Taxpayer Bailout Protection Act

Medicare Advantage Program Issues. Medigap. Health Care Reform Implementation (PL 111-148, The Patient Protection and Affordable Care Act, became law on 3-23-10). H.R. 3541, Obamacare Taxpayer Bailout Prevention Act. H.R. 3812, No Bailouts for Insurance Industry Act of 2014. See continuation page.H.R. 3849, Health Insurance Accountability Act of 2014. H.R. 3851, No Bailouts for Insurance Industry Act of 2014. H.R. 4406, Taxpayer Bailout Protection Act. H.R. 5175, Protecting Americans from Illegal Bailouts Act of 2013.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

**see addendum pagePL 111-148 - The Patient Protection and Affordable Care Act, implementation, health care reform H.R. 903/S. 399 - The American Job Protection Act, insurer excise tax repeal S. 603 - The Jobs and Premium Protection Act, insurer excise tax H.R. 763 - to repeal the annual fee on health insurance providers H.R. 544 - Letting Insurance Benefit Everyone Regardless of Their Youth (LIBERTY) Act H.R. 2667 - Authority For Mandate Delay Act H.R. 1726/H.R. 3541/H.R. 3821/H.R. 4406 - Obamacare Taxpayer Bailout Prevention Act, risk corridors S. 1468 - Postal Reform Act of 2013 H.R. 3541 - Obamacare Taxpayer Bailout Prevention Act H.R. 2328 - Access to Professional Health Insurance Advisors Act FEHBP Modernization Act, regional PPOs ***, no specific bill(s), Health Savings Accounts/Medical Saving Accounts, Transparency, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Government Plan Option, Uninsured, Employer Based Health System, Health Care Reform, Small Group Market Reform, Exchanges, Health Care Reform Implementation, Medical Loss Ratios, Federal Employees' Health Benefits Program (FEHBP), Delivery System Reform, Risk Corridors and Reinsurance, Affordable Private Health Care, State-Based Regulation, Health Care Quality, Back-end Systems Issues, Telehealth, ACA Implementation

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

Obamacare Taxpayer Bailout Prevention Act- H.R.3541 and S. 1726 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. Taxpayer Bailout Protection Act - H.R.4406 Related to the risk corridor program, requires the Secretary of Health and Human Services (HHS) to ensure that the amount of payments to plans for a plan year beginning during calendar years 2014 through 2016 does not exceed the amount of payments to the Secretary for such plan year. No Bailouts for Insurance Industry Act of 2014 - H.R. 3812, 3851 Repeals requirements under the ACA for: (1) a transitional reinsurance program for the individual health insurance market in each state, and (2) a program of risk corridors for calendar years 2014-2016.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Insurance Market Reform, General Issues; Grandfathered Policies/Continuation of Existing Coverage (H.R. 335); State Based Regulations: Exchanges/Medicaid; Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Payment Reforms; Patient-Centered Primary/Medical Home; Bundled Payments; Wellness/Health Disparities; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality; 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 (H.R. 779; President's Budget); S. 1486, Postal Reform Act of 2013; Risk Mitigation Legislation: S. 1726, H.R. 3541, H.R. 3812, H.R. 3851, H.R. 4406; ACA Implementation and back-end issues; Small Business Health Options Program (SHOP) implementation; ICD-10 implementation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health reform implementation (Patient Protection and Affordable Care Act, PL 111-148). Section 833, requiring non-profit BCBS organizations to have a medical loss ratio of 85% or higher to take advantage of special tax benefits under this section. See continuation page.H.R. 3541, Obamacare Taxpayer Bailout Prevention Act. H.R. 3812, No Bailouts for Insurance Industry Act of 2014 H.R. 3849, Health Insurance Accountability Act of 2014. H.R. 3851, No Bailouts for Insurance Industry Act of 2014. H.R. 4406, Taxpayer Bailout Protection Act. H.R. 5175, Protecting Americans from Illegal Bailouts Act of 2014.

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

Health reform implementation. (Patient Protection and Affordable Care Act, PL 111-148). Federally-facilitated health insurance exchanges. H.R. 763, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. S. 603, A bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act (Jobs and Premium Protection Act). See continuation page.H.R. 3541, Obamacare Taxpayer Bailout Prevention Act. H.R. 3812, No Bailouts for Insurance Industry Act of 2014 H.R. 3849, Health Insurance Accountability Act of 2014. H.R. 3851, No Bailouts for Insurance Industry Act of 2014. H.R. 4406, Taxpayer Bailout Protection Act. H.R. 5175, Protecting Americans from Illegal Bailouts Act of 2014.

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

Bills and regulations related to the Affordable Care Act. Legislative ideas and regulations addressing health care costs & financing. H.R. 763, "A bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act" (All Provisions). S.603 Jobs and Premium Protection Act (All Provisions). 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, (All Provisions). H.R. 4406 Taxpayer Bailout Protection Act, (All Provisions). H.R. 3812 No Bailouts for Insurance Industry Act of 2014, (All Provisions). H.R. 4354 Obamacare Taxpayer Bailout Protection Act, (All Provisions). S. 2214 Obamacare Taxpayer Bailout Protection Act, (All Provisions).

Client expense: $470,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), 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.

Health care reform implementation, insurance reforms. Health information technology. See continuation page.H.R. 3541, Obamacare Taxpayer Bailout Prevention Act. H.R. 3812, No Bailouts for Insurance Industry Act of 2014 H.R. 3849, Health Insurance Accountability Act of 2014. H.R. 3851, No Bailouts for Insurance Industry Act of 2014. H.R. 4406, Taxpayer Bailout Protection Act. H.R. 5175, Protecting Americans from Illegal Bailouts Act of 2014.

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

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.

**see addendum pagePL 111-148 - The Patient Protection and Affordable Care Act, implementation, health care reform H.R. 903/S. 399 - The American Job Protection Act, insurer excise tax repeal S. 603 - The Jobs and Premium Protection Act, insurer excise tax H.R. 763 - to repeal the annual fee on health insurance providers H.R. 544 - Letting Insurance Benefit Everyone Regardless of Their Youth (LIBERTY) Act H.R. 2667 - Authority For Mandate Delay Act H.R. 1726/H.R. 3541/H.R. 3821/H.R. 4406 - Obamacare Taxpayer Bailout Prevention Act, risk corridors S. 1468 - Postal Reform Act of 2013 H.R. 3541 - Obamacare Taxpayer Bailout Prevention Act H.R. 2328 - Access to Professional Health Insurance Advisors Act FEHBP Modernization Act, regional PPOs ***, no specific bill(s), Health Savings Accounts/Medical Saving Accounts, Transparency, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Government Plan Option, Uninsured, Employer Based Health System, Health Care Reform, Small Group Market Reform, Exchanges, Health Care Reform Implementation, Medical Loss Ratios, Federal Employees' Health Benefits Program (FEHBP), Delivery System Reform, Risk Corridors and Reinsurance, Affordable Private Health Care, State-Based Regulation, Health Care Quality, Back-end Systems Issues, Telehealth, ACA Implementation

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

H.R. 3367, To amend section 9010 of the Patient Protection and Affordable Care Act to delay the application of the health insurance provider annual fee until 2016 and to provide a process to return to consumers any amounts attributable to the expected application of the annual fee to 2014 or 2015 H.R. 763, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care ActH.R. 3230, Veterans Access, Choice, and Affordability Act H.R. 2925, Strengthening Medicare Anti-Fraud Measures Act of 2013 S. 2588, Cybersecurity Information Sharing Act of 2014 H.R. 1960, National Defense Authorization Act for Fiscal Year 2014 S. 1034, National Defense Authorization Act for Fiscal Year 2014 Medicare FFS and Medicare Advantage Reimbursement Issues ACA Implementation Federal Budget Issues Health Information Technology Issues Medicaid and Dual Eligible Issues H.R. 4406, Taxpayer Bailout Protection Act H.R. 5175, Protecting Americans from Illegal Bailouts Act of 2014 H.R. 3541, Obamacare Taxpayer Bailout Prevention Act H.R. 3812, No Bailouts for Insurance Industry Act of 2014 H.R. 3849, Health Insurance Accountability Act of 2014 H.R. 3851, No Bailouts for Insurance Industry Act of 2014 H.R. 4406, Taxpayer Bailout Protection Act H.R. 5175, Protecting Americans from Illegal Bailouts Act of 2014

Client expense: $240,250 · Firm income: Not reported

Insurance Market Reform, General issues; Grandfathered Policies / Continuation of Existing Coverage (H.R. 335); Risk Corridors(S. 1726 and H.R. 3541); State Based Regulations: Exchanges/Medicaid; Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Payment Reforms; Patient-Centered Primary/Medical Home; Bundled Payments; Wellness/Health Disparities; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality; 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 (H.R. 779; President's Budget); S.1486, Postal Reform Act of 2013; Risk mitigation legislation: S.1726, H.R.3541, H.R.3812, H.R.3851, H.R.4406; ACA Implementation and back-end issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Federal Employee Health Benefit Program (FEHBP) - proposals to allow the inclusion of regional PPO carriers to be included as an option for coverage offered by OPM. Risk Mitigation Repeal and Modification Legislation to repeal or amend provisions of the risk corridor, risk adjustment or reinsurance programs established under the Patient Protection and Affordable Care Act. Bailouts for Insurance Companies - S. 1726, H.R. 3541, H.R. 3812, H.R. 3851, H.R. 4406 and related legislation

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Risk corridors - HR 4406, Taxpayer Bailout Protection Act; HR 3812, No Bailouts for Insurance Industry Act of 2014; HR 4354, Obamacare Taxpayer Bailout Protection Act; S 2214, Obamacare Taxpayer Bailout Protection Act; Executive Branch actions re this issue. Implementation of the Affordable Care Act.

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

Government targets: HOUSE OF REPRESENTATIVES

Implementation of the Affordable Care Act. Risk corridors - HR 4406, Taxpayer Bailout Protection Act; HR 3812, No Bailouts for Insurance Industry Act of 2014; HR 4354, Obamacare Taxpayer Bailout Protection Act; S 2214, Obamacare Taxpayer Bailout Protection Act; Executive Branch action re this issue.

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

Government targets: HOUSE OF REPRESENTATIVES

H.R. 99, Health Insurance Industry Antitrust Enforcement Act (Conyers) antitrust policy16. Specific Lobbying Issues (continued): 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 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 enrollment16. Specific Lobbying Issues (continued): 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 enrollments. 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 Regulatory Issues: 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.

H.R. 763: To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act (all provisions). S.603: Jobs and Premium Protection Act (provisions affecting healthcare).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 (all provisions). H.R. 4406 Taxpayer Bailout Protection Act (all provisions). H.R. 3812 No Bailouts for Insurance Industry Act of 2014 (all provisions). H.R. 4354/S. 2214 Obamacare Taxpayer Bailout Protection Act (all provisions). Bills and regulations related to the Affordable Care Act. Issues addressing legislation and regulations to address health care costs and financing.

Client expense: $500,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Implementation of Affordable Care Act. Risk corridors to offset insurance company losses - HR 4406, Taxpayer Bailout Protection Act; HR 3812, No Bailouts for Insurance Industry Act of 2014; HR 4354, Obamacare Taxpayer Bailout Protection Act; S 2214, Obamacare Taxpayer Bailout Protection Act; Executive Branch actions re this issue.

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

Government targets: HOUSE OF REPRESENTATIVES

Implementation of the Affordable Care Act. Risk corridors to offset insurance company losses - HR 4406, Taxpayer Bailout Protection Act; HR 3812, No Bailouts for Insurance Industry Act of 2014; HR 4354, Obamacare Taxpayer Bailout Protection Act; S 2214, Obamacare Taxpayer Bailout Protection Act; Executive Branch actions re this issue.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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. 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.

**see addendum pagePL 111-148 - The Patient Protection and Affordable Care Act, implementation, health care reform H.R. 903/S. 399 - The American Job Protection Act, insurer excise tax repeal S. 603 - The Jobs and Premium Protection Act, insurer excise tax H.R. 763 - to repeal the annual fee on health insurance providers H.R. 544 - Letting Insurance Benefit Everyone Regardless of Their Youth (LIBERTY) Act H.R. 2667 - Authority For Mandate Delay Act H.R. 1726/H.R. 3541/H.R. 3821/H.R. 4406 - Obamacare Taxpayer Bailout Prevention Act, risk corridors S. 1468 - Postal Reform Act of 2013 ***, no specific bill(s), Health Savings Accounts/Medical Saving Accounts, Transparency, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Government Plan Option, Uninsured, Employer Based Health System, Health Care Reform, Small Group Market Reform, Exchanges, Health Care Reform Implementation, Medical Loss Ratios, Federal Employees' Health Benefits Program (FEHBP), Delivery System Reform, Risk Corridors and Reinsurance, Affordable Private Health Care, State-Based Regulation, Health Care Quality

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

S. 2176, the Commonsense Reporting Act of 2014 H.R. 4414, the Expatriate Health Coverage Clarification Act of 2014 H.R. 3474, the Hire More Heroes Act of 2014 H.R. 1814, the EACH ActH.R. 3979, the Emergency Unemployment Compensation Extension Act of 2014 S. 1729, Expanded Consumer Choice Act S. 1333, Increased Competition for Consumers Act S. 2069, Small Business Tax Credit Accessibility Act S. 2173, CHOICE Act H.R. 2575, the Save American Workers of 2014 H.R. 4118, the SIMPLE Fairness Act S. 2461, the CHIP Extension Act of 2014 S. 2446, Truth in Obamacare Accounting Act H.R.4865 / S.2434, Family Coverage Act H.R. 4406, Taxpayer Bailout Protection Act H.R. 4438, American Research and Competitiveness Act of 2014 H.R. 4106, Saving Lives, Saving Costs Act S. 2229, the Expanding Primary Care Access and Workforce Act H.R. 2663 / S. 1422, the Preventive Health Savings Act H.R. 4574, Strengthening Mental Health in Our Communities Act of 2014 H.R.3717, Helping Families in Mental Health Crisis Act of 2013 H.R.4775 / S.2462, Safeguarding Classrooms Hurt by ObamaCare's Obligatory Levies H.R. 3303, Sensible Oversight for Technology Which Advances Regulatory Efficiency (SOFTWARE) Act S. 2007, Preventing Regulatory Overreach To Enhance Care Technology (PROTECT) Act of 2014 H.R. 1074/S. 539, the National Diabetes Clinical Care Commission Act H.R.962/S. 452, the Medicare Diabetes Prevention Act H.R. 1024/ S. 557 the Medication Therapy Management Empowerment H.R. 4444, the Long-Term Studies of Comprehensive Outcomes and Returns for the Economy (SCORE) Act

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

Insurance Market Reform, General Issues; Grandfathered Policies / Continuation of Existing Coverage (H.R. 335); Risk Corridors (S. 1726 and H.R. 3541); State Based Regulations: Exchanges/Medicaid Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Payment Reforms; Patient-Centered Primary/Medical Home; Bundled Payments; Wellness-Health DisparitiesChronic Care & Medical Management; Childhood Obesity; Infant Mortality 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 (H.R. 779; President's Budget). S. 1486, Postal Reform Act of 2013 Risk mitigation legislation: S. 1726, H.R. 3541, H.R. 3812, H.R. 3851. H.R. 4406 ACA Implementation and back-end issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE