PACE Act

Affordable Care Act Issues: Small group expansion; Risk Corridors; Delivery system reform; Consumer experience; Back end issues; Implementation issues; Regulations; Premiums; Exchanges; Supreme Court decision implications Other Major Health Care Related Issues: Cybersecurity; Medicare Advantage; Reinsurance; Health care quality issues; Community health management; Siteneutral Payments; Dialysis care funding mechanism; Patient reform; Payment reform; Opioid abuse; Medical Loss Ratios; Mental health parity implementation Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM; Alternative structures for the FEHBM. S 123 Introduced January 8, 2015 by Marco Rubio (RFL) Obamacare Taxpayer Bailout Prevention Act Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified. S. 1099 Introduced April 27, 2015 by Tim Scott (RSC) A bill to amend the Patient Protection and Affordable Care Act to provide States with flexibility in determining the size of employers in the small group market HR 221 Introduced January 8, 2015 by Andy Harris (RMD) Taxpayer bailout of health insurers HR 928 Introduced February 12, 2015 by Charles Boustany (RLA) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 1624 Introduced March 25, 2015 by Brett Guthrie (RKY) To amend title I of the Patient Protection and Affordable Care Act and title XXVII of the Public Health Service Act to revise the definition of small employer.

Client expense: Not reported · Firm income: $50,000

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

OSHA Fall Protection, Davis-Bacon, Employee Misclassification, NLRB and DOL proposed rules on union elections, micro-unions and persuader activity, proposals related to DOL overtime rules, proposals related to NLRB joint employer liability, proposals related to association health plans, policies related to the implementation of the Affordable Care Act, including the employer mandate, Shared Responsibility Rules and the implementation of the small business exchanges, OSHA Crystalline Silica Rulemaking, proposals related to EE0-1 form. HR. 1624: Protecting Affordable Coverage for Employees Act, Amendment 665 to S. Con Res. 11: To establish a spending-neutral reserve fund relating to prohibiting awarding of construction contracts based on awardees entering or not entering into agreements with labor organizations, H.R. 30: Save American Workers Act of 2015, H.R. 2911: Small Business Healthcare Relief Act, H.R. 1768: Workforce Democracy and Fairness Act, H.R. 1767: Employee Privacy Protection Act, H.R. 1624: Protecting Affordable Coverage for Employees Act, H.R. 2868: Small Business Health Fairness Act of 2015, S. 1697: Small Business Healthcare Relief Act, S. 1099: PACE Act, H.R. 3459: Protecting Local Business Opportunity Act, H.R. 6094: Regulatory Relief for Small Businesses, Schools, and Nonprofits Act, H.R. 5813: Overtime Reform and Enhancement Act, S. 3464: Overtime Reform and Review Act, S. 2015: Protecting Local Business Opportunity Act, S. 2707, H.R. 4773: Protecting Workplace Advancement and Opportunity Act. H.R. 5447/S. 3060: Small Business Health Care Relief Act of 2016, S. 2827: Willing Workers and Willing Employers Act of 2016, S. 2693: EEOC Reform Act, H.J.Res. 87: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Department of Labor relating to Interpretation of the Advice Exemption in Section 203(c) of the Labor-Management Reporting and Disclosure Act, S.J.Res. 35: A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Department of Labor relating to Interpretation of the Advice Exemption in Section 203(c) of the Labor-Management Reporting and Disclosure Act.

Client expense: $1,910,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Emergency Management Agency (FEMA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA), Treasury, Dept of, U.S. Fish & Wildlife Service (USFWS), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

H.R. 30, Save American Workers Act (Young) - definition of full-time employee H.R. 117, Reclaiming Individual Liberty Act (Garrett) - ACA individual mandate H.R. 221, ACA Taxpayer Bailout Prevention Act (Harris) - risk corridors program H.R. 371, Care for All Act (Fortenberry) - catastrophic plans H.R. 494, Competitive Health Insurance Reform Act (Gosar) - antitrust policy H.R. 543, Health Care Choice Act (Blackburn) - national marketplace for individual health insurance H.R. 724, Taxpayer Bailout Protection Act (Lance) - risk corridors program H.R. 815, Access to Independent Health Insurance Advisors Act (Long-Schrader) - treatment of broker compensation in MLR calculation H.R. 954, CO-OP Consumer Protection Act (Smith) - exemption from individual mandate H.R. 1770, Data Security and Breach Notification Act (Blackburn-Welch) - data security H.R. 2205, Data Security Act (Neugebauer) - data security H.R. 2739, Cancer Drug Coverage Parity Act (Lance) - coverage of oral anti-cancer drugs H.R. 2868, Small Business Health Fairness Act (Johnson) - association health plans H.R. 3323, Dental and Optometric Care Access Act (Carter) - dental and vision benefits H.R. 3727, Health Insurance Rate Review Act (Schakowsky) - rate review H.R. 4299, Patient Opportunity Protection Act (Blum) - HIPAA excepted benefits H.R. 5410, Health Coverage State Flexibility Act (Flores) - grace period for recipients of advanced premium tax credits H.R. 5589, Plan Verification and Fairness Act (Blackburn) - pre-enrollment verification process H.R. 5921, State Age Rating Flexibility Act (Bucshon) - age rating flexibility H.R. 6019, Relief from Obamacare Mandate Act (Young) - exemption from individual mandate H.R. 6049, Protection from Insurance Exchange Monopolies Act (Heck) - exemption from individual mandate H.R. 5926, FY 2017 Labor-HHS-Education Appropriations Bill (Cole) - ACA risk corridors provision, HHS appropriations H. Res. 887, Public Option (DeFazio) S. 30, Forty Hours Is Full Time Act (Collins) - definition of full-time employee S. 123, ACA Taxpayer Bailout Prevention Act (Rubio) - risk corridors program S. 158, Employee Health Care Protection Act (Cassidy) - grandfathering of health coverage S. 359, Taxpayer Bailout Protection Act (Cassidy) - risk corridors program S. 1099, Protecting Affordable Coverage for Employees Act (Scott-Shaheen) - ACA definition of small employer S. 1532, Affordability is Access Act (Murray) - coverage of OTC birth control S. 1566, Cancer Drug Coverage Parity Act (Kirk) - coverage of oral anti-cancer drugs S. 1661, Access to Independent Health Insurance Advisors Act (Isakson-Coons) - treatment of broker compensation in MLR calculation S. 2172, Health Insurance Rate Review Act (Feinstein) - rate review S. 2803, Taxpayers Before Insurers Act (Sasse) - ACA reinsurance program S. 3296, Protection from ObamaCare Monopolies Act (McCain) - exemption from individual mandate S. 3297, Relief from Obamacare Mandate Act (Cotton) - exemption from individual mandate S. 3326, State Flexibility to Provide Affordable Health Options Act (Alexander) - ACA subsidies, exemption from individual mandate S. Res. 561, Public Option (Merkley) Regulatory Issues: 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 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; issues related to supplemental products; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; and other issues relating to health care reform implementation.

Client expense: $1,330,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Treasury, Dept of, White House Office

H.R. 30, Save American Workers Act of 2015 H.R. 160, Protect Medical Innovation Act of 2015 H.R. 248, American Job Protection Act H.R. 879, Ax the Tax on Middle Class Americans' Health Plans Act H.R. 928, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act H.R. 1189/S. 620, Preserving Employee Wellness Programs Act H.R. 1196, Health Savings Act of 2015 H.R. 1270/S. 709, Restoring Access to Medication Act of 2015 H.R. 2050, Middle Class Health Benefits Tax Repeal Act of 2015 H.R. 2712, Commonsense Reporting and Verification Act of 2015 H.R. 2911, Small Business Healthcare Relief Act H.R. 4469/S.2499, Health Savings Act of 2016 H.R. 5445, Health Care Security Act of 2016 H.R. 5447/S.3060, Small Business Health Care Relief Act of 2016 S. 30, Forty Hours Is Full Time Act of 2015 S. 149, Medical Device Access and Innovation Protection Act S. 183, Jobs and Premium Protection Act S. 305, American Job Protection Act S. 1099, Protecting Affordable Coverage for Employees (PACE) Act S. 1697, Small Business Healthcare Relief Act S. 1996, Commonsense Reporting Act of 2015 S. 2045, Middle Class Health Benefits Tax Repeal Act of 2015 S. 2075, American Worker Health Care Tax Relief Act of 2015 Proposed Regulation on Shared Responsibility for Employers Regarding Health Coverage (78 Fed. Reg. 218-253, January 2, 2013) (to be codified at 26 C.F.R. pts. 1, 54, 301) Proposed Regulation on Information Reporting by Applicable Large Employers on Health Insurance Coverage Offered Under Employer-Sponsored Plans (78 Fed. Reg. 54,996-55,013, September 9, 2013) (to be codified at 26 C.F.R. pt. 301) Proposed Regulation on Information Reporting of Minimum Essential Coverage (78 Fed. Reg. 54,986-54,996, September 9, 2013) (to be codified at 26 C.F.R. pts. 1, 301) Proposed Rule on HHS Notice of Benefit and Payment Parameters for 2017 (80 Fed. Reg. 75,488-75,588, December 2, 2015) (to be codified at 45 C.F.R. pts. 144, 146, 147 et al.) Proposed rule on Nondiscrimination in Health Programs and Activities (80 Fed. Reg. 54,172-54,221, September 8, 2015) (to be codified at 45 C.F.R. pt. 92) Proposed rule on Expatriate Health Plans, Expatriate Health Plan Issuers, and Qualified Expatriates; Excepted Benefits; Lifetime and Annual Limits; and Short-Term, Limited-Duration Insurance (81 Fed. Reg. 38,020-38,048, June 10, 2016) IRS Notice on Section 4980I - Excise Tax on High Cost Employer-Sponsored Health Coverage (Notice 2015-16, February 23, 2015) Various issues relating to the Patient Protection and Affordable Care Act (P.L. 111-148) and the Health Care and Education Affordability Reconciliation Act of 2010 (P.L. 111-152), including the employer-sponsored health care system, implementation of regulatory process, provider network adequacy, delivery system reform, health savings accounts (HSAs), health reimbursement accounts (HRAs), and flexible spending accounts (FSAs) changes, IPAB, employer mandate, reporting requirements for issuers and applicable large employers, premium stabilization programs, medical loss ratio, medical malpractice reform, exchanges, the impact on small business, the Small Business Tax Credit, section 1332 waivers, section 1557 on nondiscrimination, caps on compensation deductibility required under section 9014, incompleteness or inaccuracy of cost impact analysis, lack of quantified benefit analysis, and need for empirical data sources on which to base costs and benefits; Public Health Services Act (P.L.78-410), Internal Revenue Code and the Employee Retirement Income Security Act (ERISA) (P.L. 93-406), regarding regulatory process and legislative corrections to ERISA preemption, changes to Medicare Advantage and Parts B, C, and D, including rebates and non-interference with prescription drug prices, entitlement reform, health information technology, telemedicine services in Medicare, and coordination and disease management programs; House Republican Taskforce on Health Care report, 'A Better Way to Fix Health Care'

Client expense: $18,590,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Industry and Security (BIS), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Council on Environmental Quality (CEQ), 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 Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Reserve System, Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Internal Revenue Service (IRS), 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), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), 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. Fish & Wildlife Service (USFWS), U.S. Geological Survey (USGS), U.S. Trade Representative (USTR), White House Office

Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM. FEHBP Modernization Act circulation draft President's budget, regional PPOs, government contributions. Postal reform, FEHBP provisions. S. 1099, the PACE Act. ACA implementation, Delivery System Reform, Grace periods, special enrollment periods, risk adjustment.

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

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

Issues pertaining to medical loss ratio, rate review regulation, Medicare Advantage, the individual mandate, exchanges, primary care, direct enrollment. Special needs plans reauthorization. H.R. 3750, Telehealth Modernization Act. S. 1099/ H.R. 1624, PACE Act. H.R. 1624, Protecting Coverage for Employees Act. ACA implementation, Delivery System Reform. Grace periods, special enrollment periods, risk adjustment.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

Affordable Care Act, all provisions and related regulations, including repeal of ACA 40% excise tax; ACA Reporting (IRC 6055 and 6056); ACA Shared Responsibility for Employers Provisions; wellness issues; and out-of-pocket (OOP) limits related to cost sharing. ADA (in conjunction with employer-based wellness programs. Comprehensive health reform. GINA (in conjunction with employer-based wellness programs. HIPAA Stage 2 Audits. House GOP Health Reform Task Force Blueprint. Mental Health Parity Requirements. Tax Treatment of Employer-Sponsored Health Insurance. H.R. 30 - Save American Workers Act of 2015; all provisions. H.R. 879 - Ax the Tax on Middle Class Americans' Health Plans Act; all provisions. H.R. 1189 - Preserving Employee Wellness Programs Act; all provisions. H.R. 1624 - Protecting Affordable Coverage for Employees Act. H.R. 2029 - Consolidated Appropriations Act. H.R. 2050 - Middle Class Health Benefits Tax Repeal Act of 2015. H.R. 2066 - The Telehealth Enhancement Act. H.R. 2516 - VETS Act of 2015. H.R. 2712 - Commonsense Reporting and Verification Act of 2015. H.R. 2725 - 21st Century Care for Military and Veterans Act. H.R. 2911 - Small Business Healthcare Relief Act. H.R. 2948 - Medicare Telehealth Parity Act of 2015. H.R. 3081 - The Tele-Med Act. H.R. 3112 - Be Open Act. H.R. 3762 - Restoring Americans' Healthcare Freedom Reconciliation Act of 2015. H.R. 4442 - The CONNECT for Health Act. H.R. 4469 - Health Savings Act of 2016. H.R. 5445 - Health Care Security Act of 2016. S. 30 - Forty Hours Is Full Time Act of 2015; healthcare provisions. S. 305 - American Job Protection Act; all provisions. S. 620 - Preserving Employee Wellness Programs Act; all provisions. S. 1099 - Protecting Affordable Coverage for Employees Act or the PACE Act. S 1697 - Small Business Healthcare Relief Act. S. 1778 - The Tele-Med Act. S. 1996 - Commonsense Reporting Act of 2015. S. 2045 - Middle Class Health Benefits Tax Repeal Act of 2015. S. 2075 - American Worker Health Care Tax Relief Act of 2015. S. 2484 - The CONNECT for Health Act. S. 2698 - Preserving Consumer Health Accounts Act of 2016.

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

Government targets: Council of Economic Advisers (CEA), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of

Supported the American Jobs Protection Act (H.R. 903/S. 399) and other efforts to eliminate employee mandate. Supported HR Jobs and Premium Act (H.R. 763/S. 603); supported H.R. 3367 to delay the Health Insurance Tax in the Affordable Care Act. Supported Protecting Affordable Coverage for Employees Act (H.R. 1624 / S. 1099) to repeal small group expansion requirement and the Forty Hours is Full Time Act of 2015 (S. 30) to change the full-time definition from 30 hours to 40 hours under the Affordable Care Act by amending the Internal Revenue Code; supported Commonsense Reporting and Verification Act (H.R. 2712 / S. 1996); supported Small Business Healthcare Relief Act (H.R. 2911 / S. 1697.

Client expense: $50,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), Federal Highway Administration (FHA), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Intl Trade Administration (ITA), Natl Highway Traffic Safety Administration (NHTSA), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), U.S. Copyright Office, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

Affordable Care Act, all provisions; Health care reform; Health Care Mandate Penalties; ACA reporting requirements; seasonal employee provisions; H.R. 30, Save American Workers Act; S. 30, Forty Hours is Full Time Act; S. 379, Small Business Tax Credit Accessibility Act; H.R. 928, Repeal the Health Insurance Tax, all provisions; H.R. 863, Simplfying Technical Aspects Regarding Seasonality Act, all provisions; H.R. 2050, Middle Class Health Benefits Tax Repeal Act, all provisions; H.R. 2712, Commonsense Reporting and Verification Act, all provisions; H.R. 2911, Small Business Health Care Relief Act, all provisions; S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; S. 1697, Small Business Health Care Relief Act, all provisions; S.1996, Commonsense Reporting Act of 2015, all provisions; S. 1809, Simplifying Technical Aspects Regarding Seasonality Act of 2015, all provisions; H.R. 1624/S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; S. 2075, American Worker Health Care Tax Relief Act of 2015, all provisions; S.1415, Small Business Stability Act, all provisions; H.R. 1029, ACA Provisions; S. 1778, Telemedicine for Medicare Act; H.R. 5447/S. 3060, Small Business Health Care Relief Act, all provisions.

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

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Aviation Administration (FAA), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Healthcare Navigators (general), H.R. 815, the Access to Professional Health Insurance Advisors Act of 2015, S. 1661, the Access to Independent Health Insurance Advisors Act of 2015, Issues related to the Agent and Broker Federally-facilitated Marketplace (FFM) for 2015 plan year, Issues related to the proposed establishment of a a toll-free dedicated customer service support help line for certified health insurance agents and brokers, H.R.879 Ax the Tax on Middle Class Americans' Health Plans Act,H.R. 2050, the Middle Class Health Benefits Tax Repeal Act of 2015, S.2045, Middle Class Health Benefits Tax Repeal Act of 2015 H.R. 1624/ S. 1099 the Protecting Affordable Coverage for Employees (PACE) Act, Issues related to Cadillac Tax in H.R.2029 - Consolidated Appropriations Act, 2016, Comments on the Draft 2017 Letter to Issuers in the Federally-Facilitated Marketplaces , File Code CMS-9937-P

Client expense: $101,251 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Risk Management Agency, SENATE, Treasury, Dept of

PL III-148, Patient Protection and Affordable Healthcare Act, regulations regarding employer reporting and implementation of Act; H.R. 30, Save American Workers Act, all provisions, relates to PPACA; S.30, Forty Hours Is Full Time Act of 2015, all provisions; H.R.863, STARS Act - Simplifying Technical Aspects Regarding Seasonality Act of 2015, all provisions; H.R.2712, Commonsense Reporting and Verification Act of 2015; S.183, Jobs and Premium Protection Act; H.R. 1624, Protecting Affordable Coverage for Employees Act; S.1099, PACE Act.

Client expense: $670,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Federal Communications Commission (FCC), Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE, Small Business Administration (SBA), State, Dept of (DOS), White House Office

Affordable Care Act, all provisions and related regulations, including repeal of ACA 40% excise tax; ACA Reporting (IRC 6055 and 6056), ACA Shared Responsibility for Employers Provisions, wellness issues, and out-of-pocket (OOP) limits related to cost sharing. GINA (in conjunction with employer-based wellness programs). ADA (in conjunction with employer-based wellness programs). HIPPA Stage 2 Audits. House GOP Health Reform Task Force Blueprint. Mental Health Parity Requirements. Tax Treatment of Employer-Sponsored Health Insurance. H.R. 30 - Save American Workers Act of 2015, all provisions. H.R. 879 - Ax the Tax on Middle Class Americans' Health Plans Act, all provisions. H.R. 1189 - Preserving Employee Wellness Programs Act, all provisions. H.R. 1624 - Protecting Affordable Coverage for Employees Act. H.R. 2029 - Consolidated Appropriations Act. H.R. 2050 - Middle Class Health Benefits Tax Repeal Act of 2015. H.R. 2066 - The Telehealth Enhancement Act. H.R. 2516 - VETS Act of 2015. H.R. 2712 - Commonsense Reporting and Verification Act of 2015. H.R. 2725 - 21st Century Care for Military and Veterans Act. H.R. 2911 - Small Business Healthcare Relief Act. H.R. 2948 - Medicare Telehealth Parity Act of 2015. H.R. 3081 - The Tele-Med Act. H.R. 3112 - Be Open Act. H.R. 3762 - Restoring Americans' Healthcare Freedom Reconciliation Act of 2015. H.R. 4442 - The CONNECT for Health Act. H.R. 4469 - Health Savings Act of 2016. H.R. 5445 - Health Care Security Act of 2016. S. 30 - Forty Hours Is Full Time Act of 2015, healthcare provisions. S. 305 - American Job Protection Act, all provisions. S 620 - Preserving Employee Wellness Programs Act, all provisions. S. 1099 - Protecting Affordable Coverage for Employees Act or the PACE Act. S. 1697 - Small Business Healthcare Relief Act. S. 1778 - The Tele-Med Act. S. 1996 - Commonsense Reporting Act of 2015. S. 2045 - Middle Class Health Benefits Tax Repeal Act of 2015. S. 2075 - American Worker Health Care Tax Relief Act of 2015. S. 2484 - The CONNECT for Health Act. S. 2698 - Preserving Consumer Health Accounts Act of 2016.

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

Government targets: Council of Economic Advisers (CEA), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of

H.R. 928 - health insurance tax repeal S. 183 - Jobs and Premium Protection Act, health insurance tax repeal H.R. 132/S. 339 - ObamaCare Repeal Act H.R. 221/S. 123 - Obama Taxpayer Bailout Prevention Act, risk corridors H.R. 1624/S. 1099 - Protecting Affordable Coverage For Employees Act S. 524/H.R. 953 - Comprehensive Addiction and Recovery Act of 2016 H.R. 2646 - Helping Families in Mental Health Crisis Act of 2016 H.R. 5445 - Healthcare Security Act of 2016 H.R. 5447 - Small Business Healthcare Relief Act S. 2803 - Taxpayers Before Insurers Act ***, no specific bill(s), Health Savings Accounts/Medical Saving Accounts, Transparency, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Government Plan Option, Uninsured, Employer Based Health System, Health Care Reform, Small Group Market Reform, Exchanges, Health Care Reform Implementation, Medical Loss Ratios, Federal Employees' Health Benefits Program (FEHBP), Delivery System Reform, Risk Corridors and Reinsurance, Affordable Private Health Care, State-Based Regulation, Health Care Quality, Back-end Systems Issues, Telehealth, ACA Implementation, Regional PPOs, Cybersecurity, Co-ops, Speaker's Health Reform Task Force White Paper, Special Enrollment Periods, Grace Periods, Risk Mitigation

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

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

PL 111-148 - The Patient Protection and Affordable Care Act, implementation ***, no specific bill(s), Health Savings Accounts/Medical Savings Accounts, Transparency, Interoperability, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Uninsured, Employer Based Health System, Health Care Reform, Small Group Market Reform, Exchanges, Health Care Reform Implementation, Medical Loss Ratios, Risk Corridors and Reinsurance, Federal employees and regional PPOs, Cybersecurity, telehealth, Co-ops, special enrollment periods, Speaker's Health Reform White Paper, Risk Mitigation H.R. 928 - health insurance tax repeal S. 183 - Jobs and Premium Protection Act, health insurance tax repeal H.R. 132/S. 339 - ObamaCare Repeal Act H.R. 221/S. 123 - Obama Taxpayer Bailout Prevention Act, risk corridors H.R. 1624/S. 1099 - Protecting Affordable Coverage For Employees Act Interoperability H.R. 2029 - Consolidated Appropriations Act, 2016, health insurance tax delay S. 524/H.R. 953 - Comprehensive Addiction and Recovery Act of 2016 H.R. 2646 - Helping Families in Mental Health Crisis Act of 2016 H.R. 5445 - Healthcare Security Act of 2016 H.R. 5447 - Small Business Healthcare Relief Act S. 2803 - Taxpayers Before Insurers Act S. 1945 - Mental Health Reform Act of 2015 H.R. 4442/S. 2484 - CONNECT for Health Act

Client expense: Not reported · Firm income: $90,000

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

H.R. 815 and S.1661: Legislation which removes broker commissions from the MLR calculation in the health reform law. H.R. 30 and S. 40: To restore the traditional 40-hour workweek from 30-hours H.R. 762 and S. 379: To increase the eligibility and effectiveness of the small business tax credit H.R. 928 and S.183: Legislation to eliminate the new national premium tax H.R. 588: Legislation to restore the open-enrollment period for Medicare beneficiaries to make a one-time plan switch to another Medicare Advantage plan or return to traditional Medicare for 90 days after the beginning of each calendar year. H.R. 290: the CARES act, which would change the three-day inpatient hospital admission requirement for Medicare beneficiaries who are in need of skilled nursing facility services to also allow hospital stays under observation status to count. H.R. 2: Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1624: To amend title I of the Patient Protection and Affordable Care Act and title XXVII of the Public Health Service Act to revise the definition of small employer. Senator Burr, Hatch, and Uptons Patient Choice, Affordability, Responsibility, and Empowerment (CARE) Act which would replace the Affordable Care Act H.R. 876: Amends title XVIII (Medicare) of the Social Security Act to require a hospital with an agreement with the Secretary of Health and Human Services to give each individual entitled to benefits under Medicare part A (Hospital Insurance), whom the hospital classifies for more than 24 hours as an outpatient under observation status or any other similar status, an adequate oral and written notification within 36 hours of that classification. H.R. 1533: To amend the Internal Revenue Code of 1986 to repeal the excise tax on medical devices, and for other purposes. S. 620 and H.R. 1189: The Preserving Employee Wellness Programs Act, looks to reaffirm existing law allowing employee wellness programs tied to financial awards H.R. 1547: To amend the Internal Revenue Code of 1986 to repeal certain limitations on health care benefits enacted as part of the Patient Protection and Affordable Care Act. H.R. 887: Electronic Health Fairness Act of 2015, Amends title XVIII (Medicare) of the Social Security Act to prohibit any patient encounter of an eligible professional occurring at an ambulatory surgical center from being treated as such an encounter in determining whether an eligible professional qualifies as a meaningful electronic health record (EHR) user. H.R. 1570: To provide for greater transparency and information with respect to Federal expenditures under the Medicaid and CHIP programs in the territories of the United States, and for other purposes. S. 254: Small Business Health Relief Act of 2015 H.R. 1270: Repeals provisions of the Internal Revenue Code, as added by the Patient Protection and Affordable Care Act, that limit payments for medications from health savings accounts, medical savings accounts, and health flexible spending arrangements to only prescription drugs or insulin (thus allowing distributions from such accounts for over-the-counter drugs). S. 884: A bill to improve access to emergency medical services, and for other purposes. S. 836: A bill to amend the Internal Revenue Code of 1986 to repeal certain limitations on health care benefits enacted by the Patient Protection and Affordable Care Act. S. 839: A bill to amend title XVIII of the Social Security Act to extend the rural add-on payment in the Medicare home health benefit, and for other purposes. S. 844: A bill to repeal the medical device excise tax, and for other purposes. S. 861: A bill to amend titles XVIII and XIX of the Social Security Act to curb waste, fraud, and abuse in the Medicare and Medicaid programs. H.R. 2712 and S. 1996: Commonsense Reporting and Verification Act of 2015, bill to ease PPACA employer reporting requirements. S. 1099: To amend the Patient Protection and Affordable Care Act to provide States with flexibility in determining the size of employers in the small group market. S. 1415: To amend the Internal Revenue Code of 1986 to modify the definition of large employer for purposes of applying the employer mandate. H.R. 879: This bill repeals, effective for taxable years beginning after 2017, the excise tax on the excess benefit portion of high-cost employer-sponsored health care plans. H.R. 2050: Amends the Internal Revenue Code to repeal, beginning with taxable years beginning after December 31, 2017, the excise tax on employer-sponsored health care coverage for which there is an excess benefit (high-cost plans). H.R.2570: Strengthening Medicare Advantage through Innovation and Transparency for Seniors of 2015 H.R. 2911 and S. 1697: To provide an exception from certain group health plan requirements to allow small businesses to use pre-tax dollars to assist employees in the purchase of policies in the individual health insurance market, and for other purposes. House passed budget resolution for upcoming fiscal year S. 2045: Amends the Internal Revenue Code to repeal, beginning with taxable years beginning after December 31, 2017, the excise tax on employer-sponsored health care coverage for which there is an excess benefit (high-cost plans). S. 2075: This bill amends the Internal Revenue Code to repeal, for taxable years beginning after December 31, 2017, the excise tax on employer-sponsored health care coverage for which there is an excess benefit (high-cost plans). The bill expresses the sense of the Senate that the revenue loss resulting from the repeal of such excise tax should be offset by corresponding revenue. -H.R.3762: Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 -H.R.2029: The Omnibus Appropriations bill -2015 Reconciliation bill -H.R. 5447 and S. 3060: Small Business Health Care Relief Act of 2016 -H.R. 3463: Aligning Children's Dental Coverage Act (ACDC) -H.R. 5589: To amend title I of the Patient Protection and Affordable Care Act to require verification for eligibility for enrollment during special enrollment periods in PPACA insurance plans, and for other purposes. -S. 3244: The legislation clarifies that people outside the public Exchanges can have the same choices for dental coverage as people inside the public Exchanges. -H.R. 2488: Medicare Beneficiary Preservation of Choice Act of 2015 -H.R. 6184: legislation that would allow seniors enrolled in COBRA coverage to transition to Medicare Part B without a penalty -H.R 2581: Preservation of Access for Seniors in Medicare Advantage Act of 2015 -H.R.173: A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage -S.58: A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. -H.R.246: A bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

HR928; HR2646; HR5589; Insurance Market stabilization (HR5410, HR5589); CMS Notice of Benefit & Payment Parameters; reinsurance; cost-sharing reductions; 3rd party payment of premiums; special enrollment periods; grace periods; age rate bands; Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Chronic Care & Medical Management; Childhood Obesity; Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM (H.R. 779; President's Budget); S. 1486, Postal Reform Act of 2013; Risk Mitigation Legislation (S. 123, H.R. 221); mental health reform (HR2646/S1945); ACA Implementation and back-end issues; Small Business Health Options Program (SHOP) implementation; ICD-10 implementation; ACA small group definition (S. 1099/H.R. 1624.

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

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

Issues related to agent compensation: H.R. 815. Issues related to the implementation of the Patient Protection and Affordable Care Act: H.R. 1624, H.R. 30, H.R. 588, S. 1099 and S. 30. Issues related to HSA/FSA reform. Issues related to the McCarran-Ferguson anti-trust exemption. Issues with respect to the small employer health care insurance tax credit including: S. 379, H.R. 762, H.R. 4469, S. 1653, S. 2045 and S. 2499.

Client expense: $612,770 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

Issues relating to insurance regulatory reform and agent compensation. Issues related to the implementation of of the Patient Protection and Affordable Care Act: H.R. 1624, S. 1099, H.R. 30, H.R. 588, and S. 30. Issues related to terrorism risk insurance: H.R. 26. Issues related to flood risk insurance. Issues related to the regulation of insurance competition, products with guarantees, individual and employer owned policies, and fiduciary-client relationships.

Client expense: $612,770 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

Support H.R. 928/S. 183, a bill to repeal the health insurance tax Support H.R. 954 and S. 3311, the CO-OP Consumer Protection Act Support H.R. 1624 and S. 1099, the Protecting Affordable Coverage for Employers Support H.R. 2712 and S. 1996, the Commonsense Reporting and Verification Act Support H.R. 3762, the Restoring Americans Healthcare Freedom Reconciliation Act Support H.R. 5477, the Small Business Healthcare Relief Act Monitor healthcare reform proposals

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

Government targets: Equal Employment Opportunity Commission (EEOC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Treasury, Dept of

Affordability Issues; Network rules under ACA. H.R. 1624 and S. 1099 bills to limit the expansion of the small group insurance market to employers with 50-100 employees. H.R. 2029, HIT Tax moratorium, Cadillac tax delay. ACA Reporting S. 1996 and H.R. 2712

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

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

Affordable Care Act, all provisions; Health care reform; Health Care Mandate Penalties; ACA reporting requirements; seasonal employee provisions; H.R. 30, Save American Workers Act; S. 30, Forty Hours is Full Time Act; S. 379, Small Business Tax Credit Accessibility Act; H.R. 928, Repeal the Health Insurance Tax, all provisions; H.R. 863, Simplfying Technical Aspects Regarding Seasonality Act, all provisions; H.R. 2050, Middle Class Health Benefits Tax Repeal Act, all provisions; H.R. 2712, Commonsense Reporting and Verification Act, all provisions; H.R. 2911, Small Business Health Care Relief Act, all provisions; S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; S. 1697, Small Business Health Care Relief Act, all provisions; S.1996, Commonsense Reporting Act of 2015, all provisions; S. 1809, Simplifying Technical Aspects Regarding Seasonality Act of 2015, all provisions; H.R. 1624/S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; S. 2075, American Worker Health Care Tax Relief Act of 2015, all provisions; S.1415, Small Business Stability Act, all provisions; H.R. 1029, ACA Provisions; S. 1778, Telemedicine for Medicare Act; H.R. 5447/S. 3060, Small Business Health Care Relief Act, all provisions.

Client expense: $1,760,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Aviation Administration (FAA), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Affordable Care Act, all provisions; Health care reform; Health Care Mandate Penalties; ACA reporting requirements; seasonal employee provisions; H.R. 30, Save American Workers Act; S. 30, Forty Hours is Full Time Act; S. 379, Small Business Tax Credit Accessibility Act; H.R. 928, Repeal the Health Insurance Tax, all provisions; H.R. 863, Simplfying Technical Aspects Regarding Seasonality Act, all provisions; H.R. 2050, Middle Class Health Benefits Tax Repeal Act, all provisions; H.R. 2712, Commonsense Reporting and Verification Act, all provisions; H.R. 2911, Small Business Health Care Relief Act, all provisions; S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; S. 1697, Small Business Health Care Relief Act, all provisions; S.1996, Commonsense Reporting Act of 2015, all provisions; S. 1809, Simplifying Technical Aspects Regarding Seasonality Act of 2015, all provisions; H.R. 1624/S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; S. 2075, American Worker Health Care Tax Relief Act of 2015, all provisions; S.1415, Small Business Stability Act, all provisions; H.R. 1029, ACA Provisions; S. 1778, Telemedicine for Medicare Act; H.R. 5447/S. 3060, Small Business Health Care Relief Act, all provisions.

Client expense: $1,760,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Aviation Administration (FAA), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Affordable Care Act Issues: Small group expansion; Risk Corridors; Delivery system reform; Consumer experience; Back end issues; Implementation issues; Regulations; Premiums; Exchanges; Supreme Court decision implications Other Major Health Care Related Issues: Cybersecurity; Medicare Advantage; Reinsurance; Health care quality issues; Community health management; Siteneutral Payments; Dialysis care funding mechanism; Patient reform; Payment reform; Opioid abuse; Medical Loss Ratios; Mental health parity implementation Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM; Alternative structures for the FEHBM. S 123 Introduced January 8, 2015 by Marco Rubio (RFL) Obamacare Taxpayer Bailout Prevention Act Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified. S. 1099 Introduced April 27, 2015 by Tim Scott (RSC) A bill to amend the Patient Protection and Affordable Care Act to provide States with flexibility in determining the size of employers in the small group market HR 221 Introduced January 8, 2015 by Andy Harris (RMD) Taxpayer bailout of health insurers HR 928 Introduced February 12, 2015 by Charles Boustany (RLA) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 1624 Introduced March 25, 2015 by Brett Guthrie (RKY) To amend title I of the Patient Protection and Affordable Care Act and title XXVII of the Public Health Service Act to revise the definition of small employer.

Client expense: Not reported · Firm income: $50,000

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

Supported the American Jobs Protection Act (H.R. 903/S. 399) and other efforts to eliminate employee mandate. Supported HR Jobs and Premium Act (H.R. 763/S. 603); supported H.R. 3367 to delay the Health Insurance Tax in the Affordable Care Act. Supported Protecting Affordable Coverage for Employees Act (H.R. 1624 / S. 1099) to repeal small group expansion requirement and the Forty Hours is Full Time Act of 2015 (S. 30) to change the full-time definition from 30 hours to 40 hours under the Affordable Care Act by amending the Internal Revenue Code; supported Commonsense Reporting and Verification Act (H.R. 2712 / S. 1996); supported Small Business Healthcare Relief Act (H.R. 2911 / S. 1697.

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

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), Federal Highway Administration (FHA), Federal Motor Carrier Safety Administration, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Intl Trade Administration (ITA), Natl Highway Traffic Safety Administration (NHTSA), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), U.S. Copyright Office, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

H.R. 30, Save American Workers Act (Young) - definition of full-time employee H.R. 117, Reclaiming Individual Liberty Act (Garrett) - ACA individual mandate H.R. 221, ACA Taxpayer Bailout Prevention Act (Harris) - risk corridors program H.R. 371, Care for All Act (Fortenberry) - catastrophic plans H.R. 494, Competitive Health Insurance Reform Act (Gosar) - antitrust policy H.R. 543, Health Care Choice Act (Blackburn) - national marketplace for individual health insurance H.R. 724, Taxpayer Bailout Protection Act (Lance) - risk corridors program H.R. 815, Access to Independent Health Insurance Advisors Act (Long-Schrader) - treatment of broker compensation in MLR calculation H.R. 954, CO-OP Consumer Protection Act (Smith) - exemption from individual mandate H.R. 1770, Data Security and Breach Notification Act (Blackburn-Welch) - data security H.R. 2205, Data Security Act (Neugebauer) - data security H.R. 2739, Cancer Drug Coverage Parity Act (Lance) - coverage of oral anti-cancer drugs H.R. 2868, Small Business Health Fairness Act (Johnson) - association health plans H.R. 3323, Dental and Optometric Care Access Act (Carter) - dental and vision benefits H.R. 3727, Health Insurance Rate Review Act (Schakowsky) - rate review H.R. 4299, Patient Opportunity Protection Act (Blum) - HIPAA excepted benefits H.R. 5410, Health Coverage State Flexibility Act (Flores) - grace period for recipients of advanced premium tax credits H.R. 5485, Financial Services and General Government Appropriations Act (Crenshaw) - risk corridors amendment H.R. 5589, Plan Verification and Fairness Act (Blackburn) - pre-enrollment verification process H.R. 5921, State Age Rating Flexibility Act (Bucshon) - age rating flexibility H.R. 6019, Relief from Obamacare Mandate Act (Young) - exemption from individual mandate H.R. 6049, Protection from Insurance Exchange Monopolies Act (Heck) - exemption from individual mandate H.R. 5926, FY 2017 Labor-HHS-Education Appropriations Bill (Cole) - ACA risk corridors provision, HHS appropriations H. Res. 887, Public Option (DeFazio) S. 30, Forty Hours Is Full Time Act (Collins) - definition of full-time employee S. 123, ACA Taxpayer Bailout Prevention Act (Rubio) - risk corridors program S. 158, Employee Health Care Protection Act (Cassidy) - grandfathering of health coverage S. 359, Taxpayer Bailout Protection Act (Cassidy) - risk corridors program S. 1099, Protecting Affordable Coverage for Employees Act (Scott-Shaheen) - ACA definition of small employer S. 1532, Affordability is Access Act (Murray) - coverage of OTC birth control S. 1566, Cancer Drug Coverage Parity Act (Kirk) - coverage of oral anti-cancer drugs S. 1661, Access to Independent Health Insurance Advisors Act (Isakson-Coons) - treatment of broker compensation in MLR calculation S. 2172, Health Insurance Rate Review Act (Feinstein) - rate review S. 2803, Taxpayers Before Insurers Act (Sasse) - ACA reinsurance program S. 3296, Protection from ObamaCare Monopolies Act (McCain) - exemption from individual mandate S. 3297, Relief from Obamacare Mandate Act (Cotton) - exemption from individual mandate S. 3326, State Flexibility to Provide Affordable Health Options Act (Alexander) - ACA subsidies, exemption from individual mandate S. Res. 561, Public Option (Merkley) Regulatory Issues: 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 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; issues related to supplemental products; issues related to implementation of the Telephone Consumer Protection Act; and other issues relating to health care reform implementation.

Client expense: $1,710,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

Healthcare Navigators (general), H.R. 815, the Access to Professional Health Insurance Advisors Act of 2015, S. 1661, the Access to Independent Health Insurance Advisors Act of 2015, Issues related to the Agent and Broker Federally-facilitated Marketplace (FFM) for 2015 plan year, Issues related to the proposed establishment of a a toll-free dedicated customer service support help line for certified health insurance agents and brokers, H.R.879 Ax the Tax on Middle Class Americans' Health Plans Act,H.R. 2050, the Middle Class Health Benefits Tax Repeal Act of 2015, S.2045, Middle Class Health Benefits Tax Repeal Act of 2015 H.R. 1624/ S. 1099 the Protecting Affordable Coverage for Employees (PACE) Act, Issues related to Cadillac Tax in H.R.2029 - Consolidated Appropriations Act, 2016, Comments on the Draft 2017 Letter to Issuers in the Federally-Facilitated Marketplaces , File Code CMS-9937-P

Client expense: $84,794 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Risk Management Agency, SENATE, Treasury, Dept of

PL III-148, Patient Protection and Affordable Healthcare Act, regulations regarding employer reporting and implementation of Act; H.R. 30, Save American Workers Act, all provisions, relates to PPACA; S.30, Forty Hours Is Full Time Act of 2015, all provisions; H.R.863, STARS Act - Simplifying Technical Aspects Regarding Seasonality Act of 2015, all provisions; H.R.2712, Commonsense Reporting and Verification Act of 2015; S.183, Jobs and Premium Protection Act; H.R. 1624, Protecting Affordable Coverage for Employees Act; S.1099, PACE Act.

Client expense: $610,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Federal Communications Commission (FCC), Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE, Small Business Administration (SBA), State, Dept of (DOS), White House Office

OSHA Fall Protection, Davis-Bacon, Employee Misclassification, NLRB and DOL proposed rules on union elections, micro-unions and persuader activity, proposals related to DOL overtime rules, proposals related to NLRB joint employer liability, proposals related to association health plans, policies related to the implementation of the Affordable Care Act, including the employer mandate, Shared Responsibility Rules and the implementation of the small business exchanges, OSHA Crystalline Silica Rulemaking, proposals related to EE0-1 form. HR. 1624: Protecting Affordable Coverage for Employees Act, Amendment 665 to S. Con Res. 11: To establish a spending-neutral reserve fund relating to prohibiting awarding of construction contracts based on awardees entering or not entering into agreements with labor organizations, H.R. 30: Save American Workers Act of 2015, H.R. 2911: Small Business Healthcare Relief Act, H.R. 1768: Workforce Democracy and Fairness Act, H.R. 1767: Employee Privacy Protection Act, H.R. 1624: Protecting Affordable Coverage for Employees Act, H.R. 2868: Small Business Health Fairness Act of 2015, S. 1697: Small Business Healthcare Relief Act, S. 1099: PACE Act, H.R. 3459: Protecting Local Business Opportunity Act, H.R. 6094: Regulatory Relief for Small Businesses, Schools, and Nonprofits Act, H.R. 5813: Overtime Reform and Enhancement Act, S. 3464: Overtime Reform and Review Act, S. 2015: Protecting Local Business Opportunity Act, S. 2707, H.R. 4773: Protecting Workplace Advancement and Opportunity Act. H.R. 5447/S. 3060: Small Business Health Care Relief Act of 2016, S. 2827: Willing Workers and Willing Employers Act of 2016, S. 2693: EEOC Reform Act, H.J.Res. 87: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Department of Labor relating to Interpretation of the Advice Exemption in Section 203(c) of the Labor-Management Reporting and Disclosure Act, S.J.Res. 35: A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Department of Labor relating to Interpretation of the Advice Exemption in Section 203(c) of the Labor-Management Reporting and Disclosure Act.

Client expense: $720,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Emergency Management Agency (FEMA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA), Treasury, Dept of, U.S. Fish & Wildlife Service (USFWS), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM. FEHBP Modernization Act circulation draft President's budget, regional PPOs, government contributions. Postal reform, FEHBP provisions. S. 1099, the PACE Act.

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

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

Issues pertaining to medical loss ratio, rate review regulation, Medicare Advantage, the individual mandate, exchanges, primary care, direct enrollment. Special needs plans reauthorization. H.R. 3750, Telehealth Modernization Act. S. 1099/ H.R. 1624, PACE Act. H.R. 1624, Protecting Coverage for Employees Act. ACA implementation, Delivery System Reform.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

H.R. 928 - health insurance tax repeal S. 183 - Jobs and Premium Protection Act, health insurance tax repeal H.R. 132/S. 339 - ObamaCare Repeal Act H.R. 221/S. 123 - Obama Taxpayer Bailout Prevention Act, risk corridors H.R. 1624/S. 1099 - Protecting Affordable Coverage For Employees Act S. 524/H.R. 953 - Comprehensive Addiction and Recovery Act of 2016 H.R. 2646 - Helping Families in Mental Health Crisis Act of 2016 H.R. 5445 - Healthcare Security Act of 2016 H.R. 5447 - Small Business Healthcare Relief Act S. 2803 - Taxpayers Before Insurers Act ***, no specific bill(s), Health Savings Accounts/Medical Saving Accounts, Transparency, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Government Plan Option, Uninsured, Employer Based Health System, Health Care Reform, Small Group Market Reform, Exchanges, Health Care Reform Implementation, Medical Loss Ratios, Federal Employees' Health Benefits Program (FEHBP), Delivery System Reform, Risk Corridors and Reinsurance, Affordable Private Health Care, State-Based Regulation, Health Care Quality, Back-end Systems Issues, Telehealth, ACA Implementation, Regional PPOs, Cybersecurity, Co-ops, Speaker's Health Reform Task Force White Paper, Special Enrollment Periods, Grace Periods, Risk Mitigation

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

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

PL 111-148 - The Patient Protection and Affordable Care Act, implementation ***, no specific bill(s), Health Savings Accounts/Medical Savings Accounts, Transparency, Interoperability, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Uninsured, Employer Based Health System, Health Care Reform, Small Group Market Reform, Exchanges, Health Care Reform Implementation, Medical Loss Ratios, Risk Corridors and Reinsurance, Federal employees and regional PPOs, Cybersecurity, telehealth, Co-ops, special enrollment periods, Speaker's Health Reform White Paper, Risk Mitigation H.R. 928 - health insurance tax repeal S. 183 - Jobs and Premium Protection Act, health insurance tax repeal H.R. 132/S. 339 - ObamaCare Repeal Act H.R. 221/S. 123 - Obama Taxpayer Bailout Prevention Act, risk corridors H.R. 1624/S. 1099 - Protecting Affordable Coverage For Employees Act Interoperability H.R. 2029 - Consolidated Appropriations Act, 2016, health insurance tax delay S. 524/H.R. 953 - Comprehensive Addiction and Recovery Act of 2016 H.R. 2646 - Helping Families in Mental Health Crisis Act of 2016 H.R. 5445 - Healthcare Security Act of 2016 H.R. 5447 - Small Business Healthcare Relief Act S. 2803 - Taxpayers Before Insurers Act S. 1945 - Mental Health Reform Act of 2015 H.R. 4442/S. 2484 - CONNECT for Health Act

Client expense: Not reported · Firm income: $90,000

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

Affordable Care Act, all provisions and related regulations, including repeal of ACA 40% excise tax; ACA Reporting (IRC 6055 and 6056), ACA Shared Responsibility for Employers Provisions, wellness issues, and out-of-pocket (OOP) limits related to cost sharing. GINA (in conjunction with employer-based wellness programs). ADA (in conjunction with employer-based wellness programs). HIPPA Stage 2 Audits. House GOP Health Reform Task Force Blueprint. Mental Health Parity Requirements. Tax Treatment of Employer-Sponsored Health Insurance. H.R. 30 - Save American Workers Act of 2015, all provisions. H.R. 879 - Ax the Tax on Middle Class Americans' Health Plans Act, all provisions. H.R. 1189 - Preserving Employee Wellness Programs Act, all provisions. H.R. 1624 - Protecting Affordable Coverage for Employees Act. H.R. 2029 - Consolidated Appropriations Act. H.R. 2050 - Middle Class Health Benefits Tax Repeal Act of 2015. H.R. 2066 - The Telehealth Enhancement Act. H.R. 2516 - VETS Act of 2015. H.R. 2712 - Commonsense Reporting and Verification Act of 2015. H.R. 2725 - 21st Century Care for Military and Veterans Act. H.R. 2911 - Small Business Healthcare Relief Act. H.R. 2948 - Medicare Telehealth Parity Act of 2015. H.R. 3081 - The Tele-Med Act. H.R. 3112 - Be Open Act. H.R. 3762 - Restoring Americans' Healthcare Freedom Reconciliation Act of 2015. H.R. 4442 - The CONNECT for Health Act. H.R. 4469 - Health Savings Act of 2016. H.R. 5445 - Health Care Security Act of 2016. S. 30 - Forty Hours Is Full Time Act of 2015, healthcare provisions. S. 305 - American Job Protection Act, all provisions. S 620 - Preserving Employee Wellness Programs Act, all provisions. S. 1099 - Protecting Affordable Coverage for Employees Act or the PACE Act. S. 1697 - Small Business Healthcare Relief Act. S. 1778 - The Tele-Med Act. S. 1996 - Commonsense Reporting Act of 2015. S. 2045 - Middle Class Health Benefits Tax Repeal Act of 2015. S. 2075 - American Worker Health Care Tax Relief Act of 2015. S. 2484 - The CONNECT for Health Act. S. 2698 - Preserving Consumer Health Accounts Act of 2016.

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

Government targets: Council of Economic Advisers (CEA), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of

H.R. 815 and S.1661: Legislation which removes broker commissions from the MLR calculation in the health reform law. H.R. 30 and S. 40: To restore the traditional 40-hour workweek from 30-hours H.R. 762 and S. 379: To increase the eligibility and effectiveness of the small business tax credit H.R. 928 and S.183: Legislation to eliminate the new national premium tax H.R. 588: Legislation to restore the open-enrollment period for Medicare beneficiaries to make a one-time plan switch to another Medicare Advantage plan or return to traditional Medicare for 90 days after the beginning of each calendar year. H.R. 290: the CARES act, which would change the three-day inpatient hospital admission requirement for Medicare beneficiaries who are in need of skilled nursing facility services to also allow hospital stays under observation status to count. H.R. 2: Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1624: To amend title I of the Patient Protection and Affordable Care Act and title XXVII of the Public Health Service Act to revise the definition of small employer. Senator Burr, Hatch, and Uptons Patient Choice, Affordability, Responsibility, and Empowerment (CARE) Act which would replace the Affordable Care Act H.R. 876: Amends title XVIII (Medicare) of the Social Security Act to require a hospital with an agreement with the Secretary of Health and Human Services to give each individual entitled to benefits under Medicare part A (Hospital Insurance), whom the hospital classifies for more than 24 hours as an outpatient under observation status or any other similar status, an adequate oral and written notification within 36 hours of that classification. H.R. 1533: To amend the Internal Revenue Code of 1986 to repeal the excise tax on medical devices, and for other purposes. S. 620 and H.R. 1189: The Preserving Employee Wellness Programs Act, looks to reaffirm existing law allowing employee wellness programs tied to financial awards H.R. 1547: To amend the Internal Revenue Code of 1986 to repeal certain limitations on health care benefits enacted as part of the Patient Protection and Affordable Care Act. H.R. 887: Electronic Health Fairness Act of 2015, Amends title XVIII (Medicare) of the Social Security Act to prohibit any patient encounter of an eligible professional occurring at an ambulatory surgical center from being treated as such an encounter in determining whether an eligible professional qualifies as a meaningful electronic health record (EHR) user. H.R. 1570: To provide for greater transparency and information with respect to Federal expenditures under the Medicaid and CHIP programs in the territories of the United States, and for other purposes. S. 254: Small Business Health Relief Act of 2015 H.R. 1270: Repeals provisions of the Internal Revenue Code, as added by the Patient Protection and Affordable Care Act, that limit payments for medications from health savings accounts, medical savings accounts, and health flexible spending arrangements to only prescription drugs or insulin (thus allowing distributions from such accounts for over-the-counter drugs). S. 884: A bill to improve access to emergency medical services, and for other purposes. S. 836: A bill to amend the Internal Revenue Code of 1986 to repeal certain limitations on health care benefits enacted by the Patient Protection and Affordable Care Act. S. 839: A bill to amend title XVIII of the Social Security Act to extend the rural add-on payment in the Medicare home health benefit, and for other purposes. S. 844: A bill to repeal the medical device excise tax, and for other purposes. S. 861: A bill to amend titles XVIII and XIX of the Social Security Act to curb waste, fraud, and abuse in the Medicare and Medicaid programs. H.R. 2712 and S. 1996: Commonsense Reporting and Verification Act of 2015, bill to ease PPACA employer reporting requirements. S. 1099: To amend the Patient Protection and Affordable Care Act to provide States with flexibility in determining the size of employers in the small group market. S. 1415: To amend the Internal Revenue Code of 1986 to modify the definition of large employer for purposes of applying the employer mandate. H.R. 879: This bill repeals, effective for taxable years beginning after 2017, the excise tax on the excess benefit portion of high-cost employer-sponsored health care plans. H.R. 2050: Amends the Internal Revenue Code to repeal, beginning with taxable years beginning after December 31, 2017, the excise tax on employer-sponsored health care coverage for which there is an excess benefit (high-cost plans). H.R.2570: Strengthening Medicare Advantage through Innovation and Transparency for Seniors of 2015 H.R. 2911 and S. 1697: To provide an exception from certain group health plan requirements to allow small businesses to use pre-tax dollars to assist employees in the purchase of policies in the individual health insurance market, and for other purposes. House passed budget resolution for upcoming fiscal year S. 2045: Amends the Internal Revenue Code to repeal, beginning with taxable years beginning after December 31, 2017, the excise tax on employer-sponsored health care coverage for which there is an excess benefit (high-cost plans). S. 2075: This bill amends the Internal Revenue Code to repeal, for taxable years beginning after December 31, 2017, the excise tax on employer-sponsored health care coverage for which there is an excess benefit (high-cost plans). The bill expresses the sense of the Senate that the revenue loss resulting from the repeal of such excise tax should be offset by corresponding revenue. -H.R.3762: Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 -H.R.2029: The Omnibus Appropriations bill -2015 Reconciliation bill -H.R. 5447 and S. 3060: Small Business Health Care Relief Act of 2016 -H.R. 3463: Aligning Children's Dental Coverage Act (ACDC) -H.R. 5589: To amend title I of the Patient Protection and Affordable Care Act to require verification for eligibility for enrollment during special enrollment periods in PPACA insurance plans, and for other purposes. -S. 3244: The legislation clarifies that people outside the public Exchanges can have the same choices for dental coverage as people inside the public Exchanges. -H.R. 2488: Medicare Beneficiary Preservation of Choice Act of 2015 -H.R. 6184: legislation that would allow seniors enrolled in COBRA coverage to transition to Medicare Part B without a penalty -H.R 2581: Preservation of Access for Seniors in Medicare Advantage Act of 2015

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

Issues related to agent compensation: H.R. 815. Issues related to the implementation of the Patient Protection and Affordable Care Act: H.R. 1624, H.R. 30, H.R. 588, S. 1099 and S. 30. Issues related to HSA/FSA reform. Issues related to the McCarran-Ferguson anti-trust exemption. Issues with respect to the small employer health care insurance tax credit including: S. 379, H.R. 762, H.R. 4469, S. 1653, S. 2045 and S. 2499.

Client expense: $568,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

Issues relating to insurance regulatory reform and agent compensation. Issues related to the implementation of of the Patient Protection and Affordable Care Act: H.R. 1624, S. 1099, H.R. 30, H.R. 588, and S. 30. Issues related to terrorism risk insurance: H.R. 26. Issues related to flood risk insurance. Issues related to the regulation of insurance competition, products with guarantees, individual and employer owned policies, and fiduciary-client relationships.

Client expense: $568,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

HR928; HR2646; Insurance Market stabilization (HR5410, HR5589); CMS Notice of Benefit & Payment Parameters; Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality; Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM (H.R. 779; President's Budget); S. 1486, Postal Reform Act of 2013; Risk Mitigation Legislation (S. 123, H.R. 221); mental health reform (HR2646/S1945); ACA Implementation and back-end issues; Small Business Health Options Program (SHOP) implementation; ICD-10 implementation; ACA small group definition (S. 1099/H.R. 1624.

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

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

Affordable Care Act, all provisions and related regulations, including repeal of ACA 40% excise tax; ACA Reporting (IRC 6055 and 6056); ACA Shared Responsibility for Employers Provisions; wellness issues; and out-of-pocket (OOP) limits related to cost sharing. GINA (in conjunction with employer-based wellness programs). ADA (in conjunction with employer-based wellness programs). HIPAA Stage 2 Audits. House GOP Health Reform Task Force Blueprint. Mental Health Parity Requirements. Tax Treatment of Employer-Sponsored Health Insurance. H.R. 30 - Save American Workers Act of 2015; all provisions. H.R. 879 - Ax the Tax on Middle Class Americans' Health Plans Act; all provisions. H.R. 1189 - Preserving Employee Wellness Programs Act; all provisions. H.R. 1624 - Protecting Affordable Coverage for Employees Act. H.R. 2029 - Consolidated Appropriations Act. H.R. 2050 - Middle Class Health Benefits Tax Repeal Act of 2015. H.R. 2066 - The Telehealth Enhancement Act. H.R. 2516 - VETS Act of 2015. H.R. 2712 - Commonsense Reporting and Verification Act of 2015. H.R. 2725 - 21st Century Care for Military and Veterans Act. H.R. 2911 - Small Business Healthcare Relief Act. H.R. 2948 - Medicare Telehealth Parity Act of 2015. H.R. 3081 - The Tele-Med Act. H.R. 3112 - Be Open Act. H.R. 3762 - Restoring Americans' Healthcare Freedom Reconciliation Act of 2015. H.R. 4442 - The CONNECT for Health Act. H.R. 4469 - Health Savings Act of 2016. H.R. 5445 - Health Care Security Act of 2016. S. 30 - Forty Hours Is Full Time Act of 2015; healthcare provisions. S. 305 - American Job Protection Act; all provisions. S. 620 - Preserving Employee Wellness Programs Act; all provisions. S. 1099 - Protecting Affordable Coverage for Employees Act or the PACE Act. S 1697 - Small Business Healthcare Relief Act. S. 1778 - The Tele-Med Act. S. 1996 - Commonsense Reporting Act of 2015. S. 2045 - Middle Class Health Benefits Tax Repeal Act of 2015. S. 2075 - American Worker Health Care Tax Relief Act of 2015. S. 2484 - The CONNECT for Health Act. S. 2698 - Preserving Consumer Health Accounts Act of 2016.

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

Government targets: Council of Economic Advisers (CEA), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of

Support H.R. 928/S. 183, a bill to repeal the health insurance tax Support H.R. 954 and S. 3311, the CO-OP Consumer Protection Act Support H.R. 1624 and S. 1099, the Protecting Affordable Coverage for Employers Support H.R. 2712 and S. 1996, the Commonsense Reporting and Verification Act Support H.R. 3762, the Restoring Americans Healthcare Freedom Reconciliation Act Support H.R. 5477, the Small Business Healthcare Relief Act Monitor healthcare reform proposals

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

Government targets: Equal Employment Opportunity Commission (EEOC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Treasury, Dept of

Affordable Care Act, all provisions; Health care reform; Health Care Mandate Penalties; ACA reporting requirements; seasonal employee provisions; H.R. 30, Save American Workers Act; S. 30, Forty Hours is Full Time Act; S. 379, Small Business Tax Credit Accessibility Act; H.R. 928, Repeal the Health Insurance Tax, all provisions; H.R. 863, Simplfying Technical Aspects Regarding Seasonality Act, all provisions; H.R. 2050, Middle Class Health Benefits Tax Repeal Act, all provisions; H.R. 2712, Commonsense Reporting and Verification Act, all provisions; H.R. 2911, Small Business Health Care Relief Act, all provisions; S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; S. 1697, Small Business Health Care Relief Act, all provisions; S.1996, Commonsense Reporting Act of 2015, all provisions; S. 1809, Simplifying Technical Aspects Regarding Seasonality Act of 2015, all provisions; H.R. 1624/S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; S. 2075, American Worker Health Care Tax Relief Act of 2015, all provisions; S.1415, Small Business Stability Act, all provisions; H.R. 1029, ACA Provisions; S. 1778, Telemedicine for Medicare Act; H.R. 5447/S. 3060, Small Business Health Care Relief Act, all provisions.

Client expense: $1,680,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Aviation Administration (FAA), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Affordable Care Act, all provisions; Health care reform; Health Care Mandate Penalties; ACA reporting requirements; seasonal employee provisions; H.R. 30, Save American Workers Act; S. 30, Forty Hours is Full Time Act; S. 379, Small Business Tax Credit Accessibility Act; H.R. 928, Repeal the Health Insurance Tax, all provisions; H.R. 863, Simplfying Technical Aspects Regarding Seasonality Act, all provisions; H.R. 2050, Middle Class Health Benefits Tax Repeal Act, all provisions; H.R. 2712, Commonsense Reporting and Verification Act, all provisions; H.R. 2911, Small Business Health Care Relief Act, all provisions; S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; S. 1697, Small Business Health Care Relief Act, all provisions; S.1996, Commonsense Reporting Act of 2015, all provisions; S. 1809, Simplifying Technical Aspects Regarding Seasonality Act of 2015, all provisions; H.R. 1624/S. 1099, Protecting Affordable Coverage for Employees Act, all provisions; S. 2075, American Worker Health Care Tax Relief Act of 2015, all provisions; S.1415, Small Business Stability Act, all provisions; H.R. 1029, ACA Provisions; S. 1778, Telemedicine for Medicare Act; H.R. 5447/S. 3060, Small Business Health Care Relief Act, all provisions.

Client expense: $1,550,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Aviation Administration (FAA), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Affordable Care Act Issues: Small group expansion; Risk Corridors; Delivery system reform; Consumer experience; Back end issues; Implementation issues; Regulations; Premiums; Exchanges; Supreme Court decision implications Other Major Health Care Related Issues: Cybersecurity; Medicare Advantage; Reinsurance; Health care quality issues; Community health management; Siteneutral Payments; Dialysis care funding mechanism; Patient reform; Payment reform; Opioid abuse; Medical Loss Ratios; Mental health parity implementation Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM; Alternative structures for the FEHBM. S 123 Introduced January 8, 2015 by Marco Rubio (RFL) Obamacare Taxpayer Bailout Prevention Act Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified. S. 1099 Introduced April 27, 2015 by Tim Scott (RSC) A bill to amend the Patient Protection and Affordable Care Act to provide States with flexibility in determining the size of employers in the small group market HR 221 Introduced January 8, 2015 by Andy Harris (RMD) Taxpayer bailout of health insurers HR 928 Introduced February 12, 2015 by Charles Boustany (RLA) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 1624 Introduced March 25, 2015 by Brett Guthrie (RKY) To amend title I of the Patient Protection and Affordable Care Act and title XXVII of the Public Health Service Act to revise the definition of small employer.

Client expense: Not reported · Firm income: $50,000

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

H.R. 30, Save American Workers Act (Young) - definition of full-time employee H.R. 117, Reclaiming Individual Liberty Act (Garrett) - ACA individual mandate H.R. 221, ACA Taxpayer Bailout Prevention Act (Harris) - risk corridors program H.R. 371, Care for All Act (Fortenberry) - catastrophic plans H.R. 494, Competitive Health Insurance Reform Act (Gosar) - antitrust policy H.R. 543, Health Care Choice Act (Blackburn) - national marketplace for individual health insurance H.R. 724, Taxpayer Bailout Protection Act (Lance) - risk corridors program H.R. 815, Access to Independent Health Insurance Advisors Act (Long-Schrader) - treatment of broker compensation in MLR calculation H.R. 1770, Data Security and Breach Notification Act (Blackburn-Welch) - data security H.R. 2205, Data Security Act (Neugebauer) - data security H.R. 2739, Cancer Drug Coverage Parity Act (Lance) - coverage of oral anti-cancer drugs H.R. 2868, Small Business Health Fairness Act (Johnson) - association health plans H.R. 3323, Dental and Optometric Care Access Act (Carter) - dental and vision benefits H.R. 3727, Health Insurance Rate Review Act (Schakowsky) - rate review H.R. 4299, Patient Opportunity Protection Act (Blum) - HIPAA excepted benefits H.R. 5410, Health Coverage State Flexibility Act (Flores) - grace period for recipients of advanced premium tax credits H.R. 5485, Financial Services and General Government Appropriations Act (Crenshaw) - risk corridors amendment H.R. 5589, Plan Verification and Fairness Act (Blackburn) - pre-enrollment verification process Draft Bill on Age Variation in Health Insurance Premium Rates (Brooks) S. 30, Forty Hours Is Full Time Act (Collins) - definition of full-time employee S. 123, ACA Taxpayer Bailout Prevention Act (Rubio) - risk corridors program S. 158, Employee Health Care Protection Act (Cassidy) - grandfathering of health coverage S. 359, Taxpayer Bailout Protection Act (Cassidy) - risk corridors program S. 1099, Protecting Affordable Coverage for Employees Act (Scott-Shaheen) - ACA definition of small employer S. 1532, Affordability is Access Act (Murray) - coverage of OTC birth control S. 1566, Cancer Drug Coverage Parity Act (Kirk) - coverage of oral anti-cancer drugs S. 1661, Access to Independent Health Insurance Advisors Act (Isakson-Coons) - treatment of broker compensation in MLR calculation S. 2172, Health Insurance Rate Review Act (Feinstein) - rate review S. 2803, Taxpayers Before Insurers Act (Sasse) - ACA reinsurance program Regulatory Issues: 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 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; issues related to supplemental products; issues related to implementation of the Telephone Consumer Protection Act; and other issues relating to health care reform implementation.

Client expense: $1,710,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), 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, Treasury, Dept of, White House Office

OSHA Fall Protection, Davis-Bacon, Employee Misclassification, NLRB and DOL proposed rules on union elections, micro-unions and persuader activity, proposals related to DOL overtime rules, proposals related to NLRB joint employer liability, proposals related to association health plans, policies related to the implementation of the Affordable Care Act, including the employer mandate, Shared Responsibility Rules and the implementation of the small business exchanges, OSHA Crystalline Silica Rulemaking, proposals related to EE0-1 form. HR. 1624: Protecting Affordable Coverage for Employees Act, Amendment 665 to S. Con Res. 11: To establish a spending-neutral reserve fund relating to prohibiting awarding of construction contracts based on awardees entering or not entering into agreements with labor organizations, H.R. 30: Save American Workers Act of 2015, H.R. 2911: Small Business Healthcare Relief Act, H.R. 1768: Workforce Democracy and Fairness Act, H.R. 1767: Employee Privacy Protection Act, H.R. 1624: Protecting Affordable Coverage for Employees Act, H.R. 2868: Small Business Health Fairness Act of 2015, S. 1697: Small Business Healthcare Relief Act, S. 1099: PACE Act, H.R. 3459: Protecting Local Business Opportunity Act, S. 2015: Protecting Local Business Opportunity Act, S. 2707, H.R. 4773: Protecting Workplace Advancement and Opportunity Act. H.R. 5447/S. 3060: Small Business Health Care Relief Act of 2016, S. 2827: Willing Workers and Willing Employers Act of 2016, S. 2693: EEOC Reform Act, H.J.Res. 87: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Department of Labor relating to Interpretation of the Advice Exemption in Section 203(c) of the Labor-Management Reporting and Disclosure Act, S.J.Res. 35: A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Department of Labor relating to Interpretation of the Advice Exemption in Section 203(c) of the Labor-Management Reporting and Disclosure Act.

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

Government targets: Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Consumer Product Safety Commission (CPSC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Emergency Management Agency (FEMA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA), Treasury, Dept of, U.S. Fish & Wildlife Service (USFWS), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office