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.

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; S. 2176 - ACA reporting requirements; S. 2253 - transitional reinsurance; H.R. 4414 - ex-pat; S. 2546 -auto-enroll repeal; H.R. 5557; H.R. 5860 - HRAs

Client expense: $670,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Federal Communications Commission (FCC), Federal Maritime Commission, 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), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), 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; H.R. 3489 - transitional reinsurance; S. 1647; S. 2176 - ACA reporting requirements

Client expense: $780,000 · 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; H.R. 3489 - transitional reinsurance; S. 1647; S. 2176 - ACA reporting requirements; S. 2253 - transitional reinsurance; H.R. 4414 - ex-pat; S. 2546 -auto-enroll repeal; H.R. 5557; H.R. 5860 - HRAs

Client expense: $670,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Federal Communications Commission (FCC), Federal Maritime Commission, 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), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), 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

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

Regulatory issues related to the implementation of the Patient Protection and Affordable Care Act, specifically related to PPACA transitional reinsurance program (45 CFR Parts 153, 155, 156, 157 and 158) and 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"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ACA implementation. "Medicare Prescription Drug Program Integrity and Transparency Act," S. 867. "Drug Quality and Security Act," H.R. 3204. "Medication Therapy Management Empowerment Act of 2013, HR. 1024, S. 557. "Healthcare Fairness and Stability Act," S.2253. "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.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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. (entire bill) S. 2253 - Health Care Fairness and Stability Act. (entire bill) H.R. 2575 - Save American Workers Act of 2014, S. 1188, Forty Hours is Full Time Act of 2013. (entire bill)

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

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Export-Import Bank of the United States (EXIM Bank), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Security Council (NSC), SENATE, Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Trade Representative (USTR)

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

Monitor regulations related to implementation of Patient Protection and Affordable Care Act including the 90-day waiting period limitation (REG-122706-12), Shared Responsibility for Employees Regarding Health Coverage (REG-138006-12), Incentives for Nondiscriminating Wellness Programs in Group Health Plans (REG-28361-12). H.R. 1254/S.2546 - The Auto Enroll Act - Monitor. S. 1188/S. 701 - Forty Hours is Full Time Act - Monitor. H.R. 3489- Monitor transitional reinsurance bill.

Client expense: $293,500 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Deposit Insurance Corporation (FDIC), Federal Housing Finance Agency (FHFA), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, 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. 3489, a bill that would repeal the health care laws reinsurance fee "Belly Button Tax" Transitional Reinsurance Fee Transitional Reinsurance Program Health Care Fairness and Stability Act of 2014 (S.2253)

Client expense: $150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4, Jobs for America Act (Camp) - ACA provisions H.R. 99, Health Insurance Industry Antitrust Enforcement Act (Conyers) - antitrust policy H.R. 544, LIBERTY Act (Gingrey-Matheson) - age rating rules H.R. 743, Health Insurance Industry Fair Competition Act (DeFazio) - antitrust policy H.R. 762, Health Care Choice Act (Blackburn) - national marketplace for individual coverage H.R. 911, Competitive Health Insurance Reform Act (Gosar) - antitrust policy H.R. 1019, Health Insurance Rate Review Act (Schakowsky) - rate review H.R. 1188, Preserving Our Hometown Independent Pharmacies Act (Marino) - antitrust policy H.R. 1205, Patients Right to Know Act (Walden) - disclosures on SBC documents H.R. 1558, Small Business Health Relief Act (Collins) - HIT repeal, other ACA changes H.R. 2328, Access to Professional Health Insurance Advisors Act (Rogers-Barrow) - MLR impact on agents and brokers H.R. 2668, Fairness for American Families Act (Young) - delay of ACA individual mandate H.R. 2698, Federal Employee Short-Term Disability Insurance Act (Norton) - short-term disability program for federal employees H.R. 3121, American Health Care Reform Act (Roe) - replacement health reforms H.R. 3350, Keep Your Health Plan Act (Upton) - continuation of existing plans H.R. 3425, Health Care Access Fairness and Penalty Delay Act (Lipinski-Sinema) - delay of open enrollment and individual mandate penalties H.R. 3489, (Tiberi) - repeal of ACA transitional reinsurance fee H.R. 3504, Consumer Protection and Rate Review Act (Schakowsky) - rate review H.R. 3517, Federal and State Insurance Exchange Access Fairness and Penalty Delay Act (Schrader) - individual mandate delay H.R. 3522, Employee Health Care Protection Act (Cassidy) - continuation of current group coverage H.R. 3541, Obamacare Taxpayer Bailout Prevention Act (Griffin) - repeal of ACA risk corridor program H.R. 3598, Catastrophic Plan Bill (Fortenberry) - expanded access to catastrophic plans H.R. 3745, Coverage Protection Act (Kirkpatrick) - continuation of coverage for consumers unable to enroll in QHPs H.R. 3812, No Bailouts for Insurance Industry Act (Coffman) - ACA reinsurance and risk corridor programs H.R. 3851, No Bailouts for Insurance Industry Act (Lance) - ACA reinsurance and risk corridor programs H.R. 3985, Stop ACA's Risky Provisions Act (Westmoreland) - ACAs reinsurance, risk corridor, and risk adjustment programs H.R. 4118, SIMPLE Fairness Act (Jenkins) - delay in ACA individual mandate penalties H.R. 4302, Protecting Access to Medicare Act (Pitts) - ACA Limits on Deductibles for Plans in Small Group Market H.R. 4354, ACA Taxpayer Bailout Protection Act (Griffin) - ACA risk corridor program H.R. 4406, Taxpayer Bailout Protection Act (Lance) - ACA risk corridor program H.R. 4414, Expatriate Health Coverage Clarification Act (Carney) - relief from ACA for expatriate health plans H.R. 4735, Health Care Fairness and Stability Act (Nolan-McKinley) - ACA transitional reinsurance program H.R. 5175, Protecting Americans from Illegal Bailouts Act (Lance) - ACA risk corridor program S. 24, Small Business Health Relief Act (Portman) - HIT repeal, other ACA changes S. 482, Health Insurance Rate Review Act (Feinstein) - rate review S. 650, Access to Independent Health Insurance Advisors Act (Landrieu) - MLR impact on agents and brokers S. 764, Patients Right to Know Act (Cornyn) - disclosures on SBC documents S. 1473, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) - model disclosure forms S. 1481, Long Term Care Insurance Integrity Act (Klobuchar) - third party review of disputed claims S. 1642, Keeping the ACA Promise Act (Landrieu-Manchin) - continuation of existing plans, notification requirements S. 1671, (Manchin-Kirk) - individual mandate delay S. 1693, ACA Enrollment Extension Act (Shaheen) - extending open enrollment, delaying individual mandate penalties S. 1699, Continuous Coverage Act (Mark Udall) - continuation of existing plans S. 1726, Obamacare Taxpayer Bailout Prevention Act (Rubio) - repeal of ACA risk corridor program S. 1729, Expanded Consumer Choice Act (Begich) - adding copper level of coverage to ACA Exchanges S. 1866, Coverage Protection Act (Merkley) - continuation of coverage, retroactive coverage S. 2166, Treating Families Fairly Act (Manchin) - ACA determinations of full-time equivalent employees S. 2168, Small Business Stability Act (Heitkamp) - ACA definition of a large employer S. 2173, Consumers Having Options in Choosing Enrollment Act (Landrieu) - ACA direct enrollment S. 2174, Commonsense Competition and Access to Health Insurance Act (Warner) - offering health insurance coverage across state lines S. 2175, Enhancing Access for Agents and Brokers Act (Landrieu) - access for independent agents and brokers to information about Exchange enrollment S. 2176, Commonsense Reporting Act (Warner) - ACA reporting requirements S. 2214, ACA Taxpayer Bailout Protection Act (Rubio) - ACA risk corridor program S. 2253, Health Care Fairness and Stability Act (Franken-Kirk) - ACA transitional reinsurance program S. 2578, Protect Women's Health From Corporate Interference Act (Murray) - contraceptive coverage S. 2733, Obamacare Opt-Out Act (McCain-Barrasso) - certification process for opting out of ACA individual mandate S. 2801, Health Care Consumer Choices Preservation Act (Enzi) - conditions on automatic renewals H.R. 5860, Small Business Healthcare Relief Act of 2014 (Boustany) -addresses use of Health Reimbursement Accounts and other employer funding of premiums Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to the continuation of reporting requirements for state LTCI partnership programs; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; summary of benefits and coverage disclosures; pre-existing condition insurance plans; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; dependent coverage; treatment of expatriate plans; compliance with the transitional reinsurance program; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; and issues related to supplemental products, 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

Patient Protection and Affordable Care Act (Pub.L. 111-448, H.R. 3590); 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); Health Care Fairness and Stability Act (H.R. 4735/S. 2253); and other issues relating to employer-sponsored health care

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Patient Protection and Affordable Care Act - Sought administrative and legislative changes to the law that would help alleviate some of the requirements that have been imposed upon multi-employer health and welfare insurance plans.H.R.3489 -- A bill 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. Repeal the transitional reinsurance tax on self funded insurance plans including multi-employer health and welfare funds. S.2253 & H.R. 4735 - Health Care Fairness and Stability Act: A bill that would amend the Patient Protection and Affordable Care Act (PPACA) to provide a temporary shift in the scheduled collection of payments for the transitional reinsurance program intended to help stabilize premiums for coverage in the individual health insurance markets from 2014 through 2016.

Client expense: $310,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, White House Office

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) and the Health Care Fairness and Stability Act (S. 2253), all provisions.

Client expense: $1,850,000 · Firm income: Not reported

Government targets: Central Intelligence Agency (CIA), Commerce, Dept of (DOC), Defense Intelligence Agency (DIA), Defense Security Cooperation Agency (DSCA), Defense, Dept of (DOD), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Aeronautics & Space Administration (NASA), Natl Geospatial Intelligence Agency, Natl Oceanic & Atmospheric Administration (NOAA), Natl Security Agency (NSA), SENATE, State, Dept of (DOS), 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, 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

H.R. 4, Jobs for America Act (Camp) - ACA provisions. H.R. 99, Health Insurance Industry Antitrust Enforcement Act (Conyers) - antitrust policy. H.R. 544, LIBERTY Act (Gingrey-Matheson) - age rating rules. H.R. 743, Health Insurance Industry Fair Competition Act (DeFazio) - antitrust policy. H.R. 762, Health Care Choice Act (Blackburn) - national marketplace for individual coverage. H.R. 911, Competitive Health Insurance Reform Act (Gosar) - antitrust policy. H.R. 1019, Health Insurance Rate Review Act (Schakowsky) - rate review. H.R. 1188, Preserving Our Hometown Independent Pharmacies Act (Marino) - antitrust policy. H.R. 1205, Patients Right to Know Act (Walden) - disclosures on SBC documents. H.R. 1558, Small Business Health Relief Act (Collins) - HIT repeal, other ACA changes. H.R. 2328, Access to Professional Health Insurance Advisors Act (Rogers-Barrow) - MLR impact on agents and brokers. H.R. 2668, Fairness for American Families Act (Young) - delay of ACA individual mandate. H.R. 2698, Federal Employee Short-Term Disability Insurance Act (Norton) - short-term disability program for federal employees. H.R. 3121, American Health Care Reform Act (Roe) - replacement health reforms. H.R. 3350, Keep Your Health Plan Act (Upton) - continuation of existing plans. H.R. 3425, Health Care Access Fairness and Penalty Delay Act (Lipinski-Sinema) - delay of open enrollment and individual mandate penalties. H.R. 3489, (Tiberi) - repeal of ACA transitional reinsurance fee. H.R. 3504, Consumer Protection and Rate Review Act (Schakowsky) - rate review. H.R. 3517, Federal and State Insurance Exchange Access Fairness and Penalty Delay Act (Schrader) - individual mandate delay. H.R. 3522, Employee Health Care Protection Act (Cassidy) - continuation of current group coverage. H.R. 3541, Obamacare Taxpayer Bailout Prevention Act (Griffin) - repeal of ACA risk corridor program. H.R. 3598, Catastrophic Plan Bill (Fortenberry) - expanded access to catastrophic plans. H.R. 3745, Coverage Protection Act (Kirkpatrick) - continuation of coverage for consumers unable to enroll in QHPs. H.R. 3812, No Bailouts for Insurance Industry Act (Coffman) - ACA reinsurance and risk corridor programs. H.R. 3851, No Bailouts for Insurance Industry Act (Lance) - ACA reinsurance and risk corridor programs. H.R. 3985, Stop ACA's Risky Provisions Act (Westmoreland) - ACAs reinsurance, risk corridor, and risk adjustment programs. H.R. 4118, SIMPLE Fairness Act (Jenkins) - delay in ACA individual mandate penalties. H.R. 4302, Protecting Access to Medicare Act (Pitts) - ACA Limits on Deductibles for Plans in Small Group Market. H.R. 4354, ACA Taxpayer Bailout Protection Act (Griffin) - ACA risk corridor program. H.R. 4406, Taxpayer Bailout Protection Act (Lance) - ACA risk corridor program. H.R. 4414, Expatriate Health Coverage Clarification Act (Carney) - relief from ACA for expatriate health plans. H.R. 4735, Health Care Fairness and Stability Act (Nolan-McKinley) - ACA transitional reinsurance program. H.R. 5175, Protecting Americans from Illegal Bailouts Act (Lance) - ACA risk corridor program. S. 24, Small Business Health Relief Act (Portman) - HIT repeal, other ACA changes. S. 482, Health Insurance Rate Review Act (Feinstein) - rate review. S. 650, Access to Independent Health Insurance Advisors Act (Landrieu) - MLR impact on agents and brokers. S. 764, Patients Right to Know Act (Cornyn) - disclosures on SBC documents. S. 1473, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) - model disclosure forms. S. 1481, Long Term Care Insurance Integrity Act (Klobuchar) - third party review of disputed claims. S. 1642, Keeping the ACA Promise Act (Landrieu-Manchin) - continuation of existing plans, notification requirements. S. 1671, (Manchin-Kirk) - individual mandate delay. S. 1693, ACA Enrollment Extension Act (Shaheen) - extending open enrollment, delaying individual mandate penalties. S. 1699, Continuous Coverage Act (Mark Udall) - continuation of existing plans. S. 1726, Obamacare Taxpayer Bailout Prevention Act (Rubio) - repeal of ACA risk corridor program. S. 1729, Expanded Consumer Choice Act (Begich) - adding copper level of coverage to ACA Exchanges. S. 1866, Coverage Protection Act (Merkley) - continuation of coverage, retroactive coverage. S. 2166, Treating Families Fairly Act (Manchin) - ACA determinations of full-time equivalent employees. S. 2168, Small Business Stability Act (Heitkamp) - ACA definition of a large employer. S. 2173, Consumers Having Options in Choosing Enrollment Act (Landrieu) - ACA direct enrollment. S. 2174, Commonsense Competition and Access to Health Insurance Act (Warner) - offering health insurance coverage across state lines. S. 2175, Enhancing Access for Agents and Brokers Act (Landrieu) - access for independent agents and brokers to information about Exchange enrollment. S. 2176, Commonsense Reporting Act (Warner) - ACA reporting requirements. S. 2214, ACA Taxpayer Bailout Protection Act (Rubio) - ACA risk corridor program. S. 2253, Health Care Fairness and Stability Act (Franken-Kirk) - ACA transitional reinsurance program. S. 2578, Protect Women's Health From Corporate Interference Act (Murray) - contraceptive coverage. S. 2733, Obamacare Opt-Out Act (McCain-Barrasso) - certification process for opting out of ACA individual mandate. S. 2801, Health Care Consumer Choices Preservation Act (Enzi) - conditions on automatic renewals.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3489, to amend section 1341 of the Patent Protection and Affordable Care Act, to repeal the funding mechanism for the transitional reinsurance program in the individual market. Legislation that would tax Liquified Natural Gas (LNG)at the same rate as diesel fuel on a energy equivalent basis.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Regulatory issues related to the implementation of the Patient Protection and Affordable Care Act, specifically related to PPACA transitional reinsurance program (45 CFR Parts 153, 155, 156, 157 and 158) and 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"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5771 - Tax Increase Prevention Act of 2014 - CFC Look Through and R&D Credit. H.R. 3489 - Amend Section 1341 of Patient Protection and Affordable Care Act - Repeal funding mechanism for the transitional reinsurance program.

Client expense: $890,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Energy, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Natl Security Council (NSC), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), U.S. Trade Representative (USTR), White House Office

H.R. 3489, Legislation that would repeal the imposition of the transitional reinsurance tax as part of Affordable Care Act (ACA). S. 2253, Franken-Kirk Senate legislation to delay for three years the imposition of the transitional reinsurance tax that was part of the ACA. H.R. 4735, legislation to delay for three years the imposition of the transitional reinsurance tax that was part of ACA.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Transportation, Dept of (DOT)

Patient Protection and Affordable Care Act Implementation, Impact on Employer Sponsored Coverage, Transitional Reinsurance, 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, S. 2253- Health Care Fairness and Stability Act, Cadillac Tax

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

S. 867 -- Medicare Prescription Drug Program Integrity and Transparency Act; Implementation of H.R. 3204 - the Drug Quality and Security Act (P.L. 113-54); S. 557/H.R.1024 -- the Medication Therapy Management Empowerment Act of 2013; S. 1932/H.R. 3890 -- the Better Care, Lower Cost Act. S. 2253 -- the Health Care Fairness and Stability Act. 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. H.R. 4190 -- amend Title XVIII of the Social Security act to provide for coverage under the Medicare program of pharmacist services. Health care reform implementation issues; Regulatory developments, including value-based design issues as they relate to preventative care.

Client expense: $150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General issues regarding health care related to implementation of the Affordable Care Act. Legislation to repeal the funding mechanism for the transitional reinsurance fee (H.R. 3489)

Client expense: $1,960,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Highway Traffic Safety Administration (NHTSA), Natl Security Council (NSC), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR)

H.R. 3077 - TEL-Med Act of 2013 (regarding Medicare providers; cross-state licensing) H.R. 3303 - SOFTWARE Act of 2013 (regulation of medical software) 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.S. 2007 - Preventing Regulatory Overreach to Enhance Care Technology Act of 2014 (PROTECT Act) Implementation of the Patient Protection and Affordable Care Act Healthcare information technology including potential regulation

Client expense: $2,970,000 · Firm income: Not reported

Government targets: Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Office of the Comptroller of the Currency (OCC), SENATE, Treasury, Dept of, White House Office

Health Care Reform - ongoing implementation and improvements of the Patient Protection and Affordable Care Act (PPACA) Consolidated and Further Continuing Appropriations Act, 2015 - H.R. 83/Public Law No: 113-235 - PPACA, expatriate health plans The Save American Workers Act - H.R. 2575 (40 hour week) The Commonsense Reporting Act of 2014 - S. 2176 Streamlining Verification for Americans Act - H.R. 5557 Forty Hours is Full Time Act - S. 1188 Bankruptcy Fairness and Employee Benefits Protection Act - S. 2418 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 The Expatriate Health Coverage Clarification Act - H.R. 4414 Auto Enroll Repeal Act - S. 2546/H.R. 1254 Tax Reform - employer-sponsored health insurance Tax Reform Act of 2014 - H.R. 1 Comprehensive Tax Reform for 2015 and Beyond - Republican Staff, Committee on Finance, United States Senate Other Issues McNamara-OHara Service Contract Act (SCA) Health Insurance Portability and Accountability Act (HIPAA) - Administration Simplification: Certification of Compliance for Health Plans Electronic disclosure, communication by employee benefit plans Consumer directed health care plans - HDHPs, HSAs, HRAs, FSA Plans - carryover issues Defense of Marriage Act (DOMA), U.S. Supreme Court case - regulatory implementation issues related to employer-sponsored health plans Wellness Plans

Client expense: $206,293 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

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)

Implementation and improvements to health reform proposals, including Cadillac Tax; ERISA preemption; health information technology; employer wellness programs; employer plan fees; retiree health, repeal or delay of transitional reimbursement fee (H.R. 3489/S. 2253); support for expat plan provision in Consolidated and Further Continuing Appropriations Act for FY2015, H.R. 83.

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

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Railroad Administration, Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Highway Traffic Safety Administration (NHTSA), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, Pipeline & Hazardous Materials Safety Administration, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Implementation of ACA employer mandate; H.R. 1254, Auto-Enroll Repeal Act; S. 1188 / H.R. 2988, Forty Hours Is Full Time Act; S. 2176, Commonsense Reporting Act of 2014; H.R. 903, American Job Protection Act; H.R. 3489, to repeal ACA transitional reinsurance fee.

Client expense: $400,000 · Firm income: Not reported

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

Implementation and improvements to health reform proposals, including Cadillac Tax; ERISA preemption; health information technology; employer wellness programs; employer plan fees; retiree health, repeal or delay of transitional reimbursement fee (H.R. 3489/S. 2253); support for expat plan provision in Consolidated and Further Continuing Appropriations Act for FY2015, H.R. 83.

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

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Railroad Administration, Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Highway Traffic Safety Administration (NHTSA), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, Pipeline & Hazardous Materials Safety Administration, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Patient Protection and Affordable Care Act - Sought administrative and legislative changes to the law that would help alleviate some of the requirements that have been imposed upon multi-employer health and welfare insurance plans. H.R.3489 -- A bill 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. Repeal the transitional reinsurance tax on self funded insurance plans including multi-employer health and welfare funds.

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

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

Providing disability benefits for occupational illnesses contracted by federal fire fighters, including the Federal Fire Fighters Fairness Act (HR 3718 and S 2266). The Transitional Reinsurance Fee, including HR 3489 and S 2253. The excise tax on high cost health plans. Emergency Medical Services, including HR 809 and S 2400.

Client expense: $92,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Labor, Dept of (DOL), SENATE, Transportation, Dept of (DOT), White House Office

Patient Protection and Affordable Care Act - Implementation and Transitional Reinsurance rules H.R. 3489 Cadillac Tax Proposals

Client expense: $390,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commodity Futures Trading Commission (CFTC), Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Reserve System, HOUSE OF REPRESENTATIVES, Office of the Comptroller of the Currency (OCC), Risk Management Agency, SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

HR3489,S2253,HR4735 re repeal and/or delay of the transitional reinsurance fee on self insured programs as defined in the Affordable Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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. 2575H.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; S. 2176 - ACA reporting requirements; S. 2253 - transitional reinsurance; H.R. 4414 - ex-pat; S. 2546 -auto-enroll repeal; H.R. 5557; H.R. 5860 - HRAs

Client expense: $600,000 · 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), Natl Security Council (NSC), 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

- PL 111-148 Patient Protection and Affordable Care Act Regulation: reposting requirements; benefits and payment parameters/reinsurance; 30 hr. full-time definition; excise tax - HR 3204 Drug Quality and Security Act regarding 3PL licensing and serialization standards - HR 2253 Health Care Fairness and Stability Act re: temporary delayed collection of the transitional reinsurance program payments- HR 3489 To amend Section 1341 of the PPACA to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes: repeal funding source for the transitional reinsurance program - HR 4709 Ensuring Patient Access and Effective Drug Enforcement Act of 2014 to provide the opportunity for wholesalers or dispensers to remedy a situation before DEA closes a facility to ensure patients access to meds - HR 5644/S.2689 "Medicare Continuous Glucose Monitoring Access Act of 2014" to seek Medicaid reimbursement for seniors to obtain continuous glucose monitoring devices.

Client expense: $1,751,027 · Firm income: Not reported

Government targets: Defense Contract Audit Agency (DCAA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), Pension Benefit Guaranty Corporation (PBGC), Postal Rate Commission, SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Transitional Re-insurance Issues. Healthcare Affordable Care Act Issues. 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.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Discussion re Affordable Care Act impact on multi-employer health plans and imposition of supplemental/ temporary insurance tax based on number of plan participants; HR 3489( Tibiri/Lipinski)--eliminate temporary plan tax

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation and improvements to health reform proposals; ERISA preemption, health information technology, employer wellness programs, employer plan fees, retiree health, repeal or delay of transitional reimbursement fee (H.R. 3489/S. 2253).

Client expense: $2,490,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Railroad Administration, Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Highway Traffic Safety Administration (NHTSA), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, Pipeline & Hazardous Materials Safety Administration, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 3489, a bill that would repeal the health care laws reinsurance fee "Belly Button Tax" Transitional Reinsurance Fee Transitional Reinsurance Program Health Care Fairness and Stability Act of 2014 (S.2253)

Client expense: $150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ACA implementation. "Medicare Prescription Drug Program Integrity and Transparency Act," S. 867. "Drug Quality and Security Act," H.R. 3204. "Medication Therapy Management Empowerment Act of 2013, HR. 1024, S. 557. "Healthcare Fairness and Stability Act," S.2253. "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.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE