Restoring Assistance for Families' and Seniors' Health Expenses Act of 2011

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

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

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: $1,010,000 · 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

H.R. 605, Patients' Freedom to Choose Act S. 312, Patients' Freedom to Choose Act H.R. 450, Restoring Assistance for Families and Seniors Health Expenses Act of 2011 H.R. 2529, Restoring Access to Medication Act S. 1098, Family and Retirement Health Investment Act of 2011 S. 1368, Restoring Access to Medication Act H.R. 2010, Family and Retirement Health Investment Act of 2011

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), 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

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

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

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

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

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

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

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: $1,080,000 · 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 Thrift Supervision (OTS), 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. Trade Representative (USTR), White House Office

H.R. 605, Patients' Freedom to Choose Act S. 312, Patients' Freedom to Choose Act H.R. 450, Restoring Assistance for Families and Seniors Health Expenses Act of 2011 H.R. 2529, Restoring Access to Medication Act S. 1098, Family and Retirement Health Investment Act of 2011 S. 1368, Restoring Access to Medication Act H.R. 2010, Family and Retirement Health Investment Act of 2011

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), SENATE

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, and other issues relating to health care reform implementation.

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

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

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

Client expense: $825,000 · Firm income: Not reported

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

Patient Protection and Affordable Care Act (P.L. 111-148, P.L. 111-152); HR 2; ERISA regulations; HR 1744; S 20; HR 2010; S 1098; HR 1370; FSA/HSA changes; HR 1063; Medicare Secondary Payer; HR 2529; S 1368; HR 605; S 312; Budget Control Act; HR 2206; S 1880; HR 450; HR 1004; HR 524

Client expense: $880,000 · 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 Thrift Supervision (OTS), 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. Trade Representative (USTR), White House Office

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; Small Business Health Options Program.

Client expense: $900,000 · 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 Thrift Supervision (OTS), 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. Trade Representative (USTR), White House Office

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 16. Specific Lobbying Issues (continued): 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. 5651, FDA Reform Act (Upton) pharmaceutical, medical device issues 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. 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, and other issues relating to health care reform implementation.

Client expense: $2,240,000 · Firm income: Not reported

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

H.R. 605, Patients' Freedom to Choose Act S. 312, Patients' Freedom to Choose Act H.R. 450, Restoring Assistance for Families and Seniors Health Expenses Act of 2011 H.R. 2529, Restoring Access to Medication Act S. 1098, Family and Retirement Health Investment Act of 2011 S. 1368, Restoring Access to Medication Act H.R. 2010, Family and Retirement Health Investment Act of 2011

Client expense: $560,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), SENATE

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, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 436, Protect Medical Innovation Act of 2011 H.R. 450, Restoring Assistance for Families and Seniors Health Expenses Act of 2011 H.R. 452, Medicare Decisions Accountability Act H.R. 605 / S. 312, Patients Freedom Choose Act H.R. 1051, Medicare Beneficiary Freedom to Choose Act of 2011 H.R. 1173 / S. 720, Fiscal Responsibility and Retirement Security Act of 2011 H.R. 1370 / S.1880, To repeal the annual fee on health insurance providers enacted by the Patient H.R. 1744 / S. 20, American Job Protection Act Protection and Affordable Care Act H.R. 2010, Family and Retirement Health Investment Act of 2011 H.R. 2077, MLR Repeal Act H.R. 2112, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, Vitter Amendment (#769 - prescription drug reimportation) 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 2011H.R. 4095 / S. 2002, The Online Pharmacy Safety Act 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. 5842 / S.1368, Restoring Access to Medication Act H.R. 5858, Health Savings Accounts Improvements Act of 2012 H.R. 5651, Food and Drug Administration Reform Act of 2012 H.R. 5853, Fiscal Responsibility and Retirement Security Act S. 1049, Small Business Health Relief Act S. 17, Medical Device Access and Innovation Protection Act S. 223, FAA Air Transportation Modernization and Safety Improvement Act, including the Amendment offered by Senator McConnell to repeal P.L. 111-148, the Patient Protection and Affordable Care Act and an Amendment offered by Senator Stabenow which would repeal Section 9006 of the Patient Protection and Affordable Care Act S. 312, Patients Freedom to Choose Act S. 493, SBIR/STTR Reauthorization Act of 2011, including an Amendment offered by Senator Johanns which would fully repeal Section 9006 of the Patient Protection and Affordable Care Act and Amendment Number 197 offered by Senator Hutchison S. 510, FDA Food Safety Modernization Act, issues related to 1099 reporting amendments S. 668, Health Care Bureaucrats Elimination Act S. 720, Repeal the CLASS Entitlement Act S. 848, Consumer Information Enhancement Act of 2011 S. 1049, Small Business Health Relief Act 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. 2516, Food and Drug Administration Safety and Innovation Act including amendments related to company market exclusivity S. 3187, Food and Drug Administration Safety and Innovation Act including amendments related to company market exclusivity S. 3501, American Job Protection Act S. 3673, Patients Freedom Choice Act Filed comments and met with relevant agencies on regulations implementing health care reform (P.L. 111-148 and P.L. 111-152) Regulations commented on include: Medical Loss Ratio (MLR) Request for Information; Adult Child Coverage (Age 26) Interim Final Rule; Grandfathered Plan Status Interim Final Rule; Preexisting Condition Exclusion; Lifetime & Annual Limits; Rescissions; Patient Protections Interim Final Rule; Preventive Services Coverage Interim Final Rule; Internal Claims & Appeals and External Review Processes Interim Final Rule; Preexisting Condition Insurance Plan (PCIP) Interim Final Rule; 1099 Reporting Requirements Request for Comments; Planning and Establishment of State-level Exchanges Request for Comments; Non-Discrimination in Favor of Highly Compensated Individuals Request for Comments; Essential Health Benefits (IOM Study); Amended Interim Final Rule for Grandfathered Plan Status; Guidance on OTC Medicine & Definition of Medical Expenses; Development of Health Risk Assessment; Medical Loss Ratio; Nondiscrimination in favor of Highly Compensated Individuals - second notice re: timing; DOL: Retrospective Review Under E.O. 13563; Treasury: Retrospective Review Under E.O. 13563; State Innovation Waivers; ACOs & Medicare Shared Savings Program; Shared Responsibility for Employers Regarding Health Coverage (Section 4980H); Amendment to the Interim Final Rule on Internal Claims and Appeals and External Review Processes; HIPAA Privacy Rule Accounting of Disclosures; Medical Data Sharing. Summary of benefits and Coverage and the Uniform Glossary; Exchange Functions in the Individual market; Health Insurance Premium Tax Credit; Establishment of Exchanges and Qualified Health Plans; Health Coverage Affordability Safe Harbor for Employers; Medical Loss Ratio (MLR) Requirements Final Rule; Medical Loss Ratio (MLR) Notice of Rebate Forms; Essential Health Benefits Bulletin - Response to Request for Comments; Establishment of Exchanges and Qualified Health Plans / Exchange Standards for Employers Final Rule and Interim Final Rule; FAQs from Employers Regarding Automatic Enrollment, Employer Shared Responsibility, and Waiting Periods Request for Comments; Notice 2012-31 Minimum Value of an Employer-Sponsored Plan Request for Comments; Notice 2012-32 Reporting of Health Insurance Coverage Request for Comments; Notice 2012-33 Reporting by Applicable Large Employers on Health Insurance Coverage Under Employer-Sponsored Plans Request for Comments. Comprehensive health reform (bills in the Senate and House) including all aspects relating to coverage, financing, and delivery reform, including: 1099 reporting, Grandfathering, HSA and FSA changes, CMS claims database, IPAB, CLASS Act, employer mandate, medical loss ratio, mandated insurance requirements, Exchanges, Medicare reform, regulatory reform, Essential Health Benefits Package, Health Insurance Tax, and the Medical Device Tax Various issues relating to 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; importation of foreign pharmaceuticals into the United States

Client expense: $22,520,000 · Firm income: Not reported

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

H.R.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. 5651, FDA Reform Act (Upton) - pharmaceutical, medical device issues 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. 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

Annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act - HR 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. *HSA improvements - HR 369, Health Savings and Affordability Act of 2011. *Repeal of HSA restrictions - HR 524, Restoring Consumer-driven Health Care Act of 2011. *Repeal of HSA and FSA restrictions - HR 450, Restoring Assistance for Families' and Seniors' Health Expenses Act of 2011; HR 605, Patients' Freedom to Choose Act; S 312, Patients' Freedom to Choose Act. *HSA and FSA improvements - HR 2010, Family and Retirement Health Investment Act of 2011; S 1098, Family and Retirement Health Investment Act of 2011. *Use of HSA and FSA funds to purchase OTC medications - HR 2529, Restoring Access to Medication Act; S 1368, Restoring Access to Medication Act; HR 5842, Restoring Access to Medication Act of 2012. *Health insurance premium tax - S 1880, Jobs and Premium Protection Act. *HSA, HRA, FSA provisions, ACA provisions - HR 436, Health Care Cost Reduction Act of 2012. *Distribution of unused amounts from a health FSA - HR 1004, Health Flexible Spending Arrangements Improvements Act of 2012. *HSA provisions - HR 5858, Health Savings Accounts Improvements Act of 2012. *Tax incentives for purchase of LTC insurance, consumer protections - HR 6005, Long-Term Care and Retirement Security Act of 2012.

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

Government targets: HOUSE OF REPRESENTATIVES

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, including issues related to Med Malpractice and IPAB Reform H.R. 436, Protect Medical Innovation Act of 2011 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 / S. 720, Fiscal Responsibility and Retirement Security Act of 2011 H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act H.R. 1744 / S. 20, American Job Protection Act H.R. 2010, Family and Retirement Health Investment Act of 2011 H.R. 2077, MLR Repeal Act of 2011 H.R. 2112, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, Vitter Amendment (#769 - prescription drug reimportation) H.R. 2529 / 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. 4853, Middle Class Tax Act of 2010 H.R. 5141/S. 3578, Small Business Paperwork Mandate Elimination Act H.R. 5853, Fiscal Responsibility and Retirement Security Act S. 17, Medical Device Access and Innovation Protection Act S. 223, FAA Air Transportation Modernization and Safety Improvement Act, including the Amendment offered by Senator McConnell to repeal P.L. 111-148, the Patient Protection and Affordable Care Act and an Amendment offered by Senator Stabenow which would repeal Section 9006 of the Patient Protection and Affordable Care Act S. 312, Patients Freedom to Choose Act S. 493, SBIR/STTR Reauthorization Act of 2011, including an Amendment offered by Senator Johanns which would fully repeal Section 9006 of the Patient Protection and Affordable Care Act and Amendment Number 197 offered by Senator Hutchison S. 510, FDA Food Safety Modernization Act, issues related to 1099 reporting amendments S. 668, Health Care Bureaucrats Elimination Act S. 720, Repeal the CLASS Entitlement Act S. 848, Consumer Information Enhancement Act of 2011 S. 1049, Small Business Health Relief Act 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. 3501, American Job Protection Act S. 3673, Patients Freedom Choice Act Filed comments and met with relevant agencies on regulations implementing health care reform (P.L. 111-148 and P.L. 111-152) Regulations commented on include: Medical Loss Ratio (MLR) Request for Information; Adult Child Coverage (Age 26) Interim Final Rule; Grandfathered Plan Status Interim Final Rule; Preexisting Condition Exclusion; Lifetime & Annual Limits; Rescissions; Patient Protections Interim Final Rule; Preventive Services Coverage Interim Final Rule; Internal Claims & Appeals and External Review Processes Interim Final Rule; Preexisting Condition Insurance Plan (PCIP) Interim Final Rule; 1099 Reporting Requirements Request for Comments; Planning and Establishment of State-level Exchanges Request for Comments; Non-Discrimination in Favor of Highly Compensated Individuals Request for Comments; Essential Health Benefits (IOM Study); Amended Interim Final Rule for Grandfathered Plan Status; Guidance on OTC Medicine & Definition of Medical Expenses; Development of Health Risk Assessment; Medical Loss Ratio; Nondiscrimination in favor of Highly Compensated Individuals - second notice re: timing; DOL: Retrospective Review Under E.O. 13563; Treasury: Retrospective Review Under E.O. 13563; State Innovation Waivers; ACOs & Medicare Shared Savings Program; Shared Responsibility for Employers Regarding Health Coverage (Section 4980H); Amendment to the Interim Final Rule on Internal Claims and Appeals and External Review Processes; HIPAA Privacy Rule Accounting of Disclosures; Medical Data Sharing. Summary of benefits and Coverage and the Uniform Glossary; Exchange Functions in the Individual market; Health Insurance Premium Tax Credit; Establishment of Exchanges and Qualified Health Plans; Health Coverage Affordability Safe Harbor for Employers; Medical Loss Ratio (MLR) Requirements Final Rule; Medical Loss Ratio (MLR) Notice of Rebate Forms Comprehensive health reform (bills in the Senate and House) - all aspects relating to coverage, financing, and delivery reform, including: 1099 reporting, Grandfathering, HSA and FSA changes, CMS claims database, IPAB, CLASS Act, employer mandate, medical loss ratio, mandated insurance requirements, Exchanges, Medicare reform, regulatory reform, Essential Health Benefits Package, Health Insurance Tax; Medical Device Tax Various issues relating to 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. Various issues relating to the regulatory process and legislative corrections to Health Care and Education Affordability Reconciliation Act of 2010 (P.L. 111-152); ERISA preemption; impact on small business

Client expense: $20,200,000 · 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 Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), 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), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of the Comptroller of the Currency (OCC), 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

Patient Protection and Affordable Care Act (P.L. 111-148, P.L. 111-152); HR 2; ERISA regulations; HR 1744; S 20; HR 2010; S 1098; HR 1370; FSA/HSA changes; HR 1063; Medicare Secondary Payer; HR 2529; S 1368; HR 605; S 312; Budget Control Act; HR 2206; S 1880; HR 450; HR 1004; HR 524

Client expense: $880,000 · 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 Thrift Supervision (OTS), 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. Trade Representative (USTR), White House Office

H.R.369, Health Savings and Affordability Act (Austria) HSA improvements 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 16. Specific Lobbying Issues (continued): H.R. 605, Patients' Freedom to Choose Act (Paulsen) repeal of HSA and FSA restrictions 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 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) health insurance premium tax Regulatory Issues: Annual insurer provider fees; issues concerning the patient-centered outcomes research fee; employer coverage mandate, W-2 reporting requirements, and other issues relating to health care reform implementation. 18. Lobbyists (continued): K. Callahan: Ross (March 2005- January 2012); Research Assistant, Senator Tim Johnson (October 2001 March 2005). G. Gierer: Legislative Correspondent, Senator Dodd (May 1997 - December 1999); Staff Assistant, Representative DeLauro (March 1996-May 1997).

Client expense: $2,450,000 · Firm income: Not reported

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

*HSA improvements - HR 369, Health Savings and Affordability Act of 2011. *Repeal of HSA restrictions - HR 524, Restoring Consumer-driven Health Care Act of 2011. *Repeal of HSA and FSA restrictions - HR 450, Restoring Assistance for Families' and Seniors' Health Expenses Act of 2011; HR 605, Patients' Freedom to Choose Act; S 312, Patients' Freedom to Choose Act. *HSA and FSA improvements - HR 2010, Family and Retirement Health Investment Act of 2011; S 1098, Family and Retirement Health Investment Act of 2011. *Healthcare reform, including premium tax repeal - HR 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. *Use of HSA and FSA funds to purchase OTC medications - HR 2529, Restoring Access to Medication Act; S 1368, Restoring Access to Medication Act. *Health insurance premium tax - S 1880, Jobs and Premium Protection Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

Client expense: $722,200 · Firm income: Not reported

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

H.R. 2, Repealing the Job-Killing Health Care Law Act H.R. 4, Small Business Paperwork Mandate Elimination Act of 2011 H.R. 5, Protecting Access to Healthcare Act, including issues related to Med Malpractice and IPAB Reform H.R. 436, Protect Medical Innovation Act of 2011 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 / S. 720, Fiscal Responsibility and Retirement Security Act of 2011 H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act H.R. 1744 / S. 20, American Job Protection Act H.R. 2010, Family and Retirement Health Investment Act of 2011 H.R. 2077, MLR Repeal Act of 2011 H.R. 2112, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, Vitter Amendment (#769 - prescription drug reimportation) H.R. 2529 / 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. 4853, Middle Class Tax Act of 2010 H.R. 5141/S. 3578, Small Business Paperwork Mandate Elimination Act H.R. 5853, Fiscal Responsibility and Retirement Security Act S. 17, Medical Device Access and Innovation Protection Act S. 223, FAA Air Transportation Modernization and Safety Improvement Act, including the Amendment offered by Senator McConnell to repeal P.L. 111-148, the Patient Protection and Affordable Care Act and an Amendment offered by Senator Stabenow which would repeal Section 9006 of the Patient Protection and Affordable Care Act S. 312, Patients Freedom to Choose Act S. 493, SBIR/STTR Reauthorization Act of 2011, including an Amendment offered by Senator Johanns which would fully repeal Section 9006 of the Patient Protection and Affordable Care Act and Amendment Number 197 offered by Senator Hutchison S. 510, FDA Food Safety Modernization Act, issues related to 1099 reporting amendments S. 668, Health Care Bureaucrats Elimination Act S. 720, Repeal the CLASS Entitlement Act S. 848, Consumer Information Enhancement Act of 2011 S. 1049, Small Business Health Relief Act 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. 3501, American Job Protection Act S. 3673, Patients Freedom Choice Act Filed comments and met with relevant agencies on regulations implementing health care reform (P.L. 111-148 and P.L. 111-152) Regulations commented on include: Medical Loss Ratio (MLR) Request for Information; Adult Child Coverage (Age 26) Interim Final Rule; Grandfathered Plan Status Interim Final Rule; Preexisting Condition Exclusion; Lifetime & Annual Limits; Rescissions; Patient Protections Interim Final Rule; Preventive Services Coverage Interim Final Rule; Internal Claims & Appeals and External Review Processes Interim Final Rule; Preexisting Condition Insurance Plan (PCIP) Interim Final Rule; 1099 Reporting Requirements Request for Comments; Planning and Establishment of State-level Exchanges Request for Comments; Non-Discrimination in Favor of Highly Compensated Individuals Request for Comments; Essential Health Benefits (IOM Study); Amended Interim Final Rule for Grandfathered Plan Status; Guidance on OTC Medicine & Definition of Medical Expenses; Development of Health Risk Assessment; Medical Loss Ratio; Nondiscrimination in favor of Highly Compensated Individuals - second notice re: timing; DOL: Retrospective Review Under E.O. 13563; Treasury: Retrospective Review Under E.O. 13563; State Innovation Waivers; ACOs & Medicare Shared Savings Program; Shared Responsibility for Employers Regarding Health Coverage (Section 4980H); Amendment to the Interim Final Rule on Internal Claims and Appeals and External Review Processes; HIPAA Privacy Rule Accounting of Disclosures; Medical Data Sharing. Summary of benefits and Coverage and the Uniform Glossary; Exchange Functions in the Individual market; Health Insurance Premium Tax Credit; Establishment of Exchanges and Qualified Health Plans; Health Coverage Affordability Safe Harbor for Employers; Medical Loss Ratio (MLR) Requirements Final Rule; Medical Loss Ratio (MLR) Notice of Rebate Forms Comprehensive health reform (bills in the Senate and House) - all aspects relating to coverage, financing, and delivery reform, including: 1099 reporting, Grandfathering, HSA and FSA changes, CMS claims database, IPAB, CLASS Act, employer mandate, medical loss ratio, mandated insurance requirements, Exchanges, Medicare reform, regulatory reform, Essential Health Benefits Package, Health Insurance Tax; Medical Device Tax Various issues relating to 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. Various issues relating to the regulatory process and legislative corrections to Health Care and Education Affordability Reconciliation Act of 2010 (P.L. 111-152); ERISA preemption; impact on small business

Client expense: $20,200,000 · 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 Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), 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), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

H.R.369, Health Savings and Affordability Act (Austria) - HSA improvements. 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. 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. 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) - health insurance premium tax.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.605, Patients' Freedom to Choose Act S.312, Patients' Freedom to Choose Act H.R.450, Restoring Assistance for Families' and Seniors' Health Expenses Act of 2011 H.R.2529, Restoring Access to Medication Act S.1098, Family and Retirement Health Investment Act of 2011 S.1368, Restoring Access to Medication Act H.R.2010, Family and Retirement Health Investment Act of 2011

Client expense: $560,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), 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 (PL 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. S.AMDT.13 to S. 223, To repeal the job-killing health care law and health care-related provisions in the Health Care and Education Reconciliation Act of 2010. H.R. 2, Repealing the Job-Killing Health Care Law Act. H.R. 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011. H.R. 984 - Health Care Waiver Fairness Act of 2011. H.Res. 9, Instructing certain committees to report legislation replacing the job-killing health care law. S. 20, American Job Protection Act. H.R. 1744, American Job Protection Act. H.R. 2206, Auto Enroll Repeal Act. H.R. 1370, To repeal the annual fee on health insurance providers enacted in PPACA. S. 1049, Small Business Health Relief Act of 2011. IRS Notice 2011-36, Request for comments on Shared Responsibility For Employers Regarding Health Coverage (Section 4980H). Proposed Rule, Patient Protection and Affordable Care Act; Establisment of Exchanges Qualified Health Plans (RIN-0938-AQ67). Proposed Rule, Patient Protection and Affordable Care Act; Exchange Functions in the Individual Market: Eligibility Determinations; Exchange Standards for Employers (RIN-0938-AR25). Notice of Proposed Rulemaking: Summary of Benefits and Coverage and the Uniform Glossary (CMS - 9982 - P). Essential Benefits Bulletin. Proposed Rule: Patient Protection and Affordable Care Act; Exchange Functions in the Individual Market: Eligibility Determinations; Exchange Standards for Employers (CMS - 9974 - P). Proposed Rule: Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans (CMS - 9989 - P). Final Rule with Comment Period: Medical Loss Ratio Requirments Under Patient Protection and Affordable Care Act (CMS - 9998 - FC) RN: 0938 -AQ71. H.R. 1173, Fiscal Responsibilty and Retirement Security Act of 2011. S. 720, Repeal the CLASS Entitlement Act. S. 312, Patients' Freedom to Choose Act . H.R. 605, Patients' Freedom to Choose Act. H.R. 450, Restoring Assistance for Families' and Seniors' Health Expenses Act of 2011.

Client expense: $430,500 · Firm income: Not reported

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

H.R.369, Health Savings and Affordability Act (Austria) HSA improvements; H.R. 450, Restoring Assistance for Families' and Seniors' Health Expenses Act (Reichert) repeal of HSA and FSA restrictions (cont.) H.R. 524, Restoring Consumer-driven Health Care Act (Quayle) repeal of HSA restrictionsl; H.R. 605, Patients' Freedom to Choose Act (Paulsen) repeal of HSA and FSA restrictions; S. 312, Patients' Freedom to Choose Act (Hutchison) repeal of HSA and FSA restrictions TAX (Regulatory) Issues relating to Health Savings Accounts; issues regarding payment for OTC drugs from a health account; issues regarding deduction for remuneration for insurance services; issues concerning small employer tax credits and retiree coverage reinsurance; issues regarding application of the nondiscrimination rules to insured group health coverage; issues relating to withholding of government contract payments; pre-existing condition insurance plans, internal claims and appeals and external review processes, coverage of preventive services; pre-existing condition exclusions, lifetime and annual dollar limits on benefits, rescissions, and patient protections; grandfathered health plan provisions; dependent coverage; issues relating to IRC Sec 162(m) reporting; issues relating to the annual fee on health insurance providers; employer reporting of health coverage; determination of COBRA premium values; and other issues relating to health care reform implementation. Komendant (con't): Altmire: 01-2007 to 04-2009; Blue Dog Coalition (Shared Employee) 04-2009 to 02-2011; Full list available at : http://www.legistorm.com/person/Erik_Komendant/33059.html.

Client expense: $2,430,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

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 (PL 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. S.AMDT.13 to S. 223, To repeal the job-killing health care law and health care-related provisions in the Health Care and Education Reconciliation Act of 2010. H.R. 2, Repealing the Job-Killing Health Care Law Act. H.R. 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011. H.R. 984 - Health Care Waiver Fairness Act of 2011. H.Res. 9, Instructing certain committees to report legislation replacing the job-killing health care law. S. 20, American Job Protection Act. H.R. 1744, American Job Protection Act. H.R. 2206, Auto Enroll Repeal Act. H.R. 1370, To repeal the annual fee on health insurance providers enacted in PPACA. S. 1049, Small Business Health Relief Act of 2011. IRS Notice 2011-36, Request for comments on Shared Responsibility For Employers Regarding Health Coverage (Section 4980H). Proposed Rule, Patient Protection and Affordable Care Act; Establisment of Exchanges Qualified Health Plans (RIN-0938-AQ67). Proposed Rule, Patient Protection and Affordable Care Act; Exchange Functions in the Individual Market: Eligibility Determinations; Exchange Standards for Employers (RIN-0938-AR25). Notice of Proposed Rulemaking: Summary of Benefits and Coverage and the Uniform Glossary (CMS - 9982 - P). Essential Benefits Bulletin. Proposed Rule: Patient Protection and Affordable Care Act; Exchange Functions in the Individual Market: Eligibility Determinations; Exchange Standards for Employers (CMS - 9974 - P). Proposed Rule: Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans (CMS - 9989 - P). Final Rule with Comment Period: Medical Loss Ratio Requirments Under Patient Protection and Affordable Care Act (CMS - 9998 - FC) RN: 0938 -AQ71. H.R. 1173, Fiscal Responsibilty and Retirement Security Act of 2011. S. 720, Repeal the CLASS Entitlement Act. S. 312, Patients' Freedom to Choose Act . H.R. 605, Patients' Freedom to Choose Act. H.R. 450, Restoring Assistance for Families' and Seniors' Health Expenses Act of 2011.

Client expense: $430,500 · Firm income: Not reported

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

*HSA improvements - HR 369, Health Savings and Affordability Act of 2011. *Repeal of HSA restrictions - HR 524, Restoring Consumer-driven Health Care Act of 2011. *Repeal of HSA and FSA restrictions - HR 450, Restoring Assistance for Families' and Seniors' Health Expenses Act of 2011; HR 605, Patients' Freedom to Choose Act; S 312, Patients' Freedom to Choose Act. *HSA and FSA improvements - HR 2010, Family and Retirement Health Investment Act of 2011; S 1098, Family and Retirement Health Investment Act of 2011. *Healthcare reform, including premium tax repeal - HR 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. *Use of HSA and FSA funds to purchase OTC medications - HR 2529, Restoring Access to Medication Act; S 1368, Restoring Access to Medication Act. *TAA health coverage tax credits - HR 2832, To extend the Generalized System of Preferences, and for other purposes. *Health insurance premium tax - S 1880, Jobs and Premium Protection Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.369, Health Savings and Affordability Act (Austria) - HSA improvements, 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. 1370, Repeal of ACA Premium Tax (Boustany), H.R. 2010, Family and Retirement Health 16. Specific Lobbying Issues (con't): 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. 2832, Trade Adjustment Assistance Extension Act (Camp) TAA health coverage tax credits 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) health insurance premium tax H.R. 674, Three Percent Withholding Repeal and Job Creation Act (Herger) - repeal of the 3% withholding requirements on government contracts TAX (Regulatory Issues): Issues relating to withholding of government contract payments; issues relating to IRC Sec 162(m) reporting; issues regarding annual insurer provider fees; issues concerning the patient-centered outcomes research fee; employer coverage mandate, W-2 reporting requirements, and other issues relating to health care reform implementation.

Client expense: $2,750,000 · Firm income: Not reported

Government targets: Administration on Aging, Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), 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 Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

H.R.605, Patients' Freedom to Choose Act S.312, Patients' Freedom to Choose Act H.R.450, Restoring Assistance for Families' and Seniors' Health Expenses Act of 2011 H.R.2529, Restoring Access to Medication Act S.1098, Family and Retirement Health Investment Act of 2011 S.1368, Restoring Access to Medication Act H.R.2010, Family and Retirement Health Investment Act of 2011

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), SENATE

H.R.369, Health Savings and Affordability Act (Austria) HSA improvements (cont.) 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. 1370, Repeal of ACA Premium Tax (Boustany); H.R. 2010, Family and Retirement Health Investment Act (Paulsen) HSA and FSA improvements; 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. TAX (Regulatory) Issues relating to Health Savings Accounts; issues relating to withholding of government contract payments; pre-existing condition insurance plans, internal claims and appeals and external review processes, coverage of preventive services; pre-existing condition exclusions, lifetime and annual dollar limits on benefits, rescissions, and patient protections; grandfathered health plan provisions; dependent coverage; reporting the value of employer-sponsored coverage; collection of insurer fees; operation of health insurance exchanges; reporting of medical loss ratio rebates; issues relating to IRC Sec 162(m) reporting; and other issues relating to health care reform implementation. Durham (con't): the Assistant Secretary for Planning and Evaluation, Washington, DC, 2001-2005: Acting Deputy Assistant Secretary for Health Policy (8/034/04 and 1/054/05); Deputy to the Deputy Assistant Secretary for Health Policy (7/02 4/05); Senior Advisor for Health Policy (12/01-7/02). SOCIAL SECURITY ADMINISTRATION (SSA), Washington, DC, 1998-2001: Acting Associate Commissioner for Retirement Policy (9/00-12/01); Deputy Associate Commissioner for Retirement Policy (7/98-12/01); OFFICE OF MANAGEMENT AND BUDGET, Washington, DC, 1987-1989: Policy Analyst, Health and Income Maintenance Division.

Client expense: $2,230,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

H.R.369, Health Savings and Affordability Act (Austria) HSA improvements; H.R. 450, Restoring Assistance for Families' and Seniors' Health Expenses Act (Reichert) repeal of HSA and FSA restrictions (cont.) H.R. 524, Restoring Consumer-driven Health Care Act (Quayle) repeal of HSA restrictionsl; H.R. 605, Patients' Freedom to Choose Act (Paulsen) repeal of HSA and FSA restrictions; S. 312, Patients' Freedom to Choose Act (Hutchison) repeal of HSA and FSA restrictions TAX (Regulatory) Issues relating to Health Savings Accounts; issues regarding payment for OTC drugs from a health account; issues regarding deduction for remuneration for insurance services; issues concerning small employer tax credits and retiree coverage reinsurance; issues regarding application of the nondiscrimination rules to insured group health coverage; issues relating to withholding of government contract payments; pre-existing condition insurance plans, internal claims and appeals and external review processes, coverage of preventive services; pre-existing condition exclusions, lifetime and annual dollar limits on benefits, rescissions, and patient protections; grandfathered health plan provisions; dependent coverage; issues relating to IRC Sec 162(m) reporting; issues relating to the annual fee on health insurance providers; employer reporting of health coverage; determination of COBRA premium values; and other issues relating to health care reform implementation. Komendant (con't): Altmire: 01-2007 to 04-2009; Blue Dog Coalition (Shared Employee) 04-2009 to 02-2011; Full list available at : http://www.legistorm.com/person/Erik_Komendant/33059.html.

Client expense: $2,330,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

H.R.369, Health Savings and Affordability Act (Austria) HSA improvements 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. 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. 2832, Trade Adjustment Assistance Extension Act (Camp) TAA health coverage tax credits 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 TAX (Regulatory): Issues relating to withholding of government contract payments; issues relating to IRC Sec 162(m) reporting; issues regarding annual insurer provider fees; issues concerning the patient-centered outcomes research fee; and other issues relating to health care reform implementation.

Client expense: $2,350,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), 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), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

*HSA improvements - HR 369, Health Savings and Affordability Act of 2011. *Repeal of HSA restrictions - HR 524, Restoring Consumer-driven Health Care Act of 2011. *Repeal of HSA and FSA restrictions - HR 450, Restoring Assistance for Families' and Seniors' Health Expenses Act of 2011; HR 605, Patients' Freedom to Choose Act; S 312, Patients' Freedom to Choose Act. *HSA and FSA improvements - HR 2010, Family and Retirement Health Investment Act of 2011; S 1098, Family and Retirement Health Investment Act of 2011. *Healthcare reform, including premium tax repeal - HR 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. Use of HSA and FSA funds to purchase OTC medications - HR 2529, Restoring Access to Medication Act; S 1368, Restoring Access to Medication Act. *TAA health coverage tax credits - HR 2832, To extend the Generalized System of Preferences, and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 312/H.R. 605, Patients Freedom to Choose Act. H.R. 524, Restoring Consumer-Driven Health Care Act of 2011. H.R. 450, Restoring Assistance for Families' and Seniors' Health Expenses Act. Issues related to flexible spending accounts. S. 365, the Budget Control Act as it relates to tax offsets. S. 1549, the American Jobs Creation Act, as it relates to small business expensing.

Client expense: Not reported · Firm income: $49,800

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.605, Patients' Freedom to Choose Act S.312, Patients' Freedom to Choose Act H.R.450, Restoring Assistance for Families' and Seniors' Health Expenses Act of 2011 H.R.2529, Restoring Access to Medication Act S.1098, Family and Retirement Health Investment Act of 2011 S.1368, Restoring Access to Medication Act H.R.2010, Family and Retirement Health Investment Act of 2011

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), SENATE

Issues pertaining to account-based plans. H.R. 1004 and S. 1404, the Medical FSA Improvement Act of 2011. H.R. 450, H.R. 524, H.R. 605, S. 312: to repeal account-based plan provisions included in the ACA (P.L. 111-148). S. 1368, Restoring Access to Medication Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Healthcare reform, including premium tax repeal - HR 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. *HSA improvements - HR 369, Health Savings and Affordability Act of 2011. *Repeal of HSA restrictions - HR 524, Restoring Consumer-driven Health Care Act of 2011. *Repeal of HSA and FSA restrictions - HR 450, Restoring Assistance for Families' and Seniors' Health Expenses Act of 2011; HR 605, Patients' Freedom to Choose Act; S 312, Patients' Freedom to Choose Act. *HSA and FSA improvements - HR 2010, Family and Retirement Health Investment Act of 2011; S 1098, Family and Retirement Health Investment Act of 2011.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.369, Health Savings and Affordability Act (Austria) HSA improvements (cont.) 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. 1370, Repeal of ACA Premium Tax (Boustany); H.R. 2010, Family and Retirement Health Investment Act (Paulsen) HSA and FSA improvements; 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. TAX (Regulatory) Issues relating to Health Savings Accounts; issues relating to withholding of government contract payments; pre-existing condition insurance plans, internal claims and appeals and external review processes, coverage of preventive services; pre-existing condition exclusions, lifetime and annual dollar limits on benefits, rescissions, and patient protections; grandfathered health plan provisions; dependent coverage; reporting the value of employer-sponsored coverage; collection of insurer fees; operation of health insurance exchanges; reporting of medical loss ratio rebates; issues relating to IRC Sec 162(m) reporting; and other issues relating to health care reform implementation. Durham (con't): the Assistant Secretary for Planning and Evaluation, Washington, DC, 2001-2005: Acting Deputy Assistant Secretary for Health Policy (8/034/04 and 1/054/05); Deputy to the Deputy Assistant Secretary for Health Policy (7/02 4/05); Senior Advisor for Health Policy (12/01-7/02). SOCIAL SECURITY ADMINISTRATION (SSA), Washington, DC, 1998-2001: Acting Associate Commissioner for Retirement Policy (9/00-12/01); Deputy Associate Commissioner for Retirement Policy (7/98-12/01); OFFICE OF MANAGEMENT AND BUDGET, Washington, DC, 1987-1989: Policy Analyst, Health and Income Maintenance Division.

Client expense: $2,180,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

Issues related to Medicare Part D and anti-PBM legislation. Issues related to HSA/FSA/OTC restrictions. Other issues include health care delivery system reforms, cost containment, restrictions on PBM cost saving tools like mail order, generics and restrictions on PBM audit practices. HR 979 - FEHBP Prescription Drug Integrity, Transparency and Cost Savings Act S 1058 Bill to amend the Public Health Service Act to ensure transparency and proper operation of pharmacy benefit managers HR 1971 To amend the Public Health Service Act to ensure transparency and proper operation of pharmacy benefit managers HR 605 - Patients' Freedom to Choose Act S 312 - Patients' Freedom to Choose Act HR 450 - Restoring Assistance for Families and Senior's Health Expense Act of 2011 HR 1004- Medical FSA Improvement Act of 2011 HR 524- Restoring Consumer-driven Health Care Act of 2011

Client expense: $2,287,321 · Firm income: Not reported

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

H.R.605, Patients' Freedom to Choose Act S.312, Patients' Freedom to Choose Act H.R.450, Restoring Assistance for Families' and Seniors' Health Expenses Act of 2011 H.R.2529, Restoring Access to Medication Act S.1098, Family and Retirement Health Investment Act of 2011 S.1368, Restoring Access to Medication Act H.R.2010, Family and Retirement Health Investment Act of 2011

Client expense: $580,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), SENATE

HR 4/S. 359, Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act. S. 18/S.72, the Small Business Paperwork Mandate Elimination Act. S. 312/H.R. 605, Patients Freedom to Choose Act. H.R. 524, Restoring Consumer-Driven Health Care Act of 2011. H.R. 450, Restoring Assistance for Families' and Seniors' Health Expenses Act. Issues related to flexible spending accounts.

Client expense: Not reported · Firm income: $49,800

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues pertaining to account-based plans. H.R. 1004, the Medical FSA Improvement Act. H.R. 450, H.R. 524, H.R. 605, S. 312: to repeal account-based plan provisions included in the ACA (P.L. 111-148).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE