Middle Class Health Benefits Tax Repeal Act of 2017

Issues related to P.L. 111-148, the Patient Protection and Affordable Care Act, and P.L. 111-152, the Health Care and Education Reconciliation Act. The high cost employer health insurance excise tax, including H.R. 173 and S. 58, the Middle Class Health Benefits Tax Repeal Act of 2017, H.R.5963, to delay the reimposition of the annual fee on health insurance providers until after 2020, regarding relief from the Health Insurance Tax.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to P.L. 111-148, the Patient Protection and Affordable Care Act, and P.L. 111-152, the Health Care and Education Reconciliation Act, including exchanges, cost sharing reduction, market reforms, and non-discrimination provisions. The high cost employer health insurance excise tax, including H.R. 173 and S. 58, the Middle Class Health Benefits Tax Repeal Act of 2017, and H.R. 4616, the Employer Relief Act of 2018, regarding a one-year delay of the Cadillac Tax. H.R. 4620, the Protecting Families and Small Businesses Act of 2017, regarding relief from the Health Insurance Tax. Substance use disorders and 42 CFR Part 2 - Confidentiality of Substance Use Disorder Patient Records, specifically H.R. 3545, H.R. 5795, and H.R.6082, the Overdose Prevention and Patient Safety Act (OPPS Act), H.R. 6, the SUPPORT for Patients and Communities Act, and S. 2680, the Opioid Crisis Response Act of 2018. Issues related to proposed changes to the definition of Employer Under Section 3(5) of ERISA for Association Health Plans. 21st Century Cures Act, section 4004, Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs, information blocking and interoperability.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to P.L. 111-148, the Patient Protection and Affordable Care Act and P.L. 111-152, the Health Care and Education Reconciliation Act, including exchanges, cost sharing reduction, market reforms, and non-discrimination provisions. The high cost employer health insurance excise tax, including H.R. 173 and S. 58, the Middle Class Health Benefits Tax Repeal Act of 2017, and H.R. 4616, the Employer Relief Act of 2018, regarding a one-year delay of the Cadillac Tax. H.R. 4620, the the Protecting Families and Small Businesses Act of 2017, regarding relief from the Health Insurance Tax. Substance use disorders and 42 CFR Part 2 - Confidentiality of Substance Use Disorder Patient Records, specifically H.R. 3545, H.R. 5795, and H.R.6082, the Overdose Prevention and Patient Safety Act (OPPS Act), H.R. 6, the SUPPORT for Patients and Communities Act and S. 2680, the Opioid Crisis Response Act of 2018. Issues related to proposed changes to the definition of Employer Under Section 3(5) of ERISA for Association Health Plans.

Client expense: $1,460,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR), White House Office

Issues related to P.L. 111-148, the Patient Protection and Affordable Care Act and P.L. 111-152, the Health Care and Education Reconciliation Act. The high cost employer health insurance excise tax, including H.R. 173 and S. 58, the Middle Class Health Benefits Tax Repeal Act of 2017. H.R.5963, To delay the reimposition of the annual fee on health insurance providers until after 2020, regarding relief from the Health Insurance Tax. Issues related to the implementation of international tax provisions under P.L. 115-97, the Tax Cuts and Jobs Act.

Client expense: $1,460,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR), White House Office

Patient Protection and Affordable Care Act (P.L. 111-148) and Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); ACA reporting requirements; ERISA; tax treatment of employer-sponsored health coverage; employer-sponsored wellness programs; H.R. 173/S. 58 - ACA 40 percent excise tax repeal; H.R. 394/S. 85 - consumer directed health products/over-the-counter; H.R. 246 - HIT repeal; H.R. 1628 (FY17 reconciliation); COBRA; H.R. 3919/S. 1908 - Commonsense Reporting Act; HR 5138 - Bipartisan HSA Improvement Act; H.R. 6 - SUPPORT for Patients and Communities Act; H.R. 6301 - high deductible health plans with first dollar coverage; H.R. 6305 - Bipartisan HSA Improvement Act; H.R. 6312 - Personal Health Investment Today (PHIT) Act; H.R. 6199 - Restoring Access to Medication and Modernizing Health Savings Accounts Act; H.R. 4616 - temporary moratorium on the employer mandate and to provide for a delay of 40-percent excise tax; H.R. 3798 - Save American Workers Act; H.R. 6311 - Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act.

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

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), 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 Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Telecommunications & Information Administration (NTIA), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Transportation, Dept of (DOT), Treasury, Dept of, 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. 4575/S.2303, the Access to Independent Health Insurance Advisors Act; H.R. 173/S. 58 the Middle Class Americans' Health Plans Act; H.R. 372, the Competitive Health Insurance Reform Act of 2017; H.R. 1628, American Health Care Act of 2017; Issues related to the Federally-facilitated marketplaces;S. 191, the Patient Freedom Act of 2017; H.R. 1626, the Better Care Reconciliation Act of 2017; H.R. 3798, the Save American Workers Act of 2018; H.R.4616, the Employer Relief Act of 2018; Comments on the Cooperative Agreement to Support Navigators in Federally Facilitated Exchanges, Funding Opportunity Number: CA-NAV-18-001

Client expense: $90,632 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Risk Management Agency, SENATE, Treasury, Dept of

H.R. 35, the Health Savings Act would expand the use of Health Savings Accounts ( HSAs) to make them more flexible for law enforcement officers; H.R. 173/S. 58, the Middle Class Health Benefits Tax Repeal Act, would repeal a provision of the Patient Protection and Affordable Care Act that imposes a 40% Cadillac tax on health care plans most likely to be used by law enforcement and other public safety officers; H.R. 3032/S. 1879, the Mental Health Access Improvements Act, which would expand Medicare to include marriage and family therapist services; S. 1879, the Seniors Mental Health Access Improvements Act, which would expand Medicare to include marriage and family therapist services; Legislation to provide Federal law enforcement officers with a rebuttable presumption that a causal connection exists between their occupation and heart, lung, and hypertension disorders; and Legislation that would impose any tax, direct or indirect, on any employer-sponsored health coverage.

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

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, White House Office

HR 173/S 58 - Middle Class Health Benefits Tax Repeal Act of 2017: Lobbied in favor of the legislation which would repeal the Cadillac Tax on high cost health insurance plans. S 1354 - Individual Health Insurance Marketplace Improvement Act: Lobbied against using multi-employer health care plans as a "pay-for" for the legislation. HR 4666 - Temporary Reinsurance Tax - General lobbying against the re-imposition of a tax on self funded multi-employer health and welfare plans.

Client expense: $350,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1393 & S. 540 - Mobile Workforce State Income Tax Simplification Act of 2017 H.R. 7058/S. 3581 - Digital Goods and Services Tax Fairness Act of 2018 H.R. 173 & S. 58 - The Middle Class Health Benefits Tax Repeal Act of 2017 Corporate Interest Tax Deductions Corporate Tax Rates Dividend Taxation General tax issues International taxation regulation 40% Excise Tax on High Cost Health Insurance Plans State and Local Taxation of Digital Goods and Services State and Local Taxation of the Internet Expensing (Bonus) Depreciation Repatriation Tax Regulations

Client expense: $2,407,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

Issues related to P.L. 111-148, the Patient Protection and Affordable Care Act, and P.L. 111-152, the Health Care and Education Reconciliation Act. The high cost employer health insurance excise tax, including H.R. 173 and S. 58, the Middle Class Health Benefits Tax Repeal Act of 2017, H.R.5963, to delay the reimposition of the annual fee on health insurance providers until after 2020, regarding relief from the Health Insurance Tax.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to P.L. 111-148, the Patient Protection and Affordable Care Act, and P.L. 111-152, the Health Care and Education Reconciliation Act, including exchanges, cost sharing reduction, market reforms, and non-discrimination provisions. The high cost employer health insurance excise tax, including H.R. 173 and S. 58, the Middle Class Health Benefits Tax Repeal Act of 2017, and H.R. 4616, the Employer Relief Act of 2018, regarding a one-year delay of the Cadillac Tax. H.R. 4620, the Protecting Families and Small Businesses Act of 2017, regarding relief from the Health Insurance Tax. Substance use disorders and 42 CFR Part 2 - Confidentiality of Substance Use Disorder Patient Records, specifically H.R. 3545, H.R. 5795, and H.R.6082, the Overdose Prevention and Patient Safety Act (OPPS Act), H.R. 6, the SUPPORT for Patients and Communities Act, and S. 2680, the Opioid Crisis Response Act of 2018. Issues related to proposed changes to the definition of Employer Under Section 3(5) of ERISA for Association Health Plans. 21st Century Cures Act, section 4004, Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs, information blocking and interoperability.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Middle Class Health Benefits Tax Repeal Act, H.R. 173, S.58; Tax Cuts and Jobs Act, H.R.1; Senate Amendment to H.R.88 and S.2526;

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

Government targets: Commerce, Dept of (DOC), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, Transportation Security Administration (TSA), Transportation, Dept of (DOT)

Issues related to P.L. 111-148, the Patient Protection and Affordable Care Act and P.L. 111-152, the Health Care and Education Reconciliation Act. The high cost employer health insurance excise tax, including H.R. 173 and S. 58, the Middle Class Health Benefits Tax Repeal Act of 2017. H.R.5963, To delay the reimposition of the annual fee on health insurance providers until after 2020, regarding relief from the Health Insurance Tax. Issues related to the implementation of international tax provisions under P.L. 115-97, the Tax Cuts and Jobs Act. H.R. 88, A bill to change the boundaries of Shiloh National Park in Tennessee and issues related to the HIT and Cadillac tax.

Client expense: $2,360,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR), White House Office

Issues relating to P.L. 111-148, the Patient Protection and Affordable Care Act and P.L. 111-152, the Health Care and Education Reconciliation Act, including exchanges, cost sharing reduction, market reforms, and non-discrimination provisions. The high cost employer health insurance excise tax, including H.R. 173 and S. 58, the Middle Class Health Benefits Tax Repeal Act of 2017, and H.R. 4616, the Employer Relief Act of 2018, regarding a one-year delay of the Cadillac Tax. H.R. 4620, the the Protecting Families and Small Businesses Act of 2017, regarding relief from the Health Insurance Tax. Substance use disorders and 42 CFR Part 2 - Confidentiality of Substance Use Disorder Patient Records, specifically H.R. 3545, H.R. 5795, and H.R.6082, the Overdose Prevention and Patient Safety Act (OPPS Act), H.R. 6, the SUPPORT for Patients and Communities Act and S. 2680, the Opioid Crisis Response Act of 2018. Issues related to proposed changes to the definition of Employer Under Section 3(5) of ERISA for Association Health Plans. 21st Century Cures Act, section 4004, Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs, information blocking and interoperability.

Client expense: $2,360,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR), White House Office

H.R. 4575/S.2303, the Access to Independent Health Insurance Advisors Act; H.R. 173/S. 58 the Middle Class Americans' Health Plans Act; H.R. 372, the Competitive Health Insurance Reform Act of 2017; H.R. 1628, American Health Care Act of 2017; Issues related to the Federally-facilitated marketplaces;S. 191, the Patient Freedom Act of 2017; H.R. 1626, the Better Care Reconciliation Act of 2017; H.R. 3798, the Save American Workers Act of 2018; H.R.4616, the Employer Relief Act of 2018; Comments on the Cooperative Agreement to Support Navigators in Federally Facilitated Exchanges, Funding Opportunity Number: CA-NAV-18-001

Client expense: $90,632 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Risk Management Agency, SENATE, Treasury, Dept of

Small Business Health Fairness Act (H.R.1101) Obamacare Replacement Act (H.R.1072/S.222) American Health Care Act of 2017/Better Care Reconciliation Act of 2017 (H.R.1628) Healthcare Tax Relief Act (S.1859) Middle Class Health Benefits Tax Repeal Act of 2017 (H.R.173, S.40, S.58) Providing for consideration of the bill (H.R. 1101) to amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees (H.Res.210) Tax Cuts and Jobs Act (H.R.1, also a TAX issue) Executive Order 13813, Promoting Healthcare Choice and Competition Across the United States RIN 1210-AB85; Definition of Employer under Section 3(5) of ERISA-Association Health Plans Continuing Appropriations Amendments Act, 2018 (H.R.1301) (Also TAX & BUD Issue)

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

Government targets: Bureau of Labor Statistics (BLS), Education, Dept of, General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE, Small Business Administration (SBA), White House Office

Patient Protection and Affordable Care Act (P.L. 111-148) and Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); ACA reporting requirements; ERISA; tax treatment of employer-sponsored health coverage; employer-sponsored wellness programs; H.R. 173/S. 58 - ACA 40 percent excise tax repeal; H.R. 394/S. 85 - consumer directed health products/over-the-counter; H.R. 246 - HIT repeal; H.R. 1628 (FY17 reconciliation); COBRA; H.R. 3919/S. 1908 - Commonsense Reporting Act; HR 5138 - Bipartisan HSA Improvement Act; H.R. 6 - SUPPORT for Patients and Communities Act; H.R. 6301 - high deductible health plans with first dollar coverage; H.R. 6305 - Bipartisan HSA Improvement Act; H.R. 6312 - Personal Health Investment Today (PHIT) Act; H.R. 6199 - Restoring Access to Medication and Modernizing Health Savings Accounts Act; H.R. 4616 - temporary moratorium on the employer mandate and to provide for a delay of 40-percent excise tax; H.R. 3798 - Save American Workers Act; H.R. 6311 - Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act.

Client expense: $710,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), 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 Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Telecommunications & Information Administration (NTIA), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Transportation, Dept of (DOT), Treasury, Dept of, 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

S.58/H.R. 173 - Middle Class Health Benefits Tax Repeal Act of 2017. This bill 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. 1101 - Small Business Health Fairness Act of 2017. This bill amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for the establishment and governance of association health plans (AHPs), which are group health plans sponsored by business associations.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Employer Mandate Repeal;Commonsense Reporting Act of 2017, H.R. 3919, S. 1908; HR 173/S. 58, Middle Class Health Benefits Tax Repeal Act; HR 1101, Small Business Healthcare Relief Act; HR 246, Health Insurance; HR 1628, American Health Care Act of 2017, Tax Exclusion; Better Care Reconciliation Act; S. 1859; Bipartisan HSA Improvement Act; HR 5138 Association Health Plans; STARS Act, H.R. 3956, S. 2670

Client expense: $171,955 · Firm income: Not reported

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

Loan Repayment for Substance Use Disorder Workforce Mental Health and Substance use treatment workers S 2700, HR 5545- Improving access to substance use disorder treatment, and treatment for those with dual diagnosis S 1905, HR 3931- Supporting Certified Community Behavioral Health Care Centers HR 7141- Workplace Violence Prevention for Health Care and Social Service Workers Improving Mental Health Parity Federal income tax exclusion for employer-sponsored health care HR 173, S 58- Middle Class Health Benefits Tax Repeal Act, 40% tax on employer-sponsored high-cost health benefits HR 184, S 108- Protect Medical Innovation Act of 2018, Medical Device Access and Innovation Protection Act Puerto Rico Medicaid Funding, parity with states

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

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

40% Tax on Health Benefits. H.R. 173 and S. 58 - Middle Class Health Benefits Tax Repeal Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

40% Tax on Health Benefits. H.R. 173 and S. 58 - Middle Class Health Benefits Tax Repeal Act - taxation of employer-provided health benefits

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

S.58-Middle Class Health Benefits Tax Repeal Act of 2017 H.R. 173-Middle Class Health Benefits Tax Repeal Act of 2017 Lobbying against any efforts to establish a reinsurance tax on union-employer health care trusts

Client expense: Not reported · Firm income: $75,000

Government targets: AMTRAK - Natl Railroad Passenger Corporation, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Mediation Board, Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR)

Taxation of employer-provided health care - H.R. 173, S. 58, Health care cost containment

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Care Act, all provisions and related regulations, including repeal of ACA 40% excise tax; ACA Reporting (IRC 6055 and 6056); Employer mandate; wellness issues; out-of-pocket (OOP) limits related to cost sharing, nondiscrimination, 1332 waivers, Health Insurance Tax ADA and GINA (in conjunction with employer-based wellness programs), H.R. 1313 - Preserving Employee Wellness Programs Act HIPAA compliance, Privacy, Claims data and all payers claims databases Mental Health Parity, Substance use disorders, Opiods mitigation Tax Treatment of Employer-Sponsored Health Insurance, H.R. 173 / S. 58 - Middle Class Health Benefits Tax Repeal Act of 2017, Continuing resolutions with health tax provisions, H.R. 3798 - Save American Workers Act Prescription Drug Costs, Pharmacy gag clauses, Rebates & Point-of-Sale requirements, Biosimilars Value-Driven Care in Public and Private Coverage, Patient Safety Medicare Advantage, Medicare Secondary Payer, Kidney dialysis, End Stage Renal Disease (ESRD) COBRA, Retiree health HSAs, including S. 403 - Health Savings Act of 2017, H.R. 5138 the Bipartisan HSA Improvement Act, H.R. 365 the Primary Care Enhancement Act, HSA limit changes, H.R. 6199 the Restoring Access to Medication & Modernizing HSA Act ERISA Preemption, Balance and Surprise billing, State mandates & assessments

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Council of Economic Advisers (CEA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of

H.R. 6, Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act H.R. 35, Health Savings Act of 2017 H.R. 143, Health Insurance Industry Antitrust Enforcement Act of 2017 H.R. 173/S. 40/S. 58, Middle Class Health Benefits Tax Repeal Act of 2017 H.R. 184, Protect Medical Innovation Act of 2017 H.R. 195, Making further continuing appropriations for the fiscal year ending September 30, 2018, and for other purposes H.R. 246, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act H.R. 394/S. 85, Restoring Access to Medication Act of 2017 H.R. 620, ADA Education and Reform Act of 2017 H.R. 849/S. 260, Protecting Seniors Access to Medicare Act H.R. 1101, Small Business Health Fairness Act of 2017 H.R. 1175/S. 403, Health Savings Act of 2017 H.R. 1215, Protecting Access to Care Act of 2017 H.R. 1313, Preserving Employee Wellness Programs Act H.R. 1625, Consolidated Appropriations Act, 2018 H.R. 1892, Bipartisan Budget Act of 2018 H.R. 3331, To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology H.R. 3798, Save American Workers Act of 2017 H.R. 4284, Indexing Narcotics, Fentanyl, and Opioids (INFO) Act of 2018 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. 4617, To amend the Internal Revenue Code of 1986 to provide for a temporary moratorium on the medical device excise tax H.R. 4618, To amend the Internal Revenue Code of 1986 to provide for a temporary moratorium on certain taxes affecting purchases of prescription medication H.R. 4619, To amend the Patient Protection and Affordable Care Act to provide temporary relief from the annual fee imposed on health insurance providers, to the extent that such fee is due to Puerto Rican health insurance H.R. 4620, Protecting Families and Small Businesses Act of 2017 H.R. 4978/S. 2410, Chronic Disease Management Act of 2018 H.R. 5009, Jessies Law H.R. 5041, Safe Disposal of Unused Medication Act H.R. 5138, Bipartisan HSA Improvement Act of 2018 H.R. 5272, To provide additional guidance to grantees seeking funding to treat or prevent mental health or substance use disorders H.R. 5582, Abuse Deterrent Access Act of 2018 H.R. 5788, Synthetics Trafficking and Overdose Prevention (STOP) Act of 2018 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. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 H.R. 6311, Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act of 2018 S. 108, Medical Device Access and Innovation Protection Act S. 191, Patient Freedom Act of 2017 S. 222, Obamacare Replacement Act S. 251, Protecting Medicare from Executive Action Act of 2017 S. 974, Creating and Restoring Equal Access To Equivalent Samples (CREATES) Act of 2017 S. 1835, Lower Premiums Through Reinsurance Act of 2017 S. 1850, Protecting Jessica Grubb's Legacy Act S. 1859, Healthcare Tax Relief Act S. 1978, Small Business and Family Health Tax Relief Act of 2017 S. 2004, Combating the Opioid Epidemic Act S. 2164, To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings S. 3057, Synthetics Trafficking and Overdose Prevention (STOP) Act of 2018 Draft legislation to stabilize individual market premiums for the 2018 and 2019 plan years and provide meaningful State flexibility (Alexander-Murray) Proposed regulation on health reimbursement arrangements and other account-based group health plans (83 Fed. Reg. 54,420-54,477, October 29, 2018) Final Regulation, definition of employer under Section 3(5) of ERISA - association health plans (83 Fed. Reg. 28912-28964, June 21, 2018) Various issues relating to 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 account (HSAs), health reimbursement account (HRAs), and flexible spending account (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, the Cost Sharing Reduction (CSR) program, the section 9010 Health Insurance Providers Fee or Health Insurance Tax (HIT), 40% excise tax on high-cost employer-sponsored health coverage (Cadillac tax); medical device tax; protect Medicare Part D's Non-Interference Clause from repeal 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; association health plans; importation of foreign pharmaceuticals into the United States and preemptive authority of federal food and drug regulations; Executive Order 13813, Promoting Healthcare Choice and Competition; addressing the opioids crisis, including end-stage renal disease; balance or surprise billing; single-payer health care options; aligning 42 CFR Part 2 with the Health Insurance Portability and Accountability Act (P.L. 104-191) for the purposes of treatment, payment, and health car operation (TPO); inclusion of prescription drug pricing on 2019 congressional agenda; general advocacy for Congress to reach a working quorum for the board of the Export-Import Bank; section 301 of the Trade Act of 1974; U.N. Convention on the Assignment of Receivables in Int'l Trade

Client expense: $15,950,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Consumer Financial Protection Bureau (CFPB), 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 Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Energy Regulatory Commission (FERC), 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 Labor Relations Board (NLRB), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Office of the Comptroller of the Currency (OCC), Office of the Vice President of the United States, Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Social Security Administration (SSA), 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. Trade Representative (USTR), White House Office

Affordable Care Act, all provisions and related regulations, including repeal of ACA 40% excise tax; ACA Reporting (IRC 6055 and 6056); Employer mandate; wellness issues; out-of-pocket (OOP) limits related to cost sharing, nondiscrimination, 1332 waivers, Health Insurance Tax ADA and GINA (in conjunction with employer-based wellness programs, H.R. 1313 - Preserving Employee Wellness Programs Act HIPAA compliance, Privacy, Claims data and all payers claims databases Mental Health Parity, Substance use disorders, Opiods mitigation Tax Treatment of Employer-Sponsored Health Insurance, H.R. 173 / S. 58 - Middle Class Health Benefits Tax Repeal Act of 2017, Continuing resolutions with health tax provisions, H.R. 3798 - Save American Workers Act Prescription Drug Costs, Pharmacy gag clauses, Rebates & Point-of-Sale requirements, Biosimilars Value-Driven Care in Public and Private Coverage, Patient Safety Medicare Advantage, Medicare Secondary Payer, Kidney dialysis, End Stage Renal Disease (ESRD) COBRA, Retiree health HSAs, including S. 403 - Health Savings Act of 2017, H.R. 5138 the Bipartisan HSA Improvement Act, and H.R. 365 the Primary Care Enhancement Act HSA limit changes, H.R. 6199 the Restoring Access to Medication & Modernizing HSA Act ERISA Preemption, Balance and Surprise billing, State mandates & assessments

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Council of Economic Advisers (CEA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of

Legislative Opioids Crisis Response Act - S. 2680/H.R. 6 Health Care Reform - ongoing legislative and regulatory implementation of the Patient Protection and Affordable Care Act (ACA), Cadillac tax on health benefits Continuing Appropriations Act of 2018 - H.J. Res. 125 - two year delay of the Cadillac Tax Middle Class Health Benefits Tax Repeal Act of 2017 - S. 58/H.R. 173 Health Savings Act of 2017 - S. 403/H.R. 1175 Creating High Quality-Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act - S. 870 Save American Workers Act - H.R. 3798 Chronic Disease Management Act of 2018 - S. 2410/H.R. 4978 Broader Options for Americans Act - H.R. 2579 Commonsense Reporting Act of 2017 - S. 1908/H.R. 3919 Workflex in the 21st Century Act - H.R. 4219 ACA Relief Legislation - H.R. 4616 Bipartisan HSA Improvements Act of 2018 - H.R. 5138 HSA Employer Flexibility Act - H.R. 6128 Restoring Access to Medication and Modernizing Health Savings Accounts Act - S. 6199 Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act - H.R. 6311 Patient Right to Know Drug Prices Act - S. 2554 Paid Family Leave Pilot Extension Act of 2018 - S. 3412 Reducing Costs for Out-of-Network Service Act of 2018 - S. 3541 No More Surprise Medical Bills Act of 2018 - S. 3592 Retirement, Savings, and Other Tax Relief Act of 2018 Protecting Patients from Surprise Medical Bills Act - Legislative Discussion Draft The Bipartisan Budget Act of 2018 Consolidated Appropriations Act of 2018 Fiscal Year 2019 budget proposal - provisions affecting employer-sponsored benefits Cost transparency and out-of-network billing Regulatory and Other Cost transparency Association Health Plans (AHPs) Health Reimbursement Accounts (HRAs) - Proposed regulations to use HRAs to purchase health insurance on the individual markets High Deductible Health Plans (HDHPs) Health Savings Accounts (HSAs) Department of Health & Human Services - Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs Federal disaster tax, filing and reporting relief for employers and individuals Presidential Executive Order: Reducing Regulation and Controlling Regulatory Cost Presidential Executive Order: Minimizing the Economic Burden of the Patient Protection and Affordable Care Act Pending Repeal Presidential Executive Order Promoting Healthcare Choice and Competition Across the United States - STLDI Employer wellness programs - nondiscrimination rules: Americans with Disabilities ACT (ADA) & Genetic Information Nondiscrimination Act (GINA) - Final regulations Medicare Advantage Program State health care requirements affecting self-insured plans FAQs - proposed guidance regarding implementation the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) - as amended by the Affordable Care Act (ACA) and the 21st Century Cures Act Electronic communication and disclosure of benefits information Paid leave proposals and issues

Client expense: $286,066 · 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), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, White House Office

S. 58, Middle Class Health Benefits Tax Repeal Act H.R. 173, Middle Class Health Benefits Tax Repeal Act

Client expense: $180,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Defense Logistics Agency, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

Legislative and regulatory issues including: Health care reform Implementation of the Affordable Care Act -- PL 111-148 Bipartisan Budget Act of 2018 -- H.R. 1892/PL 115-123 Middle Class Health Benefits Tax Repeal Act of 2017 - S. 58/H.R. 173 Save American Workers Act -- H.R. 3798 Restoring Access to Medication and Modernizing Health Savings Accounts Act (H.R. 6199) Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act (H.R. 6311) Health Savings Act of 2017 - S. 403/H.R. 1175 Chronic Disease Management Act - S. 2410/H.R. 4978 Bipartisan HSA Improvement Act of 2018 - H.R. 5138/H.R. 6305 Mental Health Parity H.R. 6301, to provide high deductible health plans with first dollar coverage flexibility H.R. 6317, to provide that direct primary care service arrangements do not disqualify deductible health savings account contributions H.R. 6309, to allow individuals entitled to Medicare Part A by reason of being over age 65 to contribute to health savings accounts H.R. 6306, to increase the contribution limitation for health savings accounts, and for other purposes H.R. 4616, 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. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act S. 2554, the Patient Right to Know Drug Prices Act S. 2553, the Know the Lowest Price Act HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs, RIN 0991-ZA49

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), SENATE, Treasury, Dept of

Legislative and regulatory issues including: Health care reform Implementation of the Affordable Care Act -- PL 111-148 Bipartisan Budget Act of 2018 -- H.R. 1892/PL 115-123 Middle Class Health Benefits Tax Repeal Act of 2017 - S. 58/H.R. 173 Save American Workers Act -- H.R. 3798 Restoring Access to Medication and Modernizing Health Savings Accounts Act (H.R. 6199) Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act (H.R. 6311) Health Savings Act of 2017 - S. 403/H.R. 1175 Chronic Disease Management Act - S. 2410/H.R. 4978 Bipartisan HSA Improvement Act of 2018 - H.R. 5138/H.R. 6305 Mental Health Parity H.R. 6301, to provide high deductible health plans with first dollar coverage flexibility H.R. 6317, to provide that direct primary care service arrangements do not disqualify deductible health savings account contributions H.R. 6309, to allow individuals entitled to Medicare Part A by reason of being over age 65 to contribute to health savings accounts H.R. 6306, to increase the contribution limitation for health savings accounts, and for other purposes H.R. 4616, 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. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act S. 2554, the Patient Right to Know Drug Prices Act S. 2553, the Know the Lowest Price Act HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs, RIN 0991-ZA49

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), SENATE, Treasury, Dept of

Health care reform and tax reform issues related to the taxation of employer-provided health benefits, including the 40% tax on health benefits. Middle Class Health Benefits Tax Repeal Act of 2017 - S. 58/H.R. 173 Save American Workers Act -- H.R. 3798 H.R. 4616, 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

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Natl Economic Council (NEC), SENATE, Treasury, Dept of

Health care reform and tax reform issues related to the taxation of employer-provided health benefits, including the 40% tax on health benefits. Middle Class Health Benefits Tax Repeal Act of 2017 - S. 58/H.R. 173 Save American Workers Act -- H.R. 3798 H.R. 4616, 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

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Natl Economic Council (NEC), SENATE, Treasury, Dept of

H.R 4894, The Harmful Tax Prevention Act. Monitored the implementation of The Tax Cut and Jobs Act, P.L. 115-97, as it relates to corporate tax issues, the taxation of multinational corporations and life insurance; S.58 / H.R. 173, Middle Class Health Benefits Tax Repeal Act of 2017. H.R. 4620, Protecting Families and Small Businesses Act of 2017, regarding relief from the Health Insurance Tax. H.R. 4616, the Employer Relief Act, regarding a one-year delay of the Cadillac tax; H.R. 88, A bill to change the boundaries of Shiloh National Park in Tennessee and issues related to the HIT and Cadillac tax.

Client expense: Not reported · Firm income: $60,750

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

The association monitors and reacts to policy concepts that may impact its ability to continue providing its high quality Group Health Plan to members, their employees, and the association staff at affordable rates and on reasonable terms and conditions. During the reporting period, the association focused on the following: S. 58 - Middle Class Health Benefits Tax Repeal Act of 2017 - all sections. H.R. 173 - Middle Class Health Benefits Tax Repeal Act of 2017 - all sections. Senate Amendment to H.R. 88 - sections 301 - 303.

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

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

-H.R. 173/S.58: Middle Class Health Benefits Tax Repeal Act of 2017 -Cap on tax exclusion for employer-based health insurance -Prescription Drugs: Prices -S. 3120: HEAL Act of 2018 (provisions related to expanded funding for opioid treatment and -H.R. 184: Protect Medical Innovation Act of 2018: provisions related to expanding funding for opioid treatment & prevention services -H.R. 3798: Save American Workers Act of 2017: Provisions related to modifying the ACA shared responsibility requirements -NAFTA: Two provisions affecting Prescription Drug Prices -H.R. 1902: Social Security 2100 Act: benefits expansion -Retiree Healthcare-IRC Code Section 420 Transfer -S. 3775: Affordable Drug Manufacturing Act of 2018

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, U.S. Trade Representative (USTR)

H.R. 1 - Tax Cuts and Jobs Act (Reduces ACA individual mandate penalty.) H.R. 6 - Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (Employer-sponsored plan Medicare secondary payer rules.) H.R. 1313 - The Preserving Employee Wellness Programs Act (Clarification of wellness programs.) H.R. 3798 - Save American Workers Act (Amends the ACA definition of full-time.) H.R. 5138 - Bipartisan HSA Improvement Act of 2018 (Expands the use of Health Savings Accounts.) H.R. 6128- HSA Employer Flexibility Act (Expansion of HSAs to include on-site employee clinics, retail clinics & telehealth services.) H.R. 173 and S. 58 - The Middle-Class Health Benefits Tax Repeal Act (Repeals the health care excise tax.) H.R. 3919 and S. 1908 - Commonsense Reporting Act (Clarifies the ACA employer reporting requirements.) H.R. 4978 / S. 2410 - Chronic Disease Management Act of 2018 (Expands HSA to provide care for chronic conditions with no deductible.) H.R. 6301 - Promoting High-Value Health Care Through Flexibility for High Deductible Health Plans Act (Expands the use of Health Savings Accounts.) H.R. 6305 - Bipartisan HSA Improvement Act (Expands the use of Health Savings Accounts.) H.R.6199 - Restoring Access to Medication Act (Expands the use of Flexible Spending Arrangements and Health Savings Accounts.) H.R. 6312- Personal Health Investment Today (PHIT) Act (Expands the use of Health Savings Accounts.) H.R. 4616 - Employer Relief Act (Repeals employer mandate penalty.) H.R. 6311 - Premium Plans and Expanding Health Savings Accounts Act (Expands the use of Health Savings Accounts.) H.J. Res 125 The Extension of Continuing Appropriations Act (Delayed the Cadillac Tax until 2022.) S. 1782 - Forty Hours is Full-Time Act (Amends the ACA definition of full-time.) Association Health Plans (DOL) Health Care Reform - White House ACA Employer Reporting Requirements - Treasury Department

Client expense: $445,840 · Firm income: Not reported

Government targets: Equal Employment Opportunity Commission (EEOC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE, Small Business Administration (SBA), Treasury, Dept of, White House Office

The high cost employer health insurance excise tax, including H.R. 173 and S. 58, the Middle Class Health Benefits Tax Repeal Act of 2017, and H.R. 4616, the Employer Relief Act of 2018, regarding a one-year delay of the Cadillac Tax. H.R. 4620, the Protecting Families and Small Businesses Act of 2017, regarding relief from the Health Insurance Tax.

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

HR 1393/S 540- Mobile Workforce State Income Tax Simplification Act HR 173/S. 58 - Middle Class Health Benefits Tax Repeal Act HR 615 - Student Loan Repayment Act HR 108 - Student Loan Repayment Assistance Act HR 283 - Student Debt Repayment Fairness Act HR 795/S. 796 - Employer Participation in Student Loan Assistance Act HR 10 - Financial CHOICE Act S 2007 - Upward Mobility Enhancement Act

Client expense: Not reported · Firm income: Not reported

Government targets: Equal Employment Opportunity Commission (EEOC), 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)

Employer Mandate Repeal;Commonsense Reporting Act of 2017, H.R. 3919, S. 1908; HR 173/S. 58, Middle Class Health Benefits Tax Repeal Act; HR 1101, Small Business Healthcare Relief Act; HR 246, Health Insurance; HR 1628, American Health Care Act of 2017, Tax Exclusion; Better Care Reconciliation Act; S. 1859; Bipartisan HSA Improvement Act; HR 5138 Association Health Plans; STARS Act, H.R. 3956, S. 2670

Client expense: $171,955 · Firm income: Not reported

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

Support Middle Class Health Benefits Tax Repeal H.R. 173 & S. 58 Support Medicare-for-All S. 1804 & H.R. 676 Support Sensible Solutions to Opioid Epidemic (No Bill Number)

Client expense: $445,000 · Firm income: Not reported

Government targets: AMTRAK - Natl Railroad Passenger Corporation, HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR), White House Office

Affordable Care Act, all provisions; HR1101 - Small Business Health Fairness Act, all provisions; HR173/S58 - Middle Class Health Benefits Tax Repeal Act, all provisions; H.R. 246 Jobs and Premium Protection Act; S.1859 - Healthcare Tax Relief Act; S.1978 - Small Business and Family Health Tax Relief Act; HR 4616 - Cadillac Tax; Employer Mandate Delay; H.R.4620 - Protecting Families and Small Businesses Act; HR4200/S.2052 - Healthcare Market Certainty and Mandate Relief Act; S. 1996/HR 2919 Commonsense Reporting Act; Cadillac Tax; ERISA; Opioids Legislation - mental health parity enforcement. HR 5138, Bipartisan HSA Improvement Act, all provisions. DOL rule on Association Health Plans; surprise billing. H.R.6 - Support for Patients and Communities Act, Mental health parity; ESRD HR 6301 - All Provisions HR 6317 - All Provisions HR 6305 - All Provisions, Bipartisan HSA Improvement Act HR 6312 - All Provisions, PHIT Act HR 6309 - All Provisions HR 6199 - All Provisions HR 6306 - All Provisions HR 6313 - All Provisions, Responsible Additions And Increases To Sustain Employee Health Benefits HR 6314 - All Provisions, Health Savings Act HR 6311 - All Provisions HR 3919 - All Provisions, Commonsense Reporting Act S.1908 - Commonsense Reporting Act H.R. 3798-Save American Workers Act - all provisions

Client expense: $2,540,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, White House Office

H.R. 173/S. 58 - Middle Class Health Benefits Tax Repeal Act of 2017 H.R. 1175/S. 403 - Health Savings Act of 2017. Excise Tax

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

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

HR 173 & S 58 - Middle Class Health Benefits Tax Repeal Act (all provisions) Tax Reform (generally) Implementation of Section 199 for the IRS Code, as amended by Public Law 115-97 HR 6760 - The Protecting Family and Small Business Tax Cuts Act (all provisions) HR 6757 - The Family Savings Act (all provisions) HR 6756 - The American Innovation Act (all provisions)

Client expense: $230,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Farm Credit Administration, Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Housing Finance Agency (FHFA), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Natl Economic Council (NEC), Office of Management & Budget (OMB), Office of the Comptroller of the Currency (OCC), SENATE, Treasury, Dept of