CO-OP Consumer Protection Act of 2016

Discussed VA Healthcare with Senior Legislative Aid from Representative Dan Benisheks Office Discussed opposition of obamacare bailouts H.R. 5904 with Chief of Staff from Marsha Blackburns office Discussed opposition of obamacare bailouts H.R. 5904 with Counsel from Kevin Bradys office Supported Walker's Taxpayers before Insurers bill (H.R. 5904) Supported Restoring Access to Medication Act of 2015 (H.R. 1270) Supported CO-OP Consumer Protection Act and Regulatory Relief for Small Business, Schools, and Nonprofits Act (H.R. 954, H.R.6094) Opposed Obamacare bailouts for insurance companies (S. 2803, H.R. 5904)

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

H.R. 30, Save American Workers Act (Young) - definition of full-time employee H.R. 117, Reclaiming Individual Liberty Act (Garrett) - ACA individual mandate H.R. 221, ACA Taxpayer Bailout Prevention Act (Harris) - risk corridors program H.R. 371, Care for All Act (Fortenberry) - catastrophic plans H.R. 494, Competitive Health Insurance Reform Act (Gosar) - antitrust policy H.R. 543, Health Care Choice Act (Blackburn) - national marketplace for individual health insurance H.R. 724, Taxpayer Bailout Protection Act (Lance) - risk corridors program H.R. 815, Access to Independent Health Insurance Advisors Act (Long-Schrader) - treatment of broker compensation in MLR calculation H.R. 954, CO-OP Consumer Protection Act (Smith) - exemption from individual mandate H.R. 1770, Data Security and Breach Notification Act (Blackburn-Welch) - data security H.R. 2205, Data Security Act (Neugebauer) - data security H.R. 2739, Cancer Drug Coverage Parity Act (Lance) - coverage of oral anti-cancer drugs H.R. 2868, Small Business Health Fairness Act (Johnson) - association health plans H.R. 3323, Dental and Optometric Care Access Act (Carter) - dental and vision benefits H.R. 3727, Health Insurance Rate Review Act (Schakowsky) - rate review H.R. 4299, Patient Opportunity Protection Act (Blum) - HIPAA excepted benefits H.R. 5410, Health Coverage State Flexibility Act (Flores) - grace period for recipients of advanced premium tax credits H.R. 5485, Financial Services and General Government Appropriations Act (Crenshaw) - risk corridors amendment H.R. 5589, Plan Verification and Fairness Act (Blackburn) - pre-enrollment verification process H.R. 5921, State Age Rating Flexibility Act (Bucshon) - age rating flexibility H.R. 6019, Relief from Obamacare Mandate Act (Young) - exemption from individual mandate H.R. 6049, Protection from Insurance Exchange Monopolies Act (Heck) - exemption from individual mandate H.R. 5926, FY 2017 Labor-HHS-Education Appropriations Bill (Cole) - ACA risk corridors provision, HHS appropriations H. Res. 887, Public Option (DeFazio) S. 30, Forty Hours Is Full Time Act (Collins) - definition of full-time employee S. 123, ACA Taxpayer Bailout Prevention Act (Rubio) - risk corridors program S. 158, Employee Health Care Protection Act (Cassidy) - grandfathering of health coverage S. 359, Taxpayer Bailout Protection Act (Cassidy) - risk corridors program S. 1099, Protecting Affordable Coverage for Employees Act (Scott-Shaheen) - ACA definition of small employer S. 1532, Affordability is Access Act (Murray) - coverage of OTC birth control S. 1566, Cancer Drug Coverage Parity Act (Kirk) - coverage of oral anti-cancer drugs S. 1661, Access to Independent Health Insurance Advisors Act (Isakson-Coons) - treatment of broker compensation in MLR calculation S. 2172, Health Insurance Rate Review Act (Feinstein) - rate review S. 2803, Taxpayers Before Insurers Act (Sasse) - ACA reinsurance program S. 3296, Protection from ObamaCare Monopolies Act (McCain) - exemption from individual mandate S. 3297, Relief from Obamacare Mandate Act (Cotton) - exemption from individual mandate S. 3326, State Flexibility to Provide Affordable Health Options Act (Alexander) - ACA subsidies, exemption from individual mandate S. Res. 561, Public Option (Merkley) Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to encouraging impaired workers to stay in/return to the workforce; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; summary of benefits and coverage disclosures; pre-existing condition insurance plans; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; dependent coverage; treatment of expatriate plans; compliance with the transitional reinsurance program; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues related to implementation of the Telephone Consumer Protection Act; and other issues relating to health care reform implementation.

Department of Health & Human Services: Implementation of Health insurance exchanges; Implementation of Qualified Health Plans; Delivery system reform. HR 6 - 21st Century Cures Act: To accelerate the discovery, development, and delivery of 21st century cures. Upton (R-MI) HR 138 - Access to Insurance for All Americans Act: Regarding the Federal Employees Health Benefit Program (FEHBP). Issa (R-CA) HR 160 & S 149 - Protect Medical Innovation Act of 2015: A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on medical devices. Paulsen (R-MN) and Hatch (R-UT) HR 248 - American Job Protection Act - repeal the ACA's employer responsibility requirements. Boustany (R-LA) HR 954 - CO-OP Consumer Protection Act of 2016: To amend the Internal Revenue Code of 1986 to exempt from the individual mandate certain individuals who had coverage under a terminated qualified health plan funded through the Consumer Operated and Oriented Plan (CO-OP) program. Smith (R-NE) HR 2050 - Middle Class Health Benefits Tax Repeal Act of 2015: To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. Courtney (D-CT) HR 5447 - Small Business Health Care Relief Act of 2016: To provide an exception from certain group health plan requirements for qualified small employer health reimbursement arrangements. Boustany (R-LA) S 123 & HR 221- To repeal the ACA risk corridor program. Rubio (R-FL) & Harris (R-MD) S 157 - To repeal the ACA's Individual mandate, employer responsibility requirements and medical device excise tax. Cassidy (R-LA) S 305 - To repeal the ACA's employer responsibility requirements. Hatch (R-UT) and Alexander (R-TN) S Res 561 - A resolution supporting efforts to increase competition and accountability in the health insurance marketplace, and to extend accessible, quality, affordable health care coverage to every American through the choice of a public insurance plan. Merkley (D-OR) S 2680 - Mental Health Reform Act of 2016: To amend the Public Health Service Act to provide comprehensive mental health reform, and for other purposes. Alexander (R-TN) S 3056 - Creating and Restoring Equal Access to Equivalent Samples Act of 2016: To provide for certain causes of action relating to delays of generic drugs and biosimilar biological products. Leahy (D-VT) S 3297 - Relief from Obamacare Mandate Act of 2016: To amend the Internal Revenue Code of 1986 to provide an exemption to the individual mandate to maintain health coverage for certain individuals whose premium has increased by more than 10 percent, and for other purposes. Cotton (R-AR) S 3326 - State Flexibility to Provide Affordable Health Options Act: To give States the authority to provide temporary access to affordable private health insurance options outside of Obamacare exchanges. Alexander (R-TN)

Access to Capital: SBE Council continues to advocate for reforms and solutions to improve capital formation in the U.S. and access to capital for small businesses. Specific bills include: Fix Crowdfunding Act of 2016 (H.R. 4855): Supported House passage. Investment Advisers Modernization Act of 2016 (H.R. 5424): Supported House passage. Accelerating Access to Capital Act of 2015 (H.R. 2357): Supported House passage. Regulatory Reform and Modernization: SBE Council continues to voice support for comprehensive regulatory reform including streamlining regulations, more openness and transparency in the regulatory process, giving small businesses a meaningful voice in rulemakings, cost-benefit analysis, and looks-backs and sunsetting of regulations. Specific bills include: Regulatory Relief for Small Businesses, Schools, and Nonprofits Act (H.R. 6094): Supported House passage. Overtime Reform and Review Act (S. 3464): Support. The Financial CHOICE Act: Support House bill to reform Dodd-Frank and the financial regulatory system. Require Evaluation Before Implementing Executive Wishlists Act (REVIEW Act) of 2015 (H.R. 3438 and S. 1927): Supported House passage and Senate bill. Stop Settlement Slush Funds Act of 2016 (H.R. 5063 and S. 3050): Supported House passage and Senate bill. Regulatory Integrity Act of 2016 (H.R. 5226): Supported House passage. Federal Communications Commission rules on Set-Top-Box: Oppose proposed rulemaking and pushed for changes and a more open process. Postal Service Reform Act (H.R. 5714): Expressed concern to U.S. House about this bill. Protecting Workplace Advancement and Opportunity Act: Support. Overtime Reform and Enhancement Act (H.R. 5813): Support. EPA and the Clean Air Science Advisory Committee (CASAC): Urged the EPA to add diverse and neutral members of this advisory council. ADA Education and Reform Act of 2016 (H.R. 3765): Support Tax Reform and Relief: SBE Council continues to engage with Congress and the Administration on the need for tax system overhaul, fairness and simplicity for small businesses. Specific bills and actions include: Section 385 regulatory changes by U.S. Treasury: Expressed concern and opposed hasty changes. Mobile Workforce State Income Tax and Simplification Act of 2015 (H.R. 2315 and S. 386): Supported House passage and Senate bill. Empowering Employees Through Stock Ownership Act (H.R. 5719 and S. 3152): Supported House passage and Senate bill. U.S. Treasury regulatory changes to Estate, Gift, and Generation-skipping Transfer Taxes: Restrictions on Liquidation of an Interest: Oppose regulatory changes proposed by Treasury. Protect Family Farms and Businesses Act (H.R. 6100 and S. 3436): Support both bills. International Trade, Competitiveness and Tariff Relief, Intellectual Property: SBE Council continues to voice support for trade agreements and efforts to improve and simplify exporting for small businesses, and strengthening IP protections. Affordable Health Coverage and ACA Reform: SBE Council continues to support multiple efforts to fully reform the Affordable Care Act and replace with market-based alternatives and solutions that produce competition and lower costs for small businesses. Specific bills include: Halt Tax Increases on the Middle Class and Seniors Act (H.R. 3950): Supported House passage. CO-OP Consumer Protection Act of 2016 (H.R. 954): Supported House passage. Small Business Health Care Relief Act (S. 3060): Continue to push for Senate passage. Privacy and Cybersecurity: Improving Small Business Cybersecurity Act (H.R. 5064): Supported House passage Improving Small Business Cybersecurity Act (S. 3024): Support Senate bill. OTHER: Expressed support for Section 806 in S. 2943, the Senate version of the 2017 NDAA. Debt Management and Fiscal Responsibility Act of 2016 (S.3182): Support. Clyde-Hirsch-Sowers RESPECT Act (H.R. 5523): Supported House Passage.

Support H.R. 928/S. 183, a bill to repeal the health insurance tax Support H.R. 954 and S. 3311, the CO-OP Consumer Protection Act Support H.R. 1624 and S. 1099, the Protecting Affordable Coverage for Employers Support H.R. 2712 and S. 1996, the Commonsense Reporting and Verification Act Support H.R. 3762, the Restoring Americans Healthcare Freedom Reconciliation Act Support H.R. 5477, the Small Business Healthcare Relief Act Monitor healthcare reform proposals

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

Government targets: Equal Employment Opportunity Commission (EEOC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Treasury, Dept of

Advance the use of FDA-approved medicines to treat addiction in criminal justice and public health settings S. 524/HR 954 Comprehensive Addiction and Recovery Act S. 1695/HR 3420 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2016 (opioid funding) S.1695/HR 2578 Commerce, Justice, Science and Related Agencies Appropriations Act of 2016 (Bureau of Prisons medication pilot, inclusion of medications in Byrne Jag) HR 2029 The Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2016 (Opioid Medication Funding, Bureau of Prisons medication pilot, inclusion of medications in Byrne Jag)

Client expense: $1,110,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institute on Alcohol Abuse & Alcoholism (NIAA), Natl Institutes of Health (NIH), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Advance the use of FDA-approved medicines to treat addiction in criminal justice and public health settings S. 524/HR 954 Comprehensive Addiction and Recovery Act S. 1695/HR 3420 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2016 Senate bill/HR 2578, Commerce, Justice, Science and Related Agencies Appropriations Act of 2016 (Bureau of Prisons medication pilot, inclusion of medications in Byrne Jag)

Client expense: $702,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institute on Alcohol Abuse & Alcoholism (NIAA), Natl Institutes of Health (NIH), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Advance the use of FDA-approved medicines to treat addiction in criminal justice and public health settings S. 524/HR 954 Comprehensive Addiction and Recovery Act S. 1695/HR 3420 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2016 Senate bill/HR 2578, Commerce, Justice, Science and Related Agencies Appropriations Act of 2016 (Bureau of Prisons medication pilot, inclusion of medications in Byrne Jag)

Client expense: $1,332,200 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institute on Alcohol Abuse & Alcoholism (NIAA), Natl Institutes of Health (NIH), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)