Commonsense Reporting Act of 2023

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1264, Commonsense Reporting Act of 2023 H.R. 2813, Self-Insurance Protection Act H.R. 2868, Association Health Plans Act H.R. 3800, Chronic Disease Flexible Coverage Act H.R. 4307/S. 2115, Medical Supply Chain Resiliency Act H.R. 6363, Further Continuing Appropriations and Other Extensions Act of 2024, and issues pertaining to H.R. 1843/S. 1001, The Telehealth Expansion Act of 2023 H.R. 6860, Restore Protections for Dialysis Patients Act H.R. 9029, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 S. 127, Pharmacy Benefit Manager Transparency Act of 2023 S. 142, Preserve Access to Affordable Generics and Biosimilars Act S. 148, Stop Significant and Time-wasting Abuse Limiting Legitimate Innovation of New Generics (Stop STALLING) Act S. 150, Affordable Prescriptions for Patients Act of 2023 S. 1067, Ensuring Timely Access to Generics Act of 2023 S. 1114, Expanding Access to Low-Cost Generics Act of 2023 S. 1214, Retaining Access and Restoring Exclusivity (RARE) Act S. 1339, Pharmacy Benefit Manager Reform Act S. 2624, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 S. 2780, The Medication Affordability and Patent Integrity Act Proposed Rule, Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department; Requirements Related to the Mental Health Parity and Addiction Equity Act (88 Fed. Reg. 51,552-51,669, August 3, 2023) Proposed Rule, Employee Benefits Security Administration, Department of Labor; Definition of Employer-Association Health Plans (88 Fed. Reg. 87,968-87,981, December 20, 2023) Various issues relating to the employer-sponsored health care system, implementation of regulatory process, provider network adequacy, health savings account (HSAs), health reimbursement account (HRAs), employer mandate; Medicare Drug Price Negotiation Program: Initial Memorandum, Implementation of Sections 1191 - 1198 of the Social Security Act for Initial Price Applicability Year 2026, and Solicitation of Comments; implementation of the American Rescue Plan Act (P.L. 117-2); implementation of the Inflation Reduction Act (P.L. 117-169); balance or surprise billing and related issues; single-payer health care options; health reimbursement arrangements and other account-based group health plans; Health and Human Services international pricing index (IPI) model; mental health parity; drug pricing; COBRA subsidies; Federal Trade Commissions multilateral pharmaceutical merger taskforce; telehealth, including coverage of telehealth under High Deductible Health Plans (HDHPs) and expanding telehealth options for employees; impact of Pharmacy Benefit Managers Practices; FTC-2022-0015; petition to HHS to grant march-in rights for the patents on the drug Xtandi; legislative proposals to tax employer-provided health care coverage; artificial price caps on providing insulin; Reasonable Price Clause in reauthorization draft of the Pandemic and All Hazards Preparedness Act (PAHPA, P.L. 109-417); over-the-counter preventive services; ERISA preemption protections including information on constructive changes/modifications to ERISA; efforts to reform the World Health Organizations (WHO) engagement with private sector; support for necessary market conditions to incentivize health sector investment from private sector; support for private sector involvement in health systems strengthening; promote greater harmonization of standards and investment in digital health; health-related policy issues in the G20/G7 forums and other multilateral forums; support for improving access to health products and technologies globally, including via regulatory alignment, addressing trade barriers, strengthening the global supply chain, and raising awareness on potential pitfalls of local manufacturing; combatting anti-microbial resistance; Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies, U.S. Centers for Medicare & Medicaid Services, U.S. Department of Health and Human Services (2025 Advance Notice, January 31, 2024)

S.127, Pharmacy Benefit Manager Transparency Act of 2023; S.954, Affordable Insulin Now Act; S.1339, Pharmacy Benefit Manager Reform Act; S.1664, Healthy Families Act; S.1869, SITE Act; H.R.824, Telehealth Benefit Expansion for Works Act of 2023; H.R.1264, Commonsense Reporting Act; H.R.1843, Telehealth Expansion Act of 2023; H.R.2813, Self Insurance Protection Act; H.R.2868, Association Health Plan Act; H.R.3797, Paperwork Burden Reduction Act; H.R.3798, Small Business Flexibility Act; H.R.3799, CHOICE Arrangement Act; H.R.3801, Employer Reporting Improvement Act; Issues related to dialysis coverage; Issues related to health sector consolidation; Issues related to ERISA pre-emption; Issues related to employer sponsored health coverage

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1264, Commonsense Reporting Act of 2023 H.R. 2813, Self-Insurance Protection Act H.R. 2868, Association Health Plans Act H.R. 3800, Chronic Disease Flexible Coverage Act H.R. 4307/S. 2115, Medical Supply Chain Resiliency Act H.R. 6860, Restore Protections for Dialysis Patients Act H.R. 9029, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 S. 127, Pharmacy Benefit Manager Transparency Act of 2023 S. 142, Preserve Access to Affordable Generics and Biosimilars Act S. 148, Stop Significant and Time-wasting Abuse Limiting Legitimate Innovation of New Generics (Stop STALLING) Act S. 150, Affordable Prescriptions for Patients Act of 2023 S. 1067, Ensuring Timely Access to Generics Act of 2023 S. 1114, Expanding Access to Low-Cost Generics Act of 2023 S. 1214, Retaining Access and Restoring Exclusivity (RARE) Act S. 1339, Pharmacy Benefit Manager Reform Act S. 2624, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 S. 2780, The Medication Affordability and Patent Integrity Act Proposed Rule, Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department; Requirements Related to the Mental Health Parity and Addiction Equity Act (88 Fed. Reg. 51,552-51,669, August 3, 2023) Proposed Rule, Employee Benefits Security Administration, Department of Labor; Definition of Employer-Association Health Plans (88 Fed. Reg. 87,968-87,981, December 20, 2023) Various issues relating to the employer-sponsored health care system, implementation of regulatory process, provider network adequacy, health savings account (HSAs), health reimbursement account (HRAs), employer mandate; Medicare Drug Price Negotiation Program: Initial Memorandum, Implementation of Sections 1191-1198 of the Social Security Act for Initial Price Applicability Year 2026, and Solicitation of Comments; implementation of the American Rescue Plan Act (P.L. 117-2); implementation of the Inflation Reduction Act (P.L. 117-169); balance or surprise billing and related issues; single-payer health care options; health reimbursement arrangements and other account-based group health plans; Health and Human Services international pricing index (IPI) model; mental health parity; drug pricing; COBRA subsidies; Federal Trade Commissions multilateral pharmaceutical merger taskforce; telehealth, including coverage of telehealth under High Deductible Health Plans (HDHPs) and expanding telehealth options for employees; impact of Pharmacy Benefit Managers Practices; FTC-2022-0015; petition to HHS to grant march-in rights for the patents on the drug Xtandi; legislative proposals to tax employer-provided health care coverage; artificial price caps on providing insulin; Reasonable Price Clause in reauthorization draft of the Pandemic and All Hazards Preparedness Act(PAHPA, P.L. 109-417); over-the-counter preventive services; ERISA preemption protections including information on constructive changes/modifications to ERISA; efforts to reform the World Health Organizations (WHO) engagement with private sector; support for necessary market conditions to incentivize health sector investment from private sector; support for private sector involvement in health systems strengthening; promote greater harmonization of standards and investment in digital health; health-related policy issues in the G20/G7 forums and other multilateral forums; support for improving access to health products and technologies globally, including via regulatory alignment, addressing trade barriers, strengthening the global supply chain, and raising awareness on potential pitfalls of local manufacturing; Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies, U.S. Centers for Medicare & Medicaid Services, U.S. Department of Health and Human Services (2025 Advance Notice, January 31, 2024)

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.127, Pharmacy Benefit Manager Transparency Act of 2023; S.954, Affordable Insulin Now Act; S.1339, Pharmacy Benefit Manager Reform Act; S.1664, Healthy Families Act; S.1869, SITE Act; H.R.824, Telehealth Benefit Expansion for Works Act of 2023; H.R.1264, Commonsense Reporting Act; H.R.1843, Telehealth Expansion Act of 2023; H.R.2813, Self Insurance Protection Act; H.R.2868, Association Health Plan Act; H.R.3797, Paperwork Burden Reduction Act; H.R.3798, Small Business Flexibility Act; H.R.3799, CHOICE Arrangement Act; H.R.3801, Employer Reporting Improvement Act; Issues related to dialysis coverage; Issues related to health sector consolidation; Issues related to ERISA pre-emption; Issues related to employer sponsored health coverage

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.127, Pharmacy Benefit Manager Transparency Act of 2023; S.954, Affordable Insulin Now Act; S.1339, Pharmacy Benefit Manager Reform Act; S.1664, Healthy Families Act; S.1869, SITE Act; HR.824, Telehealth Benefit Expansion for Works Act of 2023; HR.1264, Commonsense Reporting Act; HR.1843, Telehealth Expansion Act of 2023; HR.2813, Self Insurance Protection Act; HR.2868, Association Health Plan Act; HR.3797, Paperwork Burden Reduction Act; HR.3798, Small Business Flexibility Act; HR.3799, CHOICE Arrangement Act; HR.3801, Employer Reporting Improvement Act; Issues related to dialysis coverage; Issues related to health sector consolidation; Issues related to ERISA pre-emption; Issues related to employer sponsored health coverage

Client expense: $101,954 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.127, Pharmacy Benefit Manager Transparency Act of 2023; S.954, Affordable Insulin Now Act; S.1339, Pharmacy Benefit Manager Reform Act; S.1664, Healthy Families Act; S.1869, SITE Act; HR.824, Telehealth Benefit Expansion for Works Act of 2023; HR.1264, Commonsense Reporting Act; HR.1843, Telehealth Expansion Act of 2023; HR.2813, Self Insurance Protection Act; HR.2868, Association Health Plan Act; HR.3797, Paperwork Burden Reduction Act; HR.3798, Small Business Flexibility Act; HR.3799, CHOICE Arrangement Act; HR.3801, Employer Reporting Improvement Act; Issues related to dialysis coverage; Issues related to health sector consolidation; Issues related to ERISA pre-emption; Issues related to employer sponsored health coverage

Client expense: $101,954 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1264, Commonsense Reporting Act of 2023 H.R. 2813, Self-Insurance Protection Act H.R. 2868, Association Health Plans Act H.R. 4307/S. 2115, Medical Supply Chain Resiliency Act H.R. 6860, Restore Protections for Dialysis Patients Act S. 127, Pharmacy Benefit Manager Transparency Act of 2023 S. 142, Preserve Access to Affordable Generics and Biosimilars Act S. 148, Stop Significant and Time-wasting Abuse Limiting Legitimate Innovation of New Generics (Stop STALLING) Act S. 150, Affordable Prescriptions for Patients Act of 2023 S. 1067, Ensuring Timely Access to Generics Act of 2023 S. 1114, Expanding Access to Low-Cost Generics Act of 2023 S. 1214, Retaining Access and Restoring Exclusivity (RARE) Act S. 1339, Pharmacy Benefit Manager Reform Act S. 2624, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 Draft legislation titled Fiscal Year 2025 Labor, Health and Human Services, Education, and Related Agencies Appropriations Act Request for Extension of Time for Comments, on Proposed Rule, Consumer Financial Protection Bureau; Prohibition on Creditors and Consumer Reporting Agencies Concerning Medical Information (Regulation V) (89 Fed. Reg. 51,682-51,736, June 18, 2024) Proposed Rule, Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department; Requirements Related to the Mental Health Parity and Addiction Equity Act (88 Fed. Reg. 51,552-51,669, August 3, 2023) Proposed Rule, Employee Benefits Security Administration, Department of Labor; Definition of Employer-Association Health Plans (88 Fed. Reg. 87,968-87,981, December 20, 2023) Various issues relating to the employer-sponsored health care system, implementation of regulatory process, provider network adequacy, health savings account (HSAs), health reimbursement account (HRAs), employer mandate; Medicare Drug Price Negotiation Program: Initial Memorandum, Implementation of Sections 1191 - 1198 of the Social Security Act for Initial Price Applicability Year 2026, and Solicitation of Comments; implementation of the American Rescue Plan Act (P.L. 117-2); implementation of the Inflation Reduction Act (P.L. 117-169); balance or surprise billing and related issues; single-payer health care options; health reimbursement arrangements and other account-based group health plans; Health and Human Services international pricing index (IPI) model; mental health parity; drug pricing; COBRA subsidies; Federal Trade Commissions multilateral pharmaceutical merger taskforce; telehealth, including coverage of telehealth under High Deductible Health Plans (HDHPs) and expanding telehealth options for employees; impact of Pharmacy Benefit Managers Practices; FTC-2022-0015; petition to HHS to grant march-in rights for the patents on the drug Xtandi; legislative proposals to tax employer-provided health care coverage; artificial price caps on providing insulin; Reasonable Price Clause in reauthorization draft of the Pandemic and All Hazards Preparedness Act (PAHPA, P.L. 109-417); over-the-counter preventive services; ERISA preemption protections including information on constructive changes/modifications to ERISA; artificial price caps on providing insulin; efforts to reform the World Health Organizations (WHO) engagement with private sector; continued U.S. membership to the World Health Organization (WHO); support for necessary market conditions to incentivize health sector investment from private sector; support for private sector involvement in health systems strengthening; promote greater harmonization of standards and investment in digital health; health-related policy issues in the G20/G7 forums and other multilateral forums; support for improving access to health products and technologies globally, including via regulatory alignment and addressing trade barriers; Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies, U.S. Centers for Medicare & Medicaid Services, U.S. Department of Health and Human Services (2025 Advance Notice, January 31, 2024)

H.R. 1264, Commonsense Reporting Act of 2023 H.R. 2813, Self-Insurance Protection Act H.R. 2868, Association Health Plans Act H.R. 4307/S. 2115, Medical Supply Chain Resiliency Act H.R. 6860, Restore Protections for Dialysis Patients Act S. 127, Pharmacy Benefit Manager Transparency Act of 2023 S. 142, Preserve Access to Affordable Generics and Biosimilars Act S. 148, Stop Significant and Time-wasting Abuse Limiting Legitimate Innovation of New Generics (Stop STALLING) Act S. 150, Affordable Prescriptions for Patients Act of 2023 S. 1067, Ensuring Timely Access to Generics Act of 2023 S. 1114, Expanding Access to Low-Cost Generics Act of 2023 S. 1214, Retaining Access and Restoring Exclusivity (RARE) Act S. 1339, Pharmacy Benefit Manager Reform Act S. 2624, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 Proposed Rule by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department; Requirements Related to the Mental Health Parity and Addiction Equity Act (88 Fed. Reg. 51,552-51,669, August 3, 2023) Proposed Rule, Employee Benefits Security Administration, Department of Labor; Definition of Employer-Association Health Plans (88 Fed. Reg. 87,968-87,981, December 20, 2023) Various issues relating to the employer-sponsored health care system, implementation of regulatory process, provider network adequacy, health savings account (HSAs), health reimbursement account (HRAs), employer mandate; Medicare Drug Price Negotiation Program: Initial Memorandum, Implementation of Sections 1191 - 1198 of the Social Security Act for Initial Price Applicability Year 2026, and Solicitation of Comments; implementation of the American Rescue Plan Act (P.L. 117-2); implementation of the Inflation Reduction Act (P.L. 117-169); "Reasonable Price Clause" in reauthorization draft of the Pandemic and All Hazards Preparedness Act (PAHPA, P.L. 109-417); balance or surprise billing and related issues; single-payer health care options; health reimbursement arrangements and other account-based group health plans; Health and Human Services international pricing index (IPI) model; mental health parity; drug pricing; COBRA subsidies; Federal Trade Commissions multilateral pharmaceutical merger taskforce; telehealth, including coverage of telehealth under High Deductible Health Plans (HDHPs) and expanding telehealth options for employees; impact of Pharmacy Benefit Managers Practices; FTC-2022-0015; petition to HHS to grant march-in rights for the patents on the drug Xtandi; Over-the-counter preventive services; ERISA preemption protections including information on constructive changes/modifications to ERISA; artificial price caps on providing insulin; efforts to reform the World Health Organizations (WHO) engagement with private sector; continued U.S. membership to the World Health Organization (WHO); support for necessary market conditions to incentivize health sector investment from private sector; support for private sector involvement in health systems strengthening; promote greater harmonization of standards and investment in digital health; health-related policy issues in the G20/G7 forums and other multilateral forums; support for improving access to health products and technologies globally, including via regulatory alignment and addressing trade barriers; Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies, U.S. Centers for Medicare & Medicaid Services, U.S. Department of Health and Human Services (2025 Advance Notice, January 31, 2024)

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.127, Pharmacy Benefit Manager Transparency Act of 2023; S.954, Affordable Insulin Now Act; S.1339, Pharmacy Benefit Manager Reform Act; S.1664, Healthy Families Act; S.1869, SITE Act; HR.824, Telehealth Benefit Expansion for Works Act of 2023; HR.1264, Commonsense Reporting Act; HR.1843, Telehealth Expansion Act of 2023; HR.2813, Self Insurance Protection Act; HR.2868, Association Health Plan Act; HR.3797, Paperwork Burden Reduction Act; HR.3798, Small Business Flexibity Act; HR.3799, CHOICE Arrangement Act; HR.3801, Employer Reporting Improvement Act; Issues related to dialysis coverage; Issues related to health sector consolidation; Issues related to ERISA pre-emption

Client expense: $126,007 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1264, Commonsense Reporting Act of 2023 H.R. 2813, Self-Insurance Protection Act H.R. 2868, Association Health Plans Act S. 127, Pharmacy Benefit Manager Transparency Act of 2023 S. 142, Preserve Access to Affordable Generics and Biosimilars Act S. 148, Stop Significant and Time-wasting Abuse Limiting Legitimate Innovation of New Generics (Stop STALLING) Act S. 150, Affordable Prescriptions for Patients Act of 2023 S. 1067, Ensuring Timely Access to Generics Act of 2023 S. 1114, Expanding Access to Low-Cost Generics Act of 2023 S. 1214, Retaining Access and Restoring Exclusivity (RARE) Act S. 1339, Pharmacy Benefit Manager Reform Act S. 2624, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 Nomination of Dr. Monica M. Bertagnolli as Director of the National Institutes of Health Proposed Rule by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department; Requirements Related to the Mental Health Parity and Addiction Equity Act (88 Fed. Reg. 51,552-51,669, August 3, 2023) Request for Information Regarding Coverage of Over-the-Counter Preventive Services, Internal Revenue Service, Department of the Treasury; Employee Benefits Security Administration, Department of Labor; Centers for Medicare & Medicaid Services, Department of Health and Human Services (88 Fed. Reg. 68,519-68,525, October 4, 2023) Various issues relating to the employer-sponsored health care system, implementation of regulatory process, provider network adequacy, health savings account (HSAs), health reimbursement account (HRAs), employer mandate; Medicare Drug Price Negotiation Program: Initial Memorandum, Implementation of Sections 1191 - 1198 of the Social Security Act for Initial Price Applicability Year 2026, and Solicitation of Comments; implementation of the American Rescue Plan Act (P.L. 117-2); implementation of the Inflation Reduction Act (P.L. 117-169); balance or surprise billing and related issues; single-payer health care options; health reimbursement arrangements and other account-based group health plans; Health and Human Services international pricing index (IPI) model; mental health parity; drug pricing; COBRA subsidies; Federal Trade Commissions multilateral pharmaceutical merger taskforce; telehealth, including coverage of telehealth under High Deductible Health Plans (HDHPs) and expanding telehealth options for employees; impact of Pharmacy Benefit Managers Practices; FTC-2022-0015; petition to HHS to grant march-in rights for the patents on the drug Xtandi; Reasonable Price Clause in reauthorization draft of the Pandemic and All Hazards Preparedness Act (PAHPA, P.L. 109-417); ERISA preemption protections; artificial price caps on providing insulin; efforts to reform the World Health Organizations (WHO) engagement with private sector; continued U.S. membership to the World Health Organization (WHO); support for necessary market conditions to incentivize health sector investment from private sector; support for private sector involvement in health systems strengthening; greater harmonization of standards and investment in digital health internationally; health-related policy issues in the G20/G7 forums

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5378 (Lower Costs, More Transparency Act): A bill to promote price transparency in the health care sector, and for other purposes. H.R. 3801 (Employer Reporting Improvement Act): This bill modifies provisions under the ACA that require employers and health insurance providers to prepare tax forms showing proof of minimum essential coverage (1095-B and 1095-C tax forms). H.R. 3797 (Paperwork Burden Reduction Act): This bill modifies provisions under the Patient Protection and Affordable Care Act so that employers and health insurance providers are no longer required to send tax forms to covered individuals showing proof of minimum essential coverage (1095-B and 1095-C tax forms) unless a form is requested. S. 3204 (Employer Reporting Improvement Act): This bill modifies provisions under the ACA that require employers and health insurance providers to prepare tax forms showing proof of minimum essential coverage (1095-B and 1095-C tax forms). S. 3207 (Paperwork Burden Reduction Act): This bill modifies provisions under the Patient Protection and Affordable Care Act so that employers and health insurance providers are no longer required to send tax forms to covered individuals showing proof of minimum essential coverage (1095-B and 1095-C tax forms) unless a form is requested. H.R. 5688 (Bipartisan HSA Improvement Act of 2023): A bill to amend the Internal Revenue Code of 1986 to improve health savings accounts. H.R. 5687 (The HSA Modernization Act of 2023): A bill to amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R. 3561 (The PATIENT Act of 2023): This bill expands hospital price transparency requirements and establishes additional reporting requirements with respect to prescription drugs and pharmacy benefit managers (PBMs). The bill also extends funding for various programs such as the Teaching Health Center Graduate Medical Education program, Community Health Center program, and National Health Service Corps. H.R. 5138 (Improving Access to Medicare Coverage Act of 2023): To amend title XVIII of the Social Security Act to count a period of receipt of outpatient observation services in a hospital toward satisfying the 3-day inpatient hospital stay requirement for coverage of skilled nursing facility services under Medicare, and for other purposes. H.R. 5688 (Bipartisan HSA Improvement Act of 2023): A bill to amend the Internal Revenue Code of 1986 to improve health savings accounts. H.R. 5687 (The HSA Modernization Act of 2023): A bill to amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R. 5378 (Lower Costs, More Transparency Act): A bill to promote price transparency in the health care sector, and for other purposes. .R. 1843 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1001 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. H.R. 4509 (Transparency in Billing Act): To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 1264 (Commonsense Reporting Act): This bill addresses the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy under the Patient Protection and Affordable Care Act.

H.R. 5378 (Lower Costs, More Transparency Act): A bill to promote price transparency in the health care sector, and for other purposes. H.R. 3801 (Employer Reporting Improvement Act): This bill modifies provisions under the ACA that require employers and health insurance providers to prepare tax forms showing proof of minimum essential coverage (1095-B and 1095-C tax forms). H.R. 3797 (Paperwork Burden Reduction Act): This bill modifies provisions under the Patient Protection and Affordable Care Act so that employers and health insurance providers are no longer required to send tax forms to covered individuals showing proof of minimum essential coverage (1095-B and 1095-C tax forms) unless a form is requested. S. 3204 (Employer Reporting Improvement Act): This bill modifies provisions under the ACA that require employers and health insurance providers to prepare tax forms showing proof of minimum essential coverage (1095-B and 1095-C tax forms). S. 3207 (Paperwork Burden Reduction Act): This bill modifies provisions under the Patient Protection and Affordable Care Act so that employers and health insurance providers are no longer required to send tax forms to covered individuals showing proof of minimum essential coverage (1095-B and 1095-C tax forms) unless a form is requested. H.R. 5688 (Bipartisan HSA Improvement Act of 2023): A bill to amend the Internal Revenue Code of 1986 to improve health savings accounts. H.R. 5687 (The HSA Modernization Act of 2023): A bill to amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R. 3561 (The PATIENT Act of 2023): This bill expands hospital price transparency requirements and establishes additional reporting requirements with respect to prescription drugs and pharmacy benefit managers (PBMs). The bill also extends funding for various programs such as the Teaching Health Center Graduate Medical Education program, Community Health Center program, and National Health Service Corps. H.R.5138 (Improving Access to Medicare Coverage Act of 2023): To amend title XVIII of the Social Security Act to count a period of receipt of outpatient observation services in a hospital toward satisfying the 3-day inpatient hospital stay requirement for coverage of skilled nursing facility services under Medicare, and for other purposes. H.R. 5688 (Bipartisan HSA Improvement Act of 2023): A bill to amend the Internal Revenue Code of 1986 to improve health savings accounts. H.R. 5687 (The HSA Modernization Act of 2023): A bill to amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R. 5378 (Lower Costs, More Transparency Act): A bill to promote price transparency in the health care sector, and for other purposes. H.R. 3801 (Employer Reporting Improvement Act): This bill modifies provisions under the ACA that require employers and health insurance providers to prepare tax forms showing proof of minimum essential coverage (1095-B and 1095-C tax forms). H.R. 3561 (The PATIENT Act of 2023): This bill expands hospital price transparency requirements and establishes additional reporting requirements with respect to prescription drugs and pharmacy benefit managers (PBMs). The bill also extends funding for various programs such as the Teaching Health Center Graduate Medical Education program, Community Health Center program, and National Health Service Corps. H.R. 1843 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1001 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. H.R. 4509 (Transparency in Billing Act): To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 1264 (Commonsense Reporting Act): This bill addresses the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy under the Patient Protection and Affordable Care Act.

H.R. 5378 (Lower Costs, More Transparency Act): A bill to promote price transparency in the health care sector, and for other purposes. H.R. 3801 (Employer Reporting Improvement Act): This bill modifies provisions under the ACA that require employers and health insurance providers to prepare tax forms showing proof of minimum essential coverage (1095-B and 1095-C tax forms). H.R. 3797 (Paperwork Burden Reduction Act): This bill modifies provisions under the Patient Protection and Affordable Care Act so that employers and health insurance providers are no longer required to send tax forms to covered individuals showing proof of minimum essential coverage (1095-B and 1095-C tax forms) unless a form is requested. S. 3204 (Employer Reporting Improvement Act): This bill modifies provisions under the ACA that require employers and health insurance providers to prepare tax forms showing proof of minimum essential coverage (1095-B and 1095-C tax forms). S. 3207 (Paperwork Burden Reduction Act): This bill modifies provisions under the Patient Protection and Affordable Care Act so that employers and health insurance providers are no longer required to send tax forms to covered individuals showing proof of minimum essential coverage (1095-B and 1095-C tax forms) unless a form is requested. H.R. 5688 (Bipartisan HSA Improvement Act of 2023): A bill to amend the Internal Revenue Code of 1986 to improve health savings accounts. H.R. 5687 (The HSA Modernization Act of 2023): A bill to amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R. 3561 (The PATIENT Act of 2023): This bill expands hospital price transparency requirements and establishes additional reporting requirements with respect to prescription drugs and pharmacy benefit managers (PBMs). The bill also extends funding for various programs such as the Teaching Health Center Graduate Medical Education program, Community Health Center program, and National Health Service Corps. H.R.5138 (Improving Access to Medicare Coverage Act of 2023): To amend title XVIII of the Social Security Act to count a period of receipt of outpatient observation services in a hospital toward satisfying the 3-day inpatient hospital stay requirement for coverage of skilled nursing facility services under Medicare, and for other purposes. H.R. 5688 (Bipartisan HSA Improvement Act of 2023): A bill to amend the Internal Revenue Code of 1986 to improve health savings accounts. H.R. 5687 (The HSA Modernization Act of 2023): A bill to amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R. 5378 (Lower Costs, More Transparency Act): A bill to promote price transparency in the health care sector, and for other purposes. H.R. 3801 (Employer Reporting Improvement Act): This bill modifies provisions under the ACA that require employers and health insurance providers to prepare tax forms showing proof of minimum essential coverage (1095-B and 1095-C tax forms). H.R. 3561 (The PATIENT Act of 2023): This bill expands hospital price transparency requirements and establishes additional reporting requirements with respect to prescription drugs and pharmacy benefit managers (PBMs). The bill also extends funding for various programs such as the Teaching Health Center Graduate Medical Education program, Community Health Center program, and National Health Service Corps. H.R. 1843 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1001 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. H.R. 4509 (Transparency in Billing Act): To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 1264 (Commonsense Reporting Act): This bill addresses the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy under the Patient Protection and Affordable Care Act.

S.127, Pharmacy Benefit Manager Transparency Act of 2023; S.954, Affordable Insulin Now Act; S.1339, Pharmacy Benefit Manager Reform Act; S.1664, Healthy Families Act; S.1869, SITE Act; HR.824, Telehealth Benefit Expansion for Works Act of 2023; HR.1264, Commonsense Reporting Act; HR.1843, Telehealth Expansion Act of 2023; HR.2813, Self Insurance Protection Act; HR.2868, Association Health Plan Act; HR.3797, Paperwork Burden Reduction Act; HR.3798, Small Business Flexibity Act; HR.3799, CHOICE Arrangement Act; HR.3801, Employer Reporting Improvement Act; Issues related to dialysis coverage; Issues related to health sector consolidation; Issues related to ERISA pre-emption

Client expense: $64,788 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Employer Education Assistance - expansion of Section 127 thresholds (26 U.S. Code 127) H.R. 1477 / S. 722, Freedom to Invest in Tomorrows Workforce Act H.R. 1264, To streamline the employer reporting process and strengthen the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1264, Commonsense Reporting Act of 2023 H.R. 2813, Self-Insurance Protection Act H.R. 2868, Association Health Plans Act S. 127, Pharmacy Benefit Manager Transparency Act of 2023 S. 142, Preserve Access to Affordable Generics and Biosimilars Act S. 148, Stop Significant and Time-wasting Abuse Limiting Legitimate Innovation of New Generics (Stop STALLING) Act S. 150, Affordable Prescriptions for Patients Act of 2023 S. 1067, Ensuring Timely Access to Generics Act of 2023 S. 1114, Expanding Access to Low-Cost Generics Act of 2023 S. 1214, Retaining Access and Restoring Exclusivity (RARE) Act S. 1339, Pharmacy Benefit Manager Reform Act S. 2624, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 Nomination of Dr. Monica M. Bertagnolli as Director of the National Institutes of Health Proposed Rule, Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department; Short-Term, Limited-Duration Insurance; Independent, Noncoordinated Excepted Benefits Coverage; Level-Funded Plan Arrangements; and Tax Treatment of Certain Accident and Health Insurance (88 Fed. Reg. 44,596-44,658, July 12, 2023) Request for Information Regarding Medical Payments Products, Consumer Financial Protection Bureau, Centers for Medicare & Medicaid Services, Department of Health and Human Services, and Department of the Treasury (88 Fed. Reg. 44,281-44,290, July 12, 2023) Various issues relating to the employer-sponsored health care system, implementation of regulatory process, provider network adequacy, health savings account (HSAs), health reimbursement account (HRAs), employer mandate; Medicare Drug Price Negotiation Program: Initial Memorandum, Implementation of Sections 1191 - 1198 of the Social Security Act for Initial Price Applicability Year 2026, and Solicitation of Comments; Implementation of the Mental Health Parity and Addiction Equity Act (P.L. 110-343, Subtitle B); implementation of the American Rescue Plan Act (P.L. 117-2); implementation of the Inflation Reduction Act (P.L. 117-169); balance or surprise billing and related issues; single-payer health care options; health reimbursement arrangements and other account-based group health plans; Health and Human Services international pricing index (IPI) model; mental health parity; drug pricing; COBRA subsidies; Federal Trade Commissions multilateral pharmaceutical merger taskforce; telehealth, including coverage of telehealth under High Deductible Health Plans (HDHPs) and expanding telehealth options for employees; impact of Pharmacy Benefit Managers Practices; FTC-2022-0015; petition to HHS to grant march-in rights for the patents on the drug Xtandi; Reasonable Price Clause in reauthorization draft of the Pandemic and All Hazards Preparedness Act (PAHPA, P.L. 109-417); ERISA preemption protections; artificial price caps on providing insulin; efforts to reform the World Health Organizations (WHO) engagement with private sector; continued U.S. membership to the World Health Organization (WHO); support for necessary market conditions to incentivize health sector investment from private sector; support for private sector involvement in health systems strengthening; greater harmonization of standards and investment in digital health internationally; health-related policy issues in the G20/G7 forums; oversight issues related to the U.S. Food and Drug Administration

H.R. 5688 (Bipartisan HSA Improvement Act of 2023): A bill to amend the Internal Revenue Code of 1986 to improve health savings accounts. H.R. 5687 (The HSA Modernization Act of 2023): A bill to amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R. 5378 (Lower Costs, More Transparency Act): A bill to promote price transparency in the health care sector, and for other purposes. H.R. 3801 (Employer Reporting Improvement Act): This bill modifies provisions under the ACA that require employers and health insurance providers to prepare tax forms showing proof of minimum essential coverage (1095-B and 1095-C tax forms). H.R. 3561 (The PATIENT Act of 2023): This bill expands hospital price transparency requirements and establishes additional reporting requirements with respect to prescription drugs and pharmacy benefit managers (PBMs). The bill also extends funding for various programs such as the Teaching Health Center Graduate Medical Education program, Community Health Center program, and National Health Service Corps. H.R. 1843 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1001 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. H.R. 4509 (Transparency in Billing Act): To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 1264 (Commonsense Reporting Act): This bill addresses the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy under the Patient Protection and Affordable Care Act.

H.R. 5688 (Bipartisan HSA Improvement Act of 2023): A bill to amend the Internal Revenue Code of 1986 to improve health savings accounts. H.R. 5687 (The HSA Modernization Act of 2023): A bill to amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R. 5378 (Lower Costs, More Transparency Act): A bill to promote price transparency in the health care sector, and for other purposes. H.R. 3801 (Employer Reporting Improvement Act): This bill modifies provisions under the ACA that require employers and health insurance providers to prepare tax forms showing proof of minimum essential coverage (1095-B and 1095-C tax forms). H.R. 3561 (The PATIENT Act of 2023): This bill expands hospital price transparency requirements and establishes additional reporting requirements with respect to prescription drugs and pharmacy benefit managers (PBMs). The bill also extends funding for various programs such as the Teaching Health Center Graduate Medical Education program, Community Health Center program, and National Health Service Corps. H.R. 1843 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1001 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. H.R. 4509 (Transparency in Billing Act): To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 1264 (Commonsense Reporting Act): This bill addresses the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy under the Patient Protection and Affordable Care Act.

H.R. 5688 (Bipartisan HSA Improvement Act of 2023): A bill to amend the Internal Revenue Code of 1986 to improve health savings accounts. H.R. 5687 (The HSA Modernization Act of 2023): A bill to amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R. 5378 (Lower Costs, More Transparency Act): A bill to promote price transparency in the health care sector, and for other purposes. .R. 1843 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1001 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. H.R. 4509 (Transparency in Billing Act): To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 1264 (Commonsense Reporting Act): This bill addresses the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy under the Patient Protection and Affordable Care Act.

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

S.127, Pharmacy Benefit Manager Transparency Act of 2023; S.954, Affordable Insulin Now Act; S.1339, Pharmacy Benefit Manager Reform Act; S.1664, Healthy Families Act; S.1869, SITE Act; HR.824, Telehealth Benefit Expansion for Works Act of 2023; HR.1264, Commonsense Reporting Act; HR.1843, Telehealth Expansion Act of 2023; HR.2813, Self Insurance Protection Act; HR.2868, Association Health Plan Act; HR.3797, Paperwork Burden Reduction Act; HR.3798, Small Business Flexibity Act; HR.3799, CHOICE Arrangement Act; HR.3801, Employer Reporting Improvement Act; Issues related to dialysis coverage; Issues related to health sector consolidation; Issues related to ERISA pre-emption

Client expense: $59,268 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3801 (Employer Reporting Improvement Act): This bill modifies provisions under the ACA that require employers and health insurance providers to prepare tax forms showing proof of minimum essential coverage (1095-B and 1095-C tax forms). H.R. 3561 (The PATIENT Act of 2023): This bill expands hospital price transparency requirements and establishes additional reporting requirements with respect to prescription drugs and pharmacy benefit managers (PBMs). The bill also extends funding for various programs such as the Teaching Health Center Graduate Medical Education program, Community Health Center program, and National Health Service Corps. H.R. 1843 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1001 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. H.R. 4509 (Transparency in Billing Act): To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 1264 (Commonsense Reporting Act): This bill addresses the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy under the Patient Protection and Affordable Care Act.

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

H.R. 3801 (Employer Reporting Improvement Act): This bill modifies provisions under the ACA that require employers and health insurance providers to prepare tax forms showing proof of minimum essential coverage (1095-B and 1095-C tax forms). H.R. 3561 (The PATIENT Act of 2023): This bill expands hospital price transparency requirements and establishes additional reporting requirements with respect to prescription drugs and pharmacy benefit managers (PBMs). The bill also extends funding for various programs such as the Teaching Health Center Graduate Medical Education program, Community Health Center program, and National Health Service Corps. H.R. 1843 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1001 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. H.R. 4509 (Transparency in Billing Act): To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 1264 (Commonsense Reporting Act): This bill addresses the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy under the Patient Protection and Affordable Care Act.

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

H.R. 3801 (Employer Reporting Improvement Act): This bill modifies provisions under the ACA that require employers and health insurance providers to prepare tax forms showing proof of minimum essential coverage (1095-B and 1095-C tax forms). H.R. 3561 (The PATIENT Act of 2023): This bill expands hospital price transparency requirements and establishes additional reporting requirements with respect to prescription drugs and pharmacy benefit managers (PBMs). The bill also extends funding for various programs such as the Teaching Health Center Graduate Medical Education program, Community Health Center program, and National Health Service Corps. H.R. 1843 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1001 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. H.R. 4509 (Transparency in Billing Act): To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 1264 (Commonsense Reporting Act): This bill addresses the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy under the Patient Protection and Affordable Care Act.

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

H.R. 1264, Commonsense Reporting Act of 2023 H.R. 2813, Self-Insurance Protection Act H.R. 2868, Association Health Plans Act S. 127, Pharmacy Benefit Manager Transparency Act of 2023 S. 142, Preserve Access to Affordable Generics and Biosimilars Act S. 148, Stop Significant and Time-wasting Abuse Limiting Legitimate Innovation of New Generics (Stop STALLING) Act S. 150, Affordable Prescriptions for Patients Act of 2023 S. 1067, Ensuring Timely Access to Generics Act of 2023 S. 1114, Expanding Access to Low-Cost Generics Act of 2023 S. 1214, Retaining Access and Restoring Exclusivity (RARE) Act S. 1339, Pharmacy Benefit Manager Reform Act Various issues relating to the employer-sponsored health care system, implementation of regulatory process, provider network adequacy, health savings account (HSAs), health reimbursement account (HRAs), employer mandate; Medicare Drug Price Negotiation Program: Initial Memorandum, Implementation of Sections 1191 - 1198 of the Social Security Act for Initial Price Applicability Year 2026, and Solicitation of Comments; implementation of the American Rescue Plan Act (P.L. 117-2); implementation of the Inflation Reduction Act (P.L. 117-169); balance or surprise billing and related issues; single-payer health care options; health reimbursement arrangements and other account-based group health plans; Health and Human Services international pricing index (IPI) model; mental health parity; drug pricing; COBRA subsidies; Federal Trade Commissions multilateral pharmaceutical merger taskforce; telehealth, including coverage of telehealth under High Deductible Health Plans (HDHPs) and expanding telehealth options for employees; impact of Pharmacy Benefit Managers Practices; FTC-2022-0015; petition to HHS to grant march-in rights for the patents on the drug Xtandi; ERISA preemption protections; artificial price caps on providing insulin; efforts to reform the World Health Organizations (WHO) engagement with private sector; continued U.S. membership to the World Health Organization (WHO); support for necessary market conditions to incentivize health sector investment from private sector; support for private sector involvement in health systems strengthening; greater harmonization of standards and investment in digital health internationally; role of private sector related pandemic prevention, preparedness and response; oversight issues related to the U.S. Food and Drug Administration

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1256 Veterans Health Administration Leadership Transformation Act; H.R. 3801 Employer Reporting Improvement Act; H.R. 1264 Commonsense Reporting Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1264, To streamline the employer reporting process and strengthen the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy.

Client expense: $360,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.127, Pharmacy Benefit Manager Transparency Act of 2023; S.954, Affordable Insulin Now Act; S.1339, Pharmacy Benefit Manager Reform Act; S.1664, Healthy Families Act; S.1869, SITE Act; HR.824, Telehealth Benefit Expansion for Works Act of 2023; HR.1264, Commonsense Reporting Act; HR.1843, Telehealth Expansion Act of 2023; HR.2813, Self Insurance Protection Act; HR.2868, Association Health Plan Act; HR.3797, Paperwork Burden Reduction Act; HR.3798, Small Business Flexibity Act; HR.3799, CHOICE Arrangement Act; HR.3801, Employer Reporting Improvement Act; Issues related to dialysis coverage; Issues related to health sector consolidation; Issues related to ERISA pre-emption

Client expense: $45,591 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1843 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1001 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. H.R. 1264 (Commonsense Reporting Act): This bill addresses the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy under the Patient Protection and Affordable Care Act. S.5149 (Excluding Agents/Brokers from Recording): To amend title XVIII of the Social Security Act to exclude independent agents and brokers from requirement to record calls with beneficiaries under the Medicare Advantage and Prescription Drug Benefit programs. H.J. Res. 7: This joint resolution terminates the national emergency concerning COVID-19 declared by the President on March 13, 2020. Older legislation H.R. 5981 (Telehealth Expansion Act of 2021): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1704 (Telehealth Expansion Act of 2021): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. H.R. 7107 (Long-Term Care Affordability Act): This bill allows the use of tax-exempt retirement plan distributions to pay for long-term health care insurance. Specifically, it excludes such distributions from the gross income of an insured individual up to $2,500 for per individual in a taxable year. S. 2415 (Long-Term Care Affordability Act): This bill allows the use of tax-exempt retirement plan distributions to pay for long-term health care insurance. Specifically, it excludes such distributions from the gross income of an insured individual up to $2,500 for per individual in a taxable year. H.R. 8791 (Medicare Enrollment Protection Act): To amend part B of title XVIII of the Social Security Act to provide for a special enrollment period under Medicare for individuals enrolled in COBRA continuation coverage, and for other purposes.

H.R. 1843 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1001 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. H.R. 1264 (Commonsense Reporting Act): This bill addresses the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy under the Patient Protection and Affordable Care Act. S.5149 (Excluding Agents/Brokers from Recording): To amend title XVIII of the Social Security Act to exclude independent agents and brokers from requirement to record calls with beneficiaries under the Medicare Advantage and Prescription Drug Benefit programs. H.J. Res. 7: This joint resolution terminates the national emergency concerning COVID-19 declared by the President on March 13, 2020. Older legislation H.R. 5981 (Telehealth Expansion Act of 2021): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1704 (Telehealth Expansion Act of 2021): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. H.R. 7107 (Long-Term Care Affordability Act): This bill allows the use of tax-exempt retirement plan distributions to pay for long-term health care insurance. Specifically, it excludes such distributions from the gross income of an insured individual up to $2,500 for per individual in a taxable year. S. 2415 (Long-Term Care Affordability Act): This bill allows the use of tax-exempt retirement plan distributions to pay for long-term health care insurance. Specifically, it excludes such distributions from the gross income of an insured individual up to $2,500 for per individual in a taxable year. H.R. 8791 (Medicare Enrollment Protection Act): To amend part B of title XVIII of the Social Security Act to provide for a special enrollment period under Medicare for individuals enrolled in COBRA continuation coverage, and for other purposes.

H.R. 1843 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1001 (Telehealth Expansion Act of 2023): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. H.R. 1264 (Commonsense Reporting Act): This bill addresses the eligibility verification process for the premium assistance tax credit and cost-sharing subsidy under the Patient Protection and Affordable Care Act. S.5149 (Excluding Agents/Brokers from Recording): To amend title XVIII of the Social Security Act to exclude independent agents and brokers from requirement to record calls with beneficiaries under the Medicare Advantage and Prescription Drug Benefit programs. H.J. Res. 7: This joint resolution terminates the national emergency concerning COVID-19 declared by the President on March 13, 2020. H.R. 5981 (Telehealth Expansion Act of 2021): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1704 (Telehealth Expansion Act of 2021): To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. H.R. 7107 (Long-Term Care Affordability Act): This bill allows the use of tax-exempt retirement plan distributions to pay for long-term health care insurance. Specifically, it excludes such distributions from the gross income of an insured individual up to $2,500 for per individual in a taxable year. S. 2415 (Long-Term Care Affordability Act): This bill allows the use of tax-exempt retirement plan distributions to pay for long-term health care insurance. Specifically, it excludes such distributions from the gross income of an insured individual up to $2,500 for per individual in a taxable year. H.R. 8791 (Medicare Enrollment Protection Act): To amend part B of title XVIII of the Social Security Act to provide for a special enrollment period under Medicare for individuals enrolled in COBRA continuation coverage, and for other purposes.