578 - Small Business Paperwork Mandate Elimination Act

Client expense: $4,500,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Council on Environmental Quality (CEQ), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Housing Finance Agency (FHFA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office

H.R. 3615, the Home Office Deduction Simplification Act-support H.R. 3765, the REINS Act-support H.R. 5297, the Small Business Jobs Act of 2010- support self employed health insurance tax credit H.R. 5982, the Small Business Tax Relief Act-support H.R.4985, the Medicare Decisions Accountability Act of 2010 H.R.12, the Paycheck Fairness Act-oppose H.R.5853, the Fiscal Responsibility and Retirement Security Act S. 3502, The American Liberty Restoration Act-support S. 3628, the Democracy Is Strengthened by Casting Light on Spending in Elections Act-oppose S. 3578, the Small Business Paperwork Mandate Elimination Act-support Johanns Amendment (SA 4596) to the Small Business Jobs and Credit Act of 2010- support Nelson (FL) amendment #4595 to the Small Business Jobs and Credit Act of 2010- oppose S.J. Res. 39 to overturn the so-called grandfather rule issued by the administration in response to the Patient Protection and Affordable Care Act-support Draft FY 20112015 EPA Strategic Plan Docket ID: EPA-HQ-OPPT-2010-0173] Comments for the Advanced Notice of Proposed Rulemaking on Lead; Renovation, Repair, and Painting Program for Public and Commercial Buildings urging the Department of Treasury not to issue guidance that would allow the plaintiffs trial bar to receive a new tax deduction for certain costs associated with contingency fee lawsuits General Issues Estate Tax Extension of the 2001 and 2003 individual income tax rates IRS Form 1099 Healthcare Reform

Client expense: $685,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA)

Johanns Amendment (No.4596) to the Small Business Jobs Act (H.R. 5297); S.J.Res 39, A joint resolution for congressional disapproval of the rule relating to status as a grandfathered health plan under the Patient Protection and Affordable Care Act. General Congressional advocacy relating to the development of medical loss ratio definitions by the National Association of Insurance Commissioners.

Client expense: $9,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HEALTH CARE OVERHAUL AND REFORM Patient Protection and Affordable Care Act (PPACA): Support repeal. S.J. Res 39: Supported the Resolution of Disapproval to rescind HHS "grandfather rule." HEALTH CARE OVERHAUL AND REFORM Expanded 1099 Reporting (Section 9006 of PPACA): Support Repeal. SA 4596 (Johanns Amendment), H.R. 5141 and S3578. Opposed Nelson Amendment (SA 4595). Health Savings Accounts (HSAs): Support protection of HSAs, and repeal of provision in PPACA that disallows tax-free purchases of over-the-counter medications using HSAs. HHS "Grandfather Rule": Support statutory language that protects all plans before PPACA signed into law, and oppose current rule that will push most small business plans out of grandfathered status. Support Repeal of Employer Mandate in PPACA. Support Repeal of Individual Mandate in PPACA. TAX POLICY And ACCESS TO CAPITAL Extension of Bush Tax Relief: Support extending and making permanent all tax cuts for all income levels, as well as capital gains and dividend rates. Death Tax: Support full repeal. Home Office Deduction: Support simplification and reform as proposed in SA 4430 to "Small Business Jobs Act of 2010." Carried Interest: Oppose higher taxes on carried interest and new "Enterprise Value Tax." "Small Business Jobs Act of 2010" (HR 5297): Opposed creation of $30 billion fund, and advocated for meaningful tax relief. REGULATION "Equal Employment for All Act" (HR 3149): Oppose "Paycheck Fairness Act" (S3772): Oppose Dodd-Frank Conference Report: Opposed "financial regulatory reform" bill in final form. Net Neutrality and Internet Regulation: Oppose Internet regulations as proposed by FCC. "Gainful Employment Rule": Oppose DoL rule to put careeer colleges at severe disadvantage and undermine their ability to provide skilled labor to small business. AFFORDABLE ENERGY Taxes: Opposed a variety of tax increases on the energy industry included in legislation as "pay fors." Cap-and-Trade: Opposed efforts in the Senate to limit energy use and drive prices higher through Kerry-Lieberman, "The American Power Act of 2010." E12 Authorization at EPA: Oppose approval of the new and untested mandate to allow blended gasoline with 12% ethanol. Hydraulic Fracturing: Support efforts to move slowly in regulation as the currently safe regime in the energy sector is working. Offshore Drilling Moratorium: Supported lifting of the ban. TRADE and IP PROTECTION Free Trade Agreements: Support exanding free trade through pending trade agreements yet to be approved (Columbia, Panama and South Korea), and increased trade negotiations by the White House. IP Protections: Support increased support by the federal government and White House to aggressively protect U.S. business IP at home and abroad.

Client expense: $1,050,000 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), President of the U.S., SENATE, Small Business Administration (SBA), Treasury, Dept of, White House Office

H.R. 1322, Emergency Retiree Health Benefits Protection Act of 2009 H.R. 1346 / S. 540, Medical Device Safety Act of 2009 H.R. 4626, Health Insurance Industry Fair Competition Act H.R. 5141 / S. 3578, Small Business Paperwork Mandate Elimination Act, including provisions related to 1099 reporting H.R. 5297, Small Business Jobs and Credit Act of 2010, including amendments related to the repeal of the 1099 reporting mandate S. 3501, American Job Protection Act, including provisions related to an employer mandate S. 3673, Patients' Freedom to Choose Act, including issues related to FSA and HSA provisions H.R. 5853, Fiscal Responsibility and Retirement Security Act, including provisions related to class act reform H.R. 5982, Small Business Tax Relief Act of 2010 S. 3653, Health Care Bureaucrats Elimination Act, IPAB Reform provisions S.J. Res. 39, A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule relating to status as a grandfathered health plan under the Patient Protection and Affordable Care Act, including provisions related to PPACA grandfathering and IFR The Consumer Information Enhancement Act of 2010, provisions related to Medicare claims database release (bill number not yet assigned) Draft Comprehensive health reform, all provisions relating to coverage, financing, and delivery reform, 1099 reporting, grandfathering, HSA and FSA changes, CMS claims database, IPAB, CLASS program, and employer mandate (bills in the Senate and House) Various issues related to the regulatory and legislative corrections to the following bills: H.R. 3590, Patient Protection and Affordable Care Act (P.L. 111-148), provisions related to coverage, delivery reform, and financing aspects H.R. 4872, Health Care and Education Reconciliation Act of 2010 (P.L. 111-152), provisions related to coverage, delivery reform, and financing aspects General issues related to ERISA preemption and implementation and the regulatory process following the passage and enactment of health care reform (specific legislation not yet introduced)

Client expense: $29,250,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Export-Import Bank of the United States (EXIM Bank), Federal Communications Commission (FCC), Federal Reserve System, Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Aeronautics & Space Administration (NASA), Natl Economic Council (NEC), Natl Highway Traffic Safety Administration (NHTSA), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), St. Lawrence Seaway Development Corporation, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 847 James Zadroga 9/11 Health Compensation Act of 2009; S.J.Res 39 A joint resolution providing for congressional disapproval under Chapter 8 of Title 5, United States Code, of the rule relating to status as a grandfathered health plan under the Patient Protection and Affordable Care Act (P.L. 111-148); the Interim Final Rules for Group Health Plans and Health Insurance Coverage Relating to Status as a Grandfathered Health Plan under the Patient Protection and Affordable Care Act (P.L. 111-148)

Client expense: $690,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Treasury, Dept of

Support ending health care disparities among racial and ethnic minorities, support hearing into the extent of the problem as well as potential solutions; support H.R. 3090. Support Patient Bill of Rights. Support Universal Health Care (H.R. 676). Support Minority AIDS initiative. Support needle exchange programs (support H.R. 179). Support the reauthorization and expansion of SCHIP (support H.R. 2). Support ensuring that all children receive adequate, affordable care in any national health care proposal. Support Tom Daschle and Kathleen Sebelius as Secretary of US Department of Health and Human Services. Support for Dr. Regina Benjamin to be U.S. Surgeon General. Support (1) Full health care coverage that is affordable to every individual, family and business which also provides coverage for pre-existing conditions; (2) Standard, comprehensive health care benefits that meet everyones needs from preventive to chronic care; (3) The choice of a private (allowing recipients to stay with their existing health care coverage if they choose) or public health care plan, which includes a new public health care plan (the public option) that will provide a guaranteed backup which will always be there to ensure quality, affordable health care coverage no matter what; and (4) Equity in health care access, treatment, research, and resources to people and communities of color and stronger health services in low-income communities. Support the inclusion of a public option in health care reform. Support inclusion of anti-discrimination provisions in health care reform. Support passage of H.R. 3590. Support enacting cloture on HR 3590 every time the question was raised. Support the inclusion of a public option provision in H.R. 3590. Support the inclusion of steps to eliminate racial and ethnic disparities in H.R. 3590. Support requiring health insurers to cover mammogram's for women under age 50. Support inclusion of provisions requiring health insurance parity for women at no additional cost. Support H.R. 3962. Support lifting the federal ban on needle (or syringe) exchange programs to fight the spread of HIV / AIDS, and oppose the so called "1,000 foot rule" on needle exchange programs. Support prevention and wellness programs; oppose increased health insurance rates for personal characteristics such as obesity and addiction. Support the immediate implementation of the GINA (Genetic Information Non-discrimination Act ). Support H.R. 4872, Health Care Reconciliation. Support H.R. 3590, Health Care overhaul. Support efforts to curb childhood obesity. Support H. Res. 996 and S. Res. 412. Fight childhood hunger and obesity -- support a robust, well-funded child nutrition bill. Work to eliminate "food deserts" in low-income neighborhoods, support the establishmoent of farmers markets and other means of fresh fruits and vegetables in urban areas. Support the preservation of Indian Countrys health care of choice the Indian Health Service. Support S. 332 and H.R. 2112, the Lung Cancer Mortality Reduction Act of 2009. Support H.R. 3421, the The Medical Debt Relief Act of 2009. Support Healthcare Reform Insurance Web Portal Requirements. Oppose motion to require individuals in certain health care plans to sign an affidavit swearing they are an American citizen. Support the "grandfathering" of health insurance plans under to 2010 health care law. Oppose S J Res 39. Support efforts to end childhood obesity. Support HR 6258

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Small Business Administration (SBA), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), Voice of America, White House Office

H.R. 3590, Patient Protection and Affordable Care Act H.R. 3962, Affordable Health Care for America Act Health Care Reform, general S. 540, H.R. 1346, Medical Device Safety Act Medical Loss Ratios S.J. Res. 39 to disapprove the Interim Final Rule re. grandfather status under new health care law Grandfathering Regulation

Client expense: $4,750,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Consumer Product Safety Commission (CPSC), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Export-Import Bank of the United States (EXIM Bank), Federal Communications Commission (FCC), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

Health Care Reform, H.R. 3590, H.R. 4872; FSA's, HSA's - S. 3673, Patients' Freedom to Choose Act; Rule on Grandfathered health plans - S.J.Res. 39, Enzi Disapproval Resolution

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

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

PPACA - Patient Protection and Affordable Care Act (Medicare Advantage, CLASS Act, cost issues, 1099 reporting issue) S.J.Res. 39 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule relating to status as a grandfathered health plan under the Patient Protection and Affordable Care Act; Class Act - oppose H.R. 5982, the Small Business Tax Relief Act of 2010 (1099 reporting provision) H.R.5853 Fiscal Responsibility and Retirement Security Act H.R.4972 To repeal the Patient Protection and Affordable Care Act - support Discharge Petition #11 - support

Client expense: $22,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare taxes; H.R.3936, Preserve Benefits & Jobs Act; S.3157, Create Jobs & Save Benefits Act; Comments re Notice of Implementation of Expanded Info Reporting Requirements Included in the Patient Protection & Affordable Care Act of 2010 (Treasury/IRS); S.J.Res39 re overturning grandfather rule in PPACA (Senate/DOL); Section 9006 of PPACA

Client expense: $106,133 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

S.J. Res. 39, to disapprove of the rule relating to status of a grandfathered health plan under the Patient Protection and Affordable Care Act

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

Government targets: Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE