Employee Health Care Protection Act of 2013

Support for Employee Health Care Protection Act, H.R.3522 Support for Lindsey Grahams/Jason Chaffetz Restoration of Americas Wire Act (anti-online gambling) Support for State Marriage Defense Act, H.R. 3829. Senator Ted Cruz and Senator Mike Lees State Marriage Defense Act, S.2024 Support for Congressmen Lipinski & C. Smiths No Taxpayer Funding for Abortion Act, H.R.7 Support for defunding or delay of ObamaCare legislation Support for Rep. Marsha Blackburns amendment delaying taxpayer subsidies for insurance plans that include elective abortion in the Affordable Care Act (ACA) until Jan.2015. Support for Congressman Franks Pain-Capable Unborn Child Protection Act, H.R.1797 Support for Congressman Forbes In God We Trust Resolution; H.Con.Res.13. Support for Respect for Rights of Conscience Act, H.R.1179 Support for Senator Rubio's Child Interstate Abortion Notification Act (CIANA) Support for Fisher Amendment No. 630 to S. Con Res (Fiscal Year 2014 Budget) protecting rights of conscience with respect to abortion in ObamaCare. Opposition to Shaheen Amendment No. 438 to S. Con Res (Fiscal Year 2014 Budget) to protect abortion rights and oppose conscience protection in ObamaCare. Support for Rubio Amendment No. 292 to S. Con Res (Fiscal Year 2014 Budget) to express the Sense of the Senate to enact Child Interstate Abortion Notification Act. Support for Cruz Amendment No. 202 to S. Con Res (Fiscal Year 2014 Budget) repealing pro-abortion ObamaCare law. Support for Cruz Amendment No. 702 to S. Con Res (Fiscal Year 2014 Budget) preventing taxpayer funding to the United Nations while any member nation forces citizens or residents of that nation to undergo involuntary abortions. Support for Senator Coburn's Preventing the Offering of Elective Coverage of Taxpayer-Funded-Abortion Action of 2013 (PROTECT Act.) Opposition to S. Con Res (Fiscal Year 2014 Budget) which included $1 trillion in tax increases and $3.7 trillion in spending. Support for H.R.940, the Health Care Conscience Rights Act. Support for the Defense of Marriage Act (DOMA) passed in 1996 and the efforts by the House of Representatives to defend DOMA before the Supreme Court. Support for Senator Vitter's S.138, Prenatal Nondiscrimination Act (PRENDA.) Support for Senator Vitter's S.135, Title X Abortion Provider Prohibition Act. Support for Senator Vitter's S. 137, Abortion Non-Discrimination Act of 2013. Opposition to S.47, Violence Against Women Reauthorization Act of 2013. Support for H.R.8, American Taxpayer Relief Act of 2013 Support for Senator Graham's S.13, Abstinence Education Reallocation Act. Support for Congressman Hultgren's H.R.718, Abstinence Education Reallocation Act. Support for Congresswoman Blackburn's H.R.61,Title X Abortion Provider Prohibition Act of 2013. Opposition to federal tax dollars for abortion. Federal funding for pro-marriage and pro-family initiatives. Social Security reform Increasing abstinence funding

Client expense: Not reported · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), HOUSE OF REPRESENTATIVES, SENATE

Monitored HR 344, the Competitive Health Insurance Act Monitored HR 1254, to repeal a requirement that new employees of certain employers be automatically enrolled in their employers health benefit plans Monitored HR 1326, the Health Care Price Transparency Act Monitored HR 1342, to Helping Save Americans Health Care Choices Act Monitored HR 1558, to lower health premiums and increase choice for small business Monitored HR 1990/S 983, the Keep the IRS Off Your Health Care Act Monitored HR 2667, the Authority for Mandate Delay Act Monitored HR 2700, the Health Care Waiver Fairness Act Monitored HR 3046, the Small Business Health Care Tax Credit Improvement Act Monitored HR 4244, the Small Business Health Insurance Affordability Act Monitored S 24, the Small Business Health Relief Act Monitored S 479, the Health Insurance Rate Review Act Monitored S 560, to construe the Individual Mandate of the Patient Protection and Affordable Care Act as a tax Monitored S 610, the Family Health Care Flexibility Act Monitored S 603, the Jobs and Premium Protection Act Monitored S 701, modifying the definition of full time employee for the purposes of the Patient Protection and Affordable Care Act Monitored HR 762, the Health Care Choice Act Monitored S 1154/HR 2938, the Exchange Sunset Act Monitored HR 3350, the Keep Your Health Plan Act Monitored S 1735/HR 3462, the Self-insurance Protection Act Monitored HR 3522, the Employee Health Care Protection Act Monitored S 1894, the Health Insurance Accountability Act Supported S 2205, the Small Business Fairness in Health Care Act

Client expense: $120,000 · Firm income: Not reported

Government targets: Bureau of Land Management (BLM), HOUSE OF REPRESENTATIVES, SENATE, U.S. Forest Service

Support the proposed extension of the Terrorism Risk Insurance Act, specifically HR 4871 and S2244, including support for the National Assoc. of Registered Agents and Brokers Reform Act, as included in S2244 and H.R.4871. 
Monitor issues re implementation of health insurance reform, specifically retaining a private sector role for insurance brokers in health care reform & employee benefits and efforts to delay ACA mandates and changes to the 30 hour full-time work definition. Support for HR3462 -- Self-Insurance Protection Act and efforts to repeal the Cadillac Tax. Monitor H.R. 3522 the Employee Health Care Protection Act.
Monitor efforts to make changes in the Dodd-Frank Act, as they may relate to insurance. Issues related to implementing the law modernizing the regulation of surplus lines insurance. Monitor the activities of the Federal Insurance Office and the development of insurance modernization proposals. 
Monitor and/or provide information regarding cyber security issues, particularly HR3696 the National Cybersecurity and Critical Infrastructure Protection Act. Monitor issues related to possible tax proposals, particularly those affecting insurance.
Oppose efforts by IRS to include property insurance under the terms of Foreign Account Tax Compliance Act. Monitor legislation regarding expatriate health care coverage, particularly HR4414.
Oppose amendments to the National Defense Authorization Act that would provide for a government takeover of the private sector role under the Defense Base Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

Tracked proposed changes to the federal Affordable Care Act, including proposals to change requirements regarding employer reporting obligations, automatic enrollment of employees, delay of employer mandate provisions, and the 30-hour threshold triggering the employer mandate, including HR 1254, the Auto Enroll Repeal Act; HR 2575, the Save American Workers Act; HR 2667, the Authority for Mandate Delay Act; HR 2988 and S 1188, the Forty Hours is Full Time Act; HR 3522, the Employee Health Care Protection Act; and S 2176, the Commonsense Reporting Act.

Client expense: $10,000 · Firm income: Not reported

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

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

PL-111-148, Patient Protection and Affordable Care Act: multi-employer health plans, state exchanges, implementation, calls, research. H.R. 4414, Expatriate health Coverage Clarification Act: Provisions creating exemptions to Affordable Care Act requirements for employers and health plans, H.R. 5213, STARS Act: Provisions changing definition of seasonal employee for purposes of the Affordable Care Act employer responsibility requirement. S.2253, Healthcare Fairness and Stability Act of 2014: delay implementation S. 2461/H.R. 5364, CHIP Extension Act of 2014 S. 2176, CommonSense Reporting Act S. 2168, Small Business Stability Act: provisions relating to changing definition of large employer for the purpose of employer. S. 1188/H.R. 2575, Forty Hours if Full Time Act of 2013: provisions relating to changing definition of full-time employment, provisions that would increase threshold for full-time work to 40 hours per week. H.R. 4775, Safeguarding Classrooms Hurt by ObamaCare's Obligatory Levies: provisions relating to exemption of educational employees from ACA. H.R. 5298, Student Job Protection Act of 2014: Provisions exempting institutions of higher learning from the requirement to offer health insurance coverage to full-time students working more than 30 hours a week for the institution. S. 2434 Family Coverage Act: provisions affecting access to health care exchange for subsidies for spouses and dependents. H.R. 3522, Employee Health Care Protection Act of 2013 H.R. 1286, Paid Sick Days Executive Order 13673, Fair Pay and Safe Workplace: safety and health Repeal of the Affordable Care Act excise tax on high cost plans: provisions repealing the excise tax on employer-based high cost health plans. Ebola: Safety and health precautions, emergency supplemental funding, protecting workers during outbreak, White House response.

Client expense: $820,000 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Commerce, Dept of (DOC), Council of Economic Advisers (CEA), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of the Vice President of the United States, Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), 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

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

Health care reform implementation; Medicare; Medicaid; Repealing the Affordable Care Act; Health Coverage Tax Credit; Save American Workers Act of 2013 (H.R. 2575); Children's Health Insurance Program, Employee Health Care Protection Act (H.R. 3522); Safeguarding Classrooms Hurt by ObamaCare's Obligatory Levies (H.R. 4775).

Client expense: $478,000 · Firm income: Not reported

Government targets: Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Housing Finance Agency (FHFA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Highway Traffic Safety Administration (NHTSA), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR), White House Office

Affordable Care Act Implementation Cadillac Tax H.R. 2667, Authority for Mandate Delay Act of 2013 H.R. 3522, Employee Health Care Protection Act H.R. 45, to repeal Patient Protection and Affordable Care Act The Small Business Healthcare Relief Act of 2014

Client expense: $3,560,000 · 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), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Export-Import Bank of the United States (EXIM Bank), Farm Credit Administration, Federal Bureau of Investigation (FBI), Federal Deposit Insurance Corporation (FDIC), Federal Housing Finance Agency (FHFA), Federal Reserve System, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), 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), Pipeline & Hazardous Materials Safety Administration, SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Health care reform implementation; Medicare; Medicaid; Repealing the Affordable Care Act; Health Coverage Tax Credit; Save American Workers Act of 2013 (H.R. 2575); Children's Health Insurance Program, Employee Health Care Protection Act (H.R. 3522); Safeguarding Classrooms Hurt by ObamaCare's Obligatory Levies (H.R. 4775).

Client expense: $478,000 · Firm income: Not reported

Government targets: Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Housing Finance Agency (FHFA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Highway Traffic Safety Administration (NHTSA), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR), White House Office

See attached addendum for General Lobbying Issue Area: HCR - HealthcareAffordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Centralized All-Payer Database Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers; MLR Broker Fees: Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management 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 FEHBP Modernization Act circulation draft President's budget, regional PPOs, government contributions HR 2667 Introduced by Griffin (R-AR) on July 11, 2013 Authority for Mandate Delay Act HR 2668 Introduced by Young (R-IN) on July 17, 2013 Fairness for Families Act Bailouts for Insurance Companies, S. 1726, H.R. 3541, 3812, 3851. 4406 HR 2328 Introduced in House June 12, 2013 Rep. Rogers, Mike J. (R-MI) Access to Professional Health Insurance Advisors Act of 2013 - Amends the Public Health Service Act to exclude remuneration paid for licensed independent insurance producers from administrative cost calculations for purposes of calculating the medical-loss ratio of a health insurance plan. HR 3541 introduced by Tim Griffin November 19,2013 Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. Other general Affordable Care Act topics related to multiple parts of legislation: ACA Implementation and back-end issues; Multi-State Plan Program Implementation; Risk Corridors and Risk Mitigation; Reinsurance; Small Business Health Options Program (SHOP) implementation; Third-party payment of premiums; Electronic Health Records (EHRs); Health IT Roadmap; Contraception Rule; Expatriate Legislation. See following page on Health Care Reform issuesS. 1486 Introduced August 1, 2013 by Sen. Carper, Thomas R. (D-DE) Postal Reform Act of 2013 - Amends provisions of federal law relating to the funding of the U.S. Postal Service (USPS) retirement and health care systems, operations, revenue, and governance.. Section 104 Substitute Amendment. HR 3362 Introduced October 29, 2013 by Rep. Terry, Lee (R-NE) Exchange Information Disclosure Act - Amends the Patient Protection and Affordable Care Act to expand reporting requirements related to health care exchanges. Requires the Secretary of Health and Human Services (HHS) to publish reports weekly through March 31, 2015, on: (1) consumer interactions with healthcare.gov or subsequent sites and any efforts undertaken to remedy problems that impact taxpayers and consumers, (2) calls to the federal customer service call center, including the number of calls received by the call center, problems identified by users, and referrals of those calls; (3) all navigators and certified application counselors that have been trained and certified by health care exchanges; and (4) all agents and brokers who have been trained and certified by the federal health care exchange. HR 762 Introduced in House February 15, 2013 by Rep. Blackburn, Marsha (R-TN) Health Care Choice Act of 2013 - Repeals the health insurance and health coverage expansion requirements of the Patient Protection and Affordable Care Act and related requirements of the Health Care and Education Reconciliation Act of 2010. Restores provisions of law amended or repealed by such provisions. HR 1701 Introduced April 24, 2013 by Ted Poe (R-TX) Cutting Costly Codes Act of 2013 - Prohibits the Secretary of Health and Human Services (HHS) from implementing, administering, or enforcing specified regulations insofar as they would replace International Classification of Diseases (ICD)-9 with ICD-10 as a standard for code sets for appropriate data elements for financial and administrative transactions involving the electronic exchange of health information. HR 3985 Introduced February 3, 2014 by Lynn Westmoreland (R-GA) Prohibits health insurance issuers and third-party administrators, for any period after December 31, 2014, from being required to make payments under the Patient Protection and Affordable Care Act (PPACA) for a transitional reinsurance program for the individual health insurance market in each state. Allows payments to issuers, as limited by this Act, only to the extent of available funds. Limits to 2014 the applicability of the program of risk corridors, under which a qualified health plan offered in the individual or small group market shall participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums . HR 4496 Introduced April 28, 2014 by Cory Gardner (R-CO) Covering People With Pre-Existing Conditions Act of 2014 - Requires each state to mitigate the health costs of high risk individuals in the state through a state reinsurance program or a state high risk pool HR 4777 Introduced May 30, 2014 by Michael Burgess (R-TX) To amend the Internal Revenue Code of 1986 to modify rules relating to health savings accounts. HR 3522 Introduced November 18, 2013 by Bill Cassidy (R-LA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes. HR 5214 Introduced July 28, 2014 by Pete Olsen (R-TX) To require the Secretary of Health and Human Services to provide for recommendations for the development and use of clinical data registries for the improvement of patient care. See following page on Health Care Reform issuesHR 3750 Introduced December 12, 2013 by Donna Matsui (D-CA) Telehealth Modernization Act of 2013 - Calls for states to authorize health care professionals to deliver health care to individuals through telehealth and to consider adopting conditions under which such a professional should: have access to the individual's medical history. HR 4633 Introduced May 9, 2014 by H. Griffith (R-VA) Insurance Rate Transparency Act - Amends the Public Health Service Act to require that specific health insurance premium increase information submitted to the Secretary of Health and Human Services (HHS) be disclosed to Congress no later than 30 days after receipt of the information. HR 5453 Introduced September 11, 2014 by Bruce Braley (D-IA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes.

Client expense: $2,030,000 · 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

Oppose sequestration cuts which will disproportionately affect family planning services for low income women. Oppose budget cuts that threaten services to populations with unequal access to high quality health care. Support full implemantation of the 2010 Affordable Care Act; oppose efforts to repeal it. Oppose Cruz amendment to S Con Res 8 Support the inclusion of the Healthy Food Financing Initiative (HFFI) amendment in H. R. 1947 / S. 954Support $600 million from oil and gas revenues be invested in the Land and Water Conservation Fund and that the program be fully funded by 2015. Support continued funding for federal programs that are aimed at addressing racial and ethnic health disparities, including the Racial and Ethnic Approaches to Community Health (REACH) Program ($8.59 million increase of $63.49 million for the REACH program); the Office of Minority Health (OMH) at the U.S. Department of Health and Human Services ($55.8 million in FY 2014); the Area Health Education Centers (AHEC) program ($42.5 million in FY 2014); and the Health Careers Opportunity Program (HCOP). Also support $42.5 million for the HSS Office of Civil Rights in FY 2014; $283.3 million for the National Institute on Minority Health and Health Disparities in FY 2014; $520 million for Title VII and Title VIII of the Public Health Service Act n FY 2014; $327 million for Title X of the Public Health Service Act in FY 2014; $1.58 billion level discretionary funding in addition to maintaining all funds available through the mandatory Health Center Fund for Community Health Centers in FY 2014; $2.668 billion for the Ryan White Program in FY 2014; and a sufficient in amount to meet data collection objectives across HHS agencies, divisions, and programs in FY 2014. Support $7.9 billion in FY 2014 from the Department of Health and Human Services for Head Start activities. Oppose H.R. 2667. Oppose H.R. 2668. Support full implememntation of the 2010 Affordable Care Act. Oppose H.R. 45. Oppose Schweikert amendment to H.R. 1947 striking funds for the Healthy Food Financing Inititative. Ensure the full implememtation of the Affordable Care Act in Mississippi. Oppose H.R. 2775. Oppose H.R. 2009. Oppose H.R. 367. Stated that in response to questions regarding Section 1557 of the Afordable Care Act that the burdens of costly health care are not distributed evenly. Rather, they fall disproportionately on communities of color, which are more likely to experience higher rates of unemployment, to have jobs that do not have health insurance, and to have lower incomes that put higher insurance premiums out of their financial reach. Support Health Care Equity, especially as it applies to racial and ethnic minorities. Support the recommendation by the US Preventative Services Task Force on Lung Cancer Screening, giving such screening a favorable grade of B. Urged the Department of Health and Human Service's Office of Civil Rights (OCR) to administer section 1557 of the Affordable Care Act, through robust implementation and enforcement mechanisms, in the final regulations that OCR promulgates. Support data about how new drugs and devices work in women, minorities, and older Americans be publicly available to patients, clinicians, and researchers on a consistent and reliable basis.Support for including the following programs in any year-end health extenders package: the Qualified Individual (QI) program, the Transitional Medical Assistance (TMA) program, and Express Lane Eligibility (ELE) as well as the state incentive payment provisions and funding for quality improvement in the Childrens Health Insurance Reauthorization Act (CHIPRA). Support Protecting Seniors from Medication Labeling Mistakes. Oppose HR 4118. Support a release of the enrollment in the Affordable Care Act disaggregated by age, race, ethnicity, and primary language. Support improving the Tax Code to advance cost-effective policies that can bolster healthy lifestyles in key populations, and hold promise for halting or reversing the nations costly and unsustainable obesity epidemic. Support bringing the Affordable Care Act into compliance with the National Voter Registration Act of 1993 (NVRA). Support coverage of lung cancer screening as a Medicare benefit consistent with the final favorable recommendation of the US Preventive Services Task Force (USPSTF) issued December 31, 2013. Support lifting the ban on federal funding for syringe services programs (SSPs). Support President Obama's Boys and Young Men of Color Initiave, amd urge the initiative to focus on the following principals: Promoting Healthy Children, Families and Communities; Ensuring Educational Opportunity; Decriminalizing Young People of Color; Creating ; Economic Opportunity; and Promoting and Protecting Civic and Community Engagement. Support H.R. 4765. Support coverage of lung cancer screening as a Medicare benefit consistent with the final favorable recommendation of the US Preventive Services Task Force (USPSTF) , which gave the process a "B" grade. Support requested funding for the Ryan White HIV / AIDS Program, which offers health services for people living with HIV / AIDS, be set at $2.32 billion. Support HR 4810. Support the Nadler (NY) Housing for Persons with AIDS amendment to HR 4745. Oppose H. Res. 676. Support the Capps (CA) motion to recommit H.R. 935. Oppose H.R. 935. Oppose HR 3522. Support the request to the FDA to extend the comment period in Docket No.FDA-2013-N-0500, RIN 0910-AG94, in order to hear from healthcare and other stakeholders including providers and leaders who serve female, racial and ethnic minority populations, constituencies and consumers and who could offer expertise, experience, and perspective. Support H.R. 5294.Support full funding in FY15 for the Racial and Ethnic Approaches to Community Health (REACH) Program, the Office of Minority Health (OMH) at the U.S. Department of Health and Human Services, the Area Health Education Centers (AHEC) program, and the Health Careers Opportunity Program (HCOP). Support S. 2841 / H.R. 5507. Support a four-year extension of the Childrens Health Insurance Program (CHIP). Support HR 4765. Oppose funding cuts to programs which provide care and treatment, prevention, housing and support services for people with HIV/AIDS. Support nomination of Vivek Hallegere Murthy to be the next Surgeon General of the United States. Support a reallocation of the payroll tax to support the Social Security disability fund. Oppose HR 4118 Support HR 3474 Support HR 3979 Oppose HR 2575 Oppose HR 3522

Client expense: $68,750 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), 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 Credit Union Administration (NCUA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Centralized All-Payer Database Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers; MLR Broker Fees: Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management 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. FEHBP Modernization Act circulation draft President's budget, regional PPOs, government contributions HR 2667 Introduced by Griffin (R-AR) on July 11, 2013 Authority for Mandate Delay Act HR 2668 Introduced by Young (R-IN) on July 17, 2013 Fairness for Families Act Bailouts for Insurance Companies, S. 1726, H.R. 3541, 3812, 3851, 4406 HR 2328 Introduced in House June 12, 2013 Rep. Rogers, Mike J. (R-MI) Access to Professional Health Insurance Advisors Act of 2013 - Amends the Public Health Service Act to exclude remuneration paid for licensed independent insurance producers from administrative cost calculations for purposes of calculating the medical-loss ratio of a health insurance plan. HR 3541 introduced by Tim Griffin November 19, 2013 Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ration of the allowable costs of the plan to the plan's aggregate premiums. Other general Affordable Care Act topics related to multiple parts of legislation: ACA Implementation and back-end issues; Multi-State Plan Program Implementation; Risk Corridors and Risk Mitigation; Reinsurance; Small Business Health Options Program (SHOP) implementation; Third-Party payment of premiums; Electronic Health Records (EHRs); Health IT Roadmap; Contraception Rule; Expatriate Legislation. S. 1486 Introduced August 1, 2013 by Sen. Carper,Thomas R. (D-DE) Postal Reform Act of 2013 - Amends provisions of federal law relating to the funding of the U.S.Postal Service (USPS) retirement and health care systems, operations, revenue, and governance. Section 104 Substitute Amendment. HR 3362 Introduced October 29, 2013 by Rep. Terry, Lee (R-NE) Exchange Information Disclosure Act - Amends the Patient Protection and Affordable Care Act to expand reporting requirements related to health care exchanges. Requires the Secretary of Health and Human Services (HHS) to publish reports weekly through March 31, 2015, on: (1) consumer interactions with healthcare.gov or subsequent sites and any efforts undertaken to remedy problems that impact taxpayers and consumers, (2) calls to the federal customer service call center, including the number of calls received by the call center, problems identified by users, and referrals of those calls; (3) all navigators and certified application counselors that have been trained and certified by health care exchanges; and (4) all agents and brokers who have been trained and certified by the federal health care exchange. HR 762 Introduced in House February 15, 2013 by Rep. Blackburn, Marsha (R-TN) Health Care Choice Act of 2013 - Prohibits the Secretary of Health and Human Services (HHS) from implementing, administering, or enforcing specified regulations insofar as they would replace International Classification of Diseases (ICD-9) with ICD-10 as a standard for code sets for appropriate data elements for financial and administrative transactions involving the electronic exchange of health information. HR 3985 Introduced February 3, 2014 by Lynn Westmoreland (R-GA) Prohibits health insurance issuers and third-party administrators, or any period after December 31, 2014, from being requirement to make payments under the Patient Protection and Affordable Care Act (PPACA) for a transitional reinsurance program for the individual health insurance market in each state. Allows payments to issuers, as limited by this Act, only to the extent of available funds. Limits to 2014 the applicability of the program of risk corridors, under which a qualified health plan offered in the individual or small group market shall participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. HR 4496 Introduced April 28, 2014 by Cory Gardner (R-CO) Covering People With Pre-Existing Conditions Act of 2014 - Requires each state to mitigate the health costs of high risk individuals in the state through a state reinsurance program or a state high risk pool. HR 4777 Introduced May 30, 2014 by Michael Burgess (R-TX) To amend the Internal Revenue Code of 1986 to modify rules relating to health savings accounts. HR 3522 Introduced November 18, 2013 by Bill Cassidy (R-LA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes. HR 5214 Introduced July 28, 2014 by Pete Olsen (R-TX) To require the Secretary of Health and Human Services to provide for recommendations for the development and use of clinical data registries for the improvement of patient care. HR 3750 Introduced December 12, 2013 by Donna Matsui (D-CA) Telehealth Modernization Act of 2013 - Calls for states to authorize health care professionals to deliver health care to individuals through telehealth and to consider adopting conditions under which such a professional should have access to the individual's medical history. HR 4633 Introduced May 9, 2014 by H. Griffith (R-VA) Insurance Rate Transparency Act - Amends the Public Health Service Act to require that specific health insurance premium increase information submitted to the Secretary of Health and Human Services (HHS) be disclosed to Congress no later than 30 days after receipt of the information. HR 5453 Introduced September 11, 2014 by Bruce Braley (D-IA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes.

Client expense: Not reported · Firm income: Not reported

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

HR 83 - Consolidated and Further Continuing Appropriations Act, 2015. HR 416 - Health Insurance Rate Review Act:A bill to amend the Public Health Service Act to provide protection for consumers against excessive, unjustified or unfairly discriminatory increases in premium rates. HR 979 - FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act: To amend chapter of title 5, United States Code to ensure program integrity, transparency and cost savings in the pricing and contracting of prescription drug benefits under the Federal Employees Health Benefits Program. HR 1370 - To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. HR 2577 - SAFE Data Act: A bill to protect consumers by requiring reasonable security policies and procedures to protect data containing personal information and to provide for nationwide notice in the event of a security breach. HR 2676 - Small Business Health Relief Act of 2011: To lower health premiums and increase choice for small business. HR 3350 - Keep your Health Plan Act of 2013: To authorize health insurance issuers to continue to offer for sale current individual health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes. HR 3522 - Employee Health Care Protection Act of 2013: To authorize health insurance issuers to continue to offer for sale current individual health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement and for other purposes. HR 3541 - Obamacare Taxpayer Bailout Prevention Act: To prevent a taxpayer bailout of health insurance issuers. HR 4805 - No subsidies Without Verification Process Act of 2014: To delay the provision of the Affordable Care Act premium and cost-sharing subsidies until the eligibility verification process for such subsidies is complete and for other purposes. HR 5214 - Clinical Data Registries: To require the Secretary of Health & Human Services to provide for recommendations for the development and use of clinical data registries for the improvement of patient care. HR 5364 - CHIP Extension & Improvement Act of 2014: To amend title XXI of the Social Security Act to extend and improve Childrens Health Insurance Program and for other purposes. S 24 - Small Business Health Relief Act of 2013: To lower health premiums and increase choice for small business. S 40 - American Liberty Restoration Act: To restore Americans individual liberty by striking the federal mandate to purchase insurance. S 482 - Health Insurance Rate Review Act: To amend the Public Health Service to provide protections for consumers against excessive, unjustified or unfairly discriminatory increases in premium rates. S 1726 - Obamacare Taxpayer Bailout Prevention Act: To prevent a taxpayer bailout of health insurance issuers. S 1729 - Expanded Consumer Choice Act: To amend the Patient Protection and Affordable Care Act to provide further options with respect to levels of coverage under qualified health plans. S 1880 - Jobs and Premium Protection Act: To repeal the annual fee on health care laws job-killing health insurance tax. S 2174 - Commonsense Competition and Access to Health Insurance Act: To amend the Patient Protection and Affordable Care Act to provide greater flexibility in offering health insurance coverage across state lines. S 2461 - CHIP Extension Act of 2014: Amend title XXI of the Social Security Act to extend & improve the Childrens Health Insurance Program and for other purposes. Department of Health & Human Services Implementation of Medical Loss Ratio arrangements; Implementation of health insurance exchanges; Implementation of Qualified Health Plans, Implementation Essential Health Benefits.

Client expense: $1,510,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Centralized All-Payer Database Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers; MLR Broker Fees: Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management 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 FEHBP Modernization Act circulation draft President's budget, regional PPOs, government contributions HR 2667 Introduced by Griffin (R-AR) on July 11, 2013 Authority for Mandate Delay Act HR 2668 Introduced by Young (R-IN) on July 17, 2013 Fairness for Families Act Bailouts for Insurance Companies, S. 1726, H.R. 3541, 3812, 3851. 4406 HR 3541 introduced by Tim Griffin November 19,2013 Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. Other general Affordable Care Act topics related to multiple parts of legislation: ACA Implementation and back-end issues; Multi-State Plan Program Implementation; Risk Corridors and Risk Mitigation; Reinsurance; Small Business Health Options Program (SHOP) implementation; Third-party payment of premiums; Electronic Health Records (EHRs); Health IT Roadmap;Contraception Rule; Expatriate Legislation. S. 1486 Introduced August 1, 2013 by Sen. Carper, Thomas R. (D-DE) Postal Reform Act of 2013 - Amends provisions of federal law relating to the funding of the U.S. Postal Service (USPS) retirement and health care systems, operations, revenue, and governance.. Section 104 Substitute Amendment. HR 4777 Introduced May 30, 2014 by Michael Burgess (R-TX) To amend the Internal Revenue Code of 1986 to modify rules relating to health savings accounts. HR 3522 Introduced November 18, 2013 by Bill Cassidy (R-LA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement,and for other purposes. HR 5214 Introduced July 28, 2014 by Pete Olsen (R-TX) To require the Secretary of Health and Human Services to provide for recommendations for the development and use of clinical data registries for the improvement of patient care. HR 5453 Introduced September 11, 2014 by Bruce Braley (D-IA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Issues, H.R. 3522- Employee Health Care Protection Act of 2014, H.R. 4414, H.R. 5364, H.R. 5533, S. 2461, S. 2859, S. 2578 - Protect Women's Health From Corporate Interference Act of 2014

Client expense: $227,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Issues relating to insurance regulatory reform and agent compensation; H.R. 1155, S. 534, S. 650, H.R. 2328, S. 2175, S. 2173, S. 1926, H.R. 4871, S.2244. Issues related to the implementation of the Dodd-Frank Wall Street Reform Act of 2010; H.R. 1627, H.R. 2374, H.R. 797, H.R. 4510, H.R. 5461, S. 2102, S. 2270. Issues related to the implementation of of the Patient Protection and Affordable Care Act; H.R. 544, H.R. 2995, H.R. 2575, S. 1926, S. 1188, H.R. 4418, H.R. 3522, S. 2808. Issues related to terrorism risk insurance; H.R. 508, H.R. 2146, H.R. 4871, S. 2244. Issues related to flood risk insurance; H.R. 3370, S. 1846, S. 1926. Issues related to the regulation of insurance competition, products with guarantees, individual and employer owned policies, and fiduciary-client relationships; H.R. 2374. Issues related to capital standards for insurance providers; H.R. 4510, H.R. 5461, S. 2102. S. 2270.

Client expense: $708,090 · 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, Securities & Exchange Commission (SEC), Treasury, Dept of

Issues related to agent compensation; ; H.R. 1155, S. 534, S. 650, H.R. 2328, S. 2175, S. 2173. Issues related to the implementation of the Patient Protection and Affordable Care Act; H.R. 544, H.R. 2995, H.R. 2575, S. 1188, H.R. 4418, H.R. 3522, S. 2808. Issues related to HSA/FSA reform; H.R. 2194, S. 1031. Issues related to the McCarran-Ferguson anti-trust exemption; H.R. 743.

Client expense: $708,090 · 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, Securities & Exchange Commission (SEC), Treasury, Dept of

Insurance Marketplaces. H.R. 3522, Employee Health Care Protection Act of 2013: provisions allowing health insurers to continue offering group health insurance coverage outside of the insurance marketplaces established by the Affordable Care Act, even if the coverage does not comply with its coverage requirements.

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Economic Council (NEC), Office of Management & Budget (OMB), President of the U.S., SENATE, Social Security Administration (SSA), Treasury, Dept of, Vice President of the U.S.

Support the proposed extension of the Terrorism Risk Insurance Act, specifically HR 4871 and S2244, including support for the National Assoc. of Registered Agents and Brokers Reform Act, as included in S2244 and H.R.4871. 
Monitor issues re implementation of health insurance reform, specifically retaining a private sector role for insurance brokers in health care reform & employee benefits and efforts to delay ACA mandates and changes to the 30 hour full-time work definition. Support for HR3462 -- Self-Insurance Protection Act and efforts to repeal the Cadillac Tax. Monitor H.R. 3522 the Employee Health Care Protection Act.
Monitor efforts to make changes in the Dodd-Frank Act, as they may relate to insurance. Issues related to implementing the law modernizing the regulation of surplus lines insurance. Monitor the activities of the Federal Insurance Office and the development of insurance modernization proposals. 
Monitor and/or provide information regarding cyber security issues, particularly HR3696 the National Cybersecurity and Critical Infrastructure Protection Act. Monitor issues related to possible tax proposals, particularly those affecting insurance.
Oppose efforts by IRS to include property insurance under the terms of Foreign Account Tax Compliance Act. 
Oppose amendments to the National Defense Authorization Act that would provide for a government takeover of the private sector role under the Defense Base Act.

Client expense: Not reported · Firm income: Not reported

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

Support for Employee Health Care Protection Act, H.R.3522 Support for Lindsey Graham's/Jason Chaffetz' "Restoration of America's Wire Act" (anti-online gambling) Support for "State Marriage Defense Act," H.R. 3829. Senator Ted Cruz and Senator Mike Lee's "State Marriage Defense Act", S.2024Support for Congressmen Lipinski & C. Smiths No Taxpayer Funding for Abortion Act, H.R.7 Support for defunding or delay of ObamaCare legislation Support for Rep. Marsha Blackburns amendment delaying taxpayer subsidies for insurance plans that include elective abortion in the Affordable Care Act (ACA) until Jan.2015. Support for Congressman Franks Pain-Capable Unborn Child Protection Act, H.R.1797 Support for Congressman Forbes In God We Trust Resolution; H.Con.Res.13. Support for Respect for Rights of Conscience Act, H.R.1179 Support for Senator Rubio's Child Interstate Abortion Notification Act (CIANA) Support for Fisher Amendment No. 630 to S. Con Res (Fiscal Year 2014 Budget) protecting rights of conscience with respect to abortion in ObamaCare. Opposition to Shaheen Amendment No. 438 to S. Con Res (Fiscal Year 2014 Budget) to protect abortion rights and oppose conscience protection in ObamaCare. Support for Rubio Amendment No. 292 to S. Con Res (Fiscal Year 2014 Budget) to express the Sense of the Senate to enact Child Interstate Abortion Notification Act. Support for Cruz Amendment No. 202 to S. Con Res (Fiscal Year 2014 Budget) repealing pro-abortion ObamaCare law. Support for Cruz Amendment No. 702 to S. Con Res (Fiscal Year 2014 Budget) preventing taxpayer funding to the United Nations while any member nation forces citizens or residents of that nation to undergo involuntary abortions. Support for Senator Coburn's Preventing the Offering of Elective Coverage of Taxpayer-Funded-Abortion Action of 2013 (PROTECT Act.) Opposition to S. Con Res (Fiscal Year 2014 Budget) which included $1 trillion in tax increases and $3.7 trillion in spending. Support for H.R.940, the Health Care Conscience Rights Act. Support for the Defense of Marriage Act (DOMA) passed in 1996 and the efforts by the House of Representatives to defend DOMA before the Supreme Court. Support for Senator Vitter's S.138, Prenatal Nondiscrimination Act (PRENDA.) Support for Senator Vitter's S.135, Title X Abortion Provider Prohibition Act. Support for Senator Vitter's S. 137, Abortion Non-Discrimination Act of 2013. Opposition to S.47, Violence Against Women Reauthorization Act of 2013. Support for H.R.8, American Taxpayer Relief Act of 2013 Support for Senator Graham's S.13, Abstinence Education Reallocation Act. Support for Congressman Hultgren's H.R.718, Abstinence Education Reallocation Act. Support for Congresswoman Blackburn's H.R.61,Title X Abortion Provider Prohibition Act of 2013. Opposition to federal tax dollars for abortion. Federal funding for pro-marriage and pro-family initiatives. Social Security reform Increasing abstinence funding

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for Employee Health Care Protection Act, H.R.3522 Support for Congressmen Lipinski & C. Smiths No Taxpayer Funding for Abortion Act, H.R.7 Support for defunding or delay of ObamaCare legislationSupport for Rep. Marsha Blackburns amendment delaying taxpayer subsidies for insurance plans that include elective abortion in the Affordable Care Act (ACA) until Jan.2015. Support for Congressman Franks Pain-Capable Unborn Child Protection Act, H.R.1797 Support for Congressman Forbes In God We Trust Resolution; H.Con.Res.13. Support for Respect for Rights of Conscience Act, H.R.1179 Support for Senator Rubio's Child Interstate Abortion Notification Act (CIANA) Support for Fisher Amendment No. 630 to S. Con Res (Fiscal Year 2014 Budget) protecting rights of conscience with respect to abortion in ObamaCare. Opposition to Shaheen Amendment No. 438 to S. Con Res (Fiscal Year 2014 Budget) to protect abortion rights and oppose conscience protection in ObamaCare. Support for Rubio Amendment No. 292 to S. Con Res (Fiscal Year 2014 Budget) to express the Sense of the Senate to enact Child Interstate Abortion Notification Act. Support for Cruz Amendment No. 202 to S. Con Res (Fiscal Year 2014 Budget) repealing pro-abortion ObamaCare law. Support for Cruz Amendment No. 702 to S. Con Res (Fiscal Year 2014 Budget) preventing taxpayer funding to the United Nations while any member nation forces citizens or residents of that nation to undergo involuntary abortions. Support for the Johnson Amendment No. 113 to S. Con Res (Fiscal Year 2014 Budget) to force Congress to ensure solvency of the Social Security and Medicate programs. Support for the Crapo Amendment No. 222 to S. Con Res (Fiscal Year 2014 Budget) to repeal tax increases under ObamaCare on low and middle-income Americans. Support for the Sessions Amendment No. 614 to S. Con Res (Fiscal Year 2014 Budget) to prohibiting illegal immigrants granted legal status from qualifying for fed subsidized health care. Support for Coburn Amendment No. 673 to S. Con Res (Fiscal Year 2014 Budget) to sunset the provision in ObamaCare that increases payments to hospitals in a few States by reducing payments to the majority of States through the Medicare hospital wage index. Support for H.R.940, the Health Care Conscience Rights Act. Support for Senator Vitter's S.138, Prenatal Nondiscrimination Act (PRENDA.) Support for Senator Vitter's S.135, Title X Abortion Provider Prohibition Act. Support for Senator Vitter's S. 137, Abortion Non-Discrimination Act of 2013. Support for Senator Coburn's Preventing the Offering of Elective Coverage of Taxpayer-Funded-Abortion Action of 2013 (PROTECT Act.)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H. J. Res. 124 Continuing Appropriations Resolution of 2015 Bill would fund federal agencies at FY2014 levels, continuing projects and activities of the Federal Government through Dec. 11, 2014; would authorize the training and arming of Syrian rebels fighting Islamic State of Iraq and the Levant (ISIL) forces; extends the Internet Tax Freedom Act through Dec. 11, 2014 as well as the Export-Import Bank of the United States until June 2015. NSBA supports.H.R. 4 Jobs for America Act A compilation of 14 bills that would make revisions to federal law to improve the conditions necessary for economic growth and job creation including several business tax extender provisions: Section 179 expensing, bonus depreciation, research and experimentation tax credit, among others. NSBA supports. H.R. 2 American Energy Solutions for Lower Costs and More American Jobs Act A compilation of 13 bills that would remove federal government obstacles to the production of more domestic energy; to ensure transport of that energy reliably to businesses, consumers, and other end users; to lower the cost of energy to consumers; to enable manufacturers and other businesses to access domestically produced energy affordably and reliably in order to create and sustain more secure and well-paying American jobs; and for other purposes. NSBA supports sections of the bill. H.R. 25 Fair Tax Act of 2013 Legislation to abolish the Internal Revenue Service and enact a national retail sales tax. NSBA supports. H.R. 375 Made in America Manufacturing Act of 2013 - Directs the Secretaries of Commerce and Labor to establish a program for the joint award of incentive grants to a state or a regional partnership to support the U.S. manufacturing industry, among other things. NSBA supports. H.R. 688 Credit Union Small Business Jobs Creation Act of 2013 - Increases the credit union member business lending limit from 12.25 percent to 27.5 percent, among other things. NSBA supports. H.R. 701 Bill amends a provision of the Securities Act of 1933 to direct the Securities and Exchange Commission to add a particular class of securities to those exempted under the Act and to provide a deadline for doing so. NSBA supports. H.R. 763 The Jobs and Premium Protection Act Bill will act to amend the PPACA to repeal provisions imposing an annual fee on health insurance providers. NSBA supports. H.R. 803 Workforce Innovation and Opportunity Act Bill seeks to modernize and improve existing federal workforce development programs and ensure businesses find the skilled employees they need to compete and create jobs in the U.S. NSBA supports. H.R. 1002 Fair Access to Credit Scores Act of 2013 Provides consumers with free access to their credit scores along with free access to their credit reports once each year. NSBA supports. H.R. 1062 SEC Regulatory Accountability Act Bill requires the SEC to undertake an enhanced cost-benefit analysis before adopting any new regulations. NSBA supports. H.R. 1072 Freedom from Government Competition Act - Requires each executive or military department or independent establishment to obtain all goods and services necessary for or beneficial to the accomplishment of its authorized functions by procurement from private sources, with certain exceptions. NSBA supports. H.R. 1120 Preventing Greater Uncertainty in Labor-Management Relations Act Bill would prohibit the National Labor Relations Board from taking any action that requires a quorum of the members of the Board until such time as Board constituting a quorum shall have been confirmed by the Senate. NSBA supports. H.R. 1127 Rebuild American Manufacturing Act of 2013 Bill directs President to develop a comprehensive national manufacturing strategy. NSBA supports. H.R. 1219 Gulf Fisheries Fairness Act Bill would increase state water boundaries to 120 feet or 9 nautical miles (whichever is greater) and gives states greater control over their reef fisheries to open up more waters for commercial and recreational fishermen. NSBA supports. H.R. 1240 - Commercial Real Estate and Economic Development (CREED) Act of 2013, which will extend for five years the low-interest refinancing provisions under the Local Development Business Program of the Small Business Administration (SBA). NSBA supports. H.R. 1321 Small Business Paperwork Relief Act Bill would suspend civil fines for first-time paperwork violations by small business concerns unless there is potential for serious harm to the public interest and other relevant conditions. NSBA supports. H.R. 1557 Plain Writing Act for Regulations for 2013 Bill requires all new or substantially revised federal regulations to be written in clear, concise and easy to understand, or plain language. NSBA supports. H.R. 1616 - Energy Savings and Industrial Competitiveness Act - Bill would promote energy savings in residential and commercial buildings and industry, and for other purposes. NSBA supports. H.R. 1772 The Legal Workforce Act Bill would make the use of E-Verify mandatory for new hires and impose severe employer penalties. NSBA opposes. H.R. 1773 The Agricultural Guestworker Act Bill would create a simplified and expanded agricultural guest worker program. NSBA supports.H.R. 1909 Export Coordination Act of 2013 Bill would establish stronger congressional oversight and coordination of trade assistance across 20 agencies. NSBA supports. H.R. 1916 TRADE (Transparent Rules Allow Direct Exporting) for Small Businesses and Jobs Act Bill is directed at helping SMEs stay current on changing foreign regulations. It requires Commerce (via MAC) to publish changes in tariff/non-tariff and technical barriers on export.gov or a successor website. NSBA supports. H.R. 1926 State Trade Coordination Act of 2013 Bill would establish the framework to ensure that federal and state trade agencies work in unison to assist their local exporters. NSBA supports. H.R. 2131 The Supplying Knowledge Based Immigrants and Lifting Levels of STEM Visas Act Bill would allocate green cards to foreign graduates of U.S. universities with advanced degrees in science, technology, engineering, and math (STEM) fields, increase H-1B visas, repeal the employment-based per-country cap, establish a new entrepreneur visa program and strengthen the investor visa program. NSBA supports. H.R. 2263 Export-Import Bank Termination Act Bill to abolish the Export-Import Bank of the United States three years after enactment of this Act. NSBA opposes. H.R. 2274 Small Business Mergers, Acquisitions, Sales and Brokerage Simplification Act of 2013 Bill would allow merger and acquisition brokers who perform services in connection with the transfer of ownership of smaller privately held companies to register with the SEC by filing an electronic notice. NSBA supports. H.R. 2419 Small Business Credit Card Act of 2013 Bill further protects small-business owners credit cards from unfair and deceptive practices of credit card companies. NSBA supports. H.R. 2429 Death Tax Repeal Act of 2013 Bill amends the Internal Revenue Code to: (1) repeal the estate and generation-skipping transfer taxes, and (2) make permanent the maximum 35% gift tax rate and a $5 million lifetime gift tax exemption. Provides for an inflation adjustment to such exemption amount. NSBA supports. H.R. 2582 PATENT Jobs Act Bill exempts USPTO from Presidential Sequestration Order issued on March 1, 2013. NSBA supports. H.R. 2775 Continuing Appropriations Act of 2014 The final version of the bill makes continuing appropriations through January 15, 2014, thus ending the government shutdown, and increases the debt limit through February 7, 2014. NSBA supports. H.R. 3522 Employee Health Care Protection Act of 2013 Bill would allow health insurance plans that were offered in 2013 to continue being offered through 2018. It treats such coverage as a grandfathered health plan for purposes of an individual meeting the requirement to maintain minimum essential health coverage. NSBA supports. H.R. 3826 Electricity Security and Affordability Act Bill proposes reasonable alternatives to EPAs proposed rule regulating carbon pollution from new and soon to be released rule regarding existing power plants. NSBA supports. H.R. 3830 Bipartisan Congressional Trade Priorities Act of 2014 Bill will restore the presidents authority to negotiate trade deals by including strict requirements for Congressional consultations and access to information . NSBA supports. H.R. 4093 Greater Opportunities for Small Business Act of 2014 Bill would increase the small business prime contracting goal to 25% and the small business subcontracting goal to 40%. NSBA supports. H.R. 4429 Permanent Active Financing Exception Act of 2014 Bill would amend the Internal Revenue Code to allow the deferral of tax on certain income earned in foreign companies when calculating taxable income. NSBA supports. H.R. 4438 American Research and Competitiveness Act of 2014 Bill amends the Internal Revenue Code of 1986 to simplify and make permanent the research credit. NSBA supports. H.R. 4453 S Corporation Permanent Tax Relief Act of 2014 -- To amend the Internal Revenue Code of 1986 to make permanent the reduced recognition period for built-in gains of S corporations. NSBA supports. H.R. 4454 Permanent S Corporation Charitable Contributions Act of 2014 -- Bill would amend the Internal Revenue Code to make permanent a rule that expired at the end of 2013 that defines how a shareholder in an S corporation adjusts the basis of that S corporation stock to account for that corporations contributions of property to charity. NSBA supports. H.R. 4457 Americas Small Business Tax Relief Act of 2014 The legislation would make permanent section 179 expensing and allow businesses to deduct up to $500,000 annually in expenses incurred buying machinery, equipment, computer software, and similar items. NSBA supports. H.R. 4464 Permanent CFC Look-Through Act of 2014 Bill would amend the Internal Revenue Code to make permanent the look-through rule that applied to the taxable years of foreign corporations beginning after Dec. 31, 2005 and before Jan. 1, 2014. This treatment would be permanently effective for taxable years beginning after Dec. 31, 2013. NSBA supports.H.R. 4718 Bill amends the Internal Revenue Code to make permanent the additional 50% depreciation allowance (bonus depreciation) for qualified property placed in service after Dec.31, 2013 and modifies the definition of "qualified property" to include qualified retail improvement property. NSBA supports. H.R. 5034 Stop the EPA Act of 2014 Bill amends title 5 of the U.S. Code to provide for certain special congressional review procedures for the rulemaking of the Environmental Protection Agency (EPA) to require: (1) a retroactive review of all past EPA regulations, (2) any regulation with an economic impact over $50 million must be sent to Congress for approval, (3) regulations that are not approved by Congress to no longer be law, (4) all new proposed regulations with an economic impact over $50 million must be approved by Congress before they take affect and (5) no new proposed regulations until the retroactive review is completed and Congress acts to approve it. NSBA supports. H.R. 5154 Open Government Technology Work to More Businesses Act A bill to direct the Small Business Administration (SBA) to make rules that simplify, streamline, and digitize the registration process small businesses use to be considered for Federal contracts. NSBA supports. H.R. 5184 National Regulatory Budget Act of 2014 Bill would provide for a national regulatory budget process where Congress would establish regulatory cost caps for each federal agency. NSBA supports. H.R. 5599 Small Business Loan Simplification Act -- Bill would clarify that the use of electronic signatures and records in SBA loan and related financing programs is permitted. NSBA supports. S. 63 Made in America Manufacturing Act - Directs the Secretaries of Commerce and Labor to establish a program for the joint award of incentive grants to a state or a regional partnership to support the U.S. manufacturing industry. NSBA supports. S. 196 Assuring Contracting Equity Act of 2013 Increases govt wide contracting goal for small biz from 23% to 25 percent and requires federal agencies to consult with SBA to determine standards for procurement officers to follow re: past compliance of potential contractors with small business subcontracting goals. NSBA supports. S. 289 Commercial Real Estate and Economic Development (CREED) Act of 2013, which will extend for five years the low-interest refinancing provisions under the Local Development Business Program of the Small Business Administration (SBA). NSBA supports. S. 310 Startup Act 3.0 - This bill seeks to provide capital gains and income tax incentives to incentivize entrepreneurs and facilitate the growth of new start-ups, creates a new STEM visa for up to foreign students and establishes a new category of visas for immigrant entrepreneurs. NSBA supports. S. 320 Closing Regulatory Loopholes Act of 2013 Bill would require Congressional review over federal agency guidance documents and major guidance documents prior to implementation. NSBA supports. S. 450 Financial Regulatory Responsibility Act of 2013 Bill requires enhanced cost-benefit analysis and justification for certain regulations proposed by federal banking, securities, commodities, and housing regulators. NSBA supports. S. 471 Fair Access to Credit Scores Act of 2013 - Provides consumers with free access to their credit scores along with free access to their credit reports once each year. NSBA supports. S. 544 Rebuild American Manufacturing Act of 2013 - Bill directs President to develop a comprehensive national manufacturing strategy. NSBA supports. S. 603 The Jobs and Premium Protection Act The legislation would repeal the annual fee on health insurance providers enacted by the PPACA. NSBA supports. S. 718 Increasing American Jobs Through Greater Exports to Africa Act of 2013 -- Directs the President to establish a comprehensive U.S. strategy for public and private investment, trade, and development in Africa that focuses on: (1) increasing exports of U.S. goods and services to Africa by 200% in real dollar value within 10 years, (2) promoting the alignment of U.S. commercial interests with development priorities in Africa, (3) improving the competitiveness of U.S. businesses in Africa, (4) encouraging a greater understanding among U.S. business and financial communities of the opportunities Africa holds for U.S. exports, and (5) fostering partnership opportunities between U.S. and African small- and medium-sized enterprises. NSBA supports. S. 749 15-Year Depreciation bill 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. NSBA supports. S. 761 Energy Savings and Industrial Competiveness Act Bill would promote energy savings in residential and commercial buildings and industry, and for other purposes. NSBA supports. S. 807 Plain Writing Act for Regulations for 2013 - Bill requires all new or substantially revised federal regulations to be written in clear, concise and easy to understand, or plain language. NSBA supports.S. 1102 Export-Import Bank Termination Act -- Bill to abolish the Export-Import Bank of the United States three years after enactment of this Act. NSBA opposes. S.1179 Small Business Export Growth Act of 2013 Bill will further lower barriers to exporting for small businesses by improving federal export assistance programs. NSBA supports. S. 1183 Death Tax Repeal Act of 2013 Bill amends the Internal Revenue Code to: (1) repeal the estate and generation-skipping transfer taxes, and (2) make permanent the maximum 35% gift tax rate and a $5 million lifetime gift tax exemption. Provides for an inflation adjustment to such exemption amount. NSBA supports. S. 1342 Small Business Investment Promotion Act Amends the Internal Revenue Code, with respect to the expensing allowance for depreciable business property, to make permanent: (1) the increased $200,000 expensing allowance for such property, (2) the increased $800,000 threshold amount for such property over which the expensing allowance is reduced. NSBA supports. S. 1353 Cybersecurity Act of 2013 Bill would implement and codify certain aspects of the Presidents Cybersecurity Executive Order, among other things. NSBA supports. S. 1392 Energy Savings and Industrial Competitiveness Act of 2013 - Bill would promote energy savings in residential and commercial buildings and industry, and for other purposes. NSBA supports. S. 1498 Small Business Tax Fairness Act Legislation that will provide targeted tax relief to small businesses. NSBA supports. S. 1900 Bipartisan Congressional Trade Priorities Act of 2014 Bill will restore the presidents authority to negotiate trade deals by including strict requirements for Congressional consultations and access to information . NSBA supports. S. 1905 Electricity Security and Affordability Act Bill proposes reasonable alternatives to EPAs proposed rule regulating carbon pollution from new and soon to be released rule regarding existing power plants. NSBA supports. S. 2146 Patent Fee Integrity Act Bill would allow the USPTO to keep all the user fees paid by inventors and businesses. NSBA supports. S. 2153 National Regulatory Fairness Act Bill would provide for a national regulatory budget process where Congress would establish regulatory cost caps for each federal agency. NSBA supports. S. 2260 Expiring Provisions Improvement Reform and Efficiency (EXPIRE) Act Bill would reinstate and extend certain expired and expiring tax provisions through Dec. 31, 2015; most of the provisions expired on Dec. 31, 2013, and would be retroactively reinstated, but a few are scheduled to expire on Dec. 31, 2014. NSBA supports. S. 2262 Energy Savings and Industrial Competitiveness Act -- Bill would promote and facilitate the development and deployment of new energy efficiency technologies and adoption of more efficient processes. NSBA supports. S. 2693 Womens Small Business Ownership Act of 2014 Legislation to increase business counseling and training services, and improve access to lending and federal contracts for women entrepreneurs. NSBA supports. S. 2709 Export-Import Bank Reauthorization Act of 2014 The five-year reauthorization package would incrementally increase the Banks spending authority to $160 billion from $140 billion over a four-year period, require the Bank to submit reports to Congress detailing its business plan and risk exposure, and ensure the Banks loan loss ratio is less than two percent for any quarter in that fiscal year. The bill would also require a Government Accountability Office (GAO) study to be completed within one year to identify the risk to taxpayers of the Banks Medium-Term Program. NSBA supports.

Client expense: $24,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Export-Import Bank of the United States (EXIM Bank), Federal Reserve System, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Personnel Management (OPM), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), White House Office

Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Centralized All-Payer Database Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers; MLR Broker Fees: Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management HR 2667 Introduced by Griffin (R-AR) on July 11, 2013 Authority for Mandate Delay Act HR 2668 Introduced by Young (R-IN) on July 17, 2013 Fairness for Families Act Bailouts for Insurance Companies, S. 1726, H.R. 3541, 3812, 3851. 4406 HR 2328 Introduced in House June 12, 2013 Rep. Rogers, Mike J. (R-MI) HR 3541 introduced by Tim Griffin November 19,2013 Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. Other general Affordable Care Act topics related to multiple parts of legislation: ACA Implementation and back-end issues; Multi-State Plan Program Implementation; Risk Corridors and Risk Mitigation; Reinsurance; Small Business Health Options Program (SHOP) implementation; Third-party payment of premiums; Electronic Health Records (EHRs); Health IT Roadmap; Contraception Rule; Expatriate Legislation. HR 3362 Introduced October 29, 2013 by Rep. Terry, Lee (R-NE) Exchange Information Disclosure Act - Amends the Patient Protection and Affordable Care Act to expand reporting requirements related to health care exchanges. Requires the Secretary of Health and Human Services (HHS) to publish reports weekly through March 31, 2015, on: (1) consumer interactions with healthcare.gov or subsequent sites and any efforts undertaken to remedy problems that impact taxpayers and consumers, (2) calls to the federal customer service call center,including the number of calls received by the call center, problems identified by users, and referrals of those calls; (3) all navigators and certified application counselors that have been trained and certified by health care exchanges; and (4) all agents and brokers who have been trained and certified by the federal health care exchange. HR 762 Introduced in House February 15, 2013 by Rep. Blackburn, Marsha (R-TN) Health Care Choice Act of 2013 - Repeals the health insurance and health coverage expansion requirements of the Patient Protection and Affordable Care Act and related requirements of the Health Care and Education Reconciliation Act of 2010. Restores provisions of law amended or repealed by such provisions. HR 1701 Introduced April 24, 2013 by Ted Poe (R-TX) Cutting Costly Codes Act of 2013 - Prohibits the Secretary of Health and Human Services (HHS) from implementing,administering, or enforcing specified regulations insofar as they would replace International Classification of Diseases (ICD)-9 with ICD-10 as a standard for code sets for appropriate data elements for financial and administrative transactions involving the electronic exchange of health information. HR 4777 Introduced May 30, 2014 by Michael Burgess (R-TX) To amend the Internal Revenue Code of 1986 to modify rules relating to health savings accounts. HR 3522 Introduced November 18, 2013 by Bill Cassidy (R-LA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes. HR 3750 Introduced December 12, 2013 by Donna Matsui (D-CA) Telehealth Modernization Act of 2013 - Calls for states to authorize health care professionals to deliver health care to individuals through telehealth and to consider adopting conditions under which such a professional should: have access to the individual's medical history. HR 5453 Introduced September 11, 2014 by Bruce Braley (D-IA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support the proposed extension of the Terrorism Risk Insurance Act, specifically HR 4871 and S2244. Issues related to supporting the National Assoc. of Registered Agents and Brokers Reform Act, as included in S2244 and H.R.4871. Monitor issues re implementation of health ins reform, specifically retaining a private sector role for ins brokers in health care reform & employee benefits and efforts to delay ACA mandates and require income certifications for subsidies - HR2775,
HR3362 and HR3811. Support for HR3462 -- Self-Insurance Protection Act. Monitor H.R. 3522 the Employee Health Care Protection Act. Monitor efforts to make changes in the Dodd-Frank Act, as they may relate to insurance. Issues related to implementing the law modernizing the regulation of surplus lines insurance.. Monitor the activities of the Federal Insurance Office and the development of insurance modernization proposals. Monitor and/or provide information regarding cyber security issues, particularly HR3696 the National Cybersecurity and Critical Infrastructure Protection Act. Monitor issues related to possible tax proposals, particularly those affecting insurance. Oppose efforts by IRS to include property insurance under the terms of Foreign Account Tax Compliance Act. Monitor legislation regarding expatriate health care coverage, particularly HR4414. Oppose amendments to the National Defense Authorization Act that would provide for a government takeover of the private sector role under the Defense Base Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3522 Employee Healthcare Protection Act; S. 2430 Special Inspector General for Monitoring the ACA (SIGMA) Act

Client expense: $160,000 · Firm income: Not reported

Government targets: Education, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC)

H.R. 2309 The Wireless Tax Fairness Act; H.R. 2992 Business Activity Tax Simplification Act; H.R. 3086 Permanent Internet Tax Freedom Ac; H.R. 3522 Employee Healthcare Protection Act; H.R. 4156 The Transparent Airfares Act; H.R. 4718 To amend the Internal Revenue Code of 1986 to modify and make permanent bonus depreciation.; H.R. 4935 Child Tax Credit Improvement Act; H.R. 5021 The Highway and Transportation Funding Act of 2014; H.R. 684 Marketplace Fairness Act; S, 2432 The Bank on Students Emergency Loan Refinancing Act; S. 1235 The Wireless Tax Fairness Act; S. 1364 The Digital Goods and Services Tax Fairness Act; S. 1431 Internet Tax Freedom Forever Act; S. 2430 Special Inspector General for Monitoring the ACA (SIGMA) Act; S. 2708 Acess to Court Challenges for Exempt Status Seekers (ACCESS) Act; S. 743 Marketplace Fairness Act

Client expense: $160,000 · Firm income: Not reported

Government targets: Education, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC)

Monitored HR 344, the Competitive Health Insurance Act Monitored HR 1254, to repeal a requirement that new employees of certain employers be automatically enrolled in their employers health benefit plans Monitored HR 1326, the Health Care Price Transparency Act Monitored HR 1342, to Helping Save Americans Health Care Choices Act Monitored HR 1558, to lower health premiums and increase choice for small business Monitored HR 1990/S 983, the Keep the IRS Off Your Health Care Act Monitored HR 2667, the Authority for Mandate Delay Act Monitored HR 2700, the Health Care Waiver Fairness Act Monitored HR 3046, the Small Business Health Care Tax Credit Improvement Act Monitored HR 4244, the Small Business Health Insurance Affordability Act Monitored S 24, the Small Business Health Relief Act Monitored S 479, the Health Insurance Rate Review Act Monitored S 560, to construe the Individual Mandate of the Patient Protection and Affordable Care Act as a tax Monitored S 610, the Family Health Care Flexibility Act Monitored S 603, the Jobs and Premium Protection Act Monitored S 701, modifying the definition of full time employee for the purposes of the Patient Protection and Affordable Care Act Monitored HR 762, the Health Care Choice Act Monitored S 1154/HR 2938, the Exchange Sunset Act Monitored HR 3350, the Keep Your Health Plan Act Monitored S 1735/HR 3462, the Self-insurance Protection Act Monitored HR 3522, the Employee Health Care Protection Act Monitored S 1894, the Health Insurance Accountability Act Supported S 2205, the Small Business Fairness in Health Care Act

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

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 /S. 2546, 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. 2194 / S. 1031, Family and Retirement Health Investment Act of 2013 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. 5213, Simplifying Technical Aspects Regarding Seasonality (STARS) Act of 2014 H.R. 5557, Streamlining Verification for Americans Act 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 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 the 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 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. pts. 430, 431, 433, 435, 440, 447, 457) Proposed Regulation on Incentives for Nondiscriminatory Wellness Programs in Group Health Plans (77 Fed. Reg. 70,620-70,642, November 26, 2012) (to be codified at 26 C.F.R. pt. 54) 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 HHS Notice of Benefit and Payment Parameters for 2015 (78 Fed. Reg. 72,322-72,392, December 2, 2013) (to be codified at 45 C.F.R. pts. 144, 147, 153, 155, 156) Proposed Regulation on Amendments to Excepted Benefits (78 Fed. Reg. 77,632-77,642, December 24, 2013) (to be codified at 29 C.F.R. pt. 2590) 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 Ninety-Day Waiting Period Limitation (79 Fed. Reg. 10,320-10,325, February 24, 2014) (to be codified at 29 C.F.R. pt. 2590; 45 C.F.R. pt. 147; and 26 C.F.R. pt. 147) 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) Draft Guidance Notices on Self-Monitoring Blood Glucose Test Systems for Over-the-Counter Use (79 Fed. Reg. 829-830, January 7, 2014) Statement for the Record in Response to a Notice of Meeting on Employee welfare and Pension Benefit Plans (79 Fed. Reg. 28,555-28,556, May 16, 2014) Various issues relating to the Patient Protection and Affordable Care Act (P.L. 111-148), including implementation of regulatory process, legislative corrections, coverage, financing, delivery reform, 1099 reporting, ERISA preemption, Grandfathering, health savings accounts (HSAs), health reimbursement accounts (HRAs), and flexible spending accounts (FSAs) changes, CMS claims database, IPAB, CLASS program, employer mandate, reporting requirements, medical loss ratio, medical malpractice reform, exchanges, the impact on small business, the Small Business Tax Credit, caps on compensation deductibility required under section 9014; Health Care and Education Affordability Reconciliation Act of 2010 (P.L. 111-152), including regulatory process and legislative corrections to the ERISA preemption, the impact on small business, the small business tax credit, insurance coverage, financing, delivery reform; changes to Medicare Advantage and Medicare Prescription Drug (Part D) programs non-interference with prescription drug prices; entitlement reform; forty-hour work week; health information technology

Client expense: $28,350,000 · 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), 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

PL-111-148, Patient Protection and Affordable Care Act: multiemployer health plans, state exchanges, implementation H.R. 4414, Expatriate Health Coverage Clarification Act H.R. 5213, STARS Act S. 2253, Health Care Fairness and Stability Act: delay implementation S. 2461/H.R. 5364, CHIP Extension Act of 2014 S. 2176, CommonSense Reporting Act S. 2168, Small Business Stability Act S. 1188/H.R. 2575, Forty Hours is Full Time Act of 2013 H.R. 4775, Safeguarding Classrooms Hurt by ObamaCare's Obligatory Levies H.R. 5298, Student Job Protection Act of 2014 S. 2434, Family Coverage Act H.R. 3522 Employee Health Care Protection Act of 2013 Expatriate Health Plans Bills S. 1789, Medicaid managed Care Responsibility and Equity Act

Client expense: $700,000 · Firm income: Not reported

Government targets: Bureau of the Census, Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of the Vice President of the United States, Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

See attached addendum for General Lobbying Area; HCR - Healthcare H.R.H.R. 460 Introduced by Rep. David McKinley (02/04/2013) Patients' Access to Treatments Act of 2013 - Amends the Public Health Service Act to establish cost-sharing limits for health plans that cover prescription drugs and use a formulary or other tiered cost-sharing structure. Prohibits such a health plan from imposing cost-sharing requirements, including co-payment and co-insurance, applicable to prescription drugs in a specialty drug tier that exceed the dollar amount of cost-sharing requirements applicable to prescription drugs in a non-preferred brand drug tier. Applies the non-preferred brand drug tier for which beneficiary cost-sharing is lowest, if a formulary used by the health plan contains more than one non-preferred brand drug tier. Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management 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 FEHBP Modernization Act circulation draft President's budget, regional PPOs, government contributions Bailouts for Insurance Companies, S. 1726, H.R. 3541, 3812, 3851. 4406 HR 3541 introduced by Tim Griffin November 19, 2013 Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. Other general Affordable Care Act topics related to multiple parts of legislation: ACA Implementation and back-end issues; Risk Corridors and Risk Mitigation; Reinsurance; Small Business Health Options Program (SHOP) implementation; Electronic Health Records (EHRs); Health IT Roadmap; Expatriate Legislation. See following page on Health Care Reform issuesS. 1486 Introduced August 1, 2013 by Sen. Carper, Thomas R. (D-DE) Postal Reform Act of 2013 - Amends provisions of federal law relating to the funding of the U.S. Postal Service (USPS) retirement and health care systems, operations, revenue, and governance.. Section 104 Substitute Amendment. HR 3522 Introduced November 18, 2013 by Bill Cassidy (R-LA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes. HR 3750 Introduced December 12, 2013 by Donna Matsui (D-CA) Telehealth Modernization Act of 2013 - Calls for states to authorize health care professionals to deliver health care to individuals through telehealth and to consider adopting conditions under which such a professional should: have access to the individual's medical history.

Client expense: $94,700 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Taft-Hartley multi-employer health care plans & implementation of the Affordable Care Act. Affordable Care Act: qualified health plans and exchanges. S.2253/ H.R. 4735, Health Care Fairness and Stability Act H.R. 2575, Save American Workers Act. S. 701/S. 1188, Forty Hours is Full Time Act of 2013. ACA: "Family Glitch" issue ACA: excise tax on high value multi-employer health care plans. ERISA: revocation or cancellation of health insurance coverage. H.R. 3522/ S. 2808, Employee Health Care Protection Act H.R. 5213/ S. 2881, Simplifying Technical Aspects Regarding Seasonality Act 2014 H.R. 2443/ H.R. 4775/ S. 2462, Safeguarding Children Harmed by Obamacare's Onerous Levies Act

Client expense: $341,600 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Office of the Vice President of the United States, President of the U.S., SENATE, Securities & Exchange Commission (SEC), Transportation Security Administration (TSA), Transportation, Dept of (DOT), U.S. Trade Representative (USTR), 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

Client expense: $140,000 · 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. 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 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 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; health insurance web portal requirements; 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: $2,010,000 · 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 Bureau of Investigation (FBI), 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), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Centralized All-Payer Database Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers; Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management 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 FEHBP Modernization Act circulation draft President's budget, regional PPOs, government contributions HR 2667 Introduced by Griffin (R-AR) on July 11, 2013 Authority for Mandate Delay Act HR 2668 Introduced by Young (R-IN) on July 17, 2013 Fairness for Families Act Bailouts for Insurance Companies, S. 1726, H.R. 3541, 3812, 3851, 4406 HR 3541 introduced by Tim Griffin November 19, 2013 Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. Other general Affordable Care Act topics related to multiple parts of legislation: ACA Implementation and back-end issues; Multi-State Plan Program Implementation; Risk Corridors and Risk Mitigation; Reinsurance; Small Business Health Options Program (SHOP) implementation; Third-party payment of premiums; Electronic Health Records (EHRs); Health IT Roadmap; Contraception Rule; Expatriate Legislation. S. 1486 Introduced August 1, 2013 by Sen. Carper, Thomas R. (D-DE) Postal Reform Act of 2013 - Amends provisions of federal law relating nto the funding of the U.S. Postal Service (USPS) retirement and health care systems, operations, revenue, and governance. Section 104 Substitute Amendment. HR 3362 Introduced October 29, 2013 by Rep. Terry, Lee (R-NE) Exchange Information Disclosure Act - Amends the Patient Protection and Affordable Care Act to expand reporting requirements related to health care exchanges. Requires the Secretary of Health and Human Services (HHS) to publish reports weekly through March 31, 2015, on: (1) consumer interactions with healthcare.gov or subsequent sites and any efforts undertaken to remedy problems that impact taxpayers and consumers, (2) calls to the federal customer service call center, including the number of calls received by the call center, problems identified by users, and referrals of those calls; (3) all navigators and certified application counselors that have been trained and certified by health care exchanges; and (4) all agents and brokers who have been trained and certified by the federal health care exchange. HR 762 Introduced in House February 15, 2013 by Rep. Blackburn, Marsha (R-TN) Health Care Choice Act of 2013 - Repeals the health insurance and health coverage expansion requirements of the Patient Protection and Affordable Care Act and related requirements of the Health Care and Education Reconciliation Act of 2010. Restores provisions of law amended or repealed by such provisions. HR 4496 Introduced April 28, 2014 by Cory Gardner (R-CO) Covering People With Pre-Existing Conditions Act of 2014 - Requires each state to mitigate the health costs of high risk individuals in the state through a state reinsurance program or a state high risk pool. HR 3522 Introduced November 18, 2013 by Bill Cassidy (R-LA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes. HR 3750 Introduced December 12, 2013 by Donna Matsui (D-CA) Telehealth Modernization Act of 2013 - Calls for states to authorize health care professionals to deliver health care to individuals through telehealth and to consider adopting conditions under which such a professional should: have access to the individual's medical history. HR 5453 Introduced September 11, 2014 by Bruce Braley (D-IA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes.

Client expense: Not reported · Firm income: Not reported

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

Affordable Care Act Implementation H.R. 2595, Strengthening Medicare Anti-Fraud Measures Act of 2013 H.R. 2667, Authority for Mandate Delay Act of 2013 H.R. 3522, Employee Health Care Protection ActH.R. 45, to repeal Patient Protection and Affordable Care Act

Client expense: $4,290,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Consumer Product Safety Commission (CPSC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Export-Import Bank of the United States (EXIM Bank), Federal Communications Commission (FCC), Federal Motor Carrier Safety Administration, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Pension Benefit Guaranty Corporation (PBGC), Pipeline & Hazardous Materials Safety Administration, SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Customs & Border Protection, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

Implementation of the Affordable Care Act and Medicare Improving access to home care services HR 5364, S 2461 - Children's Health Insurance Program (CHIP) Extension HR 5294 - Health Equity and Accountability Act of 2014 Increasing access to medical language interpreters HR 3522 - Employee Health Care Protection Act (part of HR 4) HR 4414 - Expatriate Health Coverage Clarification Act Repeal of Affordable Care Act's excise tax on high cost plans HR 4 - Jobs for America Act HR 2575 - Save American Workers Act (part of HR 4) S 2253 - Health Care Fairness and Stability Act Protecting the ACA in general S 2578 - Protect Women's Health from Corporate Interference Act H Res 676 - Authorizing civil action against President with respect to the implementation of the Affordable Care Act Federal income tax exclusion for employer-sponsored health care Federal excise tax on high-cost employer-sponsored health care

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

Government targets: Council of Economic Advisers (CEA), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR), 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: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health care reform implementation; Medicare; Medicaid; Repealing the Affordable Care Act; Health Coverage Tax Credit; Save American Workers Act of 2013 (H.R. 2575); Children's Health Insurance Program, Employee Health Care Protection Act (H.R. 3522); Safeguarding Classrooms Hurt by ObamaCare's Obligatory Levies (H.R. 4775).

Client expense: $547,000 · Firm income: Not reported

Government targets: Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Highway Traffic Safety Administration (NHTSA), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR), White House Office

Health Issues, H.R. 3522, 4414, 5364, and 5533; S. 2461 and 2859

Client expense: $205,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Issues related to agent compensation; ; H.R. 1155, S. 534, S. 650, H.R. 2328, S. 2175, S. 2173. Issues related to the implementation of the Patient Protection and Affordable Care Act; H.R. 544, H.R. 2995, H.R. 2575, S. 1188, H.R. 4418, H.R. 3522. Issues related to HSA/FSA reform; H.R. 2194, S. 1031. Issues related to the McCarran-Ferguson anti-trust exemption; H.R. 743.

Client expense: $698,190 · 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, Securities & Exchange Commission (SEC), Treasury, Dept of

Issues relating to insurance regulatory reform and agent compensation; H.R. 1155, S. 534, S. 650, H.R. 2328, S. 2175, S. 2173. Issues related to the implementation of the Dodd-Frank Wall Street Reform Act of 2010; H.R. 1627, H.R. 2374, H.R. 797, H.R. 4510, S. 2270. Issues related to the implementation of of the Patient Protection and Affordable Care Act; H.R. 544, H.R. 2995, H.R. 2575, S. 1188, H.R. 4418, H.R. 3522.Issues related to terrorism risk insurance; H.R. 508, H.R. 2146, H.R. 4871, S. 2244. Issues related to flood risk insurance; H.R. 3370, S. 1846, S. 1926. Issues related to the regulation of insurance competition, products with guarantees, individual and employer owned policies, and fiduciary-client relationships; H.R. 2374. Issues related to capital standards for insurance providers; H.R. 5461, S. 2102.

Client expense: $698,190 · 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, Securities & Exchange Commission (SEC), Treasury, Dept of