CHRISTOPHER DONNELLAN

- HR 3207 - Modernizing Laboratory Test Standards for Patients Act of 2011 - Regulation of laboratory developed tests and genetic testing. - HR 4066 - "Health Information Technology Reform Act of 2012" - Excludes Pathologists from receiving incentives for purchasing electronic health records as well as being exempt from payment penalties under meaningful use standards - Self-Referral Law - Proficiency Testing Referral - Reform of sanctions under the "Clinical Laboratory Improvement Amendments of 1988" -HR 5651/S 3187 - "Food and Drug Administration Reform Act" - Incentives to spur development of antibiotics and use of diagnostic testing.

-HR 3207 - Modernizing Laboratory Test Standards for Patients Act of 2011 - Regulation of laboratory developed tests and genetic testing. -Sustained Growth Rate (SGR) Medicare Physician Payment Reform -Stark Self-Referral Law -HR 3765, The Temporary Payroll Tax Cut Continuation Act of 2011 - HR 2461, S.1967 - Physician Pathology Services Continuation Act - Extension of existing law to allow independent laboratories under certain conditions to bill Medicare directly for the technical component of anatomic pathology services provided to hospital patients.

HR 3207: Modernizing Laboratory Test Standards for Patients Act of 2011- Regulation of laboratory developed tests and genetic testing. HR 4066: Health Information Technology Reform Act of 2012 - Excludes Pathologists from receiving incentives for purchasing electronic health records as well as being exempt from payment penalties under meaningful use standrds Self-Referral Law Proficiency Testing Referral - Reform of sanctions under the "Clinical Laboratory Improvement Amendments of 1988" HR 5651/S 3187: "Food and Drug Administration Reform Act" - Incentives to spur development of antibiotics and use of diagnositic testing.

-HR 3207 - Modernizing Laboratory Test Standards for Patients Act of 2011 - Regulation of laboratory developed tests and genetic testing. -Sustained Growth Rate (SGR) Medicare Physician Payment Reform -Stark Self-Referral Law -HR 3765, The Temporary Payroll Tax Cut Continuation Act of 2011 - HR 2461, S.1967 - Physician Pathology Services Continuation Act - Extension of existing law to allow independent laboratories under certain conditions to bill Medicare directly for the technical component of anatomic pathology services provided to hospital patients.

HR 4066: Health Information Technology Reform Act of 2012 - Excludes pathologists from receiving incentives for purchasing electronic health records as well as being exempt from payment penalties under meaningful use standards. Self-Referral Law Proficiency Testing Referral - Reform of sanctions under the "Clinical Laboratory Improvement Amendments of 1988" HR 5651/S 3187: "Food and Drug Administration Reform Act" - Incentives to spur development of antibiotics and use of diagnostic testing.

HR 3207: Modernizing Laboratory Test Standards for Patients Act of 2011- Regulation of laboratory developed tests and genetic testing. HR 4066: Health Information Technology Reform Act of 2012 - Excludes Pathologists from receiving incentives for purchasing electronic health records as well as being exempt from payment penalties under meaningful use standrds Self-Referral Law Proficiency Testing Referral - Reform of sanctions under the "Clinical Laboratory Improvement Amendments of 1988" HR 5651/S 3187: "Food and Drug Administration Reform Act" - Incentives to spur development of antibiotics and use of diagnositic testing.

- HR 3207 - Modernizing Laboratory Test Standards for Patients Act of 2011 - Regulation of laboratory developed tests and genetic testing. - HR 4066 - "Health Information Technology Reform Act of 2012" - Excludes Pathologists from receiving incentives for purchasing electronic health records as well as being exempt from payment penalties under meaningful use standards - Self-Referral Law - Proficiency Testing Referral - Reform of sanctions under the "Clinical Laboratory Improvement Amendments of 1988" -HR 5651/S 3187 - "Food and Drug Administration Reform Act" - Incentives to spur development of antibiotics and use of diagnostic testing.

HR 4066: Health Information Technology Reform Act of 2012 - Excludes pathologists from receiving incentives for purchasing electronic health records as well as being exempt from payment penalties under meaningful use standards. Self-Referral Law Proficiency Testing Referral - Reform of sanctions under the "Clinical Laboratory Improvement Amendments of 1988" HR 5651/S 3187: "Food and Drug Administration Reform Act" - Incentives to spur development of antibiotics and use of diagnostic testing.

- HR 3207 - Modernizing Laboratory Test Standards for Patients Act of 2011 - Regulation of laboratory developed tests and genetic testing. - HR 4066 - "Health Information Technology Reform Act of 2012" - Excludes Pathologists from receiving incentives for purchasing electronic health records as well as being exempt from payment penalties under meaningful use standards - Self-Referral Law - Proficiency Testing Referral - Reform of sanctions under the "Clinical Laboratory Improvement Amendments of 1988" -HR 5651/S 3187 - "Food and Drug Administration Reform Act" - Incentives to spur development of antibiotics and use of diagnostic testing.

HR 3207: Modernizing Laboratory Test Standards for Patients Act of 2011- Regulation of laboratory developed tests and genetic testing. HR 4066: Health Information Technology Reform Act of 2012 - Excludes Pathologists from receiving incentives for purchasing electronic health records as well as being exempt from payment penalties under meaningful use standrds Self-Referral Law Proficiency Testing Referral - Reform of sanctions under the "Clinical Laboratory Improvement Amendments of 1988" HR 5651/S 3187: "Food and Drug Administration Reform Act" - Incentives to spur development of antibiotics and use of diagnositic testing.

H.R. 3207 - Modernizing Laboratory Test Standards for Patients Act of 2011 - Regulation of laboratory developed tests and genetic testing. - Sustained Growth Rate (SGR) Medicare Physician Payment Reform - Stark Self-Referral Law H.R. 2461, S.1967 - Physician Pathology Services Continuity Act - Extension of existing law to allow independent laboratories, under certain conditions, to bill Medicare directly for the technical component of anatomic pathology services provided to hospital patients.

H.R. 2461, Physician Pathology Service Continuity Act - Extenstion of existing law to allow independent laboratories, under certain conditions, to bill Medicare directly for the technical component of anatomic pathology services provided to hospital patients. - Stark Self-Referral Law - Sustained Growth Rate (SGR) Medicare Physician Payment Reform

- H.R. 3207 - Modernizing Laboratory Test Standards for Patients Act of 2011 - Regulation of laboratory developed tests and genetic testing. - Standards for implementation of health information technology (HIT) meaningful-use standards and impact on practice of pathology - Stark Self-Referral Law

H.R. 3207 - Modernizing Laboratory Test Standards for Patients Act of 2011 - Regulation of laboratory developed tests and genetic testing. - Sustained Growth Rate (SGR) Medicare Physician Payment Reform - Stark Self-Referral Law H.R. 2461, S.1967 - Physician Pathology Services Continuity Act - Extension of existing law to allow independent laboratories, under certain conditions, to bill Medicare directly for the technical component of anatomic pathology services provided to hospital patients.

- H.R. 2534, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - S. 947, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - H.R. 3081, Continuing Appropriations Act of 2011, advocated for short-term SGR fix; - H.R. 4994, Medicare and Medicaid Extenders Act of 2010; - H.R. 5712, Physician Payment and Therapy Relief Act of 2010; - Section 3114 of H.R. 3590, The Patient Protection and Affordable Care Act; - Stark Self-referral law

H.R. 4213, American Jobs and Closing Tax Loopholes Act of 2010 (SGR); H.R. 3962, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 (SGR); H.R. 2534, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; S. 947, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare program.

- H.R. 2534, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - S. 947, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - Section 3114 of (H.R. 3590) The Patient Protection and Affordable Care Act; - Section 1877 (42 USC 1395) of the Social Security Act.

H.R. 3961, Medicare Physician Payment Reform Act of 2009: To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physician and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration; (continued on next page) H.R. 4851, Continuing Extension Act of 2010; H.R. 2534, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; S. 947, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare program.

H.R. 3961, Medicare Physician Payment Reform Act of 2009: To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physician and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration; (continued on next page) H.R. 4851, Continuing Extension Act of 2010; H.R. 2534, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; S. 947, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare program.

H.R. 3961, Medicare Physician Payment Reform Act of 2009: To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physician and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration; (continued on next page) H.R. 4851, Continuing Extension Act of 2010; H.R. 2534, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; S. 947, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare program.

H.R. 4949, the World Class Military Medical Facilities Act. A bill designed to establish within the Office of the Secretary of Defense an office responsible for implementing all recommendations and requirements regarding military medical facilities in the National Capital Region, and for other purposes.

- H.R. 2534, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - S. 947, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - H.R. 3081, Continuing Appropriations Act of 2011, advocated for short-term SGR fix; - H.R. 4994, Medicare and Medicaid Extenders Act of 2010; - H.R. 5712, Physician Payment and Therapy Relief Act of 2010; - Section 3114 of H.R. 3590, The Patient Protection and Affordable Care Act; - Stark Self-referral law

- Prepared questions for Members of Congress to be asked during September 2010 Committee on Science & Technology hearing on Health Information Technology; - H.R. 5440, The Geonomic and Personalized Medicine Act; - H.R. 5690, The Meaningful End to Defensive Medicine and Aimless Lawsuits (MedMal) Act of 2010; - Hatch BETTER (Better Evaluation and Treatment Through Essential Regulatory Reform) Patient Care Act.

- H.R. 5440, The Geonomic and Personalized Medicine Act; - H.R. 5690, The Meaningful End to Defensive Medicine and Aimless Lawsuits (MedMal) Act of 2010; - Hatch BETTER (Better Evaluation and Treatment Through Essential Regulatory Reform) Patient Care Act; - HITECH Act Implementation/Meaningful Use; - Draft Senate bill, "Criminal Justice and Forensic Science Reform Act of 2011."

H.R. 5440, The Genomic and Personalized Medicine Act

- Prepared questions for Members of Congress to be asked during September 2010 Committee on Science & Technology hearing on Health Information Technology; - H.R. 5440, The Geonomic and Personalized Medicine Act; - H.R. 5690, The Meaningful End to Defensive Medicine and Aimless Lawsuits (MedMal) Act of 2010; - Hatch BETTER (Better Evaluation and Treatment Through Essential Regulatory Reform) Patient Care Act.

- H.R. 5440, The Geonomic and Personalized Medicine Act; - H.R. 5690, The Meaningful End to Defensive Medicine and Aimless Lawsuits (MedMal) Act of 2010; - Hatch BETTER (Better Evaluation and Treatment Through Essential Regulatory Reform) Patient Care Act; - HITECH Act Implementation/Meaningful Use; - Draft Senate bill, "Criminal Justice and Forensic Science Reform Act of 2011."

- H.R. 2534, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - S. 947, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - H.R. 3081, Continuing Appropriations Act of 2011, advocated for short-term SGR fix; - H.R. 4994, Medicare and Medicaid Extenders Act of 2010; - H.R. 5712, Physician Payment and Therapy Relief Act of 2010; - Section 3114 of H.R. 3590, The Patient Protection and Affordable Care Act; - Stark Self-referral law

- H.R. 2534, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - S. 947, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - H.R. 3081, Continuing Appropriations Act of 2011, advocated for short-term SGR fix; - H.R. 4994, Medicare and Medicaid Extenders Act of 2010; - H.R. 5712, Physician Payment and Therapy Relief Act of 2010; - Section 3114 of H.R. 3590, The Patient Protection and Affordable Care Act; - Stark Self-referral law

- H.R. 2534, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - S. 947, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - Section 3114 of (H.R. 3590) The Patient Protection and Affordable Care Act; - Section 1877 (42 USC 1395) of the Social Security Act.

H.R. 4213, American Jobs and Closing Tax Loopholes Act of 2010 (SGR); H.R. 3962, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 (SGR); H.R. 2534, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; S. 947, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare program.

H.R. 3961, Medicare Physician Payment Reform Act of 2009: To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physician and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration; (continued on next page) H.R. 4851, Continuing Extension Act of 2010; H.R. 2534, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; S. 947, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare program.

- H.R. 2534, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - S. 947, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - H.R. 3081, Continuing Appropriations Act of 2011, advocated for short-term SGR fix; - H.R. 4994, Medicare and Medicaid Extenders Act of 2010; - H.R. 5712, Physician Payment and Therapy Relief Act of 2010; - Section 3114 of H.R. 3590, The Patient Protection and Affordable Care Act; - Stark Self-referral law

- H.R. 2534, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - S. 947, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - H.R. 3081, Continuing Appropriations Act of 2011, advocated for short-term SGR fix; - H.R. 4994, Medicare and Medicaid Extenders Act of 2010; - H.R. 5712, Physician Payment and Therapy Relief Act of 2010; - Section 3114 of H.R. 3590, The Patient Protection and Affordable Care Act; - Stark Self-referral law

- H.R. 2534, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - S. 947, Physician Pathology Services Continuity Act of 2009; To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; - Section 3114 of (H.R. 3590) The Patient Protection and Affordable Care Act; - Section 1877 (42 USC 1395) of the Social Security Act.

H.R. 3590, the Patient Protection and Affordable Act: To expand health care insurance coverage for the uninsured, restrict current current practices by health insurance companies, and to expand health care entitlement programs; H.R. 3962, the Affordable Health Care for America Act: To provide affordable, quality health care for all Americans and reduce the growth in health care spending; H.R. 4872, the Health Care and Education Reconciliation Act of 2010. The bill makes a number of health-related financing and revenue changes to the Patient Protection and Affordable Care Act enacted by H.R.3590 and modifies higher education assistance provisions; *Worked on pending legislation concerning Genomics legislation to be introduced in the U.S. House of Representatives and U.S. Senate*

H.R. 3590, the Patient Protection and Affordable Act: To expand health care insurance coverage for the uninsured, restrict current current practices by health insurance companies, and to expand health care entitlement programs; H.R. 3962, the Affordable Health Care for America Act: To provide affordable, quality health care for all Americans and reduce the growth in health care spending; H.R. 4872, the Health Care and Education Reconciliation Act of 2010. The bill makes a number of health-related financing and revenue changes to the Patient Protection and Affordable Care Act enacted by H.R.3590 and modifies higher education assistance provisions; *Worked on pending legislation concerning Genomics legislation to be introduced in the U.S. House of Representatives and U.S. Senate*

H.R. 1: American Recovery and Reinvestment Act S. 295: Medicare Quality and Payment Reform Act of 2009 A bill to amend title XVIII of the Social Security Act to improve the quality and efficiency of the Medicare program through measurement of readmission rates and resource use and to develop a pilot program to provide episodic payments to organized groups of multispecialty and multilevel providers of services and suppliers for hospitalization episodes associated with select, high cost diagnoses. H.R.1452: Medicare Clinical Diagnostic Laboratory Fee Schedule Modernization Act of 2009 To require the Secretary of Health and Human Services to enter into negotiated rulemaking to modernize the Medicare part B fee schedule for clinical diagnostic laboratory tests and to amend title XVIII of the Social Security Act to adjust the fee for collecting specimens for clinical diagnostic laboratory tests under the Medicare Program.

S. 295 - Medicare Quality and Payment Reform Act of 2009 To improve the quality and efficiency of the Medicare program through measurement of readmission rates and resource use and to develop a pilot program to provide episodic payments to organized groups of multispecialty and multilevel providers of services and suppliers for hospitalization episodes associated with select, high cost diagnoses. Senator Jeff Bingaman (D-NM) (continued on next page) H.R.1452 - Medicare Clinical Diagnostic Laboratory Fee Schedule Moderization Act of 2009 To require the Secretary of Health and Human Services to enter into negotiated rulemaking to modernize the Medicare part B fee schedule for clinical diagnostic laboratory tests and to amend title XVIII of the Social Security Act to adjust the fee for collecting specimens for clinical diagnostic laboratory tests under the Medicare Program. Representative Bart Stupak (D-MI) H.R. 2534 and S. 947 - the Physician Pathology Services Continuity Act of 2009 To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program. Representative John S. Tanner (D-TN)

H.R. 1- American Recovery and Reinvestment Act- Stimulus Bill (continued on next page) S. 295 - Medicare Quality and Payment Reform Act of 2009 To improve the quality and efficiency of the Medicare program through measurement of readmission rates and resource use and to develop a pilot program to provide episodic payments to organized groups of multispecialty and multilevel providers of services and suppliers for hospitalization episodes associated with select, high cost diagnoses. Senator Bingaman (D-NM) H.R.1452 - Medicare Clinical Diagnostic Laboratory Fee Schedule Moderization Act of 2009 To require the Secretary of Health and Human Services to enter into negotiated rulemaking to modernize the Medicare part B fee schedule for clinical diagnostic laboratory tests and to amend title XVIII of the Social Security Act to adjust the fee for collecting specimens for clinical diagnostic laboratory tests under the Medicare Program Representative Bart Stupak (D-MI)

H.R. 3961, Medicare Physician Payment Reform Act of 2009: To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physician and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration; (continued on next page) H.R. 1699, Patient Access to Critical Lab Tests Act: To require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; H.R. 2534, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; S. 1776, Medicare Physician Fairness Act of 2009: To amend title XVIII of the Social Security Act to provide for the update under the Medicare physician fee schedule for years beginning with 2010 and to sunset the application of the sustainable growth rate formula, and for other purposes; S. 1220, Patient Access to Critical Lab Tests Act: To require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; S. 947, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare program.

S. 295 - Medicare Quality and Payment Reform Act of 2009 To improve the quality and efficiency of the Medicare program through measurement of readmission rates and resource use and to develop a pilot program to provide episodic payments to organized groups of multispecialty and multilevel providers of services and suppliers for hospitalization episodes associated with select, high cost diagnoses. Senator Jeff Bingaman (D-NM) (continued on next page) H.R.1452 - Medicare Clinical Diagnostic Laboratory Fee Schedule Moderization Act of 2009 To require the Secretary of Health and Human Services to enter into negotiated rulemaking to modernize the Medicare part B fee schedule for clinical diagnostic laboratory tests and to amend title XVIII of the Social Security Act to adjust the fee for collecting specimens for clinical diagnostic laboratory tests under the Medicare Program. Representative Bart Stupak (D-MI) H.R. 2534 and S. 947 - the Physician Pathology Services Continuity Act of 2009 To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program. Representative John S. Tanner (D-TN)

H.R.2534 & S.947: The Physician Pathology Services Continuity Act of 2009 To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program.

H.R. 3961, Medicare Physician Payment Reform Act of 2009: To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physician and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration; (continued on next page) H.R. 1699, Patient Access to Critical Lab Tests Act: To require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; H.R. 2534, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; S. 1776, Medicare Physician Fairness Act of 2009: To amend title XVIII of the Social Security Act to provide for the update under the Medicare physician fee schedule for years beginning with 2010 and to sunset the application of the sustainable growth rate formula, and for other purposes; S. 1220, Patient Access to Critical Lab Tests Act: To require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; S. 947, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare program.

H.R. 3200, the America's Affordable Health Choices Act of 2009: To provide affordable, quality health care for all Americans and reduce the growth in health care spending; H.R. 3590, the Patient Protection and Affordable Act: To expand health care insurance coverage for the uninsured, restrict current current practices by health insurance companies, and to expand health care entitlement programs; H.R. 3962, the Affordable Health Care for America Act: To provide affordable, quality health care for all Americans and reduce the growth in health care spending; S. 1679, the Affordable Health Choices Act of 2009: To make quality, affordable health care available to all Americans, reduce costs and improve quality, disease prevention and strengthen the health care workforce; S. 1796, the America's Healthy Future Act of 2009: To provide afforadable, quality health care for all Americans and reduce growth in health care spending.

H.R. 3961, Medicare Physician Payment Reform Act of 2009: To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physician and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration; (continued on next page) H.R. 1699, Patient Access to Critical Lab Tests Act: To require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; H.R. 2534, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; S. 1776, Medicare Physician Fairness Act of 2009: To amend title XVIII of the Social Security Act to provide for the update under the Medicare physician fee schedule for years beginning with 2010 and to sunset the application of the sustainable growth rate formula, and for other purposes; S. 1220, Patient Access to Critical Lab Tests Act: To require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; S. 947, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare program.

H.R. 3961, Medicare Physician Payment Reform Act of 2009: To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physician and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration; (continued on next page) H.R. 1699, Patient Access to Critical Lab Tests Act: To require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; H.R. 2534, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; S. 1776, Medicare Physician Fairness Act of 2009: To amend title XVIII of the Social Security Act to provide for the update under the Medicare physician fee schedule for years beginning with 2010 and to sunset the application of the sustainable growth rate formula, and for other purposes; S. 1220, Patient Access to Critical Lab Tests Act: To require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; S. 947, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare program.

H.R. 3200, the America's Affordable Health Choices Act of 2009: To provide affordable, quality health care for all Americans and reduce the growth in health care spending; H.R. 3590, the Patient Protection and Affordable Act: To expand health care insurance coverage for the uninsured, restrict current current practices by health insurance companies, and to expand health care entitlement programs; H.R. 3962, the Affordable Health Care for America Act: To provide affordable, quality health care for all Americans and reduce the growth in health care spending; S. 1679, the Affordable Health Choices Act of 2009: To make quality, affordable health care available to all Americans, reduce costs and improve quality, disease prevention and strengthen the health care workforce; S. 1796, the America's Healthy Future Act of 2009: To provide afforadable, quality health care for all Americans and reduce growth in health care spending.

H.R. 3961, Medicare Physician Payment Reform Act of 2009: To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physician and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration; (continued on next page) H.R. 1699, Patient Access to Critical Lab Tests Act: To require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; H.R. 2534, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; S. 1776, Medicare Physician Fairness Act of 2009: To amend title XVIII of the Social Security Act to provide for the update under the Medicare physician fee schedule for years beginning with 2010 and to sunset the application of the sustainable growth rate formula, and for other purposes; S. 1220, Patient Access to Critical Lab Tests Act: To require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; S. 947, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare program.

H.R. 3200, the America's Affordable Health Choices Act of 2009: To provide affordable, quality health care for all Americans and reduce the growth in health care spending; H.R. 3590, the Patient Protection and Affordable Act: To expand health care insurance coverage for the uninsured, restrict current current practices by health insurance companies, and to expand health care entitlement programs; H.R. 3962, the Affordable Health Care for America Act: To provide affordable, quality health care for all Americans and reduce the growth in health care spending; S. 1679, the Affordable Health Choices Act of 2009: To make quality, affordable health care available to all Americans, reduce costs and improve quality, disease prevention and strengthen the health care workforce; S. 1796, the America's Healthy Future Act of 2009: To provide afforadable, quality health care for all Americans and reduce growth in health care spending.

H.R. 1: American Recovery and Reinvestment Act S. 295: Medicare Quality and Payment Reform Act of 2009 A bill to amend title XVIII of the Social Security Act to improve the quality and efficiency of the Medicare program through measurement of readmission rates and resource use and to develop a pilot program to provide episodic payments to organized groups of multispecialty and multilevel providers of services and suppliers for hospitalization episodes associated with select, high cost diagnoses. H.R.1452: Medicare Clinical Diagnostic Laboratory Fee Schedule Modernization Act of 2009 To require the Secretary of Health and Human Services to enter into negotiated rulemaking to modernize the Medicare part B fee schedule for clinical diagnostic laboratory tests and to amend title XVIII of the Social Security Act to adjust the fee for collecting specimens for clinical diagnostic laboratory tests under the Medicare Program.

S. 295 - Medicare Quality and Payment Reform Act of 2009 To improve the quality and efficiency of the Medicare program through measurement of readmission rates and resource use and to develop a pilot program to provide episodic payments to organized groups of multispecialty and multilevel providers of services and suppliers for hospitalization episodes associated with select, high cost diagnoses. Senator Jeff Bingaman (D-NM) (continued on next page) H.R.1452 - Medicare Clinical Diagnostic Laboratory Fee Schedule Moderization Act of 2009 To require the Secretary of Health and Human Services to enter into negotiated rulemaking to modernize the Medicare part B fee schedule for clinical diagnostic laboratory tests and to amend title XVIII of the Social Security Act to adjust the fee for collecting specimens for clinical diagnostic laboratory tests under the Medicare Program. Representative Bart Stupak (D-MI) H.R. 2534 and S. 947 - the Physician Pathology Services Continuity Act of 2009 To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program. Representative John S. Tanner (D-TN)

H.R. 1- American Recovery and Reinvestment Act- Stimulus Bill (continued on next page) S. 295 - Medicare Quality and Payment Reform Act of 2009 To improve the quality and efficiency of the Medicare program through measurement of readmission rates and resource use and to develop a pilot program to provide episodic payments to organized groups of multispecialty and multilevel providers of services and suppliers for hospitalization episodes associated with select, high cost diagnoses. Senator Bingaman (D-NM) H.R.1452 - Medicare Clinical Diagnostic Laboratory Fee Schedule Moderization Act of 2009 To require the Secretary of Health and Human Services to enter into negotiated rulemaking to modernize the Medicare part B fee schedule for clinical diagnostic laboratory tests and to amend title XVIII of the Social Security Act to adjust the fee for collecting specimens for clinical diagnostic laboratory tests under the Medicare Program Representative Bart Stupak (D-MI)

S.717 - 21st Century Cancer Alert A bill to modernize cancer research, increase access to preventative cancer services, provide cancer treatment and survivorship initiatives, and for other purposes.

S.717-21st Century Cancer Alert: A bill to modernize cancer research, increase access to preventative cancer services, provide cancer treatment and survivorship initiatives, and for other purposes, provisions relating to comprehensive coordinated cancer care; biorepositories. Stillbirth Awareness Act-Increasing the rate of autopsies performed on stillborns for purposes of gathering information to decrease incident rates of stillbirth.

S.717: 21st Century Cancer Act A bill to modernize cancer research, increase access to preventative cancer services, provide cancer treatment and survivorship initiatives, and for other purposes.

S. 295 - Medicare Quality and Payment Reform Act of 2009 To improve the quality and efficiency of the Medicare program through measurement of readmission rates and resource use and to develop a pilot program to provide episodic payments to organized groups of multispecialty and multilevel providers of services and suppliers for hospitalization episodes associated with select, high cost diagnoses. Senator Jeff Bingaman (D-NM) (continued on next page) H.R.1452 - Medicare Clinical Diagnostic Laboratory Fee Schedule Moderization Act of 2009 To require the Secretary of Health and Human Services to enter into negotiated rulemaking to modernize the Medicare part B fee schedule for clinical diagnostic laboratory tests and to amend title XVIII of the Social Security Act to adjust the fee for collecting specimens for clinical diagnostic laboratory tests under the Medicare Program. Representative Bart Stupak (D-MI) H.R. 2534 and S. 947 - the Physician Pathology Services Continuity Act of 2009 To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program. Representative John S. Tanner (D-TN)

H.R.2534 & S.947: The Physician Pathology Services Continuity Act of 2009 To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program.

H.R. 3961, Medicare Physician Payment Reform Act of 2009: To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physician and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration; (continued on next page) H.R. 1699, Patient Access to Critical Lab Tests Act: To require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; H.R. 2534, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare Program; S. 1776, Medicare Physician Fairness Act of 2009: To amend title XVIII of the Social Security Act to provide for the update under the Medicare physician fee schedule for years beginning with 2010 and to sunset the application of the sustainable growth rate formula, and for other purposes; S. 1220, Patient Access to Critical Lab Tests Act: To require that certain complex diagnostic laboratory tests performed by an independent laboratory after a hospital outpatient encounter or inpatient stay during which the specimen involved was collected shall be treated as services for which payment may be made directly to the laboratory under part B of title XVIII of the Social Security Act; S. 947, Physician Pathology Services Continuity Act of 2009: To amend title XVIII of the Social Security Act to provide for the treatment of certain physician pathology services under the Medicare program.

H.R. 3200, the America's Affordable Health Choices Act of 2009: To provide affordable, quality health care for all Americans and reduce the growth in health care spending; H.R. 3590, the Patient Protection and Affordable Act: To expand health care insurance coverage for the uninsured, restrict current current practices by health insurance companies, and to expand health care entitlement programs; H.R. 3962, the Affordable Health Care for America Act: To provide affordable, quality health care for all Americans and reduce the growth in health care spending; S. 1679, the Affordable Health Choices Act of 2009: To make quality, affordable health care available to all Americans, reduce costs and improve quality, disease prevention and strengthen the health care workforce; S. 1796, the America's Healthy Future Act of 2009: To provide afforadable, quality health care for all Americans and reduce growth in health care spending.

H.R. 3200, the America's Affordable Health Choices Act of 2009: To provide affordable, quality health care for all Americans and reduce the growth in health care spending; H.R. 3590, the Patient Protection and Affordable Act: To expand health care insurance coverage for the uninsured, restrict current current practices by health insurance companies, and to expand health care entitlement programs; H.R. 3962, the Affordable Health Care for America Act: To provide affordable, quality health care for all Americans and reduce the growth in health care spending; S. 1679, the Affordable Health Choices Act of 2009: To make quality, affordable health care available to all Americans, reduce costs and improve quality, disease prevention and strengthen the health care workforce; S. 1796, the America's Healthy Future Act of 2009: To provide afforadable, quality health care for all Americans and reduce growth in health care spending.

H.R. 1105- Physician Pathology Services Continuity Act of 2007; S. 458- Physician Pathology Services Continuity Act of 2007; H.R. 3453- The Community Clinical Laboratory Fairness in Competition Act of 2007; H.R. 2860- Health Care Access and Rural Equity (H-CARE) Act of 2007; S. 1605 -Craig Thomas Rural Hospital and Provider Equity Act of 2007

Sustainable Growth Rate- Support legislation that would halt Medicare physician payment cuts and support a permanent replacement for the current sustainable growth rate (SGR) that reflects current medical costs. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 2626, the Comprehensive HealthCARE act of 2007, S.2785, the Save Medicare Act of 2008); Technical Component Grandfather Support legislation that provides a permanent grandfather provision allowing independent laboratories to bill Medicare directly for certain physician pathology services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 1105 and S. 458 the Physician Pathology Services Continuity Act of 2007) Competitive Bidding Demonstration Project- Support legislation that would repeal the Medicare Laboratory Competitive Bidding Demonstration project for diagnostic laboratory services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 3453, the Community Clinical Laboratory Fairness in Competition Act of 2007, S 2099, the Preserving Access to Laboratory Services Act of 2007) Relative Value Update Reform- Oppose efforts to replace the current relative value review process with a federal advisory committee. Pay for Performance/Physician Quality Reporting Initiative (PQRI)- Ensure pathologists continue to have the option to participate in PQRI program and monitor for any potential harm. Support legislation that establishes and continues a bonus payment program under the PQRI. (H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008)

Sustainable Growth Rate- Support legislation that would halt Medicare physician payment cuts and support a permanent replacement for the current sustainable growth rate (SGR) that reflects current medical costs. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 2626, the Comprehensive HealthCARE act of 2007, S.2785, the Save Medicare Act of 2008); Technical Component Grandfather Support legislation that provides a permanent grandfather provision allowing independent laboratories to bill Medicare directly for certain physician pathology services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 1105 and S. 458 the Physician Pathology Services Continuity Act of 2007) Competitive Bidding Demonstration Project- Support legislation that would repeal the Medicare Laboratory Competitive Bidding Demonstration project for diagnostic laboratory services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 3453, the Community Clinical Laboratory Fairness in Competition Act of 2007, S 2099, the Preserving Access to Laboratory Services Act of 2007) Relative Value Update Reform- Oppose efforts to replace the current relative value review process with a federal advisory committee. Pay for Performance/Physician Quality Reporting Initiative (PQRI)- Ensure pathologists continue to have the option to participate in PQRI program and monitor for any potential harm. Support legislation that establishes and continues a bonus payment program under the PQRI. (H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008)

H.R. 1237- Cytology Proficiency Improvement Act of 2007; H.R. 1105- Physician Pathology Services Continuity Act of 2007; S. 458- Physician Pathology Services Continuity Act of 2007; H. R. 3162- Children's Health and Medicare Protection Act; S. 624- National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007; H.R. 1132 - National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007 (Received in Senate from House); H.R. 2626- Comprehensive HealthCARE (Coverage and Reform Enhancement) Act; H.R. 2860- Health Care Access and Rural Equity (H-CARE) Act of 2007; S. 1605 -Craig Thomas Rural Hospital and Provider Equity Act of 2007; H.R. 506- Health Partnership Through Creative Federalism Act; S. 1693- Wired for Health Care Quality Act

H.R. 977- Genomic Research and Accessibility Act; S. 976- Genomics and Personalized Medicine Act of 2007; S. 736- Laboratory Test Improvement Act- MED; S. 624- National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007; H.R. 1132 - National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007 (Received in Senate from House); H.R. 2626- Comprehensive HealthCARE (Coverage and Reform Enhancement) Act; H.R. 493- Genetic Information Nondiscrimination Act of 2007; S.358- Genetic Information Nondiscrimination Act of 2007

H.R. 1237- Cytology Proficiency Improvement Act of 2007; H.R. 1105- Physician Pathology Services Continuity Act of 2007; S. 458- Physician Pathology Services Continuity Act of 2007; H. R. 3162- Children's Health and Medicare Protection Act; S. 624- National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007; H.R. 1132 - National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007 (Received in Senate from House); H.R. 2626- Comprehensive HealthCARE (Coverage and Reform Enhancement) Act; H.R. 2860- Health Care Access and Rural Equity (H-CARE) Act of 2007; S. 1605 -Craig Thomas Rural Hospital and Provider Equity Act of 2007; H.R. 506- Health Partnership Through Creative Federalism Act; S. 1693- Wired for Health Care Quality Act

H.R. 1237 / S. 2510: The Cytology Proficiency Improvement Act of 2007 - Cytology Proficiency Testing - Support legislation that would modernize and improve an outdated federal proficiency test required by pathologists who examine Pap test to screen for cervical cancer. S. 976: Genomics and Personalized Medicine Act of 2007 - Regulation of Genetic Testing - The CAP supports continued regulation of genetic testing through existing CLIA law. S. 736: The Laboratory Test Improvement Act - Regulation of Genetic Testing - The CAP supports continued regulation of genetic testing through existing CLIA law. H.R. 977: The Genomic Research and Accessibility Act - Gene Patents - Support legislation that prohibits gene patents or exempts lab based personnel from patent violations when performing laboratory developed tests.

Cytology Proficiency Testing- Support legislation that would modernize and improve an outdated federal proficiency test required by pathologists who examine Pap test to screen for cervical cancer. (H.R. 1237 and S 2510 both named The Cytology Proficiency Improvement Act of 2007); Regulation of Genetic Testing- The CAP supports continued regulation of genetic testing through existing CLIA law (S. 976, Genomics and Personalized Medicine Act of 2007 and S. 736 the Laboratory Test Improvement Act); Genetic Discrimination- Support legislation banning employers from discrimination based on genetic information. (H.R. 483 and S. 358, both titled the Genetic Information Non Discrimination Act of 2007 and signed into law in spring 2008) Gene Patents- Support legislation that prohibits gene patents or exempts lab based personnel from patent violations when performing laboratory developed tests. (H.R. 977, the Genomic Research and Accessibility Act)

Cytology Proficiency Testing- Support legislation that would modernize and improve an outdated federal proficiency test required by pathologists who examine Pap test to screen for cervical cancer. (H.R. 1237 and S 2510 both named The Cytology Proficiency Improvement Act of 2007); Regulation of Genetic Testing- The CAP supports continued regulation of genetic testing through existing CLIA law (S. 976, Genomics and Personalized Medicine Act of 2007 and S. 736 the Laboratory Test Improvement Act); Genetic Discrimination- Support legislation banning employers from discrimination based on genetic information. (H.R. 483 and S. 358, both titled the Genetic Information Non Discrimination Act of 2007 and signed into law in spring 2008) Gene Patents- Support legislation that prohibits gene patents or exempts lab based personnel from patent violations when performing laboratory developed tests. (H.R. 977, the Genomic Research and Accessibility Act)

H.R. 1237- Cytology Proficiency Improvement Act of 2007; H.R. 1105- Physician Pathology Services Continuity Act of 2007; S. 458- Physician Pathology Services Continuity Act of 2007; H. R. 3162- Children's Health and Medicare Protection Act; S. 624- National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007; H.R. 1132 - National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007 (Received in Senate from House); H.R. 2626- Comprehensive HealthCARE (Coverage and Reform Enhancement) Act; H.R. 2860- Health Care Access and Rural Equity (H-CARE) Act of 2007; S. 1605 -Craig Thomas Rural Hospital and Provider Equity Act of 2007; H.R. 506- Health Partnership Through Creative Federalism Act; S. 1693- Wired for Health Care Quality Act

H.R. 2580- Help, Efficient, Accessible, Low-Cost, Timely, Healthcare Act of 2007; S. 334- Healthy Americans Act

Sustainable Growth Rate- Support legislation that would halt Medicare physician payment cuts and support a permanent replacement for the current sustainable growth rate (SGR) that reflects current medical costs. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 2626, the Comprehensive HealthCARE act of 2007, S.2785, the Save Medicare Act of 2008); Technical Component Grandfather Support legislation that provides a permanent grandfather provision allowing independent laboratories to bill Medicare directly for certain physician pathology services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 1105 and S. 458 the Physician Pathology Services Continuity Act of 2007) Competitive Bidding Demonstration Project- Support legislation that would repeal the Medicare Laboratory Competitive Bidding Demonstration project for diagnostic laboratory services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 3453, the Community Clinical Laboratory Fairness in Competition Act of 2007, S 2099, the Preserving Access to Laboratory Services Act of 2007) Relative Value Update Reform- Oppose efforts to replace the current relative value review process with a federal advisory committee. Pay for Performance/Physician Quality Reporting Initiative (PQRI)- Ensure pathologists continue to have the option to participate in PQRI program and monitor for any potential harm. Support legislation that establishes and continues a bonus payment program under the PQRI. (H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008)

H.R. 977- Genomic Research and Accessibility Act; S. 976- Genomics and Personalized Medicine Act of 2007; S. 736- Laboratory Test Improvement Act- MED; S. 624- National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007; H.R. 1132 - National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007 (Received in Senate from House); H.R. 2626- Comprehensive HealthCARE (Coverage and Reform Enhancement) Act; H.R. 493- Genetic Information Nondiscrimination Act of 2007; S.358- Genetic Information Nondiscrimination Act of 2007

Sustainable Growth Rate- Support legislation that would halt Medicare physician payment cuts and support a permanent replacement for the current sustainable growth rate (SGR) that reflects current medical costs. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 2626, the Comprehensive HealthCARE act of 2007, S.2785, the Save Medicare Act of 2008); Technical Component Grandfather Support legislation that provides a permanent grandfather provision allowing independent laboratories to bill Medicare directly for certain physician pathology services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 1105 and S. 458 the Physician Pathology Services Continuity Act of 2007) Competitive Bidding Demonstration Project- Support legislation that would repeal the Medicare Laboratory Competitive Bidding Demonstration project for diagnostic laboratory services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 3453, the Community Clinical Laboratory Fairness in Competition Act of 2007, S 2099, the Preserving Access to Laboratory Services Act of 2007) Relative Value Update Reform- Oppose efforts to replace the current relative value review process with a federal advisory committee. Pay for Performance/Physician Quality Reporting Initiative (PQRI)- Ensure pathologists continue to have the option to participate in PQRI program and monitor for any potential harm. Support legislation that establishes and continues a bonus payment program under the PQRI. (H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008)

H.R. 1237- Cytology Proficiency Improvement Act of 2007; H.R. 1105- Physician Pathology Services Continuity Act of 2007; S. 458- Physician Pathology Services Continuity Act of 2007; H. R. 3162- Children's Health and Medicare Protection Act; S. 624- National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007; H.R. 1132 - National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007 (Received in Senate from House); H.R. 2626- Comprehensive HealthCARE (Coverage and Reform Enhancement) Act; H.R. 2860- Health Care Access and Rural Equity (H-CARE) Act of 2007; S. 1605 -Craig Thomas Rural Hospital and Provider Equity Act of 2007; H.R. 506- Health Partnership Through Creative Federalism Act; S. 1693- Wired for Health Care Quality Act

H.R. 1237- Cytology Proficiency Improvement Act of 2007; H.R. 1105- Physician Pathology Services Continuity Act of 2007; S. 458- Physician Pathology Services Continuity Act of 2007; H. R. 3162- Children's Health and Medicare Protection Act; S. 624- National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007; H.R. 1132 - National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007 (Received in Senate from House); H.R. 2626- Comprehensive HealthCARE (Coverage and Reform Enhancement) Act; H.R. 2860- Health Care Access and Rural Equity (H-CARE) Act of 2007; S. 1605 -Craig Thomas Rural Hospital and Provider Equity Act of 2007; H.R. 506- Health Partnership Through Creative Federalism Act; S. 1693- Wired for Health Care Quality Act

H.R. 1105- Physician Pathology Services Continuity Act of 2007; S. 458- Physician Pathology Services Continuity Act of 2007; H.R. 3453- The Community Clinical Laboratory Fairness in Competition Act of 2007; H.R. 2860- Health Care Access and Rural Equity (H-CARE) Act of 2007; S. 1605 -Craig Thomas Rural Hospital and Provider Equity Act of 2007

Sustainable Growth Rate- Support legislation that would halt Medicare physician payment cuts and support a permanent replacement for the current sustainable growth rate (SGR) that reflects current medical costs. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 2626, the Comprehensive HealthCARE act of 2007, S.2785, the Save Medicare Act of 2008); Technical Component Grandfather Support legislation that provides a permanent grandfather provision allowing independent laboratories to bill Medicare directly for certain physician pathology services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 1105 and S. 458 the Physician Pathology Services Continuity Act of 2007) Competitive Bidding Demonstration Project- Support legislation that would repeal the Medicare Laboratory Competitive Bidding Demonstration project for diagnostic laboratory services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 3453, the Community Clinical Laboratory Fairness in Competition Act of 2007, S 2099, the Preserving Access to Laboratory Services Act of 2007) Relative Value Update Reform- Oppose efforts to replace the current relative value review process with a federal advisory committee. Pay for Performance/Physician Quality Reporting Initiative (PQRI)- Ensure pathologists continue to have the option to participate in PQRI program and monitor for any potential harm. Support legislation that establishes and continues a bonus payment program under the PQRI. (H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008)

Sustainable Growth Rate- Support legislation that would halt Medicare physician payment cuts and support a permanent replacement for the current sustainable growth rate (SGR) that reflects current medical costs. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 2626, the Comprehensive HealthCARE act of 2007, S.2785, the Save Medicare Act of 2008); Technical Component Grandfather Support legislation that provides a permanent grandfather provision allowing independent laboratories to bill Medicare directly for certain physician pathology services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 1105 and S. 458 the Physician Pathology Services Continuity Act of 2007) Competitive Bidding Demonstration Project- Support legislation that would repeal the Medicare Laboratory Competitive Bidding Demonstration project for diagnostic laboratory services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 3453, the Community Clinical Laboratory Fairness in Competition Act of 2007, S 2099, the Preserving Access to Laboratory Services Act of 2007) Relative Value Update Reform- Oppose efforts to replace the current relative value review process with a federal advisory committee. Pay for Performance/Physician Quality Reporting Initiative (PQRI)- Ensure pathologists continue to have the option to participate in PQRI program and monitor for any potential harm. Support legislation that establishes and continues a bonus payment program under the PQRI. (H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008)

H.R. 1105- Physician Pathology Services Continuity Act of 2007; S. 458- Physician Pathology Services Continuity Act of 2007; H.R. 3453- The Community Clinical Laboratory Fairness in Competition Act of 2007; H.R. 2860- Health Care Access and Rural Equity (H-CARE) Act of 2007; S. 1605 -Craig Thomas Rural Hospital and Provider Equity Act of 2007

Cytology Proficiency Testing- Support legislation that would modernize and improve an outdated federal proficiency test required by pathologists who examine Pap test to screen for cervical cancer. (H.R. 1237 and S 2510 both named The Cytology Proficiency Improvement Act of 2007); Regulation of Genetic Testing- The CAP supports continued regulation of genetic testing through existing CLIA law (S. 976, Genomics and Personalized Medicine Act of 2007 and S. 736 the Laboratory Test Improvement Act); Genetic Discrimination- Support legislation banning employers from discrimination based on genetic information. (H.R. 483 and S. 358, both titled the Genetic Information Non Discrimination Act of 2007 and signed into law in spring 2008) Gene Patents- Support legislation that prohibits gene patents or exempts lab based personnel from patent violations when performing laboratory developed tests. (H.R. 977, the Genomic Research and Accessibility Act)

Cytology Proficiency Testing- Support legislation that would modernize and improve an outdated federal proficiency test required by pathologists who examine Pap test to screen for cervical cancer. (H.R. 1237 and S 2510 both named The Cytology Proficiency Improvement Act of 2007); Regulation of Genetic Testing- The CAP supports continued regulation of genetic testing through existing CLIA law (S. 976, Genomics and Personalized Medicine Act of 2007 and S. 736 the Laboratory Test Improvement Act); Genetic Discrimination- Support legislation banning employers from discrimination based on genetic information. (H.R. 483 and S. 358, both titled the Genetic Information Non Discrimination Act of 2007 and signed into law in spring 2008) Gene Patents- Support legislation that prohibits gene patents or exempts lab based personnel from patent violations when performing laboratory developed tests. (H.R. 977, the Genomic Research and Accessibility Act)

H.R. 1237- Cytology Proficiency Improvement Act of 2007; H.R. 1105- Physician Pathology Services Continuity Act of 2007; S. 458- Physician Pathology Services Continuity Act of 2007; H. R. 3162- Children's Health and Medicare Protection Act; S. 624- National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007; H.R. 1132 - National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007 (Received in Senate from House); H.R. 2626- Comprehensive HealthCARE (Coverage and Reform Enhancement) Act; H.R. 2860- Health Care Access and Rural Equity (H-CARE) Act of 2007; S. 1605 -Craig Thomas Rural Hospital and Provider Equity Act of 2007; H.R. 506- Health Partnership Through Creative Federalism Act; S. 1693- Wired for Health Care Quality Act

Sustainable Growth Rate- Support legislation that would halt Medicare physician payment cuts and support a permanent replacement for the current sustainable growth rate (SGR) that reflects current medical costs. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 2626, the Comprehensive HealthCARE act of 2007, S.2785, the Save Medicare Act of 2008); Technical Component Grandfather Support legislation that provides a permanent grandfather provision allowing independent laboratories to bill Medicare directly for certain physician pathology services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 1105 and S. 458 the Physician Pathology Services Continuity Act of 2007) Competitive Bidding Demonstration Project- Support legislation that would repeal the Medicare Laboratory Competitive Bidding Demonstration project for diagnostic laboratory services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 3453, the Community Clinical Laboratory Fairness in Competition Act of 2007, S 2099, the Preserving Access to Laboratory Services Act of 2007) Relative Value Update Reform- Oppose efforts to replace the current relative value review process with a federal advisory committee. Pay for Performance/Physician Quality Reporting Initiative (PQRI)- Ensure pathologists continue to have the option to participate in PQRI program and monitor for any potential harm. Support legislation that establishes and continues a bonus payment program under the PQRI. (H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008)

Sustainable Growth Rate- Support legislation that would halt Medicare physician payment cuts and support a permanent replacement for the current sustainable growth rate (SGR) that reflects current medical costs. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 2626, the Comprehensive HealthCARE act of 2007, S.2785, the Save Medicare Act of 2008); Technical Component Grandfather Support legislation that provides a permanent grandfather provision allowing independent laboratories to bill Medicare directly for certain physician pathology services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 1105 and S. 458 the Physician Pathology Services Continuity Act of 2007) Competitive Bidding Demonstration Project- Support legislation that would repeal the Medicare Laboratory Competitive Bidding Demonstration project for diagnostic laboratory services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 3453, the Community Clinical Laboratory Fairness in Competition Act of 2007, S 2099, the Preserving Access to Laboratory Services Act of 2007) Relative Value Update Reform- Oppose efforts to replace the current relative value review process with a federal advisory committee. Pay for Performance/Physician Quality Reporting Initiative (PQRI)- Ensure pathologists continue to have the option to participate in PQRI program and monitor for any potential harm. Support legislation that establishes and continues a bonus payment program under the PQRI. (H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008)

H.R. 6761: Medicare Clinical Diagnostic Lab Fee Schedule Moderization Act of 2008 - Clinical Laboratory Fee Schedule - Ensure revised clinical laboratory payment process does not adversely affect pathology practice.

H.R. 1237 / S. 2510: The Cytology Proficiency Improvement Act of 2007 - Cytology Proficiency Testing - Support legislation that would modernize and improve an outdated federal proficiency test required by pathologists who examine Pap test to screen for cervical cancer. S. 976: Genomics and Personalized Medicine Act of 2007 - Regulation of Genetic Testing - The CAP supports continued regulation of genetic testing through existing CLIA law. S. 736: The Laboratory Test Improvement Act - Regulation of Genetic Testing - The CAP supports continued regulation of genetic testing through existing CLIA law. H.R. 977: The Genomic Research and Accessibility Act - Gene Patents - Support legislation that prohibits gene patents or exempts lab based personnel from patent violations when performing laboratory developed tests.

Cytology Proficiency Testing- Support legislation that would modernize and improve an outdated federal proficiency test required by pathologists who examine Pap test to screen for cervical cancer. (H.R. 1237 and S 2510 both named The Cytology Proficiency Improvement Act of 2007); Regulation of Genetic Testing- The CAP supports continued regulation of genetic testing through existing CLIA law (S. 976, Genomics and Personalized Medicine Act of 2007 and S. 736 the Laboratory Test Improvement Act); Genetic Discrimination- Support legislation banning employers from discrimination based on genetic information. (H.R. 483 and S. 358, both titled the Genetic Information Non Discrimination Act of 2007 and signed into law in spring 2008) Gene Patents- Support legislation that prohibits gene patents or exempts lab based personnel from patent violations when performing laboratory developed tests. (H.R. 977, the Genomic Research and Accessibility Act)

H.R. 977- Genomic Research and Accessibility Act; S. 976- Genomics and Personalized Medicine Act of 2007; S. 736- Laboratory Test Improvement Act- MED; S. 624- National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007; H.R. 1132 - National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007 (Received in Senate from House); H.R. 2626- Comprehensive HealthCARE (Coverage and Reform Enhancement) Act; H.R. 493- Genetic Information Nondiscrimination Act of 2007; S.358- Genetic Information Nondiscrimination Act of 2007

Cytology Proficiency Testing- Support legislation that would modernize and improve an outdated federal proficiency test required by pathologists who examine Pap test to screen for cervical cancer. (H.R. 1237 and S 2510 both named The Cytology Proficiency Improvement Act of 2007); Regulation of Genetic Testing- The CAP supports continued regulation of genetic testing through existing CLIA law (S. 976, Genomics and Personalized Medicine Act of 2007 and S. 736 the Laboratory Test Improvement Act); Genetic Discrimination- Support legislation banning employers from discrimination based on genetic information. (H.R. 483 and S. 358, both titled the Genetic Information Non Discrimination Act of 2007 and signed into law in spring 2008) Gene Patents- Support legislation that prohibits gene patents or exempts lab based personnel from patent violations when performing laboratory developed tests. (H.R. 977, the Genomic Research and Accessibility Act)

H.R. 1105- Physician Pathology Services Continuity Act of 2007; S. 458- Physician Pathology Services Continuity Act of 2007; H.R. 3453- The Community Clinical Laboratory Fairness in Competition Act of 2007; H.R. 2860- Health Care Access and Rural Equity (H-CARE) Act of 2007; S. 1605 -Craig Thomas Rural Hospital and Provider Equity Act of 2007

H.R. 1237- Cytology Proficiency Improvement Act of 2007; H.R. 1105- Physician Pathology Services Continuity Act of 2007; S. 458- Physician Pathology Services Continuity Act of 2007; H. R. 3162- Children's Health and Medicare Protection Act; S. 624- National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007; H.R. 1132 - National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007 (Received in Senate from House); H.R. 2626- Comprehensive HealthCARE (Coverage and Reform Enhancement) Act; H.R. 2860- Health Care Access and Rural Equity (H-CARE) Act of 2007; S. 1605 -Craig Thomas Rural Hospital and Provider Equity Act of 2007; H.R. 506- Health Partnership Through Creative Federalism Act; S. 1693- Wired for Health Care Quality Act

H.R. 1237- Cytology Proficiency Improvement Act of 2007; H.R. 1105- Physician Pathology Services Continuity Act of 2007; S. 458- Physician Pathology Services Continuity Act of 2007; H. R. 3162- Children's Health and Medicare Protection Act; S. 624- National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007; H.R. 1132 - National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2007 (Received in Senate from House); H.R. 2626- Comprehensive HealthCARE (Coverage and Reform Enhancement) Act; H.R. 2860- Health Care Access and Rural Equity (H-CARE) Act of 2007; S. 1605 -Craig Thomas Rural Hospital and Provider Equity Act of 2007; H.R. 506- Health Partnership Through Creative Federalism Act; S. 1693- Wired for Health Care Quality Act

Sustainable Growth Rate- Support legislation that would halt Medicare physician payment cuts and support a permanent replacement for the current sustainable growth rate (SGR) that reflects current medical costs. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 2626, the Comprehensive HealthCARE act of 2007, S.2785, the Save Medicare Act of 2008); Technical Component Grandfather Support legislation that provides a permanent grandfather provision allowing independent laboratories to bill Medicare directly for certain physician pathology services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 1105 and S. 458 the Physician Pathology Services Continuity Act of 2007) Competitive Bidding Demonstration Project- Support legislation that would repeal the Medicare Laboratory Competitive Bidding Demonstration project for diagnostic laboratory services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 3453, the Community Clinical Laboratory Fairness in Competition Act of 2007, S 2099, the Preserving Access to Laboratory Services Act of 2007) Relative Value Update Reform- Oppose efforts to replace the current relative value review process with a federal advisory committee. Pay for Performance/Physician Quality Reporting Initiative (PQRI)- Ensure pathologists continue to have the option to participate in PQRI program and monitor for any potential harm. Support legislation that establishes and continues a bonus payment program under the PQRI. (H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008)

Sustainable Growth Rate- Support legislation that would halt Medicare physician payment cuts and support a permanent replacement for the current sustainable growth rate (SGR) that reflects current medical costs. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 2626, the Comprehensive HealthCARE act of 2007, S.2785, the Save Medicare Act of 2008); Technical Component Grandfather Support legislation that provides a permanent grandfather provision allowing independent laboratories to bill Medicare directly for certain physician pathology services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 1105 and S. 458 the Physician Pathology Services Continuity Act of 2007) Competitive Bidding Demonstration Project- Support legislation that would repeal the Medicare Laboratory Competitive Bidding Demonstration project for diagnostic laboratory services. (H.R. 6331 Medicare Improvements for Patients and Providers Act of 2008, H.R. 3453, the Community Clinical Laboratory Fairness in Competition Act of 2007, S 2099, the Preserving Access to Laboratory Services Act of 2007) Relative Value Update Reform- Oppose efforts to replace the current relative value review process with a federal advisory committee. Pay for Performance/Physician Quality Reporting Initiative (PQRI)- Ensure pathologists continue to have the option to participate in PQRI program and monitor for any potential harm. Support legislation that establishes and continues a bonus payment program under the PQRI. (H.R. 6331, Medicare Improvements for Patients and Providers Act of 2008)