Middle Class Health Benefits Tax Repeal Act of 2015

SUPPORT: The IBEW lobbied in support of HR 2050/ S 2045, Middle Class Health Benefits Tax Repeal Act of 2015, legislation that would repeal the ACA excise tax.

Client expense: $97,116 · Firm income: Not reported

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

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

H.R.2050 - Middle Class Health Benefits Tax Repeal 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

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

Government targets: Energy, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Labor, Dept of (DOL), SENATE, State, Dept of (DOS), 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

H.R. 636, "Americas Small Business Tax Relief Act of 2015" H.R. 879, "Ax the Tax on Middle Class Americans Health Plans Act"; H.R. 2050, the "Middle Class Health Benefits Tax Repeal Act of 2015"; H.R. 2315, the "Mobile Workforce State Income Tax Simplification Act of 2015"; H.R. 4016, Amending the Internal Revenue Code of 1986 to extend the limitation on the carryover of excess corporate charitable contributions; S. 386, the "Mobile Workforce State Income Tax Simplification Act of 2015"; S. 2045, A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage; S. 2075, "American Worker Healthcare Tax Relief Act of 2015"; The Pension and Budget Integrity Act; Discussion draft of repatriation proposals; Discussion draft to amend the Internal Revenue Code of 1986 to extend the energy credit for certain property under construction; Tax extenders (investment tax credit for geothermal power); General discussion on comprehensive tax reform.

Client expense: $340,000 · Firm income: Not reported

Government targets: Energy, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), SENATE, White House Office

P.L. 111-148 Patient Protection and Affordable Care Act: Employer responsibility requirements premium and cost sharing subsidies, treatment of excepted benefits P.L. 111-152 Health Care and Education Reconciliation Act of 2010: Employer responsibility requirements premium and cost sharing subsidies, treatment of excepted benefits H.R. 3999 FMLA 2014, FMLA Enhancement Act of 2014 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 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 S. 1697: Small Business Healthcare Relief Act S. 2698: Preserving Consumer Health Accounts Act of 2016: Provisions that exempt health savings accounts 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 H.R. 2911, H.R. 5447: Small Business Healthcare Relief Act H.R. 5458: Veterans TRICARE Choice Act S. 3056: CREATES Act of 2016, prescription drug approvals, provisions H.R. 5445: Healthcare Security Act of 2016 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

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

Government targets: Defense, Dept of (DOD), Election Assistance Commission (EAC), Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), 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), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

P.L. 111-148 Patient Protection and Affordable Care Act: Employer responsibility requirements premium and cost sharing subsidies, treatment of excepted benefits P.L. 111-152 Health Care and Education Reconciliation Act of 2010: Employer responsibility requirements premium and cost sharing subsidies, treatment of excepted benefits H.R. 3999 FMLA 2014, FMLA Enhancement Act of 2014 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 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 S. 1697: Small Business Healthcare Relief Act S. 2698: Preserving Consumer Health Accounts Act of 2016: Provisions that exempt health savings accounts 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 H.R. 2911, H.R. 5447: Small Business Healthcare Relief Act H.R. 5458: Veterans TRICARE Choice Act S. 3056: CREATES Act of 2016, prescription drug approvals, provisions H.R. 5445: Healthcare Security Act of 2016 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

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

Government targets: Defense, Dept of (DOD), Election Assistance Commission (EAC), Energy, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), 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), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

P.L. 111-148 Patient Protection and Affordable Care Act: Employer responsibility requirements premium and cost sharing subsidies, treatment of excepted benefits P.L. 111-152 Health Care and Education Reconciliation Act of 2010: Employer responsibility requirements premium and cost sharing subsidies, treatment of excepted benefits H.R. 3999 FMLA 2014, FMLA Enhancement Act of 2014 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 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 H.R. 2090: Excise Tax (Code 49801 Repeal): Review FY 2017 Budget Proposal ACA: Implementation, Excise Tax on high-cost health plans S. 1697: Small Business Healthcare Relief Act S. 2698: Preserving Consumer Health Accounts Act of 2016: Provisions Section 1332 waivers S. 2499/H.R. 4469: Health Savings Act of 2016: Provisions that permit expanded use of Health IRS Notice 2015-87: Educational Organization Proposal FY 2017 Budget Proposal S. 1809, H.R. 863 (STARS Act): Provisions affecting definition of seasonal employment for purposes of ACA employer responsibility

Client expense: $800,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), 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), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), State, Dept of (DOS), Treasury, Dept of, U.S. Immigration & Customs Enforcement (ICE), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

