Fiscal Responsibility and Retirement Security Act of 2011

Caring Across Generations will be developing its own legislation for introduction and will also be commenting on Health Care Reform, proposed legislation by Rep. Neal and Boustany tentatively called the Long Term Care Affordability and Security Act, attempts to repeal the CLASS Act. Other pieces of legislation include: S.Res.453, Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life; H. Res. 453, "Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life." H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011; S. 2252, the Rebuild America Act. Caring Across Generations has also organized comments to the Department of Labor in response to proposed changes to the companionship and live-in worker regulations under the Fair Labor Standards Act; and H.R.3066, Companionship Exemption Protection Act.

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

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

Caring Across Generations will be developing its own legislation for introduction and will also be commenting on Health Care Reform, proposed legislation by Rep. Neal and Boustany tentatively called the Long Term Care Affordability and Security Act, attempts to repeal the CLASS Act. Other pieces of legislation include: S.Res.453, Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life; H. Res. 453, "Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life." H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011; S. 2252, the Rebuild America Act. Caring Across Generations has also organized comments to the Department of Labor in response to proposed changes to the companionship and live-in worker regulations under the Fair Labor Standards Act; and H.R.3066, Companionship Exemption Protection Act.

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

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

Caring Across Generations will be developing its own legislation for introduction and will also be commenting on Health Care Reform, proposed legislation by Rep. Neal and Boustany tentatively called the Long Term Care Affordability and Security Act, attempts to repeal the CLASS Act. Other pieces of legislation include: S.Res.453, Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life; H. Res. 453, "Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life." H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011; S. 2252, the Rebuild America Act. Caring Across Generations has also organized comments to the Department of Labor in response to proposed changes to the companionship and live-in worker regulations under the Fair Labor Standards Act; and H.R.3066, Companionship Exemption Protection Act.

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

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

H.R. 5, HEALTH Act (Gingrey) - IPAB repeal, medical liability reform, McCarran-Ferguson, H.R. 452, Medicare Decisions Accountability Act (Roe) - IPAB repeal, medical liability reform, McCarran-Ferguson, H.R.611 -- BEST PRACTICES Act (Rush) - data security, H.R. 1173, Fiscal Responsibility and Retirement Security Act (Boustany) - National Clearinghouse for LTC Information, H.R. 1409, Quality Health Care Coalition Act (Conyers) - antitrust exemption for physicians, H.R. 1707, Data Accountability and Trust Act (Rush) - data security, H.R. 1841, Data Accountability and Trust Act (Stearns) - data security, H.R. 2576, (Black) - eligibility for health care assistance, H.R. 2577, Secure and Fortify Electronic Data Act (Bono Mack) - data security, H.R. 2676, Small Business Health Relief Act (Schweikert) - repeal of premium tax and other ACA provisions, H.R. 4310, National Defense Authorization Act (McKeon) - TRICARE provisions, H.R. 5800, Health Care Price Transparency Promotion Act (Burgess) - price transparency, H.R. 5817, Eliminate Privacy Notice Confusion Act (Luetkemeyer) - privacy, H.R. 5909, Comprehensive Dental Reform Act (Cummings) - expanded access to dental services, H.R. 6684, Spending Reduction Act (Ryan) - ACA provisions, deficit reduction proposals, H.J.Res. 17, Continuing Appropriations Resolution (Rogers) - temporary appropriations for FY 2013, S. 1049, Small Business Health Relief Act (Kyl) - repeal of premium tax and other ACA provisions, S. 1099, HEALTH Act (Blunt) - medical liability reform, S. 1151, Personal Data Privacy and Security Act (Leahy) - privacy, data security, S. 1207, Data Security and Breach Notification Act (Pryor) - data security, S. 1223, Location Privacy Protection Act (Franken) - privacy, S. 1408, Data Breach Notification Act (Feinstein) - data security, S. 1535, Personal Data Protection and Breach Accountability Act (Blumenthal) - data security, S. 1789, 21st Century Postal Service Act (Lieberman) -- health benefits for postal employees, S. 2111, Cyber Crime Protection Security Act (Leahy) - privacy, S. 3254, National Defense Authorization Act (Levin) - TRICARE provisions, S. 3272, Comprehensive Dental Reform Act (Sanders) - expanded access to dental services, S. 3295, Labor, HHS, Education Appropriations Act (Harkin) - funding for HHS programs and agencies, ACA related amendments, S. 3333, Data Security and Breach Notification Act (Toomey) - data security, S. 3351, Protect Our Health Privacy Act (Franken) - privacy, S. 3414, Cybersecurity Act (Lieberman) - privacy, data security, S. 3432 Identity Theft and Tax Fraud Prevention Act (Nelson/Coburn) - privacy

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Worked with Sen. Herb Kohl on S. 1560, Nursing Home Resident Pain Relief Act, to modify Drug Enforcement Administration policies on dispensing prescription medication to nursing home residents. Oppose H.R. 1173, repeal of the Community Living Assistance Services and Supports (CLASS) Act

Client expense: $93,917 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support ending health care disparities among racial and ethnic minorities, support the Affordable Care Act. Reject efforts to repeal health care reform; oppose H.R. 2. Oppose efforts to repeal health car reform via the appropriations process. Oppose cuts in the federal budget to Community Health Care Centers. Fight childhood hunger and obesity -- support a robust, well-funded child nutrition bill. Work to eliminate "food deserts" in low-income neighborhoods, support the establishment of farmers markets and other means of fresh fruits and vegetables in urban areas. Support the National Youth Sports Program Revitalization Act of 2010. Support full funding for HIV/AIDS treatment, prevention and cure. Support H.R. 894, the Maternal Health Accountability Act of 2011. Oppose efforts to privatize Medicare and make Medicaid a block grant program. Oppose H. Con. Res. 35. Oppose banning of all funds to Planned Parenthood affiliates. Oppose H. Con. Res. 36. Oppose H.R. 1227. Support the development and implementation of health insurance exchanges. Support FIT Kids Act (support H.R. 1057 and S.576). Support State Insurance Exchange Programs. Oppose H. R. 1213. Support School based health centers. Oppose H.R. 1214. Support the Prevention and Public Health Fund. Oppose H.R. 1217. Support S. 919, the Successful, Safe, and Healthy Students Act of 2011. Support September as Childhood Obesity Awareness Month. Support H.Res. 339. Support reducing maternal mortality. Support H.R. 894. Support increased funds for AIDS awareness, prevention & treatment. Support a strong and robust Medicaid program. Oppose cuts to Medicaid. Support efforts to advance health equity in the establishment of health insurance Exchanges and the certification of Qualified Health Plans (QHPs) as prescribed in the Affordable Care Act. Support the Health Equity and Accountability Act; support H.R. 2945. Support robust implementation of the data collection requirements of the Affordable Care Act (ACA) . Ensure that the rules surrounding the creation of Accountable Care Organizations under the ACA improve the quality of our healthcare system overall by delivering coordinated, patient- and family-centered care, and greatly advance the effort to achieve health equity. Oppose H.R. 3541, the "Susan B. Anthony and Frederick Douglas Prenatal Non Discrimination Act". Support designating September as National Childhood Obesity Month. Support H. Res. 339. Support the inclusion of prohibitions on discrimination on the basis of race, color, national origin, disability, age, sex, gender identity, or sexual orientation in the establishment of health insurance Exchanges and the certification of Qualified Health Plans as required by the Affordable Care Act. Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Support H.R. 1880, the Status Report on the 30th Anniversary of HIV/AIDS Act. Support full funding for funding for domestic HIV/AIDS programs. Support Needle Exchange programs. Support H.R. 2086 / S. 2149, the Medical Debt Responsibility Act, which requires that credit agencies to remove FULLY paid or settled medical debt from credit reports within 45 days. Oppose legislation which would impose unprecedented burdens on parties in cases involving a wide array of federal protections in areas such as environmental, consumer, health care, and civil rights laws. Oppose H.R. 3041, H.R. 3862, and H.R. 1996. Support the HEART for Women Act (S. 438/H.R. 3526). Support a long term transportation bill which will: 1.Preserve and expand existing programs that fund essential transportation options bicycling, walking, and public transportation. 2.Expand access to quality transportation jobs for the chronically-unemployed, low-income people, individuals with disabilities, women, and communities of color. 3.Strengthen enforcement of existing civil rights provisions. 4.Improve transportation outcomes through strategic planning with measures that promote economic and social equity. 5.Reform transportation funding to lower household expenses and foster community development. Express concern about a state-based benchmark approach to implementing the Essential Health Benefit (EHB) package. In particular, we believe that flexibility without robust anti-discrimination enforcement mechanisms will undermine critical civil rights protections in the Affordable Care Act (ACA). Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Oppose a repeal of the Community Living Assistance Services and Supporters program. Oppose HR 1173. Oppose the Red Tape Reduction and Small Business Job Creation Act" (H.R. 4078), which includes the Regulatory Freeze For Jobs Act, the Midnight Rule Relief Act of 2012" (H.R. 4607), and the Sunshine for Regulatory Decrees and Settlements Act of 2012 (H.R. 3862), among other harmful bills. Support LGBT designation as a health disparity population by the National Institute for Minority Health and Health Disparities (NIMHD). Urge Congress to take a balanced approach, invest in strategies that create job growth, lift children and families out of poverty and ensure racial and ethnic minorities are not disproportionately adversely impacted. Strategies include full funding for the Affordable Care Act to protect all provisions in the law, and especially for expansion of Medicaid, establishment of Exchanges, subsidies for people with low incomes and small businesses, and for the Prevention and Public Health Fund; retaining the structure of the Medicaid program so that it remains an entitlement program to provide states with sufficient financial resources to administer their Medicaid programs for underserved communities experiencing health disparities; level funding for the REACH US Program to advance community driven strategies and interventions for the elimination of racial and ethnic chronic disease health disparities and enhance the capacity to conduct evaluation, increase dissemination, facilitate Technical Assistance and mentoring for other federal initiatives; the Public Health Prevention Fund and Community Transformation Grant program must be fully funded in order to effectively reduce the incidence of costly chronic diseases, help improve health, address health inequities, and control health-care spending; an increase in funding from the Presidents request to support its efforts to promote community solutions to eliminate health disparities, improve the diversity and cultural competency of the health-related workforce, and ensure access to quality, culturally and linguistically appropriate care; sufficient funding to accomplish HHS's overall data collection mission; the HHS Office of Civil Rights' needs additional funding to ensure that it has the staff and resources to appropriately investigate and enforce these critical laws; more funding is needed for the HHS Office of Minority Health to ensure these offices have the staff and resources needed to carry out their mission; and investing in the The Healthy Food Financing Initiative. Support requiring the FDA to report on the availability of new drug and device safety and efficacy data by sex, age, and racial and ethnic subgroups. Support the Cardin-Cochran amendment to MAP-21, which gives local governmentsthose closest to the needs of their constituents and communitiesan opportunity to weigh in on how states spend their Additional Activities federal transportation dollars. Support federal support for school-based health centers in the Presidents Budget for Fiscal Year 2014. Support the State Paid Leave Fund. Strongly support the prominence given to the goal of reducing health disparities in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programss structure; however, we are concerned that the meaningful use requirements as proposed are inadequate to achieve this outcome. Specifically, we support the incentive programs reinforcing federal civil rights and health information privacy laws; the incentive program requiring robust demographic data collection and use, including disability status data collection, sexual orientation and gender identity data collection, and geographic information; and the incentive program should build linkages with existing health disparity strategies. Support ensuring that pregnant workers are not forced out of their jobs unnecessarily or denied reasonable job modifications that would allow them to continue working and supporting their families. Strongly support H.R. 2086 and S. 2149, the Medical Debt Responsibility Act. Oppose policy "riders" on the Commerce Justice Science Appropriations bill for FY 13 which would prohibit the US DoJ from supporting legal efforts to implement the Affordable Care Act. Support the nomination of Dr. Kimberly Jeffries Leonard to serve as Director of the Center for Mental Health Services within the Substance Abuse Mental Health Services Administration. Support the use of federal funding for syringe access programs in the FY 2013 Labor-Health and Human Services-Education (LHHS) Appropriations bill. Support full implementation of all provisions in the Affordable Care Act, in particular full implementation of the Medicaid expansion in 50 states and the District of Columbia. Support a revised health disparity population designation methodology that draws on the existing evidence base on lesbian, gay, bisexual, and transgender (LGBT) health disparities and leads to the LGBT population being formally designated as a health disparity population. Support full funding for the implementation of the Affordable Care Act: funding should be protected for all provisions in the law, and especially for expansion of Medicaid, establishment of Exchanges, subsidies for people with low incomes and small businesses, and for the Prevention and Public Health Fund. Support $54 Million for the REACH (Racial and Ethnic Approaches to Community Health) Program in Fiscal Year 2013. Support an increase in funding above $41 million to support the efforts of the efforts of the Office of Minority Health (OMH) to promote community solutions to eliminate health disparities, improve the diversity and cultural competency of the health-related workforce, and ensure access to quality, culturally and linguistically appropriate care. Support sufficient funding to accomplish the Department of Health and Human Service's overall data collection mission. Support additional funding for the HHS Office of Civil Rights (OCR). With the elevation of the Office of Minority Health to the Office of the Secretary and creation of six new offices of minority health throughout HHS, more funding is needed to ensure these offices have the staff and resources needed to carry out their mission. Support the Healthy Food Financing Initiative, which serves to improve access to healthy food in low-income communities across the country by providing loans and grants to open new supermarkets and fresh food retailers to improve access to healthy food in underserved areas. President Obamas budget request includes $285 million for HFFI, which includes $10 million at the Department of Health and Human Services (HHS), $25 million in Community Development Financial Institutions funding at the Department of Treasury, and a $250 million set-aside request within the broader $7 billion New Markets Tax Credit program for HFFI. The budget also calls for the Department of Agriculture (USDA) to target additional resources toward the overall goals of combating food deserts and increasing access to healthy food. Investing in HFFI would promote increased access to healthy food, create new jobs, improve health, and generate new economic opportunities in low-income communities across the nation. Advocated that the United States use its stature and position to have the NAACP policy agenda included in any and all relevant United Nations' treaties and other compliance documents. Support language that permits the use of federal funding for syringe access programs in the FY 2013 Labor-Health and Human Services-Education (LHHS) Appropriations bill Offered the following comments on the Physical Activity Guidelines Midcourse Report: Strategies to Increase Physical Activity Among Youth: Walking programs and options for youth need an even higher and more completely developed priority; Other potential health and social co-benefits of walking should be at least mentioned; The Midcourse Report should more emphatically underscore the importance of a supportive built environment and policies that make walking for all youth the easy and attractive choice; and that this Midcourse Report serves a valuable and appreciated purpose in itself, but should also help set the stage for regular, comprehensive revisions of the U.S. Physical Activity Guidelines. Those revised Guidelines should give serious consideration to an emphasis on walking.

Client expense: $62,500 · Firm income: Not reported

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

H.R. 5, HEALTH Act (Gingrey) IPAB repeal, medical liability reform, McCarran-Ferguson 16. Specific Lobbying Issues (continued): H.R. 452, Medicare Decisions Accountability Act (Roe) IPAB repeal, medical liability reform, McCarran-Ferguson H.R.611 -- BEST PRACTICES Act (Rush) data security H.R. 1173, Fiscal Responsibility and Retirement Security Act (Boustany) National Clearinghouse for LTC Information H.R. 1409, Quality Health Care Coalition Act (Conyers) antitrust exemption for physicians H.R. 1707, Data Accountability and Trust Act (Rush) data security H.R. 1841, Data Accountability and Trust Act (Stearns) data security H.R. 2576, (Black) eligibility for health care assistance H.R. 2577, Secure and Fortify Electronic Data Act (Bono Mack) data security H.R. 2676, Small Business Health Relief Act (Schweikert) repeal of premium tax and other ACA provisions H.R. 4310, National Defense Authorization Act (McKeon) TRICARE provisions H.R. 5800, Health Care Price Transparency Promotion Act (Burgess) price transparency H.R. 5817, Eliminate Privacy Notice Confusion Act (Luetkemeyer) privacy H.R. 5909, Comprehensive Dental Reform Act (Cummings) expanded access to dental services H.R. 6684, Spending Reduction Act (Ryan) ACA provisions, deficit reduction proposals H.J.Res. 17, Continuing Appropriations Resolution (Rogers) temporary appropriations for FY 2013 S. 1049, Small Business Health Relief Act (Kyl) repeal of premium tax and other ACA provisions S. 1099, HEALTH Act (Blunt) medical liability reform S. 1151, Personal Data Privacy and Security Act (Leahy) privacy, data security S. 1207, Data Security and Breach Notification Act (Pryor) data security S. 1223, Location Privacy Protection Act (Franken) privacy S. 1408, Data Breach Notification Act (Feinstein) data security S. 1535, Personal Data Protection and Breach Accountability Act (Blumenthal) data security S. 1789, 21st Century Postal Service Act (Lieberman) -- health benefits for postal employees S. 2111, Cyber Crime Protection Security Act (Leahy) privacy S. 3254, National Defense Authorization Act (Levin) TRICARE provisions S. 3272, Comprehensive Dental Reform Act (Sanders) expanded access to dental services S. 3295, Labor, HHS, Education Appropriations Act (Harkin) funding for HHS programs and agencies, ACA related amendments S. 3333, Data Security and Breach Notification Act (Toomey) data security S. 3351, Protect Our Health Privacy Act (Franken) privacy S. 3414, Cybersecurity Act (Lieberman) privacy, data security S. 3432 Identity Theft and Tax Fraud Prevention Act (Nelson/Coburn) privacy Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets, identifiers including the health plan identifier, enforcement; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; transition from the similarly sized subscriber group (SSSG) requirement to an MLR; OPM data warehouse; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues relating to data breach requirements; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; review of rates for reasonableness; health insurance exchanges; preexisting condition insurance plans; accountable care organizations; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; health insurance web portal Regulatory Descriptions (con't): requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters for 2014; essential health benefits, actuarial value, and accreditation; and other issues relating to health care reform implementation.

Client expense: $2,020,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

H.R. 2, Repealing the Job-Killing Health Care Law Act H.R. 4, Small Business Paperwork Mandate Elimination Act of 2011 H.R. 5, Protecting Access to Healthcare Act H.R. 436, Health Care Cost Reduction Act of 2012 H.R. 450, Restoring Assistance for Families and Seniors Health Expenses Act of 2011 H.R. 452, Medicare Decisions Accountability Act of 2011 H.R. 605 / S. 312, Patients Freedom Choose Act H.R. 1051, Medicare Beneficiary Freedom to Choose Act of 2011 H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011 H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. H.R. 1509, Medicare Identity Theft Prevention Act of 2011 H.R. 1744 / S. 20, American Job Protection Act H.R. 1845 / S. 960, Medicare IVIG Access Act H.R. 2010, Family and Retirement Health Investment Act of 2011 H.R. 2077, MLR Repeal Act of 2011 H.R. 2529 / S.1368, Restoring Access to Medication Act H.R. 2590, Seniors Protection Act of 2011 H.R. 2676, Small Business Health Relief Act of 2011 H.R. 3682, Patient Centered Healthcare Savings Act of 2011 H.R. 4095 / S. 2002, Online Pharmacy Safety Act H.R. 4626, Health Insurance Fair Competition Act H.R. 5141/S. 3578, Small Business Paperwork Mandate Elimination Act H.R. 5651, Food and Drug Administration Reform Act of 2012 H.R. 5842, Restoring Access to Medication Act of 2012 H.R. 5853, Fiscal Responsibility and Retirement Security Act H.R. 5906, To amend the Internal Revenue Code of 1986 to repeal the excise tax on medical devices H.R. 6048, Healthcare Tax Relief and Mandate Repeal Act S. 17, Medical Device Access and Innovation Protection Act S. 312, Patients Freedom to Choose Act S. 510, FDA Food Safety Modernization Act, including provisions relating to 1099 reporting amendments S. 668, Health Care Bureaucrats Elimination Act S. 720, Repeal the CLASS Entitlement Act S. 848, Consumer Information Enhancement Act of 2011 S. 1049, Small Business Health Relief Act of 2011 S. 1098, Family and Retirement Health Investment Act of 2011 S. 1880, Jobs and Premium Protection Act S. 2068, Access to Independent Health Insurance Advisors Act of 2012 S. 3187, Food and Drug Administration Safety and Innovation Act S. 3501, American Job Protection Act S. 3673, Patients Freedom Choice Act Notice of Proposed Rulemaking and Notice of Public Hearing Regarding Fees on Health Insurance Policies and Self-Insured Plans for the Patient-Centered Outcomes Research Trust Fund (77 Fed. Reg. 22691-22706, Apr. 17, 2012) Notice and Request for Comments on Minimum Value of an Employer-Sponsored Plan (Notice 2012-31, Apr. 26, 2012) Request for Information Regarding Stop Loss Coverage (77 Fed. Reg. 25788-25790, May 1, 2012) Notice and Request for Comments on Reporting of Health Insurance Coverage (Notice 2012-32, May 14, 2012) Notice and Request for Comments on Reporting by Applicable Large Employers on Health Insurance Coverage Under Employer-Sponsored Plans (Notice 2012-33, May 14, 2012) Final Regulations on Health Insurance Premium Tax Credit (77 Fed. Reg. 30377-30400, May 23, 2012 (to be codified at 26 C.F.R. pts 1 and 602)) Notice and Request for Comments on Health Flexible Spending Arrangements (Notice 2012-40, May 30, 2012) Notice and Request for Comments on the Guidance on 90-Day Waiting Period Limitation (DOL Technical Release 2012-02, Aug. 31, 2012) Notice and Request for Comments on Determining Full-Time Employees For Purposes of Shared Responsibility for Employers Regarding Health Coverage (Notice 2012-58, Aug. 31, 2012) Proposed Regulation on the Patient Protection and Affordable Care Act; Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation (77 Fed. Reg. 70,644-70,676, November 26, 2012 (to be codified at 45 CFR pts 147, 155, and 156)) Proposed Rule on the Health Insurance Market Rules; Rate Review (77 Fed. Reg. 70,584-70,617, November 26, 2012 (to be codified at 45 CFR pts 144, 147, and 150)) Proposed Rule on the HHS Notice of Benefit and Payment Parameters for 2014 (77 Fed. Reg. 73,118-73,218, December 7, 2012 (to be codified at 45 CFR pts 153, 155, 156, 157 and 158)) Various issues relating to the implementation of the Patient Protection and Affordable Care Act (P.L. 111-148), including implementation of regulatory process, legislative corrections, coverage, financing, delivery reform, 1099 reporting, Grandfathering, HSA and FSA changes, CMS claims database, IPAB, CLASS program, employer mandate, medical loss ratio, medical malpractice reform, exchanges, and flexible spending accounts and health savings accounts; regulatory process and legislative corrections to Health Care and Education Affordability Reconciliation Act of 2010 (P.L. 111-152), including ERISA preemption and the impact on small business

Client expense: $29,510,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Deposit Insurance Corporation (FDIC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

H.R. 1112 - National Association of Registered Agents and Brokers Reform Act of 2011; entire bill H.R. 1173 - Fiscal Responsibility and Retirement Security Act of 2011; provisions relating to the CLASS Act H.R. 3475 - Keeping IDs Safe Act of 2011; entire bill H.R. 3559 Insurance Data Protection Act; entire bill Disparate impact rulemaking and potential implications for homeowners insurance underwriting TRIA extension and application to different lines of insurance coverage and workers compensation

Client expense: $380,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tracking issues related to the individual Alternative Minimum Tax (AMT) and the federal Estate Tax H.R.8 (Related Bills: H.RES.747, H.RES.844, H.R.1173, H.R.6169, H.R.6688, S.720, S.3401, S.3413, S.3417, S.3521): American Taxpayer Relief Act of 2012

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitored and lobbied on tax reform and education issues in the following: H.R.8 (Related Bills: H.RES.747, H.RES.844, H.R.1173, H.R.6169, H.R.6688, S.720, S.3401, S.3413, S.3417, S.3521), American Taxpayer Relief Act of 2012

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitored and lobbied on tax reform and education issues in the following: H.R.8 (Related Bills: H.RES.747, H.RES.844, H.R.1173, H.R.6169, H.R.6688, S.720, S.3401, S.3413, S.3417, S.3521), American Taxpayer Relief Act of 2012

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitored and lobbied on issues related to Federal Employee pay and benefits in the following: H.R.8 (Related Bills: H.RES.747, H.RES.844, H.R.1173, H.R.6169, H.R.6688, S.720, S.3401, S.3413, S.3417, S.3521): American Taxpayer Relief Act of 2012

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitored and lobbied on issues related to Federal Employee pay and benefits in the following: H.R.8 (Related Bills: H.RES.747, H.RES.844, H.R.1173, H.R.6169, H.R.6688, S.720, S.3401, S.3413, S.3417, S.3521): American Taxpayer Relief Act of 2012

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR63 Long Term Care Insurance Reform Act of 2011 S159 Confidence in Long Term Care Insurance Act of 2011 S738 Health Outcomes Planning and Education for Alzheimer's Act HR1386 Health Outcomes Planning and Education for Alzheimer's Act Implementation of: PL111-148 Patient Protection and Affordable Care Act HR 1173 Fiscal Responsibility and Retirement Security Act of 2011 S 720 Repeal the CLASS Entitlement Act HR6300 Medicaid Long Term Care Reform Act of 2012

Client expense: $1,020,000 · Firm income: Not reported

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

1. HR 749 - To amend the Internal Revenue Code of 1986 to permanently extend the subpart F exemption for active financing income: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 2. HR 1151 - Emergency Mortgage Relief and Neighborhood Stabilization Programs Cost Recoupment Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 3. HR 1112 - National Association of Registered Agents and Brokers Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 4. HR 63 - Long-Term Care Insurance Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 5. HR 70 - Disability Benefit Fairness Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 6. HR 1173 - Fiscal Responsibility and Retirement Security Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 7. HR 220 - Identity Theft Prevention Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 8. HR 653 - Financial Information Privacy Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 9. HR 1528 - Consumer Privacy Protection Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 10. S 799 - Commercial Privacy Bill of Rights Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 11. HR 300 - Young Adults Financial Literacy Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 12. HR 626 - Financial Literacy for Youth Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 13. S 853 - A bill to provide for financial literacy education: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 14. S Res 121 - A resolution designating April 2011 as "Financial Literacy Month": provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 15. HR 48 - Federal Life Insurance Transparency Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 16. HR 130 - Life Insurance Employee Notification Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 17. S 159 - Confidence in Long-Term Care Insurance Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 18. DoddFrank Wall Street Reform and Consumer Protection Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 19. Short-term Disability for Federal Workers Bill; provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 20. Patient Protection and Affordable Care Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 21. Advocacy related to the debt limit increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 22. Tax Reform: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 23. Strategy for increasing employment opportunities for people with disabilities: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 24. Consumer Financial Protection Bureau Interim Final Rule of Records and Information: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 25. Privacy and Data breach, Cybersecurity, and SSN protection: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 26. S 1619 - Currency Exchange Rate Oversight Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 27. S 1260 and HR 2535 - College Literacy in Finance and Economics Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 28. Genetic Information Nondiscrimination Act - HHS rule implementing Section 105 impacting LTC insurers: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 29. Loss ratios: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 30. Criteria and process for designating nonbank financial companies: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 31. The Health Information Technology for Economic and Clinical Health Act (HITECH) Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 32. Taxation of Employer Provided Benefits: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 33. Debt Limit Increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 34. Tax Extender Package: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 35. Safety Net/Employer Provided Benefits Protection: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 36. Hr 5817 - Eliminate Privacy Notice Confusion Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 37. Fair Credit Reporting Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 38. American Tax Payer Relief Act of 2012: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry

Client expense: $130,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Issues related to legislation that encourages individuals and businesses to invest in retirement vehicles; H.R. 677; S. 267; H.R. 661; H.R. 1173

Client expense: $215,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC)

Issues related to health care/insurance reform; long-term care reform; H.R. 5; H.R. 1173; H.R. 1206; H.R. 1004 Issues related to the implementation of the Patient Protection and Affordable Care Act of 2010.

Client expense: $215,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC)

PL 108-173: Medicare Prescription Drug and Modernization Act of 2003; HR 1721: Community Living Assistance Services and Supports Act; HR 1670/S 683: Community Choice Act; HR 3043: Medicare Adult Day Services Act of 2009; PL 111-148: The Patient Protection and Affordable Care Act; PL 111-152: Affordable Health Care for America Act; HR 4872: Health Care and Education Reconciliation Act of 2010; S 582: Social Security Protection Act; PL 79-271: Social Security Act of 1935; HR 1173: The Fiscal Responsibility & Retirement Security Act of 2011; HR 6061: The WIPA (Work Incentives Planning and Assistance) and PABSS (Protection and Advocacy for Beneficiaries of Social Security) Continuation of Services Act of 2012; and HR 6079: Repeal of Obamacare Act.

Client expense: $66,891 · Firm income: Not reported

Government targets: Access Board, Agriculture, Dept of (USDA), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

H.R. 1206- Access to Professional Health Insurance Advisors Act of 2011 (all provisions) H.R. 2- Repealing the Job-Killing Health Care Law Act (insurance provisions) H.J. Res. 19- Disapproving MLR Rule (all provisions) H.R. 1173- Repealing the CLASS Program Act of 2011 (all provisions) S. 720- Repealing the CLASS Program Act (all provisions) P.L. 111-148- Patient Protection and Affordable Care Act (Implementation of insurance provisions) P.L. 111-443- Health Care and Education Reconciliation Act of 2010 (Implementation of insurance provisions) S. 2068 - Access to Independent Health Insurance Advisors Act of 2012 (All provisions) H.R. 5- Protecting Access to Healthcare (PATH) Act (insurance provisions) S. 2288- Access to Independent Health Insurance Advisors Act of 2012 (All provisions) Navigator Issue as it pertains to implementation of the Patient Protection and Affordable Care Act Agent role in PPACA health insurance exchanges

Client expense: $330,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Federal Emergency Management Agency (FEMA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), SENATE, Treasury, Dept of

Implementation of P.L. 111-148, the "Patient Protection and Affordable Care Act" HHS Appropriations: "Lifespan Respite" funding H.R. 1683, the "State Flexibility Act" (Repeal Medicaid/ CHIP Maintenance of Effort) S. 720/ H.R. 1173, the "Repeal the CLASS Entitlement Act"

Client expense: $39,694 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

1. HR 749 - To amend the Internal Revenue Code of 1986 to permanently extend the subpart F exemption for active financing income: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 2. HR 1151 - Emergency Mortgage Relief and Neighborhood Stabilization Programs Cost Recoupment Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 3. HR 1112 - National Association of Registered Agents and Brokers Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 4. HR 63 - Long-Term Care Insurance Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 5. HR 70 - Disability Benefit Fairness Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 6. HR 1173 - Fiscal Responsibility and Retirement Security Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 7. HR 220 - Identity Theft Prevention Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 8. HR 653 - Financial Information Privacy Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 9. HR 1528 - Consumer Privacy Protection Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 10. S 799 - Commercial Privacy Bill of Rights Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 11. HR 300 - Young Adults Financial Literacy Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 12. HR 626 - Financial Literacy for Youth Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 13. S 853 - A bill to provide for financial literacy education: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 14. S Res 121 - A resolution designating April 2011 as "Financial Literacy Month": provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 15. HR 48 - Federal Life Insurance Transparency Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 16. HR 130 - Life Insurance Employee Notification Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 17. S 159 - Confidence in Long-Term Care Insurance Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 18. DoddFrank Wall Street Reform and Consumer Protection Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 19. Short-term Disability for Federal Workers Bill; provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 20. Patient Protection and Affordable Care Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 21. Advocacy related to the debt limit increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 22. Tax Reform: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 23. Strategy for increasing employment opportunities for people with disabilities: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 24. Consumer Financial Protection Bureau Interim Final Rule of Records and Information: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 25. Privacy and Data breach, Cybersecurity, and SSN protection: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 26. S 1619 - Currency Exchange Rate Oversight Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 27. S 1260 and HR 2535 - College Literacy in Finance and Economics Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 28. Genetic Information Nondiscrimination Act - HHS rule implementing Section 105 impacting LTC insurers: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 29. Loss ratios: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 30. Criteria and process for designating nonbank financial companies: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 31. The Health Information Technology for Economic and Clinical Health Act (HITECH) Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 32. Taxation of Employer Provided Benefits: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 33. Debt Limit Increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 34. Tax Extender Package: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 35. Safety Net/Employer Provided Benefits Protection: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry

Client expense: $230,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Treasury, Dept of

monitor revisions to 75% Inpatient Rehabilitation Rule monitor legislation regarding Hospital in Hospital regulations support HR 1159 and HR 1186 ending ban on physician owned hospitals; support legislation reforming ASC reimbursement (HR 1173 and S 2108); monitor legislation affecting hospital not-for-profit status; monitor GME legislation

Client expense: Not reported · Firm income: $33,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Insurance and tax issues - HR 5, HR 1206; HR 1004. HR 1173, HR 661. S. 267

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L. 111-148, Patient Protection and Affordable Care Act, provisions related to home health, hospice, CLASS, and fraud and abuse. H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011. S. 720, Repeal the CLASS Entitlement Act.

Client expense: $400,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Issues related to legislation that encourages individuals and businesses to invest in retirement vehicles; H.R. 677; S. 267; H.R. 661; H.R. 1173

Client expense: $615,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC)

Issues related to health care/insurance reform; long-term care reform; H.R. 5; H.R. 1173; H.R. 1206; H.R. 1004 Issues related to the implementation of the Patient Protection and Affordable Care Act of 2010.

