Chronic Disease Management Act of 2019

Medication affordability and access; general diabetes prevention; S. 1948/H.R. 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S. 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S. 3129 Lower Costs, More Cures Act; H.R. 133 Consolidated Appropriations Act, 2021

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

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

Health Savings Account issues Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Executive Order on Protecting and Improving Medicare for Our Nations Seniors S. 3439, the Lower Health Insurance Deductibles Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, the Heroes Act H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation) H.R. 133, the Consolidated Appropriations Act

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

Government targets: Council of Economic Advisers (CEA), 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

Health Savings Account issues Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Executive Order on Protecting and Improving Medicare for Our Nations Seniors S. 3439, the Lower Health Insurance Deductibles Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, the Heroes Act H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation) H.R. 133, the Consolidated Appropriations Act

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

Government targets: Council of Economic Advisers (CEA), 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, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation) H.R. 133, the Consolidated Appropriations Act

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), 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, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation) H.R. 133, the Consolidated Appropriations Act

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), 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, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation) H.R. 133, the Consolidated Appropriations Act

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), 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 Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 S. 1895, the Lower Health Care Cost Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes H.R. 3502, Protecting People From Surprise Medical Bills Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc. Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act H.R. 5825, the Transparency in Health Care Investments Act of 2020 H.R. 5800, Ban Surprise Billing Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 6810, Health Care Protection Act S. 4329, the Continuous Health Coverage for Workers Act S. 4714, A bill to preserve health benefits for workers H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation) H.R. 133, the Consolidated Appropriations Act

Legislative and regulatory issues including: Health care reform Implementation of the Affordable Care Act -- PL 111-148 Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 S. 1895, the Lower Health Care Cost Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes H.R. 3502, Protecting People From Surprise Medical Bills Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc. Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act H.R. 5825, the Transparency in Health Care Investments Act of 2020 H.R. 5800, Ban Surprise Billing Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 6810, Health Care Protection Act S. 4329, the Continuous Health Coverage for Workers Act S. 4714, A bill to preserve health benefits for workers H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation) H.R. 133, the Consolidated Appropriations Act

H.R. 457, Health Savings Account Act H.R. 603, Heath Savings Account Expansion Act H.R. 748, Middle Class Health Benefits Tax Repeal Act of 2019 H.R. 908, Stop Penalizing Work Seniors Act Green Amendment to H.R. 1500, Consumers First Act H.R. 1679, PHIT Act of 2019 H.R. 1922, Restoring Access to Medication Act of 2019 S. 1948 / H.R. 3709, Chronic Disease Management Act of 2019 H.R. 2108, Retirement Freedom Act H.R. 2163, Freedom for Families Act H.R. 2177, Faith in Health Savings Act of 2019 H.R. 3708, Primary Care Enhancement Act of 2019 H.R. 3796, Health Savings for Senior Act H.R. 3594, Healthcare Freedom Act H.R. 4130, Keeping HSAs Accessible Act of 2019 H.R. 4530, Native American Health Savings Improvement Act H.R. 5050, Veterans and Consumers Fair Credit Act H.R. 5332, the Protecting Your Credit Score Act of 2019 S. 12, Health Savings Act of 2019 S. 680, PHIT Act of 2019 S. 684, Middle Class Health Benefits Tax Repeal Act of 2019 S. 1030, Retirement Freedom Act S. 1089, Restoring Access to Medication Act S. 2440, Qualified Health Savings Account Distribution Act of 2019 S. 2441, Health Savings Account Expansion Act of 2019 S. 3112, Personalized Care Act of 2019 S. 3439, Lower Health Insurance Deductibles Act S. 3546/ H.R. 6338, Pandemic Healthcare Access Act S. 4039, To amend the Internal Revenue Code of 1986 to make permanent the permissible first-dollar coverage of telehealth services for purposes of health savings accounts. H.R. 5566, Patient Fairness Act of 2020 Sections 1776 and 1812 of H.R. 6395, William M. (Mac) Thornberry National Defense Authorization Act for Fiscal Year 2021 H.R. 8478, Online Accessibility Act

Client expense: $2,940,000 · Firm income: Not reported

Legislative Consolidated Appropriations Act 2021 - H.R. 133 (Public Law 116-260) - employer-sponsored health, paid leave and other benefit plans (flexible spending arrangements, surprise billing, transparency, mental health parity) Coronavirus COVID-19 Pandemic Response - employer-sponsored health, paid leave and other benefit plans (Testing, COBRA subsidies, vaccines, risk corridors, health savings accounts, telehealth, on-site clinics, and high-deductible health plans, primary care) The Worker Health Coverage Protection Act (COBRA subsidies) Health, Economic Assistance, Liability Protection and Schools (HEALS) Act Lower Prescription Drug Costs Now Act - H.R. 3 Prescription Drug Rebates & Costs Bill - S. 657 Prescription Drug Pricing Reduction Act - S. 2543 Health care cost and transparency, drug pricing Know the Price Act - H.R. 6005 Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act - H.R. 6800 The Heroes Act - revised pandemic relief and economic stimulus package (House Democratic Leadership) Ban Surprise Billing Act - H.R. 5800 Consumer Protections Against Surprise Medical Bills Act - H.R. 5826 The STOP Surprise Medical Bills Act - S. 1531 Protecting People from Surprise Medical Bills Act - H.R. 3502 No Surprises Act - H.R 3630 End Surprise Medical Billing Act - H.R. 861 Telehealth Expansion Act - S. 3539 Health Care at Home Act - H.R. 6644/S. 3741) Reauthorizing and Extending Americas Community Health (REACH) Act - H.R. 2328 Lower Health Care Costs Act - S. 1895 Paid Family Leave Pilot Extension Act - S. 1628 New Parents Act - S. 920 Family and Medical Insurance Leave (FAMILY) Act - S.463/H.R. 1185 Chronic Disease Management Act - S.1948/H.R. 3709 Dependent Care Flexible Spending Accounts (FSAs) Health Flexible Spending Accounts (FSAs) Regulatory and Other Coronavirus COVID-19 Pandemic Response - including proposed and final guidance affecting employer-sponsored health, paid leave and other benefit plans (Cost-sharing, testing, telehealth, COBRA Subsidies, Cafeteria plans and other group health plan time frames, health flexible spending arrangements and dependent care flexible spending arrangements, and vaccines) Departments of Health and Human Services (HHS), Labor & Treasury - interim final regulations regarding group health plan coverage of COVID-19 vaccines Guidance implementing the Consolidated Appropriations Act of 2021 Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) - proposed annual Medicare regulation governing certain hospital payment and reporting rules Department of Labor - Proposed update to Mental Health Parity Self-Compliance Tool Executive Orders on Drug Prices and Prescription Drug Rebates - Department of Health and Human Services (HHS) - final regulations addressing prescription drug rebates under the Medicare Part D program and interim final regulations regarding most favored nations drug price requirements Multi-Part Executive Order - An America-First Healthcare Plan - surprise billing, preexisting conditions Executive Order - Improving Price and Quality Transparency in American Healthcare to Put Patients First Departments of Treasury, Labor and HHS - Final Price Transparency Rule ERISA uniformity Department of Treasury and Internal Revenue Service - request for extension of COVID-19 relief related to Health and Dependent Care Flexible Spending Arrangements (FSAs) Health Reimbursement Arrangements (HRAs) - application of employer mandate to individual coverage HRAs - Proposed Rule High Deductible Health Plans (HDHPs) Health Savings Accounts (HSAs) State health care requirements affecting self-insured plans Department of Labor (DOL) - Request for Information (RFI) on paid leave Patient Protection and Affordable Care Act (ACA) - reporting requirements Departments of Treasury, IRS and HHS - Grandfathered group health plans - final regulations Department of Treasury and IRS - proposed regulations -direct primary care arrangements Telehealth Voluntary Employees Beneficiary Association plans Equal Employment Opportunity Commission (EEOC) - Wellness plans proposed rules Regulations and guidance regarding Administration procedures for issuing guidance

S. 1948, H.R. 3709 -- Chronic Disease Management Act of 2019 Issues in the House of Representatives related to amending the Internal Revenue Code, with respect to health savings accounts (HSAs), to allow the high deductible health plans required for an HSA to provide care for chronic conditions with no deductible - discussions outside the scope of S. 1948 and H.R. 3709.

Client expense: $70,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medication affordability and access; general diabetes prevention; S 1948/HR 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act

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

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

H.R. 3709 - Chronic Disease Management Act of 2019 - Blumenauer - HSAs and HDHPs H.R. 4651 - American Future Healthcare Act of 2019 - King - amends the Internal Revenue Code to expand health savings accounts H.R. 4652 - Individual Health Insurance Marketplace Improvement Act - Langevin - Individual Market Reinsurance fund H.R. 5807 - Know Your Provider Act of 2020 - Larson - provider directory information H.R. 5809 - Better Information Act of 2020 - Beyer - health insurance membership card H.R. 5816 - Continuing Care for Patients Act of 2020 - Moore - coverage and provider network status H.R. 5817 - Fair and Honest Advance Cost Estimate for Patients Act of 2020 - Nunes - health plan transparency H.R. 5825 - To amend the Internal Revenue Code of 1986 to provide for reporting by certain investors with respect to certain specified medical care providers - Neal - investment in medicine H.R. 6286 - Health Savings Act of 2020 - Burgess - health savings account H.R. 6545 - Health Insurance Marketplace Affordability Act of 2020 - Murphy - age rating adjustment H.R. 7008 - Family Savings Flexibility Act - Wenstrup - HSA arrangements H.R. 7825 - Pandemic Eradication and Enhanced Prevention through Savings Act - Buck - increase opportunities for savings to HSA, MSA, FSA plans H.R. 8032 - Health Savings Accounts For All Act of 2020 - Biggs - eliminate limitations on contributions to HSAs S. 3439 - Lower Health Insurance Deductibles Act - Scott - health savings accounts S. 3539 - A bill to amend the Internal Revenue Code of 1986 to exempt telehealth services from certain high deductible health plan rules - Daines - telehealth S. 3546 - A bill to waive high deductible health plan requirements for health savings accounts - Cruz - health savings accounts S. 3924 - A bill to provide tax credits to low- to moderate-income individuals for certain computer and education costs, to direct the Federal Communications Commission to modify the requirements for the Lifeline program to provide increased support, and for other purposes. - Durbin - Lifeline/Medicaid S. 4267 - Health Savings Accounts For All Act of 2020 - Paul - eliminate limitations on contributions to HSAs Regulatory Issues: Annual insurer provider fees; issues concerning the patient-centered outcomes research fee; employer coverage mandate; W-2 reporting requirements; health reimbursement accounts; deductibility limits for insurer compensation; issues relating to COVID-19; 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 Patient-Centered Outcomes Research Institute (PCORI) re-authorization; 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.

Medication affordability and access; general diabetes prevention; S 1948/HR 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act. Education regarding Executive Orders impacting drug pricing including Medicare rebate reform, the 340 B program, "buy America" proposals, and proposals to impose "most favored nation" pricing on Medicare Part B and D. COVID-19 relief proposals.

Client expense: Not reported · Firm income: $70,000

Legislative Coronavirus COVID-19 Pandemic Response - employer-sponsored health, paid leave and other benefit plans (Testing, COBRA subsidies, risk corridors, health savings accounts, telehealth, on-site clinics, and high-deductible health plans, primary care) Coronavirus Preparedness and Response Supplemental Appropriations Act - H.R. 6074 (Public Law 116-123) Families First Coronavirus Response Act - H.R. 6201 (Public Law 116-127) Coronavirus Aid, Relief, and Economic Security Act (CARES) Act - H.R. 748 (Public Law 116-136) The Worker Health Coverage Protection Act (COBRA subsidies) Health, Economic Assistance, Liability Protection and Schools (HEALS) Act Lower Prescription Drug Costs Now Act - H.R. 3 Prescription Drug Rebates & Costs Bill - S. 657 Prescription Drug Pricing Reduction Act - S. 2543 Health care cost and transparency, drug pricing Know the Price Act - H.R. 6005 Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act - H.R. 6800 The Heroes Act - revised pandemic relief and economic stimulus package (House Democratic Leadership) Ban Surprise Billing Act - H.R. 5800 Consumer Protections Against Surprise Medical Bills Act - H.R. 5826 The STOP Surprise Medical Bills Act - S. 1531 Protecting People from Surprise Medical Bills Act - H.R. 3502 No Surprises Act - H.R 3630 End Surprise Medical Billing Act - H.R. 861 Telehealth Expansion Act - S. 3539 Health Care at Home Act - H.R. 6644/S. 3741) Reauthorizing and Extending Americas Community Health (REACH) Act - H.R. 2328 Lower Health Care Costs Act - S. 1895 Paid Family Leave Pilot Extension Act - S. 1628 New Parents Act - S. 920 Family and Medical Insurance Leave (FAMILY) Act - S.463/H.R. 1185 Chronic Disease Management Act - S.1948/H.R. 3709 Dependent Care Flexible Spending Accounts (FSAs) Health Flexible Spending Accounts (FSAs) Regulatory and Other Coronavirus COVID-19 Pandemic Response - including proposed and issued guidance affecting employer-sponsored health, paid leave and other benefit plans (Cost-sharing, testing, telehealth, COBRA Subsidies, Cafeteria plans and other group health plan time frames, health flexible spending arrangements and dependent care flexible spending arrangements, and vaccines) Department of Labor - Proposed update to Mental Health Parity Self-Compliance Tool Executive Orders on Drug Prices and Prescription Drug Rebates Multi-Part Executive Order - An America-First Healthcare Plan - surprise billing, preexisting conditions Executive Order - Improving Price and Quality Transparency in American Healthcare to Put Patients First Departments of Treasury, Labor and Health and Human Services - Proposed Price Transparency Rule ERISA uniformity Dependent Care Flexible Spending Arrangements (FSAs) Health Flexible Spending Arrangements (FSAs) Health Reimbursement Arrangements (HRAs) - application of employer mandate to individual coverage HRAs - Proposed Rule High Deductible Health Plans (HDHPs) Health Savings Accounts (HSAs) State health care requirements affecting self-insured plans Department of Labor - Request for Information (RFI) on paid leave Patient Protection and Affordable Care Act (ACA) - reporting requirements Grandfathered group health plans - proposed regulations by the Departments of Treasury, Labor and Health and Human Services Direct primary care arrangements - proposed regulations by the Department of Treasury and the Internal Revenue Service Voluntary Employees Beneficiary Association plans Wellness plans Regulations and guidance regarding Administration procedures for issuing guidance

Health Savings Account issues Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Executive Order on Protecting and Improving Medicare for Our Nations Seniors S. 3439, the Lower Health Insurance Deductibles Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, the Heroes Act The HEALS Act (Senate proposed legislation)

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

Government targets: Council of Economic Advisers (CEA), 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

Health Savings Account issues Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Executive Order on Protecting and Improving Medicare for Our Nations Seniors S. 3439, the Lower Health Insurance Deductibles Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, the Heroes Act The HEALS Act (Senate proposed legislation)

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

Government targets: Council of Economic Advisers (CEA), 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, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation)

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

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, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation)

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

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, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation)

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

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: Health care reform Implementation of the Affordable Care Act -- PL 111-148 Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 S. 1895, the Lower Health Care Cost Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes H.R. 3502, Protecting People From Surprise Medical Bills Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc. Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act H.R. 5825, the Transparency in Health Care Investments Act of 2020 H.R. 5800, Ban Surprise Billing Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 6810, Health Care Protection Act S. 4329, the Continuous Health Coverage for Workers Act S. 4714, A bill to preserve health benefits for workers H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation)

Legislative and regulatory issues including: Health care reform Implementation of the Affordable Care Act -- PL 111-148 Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 S. 1895, the Lower Health Care Cost Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes H.R. 3502, Protecting People From Surprise Medical Bills Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc. Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act H.R. 5825, the Transparency in Health Care Investments Act of 2020 H.R. 5800, Ban Surprise Billing Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 6810, Health Care Protection Act S. 4329, the Continuous Health Coverage for Workers Act S. 4714, A bill to preserve health benefits for workers H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation)

H.R. 457, Health Savings Account Act H.R. 603, Heath Savings Account Expansion Act H.R. 748, Middle Class Health Benefits Tax Repeal Act of 2019 H.R. 908, Stop Penalizing Work Seniors Act Green Amendment to H.R. 1500, Consumers First Act H.R. 1679, PHIT Act of 2019 H.R. 1922, Restoring Access to Medication Act of 2019 S. 1948 / H.R. 3709, Chronic Disease Management Act of 2019 H.R. 2108, Retirement Freedom Act H.R. 2163, Freedom for Families Act H.R. 2177, Faith in Health Savings Act of 2019 H.R. 3708, Primary Care Enhancement Act of 2019 H.R. 3796, Health Savings for Senior Act H.R. 3594, Healthcare Freedom Act H.R. 4130, Keeping HSAs Accessible Act of 2019 H.R. 4530, Native American Health Savings Improvement Act H.R. 5050, Veterans and Consumers Fair Credit Act H.R. 5332, the Protecting Your Credit Score Act of 2019 S. 12, Health Savings Act of 2019 S. 680, PHIT Act of 2019 S. 684, Middle Class Health Benefits Tax Repeal Act of 2019 S. 1030, Retirement Freedom Act S. 1089, Restoring Access to Medication Act S. 2440, Qualified Health Savings Account Distribution Act of 2019 S. 2441, Health Savings Account Expansion Act of 2019 S. 3112, Personalized Care Act of 2019 S. 3439, Lower Health Insurance Deductibles Act S. 3546/ H.R. 6338, Pandemic Healthcare Access Act S. 4039, To amend the Internal Revenue Code of 1986 to make permanent the permissible first-dollar coverage of telehealth services for purposes of health savings accounts. H.R. 5566, Patient Fairness Act of 2020 Sections 1776 and 1812 of H.R. 6395, William M. (Mac) Thornberry National Defense Authorization Act for Fiscal Year 2021

Client expense: $2,930,000 · Firm income: Not reported

Medication affordability and access; general diabetes prevention; S. 1948/H.R. 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S. 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S. 3129 Lower Costs, More Cures Act

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

S. 1948, H.R. 3709 -- Chronic Disease Management Act of 2019 Issues in the House of Representatives related to amending the Internal Revenue Code, with respect to health savings accounts (HSAs), to allow the high deductible health plans required for an HSA to provide care for chronic conditions with no deductible - discussions outside the scope of S. 1948 and H.R. 3709.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3709 - Chronic Disease Management Act of 2019 - Blumenauer - HSAs and HDHPs H.R. 4651 - American Future Healthcare Act of 2019 - King - amends the Internal Revenue Code to expand health savings accounts H.R. 4652 - Individual Health Insurance Marketplace Improvement Act - Langevin - Individual Market Reinsurance fund H.R. 5807 - Know Your Provider Act of 2020 - Larson - provider directory information H.R. 5809 - Better Information Act of 2020 - Beyer - health insurance membership card H.R. 5816 - Continuing Care for Patients Act of 2020 - Moore - coverage and provider network status H.R. 5817 - Fair and Honest Advance Cost Estimate for Patients Act of 2020 - Nunes - health plan transparency H.R. 5825 - To amend the Internal Revenue Code of 1986 to provide for reporting by certain investors with respect to certain specified medical care providers - Neal - investment in medicine H.R. 6286 - Health Savings Act of 2020 - Burgess - health savings account H.R. 6545 - Health Insurance Marketplace Affordability Act of 2020 - Murphy H.R. 7008 - Family Savings Flexibility Act - Wenstrup - HSA arrangements S. 3439 - Lower Health Insurance Deductibles Act - Scott - health savings accounts S. 3539 - A bill to amend the Internal Revenue Code of 1986 to exempt telehealth services from certain high deductible health plan rules - Daines - telehealth S. 3546 - A bill to waive high deductible health plan requirements for health savings accounts - Cruz - health savings accounts S. 3924 - A bill to provide tax credits to low- to moderate-income individuals for certain computer and education costs, to direct the Federal Communications Commission to modify the requirements for the Lifeline program to provide increased support, and for other purposes. - Durbin - Lifeline/Medicaid Regulatory Issues: Annual insurer provider fees; issues concerning the patient-centered outcomes research fee; employer coverage mandate; W-2 reporting requirements; health reimbursement accounts; deductibility limits for insurer compensation; issues relating to COVID-19; 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 Patient-Centered Outcomes Research Institute (PCORI) re-authorization; 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.

Medication affordability and access; general diabetes prevention; S 1948/HR 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act

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

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

Medication affordability and access; general diabetes prevention; S 1948/HR 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act

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

Legislative Coronavirus COVID-19 Pandemic Response - employer-sponsored health, paid leave and other benefit plans (Testing, COBRA subsidies, risk corridors, health savings accounts and high-deductible health plans, primary care) Coronavirus Preparedness and Response Supplemental Appropriations Act - H.R. 6074 (Public Law 116-123) Families First Coronavirus Response Act - H.R. 6201 (Public Law 116-127) Coronavirus Aid, Relief, and Economic Security Act (CARES) Act - H.R. 748 (Public Law 116-136) Lower Prescription Drug Costs Now Act - H.R. 3 Prescription Drug Rebates & Costs Bill - S. 657 Prescription Drug Pricing Reduction Act - S. 2543 Health care cost and transparency, drug pricing Know the Price Act - H.R. 6005 Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act - H.R. 6800 Ban Surprise Billing Act - H.R. 5800 Consumer Protections Against Surprise Medical Bills Act - H.R. 5826 The STOP Surprise Medical Bills Act - S. 1531 Protecting People from Surprise Medical Bills Act - H.R. 3502 No Surprises Act - H.R 3630 End Surprise Medical Billing Act - H.R. 861 Telehealth Expansion Act - S. 3539 Health Care at Home Act - H.R. 6644/S. 3741) Reauthorizing and Extending Americas Community Health (REACH) Act - H.R. 2328 Lower Health Care Costs Act - S. 1895 Paid Family Leave Pilot Extension Act - S. 1628 New Parents Act - S. 920 Family and Medical Insurance Leave (FAMILY) Act - S.463/H.R. 1185 Chronic Disease Management Act - S.1948/H.R. 3709 Dependent Care Flexible Spending Accounts (FSAs) Health Flexible Spending Accounts (FSAs) Regulatory and Other Coronavirus COVID-19 Pandemic Response - including proposed and issued guidance affecting employer-sponsored health, paid leave and other benefit plans (Cost-sharing, Testing, Tele-health, COBRA Subsidies, Cafeteria plans, COBRA and other group health plan time frames, health flexible spending arrangements and dependent care flexible spending arrangements) Executive Order - Protecting and Improving Medicare for our Nations Seniors Executive Order - Improving Price and Quality Transparency in American Healthcare to Put Patients First Patient-Centered Outcomes Research Institute (PCORI) - annual adjustment guidance and transition guidance Departments of Treasury, Labor and Health and Human Services (HHS) - Proposed Price Transparency Rule ERISA uniformity Dependent Care Flexible Spending Arrangements Health Flexible Spending Arrangements Health Reimbursement Arrangements (HRAs) - application of employer mandate to individual coverage HRAs - Proposed Rule High Deductible Health Plans (HDHPs) Health Savings Accounts (HSAs) State health care requirements affecting self-insured plans Paid leave proposals and issues Patient Protection and Affordable Care Act (ACA) - reporting requirements Grandfathered group health plans - proposed regulations Direct primary care arrangements - proposed regulations Mental health parity requirements - self compliance tool updates Voluntary Employees Beneficiary Association plans Wellness plans

Health Savings Account issues Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act H.R. 1922, The Restoring Access to Medication Act of 2019 S. 3439, the Lower Health Insurance Deductibles Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136)

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

Government targets: Council of Economic Advisers (CEA), 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

Health Savings Account issues Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act H.R. 1922, The Restoring Access to Medication Act of 2019 S. 3439, the Lower Health Insurance Deductibles Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136)

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

Government targets: Council of Economic Advisers (CEA), 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, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136)

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Council of Economic Advisers (CEA), 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, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136)

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Council of Economic Advisers (CEA), 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, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136)

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Council of Economic Advisers (CEA), 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: Health care reform Implementation of the Affordable Care Act -- PL 111-148 Middle Class Health Benefits Tax Repeal Act of 2019 - S. 684 / H.R. 748 Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 S. 1895, the Lower Health Care Cost Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes H.R. 3502, Protecting People From Surprise Medical Bills Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc. Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act H.R. 5825, the Transparency in Health Care Investments Act of 2020 H.R. 5800, Ban Surprise Billing Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R.6800, The Heroes Act

Legislative and regulatory issues including: Health care reform Implementation of the Affordable Care Act -- PL 111-148 Middle Class Health Benefits Tax Repeal Act of 2019 - S. 684 / H.R. 748 Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 S. 1895, the Lower Health Care Cost Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes H.R. 3502, Protecting People From Surprise Medical Bills Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc. Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act H.R. 5825, the Transparency in Health Care Investments Act of 2020 H.R. 5800, Ban Surprise Billing Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R.6800, The Heroes Act

H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R. 6201 - Families First Coronavirus Response Act S. 3548 - CARES Act H.R. 6800 - The Heroes Act Medication affordability and access; general diabetes prevention; S. 1948/H.R. 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S. 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act

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

H.R. 457, Health Savings Account Act H.R. 603, Heath Savings Account Expansion Act H.R. 748, Middle Class Health Benefits Tax Repeal Act of 2019 H.R. 908, Stop Penalizing Work Seniors Act Green Amendment to H.R. 1500, Consumers First Act H.R. 1679, PHIT Act of 2019 H.R. 1922, Restoring Access to Medication Act of 2019 S. 1948 / H.R. 3709, Chronic Disease Management Act of 2019 H.R. 2108, Retirement Freedom Act H.R. 2163, Freedom for Families Act H.R. 2177, Faith in Health Savings Act of 2019 H.R. 3708, Primary Care Enhancement Act of 2019 H.R. 3796, Health Savings for Senior Act H.R. 3594, Healthcare Freedom Act H.R. 4130, Keeping HSAs Accessible Act of 2019 H.R. 4530, Native American Health Savings Improvement Act H.R. 5050, Veterans and Consumers Fair Credit Act H.R. 5332, the Protecting Your Credit Score Act of 2019 S. 12, Health Savings Act of 2019 S. 680, PHIT Act of 2019 S. 684, Middle Class Health Benefits Tax Repeal Act of 2019 S. 1030, Retirement Freedom Act S. 1089, Restoring Access to Medication Act S. 2440, Qualified Health Savings Account Distribution Act of 2019 S. 2441, Health Savings Account Expansion Act of 2019 S. 3112, Personalized Care Act of 2019 S. 3439, Lower Health Insurance Deductibles Act S. 3546/ H.R. 6338, Pandemic Healthcare Access Act S. 4039, To amend the Internal Revenue Code of 1986 to make permanent the permissible first-dollar coverage of telehealth services for purposes of health savings accounts. H.R. 5566, Patient Fairness Act of 2020

Client expense: $2,730,000 · Firm income: Not reported

H.R. 3709 - Chronic Disease Management Act of 2019 - Blumenauer - HSAs and HDHPs H.R. 4651 - American Future Healthcare Act of 2019 - King - amends the Internal Revenue Code to expand health savings accounts H.R. 4652 - Individual Health Insurance Marketplace Improvement Act - Langevin - Individual Market Reinsurance fund H.R. 5807 - Know Your Provider Act of 2020 - Larson - provider directory information H.R. 5809 - Better Information Act of 2020 - Beyer - health insurance membership card H.R. 5816 - Continuing Care for Patients Act of 2020 - Moore - coverage and provider network status H.R. 5817 - Fair and Honest Advance Cost Estimate for Patients Act of 2020 - Nunes - health plan transparency H.R. 5825 - To amend the Internal Revenue Code of 1986 to provide for reporting by certain investors with respect to certain specified medical care providers - Neal - investment in medicine H.R. 6286 - Health Savings Act of 2020 - Burgess - health savings account S. 3439 - Lower Health Insurance Deductibles Act - Scott - health savings accounts S. 3539 - A bill to amend the Internal Revenue Code of 1986 to exempt telehealth services from certain high deductible health plan rules - Daines - telehealth S. 3546 - A bill to waive high deductible health plan requirements for health savings accounts - Cruz - health savings accounts Regulatory Issues: Annual insurer provider fees; issues concerning the patient-centered outcomes research fee; employer coverage mandate; W-2 reporting requirements; health reimbursement accounts; deductibility limits for insurer compensation; issues relating to COVID-19; 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 Patient-Centered Outcomes Research Institute (PCORI) re-authorization; 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.

General diabetes prevention; medication affordability and access; S. 1948/H.R. 3709, Chronic Disease Management Act; issues related to high deductible health plan pre-deductible coverage of treatments and services for chronic diseases; Medication affordability and access.

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

Medication affordability and access; general diabetes prevention; S. 1948/H.R. 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S. 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S. 3129 Lower Costs, More Cures Act.

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

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

Medication affordability and access; general diabetes prevention; S 1948/HR 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act

Client expense: $610,000 · Firm income: Not reported

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

H.R. 457, Health Savings Account Act H.R. 603, Heath Savings Account Expansion Act H.R. 748, Middle Class Health Benefits Tax Repeal Act of 2019 H.R. 908, Stop Penalizing Work Seniors Act Green Amendment to H.R. 1500, Consumers First Act H.R. 1679, PHIT Act of 2019 H.R. 1922, Restoring Access to Medication Act of 2019 S. 1948 / H.R. 3709, Chronic Disease Management Act of 2019 H.R. 2108, Retirement Freedom Act H.R. 2163, Freedom for Families Act H.R. 2177, Faith in Health Savings Act of 2019 H.R. 3708, Primary Care Enhancement Act of 2019 H.R. 3796, Health Savings for Senior Act H.R. 3594, Healthcare Freedom Act H.R. 4130, Keeping HSAs Accessible Act of 2019 H.R. 4530, Native American Health Savings Improvement Act H.R. 5050, Veterans and Consumers Fair Credit Act H.R. 5332, the Protecting Your Credit Score Act of 2019 S. 12, Health Savings Act of 2019 S. 680, PHIT Act of 2019 S. 684, Middle Class Health Benefits Tax Repeal Act of 2019 S. 1030, Retirement Freedom Act S. 1089, Restoring Access to Medication Act S. 2440, Qualified Health Savings Account Distribution Act of 2019 S. 2441, Health Savings Account Expansion Act of 2019 S. 3112, Personalized Care Act of 2019 S. 3439, Lower Health Insurance Deductibles Act H.R. 5566, Patient Fairness Act of 2020

Client expense: $2,400,000 · Firm income: Not reported

S. 1948, H.R. 3709 -- Chronic Disease Management Act of 2019 Issues in the House of Representatives related to amending the Internal Revenue Code, with respect to health savings accounts (HSAs), to allow the high deductible health plans required for an HSA to provide care for chronic conditions with no deductible - discussions outside the scope of S. 1948 and H.R. 3709.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Savings Account issues Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act H.R. 1922, The Restoring Access to Medication Act of 2019 S. 3439, the Lower Health Insurance Deductibles Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136)

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

Government targets: Council of Economic Advisers (CEA), 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

Health Savings Account issues Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act H.R. 1922, The Restoring Access to Medication Act of 2019 S. 3439, the Lower Health Insurance Deductibles Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136)

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

Government targets: Council of Economic Advisers (CEA), 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