To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.

Support Biodiesel and Renewable Diesel Tax Credit Support Cash Accounting Support Renewable Energy Tax Credit Support Renewable Energy Tax Credits Short Line Railroad Maintenance Credit (S. 2595 and H.R. 4626: Building Rail Access for Customers and the Economy Act or BRACE Act) Support Like Kind Exchange (Section 1031) Support Reduced Capital Gains Taxes Support Estate Tax Repeal Marketplace Fairness Act (S. 698) and Remote Transactions Parity Act of 2015 (H.R. 2775) Cost Recovery and Depreciation Issues S. 183 & H.R. 928 (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.) Repeal Health Insurance Tax Extend Bonus Depreciation

Client expense: $1,071,606 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Oceanic & Atmospheric Administration (NOAA), Occupational Safety & Health Administration (OSHA), Pipeline & Hazardous Materials Safety Administration, SENATE, U.S. Fish & Wildlife Service (USFWS), U.S. Forest Service, U.S. Trade Representative (USTR)

Issues pertaining to tax treatment of employee-sponsored health benefits; Pub. L. 111-148, the Patient Protection and Affordable Care Act; Pub. L. 111-152, the Health Care and Education Reconciliation Act of 2010, provision related to insurer fee; H.R. 928 & S. 183, a bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act; H.R. 1628, American Health Care Act, Section 222.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Issues pertaining to tax treatment of employee-sponsored health benefits; Pub. L. 111-148, the Patient Protection and Affordable Care Act; Pub. L. 111-152, the Health Care and Education Reconciliation Act of 2010, provision related to insurer fee; H.R. 928 & S. 183, a bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act; H.R. 1628, American Health Care Act, Section 222

Client expense: $97,250 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

(1)Issues related to Public Law 111-148 - The Patient Protection and Affordable Care Act (provisions related to new taxes, fees, and employer requirements) (2)Issues related to Public Law 111-152 - Health Care and Education Reconciliation Act of 2010 (3)Issues raised by H.R. 928 - To repeal the annual fee on health insurance providers enacted by The Patient Protection and Affordable Care Act (114th Congress) (4)Issues related to comprehensive tax reform and corporate tax rates

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of

Public Law 111-148: Affordable Care Act. H.R. 928/S.183: to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act (114th Congress). H.R. 246: to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. Healthcare Reform, generally. H.R. 1101: Small Business Health Fairness Act. Health Savings Accounts, generally. Flexible Savings Accounts, generally. H.R. 1628: the American Health Care Act. Portability of health insurance, generally. Tax-deduction for the self-employed and for employers.

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

Government targets: Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), 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. 30, Save American Workers Act; S. 30, Forty Hours is Full Time Act; S. 379, Small Business Tax Credit Accessibility Act; 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; 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; S. 1778, Telemedicine for Medicare Act; H.R. 5447/S. 3060, 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), Equal Employment Opportunity Commission (EEOC), 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), Occupational Safety & Health Administration (OSHA), 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 H.R. 928/S. 183, to repeal the health insurance tax Support H.R. 1624, protecting affordable coverage for employees Act Support H.R. 2712, commonsense reporting and verification act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Patient Protection and Affordable Care Act (P.L. 111-148) and Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); ACA reporting requirements (6055/6056); employer-sponsored wellness programs; ACA 40 percent excise tax; ERISA; consumer directed health products; H.R. 30/S. 30 - full-time definition; H.R. 928/S. 183 - health insurance tax; H.R. 1189/S. 602 - wellness; H.R. 1270/S. 709 - FSA OTC; H.R. 879/H.R. 2050/S. 2045 - 40 percent excise tax repeal; H.R. 2712/S. 1996 - reporting requirements; tax treatment of employer-sponsored health coverage; H.R. 5447/S. 3060 - HRA; prescription drug pricing; Medicare Secondary Payer; H.R. 34-21st Century Cures Act.

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

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Natl Oceanic & Atmospheric Administration (NOAA), Natl Telecommunications & Information Administration (NTIA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

S. 183 and H.R. 928 Health insurance premium tax repeal; Section 1031 IRC; H.R. 30 and S. 30 to define full time employment as 40 hours per week; tax reform; H.R. 1105, S. 860 to repeal the estate tax. House and Senate efforts on tax extenders. H.R. 2029, H.Res 566; tax extenders, HIT tax moratorium, Cadillac Tax delay,

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Labor Relations Board (NLRB), SENATE, White House Office

Middle Class Health Benefits Tax Repeal Act of 2015 (H.R. 2050/S. 2045, also a SMB and TAX issue) Save American Workers Act of 2015 (H.R. 30, also a SMB issue) Forty Hours Is Full Time Act of 2015 (S. 30, also a SMB issue) To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act (H.R.928/S.183, also a TAX and SMB issue)

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

Government targets: Bureau of Labor Statistics (BLS), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE

Leveraging and Energizing Americas Apprenticeship Programs (LEAP) Act (S. 574, also a LBR issue) Americas Small Business Tax Relief Act (H.R. 636, also a SMB issue) Death Tax Repeal Act of 2015 (H.R. 1105/S. 860, also a SMB issue) Estate, Gift, and Generation-Skipping Transfer Taxes; Restrictions on Liquidation of an Interest - REG-163113-02; (RIN: 1545-BB71) (also a SMB issue) Permanent S Corporation Built-in Gain Recognition Period Act of 2015 (H.R. 629) Permanent S Corporation Charitable Contribution Act of 2015 (H.R. 630) Section 179D - Tax deduction for energy efficient commercial and multifamily buildings (also ENG issue) General tax reform issues including code simplification; employers' marginal tax rates; extension of tax rates for pass-through entities; S-corporations and LLCs Apprenticeship and Jobs Training Act of 2015(S. 2020/S. 959) To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act (H.R.928/S.183, also a HCR and SMB issue) Middle Class Health Benefits Tax Repeal Act of 2015 (H.R. 2050/S. 2045, also a HCR and SMB issue) Estate, Gift, and Generation-Skipping Transfer Taxes; Restrictions on Liquidation of an Interest; NPRM (RIN: 1545-BB71

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

Government targets: Bureau of Labor Statistics (BLS), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE

Protecting Local Business Opportunity Act (H.R. 3459/S. 2015, also a LBR issue) Americas Small Business Tax Relief Act (H.R. 636, also a TAX issue) Death Tax Repeal Act of 2015 (H.R. 1105/S. 860, also a TAX issue) Consolidated Appropriations Act of 2016 (H.R. 2029, also a BUD, TAX and HCR issue) Middle Class Health Benefits Tax Repeal Act of 2015 (H.R. 2050/S. 2045, also a TAX and HCR issue) To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act (H.R.928/S.183, also a TAX and HCR issue) Save American Workers Act of 2015 (H.R. 30, also a HCR issue) Forty Hours Is Full Time Act of 2015 (S. 30, also a HCR issue) Estate, Gift, and Generation-Skipping Transfer Taxes; Restrictions on Liquidation of an Interest - REG-163113-02; (RIN: 1545-BB71) (also a TAX issue)

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

Government targets: Bureau of Labor Statistics (BLS), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE

H.R. 928; S. 183, Jobs and Premium Protection Act; H.R. 2911, S. 1697, Small Business Healthcare Relief Act

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

Issues pertaining to tax treatment of employee-sponsored health benefits; Pub. L. 111-148, the Patient Protection and Affordable Care Act; Pub. L. 111-152, the Health Care and Education Reconciliation Act of 2010, provision related to the health insurer provider fee; H.R. 928 & S. 183, a bill to repeal the annual fee on health insurance providers enacted by the Patient Protextion and Affordable Care Act; H.R. 2029, Consolidated Appropriations Act of 2016, Division P, Sec. 101 (Delay of excise tax on high cost employer-sponsored health coverage) and Division P, Sec. 201 (Moratorium on annual fee on health insurance providers)

Client expense: $97,250 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Affordable Care Act Issues: Small group expansion; Risk Corridors; Delivery system reform; Consumer experience; Back end issues; Implementation issues; Regulations; Premiums; Exchanges; Supreme Court decision implications Other Major Health Care Related Issues: Cybersecurity; Medicare Advantage; Reinsurance; Health care quality issues; Community health management; Siteneutral Payments; Dialysis care funding mechanism; Patient reform; Payment reform; Opioid abuse; Medical Loss Ratios; Mental health parity implementation Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM; Alternative structures for the FEHBM. S 123 Introduced January 8, 2015 by Marco Rubio (RFL) Obamacare Taxpayer Bailout Prevention Act Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified. S. 1099 Introduced April 27, 2015 by Tim Scott (RSC) A bill to amend the Patient Protection and Affordable Care Act to provide States with flexibility in determining the size of employers in the small group market HR 221 Introduced January 8, 2015 by Andy Harris (RMD) Taxpayer bailout of health insurers HR 928 Introduced February 12, 2015 by Charles Boustany (RLA) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 1624 Introduced March 25, 2015 by Brett Guthrie (RKY) To amend title I of the Patient Protection and Affordable Care Act and title XXVII of the Public Health Service Act to revise the definition of small employer.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

Medicare/Medicaid Issues: Chronic care improvement ideas; Medicare A & B; Delivery System Reforms; Benefit Restructuring ; Medigap; Medicare Advantage Risk Delay; Community Health Management; Medicare fraud; Cybersecurity; ICD10; Medicare Prescription Drug Integrity; Provider directories HR 6 21st Century Cures Act Introduced May 19, 2015 by Fred Upton (RMI) This bill amends the Public Health Service Act to reauthorize the National Institutes of Health (NIH) through FY2018. The NIH Innovation Fund is established to fund a strategic plan, early stage investigators, and highrisk, highreward research. The NIH may require scientific data to be shared if the research is fully funded by the NIH. The NIH and the Food and Drug Administration (FDA) must implement a system that allows further research on clinical trial data. The Centers for Disease Control and Prevention must expand surveillance of neurological diseases. The Council for 21st Century Cures is established to accelerate the discovery, development, and delivery of innovative cures, treatments, and preventive measures. The Department of Health and Human Services must monitor the use of antibacterial and antifungal drugs and resistance to these drugs. HR 928 Introduced February 12, 2015 by Charles Boustany (RLA) To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

Health Insurance Tax; IRC section 833(b) tax provisions; Medical Loss Ratio definition to qualify for 833(b) tax deduction; Tax ID number reporting; Cadillac tax; Tax extenders; Device tax repeal; Tax reform HR 928 Introduced February 12, 2015 by Charles Boustany (RLA) To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. S 183 Introduced January 16, 2015 by John Barrasso (RWY) Jobs and Premium Protection Act This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

H.R. 928/S. 183, Jobs and Premium Protection Act to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act (P.L. 111-148) and issues impacting small business as a result of the implementation of P.L. 111-148.

Client expense: Not reported · Firm income: Not reported

H.R. 928/S. 183, Jobs and Premium Protection Act to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act (P.L. 111-148) and issues impacting small business as a result of the implementation of P.L. 111-148.

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

(1) Issues related to Public Law 111-148 - The Patient Protection and Affordable Care Act (provisions related to new taxes, fees, and employer requirements) (2) Issues related to Public Law 111-152 - Health Care and Education Reconciliation Act of 2010 (3) Issues raised by H.R. 928 - To repeal the annual fee on health insurance providers enacted by The Patient Protection and Affordable Care Act (4) Issues related to H.R. 879 - Ax the Tax On Middle Class Americans Health Plans Act (5) Issues related to comprehensive tax reform and corporate tax rates

Client expense: $620,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of

S.J.Res.38 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule relating to the extent to which employers may use incentives to encourage employees to participate in wellness programs that ask the employees to respond to disability-related inquiries or undergo medical examinations. Oversight/Implementation/Amendments to Patient Protection and Affordable Care Act (P.L. 111-148) - Sections 1201; 1301; 1302; 1303; 1311; 1341; 1401; 1411; 1412; 1414; 1502; 1511; 1512; 1513; 1514; 4205; 9001; 9010 H.R. 30 - To amend the Internal Revenue Code of 1986 to repeal the 30-hour threshold for classification as a full-time employee for purposes of the employer mandate in the Patient Protection and Affordable Care Act and replace it with 40 hours. S. 30 - To amend the Internal Revenue Code of 1986 to modify the definition of full-time employee for purposes of the employer mandate in the Patient Protection and Affordable Care Act. H.R. 1189/S. 620 - To clarify rules relating to nondiscriminatory employer wellness programs as such programs relate to premium discounts, rebates, or modifications to otherwise applicable cost sharing under group health plans. H.R 1270/S. 254 - To amend the Internal Revenue Code of 1986 to repeal the amendments made by the Patient Protection and Affordable Care Act which disqualify expenses for over-the-counter drugs under health savings accounts and health flexible spending arrangements. H.R. 2050 - To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage H.R. 879 - To repeal the Cadillac Tax on middle class Americans health plans. H.R. 1886 - To amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes. H.R. 2712 - To streamline the employer reporting process and strengthen the eligibility verification process for the health care premium tax credit and cost-sharing subsidy, and for other purposes. H.R. 2017 - To amend the Federal Food, Drug, and Cosmetic Act to improve and clarify certain disclosure requirements for restaurants and similar retail food establishments, and to amend the authority to bring proceedings under section 403A. H.R. 928/S. 183 - To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. H.R. 3112 - BE OPEN Act S. 1996 - Commonsense Reporting Act of 2015 S. 2045 - Middle Class Health Benefits Tax Repeal Act of 2015 S. 2075 - American Worker Health Care Tax Relief Act of 2015 H.R. 592 / S. 314 - Pharmacy and Medically Underserved Areas Enhancement Act H.R.3762 - Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 S.1946 - Tax Relief Extension Act of 2015 S.2045 - Middle Class Health Benefits Tax Repeal Act of 2015

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H. Con. Res. 125 - House FY17 budget resolution; H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015; S. 183 - The 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 Ac; H.R. 2635/S. 1961 - A Bill to make improvements to the treatment of the United States territories under the Medicare and Medicaid programs; S. 298/H.R. 546 - ACE Kids Act of 2015: (Issues related to health insurance provider fees, extending funding for the Children's Health Insurance Program, Medicare and Medicaid issues). H.R. 6 - 21st Century Cures Act (entire bill).

Client expense: $270,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R.928, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S.183, Jobs and Premium Protection Act Affordable Care Act Implementation Federal Budget Issues Cybersecurity Policy H.R. 6, 21st Century Cures Act H.R. 221, Obamacare Taxpayer Bailout Protection Act S. 123, Obamacare Taxpayer Bailout Protection Act H.R. 724, Taxpayer Bailout Protection Act S. 359, Taxpayer Bailout Protection Act H.R. 5410, Health Coverage State Flexibility Act H.R. 5589, Plan Verification and Fairness Act H.R. 5921, State Age Rating Flexibility Act H.R. 34, The Tsunami Warning, Education, and Research Act (provisions related to 21st Century Cures and other health legislation contained therein)

Client expense: $670,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

H.R.928, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S.183, Jobs and Premium Protection Act Tax Reform

Client expense: $670,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

PL 111-148, health care reform; HR 248/S 305, repeal of mandates; S 183/HR 928, repeal of health insurance tax.

Client expense: $702,124 · Firm income: Not reported

Government targets: Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Federal Aviation Administration (FAA), Federal Emergency Management Agency (FEMA), Federal Energy Regulatory Commission (FERC), Federal Highway Administration (FHA), Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

H.R. 34, 21st Century Cures Act (Upton) - qualified small employer health reimbursement arrangements H.R. 879, Ax the Tax on Middle Class Americans Health Plans Act (Guinta) - repeal of ACA excise tax on high cost employer-sponsored coverage H.R. 928 (Boustany-Sinema) - full repeal of ACA health insurance tax H.R. 1270, Restoring Access to Medication and Improving Health Savings Act (Jenkins) - HSA, FSA, and other tax-related issues H.R. 2050, Middle Class Health Benefits Tax Repeal Act (Courtney) - repeal of ACA excise tax on high-cost coverage H.R. 4469, Health Savings Act (Paulsen) - HSA and FSA issues H.R. 4723, Recovering Improper Subsidy Overpayments Act (Jenkins) - full recovery of overpayments of ACA premium tax credits H.R. 5324, Health Savings Account Expansion Act (Brat) - HSA issues H.R. 5445, Health Care Security Act (Paulsen) - HSA issues H.R. 5447, Small Business Health Care Relief Act (Boustany) -- excluding HRAs from definition of group health plan H.R. 5652, Access to Better Care Act (Black) - HSA/HDHP issue S. 183, Jobs and Premium Protection Act (Barrasso) - full repeal of ACA health insurance tax S. 254, Small Business Health Relief Act (Portman) - full repeal of ACA health insurance tax, HSA and FSA issues S. 709, Restoring Access to Medication Act (Roberts) - HSA and FSA issues S. 879, Americans Giving Care to Elders Act (Klobuchar) - tax credits for family caregivers S. 2045, Middle Class Health Benefits Tax Repeal Act (Heller-Heinrich) - repeal of ACA excise tax on high-cost coverage S. 2075, American Worker Health Care Tax Relief Act (Brown) - repeal of ACA excise tax on high-cost coverage S. 2432, Obamacare Tax Transparency Act (Scott) - disclosure of premium attributable to health insurance tax S. 2499, Health Savings Act (Hatch) - HSA and FSA issues S. 2980, Health Savings Account Expansion Act (Flake) - HSA issues S. 3060, Small Business Health Care Relief Act (Grassley) -- excluding HRAs from definition of group health plan Regulatory Issues: Annual insurer provider fees; issues concerning the patient-centered outcomes research fee; employer and individual coverage mandate; W-2 reporting requirements; health reimbursement accounts; deductibility limits for insurer compensation; health insurer and employer reporting of health coverage; issues related to implementation of the excise tax on high cost employer-sponsored health coverage; and other issues relating to health care reform implementation.

Client expense: $1,330,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Treasury, Dept of, White House Office

Affordable Care Act Issues - ACA Regulations, Postal Reform; Department of Labor Conflict of Interest Rule; HCR Implementation; Health Savings Accounts (HSA's); Re-insurance; Co-ops; Notice of Benefit and Payment Parameters (NBPP); Health Care Bill; Market Stability; Year end priorities; Cost Sharing Reduction (CSR); "Better Way"; Repeal/Replace Modeling: ACA reform; Risk Corridors; Chronic Care; Comprehensive Care; Comprehensive Care and Recovery Act (CARA); Mental Health Reform; Premium Education; Third Party Payment of Premiums; Association Health Plans; SEPs; Grace Periods; Age Bands. HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) this bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 2488 Medicare Beneficiary Preservation of Choice Act of 2015 Introduced May 21,2015 by Keith Rothfus (R-PA) this bill amends title XVII (Medicare) of the Social Security Act to expand and modify enrollment and disenrollment options for Medicare Advantage (MA) eligible individuals. Specifically, the bill extends the annual period in which an individual enrolled in MA may elect to instead receive benefits under the original Medicare fee-for-service (FFS) program as well as elect to change qualified prescription drug coverage. Furthermore, any MA-eligible individual (whether or not enrolled in MA) may once per period change a previous election with respect to receiving benefits through MA or Medicare FFS, including changing from one MA plan to another. Unsolicited marketing during this period is prohibited. HR 3463 Aligning Children's Dental Coverage Act Introduced September 9, 2015 by H. Griffith (R-VA) to amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act, and for other purposes as introduced. HR 3742 Access to Marketplace Insurance Act Introduced October 9, 2015 by Kevin Cramer (R-ND) to amend the Patient Protection and Affordable Care Act to allow for certain third party payments. HR 4275 Medicare Advantage Quality Payment Relief Act of 2015 Introduced December 16, 2015 by Mike Kelly (R-PA) to amend title XVIII of the Social Security Act to eliminate a provision under the Medicare Advantage program that inadvertently penalizes Medicare Advantage plans for providing high quality care to Medicare beneficiaries. HR 5410 Health Coverage State Flexibility Act of 2016 Introduced June 8, 2016 by Bill Flores (R-TX) to amend the Patient Protection and Affordable Care Act to better align the grace period required for non-payment of premiums before discontinuing coverage under qualified health plans with such grace periods provided for under State Law. HR 5447 Small Business Health Care Relief Act of 2016 introduced June 21, 2016 by Charles Boustany, Jr. (R-LA) to provide an exception from certain group health plan requirements for qualified small employer health reimbursement arrangements. HR 5506 Introduced June 15, 2016 by Todd Young (R-IN) to amend title XVIII of the Social Security Act to establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes. HR 5547 Health Care Price Transparency Promotion Act of 2016 Introduced by Michael Burgess (R-IN) to amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs. HR 5589 Plan Verification and Fairness Act of 2016 Introduced June 28, 2016 by Marsha Blackburn (R-TN) to amend title I of the Patient Protection and Affordable Care Act to require verification for eligibility for enrollment during special enrollment periods in PPACA insurance plans, and for other purposes. HR 5904 Tax Payers Before Insurers Act Introduced July 14, 2016 by Mark Walker (R-NC) to require the Secretary of Health and Human Services to deposit certain funds into the general fund of the Treasury in accordance with provisions of Federal law with regard to the Patient Protection and Affordable Care Act's Transitional Reinsurance Program. HR 5921 State Age Rating Flexibility Act Introduced July 21, 2016 by Larry Bucshon (R-IN) to amend title XXVII of the Public Health Service act to change the permissible age variation in health insurance rates. S. 524 Comprehensive Addiction and Recovery Act of 2016 Introduced February 12, 2015 by Sheldon Whitehouse (D-RI) overdoses from heroin prescription drugs and opioid pain relievers last year surpassed car accidents as the leading cause of injury-related death in America, according to the Center for Disease Control. Deaths have reached their highest levels of the 21st Century in 2014, the most recent year for which data is available, according to the National Institute on Drug Abuse. Heroin overdoses have more than tripled in the last five years, an issue receiving outsize attention nationally but especially during the presidential campaign season as New Hampshire has been one of the hardest-hit states. S. 1697 Small Business Healthcare Relief Act Introduced June 25, 2015 by Charles Grassley (R-IA) a bill to provide an exception from certain group health plan requirements to allow small businesses to use pre-tax dollars to assist employees in the purchase of policies in the individual health insurance market and for other purposes. S. 1945 Introduced August 5, 2015 by Bill Cassidy (R-LA) A bill to make available needed psychiatric, psychological, and supportive services for individuals with mental illness and families in mental health crisis, and for other purposes.

Client expense: $60,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

833; Health Insurance Tax (HIT Tax); Cadillac Tax HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. S. 183 Jobs and Premium Protection Act Introduced January 16, 2015 by John Barrasso (R-WY) A bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.

Client expense: $60,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues pertaining to tax treatment of employee-sponsored health benefits; Pub. L. 111-148, the Patient Protection and Affordable Care Act; Pub. L. 111-152, the Health Care and Education Reconciliation Act of 2010, provision related to insurer fee; H.R. 928 & S. 183, a bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R.2646, "Helping Families in Mental Health Crisis Act of 2015", regarding all provisions. S.1945, "Mental Health Reform Act of 2015", regarding all provisions. H.R. 5410, "Health Coverage State Flexibility Act of 2016", regarding all provisions. H.R. 5659, "ESRD Choice Act of 2016", regarding all provisions. S. 2803, "Taxpayers Before Insurers Act", regarding all provisions. H.R. 5589, "Plan Verification and Fairness Act of 2016", regarding all provisions. H.R. 3742, "Access to Marketplace Insurance Act", regarding all provisions. H.R. 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.", regarding all provisions. H.R. 5447, "Small Business Health Care Relief Act of 2016", regarding all provisions. Issues related to Mental Health Parity. Issues related to the Federal Employee Health Benefit Program (FEHBP). Issues related to the Affordable Care Act including Chronic Care Innovations; Payment reform; 2017 Notice of Benefit and Payment Parameters (NBPP); ACA Regulations; Co-ops; Implementation; Cyber Security; Open Enrollment; Market Stability; Department of Labor Conflict of Interest Rule; Grace Periods; Special Enrollment Periods.

Client expense: $1,080,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

H.R. 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Act", regarding all provisions. S. 183, "Jobs and Premium Protection Act", regarding all provisions. Issues related to Health Insurance Tax (HIT TAX), HIT Tax Delay, Cadillac Tax.

Client expense: $1,080,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

H.R. 30, Save American Workers Act of 2015 H.R. 160, Protect Medical Innovation Act of 2015 H.R. 248, American Job Protection Act H.R. 879, Ax the Tax on Middle Class Americans' Health Plans Act H.R. 928, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act H.R. 1189/S. 620, Preserving Employee Wellness Programs Act H.R. 1196, Health Savings Act of 2015 H.R. 1270/S. 709, Restoring Access to Medication Act of 2015 H.R. 2050, Middle Class Health Benefits Tax Repeal Act of 2015 H.R. 2712, Commonsense Reporting and Verification Act of 2015 H.R. 2911, Small Business Healthcare Relief Act H.R. 4469/S.2499, Health Savings Act of 2016 H.R. 5445, Health Care Security Act of 2016 H.R. 5447/S.3060, Small Business Health Care Relief Act of 2016 S. 30, Forty Hours Is Full Time Act of 2015 S. 149, Medical Device Access and Innovation Protection Act S. 183, Jobs and Premium Protection Act S. 305, American Job Protection Act S. 1099, Protecting Affordable Coverage for Employees (PACE) Act S. 1697, Small Business Healthcare Relief Act S. 1996, Commonsense Reporting Act of 2015 S. 2045, Middle Class Health Benefits Tax Repeal Act of 2015 S. 2075, American Worker Health Care Tax Relief Act of 2015 Proposed Regulation on Shared Responsibility for Employers Regarding Health Coverage (78 Fed. Reg. 218-253, January 2, 2013) (to be codified at 26 C.F.R. pts. 1, 54, 301) Proposed Regulation on Information Reporting by Applicable Large Employers on Health Insurance Coverage Offered Under Employer-Sponsored Plans (78 Fed. Reg. 54,996-55,013, September 9, 2013) (to be codified at 26 C.F.R. pt. 301) Proposed Regulation on Information Reporting of Minimum Essential Coverage (78 Fed. Reg. 54,986-54,996, September 9, 2013) (to be codified at 26 C.F.R. pts. 1, 301) Proposed Rule on HHS Notice of Benefit and Payment Parameters for 2017 (80 Fed. Reg. 75,488-75,588, December 2, 2015) (to be codified at 45 C.F.R. pts. 144, 146, 147 et al.) Proposed rule on Nondiscrimination in Health Programs and Activities (80 Fed. Reg. 54,172-54,221, September 8, 2015) (to be codified at 45 C.F.R. pt. 92) Proposed rule on Expatriate Health Plans, Expatriate Health Plan Issuers, and Qualified Expatriates; Excepted Benefits; Lifetime and Annual Limits; and Short-Term, Limited-Duration Insurance (81 Fed. Reg. 38,020-38,048, June 10, 2016) IRS Notice on Section 4980I - Excise Tax on High Cost Employer-Sponsored Health Coverage (Notice 2015-16, February 23, 2015) Various issues relating to the Patient Protection and Affordable Care Act (P.L. 111-148) and the Health Care and Education Affordability Reconciliation Act of 2010 (P.L. 111-152), including the employer-sponsored health care system, implementation of regulatory process, provider network adequacy, delivery system reform, health savings accounts (HSAs), health reimbursement accounts (HRAs), and flexible spending accounts (FSAs) changes, IPAB, employer mandate, reporting requirements for issuers and applicable large employers, premium stabilization programs, medical loss ratio, medical malpractice reform, exchanges, the impact on small business, the Small Business Tax Credit, section 1332 waivers, section 1557 on nondiscrimination, caps on compensation deductibility required under section 9014, incompleteness or inaccuracy of cost impact analysis, lack of quantified benefit analysis, and need for empirical data sources on which to base costs and benefits; Public Health Services Act (P.L.78-410), Internal Revenue Code and the Employee Retirement Income Security Act (ERISA) (P.L. 93-406), regarding regulatory process and legislative corrections to ERISA preemption, changes to Medicare Advantage and Parts B, C, and D, including rebates and non-interference with prescription drug prices, entitlement reform, health information technology, telemedicine services in Medicare, and coordination and disease management programs; House Republican Taskforce on Health Care report, 'A Better Way to Fix Health Care'

Client expense: $18,590,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Industry and Security (BIS), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Reserve System, Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. Fish & Wildlife Service (USFWS), U.S. Geological Survey (USGS), U.S. Trade Representative (USTR), White House Office

Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148); Legislation Amending P.L. 111-148; Medical Loss Ratio; Essential Health Benefits; State/Federal Health Exchanges; Individual Mandate; Accountable Care Organizations; Subsidies; Risk Corridors; Risk Adjustment; Premium Tax & the Jobs and Premium Protection Act (HR 928/S 183); and the Aligning Children's Dental Coverage Act (HR 3463).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to the Affordable Care Act. Commercial Insurance. Medicare Advantage. Medicaid and CHIP Issues. ACA Taxes and Fees. HR 5904/S 2803 - Taxpayers Before Insurers Act HR 928 To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S 183 Jobs and Premium Protection Act Public Law 111-48, Patient Protection and Affordable Care Act and Public Law 111-52, Health Care and Education Reconciliation Act of 2010

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS)

Public Law 111-48, "Patient Protection and Affordable Car Act" and Public Law 111-52, "Health Care and Education Reconciliation Act 2010"--monitored implementation of key Medicaid and health insurance market provisions. HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act". S 831, "Jobs and Premium Protection Act" S 3130, "Independence at Home Act of 2016" HR 546 and S 298 "Advancing Care for Exceptional Kids Act of 2015 (ACE Kids Act of 2015)

Client expense: $290,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Public Law 111-48, "Patient Protection and Affordable Care Act" and Public Law 111-52, "Health Care and Education Reconciliation Act of 2010"- monitored implementation of key Medicaid and health insurance market provisions. HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act". S. 2803 "Taxpayers Before Insurers Act" H.R. 5904 "Taxpayers Before Insurers Act" S. 3297 "Relief from ObamaCare Mandate Act of 2016" S.3296 "Protecction from ObamaCare Monopolies Act" S 183 "Jobs and Premium Protection Act"

Client expense: $290,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-S. 183, the Jobs and Premium Protection Act of 2015 - support. -H.R. 928, the Jobs and Premium Protection Act - support.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Regulatory implementation of various tax provisions in the health reform law, including the health insurer tax (HR 928/ S 183).

Client expense: $650,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Personnel Management (OPM), SENATE, White House Office

Tax issues related to health insurance, industry tax, S. 183, H.R. 928.

Client expense: Not reported · Firm income: $90,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to implementation of health care reform (ACA); Medicaid reform, generally; Repeal of the Health Insurer Fee - H.R. 928 To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act; S. 183, Jobs and Premium Protection Act; CMS Medicaid Managed Care Rule; Behavioral health issues and confidentiality under 42 CFR Part 2

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of Patient Protection and Affordable Care Act H.R. 928, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S. 183, Jobs and Premium Protection Act S. 248, To repeal the Federal Mandate on employers to offer health insurance H.R. 30, Save American Workers Act of 2015

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ACA Health Insurance Fee Repeal or delay (S.183 and H.R. 928)

Client expense: $1,140,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Health Insurance Tax (HIT Tax); Cadillac Tax HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. S 183 Jobs and Premium Protection Act Introduced January 16, 2015 by John Barrasso (R-WY) A bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.

Client expense: $270,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Care Act (ACA) Issues; ACA Regulations; HCR Implementation; Re-insurance; Co-ops; Market Stability; Cost-sharing Reduction (CSR); Better Way; ACA Reform; Risk Corridors; Chronic Care; Mental Health Reform; Premium Education; Third Party Payment of Premiums; SEPs; Grace Periods; Age Bands, Individual Mandate. HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 2488 Medicare Beneficiary Preservation of Choice Act of 2015 Introduced May 21, 2015 by Keith Rothfus (R-PA) This bill amends title XVIII (Medicare) of the Social Security Act to expand and modify enrollment and disenrollment options for Medicare Advantage (MA) eligible individuals. Specifically, the bill extends the annual period in which an individual enrolled in MA may elect to instead receive benefits under the original Medicare fee-for-service (FFS) program as well as elect to change qualified prescription drug coverage. Furthermore, any MA-eligible individual (whether or not enrolled in MA) may once per period change a previous election with respect to receiving benefits through MA or Medicare FFS, including changing from one MA plan to another. Unsolicited marketing during this period is prohibited. HR 3463 Aligning Childrens Dental Coverage Act Introduced September 9, 2015 by H. Griffith (R-VA) To amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act, and for other purposes as introduced. HR 3742 Access to Marketplace Insurance Act Introduced October 9, 2015 by Kevin Cramer (R-ND) To amend the Patient Protection and Affordable Care Act to allow for certain third party payments. HR 4275 Medicare Advantage Quality Payment Relief Act of 2015 Introduced December 16, 2015 by Mike Kelly (R-PA) To amend title XVIII of the Social Security Act to eliminate a provision under the Medicare Advantage program that inadvertently penalizes Medicare Advantage plans for providing high quality care to Medicare beneficiaries. HR 5410 Health Coverage State Flexibility Act of 2016 Introduced June 8, 2016 by Bill Flores (R-TX) to amend the Patient Protection and Affordable Care Act to better align the grace period required for non-payment of premiums before discontinuing coverage under qualified health plans with such grace periods provided for under State law. HR 5447 Small Business Health Care Relief Act of 2016 Introduced June 21, 2016 by Charles Boustany, Jr. (R-LA) To provide an exception from certain group health plan requirements for qualified small employer health reimbursement arrangements. HR 5589 Plan Verification and Fairness Act of 2016 Introduced June 28, 2016 by Marsha Blackburn (R-TN) To amend title I of the Patient Protection and Affordable Care Act to require verification for eligibility for enrollment during special enrollment periods in PPACA insurance plans, and for other purposes. HR 5904 Tax Payers Before Insurers Act Introduced July 14, 2016 by Mark Walker (R-NC) To require the Secretary of Health and Human Services to deposit certain funds into the general fund of the Treasury in accordance with provisions of Federal law with regard to the Patient Protection and Affordable Care Act's Transitional Reinsurance Program

Client expense: $270,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Opposed efforts to eliminated use of LIFO accounting method as part of budget debate; discussed and considered position on e-Fairness: the Marketplace Fairness Act (S. 698) and the Remote Transaction Parity Act (H.R. 2275); supported repeal of Estate Tax (H.R. 1105); lobbied for Fair Effective tax rates; discussed tax repatriation options for transportation funding; supported Health Insurance Tax repeal (H.R. 928 / S. 183). Lobbied against potential Border Adjustment Tax (BAT) in future tax reform legislation.

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

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), Federal Highway Administration (FHA), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Intl Trade Administration (ITA), Natl Highway Traffic Safety Administration (NHTSA), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), U.S. Copyright Office, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)