To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.

- H. R. 1370, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.", regarding all provisions. - S.1049/H.R. 2676 "The Small Business Health Relief Act", regarding all provisions. - S.1880, "Jobs and Premium Protection Act", regarding all provisions.

Client expense: $500,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

H.R. 1033; H.R. 1259; H.R. 1757; H.R. 1478; S. 2050; H.R. 1663S. 1049; H.R. 1370

Client expense: $188,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Defense, Dept of (DOD), Federal Bureau of Investigation (FBI), Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Veterans Affairs, Dept of (VA)

Patient Protection and Affordable Care Act employer mandate repeal: H.R. 1744 and S.20 PPACA health insurance tax H.R. 1370 and S. 1880

Client expense: $70,000 · Firm income: Not reported

Government targets: General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), SENATE

Patient Protection and Affordable Care Act employer mandate repeal: H.R. 1744 and S.20 PPACA health insurance tax H.R. 1370 and S. 1880

Client expense: $70,000 · Firm income: Not reported

Government targets: General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), 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 the Patient Protection and Affordable Care Act. S. 1880, To repeal the annual fee on health insurance providers enacted in the Patient Protection and Affordable Care Act. 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). 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: $493,111 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Education, Dept of, 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), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), SENATE, White House Office

S. 687, A bill to amend the Internal Revenue Code of 1986 to permanently extend the 15-year recovery period for qualified leasehold improvement property, qualified restaurant property, and qualified retail improvement quality. H.R. 1265, To amend the Internal Revenue Code of 1986 to permanently extend the 15-year recovery period for qualified leasehold improvement property, qualified restaurant property, and qualified retail improvement property. H.R. 468, To amend the Internal Revenue Code of 1986 to repeal the reduction in the deductible portion of expenses for business meals and entertainment. S. 907, To amend the Internal Revenue Code of 1986 to repeal the reduction in the deductible portion of expenses for business meals and entertainment. H.R. 4, Small Business Paperwork Mandate Elimination Act of 2011. S. 18, Small Business Paperwork Mandate Elimination Act. S. AMDT.161 to S. 493, To amend the Internal Revenue Code of 1986 to repeal the expansion of information reporting requirements to payments made to corporations, payments for property and other gross proceeds, and rental property expense payments, and for other purposes. S.AMDT 9 to S.223, To repeal the expansion of information reporting requirements for payments of $600 or more to corporations, and for other purposes. S.AMDT. 309 to S. 493, To repeal the Volumetric Ethanol Excise Tax Credit and tariffs on ethanol. S. 871, Ethanol Subsidy and Tariff Repeal Act H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. S. 1049, Small Business Health Relief Act of 2011. IRS Notice 2011-36, Request for comments shared Responsibility For Employer Regarding Health Coverage. H.R. 2082, Work Opportunity Credit Improvements Act. Monitored federal issues related to general tax reform. Monitored federal issues related to corporate tax reform. Monitored the Joint Select Committee on Deficit Reduction. IRS Notice 2012-9 Interim Guidance on Information Reporting to Employees of the Cost of Their Group Health Insurance Coverage Notice 2012-17 Frequently Asked Questions From Employers Regarding Automatic Enrollment, Employer Shared Responsibility, and Waiting Periods. Notice 2012-31 Minimus Value of an Employer-Sponsored Health Plan. Notice 2012-32 Requests for Comments on Reporting of Health Insurance Coverage. Notice 2012-33 Requests for Comments by Applicable Large Employers on Reporting of Health Insurance Coverage Under Employer Sponsored Plans. H.R. 436, Health Care Cost Reduction Act of 2012. Notice 2012-58: Determining Full-time Employees for Purposes of Shared Responsibility for Employers Regarding Health Coverage. Notice 2012-59: Guidance on 90-day Waiting Period Limitation Under Public Health Service Act. Proposed Rule: Shared Responsibility for Employers Regarding Health Coverage (Department of Treasury, Internal Revenue Service), RIN 1545-BL33 [REG-138006-12].

Client expense: $493,111 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Education, Dept of, 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), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 1370: To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. S. 1880: Jobs and Premium Protection Act.

