SPARC Act

- Federal Reserve rulemaking on capital rules for insurers supervised by the Federal Reserve Board - Implementation of the Expatriate Health Coverage Clarification Act - Issues related to the development of an international capital standard at the Interational Association of Insurance Supervisors (IAIS). Issues related to development of Higher Loss Absorbency Standard at the IAIS. - Issues related to reform of TRICARE including military and veteran options including the NDAA Senate bill regarding retirees - Rulemaking under the Telephone Consumer Protection Act (TCPA); issues affecting sales and marketing of insurance products. - Issues related to Cadillac Tax - S. 1679 and H.R. 2901 - Flood Insurance Market Parity and Modernization Act. Clarification to Biggert Waters Flood Insurance Reform Act of 2012. - H.R. 5143, Transparent Insurance Standards Act of 2016 -- all provisions - Secondary Payer Advancement, Rationalization, and Clarification (SPARC) Act, HR 6120. Replaces unclear Medicare (Part D) requirements with updated rules to allow Part D Prescription Drug Plans to recover greater amounts of prescription drug costs from primary payers faster. - Rulemaking for implementing the Expatriate Health Coverage Clarification Act (EHCCA) of 2014, which was a part of the Consolidated and Further Continuing Appropriations Act of 2014. HHS, Treasury/IRS and DOL's NPRM also addresses excepted benefit and short-term limited duration plans.

Client expense: $1,020,000 · Firm income: Not reported

Government targets: Federal Reserve System, HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, U.S. Trade Representative (USTR)

Medicare Secondary Payer issues, including H.R. 6120, H.R. 1063, S. 1718, and H.R. 1845 (112th Congress) implementation; advocacy related to H.R. 6120, SPARC Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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