American Health Care Reform Act of 2017

protecting access to preventive care and wellness through Health Savings Accounts protecting access to healthcare sharing ministries S 403, Health Savings Act of 2017 HR 1175, Health Savings Act of 2017 HR 277, American Healthcare Reform Act of 2017 HR 1628, American Healthcare Act HR 1, the Tax Cuts and Jobs Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1313 - Preserving Employee Wellness Programs Act; HR 277 - American Health Care Reform Act; HR 247/S. 28 - Health Savings Account Expansion Act; Better Care Reconciliation Act

Client expense: Not reported · Firm income: Not reported

Government targets: Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC)

Discussions pertinent to health care group purchasing organizations (GPOs) role in helping to prevent drug shortages Monitored HR 277 American Health Care Reform Act of 2017 Monitored S 297 Increasing Competition in Pharmaceuticals Act Monitored HR 749 Lower Drug Costs through Competition Act Monitored HR 208 Ensuring Health Care Opportunities Act Monitored S 1115 Making Pharmaceutical Markets More Competitive Act Monitored HR 2562 Making Pharmaceutical Markets More Competitive Act Monitored S 191 Patient Freedom Act of 2017 Monitored S 761 Health Care Options Act of 2017 Monitored HR 1933 Health Care Options Act of 2017 Monitored HR 1628 American Health Care Act of 2017 Monitored Bipartisan Health Care Stabilization Act 2018 (proposed Alexander-Murray legislation) Monitored S 2312 Helping Ensure Low-income Patients have Access to Care and Treatment (HELP) Act Monitored politically appointed Senate-confirmed positions Monitored S 3158 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2019 Monitored HR 4191 HHS Cybersecurity Modernization Act Monitored HR 4710 340B PAUSE Act Monitored S 2453 Ensuring the Value of the 340B Program Act of 2018 Monitored H.R.4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes Monitored HR 6 SUPPORT for Patients and Communities Act

Client expense: Not reported · Firm income: $130,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1783, Improving Veterans Access to Quality Care Act of 2017 HR 959, Title VIII Nursing Workforce Reauthorization Act of 2017 Chronic Pain management Rural access to anesthesiologists services act Nursing Workforce Development HR 1628, HR 277 The American Health Care Act Budget Reconciliation Improvement Act National Defense Authorization Act Labor Health and Human Services Budget

Client expense: $190,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 1783, Improving Veterans Access to Quality Care Act HR 959 Title VIII Reauthorization Act HR 1628, HR 277, the American Health Care Act Medicare reimbursement Chronic Pain management Nursing workforce development

Client expense: $190,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Discussions pertinent to health care group purchasing organizations (GPOs) role in helping to prevent drug shortages Monitored HR 277 American Health Care Reform Act of 2017 Monitored S 297 Increasing Competition in Pharmaceuticals Act Monitored HR 749 Lower Drug Costs trough Competition Act Monitored HR 208 Ensuring Health Care Opportunities Act Monitored S 1115 Making Pharmaceutical Markets More Competitive Act Monitored HR 2562 Making Pharmaceutical Markets More Competitive Act Monitored S191 Patient Freedom Act of 2017 Monitored S761 Health Care Options Act of 2017 Monitored HR1933 Health Care Options Act of 2017 Monitored HR 1628 American Health Care Act of 2017 Monitored Bipartisan Health Care Stabilization Act of 2017 (proposed Alexander-Murray legislation) Monitored S 2312 Helping Ensure Low-income patients have Access to Care and Treatment (HELP) Act Monitored S 3158 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2019 Monitored HR 4191 HHS Cybersecurity Modernization Act Monitored HR 4710 340B PAUSE Act Monitored S 2453 Ensuring the Value of the 340B Program Act of 2018 Monitored HR 4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes. Monitored HR6 SUPPORT for Patients and Communities Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Discussions pertinent to health care group purchasing organizations (GPOs) role in helping to prevent drug shortages Monitored HR 277 American Health Care Reform Act of 2017 Monitored S 297 Increasing Competition in Pharmaceuticals Act Monitored HR 749 Lower Drug Costs through Competition Act Monitored HR 208 Ensuring Health Care Opportunities Act Monitored S 1115 Making Pharmaceutical Markets More Competitive Act Monitored HR 2562 Making Pharmaceutical Markets More Competitive Act Monitored S 191 Patient Freedom Act of 2017 Monitored S 761 Health Care Options Act of 2017 Monitored HR 1933 Health Care Options Act of 2017 Monitored HR 1628 American Health Care Act of 2017 Monitored Bipartisan Health Care Stabilization Act 2018 (proposed Alexander-Murray legislation) Monitored S 2312 Helping Ensure Low-income Patients have Access to Care and Treatment (HELP) Act Monitored politically appointed Senate-confirmed positions Monitored S 3158 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2019 Monitored HR 4191 HHS Cybersecurity Modernization Act Monitored HR 4710 340B PAUSE Act Monitored S 2453 Ensuring the Value of the 340B Program Act of 2018 Monitored H.R.4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes Monitored HR 6 SUPPORT for Patients and Communities Act

Client expense: Not reported · Firm income: $130,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

protecting access to preventive care and wellness through Health Savings Accounts protecting access to healthcare sharing ministries S 403, Health Savings Act of 2017 HR 1175, Health Savings Act of 2017 HR 277, American Healthcare Reform Act of 2017 HR 1628, American Healthcare Act HR 1, the Tax Cuts and Jobs Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1313 - Preserving Employee Wellness Programs Act; HR 277 - American Health Care Reform Act; HR 247/S. 28 - Health Savings Account Expansion Act; Better Care Reconciliation Act

Client expense: Not reported · Firm income: Not reported

Government targets: Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC)

HR 1313 - Preserving Employee Wellness Programs Act; HR 277 - American Health Care Reform Act; HR 247/S. 28 - Health Savings Account Expansion Act; Better Care Reconciliation Act

Client expense: $18,992 · Firm income: Not reported

Government targets: Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC)

HR 1156 Patient Access to Higher Quality Health Care Act of 2017 (all sections of full text) S 1133 Patient Access to Higher Quality Health Care Act of 2017 (all sections of full text) Monitored HR 277 American Health Care Reform Act of 2017 Monitored S 297 Increasing Competition in Pharmaceuticals Act Monitored HR 749 Lower Drug Costs trough Competition Act Monitored HR 208 Ensuring Health Care Opportunities Act Monitored S 1115 Making Pharmaceutical Markets More Competitive Act Monitored HR 2562 Making Pharmaceutical Markets More Competitive Act Monitored S191 Patient Freedom Act of 2017 Monitored S761 Health Care Options Act of 2017 Monitored HR1933 Health Care Options Act of 2017 Monitored HR 1628 American Health Care Act of 2017 Monitored Bipartisan Health Care Stabilization Act of 2017 (proposed Alexander-Murray legislation) Monitored S 1835 The Lower Premiums Through Reinsurance Act of 2017 Monitored S 2312 Helping Ensure Low-income patients have Access to Care and Treatment (HELP) Act Monitored S 3158 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2019 Monitored HR 4191 HHS Cybersecurity Modernization Act Monitored HR 4710 340B PAUSE Act Monitored S 2453 Ensuring the Value of the 340B Program Act of 2018 Monitored HR 4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1783, Improving Veterans Access to Quality Care Act of 2017 HR 959, Title VIII Nursing Workforce Reauthorization Act of 2017 Chronic Pain management Rural access to anesthesiologists services act Nursing Workforce Development HR 1628, HR 277 The American Health Care Act Budget Reconciliation Improvement Act National Defense Authorization Act Labor Health and Human Services Budget

Client expense: $190,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 1783, Improving Veterans Access to Quality Care Act HR 959 Title VIII Reauthorization Act HR 1628, HR 277, the American Health Care Act Medicare reimbursement Chronic Pain management Nursing workforce development

Client expense: $190,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R.247, Health Savings Account Expansion Act of 2017 H.R.277, American Health Care Reform Act of 2017 H.R.1313, Preserving Employee Wellness Programs Act H.R.1628, American Health Care Act of 2017 H.R.1953, Treat and Reduce Obesity Act of 2017 H.R.2430, FDA Reauthorization Act of 2017 H.R.2587, Medical Nutrition Equity Act of 2017 H.R.3124, Preventing Diabetes in Medicare Act of 2017 H.R.4454, Chronic Wasting Disease Management Act H.R.4978, Chronic Disease Management Act of 2018 S.28, Health Savings Account Expansion Act of 2017 S.830, Treat and Reduce Obesity Act of 2017 S.870, Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 S.934, FDA Reauthorization Act of 2017 S.1194, Medical Nutrition Equity Act of 2017 S.1299, Preventing Diabetes in Medicare Act of 2017 S.2410, Chronic Disease Management Act of 2018

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1156 Patient Access to Higher Quality Health Care Act of 2017 (all sections of full text) S 1133 Patient Access to Higher Quality Health Care Act of 2017 (all sections of full text) Monitored HR 277 American Health Care Reform Act of 2017 Monitored S 297 Increasing Competition in Pharmaceuticals Act Monitored HR 749 Lower Drug Costs through Competition Act Monitored HR 208 Ensuring Health Care Opportunities Act Monitored S 1115 Making Pharmaceutical Markets More Competitive Act Monitored HR 2562 Making Pharmaceutical Markets More Competitive Act Monitored S 191 Patient Freedom Act of 2017 Monitored S 761 Health Care Options Act of 2017 Monitored HR 1933 Health Care Options Act of 2017 Monitored HR 1628 American Health Care Act of 2017 Monitored Bipartisan Health Care Stabilization Act 2017 (proposed Alexander-Murray legislation) Monitored S 1835 The Lower Premiums Through Reinsurance Act of 2017 Monitored S 2312 Helping Ensure Low-income Patients have Access to Care and Treatment (HELP) Act Monitored politically appointed Senate-confirmed positions Monitored S 3158 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2019 Monitored HR 4191 HHS Cybersecurity Modernization Act Monitored HR 4710 340B PAUSE Act Monitored S 2453 Ensuring the Value of the 340B Program Act of 2018 Monitored H.R.4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes

Client expense: Not reported · Firm income: $130,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

protecting access to preventive care and wellness through Health Savings Accounts protecting access to healthcare sharing ministries S 403, Health Savings Act of 2017 HR 1175, Health Savings Act of 2017 HR 277, American Healthcare Reform Act of 2017 HR 1628, American Healthcare Act HR 1, the Tax Cuts and Jobs Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1783, Improving Veterans Access to Quality Care Act HR 959 Title VIII Reauthorization Act HR 1628, HR 277, the American Health Care Act Medicare reimbursement Chronic Pain management Nursing workforce development

Client expense: $190,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 1783, Improving Veterans Access to Quality Care Act of 2017 HR 959, Title VIII Nursing Workforce Reauthorization Act of 2017 Chronic Pain management Rural access to anesthesiologists services act Nursing Workforce Development HR 1628, HR 277 The American Health Care Act Budget Reconciliation Improvement Act National Defense Authorization Act Labor Health and Human Services Budget

Client expense: $190,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R.5 - Regulatory Accountability Act of 2017 To reform the process by which Federal agencies analyze and formulate new regulations and guidance documents, to clarify the nature of judicial review of agency interpretations, to ensure complete analysis of potential impacts on small entities of rules, and for other purposes. NSBA supports. H.R. 10 - The Financial CHOICE Act of 2017 Bill repeals provisions of the Dodd-Frank Act, aims to eliminate red tape to increase access to capital and credit and create opportunities for investors, consumers and entrepreneurs. NSBA is monitoring. H.R. 21 - the Midnight Rules Relief Act of 2017 This bill amends the Congressional Review Act to allow Congress to consider a joint resolution to disapprove multiple regulations that federal agencies have submitted for congressional review within the last 60 legislative days of a session of Congress during the final year of a President's term. NSBA supports. H.R. 25 - The Fair Tax Act To promote freedom, fairness, and economic opportunity by repealing the income tax and other taxes, abolishing the Internal Revenue Service, and enacting a national sales tax to be administered primarily by the states. NSBA supports H.R. 26 - The Regulations from the Executive in Need of Scrutiny Act of 2017 This bill states that its purpose is to increase accountability for and transparency in the federal regulatory process by requiring Congress to approve all new major regulations. NSBA supports. H.R. 33 - Small Business Regulatory Flexibility Improvements Act This bill modifies the rulemaking requirements and procedures of federal agencies (excluding Congress, U.S. courts, U.S. territories and possessions, and the District of Columbia) under the Regulatory Flexibility Act of 1980 (RFA) and the Small Business Regulatory Enforcement Fairness Act of 1996 (SBREFA). NSBA supports. H.R.76 - Separation of Powers Restoration Act of 2017 This bill modifies the scope of judicial review of agency actions to authorize courts reviewing agency actions to decide de novo (without giving deference to the agency's interpretation) all relevant questions of law, including the interpretation of: (1) constitutional and statutory provisions, and (2) rules made by agencies. NSBA supports. H.R. 79 - Helping Angels Lead Our Startups (HALOS) Act The legislation will make it easier for businesses to notify potential investors of their offerings as well as provide a statutory definition for angel investor group. Additionally, it would require the Securities Exchange Commission (SEC) to revise the Regulation D rules regarding general solicitation. NSBA supports. H.R. 198 -- Death Tax Repeal Act of 2017 This bill repeals the federal estate, gift, and generation-skipping transfer taxes. NSBA supports. H.R. 277 - American Health Care Reform Act of 2017 This bill repeals the Patient Protection and Affordable Care Act and the health care provisions of the Health Care and Education Reconciliation Act of 2010, effective January 1, 2018. The bill restores provisions amended by the repealed provisions. NSBA is monitoring. H.R.561 - Small Business Job Protection Act of 2017 This bill amends the Internal Revenue Code, as amended by the Patient Protection and Affordable Care Act, to redefine "applicable large employer," for purposes of the mandate requiring employers to provide health insurance for their employees, to mean an employer with at least 100 full-time employees (currently, 50). NSBA supports. H.R. 631 - Death Tax Repeal Act of 2017 This bill amends the Internal Revenue Code to: (1) repeal the estate and generation-skipping transfer taxes, and (2) make permanent the maximum 35% gift tax rate and the lifetime gift tax exemption. The bill provides for an inflation adjustment to such exemption amount. NSBA supports. H.R. 998 -- Searching for and Cutting Regulations That Are Unnecessarily Burdensome Act (SCRUB Act) Bill would establish a temporary commission of nine people, picked by the president and confirmed by the Senate, to review rules 15 years and older that are outdated, unnecessary or otherwise ripe for repeal. NSBA supports. H.R. 1004 - The Regulatory Integrity Act The Regulatory Integrity Act would require agencies to disclose actions about pending rules along with their public communications about those rules. NSBA supports. HR. 1009 - The Office of Information and Regulatory Affairs Insight, Reform and Accountability Act Bill seeks to put OIRA, an agency in the White House Office of Management and Budget, under congressional oversight. It would require a report on proposed rules and retrospective reviews to eliminate outdated standards. NSBA supports. H.R. 1101 - Small Business Health Fairness Act of 2017 This bill amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for the establishment and governance of association health plans (AHPs), which are group health plans sponsored by business associations. NSBA opposes. H.R. 1105 - Stop WOTUS Act To repeal the rule entitled "Clean Water Rule: Definition of 'Waters of the United States. NSBA supports H.R.1180 - Working Families Flexibility Act of 2017 This bill amends the Fair Labor Standards Act of 1938 to authorize employers to provide compensatory time off to private employees at a rate of not less than 1 1/2 hours for each hour of employment for which overtime compensation is required, but only if it is in accordance with an applicable collective bargaining agreement or, in the absence of such an agreement, an agreement between the employer and employee. NSBA supports. H.R. 1314 - Renewable Fuel Standard Repeal Act The bill would remove the renewable fuel standard. NSBA is monitoring. H.R. 1339 - Freedom from Government Competition Act Legislation that would require federal agencies to rely on the private sector when providing goods and services that are readily available. NSBA supports. H.R. 1628 - The American Health Care Act of 2017 The AHCA would repeal the parts of the Affordable Care Act within the scope of the federal budget, including provisions contained within the Internal Revenue Code such as the individual and employer mandates and various taxes, and also modifications to the federal Medicaid program. NSBA is monitoring. H.R. 1680 - Womens Business Centers Improvements Act The bill revises the duties of the Office of Women's Business Ownership and declares it is the Office's mission to assist women entrepreneurs to start, grow, and compete in global markets by providing quality support with access to capital, access to markets, job creation, growth, and counseling. NSBA supports. H.R. 1702 - Small Business Development Centers Improvement Act This bill amends the Small Business Act with respect to the authority of the Small Business Administration (SBA) to use certain SBA programs, including the small business development center (SBDC) program, to provide grants, financial assistance, loans, export assistance, and subcontracting opportunities on federal contracts to specified small businesses, organizations, state governments, universities, companies, and other entities that assist smaller enterprises. NSBA supports. H.R. 1773 - The Clarity for Americas Small Contractors Act of 2017 Amends the Small Business Act to improve reporting on small business goals, achieve uniformity in procurement terminology, clarify the role of small business advocates, and for other purposes. NSBA supports. H.R. 1774 - The Developing the Next Generation of Small Business Act of 2017 Amends the Small Business Act to provide for improvements to small business development centers, the women's business center program, the SCORE program, and for other purposes. NSBA supports. H.R. 2056 - The Microloan Modernization Act H.R. 2056 modernizes the Small Business Administrations (SBA) Microloan program, which offers small businesses microloans of $50,000 or less through nonprofit lending intermediaries. In addition to providing lending services, the intermediary is also required to provide technical assistance and training to their borrowers and prospective borrowers. H.R. 2056 raises the total limit on outstanding loans held by microloan intermediaries from $5 million to $6 million. NSBA supports. H.R. 2105 - The National Institute of Standards and Technology (NIST) Small Business Cybersecurity Act of 2017 Bill amends the National Institute of Standards and Technology Act to require the National Institute of Standards and Technology (NIST) to consider small businesses when it facilitates and supports the development of voluntary, consensus-based, industry-led guidelines and procedures to cost-effectively reduce cyber risks to critical infrastructure. NSBA supports. H.R. 2201 - Micro Offering Safe Harbor Act H.R. 2201 brings clarity to the Securities Act of 1933. By defining what qualifies under the non-public offering exemption, this legislation will provide certainty to small-business owners and entrepreneurs as they work to startup or grow their businesses. This legislation requires three specific criteria to be met simultaneously in order to trigger a safe harbor exemption for a security offering. NSBA supports H.R. 2333 - The Small Business Investment Opportunity Act Bill will increase the individual leverage limit within the Small Business Investment Company (SBIC) program. NSBA supports. H.R. 2364 - The Investing in Main Street Act H.R. 2364 increases the amount of capital and surplus that a financial institution and federal savings association can invest in a SBIC from 5 percent to 15 percent in order to assist small businesses in obtaining venture capital and private equity. NSBA supports. H.R. 2763 - Small Business Innovation Research and Small Business Technology Transfer Improvements Act of 2017 Bill would siphon off $100 million in small business/university team R&D funding over five years to give to university R&D and commercialization programs. NSBA opposes. H.R. 2810 - The FY2018 National Defense Authorization Act (NDAA) This bill authorizes FY2018 appropriations and sets forth policies for Department of Defense (DOD) programs and activities, including military personnel strengths. It does not provide budget authority, which is provided in subsequent appropriations legislation. NSBA supports the small business contracting provisions in the NDAA. H.R. 3170 - Small Business Development Center Cyber Training Act This bill amends the Small Business Act to require the Small Business Administration to establish a program for certifying employees of small business development centers to provide cybersecurity planning assistance to small businesses. NSBA supports. H.R. 3717 - the Small Business Owners Tax Simplification Act H.R 3717 introduces a number of provisions to benefit small businesses, such as aligning estimated payment deadlines and tax filing thresholds, as well as tackling inconsistencies in reporting requirements. NSBA supports. H.R. 4111 - Spurring Business in Communities Act This bill amends the Small Business Investment Act of 1958 to: require the Small Business Administration (SBA), in reviewing and processing a small business investment company's (SBIC's) application, to give first priority to an SBIC applicant located in an underlicensed state (i.e., a state in which the number of licensees per capita is less than the median number of licensees per capita for all states) with below median financing; and exempt applicants in underlicensed states from certain SBA capital requirements. NSBA supports. H.R. 4318 - The Miscellaneous Tariff Bill Act Trims the duties on more than 1,800 imports deemed to not pose a competitive threat to U.S. producers. NSBA supports. H.R. 4743 - Small Business 7(a) Lending Oversight and Reform Act of 2018 Amends the Small Business Act to strengthen the Office of Credit Risk Management within the Small Business Administration, and for other purposes. NSBA supports. H.R. 4754 - Change Order Transparency for Federal Contractors Act Amend the Small Business Act to provide prospective construction contractors with information about an agency's policies on the administration of change orders to allow such contractors to make informed business decisions regarding the pricing of bids or proposals, and for other purposes. NSBA supports. H.R. 4886 - Permanent Tax Cuts for Americans Act This bill makes permanent the provisions of subtitle A (Individual Tax Reform) and subtitle B (Alternative Minimum Tax) of P.L. 115-97 (commonly known as the Tax Cuts and Jobs Act) that are currently scheduled to terminate on December 31, 2025. NSBA supports. H.R. 5236 - Main Street Employee Ownership Act Expands opportunities available to employee-owned business concerns through Small Business Administration loan programs, and for other purposes. NSBA supports. H.R. 5340 - Support Technology & Research for Our Nations Growth and Economic Resilience (STRONGER) Patents Act The STRONGER Patents Act would restore patents as property rights, make standards of protections in courts uniform, and protect start-ups from being out-resourced by technology incumbents. NSBA supports. H.R. 5660 - The Small Business Credit Card Act The measure provides small-business owners the same consumer protections as individual credit card holders, by protecting small-business owners credit cards from unfair and deceptive practices of credit card companies. NSBA supports. H.R.____ -- the Counter Terrorism and Illicit Finance Act Of particular concern to NSBA is section 9 of this bill, titled Transparent Incorporation Practices, which is directed squarely at the smallest businesses - specifically, those firms with 20 or fewer employees would be subject to the rules. NSBA is monitoring. S. 18 - the Fair Tax Act To promote freedom, fairness, and economic opportunity by repealing the income tax and other taxes, abolishing the Internal Revenue Service, and enacting a national sales tax to be administered primarily by the states. NSBA supports S. 21 - Regulations from the Executive in Need of Scrutiny (REINS) Act The REINS Act seeks to restore authority to Congress by allowing lawmakers to have final say on regulations with an estimated economic impact of more than $100 million. NSBA supports. S. 34 - Midnight Rule Relief Act The bill would prevent agencies from proposing or finalizing regulations from the day after elections to the day of the next presidential inauguration. NSBA supports S. 205 -- Death Tax Repeal Act of 2017 This bill amends the Internal Revenue Code to: (1) repeal the estate and generation-skipping transfer taxes, and (2) make permanent the maximum 35% gift tax rate and the lifetime gift tax exemption. The bill also provides for an inflation adjustment to such exemption amount. NSBA supports. S. 584 - The Small Business Regulatory Flexibility Improvements Act To require federal agencies to analyze the full impact of a proposed regulation on small businesses during the rulemaking process. NSBA supports. S.770 - MAIN STREET Cybersecurity Act of 2017 To require the Director of the National Institute of Standards and Technology to disseminate resources to help reduce small business cybersecurity risks, and for other purposes. NSBA supports. S.791 - Small Business Innovation Protection Act of 2017 To amend the Small Business Act to expand intellectual property education and training for small businesses, and for other purposes. NSBA supports. S. 951 - the Regulatory Accountability Act (RAA) This bill codifies and revises notice-and-comment rulemaking procedures to require federal agencies to consider: (1) whether a rulemaking is required by statute or is within the discretion of the agency, (2) whether existing federal laws or rules could be amended or rescinded to address the problem, and (3) reasonable alternatives for a new rule. NSBA supports. S.1390 - STRONGER Patents Act of 2017 The STRONGER Patents Act takes critical steps to improve the patent system. It treats patents like any other property, permitting injunctions to protect patent owners against infringement during and after court cases. It ensures fairness in Patent Office administrative proceedings, limiting repetitive and harassing challenges against inventors and it ends the diversion of patent application fees to other government spending, ensuring the Patent Office has the funding needed to grant high-quality patents without harmful delay. NSBA supports. S.2108 - The Miscellaneous Tariff Bill Act of 2017 Trims the duties on more than 1,800 imports deemed to not pose a competitive threat to U.S. producers. NSBA supports. S. 2155 - Economic Growth, Regulatory Relief, and Consumer Protection Act Bill would scale back key rules from the 2010 Dodd-Frank law to the benefit of the nation's lenders. NSBA is monitoring. S.2283 - The Small Business 7(a) Lending Oversight Reform Act of 2018 Amends the Small Business Act to strengthen the Office of Credit Risk Management within the Small Business Administration, and for other purposes. NSBA supports.

Client expense: $27,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Export-Import Bank of the United States (EXIM Bank), Federal Reserve System, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Personnel Management (OPM), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R.247, Health Savings Account Expansion Act of 2017 H.R.277, American Health Care Reform Act of 2017 H.R.1313, Preserving Employee Wellness Programs Act H.R.1628, American Health Care Act of 2017 H.R.1953, Treat and Reduce Obesity Act of 2017 H.R.2430, FDA Reauthorization Act of 2017 H.R.2587, Medical Nutrition Equity Act of 2017 H.R.3124, Preventing Diabetes in Medicare Act of 2017 H.R.4454, Chronic Wasting Disease Management Act H.R.4978, Chronic Disease Management Act of 2018 S.28, Health Savings Account Expansion Act of 2017 S.830, Treat and Reduce Obesity Act of 2017 S.870, Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 S.934, FDA Reauthorization Act of 2017 S.1194, Medical Nutrition Equity Act of 2017 S.1299, Preventing Diabetes in Medicare Act of 2017 S.2410, Chronic Disease Management Act of 2018

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1156 Patient Access to Higher Quality Health Care Act of 2017 (all sections of full text) S 1133 Patient Access to Higher Quality Health Care Act of 2017 (all sections of full text) HR 277 American Health Care Reform Act of 2017 (all sections of full text) Discussions seeking guidance to minimize supply chain shortages for areas hit by natural disasters Monitored S 297 Increasing Competition in Pharmaceuticals Act Monitored HR 749 Lower Drug Costs trough Competition Act Monitored HR 208 Ensuring Health Care Opportunities Act Monitored S 1115 Making Pharmaceutical Markets More Competitive Act Monitored HR 2562 Making Pharmaceutical Markets More Competitive Act Monitored S191 Patient Freedom Act of 2017 Monitored S761 Health Care Options Act of 2017 Monitored HR1933 Health Care Options Act of 2017 Monitored HR 1628 American Health Care Act of 2017 Monitored Bipartisan Health Care Stabilization Act of 2017 (proposed Alexander-Murray legislation) Monitored The Lower Premiums Through Reinsurance Act of 2017 (proposed Collins-Nelson legislation) Monitored S 2312 Helping Ensure Low-income patients have Access to Care and Treatment (HELP) Act Monitored politically appointed Senate-confirmed positions Monitored PL 115-141 Consolidated Appropriations Act, 2018 Monitored HR 4191 HHS Cybersecurity Modernization Act Monitored HR 4710 340B PAUSE Act Monitored HR 4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to health care legislative issues, including Medicare, Medicaid and budget issues; Issues related to nursing home arbitration; Issues related to group and concurrent therapy; Issues related to post acute care reform; Issues related to FY 2018 LHHS appropriations; Issues related to H.R.277 - American Health Care Reform Act of 2017.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1313 - Preserving Employee Wellness Programs Act; HR 277 - American Health Care Reform Act; HR 247/S. 28 - Health Savings Account Expansion Act; Better Care Reconciliation Act

Client expense: Not reported · Firm income: Not reported

Government targets: Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC)

HR 1156 Patient Access to Higher Quality Health Care Act of 2017 (all sections of full text) S 1133 Patient Access to Higher Quality Health Care Act of 2017 (all sections of full text) HR 277 American Health Care Reform Act of 2017 (all sections of full text) Discussions seeking guidance to minimize supply chain shortages for areas hit by natural disasters Monitored S 297 Increasing Competition in Pharmaceuticals Act Monitored HR 749 Lower Drug Costs through Competition Act Monitored HR 208 Ensuring Health Care Opportunities Act Monitored S 1115 Making Pharmaceutical Markets More Competitive Act Monitored HR 2562 Making Pharmaceutical Markets More Competitive Act Monitored S 191 Patient Freedom Act of 2017 Monitored S 761 Health Care Options Act of 2017 Monitored HR 1933 Health Care Options Act of 2017 Monitored HR 1628 American Health Care Act of 2017 Monitored Bipartisan Health Care Stabilization Act 2017 (proposed Alexander-Murray legislation) Monitored The Lower Premiums Through Reinsurance Act of 2017 (proposed Collins-Nelson legislation) Monitored S 2312 Helping Ensure Low-income Patients have Access to Care and Treatment (HELP) Act Monitored politically appointed Senate-confirmed positions Monitored PL 115-141 Consolidated Appropriations Act, 2018 Monitored HR 4191 HHS Cybersecurity Modernization Act Monitored HR 4710 340B PAUSE Act Monitored H.R.4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes

Client expense: Not reported · Firm income: $130,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

protecting access to preventive care and wellness through Health Savings Accounts protecting access to healthcare sharing ministries S 403, Health Savings Act of 2017 HR 1175, Health Savings Act of 2017 HR 277, American Healthcare Reform Act of 2017 HR 1628, American Healthcare Act HR 1, the Tax Cuts and Jobs Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation impacting the Federal Employees Health Benefits Program HR 277, the American Health Care Reform Act

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

Government targets: Federal Retirement Thrift Investment Board, HOUSE OF REPRESENTATIVES, Office of Personnel Management (OPM), Postal Regulatory Commission, SENATE, U.S. Postal Service (USPS)

Outreach and monitoring related to health, Medicaid and Medicare issues. H.R. 277, American Health Care Reform Act of 2017. H.R. 1628, American Health Care Act of 2017.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Outreach and monitoring related to health, Medicaid and Medicare issues. H.R. 277, American Health Care Reform Act of 2017. H.R. 1628, American Health Care Act of 2017.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Outreach and monitoring related to health, Medicaid and Medicare issues. H.R. 277, American Health Care Reform Act of 2017. H.R. 1955, Rural Hospital Access Act of 2017.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Outreach and monitoring related to health, Medicaid and Medicare issues. H.R. 277, American Health Care Reform Act of 2017. H.R. 1955, Rural Hospital Access Act of 2017.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Outreach and monitoring related to health, Medicaid and Medicare issues. H.R. 277, American Health Care Reform Act of 2017. H.R. 3225, Save Rural Hospitals Act.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Outreach and monitoring related to health, Medicaid and Medicare issues. H.R. 277, American Health Care Reform Act of 2017. H.R. 3225, Save Rural Hospitals Act.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.247, Health Savings Account Expansion Act of 2017 H.R.277, American Health Care Reform Act of 2017 H.R.1313, Preserving Employee Wellness Programs Act H.R.1628, American Health Care Act of 2017 H.R.1953, Treat and Reduce Obesity Act of 2017 H.R.2430, FDA Reauthorization Act of 2017 H.R.2587, Medical Nutrition Equity Act of 2017 H.R.3124, Preventing Diabetes in Medicare Act of 2017 H.R.4454, Chronic Wasting Disease Management Act H.R.4978, Chronic Disease Management Act of 2018 S.28, Health Savings Account Expansion Act of 2017 S.830, Treat and Reduce Obesity Act of 2017 S.870, Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 S.934, FDA Reauthorization Act of 2017 S.1194, Medical Nutrition Equity Act of 2017 S.1299, Preventing Diabetes in Medicare Act of 2017 S.2410, Chronic Disease Management Act of 2018

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1 - Tax Cuts and Jobs Act This bill amends the Internal Revenue Code (IRC) to reduce tax rates and modify policies, credits, and deductions for individuals and businesses. NSBA supports. H.R.5 - Regulatory Accountability Act of 2017 To reform the process by which Federal agencies analyze and formulate new regulations and guidance documents, to clarify the nature of judicial review of agency interpretations, to ensure complete analysis of potential impacts on small entities of rules, and for other purposes. NSBA supports. H.R. 10 - The Financial CHOICE Act of 2017 Bill repeals provisions of the Dodd-Frank Act, aims to eliminate red tape to increase access to capital and credit and create opportunities for investors, consumers and entrepreneurs. NSBA is monitoring. H.R. 21 - the Midnight Rules Relief Act of 2017 This bill amends the Congressional Review Act to allow Congress to consider a joint resolution to disapprove multiple regulations that federal agencies have submitted for congressional review within the last 60 legislative days of a session of Congress during the final year of a President's term. NSBA supports. H.R. 25 - The Fair Tax Act To promote freedom, fairness, and economic opportunity by repealing the income tax and other taxes, abolishing the Internal Revenue Service, and enacting a national sales tax to be administered primarily by the states. NSBA supports H.R. 26 - The Regulations from the Executive in Need of Scrutiny Act of 2017 This bill states that its purpose is to increase accountability for and transparency in the federal regulatory process by requiring Congress to approve all new major regulations. NSBA supports. H.R. 33 - Small Business Regulatory Flexibility Improvements Act This bill modifies the rulemaking requirements and procedures of federal agencies (excluding Congress, U.S. courts, U.S. territories and possessions, and the District of Columbia) under the Regulatory Flexibility Act of 1980 (RFA) and the Small Business Regulatory Enforcement Fairness Act of 1996 (SBREFA). NSBA supports. H.R.76 - Separation of Powers Restoration Act of 2017 This bill modifies the scope of judicial review of agency actions to authorize courts reviewing agency actions to decide de novo (without giving deference to the agency's interpretation) all relevant questions of law, including the interpretation of: (1) constitutional and statutory provisions, and (2) rules made by agencies. NSBA supports. H.R. 79 - Helping Angels Lead Our Startups (HALOS) Act The legislation will make it easier for businesses to notify potential investors of their offerings as well as provide a statutory definition for angel investor group. Additionally, it would require the Securities Exchange Commission (SEC) to revise the Regulation D rules regarding general solicitation. NSBA supports. H.R. 198 -- Death Tax Repeal Act of 2017 This bill repeals the federal estate, gift, and generation-skipping transfer taxes. NSBA supports. H.R. 277 - American Health Care Reform Act of 2017 This bill repeals the Patient Protection and Affordable Care Act and the health care provisions of the Health Care and Education Reconciliation Act of 2010, effective January 1, 2018. The bill restores provisions amended by the repealed provisions. NSBA is monitoring. H.R.561 - Small Business Job Protection Act of 2017 This bill amends the Internal Revenue Code, as amended by the Patient Protection and Affordable Care Act, to redefine "applicable large employer," for purposes of the mandate requiring employers to provide health insurance for their employees, to mean an employer with at least 100 full-time employees (currently, 50). NSBA supports. H.R. 631 - Death Tax Repeal Act of 2017 This bill amends the Internal Revenue Code to: (1) repeal the estate and generation-skipping transfer taxes, and (2) make permanent the maximum 35% gift tax rate and the lifetime gift tax exemption. The bill provides for an inflation adjustment to such exemption amount. NSBA supports. H.R. 998 -- Searching for and Cutting Regulations That Are Unnecessarily Burdensome Act (SCRUB Act) Bill would establish a temporary commission of nine people, picked by the president and confirmed by the Senate, to review rules 15 years and older that are outdated, unnecessary or otherwise ripe for repeal. NSBA supports. H.R. 1004 - The Regulatory Integrity Act The Regulatory Integrity Act would require agencies to disclose actions about pending rules along with their public communications about those rules. NSBA supports. HR. 1009 - The Office of Information and Regulatory Affairs Insight, Reform and Accountability Act Bill seeks to put OIRA, an agency in the White House Office of Management and Budget, under congressional oversight. It would require a report on proposed rules and retrospective reviews to eliminate outdated standards. NSBA supports. H.R. 1101 - Small Business Health Fairness Act of 2017 This bill amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for the establishment and governance of association health plans (AHPs), which are group health plans sponsored by business associations. NSBA opposes. H.R. 1105 - Stop WOTUS Act To repeal the rule entitled "Clean Water Rule: Definition of 'Waters of the United States. NSBA supports H.R.1180 - Working Families Flexibility Act of 2017 This bill amends the Fair Labor Standards Act of 1938 to authorize employers to provide compensatory time off to private employees at a rate of not less than 1 1/2 hours for each hour of employment for which overtime compensation is required, but only if it is in accordance with an applicable collective bargaining agreement or, in the absence of such an agreement, an agreement between the employer and employee. NSBA supports. H.R. 1314 - Renewable Fuel Standard Repeal Act The bill would remove the renewable fuel standard. NSBA is monitoring. H.R. 1628 - The American Health Care Act of 2017 The AHCA would repeal the parts of the Affordable Care Act within the scope of the federal budget, including provisions contained within the Internal Revenue Code such as the individual and employer mandates and various taxes, and also modifications to the federal Medicaid program. NSBA is monitoring. H.R. 1773 - The Clarity for Americas Small Contractors Act of 2017 Amends the Small Business Act to improve reporting on small business goals, achieve uniformity in procurement terminology, clarify the role of small business advocates, and for other purposes. NSBA supports. H.R. 1774 - The Developing the Next Generation of Small Business Act of 2017 Amends the Small Business Act to provide for improvements to small business development centers, the women's business center program, the SCORE program, and for other purposes. NSBA supports. H.R. 2056 - The Microloan Modernization Act H.R. 2056 modernizes the Small Business Administrations (SBA) Microloan program, which offers small businesses microloans of $50,000 or less through nonprofit lending intermediaries. In addition to providing lending services, the intermediary is also required to provide technical assistance and training to their borrowers and prospective borrowers. H.R. 2056 raises the total limit on outstanding loans held by microloan intermediaries from $5 million to $6 million. NSBA supports. H.R. 2105 - The National Institute of Standards and Technology (NIST) Small Business Cybersecurity Act of 2017 Bill amends the National Institute of Standards and Technology Act to require the National Institute of Standards and Technology (NIST) to consider small businesses when it facilitates and supports the development of voluntary, consensus-based, industry-led guidelines and procedures to cost-effectively reduce cyber risks to critical infrastructure. NSBA supports. H.R. 2201 - Micro Offering Safe Harbor Act H.R. 2201 brings clarity to the Securities Act of 1933. By defining what qualifies under the non-public offering exemption, this legislation will provide certainty to small-business owners and entrepreneurs as they work to startup or grow their businesses. This legislation requires three specific criteria to be met simultaneously in order to trigger a safe harbor exemption for a security offering. NSBA supports H.R. 2333 - The Small Business Investment Opportunity Act Bill will increase the individual leverage limit within the Small Business Investment Company (SBIC) program. NSBA supports. H.R. 2364 - The Investing in Main Street Act H.R. 2364 increases the amount of capital and surplus that a financial institution and federal savings association can invest in a SBIC from 5 percent to 15 percent in order to assist small businesses in obtaining venture capital and private equity. NSBA supports. H.R. 2763 - Small Business Innovation Research and Small Business Technology Transfer Improvements Act of 2017 Bill would siphon off $100 million in small business/university team R&D funding over five years to give to university R&D and commercialization programs. NSBA opposes. H.R. 2810 - The FY2018 National Defense Authorization Act (NDAA) This bill authorizes FY2018 appropriations and sets forth policies for Department of Defense (DOD) programs and activities, including military personnel strengths. It does not provide budget authority, which is provided in subsequent appropriations legislation. NSBA supports the small business contracting provisions in the NDAA. H.R. 3717 - the Small Business Owners Tax Simplification Act H.R 3717 introduces a number of provisions to benefit small businesses, such as aligning estimated payment deadlines and tax filing thresholds, as well as tackling inconsistencies in reporting requirements. NSBA supports. H.R. 4318 - The Miscellaneous Tariff Bill Act Trims the duties on more than 1,800 imports deemed to not pose a competitive threat to U.S. producers. NSBA supports. H.R. 4743 - Small Business 7(a) Lending Oversight and Reform Act of 2018 Amends the Small Business Act to strengthen the Office of Credit Risk Management within the Small Business Administration, and for other purposes. NSBA supports. H.R.____ -- the Counter Terrorism and Illicit Finance Act Of particular concern to NSBA is section 9 of this bill, titled Transparent Incorporation Practices, which is directed squarely at the smallest businesses - specifically, those firms with 20 or fewer employees would be subject to the rules. NSBA is monitoring. S. 18 - the Fair Tax Act To promote freedom, fairness, and economic opportunity by repealing the income tax and other taxes, abolishing the Internal Revenue Service, and enacting a national sales tax to be administered primarily by the states. NSBA supports S. 21 - Regulations from the Executive in Need of Scrutiny (REINS) Act The REINS Act seeks to restore authority to Congress by allowing lawmakers to have final say on regulations with an estimated economic impact of more than $100 million. NSBA supports. S. 34 - Midnight Rule Relief Act The bill would prevent agencies from proposing or finalizing regulations from the day after elections to the day of the next presidential inauguration. NSBA supports S. 205 -- Death Tax Repeal Act of 2017 This bill amends the Internal Revenue Code to: (1) repeal the estate and generation-skipping transfer taxes, and (2) make permanent the maximum 35% gift tax rate and the lifetime gift tax exemption. The bill also provides for an inflation adjustment to such exemption amount. NSBA supports. S. 584 - The Small Business Regulatory Flexibility Improvements Act To require federal agencies to analyze the full impact of a proposed regulation on small businesses during the rulemaking process. NSBA supports. S.770 - MAIN STREET Cybersecurity Act of 2017 To require the Director of the National Institute of Standards and Technology to disseminate resources to help reduce small business cybersecurity risks, and for other purposes. NSBA supports. S.791 - Small Business Innovation Protection Act of 2017 To amend the Small Business Act to expand intellectual property education and training for small businesses, and for other purposes. NSBA supports. S. 951 - the Regulatory Accountability Act (RAA) This bill codifies and revises notice-and-comment rulemaking procedures to require federal agencies to consider: (1) whether a rulemaking is required by statute or is within the discretion of the agency, (2) whether existing federal laws or rules could be amended or rescinded to address the problem, and (3) reasonable alternatives for a new rule. NSBA supports. S.1390 - STRONGER Patents Act of 2017 The STRONGER Patents Act takes critical steps to improve the patent system. It treats patents like any other property, permitting injunctions to protect patent owners against infringement during and after court cases. It ensures fairness in Patent Office administrative proceedings, limiting repetitive and harassing challenges against inventors and it ends the diversion of patent application fees to other government spending, ensuring the Patent Office has the funding needed to grant high-quality patents without harmful delay. NSBA supports. S.2108 - The Miscellaneous Tariff Bill Act of 2017 Trims the duties on more than 1,800 imports deemed to not pose a competitive threat to U.S. producers. NSBA supports. S.2283 - The Small Business 7(a) Lending Oversight Reform Act of 2018 Amends the Small Business Act to strengthen the Office of Credit Risk Management within the Small Business Administration, and for other purposes. NSBA supports.

Client expense: $27,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Export-Import Bank of the United States (EXIM Bank), Federal Reserve System, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Personnel Management (OPM), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

HR 1783, Improving Veterans Access to Quality Care Act of 2017 HR 959, Title VIII Nursing Workforce Reauthorization Act of 2017 Chronic Pain management Rural access to anesthesiologists services act Nursing Workforce Development HR 1628, HR 277 The American Health Care Act Budget Reconciliation Improvement Act National Defense Authorization Act Labor Health and Human Services Budget

Client expense: $190,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 1783, Improving Veterans Access to Quality Care Act HR 959 Title VIII Reauthorization Act HR 1628, HR 277, the American Health Care Act Medicare reimbursement Chronic Pain management Nursing workforce development

Client expense: $190,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Legislation impacting the Federal Employees Health Benefits Program HR 277, the American Health Care Reform Act

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

Government targets: Federal Retirement Thrift Investment Board, HOUSE OF REPRESENTATIVES, Office of Personnel Management (OPM), Postal Regulatory Commission, SENATE, U.S. Postal Service (USPS)

Monitor legislative and administrative action related to health care policy. Monitor legislative and administrative action related to drug user fees. Monitor legislative and administrative action related to dietary supplements. Monitor the implementation of the Patient Protection and Affordable Care Act, P.L. 111-148. Monitor legislative and administrative action related to Affordable Care Act repeal. H.R. 175, Obamacare Repeal Act. H.R. 277 American Health Care Reform Act of 2017. H.R. 1628 American Health Care Act of 2017. H.R. 1718, Obamacare Repeal Act. S. 106, Obamacare Repeal Act. S. 222 Obamacare Replacement Act. Draft, Graham-Cassidy healthcare legislation.

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

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE

Legislative monitoring and outreach on issues related to Healthcare Reform Health IT ERISA. H.R. 1, An Act to provide for reconciliation pursuant to titles II and V of the concurrent resolution on the budget for fiscal year 2018. H.R. 277, American Health Care Reform Act of 2017. H.R. 1628, American Healthcare Act of 2017. H.R. 4695, Bipartisan Market Stabilization and Innovation Act of 2017. S. 191, Patient Freedom Act of 2017. S. 1804, Medicare for All Act of 2017.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Treasury, Dept of

Legislative monitoring and outreach on issues related to Medicare SCHIP Health Care Reform. H.R. 1, An Act to provide for reconciliation pursuant to titles II and V of the concurrent resolution on the budget for fiscal year 2018. H.R. 277, American Health Care Reform Act of 2017. H.R. 1628, American Healthcare Act of 2017. H.R. 4695, Bipartisan Market Stabilization and Innovation Act of 2017. S. 191, Patient Freedom Act of 2017. S. 1804, Medicare for All Act of 2017.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Treasury, Dept of

Issues related to health care legislative issues, including Medicare, Medicaid and budget issues; Issues related to nursing home arbitration; Issues related to group and concurrent therapy; Issues related to post acute care reform; Issues related to FY 2018 LHHS appropriations; Issues related to H.R.277 - American Health Care Reform Act of 2017.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1156 Patient Access to Higher Quality Health Care Act of 2017 (all sections of full text) S 1133 Patient Access to Higher Quality Health Care Act of 2017 (all sections of full text) HR 277 American Health Care Reform Act of 2017 (all sections of full text) Discussions involving Graham-Cassidy-Heller-Johnson (GCHJ) substitute legislation to HR 1628, to provide for reconciliation pursuant to Title II of the concurrent resolution on the budget for fiscal year 2017 Discussions pertaining to HR 1628 American Health Care Act of 2017 (all sections of full text) Discussions seeking guidance to minimize supply chain shortages for areas hit by natural disasters Educational discussions involving effectiveness of hospital trauma efforts HR 2 - Buschon Amendment (oppose) Monitored S 297 Increasing Competition in Pharmaceuticals Act Monitored HR 749 Lower Drug Costs trough Competition Act Monitored S 1115 Making Pharmaceutical Markets More Competitive Act Monitored HR 208 Ensuring Health Care Opportunities Act Monitored HR 2562 Making Pharmaceutical Markets More Competitive Act Monitored S191 Patient Freedom Act of 2017 Monitored S761 Health Care Options Act of 2017 Monitored HR1933 Health Care Options Act of 2017

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

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

H.R. 277, American Health Care Reform Act of 2017. Medicaid home care Community First Choice program. S. 2184, Veterans Community Care and Access Act of 2017. VA home care. Rural Health Care Connectivity Act (pending). S. 1016, CONNECT for Health Act. Medicaid reform. H.R. 1628, American Health Care Act, including proposed Graham-Cassidy amendment. H.R. 3992, Rural Health Extension and Regulatory Relief Act.

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

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

Discussions related to health care and medicaid H.R.277, American Health Care Reform Act of 2017 H.R.2938, Removing Barriers to Medicaid and CHIP Addiction Treatment Act of 2017 H.R.3545, The Overdose Prevention and Patient Safety Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Discussions regarding health care and Medicare H.R.277, American Health Care Reform Act of 2017

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE