Tanning Tax Repeal Act of 2015

Support for a national reporting database of medical errors related to the delivery of radiation therapy. Support for the development of an appropriate medical event definition. Support to ensure that patient care advances in biomedical research impacting patient care are not compromised by any policies imposed on the medical use and research applications of cesium chloride. FDA review process of medical devices; The Medical Device Guardians Act of 2016 (H.R. 5404) Support for NRC Commissioner nominee to have medical background. Support patient choice in treatment options by closing the in-office ancillary services exception to the Stark Law for radiation oncology services; Protecting Integrity in Medicare Act (H.R. 5088) Oppose HR 2698, Tanning Tax Repeal Act of 2015 Support HR 239, To amend title XI of the Social Security Act to exempt from manufacturer transparency reporting certain transfers used for educational purposes, and for other purposes Radiation Oncology reimbursement Radiation Oncology safety Cancer Moonshot Initiative H.R. 5721 Local Coverage Determination Clarification Act of 2016

Client expense: $124,957 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE

Advocate against H.R. 2698, the Tanning Tax Repeal Act of 2015, to repeal excise tax on indoor tanning services. Advocate for legislation that would allow for Flexible Spending Accounts (FSAs) to be used to cover over-the-counter (OTC) drugs (S. 709, H.R. 1270, Restoring Access to Medication Act). Support legislation that would increase pre-tax savings for Flexible Spending Accounts and allow funds to be carried over from year to year in perpetuity (H.R. 1185/S.3242 The Responsible Additions and Increases to Sustain Employee Health Benefits Act of 2015)

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

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Tax on indoor tanning services, including related provisions in H.R. 2698, the Tanning Tax Repeal Act of 2015; allow Flexible Spending Accounts (FSA) use for over-the-counter (OTC) medicines.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2698, Tanning Tax Repeal Act of 2015; issues related to taxes on tanning activities.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate against H.R. 2698, the Tanning Tax Repeal Act of 2015, to repeal excise tax on indoor tanning services. Advocate for legislation that would allow for Flexible Spending Accounts (FSAs) to be used to cover over-the-counter (OTC) drugs (S. 709, H.R. 1270, Restoring Access to Medication Act).

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

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Support for a national reporting database of medical errors related to the delivery of radiation therapy. Support for the development of an appropriate medical event definition. Support to ensure that patient care advances in biomedical research impacting patient care are not compromised by any policies imposed on the medical use and research applications of cesium chloride. FDA review process of medical devices; The Medical Device Guardians Act of 2016 (H.R. 5404) Support for NRC Commissioner nominee to have medical background. Support patient choice in treatment options by closing the in-office ancillary services exception to the Stark Law for radiation oncology services; Protecting Integrity in Medicare Act (H.R. 5088) Oppose HR 2698, Tanning Tax Repeal Act of 2015 Support HR 239, To amend title XI of the Social Security Act to exempt from manufacturer transparency reporting certain transfers used for educational purposes, and for other purposes Radiation Oncology reimbursement Radiation Oncology safety Cancer Moonshot Initiative

Client expense: $250,351 · Firm income: Not reported

Tax on indoor tanning services, including related provisions in H.R. 2698, the Tanning Tax Repeal Act of 2015; Legislative issues related to action by the FDA on a rule to restrict indoor tanning services for minors; allow Flexible Spending Accounts (FSA) use for over-the-counter (OTC) medicines.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2698, Tanning Tax Repeal Act of 2015; issues related to taxes on tanning activities.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate against H.R. 2698, the Tanning Tax Repeal Act of 2015, to repeal excise tax on indoor tanning services. Advocate for legislation that would allow for Flexible Spending Accounts (FSAs) to be used to cover over-the-counter (OTC) drugs (S. 709, H.R. 1270, Restoring Access to Medication Act).

Client expense: $444,057 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

H.R.2698, Tanning Tax Repeal Act of 2015; issues related to taxes on tanning activities.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tax on indoor tanning services, including related provisions in H.R. 2698, the Tanning Tax Repeal Act of 2015; Legislative issues related to action by the FDA on a rule to restrict indoor tanning services for minors.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for a national reporting database of medical errors related to the delivery of radiation therapy. Support for the development of an appropriate medical event definition. Support to ensure that patient care advances in biomedical research impacting patient care are not compromised by any policies imposed on the medical use and research applications of cesium chloride. Support modifications to the FDA review process of medical devices to consider interoperability issues. Support for NRC Commissioner nominee to have medical background. Support patient choice in treatment options by closing the in-office ancillary services exception to the Stark Law for radiation oncology services. Oppose HR 2698, Tanning Tax Repeal Act of 2015 Support HR 239, To amend title XI of the Social Security Act to exempt from manufacturer transparency reporting certain transfers used for educational purposes, and for other purposes Radiation Oncology reimbursement Radiation Oncology safety S. 1549, To amend title XVIII of the Social Security Act to provide for advanced illness care coordination services for Medicare beneficiaries, and for other purposes.

Client expense: $119,615 · Firm income: Not reported

Advocate against H.R. 2698, the Tanning Tax Repeal Act of 2015, to repeal excise tax on indoor tanning services. Advocate for legislation that would allow for Flexible Spending Accounts (FSAs) to be used to cover over-the-counter (OTC) drugs (S. 709, H.R. 1270, Restoring Access to Medication Act).

Client expense: $280,332 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Tax on indoor tanning services, including related provisions in H.R. 2698, the Tanning Tax Repeal Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2698, Tanning Tax Repeal Act of 2015; issues related to taxes on tanning activities.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for a national reporting database of medical errors related to the delivery of radiation therapy. Support for the development of an appropriate medical event definition. Support to ensure that patient care advances in biomedical research impacting patient care are not compromised by any policies imposed on the medical use and research applications of cesium chloride. Support modifications to the FDA review process of medical devices to consider interoperability issues. Support for NRC Commissioner nominee to have medical background. Support patient choice in treatment options by closing the in-office ancillary services exeption to the Stark Law for radiation oncology services. Oppose HR 2698, Tanning Tax Repeal Act of 2015 Support HR 239, To amend title XI of the Social Security Act to exempt from manufacturer transparency reporting certain transfers used for educational purposes, and for other purposes Radiation Oncology reimbursement Radiation Oncology safety

Client expense: $289,798 · Firm income: Not reported

Advocate against H.R. 2698, the Tanning Tax Repeal Act of 2015, to repeal excise tax on indoor tanning services. Advocate for legislation that would allow for Flexible Spending Accounts (FSAs) to be used to cover over-the-counter (OTC) drugs (S. 709, H.R. 1270, Restoring Access to Medication Act).

Client expense: $442,136 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Legislative issues related to the prevention of skin cancer and cosmetic procedures and tax on indoor tanning services, including related provisions in H.R. 2698, the Tanning Tax Repeal Act of 2015.

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

Legislative issues related to the prevention of skin cancer and cosmetic procedures and tax on indoor tanning services, including related provisions in H.R. 2698, the Tanning Tax Repeal Act of 2015.

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

H.R.2698, Tanning Tax Repeal Act of 2015; issues related to taxes on tanning activities.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

House: H.R. 928, the Jobs and Premium Protection Act - support. H.R. 636, the Americas Small Business Tax Relief Act of 2015 - support. H.R. 550, the Equal Employment Opportunity Commission (EEOC or Commission) Transparency and Accountability Act - support. H.R. 549, the Litigation Oversight Act of 2015 - support. H.R. 548, the Certainty in Enforcement Act of 2015 - support. H.R. 1189, the Preserving Employee Wellness Programs Act - support. H.R. 1105, the Death Tax Repeal Act of 2015 - support. H.R. 1199, the Innocent Sellers Fairness Act - support. H.R. 1671, Government Neutrality in Contracting Act - support. H.Con. Res. 27, the Fiscal Year 2016 Budget Resolution - support. H.R. 1147, the Legal Workforce Act of 2015 - support. H.R. 863, the STARS Act of 2015 - support. H.R. 1270, the Restoring Access to Medication Act of 2015 - support. H.R. 622, State and Local Sales Tax Deduction Fairness Act of 2015 - support. H.R. 2911, the Small Business Healthcare Relief Act - support. Section 105 to H.R. 2028, the FY2016 Energy and Water Development, and Related Agencies Appropriations Act - support. Sections 113, 407, and 408 of FY2016 Labor, Health and Human Services, Education, and Related Agencies Appropriations Act - support. H.R. 540 and S. 255, the Fifth Amendment Integrity Restoration Act, or FAIR Act - support. H.R. 2524, Support Our Start-Ups Act - support. H.R. 2310, Helping Our Middle Class Entrepreneurs (HOME) Act - support. Mulvaneys (R-S.C.) amendment ensuring fair and open competition for federal construction contracts authorized by the National Defense Authorization Act (NDAA) for FY 2016 (H.R. 1735) - support. Section 132 and 134 of the Houses Fiscal Year 2016 Transportation-Housing Appropriations Bill - support. H.R. 629, the Permanent S Corporation Built-in Gain Recognition Period Act of 2015 - support. H.R. 3328, the Small Business Regulatory Sunset Act - support. H.R. 758, the Lawsuit Abuse Reduction Act of 2015 - support. H.R. 2698, Tanning Tax Repeal Act - support. H.R. 1624, the Protecting Affordable Coverage for Employees Act. - support. H.R. 3318, the Reducing Tax Preparation Burdens for American Investments and Repairs Act - support. H.R. 3110, National Disaster Tax Relief Act of 2015 - support. H.R. 3459, the Protecting Local Business Opportunity Act - support. H.R. 1266 - the Financial Product Safety Commission Act - support Senate: S. 183, the Jobs and Premium Protection Act of 2015 - support. S. 30, Forty Hours is Full-Time Act of 2015 - support. S.J. Res. 8, a Congressional Review Act resolution of disapproval in response to the National Labor Relations Boards (NLRB) ambush election rule related to the union election process - support. S. 620, Preserving Employee Wellness Programs Act - support. S. 71, Government Neutrality in Contracting Act - support. S. 709, the Restoring Access to Medication Act of 2015 - support. S. 1697, the Small Business Healthcare Relief Act - support. S. 1140, the Federal Water Quality Protection Act - support. S. 1536, the Small Business Regulatory Flexibility Improvements Act of 2015 - support. S. 1827, Small Business Tax Compliance Relief Act - support. S. 1487, the Regulatory Predictability for Business Growth Act of 2015 - support. Sec. 134 (HOS) and 135 (insurance) of H.R. 2577, FY2016 Transportation, Housing and Urban Development, and Related Agencies (THUD) Appropriations Bill - support. Section 913 of S 1269 - oppose. S. 2006, the Regulatory Accountability Act of 2015 - support. S. 1607, the Independent Agency Regulatory Analysis Act of 2015 -support. S. 1099, the Protect Affordable Coverage for Employees Act - support. S. 2015, the Protecting Local Business Opportunity Act - support. Hearings: -Karen Harned testified before the House Committee on the Judiciary Subcommittee on Regulatory Reform, Commercial and Antitrust Law. July 15, 2015. -Nick Karellas testified before the Senate Small Business Committee on Targeted Tax Reform: Solutions to Relieve the Tax Compliance Burdens for Americas Small Businesses. July 22, 2015. -Beth Milito testified before the House Committee on the Judiciary Subcommittee on the Constitution, the Fraudulent Joinder Prevention Act of 2015. September 29, 2015. Comments: -U.S. Department of Labor, RIN: 1235-AA11, Request for Extension of Comment Deadline on Proposed Rulemaking Regarding Defining and Delimiting the Exemptions for Executive, Administrative, Professional, Outside Sales, and Computer Employees, July 13, 2015. -U.S. Department of Labor, RIN 1210-AB32 - Definition of the Term Fiduciary; Conflict of Interest Rule-Retirement Investment Advice and associated proposed exemptions, July 21, 2015. -U.S. Department of Labor, RIN 1235-AA11; Defining and Delimiting the Exemptions for Executive, Administrative, Professional, Outside Sales and Computer Employees - Request for Extension of Comment Period, August 4, 2015. -U.S. Department of Labor, RIN 1235-AA11; Defining and Delimiting the Exemptions for Executive, Administrative, Professional, Outside Sales and Computer Employees, September 3, 2015. -U.S. Department of Labor, RIN: 1235-AA11, Defining and Delimiting the Exemptions for Executive, Administrative, Professional, Outside Sales, and Computer Employees, September 4, 2015. Other Issues: -Tax Reform -Regulatory Reform -H-2B visas -Tax Extenders -Section 179 - business expensing -Surface Bill Financial Responsibility -Overtime Rule -Fiduciary Rule

Support for a national reporting database of medical errors related to the delivery of radiation therapy. Support for the development of an appropriate medical event definition. Support to ensure that patient care advances in biomedical research impacting patient care are not compromised by any policies imposed on the medical use and research applications of cesium chloride. Support modifications to the FDA review process of medical devices to consider interoperability issues. Support for NRC Commissioner nominee to have medical background. Support patient choice in treatment options by closing the in-office ancillary services exeption to the Stark Law for radiation oncology services. Oppose HR 2698, Tanning Tax Repeal Act of 2015 Support HR 239, To amend title XI of the Social Security Act to exempt from manufacturer transparency reporting certain transfers used for educational purposes, and for other purposes Radiation Oncology reimbursement Radiation Oncology safety

Client expense: $219,616 · Firm income: Not reported

HR 2698 Tanning Tax Repeal Act: Opposing efforts to publicize the availability of preventative health benefits.

Client expense: $624,169 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Justice, Dept of (DOJ), Office of Administration, Office of Management & Budget (OMB), SENATE

HR 2-Medicare Access and CHIP Reauthorization Act of 2015: Advocate for Senate to pass house Bill that would repeal SGR repeal and reform physician payment. HR 2-Reauthorize Teaching Health Center GME Program Funding: maintain the sustainability of the THCGME program. HR 2-National Health Service Corps trust fund reauthorization: NHSC scholarship, debt relief & physicians for underserved. HR 6: 21st Century Cures: Opposing standard time lines for vaccine approvals. HR 471 Ensuring Patent Access and Effective Drug Enforcement Act: Promoting collaboration among gov't agencies to keep drug regitries current and accurate. HR 596-Affordable Care Act Repeal: Urge Congress not to repeal the ACA. HR 662-Traditional Cigar Manufacturing and Small Business Jobs Preservation Act: Opposing exemption for FDA review of recent tobacco products. HR 1190-Protecting Seniors' Access to Medicare Act: Repeal of the Medicare Independent Payment Advisory Board. HR 2017-Common Sense Nutrition Disclosure Act: Opposing wekaing of menu labeling requirements. HR 2058-FDA Deeming Authority Clarification Act: Opposing exemption for FDA review of recent tobacco products. HR 2530 Friendly Airports for Mothers Act: Supporting the requirement that airports have lactation areas. HR 2698-Tanning Tax Repeal Act: Opposing efforts to repeal tax on tanning salons. S. 430-Protecting Children from Electronic Cigarette Advertising: Supporting supplemental authority to FTC to regulate advertising of e-cigarettes. S. 1446-Stop, Observe, Ask and Respond to Health and Wellness Act: Supporting training for health professionals to recognize victims of human trafficking. S. 1695-FY 2016 funding increases for AHRQ Title VII section 747, NHSC, Rural Physician Training Grants: Federal spending priorities to support workforce, research. (S.Con.Res.11) Budget resolution: Opposing budget instructions related to repealing the Affordable Care Act. No Bill No.- Health IT: Lobby to raise awareness of hardships created by implementation of Meaningful Use program and about policies needed to achieve interoperability. No Bill No.-Graduate Medical Education: Advocate for introduction of a bill to require CMS to report data on residency positions; explain and advocate for AAFP's policy proposals on GMEand for greater transparency within the Medicare GME Program. No Bill No.- Support THCGME per resident amount close to current funding of $150,000: maintain the sustainability of the THCGME program. No Bill No.-Protect ACA mandatory trust funds: Prevention, Primary Care and Health Care Coverage for all. No Bill No. - Speakers for Family Medicine Congressional Conference 2015: Health Information technology. No Bill No.-FY16 & 17 budget for Agency for Healthcare Research & Quality: Primary care practice based research, patient safety, HIT. No Bill No.-Oppose Houst draft FY16 bill to eliminate AHRQ: primary care practice-based research, patient safety, HIT. No Bill No.-Reestablish annual appropriations for NHSC to address Health Professional Shortage Areas: Physician workforce shotages, Medical student debt. No Bill No.-Robust investment in HRSA Title VII primary care physician training. No Bill No.-Medicare Advantage and CCM Services: Urged adequate networks and MA coverage of the CCM code. No Bill No.-Health Insurer Mergers: Concern over mergers. No Bill No.-Mental Health and Addictions: Medicaid managed care access to mental and substance abuse services. No Bill No.-Controlled Substances and EHRs: Concern over lack of national approach to electronically prescribing controlled substances. No Bill No.-HRSA childhood vaccines: Nominated a FP to serve on a committee. No Bill No.-EHRs: 2015 CEHRT proposal No Bill No.-Vaccines: Urge covereage of shingles and Tdap. No Bill No.-FDA Proposed Rule Deeming its Regulatory Authority over nicotine delivery devices, like e-cigarettes: Completion of review on FDA rule asserting authority to regulate nicotine delivery systems like e-cigarettes. No Bill No.-EHR Meaningful Use regulations: Shortening the MY reporting period for 2015 to 90 consecutive days rather than full year. No Bill No.-ACA Preventative Health Benefits: Supporting efforts to publicize the availability of preventative health benefits. No Bill No.-Chronic Care Woeking Group of the Senate Finance Committee: Proposals to improve policies for Medicare beneficiaries who have multiple chronic conditions. No Bill No.-Urge Congress to prevent primary care cliff cuts to THCGME, NHSC &CHCs: Funding for vital programs; protect primary care spending. No Bill No.- Educated memers about the Chronic Care Management Codes Challenges. No Bill No.-Mental Health: Educated staff about the barriers that exist regarding mental helath access and discussed mental helath/primary care integration policies. No Bill No.-Primary Care Caucus: Asked for support to lead a primary care caucus. No Bill No.-Health Insurance Marketplace issues & Provider Involvement with Patient Enrollment: Network adequacy, Patient Enrollment in Marketplaces. No Bill No.-Childrens Health Insurance - CHIP Program

Advocate against H.R. 2698, the Tanning Tax Repeal Act of 2015, to repeal excise tax on indoor tanning services. Advocate for legislation that would allow for Flexible Spending Accounts (FSAs) to be used to cover over-the-counter (OTC) drugs (S. 709, H.R. 1270, Restoring Access to Medication Act).

Client expense: $377,934 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Support for a national reporting database of medical errors related to the delivery of radiation therapy. Support for the development of an appropriate medical event definition. Support to ensure that patient care advances in biomedical research impacting patient care are not compromised by any policies imposed on the medical use and research applications of cesium chloride. Support modifications to the FDA review process of medical devices to consider interoperability issues. Support for NRC Commissioner nominee to have medical background. Support patient choice in treatment options by closing the in-office ancillary services exeption to the Stark Law for radiation oncology services. Oppose HR 2698, Tanning Tax Repeal Act of 2015 Support HR 239, To amend title XI of the Social Security Act to exempt from manufacturer transparency reporting certain transfers used for educational purposes, and for other purposes

Client expense: $289,542 · Firm income: Not reported

H.R.2698, Tanning Tax Repeal Act of 2015; issues related to taxes on tanning activities.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislative issues related to the prevention of skin cancer and cosmetic procedures and tax on indoor tanning services, including related provisions in H.R. 2698, the Tanning Tax Repeal Act of 2015.

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