Client expense: $615,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC)

Caring Across Generations will be developing its own legislation for introduction and will also be commenting on Health Care Reform, proposed legislation by Rep. Neal and Boustany tentatively called the Long Term Care Affordability and Security Act, attempts to repeal the CLASS Act. Other pieces of legislation include: S.Res.453, Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life; H. Res. 453, "Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life." H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011; S. 2252, the Rebuild America Act. Caring Across Generations has also organized comments to the Department of Labor in response to proposed changes to the companionship and live-in worker regulations under the Fair Labor Standards Act; and H.R.3066, Companionship Exemption Protection Act.

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

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

Caring Across Generations will be developing its own legislation for introduction and will also be commenting on Health Care Reform, proposed legislation by Rep. Neal and Boustany tentatively called the Long Term Care Affordability and Security Act, attempts to repeal the CLASS Act. Other pieces of legislation include: S.Res.453, Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life; H. Res. 453, "Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life." H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011; S. 2252, the Rebuild America Act. Caring Across Generations has also organized comments to the Department of Labor in response to proposed changes to the companionship and live-in worker regulations under the Fair Labor Standards Act; and H.R.3066, Companionship Exemption Protection Act.

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

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

Caring Across Generations will be developing its own legislation for introduction and will also be commenting on Health Care Reform, proposed legislation by Rep. Neal and Boustany tentatively called the Long Term Care Affordability and Security Act, attempts to repeal the CLASS Act. Other pieces of legislation include: S.Res.453, Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life; H. Res. 453, "Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life." H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011; S. 2252, the Rebuild America Act. Caring Across Generations has also organized comments to the Department of Labor in response to proposed changes to the companionship and live-in worker regulations under the Fair Labor Standards Act; and H.R.3066, Companionship Exemption Protection Act.

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

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

Caring Across Generations will be developing its own legislation for introduction and will also be commenting on Health Care Reform, proposed legislation by Rep. Neal and Boustany tentatively called the Long Term Care Affordability and Security Act, attempts to repeal the CLASS Act. Other pieces of legislation include: S.Res.453, Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life; H. Res. 453, "Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life." H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011; S. 2252, the Rebuild America Act. Caring Across Generations has also organized comments to the Department of Labor in response to proposed changes to the companionship and live-in worker regulations under the Fair Labor Standards Act; and H.R.3066, Companionship Exemption Protection Act.

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

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

Caring Across Generations will be developing its own legislation for introduction and will also be commenting on Health Care Reform, proposed legislation by Rep. Neal and Boustany tentatively called the Long Term Care Affordability and Security Act, attempts to repeal the CLASS Act. Other pieces of legislation include: S.Res.453, Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life; H. Res. 453, "Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life." H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011; S. 2252, the Rebuild America Act. Caring Across Generations has also organized comments to the Department of Labor in response to proposed changes to the companionship and live-in worker regulations under the Fair Labor Standards Act; and H.R.3066, Companionship Exemption Protection Act.

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

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

Caring Across Generations will be developing its own legislation for introduction and will also be commenting on Health Care Reform, proposed legislation by Rep. Neal and Boustany tentatively called the Long Term Care Affordability and Security Act, attempts to repeal the CLASS Act. Other pieces of legislation include: S.Res.453, Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life; H. Res. 453, "Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life." H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011; S. 2252, the Rebuild America Act. Caring Across Generations has also organized comments to the Department of Labor in response to proposed changes to the companionship and live-in worker regulations under the Fair Labor Standards Act; and H.R.3066, Companionship Exemption Protection Act.

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

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

Caring Across Generations will be developing its own legislation for introduction and will also be commenting on Health Care Reform, proposed legislation by Rep. Neal and Boustany tentatively called the Long Term Care Affordability and Security Act, attempts to repeal the CLASS Act. Other pieces of legislation include: S.Res.453, Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life; H. Res. 453, "Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life." H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011; S. 2252, the Rebuild America Act. Caring Across Generations has also organized comments to the Department of Labor in response to proposed changes to the companionship and live-in worker regulations under the Fair Labor Standards Act; and H.R.3066, Companionship Exemption Protection Act.

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

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

Caring Across Generations will be developing its own legislation for introduction and will also be commenting on Health Care Reform, proposed legislation by Rep. Neal and Boustany tentatively called the Long Term Care Affordability and Security Act, attempts to repeal the CLASS Act. Other pieces of legislation include: S.Res.453, Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life; H. Res. 453, "Expressing the sense of the Senate that supporting seniors and individuals with disabilities is an important responsibility of the United States, and that a comprehensive approach to expanding and supporting a strong home care workforce and making long-term services and supports affordable and accessible in communities is necessary to uphold the right of seniors and individuals with disabilities in the United States to a dignified quality of life." H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011; S. 2252, the Rebuild America Act. Caring Across Generations has also organized comments to the Department of Labor in response to proposed changes to the companionship and live-in worker regulations under the Fair Labor Standards Act; and H.R.3066, Companionship Exemption Protection Act.

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

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

H.R. 5, HEALTH Act (Gingrey) - IPAB repeal, medical liability reform, McCarran-Ferguson. H.R. 452, Medicare Decisions Accountability Act (Roe) - IPAB repeal, medical liability reform, McCarran-Ferguson. H.R.611 -- BEST PRACTICES Act (Rush) - data security. H.R. 1173, Fiscal Responsibility and Retirement Security Act (Boustany) - National Clearinghouse for LTC Information. H.R. 1409, Quality Health Care Coalition Act (Conyers) - antitrust exemption for physicians. H.R. 1707, Data Accountability and Trust Act (Rush) - data security. H.R. 1841, Data Accountability and Trust Act (Stearns) - data security. H.R. 2576, (Black) - eligibility for health care assistance. H.R. 2577, Secure and Fortify Electronic Data Act (Bono Mack) - data security. H.R. 2676, Small Business Health Relief Act (Schweikert) - repeal of premium tax and other ACA provisions. H.R. 5800, Health Care Price Transparency Promotion Act (Burgess) - price transparency. H.R. 5909, Comprehensive Dental Reform Act (Cummings) - expanded access to dental services. Labor, HHS, Education Appropriations Act (Rehburg) - funding for HHS programs and agencies. H.J.Res. 17, Continuing Appropriations Resolution (Rogers) - temporary appropriations for FY 2013. S. 1049, Small Business Health Relief Act (Kyl) - repeal of premium tax and other ACA provisions. S. 1099, HEALTH Act (Blunt) - medical liability reform. S. 1151, Personal Data Privacy and Security Act (Leahy) - privacy, data security. S. 1207, Data Security and Breach Notification Act (Pryor) - data security. S. 1408, Data Breach Notification Act (Feinstein) - data security. S. 1535, Personal Data Protection and Breach Accountability Act (Blumenthal) - data security. S. 1789, 21st Century Postal Service Act (Lieberman) -- health benefits for postal employees. S. 2111, Cyber Crime Protection Security Act (Leahy) - privacy. S. 3272, Comprehensive Dental Reform Act (Sanders) - expanded access to dental services. S. 3295, Labor, HHS, Education Appropriations Act (Harkin) - funding for HHS programs and agencies, ACA related amendments. S. 3333, Data Security and Breach Notification Act (Toomey) - data security. S. 3351, Protect Our Health Privacy Act (Franken) - privacy. S. 3414, Cybersecurity Act (Lieberman) - privacy, data security. S. 3432 Identity Theft and Tax Fraud Prevention Act (Nelson/Coburn) - privacy.

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor legislation and federal issues related to Association Health Plans, Small Business Health Plans, Health-Care Related Tax Credits, Health Savings Accounts and Flexible Spending Accounts. Monitor legislation and federal issues related to uniform application of ERISA mandates. Monitor legislation and federal issues related to Workforce Training. Monitor the implementation of the Affordable Health Care for America Act, (P.L. 111-192). Monitor the implementation of the Patient Protection and Affordable Care Act, (P.L. 111-148). Monitor the implementation of the Healthcare and Education Reconciliation Act of 2010, (P.L. 111-152). Section 1251 and 10103 of the Patient Protection and Affordable Care Act (P.L. 111-148) regarding grandfathered status-Enzi Amendment to the Defense Authorization Act for fiscal year 2011 (S.3454) 111th Congress. Interim Final Rule regarding requirements for group health plans and health insurance issues for preexisting condition exclusions, lifetime and annual limits, rescissions, and patient protections. Labor: RIN-1210-AB43, HHS: OCIIO 9994-IFC, IRS: REG-120399-10. Subregulatory guidance for OCIIO Sub-Regulatory Guidance (OOIIO 2010-1): Process for Obtaining Waivers of the Annual Limits Requirements of the Public Health Service Act Section 2711. Request for comments regarding the planning and establishment of the state-level exchanges HHS:OC110-9989-NC. H.R. 2, Repealing the Job-Killing Health Care Law Act. H.R. 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011. H.R. 984, Health Care Waiver Fairness Act of 2011. H.Res. 9, Instructing certain committees to report legislation replacing the job-killing health care law. S. 20, American Job Protection Act. H.R. 1744, American Job Protection Act. H.R. 2206, Auto Enroll Repeal Act. H.R. 1370, To repeal the annual fee on health insurance providers enacted in PPACA. S. 1880, To repeal the annual fee on health insurance providers enacted in PPACA. S. 1049, Small Business Health Relief Act of 2011. IRS Notice 2011-36, Request for comments on Shared Responsibility For Employers Regarding Health Coverage (Section 4980H). Proposed Rule, Patient Protection and Affordable Care Act; Establisment of Exchanges Qualified Health Plans (RIN-0938-AQ67). Proposed Rule, Patient Protection and Affordable Care Act; Exchange Functions in the Individual Market: Eligibility Determinations; Exchange Standards for Employers (RIN-0938-AR25). Notice of Proposed Rulemaking: Summary of Benefits and Coverage and the Uniform Glossary (CMS - 9982 - P). Essential Benefits Bulletin. Proposed Rule: Patient Protection and Affordable Care Act; Exchange Functions in the Individual Market: Eligibility Determinations; Exchange Standards for Employers (CMS - 9974 - P). Proposed Rule: Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans (CMS - 9989 - P). Final Rule with Comment Period: Medical Loss Ratio Requirments Under Patient Protection and Affordable Care Act (CMS - 9998 - FC) RN: 0938 -AQ71. H.R. 1173, Fiscal Responsibilty and Retirement Security Act of 2011. S. 720, Repeal the CLASS Entitlement Act. S. 312, Patients' Freedom to Choose Act. H.R. 605, Patients' Freedom to Choose Act. H.R. 450, Restoring Assistance for Families' and Seniors' Health Expenses Act of 2011. Notice 2012-17 Frequently Asked Questions From Employers Regarding Automatic Enrollment, Employer Shared Responsibility, and Waiting Periods. Final Rule: Summary of Benefits and Coverage and Uniform Glossary. (RIN 0938 - AQ73) Essential Benefits Bulletin Bulletin: Verification of Access to Employer-Sponsored Coverage Bulletin. H.R. 436, Heath Care Cost Reduction Act of 2012. Notice 2012-59: Guidance on 90-day Waiting Period Limitation Under Public Health Service Act. H.R. 6174, Common Sense Nutrition Disclosure Act. S. 3574, Common Sense Nutrition Disclosure Act.

Client expense: $669,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Education, Dept of, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), SENATE, White House Office

PL 108-173: Medicare Prescription Drug and Modernization Act of 2003; HR 1721: Community Living Assistance Services and Supports Act; HR 1670/S 683: Community Choice Act; HR 3043: Medicare Adult Day Services Act of 2009; PL 111-148: The Patient Protection and Affordable Care Act; PL 111-152: Affordable Health Care for America Act; HR 4872: Health Care and Education Reconciliation Act of 2010; S 582: Social Security Protection Act; PL 79-271: Social Security Act of 1935; HR 1173: The Fiscal Responsibility & Retirement Security Act of 2011; HR 6061: The WIPA (Work Incentives Planning and Assistance) and PABSS (Protection and Advocacy for Beneficiaries of Social Security) Continuation of Services Act of 2012; and HR 6079: Repeal of Obamacare Act.

Client expense: $74,200 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

1. HR 749 - To amend the Internal Revenue Code of 1986 to permanently extend the subpart F exemption for active financing income: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 2. HR 1151 - Emergency Mortgage Relief and Neighborhood Stabilization Programs Cost Recoupment Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 3. HR 1112 - National Association of Registered Agents and Brokers Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 4. HR 63 - Long-Term Care Insurance Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 5. HR 70 - Disability Benefit Fairness Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 6. HR 1173 - Fiscal Responsibility and Retirement Security Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 7. HR 220 - Identity Theft Prevention Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 8. HR 653 - Financial Information Privacy Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 9. HR 1528 - Consumer Privacy Protection Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 10. S 799 - Commercial Privacy Bill of Rights Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 11. HR 300 - Young Adults Financial Literacy Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 12. HR 626 - Financial Literacy for Youth Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 13. S 853 - A bill to provide for financial literacy education: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 14. S Res 121 - A resolution designating April 2011 as "Financial Literacy Month": provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 15. HR 48 - Federal Life Insurance Transparency Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 16. HR 130 - Life Insurance Employee Notification Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 17. S 159 - Confidence in Long-Term Care Insurance Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 18. DoddFrank Wall Street Reform and Consumer Protection Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 19. Short-term Disability for Federal Workers Bill; provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 20. Patient Protection and Affordable Care Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 21. Advocacy related to the debt limit increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 22. Tax Reform: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 23. Strategy for increasing employment opportunities for people with disabilities: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 24. Consumer Financial Protection Bureau Interim Final Rule of Records and Information: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 25. Privacy and Data breach, Cybersecurity, and SSN protection: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 26. S 1619 - Currency Exchange Rate Oversight Reform Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 27. S 1260 and HR 2535 - College Literacy in Finance and Economics Act of 2011: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 28. Genetic Information Nondiscrimination Act - HHS rule implementing Section 105 impacting LTC insurers: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 29. Loss ratios: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 30. Criteria and process for designating nonbank financial companies: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 31. The Health Information Technology for Economic and Clinical Health Act (HITECH) Act: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 32. Taxation of Employer Provided Benefits: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 33. Debt Limit Increase: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 34. Tax Extender Package: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry; 35. Safety Net/Employer Provided Benefits Protection: provisions relating to employer-provided benefits and supplemental and voluntary benefits insurance industry

Client expense: $190,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Treasury, Dept of

H.R. 2, Repealing the Job-Killing Health Care Law Act H.R. 4, Small Business Paperwork Mandate Elimination Act of 2011 H.R. 5, Protecting Access to Healthcare Act H.R. 436, Health Care Cost Reduction Act of 2012 H.R. 450, Restoring Assistance for Families and Seniors Health Expenses Act of 2011 H.R. 452, Medicare Decisions Accountability Act of 2011 H.R. 605 / S. 312, Patients Freedom to Choose Act H.R. 1051, Medicare Beneficiary Freedom to Choose Act of 2011 H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011 H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act H.R. 1744 / S. 20, American Job Protection Act H.R. 2010, Family and Retirement Health Investment Act of 2011 H.R. 2077, MLR Repeal Act of 2011 H.R. 2112, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, Vitter Amendment (#769 - prescription drug reimportation) H.R. 2529, Restoring Access to Medication Act H.R. 2590, Seniors Protection Act of 2011 H.R. 2676, Small Business Health Relief Act of 2011 H.R. 3487, Job Creation Act of 2011 H.R. 3682, Patient Centered Healthcare Savings Act of 2011 H.R. 4095 / S. 2002, Online Pharmacy Safety Act H.R. 4626, Health Insurance Fair Competition Act H.R. 5141/S. 3578, Small Business Paperwork Mandate Elimination Act H.R. 5651, Food and Drug Administration Reform Act of 2012 H.R. 5842, Restoring Access to Medication Act of 2012 H.R. 5853, Fiscal Responsibility and Retirement Security Act H.R. 6048, Healthcare Tax Relief and Mandate Repeal Act H.R. 6079, Repeal of Obamacare Act S. 17, Medical Device Access and Innovation Protection Act S. 20, American Job Protection Act S. 223, FAA Air Transportation Modernization and Safety Improvement Act, including the Amendment offered by Senator McConnell to repeal P.L. 111-148, the Patient Protection and Affordable Care Act and an Amendment offered by Senator Stabenow which would repeal Section 9006 of the Patient Protection and Affordable Care Act S. 493, SBIR/STTR Reauthorization Act of 2011, including an Amendment offered by Senator Johanns which would fully repeal Section 9006 of the Patient Protection and Affordable Care Act and Amendment Number 197 offered by Senator Hutchison S. 510, FDA Food Safety Modernization Act, issues related to 1099 reporting amendments S. 668, Health Care Bureaucrats Elimination Act S. 720, Repeal the CLASS Entitlement Act S. 848, Consumer Information Enhancement Act of 2011 S. 1049, Small Business Health Relief Act of 2011 S. 1098, Family and Retirement Health Investment Act of 2011 S. 1368, Restoring Access to Medication Act S. 1880, Jobs and Premium Protection Act S. 2068, Access to Independent Health Insurance Advisors Act of 2012 S. 3187, Food and Drug Administration Safety and Innovation Act S. 3501, American Job Protection Act S. 3673, Patients Freedom Choice Act Filed comments and met with relevant agencies on regulations implementing health care reform (P.L. 111-148 and P.L. 111-152) Notice of Proposed Rulemaking and Notice of Public Hearing Regarding Fees on Health Insurance Policies and Self-Insured Plans for the Patient-Centered Outcomes Research Trust Fund (77 Fed. Reg. 22691-22706, Apr. 17, 2012) Notice and Request for Comments on Minimum Value of an Employer-Sponsored Plan (Notice 2012-31, Apr. 26, 2012) Request for Information Regarding Stop Loss Coverage (77 Fed. Reg. 25788-25790, May 1, 2012) Notice and Request for Comments on Reporting of Health Insurance Coverage (Notice 2012-32, May 14, 2012) Notice and Request for Comments on Reporting by Applicable Large Employers on Health Insurance Coverage Under Employer-Sponsored Plans (Notice 2012-33, May 14, 2012) Final Regulations on Health Insurance Premium Tax Credit (77 Fed. Reg. 30377-30400, May 23, 2012 (to be codified at 26 C.F.R. pts 1 and 602)) Notice and Request for Comments on Health Flexible Spending Arrangements (Notice 2012-40, May 30, 2012) Notice and Request for Comments on the Guidance on 90-Day Waiting Period Limitation (DOL Technical Release 2012-02, Aug. 31, 2012) Notice and Request for Comments on Determining Full-Time Employees For Purposes of Shared Responsibility for Employers Regarding Health Coverage (Notice 2012-58, Aug. 31, 2012) Various issues relating to the implementation of the Patient Protection and Affordable Care Act (P.L. 111-148), including implementation of regulatory process, legislative corrections, coverage, financing, delivery reform, 1099 reporting, grandfathering, CMS claims database, IPAB, CLASS program, employer mandate, medical loss ratio, mandated insurance requirements, medical malpractice reform, exchanges, Medicare reform, regulatory reform, essential health benefits package, health insurance tax, medical device tax, flexible spending accounts and health savings accounts, cost impact analyses, lack of quantified benefit analysis, and the need for empirical data sources on which to base cost and benefits; regulatory process and legislative corrections to Health Care and Education Affordability Reconciliation Act of 2010 (P.L. 111-152), including ERISA preemption and the impact on small business

Client expense: $31,650,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of the Vice President of the United States, Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Support ending health care disparities among racial and ethnic minorities, support the Affordable Care Act. Reject efforts to repeal health care reform; oppose H.R. 2. Oppose efforts to repeal health car reform via the appropriations process. Oppose cuts in the federal budget to Community Health Care Centers. Fight childhood hunger and obesity -- support a robust, well-funded child nutrition bill. Work to eliminate "food deserts" in low-income neighborhoods, support the establishment of farmers markets and other means of fresh fruits and vegetables in urban areas. Support the National Youth Sports Program Revitalization Act of 2010. Support full funding for HIV/AIDS treatment, prevention and cure. Support H.R. 894, the Maternal Health Accountability Act of 2011. Oppose efforts to privatize Medicare and make Medicaid a block grant program. Oppose H. Con. Res. 35. Oppose banning of all funds to Planned Parenthood affiliates. Oppose H. Con. Res. 36. Oppose H.R. 1227. Support the development and implementation of health insurance exchanges. Support FIT Kids Act (support H.R. 1057 and S.576). Support State Insurance Exchange Programs. Oppose H. R. 1213. Support School based health centers. Oppose H.R. 1214. Support the Prevention and Public Health Fund. Oppose H.R. 1217. Support S. 919, the Successful, Safe, and Healthy Students Act of 2011. Support September as Childhood Obesity Awareness Month. Support H.Res. 339. Support reducing maternal mortality. Support H.R. 894. Support increased funds for AIDS awareness, prevention & treatment. Support a strong and robust Medicaid program. Oppose cuts to Medicaid. Support efforts to advance health equity in the establishment of health insurance Exchanges and the certification of Qualified Health Plans (QHPs) as prescribed in the Affordable Care Act. Support the Health Equity and Accountability Act; support H.R. 2945. Support robust implementation of the data collection requirements of the Affordable Care Act (ACA) . Ensure that the rules surrounding the creation of Accountable Care Organizations under the ACA improve the quality of our healthcare system overall by delivering coordinated, patient- and family-centered care, and greatly advance the effort to achieve health equity. Oppose H.R. 3541, the "Susan B. Anthony and Frederick Douglas Prenatal Non Discrimination Act". Support designating September as National Childhood Obesity Month. Support H. Res. 339. Support the inclusion of prohibitions on discrimination on the basis of race, color, national origin, disability, age, sex, gender identity, or sexual orientation in the establishment of health insurance Exchanges and the certification of Qualified Health Plans as required by the Affordable Care Act. Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Support H.R. 1880, the Status Report on the 30th Anniversary of HIV/AIDS Act. Support full funding for funding for domestic HIV/AIDS programs. Suport Needle Exchange programs. Support H.R. 2086 / S. 2149, the Medical Debt Responsibility Act, which requirees that credit agencies to remove FULLY paid or settled medical debt from credit reports within 45 days. Oppose legislation which would impose unprecedented burdens on parties in cases involving a wide array of federal protections in areas such as environmental, consumer, health care, and civil rights laws. Oppose H.R. 3041, H.R. 3862, and H.R. 1996. Support the HEART for Women Act (S. 438/H.R. 3526). Support a long term transportation bill which will: 1.Preserve and expand existing programs that fund essential transportation options bicycling, walking, and public transportation. 2.Expand access to quality transportation jobs for the chronically-unemployed, low-income people, individuals with disabilities, women, and communities of color. 3.Strengthen enforcement of existing civil rights provisions. 4.Improve transportation outcomes through strategic planning with measures that promote economic and social equity. 5.Reform transportation funding to lower household expenses and foster community development. Express concern about a state-based benchmark approach to implementing the Essential Health Benefit (EHB) package. In particular, we believe that flexibility without robust anti-discrimination enforcement mechanisms will undermine critical civil rights protections in the Affordable Care Act (ACA). Oppose the Center for Medicare and Medicaid Services (CMS) proposed regulations that would require private Medicare plans (Part C and D) to translate written materials only into languages spoken by 10% of the population in the plans service area. Rather, the NAACP strongly urges CMS to consider an alternative standard of 5% of the general population or 500 individuals served in the service area, whichever is smaller to ensure that every American can access Medicare services. Oppose a repeal of the Community Living Assistance Services and Supporters program. Oppose HR 1173. Oppose the Red Tape Reduction and Small Business Job Creation Act" (H.R. 4078), which includes the Regulatory Freeze For Jobs Act, the Midnight Rule Relief Act of 2012" (H.R. 4607), and the Sunshine for Regulatory Decrees and Settlements Act of 2012 (H.R. 3862), among other harmful bills. Support LGBT designation as a health disparity population by the National Institute for Minority Health and Health Disparities (NIMHD). Urge Congress to take a balanced approach, invest in strategies that create job growth, lift children and families out of poverty and ensure racial and ethnic minorities are not disproportionately adversely impacted. Strategies include full funding for the Affordable Care Act to protect all provisions in the law, and especially for expansion of Medicaid, establishment of Exchanges, subsidies for people with low incomes and small businesses, and for the Prevention and Public Health Fund; retaining the structure of the Medicaid program so that it remains an entitlement program to provide states with sufficient financial resources to administer their Medicaid programs for underserved communities experiencing health disparities; level funding for the REACH US Program to advance community driven strategies and interventions for the elimination of racial and ethnic chronic disease health disparities and enhance the capacity to conduct evaluation, increase dissemination, facilitate Technical Assistance and mentoring for other federal initiatives; the Public Health Prevention Fund and Community Transformation Grant program must be fully funded in order to effectively reduce the incidence of costly chronic diseases, help improve health, address health inequities, and control health-care spending; an increase in funding from the Presidents request to support its efforts to promote community solutions to eliminate health disparities, improve the diversity and cultural competency of the health-related workforce, and ensure access to quality, culturally and linguistically appropriate care; sufficient funding to accomplish HHS's overall data collection mission; the HHS Office of Civil Rights' needs additional funding to ensure that it has the staff and resources to appropriately investigate and enforce these critical laws; more funding is needed for the HHS Office of Minority Health to ensure these offices have the staff and resources needed to carry out their mission; and investing in the The Healthy Food Financing Initiative. Support requiring the FDA to report on the availability of new drug and device safety and efficacy data by sex, age, and racial and ethnic subgroups. Support the Cardin-Cochran amendment to MAP-21, which gives local governmentsthose closest to the needs of their constituents and communitiesan opportunity to weigh in on how states spend their Additional Activities federal transportation dollars. Support federal support for school-based health centers in the Presidents Budget for Fiscal Year 2014. Support the State Paid Leave Fund. Strongly support the prominence given to the goal of reducing health disparities in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programss structure; however, we are concerned that the meaningful use requirements as proposed are inadequate to achieve this outcome. Specifically, we support the incentive programs reinforcing federal civil rights and health information privacy laws; the incentive program requiring robust demographic data collection and use, inlcuding disability status data collection, sexual orientation and gender identity data collection, and geographic information; and the incentive program should build linkages with existing health disparity strategies. Support ensuring that pregnant workers are not forced out of their jobs unnecessarily or denied reasonable job modifications that would allow them to continue working and supporting their families. Strongly support H.R. 2086 and S. 2149, the Medical Debt Responsibility Act. Oppose policy "riders" on the Commerce Justice Science Appropriations bill for FY 13 which would prohibit the US DoJ from supporting legal efforts to implement the Affordable Care Act. Support the nomination of Dr. Kimberly Jeffries Leonard to serve as Director of the Center for Mental Health Services within the Substance Abuse Mental Health Services Administration. Support the use of federal funding for syringe access programs in the FY 2013 Labor-Health and Human Services-Education (LHHS) Appropriations bill. Support full implementation of all provisions in the Affordable Care Act, in particular full implementation of the Medicaid expansion in 50 states and the District of Columbia. Support a revised health disparity population designation methodology that draws on the existing evidence base on lesbian, gay, bisexual, and transgender (LGBT) health disparities and leads to the LGBT population being formally designated as a health disparity population. Support full funding for the implementation of the Affordable Carre Act: funding should be protected for all provisions in the law, and especially for expansion of Medicaid, establishment of Exchanges, subsidies for people with low incomes and small businesses, and for the Prevention and Public Health Fund. Support $54 Million for the REACH (Racial and Ethnic Approaches to Community Health) Program in Fiscal Year 2013. Support an increase in funding above $41 million to support the efforts of the efforts of the Office of Minority Health (OMH) to promote community solutions to eliminate health disparities, improve the diversity and cultural competency of the health-related workforce, and ensure access to quality, culturally and linguistically appropriate care. Support sufficient funding to accomplish the Department of Health and Human Service's overall data collection mission. Support additional funding for the HHS Office of Civil Rights (OCR). With the elevation of the Office of Minority Health to the Office of the Secretary and creation of six new offices of minority health throughout HHS, more funding is needed to ensure these offices have the staff and resources needed to carry out their mission. Support the Healthy Food Financing Initiative, which serves to improve access to healthy food in low-income communities across the country by providing loans and grants to open new supermarkets and fresh food retailers to improve access to healthy food in underserved areas. President Obamas budget request includes $285 million for HFFI, which includes $10 million at the Department of Health and Human Services (HHS), $25 million in Community Development Financial Institutions funding at the Department of Treasury, and a $250 million set-aside request within the broader $7 billion New Markets Tax Credit program for HFFI. The budget also calls for the Department of Agriculture (USDA) to target additional resources toward the overall goals of combating food deserts and increasing access to healthy food. Investing in HFFI would promote increased access to healthy food, create new jobs, improve health, and generate new economic opportunities in low-income communities across the nation. Advocated that the United States use its stature and position to have the NAACP policy agenda included in any and all relevant United Nations' treaties and other compliance documents.

Client expense: $62,500 · Firm income: Not reported

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

HR63 Long Term Care Insurance Reform Act of 2011 S159 Confidence in Long Term Care Insurance Act of 2011 S738 Health Outcomes Planning and Education for Alzheimer's Act HR1386 Health Outcomes Planning and Education for Alzheimer's Act Implementation of: PL111-148 Patient Protection and Affordable Care Act HR 1173 Fiscal Responsibility and Retirement Security Act of 2011 S 720 Repeal the CLASS Entitlement Act HR6300 Medicaid Long Term Care Reform Act of 2012

Client expense: $1,740,000 · Firm income: Not reported

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

H.R. 1026 Flood Insurance Reform Priorities Act of 2011; entire bill H.R. 1112 - National Association of Registered Agents and Brokers Reform Act of 2011; entire bill H.R. 1173 - Fiscal Responsibility and Retirement Security Act of 2011; provisions relating to the CLASS Act H.R. 1309 - Flood Insurance Reform Act of 2011; entire bill H.R. 3475 - Keeping IDs Safe Act of 2011; entire bill H.R. 3559 Insurance Data Protection Act; entire bill H.R. 4348 - Moving Ahead for Progress in the 21st Century Act; provisions relating to extension of the National Flood Insurance Program, student loans, and pension provisions (P.L. 112-141 7/6/2012) S. 1091 COASTAL Act of 2011; entire bill S. 1940 - An original bill to amend the National Flood Insurance Act of 1968, to restore the financial solvency of the flood insurance fund, and for other purposes; entire bill Disparate impact rulemaking and potential implications for homeowners insurance underwriting

Client expense: $360,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5, HEALTH Act (Gingrey) IPAB repeal, medical liability reform, McCarran-Ferguson; 16. Specific Lobbying Issues (continued): H.R. 452, Medicare Decisions Accountability Act (Roe) IPAB repeal, medical liability reform, McCarran-Ferguson H.R.611 -- BEST PRACTICES Act (Rush) data security H.R. 1173, Fiscal Responsibility and Retirement Security Act (Boustany) National Clearinghouse for LTC Information H.R. 1409, Quality Health Care Coalition Act (Conyers) antitrust exemption for physicians H.R. 1707, Data Accountability and Trust Act (Rush) data security H.R. 1841, Data Accountability and Trust Act (Stearns) data security H.R. 2576, (Black) eligibility for health care assistance H.R. 2577, Secure and Fortify Electronic Data Act (Bono Mack) data security H.R. 2676, Small Business Health Relief Act (Schweikert) repeal of premium tax and other ACA provisions H.R. 5800, Health Care Price Transparency Promotion Act (Burgess) price transparency H.R. 5909, Comprehensive Dental Reform Act (Cummings) expanded access to dental services Labor, HHS, Education Appropriations Act (Rehburg) funding for HHS programs and agencies H.J.Res. 17, Continuing Appropriations Resolution (Rogers) temporary appropriations for FY 2013 S. 1049, Small Business Health Relief Act (Kyl) repeal of premium tax and other ACA provisions S. 1099, HEALTH Act (Blunt) medical liability reform S. 1151, Personal Data Privacy and Security Act (Leahy) privacy, data security S. 1207, Data Security and Breach Notification Act (Pryor) data security S. 1408, Data Breach Notification Act (Feinstein) data security S. 1535, Personal Data Protection and Breach Accountability Act (Blumenthal) data security S. 1789, 21st Century Postal Service Act (Lieberman) -- health benefits for postal employees S. 2111, Cyber Crime Protection Security Act (Leahy) privacy S. 3272, Comprehensive Dental Reform Act (Sanders) expanded access to dental services S. 3295, Labor, HHS, Education Appropriations Act (Harkin) funding for HHS programs and agencies, ACA related amendments S. 3333, Data Security and Breach Notification Act (Toomey) data security S. 3351, Protect Our Health Privacy Act (Franken) privacy S. 3414, Cybersecurity Act (Lieberman) privacy, data security S. 3432 Identity Theft and Tax Fraud Prevention Act (Nelson/Coburn) privacy Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets, identifiers including the health plan identifier, enforcement; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; transition from the similarly sized subscriber group (SSSG) requirement to an MLR; OPM data warehouse; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues relating to data breach requirements; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; review of rates for reasonableness; health insurance exchanges; preexisting condition insurance plans; accountable care organizations; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues related to privacy, security, and other regulation of the Internet and electronic commerce; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; health insurance web portal requirements; dependent coverage; summary of benefits and coverage disclosures; and other issues relating to health care reform implementation.

Client expense: $2,630,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

Implementation of the Patient Protection and Affordable Care Act - General HR 1173, Repealing the CLASS Program Act of 2011 HR 1206, Access to Professional Health Insurance Advisors Act of 2011 HJ Res 19, Disapproving of MLR Rule PL 111-443, Health Care and Education Reconciliation Act of 2010 PL 111-148, Patient Protection and Affordable Care Act S 720, Repealing CLASS Program Act S 2068, Access to Independent Health Insurance Advisors Act of 2012 S 2288, Access to Independent Health Insurance Advisors Act of 2012

Client expense: $172,614 · Firm income: Not reported

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Risk Management Agency, SENATE, Treasury, Dept of