Medical FSA Improvement Act of 2013

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); Health insurance tax repeal (H.R. 763, S. 603); ACA employer mandate repeal (H.R. 903, S. 399); Auto Enroll Repeal Act (H.R. 1254); Health care related tax issues; Consumer directed health products; Entitlement reform; H.R. 2575 H.R. 1634-FSA; ERISA; H.R. 2577; H.R. 2667; H.R. 2835; H.R. 2988; S. 1188; H.R. 3489 - transitional reinsurance; S. 1647

Client expense: $977,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Federal Communications Commission (FCC), Federal Reserve System, Federal Trade Commission (FTC), Financial Crimes Enforcement Network (FinCEN), 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), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), 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); Health insurance tax repeal (H.R. 763, S. 603); ACA employer mandate repeal (H.R. 903, S. 399); Auto Enroll Repeal Act (H.R. 1254); Health care related tax issues; Consumer directed health products; Entitlement reform; H.R. 2575 H.R. 1634-FSA; ERISA; H.R. 2577; H.R. 2667: H.R. 2835; H.R. 2988: S. 1188

Client expense: $960,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Federal Reserve System, Federal Trade Commission (FTC), Financial Crimes Enforcement Network (FinCEN), 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), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Reform "use or lose" for flexible spending accounts. Support for H.R.1634, "Medical FSA Improvement Act of 2013" and S.966, "Medical FSA Improvement Act of 2013."

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Care Reform ongoing implementation of the Patient Protection and Affordable Care Act (PPACA) American Job Protection Act H.R. 903 Preserving our Hometown Independent Pharmacies Act of 2013 H.R. 1188Forty Hours is Full Time Act of 2013 S. 1188 Medical FSA Improvement Act of 2013 H.R. 1634 Tax Extenders Act of 2013 S. 1859 Save American Workers Act of 2013 H.R. 2575 Authority for Mandate Delay Act H.R. 2667 Fairness for American Families Act H.R. 2668 Tax Parity for Health Plan Beneficiaries Act of 2013 H.R. 2499/S. 728 To amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes H.R. 3489 Fiscal Year 2014 Budget Proposal employer-sponsored retirement and health care benefits House Concurrent Resolution No. 25/ Fiscal Year 2014 budget resolution; Path to Prosperity: A Responsible, Balanced Budget Senate Concurrent Resolution No. 8/Fiscal Year 2014 budget resolution; Foundation for Growth: Restoring the Promise of American Opportunity Bipartisan Budget Act of 2013 Other Issues Health care provider compensation Internal Revenue Code Section 162 (m) (6) Electronic disclosure, communication by employee benefit plans Consumer directed health care plans HDHPs, HSAs, HRAs FSA Plans Modification of Use or Loose Rule Mental Health Parity and Addictions Equity Act of 2008 (MHPAEA) final implementation regulations HIPAA Privacy Regulations/HITECH Act, GINA Defense of Marriage Act (DOMA)/U.S. Supreme Court case regulatory implementation issues related to employer-sponsored health and retirement benefits Long-Term care policy

Client expense: $236,631 · Firm income: Not reported

Health Care Reform ongoing implementation of the Patient Protection and Affordable Care Act (PPACA) American Job Protection Act H.R. 903 Preserving our Hometown Independent Pharmacies Act of 2013 H.R. 1188Forty Hours is Full Time Act of 2013 S. 1188 Medical FSA Improvement Act of 2013 H.R. 1634 Tax Extenders Act of 2013 S. 1859 Save American Workers Act of 2013 H.R. 2575 Authority for Mandate Delay Act H.R. 2667 Fairness for American Families Act H.R. 2668 Tax Parity for Health Plan Beneficiaries Act of 2013 H.R. 2499/S. 728 To amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes H.R. 3489 Fiscal Year 2014 Budget Proposal employer-sponsored retirement and health care benefits House Concurrent Resolution No. 25/ Fiscal Year 2014 budget resolution; Path to Prosperity: A Responsible, Balanced Budget Senate Concurrent Resolution No. 8/Fiscal Year 2014 budget resolution; Foundation for Growth: Restoring the Promise of American Opportunity Bipartisan Budget Act of 2013 Other Issues Health care provider compensation Internal Revenue Code Section 162 (m) (6) Electronic disclosure, communication by employee benefit plans Consumer directed health care plans HDHPs, HSAs, HRAs FSA Plans Modification of Use or Loose Rule Mental Health Parity and Addictions Equity Act of 2008 (MHPAEA) final implementation regulations HIPAA Privacy Regulations/HITECH Act, GINA Defense of Marriage Act (DOMA)/U.S. Supreme Court case regulatory implementation issues related to employer-sponsored health and retirement benefits Long-Term care policy

Client expense: $236,631 · Firm income: Not reported

H.R. 880 Wall Street Trading and Speculators Tax Act; entire bill H.R. 1579 The Inclusive Prosperity Act; entire bill H.R. 1634 Medical FSA Improvement Act; entire billH.R. 2546 Protect American Investments Act of 2013; entire bill H.R. 2992 Business Activity Tax Simplification Act of 2013; entire bill S. 410 Wall Street Trading and Speculators Tax Act; entire bill S. 1257 - To protect financial transactions in the United States from enforcement of certain excise taxes imposed by any foreign government, and for other purposes; entire bill S. 1687 Payroll Fraud Prevention Act of 2013; entire bill S. 1706 Fair Playing Field Act of 2003; entire bill Tax reform: Life insurers and insurance product taxation, property casualty insurance taxation, savings incentives (both qualified and non-qualified), long-term capital investment, municipal bond interest exclusion, corporate tax rate, corporate business deductions, international corporate taxation, employee benefits, and need for workable transition and compliance rules Not yet introduced: House Ways and Means draft proposal for modifying the tax treatment of financial products and impact on life insurance companies, mutual funds, and retail investors Independent contractor reform proposal and impact on independent financial advisers working within the securities industry FATCA: Implementation and global competitive considerations European FTTs and transborder collection obligation on US broker dealers FY 2014 White House budget proposals, including provisions affecting life company and life product taxation, independent contractor, cutback on exclusions for qualified plan contributions and IRAs, employer-provided health benefits, and municipal interest exclusions

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

Reform "use or lose" for flexible spending accounts. Support for H.R.1634, "Medical FSA Improvement Act of 2013" and S.966, "Medical FSA Improvement Act of 2013."

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 880 Wall Street Trading and Speculators Tax Act; entire bill H.R. 1579 The Inclusive Prosperity Act; entire bill H.R. 1634 Medical FSA Improvement Act; entire billH.R. 2546 Protect American Investments Act of 2013; entire bill H.R. 2992 Business Activity Tax Simplification Act of 2013; entire bill S. 277 Job Preservation and Economic Certainty Act of 2013; provisions relating to imposition of financial crisis responsibility fee and financial transaction tax S. 410 Wall Street Trading and Speculators Tax Act; entire bill S. 1257 - To protect financial transactions in the United States from enforcement of certain excise taxes imposed by any foreign government, and for other purposes; entire bill Tax reform: Life insurers and insurance product taxation, property casualty insurance taxation, savings incentives (both qualified and non-qualified), long-term capital investment, municipal bond interest exclusion, corporate tax rate, corporate business deductions, international corporate taxation, employee benefits, and need for workable transition and compliance rules Not yet introduced: House Ways and Means draft proposal for modifying the tax treatment of financial products and impact on life insurance companies, mutual funds, and retail investors Independent contractor reform proposal and impact on independent financial advisers working within the securities industry FATCA: Implementation and global competitive considerations European FTTs and transborder collection obligation on US broker dealers FY 2014 White House budget proposals, including provisions affecting life company and life product taxation, independent contractor, cutback on exclusions for qualified plan contributions and IRAs, employer-provided health benefits, and municipal interest exclusions

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

Fairness for American Families Act (HR 2668) - Supported House passage of 1 year delay of individual mandate in ACA; Forty Hours is Full Time Act (S 1188) - Support legislation to fix ACA to reflect 40 hours is full time; H.R. 2995 - Support this legislation to repeal the statutory cap in dedeuctibles for health plans in small group market; Startup Act 3.0 (HR 714) - support; Regulatory Accountability Act (S 1020, HR 2122)- support; Government Contracting Neutrality Act (S 109, HR 436)Jumpstart Our Business Startup Act (JOBS Act): SBE Council continues to push for full implementation of the law (signed by President Obama on April 5, 2012) by the Securities and Exchange Commission (SEC), such as Title III (crowdfunding regs) that align with the intent of Congress and President Obama. SBE Council met with SEC to help provide input for the November 2013 Annual Small Business Capital Formation conference. Tax Reform: SBE Council continues to advocate for fundamental reform of the tax system, providing input to the working groups on tax reform in the U.S. House and members of the Senate spearheading the effort. Specifically we have provided comments and continue to push for lower tax rates for entrepreneurs (indiviudal rates) and corporate entities, encouraging U.S. startup activity, elimination of capital gains and death taxes, simplicity, making permanent certain important features (like Section 179 expensing and business expensing) and pointing out various legitimate business expenses that should remain deductible (i.e.: interest on debt), and against LIFO repeal. SBE Council continues to advocate for small business friendly tax reform working with our members and with coalition partners. Tax Increases: SBE Council continues to oppose tax increases on entrepreneurs, investment and industries and sectors that result in higher costs for small businesses. For example, SBE Council opposes increased energy taxes as proposed in President Obamas previous and current budgets. SBE Council will oppose tax increases on capital gains, carried interest and other provisions that deter investment and capital formation. Immigration Reform: SBE Council continues to advocate for comprehensive immigration reform specifically focusing on increasing high-tech, high-skill visas and adding low-skill and entrepreneur visas. We continue to oppose e-verify for small employers, and to express concern with e-verify and other general provisions in the Senate-passed bill (S.744) that burden small businesses or make it costly and impractical to utilize visas for business workforce needs. Affordable Care Act (ObamaCare): SBE Council continues to advocate and comment on proposed rules and regulations to Health and Human Services (HHS), and educate about potential problems with implementation of the law (ie: health care exchanges, mandates, etc.) that do not serve the interests of entrepreneurs. In addition to legislation cited at the beginning of this report that SBE Council has endorsed or supported through votes in Congress, SBE Council also supports repealing key provisions in the Affordable Care Act like the employer mandate, ACA tax increases (medical devices, individual tax hikes, the health insurance tax) and restrictions placed on HSAs. Specific legislation SBE Council is supporting includes: Medical FSA Improvement Act (H.R. 1634); H.R. 45 - legislation to repeal ACA; American Jobs Protection Act, (H.R. 903), (S. 399). Global Trade: SBE Council continues to support expanding trade accords with nations to open markets for entrepreneurs and the U.S. business sector. SBE Council is monitoring and supporting efforts to accelerate the Trans-Pacific Partnership, and supports a new U.S.-EU trade accord. SBE Council continues to advocate for streamlined and less costly processes for small businesses that operate in global markets, whether that be importing or exporting. Specific pieces of legislation SBE Council is supporting include: State Trade Coordination Act (H.R. 1926); Trade for Small Business and Jobs Act (H.R. 1916); Export Coordination Act (H.R. 1909). Affordable Energy: SBE Council continues to support greater exploration and development of domestic energy resources, as well as construction of the Keystone XL pipeline. SBE Council opposes proposals and efforts to restrict liquefied natural gas exports. Telecommunications, Technology & IP: SBE Council continues to call for the federal government to release additional spectrum to accommodate the explosion in mobile device and wireless usage. With respect to auctions, SBE Council believes an open, market-based auction will yield better results for the private sector, small businesses, the federal government (in terms of revenues), investment and job creation. SBE Council also supports efforts to accelerate our nation to next generation high-speed internet protocol (IP) broadband networks and continues to voice our support to the Federal Communications Commission (FCC). SBE Council continues to advocate for strong IP enforcement and tools to protect small businesses from such theft both domestically and internationally. SBE Council distributed our new IP book (Unleashing Small Business Through IP) to key Mebers of Congress on Capitol Hill. Free Speech: Follow the Money Act (S.791) - SBE Council opposes the legislation.

Health Care Reform ongoing implementation of the Patient Protection and Affordable Care Act (PPACA) Healthy Lifestyles and Prevention America (HeLP Act) S. 39Forty Hours is Full Time Act of 2013 S. 701 (Susan Collins) American Job Protection Act H.R. 903 Preserving our Hometown Independent Pharmacies Act of 2013 H.R. 1188 Forty Hours is Full Time Act of 2013 S. 1188 Medical FSA Improvement Act of 2013 H.R. 1634 Save American Workers Act of 2013 H.R. 2575 Authority for Mandate Delay Act H.R. 2667 Fairness for American Families Act H.R. 2668 Tax parity for health plan beneficiaries FY 2014 Budget Proposal - employer-sponsored retirement and health care benefits Path to Prosperity: A Responsible, Balanced Budget House Budget Committee proposed FY2014 budget resolution Foundation for Growth: Restoring the Promise of American Opportunity Senate Budget Committee FY 2014 budget blueprint Other Issues Health care provider compensation Internal Revenue Code Section 162 (m) (6) Electronic disclosure, communication by employee benefit plans Consumer directed health care plans HDHPs, HSAs, HRAs FSA Plan Year Limit transition guidance Mental Health Parity Rules finalization HIPAA Privacy Regulations/HITECH Act, GINA Defense of Marriage Act (DOMA)/U.S. Supreme Court case regulatory implementation issues related to employer-sponsored health and retirement benefits

Client expense: $231,122 · Firm income: Not reported

H.R. 2775 No Subsidies Without Verification Act H.R. 2009 Keep IRS Off Your Health Care Act of 2013 S. 851 Caregivers Expansion and Improvement Act of 2013 S. 1497 No exemption for Washington from Abamacare actH.R. 3093 Union Bailout Prevention Act of 2013 S. 1490 A bill to delay the application of the Patient Protection and Affordable Care Act H.R. 3076 James Madison Congressional Accountability Act H.R. 3077 TELE-MED Act of 2013 S. 1488 A bill to delay the application of the individual health insurance mandate, to delay the application of the employer health insurance mandate, and for other purposes. H.R. 3067 No Obamacare for Subsidies for Members of Congress Act of 2013 H.R. 3071 No Special Treatment for Congress Act H.R. 2995 Unneccesary Cap Act of 2013 S. 1469 The Congressional Health Care for Seniors Act H.R. 2843 Medicare Data Access for Transparency and Accountability Act H.R. 2837 To prohibit for a one-year period beginning September 30, 2013 the implementation, operation and coordination of a Federal Data Services Hub or any similar database system for determining or verifying eiligibility under the Patient Protection and Affordable Care Act H.R. 2668 Fairness for American Families Act H.R. 2667 Authority for Mandate Delay Act H.R. 2524 Medicare Better Health Rewards Program Act of 2013 S. 1228 Medicare Better Health Rewards Program Act of 2013 S. 1198 Medicare Fair Share Act of 2013 S. 1180 Medicare Data Access for Transparency and Accountability Act H.R. 1173 Personalize Your Care Act of 2013 H.R. 763 To repeal the annual fee on insurance providers enacted by the Patient Protection and Affordable Care Act H.R. 1634 Medical Flexible Spending Account Improvement Act H.R. 1326 Health Care Price Transparency Promotion Act of 2013 S. 351 Protecting Seniors' Access to Medicare Act H.R. 523 Protect Medical Innovation Act of 2013 H.R. 351Protecting Seniors' Access to Medicare Act H. R. 2810 The Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3204 Drug Quality and Security Act S. 1422 A bill to amend the Congressional Budget Act of 1974 respecting the scorings of preventive health savings H.R. 2725 FDA Safety Over Sequestrian Act H.R. 2651 Critical Care Assessment and Improvement Act of 2013 H.R. 2663 To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings H.R. 1919 Safeguarding America's Pharmaceutical Act of 2013 H.R. 2415 Treat and Reduce Obesity Act of 2013 S. 1193 Data Security and Breach Notification Act of 2013 S. 959 Pharmaceutical Quality, Security, and Accountability Act S. 1184 Treat and Reduce Obesity Act of 2013 H.R. 2179 Physical Activity Guidelines for Americans Act S. 957 Drug Supply Chain Security Act H.R. 1473 Standard of Care Protection Act of 2013 S. 616Conrad State 30 and Physician Access Act S. 531 Physical Activity Guidelines for Americans Act H.R. 5 Student Success Act H.R. 2426 The Educating Tomorrow's Engineers Act (ETEA) H.R. 2131 SKILLS Visa Act S. 744 Border Security, Economic Opportunity and Immigration Modernization Act S. 1178 The Educating Tomorrow's Engineers Act (ETEA) S. 1152 Building a Health Care Workforce for the Future Act H.R. 903 American Job Protection Act

Startup Act 3.0, (S.310), (HR 714) SBE Council supports Government Contracting Neutrality Act, S.109, HR 436 SBE Council supports Regulatory Accountability Act (S.1029), (H.R. 2122) - SBE Council supports Working Families Flexibility Act (H.R. 1406) - SBE Council supported House passage.Jumpstart Our Business Startup Act (JOBS Act): SBE Council continues to push for full implementation of the law (signed by President Obama on April 5, 2012) by the Securities and Exchange Commission (SEC) and advocate for rules that align with the intent of Congress and President Obama. SBE Council continues to meet with members of Congress on implementation and testified before the House on the SECs progress to date. Tax Reform: SBE Council continues to advocate for fundamental reform of the tax system, providing input to the working groups on tax reform in the U.S. House. Specifically we have provided comments and verbal presentations focusing on lower tax rates for entrepreneurs and corporate entities, encouraging U.S. startup activity, elimination of capital gains and death taxes, simplicity, making permanent certain important features, like Section 179 expensing and business expensing, and pointing out various legitimate business expenses that should remain deductible (i.e.: interest on debt), and against LIFO repeal. We have also expressed support for tax reform efforts on the Senate side led by Senators Max Baucus and Orrin Hatch. Tax Increases: SBE Council continues to oppose tax increases on entrepreneurs, investment and industries and sectors that would merely pass on the tax increases in the form of higher costs for small businesses. For example, we are opposing increased energy taxes as proposed in President Obamas previous and current budgets. We will oppose tax increases on capital gains, entrepreneurs, carried interest and other measures that deter investment and capital formation. Immigration Reform: SBE Council continues to advocate for comprehensive immigration reform specifically focusing on increasing high-tech, high-skill visas and adding low-skill and entrepreneur visas. We continue to oppose e-verify for small employers, and expressed concern about e-verify in S.744. With respect to S.744, SBE Council efforsts have focused on improving the legislation to make it more effective for small businesses. Affordable Care Act (ObamaCare): SBE Council continues to advocate and comment on proposed rules and regulations to Health and Human Services (HHS), including the employer and individual mandates, essential benefits, saving Health Savings Accounts, workable state exchanges that provide small businesses with a choice in affordable coverage, SHOP program and repealing key provisions in the Affordable Care Act like the employer mandate, individual mandate, tax increases in the ACA (medical devices, individual tax hikes, increases on insurance companies) and restrictions placed on HSAs. Specific legislation SBE Council is supporting include: Medical FSA Improvement Act (H.R. 1634); H.R. 45 - legislation to repeal ACA; American Jobs Protection Act, (H.R. 903), (S. 399). Global Trade: SBE Council continues to support expanding trade accords with nations to open more markets for entrepreneurs. SBE Council is monitoring and supporting efforts to accelerate the Trans-Pacific Partnership, and support a new U.S.-EU trade accord. SBE Council continues to advocate for streamlined and less costly processes for small businesses that operate in global markets, whether that be importing or exporting. Specific pieces of legislation SBE Council is supporting include: State Trade Coordination Act (H.R. 1926); Trade for Small Business and Jobs Act (H.R. 1916); Export Coordination Act (H.R. 1909). Affordable Energy: SBE Council continues to support greater exploration and development of domestic energy resources, as well as construction of the Keystone XL pipeline. SBE Council supported House passage of the Northern Route Approval Act (H.R. 3). In addition, we have opposed proposals and efforts to restrict liquefied natural gas exports. Telecommunications, Technology & IP: SBE Council continues to call for the federal government to release additional spectrum to accommodate the explosion in mobile device and wireless usage. SBE Council also supports efforts to accelerate our nation to next generation high-speed internet protocol (IP) broadband networks and continue to voice our support to the Federal Communications Commission (FCC). SBE Council continues to advocate for strong IP enforcement and tools to protect small businesses from such theft both domestically and internationally. SBE Council is encouraging U.S. officials to use tools in current trade agreements to strengthen IP rights for U.S. small businesses. Free Speech: Follow the Money Act (S.791) - SBE Council opposes the legislation.

Reform "use or lose" for flexible spending accounts. Support for H.R.1634, "Medical FSA Improvement Act of 2013" and S.966, "Medical FSA Improvement Act of 2013."

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The association monitors and reacts to policy concepts that may impact its ability to continue providing its high quality Group Health Plan to members, their employees, and the association staff at affordable rates and on reasonable terms and conditions. During the reporting period, the association focused on the following introduced bills:H.R. 1634, The Medical FSA Improvement Act all sections

Client expense: $270,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Care Reform ongoing implementation of the Patient Protection and Affordable Care Act (PPACA) Healthy Lifestyles and Prevention America (HeLP Act) S. 39 Forty Hours is Full Time Act of 2013 S. 701Preserving our Hometown Independent Pharmacies Act of 2013 H.R. 1188 Medical FSA Improvement Act of 2013 H.R. 1634 Tax parity for health plan beneficiaries FY 2014 Budget Proposal - employer-sponsored retirement and health care benefits Path to Prosperity: A Responsible, Balanced Budget House Budget Committee proposed FY2014 budget resolution Foundation for Growth: Restoring the Promise of American Opportunity Senate Budget Committee FY 2014 budget blueprint Other Issues Health care provider compensation Internal Revenue Code Section 162 (m) (6) Electronic disclosure, communication by employee benefit plans Consumer directed health care plans HDHPs, HSAs, HRAs FSA Plan Year Limit transition guidance Mental Health Parity Rules finalization HIPAA Privacy Regulations/HITECH Act, GINA Defense of Marriage Act (DOMA)/U.S. Supreme Court case implementation issues related to employer-sponsored health and retirement benefits

Client expense: $215,213 · Firm income: Not reported

H.R. 1634 - Medical Flexible Spending Account Improvement Act H.R. 1549 - Helping Sick American's Now Act H.R. 1853 - Medicaid Accountability and Care Act H.R. 1698 - Stabilize Medicaid and CHIP Coverage ActH.R. 1024 Medication Therapy Management Empowerment Act S. 557 Medication Therapy Management Empowerment Act H.R. 6482 : To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings H.R. 962 Medicare Diabetes Prevention Act S. 452 Medicare Diabetes Prevention Act H.R. 1549 Helping Sick Americans Now Act S. 531 Physical Activity Guidelines for Americans Act S. 39 Healthy Lifestyles and Prevention America Act H.R. 1274 Access to Quality Diabetes Education Act of 2013 H.R. 2415 Treat and Reduce Obesity Act of 2013 H.R. 2178 Fitness Integrated with Teaching Kids Act S. 945 Access to Quality Diabetes Education Act of 2013 S. 1184 Treat and Reduce Obesity Act of 2013 S.1033 Fitness Integrated with Teaching Kids Act H.R. 2457 Women's Preventive Health Awareness Campaign S. 1228 Medicare Better Health Rewards Program Act of 2013 H.R. 2524 Medicare Better Health Rewards Program Act of 2013 S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act S. 616 Conrad State 30 and Physician Access Act H.R. 2484 Conrad State 30 and Physician Access Act H.R. 1201 Training Tomorrows Doctors Today Act S. 577 Resident Physician Shortage Reduction Act H.R. 1178 Creating Access to Residency Education Act H.R. 487 Primary Care Workforce Access Improvement Act S. 382 A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S. 1152 Building a Health Care Workforce for the Future Act S. 739 National Nursing Shortage Reform and Patient Advocacy Act H.R. 2480 Nurse and Health Care Worker Protection Act of 2013 H.R. 1735 - In It All Together Act H.R. 933 - Consolidated and Further Continuing Appropriations Act, 2013 H.R. 271 Resolving Environmental and Grid Reliability Conflicts Act of 2013 H.R. 1407 - Animal Drug User Fee Amendments of 2013 H.R. 1634 - Medical Flexible Spending Account Improvement Act S. 983 - Keep the IRS Off Your Health Care Act of 2013 H.R. 1990 Keep the IRS Off Your Health Care Act of 2013 S. 1154 Exchange Sunset Act of 2013 H.R. 2305 Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2013 H.R. 2328 Access to Professional Health Insurance Advisors Act of 2013 S. 954 - Agriculture Reform, Food, and Jobs Act of 2013 S. 1094 - Strengthening America's Schools Act of 2013 H.R. 2300 - Empowering Patients First Act of 2013 S. 957 Drug Supply Chain Security Act H.R. 1121 Cyber Privacy Fortification Act H.R. 1919 Safeguarding Americas Pharmaceuticals Act of 2013 S. 1180 - Medicare Data Access for Transparency and Accountability Act S.1193 - Data Security and Breach Notification Act of 2013

"H.R. 1634 - Medical Flexible Spending Account Improvement Act "H.R. 1549 - Helping Sick American's Now Act "H.R. 1853 - Medicaid Accountability and Care Act "H.R. 1698 - Stabilize Medicaid and CHIP Coverage ActH.R. 351 Protecting Seniors Access to Medicare Act S. 351 Protecting Seniors Access to Medicare Act H.R. 962 Medicare Diabetes Prevention Act S. 452 Medicare Diabetes Prevention Act S. 1228 Medicare Better Health Rewards Program Act of 2013 H.R. 2524 Medicare Better Health Rewards Program Act of 2013 S. 1180 - Medicare Data Access for Transparency and Accountability Act

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