Retiree Health Coverage Protection Act

Health care reform implementation-P.L 111-148, Patient Protection and Affordable Care Act and P.L. 111-152 S. 915, American Health Security Act of 2011 - single payer health plan H.R. 1200, American Health Security Act of 2011- single payer health plan H.R. 1206, Access to Professional Health Insurance Advisors Act of 2011 - insurance brokers S. 73, State Leadership in Health Care Act - state exchanges H.R. 2187, Nurse Staffing Standards for Patient Safety and Quality Care of 2011 S. 992, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2011 S. 1088, Retiree Health Coverage Protection Act - early retirement reinsurance program S. 688, Puerto Rico Hospital HITECH Amendments of 2011 H.R. 21, Reclaiming Individual Liberty Act - individual mandate H.R. 452, Medicare Decisions Accoutability Act of 2010 PEO legislation Employer tax exclusion, employer provided health plans H.R. 2077, MLR Repeal Act of 2011

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

Government targets: Defense, Dept of (DOD), Employment Standards Administration, Executive Office of the President (EOP), Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR)

Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011 - H.R. 4 Public Law No: 112-009 Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 5 Patients Freedom to Choose Act H.R. 605 Medical FSA Improvement Act of 2011 H.R. 1004 Medicare Beneficiary Freedom to Choose Act of 2011 H.R. 1051 Fiscal Responsibility and Retirement Security Act of 2011 (To repeal the CLASS Program) H.R. 1173 PPACA De-Funding legislation H.R. 1213, 1214, 1215, 1216 & 1217 Family and Retirement Health Investment Act of 2011 H.R. 2010 The MLR Repeal Act of 2011 H.R. 2077 Tax Parity for Health Plan Beneficiaries Act of 2011 H.R. 2088 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 Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.R. 1473, repeal of certain PPACA provisions Fiscal Year 2012 Budget Proposal budgetary impacts of health entitlement programs National Commission on Fiscal Responsibility and Reform implications for benefits Joint Select Committee on Deficit Reduction impact on employee benefits provisions The American Jobs Act Senate Small Business Paperwork Reduction Act S. 18 Small Business Paperwork Mandate Elimination Act of 2011 - S. 72 State Leadership in Health Act S. 73 FAA Air Transportation Modernization and Safety Improvement Act S. 223 (Section 1099 repeal information reporting requirements under Section 9006 of PPACA State Health Care Choice Act S. 244 Empowering States to Innovate Act S. 248 Patients Freedom to Choose Act S. 312 Repeal the CLASS Entitlement Act S. 720 Retiree Health Coverage Protection Act S.1088 Family and Retirement Health Investment Act S. 1098 Tax Parity for Health Plan Beneficiaries Act of 2011 S. 1171 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 Fiscal Year 2012 Budget Proposal budgetary impacts of health and retirement entitlement programs National Commission on Fiscal Responsibility and Reform implications for benefits Joint Select Committee on Deficit Reduction impact on employee benefits provisions The American Jobs Act The Trade Adjustment Assistance (TAA) Extension Act employer sponsored health benefits White House - Joint Select Committee on Deficit Reduction impact on employee benefits provisions health care policy provisions Proposed Health Information Technology for Economic and Clinical Health (HITECH) Act regulations for HIPAA Accounting of Disclosures Request for Information (RFI) streamlining regulations to reduce regulatory burdens - Improving Regulation and Regulatory Review Executive Order 13563 2011-2012 Agency Guidance Priority List 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 (shared responsibility/pay to play), essential benefits package, CLASS Act, tax treatment of certain plans, transition period and good faith compliance standard, 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), Mini-Med waiver program, internal claims and appeals processes, annual limit waivers, Constitutional issues, value-based insurance design, preventative services, Accountable Care Organizations (ACOs) Medicare Shared Savings Program (SSP), Medicare Secondary Payer Program (MSP), health care quality measurement, reporting and health information technology, Meaningful Use Incentive Program and definition, application of nondiscrimination rules for insured group health plans, W2 treatment and reporting, state waivers, definition of full-time employee, Comparative Effectiveness program, health exchanges, risk and reinsurance standards, new rules on subsidy eligibility and health insurance exchanges, availability of Medicare data for performance measurement, proposed regulations on required summary of benefits and coverage and the uniform glossary, health insurance premium tax credit, womens preventative health care Health care provider compensation Internal Revenue Code Section 162 (m) (6) Electronic disclosure, communication by employee benefit plans Consumer directed health care plans

S. 1088, the Retiree Health Coverage Protection Act, including provisions relating to the Early Retiree Reinsurance Program S. 312/H.R. 605, the Patients Freedom to Choose Act, including provisons related to health savings accounts

Client expense: $212,821 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, U.S. Information Agency (USIA), White House Office

S. 1088, Retiree Health Coverage Protection Act; S. 1117, TAA Health Coverage Improvement Act, Early Retireee Reinsurance Program

Client expense: $204,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Pension Benefit Guaranty Corporation (PBGC), SENATE, Transportation, Dept of (DOT), U.S. Trade Representative (USTR), White House Office

Health care reform implementation-P.L 111-148, Patient Protection and Affordable Care Act and P.L. 111-152 Health Care and Education Reconciliation Act of 2010 (individual mandate, state exchanges, medical loss ratio) HR 1683, State Flexibility Act - Medicare funding S. 915, American Health Security Act of 2011 - single payer health plan HR 1200, American Health Security Act of 2011- single payer health plan HR 1206, Access to Professional Health Insurance Advisors Act of 2011 - insurance brokers HR 2341, Direct Care Job Quality Improvement Act S. 73, State Leadership in Health Care Act - state exchanges HR 2187, Nurse Staffing Standards for Patient Safety and Quality Care of 2011 S. 992, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2011 S. 1088, Retiree Health Coverage Protection Act - early retirement reinsurance program S. 688, Puerto Rico Hospital HITECH Amendments of 2011 HR 21, Reclaiming Individual Liberty Act - individual mandate HR 452, Medicare Decisions Accoutability Act of 2010 S. 1416, Medigap Medical Loss Ratio Improvement Act of 2011 HR 2465, Medigap Medical Loss Ratio Improvement Act of 2011

Client expense: $920,000 · Firm income: Not reported

Government targets: Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)

1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding reinsurance fund for health care coverage for people ages 55-64, high risk insurance pools, and the CLASS Act 2. S. 1088, Retiree Health Coverage Protection Act, entire bill

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011 - H.R. 4 Public Law No: 112-009 Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 5 Patients Freedom to Choose Act H.R. 605 Medical FSA Improvement Act of 2011 H.R. 1004 Medicare Beneficiary Freedom to Choose Act of 2011 H.R. 1051 Fiscal Responsibility and Retirement Security Act of 2011 (To repeal the CLASS Program) H.R. 1173 PPACA De-Funding legislation H.R. 1213, 1214, 1215, 1216 & 1217 Family and Retirement Health Investment Act of 2011 H.R. 2010 The MLR Repeal Act of 2011 H.R. 2077 Tax Parity for Health Plan Beneficiaries Act of 2011 H.R. 2088 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 Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.R. 1473, repeal of certain PPACA provisions Fiscal Year 2012 Budget Proposal budgetary impacts of health entitlement programs National Commission on Fiscal Responsibility and Reform implications for benefits Joint Select Committee on Deficit Reduction impact on employee benefits provisions The American Jobs Act Senate Small Business Paperwork Reduction Act S. 18 Small Business Paperwork Mandate Elimination Act of 2011 - S. 72 State Leadership in Health Act S. 73 FAA Air Transportation Modernization and Safety Improvement Act S. 223 (Section 1099 repeal information reporting requirements under Section 9006 of PPACA State Health Care Choice Act S. 244 Empowering States to Innovate Act S. 248 Patients Freedom to Choose Act S. 312 Repeal the CLASS Entitlement Act S. 720 Retiree Health Coverage Protection Act S.1088 Family and Retirement Health Investment Act S. 1098 Tax Parity for Health Plan Beneficiaries Act of 2011 S. 1171 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 Fiscal Year 2012 Budget Proposal budgetary impacts of health and retirement entitlement programs National Commission on Fiscal Responsibility and Reform implications for benefits Joint Select Committee on Deficit Reduction impact on employee benefits provisions The American Jobs Act Regulatory White House - Joint Select Committee on Deficit Reduction impact on employee benefits provisions health care policy provisions Proposed Health Information Technology for Economic and Clinical Health (HITECH) Act regulations for HIPAA Accounting of Disclosures Request for Information (RFI) streamlining regulations to reduce regulatory burdens - Improving Regulation and Regulatory Review Executive Order 13563 2011-2012 Agency Guidance Priority List 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 (shared responsibility/pay to play) , CLASS Act, tax treatment of certain plans, transition period and good faith compliance standard, 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), Mini-Med waiver program, internal claims and appeals processes, annual limit waivers, Constitutional issues, value-based insurance design, preventative services, Accountable Care Organizations (ACOs) Medicare Shared Savings Program (SSP), Medicare Secondary Payer Program (MSP), health care quality measurement, reporting and health information technology, Meaningful Use Incentive Program and definition, application of nondiscrimination rules for insured group health plans, guidance on W2 treatment, state waivers, definition of full-time employee, Comparative Effectiveness program, proposed regulations for health exchanges, risk and reinsurance standards, proposed new rules on subsidy eligibility and health insurance exchanges, availability of Medicare data for performance measurement, proposed regulations on required summary of benefits, health insurance premium tax credit, womens preventative health care Health care provider compensation Internal Revenue Code Section 162 (m) (6) Electronic disclosure by employee benefit plans Consumer directed health care plans

S. 1088, the Retiree Health Coverage Protection Act, including provisions relating to the Early Retiree Reinsurance Program S. 312/H.R. 605, the Patients Freedom to Choose Act, including provisons related to health savings accounts

Client expense: $221,062 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Environmental Protection Agency (EPA), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, SENATE

Health Care - Early retiree reassurance Program; Healthcare tax exclusion; S. 1088, Retiree Healtch Care Protection Act; H.R 2077, MLR Repeal Act of 2011 - amending the Public Health Service Act.

Client expense: $170,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT), U.S. Trade Representative (USTR), White House Office

S. 1088, Retiree Health Coverage Protection Act; S. 1117, TAA Health Coverage Improvement Act

Client expense: $227,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), U.S. Trade Representative (USTR), White House Office

Health Care - Early retiree Reassurance Program; Health Care Tax Exclusion; S. 1088, Retiree Health Care Protection Act; H.R. 2187 & S. 992, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2011;

Client expense: $180,000 · Firm income: Not reported

Government targets: Army, Dept of (Other), Energy, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)

S. 1088, the Retiree Health Coverage Protection Act, including provisions relating to the Early Retiree Reinsurance Program

Client expense: $212,673 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, SENATE

HR 2341, S 1273 - Direct Care Job Quality Improvement Act of 2011 S 992 - National Nursing Shortage Reform and Patient Advocacy Act HR 2187 - Nurse Staffing Standards for Patient Safety and Quality Care Act of 2011 Improving quality of nursing care Budget and debt ceiling Proposals to cut Medicare and Medicaid Medicare and Medicaid Reform HR 2 - Health Care Reform S 1088 - Retiree Health Coverage Protection Act Affordable Care Act protection and implementation Tax exclusion for employer-sponsored health care HR 1683 - Repeal of the Medicaid maintenance of effort HR 1216 - cuts in Graduate Medical Education HR 1213 - repeal of funding for state exchanges HR 1214 - repeal of funding for school clinics Interstate sale of health insurance

Client expense: $710,000 · Firm income: Not reported

National Alzheimer's Project Act implementation; debt ceiling proposals impact on Medicare and Medicaid; requested Lifespan Respite Act reauthorization; support for Medicare Drugs Savings Act; opposed laboratory coinsurance for Medicare; S. 1088 extends funding for the Early Retiree Reinsurance Program (ERRP); reauthorization of the Older Americans Act efforts

Client expense: $22,500 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), White House Office

Health care reform implementation (Patient Protection and Affordable Care Act, P.L 111-148) HR 1683, State Flexibility Act S. 915, American Health Security Act of 2011 HR 1200, American Health Security Act of 2011 HR 1206, Access to Professional Health Insurance Advisors Act of 2011 HR 2341, Direct Care Job Quality Improvement Act S. 73, State Leadership in Health Care Act HR 358, Protect Life Act HR 2187, Nurse Staffing Standards for Patient Safety and Quality Care of 2011 S. 992, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2011 S. 1088, Retiree Health Coverage Protection Act S. 2688, Puerto Rico Hospital HR 21, Reclaiming Individual Liberty Act HITECH Amendment of 2011

Client expense: $880,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), Vice President of the U.S.

1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding reinsurance fund for health care coverage for people ages 55-64, high-risk insurance pools, and the CLASS Act 2. S. 1088, Retiree Health Coverage Protection Act, entire bill

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

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

Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011 - H.R. 4 Public Law No: 112-009 Help Efficient, Accessible, Low Cost, Timely Healthcare (HEALTH) Act of 2011 H.R. 5 Patients Freedom to Choose Act H.R. 605 Medical FSA Improvement Act of 2011 H.R. 1004 Medicare Beneficiary Freedom to Choose Act of 2011 H.R. 1051 Fiscal Responsibility and Retirement Security Act of 2011 (To repeal the CLASS Program) H.R. 1173 PPACA De-Funding legislation H.R. 1213, 1214, 1215, 1216 & 1217 Family and Retirement Health Investment Act of 2011 H.R. 2010 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 Department of Defense and Full-Year Continuing Appropriations Act, 2011 H.R. 1473, repeal of certain PPACA provisions Fiscal Year 2012 Budget Proposal budgetary impacts of health entitlement programs Tax Parity for Health Plan Beneficiaries Act of 2011 H.R. 2088 Senate Small Business Paperwork Reduction Act S. 18 Small Business Paperwork Mandate Elimination Act of 2011 - S. 72 State Leadership in Health Act S. 73 FAA Air Transportation Modernization and Safety Improvement Act S. 223 (Section 1099 repeal information reporting requirements under Section 9006 of PPACA State Health Care Choice Act S. 244 Empowering States to Innovate Act S. 248 Patients Freedom to Choose Act S. 312 Repeal the CLASS Entitlement Act S. 720 Retiree Health Coverage Protection Act S.1088 Family and Retirement Health Investment Act S. 1098 Tax Parity for Health Plan Beneficiaries Act of 2011 S. 1171 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 Fiscal Year 2012 Budget Proposal budgetary impacts of health and retirement entitlement programs Tax Parity for Health Plan Beneficiaries Act of 2011 S. 1171 Regulatory Request for Information (RFI) streamlining regulations to reduce regulatory burdens - Improving Regulation and Regulatory Review Executive Order 13563 2011-2012 Agency Guidance Priority List 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 (shared responsibility/pay to play) , CLASS Act, tax treatment of certain plans, transition period and good faith compliance standard, 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), Mini-Med waiver program, internal claims and appeals standards, annual limit waivers, Constitutional issues, value-based insurance design, preventative services, Accountable Care Organizations (ACOs) Medicare Shared Savings Program (SSP), Medicare Secondary Payer Program (MSP), health care quality measurement, reporting and health information technology, Meaningful Use Incentive Program and definition, application of nondiscrimination rules for inured group health plans, guidance on W2 treatment, state waivers, definition of full-time employee, Comparative Effectiveness program Health care provider compensation Internal Revenue Code Section 162 (m) (6) Electronic disclosure Consumer directed health care plans

Supported all provisions: S. 1088, Retiree Health Coverage Protection Act S. 1283/H.R. 2364, Family and Medical [Leave] Inclusion Act H.R. 3090 (111th Congress bill number), Health Equity and Accountability Act of 2009 S. 1273/H.R. 2341, Direct Care Job Quality Improvement Act Opposed all provisions: H.R. 1213, To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Ac to establish American Health Benefit Exchanges

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE