Small Business Health Care Relief Act of 2016

Monitor federal, legislative, and regulatory activity related to the remodeling industry, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to Department of Labor overtime rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to energy efficiency tax credits, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to EPA Lead-based Paint rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to OSHA Crystalline Silica rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to EPAs proposed Lead; Renovation, Repair and Painting Program; Lead Test Kit rule (Docket ID: EPA-HQ-OPPT-2015-0780-0001) H.R. 34, 21st Century Cures Act (P.L. 114-255) H.R. 285, House SAVE Act of 2015. H.R. 5254, Senior Accessible Housing Act. H.R. 5447, Small Business Health Care Relief Act of 2016. S.572, Senate SAVE Act of 2015. S. 3060, Small Business Health Care Relief Act of 2016. S. 2012, Energy Policy Modernization Act of 2015. S.2718, Perkins Fund for Equity and Excellence. S. 3271, Workforce Advance Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor federal, legislative, and regulatory activity related to the remodeling industry, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to Department of Labor overtime rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to energy efficiency tax credits, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to EPA Lead-based Paint rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to OSHA Crystalline Silica rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to EPAs proposed Lead; Renovation, Repair and Painting Program; Lead Test Kit rule (Docket ID: EPA-HQ-OPPT-2015-0780-0001) H.R. 34, 21st Century Cures Act (P.L. 114-255) H.R. 285, House SAVE Act of 2015. H.R. 5254, Senior Accessible Housing Act. H.R. 5447, Small Business Health Care Relief Act of 2016. S.572, Senate SAVE Act of 2015. S. 3060, Small Business Health Care Relief Act of 2016. S. 2012, Energy Policy Modernization Act of 2015. S.2718, Perkins Fund for Equity and Excellence. S. 3271, Workforce Advance Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor federal, legislative, and regulatory activity related to the remodeling industry, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to Department of Labor overtime rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to energy efficiency tax credits, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to EPA Lead-based Paint rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to OSHA Crystalline Silica rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to EPAs proposed Lead; Renovation, Repair and Painting Program; Lead Test Kit rule (Docket ID: EPA-HQ-OPPT-2015-0780-0001) H.R. 34, 21st Century Cures Act (P.L. 114-255) H.R. 285, House SAVE Act of 2015. H.R. 5254, Senior Accessible Housing Act. H.R. 5447, Small Business Health Care Relief Act of 2016. S.572, Senate SAVE Act of 2015. S. 3060, Small Business Health Care Relief Act of 2016. S. 2012, Energy Policy Modernization Act of 2015. S.2718, Perkins Fund for Equity and Excellence. S. 3271, Workforce Advance Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor federal, legislative, and regulatory activity related to the remodeling industry, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to Department of Labor overtime rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to energy efficiency tax credits, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to EPA Lead-based Paint rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to OSHA Crystalline Silica rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to EPAs proposed Lead; Renovation, Repair and Painting Program; Lead Test Kit rule (Docket ID: EPA-HQ-OPPT-2015-0780-0001) H.R. 34, 21st Century Cures Act (P.L. 114-255) H.R. 285, House SAVE Act of 2015. H.R. 5254, Senior Accessible Housing Act. H.R. 5447, Small Business Health Care Relief Act of 2016. S.572, Senate SAVE Act of 2015. S. 3060, Small Business Health Care Relief Act of 2016. S. 2012, Energy Policy Modernization Act of 2015. S.2718, Perkins Fund for Equity and Excellence. S. 3271, Workforce Advance Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.3060 The Small Business Health Care Relief Act 2016

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

H.R. 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

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

Issues related to corporate taxation; taxation of health benefits and providers of health coverage, including P.L. 111-148 (Patient Protection and Affordable Care Act). S. 3060, the Small Business Health Care Relief Act and issues relating to the 40% excise tax, including H.R. 4832, the Health Savings Protection Act.

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

House Bills H.R. 712, the Sunshine for Regulatory Decrees and Settlements Act - support. H.R. 1671, Government Neutrality in Contracting Act - support. H.R. 4612, the Midnight Rule Relief Act - support. H.R. 3624, the Fraudulent Joinder Prevention Act - support. H.R. 4293, the Affordable Retirement Advice Protection Act - support. H.R. 4294, the Strengthening Access to Valuable Education and Retirement Support Act - support. Amendment included in Section 913 of S 1269 - oppose. H.R. 3765, The ADA Education and Reform Act of 2015 - support. H.R. 4773, the Protecting Workplace Advancement and Opportunity Act - support. H.R. 5447 (H.R. 2911), the Small Business Healthcare Relief Act - support. H.J. Res. 87, a Congressional Review Act resolution of disapproval in response to the controversial persuader rule issued by the U.S. Department of Labor (DOL) - support. Section 110 to the FY2017 Energy and Water Development, and Related Agencies Appropriations Act - support. Perry Amendment to H.R. 4974, ensuring fair and open competition for federal construction contracts funded by the Military Construction, Veterans Affairs (MilCon/VA) Appropriations Bill for Fiscal Year 2017 - support. FY2017 Labor, Health and Human Services, Education, and Related Agencies Appropriations Act. H.R. 5210, PADME ACT - Patient Access to Durable Medical Equipment Act - support. H.R. 6094, the Regulatory Relief for Small Businesses, Schools, and Nonprofits Act - support. H.R. 3438, the Require Evaluation before Implementing Executive Wishlists (REVIEW) Act of 2016 - support. H.R. 5523, the Clyde-Hirsch-Sowers RESPECT Act - support. H.R. 5813, the Overtime Reform and Enhancement Act - support. Regulatory Accountability Act - support. H.R.5076 - The Main Street Fairness Act - support. H.R. 3765, the ADA Education and Reform Act - support. Section 18001 of HR 34 the 21st Century Cures Act - support. Senate Bills S. 2582, the Midnight Rule Relief Act - support. S. 2225, the Save our Small and Seasonal Businesses Act - support. S. 2707, the Protecting Workplace Advancement and Opportunity Act - support. S. 2847Prove It Act of 2016 - support. Hoeven Amendent to amendment to the FY2017 Energy and Water Development, and Related Agencies Appropriations Act - support. S. 2736, the Patient Access to Durable Medical Equipment Act of 2016 - support. S. 71, Government Neutrality in Contracting Act - support. S. 2844, the fiscal year (FY) 2017 Transportation, Housing and Urban Development, and Related Agencies (T-HUD) appropriations bill. S. 3060 / S. 1697, the Small Business Healthcare Relief Act - support. S. 2736, PADME ACT - Patient Access to Durable Medical Equipment Act - support. S. 3464, the Overtime Reform and Review Act - support. S. 3462, the Regulatory Relief for Small Businesses, Schools, and Nonprofits Act - support. S. 3446, the ADA Education and Reform Act - support. Section 18001 of HR 34 the 21st Century Cures Act - support. Comments December 19, 2016 - Department of the Interior - Advance Notice of Proposed Rulemaking on Traders with Indians Docket ID: BIA-2016-0007, 81 Fed. Reg. (December 9, 2016) November 22, 2016 - U.S. Department of Labor - RIN 1210-AB63 - Annual Reporting and Disclosure; Proposed Revision of Annual Information Return/Reports November 2, 2016 - Department of the Treasury - Docket No. IRS REG-163113- 02, RIN 1545-BB71; Comments of the National Federation of Independent Business (NFIB) on the Department of the Treasury and Internal Revenue Services Proposed Regulations on Estate, Gift, and Generation-Skipping Transfer Taxes; Restrictions on Liquidation of an Interest October 28, 2016 - Federal Motor Carrier Safety Administration - Docket IDs NHTSA-2016-0087; FMCSA-2014-0083 - Federal Motor Vehicle Safety Standards; Federal Motor Carrier Safety Regulations; Parts and Accessories Necessary for Safe Operation; Speed Limiting Devices; Proposed Rule Other Issues Tax Reform Joint employer standard PN1258 - Merrick Garland nomination to the U.S. Supreme Court Estate tax Speed Limiter Nominations for Secretaries of the Treasury, Health and Human Services, and Labor, Administrator of the Environmental Protection Agency, and U.S. Consumer Product Safety Commission

Client expense: $975,000 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

Implementation of P.L. 111-148, The Patient Protection and Affordable Care Act. Issues relating to healthcare and health insurance policy, tax policy, Medicare Advantage and general Medicare policy, legislation and regulations that impact health insurance brokers. H.R. 815/S. 1661, Access to Professional Health Insurance Advisors Act of 2015. H.R. 2488, Medicare Beneficiary Preservation of Choice Act of 2015. H.R. 6184, Medicare Enrollment Protections Act, 21st Century Cures Act (Public Law No: 114-255), S. 3060, Small Business Health Care Relief Act.

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

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

Implementation of P.L. 111-148, The Patient Protection and Affordable Care Act. Issues relating to healthcare and health insurance policy, tax policy, Medicare Advantage and general Medicare policy, legislation and regulations that impact health insurance brokers. H.R. 815/S. 1661, Access to Professional Health Insurance Advisors Act of 2015. H.R. 2488, Medicare Beneficiary Preservation of Choice Act of 2015. H.R. 6184, Medicare Enrollment Protections Act, 21st Century Cures Act (Public Law No: 114-255), S. 3060, Small Business Health Care Relief Act.

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

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

Support of the Small Business Health Care Relief Act (HR 5447/S 3060)

Client expense: $124,988 · Firm income: Not reported

Government targets: Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Energy, Dept of, Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Intl Trade Administration (ITA), Maritime Administration (MARAD), SENATE, Transportation, Dept of (DOT), U.S. Coast Guard (USCG), 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

Support and dialogue regarding Small Business Administration funding and access to capital and credit for the self-employed and micro business. Support for reduction of regulatory requirements for small business. Efforts to continue implementation and preservation of favorable small business issues from the prior Small Business Jobs Act. Support for the Small Business Healthcare Tax Relief Act(S. 3060/H.R. 5447)making HRA accounts available for small businesses to fund premiums and qualified health expenses.Support HHS/Labor Appropriations bill and in particular areas addressing regulatory burden. Support for FY 2017 Labor/HHS/Education Appropriations bill for overtime rule and worker classification grants(S. 3040/no House number yet).Support Protecting Workplace Advancement and Opportunity Act (overtime rule)(H.R. 4773).

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

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Treasury, Dept of

Support removal of and temporary delay in enforcement of restrictions on stand alone HRA plans which have rendered small business HRA plans noncompliant with ACA requirements. Addressing ACA implementation issues related to small businesses. Support for permanent business deduction for insurance premiums of sole proprietors, including support for legislation. Support flexibility in use of HSA and HRA accounts.(S. 3060/H.R. 5447)(HRA accounts).

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

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Treasury, Dept of

Support of H.R.2911 & S.1697 - Small Business Healthcare Relief Act. Support for Protecting Americans From Tax Hikes Act of 2015. Support of H.R.1270 & S. 709 - Restoring Access to Medication Act of 2015. H.R.4832 - Health Savings Protection Ac. Support for HR 5447 & S. 3060 - Small Business Health Care Relief Act of 2016. Sec. 18001 in H.R. 34 - 21st Century Cures Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Public Law 111-148: Affordable Care Act. 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. 5447/ S. 3060: Small Business Health Care Relief Act

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

Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE

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

H.R. 3762, Restoring Americans Healthcare Freedom Reconciliation Act H.R. 592/S. 314, Pharmacy and Medically Underserved Areas Enhancement Act H.R. 954, CO-OP Consumer Protection Act of 2016 H.R. 1190/S. 141, The Protecting Seniors Access to Medicare Act of 2015 H.R. 1192, National Clinical Care Commission Act H.R. 1270, Restoring Access to Medication and Improving Health Savings Act H.R. 1427, Medicare CGM Access Act H.R. 1686/S. 3082, Preventing Diabetes in Medicare Act H.R. 1707, Access to Frontline Health Care Act of 2015 H.R. 1726, Access to Quality Diabetes Education Act H.R. 1807, Sickle Cell Disease Research, Surveillance, Prevention, and Treatment Act of 2015 H.R. 2102, Medicare Diabetes Prevention Act H.R. 2124/S. 1148, Resident Physician Shortage Act H.R. 2603/S. 1475, Saving Lives, Saving Costs Act H.R. 2646, Helping Families in Mental Crisis Act H.R. 2713/S. 3245, Title VIII Nursing Workforce Reauthorization Act of 2016 H.R. 3081/S. 1778, Telemedicine for Medicare Act H.R. 3119/S. 2748, Palliative Care and Hospice Education and Training Act H.R. 3660/S. 3126,Preventive Health Savings Act H.R. 3952/S. 2248, Congenital Heart Future Reauthorization Act of 2015 H.R. 4212/S. 704, Community Based Independence for Seniors Act of 2015 H.R. 4442/S. 2484, CONNECT for Health Act H.R. 4732/S. 2671, Advancing Medical Resident Training in Community Hospitals Act H.R. 4774, Training Tomorrows Doctors Today Act H.R. 4909/S. 2943, National Defense Authorization Act H.R. 5273, Helping Hospitals Improve Patient Care Act H.R. 5414, FDA Cross-Center Collaboration Act H.R. 5447/S. 3060, The Small Business Health Care Relief Act H.R. 5652,Access to Better Care Act H.R. 5681/S. 3137, Alzheimers Beneficiary and Caregiver Support Act H.R. 5713, Sustaining Healthcare Integrity and Fair Treatment Act of 2016 H.R.5926 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2017 H.R. 6043/S. 3335, The Fair Accountability and Innovative Research Drug Pricing Act of 2016 H.R. 6109/S. 3371, Medicare Affordability and Enrollment Act S. 524, Comprehensive Addiction and Recovery Act S. 586, National Diabetes Clinical Care Commission Act S. 603, Jobs and Premium Protection Act S. 776,Medication Therapy Management Empowerment Act S. 1077,Advancing Breakthrough Medical Devices for Patients Act S. 1101,Medical Electronic Data Technology Enhancement for Consumers Health (MEDTECH) Act S. 1622,FDA Device Accountability Act S. 2511,Improving Health Information Technology Act S. 2680,Mental Health Reform Act of 2016 S. 2864,Reducing Existing Costs Associated with Pharmaceuticals for Seniors Act of 2016 S. 3326,State Flexibility to Provide Affordable Health Options Act S. 3504, Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016 Pub. L. 111-5, The American Recovery and Reinvestment Act of 2009 (Health Information Technology for Economic and Clinical Health Act (HITECH) Pub. L. 111-148, Patient Protection and Affordable Care Act (PPACA) Pub. L. 114-10, Medicare Access and CHIP Reauthorization Act (MACRA) Pub. L. 114-255,21st Century Cures Pub. L. 114-270, Expanding Capacity for Health Outcomes Act (ECHO) Pub. L. 114-328, National Defense Authorization Act for Fiscal Year 2017

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

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

Commercial and Residential Energy Improvement Incentives: Rebates, tax credits and deductions for homeowners, building owners, and tenants who make energy efficient improvements or install higher efficiency HVACR equipment. H.R. 5447 & S. 3060- Small Business Health Care Relief Act H.R. 5587- Strengthening Career and Technical Education for the 21st Century Act Energy Bill FAA Reauthorization

Client expense: Not reported · Firm income: Not reported

Government targets: Council on Environmental Quality (CEQ), Energy, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Natl Labor Relations Board (NLRB), SENATE, Veterans Affairs, Dept of (VA)

S. 3060/H.R. 5447 - Small Business Health Care Relief Act Health Insurance Tax

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

Government targets: HOUSE OF REPRESENTATIVES, President of the U.S., SENATE, Surface Transportation Board (STB)

S. 30 - The Forty House is Full Time Act of 2015 - would modify the definition of full-time employee for purposes of the employer mandate in the Patient Protection and Affordable Care Act. S. 183 - Jobs and Premium Protection Act - would repeal a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. S. 3060 - Small Business Health Care Relief Act of 2016 - would allow small businesses and local municipalities with fewer than 50 employees are allowed to continue using pre-tax dollars to give employees a defined contribution for healthcare expenses; allow employees to use HRA funds to purchase health coverage on the individual market, as well as for qualified out-of-pocket medical expenses if the employee has qualified health coverage; and,protect employers from being financially penalized for providing this cost-sharing option to employees.

Client expense: Not reported · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE

Support HR 2911/ S 3060 - Small Business Healthcare Relief Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2911, H.R.5447 and S 1697, S.3060 Small Business Relief Act; to urge elimination of fees on small business health care plans. Medicare Parts B,C,D

Client expense: Not reported · Firm income: Not reported

Government targets: Federal Communications Commission (FCC), Food & Drug Administration (FDA), 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

Monitor federal, legislative, and regulatory activity related to the remodeling industry, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to Department of Labor overtime rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to energy efficiency tax credits, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to EPA Lead-based Paint rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to OSHA Crystalline Silica rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to EPAs proposed Lead; Renovation, Repair and Painting Program; Lead Test Kit rule (Docket ID: EPA-HQ-OPPT-2015-0780-0001) H.R. 5254, Senior Accessible Housing Act. H.R. 5447, Small Business Health Care Relief Act of 2016. S. 3060, Small Business Health Care Relief Act of 2016. S. 2012, Energy Policy Modernization Act of 2015. S.2718, Perkins Fund for Equity and Excellence. Draft, House SAVE Act. Draft, Senate SAVE Act.

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

Government targets: HOUSE OF REPRESENTATIVES, Occupational Safety & Health Administration (OSHA), SENATE

Monitor federal, legislative, and regulatory activity related to the remodeling industry, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to Department of Labor overtime rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to energy efficiency tax credits, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to EPA Lead-based Paint rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to OSHA Crystalline Silica rules, and congressional and administrative outreach regarding same. Monitor federal, legislative, and regulatory activity related to EPAs proposed Lead; Renovation, Repair and Painting Program; Lead Test Kit rule (Docket ID: EPA-HQ-OPPT-2015-0780-0001) H.R. 5254, Senior Accessible Housing Act. H.R. 5447, Small Business Health Care Relief Act of 2016. S. 3060, Small Business Health Care Relief Act of 2016. S. 2012, Energy Policy Modernization Act of 2015. S.2718, Perkins Fund for Equity and Excellence. Draft, House SAVE Act. Draft, Senate SAVE Act.

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

Government targets: HOUSE OF REPRESENTATIVES, Occupational Safety & Health Administration (OSHA), SENATE

Support removal of and temporary delay in enforcement of restrictions on stand alone HRA plans which have rendered small business HRA plans noncompliant with ACA requirements. Addressing ACA implementation issues related to small businesses. Support for permanent business deduction for insurance premiums of sole proprietors, including support for legislation. Support flexibility in use of HSA and HRA accounts.(S. 3060/H.R. 5447)(HRA accounts).

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

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Treasury, Dept of

Support and dialogue regarding Small Business Administration funding and access to capital and credit for the self-employed and micro business. Support for reduction of regulatory requirements for small business. Efforts to continue implementation and preservation of favorable small business issues from the prior Small Business Jobs Act. Support for the Small Business Healthcare Tax Relief Act(S. 3060/H.R. 5447)making HRA accounts available for small businesses to fund premiums and qualified health expenses.Support HHS/Labor Appropriations bill and in particular areas addressing regulatory burden. Support for FY 2017 Labor/HHS/Education Appropriations bill for overtime rule and worker classification grants(S. 3040/no House number yet).Support Protecting Workplace Advancement and Opportunity Act (overtime rule)(H.R. 4773).

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

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), 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

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: $1,710,000 · 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

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

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

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

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

Access to Capital: SBE Council continues to advocate for reforms and solutions to improve capital formation in the U.S. and access to capital for small businesses. Specific bills include: Fix Crowdfunding Act of 2016 (H.R. 4855): Supported House passage. Investment Advisers Modernization Act of 2016 (H.R. 5424): Supported House passage. Accelerating Access to Capital Act of 2015 (H.R. 2357): Supported House passage. Regulatory Reform and Modernization: SBE Council continues to voice support for comprehensive regulatory reform including streamlining regulations, more openness and transparency in the regulatory process, giving small businesses a meaningful voice in rulemakings, cost-benefit analysis, and looks-backs and sunsetting of regulations. Specific bills include: Regulatory Relief for Small Businesses, Schools, and Nonprofits Act (H.R. 6094): Supported House passage. Overtime Reform and Review Act (S. 3464): Support. The Financial CHOICE Act: Support House bill to reform Dodd-Frank and the financial regulatory system. Require Evaluation Before Implementing Executive Wishlists Act (REVIEW Act) of 2015 (H.R. 3438 and S. 1927): Supported House passage and Senate bill. Stop Settlement Slush Funds Act of 2016 (H.R. 5063 and S. 3050): Supported House passage and Senate bill. Regulatory Integrity Act of 2016 (H.R. 5226): Supported House passage. Federal Communications Commission rules on Set-Top-Box: Oppose proposed rulemaking and pushed for changes and a more open process. Postal Service Reform Act (H.R. 5714): Expressed concern to U.S. House about this bill. Protecting Workplace Advancement and Opportunity Act: Support. Overtime Reform and Enhancement Act (H.R. 5813): Support. EPA and the Clean Air Science Advisory Committee (CASAC): Urged the EPA to add diverse and neutral members of this advisory council. ADA Education and Reform Act of 2016 (H.R. 3765): Support Tax Reform and Relief: SBE Council continues to engage with Congress and the Administration on the need for tax system overhaul, fairness and simplicity for small businesses. Specific bills and actions include: Section 385 regulatory changes by U.S. Treasury: Expressed concern and opposed hasty changes. Mobile Workforce State Income Tax and Simplification Act of 2015 (H.R. 2315 and S. 386): Supported House passage and Senate bill. Empowering Employees Through Stock Ownership Act (H.R. 5719 and S. 3152): Supported House passage and Senate bill. U.S. Treasury regulatory changes to Estate, Gift, and Generation-skipping Transfer Taxes: Restrictions on Liquidation of an Interest: Oppose regulatory changes proposed by Treasury. Protect Family Farms and Businesses Act (H.R. 6100 and S. 3436): Support both bills. International Trade, Competitiveness and Tariff Relief, Intellectual Property: SBE Council continues to voice support for trade agreements and efforts to improve and simplify exporting for small businesses, and strengthening IP protections. Affordable Health Coverage and ACA Reform: SBE Council continues to support multiple efforts to fully reform the Affordable Care Act and replace with market-based alternatives and solutions that produce competition and lower costs for small businesses. Specific bills include: Halt Tax Increases on the Middle Class and Seniors Act (H.R. 3950): Supported House passage. CO-OP Consumer Protection Act of 2016 (H.R. 954): Supported House passage. Small Business Health Care Relief Act (S. 3060): Continue to push for Senate passage. Privacy and Cybersecurity: Improving Small Business Cybersecurity Act (H.R. 5064): Supported House passage Improving Small Business Cybersecurity Act (S. 3024): Support Senate bill. OTHER: Expressed support for Section 806 in S. 2943, the Senate version of the 2017 NDAA. Debt Management and Fiscal Responsibility Act of 2016 (S.3182): Support. Clyde-Hirsch-Sowers RESPECT Act (H.R. 5523): Supported House Passage.

Client expense: $55,000 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

Support of H.R.2911 & S.1697 - Small Business Healthcare Relief Act. Support for Protecting Americans From Tax Hikes Act of 2015. Support of H.R.1270 & S. 709 - Restoring Access to Medication Act of 2015. H.R.4832 - Health Savings Protection Ac. Support for HR 5447 & S. 3060 - Small Business Health Care Relief Act of 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

House Bills H.R. 712, the Sunshine for Regulatory Decrees and Settlements Act - support. H.R. 1671, Government Neutrality in Contracting Act - support. H.R. 4612, the Midnight Rule Relief Act - support. H.R. 3624, the Fraudulent Joinder Prevention Act - support. H.R. 4293, the Affordable Retirement Advice Protection Act - support. H.R. 4294, the Strengthening Access to Valuable Education and Retirement Support Act - support. H.R. 3433, the Protecting Orderly and Responsible Transit of Shipments (PORTS) Act - support. Amendment included in Section 913 of S 1269 - oppose. H.R. 3765, The ADA Education and Reform Act of 2015 - support. H.R. 4773, the Protecting Workplace Advancement and Opportunity Act - support. H.R. 5447 (H.R. 2911), the Small Business Healthcare Relief Act - support. H. J. Res. 87, a Congressional Review Act resolution of disapproval in response to the controversial persuader rule issued by the U.S. Department of Labor (DOL) - support. Section 110 to the FY2017 Energy and Water Development, and Related Agencies Appropriations Act - support. Perry Amendment to H.R. 4974, ensuring fair and open competition for federal construction contracts funded by the Military Construction, Veterans Affairs (MilCon/VA) Appropriations Bill for Fiscal Year 2017 - support. FY2017 Labor, Health and Human Services, Education, and Related Agencies Appropriations Act. H.R. 5210, PADME ACT - Patient Access to Durable Medical Equipment Act - support. H.R. 6094, the Regulatory Relief for Small Businesses, Schools, and Nonprofits Act - support. H.R. 3438, the Require Evaluation before Implementing Executive Wishlists (REVIEW) Act of 2016 - support. H.R. 5523, the Clyde-Hirsch-Sowers RESPECT Act - support. H.R. 5813, the Overtime Reform and Enhancement Act - support. Senate Bills S. 2582, the Midnight Rule Relief Act - support. S. 1519, the Protecting Orderly and Responsible Transit of Shipments (PORTS) Act - support. S. 2225, the Save our Small and Seasonal Businesses Act - support. S. 2707, the Protecting Workplace Advancement and Opportunity Act - support. Prove It Act of 2016 - support. Hoeven Amendent to amendment to the FY2017 Energy and Water Development, and Related Agencies Appropriations Act - support. S. 2736, the Patient Access to Durable Medical Equipment Act of 2016 - support. S. 71, Government Neutrality in Contracting Act - support. S. 2844, the fiscal year (FY) 2017 Transportation, Housing and Urban Development, and Related Agencies (T-HUD) appropriations bill. S. 3060 / S. 1697, the Small Business Healthcare Relief Act - support. S. 2736, PADME ACT - Patient Access to Durable Medical Equipment Act - support. S. 3464, the Overtime Reform and Review Act - support. S. 3462, the Regulatory Relief for Small Businesses, Schools, and Nonprofits Act - support. The ADA Education and Reform Act - support. Hearings Walter Carpenter testified before the Subcommittee on Human Resources Committee on Ways and Means on Unemployment Insurance: An Overview of the Challenges and Strengths of Todays System. September 7, 2016 Comments August 31, 2016 - Docket ID EPA-HQ-OPPT-2016-0126 - Section 610 Review of Lead-Based Paint Activities; Training and Certification for Renovation and Remodeling Section 402(c)(3) August 4, 2016 - Department of Treasury, IRS - RIN 1545-BB71. Estate, Gift, and Generation-skipping Transfer Taxes; Restrictions on Liquidation of an Interest. Other Issues Joint employer standard PN1258 - Merrick Garland nomination to the U.S. Supreme Court Estate tax

Client expense: $860,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

S.3060 The Small Business Health Care Relief Act 2016

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6 ,21st Century Cares H.R. 592/S. 314, Pharmacy and Medically Underserved Areas Enhancement Act H.R. 1190/S. 141, The Protecting Seniors Access to Medicare Act of 2015 H.R. 1192, National Diabetes Clinical Care Commission Act H.R. 1270, Restoring Access to Medication and Improving Health Savings Act H.R. 1427, Medicare CGM Access Act H.R. 1686/S. 3082, Preventing Diabetes in Medicare Act H.R. 1726, Access to Quality Diabetes Education Act H.R. 2102, Medicare Diabetes Prevention Act H.R. 2124/S. 1148, Resident Physician Shortage Act H.R. 2603/S. 1475, Saving Lives, Saving Costs Act H.R. 2646, Helping Families in Mental Crisis Act H.R. 3081/S. 1778, Telemedicine for Medicare Act H.R. 3660/S. 3126,Preventive Health Savings Act H.R. 4212/S. 704, Community Based Independence for Seniors Act of 2015 H.R. 4442/S. 2484, CONNECT for Health Act H.R. 4732/S. 2671, Advancing Medical Resident Training in Community Hospitals Act H.R. 4774, Training Tomorrows Doctors Today Act H.R. 4909/S. 2943, National Defense Authorization Act H.R. 5273, Helping Hospitals Improve Patient Care Act H.R. 5395, Expanding Capacity for Health Outcomes Act H.R. 5414, FDA Cross-Center Collaboration Act H.R. 5447/S. 3060, The Small Business Health Care Relief Act H.R. 5652,Access to Better Care Act H.R. 5681/S. 3137, Alzheimers Beneficiary and Caregiver Support Act H.R. 6043/S. 3335, The Fair Accountability and Innovative Research Drug Pricing Act of 2016 S. 524, Comprehensive Addiction and Recovery Act S. 754, Cybersecurity Information Sharing Act (CISA) S. 776,Medication Therapy Management Empowerment Act S. 1077,Advancing Breakthrough Medical Devices for Patients Act S. 1101,Medical Electronic Data Technology Enhancement for Consumers Health (MEDTECH) Act S. 1622,FDA Device Accountability Act S. 2511,Improving Health Information Technology Act S. 2680,Mental Health Reform Act of 2016 S. 2864,Reducing Existing Costs Associated with Pharmaceuticals for Seniors Act of 2016 S. 3326, State Flexibility to Provide Affordable Health Options Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 160 - Protect Medical Innovation Act of 2015 (Medical Device Tax) H.R. 636 - Americas Small Business Tax Relief Act (Sec. 179) H.R. 1185 - Responsible Additions and Increases to Sustain Employee (RAISE) Health Benefits Act of 2015 (Flexible Spending Accounts) H.R. 1842 - Indian Health Service Health Professions Tax Fairness Act of 2015 (Student Loan Tax Deduction) H.R. 2029 - Consolidated Appropriations Act, 2016 (Dietary Guidelines; tobacco rider; dental research programs; child nutrition programs; appropriations for IHS, AHRQ, CDC, CMS, HHS, HRSA, NIH/NIDCR, other dental-related agencies) H.R. 2911 - Small Business Healthcare Relief Act (HRAs) H.R. 5447 - Small Business Health Care Relief Act of 2016 (HRAs) S. 149 - Medical Device Access and Innovation Protection Act (Medical Device Tax) S. 536 - Indian Health Service Health Professions Tax Fairness Act of 2015 (Student Loan Tax Deduction) S. 1697 - Small Business Healthcare Relief Act (HRAs) S. 1827 - Small Business Tax Compliance Relief Act of 2015 (Cash accounting) S. 1946 - Tax Relief Extension Act of 2015 (Section 179 tax deduction) S. 3060 - Small Business Health Care Relief Act of 2016 (HRAs) Business Tax Reform

Client expense: $580,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA)

S. 30 - The Forty House is Full Time Act of 2015 - would modify the definition of full-time employee for purposes of the employer mandate in the Patient Protection and Affordable Care Act. S. 183 - Jobs and Premium Protection Act - would repeal a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. S. 3060 - Small Business Health Care Relief Act of 2016 - would allow small businesses and local municipalities with fewer than 50 employees are allowed to continue using pre-tax dollars to give employees a defined contribution for healthcare expenses; allow employees to use HRA funds to purchase health coverage on the individual market, as well as for qualified out-of-pocket medical expenses if the employee has qualified health coverage; and,protect employers from being financially penalized for providing this cost-sharing option to employees.

Client expense: Not reported · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE