Health Care Fairness and Stability Act

H.R. 3489, a bill that would repeal the health care laws reinsurance fee "Belly Button Tax" Transitional Reinsurance Fee Transitional Reinsurance Program Health Care Fairness and Stability Act of 2014 (S.2253)

Client expense: $150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Discussions regarding health care benefits Discussions regarding retail health clinics General discussions regarding the Affordable Care Act and judicial remedies S.2546, Automatic Enrollment S.2253, to amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market S. 1188, 40 Hours is Full Time Act

Client expense: $1,780,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Small Business Administration (SBA), State, Dept of (DOS), U.S. Agency for International Development (USAID), U.S. Trade Representative (USTR), White House Office

H.R. 4, Jobs for America Act (Camp) - ACA provisions H.R. 99, Health Insurance Industry Antitrust Enforcement Act (Conyers) - antitrust policy H.R. 544, LIBERTY Act (Gingrey-Matheson) - age rating rules H.R. 743, Health Insurance Industry Fair Competition Act (DeFazio) - antitrust policy H.R. 762, Health Care Choice Act (Blackburn) - national marketplace for individual coverage H.R. 911, Competitive Health Insurance Reform Act (Gosar) - antitrust policy H.R. 1019, Health Insurance Rate Review Act (Schakowsky) - rate review H.R. 1188, Preserving Our Hometown Independent Pharmacies Act (Marino) - antitrust policy H.R. 1205, Patients Right to Know Act (Walden) - disclosures on SBC documents H.R. 1558, Small Business Health Relief Act (Collins) - HIT repeal, other ACA changes H.R. 2328, Access to Professional Health Insurance Advisors Act (Rogers-Barrow) - MLR impact on agents and brokers H.R. 2668, Fairness for American Families Act (Young) - delay of ACA individual mandate H.R. 2698, Federal Employee Short-Term Disability Insurance Act (Norton) - short-term disability program for federal employees H.R. 3121, American Health Care Reform Act (Roe) - replacement health reforms H.R. 3350, Keep Your Health Plan Act (Upton) - continuation of existing plans H.R. 3425, Health Care Access Fairness and Penalty Delay Act (Lipinski-Sinema) - delay of open enrollment and individual mandate penalties H.R. 3489, (Tiberi) - repeal of ACA transitional reinsurance fee H.R. 3504, Consumer Protection and Rate Review Act (Schakowsky) - rate review H.R. 3517, Federal and State Insurance Exchange Access Fairness and Penalty Delay Act (Schrader) - individual mandate delay H.R. 3522, Employee Health Care Protection Act (Cassidy) - continuation of current group coverage H.R. 3541, Obamacare Taxpayer Bailout Prevention Act (Griffin) - repeal of ACA risk corridor program H.R. 3598, Catastrophic Plan Bill (Fortenberry) - expanded access to catastrophic plans H.R. 3745, Coverage Protection Act (Kirkpatrick) - continuation of coverage for consumers unable to enroll in QHPs H.R. 3812, No Bailouts for Insurance Industry Act (Coffman) - ACA reinsurance and risk corridor programs H.R. 3851, No Bailouts for Insurance Industry Act (Lance) - ACA reinsurance and risk corridor programs H.R. 3985, Stop ACA's Risky Provisions Act (Westmoreland) - ACAs reinsurance, risk corridor, and risk adjustment programs H.R. 4118, SIMPLE Fairness Act (Jenkins) - delay in ACA individual mandate penalties H.R. 4302, Protecting Access to Medicare Act (Pitts) - ACA Limits on Deductibles for Plans in Small Group Market H.R. 4354, ACA Taxpayer Bailout Protection Act (Griffin) - ACA risk corridor program H.R. 4406, Taxpayer Bailout Protection Act (Lance) - ACA risk corridor program H.R. 4414, Expatriate Health Coverage Clarification Act (Carney) - relief from ACA for expatriate health plans H.R. 4735, Health Care Fairness and Stability Act (Nolan-McKinley) - ACA transitional reinsurance program H.R. 5175, Protecting Americans from Illegal Bailouts Act (Lance) - ACA risk corridor program S. 24, Small Business Health Relief Act (Portman) - HIT repeal, other ACA changes S. 482, Health Insurance Rate Review Act (Feinstein) - rate review S. 650, Access to Independent Health Insurance Advisors Act (Landrieu) - MLR impact on agents and brokers S. 764, Patients Right to Know Act (Cornyn) - disclosures on SBC documents S. 1473, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) - model disclosure forms S. 1481, Long Term Care Insurance Integrity Act (Klobuchar) - third party review of disputed claims S. 1642, Keeping the ACA Promise Act (Landrieu-Manchin) - continuation of existing plans, notification requirements S. 1671, (Manchin-Kirk) - individual mandate delay S. 1693, ACA Enrollment Extension Act (Shaheen) - extending open enrollment, delaying individual mandate penalties S. 1699, Continuous Coverage Act (Mark Udall) - continuation of existing plans S. 1726, Obamacare Taxpayer Bailout Prevention Act (Rubio) - repeal of ACA risk corridor program S. 1729, Expanded Consumer Choice Act (Begich) - adding copper level of coverage to ACA Exchanges S. 1866, Coverage Protection Act (Merkley) - continuation of coverage, retroactive coverage S. 2166, Treating Families Fairly Act (Manchin) - ACA determinations of full-time equivalent employees S. 2168, Small Business Stability Act (Heitkamp) - ACA definition of a large employer S. 2173, Consumers Having Options in Choosing Enrollment Act (Landrieu) - ACA direct enrollment S. 2174, Commonsense Competition and Access to Health Insurance Act (Warner) - offering health insurance coverage across state lines S. 2175, Enhancing Access for Agents and Brokers Act (Landrieu) - access for independent agents and brokers to information about Exchange enrollment S. 2176, Commonsense Reporting Act (Warner) - ACA reporting requirements S. 2214, ACA Taxpayer Bailout Protection Act (Rubio) - ACA risk corridor program S. 2253, Health Care Fairness and Stability Act (Franken-Kirk) - ACA transitional reinsurance program S. 2578, Protect Women's Health From Corporate Interference Act (Murray) - contraceptive coverage S. 2733, Obamacare Opt-Out Act (McCain-Barrasso) - certification process for opting out of ACA individual mandate S. 2801, Health Care Consumer Choices Preservation Act (Enzi) - conditions on automatic renewals H.R. 5860, Small Business Healthcare Relief Act of 2014 (Boustany) -addresses use of Health Reimbursement Accounts and other employer funding of premiums Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to the continuation of reporting requirements for state LTCI partnership programs; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; summary of benefits and coverage disclosures; pre-existing condition insurance plans; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; dependent coverage; treatment of expatriate plans; compliance with the transitional reinsurance program; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; and issues related to supplemental products, and other issues relating to health care reform implementation.

Client expense: $2,230,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

Patient Protection and Affordable Care Act (Pub.L. 111-448, H.R. 3590); To amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes (H.R. 3489); Health Care Fairness and Stability Act (H.R. 4735/S. 2253); and other issues relating to employer-sponsored health care

Client expense: $1,050,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Patient Protection and Affordable Care Act - Sought administrative and legislative changes to the law that would help alleviate some of the requirements that have been imposed upon multi-employer health and welfare insurance plans.H.R.3489 -- A bill to amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market. Repeal the transitional reinsurance tax on self funded insurance plans including multi-employer health and welfare funds. S.2253 & H.R. 4735 - Health Care Fairness and Stability Act: A bill that would amend the Patient Protection and Affordable Care Act (PPACA) to provide a temporary shift in the scheduled collection of payments for the transitional reinsurance program intended to help stabilize premiums for coverage in the individual health insurance markets from 2014 through 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, White House Office

To amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes (H.R. 3489) and the Health Care Fairness and Stability Act (S. 2253), all provisions.

Client expense: $1,850,000 · Firm income: Not reported

Government targets: Central Intelligence Agency (CIA), Commerce, Dept of (DOC), Defense Intelligence Agency (DIA), Defense Security Cooperation Agency (DSCA), Defense, Dept of (DOD), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Aeronautics & Space Administration (NASA), Natl Geospatial Intelligence Agency, Natl Oceanic & Atmospheric Administration (NOAA), Natl Security Agency (NSA), SENATE, State, Dept of (DOS), Treasury, Dept of

PL-111-148, Patient Protection and Affordable Care Act: multi-employer health plans, state exchanges, implementation, calls, research. H.R. 4414, Expatriate health Coverage Clarification Act: Provisions creating exemptions to Affordable Care Act requirements for employers and health plans, H.R. 5213, STARS Act: Provisions changing definition of seasonal employee for purposes of the Affordable Care Act employer responsibility requirement. S.2253, Healthcare Fairness and Stability Act of 2014: delay implementation S. 2461/H.R. 5364, CHIP Extension Act of 2014 S. 2176, CommonSense Reporting Act S. 2168, Small Business Stability Act: provisions relating to changing definition of large employer for the purpose of employer. S. 1188/H.R. 2575, Forty Hours if Full Time Act of 2013: provisions relating to changing definition of full-time employment, provisions that would increase threshold for full-time work to 40 hours per week. H.R. 4775, Safeguarding Classrooms Hurt by ObamaCare's Obligatory Levies: provisions relating to exemption of educational employees from ACA. H.R. 5298, Student Job Protection Act of 2014: Provisions exempting institutions of higher learning from the requirement to offer health insurance coverage to full-time students working more than 30 hours a week for the institution. S. 2434 Family Coverage Act: provisions affecting access to health care exchange for subsidies for spouses and dependents. H.R. 3522, Employee Health Care Protection Act of 2013 H.R. 1286, Paid Sick Days Executive Order 13673, Fair Pay and Safe Workplace: safety and health Repeal of the Affordable Care Act excise tax on high cost plans: provisions repealing the excise tax on employer-based high cost health plans. Ebola: Safety and health precautions, emergency supplemental funding, protecting workers during outbreak, White House response.

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

Government targets: Administration for Children & Families (ACF), Commerce, Dept of (DOC), Council of Economic Advisers (CEA), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Reserve System, 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 Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of the Vice President of the United States, Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 4, Jobs for America Act (Camp) - ACA provisions. H.R. 99, Health Insurance Industry Antitrust Enforcement Act (Conyers) - antitrust policy. H.R. 544, LIBERTY Act (Gingrey-Matheson) - age rating rules. H.R. 743, Health Insurance Industry Fair Competition Act (DeFazio) - antitrust policy. H.R. 762, Health Care Choice Act (Blackburn) - national marketplace for individual coverage. H.R. 911, Competitive Health Insurance Reform Act (Gosar) - antitrust policy. H.R. 1019, Health Insurance Rate Review Act (Schakowsky) - rate review. H.R. 1188, Preserving Our Hometown Independent Pharmacies Act (Marino) - antitrust policy. H.R. 1205, Patients Right to Know Act (Walden) - disclosures on SBC documents. H.R. 1558, Small Business Health Relief Act (Collins) - HIT repeal, other ACA changes. H.R. 2328, Access to Professional Health Insurance Advisors Act (Rogers-Barrow) - MLR impact on agents and brokers. H.R. 2668, Fairness for American Families Act (Young) - delay of ACA individual mandate. H.R. 2698, Federal Employee Short-Term Disability Insurance Act (Norton) - short-term disability program for federal employees. H.R. 3121, American Health Care Reform Act (Roe) - replacement health reforms. H.R. 3350, Keep Your Health Plan Act (Upton) - continuation of existing plans. H.R. 3425, Health Care Access Fairness and Penalty Delay Act (Lipinski-Sinema) - delay of open enrollment and individual mandate penalties. H.R. 3489, (Tiberi) - repeal of ACA transitional reinsurance fee. H.R. 3504, Consumer Protection and Rate Review Act (Schakowsky) - rate review. H.R. 3517, Federal and State Insurance Exchange Access Fairness and Penalty Delay Act (Schrader) - individual mandate delay. H.R. 3522, Employee Health Care Protection Act (Cassidy) - continuation of current group coverage. H.R. 3541, Obamacare Taxpayer Bailout Prevention Act (Griffin) - repeal of ACA risk corridor program. H.R. 3598, Catastrophic Plan Bill (Fortenberry) - expanded access to catastrophic plans. H.R. 3745, Coverage Protection Act (Kirkpatrick) - continuation of coverage for consumers unable to enroll in QHPs. H.R. 3812, No Bailouts for Insurance Industry Act (Coffman) - ACA reinsurance and risk corridor programs. H.R. 3851, No Bailouts for Insurance Industry Act (Lance) - ACA reinsurance and risk corridor programs. H.R. 3985, Stop ACA's Risky Provisions Act (Westmoreland) - ACAs reinsurance, risk corridor, and risk adjustment programs. H.R. 4118, SIMPLE Fairness Act (Jenkins) - delay in ACA individual mandate penalties. H.R. 4302, Protecting Access to Medicare Act (Pitts) - ACA Limits on Deductibles for Plans in Small Group Market. H.R. 4354, ACA Taxpayer Bailout Protection Act (Griffin) - ACA risk corridor program. H.R. 4406, Taxpayer Bailout Protection Act (Lance) - ACA risk corridor program. H.R. 4414, Expatriate Health Coverage Clarification Act (Carney) - relief from ACA for expatriate health plans. H.R. 4735, Health Care Fairness and Stability Act (Nolan-McKinley) - ACA transitional reinsurance program. H.R. 5175, Protecting Americans from Illegal Bailouts Act (Lance) - ACA risk corridor program. S. 24, Small Business Health Relief Act (Portman) - HIT repeal, other ACA changes. S. 482, Health Insurance Rate Review Act (Feinstein) - rate review. S. 650, Access to Independent Health Insurance Advisors Act (Landrieu) - MLR impact on agents and brokers. S. 764, Patients Right to Know Act (Cornyn) - disclosures on SBC documents. S. 1473, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) - model disclosure forms. S. 1481, Long Term Care Insurance Integrity Act (Klobuchar) - third party review of disputed claims. S. 1642, Keeping the ACA Promise Act (Landrieu-Manchin) - continuation of existing plans, notification requirements. S. 1671, (Manchin-Kirk) - individual mandate delay. S. 1693, ACA Enrollment Extension Act (Shaheen) - extending open enrollment, delaying individual mandate penalties. S. 1699, Continuous Coverage Act (Mark Udall) - continuation of existing plans. S. 1726, Obamacare Taxpayer Bailout Prevention Act (Rubio) - repeal of ACA risk corridor program. S. 1729, Expanded Consumer Choice Act (Begich) - adding copper level of coverage to ACA Exchanges. S. 1866, Coverage Protection Act (Merkley) - continuation of coverage, retroactive coverage. S. 2166, Treating Families Fairly Act (Manchin) - ACA determinations of full-time equivalent employees. S. 2168, Small Business Stability Act (Heitkamp) - ACA definition of a large employer. S. 2173, Consumers Having Options in Choosing Enrollment Act (Landrieu) - ACA direct enrollment. S. 2174, Commonsense Competition and Access to Health Insurance Act (Warner) - offering health insurance coverage across state lines. S. 2175, Enhancing Access for Agents and Brokers Act (Landrieu) - access for independent agents and brokers to information about Exchange enrollment. S. 2176, Commonsense Reporting Act (Warner) - ACA reporting requirements. S. 2214, ACA Taxpayer Bailout Protection Act (Rubio) - ACA risk corridor program. S. 2253, Health Care Fairness and Stability Act (Franken-Kirk) - ACA transitional reinsurance program. S. 2578, Protect Women's Health From Corporate Interference Act (Murray) - contraceptive coverage. S. 2733, Obamacare Opt-Out Act (McCain-Barrasso) - certification process for opting out of ACA individual mandate. S. 2801, Health Care Consumer Choices Preservation Act (Enzi) - conditions on automatic renewals.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3489, Legislation that would repeal the imposition of the transitional reinsurance tax as part of Affordable Care Act (ACA). S. 2253, Franken-Kirk Senate legislation to delay for three years the imposition of the transitional reinsurance tax that was part of the ACA. H.R. 4735, legislation to delay for three years the imposition of the transitional reinsurance tax that was part of ACA.

Client expense: $100,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Transportation, Dept of (DOT)

Patient Protection and Affordable Care Act Implementation, Impact on Employer Sponsored Coverage, Transitional Reinsurance, H.R. 3489- To amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes, S. 2253- Health Care Fairness and Stability Act, Cadillac Tax

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

S. 867 -- Medicare Prescription Drug Program Integrity and Transparency Act; Implementation of H.R. 3204 - the Drug Quality and Security Act (P.L. 113-54); S. 557/H.R.1024 -- the Medication Therapy Management Empowerment Act of 2013; S. 1932/H.R. 3890 -- the Better Care, Lower Cost Act. S. 2253 -- the Health Care Fairness and Stability Act. H.R. 3489 -- to amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes. H.R. 4190 -- amend Title XVIII of the Social Security act to provide for coverage under the Medicare program of pharmacist services. Health care reform implementation issues; Regulatory developments, including value-based design issues as they relate to preventative care.

Client expense: $150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Taft-Hartley multi-employer health care plans & implementation of the Affordable Care Act. Affordable Care Act: qualified health plans and exchanges. S.2253/ H.R. 4735, Health Care Fairness and Stability Act H.R. 2575, Save American Workers Act. S. 701/S. 1188, Forty Hours is Full Time Act of 2013. ACA: excise tax on high value multi-employer health care plans. ERISA: revocation or cancellation of health insurance coverage. 5213/ S. 2881, Simplifying Technical Aspects Regarding Seasonality Act 2014

Client expense: $341,600 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Labor, Dept of (DOL), President of the U.S., SENATE, Securities & Exchange Commission (SEC), Transportation Security Administration (TSA), Transportation, Dept of (DOT), U.S. Trade Representative (USTR), White House Office

Implementation and improvements to health reform proposals, including Cadillac Tax; ERISA preemption; health information technology; employer wellness programs; employer plan fees; retiree health, repeal or delay of transitional reimbursement fee (H.R. 3489/S. 2253); support for expat plan provision in Consolidated and Further Continuing Appropriations Act for FY2015, H.R. 83.

Client expense: $1,870,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Railroad Administration, Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Highway Traffic Safety Administration (NHTSA), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, Pipeline & Hazardous Materials Safety Administration, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Implementation and improvements to health reform proposals, including Cadillac Tax; ERISA preemption; health information technology; employer wellness programs; employer plan fees; retiree health, repeal or delay of transitional reimbursement fee (H.R. 3489/S. 2253); support for expat plan provision in Consolidated and Further Continuing Appropriations Act for FY2015, H.R. 83.

Client expense: Not reported · Firm income: $1,870,000

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Railroad Administration, Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Highway Traffic Safety Administration (NHTSA), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, Pipeline & Hazardous Materials Safety Administration, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Providing disability benefits for occupational illnesses contracted by federal fire fighters, including the Federal Fire Fighters Fairness Act (HR 3718 and S 2266). The Transitional Reinsurance Fee, including HR 3489 and S 2253. The excise tax on high cost health plans. Emergency Medical Services, including HR 809 and S 2400.

Client expense: $92,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Labor, Dept of (DOL), SENATE, Transportation, Dept of (DOT), White House Office

HR3489,S2253,HR4735 re repeal and/or delay of the transitional reinsurance fee on self insured programs as defined in the Affordable Care Act

Client expense: $80,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to delay implementation of a tax on health insurance issuers under the Patient Protection and Affordable Care Act (H.R. 4735, S.2253).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Various issues related to the Patient Protection and Affordable Care Act (P.L. 111-148) and Health Care and Education reconciliation Act of 2010 (P.L. 111-152); Health insurance tax repeal (H.R. 763, S. 603); ACA employer mandate repeal (H.R. 903, S. 399); Auto Enroll Repeal Act (H.R. 1254); Health care related tax issues; Consumer directed health products; Entitlement reform; H.R. 2575H.R. 1634-FSA; ERISA; H.R. 2577; H.R. 2667; H.R. 2835; H.R. 2988; S. 1188; H.R. 3489 - transitional reinsurance; S. 1647; S. 2176 - ACA reporting requirements; S. 2253 - transitional reinsurance; H.R. 4414 - ex-pat; S. 2546 -auto-enroll repeal; H.R. 5557; H.R. 5860 - HRAs

Client expense: $600,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Federal Communications Commission (FCC), Federal Reserve System, Federal Trade Commission (FTC), Financial Crimes Enforcement Network (FinCEN), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Implementation and improvements to health reform proposals; ERISA preemption, health information technology, employer wellness programs, employer plan fees, retiree health, repeal or delay of transitional reimbursement fee (H.R. 3489/S. 2253).

Client expense: $2,490,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Railroad Administration, Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Highway Traffic Safety Administration (NHTSA), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, Pipeline & Hazardous Materials Safety Administration, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 3489, a bill that would repeal the health care laws reinsurance fee "Belly Button Tax" Transitional Reinsurance Fee Transitional Reinsurance Program Health Care Fairness and Stability Act of 2014 (S.2253)

Client expense: $150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ACA implementation. "Medicare Prescription Drug Program Integrity and Transparency Act," S. 867. "Drug Quality and Security Act," H.R. 3204. "Medication Therapy Management Empowerment Act of 2013, HR. 1024, S. 557. "Healthcare Fairness and Stability Act," S.2253. "To amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes," H.R.3489.

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3489 - To amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes. (entire bill) S. 2253, Health Care Fairness and Stability Act (entire bill).

Client expense: $1,320,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Export-Import Bank of the United States (EXIM Bank), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Security Council (NSC), SENATE, Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Trade Representative (USTR)

Patient Protection and Affordable Care Act - Sought administrative and legislative changes to the law that would help alleviate some of the requirements that have been imposed upon multi-employer health and welfare insurance plans.H.R.3489 -- A bill to amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market. Repeal the transitional reinsurance tax on self funded insurance plans including multi-employer health and welfare funds. S.2253 - Health Care Fairness and Stability Act: A bill that would amend the Patient Protection and Affordable Care Act (PPACA) to provide a temporary shift in the scheduled collection of payments for the transitional reinsurance program intended to help stabilize premiums for coverage in the individual health insurance markets from 2014 through 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, White House Office

Implementation and improvements to health reform proposals; ERISA preemption, health information technology, employer wellness programs, employer plan fees, retiree health, repeal or delay of transitional reimbursement fee (H.R. 3489/S. 2253).

Client expense: $2,490,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Railroad Administration, Federal Transit Administration (FTA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Highway Traffic Safety Administration (NHTSA), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, Pipeline & Hazardous Materials Safety Administration, SENATE, Surface Transportation Board (STB), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

PL-111-148, Patient Protection and Affordable Care Act: multiemployer health plans, state exchanges, implementation H.R. 4414, Expatriate Health Coverage Clarification Act H.R. 5213, STARS Act S. 2253, Health Care Fairness and Stability Act: delay implementation S. 2461/H.R. 5364, CHIP Extension Act of 2014 S. 2176, CommonSense Reporting Act S. 2168, Small Business Stability Act S. 1188/H.R. 2575, Forty Hours is Full Time Act of 2013 H.R. 4775, Safeguarding Classrooms Hurt by ObamaCare's Obligatory Levies H.R. 5298, Student Job Protection Act of 2014 S. 2434, Family Coverage Act H.R. 3522 Employee Health Care Protection Act of 2013 Expatriate Health Plans Bills S. 1789, Medicaid managed Care Responsibility and Equity Act

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

Government targets: Bureau of the Census, Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Defense, Dept of (DOD), 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), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of the Vice President of the United States, Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Various issues related to the Patient Protection and Affordable Care Act (P.L. 111-148) and Health Care and Education reconciliation Act of 2010 (P.L. 111-152); Health insurance tax repeal (H.R. 763, S. 603); ACA employer mandate repeal (H.R. 903, S. 399); Auto Enroll Repeal Act (H.R. 1254); Health care related tax issues; Consumer directed health products; Entitlement reform; H.R. 2575H.R. 1634-FSA; ERISA; H.R. 2577; H.R. 2667; H.R. 2835; H.R. 2988; S. 1188; H.R. 3489 - transitional reinsurance; S. 1647; S. 2176 - ACA reporting requirements; S. 2253 - transitional reinsurance; H.R. 4414 - ex-pat; S. 2546 -auto-enroll repeal; H.R. 5557

Client expense: $750,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Federal Communications Commission (FCC), Federal Reserve System, Federal Trade Commission (FTC), Financial Crimes Enforcement Network (FinCEN), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Taft-Hartley multi-employer health care plans & implementation of the Affordable Care Act. Affordable Care Act: qualified health plans and exchanges. S.2253/ H.R. 4735, Health Care Fairness and Stability Act H.R. 2575, Save American Workers Act. S. 701/S. 1188, Forty Hours is Full Time Act of 2013. ACA: "Family Glitch" issue ACA: excise tax on high value multi-employer health care plans. ERISA: revocation or cancellation of health insurance coverage. H.R. 3522/ S. 2808, Employee Health Care Protection Act H.R. 5213/ S. 2881, Simplifying Technical Aspects Regarding Seasonality Act 2014 H.R. 2443/ H.R. 4775/ S. 2462, Safeguarding Children Harmed by Obamacare's Onerous Levies Act

Client expense: $341,600 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Office of the Vice President of the United States, President of the U.S., SENATE, Securities & Exchange Commission (SEC), Transportation Security Administration (TSA), Transportation, Dept of (DOT), U.S. Trade Representative (USTR), White House Office

H.R. 1254 - Auto Enroll Repeal ActPatient Protection and Affordable Care Act (P.L. 111148) - Sections 1201, 1301, 1302, 1303, 1304, 1311, 1401, 1411, 1412, 1414, 1502, 1512, 1513, 1514, 4205 Section 4980H Budget Resolution - HConRes25; SConRes8 (SNAP provisions) S. 701 - Forty Hours Is Full Time Act of 2013 H.R. 2988 - Forty Hours Is Full Time Act of 2013 S. 1188 - Forty Hours Is Full Time Act of 2013 H.R. 2575 - Save American Workers Act of 2013 H.ConRes25 - Establishing the budget for the United States Government for fiscal year 2014 and setting forth appropriate budgetary levels for fiscal years 2015 through 2023 S.ConRes 8 - An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2014, revising the appropriate budgetary levels for fiscal year 2013, and setting forth the appropriate budgetary levels for fiscal years 2015 through 2023 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 H.R. 2667 - Authority for Mandate Delay Act H.R. 3367 - Small Business and Family Relief Act H.R. 3522 Employee Health Protection Act H.R. 3489 To Amend Sec. 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program H.J.Res. 77 Food Drug and Administration Continuing Appropriations Resolution, 2014 H.R. 3121 American Health Care Reform Act H.R. 3419 Small Business Fairness in Obamacare Act S. 1735 Self-Insurance Protection Act S. 1724 - Union Tax Fairness Act of 2013 S. 2176 To revise reporting requirements under the Patient Protection and Affordable Care Act to preserve the privacy of individuals, and for other purposes. S. 2168 Small Business Stability Act H.R. 4302 - Protecting Access to Medicare Act of 2014 S.2546 - A bill to repeal a requirement that new employees of certain employers be automatically enrolled in the employer's health benefits H.R. 4735/S.2253 - Health Care Fairness and Stability Act S.2205 - Small Business Fairness in Health Care Act S.2191 A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage, and for other purposes Senate Draft - Financial Services and General Government Appropriations Act, 2015 Senate Draft - Departments Of Labor, Health And Human Services, And Education, And Related Agencies Fiscal Year 2015 Appropriations Bill H.R. 5557 - Streamlining Verification for Americans Act H.R.4 Jobs for America Act

Client expense: $140,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE

H.R. 3489, Legislation that would repeal the imposition of the transitional reinsurance tax as part of Affordable Care Act (ACA). S. 2253, Franken-Kirk Senate legislation to delay for three years the imposition of the transitional reinsurance tax that was part of the ACA. H.R. 4735, legislation to delay for three years the imposition of the transitional reinsurance tax that was part of ACA.

Client expense: $190,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Transportation, Dept of (DOT)

H.R. 4, Jobs for America Act (Camp) - ACA provisions H.R. 99, Health Insurance Industry Antitrust Enforcement Act (Conyers) - antitrust policy H.R. 544, LIBERTY Act (Gingrey-Matheson) - age rating rules H.R. 743, Health Insurance Industry Fair Competition Act (DeFazio) - antitrust policy H.R. 762, Health Care Choice Act (Blackburn) - national marketplace for individual coverage H.R. 911, Competitive Health Insurance Reform Act (Gosar) - antitrust policy H.R. 1019, Health Insurance Rate Review Act (Schakowsky) - rate review H.R. 1188, Preserving Our Hometown Independent Pharmacies Act (Marino) - antitrust policy H.R. 1205, Patients Right to Know Act (Walden) - disclosures on SBC documents H.R. 1558, Small Business Health Relief Act (Collins) - HIT repeal, other ACA changes H.R. 2328, Access to Professional Health Insurance Advisors Act (Rogers-Barrow) - MLR impact on agents and brokers H.R. 2668, Fairness for American Families Act (Young) - delay of ACA individual mandate H.R. 2698, Federal Employee Short-Term Disability Insurance Act (Norton) - short-term disability program for federal employees H.R. 3121, American Health Care Reform Act (Roe) - replacement health reforms H.R. 3350, Keep Your Health Plan Act (Upton) - continuation of existing plans H.R. 3425, Health Care Access Fairness and Penalty Delay Act (Lipinski-Sinema) - delay of open enrollment and individual mandate penalties H.R. 3489, (Tiberi) - repeal of ACA transitional reinsurance fee H.R. 3504, Consumer Protection and Rate Review Act (Schakowsky) - rate review H.R. 3517, Federal and State Insurance Exchange Access Fairness and Penalty Delay Act (Schrader) - individual mandate delay H.R. 3522, Employee Health Care Protection Act (Cassidy) - continuation of current group coverage H.R. 3541, Obamacare Taxpayer Bailout Prevention Act (Griffin) - repeal of ACA risk corridor program H.R. 3598, Catastrophic Plan Bill (Fortenberry) - expanded access to catastrophic plans H.R. 3745, Coverage Protection Act (Kirkpatrick) - continuation of coverage for consumers unable to enroll in QHPs H.R. 3812, No Bailouts for Insurance Industry Act (Coffman) - ACA reinsurance and risk corridor programs H.R. 3851, No Bailouts for Insurance Industry Act (Lance) - ACA reinsurance and risk corridor programs H.R. 3985, Stop ACA's Risky Provisions Act (Westmoreland) - ACAs reinsurance, risk corridor, and risk adjustment programs H.R. 4118, SIMPLE Fairness Act (Jenkins) - delay in ACA individual mandate penalties H.R. 4302, Protecting Access to Medicare Act (Pitts) - ACA Limits on Deductibles for Plans in Small Group Market H.R. 4354, ACA Taxpayer Bailout Protection Act (Griffin) - ACA risk corridor program H.R. 4406, Taxpayer Bailout Protection Act (Lance) - ACA risk corridor program H.R. 4414, Expatriate Health Coverage Clarification Act (Carney) - relief from ACA for expatriate health plans H.R. 4735, Health Care Fairness and Stability Act (Nolan-McKinley) - ACA transitional reinsurance program H.R. 5175, Protecting Americans from Illegal Bailouts Act (Lance) - ACA risk corridor program S. 24, Small Business Health Relief Act (Portman) - HIT repeal, other ACA changes S. 482, Health Insurance Rate Review Act (Feinstein) - rate review S. 650, Access to Independent Health Insurance Advisors Act (Landrieu) - MLR impact on agents and brokers S. 764, Patients Right to Know Act (Cornyn) - disclosures on SBC documents S. 1473, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) - model disclosure forms S. 1481, Long Term Care Insurance Integrity Act (Klobuchar) - third party review of disputed claims S. 1642, Keeping the ACA Promise Act (Landrieu-Manchin) - continuation of existing plans, notification requirements S. 1671, (Manchin-Kirk) - individual mandate delay S. 1693, ACA Enrollment Extension Act (Shaheen) - extending open enrollment, delaying individual mandate penalties S. 1699, Continuous Coverage Act (Mark Udall) - continuation of existing plans S. 1726, Obamacare Taxpayer Bailout Prevention Act (Rubio) - repeal of ACA risk corridor program S. 1729, Expanded Consumer Choice Act (Begich) - adding copper level of coverage to ACA Exchanges S. 1866, Coverage Protection Act (Merkley) - continuation of coverage, retroactive coverage S. 2166, Treating Families Fairly Act (Manchin) - ACA determinations of full-time equivalent employees S. 2168, Small Business Stability Act (Heitkamp) - ACA definition of a large employer S. 2173, Consumers Having Options in Choosing Enrollment Act (Landrieu) - ACA direct enrollment S. 2174, Commonsense Competition and Access to Health Insurance Act (Warner) - offering health insurance coverage across state lines S. 2175, Enhancing Access for Agents and Brokers Act (Landrieu) - access for independent agents and brokers to information about Exchange enrollment S. 2176, Commonsense Reporting Act (Warner) - ACA reporting requirements S. 2214, ACA Taxpayer Bailout Protection Act (Rubio) - ACA risk corridor program S. 2253, Health Care Fairness and Stability Act (Franken-Kirk) - ACA transitional reinsurance program S. 2578, Protect Women's Health From Corporate Interference Act (Murray) - contraceptive coverage S. 2733, Obamacare Opt-Out Act (McCain-Barrasso) - certification process for opting out of ACA individual mandate S. 2801, Health Care Consumer Choices Preservation Act (Enzi) - conditions on automatic renewals Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to the continuation of reporting requirements for state LTCI partnership programs; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; summary of benefits and coverage disclosures; pre-existing condition insurance plans; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health insurance web portal requirements; dependent coverage; treatment of expatriate plans; compliance with the transitional reinsurance program; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; and issues related to supplemental products, and other issues relating to health care reform implementation.

Client expense: $2,010,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

Patient Protection and Affordable Care Act (Pub.L. 111-448, H.R. 3590); To amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes (H.R. 3489); Health Care Fairness and Stability Act (H.R. 4735/S. 2253) and other issues relating to employer-sponsored health care

Client expense: $960,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR)

Patient Protection and Affordable Care Act Implementation, Impact on Employer Sponsored Coverage, Transitional Reinsurance, Employer Reporting Requirements, H.R. 3489- To amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes, S. 2253- Health Care Fairness and Stability Act

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Affordable Care Act and Medicare Improving access to home care services HR 5364, S 2461 - Children's Health Insurance Program (CHIP) Extension HR 5294 - Health Equity and Accountability Act of 2014 Increasing access to medical language interpreters HR 3522 - Employee Health Care Protection Act (part of HR 4) HR 4414 - Expatriate Health Coverage Clarification Act Repeal of Affordable Care Act's excise tax on high cost plans HR 4 - Jobs for America Act HR 2575 - Save American Workers Act (part of HR 4) S 2253 - Health Care Fairness and Stability Act Protecting the ACA in general S 2578 - Protect Women's Health from Corporate Interference Act H Res 676 - Authorizing civil action against President with respect to the implementation of the Affordable Care Act Federal income tax exclusion for employer-sponsored health care Federal excise tax on high-cost employer-sponsored health care

Client expense: $550,000 · Firm income: Not reported

Government targets: Council of Economic Advisers (CEA), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR), White House Office

H.R. 4, Jobs for America Act (Camp) - ACA provisions. H.R. 99, Health Insurance Industry Antitrust Enforcement Act (Conyers) - antitrust policy. H.R. 544, LIBERTY Act (Gingrey-Matheson) - age rating rules. H.R. 743, Health Insurance Industry Fair Competition Act (DeFazio) - antitrust policy. H.R. 762, Health Care Choice Act (Blackburn) - national marketplace for individual coverage. H.R. 911, Competitive Health Insurance Reform Act (Gosar) - antitrust policy. H.R. 1019, Health Insurance Rate Review Act (Schakowsky) - rate review. H.R. 1188, Preserving Our Hometown Independent Pharmacies Act (Marino) - antitrust policy. H.R. 1205, Patients Right to Know Act (Walden) - disclosures on SBC documents. H.R. 1558, Small Business Health Relief Act (Collins) - HIT repeal, other ACA changes. H.R. 2328, Access to Professional Health Insurance Advisors Act (Rogers-Barrow) - MLR impact on agents and brokers. H.R. 2668, Fairness for American Families Act (Young) - delay of ACA individual mandate. H.R. 2698, Federal Employee Short-Term Disability Insurance Act (Norton) - short-term disability program for federal employees. H.R. 3121, American Health Care Reform Act (Roe) - replacement health reforms. H.R. 3350, Keep Your Health Plan Act (Upton) - continuation of existing plans. H.R. 3425, Health Care Access Fairness and Penalty Delay Act (Lipinski-Sinema) - delay of open enrollment and individual mandate penalties. H.R. 3489, (Tiberi) - repeal of ACA transitional reinsurance fee. H.R. 3504, Consumer Protection and Rate Review Act (Schakowsky) - rate review. H.R. 3517, Federal and State Insurance Exchange Access Fairness and Penalty Delay Act (Schrader) - individual mandate delay. H.R. 3522, Employee Health Care Protection Act (Cassidy) - continuation of current group coverage. H.R. 3541, Obamacare Taxpayer Bailout Prevention Act (Griffin) - repeal of ACA risk corridor program. H.R. 3598, Catastrophic Plan Bill (Fortenberry) - expanded access to catastrophic plans. H.R. 3745, Coverage Protection Act (Kirkpatrick) - continuation of coverage for consumers unable to enroll in QHPs. H.R. 3812, No Bailouts for Insurance Industry Act (Coffman) - ACA reinsurance and risk corridor programs. H.R. 3851, No Bailouts for Insurance Industry Act (Lance) - ACA reinsurance and risk corridor programs. H.R. 3985, Stop ACA's Risky Provisions Act (Westmoreland) - ACAs reinsurance, risk corridor, and risk adjustment programs. H.R. 4118, SIMPLE Fairness Act (Jenkins) - delay in ACA individual mandate penalties. H.R. 4302, Protecting Access to Medicare Act (Pitts) - ACA Limits on Deductibles for Plans in Small Group Market. H.R. 4354, ACA Taxpayer Bailout Protection Act (Griffin) - ACA risk corridor program. H.R. 4406, Taxpayer Bailout Protection Act (Lance) - ACA risk corridor program. H.R. 4414, Expatriate Health Coverage Clarification Act (Carney) - relief from ACA for expatriate health plans. H.R. 4735, Health Care Fairness and Stability Act (Nolan-McKinley) - ACA transitional reinsurance program. H.R. 5175, Protecting Americans from Illegal Bailouts Act (Lance) - ACA risk corridor program. S. 24, Small Business Health Relief Act (Portman) - HIT repeal, other ACA changes. S. 482, Health Insurance Rate Review Act (Feinstein) - rate review. S. 650, Access to Independent Health Insurance Advisors Act (Landrieu) - MLR impact on agents and brokers. S. 764, Patients Right to Know Act (Cornyn) - disclosures on SBC documents. S. 1473, Long-Term Care Insurance Consumer Right-to-Know Act (Klobuchar) - model disclosure forms. S. 1481, Long Term Care Insurance Integrity Act (Klobuchar) - third party review of disputed claims. S. 1642, Keeping the ACA Promise Act (Landrieu-Manchin) - continuation of existing plans, notification requirements. S. 1671, (Manchin-Kirk) - individual mandate delay. S. 1693, ACA Enrollment Extension Act (Shaheen) - extending open enrollment, delaying individual mandate penalties. S. 1699, Continuous Coverage Act (Mark Udall) - continuation of existing plans. S. 1726, Obamacare Taxpayer Bailout Prevention Act (Rubio) - repeal of ACA risk corridor program. S. 1729, Expanded Consumer Choice Act (Begich) - adding copper level of coverage to ACA Exchanges. S. 1866, Coverage Protection Act (Merkley) - continuation of coverage, retroactive coverage. S. 2166, Treating Families Fairly Act (Manchin) - ACA determinations of full-time equivalent employees. S. 2168, Small Business Stability Act (Heitkamp) - ACA definition of a large employer. S. 2173, Consumers Having Options in Choosing Enrollment Act (Landrieu) - ACA direct enrollment. S. 2174, Commonsense Competition and Access to Health Insurance Act (Warner) - offering health insurance coverage across state lines. S. 2175, Enhancing Access for Agents and Brokers Act (Landrieu) - access for independent agents and brokers to information about Exchange enrollment. S. 2176, Commonsense Reporting Act (Warner) - ACA reporting requirements. S. 2214, ACA Taxpayer Bailout Protection Act (Rubio) - ACA risk corridor program. S. 2253, Health Care Fairness and Stability Act (Franken-Kirk) - ACA transitional reinsurance program. S. 2578, Protect Women's Health From Corporate Interference Act (Murray) - contraceptive coverage. S. 2733, Obamacare Opt-Out Act (McCain-Barrasso) - certification process for opting out of ACA individual mandate. S. 2801, Health Care Consumer Choices Preservation Act (Enzi) - conditions on automatic renewals.

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3489/S. 2253, to amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market S. 1188, 40 hours is Full Time Act Discussions regarding retail health clinics

Client expense: $1,510,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), U.S. Trade Representative (USTR), White House Office

S. 867 -- Medicare Prescription Drug Program Integrity and Transparency Act; Implementation of PL 113-54 -- the Drug Quality and Security Act; S. 557/H.R. 1024 -- the Medication Therapy Management Empowerment Act of 2013; S. 1932/ H.R. 3890 -- the Better Care, Lower Cost Act. S. 2253 -- the Health Care Fairness and Stability Act. H.R. 3489 -- to amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes. H.R. 4190 -- amend Title XVIII of the Social Security Act to provide for coverage under the Medicare program of pharmacist services. Health care reform implementation issues; Regulatory developments, including value-based design issues as they relate to preventative care.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Providing disability benefits for occupational illnesses contracted by federal fire fighters, including the Federal Fire Fighters Fairness Act (HR 3718 and S 2266). The Transitional Reinsurance Fee, including HR 3489 and S 2253. The excise tax on high cost health plans. Emergency Medical Services, including HR 809 and S 2400.

Client expense: $96,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Labor, Dept of (DOL), SENATE, White House Office

Legislation to delay implementation of a tax on health insurance issuers under the Patient Protection and Affordable Care Act (H.R. 4735, S.2253).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3489, a bill that would repeal the health care laws reinsurance fee "Belly Button Tax" Transitional Reinsurance Fee Transitional Reinsurance Program Health Care Fairness and Stability Act of 2014 (S.2253)

Client expense: $140,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Various issues related to the Patient Protection and Affordable Care Act (P.L. 111-148) and Health Care and Education reconciliation Act of 2010 (P.L. 111-152); Health insurance tax repeal (H.R. 763, S. 603); ACA employer mandate repeal (H.R. 903, S. 399); Auto Enroll Repeal Act (H.R. 1254); Health care related tax issues; Consumer directed health products; Entitlement reform; H.R. 2575H.R. 1634-FSA; ERISA; H.R. 2577; H.R. 2667; H.R. 2835; H.R. 2988; S. 1188; H.R. 3489 - transitional reinsurance; S. 1647; S. 2176 - ACA reporting requirements; S. 2253 - transitional reinsurance; H.R. 4414 - ex-pat; S. 2546 - auto-enroll repeal

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

Government targets: Commerce, Dept of (DOC), Federal Communications Commission (FCC), Federal Reserve System, Federal Trade Commission (FTC), Financial Crimes Enforcement Network (FinCEN), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Patient Protection and Affordable Care Act Implementation, Impact on Employer Sponsored Coverage, Transitional Reinsurance, Employer Reporting Requirements, H.R. 3489- To amend section 1341 of the Patient Protections and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual mark, and for other purposes,S.2253 - Health Care Fairness and Stability Act

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3489 - To amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes. S. 2253 - Health Care Fairness and Stability Act. (entire Bill)

Client expense: $1,320,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Natl Security Council (NSC), SENATE, Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Trade Representative (USTR)

Taft-Hartley multi-employer health care plans & implementation of the Affordable Care Act. Affordable Care Act: qualified health plans and exchanges. Transitional reinsurance program. H.R. 2575, Save American Workers Act.S. 701/S. 1188, Forty Hours is Full Time Act of 2013. H.R. 4144, Expatriate Health Care Coverage Clarification Act. S. 2253, Health Care Fairness and Stability Act. ACA: excise tax on high value multi-employer health care plans. ERISA: revocation or cancellation of health insurance coverage.

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

Government targets: Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Office of the Vice President of the United States, President of the U.S., SENATE, Securities & Exchange Commission (SEC), Transportation Security Administration (TSA), Transportation, Dept of (DOT), U.S. Trade Representative (USTR), White House Office

PL-111-148, Patient Protection and Affordable Care Act Health Coverage Tax H.R. 4414, Expatriate Health Coverage Clarification Act Seasonal Worker ACA Fix Excepted Benefits Amendments S. 2253, Health Care Fairness and Stability Act

Client expense: $900,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Export-Import Bank of the United States (EXIM Bank), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office