Commonsense Reporting Act of 2015

Affordable Care Act, all provisions; HR1628 - American Health Care Act, all provisions; HR1101 - Small Business Health Fairness Act, all provisions; HR173/S58 - Middle Class Health Benefits Tax Repeal Act, all provisions; Better Care Reconciliation Act, all provisions. H.R. 246 Jobs and Premium Protection Act; S.1859 - Healthcare Tax Relief Act; S.1978 - Small Business and Family Health Tax Relief Act; H.R. 3956: STARS Act; S.1818 - Small Business Health Plans Act; HR 4616 - Cadillac Tax; Employer Mandate Delay; H.R.4620 - Protecting Families and Small Businesses Act; HR4618 - Over the Counter Drugs; HR4200/S.2052 - H.R. 4200: Healthcare Market Certainty and Mandate Relief Act; S. 1996/HR 2919 Commonsense Reporting Act; Cadillac Tax; ERISA; Alexander - Murray - Individual Market Stabilization; Sen. Pauls Association Health Plan Draft

Client expense: $2,390,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), 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 Labor Relations Board (NLRB), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, White House Office

Affordable Care Act, all provisions; HR1628 - American Health Care Act, all provisions; HR1101 - Small Business Health Fairness Act, all provisions; HR173/S58 - Middle Class Health Benefits Tax Repeal Act, all provisions; Better Care Reconciliation Act, all provisions. H.R. 246 Jobs and Premium Protection Act; S.1859 - Healthcare Tax Relief Act; S.1978 - Small Business and Family Health Tax Relief Act; H.R. 3956: STARS Act; S.1818 - Small Business Health Plans Act; HR 4616 - Cadillac Tax; Employer Mandate Delay; H.R.4620 - Protecting Families and Small Businesses Act; HR4618 - Over the Counter Drugs; HR4200/S.2052 - H.R. 4200: Healthcare Market Certainty and Mandate Relief Act; S. 1996/HR 2919 Commonsense Reporting Act; Cadillac Tax; ERISA; Alexander - Murray - Individual Market Stabilization; Sen. Pauls Association Health Plan Draft

Client expense: $2,390,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), 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 Labor Relations Board (NLRB), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, 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: $1,640,000 · 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

H.R. 30 - Save American Workers Act(ACA Definition of full-time employee.) H.R. 34 - 21st Century Cures Act (Exempts small employers who operate HRAs from ACA penalties.) H.R. 879 - Ax the Tax on Middle Class Americans' Health Care Plans Act (Repeal ACA excise tax.) H.R. 2050 - Middle Class Health Benefits Tax Repeal Act of 2015 (Repeal ACA excise tax.) H.R. 2029 - Consolidated Appropriations Act (Delays ACA Excise Tax until 2020.) H.R. 4771 - Help Efficient, Accessible, Low-Cost, Timely Healthcare (Medical liability reform.) H.R. 5284 - Worlds Greatest Health Care Plan of 2016 (Repeals ACA mandates and replaces current tax and spending subsidies with a universal tax credit.) S. 620 & H.R. 1189 - Preserving Employee Wellness Programs Act(Use of wellness programs tied to financial incentives.) S. 30 - Forty Hours is Full Time Act (ACA Definition of full-time employee.) S. 2045 - Middle Class Health Benefits Tax Repeal Act of 2015 (Repeal ACA excise tax.) S. 2075 - American Worker Health Care Tax Relief Act (Repeal ACA excise tax.) S. 1996 & H.R. 2712 - Commonsense Reporting and Verification Act (ACA employer reporting process.) Implementation of the ACA - White House/ HHS / Dept. of Treasury Implementation of the ACA Excise Tax - White House / HHS / Dept. of Treasury Health Care Reform Task Force White Paper - House Mental Health Parity Task Force - DOL

Client expense: $328,177 · Firm income: Not reported

Government targets: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE, Small Business Administration (SBA), Treasury, Dept of, White House Office

ACA Employer Reporting and Common Sense Reporting Act (S 1996, HR 2712).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of, White House Office

Patient Protection and Affordable Care Act (P.L. 111-148) and Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); ACA reporting requirements (6055/6056); employer-sponsored wellness programs; ACA 40 percent excise tax; ERISA; consumer directed health products; H.R. 30/S. 30 - full-time definition; H.R. 928/S. 183 - health insurance tax; H.R. 1189/S. 602 - wellness; H.R. 1270/S. 709 - FSA OTC; H.R. 879/H.R. 2050/S. 2045 - 40 percent excise tax repeal; H.R. 2712/S. 1996 - reporting requirements; tax treatment of employer-sponsored health coverage; H.R. 5447/S. 3060 - HRA; prescription drug pricing; Medicare Secondary Payer; H.R. 34-21st Century Cures Act.

Client expense: $740,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Natl Oceanic & Atmospheric Administration (NOAA), Natl Telecommunications & Information Administration (NTIA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

H.R. 30 - Save American Workers Act(ACA Definition of full-time employee.) H.R. 879 - Ax the Tax on Middle Class Americans' Health Care Plans Act (Repeal ACA excise tax.) H.R. 2050 - Middle Class Health Benefits Tax Repeal Act of 2015 (Repeal ACA excise tax.) H.R. 2029 - Consolidated Appropriations Act (Delays ACA Excise Tax until 2020.) H.R. 4771 - Help Efficient, Accessible, Low-Cost, Timely Healthcare (Medical liability reform.) S. 620 & H.R. 1189 - Preserving Employee Wellness Programs Act(Use of wellness programs tied to financial incentives.) S. 30 - Forty Hours is Full Time Act (ACA Definition of full-time employee.) S. 2045 - Middle Class Health Benefits Tax Repeal Act of 2015 (Repeal ACA excise tax.) S. 2075 - American Worker Health Care Tax Relief Act (Repeal ACA excise tax.) S. 1996 & H.R. 2712 - Commonsense Reporting and Verification Act (ACA employer reporting process.) Implementation of the ACA - White House/ HHS / Dept. of Treasury Implementation of the ACA Excise Tax - White House / HHS / Dept. of Treasury

Client expense: $462,495 · Firm income: Not reported

Government targets: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE, Small Business Administration (SBA), Treasury, Dept of, White House Office

HR556/S313, Prevent Interruptions to Physical Therapy: adding physical therapists to the Medicare locum tenens program; channeling grassroots support for this bill's inclusion in the 21st Century Cures legislation. HR775/S539, Medicare Access to Rehabilitation Services: to repeal the monetary cap on physical therapy for Medicare beneficiaries. HR2948, Medicare Telehealth Parity to allow for Medicare to reimburse all eligible providers--including physical therapists--for care provided via telehealth. HR1650/S1849, Medicare Patient Empowerment Act: to allow Medicare providers to opt out of Medicare on a case-by-case basis to empower patients to chose their provider and how to pay for care. HR2712, Commonsense Reporting and Verification Act and S1996, Commonsense Reporting Act: simplify the process for employer reporting of employees using the ACA Marketplace to purchase health insurance while increasing transparency and disclosure for employees. HR2799/S1465; Furthering Access to Stroke Telemedicine (FAST) Act: to allow for stroke assessment via telehealth regardless of location of the originating site. HR4442/S2484, CONNECT for Health Act of 2016: telehealth reform bill in three parts: 1. allowing for Medicare Advantage to provide telehealth coverage as a basic benefit; 2. allowing stroke assessment via telehealth regardless of originating site; and 3. allow for MIPS providers to be covered for use of telehealth, and allows for HHS Secretary to add additional providers such as physical therapists; Medicare Telehealth Parity Act (H.R.2948) to allow for complete access to care via telehealth for Medicare beneficiaries. Supporting the Promoting Integrity in Medicare Act (H.R.5088)to remove physical therapists from the in-office ancillary services exception. Also lobbying for any reforms to veterans health coverage to ensure continued access to community based providers. Evaluate CMS final rules re: MIPS and MPFS

Client expense: Not reported · Firm income: Not reported

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

H.R. 30 - Save American Workers Act(ACA Definition of full-time employee.) H.R. 879 - Ax the Tax on Middle Class Americans' Health Care Plans Act (Repeal ACA excise tax.) H.R. 2050 - Middle Class Health Benefits Tax Repeal Act of 2015 (Repeal ACA excise tax.) H.R. 2029 - Consolidated Appropriations Act (Delays ACA Excise Tax until 2020.) H.R. 4771 - Help Efficient, Accessible, Low-Cost, Timely Healthcare (Medical liability reform.) S. 620 & H.R. 1189 - Preserving Employee Wellness Programs Act(Use of wellness programs tied to financial incentives.) S. 30 - Forty Hours is Full Time Act (ACA Definition of full-time employee.) S. 2045 - Middle Class Health Benefits Tax Repeal Act of 2015 (Repeal ACA excise tax.) S. 2075 - American Worker Health Care Tax Relief Act (Repeal ACA excise tax.) S. 1996 & H.R. 2712 - Commonsense Reporting and Verification Act (ACA employer reporting process.) Implementation of the ACA - White House/ HHS / Dept. of Treasury Implementation of the ACA Excise Tax - White House / HHS / Dept. of Treasury

Client expense: $462,495 · Firm income: Not reported

Government targets: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE, Small Business Administration (SBA), Treasury, Dept of, White House Office

H.R. 30 - Save American Workers Act(ACA Definition of full-time employee.) H.R. 879 - Ax the Tax on Middle Class Americans' Health Care Plans Act (Repeal ACA excise tax.) H.R. 2050 - Middle Class Health Benefits Tax Repeal Act of 2015 (Repeal ACA excise tax.) H.R. 2029 - Consolidated Appropriations Act (Delays ACA Excise Tax until 2020.) H.R. 4771 - Help Efficient, Accessible, Low-Cost, Timely Healthcare (Medical liability reform.) S. 620 & H.R. 1189 - Preserving Employee Wellness Programs Act(Use of wellness programs tied to financial incentives.) S. 30 - Forty Hours is Full Time Act (ACA Definition of full-time employee.) S. 2045 - Middle Class Health Benefits Tax Repeal Act of 2015 (Repeal ACA excise tax.) S. 2075 - American Worker Health Care Tax Relief Act (Repeal ACA excise tax.) S. 1996 & H.R. 2712 - Commonsense Reporting and Verification Act (ACA employer reporting process.) Implementation of the ACA - White House/ HHS / Dept. of Treasury Implementation of the ACA Excise Tax - White House / HHS / Dept. of Treasury Health Care Reform Task Force White Paper - House Mental Health Parity Task Force - DOL

Client expense: $722,598 · Firm income: Not reported

Government targets: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE, Small Business Administration (SBA), Treasury, Dept of, White House Office

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

Monitor legislation and federal issues related to Association Health Plans, Small Business Health Plans, Healthcare-related Tax Credits, Health Savings Accounts, Auto Enrollment and Flexible Spending Accounts. Monitor the implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor the implementation of the Healthcare and Education Reconciliation Act of 2010 (P.L. 111-152). Monitor proposed revisions to and repeal of the ACA, including the employer mandate. S.30 - Forty Hours is Full Time Act. H.R. 30 - Save American Workers Act of 2015. S. 1809/H.R. 863 - Simplifying Technical Aspects of Seasonality Act (STARS Act). H.R. 2712 - The Common Sense Reporting and Verification Act of 2015. S. 1996 - Commonsense Reporting Act.

Client expense: $730,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Energy, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

H.R.2712-Commonsense Reporting and Verification Act of 2015 S.1996-Commonsense Reporting Act of 2015 H.R.34 - 21st Century Cures Act (H.R.6) S.533-Tsunami Warning, Education, and Research Act of 2015 (21st Century Cures Act)

Client expense: $2,080,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

S.J.Res.38 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule relating to the extent to which employers may use incentives to encourage employees to participate in wellness programs that ask the employees to respond to disability-related inquiries or undergo medical examinations. Oversight/Implementation/Amendments to Patient Protection and Affordable Care Act (P.L. 111-148) - Sections 1201; 1301; 1302; 1303; 1311; 1341; 1401; 1411; 1412; 1414; 1502; 1511; 1512; 1513; 1514; 4205; 9001; 9010 H.R. 30 - To amend the Internal Revenue Code of 1986 to repeal the 30-hour threshold for classification as a full-time employee for purposes of the employer mandate in the Patient Protection and Affordable Care Act and replace it with 40 hours. S. 30 - To amend the Internal Revenue Code of 1986 to modify the definition of full-time employee for purposes of the employer mandate in the Patient Protection and Affordable Care Act. H.R. 1189/S. 620 - To clarify rules relating to nondiscriminatory employer wellness programs as such programs relate to premium discounts, rebates, or modifications to otherwise applicable cost sharing under group health plans. H.R 1270/S. 254 - To amend the Internal Revenue Code of 1986 to repeal the amendments made by the Patient Protection and Affordable Care Act which disqualify expenses for over-the-counter drugs under health savings accounts and health flexible spending arrangements. H.R. 2050 - To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage H.R. 879 - To repeal the Cadillac Tax on middle class Americans health plans. H.R. 1886 - To amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes. H.R. 2712 - To streamline the employer reporting process and strengthen the eligibility verification process for the health care premium tax credit and cost-sharing subsidy, and for other purposes. H.R. 2017 - To amend the Federal Food, Drug, and Cosmetic Act to improve and clarify certain disclosure requirements for restaurants and similar retail food establishments, and to amend the authority to bring proceedings under section 403A. H.R. 928/S. 183 - To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. H.R. 3112 - BE OPEN 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 H.R. 592 / S. 314 - Pharmacy and Medically Underserved Areas Enhancement Act H.R.3762 - Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 S.1946 - Tax Relief Extension Act of 2015 S.2045 - Middle Class Health Benefits Tax Repeal Act of 2015

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 5947/S.3409 - Improved Employment Outcomes for Foster Youth Act of 2016 H.R. 644 - America Gives More Act of 2015 H.R. 1105 / S. 860 - Death Tax Repeal Act of 2015 H.R. 1675 / S. 576 - Encouraging Employee Ownership Act of 2015 S. 698 - Marketplace Fairness Act of 2015 H.R. 2775 - Remote Transactions Parity Act of 2015 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 House Ways and Means Committee Reconciliation Recommendations pursuant to S. Con. Res. 11, the Concurrent Resolution on the Budget for Fiscal Year 2016 H.Con.Res. 69 - Expressing the sense of Congress that any reform or repeal of the last-in, first-out method of accounting for inventories (LIFO) would cause irreparable and unnecessary damage to United States. H.R. 765 - Restaurant and Retail Jobs and Growth Act H.R.3762 - Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 S.1946 - Tax Relief Extension Act of 2015 S.2045 - Middle Class Health Benefits Tax Repeal Act of 2015

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6, 21st Century Cures Act (Upton) - new cures and treatments H.R. 34, 21st Century Cures Act (Upton) - medical innovation, mental health, health information technology, telehealth, opioid funding, privacy H.R. 636, Federal Aviation Administration Reauthorization Act (Tiberi) - air ambulance amendments H.R. 691, Telehealth Modernization Act (Matsui-Johnson) - telemedicine H.R. 1189, Preserving Employee Wellness Programs Act (Kline) - employee wellness programs H.R. 2300, Empowering Patients First Act (Price) - health reform issues H.R. 2646, Helping Families in Mental Health Crisis Act (Murphy) - compliance with parity requirements, mental health services H.R. 2712, Commonsense Reporting and Verification Act (Black) - employer reporting and eligibility verification for ACA subsidies H.R. 2745, Standard Merger and Acquisition Reviews Through Equal Rules Act (Farenthold) - FTC-DOJ rules for reviewing mergers H.R. 3099, RAISE Family Caregivers Act (Harper) - national strategy to support family caregivers H.R. 3463, Aligning Childrens Dental Coverage Act (Griffith-DeGette) - rules for stand-alone dental plans H.R. 4276, Behavioral Health Coverage Transparency Act (Kennedy) - disclosure requirements relating to mental health parity H.R. 4641, Best Practices for Pain Management (Brooks) - HHS Task Force to review, revise, and disseminate best practices for pain management H.R. 4771, HEALTH Act (Franks) - medical liability reforms H.R. 5284, World's Greatest Healthcare Plan Act (Sessions) - health reform issues Patient Choice, Affordability, Responsibility, and Empowerment Act (Burr-Hatch-Upton) - health reform issues S. 185, Promise for Antibiotics and Therapeutics for Health Act (Hatch) - FDA drug approval process S. 466, Quality Care for Moms and Babies Act (Stabenow) - pediatric quality measures S. 620, Preserving Employee Wellness Programs Act (Alexander) - employee wellness programs S. 961, Data Security Act (Carper) - data security S. 1077, Advancing Breakthrough Devices for Patients Act (Burr) - priority review of breakthrough medical devices S. 1427, Quality Measure Alignment Act (Stabenow) - facilitating coordination and alignment between public and private sectors on quality and efficiency measures S. 1719, RAISE Family Caregivers Act (Collins) - national strategy to support family caregivers S. 1996, Commonsense Reporting Act (Warner) - employer reporting and eligibility verification for ACA subsidies S. 2141, TRUST IT Act, (Cassidy) - health IT rating system S. 2646, Veterans Choice Improvement Act (Burr) - veterans health care S. 2680, Mental Health Reform Act (Alexander) - compliance with parity requirements, mental health services S. 2700, FDA and NIH Workforce Authorities Modernization Act (Alexander) - medical innovation amendments S. 2985, World's Greatest Healthcare Plan Act (Cassidy) - health reform issues S. 3244, Aligning Children's Dental Coverage Act (Roberts-Bennett) - rules for stand-alone dental plans Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; cybersecurity; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; prescription drug pricing; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment (commonly referred to as the 3 Rs); dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations; issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges/formerly referred to as the web portal); issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); issues related to small employer group size; issues related to Certificate of Public Advantage; 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

HR 2712 Commonsense Reporting and Verification Act of 2015 S 1996 Common Sense Reporting Act HR 3250 DXM Abuse Prevention Act of 2015

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

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, SENATE

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

ACA Employer Reporting and Common Sense Reporting Act (S 1996, HR 2712).

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

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

H.R. 30 - Save American Workers Act(ACA Definition of full-time employee.) H.R. 34 - 21st Century Cures Act (Exempts small employers who operate HRAs from ACA penalties.) H.R. 879 - Ax the Tax on Middle Class Americans' Health Care Plans Act (Repeal ACA excise tax.) H.R. 2050 - Middle Class Health Benefits Tax Repeal Act of 2015 (Repeal ACA excise tax.) H.R. 2029 - Consolidated Appropriations Act (Delays ACA Excise Tax until 2020.) H.R. 4771 - Help Efficient, Accessible, Low-Cost, Timely Healthcare (Medical liability reform.) H.R. 5284 - Worlds Greatest Health Care Plan of 2016 (Repeals ACA mandates and replaces current tax and spending subsidies with a universal tax credit.) S. 620 & H.R. 1189 - Preserving Employee Wellness Programs Act(Use of wellness programs tied to financial incentives.) S. 30 - Forty Hours is Full Time Act (ACA Definition of full-time employee.) S. 2045 - Middle Class Health Benefits Tax Repeal Act of 2015 (Repeal ACA excise tax.) S. 2075 - American Worker Health Care Tax Relief Act (Repeal ACA excise tax.) S. 1996 & H.R. 2712 - Commonsense Reporting and Verification Act (ACA employer reporting process.) Implementation of the ACA - White House/ HHS / Dept. of Treasury Implementation of the ACA Excise Tax - White House / HHS / Dept. of Treasury Health Care Reform Task Force White Paper - House Mental Health Parity Task Force - DOL

Client expense: $328,177 · Firm income: Not reported

Government targets: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE, Small Business Administration (SBA), Treasury, Dept of, White House Office

Employer Mandate Repeal; Auto Enroll Repeal Act; HR 928, to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act; Save American Workers Act; HR 30/S 183; HR 2712/S. 1996: Commonsense Reporting and Verification Act; HR 2050, Middle Class Health Benefits Tax Repeal Act; HR 879, Ax the Tax on Middle Class Americans' Health Plans Act; HR 863/S. 1809, STARS Act; HR 3112 Be Open Act(Auto Enrollment); S 1415 Small Stability Act; HR 248/S305 American Job Protection Act; HR 2911/S1697 Small Business Healthcare Relief Act

Client expense: $159,000 · Firm income: Not reported

Government targets: Education, Dept of, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, 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

Patient Protection and Affordable Care Act (P.L. 111-148) and Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); ACA reporting requirements (6055/6056); employer-sponsored wellness programs; ACA 40 percent excise tax; ERISA; consumer directed health products; H.R. 30/S. 30 - full-time definition; H.R. 928/S. 183 - health insurance tax; H.R. 1189/S. 602 - wellness; H.R. 1270/S. 709 - FSA OTC; H.R. 879/H.R. 2050/S. 2045 - 40 percent excise tax repeal; H.R. 2712/S. 1996 - reporting requirements; tax treatment of employer-sponsored health coverage; H.R. 5447/S. 3060 - HRA; prescription drug pricing; Medicare Secondary Payer; H.R. 34-21st Century Cures Act.

Client expense: $730,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Natl Oceanic & Atmospheric Administration (NOAA), Natl Telecommunications & Information Administration (NTIA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

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

P.L. 111-148 Patient Protection and Affordable Care Act: Employer responsibility requirements insurance coverage expansions P.L. 111-152 Health Care and Education Reconciliation Act of 2010: Employer responsibility requirements insurance coverage expansions H.R.2050/S. 2045 Middle Class Health Benefits Tax Repeal Act of 2015: Provisions repealing the tax on high cost health care plans H.R.2712/S. 1996 Commonsense Reporting and Verification Act of 2015: Provisions reducing employers' requirements to report compliance with the ACA employer responsibility requirement S. 2698: Preserving Consumer Health Accounts Act of 2016: Provisions that exempt health savings accounts and flexible spending arrangements from excise tax on high cost health plans S. 2499/H.R. 4469: Health Savings Act of 2016: Provisions that permit expanded use of Health S. 1809, H.R. 863 (STARS Act): Provisions affecting definition of seasonal employment for purposes of ACA employer responsibility S. 3056: CREATES Act of 2016, provisions that limit misuse of drug safety protocols H.R. 879: Ax the Tax on Middle Class Americans' health plans Act: Provisions repealing the tax on high cost health care plans H.R. 1270: Restoring access to medication and improving health savings act of 2016: provisions H.R. 210: Student worker exemption act: provisions H.R. 5573: PRICED Act: provisions H.R. 5410: Health Coverage state flexibility act of 2016: provisions H.R. 5589: Plan verification & fairness act of 2016: provisions HR 4832: Health Savings Protection Act: Provisions that exempt health savings accounts and flexible spending arrangements from excise tax on high cost health plans Legislation to increase the allowed variation in exchange plan premiums based on age: provisions EBSA Miscellaneous regulatory Affordable Care Act repeal replace: analysis ACA implementation S. 3335/HR 6043: Fair Accountability and Innovative Research Drug Pricing Act of 2016: provisions to require manufacturer transparency in setting prices for pharmaceutical drugs

Client expense: $540,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Export-Import Bank of the United States (EXIM Bank), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR)

Health Care Reform - ongoing legislative and regulatory implementation of the Patient Protection and Affordable Care Act (PPACA), 40 percent Cadillac tax on health benefits Consolidated Appropriations Act, 2016 (spending & extenders) - two year Cadillac tax delay Tax reform - employer sponsored health plan tax incentives House GOP Health Care Reform Task Force FY 2017 Federal Budget Proposal - health care issues, ACA Preserving Employee Wellness Programs - H.R. 1189/S. 620 Ax the Tax on the Middle Class Americans Health Plans Act - H.R. 879 Restoring Access to Medication and Improving Health Savings Act of 2016 -H.R. 1270 Health Care Security Act of 2016 - H.R. 5445 The 21st Century Cures Act - H.R. 34 - Public Law No: 144-255 Small Business Healthcare Relief Act - S. 1697/H.R. 5447 (HRAs) Middle Class Health Benefits Tax Repeal Act of 2015 - S. 2045/H.R. 2050 American Worker Health Care Tax Relief Act of 2015 - S. 2075 Commonsense Reporting & Verification Act - H.R. 2712/S. 1996 Health Savings Act of 2016 - S.2499/H.R. 4469 Health Savings Protection Act - H.R. 4832 Preserving Consumer Health Accounts of 2016 - S. 2698 Helping Families in Mental Health Crisis Act of 2016 - H.R. 2646 Mental Health Reform (MHR) Act - S. 2680 Small Business Health Care Relief Act - S. 3060 Access to Better Care Act of 2016 - H.R. 5652 Wellness - Senate Joint Resolution 37 - would formally disapprove and nullify the GINA rule & Senate Joint Resolution 38 - would formally disapprove of and nullify the ADA rule Other Proposed Expatriate Health Plan Regulations (Excepted Benefit Rules) Proposed Form 5500 Changes New Claims Procedures - Disability Benefits (DOL, EBSA) Employer wellness programs - nondiscrimination rules: Americans with Disabilities ACT (ADA) & Genetic Information Nondiscrimination Act (GINA) - Final regulations Medicare Advantage Program Final Fiduciary Definition/Conflict of Interest Rule State health care requirements affecting self-insured plans

Client expense: $177,146 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of

ACA Implementation, PL 111-148, including: Food and Drug Administration regulations relating to menu labeling. H.R. 1270/S. 709, Restoring Access to Medication Act, all provisions. H.R. 1886, Repeal the funding mechanism for the transitional reinsurance program of ACA, all provisions. H.R. 592/S. 314, Pharmacy and Medically Underserved Areas Enhancement Act, all provisions. H.R. 2712, the Commonsense Reporting and Verification Act of 2015, all provisions. S. 1996, the Commonsense Reporting Act of 2015, all provisions.

Client expense: $220,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

S.775+HR.1423, Self Insurance Act; HR.928, Repeal annual fee on health insurance providers enacted by the Patient Protection Act; S.183, Jobs & Premium Protection Act; HR.30, Save American Workers Act; S.30, Forty Hours is Full Time Act; HR.879, Ax the Tax on Middle American Health Plans Act; S.2045+HR.2050, Middle Class Health Benefits Tax Repeal Act; S.2075, American Worker Health Care Tax Relief Act; S.1996+HR.2712, Commonsense Reporting & Verification Act; S.1697+HR.2911, Small Business Healthcare Relief Act; HR.5447, Small Business Health Care Relief Act; HR.34, 21st Century Cures Act (Sec.18001, Exception from group health plan requirements for qualified small employer health reimbursement arrangements); House GOP Health Care White paper

Client expense: $110,045 · Firm income: Not reported

Government targets: Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), 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

H.R. 30 - Save American Workers Act(ACA Definition of full-time employee.) H.R. 879 - Ax the Tax on Middle Class Americans' Health Care Plans Act (Repeal ACA excise tax.) H.R. 2050 - Middle Class Health Benefits Tax Repeal Act of 2015 (Repeal ACA excise tax.) H.R. 2029 - Consolidated Appropriations Act (Delays ACA Excise Tax until 2020.) H.R. 4771 - Help Efficient, Accessible, Low-Cost, Timely Healthcare (Medical liability reform.) H.R. 5284 - Worlds Greatest Health Care Plan of 2016 (Repeals ACA mandates and replaces current tax and spending subsidies with a universal tax credit.) S. 620 & H.R. 1189 - Preserving Employee Wellness Programs Act(Use of wellness programs tied to financial incentives.) S. 30 - Forty Hours is Full Time Act (ACA Definition of full-time employee.) S. 2045 - Middle Class Health Benefits Tax Repeal Act of 2015 (Repeal ACA excise tax.) S. 2075 - American Worker Health Care Tax Relief Act (Repeal ACA excise tax.) S. 1996 & H.R. 2712 - Commonsense Reporting and Verification Act (ACA employer reporting process.) Implementation of the ACA - White House/ HHS / Dept. of Treasury Implementation of the ACA Excise Tax - White House / HHS / Dept. of Treasury Health Care Reform Task Force White Paper - House Mental Health Parity Task Force - DOL

Client expense: $556,129 · Firm income: Not reported

Government targets: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE, Small Business Administration (SBA), Treasury, Dept of, White House Office

Monitor legislation and federal issues related to Association Health Plans, Small Business Health Plans, Healthcare-related Tax Credits, Health Savings Accounts, Auto Enrollment and Flexible Spending Accounts. Monitor the implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor the implementation of the Healthcare and Education Reconciliation Act of 2010 (P.L. 111-152). Monitor proposed revisions to the ACA. S.30 - Forty Hours is Full Time Act. H.R. 30 - Save American Workers Act of 2015. S. 1809/H.R. 863 - Simplifying Technical Aspects of Seasonality Act (STARS Act). H.R. 2712 - The Common Sense Reporting and Verification Act of 2015. S. 1996 - Commonsense Reporting Act.

Client expense: $740,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Energy, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), 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: $1,760,000 · 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

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. 6, 21st Century Cures Act (Upton) - new cures and treatments H.R. 636, Federal Aviation Administration Reauthorization Act (Tiberi) - air ambulance amendments H.R. 691, Telehealth Modernization Act (Matsui-Johnson) - telemedicine H.R. 1189, Preserving Employee Wellness Programs Act (Kline) - employee wellness programs H.R. 2646, Helping Families in Mental Health Crisis Act (Murphy) - compliance with parity requirements, mental health services H.R. 2712, Commonsense Reporting and Verification Act (Black) - employer reporting and eligibility verification for ACA subsidies H.R. 2745, Standard Merger and Acquisition Reviews Through Equal Rules Act (Farenthold) - FTC-DOJ rules for reviewing mergers H.R. 3099, RAISE Family Caregivers Act (Harper) - national strategy to support family caregivers H.R. 3463, Aligning Childrens Dental Coverage Act (Griffith-DeGette) - rules for stand-alone dental plans H.R. 4276, Behavioral Health Coverage Transparency Act (Kennedy) - disclosure requirements relating to mental health parity H.R. 4641, Best Practices for Pain Management (Brooks) - HHS Task Force to review, revise, and disseminate best practices for pain management H.R. 4771, HEALTH Act (Franks) - medical liability reforms H.R. 5054, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Aderholt) - 21st Century Cures provisions S. 185, Promise for Antibiotics and Therapeutics for Health Act (Hatch) - FDA drug approval process S. 466, Quality Care for Moms and Babies Act (Stabenow) - pediatric quality measures S. 524, Comprehensive Addiction and Recovery Act (Whitehouse) - prescription opioid abuse S. 620, Preserving Employee Wellness Programs Act (Alexander) - employee wellness programs S. 961, Data Security Act (Carper) - data security S. 1077, Advancing Breakthrough Devices for Patients Act (Burr) - priority review of breakthrough medical devices S. 1427, Quality Measure Alignment Act (Stabenow) - facilitating coordination and alignment between public and private sectors on quality and efficiency measures S. 1719, RAISE Family Caregivers Act (Collins) - national strategy to support family caregivers S. 1996, Commonsense Reporting Act (Warner) - employer reporting and eligibility verification for ACA subsidies S. 2141, TRUST IT Act, (Cassidy) - health IT rating system S. 2646, Veterans Choice Improvement Act (Burr) - veterans health care S. 2680, Mental Health Reform Act (Alexander) - compliance with parity requirements, mental health services S. 2700, FDA and NIH Workforce Authorities Modernization Act (Alexander) - medical innovation amendments S. 3040, Labor, Health and Human Services, and Education Appropriations Act for fiscal year 2017 (Blunt) - funding for HHS programs and agencies, ACA risk corridors program S. 3244, Aligning Children's Dental Coverage Act (Roberts-Bennett) - rules for stand-alone dental plans Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; cybersecurity; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; prescription drug pricing; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment (commonly referred to as the 3 Rs); dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations; issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges/formerly referred to as the web portal); issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); issues related to small employer group size; issues related to Certificate of Public Advantage; 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

S.J.Res.38 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule relating to the extent to which employers may use incentives to encourage employees to participate in wellness programs that ask the employees to respond to disability-related inquiries or undergo medical examinations. Oversight/Implementation/Amendments to Patient Protection and Affordable Care Act (P.L. 111-148) - Sections 1201; 1301; 1302; 1303; 1311; 1341; 1401; 1411; 1412; 1414; 1502; 1511; 1512; 1513; 1514; 4205; 9001; 9010 H.R. 30 - To amend the Internal Revenue Code of 1986 to repeal the 30-hour threshold for classification as a full-time employee for purposes of the employer mandate in the Patient Protection and Affordable Care Act and replace it with 40 hours. S. 30 - To amend the Internal Revenue Code of 1986 to modify the definition of full-time employee for purposes of the employer mandate in the Patient Protection and Affordable Care Act. H.R. 1189/S. 620 - To clarify rules relating to nondiscriminatory employer wellness programs as such programs relate to premium discounts, rebates, or modifications to otherwise applicable cost sharing under group health plans. H.R 1270/S. 254 - To amend the Internal Revenue Code of 1986 to repeal the amendments made by the Patient Protection and Affordable Care Act which disqualify expenses for over-the-counter drugs under health savings accounts and health flexible spending arrangements. H.R. 2050 - To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage H.R. 879 - To repeal the Cadillac Tax on middle class Americans health plans. H.R. 1886 - To amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes. H.R. 2712 - To streamline the employer reporting process and strengthen the eligibility verification process for the health care premium tax credit and cost-sharing subsidy, and for other purposes. H.R. 2017 - To amend the Federal Food, Drug, and Cosmetic Act to improve and clarify certain disclosure requirements for restaurants and similar retail food establishments, and to amend the authority to bring proceedings under section 403A. H.R. 928/S. 183 - To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. H.R. 3020 - Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations Act, 2016 H.R. 3112 - BE OPEN 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 House Education and Workforce Committee Reconciliation Recommendations pursuant to S. Con. Res. 11, the Concurrent Resolution on the Budget for Fiscal Year 2016 House Ways and Means Committee Reconciliation Recommendations pursuant to S. Con. Res. 11, the Concurrent Resolution on the Budget for Fiscal Year 2016 H.R. 592 / S. 314 - Pharmacy and Medically Underserved Areas Enhancement Act H.R. 2029 - Consolidated Appropriations Act, House Amendments 1 and 2 to Senate Amendment published as Rules Committee Prints 114-39 and 114-40 H.R. 1314 - Bipartisan Budget Act of 2015 H.R.3762 - Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 S.1946 - Tax Relief Extension Act of 2015 S.2045 - Middle Class Health Benefits Tax Repeal Act of 2015

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 5947/S.3409 - Improved Employment Outcomes for Foster Youth Act of 2016 H.R. 644 - America Gives More Act of 2015 H.R. 1105 / S. 860 - Death Tax Repeal Act of 2015 H.R. 1675 / S. 576 - Encouraging Employee Ownership Act of 2015 S. 698 - Marketplace Fairness Act of 2015 H.R. 2775 - Remote Transactions Parity Act of 2015 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 House Ways and Means Committee Reconciliation Recommendations pursuant to S. Con. Res. 11, the Concurrent Resolution on the Budget for Fiscal Year 2016 H.Con.Res. 69 - Expressing the sense of Congress that any reform or repeal of the last-in, first-out method of accounting for inventories (LIFO) would cause irreparable and unnecessary damage to United States. H.R. 765 - Restaurant and Retail Jobs and Growth Act H.R. 2029 - Consolidated Appropriations Act, House Amendments 1 and 2 to Senate Amendment published as Rules Committee Prints 114-39 and 114-40 Division Q - Protecting Americans from Tax Hikes Act Of 2015 (whole section) H.R. 1314 - Bipartisan Budget Act of 2015 H.R.3762 - Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 S.1946 - Tax Relief Extension Act of 2015 S.2045 - Middle Class Health Benefits Tax Repeal Act of 2015

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L. 111-148 Patient Protection and Affordable Care Act: Employer responsibility requirements insurance coverage expansions P.L. 111-152 Health Care and Education Reconciliation Act of 2010: Employer responsibility requirements insurance coverage expansions H.R.2050/S. 2045 Middle Class Health Benefits Tax Repeal Act of 2015: Provisions repealing the tax on high cost health care plans H.R.2712/S. 1996 Commonsense Reporting and Verification Act of 2015: Provisions reducing employers' requirements to report compliance with the ACA employer responsibility requirement S. 2075: American Worker Health Care Tax Relief Act of 2015: repealing the tax on high cost health care plans S. 2698: Preserving Consumer Health Accounts Act of 2016: Provisions that exempt health savings accounts and flexible spending arrangements from excise tax on high cost health plans S. 2499/H.R. 4469: Health Savings Act of 2016: Provisions that permit expanded use of Health S. 1809, H.R. 863 (STARS Act): Provisions affecting definition of seasonal employment for purposes of ACA employer responsibility S. 3056: CREATES Act of 2016, prescription drug approvals, provisions H.R. 879: Ax the Tax on Middle Class Americans' health plans Act: Provisions repealing the tax on high cost health care plans H.R. 1270: Restoring access to medication and improving health savings act of 2016: provisions H.R. 210: Student worker exemption act: provisions H.R. 5573: PRICED Act: provisions H.R. 5410: Health Coverage state flexibility act of 2016: provisions H.R. 5589: Plan verification & fairness act of 2016: provisions Health Care prescription drug pricing HR 4832: Health Savings Protection Act: Provisions that exempt health savings accounts and flexible spending arrangements from excise tax on high cost health plans Legislation to increase the allowed variation in exchange plan premiums based on age: provisions Premium Credit Proposed Rule Form 5500 Revision Proposed Rule

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

Government targets: Defense, Dept of (DOD), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Export-Import Bank of the United States (EXIM Bank), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), 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. 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 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 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 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: $18,410,000 · 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

ACA Employer Reporting and Common Sense Reporting Act (S 1996, HR 2712).

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

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

Patient Protection and Affordable Care Act (P.L. 111-148) and Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); ACA reporting requirements (6055/6056); employer-sponsored wellness programs; ACA 40 percent excise tax; ERISA; consumer directed health products; H.R. 30/S. 30 - full-time definition; H.R. 928/S. 183 - health insurance tax; H.R. 1189/S. 602 - wellness; H.R. 1270/S. 709 - FSA OTC; H.R. 879/H.R. 2050/S. 2045 - 40 percent excise tax repeal; H.R. 2712/S. 1996 - reporting requirements; tax treatment of employer-sponsored health coverage; COBRA; H.R. 5447/S. 3060 - HRA.

Client expense: $520,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Natl Oceanic & Atmospheric Administration (NOAA), Natl Telecommunications & Information Administration (NTIA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office