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 BUD

16. Specific lobbying issues

Labor HHS Appropriations Bill, all provisions

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

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE

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

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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 EDU

16. Specific lobbying issues

H.R. 4213, American Jobs and Closing Tax Loopholes Act of 2010, provisions relating to tuition expense deduction
H.R. 4872, Health Care and Education Reconciliation Act of 2010, provisions relating to graduate medical education

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

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE

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

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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 FIN

16. Specific lobbying issues

S. 3217, Restoring American Financial Stability Act of 2010, Section 1027
H.R. 4173, Restoring American Financial Stability Act of 2010, Section 1027

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

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE

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

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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. 4213, American Jobs and Closing Tax Loopholes Act of 2010, provisions relating to health care
S. 2766, Medical Foods Equity Act of 2009, all provisions
H.R. 4926, Medical Foods Equity Act of 2010, all provisions
S. 1938, Distracted Driving Prevention Act of 2009, all provisions
H.R. 4872, Health Care and Education Reconciliation Act of 2010, provisions relating to NPDB, Workforce, physician payment, quality improvement, Patient Safety, Administrative Simplification, and program integrity
H.R. 3994, Distracted Driving Prevention Act of 2009, all provisions
H.R. 4851, Continuing Extension Act of 2010, provisions on electronic health records, COBRA, and clinic-based physicians
H.R. 5295, Healthcare Truth and Transparency Act of 2010, all provisions
Senate Amendment 4374, HSR individual mandate
Genetic Information Nondiscrimination Act of 2008 (GINA)
Affordable Care Act implementation
AMA's Health Insurance Report Card
Health Insurance Reform
Price Transparency
Don't Ask, Don't Tell
Antibiotics use
Childhood Obesity
Physician ownership issues
FTC Red Flag Rule/Identity Theft
Patient-Centered Outcomes Research Institute Board of Governors
Health System Reform
Health Information Technology
Patient Safety and Quality Improvement
Independent Payment Advisory Board (IPAB)
Stand for Quality Coalition
Open Government Initiative

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

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, Federal Trade Commission (FTC), Agency for Health Care Policy & Research, Justice - Dept of (DOJ), Health & Human Services - Dept of (HHS), Executive Office of the President (EOP), Equal Employment Opportunity Commission (EEOC)

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

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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. 3962, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, provisions on
Medicare access
H.R. 4851, Continuing Extension Act of 2010, provisions on Medicare SGR
H.R. 5290, More Doctors, More Choices Act of 2010, provisions on Medicare physician participation
H.R. 4872, Health Care and Education Reconciliation Act of 2010, provisions on Medicare payment
H.R. 1639, Border Health Care Relief Act of 2009, provision on MMA Section 1011
H.R. 1386, Pay for all your Undocumented Procedures (PAY UP!) Act of 2009, provision on MMA Section 1011
H.R. 4213, American Jobs and Closing Tax Loopholes Act of 2010, provisions on Medicare physician payment
Senate Amendment 4374, Medicare SGR provisions
Medicare program - permanent repeal of SGR
Medicare program - Affordable Care Act implementation
Medicare program - Medicare Economic Index (MEI)
Medicare program - private contracting
Medicare program - Physician Quality Reporting Initiative (PQRI)
Medicare program - scope of practice
Medicare program - health information technology/meaningful use
Medicare program - PQRI
Medicare program - hospital-acquired conditions
Medicare program - Federal Debt Commission
Medicare program - program integrity
Medicare program - Administrative Simplification
Medicare program - Accountable Care Organization pilot program
Medicare program - e-prescribing
Medicare program - physician consultations payment policy
Medicare program - RACs
Medicare program - enrollment issues
Medicare program - self-referrals
Medicare program - Open Government Initiative

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

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), White House Office, Medicare Payment Advisory Commission (MedPAC)

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

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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 TOB

16. Specific lobbying issues

Framework Convention on Tobacco Control (FCTC)

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

President of the U.S.

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

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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

Veterans' Vision Care

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

U.S. HOUSE OF REPRESENTATIVES, Veterans Affairs - Dept of (VA)

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

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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 LBR

16. Specific lobbying issues

DOJ-FTC Health Care Antitrust Guidelines
Health Insurance and Physician Market Competition
Primary Care Workforce
Antitrust Reform
Health System Reform Implementation
Accountable Care Organization pilot program

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

Federal Trade Commission (FTC), Justice - Dept of (DOJ), White House Office

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

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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 TOR

16. Specific lobbying issues

Medical Liability Reform Demonstration project
Medical Liability Reform

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

Agency for Health Care Policy & Research

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

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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