Client expense: Not reported · Firm income: $50,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 20/H.R. 1744 American Job Protection Act; Affordable Care Act, all provisions, including employer penalities, essential health benefits, exchanges, age rate band compression; Health Care Reform; Health Care Mandate Penalties; Employer/Employee Flexibility; Consumer-Directed Health Care; Health Insurance Exchanges; Medicare Secondary Payer Judgments; Comments on FDA's Suggested Questions & Answers for the Final Patient Protection & Affordable Care Act Section 4205 Guidance; Comments on IRS' "Shared Responsibility for Employers Regargding Health Care Coverage (IRC Sec. 1513)"; H.R.1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act, all provisions; H.R.2077, MLR Repeal Act of 2011, all provisions; S.1098, Family and Retirement Health Investment Act of 2011, all provisions; H.R.5/S.1099, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011, all provisions; H.R.1206, Access to Professional Health Insurance Advisors Act of 2011, all provisions; Summary of Benefit NRPM; Comments regarding employer interactions with insurance exchanges, health premium tax credits, and development of an affordability safe harbor for employers; S.1880, Jobs and Premium Protection Act, all provisions; S.1049/H.R. 2676, Small Business Health Relief Act of 2011, all provisions; H.R.2206, Auto Enroll Repeal Act, all provisions..

Client expense: $900,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Deposit Insurance Corporation (FDIC), Federal Motor Carrier Safety Administration, 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), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Natl Telecommunications & Information Administration (NTIA), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

IRC section 833(b) tax provisions; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; Health Insurance Tax: HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA" and S1880 "Jobs and Premium Protection Act"

Client expense: $2,220,000 · Firm income: Not reported

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

IRC section 833(b) tax provisions; Health saving accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; Health insurance tax: HR1370 To Repeal the Annual Fee on Health Insurance Providers Enacted by PPACA and S1880 Jobs and Premium Protection Act; Health Insurance Tax

Client expense: $820,000 · Firm income: Not reported

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

Issues relating to implementation of health care reform (ACA); dual eligibles; insurer fees; H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.369, Health Savings and Affordability Act (Austria) - HSA improvements, H.R. 436, Health Care Cost Reduction Act (Paulsen) - HSA, HRA, FSA provisions, ACA provisions, H.R. 450, Restoring Assistance for Families' and Seniors' Health Expenses Act (Reichert) - repeal of HSA and FSA restrictions, H.R. 524, Restoring Consumer-driven Health Care Act (Quayle) - repeal of HSA restrictions, H.R. 605, Patients' Freedom to Choose Act (Paulsen) - repeal of HSA and FSA restrictions, H.R. 1004, Health Flexible Spending Arrangements Improvements Act (Boustany) -- distribution of unused amounts from a Health FSA, H.R. 1370, Repeal of ACA Premium Tax (Boustany), H.R. 2010, Family and Retirement Health Investment Act (Paulsen) - HSA and FSA improvements, H.R. 2529, Restoring Access to Medication Act (Jenkins) - use of HSA funds and FSA funds to purchase OTC medications, H.R. 5842, Restoring Access to Medication Act (Jenkins) - use of HSA, HRA, and FSA funds for over-the-counter medications, H.R. 5858, Health Savings Accounts Improvements Act (Herger) - HSA provisions, H.R. 6005, Long-Term Care and Retirement Security Act (Courtney) - tax incentives for purchase of LTC insurance, consumer protections, H.R. 6088, Repeal of the Unfair Taxes on Health Care Act (Schweikert) - repeal of ACA premium tax and restrictions on HSAs / FSAs, H.R. 6137, Helping Save Americans' Health Care Choices Act (Fleming) - HSA and FSA provisions, H.R. 6162, Ensuring Women's Access to Free-Market Healthcare Act (Cassidy) - pregnancy-related coverage by HSA plans, S. 312, Patients' Freedom to Choose Act (Hutchison) - repeal of HSA and FSA restrictions, S. 1098, Family and Retirement Health Investment Act (Hatch) - HSA and FSA improvements, S. 1368, Restoring Access to Medication Act (Roberts) - use of HSA funds and FSA funds to purchase OTC medications, S. 1880, Jobs and Premium Protection Act (Barrasso) - repeal of health insurance premium tax, S. 2237, Small Business Jobs and Tax Relief Act (Reid) - amendment to repeal ACA premium tax, S. 2516, the FDA Safety and Innovation Act (Harkin) - pharmaceutical, medical device issues, S. 3187, the FDA Safety and Innovation Act (Harkin) - pharmaceutical, medical device issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

- Bills related to the Affordable Care Act. - Legislative ideas for addressing health care costs & financing. - H.R. 1370, a bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act, regarding all provisions. - S.1880, Jobs and Premium Protection Act, regarding all provisions. - S.1049/H.R. 2676 The Small Business Health Relief Act, regarding all provisions.

Client expense: $490,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

- Legislative ideas for addressing health care costs, financing & dual eligible demonstration programs. - H.R. 1370, "A bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act", regarding all provisions. - S.1049/H.R. 2676 "The Small Business Health Relief Act", regarding all provisions. - H.R. 5979, "Medicaid Accountability and Care Act", regarding all provisions - H.R. 8, "American Taxpayer Relief Act of 2012", provisions affecting Medicare/Medicaid.

Client expense: $490,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

- H. R. 1370, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.", regarding all provisions. - S.1049/H.R. 2676 "The Small Business Health Relief Act", regarding all provisions. - S.1880, "Jobs and Premium Protection Act", regarding all provisions.

Client expense: $490,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

H.R. 436, Health Care Cost Reduction Act of 2012. support H.R. 1370, To Repeal the Annual Fee on Health Insurance Providers Enacted by the Patent Protection and Affordable Care Act. support H.R. 3409, the Stop the War on Coal Act of 2012 - support H.R. 5842, Restoring Access to Medication Act of 2012. support S. 1368, Restoring Access to Medication Act. support S. 1880, Jobs and Premium Protection Act. support Comments CMS-9980-P, Patient Protection and Affordable Care Act; Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation (attached)

Client expense: $92,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA)

H.J.Res. 66, Permanent Tax Relief for Families and Small Business Act support H.R. 8, American Taxpayer Relief Act of 2012. support H.R. 436, Health Care Cost Reduction Act of 2012. support H.R. 1259 and S.2242, Estate Tax Bills. support H.R. 9, Small Business Tax Cut Act. no position taken H.R. 1370, To Repeal the Annual Fee on Health Insurance Providers Enacted by the Patent Protection and Affordable Care Act. support H.R. 1744, American Job Protection Act. support H.R. 5842, Restoring Access to Medication Act of 2012. support S. 20, American Job Protection Act. support S. 1368, Restoring Access to Medication Act. support S. 1880, Jobs and Premium Protection Act. support S. 1960, Small Business Carve Out. no position taken S. 3571, a bill that will require the CFPB to consider small business impact in its final qualified mortgage rule. support Hearings Creating Jobs and Growing the Economy: Legislative Proposals to Strengthen the Entrepreneurial Ecosystem Comments CMS-9980-P, Patient Protection and Affordable Care Act; Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation (attached) Other Issues Fiscal Cliff, Small Business Carve Out, 1099-K, H.J.Res. 66, Section 179 small business

Client expense: $673,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA)

H.R.369, Health Savings and Affordability Act (Austria) HSA improvements 16. Specific Lobbying Issues (continued): H.R. 436, Health Care Cost Reduction Act (Paulsen) HSA, HRA, FSA provisions, ACA provisions H.R. 450, Restoring Assistance for Families' and Seniors' Health Expenses Act (Reichert) repeal of HSA and FSA restrictions H.R. 524, Restoring Consumer-driven Health Care Act (Quayle) repeal of HSA restrictions H.R. 605, Patients' Freedom to Choose Act (Paulsen) repeal of HSA and FSA restrictions H.R. 1004, Health Flexible Spending Arrangements Improvements Act (Boustany) -- distribution of unused amounts from a Health FSA H.R. 1370, Repeal of ACA Premium Tax (Boustany) H.R. 2010, Family and Retirement Health Investment Act (Paulsen) HSA and FSA improvements H.R. 2529, Restoring Access to Medication Act (Jenkins) use of HSA funds and FSA funds to purchase OTC medications H.R. 5842, Restoring Access to Medication Act (Jenkins) use of HSA, HRA, and FSA funds for over-the-counter medications H.R. 5858, Health Savings Accounts Improvements Act (Herger) HSA provisions H.R. 6005, Long-Term Care and Retirement Security Act (Courtney) tax incentives for purchase of LTC insurance, consumer protections H.R. 6088, Repeal of the Unfair Taxes on Health Care Act (Schweikert) repeal of ACA premium tax and restrictions on HSAs / FSAs H.R. 6137, Helping Save Americans' Health Care Choices Act (Fleming) HSA and FSA provisions H.R. 6162, Ensuring Women's Access to Free-Market Healthcare Act (Cassidy) pregnancy-related coverage by HSA plans S. 312, Patients' Freedom to Choose Act (Hutchison) repeal of HSA and FSA restrictions S. 1098, Family and Retirement Health Investment Act (Hatch) HSA and FSA improvements S. 1368, Restoring Access to Medication Act (Roberts) use of HSA funds and FSA funds to purchase OTC medications S. 1880, Jobs and Premium Protection Act (Barrasso) repeal of health insurance premium tax S. 2237, Small Business Jobs and Tax Relief Act (Reid) amendment to repeal ACA premium tax S. 2516, the FDA Safety and Innovation Act (Harkin) pharmaceutical, medical device issues S. 3187, the FDA Safety and Innovation Act (Harkin) pharmaceutical, medical device issues Regulatory Issues: Annual insurer provider fees; issues concerning the patient-centered outcomes research fee; employer coverage mandate, W-2 reporting requirements, health insurer fee, 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

- PL 111-148, "Patient Protection and Affordable Care Act", regarding the imposition of an annual fee on health insurers. - HR 1370, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act", regarding all provisions. - Design of the Dual Eligible Demonstration Program specifically the Federal Office of Medicare Medicaid Integration.

Client expense: $110,000 · Firm income: Not reported

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

H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act; H.R. 5979, Medicaid Accountability and Care Act of 2012; Managed care services, including state Medicaid programs; Implementation of the Patient Protection and Affordable Care Act (PL 111-148), insurer fees, issues relating to managed care organizations, managed care for dual eligible individuals, issues relating to health insurance market provisions, issues related to Medicaid.

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

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

Issues pertaining to medical loss ratio, rate review regulation, Medicare Advantage, the individual mandate, exchanges, primary care initiatives, ICD-10 coding and imaging. H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Issues pertaining to medical loss ratio, rate review regulation, Medicare Advantage, the individual mandate, exchanges, primary care initiatives, ICD-10 coding and imaging. H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

IRC section 833(b) tax provisions; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; Health Insurance Tax: HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA" and S1880 "Jobs and Premium Protection Act"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

100-Percent Bonus Depreciation Extension Amendment 213 to H.R. 1, re. punitive taxes on oil producers Controlled Foreign Corporation (CFC) look-through rules Corporate Tax Rate Derivatives Dodd-Frank Pay Ratio Repeal DoL proposed rule - Worker Misclassification (Independent Contractor) with tax impact (Section 530) End-User Margin Exemption Amendment to S. 3240, the Agriculture Reform, Food and Jobs Act Estate Tax Fiscal Cliff -- H.R. 8, American Taxpayer Relief Act H.R. 1370, S. 1049, to repeal the Health Insurance Tax (HIT) H.R. 1439, Business Activity Tax Simplification Act H.R. 1573, OTC Swaps Market Regulation H.R. 1864, Mobile Workforce State Income Tax Simplification Act H.R. 2167, S. 1824, The Private Company Flexibility and Growth Act H.R. 2682, H.R. 1610, Business Risk Mitigation and Price Stabilization Act H.R. 2779 To Exempt Inter-Affiliate Swaps from Regulatory Requirements of Title VII of the Dodd-Frank Act H.R. 3123, re. faster use of AMT credits H.R. 3606, Jumpstart our Business Startups (JOBS) Act H.R. 4, Small Business Paperwork Mandate Elimination Act H.R. 4196, S. 2240 re. temporary 100% bonus depreciation, AMT credit in lieu of, PCM language H.R. 436, Protect Medical Innovation Act H.R. 8, Job Protection and Recession Prevention Act H.R. 942, American Research and Competitiveness Act of 2011 Home Energy Efficiency Tax Extension Individual Rates LIFO repeal Medical Device Excise Tax Patent/Innovation Box Pension Benefits Guaranty Corporation Premium Increases Pension plan funding stabilization Production Tax Credit (PTC) - e.g. wind energy R&D Tax Credit Rep. Camp's territorial tax system proposal Repatriation Repeal of 3.8% Investment Income Tax Repeal of Section 199 benefit to oil and gas companies S. 1577, Greater Research Opportunities with Tax Help (GROWTH) Act S. 1647, H.R. 3091, to make current tax rate on capital gains and dividends permanent S. 2204, Repeal Big Oil Subsidies Act S. 3412, Tax Increases on Small Manufacturers S. 3413, Tax Hike Prevention Act S. 3460, to allow R&D credits to offset payroll taxes S. 3480, to provide end user exemptions from certain provisions of the Commodity Exchange Act and the Securities Exchange Act of 1934 S. 3521, Family and Business Tax Cut Certainty Act S. 3591, Commercial Bldg. Modernization Act (Snowe), 179D Tax Deduction S. 825, Job Creation Through Innovation Act S. 940, Close Big Oil Tax Loopholes Act S.A. 1812, Stabenow PTC Extension Amendment to S. 1813 S.A. 1826, Roberts Renew Tax Extenders Amendment to S. 1813 SEC/CFTC Derivatives Regulation Section 179 Expensing enhanced Tax deferral for active financing

Client expense: $2,060,000 · Firm income: Not reported

Government targets: Bureau of Land Management (BLM), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Consumer Product Safety Commission (CPSC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Intl Trade Administration (ITA), Maritime Administration (MARAD), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Consulting services related to various general corporate tax and employee benefit issues, corporate tax and health care tax reform proposals,(including "the President's Framework for Business Tax Reform"), and legislation impacting insurance companies, such as H.R. 1370 & S.1880, which were debated during the second session of the 112th Congress.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

IRC section 833(b) tax provisions; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; Health Insurance Tax: HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA" and S1880 "Jobs and Premium Protection Act"

Client expense: $150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 436, Health Care Cost Reduction Act of 2012; all provisions H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act; all provisions H.R. 5842, Restoring Access to Medication Act of 2012; all provisions H.R. 5858, Health Savings Accounts Improvements Act of 2012; all provisions S. 1880, Jobs and Premium Protection Act; all provisions PL 111-148, Patient Protection and Affordable Care Act; provisions relating to implementation of employer-provided health plans plus section 10332, section 1241 relating to reinsurance fees, sections 1001 2715, 4980(h) and revenue provisions Bill Number Not Assigned, A bill on entitlement reform

Client expense: $4,480,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR)

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

IRC section 833(b) tax provisions; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; Health Insurance Tax: HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA" and S1880 "Jobs and Premium Protection Act"

Client expense: $34,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Relief from the health insurer fee in Section 9010 and 10905 of the Patient Protection and Affordable Care Act, P.L. 111-148, and its impact to state Medicaid programs due to its application to premium revenue derived from the Medicaid and Children's Health Insurance Programs and federal law; Support for a bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act, H.R. 1370; Support for the Jobs and Premium Protection Act, S. 1880.

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

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

IRC section 833(b) tax provisions; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; Health Insurance Tax: HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA" and S1880 "Jobs and Premium Protection Act".

Client expense: $440,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

H.R. 8, American Taxpayer Relief Act of 2012 (issues related to Medicare Advantage) H.R. 1580, Medicare Beneficiary Preservation of Choice Act of 2011 S. 1479, Medicare Beneficiary Preservation of Choice Act of 2011 S. 1880, Jobs and Premium Protection Act H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S. 1049, Small Business Health Relief Act of 2011 H.R. 4310, National Defense Authorization Act for Fiscal Year 2013 (issues related to Tricare)

Client expense: $1,310,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, White House Office

S. 1880, the Jobs and Premium Protection Act; H.R. 1370, the Repeal the Annual Fee on Health Insurance Providers Enacted by the Patient Protection and Affordable Care Act; Flexible Spending Accounts; Health Savings Accounts

Client expense: $470,000 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, President of the U.S., SENATE

H.R. 1370, S. 1049 -- Repeal of Health Insurance Tax

Client expense: Not reported · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Internal Revenue Service (IRS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR)

tax issues related to health insurance; H.R. 1370 S. 1880.

Client expense: Not reported · Firm income: $50,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

PL III-148: Patient Protection and Affordable Healthcare Act regulatory implementation H.R. 4: Small Business Paperwork Mandate Elimination Act of 2011 H.R. 2: Repealing the Job-Killing Health Care Law Act H.R. 1744 American Job Protection Act/ S. 20 The American Job Protection Act S. 72: The Small Business Paperwork Mandate Elimination Act of 2011 S. 18: The Small Business Paperwork Elimination Act S. 1880: Repeal Health Inusrance Tax H. R. 1370: Repeal Health Insurance Tax H. R. 2206 Repeal auto-enroll H.R. 436 Health Care Cost Reduction Act of 2012

Client expense: $310,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, White House Office

Health Insurance Tax: H.R. 1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA" and S. 1880 "Jobs and Premium Protection Act"

Client expense: Not reported · Firm income: Not reported

Supported the American Jobs Protection Act (H.R. 1744/S. 20) and other efforts to eliminate the employer mandate. Supported H.R. 1370 and additional efforts to repeal health insurance tax.

Client expense: $160,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Intl Trade Administration (ITA), Natl Highway Traffic Safety Administration (NHTSA), SENATE, Transportation, Dept of (DOT), U.S. Trade Representative (USTR)

1) Integration of health services for the "dual eligible" population under Medicaid and Medicare through financial alignment demonstrations authorized under 3021 of the Affordable Care Act. 2) Application of the insurance issuer fee authorized under 9010 of the Affordable Care Act to Medicaid Managed Care Organizations and repeal legislation, specifically H.R. 1370 and S. 1880. 3) Enhanced Medicaid payments to primary care physicians in 2013 and 2014 under 1202 of the Affordable Care Act.

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Support H.R. 1744/S.20, the American Job Protection Act Support H.R. 1370/S. 1049 Repeal of the health insurance tax in Affordable Care Act (ACA) Comments on regulation to implement ACA Support H.R. 6079, the Repeal of Obamacare Act

Client expense: $150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), SENATE, Treasury, Dept of

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, Sections of Health Care Reform legislation pertaining to proposed annual insurer assessments, and proposed excise tax on high-value health insurance plans S. 1049/H.R. 2676 - Small Business Health Relief Act, insurer excise tax H.R.1370 - to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S. 1880 the Jobs and Premium Protection Act, insurer excise tax

Client expense: Not reported · Firm income: $70,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, implementation H.R. 1206 - Access to Professional Health Insurance Advisors Act of 2011, MLR Broker Fee H.R. 371 - Health Care Choice Act of 2011, selling insurance across state lines S. 1049/H.R. 2676 - Small Business Health Relief Act, insurer excise tax H.R.1370 - to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S. 1880 - the Jobs and Premium Protection Act, insurer excise tax ***, no specific bill(s), Health Savings Accounts/Medical Savings Accounts, Transparency, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Uninsured, Employer Based Health System, Health Care Reform, Small Group Market Reform, Exchanges, Health Care Reform Implementation, Medical Loss Ratios

Client expense: Not reported · Firm income: $70,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, Sections of Health Care Reform legislation pertaining to proposed annual insurer assessments, and proposed excise tax on high-value health insurance plans S. 1049/H.R. 2676 - Small Business Health Relief Act, insurer excise tax H.R.1370 - to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S. 1880 the Jobs and Premium Protection Act, insurer excise tax ***, no specific bill, IRC Section 833(b) tax provisions

Client expense: Not reported · Firm income: $100,000

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

**see addendum page PL 111-148 - The Patient Protection and Affordable Care Act, implementation, health care reform H.R. 1206 - Access to Professional Health Insurance Advisors Act of 2011, MLR Broker Fee H.R. 371 - Health Care Choice Act of 2011, selling insurance across state lines S. 1049/H.R. 2676 - Small Business Health Relief Act, insurer excise tax H.R.1370 - to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S. 1880 - the Jobs and Premium Protection Act, insurer excise tax ***, no specific bill(s), Health Savings Accounts/Medical Saving Accounts, Transparency, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Government Plan Option, Uninsured, Employer Based Health System, Health Care Reform, Small Group Market Reform, Exchanges, Health Care Reform Implementation, Medical Loss Rates, Federal Employees' Health Benefits Program (FEHBP)

Client expense: Not reported · Firm income: $100,000

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