Bipartisan HSA Improvement Act of 2018

Supported efforts to repeal certain provisions of the Affordable Care Act: Health Insurance Tax, Cadillac Tax, small group expansion requirement, and Medical Device Tax. Supported efforts to expand health savings accounts (HSA) and flexible spending accounts (FSA) benefits; supported the Commonsense Reporting Act of 2017 (S 1908 / HR 3919); supported the Bipartisan HSA Improvement Act of 2018 (HR 5138); supported developing legislation to establish federal chemical labeling standards. Supported Save American Workers HR 3798; STARS Act HR 3956; Cadillac Tax Repeal (HR 748, S. 684); Health Insurance Tax Repeal (HR 2447, S. 80); Health Insurance Tax Delay (HR 1398, S. 172); Commonsense Reporting Act of 2019 (S. 2366/H.R. 4070); and Employee Flexibility Act (HR 2782, S. 1510).

Client expense: $112,000 · Firm income: Not reported

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

Supported efforts to repeal certain provisions of the Affordable Care Act: Health Insurance Tax, Cadillac Tax, small group expansion requirement, and Medical Device Tax. Supported efforts to expand health savings accounts (HSA) and flexible spending accounts (FSA) benefits; supported the Commonsense Reporting Act of 2017 (S 1908 / HR 3919); supported the Bipartisan HSA Improvement Act of 2018 (HR 5138); supported developing legislation to establish federal chemical labeling standards. Supported Save American Workers HR 3798; STARS Act HR 3956; Cadillac Tax Repeal (HR 748, S. 684); Health Insurance Tax Repeal (HR 2447, S. 80); Health Insurance Tax Delay (HR 1398, S. 172); Commonsense Reporting Act of 2019 (S. 2366/H.R. 4070); and Employee Flexibility Act (HR 2782, S. 1510).

Client expense: $260,000 · Firm income: Not reported

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

Supported efforts to repeal certain provisions of the Affordable Care Act: Health Insurance Tax, Cadillac Tax, small group expansion requirement, and Medical Device Tax. Supported efforts to expand health savings accounts (HSA) and flexible spending accounts (FSA) benefits; supported the Commonsense Reporting Act of 2017 (S 1908 / HR 3919); supported the Bipartisan HSA Improvement Act of 2018 (HR 5138); supported developing legislation to establish federal chemical labeling standards. Supported Save American Workers HR 3798; STARS Act HR 3956; Cadillac Tax Repeal (HR 748, S. 684); Health Insurance Tax Repeal (HR 2447, S. 80); Health Insurance Tax Delay (HR 1398, S. 172); Commonsense Reporting Act of 2019 (S. 2366/H.R. 4070); and Employee Flexibility Act (HR 2782, S. 1510).

Client expense: $88,000 · Firm income: Not reported

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

Flood Insurance reform, reauthorization Taxpayer Exposure Mitigation Act Community Mapping Act A bill to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. A bill allowing commercial properties to opt-out of the NFIP mandatory purchase requirement, allowing businesses to more easily purchase private flood coverage. Appropriations related to mitigation and mapping H.R. 1666, to amend the National Flood Insurance Act of 1968 to allow for the consideration of private flood insurance for the purposes of applying continuous coverage requirements, and for other purposes. H.R. 1865, the Further Consolidated Appropriations Act, 2020, this bill reauthorizes the National Flood Insurance Program through September 30, 2020. H.R. 3167, National Flood Insurance Program Reauthorization Act of 2019 H.R. 3111, National Flood Insurance Program Administrative Reform Act of 2019 H.R. 469, to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. S. 2088, the Repeatedly Flooded Communities Preparation Act S. 1533 & S. 1250 (same), National Flood Insurance Program Extension Act H.R. 3746, the Business of Insurance Regulatory Reform Act of 2017 The Nonprofit Property Protection Act Cyber risk insurance issues InsurTech issues Social Security Disability Insurance (SSDI) claims process improvements and supporting funding for Social Security Administration Issues related to Supplemental Benefits H.R. 6128, HSA Employer Flexibility Act H.R. 5138, Bipartisan HSA Improvement Act of 2018 H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 S. 2241, a bill to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. H.R. 4225, to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. H.R. 2500, National Defense Authorization Act for Fiscal Year 2020 S. 1970, National Defense Authorization Act for Fiscal Year 2020 H.R. 1375, PAID Act (Provide Accurate Information Directly Act) S. 1989, PAID Act H.R. 1595, SAFE Bank Act H.R. 3693, Preventing Credit Score Discrimination in Auto Insurance Act S. 4755, Prohibit Auto Insurance Discrimination Act Legislation to require the Federal Insurance Office to conduct an annual study of personal private automobile insurance coverage, and for other purposes. H.R. 4634, to reauthorize the Terrorism Risk Insurance Program until December 31, 2030 H.R. 1865, the Consolidated Domestic and International Assistance Bill-2020 omnibus spending bill including 7 year TRIA reauthorization and NFIP extension through September 30, 2020 H.R.7011, Pandemic Risk Insurance Act of 2020 (PRIA) H.R. 6494, the Business Interruption Insurance Coverage Act of 2020 H.R. 6497, the Never Again Small Business Protection Act of 2020 H.R. 7412, the Business Interruption Relief Act of 2020 H.R.8337 - Continuing Appropriations Act, 2021 and Other Extensions Act, this bill reauthorizes the National Flood Insurance Program through September 30, 2021 H.R.133 Consolidated Appropriations Act, 2021 H.R.6395 National Defense Authorization Act for Fiscal Year 2021 National Defense Authorization Act (NDAA) related to TRICARE for Fiscal Year 2021 Policy related to the Business Continuity Protection Program (BCPP)

Client expense: $370,000 · Firm income: Not reported

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

Supported efforts to repeal certain provisions of the Affordable Care Act: Health Insurance Tax, Cadillac Tax, small group expansion requirement, and Medical Device Tax. Supported efforts to expand health savings accounts (HSA) and flexible spending accounts (FSA) benefits; supported the Commonsense Reporting Act of 2017 (S 1908 / HR 3919); supported the Bipartisan HSA Improvement Act of 2018 (HR 5138); supported developing legislation to establish federal chemical labeling standards. Supported Save American Workers HR 3798; STARS Act HR 3956; Cadillac Tax Repeal (HR 748, S. 684); Health Insurance Tax Repeal (HR 2447, S. 80); Health Insurance Tax Delay (HR 1398, S. 172); Commonsense Reporting Act of 2019 (S. 2366/H.R. 4070); and Employee Flexibility Act (HR 2782, S. 1510).

Client expense: $117,000 · Firm income: Not reported

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

Supported efforts to repeal certain provisions of the Affordable Care Act: Health Insurance Tax, Cadillac Tax, small group expansion requirement, and Medical Device Tax. Supported efforts to expand health savings accounts (HSA) and flexible spending accounts (FSA) benefits; supported the Commonsense Reporting Act of 2017 (S 1908 / HR 3919); supported the Bipartisan HSA Improvement Act of 2018 (HR 5138); supported developing legislation to establish federal chemical labeling standards. Supported Save American Workers HR 3798; STARS Act HR 3956; Cadillac Tax Repeal (HR 748, S. 684); Health Insurance Tax Repeal (HR 2447, S. 80); Health Insurance Tax Delay (HR 1398, S. 172); Commonsense Reporting Act of 2019 (S. 2366/H.R. 4070); and Employee Flexibility Act (HR 2782, S. 1510).

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

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

Flood Insurance reform, reauthorization Taxpayer Exposure Mitigation Act Community Mapping Act A bill to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. A bill allowing commercial properties to opt-out of the NFIP mandatory purchase requirement, allowing businesses to more easily purchase private flood coverage. Appropriations related to mitigation and mapping H.R. 1666, to amend the National Flood Insurance Act of 1968 to allow for the consideration of private flood insurance for the purposes of applying continuous coverage requirements, and for other purposes. H.R. 1865, the Further Consolidated Appropriations Act, 2020, this bill reauthorizes the National Flood Insurance Program through September 30, 2020. H.R. 3167, National Flood Insurance Program Reauthorization Act of 2019 H.R. 3111, National Flood Insurance Program Administrative Reform Act of 2019 H.R. 469, to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. S. 2088, the Repeatedly Flooded Communities Preparation Act S. 1533 & S. 1250 (same), National Flood Insurance Program Extension Act H.R. 3746, the Business of Insurance Regulatory Reform Act of 2017 The Nonprofit Property Protection Act Cyber risk insurance issues InsurTech issues Social Security Disability Insurance (SSDI) claims process improvements and supporting funding for Social Security Administration Issues related to Supplemental Benefits H.R. 6128, HSA Employer Flexibility Act H.R. 5138, Bipartisan HSA Improvement Act of 2018 H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 S. 2241, a bill to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. H.R. 4225, to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. H.R. 2500, National Defense Authorization Act for Fiscal Year 2020 S. 1970, National Defense Authorization Act for Fiscal Year 2020 H.R. 1375, PAID Act (Provide Accurate Information Directly Act) S. 1989, PAID Act H.R. 1595, SAFE Bank Act H.R. 3693, Preventing Credit Score Discrimination in Auto Insurance Act S. 4755, Prohibit Auto Insurance Discrimination Act Legislation to require the Federal Insurance Office to conduct an annual study of personal private automobile insurance coverage, and for other purposes. H.R. 4634, to reauthorize the Terrorism Risk Insurance Program until December 31, 2030 H.R. 1865, the Consolidated Domestic and International Assistance Bill-2020 omnibus spending bill including 7 year TRIA reauthorization and NFIP extension through September 30, 2020 H.R.7011, Pandemic Risk Insurance Act of 2020 (PRIA) H.R. 6494, the Business Interruption Insurance Coverage Act of 2020 H.R. 6497, the Never Again Small Business Protection Act of 2020 H.R. 7412, the Business Interruption Relief Act of 2020 National Defense Authorization Act (NDAA) related to TRICARE for Fiscal Year 2021 Policy related to the Business Continuity Protection Program (BCPP)

