Public Option Deficit Reduction Act

P.L 111-148, Patient Protection and Affordable Care Act: implementation of individual mandate, state exchanges, medical loss Preservation of the income tax exclusion for employer-provided healthcare benefits Preservation of Medicare: Medicare eligibility age cost-sharing requirements Taft Hartley Health PlansACA Implementation: conference call with agencies S. 408, Medicare Prescription Druge Savings Act of 2013 H.R 928, Medicare Prescription Druge Savings Act of 2013 H.R 261, Public Option Deficit Reduction Act H.R1406, Working Families Flexibility Act of 2013: FLSA, home health care regs, comp time P.L. 111-152, Health Care and Education Reconciliation Act of 2010: implementation H.R 1907, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013: provisions related to required nurse-to-patient ratios and protections for workers in nursing S. 739, National Nurse Shortage Reform and Patient Advocacy Act: provisions related to required nurse-to-patient ratios and protections for workers in nursing H.R 1200, American Health Security Act of 2013: provisions related to providing universal health care coverage S. 1198, Medicare Fair Share Act of 2013: provisions related to incoming-relating premiums for Medicare beneficiaries H.R 982, Furthering Asbestos Claim Transparency (FACT) Act of 2013 Affordable Care Act: premium tax credits, multi-state plans Wellness Programs Proposed Rule: call with OMB

Client expense: $1,080,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Defense, Dept of (DOD), Energy, Dept of, Executive Office of the President (EOP), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), Vice President of the U.S., White House Office

S.CON.RES.8: To establish a deficit-neutral reserve fund to sunset the provision of Patient Protection and Affordable Care Act that increases payments to hospitals in a few states by reducing payments to the majority of State through the Medicare hospital wage index; S 24: Small Business Health Relief Ac of 2013; S 351: Protecting Seniors Access to Medicare Act of 2013; S 399: American Job Protection Act;S.AMDT.409: To establish a deficit-neutral reserve fund to sunset the provision of Patient Protection and Affordable Care Act that increases paymnts to hospitals in a few sates by reducing payments to the majority of States through the Medicare hospital wage index; S 482: Health Insurance Rate Review Act; S 603: Jobs and Premium Protection Act; S 610: Family Health Care Flexibility Act; S 650: Access to Independent Health Insurance Advisors Act of 2013; S 701: Forty Hours is Full Time Act; S 764: Patients Right to Know Act of 2013; S 1188: Forty Hours is Full Time Act of 2013; HR 81: To amend subtitle B of title 1 of the Patient Protectin and Affordable Care Act to extend the temporary high-risk insurance pool program to the territories; HR 105: Reclaiming Individual Liberty Act; H.RES.175: Providing for consideration of the bill (H.R. 1549) to amend Public Law 111-148 to transfer fiscal year 2013 through fiscal year 2016 funds from the Prevention and Public Health Fund to carry out the temporary high risk health insurance pool program for individuals with preexisting conditions, and to extend access to such program to such individuals who have had credible coverage during the 6 months prior to application for coverage through such program; HR 261 Public Option Deficit Reduction Act; HR 344: Competitive Health Insurance Act; HR 544: Letting Insurance Benefit Everyone Regardless of Their Youth (LIBERTY) Act; HR 582: Healthcare Tax Relief of Mandate Repeal Act; HR 607: To delay until 2016 provisions of the Patient Protection and Affordable Care Act scheduled to take effect in 2014 or 2015 and to delay the application of sequestration until 2014; HR 675: Part-Time Worker Bill of Rights Act of 2013; HR 762: Health Care Choice Act of 2013; HR 763: To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act; HR 779: Access to Insurance for All Americans Act; HR 903: American Job Protection Act; HR 1019: Health Insurance Rate Review Act; HR 1076: To amend the Patient Protection and Affordable Care Act to provide for savings to the Federal Government by permitting pass-through funding for State authorized public entity health benefits pools; HR 1140: Family Friendly HSA Improvement Act of 2013; HR 1200: American Health Secuirty Act of 2013; HR 1205: Patients Right to Know Act; HR 1239: Accessing Medicare Therapies Act of 2013; HR 1248: Family Health Care Flexibility Act; HR 1254: Auto Enroll Repeal Act; HR 1342: Helping Save Americans Health Care Choices Act of 2013; HR 1549: Helping Sick Americans Now Act; HR 1558: Small Business Health Relief Act of 2013; HR 2328: Access to Professional Health Insurance Advisors Act of 2013; HR 2527: To amend title 38, United States Code, to provide veterans with counceling and treatment for sexual trauma that occurred during inactive duty training; HR 2575: To Save Americans Workers Act; HR 2577: To amend the Internal Revenue Code of 1986 to modify the definition of applicable larger employer purposes of the emoployer mandate in the Patient Protection and Affordable Care Act; HR 2667; Authority for Mandate Delay Act; HR 2668: Fairness for American Families Act;

Implementation of MAP-21 law. Legislation regarding the Columbia River Crossing project, and disadvantaged business enterprise (DBE) legislation; and the federal ferry formula program H.R. 261, S. 1243 on FY 2014 Transporation-HUD Appropriations and H.R 2217, FY2014 Homeland Security Appropriations

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

P.L 111-148, Patient Protection and Affordable Care Act: implementation of individual mandate, state exchanges, medical loss Preservation of the income tax exclusion for employer-provided healthcare benefits Preservation of Medicare: Medicare eligibility age cost-sharing requirements Extension of employer mandate to provide health coverage pro rated penalty for workers under 30 hoursACA Implementation: employer responsibility, exchange and summary of benefits and coverage rules, premium tax credits and related issues, multi employer plans S. 408, Medicare Prescription Druge Savings Act of 2013 H.R 928, Medicare Prescription Druge Savings Act of 2013 H.R 261, Public Option Deficit Reduction Act Healthcare

Client expense: $980,000 · Firm income: Not reported

Government targets: Commodity Futures Trading Commission (CFTC), Defense, Dept of (DOD), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

S.650: Access to Independent Health Insurance Advisors Act of 2013 H.R. 544: Letting Insurance Benefit Everyone Regardless of Their Youth (LIBERTY) Act HR 763: To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. S 24: Small Business Health Relief Act of 2013H.R. 1205 Patients Right To Know Act H.R. 1254 Auto Enroll Repeal Act H.R. 903 American Job Protection Act H.R. 582 Healthcare Tax Relief and Mandate Repeal Act H.R.1342 Helping Save Americans' Health Care Choices Act of 2013 H.R. 1140 Family Friendly HSA Improvement Act of 2013 S. 399 American Job Protection Act H.R 1239 Accessing Medicare Therapies Act of 2013 H.R 1549 Helping Sick Americans Now Act S.AMDT.409 to S.CON.RES.8 To establish a deficit-neutral reserve fund to sunset the provision of Patient Protection and Affordable Care Act that increases payments to hospitals in a few States by reducing payments to the majority of States through the Medicare hospital wage index. H.R. 105 Reclaiming Individual Liberty Act H.R. 81 To amend subtitle B of title I of the Patient Protection and Affordable Care Act to extend the temporary high-risk insurance pool program to the territories. H.R. 261 Public Option Deficit Reduction Act H.R 344 Competitive Health Insurance Act H.R. 607 To delay until 2016 provisions of the Patient Protection and Affordable Care Act scheduled to take effect in 2014 or 2015 and to delay the application of sequestration until 2014. H.R 675 Part-Time Worker Bill of Rights Act of 2013 H.R 762 Health Care Choice Act of 2013 H.R. 763 To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. H.R. 779 Access to Insurance for All Americans Act H.R. 1076 To amend the Patient Protection and Affordable Care Act to provide for savings to the Federal Government by permitting pass-through funding for State authorized public entity health benefits pools. H.R. 1140 Family Friendly HSA Improvement Act of 2013 H.R. 1200 American Health Security Act of 2013 H.R. 1248 Family Health Care Flexibility Act H.R. 1342 Helping Save Americans' Health Care Choices Act of 2013 S.603 : Jobs and Premium Protection Act S. 482 Health Insurance Rate Review Act S.610 : Family Health Care Flexibility Act

H.R.544 - Letting Insurance Benefit Everyone Regardless of Their Youth (LIBERTY) Act H.R. 1248 / S. 610 - Family Health Care Flexibility Act' H.R. 1342 - Helping Save Americans' Health Care Choices Act of 2013 H.R. 903 - the American Job Protection ActH.R. 763 the Jobs and Premium Protection Act S.603 - the Jobs and Premium Protection Act H.R. 261 Public Option Deficit Reduction Act H.R. 933 the Consolidated and Continuing Appropriations Act H.R. 8, American Taxpayer Relief Act of 2012 H.R. 803 - Supporting Knowledge and Investing in Lifelong Skills (SKILLS) Act. H.R. 1180 Resident Physician Shortage Reduction Act of 2013 H.R. 244 - the Physician Availability Act of 2013 H.R. 297 - the Children's Hospital GME Support Reauthorization Act of 2013 H.R. 487 - the Primary Care Workforce Access Improvement Act of 2013 S. 382 - a bill to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs H.R. 969 - the Medical Practice Freedom Act of 2013 H.R. 1178 - the Creating Access to Residency Education Act of 2013 H.R. 1201 - the Training Tomorrow's Doctors Today Act S. 616 - the Conrad State 30 and Physician Access Act H.R.1249 - Common Sense Nutrition Disclosure Act of 2013 S. 39, the Healthy Lifestyles and Prevention America Act H.R. 485, the National Nurse Act of 2013 H.R. 956, the Personal Health Investment Today Act of 2013 S. 452, the Medicare Diabetes Prevention Act of 2013 H.R. 1024, the Medication Therapy Management Empowerment Act of 2013 S. 539 the National Diabetes Clinical Care Commission Act H.R. 1074, the National Diabetes Clinical Care Commission Act H.R. 1099, a bill to repeal the Prevention and Public Health Fund S. 531, the Physical Activity Guidelines for Americans Act S. 557, the Medication Therapy Management Empowerment Act of 2013 H.R. 1257, the Preventing Diabetes in Medicare Act of 2013 H.R. 1263, the Excellence in Mental Health Act H.R. 1274, the Access to Quality Diabetes Education Act of 2013