HR 34- Helping Families in Mental Health Crisis Act 1115 Waivers for behavioral healthcare Anti-poverty legislation HR 5122- CMS' Medicare Part B proposed regulation S 2579- Funding for water infrastructure and other aid to address lead crisis in Flint, MI Price gouging by pharmaceutical companies Repeal of the Affordable Care Act and cuts to Medicare and Medicaid Federal income tax exclusion for employer-sponsored health care HR 2050, HR 879, S 2045, S 2075- Federal 40% tax on high-cost employer-sponsored health benefits Children's Health Insurance Program (CHIP) Parity for Puerto Rico Medicaid Funding

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

Government targets: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Substance Abuse & Mental Health Services Administration (SAMHSA), 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

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

Middle Class Health Benefits Tax Repeal Act of 2015 (H.R. 2050/S. 2045, also a SMB and TAX issue) Save American Workers Act of 2015 (H.R. 30, also a SMB issue) Forty Hours Is Full Time Act of 2015 (S. 30, also a SMB issue) To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act (H.R.928/S.183, also a TAX and SMB issue)

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

Government targets: Bureau of Labor Statistics (BLS), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE

Leveraging and Energizing Americas Apprenticeship Programs (LEAP) Act (S. 574, also a LBR issue) Americas Small Business Tax Relief Act (H.R. 636, also a SMB issue) Death Tax Repeal Act of 2015 (H.R. 1105/S. 860, also a SMB issue) Estate, Gift, and Generation-Skipping Transfer Taxes; Restrictions on Liquidation of an Interest - REG-163113-02; (RIN: 1545-BB71) (also a SMB issue) Permanent S Corporation Built-in Gain Recognition Period Act of 2015 (H.R. 629) Permanent S Corporation Charitable Contribution Act of 2015 (H.R. 630) Section 179D - Tax deduction for energy efficient commercial and multifamily buildings (also ENG issue) General tax reform issues including code simplification; employers' marginal tax rates; extension of tax rates for pass-through entities; S-corporations and LLCs Apprenticeship and Jobs Training Act of 2015(S. 2020/S. 959) To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act (H.R.928/S.183, also a HCR and SMB issue) Middle Class Health Benefits Tax Repeal Act of 2015 (H.R. 2050/S. 2045, also a HCR and SMB issue) Estate, Gift, and Generation-Skipping Transfer Taxes; Restrictions on Liquidation of an Interest; NPRM (RIN: 1545-BB71

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

Government targets: Bureau of Labor Statistics (BLS), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE

Protecting Local Business Opportunity Act (H.R. 3459/S. 2015, also a LBR issue) Americas Small Business Tax Relief Act (H.R. 636, also a TAX issue) Death Tax Repeal Act of 2015 (H.R. 1105/S. 860, also a TAX issue) Consolidated Appropriations Act of 2016 (H.R. 2029, also a BUD, TAX and HCR issue) Middle Class Health Benefits Tax Repeal Act of 2015 (H.R. 2050/S. 2045, also a TAX and HCR issue) To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act (H.R.928/S.183, also a TAX and HCR issue) Save American Workers Act of 2015 (H.R. 30, also a HCR issue) Forty Hours Is Full Time Act of 2015 (S. 30, also a HCR issue) Estate, Gift, and Generation-Skipping Transfer Taxes; Restrictions on Liquidation of an Interest - REG-163113-02; (RIN: 1545-BB71) (also a TAX issue)

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

Government targets: Bureau of Labor Statistics (BLS), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE

H.R.2050-Middle Class Health Benefits Tax Repeal Act of 2015 S.2045-Middle Class Health Benefits Tax Repeal Act of 2015

Client expense: $462,139 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.6-21st Century Cures Act H.R.33-Protecting Volunteer Firefighters and Emergency Responders Act H.R.34-21st Century Cures Act H.R.290-Creating Access to Rehabilitation for Every Senior (CARES) Act of 2015 H.R.293-To amend title XI of the Social Security Act to exempt from manufacturer transparency reporting certain transfers used for educational purposes, and for other purposes. H.R.398-Trafficking Awareness Training for Health Care Act H.R.639-Improving Regulatory Transparency for New Medical Therapies Act H.R.647-Access to Life-Saving Trauma Care for All Americans Act H.R.648-Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.836-Health Care Safety Net Enhancement Act H.R.953-Comprehensive Addiction and Recovery Act of 2015 H.R.1190-Protecting Seniors Access to Medicare Act of 2015 H.R.1571-Improving Access to Medicare Coverage Act of 2015 H.R.1641-Jason Simcakoski Memorial Opioid Safety Act H.R.1725-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015 H.R.1818-Veteran Emergency Medical Technician Support Act of 2015 H.R.1821-Opioid Overdose Reduction Act of 2015 H.R.1854-Comprehensive Justice and Mental Health Act of 2015 H.R.1877-Mental Health First Aid Act of 2015 H.R.2050-Middle Class Health Benefits Tax Repeal Act of 2015 H.R.2298-Medicare Patient Safety and Drug Abuse Prevention Act H.R.2366-Field EMS Modernization and Innovation Act H.R.2463-Dispose Responsibly of your Pills (DROP) Act of 2015 H.R.2536-Recovery Enhancement for Addiction Treatment (TREAT) Act H.R.2603-Saving Lives, Saving Costs Act H.R.2646-Helping Families in Mental Health Crisis Act of 2015 H.R.2799-Furthering Access to Stroke Telemedicine (FAST) Act H.R.2805-Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 H.R.2850-Stop Overdose Stat Act of 2015 H.R.2872-Opioid Addiction Treatment Modernization Act H.R.2948-Medicare Telehealth Parity Act of 2015 H.R.3014-Medical Controlled Substances Transportation Act of 2015 H.R.3081-TELEmedicine for MEDicare (TELE-MED) Act of 2015 H.R.3250-DXM Abuse Prevention Act of 2015 H.R.3299-Strengthening Public Health Emergency Response Act H.R.3537-Synthetic Drug Control Act of 2015 H.R.3677-Opioid Abuse Prevention and Treatment Act of 2015 H.R.3680-Co-Prescribing to Reduce Overdose Act of 2015 H.R.3681-Improving Access to Emergency Psychiatric Care Act H.R.3682-Reducing Employer Burdens, Unleashing Innovation, and Labor Development Act of 2015 H.R.3691-Improving Treatment for Pregnant and Postpartum Women Act of 2015 H.R.3762-Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 H.R.3770-End Surprise Billing Act of 2015 H.R.3865-Cradle Act H.R.4059-Medicare Choices Empowerment and Protection Act H.R.4063-Promoting Responsible Opioid Management and Incorporating Scientific Expertise Act H.R.4150-Department of Veterans Affairs Emergency Medical Staffing Recruitment and Retention Act H.R.4365-Protecting Patient Access to Emergency Medications Act of 2016 H.R.4435-Comprehensive Behavioral Health Reform and Recovery Act of 2016 H.R.4447-Opioid and Heroin Epidemic Emergency Supplemental Appropriations Act H.R.4499-Promoting Responsible Opioid Prescribing Act of 2016 H.R.4599-Reducing Unused Medications Act of 2016 H.R.4641-To provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication, and for other purposes. H.R.4697-Prevevent Drug Addiction Act of 2016 H.R.4771-Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2016 H.R.4732-Advancing Medical Resident Training in Community Hospitals Act of 2016 H.R.5243-Zika Response Appropriations Act H.R.5273-Helping Hospitals Improve Patient Care H.R.5284-World's Greatest Healthcare Plan Act of 2016 H.R.5547-Health Care Price Transparency Promotion Act of 2016 H.Res.877-Encouraging each State to enact legislation that increases the likelihood of survival after sudden cardiac arrest in our Nation's schools. S.141-Protecting Seniors Access to Medicare Act of 2015 S.425-Homeless Veterans' Reintegration Programs Reauthorization Act of 2015 S.453-Veteran Emergency Medical Technician Support Act of 2015 S.480-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015 S.524-Comprehensive Addiction and Recovery Act of 2015 S.599-Improving Access to Emergency Psychiatric Care Act S.636-Increasing the Safety of Prescription Drug Use Act of 2015 S.707-Opioid Overdose Reduction Act of 2015 S.711-Mental Health First Act of 2015 S.763-Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.884-Health Care Safety Net Enhancement Act S.843-Improving Access to Medicare Coverage Act of 2015 S.954-FDA Accountability for Public Safety Act S.993-Comprehensive Justice and Mental Health Act of 2015 S.1134-Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 S.1392-Safer Prescribing of Controlled Substances Act S.1410-Treatment and Recovery Investment Act S.1431-Prescription Drug Abuse Prevention and Treatment Act of 2015 S.1446-SOAR to Health and Wellness Act of 2015 S.1450-Department of Veterans Affairs Emergency Medical Staffing Recruitment and Retention Act S.1452-Veterans Emergency Health Safety Net Expansion Act of 2015 S.1455-Recovery Enhancement for Addiction Treatment Act S.1465-Furthering Access to Stroke Telemedicine (FAST) Act S.1475-Saving Lives, Saving Costs Act S.1549-Care Planning Act of 2015 S.1648-Rural Emergency Acute Care Hospital (REACH) Act S.1654-Overdose Prevention Act S.1693-To amend title 38, United States Code, to expand eligibility for reimbursement for emergency medical treatment to certain veterans that were unable to receive care from the Department of Veterans Affairs in the 24-month period preceding the furnishing of such emergency treatment, and for other purposes. S.1778-TELEmedicine for MEDicare (TELE-MED) Act of 2015 S.1893-Mental Health Awareness and Improvement Act of 2015 S.1913-Stopping Medication Abuse and Protecting Seniors Act of 2015 S.1945-Mental Health Reform Act of 2015 S.2002-Mental Health and Safe Communities Act of 2015 S.2045-Middle Class Health Benefits Tax Repeal Act of 2015 S.2256-Co-Prescribing Saves Lives Act of 2015 S.2297-Medicare Choices Empowerment and Protection Act S.2525-Expand Excellence in Mental Health Act S.2562-Heroin and Prescription Drug Abuse Prevention and Reduction Act S.2567-Preventing Overprescribing for Pain Act of 2016 S.2578-Reducing Unused Medications Act of 2016 S.2597-Medicare Mental Health Access Act S.2671-Advancing Medical Resident Training in Community Hospitals Act of 2016 S.2680-Mental Health Reform Act of 2016 S.2687-Plan of Safe Care Improvement Act S.2932-Protecting Patient Access to Emergency Medications Act of 2016 S.2985-World's Greatest Healthcare Plan Act of 2016 S. 3407, Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths (MISSION ZERO) Act P.L.114-10-Medicare Access and CHIP Reauthorization Act of 2015 P.L.114-324-Justice for All Reauthorization Act

Client expense: $462,139 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 636, "Americas Small Business Tax Relief Act of 2015"; H.R. 879, "Ax the Tax on Middle Class Americans Health Plans Act"; H.R. 2050, the "Middle Class Health Benefits Tax Repeal Act of 2015"; H.R. 2315, the "Mobile Workforce State Income Tax Simplification Act of 2015"; H.R. 4016, Amending the Internal Revenue Code of 1986 to extend the limitation on the carryover of excess corporate charitable contributions; S. 386, the "Mobile Workforce State Income Tax Simplification Act of 2015"; S. 2045, A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage; Cost Recovery Reform & Simplification Act; Modernization of Derivatives Tax Act of 2016; American Business Competitiveness Act; The Pension and Budget Integrity Act; Discussion draft of repatriation proposals; Discussion draft to amend the Internal Revenue Code of 1986 to extend the energy credit for certain property under construction; Tax extenders (investment tax credit for geothermal power); General discussion on comprehensive tax reform; H.R. 5879, To amend the Internal Revenue Code of 1986 to modify the credit for production from advanced nuclear power facilities; S. 2917, Commodity End-User Relief Act; To amend the Internal Revenue Code of 1986 to treat qualified smart grid technology as a 5-year property for purposes of depreciation; A Better Way: A Pro Growth Tax Code for all Americans.

Client expense: $410,000 · Firm income: Not reported

Government targets: Energy, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), SENATE, White House Office

Patient Protection and Affordable Care Act Implementation, Issues relating to Employer Sponsored Coverage, Transitional Reinsurance, Tax Treatment of Health Care, H.R. 879- Ax the Tax on Middle Class Americans' Health Plans Act, 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, S. 2045-Middle Class Health Benefits Tax Repeal Act of 2015

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Potential comprehensive tax reform proposals, including interest expense deduction, dividend tax rates, accelerated depreciation, normalization, international tax, and portfolio interest exemption. Guidance and legislation relating to the forty-percent excise tax on employer-sponsored health coverage (H.R. 2050/S. 2045, Middle Class Health Benefits Tax Repeal Act of 2015; H.R. 879, Ax the Tax on Middle Class Americans Health Plans Act; and S. 2075, American Worker Health Care Tax Relief Act of 2015). Legislation relating to remote sales in states in which companies do not have a physical presence (S. 698, Marketplace Fairness Act of 2015; and H.R. 2775, Remote Transactions Parity Act of 2015). H.R. 2315/S. 386, Mobile Workforce State Income Tax Simplification Act of 2015 (provisions relating to out-of-state workers traveling to nonresident states for a limited period of time). H.R. 2584, Business Activity Tax Simplification Act of 2015 (provisions relating to setting forth criteria for physical presence in a state). H.R. 4016, to amend the Internal Revenue Code of 1986 to extend the limitation on the carryover of excess corporate charitable contributions. H.R. 4377, American Business Competitiveness Act of 2016 (provisions relating to the corporate tax rate, expensing of deductible investments and carryback of net operating losses). REG-108060-15 IRS/Treasury Section 385 Proposed Regulations (provisions relating to related-party debt and documentation requirements). A Better Way: A Pro Growth Tax Code for all Americans.

Client expense: $470,000 · Firm income: Not reported

Government targets: Council on Environmental Quality (CEQ), Energy, Dept of, Environmental Protection Agency (EPA), Federal Aviation Administration (FAA), Federal Emergency Management Agency (FEMA), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Park Service (NPS), SENATE, Transportation, Dept of (DOT)

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. 34, 21st Century Cures Act (Upton) - qualified small employer health reimbursement arrangements H.R. 879, Ax the Tax on Middle Class Americans Health Plans Act (Guinta) - repeal of ACA excise tax on high cost employer-sponsored coverage H.R. 928 (Boustany-Sinema) - full repeal of ACA health insurance tax H.R. 1270, Restoring Access to Medication and Improving Health Savings Act (Jenkins) - HSA, FSA, and other tax-related issues H.R. 2050, Middle Class Health Benefits Tax Repeal Act (Courtney) - repeal of ACA excise tax on high-cost coverage H.R. 4469, Health Savings Act (Paulsen) - HSA and FSA issues H.R. 4723, Recovering Improper Subsidy Overpayments Act (Jenkins) - full recovery of overpayments of ACA premium tax credits H.R. 5324, Health Savings Account Expansion Act (Brat) - HSA issues H.R. 5445, Health Care Security Act (Paulsen) - HSA issues H.R. 5447, Small Business Health Care Relief Act (Boustany) -- excluding HRAs from definition of group health plan H.R. 5652, Access to Better Care Act (Black) - HSA/HDHP issue S. 183, Jobs and Premium Protection Act (Barrasso) - full repeal of ACA health insurance tax S. 254, Small Business Health Relief Act (Portman) - full repeal of ACA health insurance tax, HSA and FSA issues S. 709, Restoring Access to Medication Act (Roberts) - HSA and FSA issues S. 879, Americans Giving Care to Elders Act (Klobuchar) - tax credits for family caregivers S. 2045, Middle Class Health Benefits Tax Repeal Act (Heller-Heinrich) - repeal of ACA excise tax on high-cost coverage S. 2075, American Worker Health Care Tax Relief Act (Brown) - repeal of ACA excise tax on high-cost coverage S. 2432, Obamacare Tax Transparency Act (Scott) - disclosure of premium attributable to health insurance tax S. 2499, Health Savings Act (Hatch) - HSA and FSA issues S. 2980, Health Savings Account Expansion Act (Flake) - HSA issues S. 3060, Small Business Health Care Relief Act (Grassley) -- excluding HRAs from definition of group health plan Regulatory Issues: Annual insurer provider fees; issues concerning the patient-centered outcomes research fee; employer and individual coverage mandate; W-2 reporting requirements; health reimbursement accounts; deductibility limits for insurer compensation; health insurer and employer reporting of health coverage; issues related to implementation of the excise tax on high cost employer-sponsored health coverage; 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

Lobbied in support of repeal and reform of the annual 40% excise tax on health insurance plans with annual premiums exceeding $10,200 for individuals or $27,500 for a family imposed by The Patient Protection and Affordable Care Act, including support for H.R. 2050, the Middle Class Health Benefits Tax Repeal Act of 2015, H.R. 879, the Ax the Tax on Middle Class Americans' Health Plans Act, S. 2045, Middle Class Health Benefits Tax Repeal Act of 2015, and S. 2075, American Worker Health Care Tax Relief Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied in support of repeal and reform of the annual 40% excise tax on health insurance plans with annual premiums exceeding $10,200 for individuals or $27,500 for a family imposed by The Patient Protection and Affordable Care Act, including support for H.R. 2050, the Middle Class Health Benefits Tax Repeal Act of 2015, H.R. 879, the Ax the Tax on Middle Class Americans' Health Plans Act, S. 2045, Middle Class Health Benefits Tax Repeal Act of 2015, and S. 2075, American Worker Health Care Tax Relief Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied in support of repeal and reform of the annual 40% excise tax on health insurance plans with annual premiums exceeding $10,200 for individuals or $27,500 for a family imposed by The Patient Protection and Affordable Care Act, including support for H.R. 2050, the Middle Class Health Benefits Tax Repeal Act of 2015, H.R. 879, the Ax the Tax on Middle Class Americans' Health Plans Act, S. 2045, Middle Class Health Benefits Tax Repeal Act of 2015, and S. 2075, American Worker Health Care Tax Relief Act of 2015.

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

Government targets: 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

Lobbied in support of repeal and reform of the annual 40% excise tax on health insurance plans with annual premiums exceeding $10,200 for individuals or $27,500 for a family imposed by The Patient Protection and Affordable Care Act, including support for H.R. 2050, the Middle Class Health Benefits Tax Repeal Act of 2015, H.R. 879, the Ax the Tax on Middle Class Americans' Health Plans Act, S. 2045, Middle Class Health Benefits Tax Repeal Act of 2015, and S. 2075, American Worker Health Care Tax Relief Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied in support of repeal and reform of the annual 40% excise tax on health insurance plans with annual premiums exceeding $10,200 for individuals or $27,500 for a family imposed by The Patient Protection and Affordable Care Act, including support for H.R. 2050, the Middle Class Health Benefits Tax Repeal Act of 2015, H.R. 879, the Ax the Tax on Middle Class Americans' Health Plans Act, S. 2045, Middle Class Health Benefits Tax Repeal Act of 2015, and S. 2075, American Worker Health Care Tax Relief Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 34- Helping Families in Mental Health Crisis Act 1115 Waivers for behavioral healthcare Anti-poverty legislation HR 5122- CMS' Medicare Part B proposed regulation S 2579- Funding for water infrastructure and other aid to address lead crisis in Flint, MI Price gouging by pharmaceutical companies Repeal of the Affordable Care Act and cuts to Medicare and Medicaid Federal income tax exclusion for employer-sponsored health care HR 2050, HR 879, S 2045, S 2075- Federal 40% tax on high-cost employer-sponsored health benefits Children's Health Insurance Program (CHIP) Parity for Puerto Rico Medicaid Funding

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

Government targets: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, White House Office

H.R. 879 Ax the Tax on Middle Class Americans Health Plans Act (entire bill) H.R. 2050 / S. 2045 Middle Class Health Benefits Tax Repeal Act (entire bills) S. 2075 American Worker Health Care Tax Relief Act (entire bill) Proposed Department of Treasury regulations on excise tax on high cost employer-sponsored health coverage, IRS Notice-2-15-16 Proposed Department of Treasury regulations on excise tax on high cost employer-sponsored health coverage, IRS Notice 2015-52 General issues relating to health care

Client expense: $800,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Treasury, Dept of

Issues related to federal policy regarding long term care insurance. H.R. 2050/S.2045, Middle Class Health Benefits Tax Repeal Act of 2015, all provisions. H.R. 879, Ax the Tax on Middle Class Americans' Health Act, all provisions.

Client expense: $950,000 · Firm income: Not reported

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

Issues relating to mental health and general health and health care legislation and regulation, including P.L. 111-148 (Patient Protection and Affordable Care Act) and P.L. 111-152 (Reconciliation Act of 2010). The health insurance excise tax, including H.R. 2050 and H.R. 879, S. 2045, the Middle Class Health Benefits Repeal Act of 2015, and S. 2075, the American Worker Health Care Tax Relief Act of 2015. S. 1945, the Mental Health Reform Act of 2015, S. 524 the Comprehensive Addiction and Recovery Act of 2016, and S. 2680, the Mental Health Reform Act of 2016; H.R. 5046 the Comprehensive Opioid Abuse Reduction Act and H.R. 2646 the Helping Family in Mental Crisis Act of 2016. Issues relating to employer sponsored healthcare.

Client expense: $1,420,000 · Firm income: Not reported

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

H.R. 2029 - "Consolidated Appropriations Act, 2016" H.R. 2050 - "Middle Class Health Benefits Tax Repeal Act of 2015" H.R. 2315 - "Mobile Workforce State Income Tax Simplification Act of 2015" H.R. 4016 - Amending IRS code of 1986 to extend the limitation on the carryover of excess corporate charitable contributions S. 386 - "Mobile Workforce State Income Tax Simplification Act of 2015" S. 2045 - "Middle Class Health Benefits Tax Repeal Act of 2015" Tax Extenders legislation generally Tax Reform issues generally

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

Government targets: Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE

40% Tax on Health Benefits. HR 2050/S 2045 (Middle Class Health Benefits Tax Repeal Act of 2015); HR 879 (Ax the Tax on Middle Class Americans' Health Plans Act); S 2075 (American Worker Health Care Tax Relief Act of 2015); HR 2029 (Consolidated Appropriations Act, 2016).

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

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

40% Tax on Health Benefits. HR 2050/S 2045 (Middle Class Health Benefits Tax Repeal Act of 2015); HR 879 (Ax the Tax on Middle Class Americans' Health Plans Act); S 2075 (American Worker Health Care Tax Relief Act of 2015); HR 2029 (Consolidated Appropriations Act, 2016).

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

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

General health care and employer benefit issues -- implementation of Patient Protection and Affordable Care Act. Transparency, delivery reform, cost containment.40% tax on Benefits/Cadillac tax HR 879 (Ax the Tax on Middle Class Americans' Health Plans Act), HR 2050 (Middle Class Health Benefits Tax Repeal 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).

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

Government targets: SENATE

Legislation to repeal 40% excise tax in ACA; H.R. 879 "Axe the Tax on Middle Class Americans Health Plan Act"; H.R. 2050 "Middle Class Health Benefits Tax Reform"; S. 2045 "Middle Class Health Benefits Tax Repeal Act of 2015".

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor the implementation of the reauthorization of Terrorism Risk Insurance Act (TRIA), specifically regarding data collection and the National Assoc. of Registered Agents and Brokers Reform Act, as included in that Act. Also monitored the activities of the FIO Advisory Committee on Alternative Risk Sharing Mechanisms for TRIA. Also monitor H.R. 5859 the Community Counter Terrorism Preparedness Act. Monitor issues re implementation of health insurance reform, specifically preserving wellness programs and other ACA reforms generally, such as H.R.5284 and S.2985 the Worlds Greatest Healthcare Plan. Support efforts to repeal, reform or delay the Cadillac tax as in H.R.879, H.R. 2050, S. 2045 and including the two-year delay enacted in H.R. 2029 the Consolidated Appropriations Act. Support efforts to alter or delay the tax reporting requirements for employers providing health care coverage. Support efforts to maintain current treatment of self-insured plans. Monitor tax reform proposals generally and support efforts to preserve the current tax treatment for employer sponsored health plans and other employee benefits. Monitor efforts to make changes in the Dodd-Frank Act, as they may relate to insurance. Monitor the activities of the Federal Insurance Office and the development of insurance modernization proposals. Monitor data breach legislation and issues related to the cyber security insurance market, particularly S.456 the Cyber Threat Sharing Act of 2015; the National Cyber Security Protection Advancement Act; and the Protecting Cyber Networks Act (H.R. 1560); and the Cyber Preparedness Act of 2016 (H.R.5459). Support the clarification of the Foreign Account Tax Compliance Act to exclude property/casualty insurance as in H.R. 6159. Monitor issues related to changes to the National Flood Insurance Program, particularly the Flood Insurance Market Parity and Modernization Act (S. 1697 & H.R. 2901) and the Flood Insurance Rate Increase Suspension Act (H.R.4866). Monitor issues related insurance generally.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2045 - Middle Class Health Benefits Tax Repeal Act of 2015; International Tax Reform - Repatriation and Minimum Tax Rates; Social Security Disability Insurance Act reform proposals; 385 Proposed Regulations.

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

Government targets: Commerce, Dept of (DOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS), Treasury, Dept of

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition of essential health benefits and provider network adequacy Health information technology and electronic health records Telehealth provisions of draft medical innovation legislation Mental health services and violence prevention Lead contamination of drinking water H.R. 6/H.R. 34 - 21st Century Cures Act H.R. 30 - Save American Workers Act H.R. 248/S. 305 - American Job Protection Act H.R. 512 - Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act H.R. 596 - To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010 H.R. 609/S. 287 - Safe Food Act H.R. 879 - Ax the Tax on Middle Class Americans' Health Plans Act H.R. 897 - Zika Vector Control Act H.R. 931 - Helping Effective Antibiotics Last (HEAL) Act H.R. 932/S. 497 - Healthy Families Act H.R. 933/S. 486 - Head Start on Vaccinations Act H.R. 1151 - USPSTF Transparency and Accountability Act of 2015 H.R 1189/S. 620 - Preserving Employee Wellness Programs Act H.R. 1209/S. 628 - Improving Access to Maternity Care Act H.R. 1372 - Home Visiting Extension Act H.R. 1462/S. 799 - Protecting Our Infants Act H.R 1517 - Stop Selling and Marketing to Our Kids E-Cigarettes (SMOKE) Act H.R. 1552 - Preservation of Antibiotics for Medical Treatment Act H.R. 1599 - Safe and Accurate Food Labeling Act H.R 1624 - Protecting Affordable Coverage for Employees (PACE) Act H.R. 2017/S. 2217 - Common Sense Nutrition Disclosure Act H.R. 2300/S. 2519 - Empowering Patients First Act of 2015 H.R. 2646 - Helping Families in Mental Health Crisis Act H.R. 2653 - American Health Care Reform Act H.R. 2690 - Including Families in Mental Health Recovery Act H.R. 2713 - Title VIII Nursing Workforce Reauthorization Act H.R. 2948 - Medicare Telehealth Parity Act H.R. 3081/S. 1778 - Telemedicine for Medicare (TELE-MED) Act H.R. 3299 - Strengthening Public Health Emergency Response Act of 2015 H.R. 3379 - Airplane Kits Act H.R. 3463 - Aligning Childrens Dental Coverage Act H.R. 3495 - Women's Public Health and Safety Act H.R. 3660 - Preventive Health Savings Act H.R. 3659 - Exchange Inclusion for a Healthy America Act H.R. 3762 - Restoring Americans Healthcare Freedom Reconciliation Act H.R. 3865/S. 2542 - Cradle Act H.R. 4276 - Behavioral Health Coverage Transparency Act H.R. 4400/S. 2512 - Adding Zika Virus to the FDA Priority Review Voucher Program Act H.R. 4479 - Families of Flint Act H.R. 4723 - Protecting Taxpayers by Recovering Improper Obamacare Subsidy Overpayments Act H.R. 4724 - Reducing Duplicative and Ineffective Federal Funding Act H.R. 4771 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2016 H.R. 5001/S. 2822 - Flexibility in Health IT Reporting (Flex-IT) Act H.R. 5003 - Improving Child Nutrition and Education Act of 2016 H.R. 5065/S. 3299 - Bottles and Breastfeeding Equipment Screening (BABES) Act H.R. 5284 - Worlds Greatest Healthcare Plan Act of 2016 H.R. 5456/S. 3065 - Family First Prevention Services Act S. 30 - Forty Hours Is Full Time Act S. 142/H.R. 1375/H.R. 3242 - Child Nicotine Poisoning Prevention Act S. 185 - Promise for Antibiotics and Therapeutics for Health (PATH) Act S. 203 - American Liberty Restoration Act S. 339 - ObamaCare Repeal Act S. 481 - Improving Regulatory Transparency for New Medical Therapies Act S. 522 - Protecting & Retaining Our Children's Health Insurance Program (PRO-CHIP) Act S. 612 - Water Infrastructure Improvements for the Nation Act S. 621 - Prevention of Antibiotic Resistance Act S. 673 - Winding Down Obamacare Act S. 674 - 21st Century Womens Health Act S. 764 - National Bioengineered Food Disclosure Standard S. 971 - Medicare Independence at Home Medical Practice Demonstration Improvement Act S. 993/H.R. 1854 - Comprehensive Justice and Mental Health Act S. 1014 - Personal Care Products Safety Act S. 1016 - Preserving Freedom and Choice in Health Care Act S. 1456 - Rural ACO Improvement Act S. 1549 - Care Planning Act S. 1793 - Promoting Physical Activity for Americans Act S. 1893 - Mental Health Awareness and Improvement Act S. 1945 - Mental Health Reform Act S. 2002/H.R. 3722 - Mental Health and Safe Communities Act S. 2045/H.R. 2050 - Middle Class Health Benefits Tax Repeal Act S. 2075 - American Worker Health Care Tax Relief Act S. 2100 - Tobacco to 21 Act S. 2153 - Provider Payment Sunshine Act S. 2173/H.R. 3712 - Improving Access to Mental Health Act S. 2218/H.R. 1218 - Personal Health Investment (PHIT) Act S. 2259 - ACO Assignment Improvement Act S. 2261 - Rural ACO Provider Equity Act S. 2343/H.R. 4155 - Telehealth Innovation and Improvement Act S. 2380 - Public Health Emergency Response and Accountability Act S. 2408/H.R. 4266 - Nurse and Health Care Worker Protection Act S. 2484 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act S. 2525/H.R. 4567 - Expand Excellence in Mental Health Act of 2016 S. 2609 - An original bill to amend the Agricultural Marketing Act of 1946 to require the Secretary of Agriculture to establish a national voluntary labeling standard for bioengineered foods S. 2680 - Mental Health Reform Act of 2016 S. 2687 - Plan of Safe Care Improvement Act S. 2821 - Testing, Removal, and Updated Evaluations of Lead Everywhere in America for Dramatic Enhancements that Restore Safety to Homes, Infrastructure, and Pipes (True LEADership) Act of 2016 S. 2848/H.R. 5303 - Water Resources Development Act of 2016 S. 2873/H.R. 5395 - Expanding Capacity for Health Outcomes (ECHO) Act S. 3136 - Improving Child Nutrition Integrity and Access Act of 2016 S. 3190 - Strengthening Our Rural Health Workforce Act of 2016 S. 3239 - Research to Accelerate Cures and Equity (RACE) for Children Act S. 3245 - Nursing Workforce Reauthorization Act of 2016 S. 3504 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), 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

S. 2045,"Middle Class Health Benefits Tax Repeal Act of 2015." Amends the Internal Revenue Code to repeal, beginning with taxable years 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. 2050,"Middle Class Health Benefits Tax Repeal Act of 2015." Amends the Internal Revenue Code to repeal, beginning with taxable years 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. 879," Ax the Tax on Middle Class Americans' Health Plans Act." 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 (known as Cadillac plans) The reporting requirement for such plans is also repealed for calendar years beginning after 2014. H.R. 5008, "Clarify Workers Misclassification in the Construction Industry Act."A bill directing the Secretary of the Treasury to improve tax compliance in the construction industry by clarifying the status of service providers in the construction industry, by promoting education and voluntary compliance, and by undertaking targeted audits of major construction contractors that do not properly classify workers as employees under existing common law standards.

Client expense: $130,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6100/S. 3436: Protect Family Farms and Businesses Act - provisions relating to proposed regulations relating to restrictions on liquidation of an interest with respect to estate, gift, and generation-skipping transfer taxes S860/HR725 Death Tax Repeal Act - provisions relating to estate tax repeal. S698 Marketplace Fairness Act - provisions relating to remittance of sales and use taxes H.R.2775 - Remote Transactions Parity Act of 2015 - provisions relating to remittance of sales and use taxes HR 2050/S 2045 Middle Class Health Benefits Tax Repeal Act - provisions relating to high cost employer sponsored health care plans

Client expense: $82,913 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2050/S. 2045 Middle Class Health Benefits Tax Repeal Act; H.R. 879, Ax the Tax on Middle Class American Health Plans Act; S.2075-American Worker Health Care Tax Relief Act of 2015.

Client expense: $250,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, Transportation, Dept of (DOT)