To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios.

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio; To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios (H.R. 3969) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues Build Back Better Act (H.R.5376) KEEP Telehealth Options Act Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022 Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) 2018 MISSION Act Veterans PACT Act Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) Bipartisan Safer Communities Act

Client expense: $1,570,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio; To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios (H.R. 3969) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues Build Back Better Act (H.R.5376) KEEP Telehealth Options Act Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022 Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) 2018 MISSION Act Veterans PACT Act Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) Bipartisan Safer Communities Act

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio; To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios (H.R. 3969) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues Build Back Better Act (H.R.5376) KEEP Telehealth Options Act Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022 Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) 2018 MISSION Act Veterans PACT Act Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) Bipartisan Safer Communities Act

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization and Utilization Management, (H.R. 3107); Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use,42 CFR Part 2, Parity and compliance issues; Surprise medical billing; No Surprises Act Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, COVID-19 testing, vaccines, treatment, cost sharing Medical Loss Ratio; H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios Federal Medical Assistance Percentages (FMAP) increase Short Term Limited Duration health plans Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues H.R.5376 - Build Back Better Act KEEP Telehealth Options Act Opioid use disorders (OUD) and substance use disorders (SUD) treatment Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Postal Service Reform Act of 2022; Postal Service Retiree Benefits Reform Defense Health Programs (FY2022 Budget and FY2023 Budget Request Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) Veterans Records Access (Access for Veterans to Records Act)

Client expense: $2,080,000 · Firm income: Not reported

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues; Surprise medical billing; No Surprises Act Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act, HR 133 Medical Loss Ratio; H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues H.R.5376 - Build Back Better Act KEEP Telehealth Options Act Opioid use disorders (OUD) and substance use disorders (SUD) treatment Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022; Postal Service Retiree Benefits Reform Defense Health Programs (FY2022 Budget and FY2023 Budget Request Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) Veterans Records Access (Access for Veterans to Records Act)

Client expense: $2,080,000 · Firm income: Not reported

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization and Utilization Management, (H.R. 3107); Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use,42 CFR Part 2, Parity and compliance issues; Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, COVID-19 testing, vaccines, treatment, cost sharing Medical Loss Ratio; H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios Federal Medical Assistance Percentages (FMAP) increase Short Term Limited Duration health plans Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues H.R.5376 - Build Back Better Act KEEP Telehealth Options Act Opioid use disorders (OUD) and substance use disorders (SUD) treatment Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act

Client expense: $1,280,000 · Firm income: Not reported

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues; Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act, HR 133 Medical Loss Ratio; H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues H.R.5376 - Build Back Better Act KEEP Telehealth Options Act Opioid use disorders (OUD) and substance use disorders (SUD) treatment Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities

Client expense: $1,280,000 · Firm income: Not reported

H.R. 31 - Health Coverage Choice Act - Rep. Biggs, Andy [R-AZ-5] - short-term, limited-duration health insurance plans H.R. 145 - Continuing Coverage for Preexisting Conditions Act of 2021 - Rep. Joyce, David P. [R-OH-14] - pre-existing conditions H.R. 317 - To amend the Public Health Service Act to establish a health insurance Federal Invisible Risk Sharing Program - Rep. Schweikert, David [R-AZ-6] - federal risk sharing program H.R. 477 - Allys Act - Rep. Neguse, Joe [D-CO-2] - coverage for hearing devices H.R. 533 - Stop COVID-19 Test Surprise Medical Bills Act of 2021 - Rep. Fletcher, Lizzie [D-TX-7] - surprise medical bills H.R. 689 - Premium Relief Act of 2021 - Rep. Burgess, Michael C. [R-TX-26] - Patient and State Stability Fund H.R. 796 - Coverage for COVID-19 Treatment Act of 2021 - Rep. Blunt Rochester, Lisa [D-DE-At Large] - coverage for COVID-19 drugs H.R. 892 - Pre-existing Conditions Protection Act of 2021 - Rep. McMorris Rodgers, Cathy [R-WA-5] - pre-existing conditions H.R. 1255 - Living Donor Protection Act of 2021 - Rep. Nadler, Jerrold [D-NY-10] - coverage for organ donors H.R. 1790 - Fair Indexing for Health Care Affordability Act - Rep. Axne, Cynthia [D-IA-3] - maximum out of pocket costs and premium tax credits H.R. 2264 - Tele-Mental Health Improvement Act - Rep. Trone, David J. [D-MD-6] - telehealth H.R. 2808 - Health Freedom and Flexibility Act - Rep. Rosendale Sr., Matthew M. [R-MT-At Large] - HSAs H.R. 3029 - Health Care PRICE Transparency Act - Rep. Davidson, Warren [R-OH-8] - price transparency H.R. 3783 - Medical Nutrition Equity Act of 2021 - Rep. McGovern, James P. [D-MA-2] - coverage of medical foods H.R. 3947 - Justice for Patients Act - Rep. Porter, Katie [D-CA-45] - health insurance contracts H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios - Rep. Curtis, John R. [R-UT-3] - SDOH and MLRs H.R. 4123 - Increasing Health Coverage through HRAs Act of 2021 - Rep. Bishop, Dan [R-NC-9] - health reimbursement arrangements H.R. 4289 - WISH Act - Rep. Suozzi, Thomas R. [D-NY-3] - long-term care insurance benefits H.R. 4385 - Cancer Drug Parity Act of 2021 - Rep. Higgins, Brian [D-NY-26] - cost sharing for oral anticancer drugs H.R. 4480 - Telehealth Coverage and Payment Parity Act - Rep. Phillips, Dean [D-MN-3] - payment parity for telehealth services H.R. 4669 - Capping Costs for Consumers Act of 2021 - Rep. Schrier, Kim [D-WA-8] - cost-sharing reductions H.R. 4911 - Medicare Advantage Quality Payment Relief Act of 2021 - Rep. Kind, Ron [D-WI-3] - Medicare Advantage payments H.R. 5157 - Direct Primary Care for America Act - Rep. Crenshaw, Dan [R-TX-2] - HSAs and spending requirements H.R. 5214 - To amend the Internal Revenue Code of 1986 to permit expenditures from health savings accounts, flexible spending arrangements, and health reimbursement arrangements for dietary supplements - Rep. Curtis, John R. [R-UT-3] - HSAs and spending requirements H.R. 5390 - COBRA Subsidy Extension for Workers and Families Act - Rep. Mrvan, Frank J. [D-IN-1] - COBRA coverage H.R. 5432 - COVID-19 Testing Coverage Act of 2021 - Rep. Miller-Meeks, Mariannette [R-IA-2] - COVID-19 testing coverage H.R. 5536 - SMART Act - Rep. Rush, Bobby L. [D-IL-1] - outpatient physical therapy payment rules in rural areas H.R. 5610 - Easy Enrollment in Health Care Act - Rep. Bera, Ami [D-CA-7] - health insurance affordability programs and minimum essential coverage H.R. 5981 - Telehealth Expansion Act of 2021 - Rep. Steel, Michelle [R-CA-48] - telehealth services and high deductible health plans H.R. 6271 - Health Savings Act of 2021 - Rep. LaTurner, Jake [R-KS-2] - HSAs S. 125 - Protecting Life in Health Savings Accounts Act - Sen. Lee, Mike [R-UT] - HSAs S. 377 - Living Donor Protection Act of 2021 - Sen. Gillibrand, Kirsten E. [D-NY] - coverage for organ donors S. 380 - Health Savings Act of 2021 - Sen. Rubio, Marco [R-FL] - HSAs S. 660 - Tele-Mental Health Improvement Act - Sen. Smith, Tina [D-MN] - SUD and mental health S. 754 - Ensuring Lasting Smiles Act - Sen. Baldwin, Tammy [D-WI] - insurance benefits S. 756 - Continuing Coverage for Preexisting Conditions Act of 2021 - Sen. Kennedy, John [R-LA] - pre-existing conditions S. 1524 - Health Care PRICE Transparency Act- Sen. Braun, Mike [R-IN] - price transparency S. 2097 - TELEHEALTH HSA Act of 2021 - Sen. Kennedy, John [R-LA] - HSAs S. 2099 - Health Savings Account Expansion Act of 2021 - Sen. Sasse, Ben [R-NE] - HSAs S. 3001 - Easy Enrollment in Health Care Act - Sen. Van Hollen, Chris [D-MD] - health insurance affordability programs and minimum essential coverage S. 3139 - Healthy Competition for Better Care Act - Sen. Braun, Mike [R-IN] - anticompetitive terms in insurance contracts S. 3239 - Healthy MOM Act - Sen. Brown, Sherrod [D-OH] - SEPs for pregnant women Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to COBRA continuation coverage; issues related to behavioral health benefits; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to health equity; issues related to vaccination; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to the No Surprises Act, enacted as part of the Consolidated Appropriations Act in December 2020, including disclosure of agent broker compensation (Section 202c); issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to Medicaid best price; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; issues related to repeal of the antitrust-related portions of the McCarran-Ferguson Act; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; prior authorization; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

H.R. 31 - Health Coverage Choice Act - Rep. Biggs, Andy [R-AZ-5] - short-term, limited-duration health insurance plans H.R. 145 - Continuing Coverage for Preexisting Conditions Act of 2021 - Rep. Joyce, David P. [R-OH-14] - pre-existing conditions H.R. 317 - To amend the Public Health Service Act to establish a health insurance Federal Invisible Risk Sharing Program - Rep. Schweikert, David [R-AZ-6] - federal risk sharing program H.R. 477 - Allys Act - Rep. Neguse, Joe [D-CO-2] - coverage for hearing devices H.R. 533 - Stop COVID-19 Test Surprise Medical Bills Act of 2021 - Rep. Fletcher, Lizzie [D-TX-7] - surprise medical bills H.R. 689 - Premium Relief Act of 2021 - Rep. Burgess, Michael C. [R-TX-26] - Patient and State Stability Fund H.R. 796 - Coverage for COVID-19 Treatment Act of 2021 - Rep. Blunt Rochester, Lisa [D-DE-At Large] - coverage for COVID-19 drugs H.R. 892 - Pre-existing Conditions Protection Act of 2021 - Rep. McMorris Rodgers, Cathy [R-WA-5] - pre-existing conditions H.R. 1255 - Living Donor Protection Act of 2021 - Rep. Nadler, Jerrold [D-NY-10] - coverage for organ donors H.R. 1790 - Fair Indexing for Health Care Affordability Act - Rep. Axne, Cynthia [D-IA-3] - maximum out of pocket costs and premium tax credits H.R. 2264 - Tele-Mental Health Improvement Act - Rep. Trone, David J. [D-MD-6] - telehealth H.R. 2808 - Health Freedom and Flexibility Act - Rep. Rosendale Sr., Matthew M. [R-MT-At Large] - HSAs H.R. 3029 - Health Care PRICE Transparency Act - Rep. Davidson, Warren [R-OH-8] - price transparency H.R. 3783 - Medical Nutrition Equity Act of 2021 - Rep. McGovern, James P. [D-MA-2] - coverage of medical foods H.R. 3947 - Justice for Patients Act - Rep. Porter, Katie [D-CA-45] - health insurance contracts H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios - Rep. Curtis, John R. [R-UT-3] - SDOH and MLRs H.R. 4123 - Increasing Health Coverage through HRAs Act of 2021 - Rep. Bishop, Dan [R-NC-9] - health reimbursement arrangements H.R. 4289 - WISH Act - Rep. Suozzi, Thomas R. [D-NY-3] - long-term care insurance benefits H.R. 4385 - Cancer Drug Parity Act of 2021 - Rep. Higgins, Brian [D-NY-26] - cost sharing for oral anticancer drugs H.R. 4480 - Telehealth Coverage and Payment Parity Act - Rep. Phillips, Dean [D-MN-3] - payment parity for telehealth services H.R. 4669 - Capping Costs for Consumers Act of 2021 - Rep. Schrier, Kim [D-WA-8] - cost-sharing reductions H.R. 4911 - Medicare Advantage Quality Payment Relief Act of 2021 - Rep. Kind, Ron [D-WI-3] - Medicare Advantage payments H.R. 5157 - Direct Primary Care for America Act - Rep. Crenshaw, Dan [R-TX-2] - HSAs and spending requirements H.R. 5214 - To amend the Internal Revenue Code of 1986 to permit expenditures from health savings accounts, flexible spending arrangements, and health reimbursement arrangements for dietary supplements - Rep. Curtis, John R. [R-UT-3] - HSAs and spending requirements H.R. 5390 - COBRA Subsidy Extension for Workers and Families Act - Rep. Mrvan, Frank J. [D-IN-1] - COBRA coverage H.R. 5432 - COVID-19 Testing Coverage Act of 2021 - Rep. Miller-Meeks, Mariannette [R-IA-2] - COVID-19 testing coverage S. 125 - Protecting Life in Health Savings Accounts Act - Sen. Lee, Mike [R-UT] - HSAs S. 377 - Living Donor Protection Act of 2021 - Sen. Gillibrand, Kirsten E. [D-NY] - coverage for organ donors S. 380 - Health Savings Act of 2021 - Sen. Rubio, Marco [R-FL] - HSAs S. 660 - Tele-Mental Health Improvement Act - Sen. Smith, Tina [D-MN] - SUD and mental health S. 754 - Ensuring Lasting Smiles Act - Sen. Baldwin, Tammy [D-WI] - insurance benefits S. 756 - Continuing Coverage for Preexisting Conditions Act of 2021 - Sen. Kennedy, John [R-LA] - pre-existing conditions S. 1524 - Health Care PRICE Transparency Act- Sen. Braun, Mike [R-IN] - price transparency S. 2097 - TELEHEALTH HSA Act of 2021 - Sen. Kennedy, John [R-LA] - HSAs S. 2099 - Health Savings Account Expansion Act of 2021 - Sen. Sasse, Ben [R-NE] - HSAs Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to COBRA continuation coverage; issues related to behavioral health benefits; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to health equity; issues related to vaccination; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to the No Surprises Act, enacted as part of the Consolidated Appropriations Act in December 2020, including disclosure of agent broker compensation (Section 202c); issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to Medicaid best price; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; issues related to repeal of the antitrust-related portions of the McCarran-Ferguson Act; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; prior authorization; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

Affordable Care Act (ACA); ACA subsidies; Surprise Billing, Maternal Health; COVID-19; Telehealth; Health disparities; Social Determinants of Health; Extending Exchange Subsidies; Budget Reconciliation Public Law 117-2 (H.R. 1319) - American Rescue Plan Act of 2021 Sponsor: Rep. John Yarmuth (D-KY-03) Public Law 117-7 (H.R. 1868)- To prevent across-the-board direct spending cuts, and for other purposes. Sponsor: Rep. John Yarmuth (D-KY-03) H.R. 959 - Black Maternal Health Momnibus Act of 2021 Sponsor: Rep. Lauren Underwood (D-IL-14) H.R. 3894 - CARING for Social Determinants Act of 2021 Sponsor: Rep. Lisa Blunt Rochester (D-DE-At-Large) H.R. 3969, to include activities to improve social determinants of health in calculation of medical loss ratios

Client expense: $740,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization and Utilization Management, (H.R. 3107); Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use,42 CFR Part 2, Parity and compliance issues; Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, COVID-19 testing, vaccines, treatment, cost sharing Medical Loss Ratio; H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios Federal Medical Assistance Percentages (FMAP) increase Short Term Limited Duration health plans Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues H.R.5376 - Build Back Better Act KEEP Telehealth Options Act Hospital Competition Act

Client expense: $2,210,000 · Firm income: Not reported

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues; Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act, HR 133 Medical Loss Ratio; H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues H.R.5376 - Build Back Better Act KEEP Telehealth Options Act Hospital Competition Act

Client expense: $2,210,000 · Firm income: Not reported

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues; Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act, HR 133 Medical Loss Ratio; H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues

Client expense: $1,730,000 · Firm income: Not reported

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization and Utilization Management, (H.R. 3107); Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use,42 CFR Part 2, Parity and compliance issues; Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, COVID-19 testing, vaccines, treatment, cost sharing Medical Loss Ratio; H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios Federal Medical Assistance Percentages (FMAP) increase Short Term Limited Duration health plans Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues

Client expense: $1,730,000 · Firm income: Not reported

H.R. 31 - Health Coverage Choice Act - Rep. Biggs, Andy [R-AZ-5] - short-term, limited-duration health insurance plans H.R. 145 - Continuing Coverage for Preexisting Conditions Act of 2021 - Rep. Joyce, David P. [R-OH-14] - pre-existing conditions H.R. 317 - To amend the Public Health Service Act to establish a health insurance Federal Invisible Risk Sharing Program - Rep. Schweikert, David [R-AZ-6] - federal risk sharing program H.R. 477 - To amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, the Internal Revenue Code of 1986, and the Patient Protection and Affordable Care Act to require coverage of hearing devices and systems in certain private health insurance plans, and for other purposes - Rep. Neguse, Joe [D-CO-2] - coverage for hearing devices H.R. 533 - Stop COVID-19 Test Surprise Medical Bills Act of 2021 - Rep. Fletcher, Lizzie [D-TX-7] - surprise medical bills H.R. 689 - Premium Relief Act of 2021 - Rep. Burgess, Michael C. [R-TX-26] - Patient and State Stability Fund H.R. 796 - Coverage for COVID-19 Treatment Act of 2021 - Rep. Blunt Rochester, Lisa [D-DE-At Large] - coverage for COVID-19 drugs H.R. 892 - Pre-existing Conditions Protection Act of 2021 - Rep. McMorris Rodgers, Cathy [R-WA-5] - pre-existing conditions H.R. 1255 - Living Donor Protection Act of 2021 - Rep. Nadler, Jerrold [D-NY-10] - coverage for organ donors H.R. 1790 - To amend the Patient Protection and Affordable Care Act to require the Secretary of Health and Human Services to set forth a method of determining maximum out-of-pocket limits and annual updates to premium tax credit eligibility - Rep. Axne, Cynthia [D-IA-3] - maximum out of pocket costs and premium tax credits H.R. 2264 - Tele-Mental Health Improvement Act - Rep. Trone, David J. [D-MD-6] - telehealth H.R. 2808 - To amend the Internal Revenue Code of 1986 to make improvements to Health Savings Accounts - Rep. Rosendale Sr., Matthew M. [R-MT-At Large] - HSAs H.R. 3029 - Health Care PRICE Transparency Act - Rep. Davidson, Warren [R-OH-8] - price transparency H.R. 3783 - Medical Nutrition Equity Act of 2021 - Rep. McGovern, James P. [D-MA-2] - coverage of medical foods H.R. 3947 - To prohibit the inclusion of mandatory predispute arbitration clauses and clauses limiting class action lawsuits in health insurance contracts - Rep. Porter, Katie [D-CA-45] - health insurance contracts H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios - Rep. Curtis, John R. [R-UT-3] - SDOH and MLRs H.R. 4123 - To codify certain rules related to health reimbursement arrangements and other account-based group health plans - Rep. Bishop, Dan [R-NC-9] - health reimbursement arrangements H.R. 4289 - To amend title II of the Social Security Act to provide for long-term care insurance benefits - Rep. Suozzi, Thomas R. [D-NY-3] - long-term care insurance benefits S. 125 - Protecting Life in Health Savings Accounts Act - Sen. Lee, Mike [R-UT] - HSAs S. 377 - Living Donor Protection Act of 2021 - Sen. Gillibrand, Kirsten E. [D-NY] - coverage for organ donors S. 380 - Health Savings Act of 2021 - Sen. Rubio, Marco [R-FL] - HSAs S. 660 - A bill to require parity in the coverage of mental health and substance use disorder services provided to enrollees in private insurance plans, whether such services are provided in-person or through telehealth - Sen. Smith, Tina [D-MN] - SUD and mental health S. 754 - A bill to provide health insurance benefits for outpatient and inpatient items and services related to the diagnosis and treatment of a congenital anomaly or birth defect - Sen. Baldwin, Tammy [D-WI] - insurance benefits S. 756 - A bill to amend the Patient Protection and Affordable Care Act to ensure that preexisting condition exclusions with respect to enrollment in health insurance coverage and group health plans continue to be prohibited - Sen. Kennedy, John [R-LA] - pre-existing conditions S. 1524 - Health Care PRICE Transparency Act- Sen. Braun, Mike [R-IN] - price transparency S. 2097 - A bill 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 - Sen. Kennedy, John [R-LA] - HSAs S. 2099 - A bill to amend the Internal Revenue Code of 1986 to allow individuals who are not enrolled in a high deductible health plan to have access to health savings accounts - Sen. Sasse, Ben [R-NE] - HSAs Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to COBRA continuation coverage; issues related to behavioral health benefits; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to health equity; issues related to vaccination; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to the No Surprises Act, enacted as part of the Consolidated Appropriations Act in December 2020, including disclosure of agent broker compensation (Section 202c); issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to Medicaid best price; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; issues related to repeal of the antitrust-related portions of the McCarran-Ferguson Act; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; prior authorization; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

Affordable Care Act (ACA); ACA Reform; ACA Coverage Improvement; Health Reform; Lower Health Care Costs; Transparency; Surprise Billing, Maternal Health; COVID-19 Response/Relief Packages, Telehealth/ Audio-Only; COVID-19 ; Black Maternal Health; Age adjustment; Health disparities; Implementation timetables/deliverables; Health Equities; SEP; Modeling of BCBSA Individual Market Proposals; CAA; APCD; Closing Coverage Gap; Extending Exchange Subsidies; Health Equity Issues; Public Law 116-260 (H.R. 133) Covid-19 Relief and Fiscal 2021 Omnibus Consolidated Appropriations Act, 2021 Sponsor: Rep. Henry Cuellar (D-TX-28) H.R. 19 - Lower Costs, More Cures Act of 2021 Sponsor: Rep. Cathy McMorris Rodgers (R-WA-05) H.R. 2503 - Social Determinants Accelerator Act of 2021 Sponsor: Rep. Cheri Bustos (D-IL-17) H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios. Sponsor: Rep. John Curtis (R-UT-03) Public Law 117-2 (H.R. 1319) - American Rescue Plan Act of 2021 Sponsor: Rep. John Yarmuth (D-KY-03)

Client expense: $124,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Care Act (ACA); ACA Reform; ACA Coverage Improvement; Health Reform; Lower Health Care Costs; Transparency; Surprise Billing, Maternal Health; COVID-19 Response/Relief Packages, Telehealth/ Audio-Only; COVID-19 ; Black Maternal Health; Age adjustment; Health disparities; Implementation timetables/deliverables; Health Equities; SEP; Modeling of BCBSA Individual Market Proposals; CAA; APCD; Closing Coverage Gap; Extending Exchange Subsidies; Health Equity Issues; Public Law 116-260 (H.R. 133) Covid-19 Relief and Fiscal 2021 Omnibus Consolidated Appropriations Act, 2021 Sponsor: Rep. Henry Cuellar (D-TX-28) H.R. 19 - Lower Costs, More Cures Act of 2021 Sponsor: Rep. Cathy McMorris Rodgers (R-WA-05) H.R. 2503 - Social Determinants Accelerator Act of 2021 Sponsor: Rep. Cheri Bustos (D-IL-17) H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios. Sponsor: Rep. John Curtis (R-UT-03) Public Law 117-2 (H.R. 1319) - American Rescue Plan Act of 2021 Sponsor: Rep. John Yarmuth (D-KY-03)

Client expense: $1,650,000 · Firm income: Not reported

Affordable Care Act (ACA); ACA Reform; Transparency; Surprise Billing, Maternal Health; COVID-19 Response/Relief Packages, Telehealth/ Audio-Only; Black Maternal Health; Health disparities; Social Determinants of Health; Implementation timetables/deliverables; CAA; Closing Coverage Gap; Extending Exchange Subsidies Public Law 116-260 (H.R. 133) Covid-19 Relief and Fiscal 2021 Omnibus Consolidated Appropriations Act, 2021 Sponsor: Rep. Henry Cuellar (D-TX-28) H.R. 2503 - Social Determinants Accelerator Act of 2021 Sponsor: Rep. Cheri Bustos (D-IL-17) H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios. Sponsor: Rep. John Curtis (R-UT-03) Public Law 117-2 (H.R. 1319) - American Rescue Plan Act of 2021 Sponsor: Rep. John Yarmuth (D-KY-03)

Client expense: $230,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Care Act (ACA); ACA Reform; ACA Coverage Improvement; Health Reform; Lower Health Care Costs; Transparency; Surprise Billing; Maternal Health; COVID-19 Response/Relief Packages; Telehealth/Audio-Only; COVID-19; Black Maternal Health; Age Adjustment; Health Disparities; Implementation Timetables/Deliverables; Health Equities; SEP; Modeling of BCBSA Individual Market Proposals; CAA; APCD; Closing Coverage Gap; Extending Exchange Subsidies; Health Equity Issues HR 133 (116th Congress), Consolidated Appropriations Act, 2021, by Rep. Henry Cuellar (D-TX). A spending package that includes a $1.4 trillion to fund the federal government through September 30, 2021, $900 billion in funding for COVID-19 relief, protections for patients from surprise medical bills and a number of other health-related provisions. HR 19 (117th Congress), Lower Costs, More Cures Act of 2021, by Rep. Cathy McMorris Rodgers (R-WA). Provides for certain reforms with respect to the Medicare program under title XVIII of the Social Security Act, the Medicaid program under title XIX of such Act, the Food and Drug Administration. HR 1319 (117th Congress), American Rescue Plan Act of 2021, by Rep. John Yarmuth (D-KY). Provides additional relief to address the continued impact of COVID-19 (i.e., coronavirus disease 2019) on the economy, public health, state and local governments, individuals, and businesses. HR 2503 (117th Congress), Social Determinants Accelerator Act of 2021, by Rep. Cheri Bustos (D-IL). To direct the Secretary of Health and Human Services to establish an interagency council on social determinants of health. HR 3969 (117th Congress), by Rep. John Curtis (R-UT). To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios.