Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page

9. Check if this filing amends a previously filed version of this report

LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code MMM

16. Specific lobbying issues

H.R. 1044, Medicare Access to Rural Anesthesiology Act: Rural Pass Through
S. 848, Consumer Information Enhancement Act of 2011, Physician Data Reporting

S. 454, Strengthening Program Integrity in Health Care Act of 2011

S. 668, Health Care Bureaucrats Elimination Act

S. 365, Budget Control Act of 2011

H.R. 452, Medicare Decisions Accountability Act of 2011 - Independent Payment Advisory Board (IPAB) Repeal

H.CON.RES.34, Establishing the budget for the United States Government for fiscal year 2012 and setting forth appropriate budgetary levels for fiscal years 2013 through 2021. Medicare premium support issue

H.R. 2560, Cut, Cap, and Balance Act of 2011

Part B Medicare Physician's Fee Schedule: Implementation of Medicare Anesthesiology Teaching Funding Restoration Act

2012 Medicare Physician Fee Schedule proposed and final rules

Medicare Reform, Payment Issues: Medicare Sustainable Growth Rate repeal

Bundled payments

CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services

CMS Physician Resource Use Reports

CMS Hospital Outpatient Payment Proposed Rule

CMS Value-Based purchasing

Conditions of Participation - Anesthesia services, opt-outs, supervision

Physician Quality Report System, Quality, Sec. 3007 Quality Modifier

CMS E-Prescribing

President Obama's deficit reduction plans














Balance billing

MedPAC nominations

CMS Handoffs

Accountable Care Organizations

Historical Medicare payment undervaluation for anesthesiology services (33% problem)

Anesthesia Conversion Factor

Perioperative Home Model

Graduate Medical Education Cuts

Medicare Local Coverage Determinations

CMS MLN Critical Access Hospital Anesthesia Payment Rule

CMS Transcutaneous Electrical Nerve Stimulation comment letter

HHS Plan for Retrospective Review of Existing Rules 2011 - Conditions of Participation

CMS Five Year Review Proposed Rule

Value-based modifier - PPACA

5010 - Claims Processing

Debt ceiling- negotiation of Medicare re-entitlement reform

Gang of six - debt proposal

Coburn deficit reduction plan

17. House(s) of Congress and Federal agencies Check if None

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Government Accountability Office (GAO)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

​

LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code HCR

16. Specific lobbying issues

H.R. 451, Healthcare Truth and Transparency Act: Healthcare Provider Transparency, Healthcare Provider Misrepresentation
H.R. 866, National All Schedules Prescription Electronic Reporting Reauthorization Act

S. 296, Preserving Access to Life-saving Medications Act, drug shortages

Medical Liability Reform; H.R. 5, HEALTH Act of 2011

PPACA Nondiscrimination language regarding paraprofessionals - repeal

DEA Scheduling Propofol

Comparative Effectiveness Research

HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use

HHS/OIG Anesthesia Practice Arrangements, Company Model

FDA Risk Evaluation and Mitigation Strategies

FDA Safe Use Initiative

Pain Management

Individual Mandate- PPACA

Proposed Federal CME requirements by ONDCP

FDA Sedation Initiative

Drug Shortages - FDA, DEA, HHS, CMS

Scope of Practice

HIPAA Proposed Rule













FDA Operating Room Fires

FDA ACTION Initiative

FDA Sentinel

Prescription Drug User Fee Act

NASPER Funding; controlled substance abuse, misuse and diversion

State Exchanges pursuant to PPACA

FDA SEDASYS

FDA Sedation Products Request for Assistance

17. House(s) of Congress and Federal agencies Check if None

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, Food & Drug Administration (FDA), Justice - Dept of (DOJ), Health & Human Services - Dept of (HHS), Drug Enforcement Administration (DEA), Office of Management & Budget (OMB), Executive Office of the President (EOP), Defense - Dept of (DOD), Occupational Safety & Health Administration (OSHA), Federal Trade Commission (FTC)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

​

LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code VET

16. Specific lobbying issues

No lobbying activity in this issue area in Q3 2011.

17. House(s) of Congress and Federal agencies Check if None

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

​

Information Update Page - Complete ONLY where registration information has changed.

20. Client new address

21. Client new principal place of business (if different than line 20)

22. New General description of client’s business or activities

LOBBYIST UPDATE

23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client

ISSUE UPDATE

24. General lobbying issue that no longer pertains

AFFILIATED ORGANIZATIONS

25. Add the following affiliated organization(s)

Internet Address:

26. Name of each previously reported organization that is no longer affiliated with the registrant or client

FOREIGN ENTITIES

27. Add the following foreign entities:

28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization