To amend section 9010 of the Patient Protection and Affordable Care Act to delay the application of the health insurance provider annual fee until 2016 and to provide a process to return to consumers any amounts attributable to the expected application of the annual fee to 2014 or 2015.

IRC section 833(b) tax provisions; Health Spending Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; Health Insurance Tax: Health Insurance Excise Tax, S. 603/HR 763, HR 3367

Client expense: $1,870,000 · Firm income: Not reported

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

application of the health insurance providers fee and associated repeal/delay legislation (sections 3021, 9010, 2001 of PL 111-148; HR 763, HR 3367, S 603;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design, grandfathering, Medicare, discontinuation of health plans, and ACA risk mitigation provisions. General Issues: Quality and care coordination, innovation, affordability, ICD-10, consumer engagement, utilization trends,payment reform, fraud and abuse prevention, cost-sharing, wellness, advanced imaging management, telehealth, sustainable growth rate, Watson, payment reconciliation and high cost drugs. Specific Bills include: H.R. 3367; H.R. 763; S. 603; S.2214; H.R. 3489; H.R. 3541; H.R. 3812; H.R. 3750; H.R. 3077; S. 1787 and, H.R. 3306

Client expense: $1,640,000 · Firm income: Not reported

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

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design,grandfathering, Medicare, discontinuation of health plans, ACA risk mitigation provisions, and Military health programs. General Issues: Quality and care coordination, innovation, affordability, ICD-10, consumer engagement, utilization trends, payment reform, fraud and abuse prevention, cost-sharing, wellness, advanced imaging management, telehealth, sustainable growth rate, Watson, payment reconciliation and high cost drugs. Specific Bills include: H.R. 3367; H.R. 763; S. 603; S.2214; H.R. 3489; H.R. 3541; H.R. 3812; H.R. 3750; H.R. 3077; S. 1787 and, H.R. 3306

Client expense: $1,640,000 · Firm income: Not reported

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

HR 81, HR 105, HR.RES.17, HR 344, HR 544, HR 582, HR 607, HR 675, HR 762, HR 763, HR 903, HR 1076, HR 1200, HR 1205, HR 1239, HR 1248, HR 1254, HR 1342, HR 1549, HR 1558, HR 2328, HR 2527, HR 2575, HR 2577, HR 2667, HR 2995, HR 2988, HR 3362, HR 3367, HR 4244, HR 4128, HR 4144, HR 2453, HR 4160, HR 4302, HR 1179, HR 5183, HR 5557, S.CON. RES.8, S24, S351, S399, S.AMDT.409, S482, S603, S650, S701, S764, S1188, S1729, S2069, S2173, S2174, S2175, S2546,S2783, H.R.5860, H.R. 3512

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

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

HR 81, HR 105, HR.RES.17, HR 344, HR 544, HR 582, HR 607, HR 675, HR 762, HR 763, HR 903, HR 1076, HR 1200, HR 1205, HR 1239, HR 1248, HR 1254, HR 1342, HR 1549, HR 1558, HR 2328, HR 2527, HR 2575, HR 2577, HR 2667, HR 2995, HR 2988, HR 3362, HR 3367, HR 4244, HR 4128, HR 4144, HR 2453, HR 4160, HR 4302, HR 1179, HR 5183, HR 5557, S.CON. RES.8, S24, S351, S399, S.AMDT.409, S482, S603, S650, S701, S764, S1188, S1729, S2069, S2173, S2174, S2175, S2546,S2783

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

HR 81, HR 105, HR.RES.17, HR 344, HR 544, HR 582, HR 607, HR 675, HR 762, HR 763, HR 903, HR 1076, HR 1200, HR 1205, HR 1239, HR 1248, HR 1254, HR 1342, HR 1549, HR 1558, HR 2328, HR 2527, HR 2575, HR 2577, HR 2667, HR 2995, HR 2988, HR 3362, HR 3367, HR 4244, HR 4128, HR 4144, HR 2453, HR 4160, HR 4302, HR 1179, S.CON. RES.8, S24, S351, S399, S.AMDT.409, S482, S603, S650, S701, S764, S1188, S1729, S2069, S2173, S2174, S2175, S2546

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

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

H.R. 763 - To Repeal the Annual Fee on Health Insurance Providers - Entire bill. S. 603 - The Jobs and Premium Protection Act - Entire bill. H.J. Res. 59 - A bill making continuing appropriations for fiscal year 2014, and for other purposes - Division B of the Resolution, Title I (Medicare Extenders) and Title II (Health Provisions). H.R. 3367 - The Small Business and Family Relief Act - provision related to a two year delay on the health insurer tax. S. 2461 - The CHIP Extension Act of 2014 - A bill to extend funding of the Children's Health Insurance Program - entire bill.

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2575 - Save American Workers Act S. 2881 - Simplifying Technical Aspects Regarding Seasonality (STARS) Act of 2014 H.R. 5213 - Simplifying Technical Aspects Regarding Seasonality (STARS) Act of 2014 H.R. 5392 -The Fairness for Farmers Act to exclude H-2A workers from the PPACA employer mandate HR 763 - Patient Protection and Affordable Care Act HR 3367 - to delay Section 09010 of PPACA S. 603 - Jobs and Premiums Protection Act

Client expense: $445,537 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Oceanic & Atmospheric Administration (NOAA), Occupational Safety & Health Administration (OSHA), Pipeline & Hazardous Materials Safety Administration, SENATE, U.S. Fish & Wildlife Service (USFWS), U.S. Forest Service, U.S. Trade Representative (USTR)

H.R. 763; S. 603, Jobs and Premium Protection Act; H.R. 3367, The Small Business and Family Relief Act

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

Government targets: Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE

Supported the American Jobs Protection Act (H.R. 903/S. 399) and other efforts to eliminate the employer mandate. Supported H.R. Jobs and Premium Protection Act (H.R> 763/S. 603). Supported H.R. 3367 to delay the Health Insurance Tax in the Affordable Care Act.

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

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), Federal Highway Administration (FHA), Federal Motor Carrier Safety Administration, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Intl Trade Administration (ITA), Natl Highway Traffic Safety Administration (NHTSA), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), U.S. Trade Representative (USTR)

HR 3367, a bill introduced by Boustany (R-LA ) on 10.29.13 to amend section 9010 of the Patient Protection and Affordable Care Act to delay the application of the health insurance provider annual fee until 2016 and to provide a process to return to consumers any amounts attributable to the expected application of the annual fee to 2014 and 2015. Elimination or reduction of ACA Risk corridor funding. S. 1726, HR 3541, 3812, 3851 and through regulations. Federal Employee Health Benefit Program (FEHBP)regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM. Stability of individual health insurance market

Client expense: $159,553 · Firm income: Not reported

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

Internal Revenue Code section 833(b) tax provisions, Medical Loss Ratio definition to qualify for 833(b) tax deduction Health Insurance Excise Tax S. 603 (Jobs and Premium Protection Act) HR 3367 - A bill To amend section 9010 of the Patient Protection and Affordable Care Act to delay the application of the health insurance provider annual fee

Client expense: $159,553 · 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. 3367, Small Business and Family Relief Act - to delay health insurance tax by 2 years

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3367, To amend section 9010 of the Patient Protection and Affordable Care Act to delay the application of the health insurance provider annual fee until 2016 and to provide a process to return to consumers any amounts attributable to the expected application of the annual fee to 2014 or 2015 H.R. 763, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care ActH.R. 2925, Strengthening Medicare Anti-Fraud Measures Act of 2013 H.R. 1960, National Defense Authorization Act for Fiscal Year 2014 S. 1034, National Defense Authorization Act for Fiscal Year 2014 Medicare FFS and Medicare Advantage Reimbursement Issues ACA Implementation Federal Budget Issues Health Information Technology Issues Medicaid and Dual Eligible Issues H.R. 83, Consolidated and Further Continuing Appropriations Act, 2015 S. 603, Jobs and Premium Protection Act Tricare Issues

Client expense: $789,490 · Firm income: Not reported

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

H.R. 3367, To amend section 9010 of the Patient Protection and Affordable Care Act to delay the application of the health insurance provider annual fee until 2016 and to provide a process to return to consumers any amounts attributable to the expected application of the annual fee to 2014 or 2015Tax reform and government regulation S. 603, Jobs and Premium Protection Act H.R. 763, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act

Client expense: $789,490 · Firm income: Not reported

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

Issues related to corporate taxation; taxation of health benefits and providers of health coverage, including P.L. 111-148 (Patient Protection and Affordable Care Act) and H.R. 763; To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act and S. 603; Jobs and Premium Protection Act. In addition, H.R. 4414, The Expatriate Health Coverage Clarification Act, H.R 3367, The Small Business and Family Relief Act, and H.R. 3462 and S. 1735, about Self Insurance. Issues related to the new Taiwan financial services tax and its impact on foreign insurers.

Client expense: $550,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of

Issues relating to general health and health care legislation and regulation - Including P.L. 111-148 (Patient Protection and Affordable Care Act) and P.L. 111-152 (Reconciliation Act of 2010); H.R. 763 and S. 603, Jobs and Premium Protection Act; H.R. 3367, The Small Business and Family Relief Act; and medicare supplemental insurance. In addition, in support of H.R. 4414, The Expatriate Health Coverage Clarification Act and expatriate provisions in HR 83, Consolidated and Further Continuing Appropriations Act, 2015.

Client expense: $550,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design, grandfathering, Medicare, discontinuation of health plans, and ACA risk mitigation provisions. General Issues: Quality and care coordination, innovation, affordability, ICD-10, consumer engagement, utilization trends,payment reform, fraud and abuse prevention, cost-sharing, wellness, advanced imaging management, telehealth, sustainable growth rate, Watson, payment reconciliation and high cost drugs. Specific Bills include: H.R. 3367; H.R. 763; S. 603; S.2214; H.R. 3489; H.R. 3541; H.R. 3812; H.R. 3750; H.R. 3077; S. 1787 and, H.R. 3306

Client expense: $1,050,000 · Firm income: Not reported

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

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design,grandfathering, Medicare, discontinuation of health plans, ACA risk mitigation provisions, and Military health programs. General Issues: Quality and care coordination, innovation, affordability, ICD-10, consumer engagement, utilization trends, payment reform, fraud and abuse prevention, cost-sharing, wellness, advanced imaging management, telehealth, sustainable growth rate, Watson, payment reconciliation and high cost drugs. Specific Bills include: H.R. 3367; H.R. 763; S. 603; S.2214; H.R. 3489; H.R. 3541; H.R. 3812; H.R. 3750; H.R. 3077; S. 1787 and, H.R. 3306

Client expense: $1,050,000 · Firm income: Not reported

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

H.R. 1254 - Auto Enroll Repeal ActPatient Protection and Affordable Care Act (P.L. 111148) - Sections 1201, 1301, 1302, 1303, 1304, 1311, 1401, 1411, 1412, 1414, 1502, 1512, 1513, 1514, 4205 Section 4980H Budget Resolution - HConRes25; SConRes8 (SNAP provisions) S. 701 - Forty Hours Is Full Time Act of 2013 H.R. 2988 - Forty Hours Is Full Time Act of 2013 S. 1188 - Forty Hours Is Full Time Act of 2013 H.R. 2575 - Save American Workers Act of 2013 H.ConRes25 - Establishing the budget for the United States Government for fiscal year 2014 and setting forth appropriate budgetary levels for fiscal years 2015 through 2023 S.ConRes 8 - An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2014, revising the appropriate budgetary levels for fiscal year 2013, and setting forth the appropriate budgetary levels for fiscal years 2015 through 2023 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 H.R. 2667 - Authority for Mandate Delay Act H.R. 3367 - Small Business and Family Relief Act H.R. 3522 Employee Health Protection Act H.R. 3489 To Amend Sec. 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program H.J.Res. 77 Food Drug and Administration Continuing Appropriations Resolution, 2014 H.R. 3121 American Health Care Reform Act H.R. 3419 Small Business Fairness in Obamacare Act S. 1735 Self-Insurance Protection Act S. 1724 - Union Tax Fairness Act of 2013 S. 2176 To revise reporting requirements under the Patient Protection and Affordable Care Act to preserve the privacy of individuals, and for other purposes. S. 2168 Small Business Stability Act H.R. 4302 - Protecting Access to Medicare Act of 2014 S.2546 - A bill to repeal a requirement that new employees of certain employers be automatically enrolled in the employer's health benefits H.R. 4735/S.2253 - Health Care Fairness and Stability Act S.2205 - Small Business Fairness in Health Care Act S.2191 A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage, and for other purposes Senate Draft - Financial Services and General Government Appropriations Act, 2015 Senate Draft - Departments Of Labor, Health And Human Services, And Education, And Related Agencies Fiscal Year 2015 Appropriations Bill H.R. 5557 - Streamlining Verification for Americans Act H.R.4 Jobs for America Act H.R. 5557 - To reform the verification and reporting processes for the health care premium and cost-sharing subsidies.

Client expense: $130,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

H.R. 684 Marketplace Fairness Act H.R. 892 S Corp. Modernization Act of 2013S.336 Marketplace Fairness Act S. Amdt. 307 to S.Con. Res. 8 - To establish a deficit-neutral reserve fund to permanently eliminate the Federal estate tax (whole amendment) S. Amdt. 656 to S.Con. Res. 8 - NEUTRAL RESERVE FUND TO ALLOW STATES TO ENFORCE STATE AND LOCAL USE TAX LAWS (whole amendment) H.R. 2429/S. 1183 The Death Tax Repeal Act of 2013 H.R. 3367 - the Small Business and Family Relief Act Tax Extenders (including S. 1859) Tax Reform including the Tax Relief Act of 2014 (House discussion draft) LIFO including Baucus discussion papers and the Tax Relief Act of 2014 Pension Issues S. 2260 EXPIRE Act Title I, Subtitle B Business Tax Extenders Title I, Subtitle C Energy Tax Extenders Title II, Subtitle B Extenders Relating to Multiemployer Defined Benefit Pension Plans H.R. 4718 To Amend the Internal Revenue Code of 1986 to Modify and Make Permanent Bonus Depreciation (Entire Bill) H.R. 4719 Fight Hunger Incentive Act of 2014 (Entire Bill) HR 5771 Tax Increase Prevention Act of 2014 (entire bill)

Client expense: $130,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

Bills and regulations related to the Affordable Care Act. Legislative ideas and regulations addressing health care costs & financing. HR 763: "A bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act", (All provisions). S 603: "Jobs and Premium Protection Act", (All provisions). HR 3367: "To amend section 9010 of the Patient Protection and Affordable Care Act to delay the application of the health insurance provider annual fee until 2016", (All provisions). HR 4406: "Taxpayer Bailout Protection Act", (All provisions). HR 3812: "No Bailouts for Insurance Industry Act of 2014", (All provisions). HR 4354/S 2214: "Obamacare Taxpayer Bailout Protection Act", (All provisions). HR 83: Consolidated and Further Continuing Appropriations Act, 2015 (All provisions).

Client expense: $460,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3367, the Small Business and Family Relief Act - support. H.R. 763, the Jobs and Premium Protection Act - support. S. 603, the Jobs and Premium Protection Act - support.

Client expense: $132,000 · Firm income: Not reported

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

Bills H.R. 5213, Simplifying Technical Aspects Regarding Seasonality (STARS) Act of 2014 - support. H.R. 4457, the Americas Small Business Tax Relief Act of 2014 - support. H.R. 3522, the Employee Health Plan Protection Act of 2013 - support. H.R. 2, the American Energy Solutions for Lower Costs and More American Jobs Act - support. H.R. 4, the Jobs for America Act - support. H.R. 4302, Protecting Access to Medicare Act of 2014 - support. H.R. 2995, the Unnecessary Cap Act of 2013 - support. H.R. 2575, the Save American Workers Act of 2013 - support. H.R. 3367, the Small Business and Family Relief Act - support. H.R. 763, the Jobs and Premium Protection Act - support. H.R. 903, the American Job Protection Act- support. H.Res 359, expressing the sense of the House of Representatives that tax reform should jointly address corporate and pass-through entities in a fiscally responsible manner, and that reform should reduce the current tax rate differences between corporate and pass-through entities while maintaining adequate forms of organization for businesses - support. H.R. 947, Small Business Accounting and Tax Simplification Act - support. H.R. 1406, the Working Families Flexibility Act of 2013 - support. H.R. 436, Government Neutrality in Contracting Act - support. H.R. 1120, the Preventing Greater Uncertainty in Labor- Management Relations Act -support. H.R. 2429, Death Tax Repeal Act of 2013 - support. H.R. 2728, Protecting States Rights to Promote American Energy Security Act - support. H.R. 2655, Lawsuit Abuse Reduction Act - support. H. Res. 728, a Resolution expressing support for designating November 29, 2014 as Small Business Saturday and supporting efforts to increase awareness of small business contributions to the community and their value to the overall economy - support. Section 425 of H.R. 4745, and urge that this provision, which prohibits the Department of Transportation from moving forward with increases in the minimum level of financial responsibility for commercial property and passenger motor carriers, including private school bus operators and other private carriers - support. H.R. 4012, the Secret Science Reform Act of 2014 - support. H.R. 5860, the Small Business Healthcare Relief Act - support. H.R. 5771, the Tax Increase Prevention Act - support. H.R. 4453, the S Corporation Permanent Tax Relief Act of 2014 - support. H.R. 2854, to amend the Internal Revenue Code of 1986 to make permanent the deduction of State and local general sales taxes - support. S. 2881, Simplifying Technical Aspects Regarding Seasonality (STARS) Act of 2014 - support. S. 2569, the Bring Jobs Home Act - support. S. 2223, the Minimum Wage Fairness Act - oppose. S. 2199, originally introduced as S. 84, the Paycheck Fairness Act - oppose. S. 2432, the Bank on Students Emergency Loan Refinancing Act - oppose. S.Amdt.1871, to S. 1392, the Energy Savings and Industrial Competitiveness Act of 2013 - support. S. 399, the American Job Protection Act - support. S. 603, the Jobs and Premium Protection Act - support. S. 1188, Forty Hours is Full Time Act - support. S. 2199, Paycheck Fairness Act - oppose. S. 1085, Small Business Tax Certainty and Growth Act of 2013 - support. S. 109, Government Neutrality in Contracting Act - support. S. 1138, Death Tax Repeal Act of 2013 - support. S. 1737, Fair Minimum Wage Act - oppose. S. 1658, Start-up Jobs and Innovation Act - support. 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 -support. Unemployment Insurance letter opposing FUTA Tax Increase to House and Senate Budget Committee conferees. Comments EPA, EPA-HQ-OAR-2013-0602, Carbon Pollution Emission Guidelines for Existing Stationary Sources: Electric Utility Generating Units. December 1, 2014. OSHA, Comments on OSHA Docket No. OSHA-2013-0023; Improve Tracking of Workplace Injuries and Illnesses, Supplemental Notice of Proposed Rulemaking (79 Fed. Reg. 47605, August 14, 2014) October 14, 2014. EPA, Docket ID No. EPA-HQ-OW-2011-0880 - Definition of Waters of the United States Under the Clean Water Act. October 15, 2014. Department of Health and Human Services, Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2016 - Request for Extension of Comment Period. December 22, 2014. Other Issues Tax Reform Tax Extenders DOL overtime regulation Biennial budget Entitlement reform Immigration reform, E-Verify, H2B visas Retirement Issues Keystone XL Project Employer nondiscrimination in PPACA Minimum wage Unemployment insurance Transitional policy on nonqualified plans in PPACA OSHA - proposed rule on respirable crystalline silica OSHA - proposed rule on electronic reporting EPA/Army Corps of Engineers - proposed rule on definition of waters of the United States EPA - proposed rule on greenhouse gases emissions from power plants OSHA - enforcement DOT - Definition of Commercial Motor Vehicle Regulatory reform Overtime Export Import Bank Medicare Part D H.R. 4304, the Jumpstarting Opportunities with Bold Solutions Act H.R. 1772, the Legal Workforce Act SBA Office of Advocacy: Group Letter on Regulatory Flexibility Act Noncompliance in Waters of the United States Rulemaking SEC: Letter regarding the Recommendation of the Investor Advisory Committee: Accredited Investor Definition

Client expense: $689,000 · Firm income: Not reported

Government targets: Army, Dept of (Corps of Engineers), Centers For Medicare and Medicaid Services (CMS), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Motor Carrier Safety Administration, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), 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 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).H.R. 1249, S. 1756 Common Sense Nutrition Disclosure Act. H.R. 903, S. 399, The American Job Protection Act. H.R. 763 To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. S. 603 The Jobs & Premium Protection Act. H.R. 1254, Auto Enroll Repeal Act. Proposed Rule: Medicaid, Childrens Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing [RIN 0938-AR04] [CMS-2334-P]. FAQs about Affordable Care Act Implementation Part XI (January 24, 2013). HHS seeks public comment on the new single, streamlined application for health insurance and the SHOP applications, draft dated 1/16/2013. Proposed Rule: Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions; Miscellaneous Minimum Essential Coverage Provisions [RIN 0938-AR68]. Final Rule: Patient Protection and Affordable Care Act; Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation [RIN 0938-AR03], [CMS-9980-F]. Final Rule: Patient Protection and Affordable Care Act; Health Insurance Market Rules; Rate Review [RIN 0938-AR40], [CMS-9972-F]. Proposed Rule: Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Small Business Health Options Program [CMS-9964-P2], [RIN 0938-AR76]. Final Rule: Patient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable Insurance Exchanges [RIN 3206-AM47]. Final Rule: Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014 and Amendments to the HHS Notice of Benefit and Payment Parameters for 2014; Proposed Rule: Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Small Business Health Options Program [CMS-9964-F], [RIN 0938-AR51]. Proposed Rule: Ninety-Day Waiting Period Limitation and Technical Amendments to Certain Health Coverage Requirements Under the Affordable Care Act [REG-122706-12, RIN 1545-BL50], [RIN1210-AB56], [CMS-9952-P, RIN 0938-AR77]. Final Rule: Patient Protection and Affordable Care Act; Establishment of Exchange and Qualified Health Plans; Small Business Health Options Program [CMS-9964 - F2, RIN 0938-AR76]. Proposed Rule: Patient Protection and Affordable Care Act; Program Integrity: Exchange, SHOP, Premium Stabilization Programs, and Market Standards [CMS - 9957-b, RIN 0938-AR82]. H.R.45 To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010. Final Rule: Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions; Miscellaneous Minimum Essential Coverage Provisions [CMS-9958-F, RIN 0938-AR68]. Final Rule: Medicaid and Childrens Health Insurance Programs: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment [CMS-2334-F, RIN 0938-AR04]. Final Rule: Patient Protection and Affordable Care Act; Program Integrity: Exchange, SHOP, and Eligibility Appeals[CMS-9957-F, RIN 0938-AR82]. Multi-State Plan Program on the Health Insurance Marketplace OPM Plan. Federally Facilitated Marketplace Enrollment Operational Policy & Guidance, CMS, October 3, 2013. Final Rule: Patient Protection and Affordable Care Act; Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014 [RIN 0938AR82; RIN 0938AR74]. Final Rule: Federal Employees Health Benefits Program and Federal Employees Dental and Vision Insurance Program: Expanding Coverage of Children; Federal Flexible Benefits Plan: Pre-Tax Payment of Health Benefits Premiums: Conforming Amendments [RIN 3206AM55]. Correcting Amendment: Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014 [CMS9964F3, RIN0938AR51].Proposed Rule: Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2015 [RIN 0938AR89, CMS9954P]. Notice of Effective Date: Patient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable Insurance Exchanges; Announcement. Interim Final Rule with Comment: Patient Protection and Affordable Care Act; Maximizing January 1, 2014 Coverage Opportunities [RIN 0938AS17, CMS9945IFC]. Guidance: Options Available for Consumers with Cancelled Policies. Final Rule; Correction: Patient Protection and Affordable Care Act; Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014 Correction [RIN 0938AR82; RIN 0938AR74], [CMS9957CN; 9964CN]. Report: Income Verifications for Advanced Premium Tax Credits Report. H.R. 3367: To amend section 9010 of the Patient Protection and Affordable Care Act to delay the application of the health insurance provider annual fee until 2016 and to provide a process to return to consumers any amounts attributable to the expected application of the annual fee to 2014 or 2015. HR4302 Protecting Access To Medicare Act of 2014, section 213: Elimination of limitation and deductibles for employer-sponsored health plans. Final Rule: Ninety-Day Waiting Period Limitation and Technical Amendments to Certain Health Coverage Requirements Under the Affordable Care Act [RIN 1545BL50, RIN 1210AB56, RIN 0938AR77] Proposed Rule: Ninety-Day Waiting Period Limitation [RIN 1545BL97, RIN 1210AB61, RIN 0938AR77] S. 2546, Auto Enroll Repeal Act [CMS-9949-F], RIN 0938-AS02 Final Rule: Patient Protection and Affordable Care Act; Exchange and Insurance Market Standards for 2015 and Beyond RIN 1545BL97, RIN 1210AB61, RIN 0938AR77 Final Rule: Ninety-Day Waiting Period Limitation S. 701, Forty Hours is Full Time Act of 2013 Marketplace Eligibility Appeals Options for Paper-based Processes, Center for Consumer Information and Insurance Oversight, Centers for Medicare & Medicaid Services, October 23, 2014 Proposed Rule: Patient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable Insurance Exchanges (OPM) [RIN 3206-AN12] Proposed Rule: Notice of Benefit and Payment Paramenters for 2016 [RIN 0938AS19] Notice of Proposed Rulemaking: Summary of Benefits and Coverage and Uniform Glossary [RIN 1545BM53, RIN 1210AB69, RIN 0938AS54] Proposed Rule: Amendments to Excepted Benefits [RIN 1545BM44, RIN 1210AB70, RIN 0938AS52]

Client expense: $717,776 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), 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), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Treasury, Dept of, White House Office

S.749, H.R.4212 A bill to amend the Internal Revenue Code of 1986 to permanently extend the 15-year recovery period for qualified leasehold improvement property, qualified restaurant property, and qualified retail improvement property. Monitor draft legislation to amend the Internal Revenue Code of 1986 to repeal the reduction in the deductible portion of expenses for business meals and entertainment.Proposed Rule: Amendments to Excepted Benefits [RIN 1545BL90, REG14317213], [RIN 1210AB60], [RIN 0938AS16, CMS9946P]. Correcting Amendment: Shared Responsibility Payment for Not Maintaining Minimum Essential Coverage; Correction [RIN 1545BL36, TD 9632]. IRS clarification of tips vs. service charges. Rev. Rul. 2012-18. S.1395 - Good Samaritan Hunger Relief Tax Incentive Extension Act of 2013. H.R.2945 - To amend the Internal Revenue Code of 1986 to permanently extend and expand the charitable deduction for contributions of food inventory. S.2168 Small Business Stability Act H.R.2577 Small Business Job Protection Act S.2176 Commonsense Reporting Act H.R.3367 To amend section 9010 of the Patient Protection and Affordable Care Act to delay the application of the health insurance provider annual fee until 2016 and to provide a process to return to consumers any amounts attributable to the expected application of the annual fee to 2014 or 2015. Final Rule: Shared Responsibility for Employers Regarding Health Coverage [RIN 1545BL33] Final Rule: Information Reporting by Applicable Large Employers on Health Insurance Coverage Offered Under Employer-Sponsored Plans [RIN 1545BL26] Final Rule: Information Reporting of Minimum Essential Coverage [RIN 1545BL31] Revised Rule: 2012-18 (tip credit) Rev. Proc. 2014-30 (26 CFR 601.602: Tax forms and instructions.) [TD 9660], RIN 1545BL31 Correcting Amendment: Information Reporting of Minimum Essential Coverage; Correction [REG14103613], RIN 1545BL91 Correction to a notice of proposed rulemaking and notice of public hearing [TD 9672], RIN 1545BL55 Final Rule: Tax Credit for Employee Health Insurance Expenses of Small Employers HR 4718 To amend the Internal Revenue Code of 1986 to modify and make permanent bonus depreciation. 2014 Draft Form 1094-C: Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Return 2014 Draft Form 1095-C: Employer Provided Health Insurance Offer and Coverage 2014 Draft Instructions for Forms 1094-C and 1095-C 2014 Draft Form 1094-B: Transmittal of Health Coverage Information Returns 2014 Draft Form 1095-B: Health Coverage 2014 Draft Instructions for Forms 1094-B and 1095-B IRS Notice 2014-49: Section 4980H -- Shared Responsibility for Employer Regarding Health Coverage -- Approach to Changes in Measurement Periods or Methods Applicable to an Employee IRS Notice 2014-55: Additional Permitted Election Changes for Health Coverage under 125 Cafeteria Plans 2014 Draft Form 8962: Premium Tax Credit 2014 Draft Instructions for Form 8962, Premium Tax Credit 2014 Draft Form 1040-A: U.S. Individual Income Tax Return H.R. 5213/S. 2881, Simplifying Technical Aspects Regarding Seasonality Act of 2014 H.R. 5557, Streamlining Verification for Americans Act H.R. 5264, Permanent Work Opportunity Tax Credit Act H.R. 5771/PL 113-295 (Tax Extenders Bill) To amend the Internal Revenue Code of 1986 to extend certain expiring provisions and make technical corrections, to amend the Internal Revenue Code of 1986 to provide for the tax treatment of ABLE accounts established under State programs for the care of family members with disabilities, and for other purposes Notice 2014-69: Group Health Plans that Fail to Cover In-Patient Hospitalization Services Final Rule: Minimum Essential Coverage and Other Rules Regarding the Shared Responsibility Payment for Individuals [RIN 1545BL91] Notice 2014-76: Individual Shared Responsibility Payment Hardship Exemptions that May Be Claimed on a Federal Income Tax Return Without Obtaining a Hardship Exemption Certification from the Marketplace Submission for OMB Review; Comment Request: OMB Number: 15452251. Title: Information Reporting by Applicable Large Employers on Health Insurance Coverage Offered Under Employer-Sponsored Plans (TD 9661Final) Submission for OMB Review; Comment Request: OMB Number: 15452252. Title: REG13245511Reporting of Minimum Essential Coverage (TD 9660Final)

Client expense: $717,776 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), 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), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Treasury, Dept of, White House Office

Supported the American Jobs Protection Act (H.R. 903/S. 399) and other efforts to eliminate the employer mandate. Supported H.R. Jobs and Premium Protection Act (H.R> 763/S. 603). Supported H.R. 3367 to delay the Health Insurance Tax in the Affordable Care Act.

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

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), Federal Highway Administration (FHA), Federal Motor Carrier Safety Administration, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Intl Trade Administration (ITA), Natl Highway Traffic Safety Administration (NHTSA), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), U.S. Trade Representative (USTR)

H.R. 647 / H.R. 5771, ABLE Act - ABLE accounts for individuals with severe disabilities H.R. 763, Jobs and Premium Protection Act (Boustany-Matheson) -repeal of ACA health insurance tax H.R. 1248, Family Health Care Flexibility Act (Paulsen) - HSA and FSA issues H.R. 1342, Helping Save Americans Health Care Choices Act (Fleming) - HSA and FSA issues H.R. 2194, Family and Retirement Health Investment Act (Paulsen) - HSA and FSA issues H.R. 2835, Restoring Access to Medication Act (Jenkins) - HSA and FSA issues H.R. 3367, HIT Delay Bill (Boustany-Bera) - delay of ACA health insurance tax H.R. 4600, Tax Free Health Insurance Act (King) - tax treatment of health insurance premiums H.R. 4777, Health Savings Act (Burgess) - HSA issues S. 24, Small Business Health Relief Act (Portman) - HIT repeal, HSA and FSA changes S. 603, Jobs and Premium Protection Act (Barrasso-Hatch) - repeal of ACA health insurance tax S. 610, Family Health Care Flexibility Act (Johanns) - HSA and FSA issues S. 1031, Family and Retirement Health Investment Act (Hatch) - HSA and FSA issues S. 1485, Americans Giving Care to Elders Act (Klobuchar) - tax credits for family caregivers Annual insurer provider fees; issues concerning the patient-centered outcomes research fee; employer and individual coverage mandate, W-2 reporting requirements, health reimbursement accounts, deductibility limits for insurer compensation, health insurer and employer reporting of health coverage, and other issues relating to health care reform implementation.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), 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

(1) Issues related to Public Law 111-148 - The Patient Protection and Affordable Care Act (provisions related to new taxes, fees, and employer requirements); (2) Issues related to Public Law 111-152 - Health Care and Education Reconciliation Act of 2010; (3) Issues raised by H.R. 763 - To repeal the annual fee on health insurance providers enacted by The Patient Protection and Affordable Care Act; (4) Issues raised by S. 603 - Jobs and Premium Protection Act (repeals annual insurer fee); (5) Corporate tax reform; and(6) Issues related to S. 2260 Expiring Provisions Improvement Reform and Efficiency Act of 2014; (7) Issues related to H.R. 3367 The Small Business and Family Relief Act; (8) Issues related to - S. 2176 Commonsense Reporting Act of 2014; (9) Issues related to H.R. 5557 Streamlining Verification for Americans Act; (10) Issues related to H.R.5771 Tax Increase Prevention Act of 2014; and (11) Issues related to H.R.647 Achieving a Better Life Experience Act of 2014; and (12) Issues related to H.R. 83 Consolidated and Further Continuing Appropriations Act, 2015 (including H.R. 5175 and H.R. 4414 and other bills mentioned herein).

Client expense: $1,030,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of

Issues pertaining to tax treatment of employee-sponsored health benefits; Pub L. 111-148, the Patient Protection and Affordable Care Act; Pub. L. 111-152, the Health Care and Education Reconciliation of 2010, provision related to insurer fee; H.R. 3367, a bill to delay health insurance provider annual fee until 2016.

Client expense: $96,000 · Firm income: Not reported

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

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design, grandfathering, Medicare, discontinuation of health plans, ACA risk mitigation provisions, and Military health programs. General Issues include: H.R. 3750 (Telehealth Modernization Act); H.R. 3367 (two-year repeal of ACA Health Insurer Fee); H.R. 4414 (Expatriate Health Coverage Clarification Act of 2014); Medicare Advantage; ICD-10; Telehealth Reform; TRICARE 2017. Specific Bills include: Specific Bills include: H.R. 3367; H.R. 763; S. 603; S.2214; H.R. 3489; H.R. 3541; H.R. 3812; H.R. 3750; H.R. 3077; S. 1787 and, H.R. 3306.

Client expense: $1,730,000 · Firm income: Not reported

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

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design, grandfathering, Medicare, discontinuation of health plans, ACA risk mitigation provisions, and Military health programs. General Issues include: H.R. 3750 (Telehealth Modernization Act); H.R. 3367 (two-year repeal of ACA Health Insurer Fee); H.R. 4414 (Expatriate Health Coverage Clarification Act of 2014); Medicare Advantage; ICD-10; Telehealth Reform; TRICARE 2017. Specific Bills include: Specific Bills include: H.R. 3367; H.R. 763; S. 603; S.2214; H.R. 3489; H.R. 3541; H.R. 3812; H.R. 3750; H.R. 3077; S. 1787 and, H.R. 3306.

Client expense: $1,730,000 · Firm income: Not reported

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

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation and insurer tax. General Issues: corporate tax reform and tax treatment of health insurers. Specific Bills include: HIT tax repeal and delay bills - H.R. 3367; H.R. 763; and, S.603.

Client expense: $1,730,000 · Firm income: Not reported

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

H.R. 647 / H.R. 5771, ABLE Act - ABLE accounts for individuals with severe disabilities. H.R. 763, Jobs and Premium Protection Act (Boustany-Matheson) -repeal of ACA health insurance tax. H.R. 1248, Family Health Care Flexibility Act (Paulsen) - HSA and FSA issues. H.R. 1342, Helping Save Americans Health Care Choices Act (Fleming) - HSA and FSA issues. H.R. 2194, Family and Retirement Health Investment Act (Paulsen) - HSA and FSA issues. H.R. 2835, Restoring Access to Medication Act (Jenkins) - HSA and FSA issues. H.R. 3367, HIT Delay Bill (Boustany-Bera) - delay of ACA health insurance tax. H.R. 4600, Tax Free Health Insurance Act (King) - tax treatment of health insurance premiums. H.R. 4777, Health Savings Act (Burgess) - HSA issues. H.R. 5860, Small Business Healthcare Relief Act of 2014 - use of Health Reimbursement Accounts and other employer funding of premiums. S. 24, Small Business Health Relief Act (Portman) - HIT repeal, HSA and FSA changes. S. 603, Jobs and Premium Protection Act (Barrasso-Hatch) - repeal of ACA health insurance tax. S. 610, Family Health Care Flexibility Act (Johanns) - HSA and FSA issues. S. 1031, Family and Retirement Health Investment Act (Hatch) - HSA and FSA issues. S. 1485, Americans Giving Care to Elders Act (Klobuchar) - tax credits for family caregivers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4, Jobs for America Act H.R. 45, To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010 H.R. 523, Protect Medical Innovation Act of 2013 H.R. 581, First Responder Medical Device Tax Relief Act H.R. 582, Healthcare Tax Relief and Mandate Repeal Act H.R. 763, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act H.R. 781, Medicare Identity Theft Prevention Act of 2013 H.R. 903 / S. 399, American Job Protection Act H.R. 1248 / S. 610, Family Health Care Flexibility Act H.R. 1254, Auto Enroll Repeal Act H.R. 1295, Medical Device Tax Elimination Act H.R. 1558 / S. 24, Small Business Health Relief Act of 2013 H.R. 1735, In It All Together Act H.R. 1780, To provide that the only health plans that the Federal Government may make available to the President, Vice President, Members of Congress, and Federal employees are those created under the Patient Protection and Affordable Care Act or offered through a health insurance exchange H.R. 2575, Save American Workers Act H.R. 2667, Authority for Mandate Delay Act H.R. 2668, Fairness for American Families Act H.R. 2674, Job Creation Act of 2013 H.R. 2835, Restoring Access to Medication Act of 2013 H.R. 2925, Strengthening Medicare Anti-Fraud Measures Act of 2013 H.R. 2988 / S. 701 / S. 1188, Forty Hours Is Full Time Act of 2013 H.R. 3077, TELE-MED Act of 2013 H.R. 3121, American Health Care Reform Act of 2013 H.R. 3124, Investing in Permanency for Youth in Foster Care Act H.R. 3204, Drug Quality and Security Act H.R. 3367, To amend section 9010 of the Patient Protection and Affordable Care Act to delay the application of the health insurance provider annual fee until 2016 and to provide a process to return to consumers any amounts attributable to the expected application of the annual fee to 2014 or 2015 H.R. 3419, Small Business Fairness in Obamacare Act H.R. 3462 / S. 1735, Self-Insurance Protection Act H.R. 3522, Employee Health Care Protection Act of 2013 H.R. 4118, Suspending the Individual Mandate Penalty Law Equals Fairness (SIMPLE) Act H.R. 4160, Keep the Promise to Seniors Act of 2014 H.R. 4302, Protecting Access to Medicare Act of 2014 H.R. 4414, Expatriate Health Coverage Clarification Act of 2014 H.R. 5183 / S. 2783, Value Based Insurance Design for Better Care Act of 2014 H.R. 5557, Streamlining Verification for Americans Act H.R. 5860, Small Business Healthcare Relief Act of 2014 S. 232, Medical Device Access and Innovation Protection Act S. 603, Jobs and Premium Protection Act S. 612, Social Security Number Protection Act of 2011 S. 1031, Family and Retirement Health Investment 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 S. 1647, Restoring Access to Medication Act Final Regulation on Incentives for Nondiscriminatory Wellness Programs in Group Health Plans (78 Fed. Reg. 33,157-33,176, June 3, 2013) (to be codified at 26 C.F.R. pt. 54) 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 C.F.R. pts. 147, 155, 156) Proposed Regulation on the Health Insurance Market Rules; Rate Review (77 Fed. Reg. 70,584-70,617, November 26, 2012) (to be codified at 45 C.F.R. pts. 144, 147, 150) Proposed Regulation 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 C.F.R. pts. 153, 155, 156, 157, 158) Proposed Regulation on Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing (78 Fed. Reg. 4,594-4,724, January 22, 2013) (to be codified at 42 C.F.R. Parts 430, 431, 433, 435, 440, 447, 457) Proposed Regulation on Shared Responsibility for Employers Regarding Health Coverage (78 Fed. Reg. 218-253, January 2, 2013) (to be codified at 26 C.F.R. pts. 1, 54, 301) Proposed Regulation on Information Reporting of Minimum Essential Coverage (78 Fed. Reg. 54,986-54,996, September 9, 2013) (to be codified at 26 C.F.R. pts. 1, 301) Proposed Regulation on Information Reporting by Applicable Large Employers on Health Insurance Coverage Offered Under Employer-Sponsored Plans (78 Fed. Reg. 54,996-55,013, September 9, 2013) (to be codified at 26 C.F.R. pt. 301) Proposed Regulation regarding the Establishment of Exchanges and Qualified Health Plans; Small Business Health Options Program (78 Fed. Reg. 15,553-15,558, March 11, 2013) (to be codified at 45 C.F.R. pts. 155, 156) Proposed Regulation on the Health Insurance Providers Fee (78 Fed. Reg. 14,034-14,046, March 4, 2013) (to be codified at 26 C.F.R. pt. 57) Proposed Regulation on Minimum Value of Eligible Employer-Sponsored Plans and Other Rules Regarding the Health Insurance Premium Tax Credit (78 Fed. Reg. 25,909-25,916, May 3, 2013) (to be codified at 26 C.F.R. pt. 1) Proposed Regulation on Contract Year 2015 Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Program, (79 Fed. Reg. 1,918-2,073, January 10, 2014) (to be codified at 42 C.F.R. pts. 409, 417, 422 et al.) Proposed Regulation on Exchange and Insurance Market Standards for 2015 and Beyond (79 Fed. Reg. 15,808-15,879, March 21, 2014) (to be codified at 45 C.F.R. pts. 146, 147, 148 et al.) Proposed Regulation on Minimum Essential Coverage and Other Rules Regarding Shared Responsibility Payment for Individuals (79 Fed. Reg. 4,302-4,308, January 27, 2014) (to be codified at 26 C.F.R. pt. 1) Proposed Regulation on HHS Notice of Benefit and Payment Parameters for 2016 (79 Fed. Reg. 70,674-70,760, November 26, 2014) (to be codified at 45 C.F.R. pts. 144, 147 et al.) Various issues relating to the Patient Protection and Affordable Care Act (P.L. 111-148) and the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152), including caps on compensation deductibility required under section 9014, implementation of regulatory process, legislative corrections, coverage, financing, delivery reform, 1099 reporting, Grandfathering, health savings accounts (HSAs) and flexible spending accounts (FSAs) changes, CMS claims database, IPAB, CLASS program, employer mandate, medical loss ratio, medical malpractice reform, exchanges, impact on small business, provider network adequacy, definition of small group market, reporting requirements for issuers and applicable large employers, premium stabilization programs, the Small Business Tax Credit, incompleteness or inaccuracy of cost impact analyses, lack of quantified benefit analysis, need for empirical data sources on which to base costs and benefits, ERISA preemption, HSA and FSA accounts; Public Health Service Act (P.L. 78-410), Internal Revenue Code and the Employee Retirement Income Security Act (ERISA) (P.L. 93-406), including regulatory process and legislative corrections to the ERISA preemption; deliver reform changes to Medicare Advantage and Medicare Prescription Drug (Part D) programs, including rebates and non-interference with prescription drug prices; entitlement reform; health information technology; legal protections against certain self-referral to physician owned hospitals

Client expense: $21,250,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Consumer Product Safety Commission (CPSC), Council on Environmental Quality (CEQ), 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 Bureau of Investigation (FBI), Federal Deposit Insurance Corporation (FDIC), Federal Housing Finance Agency (FHFA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), General Services Administration (GSA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), 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), Occupational Safety & Health Administration (OSHA), 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. Fish & Wildlife Service (USFWS), U.S. Forest Service, U.S. Trade Representative (USTR), White House Office

IRC section 833(b) tax provisions; Medical Loss Ratio definition to qualify for 833(b) tax deduction; Health Insurance Tax: Health Insurance Excise Tax, S. 603/HR 763, HR 3367,; Tax Extenders; HR 83 and HJ Res 124 Consolidated appropriations.

Client expense: $81,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Public Law 111-48, "Patient Protection and Affordable Care Act" and Public Law 11-52 "Health Care and Education Reconciliation Act of 2010"--monitored implementation of key Medicaid and health insurance market provision; and advocated for repeal of annual insurer fee from Medicaid. (PL 11. 148, Sec. 9010 and PL 111-52, Sec. 10905). Advocated for HR 3367-2 year delay of ACA annual insurer fee. Advocated for removal of Sec. 227 from H.R. 83, "Consolidated and Further Continuing Appropriations Act, 2015" regarding the Affordable Care Act Risk corridors.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Public Law 111-48, "Patient Protection and Affordable Care Act" and Public Law, "Health Care and Education Reconciliation Act of 2010"--monitored implementation of key Medicaid and health insurance market provision; and advocated for repeal of annual insurer fee from Medicaid. (PL-111-148, Sec. 9010 & PL 111-52, Sec. 10905). Advocated for HR 3367 - 2 year delay of ACA annual insurer fee. Advocated for a delay of Medicare Advantage/dual-Special Needs Plan (SNP) plan terminations related to STAR ratings

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

**see addendum pagePL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, Sections of Health Care Reform legislation pertaining to proposed annual insurer assessments, and proposed excise tax on high-value health insurance plans S. 603/H.R. 763, H.R. 3367 - tax extenders S. 399/H.R. 903 - The American Job Protection Act H.R. 763 - to repeal the annual fee on health insurance providers Expiring Provisions Improvement Reform and Efficiency (EXPIRE) Act H.R. 3474 - Hire More Heroes Act of 2014, tax extenders, health insurance tax

Client expense: Not reported · Firm income: $90,000

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

PL 111-148, Patient Protection and Affordable Care Act; provisions relating to employer-sponsored health plans including sections 1341, 1001, 2715, 4980(h), 6055, 1201, 153 and 9001 H.R. 3367, To amend section 9010 of the Patient Protection and Affordable Care Act to delay the application of the health insurance provider annual fee until 2016 and to provide a process to return to consumers any amounts attributable to the expected applicationof the annual fee to 2014 or 2015; all provisions H.R. 3489, 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; all provisions H.R. 4414, Expatriate Health Coverage Clarification Act of 2014; all provisions Issues relating to Equal Employment Opportunity Commission consideration of action on workplace wellness programs

Client expense: $4,300,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), 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, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)

H.R. 763, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act (P.L. 111-148). S. 603, A bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act (Jobs and Premium Protection Act). H.R. 3367, To delay the tax on health insurers.

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

**see addendum pagePL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, Sections of Health Care Reform legislation pertaining to proposed annual insurer assessments, and proposed excise tax on high-value health insurance plans H.R. 903/S. 399 - The American Job Protection Act, insurer excise tax S. 603/H.R. 763, H.R. 3367 - tax extenders (833, RPPOs) H.R. 763 - to repeal the annual fee on health insurance providers Expiring Provisions Improvement Reform and Efficiency (EXPIRE) Act H.R. 3474 - Hire More Heroes Act of 2014, health insurance tax, tax extenders, 833 ***, no specific bill, IRC Section 833(b) tax provisions and MLR ratio definition, health insurance tax

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

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

IRC section 833(b) tax provisions; Health Spending Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; Health Insurance Tax: Health Insurance Excise Tax, S. 603/HR 763, HR 3367,; Tax Extenders; HR 83 and HJ Res 124 Consolidated appropriations

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE