Health Care Cost Reduction Act of 2012

Generally supporting the delay and repeal of the medical device excise tax, including HR 436 and S 262.

Client expense: $48,081 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2: Repealing the Job Killing Health Care Law Act; HR 5: Protecting Access to Healthcare Act; HR 369: Health Savings and Affordability Act of 2011; HR 436: Protect Medical Innovation Act of 2011; HR 605: Patients Freedom to Choose Act; HR 1206: Access to Professional Health Insurance Advisors Act; HR 1580: Medicare Beneficary Preservation of Choice Act of 2011; HR 1744: American Job Protection Act; HR 2010: Family and Retirement Health Investment Act of 2011;

Client expense: $330,000 · 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, Treasury, Dept of, White House Office

Corporate Tax Reform -- Support Repeal of Excise Tax on Medical Devices -- (HR 436 and others) -- Support Mobile Workforce State Tax Simplification Act (HR 1864) -- Support

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

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS)

Corporate Tax Reform -- Support Repeal of Excise Tax on Medical Devices (HR 436 and others) -- Support Mobile Workforce State Tax Simplification Act (HR 1864) -- Support

Client expense: $40,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS)

Corporate Tax Reform -- Support Repeal of Excise Tax on Medical Devices (HR 436 and others) -- Support Mobile Workforce State Tax Simplification Act (HR 1864) -- Support

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

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS)

NIH health technology research; Community Health Centers and School Health; Telemedicine; Implementation of Patient Protection & Affordable Care Act (H.R.3590/P.L.111-148); Health Care and Education Reconciliation Act (H.R. 4872/P.L.No.111-152); The Protect Medical Innovation Act (H.R. 436); Budget Control Act (P.L. 112-25), FY2013 Budget, accountable care organizations.

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

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE

Medical device tax; Implementation of Patient Protection & Affordable Care Act (H.R.3590/Pub.L.No.111-148); Health Care and Education Reconciliation Act (H.R. 4872/Pub.L.No.111-152). H.R. 436 Protect Medical Innovation of 2011, FY2013 Budget.

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

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE

Medical device tax; IC-DISC; Implementation of Patient Protection & Affordable Care Act (H.R.3590/Pub.L.No.111-148); Health Care and Education Reconciliation Act (H.R. 4872/Pub.L.No.111-152). H.R. 436 Protect Medical Innovation of 2011, FY2013 Budget.

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

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE

S.1203/H.R.2195, Medicare Home Infusion Therapy Coverage Act; H.R.436, Protect Medical Innovation Act; S.17, Medical Device Access and Innovation Act, H.R.8, American Taxpayer Relief Act of 2012

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Guard, SENATE, Transportation Security Administration (TSA)

S.1203/H.R.2195, Medicare Home Infusion Therapy Coverage Act; H.R.436, Protect Medical Innovation Act; S.17, Medical Device Access and Innovation Act

Client expense: $700,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Guard, SENATE, Transportation Security Administration (TSA)

General issues related to FDA device approval process; issues related to Patient Protection and Affordable Care Act Implementation (Accountable Care Organization, Medical Device Tax); S.17/S.262/H.R.436/H.R.488/H.R.734: Medical Device Access and Innovation Protection Act (all provisions); HEU/LEU related issues for Nuclear Medicine. S.99: American Medical Isotopes Production Act (all provisions).H.R. 3209: Premarket Predictability Act (All provisions related to the FDA and the regulation of medical devices generally); H.R. 3203: Novel Device Regulatory Relief Act (All provisions related to the FDA and the regulation of medical devices generally); H.R. 3230: Keeping America Competitive Through Harmonization Act (All provisions related to the FDA and the regulation of medical devices generally); H.R. 3205: FDA Renewing Efficiency from Outside Review Management Act. (All provisions related to the FDA and the regulation of medical devices generally); H.R. 3211: Humanitarian Device Reform Act (All provisions related to the FDA and the regulation of medical devices generally); H.R. 3208: Patients Come First Act (All provisions related to the FDA and the regulation of medical devices generally); H.R. 3206: Cultivating Scientific Experts to Foster Innovation Act (All provisions related to the FDA and the regulation of medical devices generally); H.R. 3214: Food and Drug Administration Mission Reform Act (All provisions related to the FDA and the regulation of medical devices generally); H.R. 3204: Guidance Accountability and Transparency Act (All provisions related to the FDA and the regulation of medical devices generally); S. 1700: The Medical Device Regulatory Improvement Act (All provisions related to the FDA and the regulation of medical devices generally); S. 1865: The Patient Access to Medical Innovation Act (All provisions related to the FDA and the regulation of medical devices generally); S. 1943: Novel Device Regulatory Relief Act of 2011(All provisions related to the FDA and the regulation of medical devices generally); S. 1972: A bill to amend the Food and Drug Administrations mission (All provisions related to the FDA and the regulation of medical devices generally); S. 1995: A bill to enhance Food and Drug Administration oversight of medical device recalls, to provide for the conditional clearance of certain medical devices, and for other purposes (All provisions related to the FDA and the regulation of medical devices generally); S.3187: Food and Drug Administration Safety and Innovation Act as well as Amendment 2151 on reclassification of hydrocodone sponsored by Senator Manchin; Coverage issues for Transcutaneous Electronic Stimulation for chronic lower back pain. Issue relating to MDUFA fees and sequestration.

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

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

Various issues related to the Patient Protection and Affordable Care Act (P.L. 111-148) and Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); H.R. 1744/S. 20 employer mandate repeal; H.R. 1063/S. 1718 Medicare Secondary Payer reform; H.R. 2206 auto enrollment repeal; consumer directed health products; H.R. 436; H.R. 5842; H.R. 2529; H.R. 1004; H.R. 5858; H.R. 2010; S. 1098; S. 1368; H.R. 605; S. 312; H.R. 450

Client expense: $1,060,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Equal Employment Opportunity Commission (EEOC), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), 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

General issues related to FDA device approval process; issues related to Patient Protection and Affordable Care Act Implementation (Accountable Care Organization, Medical Device Tax); S.17/S.262/H.R.436/H.R.488/H.R.734: Medical Device Access and Innovation Protection Act (all provisions); HEU/LEU related issues for Nuclear Medicine. S.99: American Medical Isotopes Production Act (all provisions).H.R. 3209: Premarket Predictability Act (All provisions related to the FDA and the regulation of medical devices generally); H.R. 3203: Novel Device Regulatory Relief Act (All provisions related to the FDA and the regulation of medical devices generally); H.R. 3230: Keeping America Competitive Through Harmonization Act (All provisions related to the FDA and the regulation of medical devices generally); H.R. 3205: FDA Renewing Efficiency from Outside Review Management Act. (All provisions related to the FDA and the regulation of medical devices generally); H.R. 3211: Humanitarian Device Reform Act (All provisions related to the FDA and the regulation of medical devices generally); H.R. 3208: Patients Come First Act (All provisions related to the FDA and the regulation of medical devices generally); H.R. 3206: Cultivating Scientific Experts to Foster Innovation Act (All provisions related to the FDA and the regulation of medical devices generally); H.R. 3214: Food and Drug Administration Mission Reform Act (All provisions related to the FDA and the regulation of medical devices generally); H.R. 3204: Guidance Accountability and Transparency Act (All provisions related to the FDA and the regulation of medical devices generally); S. 1700: The Medical Device Regulatory Improvement Act (All provisions related to the FDA and the regulation of medical devices generally); S. 1865: The Patient Access to Medical Innovation Act (All provisions related to the FDA and the regulation of medical devices generally); S. 1943: Novel Device Regulatory Relief Act of 2011(All provisions related to the FDA and the regulation of medical devices generally); S. 1972: A bill to amend the Food and Drug Administrations mission (All provisions related to the FDA and the regulation of medical devices generally); S. 1995: A bill to enhance Food and Drug Administration oversight of medical device recalls, to provide for the conditional clearance of certain medical devices, and for other purposes (All provisions related to the FDA and the regulation of medical devices generally)

Client expense: $720,000 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Generally supporting the delay and repeal of the medical device excise tax, including HR 436 and S 262.

Client expense: $48,081 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 8 Job Protection and Recession Prevention Act of 2012 Bill would extend for an additional year, through 2013, the Bush-era tax reductions originally enacted in 2001 and 2003, and set to expire at the end of this year. NSBA supported. H.R. 9 The Small Business Tax Cut Act Bill will allow businesses with fewer than 500 employees to take a tax deduction equal to 20 percentfor one yearof their active business income. This deduction also would apply to pass-through entities, which compose the majority of small businesses. NSBA supported. H.R. 25 Fair Tax Act of 2011 Legislation to abolish the Internal Revenue Service and enact a national retail sales tax. NSBA supported. H.R. 436 Protect Medical Innovation Act of 2012 Bill would amend the Internal Revenue Code to repeal the medical device excise tax that is scheduled to go into effect on January 1, 2013. NSBA supported. H.R. 679 - Berry Amendment Extension Act This bill would require that any items purchased by the Sec. of the Department of Homeland Security directly related to national security interests are grown, reprocessed, reused, or produced in the US, except with regard to issues of necessary quality and quantity. NSBA supported H.R. 880 - Equity for Our Nations Self-Employed Act of 2011 The bill would allow self-employed individuals to fully-deduct the cost of their health insurance, thus eliminating the self-employed tax on health care. NSBA supported. H.R. 1259 Death Tax Repeal Permanency Act of 2011 Bill to repeal the estate tax. The effective date is the date of enactment, and the bill retains step-up basis. NSBA supported. H.R. 1418 - Small Business Lending Enhancement Act of 2011 Bill would increase the cap for credit union lending from 12.25 percent to 27.5 percent of total assets of the credit union. NSBA supported. H.R. 1663 Small Business Encouragement Act Amends the Internal Revenue Code to allow small business employers whose gross receipts in the preceding taxable year did not exceed $20 million, or who did not employ more than 100 full time employees, a work opportunity tax credit for hiring unemployed individuals as full-time employees during 2012 and 2013. NSBA opposed. H.R. 1697 Communities First Act Bill would provide community bank regulatory relief. NSBA supported. H.R. 1827 Home Office Deduction Simplification Act Bill would allow home-based businesses to take a standard $1,500 deduction for home office expenses. NSBA supported. H.R. 2312 - Department of Defense Textile and Apparel Procurement Fairness Act Among other things, prohibits DoD from purchasing more than 5 percent of any one textile or apparel product from the Federal Prison Industries (FPI). NSBA supported. H.R. 2501, H.R. 1113 Fair Employment Opportunity Act of 2011 Would make unemployed a protected class for discrimination law purposes. NSBA opposed. H.R. 2885 Legal Workforce Act This bill would make the use of E-Verify Mandatory for all employers. NSBA opposed. H. R. 2941 Startup Expansion and Investment Act Bill would address SarbanesOxley internal control reporting for small entities. NSBA supported. H.R. 3012 - Fairness for High-Skilled Immigrants Act Would eliminate the per-country numerical cap on the number of employment-based immigrant visas and increase the per-country numerical limitation for family-sponsored immigrant visas from 7 percent to 15 percent annually. NSBA is monitoring. H.R. 3476 AGREE Act Bill would address SarbanesOxley internal control reporting for small entities. NSBA supported. H.R. 3634 - Federal Prison Industries Competition in Contracting Act Require the Federal Prison Industries (FPI) to compete for government contracts, requires FPI to provide a detailed analysis of the probable impact on the private sector, prohibit FPI from selling products commercially, and require agencies to research private sector products based on price, quality, and time of delivery, among other things. NSBA is monitoring. H.R. 3786 - Plain Regulations Act of 2012 This bill would reform the regulatory process to require the use of clear and concise language in all new government regulations. NSBA supported. H.R. 3850 - Government Efficiency Through Small Business Contracting Act of 2012 Raise the government-wide small business contracting goal from 23% to 25%, the small business subcontracting goal from 35.9% to 40%, and also prevent senior officials from receiving bonuses in subsequent years where their respective agencies failed to meet the established small business contracting goals. NSBA supported. H.R. 3851 - Small Business Advocate (SBAA) This bill would enhance the role of the Office of Small and Disadvantaged Business Utilization (OSDBU) by elevating the OSDBU Director to a Senior Executive Service position and would prohibit them from holding another position at the same time. NSBA supported. H.R. 3893 - Subcontracting Transparency and Reliability (STAR) Act of 2012 Ensure that small businesses are the ones actually benefiting from the contracts set aside on their behalf. It would also allow more small businesses to partner and compete for federal contracts. NSBA supported. H.R. 3980 - Small Business Opportunity Act of 2012 Enhance the role of small-business advocates in the federal acquisition and procurement processes, create small-business contracting classes, and ensure that small business concerns are properly utilized in all applicable federal procurement and acquisition planning processes. NSBA supported. H.R. 3985 - Building Better Business Partnerships Act of 2012 This bill would allow the SBA to oversee all civilian mentor protege programs, improve small-businesses ability to win and perform on government contracts. NSBA supported. H.R. 3987 - Small Business Protection Act of 2012 Would ensure that the size standards assigned to each industry group are appropriate for each NAICS code and do not make it more difficult for small-business to compete for federal contracting opportunities. NSBA supported. H.R. 4032 - Help Entrepreneurs Create American Jobs Act Amends Section 195 of the Internal Revenue Code to increase the allowable deduction for business start-up expenses from $5,000 to $10,000, extending the 2010 temporary increase in the maximum deduction for start-up expenditures for ten years. NSBA supported. H.R. 4081 - Contractor Opportunity Protection (COP) Act of 2012 Protects small business contractors from unfair contract bundling by allowing the SBA (or a third party group) to appeal an agencys decision to bundle contracts, clarifies statutory limits on contract bundling, and requires publication of bundling justification to increase transparency. NSBA supported. H.R. 4118 - Small Business Procurement Improvement Act of 2012 Requires federal agencies to include small business concerns in multiple award contracts, carry out a program to increase small business participation in multiple award contracts, and provide the SBA with representation on the Federal Acquisition Regulatory Council. NSBA supported. H.R. 4121 - Early Stage Small Business Contracting Act of 2012 Requires SBA administrator to create and carry out a program to provide improved access to federal contract opportunities for early-stage small business concerns. NSBA supported. H.R. 4191 - Credit Union Small Business Lending Act Establishes a separate process by which credit unions participating in the 7(a) loan program may receive approvals and repurchases regarding loan guarantees under that program, creates a credit union outreach program, and authorizes the SBA Administrator to simplify the application process for credit union participation. NSBA is monitoring. H.R. 4196 Bonus Depreciation Bill extends 100 percent bonus depreciation through the rest of this year. Bonus depreciation allows businesses of all sizes to immediately expense the cost of property purchased and placed into service. NSBA supported. H.R. 4203 - Womens Procurement Program Improvement Act of 2012 This bill would expand contracting opportunities for women-owned small business concerns. NSBA supported. H.R. 4206 - Contracting Oversight for Small Business Jobs Act of 2012 Addresses contracting fraud by helping small businesses comply with complicated contracting and size rules, and providing a safe harbor for small businesses making a good faith effort to comply with those rules. NSBA supported. H.R. 4310 National Defense Authorization Act (NDAA) Reauthorizes our national defense programs and includes contracting reform provisions that will help small businesses. NSBA is monitoring this legislation, but supports the specific contracting reform provisions. H.R. 4377 RAPID Act Would improve the environmental review and permitting process by providing concurrent reviews, allow state-level environmental reviews to be used in certain situations, consolidate the process into a single Environmental Impact Statement (EIS), and impose fixed deadlines for completion of an EIS or an Environmental Assessment (EA). NSBA supported. H.R. 4409 Reforming and Consolidating Government Act of 2012 This bill would define President Obamas proposed efficiency-enhancing plan as a reorganization plan and also expands the Presidents executive authority to reorganize federal agencies. NSBA is monitoring. H.R. 4471 Gasoline Regulations Act of 2012 Bill would establish an interagency committee to analyze and report on the cumulative impact of certain EPA regulations and actions that affect gasoline, diesel fuel, natural gas prices, jobs, and the economy. NSBA is monitoring. H.R. 4480 Strategic Energy Production Act of 2012 Bill would require the development of a plan to increase oil and gas exploration, development and production under oil and gas leases on Federal lands to offset any drawdown of petroleum reserves from the Strategic Petroleum Reserve. NSBA is monitoring. H.R. 5187 IMPACT Act Bill would extend Production Tax Credits for renewable energy, extend the 1603 Grant Program, extend energy efficiency tax credits, provide incentives for heavy duty natural gas vehicles, and would eliminate certain tax breaks for major integrated oil companies. NSBA supported. The Domestic Energy and Jobs Act (Includes H.R. 4480, H.R. 4471, H.R. 4381, H.R. 4382, H.R. 4383, H.R. 2150, and H.R. 2752) This is a package of energy bills that will increase energy production on federal lands, require an interagency committee to conduct an analysis of certain EPA rules and actions that impact fuel prices, require the Secretary of the Interior to establish an all-of-the-above energy plan for federal lands, increase the amount of federal lands available for leasing and encourage onshore oil development and exploration, ensure development of oil and natural gas reserves in the National Petroleum Reserve Alaska, and authorize the BLM to conduct Internet-based auctions for onshore leases. NSBA is monitoring. H.R. 5893 Startup Act 2.0 This bill will provide capital gains and income tax incentives to incentivize entrepreneurs and facilitate the growth of new start-ups, creates a new STEM visa for up to foreign students and establishes a new category of visas for immigrant entrepreneurs. NSBA supported. H.R. 6102 America's Small Business Tax Relief Act of 2012 The bill's aim is to help small business owners by instituting eight permanent tax deductions that not only provide fiscal clarity for the business-owners, but also, provide them with equity in the tax code. NSBA supported. H.R. 6132 American Clothing for American Olympians Act This bill requires the U.S. Olympic Committee to ensure that all goods to be donated or supplied to any amateur athlete, coach, trainer, manager, administrator, or official of the U.S. Olympic team, the Paralympic team, or the Pan-American team are substantially made in the United States. NSBA is monitoring. H.R. 6156 Russia and Moldova Jackson-Vanik Repeal Act of 2012 The measure would provide permanent normal trade relations by lifting a Cold War trade provision known as the Jackson-Vanik amendment. NSBA supported. H.R. 6245 - Saving High-Tech Innovators from Egregious Legal Disputes Act This bill would require non-practicing entities (i.e. patent trolls) to pay a defendants computer hardware and software patent litigation costs if the court determines that the non-practicing entity did not have a reasonable likelihood of succeeding. NSBA is monitoring. H.R. 6397 - Defending American Taxpayers From Abusive Government Takings Act This bill would prohibit Fannie Mae, Freddie Mac, and HUD from purchasing, guaranteeing, making, issuing, or insuring any mortgage (small business loan) secured by a structure or dwelling unit located within a county that contains any structure or dwelling unit that secures or secured a residential mortgage loan that the state or any territory, including any agency or political subdivision, obtained during the preceding 120 months by eminent domain. NSBA is monitoring this legislation. H.R. 6412 Attracting the Best and Brightest Act of 2012 Bill would provide up to 55,000 green cards to foreign-born students graduating from an American university with an advanced degree in a STEM field (Science, Technology, Engineering or Mathematics). NSBA supported. H.R. 6429 STEM Jobs Act of 2012 Bill would provide up to 55,000 green cards to foreign-born students graduating from an American university with an advanced degree in a STEM field (Science, Technology, Engineering or Mathematics). NSBA supported. H.R. 6621 AIA Technical Corrections Bill Bill would make technical corrections to the America Invents Act (AIA). NSBA is monitoring. S. 13 Fair Tax Act of 2011 Legislation to abolish the Internal Revenue Service and enact a national retail sales tax on the use or consumption in the United States of taxable property or services. NSBA supported. S. 474 Small Business Regulatory Freedom Act Bill would reform the regulatory process and ensure that job creation by small businesses is considered during the Federal legislative and rulemaking process. NSBA supported. S. 509 The Small Business Lending Enhancement Act Bill would amend the Federal Credit Union Act to advance the ability of credit unions to promote small business growth and economic development opportunities. NSBA supported. S.727 Bipartisan Tax Fairness and Simplification Act of 2011 Comprehensive tax reform legislation with provisions consolidating tax brackets for individuals and businesses while at the same time lowering federal tax obligations, in part through a single, flat 24 percent corporate rate. NSBA is monitoring. S. 1289 Taxpayer Advocacy and Government Accountability Promotion Act Bill targets noncompliant tax filers with provisions to improve tax forms and tax administration and decrease tax avoidance by contractors, as a way to reduce the tax gap. NSBA is monitoring. S. 1471 Fair Employment Opportunity Act of 2011Would make unemployed a protected class for discrimination law purposes. NSBA opposed. S. 1590 Fairness for Small Businesses in Federal Contracting Act of 2011Requires the SBA and Federal Acquisition Regulatory Council to replace the North American Industrial Classification System (NAICS) with a new small business size classification system. NSBA is monitoring. S. 1600 Communities First Act Bill would provide community bank regulatory relief. NSBA supported. S. 1736 Acquisition Savings Reform Act of 2011 Bill aims to streamline the federal procurement process by requiring online reverse auctions, consider strategic sourcing vehicles in procurement of commercial items, and direct the FAR council to amend the FAR to reflect the government-wide policy to pay small business concerns as quickly as possible. NSBA is monitoring. S. 1866 AGREE Act Bill would address SarbanesOxley internal control reporting for small entities. NSBA supported. S. 1965 Startup Act Provides capital gains and income tax incentives to incentivize entrepreneurs and facilitate the growth of new start-ups, creates a new STEM visa for up to foreign students and establishes a new category of visas for immigrant entrepreneurs. NSBA is monitoring. S. 2114 - Berry Amendment Extension Act Requires that any items purchased by the Secretary of the Department of Homeland Security directly related to national security interests are grown, reprocessed, reused, or produced in the US, except with regard to issues of necessary quality and quantity. NSBA supported. S. 2129 Reforming and Consolidating Government Act of 2012 This bill would define President Obamas proposed efficiency-enhancing plan as a reorganization plan and also expands the Presidents executive authority to reorganize federal agencies NSBA is monitoring. S. 2172 Fairness in Women-Owned Small Business Contracting Act of 2012 Bill would eliminate the cap on women entrepreneurs and allow women-owned businesses to receive sole source contracts, among other things. NSBA is monitoring. S. 2231 The Small Business Lending Enhancement Act Bill would amend the Federal Credit Union Act to advance the ability of credit unions to promote small business growth and economic development opportunities. NSBA is monitoring. S.2242 - Death Tax Repeal Permanency Act of 2012 Bill to repeal the estate tax. The effective date is the date of enactment, and the bill retains step-up basis. NSBA supported. S. 2264 Domestic Fuels Act By streamlining the regulatory process, developing new criteria, and providing liability protection for retailers, this bill would make it easier for retailers to provide multiple fuels (traditional and renewable) to consumers and businesses using the same equipment. NSBA is monitoring. S. 2337 Plain Writing Act for Regulations for 2012 Bill would reform the regulatory process to require the use of clear and concise language in all new government regulations. NSBA supported. S. 3194 Small Business Common Application Act Bill would require a 12-member executive committee to review the feasibility of a common (or single) application for small businesses to use when applying for federal funding opportunities. NSBA is monitoring. S. 3217 Startup Act 2.0 This bill will provide capital gains and income tax incentives to incentivize entrepreneurs and facilitate the growth of new start-ups, creates a new STEM visa for up to foreign students and establishes a new category of visas for immigrant entrepreneurs. NSBA supports. S. 3275 Master Limited Partnerships (MLPs) Parity Act Bill would allow MLPs to invest in renewable energy projects. NSBA is monitoring. S. 3352 Expanding Industrial Energy and Water Efficiency Incentives Act of 2012 This bill would amend the Internal Revenue Code to: increase megawatt and horsepower capacity limitations for the combined heat and power system property energy tax credit; allow new tax credits to improve advanced motor system energy efficiency, to replace chlorofluorocarbon (CFC) refrigerant chillers, and for investment in any qualifying efficient industrial process water use project; and allow an energy tax credit for investment in biomass heating property. NSBA is monitoring. S. 3387 Team USA Made in America Act of 2012 This bill requires the U.S. Olympic Committee to adopt a policy with respect to uniforms to be worn by athletes during ceremonies that are part of the Olympic Games, the Paralympic Games, or the Pan-American Games that requires it to: purchase or otherwise obtain only uniforms, including accessories that meet the standards of the Federal Trade Commission (FTC) for labeling as "Made in USA"; or make publicly available a detailed justification of the reasons the Committee obtained uniforms that do not meet that requirement. NSBA is monitoring. S. 3414 Cybersecurity Act of 2012 The bill provides for a flexible and voluntary, incentives-based system (or set of standards) to encourage owners and operators of the countrys most critical infrastructure systems to meet much-needed cyber-security requirements. NSBA is monitoring. S. 3438 Offshore Petroleum Expansion Now (OPEN) Act of 2012 This bill would seek to expand offshore energy production via an alternative to the Department of Interiors five-year leasing plan and permit revenue sharing with the participating coastal states. NSBA is monitoring. S. 3444 Wear American Act This bill would direct the Federal Acquisition Regulation Council to amend the Federal Acquisition Regulation (FAR) to require federal agencies to procure textiles and apparel articles that are manufactured in the United States wholly from articles, materials, or supplies mined, produced or manufactured in the United States. NSBA is monitoring. S. 3468 Independent Agency Regulatory Analysis Act of 2012 This bill would, among other things, authorize the President to require an independent regulatory agency to comply with basically the same regulatory analysis requirements as an executive agency (including cost-benefit analysis). NSBA supported. S. 3553 Benefits to Research and American Innovation through Nationality Statutes Act of 2012 (BRAINS Act) Bill would provide up to 55,000 green cards to foreign-born students graduating from an American university with an advanced degree in a STEM field (Science, Technology, Engineering or Mathematics). NSBA supported. EEOC - NSBA opposes efforts to treat educational attainment requirements as discrimination. NSBA opposes efforts to limit employer criminal background checks. U.S. Commission on Civil Rights - NSBA opposes efforts to limit employer criminal background checks. SEC - NSBA supports reasonable regulations implementing the JOBS Act (in particular relating to general solicitation, crowdfunding and emerging growth companies). DOL, HHS, IRS - NSBA opposes efforts to restrict employer provided health care benefit self-insurance with stop loss. HHS Federally Facilitated Exchanges. NSBA supports health insurance exchanges and is seeking rapid implementation and adequate guidance. NSBA supports allowing any QHP that meets all certification standards to sell insurance on the exchanges. HHS SHOPS. NSBA supports immediate implementation of SHOPs in the health insurance exchanges. USCIS Deferred Action policy. NSBA seeks clear rules that do not pose additional legal risk for or burden employers. IRS Health care FSAs. NSBA supports elimination of the so-called use-it or lose-it rule. NSBA also supports revision of the uniform coverage rule if the use-it or lose-it rule is changed. USPTO NSBA filed comments with the U.S. Patent and Trademark Office regarding proposed rule implementing changes of the first to file provisions of the Leahy-Smith America Invents Act. DOL NSBA opposes proposed rule under the Labor-Management Reporting and Disclosure Act that would require employers to report on consultants assisting with speech-writing, public relations advice, labor campaigns, web sites, emails or other materials for employer communication to employees or the public, no matter how minor or indirect the relation to any labor dispute. In addition, modification of personnel policies and practices fall under the persuader activities list. Therefore, arrangements with and the content of the work by attorneys, insurance agents, HR consultants, pension consultants, accountants or financial advisers who review benefits packages or other personnel practices would be reportable.

Client expense: $55,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Export-Import Bank of the United States (EXIM Bank), Federal Reserve System, 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), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Corporate Tax Reform -- Support Repeal of Excise Tax on Medical Devices -- (HR 436 and others) -- Support Mobile Workforce State Tax Simplification Act (HR 1864) -- Support

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

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS)

H.R. 436- Protect Medical Innovation Act of 2011

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE

Legislation and issues related to: Physician/nurse reimbursement; Medicare Medical Home; Medicaid Health Home; Medicare-Medicaid Advanced Primary Care demonstration; Accountable Care Organizations; Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Repeal/retention of Medicaid maintenance of effort requirements; Graduate Nurse Education demonstration; Home health face-to-face examination requirements; Medicare-Medicaid Program Integrity policies; Independent Payment Advisory Board (IPAB); Medicare-Medicaid hospital conditions of participation; Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges; Medicaid waiver application procedures; State of Florida Section 1115 Medicaid waiver application on managed medical assistance program; Medicare-Medicaid dual eligibles coverage and demonstration; Ordering of Medicare portable x-ray services; Provisions of the 2013 Medicare physician payment proposed rule; Medicaid per capita cap policy options; Medicaid payment for primary care services; Medicaid eligibility expansion and state options; Social Security Administration policies on primary medical evidence of disability; H.R. 2 - Repealing the Job-Killing Health Care Law Act; S. 16 - Patient Choice Restoration Act; S. 56/H.R. 2134 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act; S. 58/H.R. 876 - Registered Nurse Safe Staffing Act; S. 227/H.R. 2267 - Home Health Care Planning Improvement Act; S. 244/H.R. 782 - State Health Care Flexibility Act; H.R. 560 - Rural Representation and Transparency Improvement Act; H.R. 452 - Medicare Decisions Accountability Act; S. 668 - Health Care Bureaucrats Elimination Act; S. 1680 - Craig Thomas Rural Hospital and Provider Equity Act; H.R. 3859 - Rural Hospital and Provider Equity Act; H.R. 3630/H.R. 3743/H.R. 3765 - Temporary Payroll Tax Cut Continuation Act; H.R. 3326/S. 1587 - Medicaid Flexibility for States Act; H.R. 4160 - State Health Flexibility Act; S. 2057 - To amend Title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. H.R. 5979 - Medicaid Accountability and Care (MAC) Act; H.R. 436 - Health Care Cost Reduction Act; H.R. 5707 - Medicare Physician Payment Innovation Act; H.R. 4348 - MAP-21 and offsets for student loan interest rate provisions; H.R. 6079 - Repeal of Obamacare Act; H.R. 6684 - Spending Reduction Act; H.R. 8 - American Taxpayer Relief Act.

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

Legislation and issues related to: Physician/nurse reimbursement; Medicare Medical Home; Medicaid Health Home; Medicare-Medicaid Advanced Primary Care demonstration; Accountable Care Organizations; Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148); Repeal/retention of Medicaid maintenance of effort requirements; Graduate Nurse Education demonstration; Home health face-to-face examination requirements; Coverage and payment for CPT code 96110; Medicare-Medicaid Program Integrity policies; Independent Payment Advisory Board (IPAB); Medicare-Medicaid hospital conditions of participation; Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges; Medicaid waiver application procedures; State of Florida Section 1115 Medicaid waiver application on managed medical assistance program; Medicare-Medicaid dual eligibles coverage and demonstration; Ordering of Medicare portable x-ray services; Provisions of the 2013 Medicare physician payment proposed rule; Medicaid per capita cap policy options; Medicaid payment for primary care services; Medicaid eligibility expansion and state options; Social Security Administration policies on primary medical evidence of disability; H.R. 2 - Repealing the Job-Killing Health Care Law Act; S. 16 - Patient Choice Restoration Act; S. 56/H.R. 2134 - Medicaid Advanced Practice Nurses and Physician Assistants Access Act; S. 58/H.R. 876 - Registered Nurse Safe Staffing Act; S. 227/H.R. 2267 - Home Health Care Planning Improvement Act; S. 244/H.R. 782 - State Health Care Flexibility Act; H.R. 560 - Rural Representation and Transparency Improvement Act; H.R. 452 - Medicare Decisions Accountability Act; S. 668 - Health Care Bureaucrats Elimination Act; S. 1680 - Craig Thomas Rural Hospital and Provider Equity Act; H.R. 3859 - Rural Hospital and Provider Equity Act; H.R. 3630/H.R. 3743/H.R. 3765 - Temporary Payroll Tax Cut Continuation Act; H.R. 3326/S. 1587 - Medicaid Flexibility for States Act; H.R. 4160 - State Health Flexibility Act; S. 2057 - To amend Title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs; H.R. 340 - Amending title XIX (Medicaid) of the Social Security Act to repeal the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases; H.R. 669 - Ensuring Continuous Medicaid Coverage for Children Act; H.R. 671 - Ensuring Continuous Coverage under SCHIP Act H.R. 5979 - Medicaid Accountability and Care (MAC) Act; H.R. 436 - Health Care Cost Reduction Act; H.R. 5707 - Medicare Physician Payment Innovation Act; H.R. 4348 - MAP-21 and offsets for student loan interest rate provisions; H.R. 6079 - Repeal of Obamacare Act; H.R. 6684 - Spending Reduction Act; H.R. 8 - American Taxpayer Relief Act.

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

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 436, Health Care Cost Reduction Act of 2012: Elimination of medical device excise tax

Client expense: $40,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3187 Food and Drug Administration Safety and Innovation Act H.R. 436 Protect Medical Innovation Act H.R. 5842 Restoring Access to Medications Act H.R. 5858 Health Savings Account Improvement Act H.R. 1004 Health Flexible Spending Account Improvement Act H.R. 6079 Repeal of Obamacare Act

Client expense: $229,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE

H.R. 9 Small Business Tax Cut Act H.R. 436 Protect Medical Innovation Act H.R. 5842 Restoring Access to Medications Act H.R. 5858 Health Savings Account Improvement Act H.R. 1004 Health Flexible Spending Account Improvement Act H.R. 8 American Taxpayer Relief Act of 2012 S. 1796 Free File Improvement Act of 2011 H.R. 5974 Invest in America Now Act of 2012 H.R. 4348 An act to authorize funds for Federal-aid highways, highway safety programs, and transit programs, and for other purposes. H.R. 6079 Repeal of Obamacare Act S. 971 Digital Goods and Services Tax Fairness Act of 2011 H.R. 1860 Digital Goods and Services Tax Fairness Act of 2011 S.1452 Main Street Fairness Act H.R.2701 Main Street Fairness Act H.R.3179 Marketplace Equity Act of 2011 S.1832 Marketplace Fairness Act H.R. 1834 Freedom to Invest Act of 2011 S. 2204 Repeal Big Oil Tax Subsidies Act H.R.8 Job Protection and Recession Prevention Act of 2012 H.R.6169 Pathway to Job Creation through a Simpler, Fairer Tax Code Act of 2012

Client expense: $229,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE

H.R 436, Health Care Cost Reduction Act of 2012: Elimination of medical device excise tax

Client expense: $40,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 17 -- Medical Device Access and Innovation Protection Act H.R. 436 -- Medical Device Access and Innovation Protection Act

Client expense: $210,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Corporate Tax Reform -- Support Repeal of Excise Tax on Medical Devices -- (HR 436 and others) -- Support Mobile Workforce State Tax Simplification Act (HR 1864) -- Support

Client expense: $40,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS)

Support legislation to repeal the medical device excise tax, specifically hr 436, The Protect Medical Innovation Act. General support for corporate tax reform, including hybrid territorial tax reform.

Client expense: $140,000 · 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

Support for H.R. 436, Health Care Cost Reduction Act of 2012, and S.17, Medical Device Access and Innovation Protection Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues generally relating to healthcare IT, and to potential for regulation of healthcare IT as medical devices (no specific legislation introduced or pending). H.R. 3059 - Creating Hope Act of 2011; H.R. 436 - Protect Medical Innovation Act (all provisions).

Client expense: $590,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Telecommunications & Information Administration (NTIA), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), 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)

Support for H.R. 436, Health Care Cost Reduction Act of 2012, H.R. 1004, Medical FSA Improvement Act of 2011 and S.1404, Medical FSA Improvement Act of 2011.

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 17/H.R. 436, The Medical Device Access and Innovation Protection Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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)

Support for H.R. 436, Health Care Cost Reduction Act of 2012, and S.17, Medical Device Access and Innovation Protection Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to the taxation of foreign earnings of U.S. multinational corporations and corporate tax reform. S. 3521, Family and Business Tax Cut Certainty Act of 2012, and issues related to R&D tax credit; S. 17, Medical Device Access & Innovation Act of 2011; H.R. 436, Protect Medical Device Act of 2011; H.R. 8, The American Taxpayer Relief Act, issues related to the medical device tax.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Flexible spending arrangements (FSA) and health savings accounts (HSA) H.R. 2529/S. 1368 - Restoring Access to Medication Act. Repeals prohibition in Patient Protection and Affordable Care Act (P.L. 111-148, P.L. 111-152) against use of flexible spending arrangement (FSA) and health savings account (HSA) funds on over-the-counter medications; all sections. H.R. 2529 reintroduced as H.R. 5842, then included in House consideration and approval of H.R. 436 - Health Care Cost Reduction Act; Section 3. H.R. 605/S. 312 - Patients' Freedom to Choose Act. Repeals prohibition in Patient Protection and Affordable Care Act (P.L. 111-148, P.L. 111-152) against use of flexible spending arrangement (FSA) and health savings account (HSA) funds on over-the-counter medications; all sections. H.R. 2010/S. 1098 - Family and Retirement Health Investment Act of 2011. Repeals prohibition in Patient Protection and Affordable Care Act (P.L. 111-148, P.L. 111-152) against use of flexible spending arrangement (FSA) and health savings account (HSA) funds on over-the-counter medications; all sections.

Client expense: $170,000 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Office of Natl Drug Control Policy (NDCP), SENATE

HR 2: Health Care Overhaul -- Modify for Tort Reform - Support HR 436/517: Provisions for excise tax on medical devices -- Repeal - Support

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

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS)

None: Tax Reform -- Lower Corporate Tax Rate and modify deductions - Support None: Tax Reform -- Limitation or repeal of the deferral of foreign income - Oppose HR 436/S 17: Provision for excise tax on medical devices -- Repeal - Support None: Capital gains and dividend rate -- Increase the rates - Oppose HR 1864: Mobile Workforce State Income Tax Simplification Act of 2011 -- Provisions to enhance compliance with state personal income tax laws and simplify the onerous burdens on employees who travel outside of their resident state for temporary periods - Support

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

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS)

**see addendum page Implementation of the Patient Protection and Affordable Care Act (PL111-148) ***, no specific bills, ACOs, ICD-10, Sunshine Implementation of the Food and Drug Administration Safety and Innovation Act (PL112-144) Medical Device Tax - H.R. 436, the Health Care Cost Reduction Act, and S. 17, The Medical Device Access and Innovation Protection Act

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

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

H.R. 436, Health Care Cost Reduction Act, various measures to repeal and amend the Patient Protection and Affordable Care Act (PPACA), regulatory implementation of PPACA and requirements under employer mandate.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Small Business Administration (SBA), Treasury, Dept of, Veterans Affairs, Dept of (VA)

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

S 17 - Medical Device Access and Innovation Protection Act of 2011 HR 436 - Protect Medical Innovation Act of 2011 HR 2020 and S 1096 - Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2011 Medicare Reimbursement for Imaging Services HR 3269 - Diagnostic Imaging Services Access Protection Act of 2011 Helium Shortage S 2374 - Helium Stewardship Act of 2012 HR 6014 Katie Sepich Enhanced DNA Collection Act of 2012 HR 8 American Taxpayer Relief Act of 2012

Client expense: $4,940,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)