Obamacare Taxpayer Bailout Prevention Act

H.R.928, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S.183, Jobs and Premium Protection Act Affordable Care Act Implementation Federal Budget Issues Cybersecurity Policy H.R. 6, 21st Century Cures Act H.R. 221, Obamacare Taxpayer Bailout Protection Act S. 123, Obamacare Taxpayer Bailout Protection Act H.R. 724, Taxpayer Bailout Protection Act S. 359, Taxpayer Bailout Protection Act H.R. 5410, Health Coverage State Flexibility Act H.R. 5589, Plan Verification and Fairness Act H.R. 5921, State Age Rating Flexibility Act H.R. 34, The Tsunami Warning, Education, and Research Act (provisions related to 21st Century Cures and other health legislation contained therein)

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

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

Department of Health & Human Services: Implementation of Health insurance exchanges; Implementation of Qualified Health Plans; Delivery system reform. HR 34 - 21st Century Cures Act: To accelerate the discovery, development, and delivery of 21st century cures. Upton (R-MI) HR 160 & S 149 - Protect Medical Innovation Act of 2015: A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on medical devices. Paulsen (R-MN) and Hatch (R-UT) HR 248 - American Job Protection Act - repeal the ACA's employer responsibility requirements. Boustany (R-LA) HR 954 - CO-OP Consumer Protection Act of 2016: To amend the Internal Revenue Code of 1986 to exempt from the individual mandate certain individuals who had coverage under a terminated qualified health plan funded through the Consumer Operated and Oriented Plan (CO-OP) program. Smith (R-NE) HR 2028 - Further Continuing and Security Assistance Appropriations Act, 2017: Provides continuing appropriations for most federal agencies through the earlier of April 28, 2017, or the enactment of the applicable appropriations legislation. Simpson (R-ID) HR 2050 - Middle Class Health Benefits Tax Repeal Act of 2015: To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. Courtney (D-CT) HR 5447 - Small Business Health Care Relief Act of 2016: To provide an exception from certain group health plan requirements for qualified small employer health reimbursement arrangements. Boustany (R-LA) S 123 & HR 221- To repeal the ACA risk corridor program. Rubio (R-FL) & Harris (R-MD) S 157 - To repeal the ACA's Individual mandate, employer responsibility requirements and medical device excise tax. Cassidy (R-LA) S 305 - To repeal the ACA's employer responsibility requirements. Hatch (R-UT) and Alexander (R-TN) S Res 561 - A resolution supporting efforts to increase competition and accountability in the health insurance marketplace, and to extend accessible, quality, affordable health care coverage to every American through the choice of a public insurance plan. Merkley (D-OR) S 2680 - Mental Health Reform Act of 2016: To amend the Public Health Service Act to provide comprehensive mental health reform, and for other purposes. Alexander (R-TN) S 3056 - Creating and Restoring Equal Access to Equivalent Samples Act of 2016: To provide for certain causes of action relating to delays of generic drugs and biosimilar biological products. Leahy (D-VT) S 3297 - Relief from Obamacare Mandate Act of 2016: To amend the Internal Revenue Code of 1986 to provide an exemption to the individual mandate to maintain health coverage for certain individuals whose premium has increased by more than 10 percent, and for other purposes. Cotton (R-AR) S 3326 - State Flexibility to Provide Affordable Health Options Act: To give States the authority to provide temporary access to affordable private health insurance options outside of Obamacare exchanges. Alexander (R-TN)

Client expense: $1,450,000 · Firm income: Not reported

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

H.R. 928, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. S. 183, Jobs and Premium Protection Act. Affordable Care Act Implementation. Federal Budget issues. Cybersecurity policy. H.R. 6, 21st Century Cures Act. H.R. 221 and S. 123, Obamacare Taxpayer Bailout Protection Act. H.R. 724 and S. 359, Taxpayer Bailout Protection Act. H.R. 5921, State Age Rating Flexibility Act. H.R. 5410, Health Coverage State Flexibility Act. H.R. 5589, Plan Verification and Fairness Act.

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

Government targets: HOUSE OF REPRESENTATIVES, 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

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

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.928, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S.183, Jobs and Premium Protection Act Affordable Care Act Implementation Federal Budget Issues Cybersecurity Policy H.R. 6, 21st Century Cures Act H.R. 221, Obamacare Taxpayer Bailout Protection Act S. 123, Obamacare Taxpayer Bailout Protection Act H.R. 724, Taxpayer Bailout Protection Act S. 359, Taxpayer Bailout Protection Act H.R. 5410, Health Coverage State Flexibility Act H.R. 5589, Plan Verification and Fairness Act H.R. 5921, State Age Rating Flexibility Act

Client expense: $480,000 · Firm income: Not reported

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

Department of Health & Human Services: Implementation of Health insurance exchanges; Implementation of Qualified Health Plans; Delivery system reform. HR 6 - 21st Century Cures Act: To accelerate the discovery, development, and delivery of 21st century cures. Upton (R-MI) HR 138 - Access to Insurance for All Americans Act: Regarding the Federal Employees Health Benefit Program (FEHBP). Issa (R-CA) HR 160 & S 149 - Protect Medical Innovation Act of 2015: A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on medical devices. Paulsen (R-MN) and Hatch (R-UT) HR 248 - American Job Protection Act - repeal the ACA's employer responsibility requirements. Boustany (R-LA) HR 954 - CO-OP Consumer Protection Act of 2016: To amend the Internal Revenue Code of 1986 to exempt from the individual mandate certain individuals who had coverage under a terminated qualified health plan funded through the Consumer Operated and Oriented Plan (CO-OP) program. Smith (R-NE) HR 2050 - Middle Class Health Benefits Tax Repeal Act of 2015: To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. Courtney (D-CT) HR 5447 - Small Business Health Care Relief Act of 2016: To provide an exception from certain group health plan requirements for qualified small employer health reimbursement arrangements. Boustany (R-LA) S 123 & HR 221- To repeal the ACA risk corridor program. Rubio (R-FL) & Harris (R-MD) S 157 - To repeal the ACA's Individual mandate, employer responsibility requirements and medical device excise tax. Cassidy (R-LA) S 305 - To repeal the ACA's employer responsibility requirements. Hatch (R-UT) and Alexander (R-TN) S Res 561 - A resolution supporting efforts to increase competition and accountability in the health insurance marketplace, and to extend accessible, quality, affordable health care coverage to every American through the choice of a public insurance plan. Merkley (D-OR) S 2680 - Mental Health Reform Act of 2016: To amend the Public Health Service Act to provide comprehensive mental health reform, and for other purposes. Alexander (R-TN) S 3056 - Creating and Restoring Equal Access to Equivalent Samples Act of 2016: To provide for certain causes of action relating to delays of generic drugs and biosimilar biological products. Leahy (D-VT) S 3297 - Relief from Obamacare Mandate Act of 2016: To amend the Internal Revenue Code of 1986 to provide an exemption to the individual mandate to maintain health coverage for certain individuals whose premium has increased by more than 10 percent, and for other purposes. Cotton (R-AR) S 3326 - State Flexibility to Provide Affordable Health Options Act: To give States the authority to provide temporary access to affordable private health insurance options outside of Obamacare exchanges. Alexander (R-TN)

Client expense: $145,000 · Firm income: Not reported

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

H.R. 928, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. S. 183, Jobs and Premium Protection Act. Affordable Care Act Implementation. Federal Budget issues. Cybersecurity policy. H.R. 6, 21st Century Cures Act. H.R. 221 and S. 123, Obamacare Taxpayer Bailout Protection Act. H.R. 724 and S. 359, Taxpayer Bailout Protection Act. H.R. 5921, State Age Rating Flexibility Act. H.R. 5410, Health Coverage State Flexibility Act. H.R. 5589, Plan Verification and Fairness Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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 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

114th H.Con.Res. 132 - Senate's Court Obligations Trump Unconstitutional Stalling (SCOTUS) Resolution 114th H.R. 12 and 113th S. 123 - Voter Empowerment Act 114th H.R. 2578 SA 4719 - Additional funds for the Justice Departments Civil Rights Division (CRT) and its Community Relations Service (CRS) to prevent hate crimes and to effectively investigate and prosecute them when they occur; related provisions in 114th H.R. 2578 SA 4848 114th H.R. 5207 - Freedom of Religion Act Executive and judicial nominations and appointments, including both individuals and rules/procedures, also legislative rules/procedures First Amendment Defense Act (FADA), especially House "Religious Liberty and H.R. 2802, the First Amendment Defense Act (FADA)" hearing and 114th H.R. 2802 and S. 1598 Private school vouchers, especially 114th S. 2711 - Native American Education Opportunity Act; and 114th H.R. 4901 - Scholarships for Opportunity and Results Reauthorization Act and related provisions in or proposed changes or additions to FY 2017 Financial Services and General Government Appropriations (House Committee Draft and 114th H.R. 5485) Strengthening the Voting Rights Act (Public Law No: 89-110) in the wake of Shelby County v. Holder: supported the Voting Rights Advancement Act (114th H.R. 2867 and S. 1659) and expressed concern regarding the Voting Rights Amendment Act (114th H.R. 885) Sweeping language in or proposed changes or additions to FY 2017 National Defense Authorization Act (114th H.R. 4909 and S. 2814) that authorize taxpayer-funded discrimination in each and every federal contract and grant, especially the Russell Amendment adopted by the House Armed Services Committee

Client expense: $40,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Office of the Vice President of the United States, President of the U.S., SENATE, Vice President of the U.S., White House Office

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 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 ***, 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

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 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

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.928, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S.183, Jobs and Premium Protection Act Affordable Care Act Implementation Federal Budget Issues Cybersecurity Policy H.R. 6, 21st Century Cures Act H.R. 221, Obamacare Taxpayer Bailout Protection Act S. 123, Obamacare Taxpayer Bailout Protection Act H.R. 724, Taxpayer Bailout Protection Act S. 359, Taxpayer Bailout Protection Act

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

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

H.R. 928, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. S. 183, Jobs and Premium Protection Act. Affordable Care Act Implementation. Federal Budget issues. Cybersecurity policy. H.R. 6, 21st Century Cures Act. H.R. 221 and S. 123, Obamacare Taxpayer Bailout Protection Act. H.R. 724 and S. 359, Taxpayer Bailout Protection Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Department of Health & Human Services: Implementation of Health insurance exchanges; Implementation of Qualified Health Plans; Delivery system reform. HR 6 - 21st Century Cures Act: To accelerate the discovery, development, and delivery of 21st century cures. Upton (R-MI) HR 138 - Access to Insurance for All Americans Act: Regarding the Federal Employees Health Benefit Program (FEHBP). Issa (R-CA) HR 160 & S 149 - Protect Medical Innovation Act of 2015: A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on medical devices. Paulsen (R-MN) and Hatch (R-UT) HR 248 - American Job Protection Act - repeal the ACA's employer responsibility requirements. Boustany (R-LA) HR 2050 - Middle Class Health Benefits Tax Repeal Act of 2015: To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. Courtney (D-CT) HR 5447 - Small Business Health Care Relief Act of 2016: To provide an exception from certain group health plan requirements for qualified small employer health reimbursement arrangements. Boustany (R-LA) S 123 & HR 221- To repeal the ACA risk corridor program. Rubio (R-FL) & Harris (R-MD) S 157 - To repeal the ACA's Individual mandate, employer responsibility requirements and medical device excise tax. Cassidy (R-LA) S 305 - To repeal the ACA's employer responsibility requirements. Hatch (R-UT) and Alexander (R-TN) S 524 - Comprehensive Addiction and Recovery Act: To authorize the Attorney General and Secretary of Health and Human Services to award grants to address the national epidemics of prescription opioid abuse and heroin use, and to provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication, and for other purposes. Whitehouse (D-RI) S 2680 - Mental Health Reform Act of 2016: To amend the Public Health Service Act to provide comprehensive mental health reform, and for other purposes. Alexander (R-TN) S 3056 - Creating and Restoring Equal Access to Equivalent Samples Act of 2016: To provide for certain causes of action relating to delays of generic drugs and biosimilar biological products. Leahy (D-VT)

Client expense: $160,000 · Firm income: Not reported

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

HR928; HR2646; Insurance Market Reform, General Issues; CMS Notice of Benefit & Payment Parameters; Cybersecurity; Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Health Disparities; 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; 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; Mental Health Reform (H.R. 2646)

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

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

Department of Health & Human Services: Implementation of Health insurance exchanges; Implementation of Qualified Health Plans; Delivery system reform. HR 6 - 21st Century Cures Act: To accelerate the discovery, development, and delivery of 21st century cures. Upton (R-MI) HR 138 - Access to Insurance for All Americans Act: Regarding the Federal Employees Health Benefit Program (FEHBP). Issa (R-CA) HR 160 & S 149 - Protect Medical Innovation Act of 2015: A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on medical devices. Paulsen (R-MN) and Hatch (R-UT) HR 248 - American Job Protection Act - repeal the ACA's employer responsibility requirements. Boustany (R-LA) HR 1624 & S 1099 - Protecting Affordable Coverage for Employees Act: 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. Guthrie (R-KY) and Scott (R-SC) HR 2050 - Middle Class Health Benefits Tax Repeal Act of 2015: To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. Courtney (D-CT) S 123 & HR 221- To repeal the ACA risk corridor program. Rubio (R-FL) & Harris (R-MD) S 157 - To repeal the ACA's Individual mandate, employer responsibility requirements and medical device excise tax. Cassidy (R-LA) S 305 - To repeal the ACA's employer responsibility requirements. Hatch (R-UT) and Alexander (R-TN) S 2680 - Mental Health Reform Act of 2016: To amend the Public Health Service Act to provide comprehensive mental health reform, and for other purposes. Alexander (R-TN)

Client expense: $370,000 · Firm income: Not reported

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

H.R.928, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S.183, Jobs and Premium Protection Act Affordable Care Act Implementation Federal Budget Issues Cybersecurity Policy H.R. 6, 21st Century Cures Act H.R. 221, Obamacare Taxpayer Bailout Protection Act S. 123, Obamacare Taxpayer Bailout Protection Act H.R. 724, Taxpayer Bailout Protection Act S. 359, Taxpayer Bailout Protection Act H.R. 3762, Restoring Americans' Healthcare Freedom Reconciliation Act

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

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

114th H.R. 12 and 113th S. 123 - Voter Empowerment Act Executive and judicial nominations and appointments, including both individuals and rules/procedures, also legislative rules/procedures Money in politics and voting rights, both their general consideration and their intersectionality Private school vouchers, especially House "Expanding Educational Opportunity through School Choice hearing and 114th S. 2711 - Native American Education Opportunity Act Strengthening the Voting Rights Act (Public Law No: 89-110) in the wake of Shelby County v. Holder, especially the Voting Rights Advancement Act (114th H.R. 2867 and S. 1659), moving away from the Voting Rights Amendment Act (114th H.R. 885)

Client expense: $40,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), Office of the Vice President of the United States, President of the U.S., SENATE, Vice President of the U.S., 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. 1624, Protecting Affordable Coverage for Employees Act (Guthrie-Cardenas) - ACA definition of small employer 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. 3762, Restoring Americans' Healthcare Freedom Reconciliation Act (Price) - ACA premium stabilization programs, individual mandate H.R. 4299, Patient Opportunity Protection Act (Blum) - HIPAA excepted benefits 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 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: $2,210,000 · Firm income: Not reported

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

H. Con Res 27 and S. Con Res 11, Budget for the U.S. Government for FY2016. H.R. 221 and S. 123, Obamacare Taxpayer Bailout Protection Act. H.R. 724 and S. 359, Taxpayer Bailout Protection Act. H.R. 6, The 21st Century Cures Act. Affordable Care Act Implementation. H.R. 2029, The Consolidated Appropriations Act. H.R. 1624, S. 1099, The PACE Act. H.R. 3762, Restoring Americans Healthcare Freedom Reconciliation Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1191 - Protecting Firefighters and Emergency Responders Act, ACA S. 12/H.R. 22 - Hire More Heroes Act of 2015, ACA 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 H.R. 2029 - Consolidated Appropriations Act, 2016, health insurance tax delay ***, 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

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 H.R. 1191 - Protecting Firefighters and Emergency Responders Act, ACA S. 12/H.R. 22 - Hire More Heroes Act of 2015, ACA 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

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

HR928; HR2646; Insurance Market Reform, General Issues; CMS Notice of Benefit & Payment Parameters; Cybersecurity; Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Health Disparities; 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; 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: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

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. 1560, Protecting Cyber Networks Act (Nunes) - cybersecurity H.R. 1624, Protecting Affordable Coverage for Employees Act (Guthrie-Cardenas) - ACA definition of small employer H.R. 1731, National Cybersecurity Protection Advancement Act (McCaul) - cybersecurity H.R. 1770, Data Security and Breach Notification Act (Blackburn-Welch) - 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. 3020, Labor-HHS-Education Appropriations Bill (Cole) - ACA risk corridors provision, HHS appropriations 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. 754, Cybersecurity Information Sharing Act (Burr) - cybersecurity 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. 1695, Labor-HHS-Education Appropriations Bill (Blunt) - ACA risk corridors provision, HHS appropriations S. 2132, Labor-HHS-Education Appropriations Bill (Cochran) - ACA risk corridors provision, HHS appropriations 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: $2,470,000 · Firm income: Not reported

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

H.R. 30, Save American Workers Act (Young) - definition of full-time employee H.R. 99, Health Insurance Industry Antitrust Enforcement Act (Conyers) - antitrust policy 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. 1560, Protecting Cyber Networks Act (Nunes) - cybersecurity H.R. 1624, Protecting Affordable Coverage for Employees Act (Guthrie) - ACA definition of small employer 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. 531, Removing Limitations on Insurance Effectiveness and Flexibility Act (Flake) - catastrophic plans S. 647, Health Care Choice Act (Cruz) - national marketplace for individual health insurance S. 754, Cybersecurity Information Sharing Act (Burr) - cybersecurity Discussion Draft for Data Security and Breach Notification Act (Blackburn-Welch) - data security Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to the continuation of reporting requirements for state LTCI partnership programs; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; summary of benefits and coverage disclosures; pre-existing condition insurance plans; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; dependent coverage; treatment of expatriate plans; compliance with the transitional reinsurance program; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; and issues related to supplemental products, and other issues relating to health care reform implementation.

Client expense: $2,960,000 · Firm income: Not reported

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

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. 1314, Bipartisan Budget Act - SSDI and disability issues, auto-enrollment requirement for large employers H.R. 1560, Protecting Cyber Networks Act (Nunes) - cybersecurity H.R. 1624, Protecting Affordable Coverage for Employees Act (Guthrie-Cardenas) - ACA definition of small employer H.R. 1731, National Cybersecurity Protection Advancement Act (McCaul) - cybersecurity H.R. 1770, Data Security and Breach Notification Act (Blackburn-Welch) - data security H.R. 2029, Consolidated Appropriations Act - ACA risk corridors program, cybersecurity 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. 3020, Labor-HHS-Education Appropriations Bill (Cole) - ACA risk corridors provision, HHS appropriations H.R. 3727, Health Insurance Rate Review Act (Schakowsky) - rate review H.R. 3762, Restoring Americans' Healthcare Freedom Reconciliation Act (Price) - ACA premium stabilization programs, individual mandate H.R. 4299, Patient Opportunity Protection Act (Blum) - HIPAA excepted benefits 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. 754, Cybersecurity Information Sharing Act (Burr) - cybersecurity 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. 1695, Labor-HHS-Education Appropriations Bill (Blunt) - ACA risk corridors provision, HHS appropriations S. 2132, Labor-HHS-Education Appropriations Bill (Cochran) - ACA risk corridors provision, HHS appropriations S. 2172, Health Insurance Rate Review Act (Feinstein) - rate review 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: $1,850,000 · Firm income: Not reported

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

H.R.928, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S.183, Jobs and Premium Protection Act Affordable Care Act Implementation TRICARE Implementation Federal Budget Issues Cybersecurity Policy Reform H.R. 6, 21st Century Cures Act H.R. 221, Obamacare Taxpayer Bailout Protection Act S. 123, Obamacare Taxpayer Bailout Protection Act H.R. 724, Taxpayer Bailout Protection Act S. 359, Taxpayer Bailout Protection Act H.R. 3762, Restoring Americans' Healthcare Freedom Reconciliation Act H.R. 2029, Consolidated Appropriations Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, 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; Site-neutral 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 (R-FL) 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 (R-SC) 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 (R-MD) Taxpayer bailout of health insurers HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) 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 (R-KY) 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: $30,000

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

Affordable Care Act Issues: Risk Corridors; implementation issues, Premiums, Exchanges; CHIP reauthorization; Small Group Expansion; Reinsurance; health Care Quality issues; medical Loss Ratios; Consistent reporting requirements for all insurers, Federal Employee Health Benefit Program (FEHBP)regarding proposals to allow additional types of carriers including regional PPO's to be included in the coverage options offered by OPM.. S 123 Introduced January 8, 2015 by Marco Rubio (R-FL) 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. Medicare Reform: Medicare A&B; Delivery System Reforms; Benefit restructuring; Medigap first-dollar coverage. S. 1099 Introduced April 27, 2015 by Tim Scott (R-SC) 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 HR928 Introduced February 12, 2015 by Charles Boustany (R-LA) . To repeal the annual fee on health insurance providers by the Affordable Care Act. HR 1624 Introduced March 25, 2015 by Brett Guthrie (R-KY) 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: $38,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H. Con Res 27 and S. Con Res 11, Budget for the U.S. Government for FY2016. H.R. 221 and S. 123, Obamacare Taxpayer Bailout Protection Act. H.R. 724 and S. 359, Taxpayer Bailout Protection Act. H.R. 6, The 21st Century Cures Act. Affordable Care Act Implementation. H.R. 2029, The Consolidated Appropriations Act. H.R. 1624, S. 1099, The PACE Act. H.R. 3762, Restoring Americans Healthcare Freedom Reconciliation Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1191 - Protecting Firefighters and Emergency Responders Act, ACA S. 12/H.R. 22 - Hire More Heroes Act of 2015, ACA 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 H.R. 2029 - Consolidated Appropriations Act, 2016, health insurance tax delay ***, 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

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, Icd-10 Implementation H.R. 1191 - Protecting Firefighters and Emergency Responders Act, ACA S. 12/H.R. 22 - Hire More Heroes Act of 2015, ACA 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

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

HR928; HR2646; Insurance Market Reform, General Issues; CMS Notice of Benefit & Payment Parameters; Cybersecurity; Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Health Disparities; 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); 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: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Department of Health & Human Services: Implementation of Health insurance exchanges; Implementation of Qualified Health Plans; Delivery system reform. HR 6 - 21st Century Cures Act: To accelerate the discovery, development, and delivery of 21st century cures. Upton (R-MI) HR 138 - Access to Insurance for All Americans Act: Regarding the Federal Employees Health Benefit Program (FEHBP). Issa (R-CA) HR 160 & S 149 - Protect Medical Innovation Act of 2015: A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on medical devices. Paulsen (R-MN) and Hatch (R-UT) HR 248 - American Job Protection Act - repeal the ACA's employer responsibility requirements. Boustany (R-LA) HR 1624 & S 1099 - Protecting Affordable Coverage for Employees Act: 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. Guthrie (R-KY) and Scott (R-SC) HR 2029 - Title as Enacted: Consolidated Appropriations Act of 2016 and the Protecting Americans from Tax Hikes Act of 2015: Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2016, and for other purposes. Dent (R-PA) HR 2050 - Middle Class Health Benefits Tax Repeal Act of 2015: To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. Courtney (D-CT) S 123 & HR 221- To repeal the ACA risk corridor program. Rubio (R-FL) & Harris (R-MD) S 157 - To repeal the ACA's Individual mandate, employer responsibility requirements and medical device excise tax. Cassidy (R-LA) S 305 - To repeal the ACA's employer responsibility requirements. Hatch (R-UT) and Alexander (R-TN)

Client expense: $1,201,000 · Firm income: Not reported

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