Client expense: $510,000 · Firm income: Not reported

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

Flood Insurance reform, reauthorization Taxpayer Exposure Mitigation Act Community Mapping Act A bill to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. A bill allowing commercial properties to opt-out of the NFIP mandatory purchase requirement, allowing businesses to more easily purchase private flood coverage. Appropriations related to mitigation and mapping H.R. 1666, to amend the National Flood Insurance Act of 1968 to allow for the consideration of private flood insurance for the purposes of applying continuous coverage requirements, and for other purposes. H.R. 1865, the Further Consolidated Appropriations Act, 2020, this bill reauthorizes the National Flood Insurance Program through September 30, 2020. H.R. 3167, National Flood Insurance Program Reauthorization Act of 2019 H.R. 3111, National Flood Insurance Program Administrative Reform Act of 2019 H.R. 469, to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. S. 2088, the Repeatedly Flooded Communities Preparation Act S. 1533 & S. 1250 (same), National Flood Insurance Program Extension Act H.R. 3746, the Business of Insurance Regulatory Reform Act of 2017 The Nonprofit Property Protection Act Cyber risk insurance issues InsurTech issues Social Security Disability Insurance (SSDI) claims process improvements and supporting funding for Social Security Administration Issues related to Supplemental Benefits H.R. 6128, HSA Employer Flexibility Act H.R. 5138, Bipartisan HSA Improvement Act of 2018 H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 S. 2241, a bill to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. H.R. 4225, to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. H.R. 2500, National Defense Authorization Act for Fiscal Year 2020 S. 1970, National Defense Authorization Act for Fiscal Year 2020 H.R. 1375, PAID Act (Provide Accurate Information Directly Act) S. 1989, PAID Act H.R. 1595, SAFE Bank Act H.R. 1756, Preventing Credit Score Discrimination in Auto Insurance Act Legislation to require the Federal Insurance Office to conduct an annual study of personal private automobile insurance coverage, and for other purposes. H.R. 4634, to reauthorize the Terrorism Risk Insurance Program until December 31, 2030 H.R. 1865, the Consolidated Domestic and International Assistance Bill-2020 omnibus spending bill including 7 year TRIA reauthorization and NFIP extension through September 30, 2020 H.R. 3693 - Prohibit Auto Insurance Discrimination (PAID) Act Pandemic Risk Insurance Act of 2020 (PRIA) H.R. 6494, the Business Interruption Insurance Coverage Act of 2020 H.R. 6497, the Never Again Small Business Protection Act of 2020 H.R. 7412, the Business Interruption Relief Act of 2020 National Defense Authorization Act (NDAA) related to TRICARE for Fiscal Year 2021 Policy related to the Business Continuity Protection Program (BCPP)

Client expense: $580,000 · Firm income: Not reported

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

Supported efforts to repeal certain provisions of the Affordable Care Act: Health Insurance Tax, Cadillac Tax, small group expansion requirement, and Medical Device Tax. Supported efforts to expand health savings accounts (HSA) and flexible spending accounts (FSA) benefits; supported the Commonsense Reporting Act of 2017 (S 1908 / HR 3919); supported the Bipartisan HSA Improvement Act of 2018 (HR 5138); supported developing legislation to establish federal chemical labeling standards. Supported Save American Workers HR 3798; STARS Act HR 3956; Cadillac Tax Repeal (HR 748, S. 684); Health Insurance Tax Repeal (HR 2447, S. 80); Health Insurance Tax Delay (HR 1398, S. 172); Commonsense Reporting Act of 2019 (S. 2366/H.R. 4070); and Employee Flexibility Act (HR 2782, S. 1510).

Client expense: $547,000 · Firm income: Not reported

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

Flood Insurance reform, reauthorization Taxpayer Exposure Mitigation Act Community Mapping Act A bill to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. A bill allowing commercial properties to opt-out of the NFIP mandatory purchase requirement, allowing businesses to more easily purchase private flood coverage. Appropriations related to mitigation and mapping H.R. 1666, to amend the National Flood Insurance Act of 1968 to allow for the consideration of private flood insurance for the purposes of applying continuous coverage requirements, and for other purposes. H.R. 1865, the Further Consolidated Appropriations Act, 2020, this bill reauthorizes the National Flood Insurance Program through September 30, 2020. H.R. 3167, National Flood Insurance Program Reauthorization Act of 2019 n H.R. 3111, National Flood Insurance Program Administrative Reform Act of 2019 H.R. 469, to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. S. 2088, the Repeatedly Flooded Communities Preparation Act S. 1533 & S. 1250 (same), National Flood Insurance Program Extension Act H.R. 3746, the Business of Insurance Regulatory Reform Act of 2017 The Nonprofit Property Protection Act Cyber risk insurance issues InsurTech issues Social Security Disability Insurance (SSDI) claims process improvements and supporting funding for Social Security Administration Issues related to Supplemental Benefits H.R. 6128, HSA Employer Flexibility Act H.R. 5138, Bipartisan HSA Improvement Act of 2018 H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 S. 2241, a bill to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. H.R. 4225, to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. National Defense Authorization Act (NDAA) related to TRICARE H.R. 2500, National Defense Authorization Act for Fiscal Year 2020 S. 1970, National Defense Authorization Act for Fiscal Year 2020 H.R. 1375, PAID Act (Provide Accurate Information Directly Act) S. 1989, PAID Act H.R. 1595, SAFE Bank Act H.R. 1756, Preventing Credit Score Discrimination in Auto Insurance Act Legislation to require the Federal Insurance Office to conduct an annual study of personal private automobile insurance coverage, and for other purposes. H.R. 4634, to reauthorize the Terrorism Risk Insurance Program until December 31, 2030 H.R. 1865, the Consolidated Domestic and International Assistance Bill-2020 omnibus spending bill including 7 year TRIA reauthorization and NFIP extension through September 30, 2020 H.R. 3693 - Prohibit Auto Insurance Discrimination (PAID) Act Pandemic Risk Insurance Act of 2020 (PRIA) H.R. 6494, the Business Interruption Insurance Coverage Act of 2020 H.R. 6497, the Never Again Small Business Protection Act of 2020

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

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

Supported efforts to repeal certain provisions of the Affordable Care Act: Health Insurance Tax, Cadillac Tax, small group expansion requirement, and Medical Device Tax. Supported efforts to expand health savings accounts (HSA) and flexible spending accounts (FSA) benefits; supported the Commonsense Reporting Act of 2017 (S 1908 / HR 3919); supported the Bipartisan HSA Improvement Act of 2018 (HR 5138); supported developing legislation to establish federal chemical labeling standards. Supported Save American Workers HR 3798; STARS Act HR 3956; Cadillac Tax Repeal (HR 748, S. 684); Health Insurance Tax Repeal (HR 2447, S. 80); Health Insurance Tax Delay (HR 1398, S. 172); Commonsense Reporting Act of 2019 (S. 2366/H.R. 4070); and Employee Flexibility Act (HR 2782, S. 1510).

Client expense: $1,050,000 · Firm income: Not reported

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

Flood Insurance reform, reauthorization Taxpayer Exposure Mitigation Act Community Mapping Act S. 1368, the Sustainable, Affordable, Fair and Efficient (SAFE) National Flood Insurance Program Reauthorization Act of 2017 A bill to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. A bill allowing commercial properties to opt-out of the NFIP mandatory purchase requirement, allowing businesses to more easily purchase private flood coverage. Appropriations related to mitigation and mapping H.R. 1666, to amend the National Flood Insurance Act of 1968 to allow for the consideration of private flood insurance for the purposes of applying continuous coverage requirements, and for other purposes. S. 1693, National Flood Insurance Program Extension Act of 2019, this bill reauthorizes the National Flood Insurance Program through June 14, 2019. H.R. 3167, National Flood Insurance Program Reauthorization Act of 2019 H.R. 2578, National Flood Insurance Program Extension Act of 2019, this bill reauthorizes the National Flood Insurance Program through September 30, 2019. H.R. 3111, National Flood Insurance Program Administrative Reform Act of 2019 H.R. 469, to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. S. 2088, the Repeatedly Flooded Communities Preparation Act S. 1533 & S. 1250 (same), National Flood Insurance Program Extension Act H.R. 3746, the Business of Insurance Regulatory Reform Act of 2017 The Nonprofit Property Protection Act Cyber risk insurance issues InsurTech issues Social Security Disability Insurance (SSDI) claims process improvements and supporting funding for Social Security Administration Issues related to Supplemental Benefits H.R. 6128, HSA Employer Flexibility Act H.R. 5138, Bipartisan HSA Improvement Act of 2018 H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 S. 2241, a bill to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. H.R. 4225, to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. National Defense Authorization Act (NDAA) related to TRICARE H.R. 2500, National Defense Authorization Act for Fiscal Year 2020 S. 1970, National Defense Authorization Act for Fiscal Year 2020 H.R. 1375, PAID Act (Provide Accurate Information Directly Act) S. 1989, PAID Act H.R. 1595, SAFE Bank Act H.R. 1756, Preventing Credit Score Discrimination in Auto Insurance Act H.R. 1862, Federal Insurance Office Abolishment Act of 2019 H.R. 4634, to reauthorize the Terrorism Risk Insurance Program until December 31, 2030 H.R. 1865, the Consolidated Domestic and International Assistance Bill-2020 omnibus spending bill including 7 year TRIA reauthorization and NFIP extension through September 30, 2020 H.R. 3693 - Prohibit Auto Insurance Discrimination (PAID) Act

Client expense: $450,000 · Firm income: Not reported

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

Supported efforts to repeal certain provisions of the Affordable Care Act: Health Insurance Tax, Cadillac Tax, small group expansion requirement, and Medical Device Tax. Supported efforts to expand health savings accounts (HSA) and flexible spending accounts (FSA) benefits; supported the Commonsense Reporting Act of 2017 (S 1908 / HR 3919); supported the Bipartisan HSA Improvement Act of 2018 (HR 5138); supported developing legislation to establish federal chemical labeling standards. Supported Save American Workers HR 3798; STARS Act HR 3956; Cadillac Tax Repeal (HR 748, S. 684); Health Insurance Tax Repeal (HR 2447, S. 80); Health Insurance Tax Delay (HR 1398, S. 172); Commonsense Reporting Act of 2019 (S. 2366/H.R. 4070); and Employee Flexibility Act (HR 2782, S. 1510).

Client expense: $440,000 · Firm income: Not reported

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

Flood Insurance reform, reauthorization Taxpayer Exposure Mitigation Act Community Mapping Act H.R. 2875, the National Flood Insurance Program Administrative Reform Act of 2017 H.R. 1558, the Repeatedly Flooded Communities Preparation Act S. 1571, the National Flood Insurance Program Reauthorization Act of 2017 S. 1368, the Sustainable, Affordable, Fair and Efficient (SAFE) National Flood Insurance Program Reauthorization Act of 2017 S. 1313 Flood Insurance Affordability and Sustainability Act of 2017 A bill to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. A bill allowing commercial properties to opt-out of the NFIP mandatory purchase requirement, allowing businesses to more easily purchase private flood coverage. H.R. 2868, the National Flood Insurance Program Policyholder Protection Act of 2017 H.R. 2874, the 21st Century Flood Reform Act of 2017 Appropriations related to mitigation and mapping H.R. 1666, to amend the National Flood Insurance Act of 1968 to allow for the consideration of private flood insurance for the purposes of applying continuous coverage requirements, and for other purposes. H.R. 3746, the Business of Insurance Regulatory Reform Act of 2017 The Nonprofit Property Protection Act Cyber risk insurance issues InsurTech issues Social Security Disability Insurance (SSDI) claims process improvements and supporting funding for Social Security Administration Issues related to Supplemental Benefits H.R. 6128, HSA Employer Flexibility Act H.R. 5138, Bipartisan HSA Improvement Act of 2018 H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 S.2241 - A bill to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. H.R.4225 - To amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. National Defense Authorization Act (NDAA) section on TRICARE H.R. 5881 Provide Accurate Information Directly (PAID) Act H.R. 1595, SAFE Bank Act H.R.1756, Preventing Credit Score Discrimination in Auto Insurance Act

Client expense: $450,000 · Firm income: Not reported

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

Flood Insurance reform, reauthorization Taxpayer Exposure Mitigation Act Community Mapping Act S. 1368, the Sustainable, Affordable, Fair and Efficient (SAFE) National Flood Insurance Program Reauthorization Act of 2017 A bill to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. A bill allowing commercial properties to opt-out of the NFIP mandatory purchase requirement, allowing businesses to more easily purchase private flood coverage. Appropriations related to mitigation and mapping H.R. 1666, to amend the National Flood Insurance Act of 1968 to allow for the consideration of private flood insurance for the purposes of applying continuous coverage requirements, and for other purposes. S. 1693, National Flood Insurance Program Extension Act of 2019, this bill reauthorizes the National Flood Insurance Program through June 14, 2019. H.R. 3167, National Flood Insurance Program Reauthorization Act of 2019 H.R. 2578, National Flood Insurance Program Extension Act of 2019, this bill reauthorizes the National Flood Insurance Program through September 30, 2019. H.R. 3111, National Flood Insurance Program Administrative Reform Act of 2019 H.R. 469, to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. S. 2088, the Repeatedly Flooded Communities Preparation Act S. 1533 & S. 1250 (same), National Flood Insurance Program Extension Act H.R. 3746, the Business of Insurance Regulatory Reform Act of 2017 The Nonprofit Property Protection Act Cyber risk insurance issues InsurTech issues Social Security Disability Insurance (SSDI) claims process improvements and supporting funding for Social Security Administration Issues related to Supplemental Benefits H.R. 6128, HSA Employer Flexibility Act H.R. 5138, Bipartisan HSA Improvement Act of 2018 H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 S. 2241, a bill to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. H.R. 4225, to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. National Defense Authorization Act (NDAA) related to TRICARE H.R. 2500, National Defense Authorization Act for Fiscal Year 2020 S. 1970, National Defense Authorization Act for Fiscal Year 2020 H.R. 1375, PAID Act (Provide Accurate Information Directly Act) S. 1989, PAID Act H.R. 1595, SAFE Bank Act H.R. 1756, Preventing Credit Score Discrimination in Auto Insurance Act H.R. 1862, Federal Insurance Office Abolishment Act of 2019H.R. 4634, to reauthorize the Terrorism Risk Insurance Program until December 31, 2030

Client expense: $500,000 · Firm income: Not reported

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

Supported efforts to repeal certain provisions of the Affordable Care Act: Health Insurance Tax, Cadillac Tax, small group expansion requirement, and Medical Device Tax. Supported efforts to expand health savings accounts (HSA) and flexible spending accounts (FSA) benefits; supported the Commonsense Reporting Act of 2017 (S 1908 / HR 3919); supported the Bipartisan HSA Improvement Act of 2018 (HR 5138); supported developing legislation to establish federal chemical labeling standards. Supported Save American Workers HR 3798; STARS Act HR 3956; Cadillac Tax Repeal (HR 748, S. 684); Health Insurance Tax Repeal (HR 2447, S. 80); Health Insurance Tax Delay (HR 1398, S. 172); Commonsense Reporting Act of 2019 (S. 2366/H.R. 4070); and Employee Flexibility Act (HR 2782, S. 1510).

Client expense: $410,000 · Firm income: Not reported

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

Flood Insurance reform, reauthorization Taxpayer Exposure Mitigation Act Community Mapping Act S. 1368, the Sustainable, Affordable, Fair and Efficient (SAFE) National Flood Insurance Program Reauthorization Act of 2017 A bill to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. A bill allowing commercial properties to opt-out of the NFIP mandatory purchase requirement, allowing businesses to more easily purchase private flood coverage. Appropriations related to mitigation and mapping H.R. 1666, to amend the National Flood Insurance Act of 1968 to allow for the consideration of private flood insurance for the purposes of applying continuous coverage requirements, and for other purposes. S. 1693, National Flood Insurance Program Extension Act of 2019, this bill reauthorizes the National Flood Insurance Program through June 14, 2019. H.R. 3167, National Flood Insurance Program Reauthorization Act of 2019 H.R. 2578, National Flood Insurance Program Extension Act of 2019, this bill reauthorizes the National Flood Insurance Program through September 30, 2019. H.R. 3111, National Flood Insurance Program Administrative Reform Act of 2019 H.R. 469, to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. S. 2088, the Repeatedly Flooded Communities Preparation Act S. 1533 & S. 1250 (same), National Flood Insurance Program Extension Act H.R. 3746, the Business of Insurance Regulatory Reform Act of 2017 The Nonprofit Property Protection Act Cyber risk insurance issues InsurTech issues Social Security Disability Insurance (SSDI) claims process improvements and supporting funding for Social Security Administration Issues related to Supplemental Benefits H.R. 6128, HSA Employer Flexibility Act H.R. 5138, Bipartisan HSA Improvement Act of 2018 H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 S. 2241, a bill to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. H.R. 4225, to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. National Defense Authorization Act (NDAA) related to TRICARE H.R. 2500, National Defense Authorization Act for Fiscal Year 2020 S. 1970, National Defense Authorization Act for Fiscal Year 2020 H.R. 1375, PAID Act (Provide Accurate Information Directly Act) S. 1989, PAID Act H.R. 1595, SAFE Bank Act H.R. 1756, Preventing Credit Score Discrimination in Auto Insurance Act H.R. 1862, Federal Insurance Office Abolishment Act of 2019

Client expense: $430,000 · Firm income: Not reported

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

Supported efforts to repeal certain provisions of the Affordable Care Act: Health Insurance Tax, Cadillac Tax, small group expansion requirement, and Medical Device Tax. Supported efforts to expand health savings accounts (HSA) and flexible spending accounts (FSA) benefits; supported the Commonsense Reporting Act of 2017 (S 1908 / HR 3919); supported the Bipartisan HSA Improvement Act of 2018 (HR 5138); supported developing legislation to establish federal chemical labeling standards. Supported Save American Workers HR 3798; STARS Act HR 3956; Cadillac Tax Repeal (HR 748, S. 684); Health Insurance Tax Repeal (HR 2447, S. 80); Health Insurance Tax Delay (HR 1398, S. 172); and Employee Flexibility Act (HR 2782, S. 1510).

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

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

Flood Insurance reform, reauthorization Taxpayer Exposure Mitigation Act Community Mapping Act H.R. 2875, the National Flood Insurance Program Administrative Reform Act of 2017 H.R. 1558, the Repeatedly Flooded Communities Preparation Act S. 1571, the National Flood Insurance Program Reauthorization Act of 2017 S. 1368, the Sustainable, Affordable, Fair and Efficient (SAFE) National Flood Insurance Program Reauthorization Act of 2017 S. 1313 Flood Insurance Affordability and Sustainability Act of 2017 A bill to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. A bill allowing commercial properties to opt-out of the NFIP mandatory purchase requirement, allowing businesses to more easily purchase private flood coverage. H.R. 2868, the National Flood Insurance Program Policyholder Protection Act of 2017 H.R. 2874, the 21st Century Flood Reform Act of 2017 Appropriations related to mitigation and mapping H.R. 1666, to amend the National Flood Insurance Act of 1968 to allow for the consideration of private flood insurance for the purposes of applying continuous coverage requirements, and for other purposes. H.R. 3746, the Business of Insurance Regulatory Reform Act of 2017 The Nonprofit Property Protection Act Cyber risk insurance issues InsurTech issues Social Security Disability Insurance (SSDI) claims process improvements and supporting funding for Social Security Administration Issues related to Supplemental Benefits H.R. 6128, HSA Employer Flexibility Act H.R. 5138, Bipartisan HSA Improvement Act of 2018 H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 S.2241 - A bill to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. H.R.4225 - To amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. National Defense Authorization Act (NDAA) section on TRICARE H.R. 5881 Provide Accurate Information Directly (PAID) Act H.R. 1595, SAFE Bank Act H.R.1756, Preventing Credit Score Discrimination in Auto Insurance Act

Client expense: $460,000 · Firm income: Not reported

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

Supported efforts to repeal certain provision of Affordable Care Act: Health Insurance Tax, Cadillac Tax, small group expansion requirement, 40-hour full-time designation, and Medical Device Tax. Supported efforts to expand health savings accounts (HSA) and flexible spending accounts (FSA) benefits; supported the Commonsense Reporting Act of 2017 (S 1908 / HR 3919); supported the Bipartisan HSA Improvement Act of 2018 (HR 5138); supported developing legislation to establish federal chemical labeling standards. Supported 40 hours 13 full-time S.1786; Save American Workers HR 3798; supported STARS Act HR 3956.

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

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

S. 2526 / H.R. 5282 - The Retirement Enhancement and Savings Act (RESA) Issue: Retirement Security H.R. 6757, The Family Savings Act. Issue: Retirement Security S.2474 - Retirement Savings Lost and Found Act of 2018. Issue: Facilitates location of lost participants. H.R. 3857 - Protecting Advice from Small Savers Act of 2017. Issue: Nullifies the DOLs fiduciary rule. H.R. 854 - the Retirement Security for American Workers Act. Issue: expanding retirement savings plans. S. 1383: Retirement Security Act of 2017. Issue: retirement security H.R. 2055/ S. 868 - Lifetime Income Disclosure Act. Issue: lifetime income illustration H.R. 2823, the Affordable Retirement Advice for Savers Act. Issue: alternative to the DOL fiduciary rule H.R. 4610, the RETIRE Act. Issue: electronic delivery of retirement statements. H.R. 4524, the Retirement Simplification and Enhancement Act. Issue: 401(k) plan improvements and lifetime income provisions. H.R. 4523, the Automatic Retirement Plan Act. Issue: mandatory 401(k) H.R. 4637, The Small Businesses Add Value for Employees (SAVE) Act of 2017. Issue: various retirement savings improvement provisions. H.R. 4604, The Increasing Access to a Secure Retirement Act. Issue: measures to bolster Americans retirement security and annuity selection safe harbor. H.R. 3910, Amends the Internal Revenue Code of 1986 to make lifetime income and managed account options of defined contribution retirement savings plans portable. H,R. 3596, Rightsizing Pension Premiums Act of 2017: amends ERISA to alter the premiums for CSEC organizations. (Discussed this bill in the context of RESA) H.R. 1962, Retirement Security Preservation Act of 2017: provides relief to DB plans related to non-discrimination testing. (Discussed this bill in the context of RESA) HR 6990, Portable Retirement and Investment Account (PRIA) Act. Creates a government-run retirement system. S. 3781, the Retirement Security and Savings Act. Contains numerous provisions that simplify and expand retirement coverage. S. 3771, Retirement Parity for Student Loans Act. Allows employers to provide a match to an employees retirement account in the amount of their yearly student loan payment. Pub.L. 111-148-The Patient Protection and Affordable Care Act, Issue: Assessments under state-based insurance exchanges. H.R.4225/S.2241 Legislation amending Affordable Care Act provisions on health exchange assessments. Issue: Health Exchange Assessments HR 6157, Pub.L.115-245 Appropriations for 2019 to support funding for SSA and SSDI hearing backlog. Issue: disability insurance. H.R. ___/S.___ Draft legislation on tax treatment and consumer financing for long-term care insurance. Issue: expanding long term care insurance coverage. Issue: LTC H.R.____/S._____ Draft legislation to expand IRC Section 125 cafeteria plans to include long term care insurance. Issue: expanding long term care insurance. Issue: LTC H.R.___/S._____ Draft legislation to allow auto enrollment of private disability insurance in employer provided plans. Issue: Disability insurance H.R. 5138 and HR 6128 Legislation to expand use of HSAs. S. 337/HR 947 FAMILY Act to provide for federal benefit for paid family and medical leave. Issue: disability insurance S. 3412 Extension of paid family medical leave tax credit for employers. Issue: disability insurance

Client expense: $1,024,543 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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 S. 2410, Chronic Disease Management Act (Thune) - flexibility for high-deductible health plans S. 3063, Health Insurance Tax Relief Act (Barrasso) - suspension of ACA health insurance tax H.R. 88, Retirement, Savings, and Other Tax Relief Act - relief from health insurance tax and Cadillac tax 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. 3798, Save American Workers Act (Walorski) - delay in Cadillac tax H.R. 4616 (Nunes) - delay in ACA excise tax on employer-provided health coverage H.R. 4618 (Jenkins) - use of HSA funds for OTC medications H.R. 4620, Protecting Families and Small Businesses Act (Noem) - relief from ACA health insurance tax H.R. 4894, Harmful Tax Prevention Act (Noem) - relief from ACA health insurance tax H.R. 4978, Chronic Disease Management Act (Black) - flexibility for high-deductible health plans H.R. 5138, Bipartisan HSA Improvement Act (Kelly) - HSA changes H.R. 5963, Health Insurance Premium Reduction Act (Noem) - suspension of ACA health insurance tax H.R. 6199, Restoring Access to Medication Act (Jenkins) - OTC medical products as qualified medical expense, HSA improvements H.R. 6301, Promoting High-Value Health Care Through Flexibility for High Deductible Health Plans Act (Roskam) - flexibility on first dollar coverage for HSA plans H.R. 6305, Bipartisan HSA Improvement Act (Kelly) - HSA flexibility; treatment of certain employment-related services; FSA and HRA conversions H.R. 6306, Health Care Security Act (Paulsen) - HSA contribution limits, spousal catch-up contributions, grace period for medical expenses H.R. 6309, Allowing Working Seniors to Keep Their Health Savings Accounts Act (Paulsen) - HSA contributions by Medicare-eligible individuals H.R. 6311, Increasing Access to Lower Premium Plans and Expanding HSAs Act (Roskam) - suspension of health insurance tax, HSA improvements H.R. 6312, Personal Health Investment Today Act (Smith) - medical care tax deduction for qualified sports and fitness expenses H.R. 6313, RAISE Health Benefits Act (Stivers) - Health FSA rollovers H.R. 6314, Health Savings Act (Burgess) - definition of high-deductible health plan H.R. 6317, Primary Care Enhancement Act (Paulsen) - participation by HSA-eligible individuals in direct primary care (DPC) arrangements 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 health savings accounts; issues related to the deductibility of employer-sponsored health coverage; issues related to enhancing tax treatment of long-term care insurance; 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: $1,550,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

S. 2526 / H.R. 5282 - The Retirement Enhancement and Savings Act (RESA) Issue: Retirement Security S.2474 - Retirement Savings Lost and Found Act of 2018. Issue: Facilitates location of lost participants. H.R. 3857 - Protecting Advice from Small Savers Act of 2017. Issue: Nullifies the DOLs fiduciary rule. H.R. 854 - the Retirement Security for American Workers Act. Issue: expanding retirement savings plans. S. 1383: Retirement Security Act of 2017. Issue: retirement security H.R. 1 - Tax Cuts and Jobs Act. Issue: tax reform as it pertains to life insurance H.R. 1688/S. 695, Issue: Form 5500 efficiencies H.R. 2055/ S. 868 - Lifetime Income Disclosure Act. Issue: lifetime income illustration S. 1321, the Affordable Retirement Advice Protection Act. Issue: alternative to the DOL fiduciary rule H.R. 2823, the Affordable Retirement Advice for Savers Act. Issue: alternative to the DOL fiduciary rule H.R. 4610, the RETIRE Act. Issue: electronic delivery of retirement statements. H.R. 4524, the Retirement Simplification and Enhancement Act. Issue: 401(k) plan improvements and lifetime income provisions. H.R. 4523, the Automatic Retirement Plan Act. Issue: mandatory 401(k) H.R. 4637, The Small Businesses Add Value for Employees (SAVE) Act of 2017. Issue: various retirement savings improvement provisions. H.R. 4604, The Increasing Access to a Secure Retirement Act. Issue: measures to bolster Americans retirement security and annuity selection safe harbor. H.R. 3910, Amends the Internal Revenue Code of 1986 to make lifetime income and managed account options of defined contribution retirement savings plans portable. H.R. 3596, Rightsizing Pension Premiums Act of 2017: amends ERISA to alter the premiums for CSEC organizations. (Discussed this bill in the context of RESA) H.R. 1962, Retirement Security Preservation Act of 2017: provides relief to DB plans related to non-discrimination testing. (Discussed this bill in the context of RESA) HR 6990, Portable Retirement and Investment Account (PRIA) Act. Creates a government-run retirement system. S. 3781, the Retirement Security and Savings Act: Simplifies and expands retirement security S. 3771, Retirement Parity for Student Loans Act. Allows employers to provide a match to an employees retirement account in the amount of their yearly student loan payment. HR 6157, Pub.L.115-245 Appropriations for 2019 to support funding for SSA and SSDI hearing backlog. Issue: disability insurance. H.R. 5138 and HR 6128 Legislation to expand use of HSAs. S. 337/HR 947 FAMILY Act to provide for federal benefit for paid family and medical leave. Issue: disability insurance S. 3412 Extension of paid family medical leave tax credit for employers. Issue: disability insurance H.R. 3902 - Small Employer Retirement Savings Auto-Enrollment Credit Act. Issue: Retirement Security H.R. 4610, the RETIRE Act. Issue: electronic delivery of retirement statements. H.R. 4637, The Small Businesses Add Value for Employees (SAVE) Act of 2017. Issue: various retirement savings improvement provisions. Pub.L. 111-148-The Patient Protection and Affordable Care Act, Issue: Assessments under state-based insurance exchanges. H.R.4225/S.2241 Draft legislation amending Affordable Care Act provisions on health exchange assessments. Issue: Health Exchange Assessments HR 1625/Public Law No: 115-141 Consolidated Appropriations Act, 2018 to support funding for SSA and SSDI hearing backlog. Issue: disability insurance. H.R. ___/S.___ Draft legislation on tax treatment and consumer financing for long-term care insurance. Issue: expanding long term care insurance coverage. H.R.____/S._____ Draft legislation to expand IRC Section 125 cafeteria plans to include long term care insurance. Issue: expanding long term care insurance. H.R. 5138 and HR 6128 Legislation to expand use of HSAs.

Client expense: $510,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC)

Flood Insurance reform, reauthorization H.R. 2875, the National Flood Insurance Program Administrative Reform Act of 2017 H.R. 1558, the Repeatedly Flooded Communities Preparation Act H.R. 1422, the Flood Insurance Market Parity and Modernization Act S. 563, the Flood Insurance Market Parity and Modernization Act S. 1571, the National Flood Insurance Program Reauthorization Act of 2017 S. 1368, the Sustainable, Affordable, Fair and Efficient (SAFE) National Flood Insurance Program Reauthorization Act of 2017 S. 1313 Flood Insurance Affordability and Sustainability Act of 2017 H.R. 2246, the Taxpayer Exposure Mitigation Act of 2017 H.R. 2565, a bill to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. H.R. 2868, the National Flood Insurance Program Policyholder Protection Act of 2017 H.R. 2874, the 21st Century Flood Reform Act of 2017 Appropriations related to mitigation and mapping H.R.2 - Agriculture Improvement Act of 2018 S.3042 - Agriculture Improvement Act of 2018 H.R. 3746, the Business of Insurance Regulatory Reform Act of 2017 The Nonprofit Property Protection Act Cyber risk insurance issues InsurTech issues Social Security Disability Insurance (SSDI) claims process improvements and supporting funding for Social Security Administration Issues related to Supplemental Benefits H.R. 6128, HSA Employer Flexibility Act H.R. 5138, Bipartisan HSA Improvement Act of 2018 H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 S.2241 - A bill to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. H.R.4225 - To amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. National Defense Authorization Act (NDAA) section on TRICARE H.R. 5881 Provide Accurate Information Directly (PAID) Act

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

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

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; ERISA; tax treatment of employer-sponsored health coverage; employer-sponsored wellness programs; H.R. 173/S. 58 - ACA 40 percent excise tax repeal; H.R. 394/S. 85 - consumer directed health products/over-the-counter; H.R. 246 - HIT repeal; H.R. 1628 (FY17 reconciliation); COBRA; H.R. 3919/S. 1908 - Commonsense Reporting Act; HR 5138 - Bipartisan HSA Improvement Act; H.R. 6 - SUPPORT for Patients and Communities Act; H.R. 6301 - high deductible health plans with first dollar coverage; H.R. 6305 - Bipartisan HSA Improvement Act; H.R. 6312 - Personal Health Investment Today (PHIT) Act; H.R. 6199 - Restoring Access to Medication and Modernizing Health Savings Accounts Act; H.R. 4616 - temporary moratorium on the employer mandate and to provide for a delay of 40-percent excise tax; H.R. 3798 - Save American Workers Act; H.R. 6311 - Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act.

Client expense: $720,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), 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 Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Telecommunications & Information Administration (NTIA), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

H.R. 35 - Health Savings Act of 2017; entire bill H.R. 1175 - Health Savings Act of 2017; entire bill H.R. 5138 - Bipartisan HSA Improvement Act of 2018; entire bill S. 403 - Health Savings Act of 2017; entire bill

Client expense: $460,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to health savings accounts, the health insurance tax, and other taxes included in the Affordable Care Act. H.R. 5138, The Bipartisan HSA Improvement Act of 2018 H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 H.R. 6311, Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act of 2018

Client expense: $1,993,000 · Firm income: Not reported

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

Educate policymakers about company initiatives and benefits of wearable fitness technology; monitor S. 482 / H.R. 1267, the Personal Health Investment Today Act, and H.R. 5138, the Bipartisan HSA Improvement Act of 2018.

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), 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; ERISA; tax treatment of employer-sponsored health coverage; employer-sponsored wellness programs; H.R. 173/S. 58 - ACA 40 percent excise tax repeal; H.R. 394/S. 85 - consumer directed health products/over-the-counter; H.R. 246 - HIT repeal; H.R. 1628 (FY17 reconciliation); COBRA; H.R. 3919/S. 1908 - Commonsense Reporting Act; HR 5138 - Bipartisan HSA Improvement Act; H.R. 6 - SUPPORT for Patients and Communities Act; H.R. 6301 - high deductible health plans with first dollar coverage; H.R. 6305 - Bipartisan HSA Improvement Act; H.R. 6312 - Personal Health Investment Today (PHIT) Act; H.R. 6199 - Restoring Access to Medication and Modernizing Health Savings Accounts Act; H.R. 4616 - temporary moratorium on the employer mandate and to provide for a delay of 40-percent excise tax; H.R. 3798 - Save American Workers Act; H.R. 6311 - Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act.

Client expense: $710,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), 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 Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Telecommunications & Information Administration (NTIA), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

Flood Insurance reform, reauthorization H.R. 2875, the National Flood Insurance Program Administrative Reform Act of 2017 H.R. 1558, the Repeatedly Flooded Communities Preparation Act H.R. 1422, the Flood Insurance Market Parity and Modernization Act S. 563, the Flood Insurance Market Parity and Modernization Act S. 1571, the National Flood Insurance Program Reauthorization Act of 2017 S. 1368, the Sustainable, Affordable, Fair and Efficient (SAFE) National Flood Insurance Program Reauthorization Act of 2017 S. 1313 Flood Insurance Affordability and Sustainability Act of 2017 H.R. 2246, the Taxpayer Exposure Mitigation Act of 2017 H.R. 2565, a bill to require the use of replacement cost value in determining the premium rates for flood insurance coverage under the National Flood Insurance Act, and for other purposes. H.R. 2868, the National Flood Insurance Program Policyholder Protection Act of 2017 H.R. 2874, the 21st Century Flood Reform Act of 2017 Appropriations related to mitigation and mapping H.R.2 - Agriculture Improvement Act of 2018 S.3042 - Agriculture Improvement Act of 2018 S. 3628- legislation to extend the National Flood Insurance Program (NFIP) until May 31, 2019 H.R. 3746, the Business of Insurance Regulatory Reform Act of 2017 The Nonprofit Property Protection Act Cyber risk insurance issues InsurTech issues Social Security Disability Insurance (SSDI) claims process improvements and supporting funding for Social Security Administration Issues related to Supplemental Benefits H.R. 6128, HSA Employer Flexibility Act H.R. 5138, Bipartisan HSA Improvement Act of 2018 H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 S.2241 - A bill to amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. H.R.4225 - To amend the Patient Protection and Affordable Care Act by clarifying that State Exchanges are prohibited from imposing fees or assessments on issuers of excepted benefits and standalone dental plans not sold through an Exchange. National Defense Authorization Act (NDAA) section on TRICARE H.R. 5881 Provide Accurate Information Directly (PAID) Act

Client expense: $440,000 · Firm income: Not reported

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

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 S. 2410, Chronic Disease Management Act (Thune) - flexibility for high-deductible health plans S. 3063, Health Insurance Tax Relief Act (Barrasso) - suspension of ACA health insurance tax H.R. 88, Retirement, Savings, and Other Tax Relief Act - relief from health insurance tax and Cadillac tax 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. 3798, Save American Workers Act (Walorski) - delay in Cadillac tax H.R. 4616 (Nunes) - delay in ACA excise tax on employer-provided health coverage H.R. 4618 (Jenkins) - use of HSA funds for OTC medications H.R. 4620, Protecting Families and Small Businesses Act (Noem) - relief from ACA health insurance tax H.R. 4894, Harmful Tax Prevention Act (Noem) - relief from ACA health insurance tax H.R. 4978, Chronic Disease Management Act (Black) - flexibility for high-deductible health plans H.R. 5138, Bipartisan HSA Improvement Act (Kelly) - HSA changes H.R. 5963, Health Insurance Premium Reduction Act (Noem) - suspension of ACA health insurance tax H.R. 6199, Restoring Access to Medication Act (Jenkins) - OTC medical products as qualified medical expense, HSA improvements H.R. 6301, Promoting High-Value Health Care Through Flexibility for High Deductible Health Plans Act (Roskam) - flexibility on first dollar coverage for HSA plans H.R. 6305, Bipartisan HSA Improvement Act (Kelly) - HSA flexibility; treatment of certain employment-related services; FSA and HRA conversions H.R. 6306, Health Care Security Act (Paulsen) - HSA contribution limits, spousal catch-up contributions, grace period for medical expenses H.R. 6309, Allowing Working Seniors to Keep Their Health Savings Accounts Act (Paulsen) - HSA contributions by Medicare-eligible individuals H.R. 6311, Increasing Access to Lower Premium Plans and Expanding HSAs Act (Roskam) - suspension of health insurance tax, HSA improvements H.R. 6312, Personal Health Investment Today Act (Smith) - medical care tax deduction for qualified sports and fitness expenses H.R. 6313, RAISE Health Benefits Act (Stivers) - Health FSA rollovers H.R. 6314, Health Savings Act (Burgess) - definition of high-deductible health plan H.R. 6317, Primary Care Enhancement Act (Paulsen) - participation by HSA-eligible individuals in direct primary care (DPC) arrangements 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 health savings accounts; issues related to the deductibility of employer-sponsored health coverage; issues related to enhancing tax treatment of long-term care insurance; 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: $1,540,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

Employer Mandate Repeal;Commonsense Reporting Act of 2017, H.R. 3919, S. 1908; HR 173/S. 58, Middle Class Health Benefits Tax Repeal Act; HR 1101, Small Business Healthcare Relief Act; HR 246, Health Insurance; HR 1628, American Health Care Act of 2017, Tax Exclusion; Better Care Reconciliation Act; S. 1859; Bipartisan HSA Improvement Act; HR 5138 Association Health Plans; STARS Act, H.R. 3956, S. 2670

Client expense: $171,955 · Firm income: Not reported

Government targets: Education, Dept of, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

S. 2526 / H.R. 5282 - The Retirement Enhancement and Savings Act (RESA) Issue: Retirement Security S.2474 - Retirement Savings Lost and Found Act of 2018. Issue: Facilitates location of lost participants. H.R. 3857 - Protecting Advice from Small Savers Act of 2017. Issue: Nullifies the DOLs fiduciary rule. H.R. 854 - the Retirement Security for American Workers Act. Issue: expanding retirement savings plans. S. 1383: Retirement Security Act of 2017. Issue: retirement security H.R. 1 - Tax Cuts and Jobs Act. Issue: tax reform as it pertains to life insurance H.R. 1688/S. 695, Issue: Form 5500 efficiencies H.R. 2055/ S. 868 - Lifetime Income Disclosure Act. Issue: lifetime income illustration S. 1321, the Affordable Retirement Advice Protection Act. Issue: alternative to the DOL fiduciary rule H.R. 2823, the Affordable Retirement Advice for Savers Act. Issue: alternative to the DOL fiduciary rule H.R. 4610, the RETIRE Act. Issue: electronic delivery of retirement statements. H.R. 4524, the Retirement Simplification and Enhancement Act. Issue: 401(k) plan improvements and lifetime income provisions. H.R. 4523, the Automatic Retirement Plan Act. Issue: mandatory 401(k) H.R. 4637, The Small Businesses Add Value for Employees (SAVE) Act of 2017. Issue: various retirement savings improvement provisions. H.R. 4604, The Increasing Access to a Secure Retirement Act. Issue: measures to bolster Americans retirement security and annuity selection safe harbor. H.R. 3910, Amends the Internal Revenue Code of 1986 to make lifetime income and managed account options of defined contribution retirement savings plans portable. H.R. 3596, Rightsizing Pension Premiums Act of 2017: amends ERISA to alter the premiums for CSEC organizations. (Discussed this bill in the context of RESA) H.R. 1962, Retirement Security Preservation Act of 2017: provides relief to DB plans related to non-discrimination testing. (Discussed this bill in the context of RESA) HR 6990, Portable Retirement and Investment Account (PRIA) Act. Creates a government-run retirement system. S. 3781, the Retirement Security and Savings Act: Simplifies and expands retirement security S. 3771, Retirement Parity for Student Loans Act. Allows employers to provide a match to an employees retirement account in the amount of their yearly student loan payment. HR 6157, Pub.L.115-245 Appropriations for 2019 to support funding for SSA and SSDI hearing backlog. Issue: disability insurance. H.R. 5138 and HR 6128 Legislation to expand use of HSAs. S. 337/HR 947 FAMILY Act to provide for federal benefit for paid family and medical leave. Issue: disability insurance S. 3412 Extension of paid family medical leave tax credit for employers. Issue: disability insurance H.R. 3902 - Small Employer Retirement Savings Auto-Enrollment Credit Act. Issue: Retirement Security H.R. 4610, the RETIRE Act. Issue: electronic delivery of retirement statements. H.R. 4637, The Small Businesses Add Value for Employees (SAVE) Act of 2017. Issue: various retirement savings improvement provisions. Pub.L. 111-148-The Patient Protection and Affordable Care Act, Issue: Assessments under state-based insurance exchanges. H.R.4225/S.2241 Draft legislation amending Affordable Care Act provisions on health exchange assessments. Issue: Health Exchange Assessments HR 1625/Public Law No: 115-141 Consolidated Appropriations Act, 2018 to support funding for SSA and SSDI hearing backlog. Issue: disability insurance. H.R. ___/S.___ Draft legislation on tax treatment and consumer financing for long-term care insurance. Issue: expanding long term care insurance coverage. H.R.____/S._____ Draft legislation to expand IRC Section 125 cafeteria plans to include long term care insurance. Issue: expanding long term care insurance. H.R. 5138 and HR 6128 Legislation to expand use of HSAs.

Client expense: $510,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General education around primary care issues; policies related to Medicare/Medicaid payment for primary care services; H.R.365/S.1358 Primary Care Enhancement Act; H.R. 5858 Primary Care; H.R.5138 Bipartisan HSA Improvement Act of 2018; H.R.5858 Primary Care Patient Protection Act of 2018.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Care Act, all provisions and related regulations, including repeal of ACA 40% excise tax; ACA Reporting (IRC 6055 and 6056); Employer mandate; wellness issues; out-of-pocket (OOP) limits related to cost sharing, nondiscrimination, 1332 waivers, Health Insurance Tax ADA and GINA (in conjunction with employer-based wellness programs), H.R. 1313 - Preserving Employee Wellness Programs Act HIPAA compliance, Privacy, Claims data and all payers claims databases Mental Health Parity, Substance use disorders, Opiods mitigation Tax Treatment of Employer-Sponsored Health Insurance, H.R. 173 / S. 58 - Middle Class Health Benefits Tax Repeal Act of 2017, Continuing resolutions with health tax provisions, H.R. 3798 - Save American Workers Act Prescription Drug Costs, Pharmacy gag clauses, Rebates & Point-of-Sale requirements, Biosimilars Value-Driven Care in Public and Private Coverage, Patient Safety Medicare Advantage, Medicare Secondary Payer, Kidney dialysis, End Stage Renal Disease (ESRD) COBRA, Retiree health HSAs, including S. 403 - Health Savings Act of 2017, H.R. 5138 the Bipartisan HSA Improvement Act, H.R. 365 the Primary Care Enhancement Act, HSA limit changes, H.R. 6199 the Restoring Access to Medication & Modernizing HSA Act ERISA Preemption, Balance and Surprise billing, State mandates & assessments

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Council of Economic Advisers (CEA), 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), Natl Economic Council (NEC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of

H.R. 6, Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act H.R. 35, Health Savings Act of 2017 H.R. 143, Health Insurance Industry Antitrust Enforcement Act of 2017 H.R. 173/S. 40/S. 58, Middle Class Health Benefits Tax Repeal Act of 2017 H.R. 184, Protect Medical Innovation Act of 2017 H.R. 195, Making further continuing appropriations for the fiscal year ending September 30, 2018, and for other purposes H.R. 246, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act H.R. 394/S. 85, Restoring Access to Medication Act of 2017 H.R. 620, ADA Education and Reform Act of 2017 H.R. 849/S. 260, Protecting Seniors Access to Medicare Act H.R. 1101, Small Business Health Fairness Act of 2017 H.R. 1175/S. 403, Health Savings Act of 2017 H.R. 1215, Protecting Access to Care Act of 2017 H.R. 1313, Preserving Employee Wellness Programs Act H.R. 1625, Consolidated Appropriations Act, 2018 H.R. 1892, Bipartisan Budget Act of 2018 H.R. 3331, To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology H.R. 3798, Save American Workers Act of 2017 H.R. 4284, Indexing Narcotics, Fentanyl, and Opioids (INFO) Act of 2018 H.R. 4616, To amend the Patient Protection and Affordable Care Act to provide for a temporary moratorium on the employer mandate and to provide for a delay in the implementation of the excise tax on high cost employer-sponsored health coverage H.R. 4617, To amend the Internal Revenue Code of 1986 to provide for a temporary moratorium on the medical device excise tax H.R. 4618, To amend the Internal Revenue Code of 1986 to provide for a temporary moratorium on certain taxes affecting purchases of prescription medication H.R. 4619, To amend the Patient Protection and Affordable Care Act to provide temporary relief from the annual fee imposed on health insurance providers, to the extent that such fee is due to Puerto Rican health insurance H.R. 4620, Protecting Families and Small Businesses Act of 2017 H.R. 4978/S. 2410, Chronic Disease Management Act of 2018 H.R. 5009, Jessies Law H.R. 5041, Safe Disposal of Unused Medication Act H.R. 5138, Bipartisan HSA Improvement Act of 2018 H.R. 5272, To provide additional guidance to grantees seeking funding to treat or prevent mental health or substance use disorders H.R. 5582, Abuse Deterrent Access Act of 2018 H.R. 5788, Synthetics Trafficking and Overdose Prevention (STOP) Act of 2018 H.R. 5892, To establish an Advisory Committee on Opioids and the Workplace to advise the Secretary of Labor on actions the Department of Labor can take to address the impact of opioid abuse on the workplace H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 H.R. 6311, Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act of 2018 S. 108, Medical Device Access and Innovation Protection Act S. 191, Patient Freedom Act of 2017 S. 222, Obamacare Replacement Act S. 251, Protecting Medicare from Executive Action Act of 2017 S. 974, Creating and Restoring Equal Access To Equivalent Samples (CREATES) Act of 2017 S. 1835, Lower Premiums Through Reinsurance Act of 2017 S. 1850, Protecting Jessica Grubb's Legacy Act S. 1859, Healthcare Tax Relief Act S. 1978, Small Business and Family Health Tax Relief Act of 2017 S. 2004, Combating the Opioid Epidemic Act S. 2164, To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings S. 3057, Synthetics Trafficking and Overdose Prevention (STOP) Act of 2018 Draft legislation to stabilize individual market premiums for the 2018 and 2019 plan years and provide meaningful State flexibility (Alexander-Murray) Proposed regulation on health reimbursement arrangements and other account-based group health plans (83 Fed. Reg. 54,420-54,477, October 29, 2018) Final Regulation, definition of employer under Section 3(5) of ERISA - association health plans (83 Fed. Reg. 28912-28964, June 21, 2018) Various issues relating to 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 account (HSAs), health reimbursement account (HRAs), and flexible spending account (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, the Cost Sharing Reduction (CSR) program, the section 9010 Health Insurance Providers Fee or Health Insurance Tax (HIT), 40% excise tax on high-cost employer-sponsored health coverage (Cadillac tax); medical device tax; protect Medicare Part D's Non-Interference Clause from repeal 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; association health plans; importation of foreign pharmaceuticals into the United States and preemptive authority of federal food and drug regulations; Executive Order 13813, Promoting Healthcare Choice and Competition; addressing the opioids crisis, including end-stage renal disease; balance or surprise billing; single-payer health care options; aligning 42 CFR Part 2 with the Health Insurance Portability and Accountability Act (P.L. 104-191) for the purposes of treatment, payment, and health car operation (TPO); inclusion of prescription drug pricing on 2019 congressional agenda; general advocacy for Congress to reach a working quorum for the board of the Export-Import Bank; section 301 of the Trade Act of 1974; U.N. Convention on the Assignment of Receivables in Int'l Trade

Client expense: $15,950,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Consumer Financial Protection Bureau (CFPB), 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 Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Energy Regulatory Commission (FERC), 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 Labor Relations Board (NLRB), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Office of the Comptroller of the Currency (OCC), Office of the Vice President of the United States, Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Social Security Administration (SSA), 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. Trade Representative (USTR), White House Office

H.R.1267/S.482, Personal Health Investment Today (PHIT) Act, generally H.R.1175, Health Savings Act of 2017, generally H.R.5138, Bipartisan HSA Improvement Act of 2018, generally H.R.6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018, generally Health Savings Account legislation, generally Monitor H.R.6760, Protecting Family and Small Business Tax Cuts Act of 2018, HSA provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1267/S.482, Personal Health Investment Today (PHIT) Act, generally H.R.1175, Health Savings Act of 2017, generally H.R.5138, Bipartisan HSA Improvement Act of 2018, generally H.R.6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018, generally Health Savings Account legislation, generally

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Care Act, all provisions and related regulations, including repeal of ACA 40% excise tax; ACA Reporting (IRC 6055 and 6056); Employer mandate; wellness issues; out-of-pocket (OOP) limits related to cost sharing, nondiscrimination, 1332 waivers, Health Insurance Tax ADA and GINA (in conjunction with employer-based wellness programs, H.R. 1313 - Preserving Employee Wellness Programs Act HIPAA compliance, Privacy, Claims data and all payers claims databases Mental Health Parity, Substance use disorders, Opiods mitigation Tax Treatment of Employer-Sponsored Health Insurance, H.R. 173 / S. 58 - Middle Class Health Benefits Tax Repeal Act of 2017, Continuing resolutions with health tax provisions, H.R. 3798 - Save American Workers Act Prescription Drug Costs, Pharmacy gag clauses, Rebates & Point-of-Sale requirements, Biosimilars Value-Driven Care in Public and Private Coverage, Patient Safety Medicare Advantage, Medicare Secondary Payer, Kidney dialysis, End Stage Renal Disease (ESRD) COBRA, Retiree health HSAs, including S. 403 - Health Savings Act of 2017, H.R. 5138 the Bipartisan HSA Improvement Act, and H.R. 365 the Primary Care Enhancement Act HSA limit changes, H.R. 6199 the Restoring Access to Medication & Modernizing HSA Act ERISA Preemption, Balance and Surprise billing, State mandates & assessments

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Council of Economic Advisers (CEA), 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), Natl Economic Council (NEC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of

Legislative Opioids Crisis Response Act - S. 2680/H.R. 6 Health Care Reform - ongoing legislative and regulatory implementation of the Patient Protection and Affordable Care Act (ACA), Cadillac tax on health benefits Continuing Appropriations Act of 2018 - H.J. Res. 125 - two year delay of the Cadillac Tax Middle Class Health Benefits Tax Repeal Act of 2017 - S. 58/H.R. 173 Health Savings Act of 2017 - S. 403/H.R. 1175 Creating High Quality-Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act - S. 870 Save American Workers Act - H.R. 3798 Chronic Disease Management Act of 2018 - S. 2410/H.R. 4978 Broader Options for Americans Act - H.R. 2579 Commonsense Reporting Act of 2017 - S. 1908/H.R. 3919 Workflex in the 21st Century Act - H.R. 4219 ACA Relief Legislation - H.R. 4616 Bipartisan HSA Improvements Act of 2018 - H.R. 5138 HSA Employer Flexibility Act - H.R. 6128 Restoring Access to Medication and Modernizing Health Savings Accounts Act - S. 6199 Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act - H.R. 6311 Patient Right to Know Drug Prices Act - S. 2554 Paid Family Leave Pilot Extension Act of 2018 - S. 3412 Reducing Costs for Out-of-Network Service Act of 2018 - S. 3541 No More Surprise Medical Bills Act of 2018 - S. 3592 Retirement, Savings, and Other Tax Relief Act of 2018 Protecting Patients from Surprise Medical Bills Act - Legislative Discussion Draft The Bipartisan Budget Act of 2018 Consolidated Appropriations Act of 2018 Fiscal Year 2019 budget proposal - provisions affecting employer-sponsored benefits Cost transparency and out-of-network billing Regulatory and Other Cost transparency Association Health Plans (AHPs) Health Reimbursement Accounts (HRAs) - Proposed regulations to use HRAs to purchase health insurance on the individual markets High Deductible Health Plans (HDHPs) Health Savings Accounts (HSAs) Department of Health & Human Services - Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs Federal disaster tax, filing and reporting relief for employers and individuals Presidential Executive Order: Reducing Regulation and Controlling Regulatory Cost Presidential Executive Order: Minimizing the Economic Burden of the Patient Protection and Affordable Care Act Pending Repeal Presidential Executive Order Promoting Healthcare Choice and Competition Across the United States - STLDI Employer wellness programs - nondiscrimination rules: Americans with Disabilities ACT (ADA) & Genetic Information Nondiscrimination Act (GINA) - Final regulations Medicare Advantage Program State health care requirements affecting self-insured plans FAQs - proposed guidance regarding implementation the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) - as amended by the Affordable Care Act (ACA) and the 21st Century Cures Act Electronic communication and disclosure of benefits information Paid leave proposals and issues

Client expense: $286,066 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, White House Office

Legislative and regulatory issues including: Health care reform Implementation of the Affordable Care Act -- PL 111-148 Bipartisan Budget Act of 2018 -- H.R. 1892/PL 115-123 Middle Class Health Benefits Tax Repeal Act of 2017 - S. 58/H.R. 173 Save American Workers Act -- H.R. 3798 Restoring Access to Medication and Modernizing Health Savings Accounts Act (H.R. 6199) Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act (H.R. 6311) Health Savings Act of 2017 - S. 403/H.R. 1175 Chronic Disease Management Act - S. 2410/H.R. 4978 Bipartisan HSA Improvement Act of 2018 - H.R. 5138/H.R. 6305 Mental Health Parity H.R. 6301, to provide high deductible health plans with first dollar coverage flexibility H.R. 6317, to provide that direct primary care service arrangements do not disqualify deductible health savings account contributions H.R. 6309, to allow individuals entitled to Medicare Part A by reason of being over age 65 to contribute to health savings accounts H.R. 6306, to increase the contribution limitation for health savings accounts, and for other purposes H.R. 4616, to provide for a temporary moratorium on the employer mandate and to provide for a delay in the implementation of the excise tax on high cost employer-sponsored health coverage H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act S. 2554, the Patient Right to Know Drug Prices Act S. 2553, the Know the Lowest Price Act HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs, RIN 0991-ZA49

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), SENATE, Treasury, Dept of

Legislative and regulatory issues including: Health care reform Implementation of the Affordable Care Act -- PL 111-148 Bipartisan Budget Act of 2018 -- H.R. 1892/PL 115-123 Middle Class Health Benefits Tax Repeal Act of 2017 - S. 58/H.R. 173 Save American Workers Act -- H.R. 3798 Restoring Access to Medication and Modernizing Health Savings Accounts Act (H.R. 6199) Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act (H.R. 6311) Health Savings Act of 2017 - S. 403/H.R. 1175 Chronic Disease Management Act - S. 2410/H.R. 4978 Bipartisan HSA Improvement Act of 2018 - H.R. 5138/H.R. 6305 Mental Health Parity H.R. 6301, to provide high deductible health plans with first dollar coverage flexibility H.R. 6317, to provide that direct primary care service arrangements do not disqualify deductible health savings account contributions H.R. 6309, to allow individuals entitled to Medicare Part A by reason of being over age 65 to contribute to health savings accounts H.R. 6306, to increase the contribution limitation for health savings accounts, and for other purposes H.R. 4616, to provide for a temporary moratorium on the employer mandate and to provide for a delay in the implementation of the excise tax on high cost employer-sponsored health coverage H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act S. 2554, the Patient Right to Know Drug Prices Act S. 2553, the Know the Lowest Price Act HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs, RIN 0991-ZA49

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), SENATE, Treasury, Dept of

Legislative and regulatory issues including: improvements to Health Savings Accounts coupled with high deductible health plans, Medicare and Medicare Advantage, payment reform, Food and Drug Administration, and wellness. Health Savings Act of 2017 - S. 403/H.R. 1175 H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act Chronic Disease Management Act - S.2410/H.R. 4978 Bipartisan HSA Improvement Act of 2018 - H.R. 5138 and H.R. 6305 H.R. 6301, to provide high deductible health plans with first dollar coverage flexibility HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs, RIN 0991-ZA49

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Economic Council (NEC), SENATE, Treasury, Dept of

Legislative and regulatory issues including: improvements to Health Savings Accounts coupled with high deductible health plans, Medicare and Medicare Advantage, payment reform, Food and Drug Administration, and wellness. Health Savings Act of 2017 - S. 403/H.R. 1175 H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act Chronic Disease Management Act - S.2410/H.R. 4978 Bipartisan HSA Improvement Act of 2018 - H.R. 5138 and H.R. 6305 H.R. 6301, to provide high deductible health plans with first dollar coverage flexibility HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs, RIN 0991-ZA49

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Economic Council (NEC), SENATE, Treasury, Dept of

Legislative and regulatory issues including: improvements to Health Savings Accounts coupled with high deductible health plans, Medicare and Medicare Advantage, payment reform, Food and Drug Administration, and wellness. Health Savings Act of 2017 - S. 403/H.R. 1175 H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act Chronic Disease Management Act - S.2410/H.R. 4978 Bipartisan HSA Improvement Act of 2018 - H.R. 5138 and H.R. 6305 H.R. 6301, to provide high deductible health plans with first dollar coverage flexibility HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs, RIN 0991-ZA49

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Economic Council (NEC), SENATE, Treasury, Dept of