American Job Protection Act

H.R. 2, Repealing the Job-Killing Health Care Law Act H.R. 4, Small Business Paperwork Mandate Elimination Act of 2011 H.R. 5, Protecting Access to Healthcare Act, including issues related to Med Malpractice and IPAB Reform H.R. 436, Protect Medical Innovation Act of 2011 H.R. 450, Restoring Assistance for Families' and Seniors' Health Expenses Act of 2011 H.R. 452, Medicare Decisions Accountability Act of 2011 H.R. 605 / S. 312, Patients Freedom Choose Act H.R. 1051, Medicare Beneficiary Freedom to Choose Act of 2011 H.R. 1173 / S. 720, Fiscal Responsibility and Retirement Security Act of 2011 H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act H.R. 1744 / S. 20, American Job Protection Act H.R. 2010, Family and Retirement Health Investment Act of 2011 H.R. 2077, MLR Repeal Act of 2011 H.R. 2112, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, Vitter Amendment (#769 - prescription drug reimportation) H.R. 2529 / S. 1368, Restoring Access to Medication Act H.R. 2590, Seniors Protection Act of 2011 H.R. 2676, Small Business Health Relief Act of 2011 H.R. 3682, Patient Centered Healthcare Savings Act of 2011 H.R. 4095 / S. 2002, Online Pharmacy Safety Act H.R. 4626, Health Insurance Fair Competition Act H.R. 4853, Middle Class Tax Act of 2010 H.R. 5141/S. 3578, Small Business Paperwork Mandate Elimination Act H.R. 5853, Fiscal Responsibility and Retirement Security Act S. 17, Medical Device Access and Innovation Protection Act S. 223, FAA Air Transportation Modernization and Safety Improvement Act, including the Amendment offered by Senator McConnell to repeal P.L. 111-148, the Patient Protection and Affordable Care Act and an Amendment offered by Senator Stabenow which would repeal Section 9006 of the Patient Protection and Affordable Care Act S. 312, Patients Freedom to Choose Act S. 493, SBIR/STTR Reauthorization Act of 2011, including an Amendment offered by Senator Johanns which would fully repeal Section 9006 of the Patient Protection and Affordable Care Act and Amendment Number 197 offered by Senator Hutchison S. 510, FDA Food Safety Modernization Act, issues related to 1099 reporting amendments S. 668, Health Care Bureaucrats Elimination Act S. 720, Repeal the CLASS Entitlement Act S. 848, Consumer Information Enhancement Act of 2011 S. 1049, Small Business Health Relief Act S. 1098, Family and Retirement Health Investment Act of 2011 S. 1880, Jobs and Premium Protection Act S. 2068, Access to Independent Health Insurance Advisors Act of 2012 S. 3501, American Job Protection Act S. 3673, Patients Freedom Choice Act Filed comments and met with relevant agencies on regulations implementing health care reform (P.L. 111-148 and P.L. 111-152) Regulations commented on include: Medical Loss Ratio (MLR) Request for Information; Adult Child Coverage (Age 26) Interim Final Rule; Grandfathered Plan Status Interim Final Rule; Preexisting Condition Exclusion; Lifetime & Annual Limits; Rescissions; Patient Protections Interim Final Rule; Preventive Services Coverage Interim Final Rule; Internal Claims & Appeals and External Review Processes Interim Final Rule; Preexisting Condition Insurance Plan (PCIP) Interim Final Rule; 1099 Reporting Requirements Request for Comments; Planning and Establishment of State-level Exchanges Request for Comments; Non-Discrimination in Favor of Highly Compensated Individuals Request for Comments; Essential Health Benefits (IOM Study); Amended Interim Final Rule for Grandfathered Plan Status; Guidance on OTC Medicine & Definition of Medical Expenses; Development of Health Risk Assessment; Medical Loss Ratio; Nondiscrimination in favor of Highly Compensated Individuals - second notice re: timing; DOL: Retrospective Review Under E.O. 13563; Treasury: Retrospective Review Under E.O. 13563; State Innovation Waivers; ACOs & Medicare Shared Savings Program; Shared Responsibility for Employers Regarding Health Coverage (Section 4980H); Amendment to the Interim Final Rule on Internal Claims and Appeals and External Review Processes; HIPAA Privacy Rule Accounting of Disclosures; Medical Data Sharing. Summary of benefits and Coverage and the Uniform Glossary; Exchange Functions in the Individual market; Health Insurance Premium Tax Credit; Establishment of Exchanges and Qualified Health Plans; Health Coverage Affordability Safe Harbor for Employers; Medical Loss Ratio (MLR) Requirements Final Rule; Medical Loss Ratio (MLR) Notice of Rebate Forms Comprehensive health reform (bills in the Senate and House) - all aspects relating to coverage, financing, and delivery reform, including: 1099 reporting, Grandfathering, HSA and FSA changes, CMS claims database, IPAB, CLASS Act, employer mandate, medical loss ratio, mandated insurance requirements, Exchanges, Medicare reform, regulatory reform, Essential Health Benefits Package, Health Insurance Tax; Medical Device Tax Various issues relating to the Patient Protection and Affordable Care Act (P.L. 111-148), including: implementation of, regulatory process, legislative corrections, coverage, financing, delivery reform, 1099 reporting, Grandfathering, HSA and FSA changes, CMS claims database, IPAB, CLASS program, employer mandate, medical loss ratio, medical malpractice reform, exchanges, and flexible spending accounts and health savings accounts. Various issues relating to the regulatory process and legislative corrections to Health Care and Education Affordability Reconciliation Act of 2010 (P.L. 111-152); ERISA preemption; impact on small business

Client expense: $20,200,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

H.R. 4, Small Business Paperwork Mandate Elimination Act of 2011 H.R. 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 436, Protect Medical Innovation Act of 2011 H.R. 452, Medicare Decisions Accountability Act of 2011 H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011 H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act H.R. 2010, Family and Retirement Health Investment Act of 2011 H.R. 2077, MLR Repeal Act H.R. 2112, Consolidated and Further Continuing Appropriations Act, 2012, including an amendment regarding pharmaceutical importation H.R. 3203, Novel Device Regulatory Relief Act of 2011 H.R. 3204, Guidance Accountability and Transparency Act of 2011 H.R. 3205, FDA Renewing Efficiency from Outside Reviewer Management Act of 2011 H.R. 3206, Cultivating Scientific Expertise to Foster Innovation Act of 2011 H.R. 3207, Modernizing Laboratory Test Standards for Patients Act of 2011 H.R. 3208, Patients Come First Act of 2011 H.R. 3209, Premarket Predictability Act of 2011 H.R. 3211, Humanitarian Device Reform Act of 2011 H.R. 3214, Food and Drug Administration Mission Reform Act of 2011 H.R. 3230, Keeping America Competitive through Harmonization Act of 2011 H.R. 4626, Health Insurance Fair Competition Act H.R. 4853, Middle Class Tax Act of 2010 H.R. 5853, Fiscal Responsibility and Retirement Security Act H.R. 2 / S. 192, Repealing the Job-Killing Health Care Law Act H.R. 605 / S. 312, Patients Freedom To Choose Act H.R. 1744 / S. 20, American Job Protection Act H.R. 2529 / S. 1368, Restoring Access to Medication Act S. 17, Medical Device Access and Innovation Protection Act H.R. 5141 / S. 3578, Small Business Paperwork Mandate Elimination Act H.R. 1744 / S.20, American Job Protection Act S. 17, Medical Device Access and Innovation Protection Act S. 223, FAA Air Transportation Modernization and Safety Improvement Act, including the Amendment offered by Senator McConnell to repeal P.L. 111-148, the Patient Protection and Affordable Care Act and an Amendment offered by Senator Stabenow which would repeal Section 9006 of the Patient Protection and Affordable Care Act S. 493, SBIR/STTR Reauthorization Act of 2011, including an Amendment offered by Senator Johanns which would fully repeal Section 9006 of the Patient Protection and Affordable Care Act and Amendment Number 197 offered by Senator Hutchison S. 510, FDA Food Safety Modernization Act, issues related to 1099 reporting amendments S. 668, Health Care Bureaucrats Elimination Act S. 720, Repeal the CLASS Entitlement Act S. 848, Consumer Information Enhancement Act of 2011 S. 1049, Small Business Health Relief Act of 2011 S. 1098, Family and Retirement Health Investment Act of 2011 S. 1880, Jobs and Premium Protection Act S. 1886, Counterfeit Drug Penalty Enhancement Act of 2011 S. 2002, Online Pharmacy Safety Act S. 3501, American Job Protection Act S. 3673, Patients Freedom To Choose Act P.L. 112-009 (Formerly H.R. 4), Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011 Filed comments and met with relevant agencies on regulations implementing health care reform (P.L. 111-148 and 111-152). Regulations commented on include: Medical Loss Ratio (MLR) Request for Information; Adult Child Coverage (Age 26) Interim Final Rule; Grandfathered Plan Status Interim Final Rule; Preexisting Condition Exclusion; Lifetime & Annual Limits; Rescissions; Patient Protections Interim Final Rule; Preventive Services Coverage Interim Final Rule; Internal Claims & Appeals and External Review Processes Interim Final Rule; Preexisting Condition Insurance Plan (PCIP) Interim Final Rule; 1099 Reporting Requirements Request for Comments; Planning and Establishment of State-level Exchanges Request for Comments; National Quality Plan Request For Comments; Non-Discrimination in Favor of Highly Compensated Individuals Request for Comments; Essential Health Benefits (IOM Study); Amended Interim Final Rule for Grandfathered Plan Status; Guidance on OTC Medicine & Definition of Medical Expenses; Development of Health Risk Assessment; Medical Loss Ratio; Rate Increase Disclosure and Review; Value Based Insurance Design; Consumer Operated and Oriented Plan Programs; Nondiscrimination in favor of Highly Compensated Individuals - second notice re: timing; DOL: Retrospective Review Under E.O. 13563; Treasury: Retrospective Review Under E.O. 13563; State Innovation Waivers; ACOs & Medicare Shared Savings Program; Electronic Disclosure by Employee Benefit Plan; Shared Responsibility for Employers Regarding Health Coverage (Section 4980H); Amendment to the Interim Final Rule on Internal Claims and Appeals and External Review Processes; HIPAA Privacy Rule Accounting of Disclosures; Medical Data Sharing. Summary of benefits and Coverage and the Uniform Glossary; Exchange Functions in the Individual market; Health Insurance Premium Tax Credit; Establishment of Exchanges and Qualified Health Plans; Health Coverage Affordability Safe Harbor for Employers. Comprehensive health reform (bills in the Senate and House) - all aspects relating to coverage, financing, and delivery reform, including: 1099 reporting; Grandfathering, HSA and FSA changes; CMS claims database; IPAB; CLASS Act; employer mandate; medical loss ratio; mandated insurance requirements; Exchanges; Medicare reform; regulatory reform; Essential Health Benefits Package; Health Insurance Tax; Medical Device Tax Various issues relating to implementation of P.L. 111-148 (111th Congress), Patient Protection and Affordable Care Act; these issues include anything being implemented during the 112th Congress or rulemaking, medical malpractice reform, exchanges, and flexible spending accounts and health savings accounts; issues related to the regulatory process and legislative corrections to P.L. 111-148, Patient Protection and Affordable Care Act (coverage, financing, and delivery reform, 1099 reporting, Grandfathering, HSA and FSA changes, CMS claims database, IPAB, CLASS program, employer mandate, medical loss ratio); regulatory process and legislative corrections to P.L. 111-152, Health Care and Education Affordability Reconciliation Act of 2010; ERISA preemption; impact on small business Jennifer Pierotti - Covered Official Positions: Intern, U.S. Senate Committee on Small Business and Entrepreneurship, Minority Staff - Olympia J. Snowe - January 2010 - April 2010

H.R. 2, Repealing the Job-Killing Health Care Law Act H.R. 4, Small Business Paperwork Mandate Elimination Act of 2011 H.R. 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 436, Protect Medical Innovation Act of 2011 H.R. 452, Medicare Decisions Accountability Act of 2011 H.R. 605, Patients Freedom to Choose Act H.R. 1063, Strengthening Medicare and Repaying Taxpayers Act of 2011 H.R. 1173, Fiscal Responsibility and Retirement Security Act of 2011 H.R. 1370, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act H.R. 1744, American Job Protection Act H.R. 2010, Family and Retirement Health Investment Act of 2011 H.R. 2077, MLR Repeal Act of 2011 H.R. 4626, Health Insurance Fair Competition Act H.R. 4853, Middle Class Tax Act of 2010 H.R. 5853, Fiscal Responsibility and Retirement Security Act H.R. 5141/S. 3578, Small Business Paperwork Mandate Elimination Act S. 17, Medical Device Access and Innovation Protection Act S. 20, American Job Protection Act S. 218, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 S. 223, FAA Air Transportation Modernization and Safety Improvement Act, including the Amendment offered by Senator McConnell to repeal P.L. 111-148, the Patient Protection and Affordable Care Act and an Amendment offered by Senator Stabenow which would repeal Section 9006 of the Patient Protection and Affordable Care Act S. 312, Patients Freedom to Choose Act S. 493, SBIR/STTR Reauthorization Act of 2011, including an Amendment offered by Senator Johanns which would fully repeal Section 9006 of the Patient Protection and Affordable Care Act and Amendment Number 197 offered by Senator Hutchison S. 510, FDA Food Safety Modernization Act, issues related to 1099 reporting amendments S. 668, Health Care Bureaucrats Elimination Act S. 720, Repeal the CLASS Entitlement Act S. 848, Consumer Information Enhancement Act of 2011 S. 1049, Small Business Health Relief Act S. 1098, Family and Retirement Health Investment Act of 2011 S. 3501, American Job Protection Act S. 3673, Patients Freedom Choice Act P.L. 111-148 (111th Congress), Patient Protection and Affordable Care Act P.L. 112-009 (Formerly H.R. 4), Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011 Filed comments and met with relevant agencies on regulations implementing health care reform. (P.L. 111-148 and P.L. 111-152) Regulations commented on include: Medical Loss Ratio (MLR) Request for Information; Adult Child Coverage (Age 26) Interim Final Rule; Grandfathered Plan Status Interim Final Rule; Preexisting Condition Exclusion; Lifetime & Annual Limits; Rescissions; Patient Protections Interim Final Rule; Preventive Services Coverage Interim Final Rule; Internal Claims & Appeals and External Review Processes Interim Final Rule; Preexisting Condition Insurance Plan (PCIP) Interim Final Rule; 1099 Reporting Requirements Request for Comments; Planning and Establishment of State-level Exchanges Request for Comments; National Quality Plan Request For Comments; Non-Discrimination in Favor of Highly Compensated Individuals Request for Comments; Essential Health Benefits (IOM Study); Amended Interim Final Rule for Grandfathered Plan Status; Guidance on OTC Medicine & Definition of Medical Expenses; Development of Health Risk Assessment, Medical Loss Ratio, Rate Increase Disclosure and Review; Value Based Insurance Design; Consumer Operated and Oriented Plan Programs; Nondiscrimination in favor of Highly Compensated Individuals - second notice re timing, DOL: Retrospective Review Under E.O. 13563, Treasury: Retrospective Review Under E.O. 13563; State Innovation Waivers; ACOs & Medicare Shared Savings Program; Electronic Disclosure by Employee Benefit Plan; Shared Responsibility for Employers Regarding Health Coverage (Section 4980H); Amendment to the Interim Final Rule on Internal Claims and Appeals and External Review Processes; HIPAA Privacy Rule Accounting of Disclosures; Medical Data Sharing Various issues relating to P.L. 111-148 (111th Congress) also known as the Patient Protection and Affordable Care Act; these issues include anything being implemented during the 112th Congress or rulemaking, medical malpractice reform, exchanges, and flexible spending accounts and health savings accounts; issues related to the regulatory process and legislative corrections to P.L. 111-148, Patient Protection and Affordable Care Act (coverage, financing, and delivery reform, 1099 reporting, Grandfathering, HSA and FSA changes, CMS claims database, IPAB, CLASS program, employer mandate, medical loss ratio); regulatory process and legislative corrections to P.L. 111-152, Health Care and Education Affordability Reconciliation Act of 2010; ERISA preemption; impact on small business; health care reform; employer mandate repeal Daniel Hillenbrand - Covered Official Positions: Intern - Office of Congressman John Kline

H.R. 2, Repealing the Job-Killing Health Care Law Act H.R. 4, Small Business Paperwork Mandate Elimination Act of 2011 H.R. 5, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 436, Protect Medical Innovation Act of 2011 H.R. 452, Medicare Decisions Accountability Act of 2011 H.R. 605, Patients Freedom to Choose Act H.R. 1173, Fiscal Responsibility and Retirement Security Act H.R. 1370, a bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. H.R. 2010, Family and Retirement Health Investment Act of 2011 H.R. 2077, MLR Repeal Act H.R. 4626, Health Insurance Fair Competition Act H.R. 4853, Middle Class Tax Act of 2010 H.R. 5853, Fiscal Responsibility and Retirement Security Act S. 17, Medical Device Access and Innovation Protection Act S. 223, FAA Air Transportation Modernization and Safety Improvement Act, including the Amendment offered by Senator McConnell to repeal P.L. 111-148, the Patient Protection and Affordable Care Act and an Amendment offered by Senator Stabenow which would repeal Section 9006 of the Patient Protection and Affordable Care Act S. 312, Patients Freedom to Choose Act S. 493, SBIR/STTR Reauthorization Act of 2011, including an Amendment offered by Senator Johanns which would fully repeal Section 9006 of the Patient Protection and Affordable Care Act and Amendment Number 197 offered by Senator Hutchison S. 510, FDA Food Safety Modernization Act, issues related to 1099 reporting amendments S. 668, Health Care Bureaucrats Elimination Act S. 720, Repeal the CLASS Entitlement Act S. 848, Consumer Information Enhancement Act of 2011 S. 1049, Small Business Health Relief Act of 2011 S. 1098, Family and Retirement Health Investment Act of 2011 S. 3501, American Job Protection Act S. 3673, Patients Freedom Choice Act H.R. 5141/S. 3578, Small Business Paperwork Mandate Elimination Act H.R. 1744/S.20, American Job Protection Act P.L. 112-009 (Formerly H.R. 4), Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011 Filed comments and met with relevant agencies on regulations implementing health care reform. (P.L. 111-148 and 111-152). Regulations commented on include: Medical Loss Ratio (MLR) Request for Information, Adult Child Coverage (Age 26) Interim Final Rule, Grandfathered Plan Status Interim Final Rule, Preexisting Condition Exclusion, Lifetime & Annual Limits, Rescissions, Patient Protections Interim Final Rule, Preventive Services Coverage Interim Final Rule, Internal Claims & Appeals and External Review Processes Interim Final Rule, Preexisting Condition Insurance Plan (PCIP) Interim Final Rule, 1099 Reporting Requirements Request for Comments, Planning and Establishment of State-level Exchanges Request for Comments, National Quality Plan Request For Comments, Non-Discrimination in Favor of Highly Compensated Individuals Request for Comments, Essential Health Benefits (IOM Study), Amended Interim Final Rule for Grandfathered Plan Status, Guidance on OTC Medicine & Definition of Medical Expenses, Development of Health Risk Assessment, Medical Loss Ratio, Rate Increase Disclosure and Review, Value Based Insurance Design, Consumer Operated and Oriented Plan Programs, Nondiscrimination in favor of Highly Compensated Individuals - second notice re timing, DOL: Retrospective Review Under E.O. 13563, Treasury: Retrospective Review Under E.O. 13563, State Innovation Waivers, ACOs & Medicare Shared Savings Program, Electronic Disclosure by Employee Benefit Plan, Shared Responsibility for Employers Regarding Health Coverage (Section 4980H) Various issues related to P.L. 111-148 (111th Congress) also known as the Patient Protection and Affordable Care Act; these issues include anything being implemented during the 112th Congress or rulemaking, medical malpractice reform, exchanges, and flexible spending accounts and health savings accounts; issues related to the regulatory process and legislative corrections to P.L. 111-148, Patient Protection and Affordable Care Act (coverage, financing, and delivery reform, 1099 reporting, Grandfathering, HSA and FSA changes, CMS claims database, IPAB, CLASS program, employer mandate, medical loss ratio); regulatory process and legislative corrections to P.L. 111-152, Health Care and Education Affordability Reconciliation Act of 2010; ERISA preemption; impact on small business

Health care reform; Patient Protection and Affordable Care Act of2010 (H.R. 3590; PL No: 111-148), "Grandfathered" plan regulations; Patient protection regulations; limited benefit plan regulations; internal/external review and claims procedures; S.3501, American Job Protection Act, Repeals provisions of the Patient Protection and Affordable Care Act that require large (continued) employers to offer their full-time employees the opportunity to enroll in minimum essential coverage. Applies the Internal Revenue Code as if such provisions had never been enacted, all provisions; 8.3502, American Liberty Restoration Act, Repeals provisions of the Patient Protection and Affordable Care Act that require individuals to maintain minimum essential health care coverage. Applies the Internal Revenue Code as if such provisions had never been enacted, all provisions; 8.3673, Patients' Freedom to Choose Act, Repeals provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of2010 that: (1) restrict payments from health savings accounts, medical savings accounts, and health flexible spending arrangements for medications to prescription drugs and insulin only; and (2) impose a $2,500 limitation on salary reduction contributions to a health flexible spending arrangement under a cafeteria plan, all provisions; impact of provisions requiring menu labeling in chain restaurants on chain restaurant industry. Printed Name

Client expense: $840,000 · Firm income: Not reported

Health care reform; Patient Protection and Affordable Care Act of2010 (H.R. 3590; PL No: 111-148), "Grandfathered" plan regulations; Patient protection regulations; limited benefit plan regulations; internal/external review and claims procedures; S.3501, American Job Protection Act, Repeals provisions of the Patient Protection and Affordable Care Act that require large (continued) employers to offer their full-time employees the opportunity to enroll in minimum essential coverage. Applies the Internal Revenue Code as if such provisions had never been enacted, all provisions; 8.3502, American Liberty Restoration Act, Repeals provisions of the Patient Protection and Affordable Care Act that require individuals to maintain minimum essential health care coverage. Applies the Internal Revenue Code as if such provisions had never been enacted, all provisions; 8.3673, Patients' Freedom to Choose Act, Repeals provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of2010 that: (1) restrict payments from health savings accounts, medical savings accounts, and health flexible spending arrangements for medications to prescription drugs and insulin only; and (2) impose a $2,500 limitation on salary reduction contributions to a health flexible spending arrangement under a cafeteria plan, all provisions; impact of provisions requiring menu labeling in chain restaurants on chain restaurant industry. Printed Name

Client expense: $840,000 · Firm income: Not reported

H.R. 2965, a bill to amend the Small Business Act with respect to the Small Business Innovation Research Program H.R.4853, the Tax Relief, Unemployment Insurance Reauthorization, and Job Creation Act of 2010 S. 510, the Food Safety Modernization Act S. 3502, The American Liberty Restoration Act of 2010- support S. 3501, The American Job Protection Act-support General Issues supporting: Estate Tax Reform Extension of the Individual Income Tax Rates 1099 Repeal Extending SBREFA to all agencies SBREFA/Reg Flex Improvement OSHA Reform EPA Reform Unemployment interest waiver relief

Client expense: $4,400,000 · Firm income: Not reported

Health care reform; Patient Protection and Affordable Care Act of 2010 (H.R. 3590; PL No: 111-148), "Grandfathered" plan regulations; Patient protection regulations; limited benefit plan regulations; internal/external review and claims procedures; S.3501, American Job Protection Act, Repeals provisions of the Patient Protection and Affordable Care Act that require large (continued) employers to offer their full-time employees the opportunity to enroll in minimum essential coverage. Applies the Internal Revenue Code as if such provisions had never been enacted, all provisions; S.3502, American Liberty Restoration Act, Repeals provisions of the Patient Protection and Affordable Care Act that require individuals to maintain minimum essential health care coverage. Applies the Internal Revenue Code as if such provisions had never been enacted, all provisions; S.3673, Patients' Freedom to Choose Act, Repeals provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 that: (1) restrict payments from health savings accounts, medical savings accounts, and health flexible spending arrangements for medications to prescription drugs and insulin only; and (2) impose a $2,500 limitation on salary reduction contributions to a health flexible spending arrangement under a cafeteria plan, all provisions; impact of provisions requiring menu labeling in chain restaurants on chain restaurant industry.

Client expense: $840,000 · Firm income: Not reported

Community Pharmacy Fairness Act of 2009 H.R. 1204 Healthy Americans Act H.R. 1321 Emergency Retiree Health Benefits Protection Act H.R. 1322 Family Leave Insurance Act of 2009 H.R. 1723 Long-Term Care Affordability and Security Act of 2009 H.R. 2096 Healthy Families Act H.R. 2460 The Patients Choice Act H.R. 2520 Tax Equity for Health Plan Beneficiaries Act of 2009 H.R. 2625 Prevent application of ERISA preemption to state law causes of action - H.R. 3925 Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 -H.R. 3962/Public Law No: 111-192 Common Sense Health Care Reform and Affordability Act H.R. 4038 American Workers, State, and Business Relief Act H.R. 4213, Unemployment Compensation Extension Act of 2010 Public Law No: 111-205 Medicare and Medicaid Extenders Act H.R. 4994 Health Care Reform regulatory implementation and compliance issues from the Patient Protection and Affordable Care Act (PPACA) Public Law No: 111-148 & the Health Care and Education Reconciliation Act of 2010 (HCERA) Public Law No: 111-152 National Commission on Fiscal Responsibility and Reform implications for benefits Senate Healthy Americans Act - S. 391 Long-Term Care Affordability and Security Act of 2009 S. 702 The Patients Choice Act S. 1099 Healthy Families Act S. 1152 Tax Equity for Health Plan Beneficiaries Act of 2009 S. 1153 Confidence in Long-Term Care Insurance Act S. 1177 Patient Centered Outcomes Research Act S. 1213 American Jobs Protection Act S. 3501 American Workers, State, and Business Relief Act H.R. 4213 & substitute amendment Small Business Paperwork Relief Act S. 3946 Empowering States to Innovate Act S. 3958 Medicare and Medicaid Extenders Act H.R. 4994 Health Care Reform regulatory implementation and compliance issues from the Patient Protection and Affordable Care Act (PPACA) Public Law No: 111-148 & the Health Care and Education Reconciliation Act of 2010 (HCERA) Public Law 111-152 National Commission on Fiscal Responsibility and Reform implications for benefits Regulatory Proposed rule on application of ERISA to state/local health reform efforts COBRA premium subsidy assistance extension American Recovery and Reinvestment Act of 2009 (ARRA) included in the Department of Defense Appropriations Act of 2010 Guidance for and implementation of the Patient Protection and Affordable Care Act (PPACA) & the Health Care and Education Reconciliation Act of 2010 (HCERA) employer responsibility provisions, tax treatment of certain plans, transition period and good faith compliance standard, CLASS Act provisions, Early Retiree Reinsurance Program (ERRP), retiree only plans, grandfathered plans, grandfathering rules as applied to collectively bargained health plans, coverage of adult children, medical loss ratios (MLRs), limited benefit plans, quality improvement initiatives, meaningful use rules, preventive care, preexisting conditions, annual & lifetime limits, patient protections, claims and appeals procedures, external review, health information technology & electronic health records, health literacy and insurance exchanges, wellness, tax reporting issues, non-discrimination requirements Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 comments on Interim Final Regulations. Health Information Technology for Economic and Clinical Health (HITECH) Act

Employer Health Insurance Mandates S 3501- American Job Protection Act Epansion of Small Business Health Coverage; Possible Limits on Itemized Deductions as Pay-Fors; Affordability Tax Credits S 979 - Small Business Health Options Program (SHOP) Act S 1679 - Affordable Health Choices Act S 1796- America's Healthy Future Act of 2009 HR 2360- Small Business Health Options Program (SHOP) Act of 2009 HR 3200- America's Affordable Health Choices Act of 2009 HR 3962- Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 HR 1470- Equity for Our Nation's Self-Employed Act of 2009 S 725- Equity for Our Nation's Self-Employed Act of 2009 Expansion of Small Business Health Coverage S 45- Medical Care Access Protection (MCAP) Act of 2009 S 79- Healthy Businesses, Healthy Workers Reinsurance Act S 93- Small Business Empowerment Act S 391 - Healthy Americans Act HR 193 - AmeriCare Health Insurance Act of 2009 HR 859- Small Business Cooperative for Healthcare Options to Improve Coverage for Employees (CHOICE) Act of 2009 HR 879- Affordable Health Care Expansion Act of 2009 Employer Health Insurance Mandates S 3393 - COBRA Health Benefits Extension Act of 2010 S J Res 39 - A joint resolution providing for congressional disapproval under chapter eight of Title 5, United States Code, of the rule relating to status as a grandfathered health plan under the Patient Protection and Affordable Care Act. HR 5324 - COBRA Health Benefits Extension Act of 2010 Changes to Federal Health Laws HR 5808 - A bill to amend the Patient Protection and Affordable Care Act to establish a public health insurance option. Changes to Information Reporting Requirements Related to Health Laws S 3578 - Small Business Paperwork Mandate Elimination Act Comments to HHS on Health Insurance Exchange Rulemaking

H.R. 4626, Health Insurance Industry Fair Competition Act H.R. 5853, Fiscal Responsibility and Retirement Security Act H.R. 4853, Middle Class Tax Act of 2010 H.R. 1322, Emergency Retiree Health Benefits Protection Act of 2009 H.R. 3590, Patient Protection and Affordable Care Act (P.L. 111-148), specifically issues related to the regulatory process and legislative corrections H.R. 4872, Health Care and Education Affordability Reconciliation Act of 2010 (P.L. 111-152), specifically issues related to the regulatory process and legislative corrections H.R. 5141 / S. 3578, Small Business Paperwork Mandate Elimination Act S. 3501, American Job Protection Act S. 3673, Patients' Freedom to Choose Act S. 510, FDA Food Safety Modernization Act, provisions related to 1099 reporting and amendments offered by Senator Mike Johanns and Senator Max Baucus which would repeal Section 9006 of H.R. 3590, Patient Protection and Affordable Care Act S. 3924, Public Accountability in Health Care Implementation Act Filed comments and met with relevant agencies on regulations implementing health care reform (P.L. 111-148 and 111-152) Regulations commented on include: Medical Loss Ratio (MLR) Request for Information Adult Child Coverage (Age 26) Interim Final Rule Grandfathered Plan Status Interim Final Rule Preexisting Condition Exclusion, Lifetime & Annual Limits Rescissions, and Patient Protections Interim Final Rule Preventive Services Coverage Interim Final Rule Internal Claims & Appeals and External Review Processes Interim Final Rule Preexisting Condition Insurance Plan (PCIP) Interim Final Rule 1099 Reporting Requirements Request for Comments Planning and Establishment of State-level Exchanges Request for Comments National Quality Plan Request For Comments Non-Discrimination in Favor of Highly Compensated Individuals Request for Comments Essential Health Benefits (IOM Study) Issues related to ERISA preemption (specific legislation not yet introduced) Various ongoing issues related to Section 9006 of of H.R. 3590, Patient Protection and Affordable Care Act, usually referred to as the 1099 reporting mandate Comprehensive health reform and all aspects relating to coverage, financing, delivery reform, 1099 reporting, grandfathering, HSA and FSA changes, CMS claims database, IPAB, CLASS program, and employer mandate

S. 245: Retooling the Health Care Workforce for an Aging America Act of 2009 -- all sections S. 560/H.R. 1409: Employee Free Choice Act of 2009 -- all sections H.R. 5107/S. 3254: Employee Misclassification Prevention Act -- all sections S. 1788/H.R. 2381: Nurse and Health Care Worker Protection Act of 2009 -- all sections S. 3501: American Job Protection Act -- all sections

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

HR 3200; HR 3590, HR 3408, HR 5902, S. 3596, S. 2882, S. 3501, S. 3502 - in home companion care issues.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1409, Empl Free Choice; S.560, Empl Free Choice; H.R.2460, Healthy Families Act; S.1152, Healthy Families Act; H.R.2067, Protecting Amer Workers; S.3722, Paycheck Fairness; S.3501, Amer Job Protect Act; H.R.5663, Robert Byrd Miner Safety & Health Act; S.3671, Robert Byrd Mine & Workplace Safety and Health Act; Comments on Proposed Changes to Consult Proc; NLRB Case, Rounds Inc and Milwaukee Building and Construction Trades; Amicus Brief re Lamons Gasket Co

Client expense: $143,382 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

Employer Health Insurance Mandates S 3501- American Job Protection Act Epansion of Small Business Health Coverage; Possible Limits on Itemized Deductions as Pay-Fors; Affordability Tax Credits S 979 - Small Business Health Options Program (SHOP) Act S 1679 - Affordable Health Choices Act S 1796- America's Healthy Future Act of 2009 HR 2360- Small Business Health Options Program (SHOP) Act of 2009 HR 3200- America's Affordable Health Choices Act of 2009 HR 3962- Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 HR 1470- Equity for Our Nation's Self-Employed Act of 2009 S 725- Equity for Our Nation's Self-Employed Act of 2009 Expansion of Small Business Health Coverage S 45- Medical Care Access Protection (MCAP) Act of 2009 S 79- Healthy Businesses, Healthy Workers Reinsurance Act S 93- Small Business Empowerment Act S 391 - Healthy Americans Act HR 193 - AmeriCare Health Insurance Act of 2009 HR 859- Small Business Cooperative for Healthcare Options to Improve Coverage for Employees (CHOICE) Act of 2009 HR 879- Affordable Health Care Expansion Act of 2009 Employer Health Insurance Mandates S 3393 - COBRA Health Benefits Extension Act of 2010 S J Res 39 - A joint resolution providing for congressional disapproval under chapter eight of Title 5, United States Code, of the rule relating to status as a grandfathered health plan under the Patient Protection and Affordable Care Act. HR 5324 - COBRA Health Benefits Extension Act of 2010 Changes to Federal Health Laws HR 5808 - A bill to amend the Patient Protection and Affordable Care Act to establish a public health insurance option. Changes to Information Reporting Requirements Related to Health Laws S 3578 - Small Business Paperwork Mandate Elimination Act

Client expense: $4,500,000 · Firm income: Not reported

H.R. 1322, Emergency Retiree Health Benefits Protection Act of 2009 H.R. 1346 / S. 540, Medical Device Safety Act of 2009 H.R. 4626, Health Insurance Industry Fair Competition Act H.R. 5141 / S. 3578, Small Business Paperwork Mandate Elimination Act, including provisions related to 1099 reporting H.R. 5297, Small Business Jobs and Credit Act of 2010, including amendments related to the repeal of the 1099 reporting mandate S. 3501, American Job Protection Act, including provisions related to an employer mandate S. 3673, Patients' Freedom to Choose Act, including issues related to FSA and HSA provisions H.R. 5853, Fiscal Responsibility and Retirement Security Act, including provisions related to class act reform H.R. 5982, Small Business Tax Relief Act of 2010 S. 3653, Health Care Bureaucrats Elimination Act, IPAB Reform provisions S.J. Res. 39, A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule relating to status as a grandfathered health plan under the Patient Protection and Affordable Care Act, including provisions related to PPACA grandfathering and IFR The Consumer Information Enhancement Act of 2010, provisions related to Medicare claims database release (bill number not yet assigned) Draft Comprehensive health reform, all provisions relating to coverage, financing, and delivery reform, 1099 reporting, grandfathering, HSA and FSA changes, CMS claims database, IPAB, CLASS program, and employer mandate (bills in the Senate and House) Various issues related to the regulatory and legislative corrections to the following bills: H.R. 3590, Patient Protection and Affordable Care Act (P.L. 111-148), provisions related to coverage, delivery reform, and financing aspects H.R. 4872, Health Care and Education Reconciliation Act of 2010 (P.L. 111-152), provisions related to coverage, delivery reform, and financing aspects General issues related to ERISA preemption and implementation and the regulatory process following the passage and enactment of health care reform (specific legislation not yet introduced)

S. 245 -- Retooling the Health Care Workforce for an Aging America Act of 2009 -- all sections S. 560/H.R. 1409 - Employee Free Choice Act of 2009 - All sections H.R.5107/S.3254: Employee Misclassification Prevention Act - All sections S.1788/H.R.2381: Nurse and Health Care Worker Protection Act of 2009 - All sections S. 3501: American Job Protection Act All sections

Client expense: $320,000 · Firm income: Not reported

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

Community Pharmacy Fairness Act of 2009 H.R. 1204 Healthy Americans Act H.R. 1321 Emergency Retiree Health Benefits Protection Act H.R. 1322 Long-Term Care Affordability and Security Act of 2009 H.R. 2096 Healthy Families Act H.R. 2460 The Patients Choice Act H.R. 2520 Family Leave Insurance Act of 2009 H.R. 1723 Tax Equity for Health Plan Beneficiaries Act of 2009 H.R. 2625 Prevent application of ERISA preemption to state law causes of action - H.R. 3925 Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 -H.R. 3962/Public Law No: 111-192 Common Sense Health Care Reform and Affordability Act H.R. 4038 American Workers, State, and Business Relief Act H.R. 4213, Unemployment Compensation Extension Act of 2010 Public Law No: 111-205 Health Care Reform regulatory implementation and compliance issues from the Patient Protection and Affordable Care Act (PPACA) Public Law No: 111-148 & the Health Care and Education Reconciliation Act of 2010 (HCERA) Public Law No: 111-152 Senate Healthy Americans Act - S. 391 Long-Term Care Affordability and Security Act of 2009 S. 702 The Patients Choice Act S. 1099 Healthy Families Act S. 1152 Tax Equity for Health Plan Beneficiaries Act of 2009 S. 1153 Confidence in Long-Term Care Insurance Act S. 1177 Patient Centered Outcomes Research Act S. 1213 American Jobs Protection Act S. 3501 American Workers, State, and Business Relief Act H.R. 4213 & substitute amendment Health Care Reform regulatory implementation and compliance issues from the Patient Protection and Affordable Care Act (PPACA) Public Law No: 111-148 & the Health Care and Education Reconciliation Act of 2010 (HCERA) Public Law 111-152 Regulatory communication with covered federal officials on legislative issues Proposed rule on application of ERISA to state/local health reform efforts. COBRA premium subsidy assistance extension American Recovery and Reinvestment Act of 2009 (ARRA) included in the Department of Defense Appropriations Act of 2010 Guidance for and implementation of the Patient Protection and Affordable Care Act (PPACA) & the Health Care and Education Reconciliation Act of 2010 (HCERA) employer responsibility provisions, tax treatment of certain plans, transition period and good faith compliance standard, CLASS Act provisions, Early Retiree Reinsurance Program (ERRP), retiree only plans, grandfathered plans, grandfathering rules as applied to collectively bargained health plans, coverage of adult children, medical loss ratios (MLRs), limited benefit plans, quality improvement initiatives, meaningful use rules, preventive care, preexisting conditions, annual & lifetime limits, patient protections, claims and appeals procedures, external review, health information technology & electronic health records, health literacy and insurance exchanges Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 comments on Interim Final Regulations. Health Information Technology for Economic and Clinical Health (HITECH) Act

HR 3200; HR 3590, HR 3408, HR 5902, S. 3596, S. 2882, S. 3501, S. 3502 - in home companion care issues.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1409, Employee Free Choice; S.560, Employee Free Choice; H.R.2460, Healthy Families Act; S.1152, Healthy Families Act; H.R.2067, Protecting America's Workers; H.R.2989, Fair Disclosure & Pension Security; H.R.3936, Preserve Benefits & Jobs; H.R.2021, Savings Recovery Act (re pension funding); H.R.3962, Medicare Beneficiaries & Pension Relief; S.3772, Paycheck Fairness Act; S.3501 American Job Protection Act of 2010; H.R.5663, Robert Byrd Miner Safety & Health Act of 2010

Client expense: $106,133 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

Employer Health Insurance Mandates S 3501- American Job Protection Act Epansion of Small Business Health Coverage; Possible Limits on Itemized Deductions as Pay-Fors; Affordability Tax Credits S 979 - Small Business Health Options Program (SHOP) Act S 1679 - Affordable Health Choices Act S 1796- America's Healthy Future Act of 2009 HR 2360- Small Business Health Options Program (SHOP) Act of 2009 HR 3200- America's Affordable Health Choices Act of 2009 HR 3962- Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 HR 1470- Equity for Our Nation's Self-Employed Act of 2009 S 725- Equity for Our Nation's Self-Employed Act of 2009 Expansion of Small Business Health Coverage S 45- Medical Care Access Protection (MCAP) Act of 2009 S 79- Healthy Businesses, Healthy Workers Reinsurance Act S 93- Small Business Empowerment Act S 391 - Healthy Americans Act HR 193 - AmeriCare Health Insurance Act of 2009 HR 859- Small Business Cooperative for Healthcare Options to Improve Coverage for Employees (CHOICE) Act of 2009 HR 879- Affordable Health Care Expansion Act of 2009

Client expense: $3,940,000 · Firm income: Not reported