Of inquiry requesting the President of the United States and directing the Secretary of Health and Human Services to transmit certain information to the House of Representatives relating to plans to repeal or replace the Patient Protection and Affordable Care Act and the health-related measures of the Health Care and Education Reconciliation Act of 2010.

ACA Implementation Association Health Plans Better Care Reconciliation Act Employee Benefits Tax (Cadillac Tax) Employer Wellness Programs H. Res. 154, Budget Reconciliation Instructions to Repeal and Replace Obama Care H.R. 1101, Small Business Health Fairness Act/Association Health Plans H.R. 1628, American Health Care Act (AHCA) Health Care Reform Health Insurance Tax Health Savings Accounts Independent Payment Advisory Board (IPAB) Repeal Medical Device Tax Medicare for All/Single Payer Medicare Part D Pharmaceutical Pricing Transparency Prescription Drug User Fee Act (PDUFA) Reauthorization S. Con. Res. 3, Obamacare Repeal Resolution S.J. Res. 3, Drug Importation Amendments Stop-loss protection issues - self-insured health plans Tax Treatment of Employer-Sponsored Health Care

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

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Highway Traffic Safety Administration (NHTSA), Natl Institute of Standards & Technology (NIST), Natl Security Council (NSC), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of the Vice President of the United States, Patent & Trademark Office (PTO), President of the U.S., SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

ACA Implementation Better Care Reconciliation Act Employee Benefits Tax (Cadillac Tax) Employer Wellness Programs FDA User Fee Act Reauthorizations H. Res. 154, Budget Reconciliation Instructions to Repeal and Replace Obama Care H.R. 1101, Small Business Health Fairness Act H.R. 1628, American Health Care Act (AHCA) H.R. 2430, Food and Drug Administration Reauthorization Act (FDARA) Health Care Reform Health Insurance Tax Health Savings Accounts Independent Payment Advisory Board (IPAB) Repeal Medical Device Tax Medicare for All/Single Payer Pharmaceutical Pricing Transparency Prescription Drug User Fee Act (PDUFA) Reauthorization S. Con. Res. 3, the Obamacare Repeal Resolution S.J. Res. 3, Drug Importation Amendments Tax Treatment of Employer-Sponsored Health Care

Client expense: $1,310,000 · Firm income: Not reported

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (reconciliation, individual mandate, cost sharing reduction subsidies) The American Health Care Act and related amendments (H.R. 1628 and H. Res. 154) The Better Care Reconciliation Act of 2017 The Health Care Options for All Act (S. 1201) The Individual Health Insurance Marketplace Improvement Act (S. 1354) The Marketplace Certainty Act (S. 1462) Mental health and substance use (42 CFR Part 2) The Overdose Prevention and Patient Safety Act (H.R. 3545) Individual market and exchange stabilization Association health plans Out of network billing ACA third party payments Telehealth Price of prescription drugs Opioid addiction issues and response (prescription drug monitoring programs)

Client expense: $820,000 · Firm income: Not reported

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (reconciliation, individual mandate, cost sharing reduction subsidies) The American Health Care Act and related amendments (H.R. 1628 and H. Res. 154) The Better Care Reconciliation Act of 2017 The Health Care Options for All Act (S. 1201) The Individual Health Insurance Marketplace Improvement Act (S. 1354) The Marketplace Certainty Act (S. 1462) Mental health and substance use (42 CFR Part 2) The Overdose Prevention and Patient Safety Act (H.R. 3545) Individual market and exchange stabilization Association health plans Out of network billing ACA third party payments Telehealth Price of prescription drugs Opioid addiction issues and response (prescription drug monitoring programs)

Client expense: $820,000 · Firm income: Not reported

Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, reauthorization of special need plans (including H.R. 3168), star ratings, normalization factors) The American Health Care Act and related amendments (H.R. 1628 and H. Res. 154) The Better Care Reconciliation Act of 2017 Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act of 2017 (S. 870) The CONNECT for Health Act of 2017 (H.R. 2556, S. 1016) Expanding access to telehealth in Medicare (H.R. 3727) Medicaid managed care Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Long-term services and supports Medicare Part D Clinical decision support Opioids and substance use disorder (including H.R. 3545) Keep Kids Insurance Dependable and Secure Act (S. 1827) Section 701 of the National Defense Authorization Act for Fiscal Year 2018 (S. 1519)

Client expense: $820,000 · Firm income: Not reported

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (reconciliation, individual mandate, cost sharing reduction subsidies) The American Health Care Act (H.R. 1628 and H. Res. 154) The Better Care Reconciliation Act of 2017 The Health Care Options for All Act (S. 1201) The Individual Health Insurance Marketplace Improvement Act (S. 1354) The Competitive Health Insurance Reform Act (H.R. 372) Mental health and substance use (42 CFR Part 2) ACA transitional policies Individual market stabilization QHP rate filing process Association health plans Out of network billing ACA third party payments Telehealth Price of prescription drugs Opioid addiction issues and response (prescription drug monitoring programs)

Client expense: $1,110,000 · Firm income: Not reported

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (reconciliation, individual mandate, cost sharing reduction subsidies) The American Health Care Act (H.R. 1628 and H. Res. 154) The Better Care Reconciliation Act of 2017 The Health Care Options for All Act (S. 1201) The Individual Health Insurance Marketplace Improvement Act (S. 1354) The Competitive Health Insurance Reform Act (H.R. 372) Mental health and substance use (42 CFR Part 2) ACA transitional policies Individual market stabilization QHP rate filing process Association health plans Out of network billing ACA third party payments Telehealth Price of prescription drugs Opioid addiction issues and response (prescription drug monitoring programs)

Client expense: $1,110,000 · Firm income: Not reported

Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, reauthorization of special need plans, star ratings, normalization factors) The American Health Care Act (H.R. 1628 and H. Res. 154) The Better Care Reconciliation Act of 2017 Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act of 2017 (S. 870) The CONNECT for Health Act of 2017 (H.R. 2556, S. 1016) Medicaid managed care Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Long-term services and supports Medicare Part D Clinical decision support

Client expense: $1,110,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), Office of Management & Budget (OMB), SENATE, White House Office

21st Century Cures ACA Implementation Better Care Reconciliation Act S.J. Res. 3, Drug Importation Amendments FDA User Fee Act Reauthorizations H. Res. 154, Budget Reconciliation Instructions to Repeal and Replace Obama Care H.R. 1628, American Health Care Act (AHCA) H.R. 4340, Food and Drug Administration Reauthorization Act (FDARA) Health Care Reform H.R. 1101, Small Business Health Fairness Act H.R. 1628, American Health Care Act Pharmaceutical Pricing Transparency Prescription Drug User Fee Act (PDUFA) Reauthorization S. Con. Res. 3, Obamacare Repeal Resolution Stop-loss protection issues - self-insured health plans Tax Treatment of Employer-Sponsored Health Care

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

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (reconciliation, individual mandate, cost sharing reduction subsidies) ACA transitional policies Proposed HHS Market Stabilization Regulation The American Health Care Act (H.R. 1628 and H. Res. 154) The Small Business Health Fairness Act of 2017 (H.R. 1101) The Competitive Health Insurance Reform Act (H.R. 372) The Protecting Access to Care Act (H.R. 1215) The Self-Insurance Protection Act (H.R. 1304) The Pre-existing Conditions Protection Act of 2017 (H.R. 1121) The Patient Fairness and Relief Act of 2017 (H.R. 633) The Employee Fairness and Relief Act of 2017 (H.R. 661) The Plan Verification and Fairness Act of 2017 (H.R. 706) The State Age Rating Flexibility Act of 2017 (H.R. 708) The Health Coverage State Flexibility Act of 2017 (H.R. 710) The Lower Drug Costs through Competition Act (H.R. 749) Out of network Billing ACA third party payments Telehealth Price of prescription drugs

Client expense: $1,700,000 · Firm income: Not reported

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (reconciliation, individual mandate, cost sharing reduction subsidies) ACA transitional policies Proposed HHS Market Stabilization Regulation The American Health Care Act (H.R. 1628 and H. Res. 154) The Small Business Health Fairness Act of 2017 (H.R. 1101) The Competitive Health Insurance Reform Act (H.R. 372) The Protecting Access to Care Act (H.R. 1215) The Self-Insurance Protection Act (H.R. 1304) The Pre-existing Conditions Protection Act of 2017 (H.R. 1121) The Patient Fairness and Relief Act of 2017 (H.R. 633) The Employee Fairness and Relief Act of 2017 (H.R. 661) The Plan Verification and Fairness Act of 2017 (H.R. 706) The State Age Rating Flexibility Act of 2017 (H.R. 708) The Health Coverage State Flexibility Act of 2017 (H.R. 710) The Lower Drug Costs through Competition Act (H.R. 749) Out of network Billing ACA third party payments Telehealth Price of prescription drugs

Client expense: $1,700,000 · Firm income: Not reported

Medicare Advantage Draft Rate Notice and Call Letter (risk adjustment, coding intensity, encounter data, dual-eligible members, reauthorization of chronic special need plans, star ratings, normalization factors) The American Health Care Act (H.R. 1628 and H. Res. 154) Medicaid managed care Medicaid expansion Medicare Part D Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act of 2017 Medicaid reform (block grants, per capita caps) Medicaid and CHIP Reauthorization Long-term services and supports

Client expense: $1,700,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

Medicare Advantage Draft Rate Notice and Call Letter (risk adjustment, coding intensity, encounter data, dual-eligible members, reauthorization of chronic special need plans, star ratings, normalization factors) The American Health Care Act (H.R. 1628 and H. Res. 154) Medicaid managed care Medicaid expansion Medicare Part D Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act of 2017 Medicaid reform (block grants, per capita caps) Medicaid and CHIP Reauthorization Long-term services and supports

Client expense: $1,640,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (reconciliation, individual mandate, cost sharing reduction subsidies) ACA transitional policies Proposed HHS Market Stabilization Regulation The American Health Care Act (H.R. 1628 and H. Res. 154) The Small Business Health Fairness Act of 2017 (H.R. 1101) The Competitive Health Insurance Reform Act (H.R. 372) The Protecting Access to Care Act (H.R. 1215) The Self-Insurance Protection Act (H.R. 1304) The Pre-existing Conditions Protection Act of 2017 (H.R. 1121) The Patient Fairness and Relief Act of 2017 (H.R. 633) The Employee Fairness and Relief Act of 2017 (H.R. 661) The Plan Verification and Fairness Act of 2017 (H.R. 706) The State Age Rating Flexibility Act of 2017 (H.R. 708) The Health Coverage State Flexibility Act of 2017 (H.R. 710) The Lower Drug Costs through Competition Act (H.R. 749) Out of network Billing ACA third party payments Telehealth Price of prescription drugs

Client expense: $1,640,000 · Firm income: Not reported

ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (reconciliation, individual mandate, cost sharing reduction subsidies) ACA transitional policies Proposed HHS Market Stabilization Regulation The American Health Care Act (H.R. 1628 and H. Res. 154) The Small Business Health Fairness Act of 2017 (H.R. 1101) The Competitive Health Insurance Reform Act (H.R. 372) The Protecting Access to Care Act (H.R. 1215) The Self-Insurance Protection Act (H.R. 1304) The Pre-existing Conditions Protection Act of 2017 (H.R. 1121) The Patient Fairness and Relief Act of 2017 (H.R. 633) The Employee Fairness and Relief Act of 2017 (H.R. 661) The Plan Verification and Fairness Act of 2017 (H.R. 706) The State Age Rating Flexibility Act of 2017 (H.R. 708) The Health Coverage State Flexibility Act of 2017 (H.R. 710) The Lower Drug Costs through Competition Act (H.R. 749) Out of network Billing ACA third party payments Telehealth Price of prescription drugs

Client expense: $1,640,000 · Firm income: Not reported

ACA Implementation S.J. Res. 3, Drug Importation Amendments FDA User Fee Act Reauthorizations H. Res. 154, Budget Reconciliation Instructions to Repeal and Replace Obama Care Health Care Reform H.R. 1101, Small Business Health Fairness Act H.R. 1628, American Health Care Act Pharmaceutical Pricing Transparency Prescription Drug User Fee Act (PDUFA) Reauthorization S. Con. Res. 3, Obamacare Repeal Resolution S. Con. Res. 3, Medicare Part D noninterference amendment Stop-loss protection issues - self-insured health plans Tax Treatment of Employer-Sponsored Health Care

Client expense: $2,660,000 · Firm income: Not reported