Health Insurance Tax Relief Act of 2018

H.R. 246, the Jobs and Premium Protection Act; S. 1859, Healthcare Tax Relief Act; S. 1978, Small Business and Family Health Tax Relief Act; Health Insurance Tax Relief Act of 2018 (S. 3063) and issues impacting small business as result of the enactment and implementation of P.L. 111- 148.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148); Legislation Amending and Repealing P.L. 111-148; Essential Health Benefits; State/Federal Health Exchanges; Individual Mandate; Subsidies; Risk Corridors; Risk Adjustment; Cost Sharing Reduction; Jobs and Premium Protection Act (HR 246); Healthcare Tax Relief Act (S. 1859); Small Business and Family Health Tax Relief Act (S. 1978); and Health Insurance Tax Relief Act of 2018 (S. 3063).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Balanced Billing issues. Prescription drug pricing H.R. 1398/S. 172 - Health Insurance Tax Relief Act S. 3063 - Health Insurance Tax Relief Act of 2018 H.R. 2447 - Jobs and Premium Protection Act CMS-9115-P/HHS ONC RIN-0955-AA01 - 21st Century Cures Interoperability and Information Blocking Proposed Rules Senate HELP - Lower Health Care Costs Act S. 340/H.R. 965 CREATES Act H.R. 2296 - Fair Accountability and Innovative Research Act H.R. 2113 - Prescription Drug Sunshine, Transparency, Accountability, and Reporting Act H.R. 987 - Strengthening Health Care and Lowering Prescription Drug Costs Act S. 1280/H.R. 2477 - BENES Act H.R. 3 - Lower Drug Costs Now Act of 2019 S. 2543 - Prescription Drug Pricing Reduction Act of 2019

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

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

H.R. 1398/S. 172 - Health Insurance Tax Relief Act. S. 3063 - Health Insurance Tax Relief Act of 2018. H.R. 2447 - Jobs and Premium Protection Act. Tax Reform implementation issues.

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

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

H.R. 1398/S. 172 - Health Insurance Tax Relief Act. S. 3063 - Health Insurance Tax Relief Act of 2018. H.R. 2447 - Jobs and Premium Protection Act. Tax Reform implementation issues.

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

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

Balanced Billing issues. Prescription drug pricing H.R. 1398/S. 172 - Health Insurance Tax Relief Act S. 3063 - Health Insurance Tax Relief Act of 2018 H.R. 2447 - Jobs and Premium Protection Act CMS-9115-P/HHS ONC RIN-0955-AA01 - 21st Century Cures Interoperability and Information Blocking Proposed Rules Senate HELP - Lower Health Care Costs Act S. 340/H.R. 965 CREATES Act H.R. 2296 - Fair Accountability and Innovative Research Act H.R. 2113 - Prescription Drug Sunshine, Transparency, Accountability, and Reporting Act H.R. 987 - Strengthening Health Care and Lowering Prescription Drug Costs Act S. 1280/H.R. 2477 - BENES Act

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

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

H.R. 246, the Jobs and Premium Protection Act; S. 1859, Healthcare Tax Relief Act; S. 1978, Small Business and Family Health Tax Relief Act; Health Insurance Tax Relief Act of 2018 (S. 3063) and issues impacting small business as result of the enactment and implementation of P.L. 111- 148.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148); Legislation Amending and Repealing P.L. 111-148; Essential Health Benefits; State/Federal Health Exchanges; Individual Mandate; Subsidies; Risk Corridors; Risk Adjustment; Cost Sharing Reduction; Jobs and Premium Protection Act (HR 246); Healthcare Tax Relief Act (S. 1859); Small Business and Family Health Tax Relief Act (S. 1978); and Health Insurance Tax Relief Act of 2018 (S. 3063).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148); Legislation Amending and Repealing P.L. 111-148; Essential Health Benefits; State/Federal Health Exchanges; Individual Mandate; Subsidies; Risk Corridors; Risk Adjustment; Cost Sharing Reduction; Jobs and Premium Protection Act (HR 246); Healthcare Tax Relief Act (S. 1859); Small Business and Family Health Tax Relief Act (S. 1978); and Health Insurance Tax Relief Act of 2018 (S. 3063).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 246, the Jobs and Premium Protection Act; S. 1859, Healthcare Tax Relief Act; S. 1978, Small Business and Family Health Tax Relief Act; Health Insurance Tax Relief Act of 2018 (S. 3063) and issues impacting small business as result of the enactment and implementation of P.L. 111- 148.

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.3063; Health Insurance Tax Relief Act of 2018 - A bill to delay the reimposition of the annual fee on health insurance providers until after 2020, issues pertaining to health insurance tax.

Client expense: $1,280,000 · Firm income: Not reported

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

Advocated for CMS to allow the translation of the CAHPS survey into additional languages. Advocated for fairness in Medicare Advantage Stars Quality measurements. H.R. 6, The Opioid Treatment and Prevention Act - provisions related to Institutes for Mental Disease (IMD), Medication Assisted Treatment (MAT), Prescription Drug Monitoring Programs (PDMP). H.R. 3325/S.428, Advancing Care for Exceptional Kids Act (ACE Kids) - provisions related to access to services for medically complex children. H.R. 5963/S.3063 - provisions related to the annual fee on health insurance providers. H.R. 6470/S.3158, FY19 Labor, Health and Human Services, and Education Appropriations Bill - provisions related to Medicare, Childrens Health Insurance Program (CHIP) and Medicare Advantage Star Quality Ratings.

Client expense: $500,000 · Firm income: Not reported

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

Advocated for CMS to allow the translation of the CAHPS survey into additional languages. Advocated for fairness in Medicare Advantage Stars Quality measurements. H.R. 6, The Opioid Treatment and Prevention Act - provisions related to Institutes for Mental Disease (IMD), Medication Assisted Treatment (MAT), Prescription Drug Monitoring Programs (PDMP). H.R. 3325/S.428, Advancing Care for Exceptional Kids Act (ACE Kids) - provisions related to access to services for medically complex children. H.R. 5963/S.3063 - provisions related to the annual fee on health insurance providers. H.R. 6470/S.3158, FY19 Labor, Health and Human Services, and Education Appropriations Bill - provisions related to Medicare, Childrens Health Insurance Program (CHIP) and Medicare Advantage Star Quality Ratings.

Client expense: $500,000 · Firm income: Not reported

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

S. 28, Health Savings Account Expansion Act (Flake) - HSA improvements S. 85, Restoring Access to Medications Act (Roberts) - paying for OTC products with HSA funds S. 403, Health Savings Act (Hatch) - HSA and FSA improvements S. 761, Health Care Options Act (Alexander) - using premiums for off-Exchange plans S. 1859, Healthcare Tax Relief Act (Gardner) - suspension of ACA health insurance tax S. 1978, Small Business and Family Health Tax Relief Act (Heitkamp) - suspension of ACA health insurance tax S. 2410, Chronic Disease Management Act (Thune) - flexibility for high-deductible health plans S. 3063, Health Insurance Tax Relief Act (Barrasso) - suspension of ACA health insurance tax H.R. 88, Retirement, Savings, and Other Tax Relief Act - relief from health insurance tax and Cadillac tax H.R. 246, Jobs and Premium Protection Act (Noem-Sinema) - repeal of ACA health insurance tax H.R. 247, Health Savings Account Expansion Act (Brat) - HSA improvements H.R. 394, Restoring Access to Medications Act (Jenkins) - paying for OTC products with HSA funds H.R. 1175, Health Savings Act (Paulsen) - HSA and FSA improvements H.R. 3798, Save American Workers Act (Walorski) - delay in Cadillac tax H.R. 4616 (Nunes) - delay in ACA excise tax on employer-provided health coverage H.R. 4618 (Jenkins) - use of HSA funds for OTC medications H.R. 4620, Protecting Families and Small Businesses Act (Noem) - relief from ACA health insurance tax H.R. 4894, Harmful Tax Prevention Act (Noem) - relief from ACA health insurance tax H.R. 4978, Chronic Disease Management Act (Black) - flexibility for high-deductible health plans H.R. 5138, Bipartisan HSA Improvement Act (Kelly) - HSA changes H.R. 5963, Health Insurance Premium Reduction Act (Noem) - suspension of ACA health insurance tax H.R. 6199, Restoring Access to Medication Act (Jenkins) - OTC medical products as qualified medical expense, HSA improvements H.R. 6301, Promoting High-Value Health Care Through Flexibility for High Deductible Health Plans Act (Roskam) - flexibility on first dollar coverage for HSA plans H.R. 6305, Bipartisan HSA Improvement Act (Kelly) - HSA flexibility; treatment of certain employment-related services; FSA and HRA conversions H.R. 6306, Health Care Security Act (Paulsen) - HSA contribution limits, spousal catch-up contributions, grace period for medical expenses H.R. 6309, Allowing Working Seniors to Keep Their Health Savings Accounts Act (Paulsen) - HSA contributions by Medicare-eligible individuals H.R. 6311, Increasing Access to Lower Premium Plans and Expanding HSAs Act (Roskam) - suspension of health insurance tax, HSA improvements H.R. 6312, Personal Health Investment Today Act (Smith) - medical care tax deduction for qualified sports and fitness expenses H.R. 6313, RAISE Health Benefits Act (Stivers) - Health FSA rollovers H.R. 6314, Health Savings Act (Burgess) - definition of high-deductible health plan H.R. 6317, Primary Care Enhancement Act (Paulsen) - participation by HSA-eligible individuals in direct primary care (DPC) arrangements 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 health insurance tax; issues related to the refundable credit for coverage under a qualified health plan; issues related to coverage of chronic conditions in high deductible health plans; issues related to health savings accounts; issues related to the deductibility of employer-sponsored health coverage; issues related to enhancing tax treatment of long-term care insurance; issues related to qualified small employer health reimbursement accounts (QSEHRAs); 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: $1,550,000 · Firm income: Not reported

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

H.R. 5963 The Health Insurance Premium Reduction Act H.R. 5422, the Death Tax Repeal Act S.2670 - STARS Act Companion bill H.R. 3956 S. 3063, the bipartisan Health Insurance Tax Relief Act of 2018 (HIT) H.R. 6311, which would delay the Health Insurance Tax (HIT) H.R. 519, the Water and Agriculture Tax Reform Act of 2017 H.R. 6760, Protecting Family and Small Business Tax Cuts Act of 2018 - Tax Reform 2.0

Client expense: $274,059 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT), U.S. Trade Representative (USTR)

Issues related to the improvements in the treatment of the United States territories under the Medicare and Medicaid programs - no specific legislation. Issues related to health insurance provider fees, extending funding for the Children's Health Insurance Program, Medicare and Medicaid issues - no specific legislation. H.R. 6, the SUPPORT for Patients and Communities Act - entire bill. H.R. 5797, the IMD CARE Act - entire bill. H.R. 6082, the Overdose Prevention and Patient Safety Act - entire bill. H.R. 5801, the Medicaid PARTNERSHIP Act - entire bill. H.R. 5963, To delay the reimposition of the annual fee on health insurance providers until after 2020 - entire bill. S. 3063, Health Insurance Tax Relief Act of 2018 - entire bill. H.R. 246 - To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act - entire bill. H.R. 6042, to amend title XIX of the Social Security Act to delay the reduction in federal medical assistance percentage for Medicaid personal care services furnished without an electronic visit verification system, and for other purposes- entire bill. H.R. 3325 - ACE Kids Act - Entire bill.

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), SENATE

Health Insurance Tax, S. 3063- Health Insurance Tax Relief Act of 2018

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5963/S. 3063 - Health Insurance Tax Relief Act of 2018 - provisions related to the annual fee on health insurance providers. H.R. 7217, Improving Medicaid Programs and Opportunities for Eligible Beneficiaries (IMPROVE) Act - provisions related to access to services for medically complex children, temporary reauthorization of the Money Follows the Person program and temporary extension of the ACA Spousal Impoverishment protections. Medicaid Managed Care - matters relating to financing and administration thereof. Medicare Advantage (MA) - matters related to financing and administration thereof. Medicare Part D - matters related to financing and administration thereof.

Client expense: $620,000 · Firm income: Not reported

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

H.R. 246, Jobs and Premium Protection Act S. 1859, Healthcare Tax Relief Act H.R. 5963, Health Insurance Premium Reduction Act S. 3063, Health Insurance Tax Relief Act of 2018 H.R. 6311, Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act of 2018 Tax Reform Implementation (P.L. 115-97)

Client expense: $320,000 · Firm income: Not reported

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

To extend the moratorium and/or repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act (H.R. 246) To delay the reimposition of the annual fee on health insurance providers until after 2020 (H.R. 5963) Health Insurance Tax Relief Act of 2018 (S. 3063) The Bipartisan Budget Act of 2018 (H.R. 1892) Tax exclusion for employer-sponsored health insurance

Client expense: $1,840,000 · Firm income: Not reported

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

Health Insurance Tax (HIT Tax); Tax Credits; Cadillac Tax HR 173 Middle Class Health Benefit Tax Repeal Act Introduced January 3, 2-17 by Mike Kelly (R-PA) To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. HR 246 Introduced January 4, 2017 by Kristi Noem (R-SD) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. S.3063 Introduced June 13, 2018 by John Barrasso (R-WY), A bill to delay the reimposition of the annual fee on health insurance providers until after 2020.

Client expense: $1,590,000 · 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), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Vice President of the United States, SENATE, Vice President of the U.S., White House Office

Tax issues related to health insurance industry tax, H.R. 246. S. 3063. H.R. 88.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 28, Health Savings Account Expansion Act (Flake) - HSA improvements S. 85, Restoring Access to Medications Act (Roberts) - paying for OTC products with HSA funds S. 403, Health Savings Act (Hatch) - HSA and FSA improvements S. 761, Health Care Options Act (Alexander) - using premiums for off-Exchange plans S. 1859, Healthcare Tax Relief Act (Gardner) - suspension of ACA health insurance tax S. 1978, Small Business and Family Health Tax Relief Act (Heitkamp) - suspension of ACA health insurance tax S. 2410, Chronic Disease Management Act (Thune) - flexibility for high-deductible health plans S. 3063, Health Insurance Tax Relief Act (Barrasso) - suspension of ACA health insurance tax H.R. 88, Retirement, Savings, and Other Tax Relief Act - relief from health insurance tax and Cadillac tax H.R. 246, Jobs and Premium Protection Act (Noem-Sinema) - repeal of ACA health insurance tax H.R. 247, Health Savings Account Expansion Act (Brat) - HSA improvements H.R. 394, Restoring Access to Medications Act (Jenkins) - paying for OTC products with HSA funds H.R. 1175, Health Savings Act (Paulsen) - HSA and FSA improvements H.R. 3798, Save American Workers Act (Walorski) - delay in Cadillac tax H.R. 4616 (Nunes) - delay in ACA excise tax on employer-provided health coverage H.R. 4618 (Jenkins) - use of HSA funds for OTC medications H.R. 4620, Protecting Families and Small Businesses Act (Noem) - relief from ACA health insurance tax H.R. 4894, Harmful Tax Prevention Act (Noem) - relief from ACA health insurance tax H.R. 4978, Chronic Disease Management Act (Black) - flexibility for high-deductible health plans H.R. 5138, Bipartisan HSA Improvement Act (Kelly) - HSA changes H.R. 5963, Health Insurance Premium Reduction Act (Noem) - suspension of ACA health insurance tax H.R. 6199, Restoring Access to Medication Act (Jenkins) - OTC medical products as qualified medical expense, HSA improvements H.R. 6301, Promoting High-Value Health Care Through Flexibility for High Deductible Health Plans Act (Roskam) - flexibility on first dollar coverage for HSA plans H.R. 6305, Bipartisan HSA Improvement Act (Kelly) - HSA flexibility; treatment of certain employment-related services; FSA and HRA conversions H.R. 6306, Health Care Security Act (Paulsen) - HSA contribution limits, spousal catch-up contributions, grace period for medical expenses H.R. 6309, Allowing Working Seniors to Keep Their Health Savings Accounts Act (Paulsen) - HSA contributions by Medicare-eligible individuals H.R. 6311, Increasing Access to Lower Premium Plans and Expanding HSAs Act (Roskam) - suspension of health insurance tax, HSA improvements H.R. 6312, Personal Health Investment Today Act (Smith) - medical care tax deduction for qualified sports and fitness expenses H.R. 6313, RAISE Health Benefits Act (Stivers) - Health FSA rollovers H.R. 6314, Health Savings Act (Burgess) - definition of high-deductible health plan H.R. 6317, Primary Care Enhancement Act (Paulsen) - participation by HSA-eligible individuals in direct primary care (DPC) arrangements 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 health insurance tax; issues related to the refundable credit for coverage under a qualified health plan; issues related to coverage of chronic conditions in high deductible health plans; issues related to health savings accounts; issues related to the deductibility of employer-sponsored health coverage; issues related to enhancing tax treatment of long-term care insurance; issues related to qualified small employer health reimbursement accounts (QSEHRAs); 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: $1,540,000 · Firm income: Not reported

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

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. Also advocated for cash sharing reduction funding stability. HR 246, Jobs and Premium Protection Act. Issues related to the opioid epidemic. HR 4620, The Protecting Families and Small Business Act of 2017. S 3063, Health Insurance Tax Relief Act of 2018. HR 2, Agriculture Improvement Act of 2018 (association health plan provision). HR 6, Support for Patients and Communities Act. ACA Marketplace and Medicaid Reform

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. HR 246, Jobs and Premium Protection Act. S3063, Health Insurance Tax Relief Act of 2018. HR 4620, The Protecting Families and Small Businesses Act of 2017 (health insurer fee suspension). Issues related to the opioid epidemic pertinent to Medicaid and Medicare. HR 6, Support for Patients and Communities Act and related Opioid Bills. HR 3325/S 428, Advancing Care for Exceptional Kids Act. HR 5306/S 2227, Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources and Care Act. ACA Marketplace and Medicaid Reform

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of PL 115-97 (H.R. 1/tax reform). H.R. 246 - Jobs and Premium Protection Act. S. 1859 - Healthcare Tax Relief Act. H.R. 5963 - Health Insurance Premium Reduction Act. S. 3063 - Health Insurance Tax Relief Act of 2018. H.R. 6311 - Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act of 2018.

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

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

Cost Sharing Reduction. Health insurance tax. H.R. 5963/S. 3063 - To delay the reimposition of the annual fee on health insurance providers until after 2020.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.3063; Health Insurance Tax Relief Act of 2018 - A bill to delay the reimposition of the annual fee on health insurance providers until after 2020, issues pertaining to health insurance tax.

Client expense: $1,280,000 · Firm income: Not reported

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

833; Health Insurance Tax (HIT Tax); Cadillac Tax ; Tax Credits, CHIP Reauthorization HR 5963 introduced May 24, 2018 o delay reimposition of annual fee on health insurance providers until after 2020 S 3063 introduced June 13, 2018 to relay reimposition of fee on health insurance providers until after 2020

Client expense: $36,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Repeal/delay of the health insurance tax. S 3063, S 1859, HR 4831, HR 4894

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

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

Health Insurance Tax (HIT Tax); Tax Credits; Cadillac Tax HR 173 Middle Class Health Benefit Tax Repeal Act Introduced January 3, 2-17 by Mike Kelly (R-PA) To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. HR 246 Introduced January 4, 2017 by Kristi Noem (R-SD) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. S 3063 Introduced June 13, 2018 by John Barrasso (R-WY) A bill to delay the reimposition of the annual fee on health insurance providers until after 2020.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Insurance Tax (HIT Tax); ACA Tax Credits; Cadillac Tax HR 173 Middle Class Health Benefit Tax Repeal Act Introduced January 3, 2-17 by Mike Kelly (R-PA) To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. HR 246 Introduced January 4, 2017 by Kristi Noem (R-SD) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. S.3063 Introduced June 13, 2018 by John Barrasso (R-WY), A bill to delay the reimposition of the annual fee on health insurance providers until after 2020.

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

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

Support H.R. 631/S. 205, the Death Tax Repeal Act Support H.R. 1696/S. 711, the S Corps Modernization Act Monitor tax reform implementation Support S. 1144, INVEST Act Support S. 1859/H.R. 4831, the Healthcare Tax Relief Act Support H.R. 4894, the Harmful Tax Prevention Act Support S. 3063, the Health Insurance Tax Relief Act of 2018 Support H.R. 5963, To Delay the Reimposition of the Annual Fee on Health Insurance Providers until after 2020 Support H.R. 246, the Jobs and Premium Protection Act Support S. 1978, the Small Business and Family Health Tax Relief Act of 2017 Support H.R. 6277, the Main Street Tax Certainty Act Support H.R. 6760, the Protecting Family and Small Business Tax Cuts Act of 2018

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

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

Support H.R. 246, the Jobs and Premium Protection Act Support H.R. 1101, the Small Business Health Fairness Act Support H.R. 1628, the American Health Care Act Support S. 1859/ H.R. 4831, the Healthcare Tax Relief Act Support S. 222, the Obamacare Replacement Act Support H.R. 4894, the Harmful Tax Prevention Act Support S. 3063, the Health Insurance Tax Relief Act of 2018 Support H.R. 5963, To Delay the Reimposition of the Annual Fee on Health Insurance Providers Until After 2020 Support S. 1978, the Small Business and Family Health Tax Relief Act of 2017 Support H.R. 6311, the Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act of 2018

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

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

S.3063, Health Insurance Tax Relief Act of 2018.

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

Government targets: SENATE

Health Insurance Tax (HIT Tax); Tax Credits; Cadillac Tax HR 173 Middle Class Health Benefit Tax Repeal Act Introduced January 3, 2-17 by Mike Kelly (R-PA) To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. HR 246 Introduced January 4, 2017 by Kristi Noem (R-SD) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. S 3063 Introduced June 13, 2018 by John Barrasso (R-WY) A bill to delay the reimposition of the annual fee on health insurance providers until after 2020.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.6261 - Improving Choices in Health Care Coverage Act S.3095 - Building a Health Care Workforce for the Future Act H.R.6128 - HSA Employer Flexibility Act H.R.6110 - Dr. Todd Graham Pain Management, Treatment, and Recovery Act of 2018 H.R.6098 - Family Medical Leave Modernization Act H.R.6097 - State-Based Universal Health Care Act of 2018 H.R.6082 - Overdose Prevention and Patient Safety Act H.R.6 - SUPPORT for Patients and Communities Act S.3063 - Health Insurance Tax Relief Act of 2018 H.R.6071 - SERV Communities Act S.3053 - CHIP Mental Health and Addiction Parity Act S.3048 - Examining Opioid Treatment Infrastructure Act of 2018 H.R.6050 - Increasing Access to Care Act S.3016 - Action for Dental Health Act of 2018 S.3000 - Patient Advocacy Transparency Act H.R.5997 - Ensuring Patient Access to Critical Breakthrough Products Act of 2018 H.Res.915 - Expressing the sense of the Congress in support of protecting patients' access to medically appropriate, evidence-based healthcare and information, and the ethical and professional obligations of healthcare professionals to provide that care and information H.R.5966 - Women Veterans Access to Quality Care Act of 2018 H.R.5965 - Access to Infertility Treatment and Care Act H.R.5963 - To delay the reimposition of the annual fee on health insurance providers until after 2020 S.2960 - Access to Infertility Treatment and Care Act S.Res.526 - A resolution expressing the sense of the Senate that politicians should not interfere with a woman's personal health care decisions or attempt to prevent providers from offering their full medical recommendations to their patients H.R.5942 - Health Equity and Accountability Act of 2018 H.R.5933 - Substance Abuse Prevention Act of 2018 H.R.5932 - Increasing Access to Mental Health in Schools Act H.R.5925 - CRISIS Act S.2934 - Increasing Access to Mental Health in Schools Act H.R.5917 - Professional's Access to Health Workforce Integration Act of 2018 H.R.5914 - To require a study and report on policy and regulatory changes that may have contributed to the opioid epidemic S.2920 - Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act of 2018 S.2912 - Opioid Addiction Treatment Programs Enhancement Act H.R.6144 - Know the Lowest Price Act of 2018 S.204 - Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2017 S.2680 - Opioid Crisis Response Act of 2018 H.R.5511 - Healthy Communities Act of 2018 H.R.5491 - Rural Health Insurance Act of 2018 H.R.5455 - Accelerating Biomedical Research Act H.R.5641 - State Offices of Rural Health Reauthorization Act of 2018 H.R.5625 - Easy Enrollment Act of 2018 H.R.5624 - Pathway to Universal Coverage Act of 2018 H.R.5603 - Access to Telehealth Services for Substance Use Disorders Act S.2732 - Defending Access to Mental Health Care Act H.R.5699 - HOST Act of 2018 S.2802 - Responsible Additions and Increases to Sustain Employee Health Benefits Act of 2018 H.R.5725 - BEST Act S.2902 - Better Data Sharing to Combat the Opioid Crisis Act S.2901 - eTREAT Act H.R.5892 - To establish an Advisory Committee on Opioids and the Workplace to advise the Secretary of Labor on actions the Department of Labor can take to address the impact of opioid abuse on the workplace H.R.5858 - Primary Care Patient Protection Act of 2018 S.2875 - COMBAT Act of 2018 H.R.5795 - Overdose Prevention and Patient Safety Act S.2851 - Regional Health Care Emergency Preparedness and Response Systems Act H.R.5775 - Providing Reliable Options for Patients and Educational Resources Act of 2018 H.R.5769 - Expanding Access to Treatment Act S. 2608 - Reducing Opioid Risk Act S. 2589 - Comprehensive Opioid Recovery Centers Act of 2018 S. 2582 - Consumer Health Insurance Protection Act of 2018 S. 2554 - Patient Right to Know Drug Prices Act H.R. 5258 - Affordable Health Insurance for the Middle Class Act H.R. 5254 - To direct the Secretary of HHS to conduct a study on the feasibility of expanding eligibility for enrollment in Medicare Advantage plans to individuals enrolled under the Medicaid program or enrolled under a group health plan H.R. 5223 - Health Care Workplace Violence Prevention Act S. 2507 - Improving Choice in Health Care Coverage Act H.R. 5155 - Undo Sabotage and Expand Affordability of Health Insurance Act of 2018 S. 2496 - Small Business Health Account Act of 2018 S. 2494 - Fair Care Act H.R. 5138 - Bipartisan HSA Improvement Act of 2018 H.R. 5124 - Community Action Opioid Response Act of 2018 H.R. 5097 - PAVE Act of 2018 H.R. 5080 - COMBAT Act of 2018 H.R. 5062 - Advancing Access to Precision Medicine Act H.R. 5047 - VA Community Care Enhancement Act S. 2437 - Opioid Response Enhancement Act S. 2415 - Accelerating Kids Access to Care Act H.R. 4978 - Chronic Disease Management Act of 2018 S. 2410 - Chronic Disease Management Act of 2018 H.R. 4952 - To direct the Secretary of HHS to conduct a study and submit a report on the effects of the inclusion of quality increases in the determination of blended benchmark amounts under part C of the Medicare program H.R. 4938 - Respond NOW Act H.R. 4894 - Harmful Tax Prevention Act H.R. 4841 - Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 H.R. 4831 - Healthcare Tax Relief Act H.R. 4820 - ASK Act S. 2315 - Over-the-Counter Drug Safety, Innovation, and Reform Act H.R. 4808 - Transparent Health Care Pricing Act of 2018 S. 2312 - HELP Act H.R. 4784 - ACA OUTREACH Act H.R. 4778 - Behavioral Health Coverage Transparency Act of 2018 S. 2302 - Access to Independent Health Insurance Advisors Act of 2018 S. 2301 - Behavioral Health Coverage Transparency Act of 2018 H.R. 4575 - A bill to amend title XXVII of the Public Health Service Act to preserve consumer and employer access to licensed independent insurance producers. S. 2303 - A bill to amend title XXVII of the Public Health Service Act to preserve consumer and employer access to licensed independent insurance producers. H.R. 1625 - Consolidated Appropriations Act, 2018 S. 2553 - Know the Lowest Price Act of 2018 H.R. 5343 - Prescription Transparency Act of 2018 H.R. 5150 - Protecting Medicare from Excessive Price Increases Act of 2018 H.R. 4874 - End The Shutdown Act of 2018 H.R. 4872 - End The Shutdown Act of 2018 H.R. 5104 - A bill to amend title XVIII of the Social Security Act to provide for a special enrollment period under Medicare for individuals enrolled in COBRA continuation coverage, and for other purposes H.R. 6 - SUPPORT for Patients and Communities Act S. 2554 - Patient Right to Know Drug Prices Act S. 2553 - Know the Lowest Price Act of 2018 H.R. 302 - FAA Re authorization Act of 2018 H. R. 6662 - Empowering Seniors Enrollment Decision Act of 2018 H.R. 6305 - Bipartisan HSA Improvement Act of 2018 H.R. 6312 - Personal Health Investment Today (PHIT) Act H.R. 6309 - To amend the Internal Revenue Code of 1986 to allow individuals entitled to Medicare Part A by reason of being over age 65 to contribute to health savings accounts H.R. 4616 - To amend the Patient Protection and Affordable Care Act to provide for a temporary moratorium on the employer mandate and to provide for a delay in the implementation of the excise tax on high cost employer-sponsored health coverage H.R. 6311 - To amend the Internal Revenue Code of 1986 and the Patient Protection and Affordable Care Act to modify the definition of qualified health plan for purposes of the health insurance premium tax credit and to allow individuals purchasing health insurance in the individual market to purchase a lower premium copper plan

Client expense: $330,000 · 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), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

Affordable Care Act (Public Law 111-148). Healthcare Reform, generally. Health Savings Accounts, generally. Affordable Care Act taxes and penalties, generally. Small Business Health Plans/Association Health Plans. Executive Order 13813: Promoting Healthcare Choice and Competition Across the United States - October 12, 2017. H.R. 246: the Jobs and Premium Protection Act. S. 1859: the Healthcare Tax Relief Act. S. 1978: the Small Business and Family Health Tax Relief Act. H.R. 3919/S. 1908: Commonsense Reporting Act of 2017. H.R. 5138: Bipartisan HSA Improvement Act of 2018. H.R. 3798: Save American Workers Act. Tax exclusion for employer-sponsored health insurance, generally. DOL-EBSA (Reg) Title: Definition of "Employer" under section 3(5) of ERISA - Association Health Plans (RIN 1210-AB85). H.R. 3956/S.2670: Simplifying Technical Aspects Regarding Seasonality (STARS) Act of 2018 Act. Affordable Care Act: Sections 6055 and 6056 of the Internal Revenue Code - Information Reporting Requirements. Employer Sponsored Health Care, generally. H.R. 5963/ S.3063: Health Insurance Tax Relief Act of 2018. Affordable Care Act: employer shared responsibility provisions under section 4980H of the Internal Revenue Code. Assessment of tax penalties under the employer shared responsibility provisions of Affordable Care Act. S. 1782: Forty Hours Is Full Time. H.R.6311: Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act of 2018. H.R.6199: Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018. H.R.3798: Save American Workers Act. HHS (RFI) Title: HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs (RIN 0991-ZA49). Implementation of the health insurance tax (HIT) for 2018, generally. Health Insurance Tax (HIT). H.R. 88: the Shiloh National Military Park Boundary Adjustment and Parker's Crossroads Battlefield Designation Act, the Legislative vehicle for the Retirement, Savings, and Other Tax Relief Act of 2018 and Taxpayer First Act of 2018. Section 1411 of the Affordable Care Act: Exchange Notices to Employers. Treasury/DOL/HHS (REG) Title: Health Reimbursement Arrangements and other Account-Based Group Health Plans (REG - 136724-17). Treasury-IRS (REG) Title: Request for Information; Shared Responsibility for Employers Regarding Health Coverage; Amounts Received Under Accident and Health Plans (Notice 2018-88). Section 1332 of the Affordable Care Act: State Innovation Waivers.

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

Government targets: Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Highway Administration (FHA), Federal Transit Administration (FTA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), Office of Policy Development, President of the U.S., SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

Health Insurance Tax (HIT Tax); Tax Credits; Cadillac Tax HR 173 Introduced January 3, 2017 by Mike Kelly (R-PA). The Middle Class Health Benefit Tax Repeal Act amends the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored coverage. HR 246 Introduced January 4, 2017 by Kristi Noem (R-SD). This bill repeals a provision of the ACA that imposes an annual fee on a health insurance provider based on its net premium income. S 3063 Introduced June 13, 2018 by John Barrasso (R-WY). A bill to delay the reimposition of the annual fee on health insurance providers until after 2020.

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

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

Health Insurance Tax (HIT Tax); Tax Credits; Cadillac Tax HR 173 Middle Class Health benefit Tax Repeal Act Introduced January 3, 2017 by Mike Kelly (R-PA) to amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. HR 246 Introduced January 4, 2017 by Kristi Noem (R-SD) this bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on health insurance provider based on its net premium income. S.3063 Introduced June 13, 2018 by John Barrasso (R-WY) a bill to delay the reimposition of the annual fee on health insurance providers until after 2020.

Client expense: $92,595 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Supported the repeal or delay of the Heath Insurance Tax (HIT); S. 3063 and H.R. 5963

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 246, the Jobs and Premium Protection Act; S. 1859, Healthcare Tax Relief Act; S. 1978, Small Business and Family Health Tax Relief Act; Health Insurance Tax Relief Act of 2018 (S. 3063) and issues impacting small business as result of the enactment and implementation of P.L. 111-148.

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148); Legislation Amending and Repealing P.L. 111-148; Essential Health Benefits; State/Federal Health Exchanges; Individual Mandate; Subsidies; Risk Corridors; Risk Adjustment; Cost Sharing Reduction; Jobs and Premium Protection Act (HR 246); Healthcare Tax Relief Act (S. 1859); Small Business and Family Health Tax Relief Act (S. 1978); and Health Insurance Tax Relief Act of 2018 (S. 3063).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

NCA lobbied on behalf of H.R. 5963 and S. 3063, the Health Insurance Tax Relief Act. These bills would have delayed the implementation of the tax on health insurance policies sold in the U.S. under the Affordable Care Act. This tax will negatively impact employees and employers in the club industry while providing no additional benefits to those employees and employers. Neither bill passed.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to the improvements in the treatment of the United States territories under the Medicare and Medicaid programs - no specific legislation. Issues related to health insurance provider fees, extending funding for the Children's Health Insurance Program, Medicare and Medicaid issues - no specific legislation.. H.R. 6, the SUPPORT for Patients and Communities Act - entire bill. H.R. 5797, the IMD CARE Act - entire bill. H.R. 6082, the Overdose Prevention and Patient Safety Act - entire bill. H.R. 5801, the Medicaid PARTNERSHIP Act - entire bill. H.R. 5963, To delay the reimposition of the annual fee on health insurance providers until after 2020 - entire bill. S. 3063, Health Insurance Tax Relief Act of 2018 - entire bill. H.R. 246 - To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act - entire bill. H.R. 6042, to amend title XIX of the Social Security Act to delay the reduction in federal medical assistance percentage for Medicaid personal care services furnished without an electronic visit verification system, and for other purposes- entire bill. H.R. 3325 - ACE Kids Act - Entire bill.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE