What is ACCPAC? ACCPAC is ACC’s political action committee ACCPAC opens the door and assures a seat at the table with key members of Congress 100% of personal contributions are used to support the election of pro- cardiology congressional candidates Of the 116 ACCPAC supported candidates up for election in 2012, 106 were victorious ACCPAC supports both federal congressional candidates and federal political committees ACCPAC helps build grassroots contacts to bring about election results in line with our advocacy goals 1

Contributions from ACC members like you aid in building effective relationships with the members of Congress who are supportive of the cardiovascular community. Your support ensures we are at the table, not on the menu, when key lawmakers are debating who and how much to cut. Included in the recent “fiscal cliff” package: A one-year patch of the flawed Sustainable Growth Rate Provisions to incentivize the use of registry programs, such as ACC’s Pinnacle and NCDR, to meet Physician Quality Reporting System (PQRS) requirements Prior authorization and changes to the IOASE were successfully kept out of the agreement Other recent Advocacy successes: ACC was asked to testify 5 times before Congress within the past year A $400 million imaging offset was removed from must pass trade legislation Language regarding our clinical data registries and expanded post-market surveillance were included in the final FDA User Fee Bill signed into law in July 2

3 Receipts CyclePersonalCorporateTotal $834,874$313,564$1,148, $786,086$428,152$1,214, $1,031,952$235,645$1,267, $1,014,213$151,318$1,165,531 Disbursements CycleRepublicanDemocratTotal $343,862$110,089$453, $358,918$494,000$852, $399,493$529,500$928, $537,000$425,500$962,500

4 Top 15 Medical Specialty PACs Total PAC Receipts from 2010 Cycle ( ) 1.American Association of Orthopaedic Surgeons$3,791,270 2.American Society of Anesthesiologists$3,145,915 3.American Medical Association$2,345,490 4.American College of Radiology$2,345,140 5.American College of Emergency Physicians$2,245,822 6.American College of Ophthalmology$1,880,000 7.College of American Pathologists$1,621,634 8.American College of Surgeons$1,345,374 9.American College of Cardiology$1,267, American Urological Association$1,011, American College of Obstetrics & Gynecology$934, American Osteopathic Information Association$914, American Academy of Dermatology$741, American Academy of Family Physicians$ American Association of Neurological Surgeons$488,352

5 An example of other “big hitters” in Washington D.C. Total PAC Receipts from 2010 Cycle ( ) Service Employees International Union$54,584,642 AFSCME$19,349,579 American Federation of Teachers$18,561,496 National Rifle Association$15,463,604 National Association of Realtors$14,836,253 United Auto Workers$9,025,490 Communication Workers of America$8,539,624 American Association for Justice (Trial Lawyers)$6,019,376 American Dental Association$2,418,953 American Association of Nurse Anesthetists$1,357,552

6 Out of over 35,000 eligible ACC members, only about 7% contribute Please help expand the reach of ACC’s advocacy efforts by contributing to ACCPAC. The future of cardiology depends on all of us!

Legislator Practice Visit Program An opportunity for federal and state government officials to witness first-hand how the cardiac care team provides patients with quality, cost-efficient care by employing state of the art technology, health care data and professional training through a team approach. 7 VENUE: A legislator practice visit can be hosted in any number of locations, such as academic settings, hospitals, clinics and private practices. MESSAGE: It is essential that legislators understand how their decisions impact the cardiovascular community and their patients. Dr. Rick Snyder with U.S. House Majority Leader Eric Cantor Dr. Vishal Gupta with U.S. Congressman Fred Upton, Chairman of the Committee on Energy and Commerce