Empowering Patients First Act of 2015

H.R.3762, Reconciliation bill with no funding for Planned Parenthood and funding cuts for Obamacare. Opposition to Bipartisan Budget Act of 2015 with $85 BILLION in spending increases. S.2182, Cut, Cap, and Balance Act of 2015 H.R.2650. The Rescue Act (Rep. Price) S.1881. Defund Planned Parenthood Act (Sen. Ernst) H.R.3134. The Defunding of Planned Parenthood Act of 2015 (Rep. Black) H.R.3301. Prohibit funding for Planned Parenthood (Rep. Jolly) H.R.3197. The Protecting Life and Taxpayers Act of 2015 (Rep. Black) S.177. ObamaCare Repeal Act (Sen. Cruz) H.R.2300. Empowering Patients First Act (Rep. Tom Price) H.R.36. Pain-Capable Child Protection Act (Rep. Franks) S.158. Employee Health Care Protection Act (Sen. Cassidy) H.R.7. - No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 (Reps. Chris Smith/Lipinski) H.R.940. Respect for Rights of Conscience Act (Rep. Black) S.404. Child Interstate Abortion Notification Act (CIANA)/(Sen. Rubio) H.R.803. Child Interstate Abortion Notification Act (CIANA)/(Rep. Ros-Lehtinen) S.51. Title X Abortion Provider Prohibition Act (Sen. Vitter) H.R.217. Title X Abortion Provider Prohibition Act (Rep. Black) S.48. Prenatal Nondiscrimination Act of 2015 (Sen. Vitter) Abortion Non-Discrimination Act of 2015 (Sen. Vitter)

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition of essential health benefits and provider network adequacy Health information technology and electronic health records Telehealth provisions of draft medical innovation legislation Mental health services and violence prevention Lead contamination of drinking water H.R. 6/H.R. 34 - 21st Century Cures Act H.R. 30 - Save American Workers Act H.R. 248/S. 305 - American Job Protection Act H.R. 512 - Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act H.R. 596 - 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. 609/S. 287 - Safe Food Act H.R. 879 - Ax the Tax on Middle Class Americans' Health Plans Act H.R. 897 - Zika Vector Control Act H.R. 931 - Helping Effective Antibiotics Last (HEAL) Act H.R. 932/S. 497 - Healthy Families Act H.R. 933/S. 486 - Head Start on Vaccinations Act H.R. 1151 - USPSTF Transparency and Accountability Act of 2015 H.R 1189/S. 620 - Preserving Employee Wellness Programs Act H.R. 1209/S. 628 - Improving Access to Maternity Care Act H.R. 1372 - Home Visiting Extension Act H.R. 1462/S. 799 - Protecting Our Infants Act H.R 1517 - Stop Selling and Marketing to Our Kids E-Cigarettes (SMOKE) Act H.R. 1552 - Preservation of Antibiotics for Medical Treatment Act H.R. 1599 - Safe and Accurate Food Labeling Act H.R 1624 - Protecting Affordable Coverage for Employees (PACE) Act H.R. 2017/S. 2217 - Common Sense Nutrition Disclosure Act H.R. 2300/S. 2519 - Empowering Patients First Act of 2015 H.R. 2646 - Helping Families in Mental Health Crisis Act H.R. 2653 - American Health Care Reform Act H.R. 2690 - Including Families in Mental Health Recovery Act H.R. 2713 - Title VIII Nursing Workforce Reauthorization Act H.R. 2948 - Medicare Telehealth Parity Act H.R. 3081/S. 1778 - Telemedicine for Medicare (TELE-MED) Act H.R. 3299 - Strengthening Public Health Emergency Response Act of 2015 H.R. 3379 - Airplane Kits Act H.R. 3463 - Aligning Childrens Dental Coverage Act H.R. 3495 - Women's Public Health and Safety Act H.R. 3660 - Preventive Health Savings Act H.R. 3659 - Exchange Inclusion for a Healthy America Act H.R. 3762 - Restoring Americans Healthcare Freedom Reconciliation Act H.R. 3865/S. 2542 - Cradle Act H.R. 4276 - Behavioral Health Coverage Transparency Act H.R. 4400/S. 2512 - Adding Zika Virus to the FDA Priority Review Voucher Program Act H.R. 4479 - Families of Flint Act H.R. 4723 - Protecting Taxpayers by Recovering Improper Obamacare Subsidy Overpayments Act H.R. 4724 - Reducing Duplicative and Ineffective Federal Funding Act H.R. 4771 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2016 H.R. 5001/S. 2822 - Flexibility in Health IT Reporting (Flex-IT) Act H.R. 5003 - Improving Child Nutrition and Education Act of 2016 H.R. 5065/S. 3299 - Bottles and Breastfeeding Equipment Screening (BABES) Act H.R. 5284 - Worlds Greatest Healthcare Plan Act of 2016 H.R. 5456/S. 3065 - Family First Prevention Services Act S. 30 - Forty Hours Is Full Time Act S. 142/H.R. 1375/H.R. 3242 - Child Nicotine Poisoning Prevention Act S. 185 - Promise for Antibiotics and Therapeutics for Health (PATH) Act S. 203 - American Liberty Restoration Act S. 339 - ObamaCare Repeal Act S. 481 - Improving Regulatory Transparency for New Medical Therapies Act S. 522 - Protecting & Retaining Our Children's Health Insurance Program (PRO-CHIP) Act S. 612 - Water Infrastructure Improvements for the Nation Act S. 621 - Prevention of Antibiotic Resistance Act S. 673 - Winding Down Obamacare Act S. 674 - 21st Century Womens Health Act S. 764 - National Bioengineered Food Disclosure Standard S. 971 - Medicare Independence at Home Medical Practice Demonstration Improvement Act S. 993/H.R. 1854 - Comprehensive Justice and Mental Health Act S. 1014 - Personal Care Products Safety Act S. 1016 - Preserving Freedom and Choice in Health Care Act S. 1456 - Rural ACO Improvement Act S. 1549 - Care Planning Act S. 1793 - Promoting Physical Activity for Americans Act S. 1893 - Mental Health Awareness and Improvement Act S. 1945 - Mental Health Reform Act S. 2002/H.R. 3722 - Mental Health and Safe Communities Act S. 2045/H.R. 2050 - Middle Class Health Benefits Tax Repeal Act S. 2075 - American Worker Health Care Tax Relief Act S. 2100 - Tobacco to 21 Act S. 2153 - Provider Payment Sunshine Act S. 2173/H.R. 3712 - Improving Access to Mental Health Act S. 2218/H.R. 1218 - Personal Health Investment (PHIT) Act S. 2259 - ACO Assignment Improvement Act S. 2261 - Rural ACO Provider Equity Act S. 2343/H.R. 4155 - Telehealth Innovation and Improvement Act S. 2380 - Public Health Emergency Response and Accountability Act S. 2408/H.R. 4266 - Nurse and Health Care Worker Protection Act S. 2484 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act S. 2525/H.R. 4567 - Expand Excellence in Mental Health Act of 2016 S. 2609 - An original bill to amend the Agricultural Marketing Act of 1946 to require the Secretary of Agriculture to establish a national voluntary labeling standard for bioengineered foods S. 2680 - Mental Health Reform Act of 2016 S. 2687 - Plan of Safe Care Improvement Act S. 2821 - Testing, Removal, and Updated Evaluations of Lead Everywhere in America for Dramatic Enhancements that Restore Safety to Homes, Infrastructure, and Pipes (True LEADership) Act of 2016 S. 2848/H.R. 5303 - Water Resources Development Act of 2016 S. 2873/H.R. 5395 - Expanding Capacity for Health Outcomes (ECHO) Act S. 3136 - Improving Child Nutrition Integrity and Access Act of 2016 S. 3190 - Strengthening Our Rural Health Workforce Act of 2016 S. 3239 - Research to Accelerate Cures and Equity (RACE) for Children Act S. 3245 - Nursing Workforce Reauthorization Act of 2016 S. 3504 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 6 The 21st Century Cures Act ACA Repeal and Replacement Proposals, HR. 2520, HR 2300

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

HR976, Patient Access to Higher Quality Health Care Act of 2015 (All sections of full text) HR2513:Promoting Access, Competition and Equity Act of 2015 or the PACE Act of 2015 (All sections of full text) S.2511 Improving Health Information Technology Act - Discussions involving new HHS/OCR HIPAA guidance to providers for release of information(ROI) Discussions involving White House Cancer research task force initiative Discussions involving potential reform of health care delivery and payment systems implemented by The Affordable Care Act Monitored P.L. 114-255 To accelerate the discovery, development, and delivery of 21st century cures, and for other purposes (all sections of full text) Monitored HR 4784 Lower Drug Costs through Competition Act Monitored S.2615 Increasing Competition in Pharmaceuticals Act; discussions regarding price escalation of certain orphan or generic drugs Monitored HR776 Stark Administrative Simplification Act of 2015 Monitored Hatch white paper examining potential reforms to the Stark Law Monitored HR2300 Empowering Patients First Act of 2015 Monitored P.L. 114-198 Comprehensive Addiction and Recovery Act of 2016 Monitored H.R. 6018 Ensuring Health Care Opportunities Act Monitored S. 3320 Ensuring Health Care Opportunities Act Monitored S.3326 State Flexibility to Provide Affordable Health Options Act

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

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

P.L. 111-148 - Patient Protection and Affordable Care Act Health Information Technology Health workforce shortage issues, Title VII and Title VIII of the Public Health Service Act, nursing, graduate nursing education, nursing-managed health clinics Health wellness and prevention programs Ebola preparedness and response S. 1374, H.R. 2417, Foreign Medical Schools Accountability Act H.R. 3551, Ravi Thackurdeen Safe Students Study Abroad Act S. 2427, Disability Integration Act S.2873, Expanding Capacity for Health Outcomes (ECHO) Act H.R. 2713, Title VIII Nursing Workforce Reauthorization Act H.R. 2300, Empowering Patients First Act

Client expense: $70,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbying with regard to the implementation of the SMART Act (Public Law 112-242), generally. Lobbying with regard to the Medicare Secondary Payer Program, generally. S. 1514/H.R. 2649 (Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2015); provides for the application of Medicare secondary payer rules to certain workers' compensation settlement agreements and qualified Medicare set-aside provisions. Lobbying with regard to the Medicaid Third Party Liability Program, generally. S. 884/H.R. 836 (Health Care Safety Net Enhancement Act of 2015); improves access to emergency medical services, and for other purposes. H.R. 1021 (Protecting the Integrity of Medicare Act); amends Title XVIII of the Social Security Act to improve the integrity of the Medicare program, and for other purposes. H.R. 1376 (Patient Choice Act of 2015); amends the Federal Food, Drug, and Cosmetic Act to authorize provisional approval of fast-track products determined by the Secretary of Health and Human Services (HHS) to be adequately safe. H.R. 2300 (Empowering Patients First Act of 2015); provides for incentives to encourage health insurance coverage. H.R. 2653 (American Health Care Reform Act of 2015); repeals the Patient Protection and Affordable Care Act and related reconciliation provisions, to promote patient-centered health care, to provide for the creation of a safe harbor for defendants in medical malpractice actions who demonstrate adherence to clinical practice guidelines. S. 2204 (End of Suffering Act of 2015); respects the Constitutional entitlement to liberty by recognizing the right of an individual to have personal control over the medical assistance and treatment necessary to avoid intolerable physical suffering. H.R.__/S.__ (Behavioral Health Information Technology Act); draft legislation amending the Public Health Service Act to include as a health care provider behavioral and mental health professionals, substance abuse professionals, psychiatric hospitals, certain community mental health centers (including one operated by a county behavioral health agency), and residential or outpatient mental health or substance abuse treatment facilities. H.R. 5403 (Ariel Grace's Law); to amend the Federal Food, Drug, and Cosmetic Act with respect to liability under State and local requirements respecting devices. S. 2912 (Trickett Wendler Right to Try Act of 2016); to authorize the use of unapproved medical products by patients diagnosed with a terminal illness in accordance with State law, and for other purposes. H.R. 6 (21st Century Cures Act); establishing and appropriating funds, and reforming Medicaid, Medicare, and other reforms. General lobbying with regard to pharmaceutical price-gouging. H.R. 6120 (Secondary Payer Advancement, Rationalization, and Clarification (SPARC) Act); amends title XVIII of the Social Security Act to provide for clarification and rationalization of Medicare prescription drug plan recovery rules for certain claims.

Client expense: $1,150,000 · Firm income: Not reported

Government targets: Consumer Financial Protection Bureau (CFPB), Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), Office of the Vice President of the United States, SENATE

H.R.976, Patient Access to Higher Quality Health Care Act of 2015 (all sections of full text) H.R. 2513: Promoting Access, Competition, and Equity Act of 2015 or the PACE Act of 2015 (all sections of full text) S. 2511 Improving Health Information Technology Act; discussions involving new HHS/OCR HIPAA guidance to providers for release of information(ROI) Discussions involving White House Cancer research task force initiative Discussions involving potential reform of health care delivery and payment systems implemented by The Affordable Care Act Monitored P.L. 114-255 To accelerate the discovery, development, and delivery of 21st century cures, and for other purposes (all sections of full text) Monitored H.R. 4784 Lower Drug Costs through Competition Act Monitored S. 2615 Increasing Competition in Pharmaceuticals Act; discussions regarding price escalation of certain orphan or generic drugs Monitored H.R. 776 Stark Administrative Simplification Act of 2015 Monitored Hatch white paper examining potential reforms to the Stark Law Monitored H.R. 2300 Empowering Patients First Act of 2015 Monitored P.L. 114-198 Comprehensive Addiction and Recovery Act of 2016 Monitored H.R. 6018 Ensuring Health Care Opportunities Act Monitored S. 3320 Ensuring Health Care Opportunities Act Monitored S. 3326 State Flexibility to Provide Affordable Health Options Act

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

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

Support for Senator James Landfords Initiative to Oppose the Presidents Mandate for Transgender Bathrooms in Schools H.R.3762, Reconciliation bill with no funding for Planned Parenthood and funding cuts for Obamacare. Opposition to Bipartisan Budget Act of 2015 with $85 BILLION in spending increases. S.2182, Cut, Cap, and Balance Act of 2015 H.R.2802. First Amendment Defense Act (Rep. Labrador) S.1598. First Amendment Defense Act (Sen. Lee) S.1881. Defund Planned Parenthood Act (Sen. Ernst) H.R.3134. The Defunding of Planned Parenthood Act of 2015 (Rep. Black) H.R.3301. Prohibit funding for Planned Parenthood (Rep. Jolly) H.R.3197. The Protecting Life and Taxpayers Act of 2015 (Rep. Black) H.R.36. Pain-Capable Child Protection Act (Rep. Franks) S.158. Employee Health Care Protection Act (Sen. Cassidy) H.R.2300. Empowering Patients First Act (Rep. Tom Price) S.1668. Restoration of Americas Wire Act (Sen. Graham; anti-online gambling) H.R.707. Restoration of Americas Wire Act (Rep. Chaffetz); anti-online gambling) H.R.7. - No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 (Reps. Chris Smith/Lipinski) S.177. ObamaCare Repeal Act (Sen. Cruz) H.R.940. Respect for Rights of Conscience Act (Rep. Black) S.404. Child Interstate Abortion Notification Act (CIANA)/(Sen. Rubio) H.R.803. Child Interstate Abortion Notification Act (CIANA)/(Rep. Ros-Lehtinen) S.51. Title X Abortion Provider Prohibition Act (Sen. Vitter) H.R.217. Title X Abortion Provider Prohibition Act (Rep. Black) S.48. Prenatal Nondiscrimination Act of 2015 (Sen. Vitter) Abortion Non-Discrimination Act of 2015 (Sen. Vitter) Opposition to federal tax dollars for abortion. Federal funding for pro-marriage and pro-family initiatives. Social Security reform Increasing abstinence education funding

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3762, Reconciliation bill with no funding for Planned Parenthood and funding cuts for Obamacare. Opposition to Bipartisan Budget Act of 2015 with $85 BILLION in spending increases. S.2182, Cut, Cap, and Balance Act of 2015 H.R.2650. The Rescue Act (Rep. Price) S.1881. Defund Planned Parenthood Act (Sen. Ernst) H.R.3134. The Defunding of Planned Parenthood Act of 2015 (Rep. Black) H.R.3301. Prohibit funding for Planned Parenthood (Rep. Jolly) H.R.3197. The Protecting Life and Taxpayers Act of 2015 (Rep. Black) S.177. ObamaCare Repeal Act (Sen. Cruz) H.R.2300. Empowering Patients First Act (Rep. Tom Price) H.R.36. Pain-Capable Child Protection Act (Rep. Franks) S.158. Employee Health Care Protection Act (Sen. Cassidy) H.R.7. - No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 (Reps. Chris Smith/Lipinski) H.R.940. Respect for Rights of Conscience Act (Rep. Black) S.404. Child Interstate Abortion Notification Act (CIANA)/(Sen. Rubio) H.R.803. Child Interstate Abortion Notification Act (CIANA)/(Rep. Ros-Lehtinen) S.51. Title X Abortion Provider Prohibition Act (Sen. Vitter) H.R.217. Title X Abortion Provider Prohibition Act (Rep. Black) S.48. Prenatal Nondiscrimination Act of 2015 (Sen. Vitter) Abortion Non-Discrimination Act of 2015 (Sen. Vitter)

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor federal issues and legislation associated with health care policy. Monitor the implementation of the Patient Affordable Care Act (P.L. 111-148). H.R. 543, Health Care Choice Act of 2015. S.647, Health Care Choice Act of 2015. H.R.2300, Empowering Patients First Act of 2015. H.R. 2869, Local and Municipal Health Care Choice Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition of essential health benefits and provider network adequacy Health information technology and electronic health records Telehealth provisions of draft medical innovation legislation Mental health services and violence prevention Lead contamination of drinking water H.R. 6 - 21st Century Cures Act H.R. 30 - Save American Workers Act H.R. 248/S. 305 - American Job Protection Act H.R. 512 - Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act H.R. 596 - 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. 609/S. 287 - Safe Food Act H.R. 879 - Ax the Tax on Middle Class Americans' Health Plans Act H.R. 897 - Zika Vector Control Act H.R. 931 - Helping Effective Antibiotics Last (HEAL) Act H.R. 932/S. 497 - Healthy Families Act H.R. 933/S. 486 - Head Start on Vaccinations Act H.R 1189/S. 620 - Preserving Employee Wellness Programs Act H.R. 1209/S. 628 - Improving Access to Maternity Care Act H.R. 1372 - Home Visiting Extension Act H.R. 1462/S. 799 - Protecting Our Infants Act H.R 1517 - Stop Selling and Marketing to Our Kids E-Cigarettes (SMOKE) Act H.R. 1552 - Preservation of Antibiotics for Medical Treatment Act H.R. 1599 - Safe and Accurate Food Labeling Act H.R 1624 - Protecting Affordable Coverage for Employees (PACE) Act H.R. 2017/S. 2217 - Common Sense Nutrition Disclosure Act H.R. 2300/S. 2519 - Empowering Patients First Act of 2015 H.R. 2646 - Helping Families in Mental Health Crisis Act H.R. 2653 - American Health Care Reform Act H.R. 2690 - Including Families in Mental Health Recovery Act H.R. 2713 - Title VIII Nursing Workforce Reauthorization Act H.R. 2948 - Medicare Telehealth Parity Act H.R. 3081/S. 1778 - Telemedicine for Medicare (TELE-MED) Act H.R. 3299 - Strengthening Public Health Emergency Response Act of 2015 H.R. 3379 - Airplane Kits Act H.R. 3463 - Aligning Childrens Dental Coverage Act H.R. 3495 - Women's Public Health and Safety Act H.R. 3660 - Preventive Health Savings Act H.R. 3659 - Exchange Inclusion for a Healthy America Act H.R. 3762 - Restoring Americans Healthcare Freedom Reconciliation Act H.R. 3865/S. 2542 - Cradle Act H.R. 4276 - Behavioral Health Coverage Transparency Act H.R. 4400/S. 2512 - Adding Zika Virus to the FDA Priority Review Voucher Program Act H.R. 4479 - Families of Flint Act H.R. 4723 - Protecting Taxpayers by Recovering Improper Obamacare Subsidy Overpayments Act H.R. 4724 - Reducing Duplicative and Ineffective Federal Funding Act H.R. 4771 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2016 H.R. 5001/S. 2822 - Flexibility in Health IT Reporting (Flex-IT) Act H.R. 5003 - Improving Child Nutrition and Education Act of 2016 H.R. 5284 - Worlds Greatest Healthcare Plan Act of 2016 H.R. 5456/S. 3065 - Family First Prevention Services Act S. 30 - Forty Hours Is Full Time Act S. 142/H.R. 1375/H.R. 3242 - Child Nicotine Poisoning Prevention Act S. 185 - Promise for Antibiotics and Therapeutics for Health (PATH) Act S. 203 - American Liberty Restoration Act S. 339 - ObamaCare Repeal Act S. 481 - Improving Regulatory Transparency for New Medical Therapies Act S. 522 - Protecting & Retaining Our Children's Health Insurance Program (PRO-CHIP) Act S. 621 - Prevention of Antibiotic Resistance Act S. 673 - Winding Down Obamacare Act S. 674 - 21st Century Womens Health Act S. 764 - National Bioengineered Food Disclosure Standard S. 971 - Medicare Independence at Home Medical Practice Demonstration Improvement Act S. 993/H.R. 1854 - Comprehensive Justice and Mental Health Act S. 1014 - Personal Care Products Safety Act S. 1016 - Preserving Freedom and Choice in Health Care Act S. 1456 - Rural ACO Improvement Act S. 1549 - Care Planning Act S. 1793 - Promoting Physical Activity for Americans Act S. 1893 - Mental Health Awareness and Improvement Act S. 1945 - Mental Health Reform Act S. 2002/H.R. 3722 - Mental Health and Safe Communities Act S. 2045/H.R. 2050 - Middle Class Health Benefits Tax Repeal Act S. 2075 - American Worker Health Care Tax Relief Act S. 2100 - Tobacco to 21 Act S. 2153 - Provider Payment Sunshine Act S. 2173/H.R. 3712 - Improving Access to Mental Health Act S. 2218/H.R. 1218 - Personal Health Investment (PHIT) Act S. 2259 - ACO Assignment Improvement Act S. 2261 - Rural ACO Provider Equity Act S. 2343/H.R. 4155 - Telehealth Innovation and Improvement Act S. 2380 - Public Health Emergency Response and Accountability Act S. 2408/H.R. 4266 - Nurse and Health Care Worker Protection Act S. 2484 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act S. 2525/H.R. 4567 - Expand Excellence in Mental Health Act of 2016 S. 2609 - An original bill to amend the Agricultural Marketing Act of 1946 to require the Secretary of Agriculture to establish a national voluntary labeling standard for bioengineered foods S. 2680 - Mental Health Reform Act of 2016 S. 2687 - Plan of Safe Care Improvement Act S. 2821 - Testing, Removal, and Updated Evaluations of Lead Everywhere in America for Dramatic Enhancements that Restore Safety to Homes, Infrastructure, and Pipes (True LEADership) Act of 2016 S. 2848/H.R. 5303 - Water Resources Development Act of 2016 S. 3190 - Strengthening Our Rural Health Workforce Act of 2016 S. 3239 - Research to Accelerate Cures and Equity (RACE) for Children Act S. 3245 - Nursing Workforce Reauthorization Act of 2016

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Lobbying with regard to the implementation of the SMART Act (Public Law 112-242), generally. Lobbying with regard to the Medicare Secondary Payer Program, generally. S. 1514/H.R. 2649 (Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2015); provides for the application of Medicare secondary payer rules to certain workers' compensation settlement agreements and qualified Medicare set-aside provisions. Lobbying with regard to the Medicaid Third Party Liability Program, generally. S. 884/H.R. 836 (Health Care Safety Net Enhancement Act of 2015); improves access to emergency medical services, and for other purposes. H.R. 1021 (Protecting the Integrity of Medicare Act); amends Title XVIII of the Social Security Act to improve the integrity of the Medicare program, and for other purposes. H.R. 1376 (Patient Choice Act of 2015); amends the Federal Food, Drug, and Cosmetic Act to authorize provisional approval of fast-track products determined by the Secretary of Health and Human Services (HHS) to be adequately safe. H.R. 2300 (Empowering Patients First Act of 2015); provides for incentives to encourage health insurance coverage. H.R. 2653 (American Health Care Reform Act of 2015); repeals the Patient Protection and Affordable Care Act and related reconciliation provisions, to promote patient-centered health care, to provide for the creation of a safe harbor for defendants in medical malpractice actions who demonstrate adherence to clinical practice guidelines. S. 2204 (End of Suffering Act of 2015); respects the Constitutional entitlement to liberty by recognizing the right of an individual to have personal control over the medical assistance and treatment necessary to avoid intolerable physical suffering. H.R.__/S.__ (Behavioral Health Information Technology Act); draft legislation amending the Public Health Service Act to include as a health care provider behavioral and mental health professionals, substance abuse professionals, psychiatric hospitals, certain community mental health centers (including one operated by a county behavioral health agency), and residential or outpatient mental health or substance abuse treatment facilities. H.R. 5403 (Ariel Grace's Law); to amend the Federal Food, Drug, and Cosmetic Act with respect to liability under State and local requirements respecting devices. S. 2912 (Trickett Wendler Right to Try Act of 2016); to authorize the use of unapproved medical products by patients diagnosed with a terminal illness in accordance with State law, and for other purposes. H.R. 6 (21st Century Cures Act); establishing and appropriating funds, and reforming Medicaid, Medicare, and other reforms.

Client expense: $1,750,000 · Firm income: Not reported

Government targets: Education, Dept of, Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), Office of the Vice President of the United States, SENATE

HR976, Patient Access to Higher Quality Health Care Act of 2015 (All sections of full text) HR2513:Promoting Access, Competition and Equity Act of 2015 or the PACE Act of 2015 (All sections of full text) S.2511 Improving Health Information Technology Act - Discussions involving new HHS/OCR HIPAA guidance to providers for release of information(ROI) Discussions involving nominations to federally authorized commissions Monitored S.2615 Increasing Competition in Pharmaceuticals Act; discussions regarding price escalation of certain orphan or generic drugs Monitored discussions that would result in additional federal regulation of Group Purchasing Organizations Monitored HR776 Stark Administrative Simplification Act of 2015 Monitored Hatch white paper examining potential reforms to the Stark Law Monitored HR2300 Empowering Patients First Act of 2015 Monitored P.L. 114-198 Comprehensive Addiction and Recovery Act of 2016 Monitored HR 4784 Lower Drug Costs through Competition Act Monitored H.R.6 21st Century Cures Act; discussions pertaining to hospital reimbursement reductions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 244: MAC Transparency Act HR 498: Efficient Service for Veterans Act HR 802: Chiropractic Health Parity for Military Beneficiaries Act HR 868: Veterans TRICARE Choice Act HR 914: To direct the Secretary of Defense and the Secretary of Veterans Affairs to jointly operate the Federal Recovery Coordination Program, and for other purposes. HR 2943: Fiscal 2017 Defense Reauthorization HR 2300: Empowering Patients First Act of 2015 S 358: Access to Contraception for Women Servicemembers and Dependents Act S 832: Care and Readiness Enhancement for Reservists Act S 448: Veterans TRICARE Choice Act S 1290: TRICARE Portability Act S 2814: Fiscal 2017 Defense Reauthorization

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.976, Patient Access to Higher Quality Health Care Act of 2015 (all sections of full text) H.R. 2513: Promoting Access, Competition, and Equity Act of 2015 or the PACE Act of 2015 (All sections of full text) S. 2511 Improving Health Information Technology Act; discussions involving new HHS/OCR HIPAA guidance to providers for release of information(ROI) Discussions involving nominations to federally authorized commissions Monitored H.R. 6 21st Century Cures Act; discussions pertaining to hospital reimbursement reductions Monitored H.R. 4784 Lower Drug Costs through Competition Act Monitored S. 2615 Increasing Competition in Pharmaceuticals Act; discussions regarding price escalation of certain orphan or generic drugs Monitored discussions that would result in additional federal regulation of Group Purchasing Organizations Monitored H.R. 776 Stark Administrative Simplification Act of 2015 Monitored Hatch white paper examining potential reforms to the Stark Law Monitored H.R. 2300 Empowering Patients First Act of 2015 Monitored P.L. 114-198 Comprehensive Addiction and Recovery Act of 2016

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3762, Reconciliation bill with no funding for Planned Parenthood and funding cuts for Obamacare. Opposition to Bipartisan Budget Act of 2015 with $85 BILLION in spending increases. S.2182, Cut, Cap, and Balance Act of 2015 H.R.2650. The Rescue Act (Rep. Price) S.1881. Defund Planned Parenthood Act (Sen. Ernst) H.R.3134. The Defunding of Planned Parenthood Act of 2015 (Rep. Black) H.R.3301. Prohibit funding for Planned Parenthood (Rep. Jolly) H.R.3197. The Protecting Life and Taxpayers Act of 2015 (Rep. Black) S.177. ObamaCare Repeal Act (Sen. Cruz) H.R.2300. Empowering Patients First Act (Rep. Tom Price) H.R.36. Pain-Capable Child Protection Act (Rep. Franks) S.158. Employee Health Care Protection Act (Sen. Cassidy) H.R.7. - No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 (Reps. Chris Smith/Lipinski) H.R.940. Respect for Rights of Conscience Act (Rep. Black) S.404. Child Interstate Abortion Notification Act (CIANA)/(Sen. Rubio) H.R.803. Child Interstate Abortion Notification Act (CIANA)/(Rep. Ros-Lehtinen) S.51. Title X Abortion Provider Prohibition Act (Sen. Vitter) H.R.217. Title X Abortion Provider Prohibition Act (Rep. Black) S.48. Prenatal Nondiscrimination Act of 2015 (Sen. Vitter) Abortion Non-Discrimination Act of 2015 (Sen. Vitter)

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.Res.494, a resolution with articles of impeachment of IRS Commissioner John Koskinen Opposition to Fiscal Year 2016 Budget: H.R. 1314 (Trade Act of 2015) in the House and the Senate (included funding for Planned Parenthood) H.R.3762, Reconciliation bill with no funding for Planned Parenthood and funding cuts for Obamacare. Opposition to Bipartisan Budget Act of 2015 with $85 BILLION in spending increases. S.2182, Cut, Cap, and Balance Act of 2015 H.R.2802. First Amendment Defense Act (Rep. Labrador) S.1598. First Amendment Defense Act (Sen. Lee) S.1881. Defund Planned Parenthood Act (Sen. Ernst) H.R.3134. The Defunding of Planned Parenthood Act of 2015 (Rep. Black) H.R.3301. Prohibit funding for Planned Parenthood (Rep. Jolly) H.R.3197. The Protecting Life and Taxpayers Act of 2015 (Rep. Black) H.R.36. Pain-Capable Child Protection Act (Rep. Franks) S.158. Employee Health Care Protection Act (Sen. Cassidy) H.R.2300. Empowering Patients First Act (Rep. Tom Price) S.1668. Restoration of Americas Wire Act (Sen. Graham; anti-online gambling) H.R.707. Restoration of Americas Wire Act (Rep. Chaffetz); anti-online gambling) H.R.7. - No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 (Reps. Chris Smith/Lipinski) S.177. ObamaCare Repeal Act (Sen. Cruz) H.R.940. Respect for Rights of Conscience Act (Rep. Black) S.404. Child Interstate Abortion Notification Act (CIANA)/(Sen. Rubio) H.R.803. Child Interstate Abortion Notification Act (CIANA)/(Rep. Ros-Lehtinen) S.51. Title X Abortion Provider Prohibition Act (Sen. Vitter) H.R.217. Title X Abortion Provider Prohibition Act (Rep. Black) S.48. Prenatal Nondiscrimination Act of 2015 (Sen. Vitter) Abortion Non-Discrimination Act of 2015 (Sen. Vitter) Opposition to federal tax dollars for abortion. Federal funding for pro-marriage and pro-family initiatives. Social Security reform Increasing abstinence education funding

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition of essential health benefits and provider network adequacy Health information technology and electronic health records Telehealth provisions of draft medical innovation legislation Mental health services and violence prevention H.R. 6 - 21st Century Cures Act H.R. 30 - Save American Workers Act H.R. 248/S. 305 - American Job Protection Act H.R. 512 - Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act H.R. 596 - 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. 609/S. 287 - Safe Food Act H.R. 879 - Ax the Tax on Middle Class Americans' Health Plans Act H.R. 897 - Zika Vector Control Act H.R. 931 - Helping Effective Antibiotics Last (HEAL) Act H.R. 932/S. 497 - Healthy Families Act H.R. 933/S. 486 - Head Start on Vaccinations Act H.R 1189/S. 620 - Preserving Employee Wellness Programs Act H.R. 1209/S. 628 - Improving Access to Maternity Care Act H.R. 1372 - Home Visiting Extension Act H.R. 1462/S. 799 - Protecting Our Infants Act H.R 1517 - Stop Selling and Marketing to Our Kids E-Cigarettes (SMOKE) Act H.R. 1552 - Preservation of Antibiotics for Medical Treatment Act H.R. 1599 - Safe and Accurate Food Labeling Act H.R 1624 - Protecting Affordable Coverage for Employees (PACE) Act H.R. 2017/S. 2217 - Common Sense Nutrition Disclosure Act H.R. 2300/S. 2519 - Empowering Patients First Act of 2015 H.R. 2646 - Helping Families in Mental Health Crisis Act H.R. 2653 - American Health Care Reform Act H.R. 2690 - Including Families in Mental Health Recovery Act H.R. 2713 - Title VIII Nursing Workforce Reauthorization Act H.R. 2948 - Medicare Telehealth Parity Act H.R. 3081/S. 1778 - Telemedicine for Medicare (TELE-MED) Act H.R. 3299 - Strengthening Public Health Emergency Response Act of 2015 H.R. 3379 - Airplane Kits Act H.R. 3463 - Aligning Childrens Dental Coverage Act H.R. 3495 - Women's Public Health and Safety Act H.R. 3660 - Preventive Health Savings Act H.R. 3659 - Exchange Inclusion for a Healthy America Act H.R. 3762 - Restoring Americans Healthcare Freedom Reconciliation Act H.R. 3865/S. 2542 - Cradle Act H.R. 4276 - Behavioral Health Coverage Transparency Act H.R. 4400/S. 2512 - Adding Zika Virus to the FDA Priority Review Voucher Program Act H.R. 4723 - Protecting Taxpayers by Recovering Improper Obamacare Subsidy Overpayments Act H.R. 4724 - Reducing Duplicative and Ineffective Federal Funding Act H.R. 4771 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2016 H.R. 5001/S. 2822 - Flexibility in Health IT Reporting (Flex-IT) Act H.R. 5003 - Improving Child Nutrition and Education Act of 2016 H.R. 5284 - Worlds Greatest Healthcare Plan Act of 2016 H.R. 5456/S. 3065 - Family First Prevention Services Act S. 30 - Forty Hours Is Full Time Act S. 142/H.R. 1375/H.R. 3242 - Child Nicotine Poisoning Prevention Act S. 185 - Promise for Antibiotics and Therapeutics for Health (PATH) Act S. 203 - American Liberty Restoration Act S. 339 - ObamaCare Repeal Act S. 481 - Improving Regulatory Transparency for New Medical Therapies Act S. 522 - Protecting & Retaining Our Children's Health Insurance Program (PRO-CHIP) Act S. 621 - Prevention of Antibiotic Resistance Act S. 673 - Winding Down Obamacare Act S. 674 - 21st Century Womens Health Act S. 971 - Medicare Independence at Home Medical Practice Demonstration Improvement Act S. 993/H.R. 1854 - Comprehensive Justice and Mental Health Act S. 1014 - Personal Care Products Safety Act S. 1016 - Preserving Freedom and Choice in Health Care Act S. 1456 - Rural ACO Improvement Act S. 1549 - Care Planning Act S. 1793 - Promoting Physical Activity for Americans Act S. 1893 - Mental Health Awareness and Improvement Act S. 1945 - Mental Health Reform Act S. 2002/H.R. 3722 - Mental Health and Safe Communities Act S. 2045/H.R. 2050 - Middle Class Health Benefits Tax Repeal Act S. 2075 - American Worker Health Care Tax Relief Act S. 2100 - Tobacco to 21 Act S. 2153 - Provider Payment Sunshine Act S. 2173/H.R. 3712 - Improving Access to Mental Health Act S. 2218/H.R. 1218 - Personal Health Investment (PHIT) Act S. 2259 - ACO Assignment Improvement Act S. 2261 - Rural ACO Provider Equity Act S. 2343/H.R. 4155 - Telehealth Innovation and Improvement Act S. 2408/H.R. 4266 - Nurse and Health Care Worker Protection Act S. 2484 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act S. 2525/H.R. 4567 - Expand Excellence in Mental Health Act of 2016 S. 2609 - An original bill to amend the Agricultural Marketing Act of 1946 to require the Secretary of Agriculture to establish a national voluntary labeling standard for bioengineered foods S. 2680 - Mental Health Reform Act of 2016 S. 2687 - Plan of Safe Care Improvement Act S. 2821 - Testing, Removal, and Updated Evaluations of Lead Everywhere in America for Dramatic Enhancements that Restore Safety to Homes, Infrastructure, and Pipes (True LEADership) Act of 2016 S. 2848 - Water Resources Development Act of 2016

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 244: MAC Transparency Act HR 498: Efficient Service for Veterans Act HR 802: Chiropractic Health Parity for Military Beneficiaries Act HR 868: Veterans TRICARE Choice Act HR 914: To direct the Secretary of Defense and the Secretary of Veterans Affairs to jointly operate the Federal Recovery Coordination Program, and for other purposes. HR 2943: Fiscal 2017 Defense Reauthorization HR 2300: Empowering Patients First Act of 2015 S 358: Access to Contraception for Women Servicemembers and Dependents Act S 832: Care and Readiness Enhancement for Reservists Act S 448: Veterans TRICARE Choice Act S 1290: TRICARE Portability Act S 2814: Fiscal 2017 Defense Reauthorization

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor federal issues and legislation associated with health care policy. Monitor the implementation of the Patient Affordable Care Act (P.L. 111-148). H.R. 543, Health Care Choice Act of 2015. S.647, Health Care Choice Act of 2015. H.R.2300, Empowering Patients First Act of 2015. H.R. 2869, Local and Municipal Health Care Choice Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR976, Patient Access to Higher Quality Health Care Act of 2015 (All sections of full text) HR2513:Promoting Access, Competition and Equity Act of 2015 or the PACE Act of 2015 (All sections of full text) S.2511 Improving Health Information Technology Act - discussions pertaining to improvement, effectiveness and efficiency of electronic health records and health information technology for doctors, patients, and hospitals Discussions involving new HHS/OCR HIPAA guidance to providers for release of information(ROI) on patient records requests Monitored S.2615 Increasing Competition in Pharmaceuticals Act; discussions regarding price escalation of certain orphan or generic drugs Monitored discussions that would result in additional federal regulation of Group Purchasing Organizations Monitored HR776 Stark Administrative Simplification Act of 2015 Monitored Hatch white paper examining potential reforms to the Stark Law Monitored HR2300 Empowering Patients First Act of 2015 Monitored S.524 Comprehensive Addiction and Recovery Act of 2016 Monitored HR953 Comprehensive Addiction and Recovery Act of 2015 Monitored HR 4784 Lower Drug Costs through Competition Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.976, Patient Access to Higher Quality Health Care Act of 2015 (all sections of full text) H.R. 2513: Promoting Access, Competition, and Equity Act of 2015 or the PACE Act of 2015 (All sections of full text) S. 2511 Improving Health Information Technology Act - discussions pertaining to the improvement, effectiveness and efficiency of electronic health records and health information technology for doctors, patients and hospitals. Discussions involving new HHS/OCR HIPAA guidance to providers for release of information(ROI)on patient records requests Monitored S. 2615 Increasing Competition in Pharmaceuticals Act; discussions regarding price escalation of certain orphan or generic drugs Monitored discussions that would result in additional federal regulation of Group Purchasing Organizations Monitored H.R. 776 Stark Administrative Simplification Act of 2015 Monitored Hatch white paper examining potential reforms to the Stark Law Monitored H.R. 2300 Empowering Patients First Act of 2015 Monitored S. 524 Comprehensive Addiction and Recovery Act of 2016 Monitored H.R. 953 Comprehensive Addiction and Recovery Act of 2015 Monitored H.R. 4784 Lower Drug Costs through Competition Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2300 (Empowering Patients First Act of 2015); provides for incentives to encourage health insurance coverage. H.R. 2653 (American Health Care Reform Act of 2015); repeals the Patient Protection and Affordable Care Act and related reconciliation provisions, to promote patient-centered health care, to provide for the creation of a safe harbor for defendants in medical malpractice actions who demonstrate adherence to clinical practice guidelines.

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

Government targets: HOUSE OF REPRESENTATIVES

Lobbying with regard to the implementation of the SMART Act (Public Law 112-242), generally. Lobbying with regard to the Medicare Secondary Payer Program, generally. Lobbying with regard to the Medicare Third Party Liability Program, generally. S. 884/H.R. 836 (Health Care Safety Net Enhancement Act of 2015); improves access to emergency medical services, and for other purposes. H.R. 1021 (Protecting the Integrity of Medicare Act); amends Title XVIII of the Social Security Act to improve the integrity of the Medicare program, and for other purposes. H.R. 1376 (Patient Choice Act of 2015); amends the Federal Food, Drug, and Cosmetic Act to authorize provisional approval of fast-track products determined by the Secretary of Health and Human Services (HHS) to be adequately safe. H.R. 2300 (Empowering Patients First Act of 2015); provides for incentives to encourage health insurance coverage. H.R. 2653 (American Health Care Reform Act of 2015); repeals the Patient Protection and Affordable Care Act and related reconciliation provisions, to promote patient-centered health care, to provide for the creation of a safe harbor for defendants in medical malpractice actions who demonstrate adherence to clinical practice guidelines. S. 2204 (End of Suffering Act of 2015); respects the Constitutional entitlement to liberty by recognizing the right of an individual to have personal control over the medical assistance and treatment necessary to avoid intolerable physical suffering. H.R.__/S.__ (Behavioral Health Information Technology Act); draft legislation amending the Public Health Service Act to include as a health care provider behavioral and mental health professionals, substance abuse professionals, psychiatric hospitals, certain community mental health centers (including one operated by a county behavioral health agency), and residential or outpatient mental health or substance abuse treatment facilities.

Client expense: $1,500,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Vice President of the U.S.

H.R.3762, Reconciliation bill with no funding for Planned Parenthood and funding cuts for Obamacare. Opposition to Bipartisan Budget Act of 2015 with $85 BILLION in spending increases. S.2182, Cut, Cap, and Balance Act of 2015 H.R.2650. The Rescue Act (Rep. Price) S.1881. Defund Planned Parenthood Act (Sen. Ernst) H.R.3134. The Defunding of Planned Parenthood Act of 2015 (Rep. Black) H.R.3301. Prohibit funding for Planned Parenthood (Rep. Jolly) H.R.3197. The Protecting Life and Taxpayers Act of 2015 (Rep. Black) S.177. ObamaCare Repeal Act (Sen. Cruz) H.R.2300. Empowering Patients First Act (Rep. Tom Price) H.R.36. Pain-Capable Child Protection Act (Rep. Franks) S.158. Employee Health Care Protection Act (Sen. Cassidy) H.R.7. - No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 (Reps. Chris Smith/Lipinski) H.R.940. Respect for Rights of Conscience Act (Rep. Black) S.404. Child Interstate Abortion Notification Act (CIANA)/(Sen. Rubio) H.R.803. Child Interstate Abortion Notification Act (CIANA)/(Rep. Ros-Lehtinen) S.51. Title X Abortion Provider Prohibition Act (Sen. Vitter) H.R.217. Title X Abortion Provider Prohibition Act (Rep. Black) S.48. Prenatal Nondiscrimination Act of 2015 (Sen. Vitter) Abortion Non-Discrimination Act of 2015 (Sen. Vitter)

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.Res.494, a resolution with articles of impeachment of IRS Commissioner John Koskinen Opposition to Fiscal Year 2016 Budget: H.R. 1314 (Trade Act of 2015) in the House and the Senate (included funding for Planned Parenthood) H.R.3762, Reconciliation bill with no funding for Planned Parenthood and funding cuts for Obamacare. Opposition to Bipartisan Budget Act of 2015 with $85 BILLION in spending increases. S.2182, Cut, Cap, and Balance Act of 2015 H.R.2802. First Amendment Defense Act (Rep. Labrador) S.1598. First Amendment Defense Act (Sen. Lee) S.1881. Defund Planned Parenthood Act (Sen. Ernst) H.R.3134. The Defunding of Planned Parenthood Act of 2015 (Rep. Black) H.R.3301. Prohibit funding for Planned Parenthood (Rep. Jolly) H.R.3197. The Protecting Life and Taxpayers Act of 2015 (Rep. Black) H.R.36. Pain-Capable Child Protection Act (Rep. Franks) S.158. Employee Health Care Protection Act (Sen. Cassidy) H.R.2300. Empowering Patients First Act (Rep. Tom Price) S.1668. Restoration of Americas Wire Act (Sen. Graham; anti-online gambling) H.R.707. Restoration of Americas Wire Act (Rep. Chaffetz); anti-online gambling) H.R.7. - No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 (Reps. Chris Smith/Lipinski) S.177. ObamaCare Repeal Act (Sen. Cruz) H.R.940. Respect for Rights of Conscience Act (Rep. Black) S.404. Child Interstate Abortion Notification Act (CIANA)/(Sen. Rubio) H.R.803. Child Interstate Abortion Notification Act (CIANA)/(Rep. Ros-Lehtinen) S.51. Title X Abortion Provider Prohibition Act (Sen. Vitter) H.R.217. Title X Abortion Provider Prohibition Act (Rep. Black) S.48. Prenatal Nondiscrimination Act of 2015 (Sen. Vitter) Abortion Non-Discrimination Act of 2015 (Sen. Vitter) Opposition to federal tax dollars for abortion. Federal funding for pro-marriage and pro-family initiatives. Social Security reform Increasing abstinence education funding

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition of essential health benefits and provider network adequacy Health information technology and electronic health records Telehealth provisions of draft medical innovation legislation Mental health services and violence prevention H.R. 6 - 21st Century Cures Act H.R. 30 - Save American Workers Act H.R. 248/S. 305 - American Job Protection Act H.R. 270 - Flexibility in Health IT Reporting (Flex-IT) Act H.R. 512 - Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act H.R. 596 - 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. 609/S. 287 - Safe Food Act H.R. 879 - Ax the Tax on Middle Class Americans' Health Plans Act H.R. 931 - Helping Effective Antibiotics Last (HEAL) Act H.R. 932/S. 497 - Healthy Families Act H.R. 933/S. 486 - Head Start on Vaccinations Act H.R 1189/S. 620 - Preserving Employee Wellness Programs Act H.R. 1209/S. 628 - Improving Access to Maternity Care Act H.R. 1372 - Home Visiting Extension Act H.R. 1462/S. 799 - Protecting Our Infants Act H.R 1517 - Stop Selling and Marketing to Our Kids E-Cigarettes (SMOKE) Act H.R. 1552 - Preservation of Antibiotics for Medical Treatment Act H.R. 1599 - Safe and Accurate Food Labeling Act H.R 1624 - Protecting Affordable Coverage for Employees (PACE) Act H.R. 2017/S. 2217 - Common Sense Nutrition Disclosure Act H.R. 2300/S. 2519 - Empowering Patients First Act of 2015 H.R. 2646 - Helping Families in Mental Health Crisis Act H.R. 2690 - Including Families in Mental Health Recovery Act H.R. 2713 - Title VIII Nursing Workforce Reauthorization Act H.R. 2948 - Medicare Telehealth Parity Act H.R. 3081/S. 1778 - Telemedicine for Medicare (TELE-MED) Act H.R. 3379 - Airplane Kits Act H.R. 3495 - Women's Public Health and Safety Act H.R. 3660 - Preventive Health Savings Act H.R. 3659 - Exchange Inclusion for a Healthy America Act H.R. 3762 - Restoring Americans Healthcare Freedom Reconciliation Act H.R. 3865/S. 2542 - Cradle Act H.R. 4276 - Behavioral Health Coverage Transparency Act H.R. 4400/S. 2512 - Adding Zika Virus to the FDA Priority Review Voucher Program Act H.R. 4723 - Protecting Taxpayers by Recovering Improper Obamacare Subsidy Overpayments Act H.R. 4724 - Reducing Duplicative and Ineffective Federal Funding Act H.R. 4771 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2016 S. 30 - Forty Hours Is Full Time Act S. 142/H.R. 1375/H.R. 3242 - Child Nicotine Poisoning Prevention Act S. 185 - Promise for Antibiotics and Therapeutics for Health (PATH) Act S. 203 - American Liberty Restoration Act S. 339 - ObamaCare Repeal Act S. 481 - Improving Regulatory Transparency for New Medical Therapies Act S. 522 - Protecting & Retaining Our Children's Health Insurance Program (PRO-CHIP) Act S. 621 - Prevention of Antibiotic Resistance Act S. 673 - Winding Down Obamacare Act S. 674 - 21st Century Womens Health Act S. 971 - Medicare Independence at Home Medical Practice Demonstration Improvement Act S. 993/H.R. 1854 - Comprehensive Justice and Mental Health Act S. 1014 - Personal Care Products Safety Act S. 1016 - Preserving Freedom and Choice in Health Care Act S. 1456 - Rural ACO Improvement Act S. 1549 - Care Planning Act S. 1793 - Promoting Physical Activity for Americans Act S. 1893 - Mental Health Awareness and Improvement Act S. 1945 - Mental Health Reform Act S. 2002/H.R. 3722 - Mental Health and Safe Communities Act S. 2045/H.R. 2050 - Middle Class Health Benefits Tax Repeal Act S. 2075 - American Worker Health Care Tax Relief Act S. 2100 - Tobacco to 21 Act S. 2153 - Provider Payment Sunshine Act S. 2173/H.R. 3712 - Improving Access to Mental Health Act S. 2218/H.R. 1218 - Personal Health Investment (PHIT) Act S. 2259 - ACO Assignment Improvement Act S. 2261 - Rural ACO Provider Equity Act S. 2343/H.R. 4155 - Telehealth Innovation and Improvement Act S. 2408/H.R. 4266 - Nurse and Health Care Worker Protection Act S. 2525/H.R. 4567 - Expand Excellence in Mental Health Act of 2016 S. 2609 - An original bill to amend the Agricultural Marketing Act of 1946 to require the Secretary of Agriculture to establish a national voluntary labeling standard for bioengineered foods S. 2680 - Mental Health Reform Act of 2016 S. 2687 - Plan of Safe Care Improvement Act

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 244: MAC Transparency Act HR 498: Efficient Service for Veterans Act HR 802: Chiropractic Health Parity for Military Beneficiaries Act HR 868: Veterans TRICARE Choice Act HR 914: To direct the Secretary of Defense and the Secretary of Veterans Affairs to jointly operate the Federal Recovery Coordination Program, and for other purposes. Fiscal 2017 Defense Reauthorization HR 2300: Empowering Patients First Act of 2015 S 358: Access to Contraception for Women Servicemembers and Dependents Act S 832: Care and Readiness Enhancement for Reservists Act S 448: Veterans TRICARE Choice Act S 1290: TRICARE Portability Act

Client expense: $70,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbying with regard to the implementation of the SMART Act (Public Law 112-242), generally. Lobbying with regard to the Medicare Secondary Payer Program, generally. Lobbying with regard to the Medicare Third Party Liability Program, generally. S. 884/H.R. 836 (Health Care Safety Net Enhancement Act of 2015); improves access to emergency medical services, and for other purposes. H.R. 1021 (Protecting the Integrity of Medicare Act); amends Title XVIII of the Social Security Act to improve the integrity of the Medicare program, and for other purposes. H.R. 1376 (Patient Choice Act of 2015); amends the Federal Food, Drug, and Cosmetic Act to authorize provisional approval of fast-track products determined by the Secretary of Health and Human Services (HHS) to be adequately safe. H.R. 2300 (Empowering Patients First Act of 2015); provides for incentives to encourage health insurance coverage. H.R. 2653 (American Health Care Reform Act of 2015); repeals the Patient Protection and Affordable Care Act and related reconciliation provisions, to promote patient-centered health care, to provide for the creation of a safe harbor for defendants in medical malpractice actions who demonstrate adherence to clinical practice guidelines. S. 2204 (End of Suffering Act of 2015); respects the Constitutional entitlement to liberty by recognizing the right of an individual to have personal control over the medical assistance and treatment necessary to avoid intolerable physical suffering. H.R.__/S.__ (Behavioral Health Information Technology Act); draft legislation amending the Public Health Service Act to include as a health care provider behavioral and mental health professionals, substance abuse professionals, psychiatric hospitals, certain community mental health centers (including one operated by a county behavioral health agency), and residential or outpatient mental health or substance abuse treatment facilities.

Client expense: $1,380,000 · Firm income: Not reported

Government targets: Consumer Financial Protection Bureau (CFPB), Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), Office of the Vice President of the United States, SENATE, Vice President of the U.S.

HR976, Patient Access to Higher Quality Health Care Act of 2015 (All sections of full text) HR2513:Promoting Access, Competition and Equity Act of 2015 or the PACE Act of 2015 (All sections of full text) Monitored potential legislation on the improvement, effectiveness and efficiency of electronic health records and health information technology for doctors, patients and hospitals. Monitored HR776 Stark Administrative Simplification Act of 2015 Monitored S.2615 Increasing Competition in Pharmaceuticals Act; discussions regarding price escalation of certain orphan or generic drugs Monitored discussions that would result in additional federal regulation of Group Purchasing Organizations Monitored HR2300 Empowering Patients First Act of 2015 Monitored S.524 Comprehensive Addiction and Recovery Act of 2016 Monitored HR953 Comprehensive Addiction and Recovery Act of 2015

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.976, Patient Access to Higher Quality Health Care Act of 2015 (all sections of full text) H.R. 2513: Promoting Access, Competition, and Equity Act of 2015 or the PACE Act of 2015 (All sections of full text) Monitored potential legislation on the improvement, effectiveness and efficiency of electronic health records and health information technology for doctors, patients and hospitals. Monitored S. 2615 Increasing Competition in Pharmaceuticals Act; discussions regarding price escalation of certain orphan or generic drugs Monitored discussions that would result in additional federal regulation of Group Purchasing Organizations Monitored H.R. 776 Stark Administrative Simplification Act of 2015 Monitored H.R. 2300 Empowering Patients First Act of 2015 Monitored S. 524 Comprehensive Addiction and Recovery Act of 2016 Monitored H.R. 953 Comprehensive Addiction and Recovery Act of 2015

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Opposition to Fiscal Year 2016 Budget: H.R. 1314 (Trade Act of 2015) in the House and the Senate (included funding for Planned Parenthood) H.R.3762, Reconciliation bill with no funding for Planned Parenthood and funding cuts for Obamacare. Opposition to Bipartisan Budget Act of 2015 with $85 BILLION in spending increases. S.2182, Cut, Cap, and Balance Act of 2015 H.R.2802. First Amendment Defense Act (Rep. Labrador) S.1598. First Amendment Defense Act (Sen. Lee) S.1881. Defund Planned Parenthood Act (Sen. Ernst) H.R.3134. The Defunding of Planned Parenthood Act of 2015 (Rep. Black) H.R.3301. Prohibit funding for Planned Parenthood (Rep. Jolly) H.R.3197. The Protecting Life and Taxpayers Act of 2015 (Rep. Black) H.R.36. Pain-Capable Child Protection Act (Rep. Franks) S.158. Employee Health Care Protection Act (Sen. Cassidy) H.R.2300. Empowering Patients First Act (Rep. Tom Price) S.1668. Restoration of Americas Wire Act (Sen. Graham; anti-online gambling) H.R.707. Restoration of Americas Wire Act (Rep. Chaffetz); anti-online gambling) H.R.7. - No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 (Reps. Chris Smith/Lipinski) S.177. ObamaCare Repeal Act (Sen. Cruz) H.R.940. Respect for Rights of Conscience Act (Rep. Black) S.404. Child Interstate Abortion Notification Act (CIANA)/(Sen. Rubio) H.R.803. Child Interstate Abortion Notification Act (CIANA)/(Rep. Ros-Lehtinen) S.51. Title X Abortion Provider Prohibition Act (Sen. Vitter) H.R.217. Title X Abortion Provider Prohibition Act (Rep. Black) S.48. Prenatal Nondiscrimination Act of 2015 (Sen. Vitter) Abortion Non-Discrimination Act of 2015 (Sen. Vitter) Opposition to federal tax dollars for abortion. Federal funding for pro-marriage and pro-family initiatives. Social Security reform Increasing abstinence education funding

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3762, Reconciliation bill with no funding for Planned Parenthood and funding cuts for Obamacare. Opposition to Bipartisan Budget Act of 2015 with $85 BILLION in spending increases. S.2182, Cut, Cap, and Balance Act of 2015 H.R.2650. The Rescue Act (Rep. Price) S.1881. Defund Planned Parenthood Act (Sen. Ernst) H.R.3134. The Defunding of Planned Parenthood Act of 2015 (Rep. Black) H.R.3301. Prohibit funding for Planned Parenthood (Rep. Jolly) H.R.3197. The Protecting Life and Taxpayers Act of 2015 (Rep. Black) S.177. ObamaCare Repeal Act (Sen. Cruz) H.R.2300. Empowering Patients First Act (Rep. Tom Price) H.R.36. Pain-Capable Child Protection Act (Rep. Franks) S.158. Employee Health Care Protection Act (Sen. Cassidy) H.R.7. - No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 (Reps. Chris Smith/Lipinski) H.R.940. Respect for Rights of Conscience Act (Rep. Black) S.404. Child Interstate Abortion Notification Act (CIANA)/(Sen. Rubio) H.R.803. Child Interstate Abortion Notification Act (CIANA)/(Rep. Ros-Lehtinen) S.51. Title X Abortion Provider Prohibition Act (Sen. Vitter) H.R.217. Title X Abortion Provider Prohibition Act (Rep. Black) S.48. Prenatal Nondiscrimination Act of 2015 (Sen. Vitter) Abortion Non-Discrimination Act of 2015 (Sen. Vitter)

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 770 - To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010: entire bill HR 132/S 339 - ObamaCare Repeal Act: entire bill Public Law No. 111-148- Patient Protection and Affordable Care Act: entire law Public Law No. 111-152- Health Care and Education Reconciliation Act of 2010: entire law HR 2 - Medicare Access and CHIP Reauthorization Act SGR Repeal and Medicare Beneficiary Access Act: amendments and provisions related to and affecting reproductive health and family planning HR 1101 - Viral Hepatitis Testing Act: entire bill HR 1502 - Medicare Parity Act: entire bill S 737 - Ensuring Access to Primary Care for Women & Children Act: entire bill HR 117 - Reclaiming Individual Liberty Act: entire bill S 77 - Patient Choice Restoration Act: entire bill S 221 - Pregnancy Assistance Fund Expansion Act: entire bill HR 22 - Hire More Heroes Act: entire bill HR 1356/S 471 - Women Veterans Access to Quality Care Act: entire bill S 469 - Women Veterans and Families Health Services Act: entire bill HR 691 - Telehealth Modernization Act : entire bill HR 768 - Stop AIDS in Prison Act: entire bill HR 45 - Triple-Negative Breast Cancer Research and Education Act: entire bill HR 716/S 370 - Breast Density and Mammography Reporting Act: entire bill HR 1197 - Accelerating the End of Breast Cancer Act: entire bill S 697 - Frank R. Lautenberg Chemical Safety for the 21st Century Act: entire bill S 1016 - Preserving Freedom and Choice in Health Care Act: entire bill HR 2054 - To amend title 38, United States Code, to provide for increased access to Department of Veterans Affairs medical care for women veterans: entire bill HR 2300 - Empowering Patients First Act: entire bill S 1438 - Allowing Greater Access to Safe and Effective Contraception Act: entire bill S Res 193 - A resolution celebrating the 50th anniversary of the historic Griswold v. Connecticut decision of the Supreme Court of the United States and expressing the sense of the Senate that the case was an important step forward in helping ensure that all people of the United States are able to use contraceptives to plan pregnancies and have healthier babies.: entire resolution HR 2653 - American Health Care Reform Act: entire bill HR 3163/S 1532 - Affordability Is Access Act: entire bill HR 2866 - To amend title XXVII of the Public Health Service Act to provide for a special enrollment period for pregnant women, and for other purposes: entire bill HR 6 - 21st Century Cures Act: entire bill HR 2066 - Telehealth Enhancement Act: entire bill HR 1345 - Health IT Modernization for Underserved Communities Act: entire bill HR 270 - Flexibility in Health IT Reporting (Flex-IT) Act: entire bill HR 2646 - Helping Families in Mental Health Crisis Act: entire bill HR 2725 - 21st Century Care for Military and Veterans Act: entire bill HR 2355 - Women's Preventive Health Awareness Campaign: entire bill HR 2820 - Stem Cell Therapeutic and Research Reauthorization Act: entire bill HR 2866/S 2220 - the Healthy MOM Act S 1299/HR 938 - Garrett Lee Smith Memorial Act Reauthorization HR 3171 - To amend the Public Health Service Act to prohibit certain research on the transplantation of human fetal tissue obtained pursuant to an abortion. S 1919 - A bill to amend the Patient Protection and Affordable Care Act to protect rights of conscience with regard to requirements for coverage of specific items and services, to amend the Public Health Service Act to prohibit certain abortion-related discrimination in governmental activities, and for other purposes. HR 3443 - Women's Health Accountability Act HR 2972 - Equal Access to Abortion Coverage in Health Insurance (EACH Woman) Act HR 3498 - Human Cloning Prohibition Act S 1917 - A bill to prohibit the provision of Federal funds to an entity that receives compensation for facilitating the donation of fetal tissue derived from an abortion. H Res 558/S Res 327 - A resolution condemning violence that targets healthcare for women. Reducing Unexpected Deaths in Infants and Children Act of 2015

Client expense: $42,941 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), Peace Corps, SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA)

Lobbying with regard to the implementation of the SMART Act (Public Law 112-242), generally. Lobbying with regard to the Medicare Secondary Payer Program, generally. Lobbying with regard to the Medicare Third Party Liability Program, generally. S. 884/H.R. 836 (Health Care Safety Net Enhancement Act of 2015); improves access to emergency medical services, and for other purposes. H.R. 1021 (Protecting the Integrity of Medicare Act); amends Title XVIII of the Social Security Act to improve the integrity of the Medicare program, and for other purposes. H.R. 1376 (Patient Choice Act of 2015); amends the Federal Food, Drug, and Cosmetic Act to authorize provisional approval of fast-track products determined by the Secretary of Health and Human Services (HHS) to be adequately safe. H.R. 2300 (Empowering Patients First Act of 2015); provides for incentives to encourage health insurance coverage. H.R. 2653 (American Health Care Reform Act of 2015); repeals the Patient Protection and Affordable Care Act and related reconciliation provisions, to promote patient-centered health care, to provide for the creation of a safe harbor for defendants in medical malpractice actions who demonstrate adherence to clinical practice guidelines. S. 2204 (End of Suffering Act of 2015); respects the Constitutional entitlement to liberty by recognizing the right of an individual to have personal control over the medical assistance and treatment necessary to avoid intolerable physical suffering.

Client expense: $1,600,000 · Firm income: Not reported

Government targets: Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

HR 244: MAC Transparency Act HR 498: Efficient Service for Veterans Act HR 802: Chiropractic Health Parity for Military Beneficiaries Act HR 868: Veterans TRICARE Choice Act HR 914: To direct the Secretary of Defense and the Secretary of Veterans Affairs to jointly operate the Federal Recovery Coordination Program, and for other purposes. HR 1735: National Defense Authorization Act for Fiscal Year 2016 HR 2300: Empowering Patients First Act of 2015 S 358: Access to Contraception for Women Servicemembers and Dependents Act S 832: Care and Readiness Enhancement for Reservists Act S 448: Veterans TRICARE Choice Act S 1290: TRICARE Portability Act S 1376: Fiscal 2016 Defense Reauthorization HR 2029: Fiscal 2016 Military Construction-VA Appropriations HR 2685: Fiscal 2016 Defense Appropriations S 1558: Fiscal 2016 Defense Appropriations

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1664, Health Insurance Freedom Act of 2015; H.R. 2, Medicare Access and CHIP Reauthorization Act; H.R. 2300, Empowering Patients First Act; H.R. 2400, Special Inspector General for Monitoring the Affordable Care Act; H.R. 2603, Saving Lives, Saving Costs Act; H.R. 2653, American Health Care Reform Act; S. 1475, Saving Lives, Saving Costs Act; H.R. 6 21st Century Cures Act; H.R. 1270 Restoring Access to Medication Act

Client expense: $70,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC)

H.R.3762, Reconciliation bill with no funding for Planned Parenthood and funding cuts for Obamacare. Opposition to Bipartisan Budget Act of 2015 with $85 BILLION in spending increases. S.2182, Cut, Cap, and Balance Act of 2015 H.R.2802. First Amendment Defense Act (Rep. Labrador) S.1598. First Amendment Defense Act (Sen. Lee) S.1881. Defund Planned Parenthood Act (Sen. Ernst) H.R.3134. The Defunding of Planned Parenthood Act of 2015 (Rep. Black) H.R.3301. Prohibit funding for Planned Parenthood (Rep. Jolly) H.R.3197. The Protecting Life and Taxpayers Act of 2015 (Rep. Black) H.R.36. Pain-Capable Child Protection Act (Rep. Franks) S.158. Employee Health Care Protection Act (Sen. Cassidy) H.R.2300. Empowering Patients First Act (Rep. Tom Price) S.1668. Restoration of Americas Wire Act (Sen. Graham; anti-online gambling) H.R.707. Restoration of Americas Wire Act (Rep. Chaffetz); anti-online gambling) H.R.7. - No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 (Reps. Chris Smith/Lipinski) S.177. ObamaCare Repeal Act (Sen. Cruz) H.R.940. Respect for Rights of Conscience Act (Rep. Black) S.404. Child Interstate Abortion Notification Act (CIANA)/(Sen. Rubio) H.R.803. Child Interstate Abortion Notification Act (CIANA)/(Rep. Ros-Lehtinen) S.51. Title X Abortion Provider Prohibition Act (Sen. Vitter) H.R.217. Title X Abortion Provider Prohibition Act (Rep. Black) S.48. Prenatal Nondiscrimination Act of 2015 (Sen. Vitter) Abortion Non-Discrimination Act of 2015 (Sen. Vitter) Opposition to federal tax dollars for abortion. Federal funding for pro-marriage and pro-family initiatives. Social Security reform Increasing abstinence education funding

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3762, Reconciliation bill with no funding for Planned Parenthood and funding cuts for Obamacare. Opposition to Bipartisan Budget Act of 2015 with $85 BILLION in spending increases. S.2182, Cut, Cap, and Balance Act of 2015 H.R.2650. The Rescue Act (Rep. Price) S.1881. Defund Planned Parenthood Act (Sen. Ernst) H.R.3134. The Defunding of Planned Parenthood Act of 2015 (Rep. Black) H.R.3301. Prohibit funding for Planned Parenthood (Rep. Jolly) H.R.3197. The Protecting Life and Taxpayers Act of 2015 (Rep. Black) S.177. ObamaCare Repeal Act (Sen. Cruz) H.R.2300. Empowering Patients First Act (Rep. Tom Price) H.R.36. Pain-Capable Child Protection Act (Rep. Franks) S.158. Employee Health Care Protection Act (Sen. Cassidy) H.R.7. - No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 (Reps. Chris Smith/Lipinski) H.R.940. Respect for Rights of Conscience Act (Rep. Black) S.404. Child Interstate Abortion Notification Act (CIANA)/(Sen. Rubio) H.R.803. Child Interstate Abortion Notification Act (CIANA)/(Rep. Ros-Lehtinen) S.51. Title X Abortion Provider Prohibition Act (Sen. Vitter) H.R.217. Title X Abortion Provider Prohibition Act (Rep. Black) S.48. Prenatal Nondiscrimination Act of 2015 (Sen. Vitter) Abortion Non-Discrimination Act of 2015 (Sen. Vitter)

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 770 - To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010: entire bill HR 132/S 339 - ObamaCare Repeal Act: entire bill Public Law No. 111-148- Patient Protection and Affordable Care Act: entire law Public Law No. 111-152- Health Care and Education Reconciliation Act of 2010: entire law HR 2 - Medicare Access and CHIP Reauthorization Act SGR Repeal and Medicare Beneficiary Access Act: amendments and provisions related to and affecting reproductive health and family planning HR 1101 - Viral Hepatitis Testing Act: entire bill HR 1502 - Medicare Parity Act: entire bill S 737 - Ensuring Access to Primary Care for Women & Children Act: entire bill HR 117 - Reclaiming Individual Liberty Act: entire bill S 77 - Patient Choice Restoration Act: entire bill S 221 - Pregnancy Assistance Fund Expansion Act: entire bill HR 22 - Hire More Heroes Act: entire bill HR 1356/S 471 - Women Veterans Access to Quality Care Act: entire bill S 469 - Women Veterans and Families Health Services Act: entire bill HR 691 - Telehealth Modernization Act : entire bill HR 768 - Stop AIDS in Prison Act: entire bill HR 45 - Triple-Negative Breast Cancer Research and Education Act: entire bill HR 716/S 370 - Breast Density and Mammography Reporting Act: entire bill HR 1197 - Accelerating the End of Breast Cancer Act: entire bill S 697 - Frank R. Lautenberg Chemical Safety for the 21st Century Act: entire bill S 1016 - Preserving Freedom and Choice in Health Care Act: entire bill HR 2054 - To amend title 38, United States Code, to provide for increased access to Department of Veterans Affairs medical care for women veterans: entire bill HR 2300 - Empowering Patients First Act: entire bill S 1438 - Allowing Greater Access to Safe and Effective Contraception Act: entire bill S Res 193 - A resolution celebrating the 50th anniversary of the historic Griswold v. Connecticut decision of the Supreme Court of the United States and expressing the sense of the Senate that the case was an important step forward in helping ensure that all people of the United States are able to use contraceptives to plan pregnancies and have healthier babies.: entire resolution HR 2653 - American Health Care Reform Act: entire bill HR 3163/S 1532 - Affordability Is Access Act: entire bill HR 2866 - To amend title XXVII of the Public Health Service Act to provide for a special enrollment period for pregnant women, and for other purposes: entire bill HR 6 - 21st Century Cures Act: entire bill HR 2066 - Telehealth Enhancement Act: entire bill HR 1345 - Health IT Modernization for Underserved Communities Act: entire bill HR 270 - Flexibility in Health IT Reporting (Flex-IT) Act: entire bill HR 2646 - Helping Families in Mental Health Crisis Act: entire bill HR 2725 - 21st Century Care for Military and Veterans Act: entire bill HR 2355 - Women's Preventive Health Awareness Campaign: entire bill HR 2820 - Stem Cell Therapeutic and Research Reauthorization Act: entire bill HR 2866 - the Healthy MOM Act S 1299/HR 938 - Garrett Lee Smith Memorial Act Reauthorization HR 3171 - To amend the Public Health Service Act to prohibit certain research on the transplantation of human fetal tissue obtained pursuant to an abortion. S 1919 - A bill to amend the Patient Protection and Affordable Care Act to protect rights of conscience with regard to requirements for coverage of specific items and services, to amend the Public Health Service Act to prohibit certain abortion-related discrimination in governmental activities, and for other purposes. HR 3443 - Women's Health Accountability Act HR 2972 - Equal Access to Abortion Coverage in Health Insurance (EACH Woman) Act HR 3498 - Human Cloning Prohibition Act S 1917 - A bill to prohibit the provision of Federal funds to an entity that receives compensation for facilitating the donation of fetal tissue derived from an abortion.

Client expense: $278,546 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), Peace Corps, SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA)

Lobbying with regard to the implementation of the SMART Act (Public Law 112-242), generally. Lobbying with regard to the Medicare Secondary Payer Program, generally. Lobbying with regard to the Medicare Third Party Liability Program, generally. S. 884/H.R. 836 (Health Care Safety Net Enhancement Act of 2015); improves access to emergency medical services, and for other purposes. H.R. 1021 (Protecting the Integrity of Medicare Act); amends Title XVIII of the Social Security Act to improve the integrity of the Medicare program, and for other purposes. H.R. 1376 (Patient Choice Act of 2015); amends the Federal Food, Drug, and Cosmetic Act to authorize provisional approval of fast-track products determined by the Secretary of Health and Human Services (HHS) to be adequately safe. H.R. 2300 (Empowering Patients First Act of 2015); provides for incentives to encourage health insurance coverage. H.R. 2653 (American Health Care Reform Act of 2015); repeals the Patient Protection and Affordable Care Act and related reconciliation provisions, to promote patient-centered health care, to provide for the creation of a safe harbor for defendants in medical malpractice actions who demonstrate adherence to clinical practice guidelines. S. __ (End of Suffering Act of 2015); draft bill not introduced as of 10-20-2015; respects the Constitutional entitlement to liberty by recognizing the right of an individual to have personal control over the medical assistance and treatment necessary to avoid intolerable physical suffering.

Client expense: $1,520,000 · Firm income: Not reported

Government targets: Consumer Financial Protection Bureau (CFPB), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

S. 484, PATIENTS Act: Prohibit the use of data obtained from comparative effectiveness research to deny or delay coverage of items or services S. 689, Sports Medicine Licensure Clarity Act: Provide protections for certain sports medicine professionals who provide certain medical services in a secondary State. S. 2107, Building a Health Care Workforce for the Future Act: Grant programs to ensure an adequate physician workforce S. 763, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: To reauthorize certain trauma care programs. S. 884, Health Care Safety Net Enhancement Act of 2015: To improve access to emergency medical services. H.R. 6, 21st Century Cures Act: Accelerating innovation in medicine H.R. 105, Quality Health Care Coalition Act of 2015: Ensure and foster continued patient safety and quality of care by clarifying the application of the antitrust laws to negotiations between groups of health care professionals and health plans and health care insurance issuers. H.R. 836, Health Care Safety Net Enhancement Act of 2015: To improve access to emergency medical services. H.R 865, Good Samaritan Health Professionals Act of 2015: To limit the liability of health care professionals who volunteer to provide health care services in response to a disaster. H.R. 921, Sports Medicine Licensure Clarity Act of 2015: To provide protections for certain sports medicine professionals who provide certain medical services in a secondary State. H.R. 1271, Concussion Awareness and Education Act of 2015: Sports concussion prevention/treatment H.R. 2300, Empowering Patients First Act: Healthcare reform H.R.2603, Saving Lives, Saving Costs Act: Medical liability reform H.R. 2653, American Health Care Reform Act: Healthcare reform H.Res. 259, Expressing support for designation of September 2015 as National Brain Aneurysm Awareness Month. No bill: Medical liability reform

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

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

S. 484, PATIENTS Act: Prohibit the use of data obtained from comparative effectiveness research to deny or delay coverage of items or services S. 689, Sports Medicine Licensure Clarity Act: Provide protections for certain sports medicine professionals who provide certain medical services in a secondary State. S. 2107, Building a Health Care Workforce for the Future Act: Grant programs to ensure an adequate physician workforce S. 763, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: To reauthorize certain trauma care programs. S. 884, Health Care Safety Net Enhancement Act of 2015: To improve access to emergency medical services. H.R. 6, 21st Century Cures Act: Accelerating innovation in medicine H.R. 105, Quality Health Care Coalition Act of 2015: Ensure and foster continued patient safety and quality of care by clarifying the application of the antitrust laws to negotiations between groups of health care professionals and health plans and health care insurance issuers. H.R. 836, Health Care Safety Net Enhancement Act of 2015: To improve access to emergency medical services. H.R 865, Good Samaritan Health Professionals Act of 2015: To limit the liability of health care professionals who volunteer to provide health care services in response to a disaster. H.R. 921, Sports Medicine Licensure Clarity Act of 2015: To provide protections for certain sports medicine professionals who provide certain medical services in a secondary State. H.R. 1271, Concussion Awareness and Education Act of 2015: Sports concussion prevention/treatment H.R. 2300, Empowering Patients First Act: Healthcare reform H.R.2603, Saving Lives, Saving Costs Act: Medical liability reform H.R. 2653, American Health Care Reform Act: Healthcare reform H.Res. 259, Expressing support for designation of September 2015 as National Brain Aneurysm Awareness Month. No bill: Medical liability reform

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

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

H.R.36. Pain-Capable Child Protection Act (Rep. Franks) S.158. Employee Health Care Protection Act (Sen. Cassidy) H.R.2300. Empowering Patients First Act (Rep. Tom Price) S.1668. Restoration of Americas Wire Act (Sen. Graham; anti-online gambling) H.R.707. Restoration of Americas Wire Act (Rep. Chaffetz); anti-online gambling) H.R.7. - No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2015 (Reps. Chris Smith/Lipinski) S.177. ObamaCare Repeal Act (Sen. Cruz) H.R.940. Respect for Rights of Conscience Act (Rep. Black) S.404. Child Interstate Abortion Notification Act (CIANA)/(Sen. Rubio) H.R.803. Child Interstate Abortion Notification Act (CIANA)/(Rep. Ros-Lehtinen) S.51. Title X Abortion Provider Prohibition Act (Sen. Vitter) H.R.217. Title X Abortion Provider Prohibition Act (Rep. Black) S.48. Prenatal Nondiscrimination Act of 2015 (Sen. Vitter) Abortion Non-Discrimination Act of 2015 (Sen. Vitter) Opposition to federal tax dollars for abortion. Federal funding for pro-marriage and pro-family initiatives. Social Security reform Increasing abstinence education funding

Client expense: Not reported · Firm income: $9,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE