Healthy Food Access for All Americans Act

Better Care Reconciliation Act (Enzi) - ACA repeal and replace issues; tax provisions; Heller amendment on Cadillac tax S. 1, Tax Cuts and Jobs Act (Enzi) - ACA individual mandate S. 28, Health Savings Account Expansion Act (Flake) - HSA improvements S. 85, Restoring Access to Medications Act (Roberts) - paying for OTC products with HSA funds S. 403, Health Savings Act (Hatch) - HSA and FSA improvements S. 761, Health Care Options Act (Alexander) - using premiums for off-Exchange plans S. 1859, Healthcare Tax Relief Act (Gardner) - suspension of ACA health insurance tax S. 1978, Small Business and Family Health Tax Relief Act (Heitkamp) - suspension of ACA health insurance tax H.R. 1, Tax Cuts and Jobs Act (Brady) - ACA individual mandate H.R. 246, Jobs and Premium Protection Act (Noem-Sinema) - repeal of ACA health insurance tax H.R. 247, Health Savings Account Expansion Act (Brat) - HSA improvements H.R. 394, Restoring Access to Medications Act (Jenkins) - paying for OTC products with HSA funds H.R. 1175, Health Savings Act (Paulsen) - HSA and FSA improvements H.R. 1628, American Health Care Act (Black) - ACA repeal and replace issues; tax provisions H.R. 4616 (Nunes) - delay in ACA Cadillac tax H.R. 4618 (Jenkins) - use of HSA funds for OTC medications H.R. 4260, Protecting Families and Small Businesses Act (Noem) - relief from ACA health insurance tax 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 health insurance tax; issues related to the refundable credit for coverage under a qualified health plan; issues related to coverage of chronic conditions in high deductible health plans; issues related to the deductibility of employer-sponsored health coverage; issues related to qualified small employer health reimbursement accounts (QSEHRAs); 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: $1,710,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Council of Economic Advisers (CEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Treasury, Dept of, White House Office

1 and 2.) Federal Legislation and Issues (H.R. designates work with House of Representatives; S. designates work with Senate) S. 1724/H.R. 4260, the Healthy Food Access for All Americans Act. Support entire bill; encourages organizations and businesses to provide access to healthy foods in urban and rural food deserts. H.R. 309/S.920, the National Clinical Care Commission Act. Support entire bill; creates a commission to integrate federal research, prevention, and clinical efforts on diabetes and related metabolic and autoimmune diseases. H.R. 2593, the Preventive Health Savings Act. Support entire bill; legislation allows the Congressional Budget Office to analyze legislation beyond the first ten-year budget window to assess savings based on preventive health activities. H.R. 2077, the Restoring the Patients Voice Act of 2017. Support entire bill requires employer-sponsored health plans that employ step therapy to implement a clear process by which the patient or provider can request an exception and that the exceptions process must be made readily available on the website of the health plan. H.R. 3922, the CHAMPIONING HEALTHY KIDS Act. Oppose bill. The Association supports 2-year reauthorization of the Special Diabetes Program; opposes the legislations offset to the Prevention and Public Health Fund. The Association supports the Prevention and Public Health Fund established by the ACA and opposes any legislative efforts to weaken and or cut the fund. H.R. 1, the Tax Cuts and Jobs Act. Opposed the provision in the bill that repealed the individual mandate in the Affordable Care Act (ACA). The Association opposes legislative efforts to weaken the ACA. The Bipartisan Health Care Act (Alexander-Murray legislation.) Support the bill which would extend the cost-sharing reduction payments and provides other mechanisms to stabilize the insurance market. Issues worked on not yet reflected in legislation: Special Diabetes Program. The Association supports reauthorization of the program and is working on permanent or multi-year renewal before the September 2017 expiration date. A portion of the program was temporarily reauthorized through the Federal Aviation Administration reauthorization. Cost of prescription drugs. The Association is concerned about the rising cost of insulin and other diabetes medications. The Association has not endorsed any legislative proposal but has advocated for Congress to hold hearings with all parties in the insulin supply chain to increase transparency and ultimately make insulin more affordable for patients. Diabetes Self-Management Training (DSMT) Legislation. The Association supports efforts to reduce barriers and increase the utilization of DSMT, which is a covered benefit under Medicare. HCR

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, White House Office