To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010, and for other purposes.

Support the Prevention and Public Health Fund. Support S. 705 Oppose H.R. 596 Support full funding for domestic HIV / AIDS programs Oppose HR 30 Oppose HR 7 Support HR 2 Support efforts to fight childhood obesity Support HR 1974 Support HR 932 / S 497 Support the Healthy Food Financing Initiative (HFFI) Support H Res 82 Support HR 3285 Support Planned Parenthood Oppose HR 2646 Support that HHS administers this Section 1557 of the ACA through robust implementation and enforcement mechanisms, and this must be reflected in the final regulations that HHS promulgates. Support continued funding in FY2016 to the National Center for Environmental Healths Healthy Community Design Initiative (HCDI) at its current level of $2.8 million. Support Andy Slavitt to serve as Administrator of the Centers for Medicare and Medicaid Services Oppose HR 2646 Support funding for several programs related to child labor, forced labor, and human trafficking in FY 2017 Labor-HHS-Education funding bill. Specifically, $129,325,000 for the DOL International Affairs Labor Bureau; $5,000,000 for the DOL / Department of Wage and Hour / Services and Benefits for Victims of Trafficking; $32,000,000 for the HHS / Administration for Children and Families; $2,500, for the HHS / Administration for Children and Families / The National Human Trafficking Resource Center; $165,000,000 for the HHS / Administration of Children and Families / Runaway and Homeless Youth Act; $85,000,000for the Department of Education / McKinney - Vento Act Education for Homeless Children and Youth Program; $2,000,000 for ED grants for Local Education Agencies Under Title I; Oppose increasing cost sharing for beneficiaries in the Medicare Part D program. Support the final regulations implementing Section 1557 of the Affordable Care Act (ACA) be finalized as quickly as possible and with strong protections addressing the serious issues of discrimination that we know affect members of marginalized communities, such as racial and ethnic minorities; women; people with disabilities; immigrants; people whose primary language is not English; and lesbian, gay, bisexual, and transgender (LGBT) individuals. Support Sec. Burwell speaking at UNGASS Oppose HR 3762. Oppose veto override of HR 3762 Oppose Price motion to concur with Senate amendments to HR 3762 Support the Health Equity and Accountability Act Support treating the drug problem as a health issue sUPPORT hr 2014 / s 1078 Support HHS proposed rule on Section 1557 of the ACA

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

Government targets: Agriculture, Dept of (USDA), Bureau of Alcohol Tobacco Firearms & Explosives, Bureau of Prisons (BOP), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Consumer Financial Protection Bureau (CFPB), Council of Economic Advisers (CEA), Defense, Dept of (DOD), Education, Dept of, Election Assistance Commission (EAC), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Housing Finance Agency (FHFA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Natl Institute of Standards & Technology (NIST), Natl Telecommunications & Information Administration (NTIA), Office of Faith-Based & Community Initiatives, Office of Management & Budget (OMB), Office of the Comptroller of the Currency (OCC), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA), White House Office

Affordable Care Act Implementation S.305 - Repeal of Employer Health Insurance Mandate H.R.596 - Repeal the Patient Protection and Affordable Care Act

Client expense: $141,413 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Motor Carrier Safety Administration, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE

Affordable Care Act, all provisions; Health care reform; Health Care Mandate Penalties; ACA reporting requirements; seasonal employee provisions; H.R. 30, Save American Workers Act; H.R. 596, legislation to repeal the Affordable Care Act; H.R. 879, the Ax the Tax on Middle Class Americans Act; S. 30, Forty Hours is Full Time Act; S. 379, Small Business Tax Credit Accessibility Act; HR 1189, Preserving Employee Wellness Programs Act, all provisions; H.R. 928, Repeal the Health Insurance Tax, all provisions; H.R. 863, Simplfying Technical Aspects Regarding Seasonality Act, all provisions; H.R. 2050, Middle Class Health Benefits Tax Repeal Act, all provisions; H.R. 2712, Commonsense Reporting and Verification Act, all provisions; H.R. 2911, Small Business Health Care Relief Act, all provisions; S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; S. 1697, Small Business Health Care Relief Act, all provisions; S.1996, Commonsense Reporting Act of 2015, all provisions; S. 1809, Simplifying Technical Aspects Regarding Seasonality Act of 2015, all provisions; H.R. 1624/S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; H.R. 3112, Be Open Act, all provisions; S. 2075, American Worker Health Care Tax Relief Act of 2015, all provisions; S.1415, Small Business Stability Act, all provisions; H.R. 1029, ACA Provisions; Consolidated Appropriations Act; H.R. 3762, Restoring America's Healthcare Freedom Reconciliation Act; S. 1778, Telemedicine for Medicare Act

Client expense: $2,040,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Federal Aviation Administration (FAA), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Support the Prevention and Public Health Fund. Support S. 705 Oppose H.R. 596 Support full funding for domestic HIV / AIDS programs Oppose HR 30 Oppose HR 7 Support HR 2 Support efforts to fight childhood obesity Support HR 1974 Support HR 932 / S 497 Support the Healthy Food Financing Initiative (HFFI) Support H Res 82 Support HR 3285 Support Planned Parenthood Oppose HR 2646 Support that HHS administers this Section 1557 of the ACA through robust implementation and enforcement mechanisms, and this must be reflected in the final regulations that HHS promulgates. Support continued funding in FY2016 to the National Center for Environmental Healths Healthy Community Design Initiative (HCDI) at its current level of $2.8 million. Support Andy Slavitt to serve as Administrator of the Centers for Medicare and Medicaid Services Oppose HR 2646 Support funding for several programs related to child labor, forced labor, and human trafficking in FY 2017 Labor-HHS-Education funding bill. Specifically, $129,325,000 for the DOL International Affairs Labor Bureau; $5,000,000 for the DOL / Department of Wage and Hour / Services and Benefits for Victims of Trafficking; $32,000,000 for the HHS / Administration for Children and Families; $2,500, for the HHS / Administration for Children and Families / The National Human Trafficking Resource Center; $165,000,000 for the HHS / Administration of Children and Families / Runaway and Homeless Youth Act; $85,000,000for the Department of Education / McKinney - Vento Act Education for Homeless Children and Youth Program; $2,000,000 for ED grants for Local Education Agencies Under Title I; Oppose increasing cost sharing for beneficiaries in the Medicare Part D program. Support the final regulations implementing Section 1557 of the Affordable Care Act (ACA) be finalized as quickly as possible and with strong protections addressing the serious issues of discrimination that we know affect members of marginalized communities, such as racial and ethnic minorities; women; people with disabilities; immigrants; people whose primary language is not English; and lesbian, gay, bisexual, and transgender (LGBT) individuals. Support Sec. Burwell speaking at UNGASS Oppose HR 3762. Oppose veto override of HR 3762

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

Government targets: Agriculture, Dept of (USDA), Bureau of Alcohol Tobacco Firearms & Explosives, Bureau of Prisons (BOP), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Consumer Financial Protection Bureau (CFPB), Council of Economic Advisers (CEA), Defense, Dept of (DOD), Education, Dept of, Election Assistance Commission (EAC), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Housing Finance Agency (FHFA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Natl Institute of Standards & Technology (NIST), Natl Telecommunications & Information Administration (NTIA), Office of Faith-Based & Community Initiatives, Office of Management & Budget (OMB), Office of the Comptroller of the Currency (OCC), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA), White House Office

Affordable Care Act, all provisions; Health care reform; Health Care Mandate Penalties; ACA reporting requirements; seasonal employee provisions; H.R. 30, Save American Workers Act; H.R. 596, legislation to repeal the Affordable Care Act; H.R. 879, the Ax the Tax on Middle Class Americans Act; S. 30, Forty Hours is Full Time Act; S. 379, Small Business Tax Credit Accessibility Act; HR 1189, Preserving Employee Wellness Programs Act, all provisions; H.R. 928, Repeal the Health Insurance Tax, all provisions; H.R. 863, Simplfying Technical Aspects Regarding Seasonality Act, all provisions; H.R. 2050, Middle Class Health Benefits Tax Repeal Act, all provisions; H.R. 2712, Commonsense Reporting and Verification Act, all provisions; H.R. 2911, Small Business Health Care Relief Act, all provisions; S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; S. 1697, Small Business Health Care Relief Act, all provisions; S.1996, Commonsense Reporting Act of 2015, all provisions; S. 1809, Simplifying Technical Aspects Regarding Seasonality Act of 2015, all provisions; H.R. 1624/S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; H.R. 3112, Be Open Act, all provisions; S. 2075, American Worker Health Care Tax Relief Act of 2015, all provisions; S.1415, Small Business Stability Act, all provisions; H.R. 1029, ACA Provisions; Consolidated Appropriations Act; H.R. 3762, Restoring America's Healthcare Freedom Reconciliation Act; S. 1778, Telemedicine for Medicare Act

Client expense: $1,940,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Federal Aviation Administration (FAA), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Affordable Care Act Implementation S.305 - Repeal of Employer Health Insurance Mandate H.R.596 - Repeal the Patient Protection and Affordable Care Act

Client expense: $141,957 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Motor Carrier Safety Administration, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE

Affordable Care Act, all provisions; Health care reform; Health Care Mandate Penalties; ACA reporting requirements; seasonal employee provisions; H.R. 2, Medicare Access and CHIP Reauthorization Act; H.R. 30, Save American Workers Act; H.R. 596, legislation to repeal the Affordable Care Act; H.R. 879, the Ax the Tax on Middle Class Americans Act; S. 30, Forty Hours is Full Time Act; S. 379, Small Business Tax Credit Accessibility Act; S. 775/H.R. 1423, the Self-Insurance Protection Act; HR 1189, Preserving Employee Wellness Programs Act, all provisions; H.R. 928, Repeal the Health Insurance Tax, all provisions; H.R. 863, Simplfying Technical Aspects Regarding Seasonality Act, all provisions; H.R. 2050, Middle Class Health Benefits Tax Repeal Act, all provisions; H.R. 2712, Commonsense Reporting and Verification Act, all provisions; H.R. 2911, Small Business Health Care Relief Act, all provisions; S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; S. 1697, Small Business Health Care Relief Act, all provisions.

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

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR)

Affordable Care Act, all provisions; Health care reform; Health Care Mandate Penalties; ACA reporting requirements; seasonal employee provisions; H.R. 2, Medicare Access and CHIP Reauthorization Act; H.R. 30, Save American Workers Act; H.R. 596, legislation to repeal the Affordable Care Act; H.R. 879, the Ax the Tax on Middle Class Americans Act; S. 30, Forty Hours is Full Time Act; S. 379, Small Business Tax Credit Accessibility Act; S. 775/H.R. 1423, the Self-Insurance Protection Act; HR 1189, Preserving Employee Wellness Programs Act, all provisions

Client expense: $1,420,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Public Law 111-148: Affordable Care Act (ACA). H.R. 30: Save American Workers Act. S. 30: the Forty Hours is Full Time Act of 2015. H.R. 596: to Repeal the Patient Protection and Affordable Care Act. H.R. 863: Simplifying Technical Aspects Regarding Seasonality Act of 2015. Public Law 111-148: Affordable Care Act (ACA): Definition of Small Group Market (Sec. 1304). S. 709/H.R. 1270: Restoring Access to Medication Act. S. 620/H.R. 1189: the Preserving Employee Wellness Programs Act. S. 183: Jobs and Premium Protection Act. H.R. 928: to Repeal the Annual Fee on Health Insurance Providers Enacted by the Patient Protection and Affordable Care Act.

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA)

H.R. 1786 and S.928 Health Compensation Act H.R. 370 & H.R. 596 - Affordable Care Act - Cadillac Tax

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Care Act, all provisions; Health care reform; Health Care Mandate Penalties; ACA reporting requirements; seasonal employee provisions; H.R. 30, Save American Workers Act; H.R. 596, legislation to repeal the Affordable Care Act; H.R. 879, the Ax the Tax on Middle Class Americans Act; S. 30, Forty Hours is Full Time Act; S. 379, Small Business Tax Credit Accessibility Act; S. 775/H.R. 1423, the Self-Insurance Protection Act; HR 1189, Preserving Employee Wellness Programs Act, all provisions; H.R. 928, Repeal the Health Insurance Tax, all provisions; H.R. 863, Simplfying Technical Aspects Regarding Seasonality Act, all provisions; H.R. 2050, Middle Class Health Benefits Tax Repeal Act, all provisions; H.R. 2712, Commonsense Reporting and Verification Act, all provisions; H.R. 2911, Small Business Health Care Relief Act, all provisions; S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; S. 1697, Small Business Health Care Relief Act, all provisions; S.1996, Commonsense Reporting Act of 2015, all provisions; S. 1809, Simplifying Technical Aspects Regarding Seasonality Act of 2015, all provisions; H.R. 1624/S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; H.R. 3112, Be Open Act, all provisions; S. 2075, American Worker Health Care Tax Relief Act of 2015, all provisions; S.1415, Small Business Stability Act, all provisions; H.R. 1029, ACA Provisions; Consolidated Appropriations Act; H.R. 3762, Restoring America's Healthcare Freedom Reconciliation Act; S. 1778, Telemedicine for Medicare Act

Client expense: $1,720,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Federal Aviation Administration (FAA), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Affordable Care Act Implementation S.305 - Repeal of Employer Health Insurance Mandate H.R.596 - Repeal the Patient Protection and Affordable Care Act

Client expense: $254,924 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Motor Carrier Safety Administration, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE

Support the Food and Drug Administrations (FDA) Drug Trials Snapshots, an initiative to implement one of the steps in the FDA Action Plan to Enhance the Collection and Availability of Demographic Subgroup Data. Support restoring DACA/DAPA eligibility for the Affordable Care Acts affordability credits. Support four years of renewed funding for the Childrens Health Insurance Program (CHIP). Support the restoration of funding for the Racial and Ethnic Approaches to Community Health (REACH) program. Support the Centers for Medicare and Medicaid Services, as it prepares to finalize the Advance Notice of Methodological Changes for Calendar Year (CY) 2016 for Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies and 2016 Call Letter, move forward with meaningfully addressing the intersection of quality improvement initiatives and health equity. Support the Prevention and Public Health Fund. Support Congressional action on the Sustainable Growth Rate (SGR) formula, health care extenders, and an extension of funding for the Childrens Health Insurance Program (CHIP). Support S. 705 Oppose H.R. 596 Support full funding for domestic HIV / AIDS programs Oppose HR 30 Oppose HR 7 Support HR 2 Support efforts to fight childhood obesity Support HR 1974 Support HR 932 / S 497 Support HHS enforcing new requirements which include new transparency provisions and exceptions processes along with adequate drug coverage and standards with which to guard against discriminatory practices such as high patient cost-sharing and excessive use of prior authorization and other medical management techniques. Support steps to increase sexual orientation and gender identity (SO/GI) data collection in Electronic Health Records Support the Healthy Food Financing Initiative (HFFI) Support the re-definition by the FDA in its draft guidance for the Rare Pediatric Priority Review Voucher Program defines pediatric to include those suffering from sickle cell anemia. Support inclusion of obesity among Medicare beneficiaries suffering from chronic conditions during consideration of the full Finance Committee chronic care working group Support H Res 82 Support HR 3285 Support Planned Parenthood / Oppose S. 1881 Support maintained funding in the House bill and the $5 million increase in the Senate bill for the Division of Viral Hepatitis (DVH) at the Centers for Disease Control and Prevention (CDC) Requests $170.3 million for the Division of Viral Hepatitis at the Centers for Disease Control and Prevention in the Presidents proposed FY 2017 budget and continue pursuing the ban on the use of federal funds for syringe exchange programs and allowing the use of local funds for syringe exchange programs in the District of Columbia, and urge that he continue this in the FY2017 budget. Oppose HR 2646 Support that HHS administers this Section 1557 of the ACA through robust implementation and enforcement mechanisms, and this must be reflected in the final regulations that HHS promulgates. Oppose Carter and Yoho amendments to H.R. 3763 / Support the Transportation Alternatives Program

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

Government targets: Agriculture, Dept of (USDA), Bureau of Alcohol Tobacco Firearms & Explosives, Bureau of Prisons (BOP), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Consumer Financial Protection Bureau (CFPB), Council of Economic Advisers (CEA), Defense, Dept of (DOD), Education, Dept of, Election Assistance Commission (EAC), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Housing Finance Agency (FHFA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Natl Institute of Standards & Technology (NIST), Natl Telecommunications & Information Administration (NTIA), Office of Faith-Based & Community Initiatives, Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA), White House Office

Support the Food and Drug Administrations (FDA) Drug Trials Snapshots, an initiative to implement one of the steps in the FDA Action Plan to Enhance the Collection and Availability of Demographic Subgroup Data. Support restoring DACA/DAPA eligibility for the Affordable Care Acts affordability credits. Support four years of renewed funding for the Childrens Health Insurance Program (CHIP). Support the restoration of funding for the Racial and Ethnic Approaches to Community Health (REACH) program. Support the Centers for Medicare and Medicaid Services, as it prepares to finalize the Advance Notice of Methodological Changes for Calendar Year (CY) 2016 for Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies and 2016 Call Letter, move forward with meaningfully addressing the intersection of quality improvement initiatives and health equity. Support the Prevention and Public Health Fund. Support Congressional action on the Sustainable Growth Rate (SGR) formula, health care extenders, and an extension of funding for the Childrens Health Insurance Program (CHIP). Support S. 705 Oppose H.R. 596 Support full funding for domestic HIV / AIDS programs Oppose HR 30 Oppose HR 7 Support HR 2 Support efforts to fight childhood obesity Support HR 1974 Support HR 932 / S 497 Support HHS enforcing new requirements which include new transparency provisions and exceptions processes along with adequate drug coverage and standards with which to guard against discriminatory practices such as high patient cost-sharing and excessive use of prior authorization and other medical management techniques. Support steps to increase sexual orientation and gender identity (SO/GI) data collection in Electronic Health Records Support the Healthy Food Financing Initiative (HFFI) Support the re-definition by the FDA in its draft guidance for the Rare Pediatric Priority Review Voucher Program defines pediatric to include those suffering from sickle cell anemia. Support inclusion of obesity among Medicare beneficiaries suffering from chronic conditions during consideration of the full Finance Committee chronic care working group Support H Res 82 Support HR 3285 Support Planned Parenthood / Oppose S. 1881 Support maintained funding in the House bill and the $5 million increase in the Senate bill for the Division of Viral Hepatitis (DVH) at the Centers for Disease Control and Prevention (CDC)

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

Government targets: Agriculture, Dept of (USDA), Bureau of Alcohol Tobacco Firearms & Explosives, Bureau of Prisons (BOP), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Consumer Financial Protection Bureau (CFPB), Council of Economic Advisers (CEA), Defense, Dept of (DOD), Education, Dept of, Election Assistance Commission (EAC), Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Housing Finance Agency (FHFA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Natl Institute of Standards & Technology (NIST), Natl Telecommunications & Information Administration (NTIA), Office of Faith-Based & Community Initiatives, Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Affordable Care Act, all provisions; Health care reform; Health Care Mandate Penalties; ACA reporting requirements; seasonal employee provisions; H.R. 2, Medicare Access and CHIP Reauthorization Act; H.R. 30, Save American Workers Act; H.R. 596, legislation to repeal the Affordable Care Act; H.R. 879, the Ax the Tax on Middle Class Americans Act; S. 30, Forty Hours is Full Time Act; S. 379, Small Business Tax Credit Accessibility Act; S. 775/H.R. 1423, the Self-Insurance Protection Act; HR 1189, Preserving Employee Wellness Programs Act, all provisions; H.R. 928, Repeal the Health Insurance Tax, all provisions; H.R. 863, Simplfying Technical Aspects Regarding Seasonality Act, all provisions; H.R. 2050, Middle Class Health Benefits Tax Repeal Act, all provisions; H.R. 2712, Commonsense Reporting and Verification Act, all provisions; H.R. 2911, Small Business Health Care Relief Act, all provisions; S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; S. 1697, Small Business Health Care Relief Act, all provisions; S.1996, Commonsense Reporting Act of 2015, all provisions; S. 1809, Simplifying Technical Aspects Regarding Seasonality Act of 2015, all provisions; H.R. 1624/S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; H.R. 3112,Be Open Act, all provisions; S. 2075, American Worker Health Care Tax Relief Act of 2015, all provisions; S.1415, Small Business Stability Act, all provisions.

Client expense: $1,700,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Affordable Care Act Implementation S.305 - Repeal of Employer Health Insurance Mandate H.R.596 - Repeal the Patient Protection and Affordable Care Act

Client expense: $142,569 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Motor Carrier Safety Administration, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE

H.R. 30, Save American Workers Act and S. 30, Forty Hours is Full Time Act = legislation to modify the employer mandate threshold in the ACA from 30 hrs/wk to 40 hrs/wk. H.R. 370 and H.R. 596, legislation to repeal the Affordable Care Act. Potential legislation to alter reporting requirements of ACA. H.R. 2712 and S. 1996, the Commonsense Reporting Act = provisions to modify/simplify employer reporting requirements under ACA.

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

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

NLRB Regulatory Activity H.R. 30, Save American Workers Act H.R. 185, Regulator Accountability Act H.R. 596, Repeal PPACA H.Res. 152, Resolution blocking the NLRB from implementing its Ambush Elections Rule S.J.Res. 8, Resolution blocking the NLRB from implementing its Ambush Elections Rule S. 183, Jobs and Premium Protection Act H.R. 928, Jobs and Premium Protection Act

Client expense: $39,898 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), U.S. International Trade Commission (ITC)

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 2-Medicare Access and CHIP Reauthorization Act:Elimination of fee-for-service SGR formula and funding for Teaching Health Centers, Cimmunity Health Centersa and Children's Health Insurance. HR 596 Affordable Care Act Repeal: Urge Congress not to repeal the ACA. S. 1446-Stop, Observe, Ask and Respond to Health and Wellness Act; supporting training for health professionals to recognize victims of human trafficking. S. 1549-Care Planning Act: Supporting coverage for advanced care planning and discussions of treatment options for end of life care. S. 1695-FY 2016 funding increases for AHRQ Title VII section 747, NHSC, Rural Physician Training Grants: Federal spending priorities to support workforce, research. No Bill No.-Graduate Medical Education: Advocate for introduction of a bill to require CMS to report data on residency positions;raise awareness and advocate for AAFP's policy proposals on GME and for greater transparency withing 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.-Higher Education Act reauthoirzation; Medical Student Debt. No Bill No.-Robust investment in HRSA Title VII primary care physican training; primary care workforce. No Bill No.-Appropriations for Depts of Labor, HHS, Education and related Agencies: Adequate funding for Health Professions Primary Care Training Grants fund for AHRQ. No Bill No.-Urge Congress to prevent primary care cliff cuts to THCGME, NHSC &CHCs: Funding for vital programs; protect primary care spending.

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: Elimination of fee for service SGR formula and funding for Teaching Halath Centers, Community Health Centers & Children's Health Insurance; Supported repeal of SGR and finding for THC; 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-Repeal Medicare Sustainable Growth Rate: Repeal SGR, positive update and higher rate for primary care. HR 596 Affordable Care Act Repeal: Urge Congress not to repeal the ACA. HR 1190-Protecting Seniors' Access to Medicare Act: Repeal of the Medicare Independent Payment Advisory Board. HR 1892-Trade Adjustment Assistance Act: Elimination of extension of Medicare provider payment sequester to pay for trade adjustment assistance. S. 1549-Care Planning Act: Supporting coverage for advanced care planning and discussions of treatment optoins for end of life care. 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 GME and 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.-Speakers for Family Medicine Congressional Conference 2015: Health Information Technology. No Bill No.-Oppose Cuts to CMS in House draft FY16 bill: Competent administration of Medicare, Medicaid and CHIP. No Bill No.-Medicare Advantage and CCM Services: Urged adequate networks and MA coverage of the CCM code. No Bill No. - Mental Health and Addiction: Medicaid managed care access to mental and substance abuse services. No Bill No.-EHR Meaningful Use regulations: Shortening the MU 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 Working Group of the Senate finance Committee: Proposals to improve polocies for medicare beneficiaries who have multiple chronic conditions. No Bill No.-Extend Medicare/Medicare parity for primary care services: Extend increase in Medicaid payments for primary care services to Medicare levels beyond 2015. No Bill No.- Chronic Care Management Codes

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

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

Affordable Care Act, all provisions; Health care reform; Health Care Mandate Penalties; ACA reporting requirements; seasonal employee provisions; H.R. 2, Medicare Access and CHIP Reauthorization Act; H.R. 30, Save American Workers Act; H.R. 596, legislation to repeal the Affordable Care Act; H.R. 879, the Ax the Tax on Middle Class Americans Act; S. 30, Forty Hours is Full Time Act; S. 379, Small Business Tax Credit Accessibility Act; S. 775/H.R. 1423, the Self-Insurance Protection Act; HR 1189, Preserving Employee Wellness Programs Act, all provisions; H.R. 928, Repeal the Health Insurance Tax, all provisions; H.R. 863, Simplfying Technical Aspects Regarding Seasonality Act, all provisions; H.R. 2050, Middle Class Health Benefits Tax Repeal Act, all provisions; H.R. 2712, Commonsense Reporting and Verification Act, all provisions; H.R. 2911, Small Business Health Care Relief Act, all provisions; S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; S. 1697, Small Business Health Care Relief Act, all provisions.

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

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR)

Support the Food and Drug Administrations (FDA) Drug Trials Snapshots, an initiative to implement one of the steps in the FDA Action Plan to Enhance the Collection and Availability of Demographic Subgroup Data. Support restoring DACA/DAPA eligibility for the Affordable Care Acts affordability credits. Support four years of renewed funding for the Childrens Health Insurance Program (CHIP). Support the restoration of funding for the Racial and Ethnic Approaches to Community Health (REACH) program. Support the Centers for Medicare and Medicaid Services, as it prepares to finalize the Advance Notice of Methodological Changes for Calendar Year (CY) 2016 for Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies and 2016 Call Letter, move forward with meaningfully addressing the intersection of quality improvement initiatives and health equity. Support the Prevention and Public Health Fund. Support Congressional action on the Sustainable Growth Rate (SGR) formula, health care extenders, and an extension of funding for the Childrens Health Insurance Program (CHIP). Support S. 705 Oppose H.R. 596 Support full funding for domestic HIV / AIDS programs Oppose HR 30 Oppose HR 7 Support HR 2 Support efforts to fight childhood obesity Support HR 1974 Support HR 932 / S 497 Support HHS enforcing new requirements which include new transparency provisions and exceptions processes along with adequate drug coverage and standards with which to guard against discriminatory practices such as high patient cost-sharing and excessive use of prior authorization and other medical management techniques. Support steps to increase sexual orientation and gender identity (SO/GI) data collection in Electronic Health Records Support the Healthy Food Financing Initiative (HFFI) Support the re-definition by the FDA in its draft guidance for the Rare Pediatric Priority Review Voucher Program defines pediatric to include those suffering from sickle cell anemia. Support inclusion of obesity among Medicare beneficiaries suffering from chronic conditions during consideration of the full Finance Committee chronic care working group Support H Res 82

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

Government targets: Agriculture, Dept of (USDA), Bureau of Alcohol Tobacco Firearms & Explosives, Bureau of Prisons (BOP), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Consumer Financial Protection Bureau (CFPB), Council of Economic Advisers (CEA), Defense, Dept of (DOD), Education, Dept of, Election Assistance Commission (EAC), Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Housing Finance Agency (FHFA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Natl Institute of Standards & Technology (NIST), Natl Telecommunications & Information Administration (NTIA), Office of Faith-Based & Community Initiatives, Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

H.R. 596, repeal of PPACA, H.R. 863, seasonal worker accounting under the PPACA

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

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, SENATE

NLRB Regulatory Activity H.R. 30, Save American Workers Act H.R. 185, Regulator Accountability Act H.R. 596, Repeal PPACA H.Res. 152, Resolution blocking the NLRB from implementing its Ambush Elections Rule S.J.Res. 8, Resolution blocking the NLRB from implementing its Ambush Elections Rule S. 183, Jobs and Premium Protection Act H.R. 928, Jobs and Premium Protection Act

Client expense: $24,969 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), U.S. International Trade Commission (ITC)

-S. 183, the Jobs and Premium Protection Act of 2015 - support. -H.R. 928, the Jobs and Premium Protection Act - support. -H.R. 596, to repeal the Patient Protection and Affordable Care Act and healthcare-related provisions in the Healthcare and Education Reconciliation Act of 2010, and for other purposes - support.

Client expense: $132,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), 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. 596, to repeal the Patient Protection and Affordable Care Act and healthcare-related provisions in the Healthcare and Education Reconciliation Act of 2010, and for other purposes 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. 1624, Protecting Affordable Coverage for Employees Act - 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. -H.R. 1732, the Regulatory Integrity Protection Act of 2015 - support. -H.R. 1105, the Death Tax Repeal Act of 2015 - 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. 1932, a bill to amend the Occupational Safety and Health Act of 1970 - support. -H.R. 2042, the Ratepayer Protection Act - support. -H.R. 2524, Support Our Start-Ups Act - support. -H.R. 758, the Lawsuit Abuse Reduction Act of 2015 - 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. -Section 913 of S 1269 - oppose. -H.R. 629, the Permanent S Corporation Built-in Gain Recognition Period Act of 2015 - support. Senate: -S. 183, the Jobs and Premium Protection Act of 2015 - support. -S. 341, Start-up Jobs and Innovation Act - support. -S. 168, the Regulatory Responsibility for our Economy Act of 2015 - support. -S. 30, Forty Hours is Full-Time Act of 2015 - support. -S. 860, the Death Tax Repeal 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. 1141, Small Business Tax Certainty and Growth Act - support. -S. 1140, the Federal Water Quality Protection Act - support. -S. 1536, the Small Business Regulatory Flexibility Improvements Act of 2015 - support. -S. 1324, the Affordable Reliable Electricity Now Act of 2015 - support. -Small Business Tax Compliance Relief Act - support. -S. 1281, Helping Our Middle Class Entrepreneurs (HOME) Act - support. -S. 1099, the PACE 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. -Senate Committee on Homeland Security and Governmental Affairs and Subcommittee on Regulatory Affairs and Federal Management - NFIB letter in response to their March 18, 2015 request seeking assistance in identifying existing and proposed regulations that have had or will have a real impact on members of the National Federation of Independent Business. April 24, 2015. -Senate Finance Committee, Tax Reform Working Groups, April 15, 2015. Hearings: -Holly Wade testified before the Joint Economic Committee on Small Business, Big Taxes: Are Taxes Holding Back Small Business Growth? April 15, 2015. -Scott Lipps testified before the House Committee on Small Business on Tax Reform: Enduring that Main Street Isnt Left Behind, April 15, 2015. -Elizabeth Milito testified before the U.S. Senate Committee on Small Business and Entrepreneurship on An Examination of Proposed Environmental Regulations Impacts on Americas Small Businesses, May 19, 2015. -Joe Sergio testified before the Joint Economic Committee on Examining the Effectiveness of the ACA, June 3, 2015. Comments: -Internal Revenue Service, Notice 2015-16 - Section 4980I-Excise Tax on High Cost Employer- Sponsored Health Coverage May 15, 2015 -U.S. Department of Labor, RIN 1210-AB32 - Request of comment deadline extension for the Definition of the Term Fiduciary; Conflict of Interest Rule-Retirement Investment Advice and associated proposed exemptions, May 5, 2015. -U.S. Fish and Wildlife Service, Docket ID No. FWS-R5-ES-2011-0024 - Endangered and Threatened Wildlife and Plants; Threatened Species Status for the Northern Long-Eared Bat with 4(d) Rule, April 24, 2015. Other Issues: -5-year recognition period for built-in gains, basis adjustment for charitable giving by S corporations. -Tax Reform -Regulatory Reform -Expansion of the small group health insurance market -Estate tax repeal -The Consolidated Appropriations Act of 2014, Public Law No. 113-76, authorized this grant funding for for activities to address the misclassification of workers. -H-2B visas

Client expense: $740,000 · Firm income: Not reported

Government targets: Army, Dept of (Corps of Engineers), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE, Treasury, Dept of, U.S. Fish & Wildlife Service (USFWS)

H.R. 30, Save American Workers Act and S. 30, Forty Hours is Full Time Act = legislation to modify the employer mandate threshold in the ACA from 30 hrs/wk to 40 hrs/wk. H.R. 370 and H.R. 596, legislation to repeal the Affordable Care Act. Potential legislation to alter reporting requirements of ACA.

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

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

Affordable Care Act Implementation S.305 - Repeal of Employer Health Insurance Mandate H.R.596 - Repeal the Patient Protection and Affordable Care Act

Client expense: $164,373 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Motor Carrier Safety Administration, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE

H.R. 30, Save American Workers Act and S. 30, Forty Hours is Full Time Act = legislation to modify the employer mandate threshold in the ACA from 30 hrs/wk to 40 hrs/wk. H.R. 370 and H.R. 596, legislation to repeal the Affordable Care Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

SBE Council continues to advocate for tax system reform and making temporary and extended measures permanent. In addition to broad regulatory reform that includes cost-benefit analysis, small business input, and greater transparency and accountability, SBE Council continues to weigh in on specific regulatory proposals and actions at various agencies (for example, net neutrality/Internet regulations at the FCC and various EPA proposals). SBE Council has continued to push for trade agreements and TPA for the President. Specific bills on a wide range of issues, supported by SBE Council over the past three months, include the following: Encouraging Startups: S. 161, Startup Act of 2015 - support. Tax Reform and Relief: H.R. 235, Permanent Internet Tax Freedom Act (PITFA) - support. H.R. 636, Americas Small Business Tax Relief Act of 2015 - supported House passage. Affordable Energy: S. 1, Keystone XL Pipeline Act - supported Senate passage. H.R. 3, Keystone XL Pipeline Act - supported House passage. H.R. 161, Natural Gas Pipeline Permitting Reform Act - supported House passage. H.R. 351, LNG Permitting Certainty and Transparency Act - supported House passage. Affordable Health Care and ACA Reform: H.R. 30, Save American Workers Act - supported House passage S. 30, Forty Hours is Full Time Act - support this bill to change definition of full time employee in Obamacare (to 40 hours). H.R. 596, legislation to repeal the Affordable Care Act - support S. 336, legislation to repeal the Affordable Care Act - support. H.R. 975, Health Freedom for Seniors Act - support. Regulatory Reform and Transparency: H.R. 185, Regulatory Accountability Act - supported House passage. H.R. 527, Regulatory Flexibility Improvements Act of 2015 - support. H.R. 50, Unfunded Mandates Information and Transparency Act of 2015 - support. H.R. 427, Regulations from the Executive In Need of Scrutiny (REINS) Act - support. S. 226, Regulations from the Executive In Need of Scrutiny (REINS) Act - support. H.R. 1030, Secret Science Reform Act of 2015 - supported House passage. H.R. 1029, EPA Science Advisory Board Reform Act of 2015 - supported House passage. S. 543, EPA Science Advisory Board Reform Act of 2015 - support. H.R. 465, Working Families Flexibility Act of 2015 - support. S. 233, Working Families Flexibility Act - support. Testimony on EPAs Ozone Rule before the House Science Committee - expressed concerns about costs to the economy and small businesses; and that non attainment would depress business creation and growth. Provided oral and written comments to EPA on their public hearing regarding the proposed ozone rule. Capital Access and Financial Regulatory Reform: H.R. 37, Promoting Job Creation and Reducing Small Business Burdens Act - supported House passage. H.R. 686, Small Business Mergers, Acquisitions, Sales, and Brokerage Simplification Act of 2015 - support. H.R. 414, Burdensome Data Collection Relief Act of 2015 - support. Provided comments to Consumer Financial Protection Bureau about the value of prepaid cards and the possible downside to overregulation. Government Procurement Reform: H.R. 924, Responsibility in Federal Contracting Act - support. Government Reform, Good Government: H.R. 540, Fifth Amendment Integrity Restoration Act (FAIR ACT) of 2015 - support.

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

Government targets: Consumer Financial Protection Bureau (CFPB), Environmental Protection Agency (EPA), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Small Business Administration (SBA), Treasury, Dept of

Affordable Care Act, all provisions; Health care reform; Health Care Mandate Penalties; ACA reporting requirements; seasonal employee provisions; H.R. 2, Medicare Access and CHIP Reauthorization Act; H.R. 30, Save American Workers Act; H.R. 596, legislation to repeal the Affordable Care Act; H.R. 879, the Ax the Tax on Middle Class Americans Act; S. 30, Forty Hours is Full Time Act; S. 379, Small Business Tax Credit Accessibility Act; S. 775/H.R. 1423, the Self-Insurance Protection Act; HR 1189, Preserving Employee Wellness Programs Act, all provisions

Client expense: $1,420,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Affordable Care Act, all provisions; Health care reform; Health Care Mandate Penalties; ACA reporting requirements; seasonal employee provisions; H.R. 2, Medicare Access and CHIP Reauthorization Act; H.R. 30, Save American Workers Act; H.R. 596, legislation to repeal the Affordable Care Act; H.R. 879, the Ax the Tax on Middle Class Americans Act; S. 30, Forty Hours is Full Time Act; S. 379, Small Business Tax Credit Accessibility Act; S. 775/H.R. 1423, the Self-Insurance Protection Act; HR 1189, Preserving Employee Wellness Programs Act, all provisions

Client expense: Not reported · Firm income: $1,420,000

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Public Law 111-148/H.R. 3590, Patient Protection and Affordable Care Act, all provisions and related regulations including: Cadillac Tax-4980I, Transitional Reinsurance Program 1341, ACA Reporting (IRC 6055 and 6056), ACA shared Responsibility for Employers Provisions, wellness issues (42 USC 12112; 29 CFR 1635.3). H.R.2 - Medicare Access and CHIP Reauthorization Act of 2015, all provisions. H.R.1470 - SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions. H.R.284 - Medicare DMEPOS Competitive Bidding Improvement Act of 2015, provisions. H.R.1021 - Protecting the Integrity of Medicare Act of 2015, all provisions. H.R.160 - Protect Medical Innovation Act of 2015, all provisions. H.R.248 - American Job Protection Act, healthcare provisions, all provisions. H.R.30- Save American Workers Act of 2015, all provisions. H.R.596 - To repeal the ACA, all provisions. H.R.1189 - Preserving Employee Wellness Programs Act, all provisions. H.R.879 - Ax the Tax on Middle Class Americans' Health Plans Act, all provisions. S.30 - Forty Hours Is Full Time Act of 2015, healthcare provisions. S.305 - American Job Protection Act, all provisions, all provisions. S.620 - Preserving Employee Wellness Programs Act, all provisions GINA (in conjunction with employer-based wellness programs). ADA (in conjunction with employer-based wellness programs).

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

Government targets: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Pension Benefit Guaranty Corporation (PBGC), SENATE, Social Security Administration (SSA), Treasury, Dept of

Support the Food and Drug Administrations (FDA) Drug Trials Snapshots, an initiative to implement one of the steps in the FDA Action Plan to Enhance the Collection and Availability of Demographic Subgroup Data. Support restoring DACA/DAPA eligibility for the Affordable Care Acts affordability credits. Support four years of renewed funding for the Childrens Health Insurance Program (CHIP). Support the restoration of funding for the Racial and Ethnic Approaches to Community Health (REACH) program. Support the Centers for Medicare and Medicaid Services, as it prepares to finalize the Advance Notice of Methodological Changes for Calendar Year (CY) 2016 for Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies and 2016 Call Letter, move forward with meaningfully addressing the intersection of quality improvement initiatives and health equity. Support the Prevention and Public Health Fund. Support Congressional action on the Sustainable Growth Rate (SGR) formula, health care extenders, and an extension of funding for the Childrens Health Insurance Program (CHIP). Support S. 705 Oppose H.R. 596 Support full funding for domestic HIV / AIDS programs Oppose HR 30 Oppose HR 7 Support HR 2 Support efforts to fight childhood obesity

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

Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Bureau of Prisons (BOP), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Consumer Financial Protection Bureau (CFPB), Council of Economic Advisers (CEA), Defense, Dept of (DOD), Education, Dept of, Election Assistance Commission (EAC), Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Housing Finance Agency (FHFA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institute of Standards & Technology (NIST), Office of Faith-Based & Community Initiatives, Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

HR 2-Repeal Medicare Sustainable Growth Rate: Repeal SGR, positive update and higher rate for primary care. HR 2-Reauthorize Teaching Health Center GME Program Funding: maintain the sustainability of the THCGME program. HR 2-Medicare Access and CHIP Reauthorization Act: Supported repeal of SGR and finding for THC. HR 596 Affordable Care Act Repeal: Urge Congress not to repeal the ACA. HR 270 (ICD-10)-Health IT FLEX-IT Act: Secure House democratic sponsor for bill; lobby member offices to support bill; lobby White House to include in rulemaking; Urge Congress to provide flexibility to health IT rules/laws; allow physicians to meet meaningful use requirements in 90-day report. HR 1470 (S. 810)-SGR Repeal and Medicare Provider Payment Modernization Act: Asked for repealof the SGR and setting up alternative payment models. No Bill No.-Hospital Improvements for payment Act - draft: Asked that savings created by the bill be used for ambulatory primary care training. No Bill No.-SGR Repeal and Replacement Process: advocate for SGR repeal and new physician payment system that pays for value and primary care. No Bill No.-Extend Medicare/Medicare parity for primary care services: Extend increase in Medicaid payments for primary care services to Medicare levels beyond 2015. No Bill No.-Graduate Medical Education: Advocate for introduction of a bill to require CMS to report data on residency positions; Response to Energy and Commerce Committee questions on GME program; explain and advocate for AAFP's policy proposals on GME. No Bill No.-FY2016 Administration Budget request: Federal spending priorities to support workforce, research. No Bill No.-Medicare Advantage and CCM Services: Urged adequate networks and MA coverage of the CCM code. No Bill No.-Nominated family physicians to MedPac; nominated family physicians to MedPac. No Bill No.-Medicare Accountable Care Organization proposed rule: Commented in the 2nd proposed ACO rule in favor of primary care. No Bill No.- Teaching Health Centers Graduate Medical Education: Reauthorize and fund Teaching Health Centers programs that fund primary care in health plans. No Bill No.-Health plans narrow networks: Evaluate network adequacy standards to require timely access to primary care in health plans. No Bill No.-HHS Goal of Moving Medicare Payment to Improve Quality: Joined HHS Secretary in support of effort to move payments away from volume to value. No Bill No.-Americas Health IT Transformation: Translating the Promise of Technology into Better Care: Testified at a hearing in favor of increased HIT emphasis on interoperability between HER vendors. No Bill No.-Teaching Health Centers: Supported a "Dear Colleague" letter urging finding for Teaching Health Centers (THC).

Client expense: $609,679 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Administration, Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 2 Medicare Access and CHIP Reauthorization Act: Supported repeal of SGR and finding for THC; Maintain the sustainability of the THCGME program. HR 2 Reauthorize Teaching Health Center GME Program Funding: maintain the sustaninability of the THCGME program. HR 596 Affordable Care Act Repeal: Urge Congress not to repeal the ACA. S.536 Indian Health Service Health Professions Tax Fairness Act: change tax treatment on IHS loan repayment to be like NHSC. No Bill No.-Teaching Health Centers: Initiate bipartisan sign-on letter to Leadership; lobby house offices for signatures; Supported a "Dear Collegue" letter urging finding for Teaching Health Centers (THC). No Bill No.-Graduate Medical Education: Advocate for introduction of a bill to require CMS to report data on residency positions; Response to Energy and Commerce Committee questions on GME program; explain and advocate for AAFP's policy proposals on GME. No Bill No.-Teaching Health Centers Graduate Medical Education: Reauthorize and fund Teaching Health Centers programs that fund promary care training in community settings. No Bill No.-Hospital Improvements for Apyment Act-draft: Asked that savings created by the bill be used for ambulatory primary care training. No Bill No.-FY 2016 finding increases for AHRQ Title VII section 747, NHSC, Rural Physician Training Grants: Federal spending priorities to support workforce, research. No Bill No.-National Health Service Corps trust fund reauthorization, appropriation: NHSC scholarship, debt relief and physicians for underserved. 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.-Urge Budget Control Act relief to end sequestration: Protect primary care spending. No Bill No.-Friends of HRSA & Health Professions & Nursing Education Coalition (HPNEC), Title VII, NHSC, rural physician training grants.

Client expense: $609,679 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Administration, Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 2-Reauthorize Teaching Health Center GME Program Funding: maintain the sustainability of the THCGME program. HR 2-Medicare Access and CHIP Reauthorization Act: Supported repeal of SGR and finding for THC. HR 270 (ICD-10)-Health IT FLEX-IT Act: Secure House democratic sponsor for bill; lobby member offices to support bill; lobby White House to include in rulemaking; Urge Congress to provide flexibility to health IT rules/laws. HR 596 Affordable Care Act Repeal: Urge Congress not to repeal the ACA. HR 662-FDA Regulation of Cigars: Opposed legislation to exempt cigars from FDA regulation. HR 1470 (S. 810)-SGR Repeal and Medicare Provider Payment Modernization Act: Asked for repealof the SGR and setting up alternative payment models. S. 536 Indian Health Service Health Professions Tax Fairness Act: Change tax treatment on HIS loan repayment to be like NHSC. No Bill No.-SGR Repeal and Replacement Process: advocate for SGR repeal and new physician payment system that pays for value and primary care. No Bill No.-Teaching Health Centers: Initiate bipartisan sign-on letter to Leadership; lobby house offices for signatures; Supported a "Dear Colleague" letter urging finding for Teaching Health Centers (THC). No Bill No.-Graduate Medical Education: Advocate for introduction of a bill to require CMS to report data on residency positions; Response to Energy and Commerce Committee questions on GME program; explain and advocate for AAFP's policy proposals on GME. 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.-FY 2016 finding increases for AHRQ Title VII section 747, NHSC, Rural Physician Training Grants: Federal spending priorities to support workforce, research. No Bill No.-National Health Service Corps trust fund reauthorization, appropriation: NHSC scholarship, debt relief and physicians for underserved. 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.-Urge Budget Control Act relief to end sequestration: Protect primary care spending. No Bill No.-Women's Lung Health Promotion; women's health No Bill No.-Friends of HRSA & Health Professions & Nursing Education Coalition (HPNEC), Title VII, NHSC, rural physician training grants. No Bill No.-Friends of AHRQ: Primary care research, practice, transformation, patient safety, patient-centered outcomes research. No Bill No.-Initiative to prevent opioid overdose, dependence and death. No Bill No.-Medicare Advantage and CCM Services: Urged adequate networks and MA coverage of the CCM code. No Bill No.-Nominated family physicians to MedPac; nominated family physicians to MedPac. No Bill No.-Medicare Accountable Care Organization proposed rule: Commented in the 2nd proposed ACO rule in favor of primary care. No Bill No.-Co-pays for Mental Health Services: Supporting the elimination of co-pays for VA patients for mental health services. No Bill No.-Armstrong v. Exceptional Child Center: Supported amicus brief in favor of allowing physician practices to sue states for inadequate Medicaid payments. No Bill No.-HHS Goal of Moving Medicare Payment to Improve Quality: Joined HHS Secretary in support of effort to move payments away from volume to value. No Bill No.-King v. Burwell: Joined amicus brief in favor of retaining subsidies in federal health insurance marketplaces. No Bill No.-Verterans Choic Program: Urged VA to increase local physician participation in verterans healthcare through increased payments. No Bill No.-Funding for FDA Food Safety programs: Supported funding for FDA to implement Food Safety Moderation Program. 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 No Bill No.- 21st Century Cures: Support vaccine access

Client expense: $609,679 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Administration, Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 596 Affordable Care Act Repeal: Urge Congress not to repeal the ACA. S.536 Indian Health Service Health Professions Tax Fairness Act: change tax treatment on IHS loan repayment to be like NHSC. No Bill No.-FY 2016 finding increases for AHRQ Title VII section 747, NHSC, Rural Physician Training Grants: Federal spending priorities to support workforce, research. 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.-Urge Budget Control Act relief to end sequestration: Protect primary care spending. 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.-FY 2016 Administration budget request: Federal spending prioroties to support workforce, research. No Bill No.-Women's Lung Health Promotion: women's health. No Bill No.-Friends of HRSA & Health Professions & Nursing Education Coalition (HPNEC), Title VII, NHSC, rural physician training grants. No Bill No. - Friends of AHRQ: Primary care research, practice transformation, patient safety, patient-centered outcomes, research. No Bill No.-Graduate Medical Education: Explain and advocate for AAFP's policy proposals on GME.

Client expense: $609,679 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Administration, Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Support Medical Device Tax repeal. Support Collins Amendment #442 "Restore the 40 Hour Work Week." Support Roberts Amendment #462 "Repeal ObamaCare's Medicine Cabinet Tax." Support Rubio Amendment #565 "Oppose Insurance Company Bailouts" (Obamacare Bailout Prevention Act (H.R. 3541 and S. 1726). Discussed Healthcare with Senator McConnell, Erica Suares and Brian McGuire (McConnell Staff), Representative Poliquin staff. Support the Save American Workers Act of 2015 (H.R. 30). Support legislation that would repeal the President's health care law in its entirety (H.R. 596). Opposed Obamacare Bailout Prevention Act (H.R. 3541 and S. 1726)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Worker Protection Standard update, H.R. 596, repeal of PPACA, H.R. 863, seasonal worker accounting under the PPACA

Client expense: $18,300 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

House: -H.R. 928, the Jobs and Premium Protection Act - support. -H.R. 594, the Waters of the United States Regulatory Overreach Protection Act of 2015 - support. -H.R. 636, the Americas Small Business Tax Relief Act of 2015 - support. -H.R. 185, the Regulatory Accountability Act of 2015 - support. -H.R. 30, the Save American Workers Act of 2015 - support. -H.R. 3, the Keystone XL Pipeline Act - support. -S.J. Res. 8, a Congressional Review Act resolution of disapproval, in response to the National Labor Relations Boards (NLRB) ambush election rule - support. -H.R. 596, to repeal the Patient Protection and Affordable Care Act and healthcare-related provisions in the Healthcare and Education Reconciliation Act of 2010, and for other purposes - support. -H.R. 527, the Small Business Regulatory Flexibility Improvements Act of 2015 - 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. 348, the Responsibly And Professionally Invigorating Development (RAPID) Act of 2015 - 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. 1624, Protecting Affordable Coverage for Employees Act - support. -H.R. 622, State and Local Sales Tax Deduction Fairness Act of 2015 - support. Senate: -S. 183, the Jobs and Premium Protection Act of 2015 - support. -S. 341, Start-up Jobs and Innovation Act - support. -S. 168, the Regulatory Responsibility for our Economy Act of 2015 - support. -S.Con.Res. 11, the Senate budget resolution for Fiscal Year 2016 - support. -S. 30, Forty Hours is Full-Time Act of 2015 - support. -S. 860, the Death Tax Repeal Act of 2015 - support. -S. 1, the Keystone XL Pipeline Act - 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. 708, Regulatory Improvement Act of 2015 - support. Hearings: -NFIB submitted a Statement for the Record to the Senate Finance Committee on Getting to Yes on Tax Reform: What Lessons Can Congress Learn from the Tax Reform Act of 1986? February 10, 2015. -Elizabeth Milito testified before the House of Representatives Committee on the Judiciary Subcommittee on the Constitution and Civil Justice Lawsuit Abuse Reduction Act of 2015 March 17, 2015. -Holly Wade testified before the Senate Finance Committee on the Affordable Care Act at Five Years, March 19, 2015. -NFIB submitted a Statement for the Record to the U.S. House Committee on Ways and Means for their hearing on, Moving America Forward: With a Focus on Economic Growth. January 13, 2015 -Elizabeth Milito testified before the Senate Committee on Health, Education, Labor, and Pensions on Ambushed: How the NLRBs New Election Rule Harms Employers & Employees, February 11, 2015. -NFIB submitted a Statement for the Record to the House Committee on Small Business on Tangled in Red Tape: New Challenges for Small Manufacturers, March 18, 2015. -An NFIB coalition (FBETC) submitted a Statement for the Record to the Senate Committee on Finance on Presidents Budget for Fiscal Year 2016 with U.S. Department of the Treasury Secretary Jacob - J. Lew, February 19, 2015. -An NFIB coalition (FBETC) submitted a Statement for the Record to the House Committee on Ways and Means on Presidents Budget for Fiscal Year 2016 with U.S. Department of the Treasury Secretary Jacob J. Lew, February 17, 2015. -NFIB submitted a Statement for the Record to the U.S. House Committee on the Judiciary on the E- Verify Program, February 4, 2015. Comments: -U.S. Environmental Protection Agency, No. EPA-HQ-OAR-2008-0699 - National Ambient Air Quality Standards for Ozone, March 12, 2015. -Federal Motor Carrier Safety Administration, No. FMCSA-2014-0211 - Financial Responsibility for Motor Carriers, Freight Forwarders, and Brokers, February 20, 2015. -U.S. Environmental Protection Agency, No. EPA-HQ-OPPT-2014-0304 - Lead-Based Paint Programs; Amendment to Jurisdiction-Specific Certification and Accreditation Requirements and Renovator Refresher Training Requirements, February 9, 2015. -Internal Revenue Service, IRS Notice 2013-54 on Employer Healthcare Payment Plans, January 2015. Other Issues: -5-year recognition period for built-in gains, basis adjustment for charitable giving by S corporations. -Tax Reform -Regulatory Reform -Expansion of the small group health insurance market

Client expense: $736,000 · Firm income: Not reported

Government targets: Army, Dept of (Corps of Engineers), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of

Public Law 111-148: Affordable Care Act (ACA). H.R. 30: Save American Workers Act. S. 30: the Forty Hours is Full Time Act of 2015. H.R. 596: to Repeal the Patient Protection and Affordable Care Act. H.R. 863: Simplifying Technical Aspects Regarding Seasonality Act of 2015. Public Law 111-148: Affordable Care Act (ACA): Definition of Small Group Market (Sec. 1304). S. 709/H.R. 1270: Restoring Access to Medication Act. S. 620/H.R. 1189: the Preserving Employee Wellness Programs Act. S. 183: Jobs and Premium Protection Act. H.R. 928: to Repeal the Annual Fee on Health Insurance Providers Enacted by the Patient Protection and Affordable Care Act.

Client expense: Not reported · Firm income: $560,256

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA)

NLRB Regulatory Activity H.R. 30, Save American Workers Act H.R. 185, Regulator Accountability Act H.R. 596, Repeal PPACA H.Res. 152, Resolution blocking the NLRB from implementing its Ambush Elections Rule S.J.Res. 8, Resolution blocking the NLRB from implementing its Ambush Elections Rule S. 183, Jobs and Premium Protection Act H.R. 928, Jobs and Premium Protection Act

Client expense: $17,556 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), U.S. International Trade Commission (ITC)