Chronic Disease Management Act of 2019

Health Savings Account issues Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Executive Order on Protecting and Improving Medicare for Our Nations Seniors S. 3439, the Lower Health Insurance Deductibles Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, the Heroes Act H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation) H.R. 133, the Consolidated Appropriations Act

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

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

Health Savings Account issues Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Executive Order on Protecting and Improving Medicare for Our Nations Seniors S. 3439, the Lower Health Insurance Deductibles Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, the Heroes Act H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation) H.R. 133, the Consolidated Appropriations Act

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

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

Legislative and regulatory issues including: improvements to Health Savings Accounts coupled with high deductible health plans, Medicare and Medicare Advantage, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation) H.R. 133, the Consolidated Appropriations Act

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Economic Council (NEC), SENATE, Treasury, Dept of

Legislative and regulatory issues including: improvements to Health Savings Accounts coupled with high deductible health plans, Medicare and Medicare Advantage, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation) H.R. 133, the Consolidated Appropriations Act

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Economic Council (NEC), SENATE, Treasury, Dept of

Legislative and regulatory issues including: improvements to Health Savings Accounts coupled with high deductible health plans, Medicare and Medicare Advantage, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation) H.R. 133, the Consolidated Appropriations Act

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), 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 Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 S. 1895, the Lower Health Care Cost Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes H.R. 3502, Protecting People From Surprise Medical Bills Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc. Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act H.R. 5825, the Transparency in Health Care Investments Act of 2020 H.R. 5800, Ban Surprise Billing Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 6810, Health Care Protection Act S. 4329, the Continuous Health Coverage for Workers Act S. 4714, A bill to preserve health benefits for workers H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation) H.R. 133, the Consolidated Appropriations Act

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

Government targets: Council of Economic Advisers (CEA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), 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 Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 S. 1895, the Lower Health Care Cost Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes H.R. 3502, Protecting People From Surprise Medical Bills Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc. Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act H.R. 5825, the Transparency in Health Care Investments Act of 2020 H.R. 5800, Ban Surprise Billing Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 6810, Health Care Protection Act S. 4329, the Continuous Health Coverage for Workers Act S. 4714, A bill to preserve health benefits for workers H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation) H.R. 133, the Consolidated Appropriations Act

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

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

H.R. 457, Health Savings Account Act H.R. 603, Heath Savings Account Expansion Act H.R. 748, Middle Class Health Benefits Tax Repeal Act of 2019 H.R. 908, Stop Penalizing Work Seniors Act Green Amendment to H.R. 1500, Consumers First Act H.R. 1679, PHIT Act of 2019 H.R. 1922, Restoring Access to Medication Act of 2019 S. 1948 / H.R. 3709, Chronic Disease Management Act of 2019 H.R. 2108, Retirement Freedom Act H.R. 2163, Freedom for Families Act H.R. 2177, Faith in Health Savings Act of 2019 H.R. 3708, Primary Care Enhancement Act of 2019 H.R. 3796, Health Savings for Senior Act H.R. 3594, Healthcare Freedom Act H.R. 4130, Keeping HSAs Accessible Act of 2019 H.R. 4530, Native American Health Savings Improvement Act H.R. 5050, Veterans and Consumers Fair Credit Act H.R. 5332, the Protecting Your Credit Score Act of 2019 S. 12, Health Savings Act of 2019 S. 680, PHIT Act of 2019 S. 684, Middle Class Health Benefits Tax Repeal Act of 2019 S. 1030, Retirement Freedom Act S. 1089, Restoring Access to Medication Act S. 2440, Qualified Health Savings Account Distribution Act of 2019 S. 2441, Health Savings Account Expansion Act of 2019 S. 3112, Personalized Care Act of 2019 S. 3439, Lower Health Insurance Deductibles Act S. 3546/ H.R. 6338, Pandemic Healthcare Access Act S. 4039, To amend the Internal Revenue Code of 1986 to make permanent the permissible first-dollar coverage of telehealth services for purposes of health savings accounts. H.R. 5566, Patient Fairness Act of 2020 Sections 1776 and 1812 of H.R. 6395, William M. (Mac) Thornberry National Defense Authorization Act for Fiscal Year 2021 H.R. 8478, Online Accessibility Act

Client expense: $2,940,000 · Firm income: Not reported

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

Legislative Consolidated Appropriations Act 2021 - H.R. 133 (Public Law 116-260) - employer-sponsored health, paid leave and other benefit plans (flexible spending arrangements, surprise billing, transparency, mental health parity) Coronavirus COVID-19 Pandemic Response - employer-sponsored health, paid leave and other benefit plans (Testing, COBRA subsidies, vaccines, risk corridors, health savings accounts, telehealth, on-site clinics, and high-deductible health plans, primary care) The Worker Health Coverage Protection Act (COBRA subsidies) Health, Economic Assistance, Liability Protection and Schools (HEALS) Act Lower Prescription Drug Costs Now Act - H.R. 3 Prescription Drug Rebates & Costs Bill - S. 657 Prescription Drug Pricing Reduction Act - S. 2543 Health care cost and transparency, drug pricing Know the Price Act - H.R. 6005 Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act - H.R. 6800 The Heroes Act - revised pandemic relief and economic stimulus package (House Democratic Leadership) Ban Surprise Billing Act - H.R. 5800 Consumer Protections Against Surprise Medical Bills Act - H.R. 5826 The STOP Surprise Medical Bills Act - S. 1531 Protecting People from Surprise Medical Bills Act - H.R. 3502 No Surprises Act - H.R 3630 End Surprise Medical Billing Act - H.R. 861 Telehealth Expansion Act - S. 3539 Health Care at Home Act - H.R. 6644/S. 3741) Reauthorizing and Extending Americas Community Health (REACH) Act - H.R. 2328 Lower Health Care Costs Act - S. 1895 Paid Family Leave Pilot Extension Act - S. 1628 New Parents Act - S. 920 Family and Medical Insurance Leave (FAMILY) Act - S.463/H.R. 1185 Chronic Disease Management Act - S.1948/H.R. 3709 Dependent Care Flexible Spending Accounts (FSAs) Health Flexible Spending Accounts (FSAs) Regulatory and Other Coronavirus COVID-19 Pandemic Response - including proposed and final guidance affecting employer-sponsored health, paid leave and other benefit plans (Cost-sharing, testing, telehealth, COBRA Subsidies, Cafeteria plans and other group health plan time frames, health flexible spending arrangements and dependent care flexible spending arrangements, and vaccines) Departments of Health and Human Services (HHS), Labor & Treasury - interim final regulations regarding group health plan coverage of COVID-19 vaccines Guidance implementing the Consolidated Appropriations Act of 2021 Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) - proposed annual Medicare regulation governing certain hospital payment and reporting rules Department of Labor - Proposed update to Mental Health Parity Self-Compliance Tool Executive Orders on Drug Prices and Prescription Drug Rebates - Department of Health and Human Services (HHS) - final regulations addressing prescription drug rebates under the Medicare Part D program and interim final regulations regarding most favored nations drug price requirements Multi-Part Executive Order - An America-First Healthcare Plan - surprise billing, preexisting conditions Executive Order - Improving Price and Quality Transparency in American Healthcare to Put Patients First Departments of Treasury, Labor and HHS - Final Price Transparency Rule ERISA uniformity Department of Treasury and Internal Revenue Service - request for extension of COVID-19 relief related to Health and Dependent Care Flexible Spending Arrangements (FSAs) Health Reimbursement Arrangements (HRAs) - application of employer mandate to individual coverage HRAs - Proposed Rule High Deductible Health Plans (HDHPs) Health Savings Accounts (HSAs) State health care requirements affecting self-insured plans Department of Labor (DOL) - Request for Information (RFI) on paid leave Patient Protection and Affordable Care Act (ACA) - reporting requirements Departments of Treasury, IRS and HHS - Grandfathered group health plans - final regulations Department of Treasury and IRS - proposed regulations -direct primary care arrangements Telehealth Voluntary Employees Beneficiary Association plans Equal Employment Opportunity Commission (EEOC) - Wellness plans proposed rules Regulations and guidance regarding Administration procedures for issuing guidance

Client expense: $253,639 · Firm income: Not reported

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

S. 1948, H.R. 3709 -- Chronic Disease Management Act of 2019 Issues in the House of Representatives related to amending the Internal Revenue Code, with respect to health savings accounts (HSAs), to allow the high deductible health plans required for an HSA to provide care for chronic conditions with no deductible - discussions outside the scope of S. 1948 and H.R. 3709.

Client expense: $70,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medication affordability and access; general diabetes prevention; S 1948/HR 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act

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

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

H.R. 748 - CARES Act - Courtney - COVID-19 coverage H.R. 1418 - Competitive Health Insurance Reform Act of 2020 - DeFazio - antitrust laws, health insurance H.R. 3630 - No Surprises Act - Pallone - surprise medical billing H.R. 3784 - Air Ambulance Affordability Act of 2019 - Neguse - air ambulances H.R. 4223 - Protecting Patients from Surprise Medical Bills Act - Spano - surprise medical billing H.R. 5121 - Healthcare Cost Transparency Act - Beyer - provider price comparison tool H.R. 5239 - Prescription Drug Price Reporting Act - Joyce - reporting on drug expenditures and price changes under group health plans H.R. 5575 - Primary and Behavioral Health Care Access Act of 2020 -Underwood - coverage of primary care and behavioral health visits H.R. 6005 - Know the Price Act - Malinowski - health plan transparency H.R. 6173 - Covering Coronavirus Test Act of 2020 - DeGette - COVID-19 testing coverage H.R. 6193 - Medication Access in Emergencies Act of 2020 - Pappas - coverage of prescription drugs during emergency periods H.R. 6201 - Families First Coronavirus Response Act - Lowey - includes several provisions related to COVID-19 testing coverage H.R. 6213 - No Cost for COVID-19 Testing Act - Wilson - COVID-19 testing coverage H.R. 6214 - To amend title XVIII of the Social Security Act to provide for coverage of testing for COVID-19 at no cost sharing under the Medicare Advantage program - Kind - Medicare Advantage coverage of COVID-19 related visits and testing H.R. 6222 - Ensuring Affordable COVID-19 Preventive Care Act of 2020 - Schakowsky - coverage of certain new preventative services related to COVID-19 H.R. 6231 - Ensuring Access to COVID-19 Preventive Care Act of 2020 - Bucshon - coverage of certain vaccines and testing services during the COVID-19 emergency H.R. 6299 - Rapid Coverage of COVID-19 Vaccine Act of 2020 - Courtney - COVID-19 coverage H.R. 6317 - To provide for special enrollment periods during public health emergencies, coverage of services related to public health emergencies, and for other purposes - Doggett - special enrollment periods in public health emergency H.R. 6338 - To waive high deductible health plan requirements for health savings accounts -Budd - HDHP coverage during COVID H.R. 6486 - Care for COVID-19 Act 2.0 -Ruiz - COVID H.R. 6514 - Worker Health Coverage Protection Act - Scott - COVID H.R. 6518 - Stop Health Premium Spikes Act of 2020 - Peters - risk corridors H.R. 6532 - COVID Special Enrollment Act of 2020 - Doggett - COVID H.R. 6568 - Coverage for COVID-19 Treatment Act of 2020 - Rochester - COVID H.R. 6644 - To require group health plans and health insurance issuers offering group or individual health insurance coverage to provide coverage for services furnished via telehealth if such services would be covered if furnished in-person during the COVID-19 emergency. -Schrier - COVID H.R. 6674 - Medicare Crisis Program Act of 2020 -Jayapal - COVID H.R. 6712 - American Healthshare Plans Act of 2020 - Curtis - health share pools H.R. 6810 - Health Care Protection Act -Davis - COVID H.R. 7006 - Improving Care in Home Health Agencies Act - Velazquez - home health services H.R. 7267 - To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to prohibit a group health plan and a health insurance issuer offering group or individual health insurance coverage from reducing contracted rates, or terminating contracts, with health care providers during a public health emergency. - Porter - ERISA H.R. 7475 - Ensuring FEHBP Coverage During Pandemic Act - Vela - special enrollment period H.R. 7539 - Strengthening Behavioral Health Parity Act - Kennedy - strengthen mental health and SUD benefits H.R. 7647 - To provide for a COVID-19-related delay regarding annual limitation on cost-sharing for group health plans and individual and small group health insurance coverage - McEachin - drug manufacturer support applied to patient out-of-pocket limit H.R. 7659 - Ensuring Parity in MA for Audio-Only Telehealth Act of 2020 - Sewell - inclusion of certain audio-only diagnoses in the determination of risk adjustment for MA plans H.R. 7676 - Health Care Prices Revealed and Information to Consumers Explained Transparency Act - Flores - hospital and insurer price transparency H.R. 7722 - Matts Act - Fortenberry - limit price of insulin drugs accessible for those enrolled in group or indiv. health insurance coverage, group health plans, uninsured H.R. 7921 - Connecting Communities to Grant Opportunities Act of 2020 - Velazquez - navigator programs H.R. 7942 - Public Health Emergency COBRA Extension Act -Sanchez - COBRA extension H.R. 8060 - Tele-Mental Health Improvement Act - Trone - parity in mental health and SUD service under private insurance H.R. 8181 - Jack Reynolds Memory MediGap Expansion - Axne - Medigap coverage for Medicare ESRD H.R. 8308 - Telehealth Coverage and Payment Parity Act - Phillips - coverage for services furnished through telehealth H.R. 8330 - No Surprise Bills for New Moms Act - Porter - health coverage of newborns S. 1531 - STOP Surprise Medical Bills Act - Cassidy-Bennet - surprise medical billing S. 1948 - Chronic Disease Management Act - Thune - pre-deductible coverage of chronic disease prevention services S. 2546 - Safe Step Act - Murkowski - Step therapy exceptions S. 3200 - Chronic Disease Management Act of 2020 - Thune - coverage of chronic disease prevention services S. 3383 - Continuing Coverage for Preexisting Conditions Act of 2020 -Kennedy - preexisting conditions S. 3499 - A bill to amend coverage requirements to ensure that no person incurs cost sharing when receiving a test to confirm a COVID-19 infection - Smith - COVID-19 cost -sharing S. 3505 - A bill to require private health insurance to rapidly cover preventive services and vaccines related to the coronavirus - Jones - rapid COVID-19 coverage S. 3536 - A bill to provide for special enrollment periods during public health emergencies, coverage of services related to public health emergencies, and for other purposes - Casey - COVID-19 coverage S. 3610 - American Healthshare Plans Act of 2020 - Paul - health share pools S. 3631 - Relief for Rural Providers During Emergencies Act - Sasse - COVID S. 3741 - Health Care at Home Act of 2020 - Smith - COVID S. 3792 - Tele-Mental Health Improvement Act - Smith - parity S. 3821 - Affordable Health Care Options Act of 2020 - Loeffler - affordability S. 3991 - Coronavirus 2019 Special Enrollment Period Act - Duckworth - SEP S. 4106 - A bill to amend the Public Health Service Act to provide for hospital and insurer price transparency - Braun - price transparency S. 4185 - End Surprise Medical Bills for Air Ambulances Act of 2020 - Wicker - establish an IDR for air ambulance S. 4198 - Affordable Coronavirus Testing Act - Scott - coverage for COVID serology testing S. 4255 - Katherines Lung Cancer Early Detection and Survival Act of 2020 - Smith - group health plans, group and indiv coverage benefits for lung cancer screenings S. 4329 - Continuous Health Coverage for Workers Act - McSally - COBRA continuation coverage S. 4469 - COVID-19 Treatment Coverage Act - Smith - COVID treatment Medicaid/MA/Private/Medicare coverage S. 4506 - Pre-Existing Conditions Protection Act of 2020 - Gardner - coverage of pre-ex conditions under private insurance S. 4521 - Health Care Improvement Act of 2020 - Warner - expand ACA coverage S. 4557 - COVid Enrollment Response Act - Baldwin - assistance enrolling in health care coverage S. 4609 - Vaccine And Coverage Certainty Act - Wyden - coverage of COVID vaccine under Medicare/Medicaid, CHIP S. 4653 - A bill to prevent efforts of the Department of Justice to advocate courts to strike down the Patient Protection and Affordable Care Act - Schumer - ACA S. 4761 - A bill to amend the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to require group health plans and health insurance issuers offering group or individual health insurance coverage to provide for 3 primary care visits and 3 behavioral health care visits without application of any cost-sharing requirement - King - coverage and cost-sharing Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to COBRA continuation coverage; issues related to behavioral health benefits; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues relating to Medicaid best price; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; prior authorization; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

Client expense: $2,230,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

Medication affordability and access; general diabetes prevention; S 1948/HR 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act. Education regarding Executive Orders impacting drug pricing including Medicare rebate reform, the 340 B program, "buy America" proposals, and proposals to impose "most favored nation" pricing on Medicare Part B and D. COVID-19 relief proposals.

Client expense: Not reported · Firm income: $70,000

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

Legislative Coronavirus COVID-19 Pandemic Response - employer-sponsored health, paid leave and other benefit plans (Testing, COBRA subsidies, risk corridors, health savings accounts, telehealth, on-site clinics, and high-deductible health plans, primary care) Coronavirus Preparedness and Response Supplemental Appropriations Act - H.R. 6074 (Public Law 116-123) Families First Coronavirus Response Act - H.R. 6201 (Public Law 116-127) Coronavirus Aid, Relief, and Economic Security Act (CARES) Act - H.R. 748 (Public Law 116-136) The Worker Health Coverage Protection Act (COBRA subsidies) Health, Economic Assistance, Liability Protection and Schools (HEALS) Act Lower Prescription Drug Costs Now Act - H.R. 3 Prescription Drug Rebates & Costs Bill - S. 657 Prescription Drug Pricing Reduction Act - S. 2543 Health care cost and transparency, drug pricing Know the Price Act - H.R. 6005 Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act - H.R. 6800 The Heroes Act - revised pandemic relief and economic stimulus package (House Democratic Leadership) Ban Surprise Billing Act - H.R. 5800 Consumer Protections Against Surprise Medical Bills Act - H.R. 5826 The STOP Surprise Medical Bills Act - S. 1531 Protecting People from Surprise Medical Bills Act - H.R. 3502 No Surprises Act - H.R 3630 End Surprise Medical Billing Act - H.R. 861 Telehealth Expansion Act - S. 3539 Health Care at Home Act - H.R. 6644/S. 3741) Reauthorizing and Extending Americas Community Health (REACH) Act - H.R. 2328 Lower Health Care Costs Act - S. 1895 Paid Family Leave Pilot Extension Act - S. 1628 New Parents Act - S. 920 Family and Medical Insurance Leave (FAMILY) Act - S.463/H.R. 1185 Chronic Disease Management Act - S.1948/H.R. 3709 Dependent Care Flexible Spending Accounts (FSAs) Health Flexible Spending Accounts (FSAs) Regulatory and Other Coronavirus COVID-19 Pandemic Response - including proposed and issued guidance affecting employer-sponsored health, paid leave and other benefit plans (Cost-sharing, testing, telehealth, COBRA Subsidies, Cafeteria plans and other group health plan time frames, health flexible spending arrangements and dependent care flexible spending arrangements, and vaccines) Department of Labor - Proposed update to Mental Health Parity Self-Compliance Tool Executive Orders on Drug Prices and Prescription Drug Rebates Multi-Part Executive Order - An America-First Healthcare Plan - surprise billing, preexisting conditions Executive Order - Improving Price and Quality Transparency in American Healthcare to Put Patients First Departments of Treasury, Labor and Health and Human Services - Proposed Price Transparency Rule ERISA uniformity Dependent Care Flexible Spending Arrangements (FSAs) Health Flexible Spending Arrangements (FSAs) Health Reimbursement Arrangements (HRAs) - application of employer mandate to individual coverage HRAs - Proposed Rule High Deductible Health Plans (HDHPs) Health Savings Accounts (HSAs) State health care requirements affecting self-insured plans Department of Labor - Request for Information (RFI) on paid leave Patient Protection and Affordable Care Act (ACA) - reporting requirements Grandfathered group health plans - proposed regulations by the Departments of Treasury, Labor and Health and Human Services Direct primary care arrangements - proposed regulations by the Department of Treasury and the Internal Revenue Service Voluntary Employees Beneficiary Association plans Wellness plans Regulations and guidance regarding Administration procedures for issuing guidance

Client expense: $306,167 · Firm income: Not reported

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

Health Savings Account issues Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Executive Order on Protecting and Improving Medicare for Our Nations Seniors S. 3439, the Lower Health Insurance Deductibles Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, the Heroes Act The HEALS Act (Senate proposed legislation)

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

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

Health Savings Account issues Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Executive Order on Protecting and Improving Medicare for Our Nations Seniors S. 3439, the Lower Health Insurance Deductibles Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, the Heroes Act The HEALS Act (Senate proposed legislation)

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

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

Legislative and regulatory issues including: improvements to Health Savings Accounts coupled with high deductible health plans, Medicare and Medicare Advantage, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Economic Council (NEC), SENATE, Treasury, Dept of

Legislative and regulatory issues including: improvements to Health Savings Accounts coupled with high deductible health plans, Medicare and Medicare Advantage, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Economic Council (NEC), SENATE, Treasury, Dept of

Legislative and regulatory issues including: improvements to Health Savings Accounts coupled with high deductible health plans, Medicare and Medicare Advantage, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), 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 Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 S. 1895, the Lower Health Care Cost Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes H.R. 3502, Protecting People From Surprise Medical Bills Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc. Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act H.R. 5825, the Transparency in Health Care Investments Act of 2020 H.R. 5800, Ban Surprise Billing Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 6810, Health Care Protection Act S. 4329, the Continuous Health Coverage for Workers Act S. 4714, A bill to preserve health benefits for workers H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation)

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

Government targets: Council of Economic Advisers (CEA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), 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 Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 S. 1895, the Lower Health Care Cost Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes H.R. 3502, Protecting People From Surprise Medical Bills Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc. Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act H.R. 5825, the Transparency in Health Care Investments Act of 2020 H.R. 5800, Ban Surprise Billing Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R. 6800, The Heroes Act H.R. 6810, Health Care Protection Act S. 4329, the Continuous Health Coverage for Workers Act S. 4714, A bill to preserve health benefits for workers H.R. 925, The Heroes Act The HEALS Act (Senate proposed legislation)

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

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

H.R. 457, Health Savings Account Act H.R. 603, Heath Savings Account Expansion Act H.R. 748, Middle Class Health Benefits Tax Repeal Act of 2019 H.R. 908, Stop Penalizing Work Seniors Act Green Amendment to H.R. 1500, Consumers First Act H.R. 1679, PHIT Act of 2019 H.R. 1922, Restoring Access to Medication Act of 2019 S. 1948 / H.R. 3709, Chronic Disease Management Act of 2019 H.R. 2108, Retirement Freedom Act H.R. 2163, Freedom for Families Act H.R. 2177, Faith in Health Savings Act of 2019 H.R. 3708, Primary Care Enhancement Act of 2019 H.R. 3796, Health Savings for Senior Act H.R. 3594, Healthcare Freedom Act H.R. 4130, Keeping HSAs Accessible Act of 2019 H.R. 4530, Native American Health Savings Improvement Act H.R. 5050, Veterans and Consumers Fair Credit Act H.R. 5332, the Protecting Your Credit Score Act of 2019 S. 12, Health Savings Act of 2019 S. 680, PHIT Act of 2019 S. 684, Middle Class Health Benefits Tax Repeal Act of 2019 S. 1030, Retirement Freedom Act S. 1089, Restoring Access to Medication Act S. 2440, Qualified Health Savings Account Distribution Act of 2019 S. 2441, Health Savings Account Expansion Act of 2019 S. 3112, Personalized Care Act of 2019 S. 3439, Lower Health Insurance Deductibles Act S. 3546/ H.R. 6338, Pandemic Healthcare Access Act S. 4039, To amend the Internal Revenue Code of 1986 to make permanent the permissible first-dollar coverage of telehealth services for purposes of health savings accounts. H.R. 5566, Patient Fairness Act of 2020 Sections 1776 and 1812 of H.R. 6395, William M. (Mac) Thornberry National Defense Authorization Act for Fiscal Year 2021

Client expense: $2,930,000 · Firm income: Not reported

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

Medication affordability and access; general diabetes prevention; S. 1948/H.R. 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S. 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S. 3129 Lower Costs, More Cures Act

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

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

S. 1948, H.R. 3709 -- Chronic Disease Management Act of 2019 Issues in the House of Representatives related to amending the Internal Revenue Code, with respect to health savings accounts (HSAs), to allow the high deductible health plans required for an HSA to provide care for chronic conditions with no deductible - discussions outside the scope of S. 1948 and H.R. 3709.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 748 - CARES Act -Courtney - COVID-19 coverage H.R. 3630 - No Surprises Act - Pallone - surprise medical billing H.R. 3784 - Air Ambulance Affordability Act of 2019 - Neguse - air ambulances H.R. 4223 - Protecting Patients from Surprise Medical Bills Act - Spano - surprise medical billing H.R. 5121 - Healthcare Cost Transparency Act - Beyer - provider price comparison tool H.R. 5239 - Prescription Drug Price Reporting Act - Joyce - reporting on drug expenditures and price changes under group health plans H.R. 5575 - Primary and Behavioral Health Care Access Act of 2020 -Underwood - coverage of primary care and behavioral health visits H.R. 6005 - Know the Price Act - Malinowski - health plan transparency H.R. 6173 - Covering Coronavirus Test Act of 2020 - DeGette - COVID-19 testing coverage H.R. 6193 - Medication Access in Emergencies Act of 2020 - Pappas - coverage of prescription drugs during emergency periods H.R. 6201 - Families First Coronavirus Response Act - Lowey - includes several provisions related to COVID-19 testing coverage H.R. 6213 - No Cost for COVID-19 Testing Act - Wilson - COVID-19 testing coverage H.R. 6214 - To amend title XVIII of the Social Security Act to provide for coverage of testing for COVID-19 at no cost sharing under the Medicare Advantage program - Kind - Medicare Advantage coverage of COVID-19 related visits and testing H.R. 6222 - Ensuring Affordable COVID-19 Preventive Care Act of 2020 - Schakowsky - coverage of certain new preventative services related to COVID-19 H.R. 6231 - Ensuring Access to COVID-19 Preventive Care Act of 2020 - Bucshon - coverage of certain vaccines and testing services during the COVID-19 emergency H.R. 6299 - Rapid Coverage of COVID-19 Vaccine Act of 2020 - Courtney - COVID-19 coverage H.R. 6317 - To provide for special enrollment periods during public health emergencies, coverage of services related to public health emergencies, and for other purposes - Doggett - special enrollment periods in public health emergency H.R. 6338 - To waive high deductible health plan requirements for health savings accounts -Budd - HDHP coverage during COVID H.R. 6486 - Care for COVID-19 Act 2.0 -Ruiz - COVID H.R. 6514 - Worker Health Coverage Protection Act - Scott - COVID H.R. 6518 - Stop Health Premium Spikes Act of 2020 - Peters - risk corridors H.R. 6532 - COVID Special Enrollment Act of 2020 - Doggett - COVID H.R. 6568 - Coverage for COVID-19 Treatment Act of 2020 - Rochester - COVID H.R. 6644 - To require group health plans and health insurance issuers offering group or individual health insurance coverage to provide coverage for services furnished via telehealth if such services would be covered if furnished in-person during the COVID-19 emergency. -Schrier - COVID H.R. 6674 - Medicare Crisis Program Act of 2020 -Jayapal - COVID H.R. 6712 - American Healthshare Plans Act of 2020 - Curtis - health share pools H.R. 6810 - Health Care Protection Act -Davis - COVID H.R. 7006 - Improving Care in Home Health Agencies Act - Velazquez - home health services H.R. 7267 - To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to prohibit a group health plan and a health insurance issuer offering group or individual health insurance coverage from reducing contracted rates, or terminating contracts, with health care providers during a public health emergency. - Porter - ERISA S. 1531 - STOP Surprise Medical Bills Act - Cassidy-Bennet - surprise medical billing S. 1948 - Chronic Disease Management Act - Thune - pre-deductible coverage of chronic disease prevention services S. 2546 - Safe Step Act - Murkowski - Step therapy exceptions S. 3200 - Chronic Disease Management Act of 2020 - Thune - coverage of chronic disease prevention services S. 3383 - Continuing Coverage for Preexisting Conditions Act of 2020 -Kennedy - preexisting conditions S. 3499 - A bill to amend coverage requirements to ensure that no person incurs cost sharing when receiving a test to confirm a COVID-19 infection - Smith - COVID-19 cost -sharing S. 3505 - A bill to require private health insurance to rapidly cover preventive services and vaccines related to the coronavirus - Jones - rapid COVID-19 coverage S. 3536 - A bill to provide for special enrollment periods during public health emergencies, coverage of services related to public health emergencies, and for other purposes - Casey - COVID-19 coverage S. 3610 - American Healthshare Plans Act of 2020 - Paul - health share pools S. 3631 - Relief for Rural Providers During Emergencies Act - Sasse - COVID S. 3741 - Health Care at Home Act of 2020 - Smith - COVID S. 3792 - Tele-Mental Health Improvement Act - Smith - parity S. 3821 - Affordable Health Care Options Act of 2020 - Loeffler - affordability S. 3991 - Coronavirus 2019 Special Enrollment Period Act - Duckworth - SEP S. 4106 - A bill to amend the Public Health Service Act to provide for hospital and insurer price transparency - Braun - price transparency Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to COBRA continuation coverage; issues related to behavioral health benefits; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to COVID-19; issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues relating to Medicaid best price; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; prior authorization; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

Client expense: $2,250,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

Issues related to health savings accounts, the health insurance tax, and other taxes included in the Affordable Care Act. S. 1948, The Chronic Disease Management Act of 2019 S. 3200, The Chronic Disease Management Act of 2020 H.R. 6776, The JOBS Credit Act of 2020 H.R. 6800, The Health and Economic Recovery Omnibus Emergency Solutions Act of 2020

Client expense: $2,120,000 · Firm income: Not reported

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

Medication affordability and access; general diabetes prevention; S 1948/HR 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act

Client expense: $650,000 · Firm income: Not reported

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

Medication affordability and access; general diabetes prevention; S 1948/HR 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act

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

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

Legislative Coronavirus COVID-19 Pandemic Response - employer-sponsored health, paid leave and other benefit plans (Testing, COBRA subsidies, risk corridors, health savings accounts and high-deductible health plans, primary care) Coronavirus Preparedness and Response Supplemental Appropriations Act - H.R. 6074 (Public Law 116-123) Families First Coronavirus Response Act - H.R. 6201 (Public Law 116-127) Coronavirus Aid, Relief, and Economic Security Act (CARES) Act - H.R. 748 (Public Law 116-136) Lower Prescription Drug Costs Now Act - H.R. 3 Prescription Drug Rebates & Costs Bill - S. 657 Prescription Drug Pricing Reduction Act - S. 2543 Health care cost and transparency, drug pricing Know the Price Act - H.R. 6005 Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act - H.R. 6800 Ban Surprise Billing Act - H.R. 5800 Consumer Protections Against Surprise Medical Bills Act - H.R. 5826 The STOP Surprise Medical Bills Act - S. 1531 Protecting People from Surprise Medical Bills Act - H.R. 3502 No Surprises Act - H.R 3630 End Surprise Medical Billing Act - H.R. 861 Telehealth Expansion Act - S. 3539 Health Care at Home Act - H.R. 6644/S. 3741) Reauthorizing and Extending Americas Community Health (REACH) Act - H.R. 2328 Lower Health Care Costs Act - S. 1895 Paid Family Leave Pilot Extension Act - S. 1628 New Parents Act - S. 920 Family and Medical Insurance Leave (FAMILY) Act - S.463/H.R. 1185 Chronic Disease Management Act - S.1948/H.R. 3709 Dependent Care Flexible Spending Accounts (FSAs) Health Flexible Spending Accounts (FSAs) Regulatory and Other Coronavirus COVID-19 Pandemic Response - including proposed and issued guidance affecting employer-sponsored health, paid leave and other benefit plans (Cost-sharing, Testing, Tele-health, COBRA Subsidies, Cafeteria plans, COBRA and other group health plan time frames, health flexible spending arrangements and dependent care flexible spending arrangements) Executive Order - Protecting and Improving Medicare for our Nations Seniors Executive Order - Improving Price and Quality Transparency in American Healthcare to Put Patients First Patient-Centered Outcomes Research Institute (PCORI) - annual adjustment guidance and transition guidance Departments of Treasury, Labor and Health and Human Services (HHS) - Proposed Price Transparency Rule ERISA uniformity Dependent Care Flexible Spending Arrangements Health Flexible Spending Arrangements Health Reimbursement Arrangements (HRAs) - application of employer mandate to individual coverage HRAs - Proposed Rule High Deductible Health Plans (HDHPs) Health Savings Accounts (HSAs) State health care requirements affecting self-insured plans Paid leave proposals and issues Patient Protection and Affordable Care Act (ACA) - reporting requirements Grandfathered group health plans - proposed regulations Direct primary care arrangements - proposed regulations Mental health parity requirements - self compliance tool updates Voluntary Employees Beneficiary Association plans Wellness plans

Client expense: $344,606 · Firm income: Not reported

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

Health Savings Account issues Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act H.R. 1922, The Restoring Access to Medication Act of 2019 S. 3439, the Lower Health Insurance Deductibles Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136)

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

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

Health Savings Account issues Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act H.R. 1922, The Restoring Access to Medication Act of 2019 S. 3439, the Lower Health Insurance Deductibles Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136)

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

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

Legislative and regulatory issues including: improvements to Health Savings Accounts coupled with high deductible health plans, Medicare and Medicare Advantage, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136)

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Council of Economic Advisers (CEA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Economic Council (NEC), SENATE, Treasury, Dept of

Legislative and regulatory issues including: improvements to Health Savings Accounts coupled with high deductible health plans, Medicare and Medicare Advantage, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136)

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Council of Economic Advisers (CEA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Economic Council (NEC), SENATE, Treasury, Dept of

Legislative and regulatory issues including: improvements to Health Savings Accounts coupled with high deductible health plans, Medicare and Medicare Advantage, low-value care, and payment reform. Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 4457, the Chronic Condition Copay Elimination Act Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136)

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Council of Economic Advisers (CEA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), 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 Middle Class Health Benefits Tax Repeal Act of 2019 - S. 684 / H.R. 748 Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 S. 1895, the Lower Health Care Cost Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes H.R. 3502, Protecting People From Surprise Medical Bills Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc. Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act H.R. 5825, the Transparency in Health Care Investments Act of 2020 H.R. 5800, Ban Surprise Billing Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R.6800, The Heroes Act

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

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

Legislative and regulatory issues including: Health care reform Implementation of the Affordable Care Act -- PL 111-148 Middle Class Health Benefits Tax Repeal Act of 2019 - S. 684 / H.R. 748 Health Savings Act of 2019 - S. 12 Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200 Health Savings Account Act -- H.R. 457 Health Savings Account Expansion Act of 2019 -- H.R. 603 Stop Penalizing Working Seniors Act -- H.R. 908 Primary Care Enhancement Act -- H.R. 3708 Health Savings for Seniors Act -- H. R. 3796 S. 2543, the Prescription Drug Pricing Reduction Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 S. 1895, the Lower Health Care Cost Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes H.R. 3502, Protecting People From Surprise Medical Bills Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019 Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223 Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc. Executive Order on Protecting and Improving Medicare for Our Nations Seniors H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act H.R. 5825, the Transparency in Health Care Investments Act of 2020 H.R. 5800, Ban Surprise Billing Act IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19 H.R. 3539, the Telehealth Expansion Act H.R. 6201, Families First Coronavirus Response Act (P.L.116-127) H.R. 748, CARES Act (P.L.116-136) H.R.6800, The Heroes Act

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

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

H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R. 6201 - Families First Coronavirus Response Act S. 3548 - CARES Act H.R. 6800 - The Heroes Act Medication affordability and access; general diabetes prevention; S. 1948/H.R. 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S. 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act

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

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

H.R. 457, Health Savings Account Act H.R. 603, Heath Savings Account Expansion Act H.R. 748, Middle Class Health Benefits Tax Repeal Act of 2019 H.R. 908, Stop Penalizing Work Seniors Act Green Amendment to H.R. 1500, Consumers First Act H.R. 1679, PHIT Act of 2019 H.R. 1922, Restoring Access to Medication Act of 2019 S. 1948 / H.R. 3709, Chronic Disease Management Act of 2019 H.R. 2108, Retirement Freedom Act H.R. 2163, Freedom for Families Act H.R. 2177, Faith in Health Savings Act of 2019 H.R. 3708, Primary Care Enhancement Act of 2019 H.R. 3796, Health Savings for Senior Act H.R. 3594, Healthcare Freedom Act H.R. 4130, Keeping HSAs Accessible Act of 2019 H.R. 4530, Native American Health Savings Improvement Act H.R. 5050, Veterans and Consumers Fair Credit Act H.R. 5332, the Protecting Your Credit Score Act of 2019 S. 12, Health Savings Act of 2019 S. 680, PHIT Act of 2019 S. 684, Middle Class Health Benefits Tax Repeal Act of 2019 S. 1030, Retirement Freedom Act S. 1089, Restoring Access to Medication Act S. 2440, Qualified Health Savings Account Distribution Act of 2019 S. 2441, Health Savings Account Expansion Act of 2019 S. 3112, Personalized Care Act of 2019 S. 3439, Lower Health Insurance Deductibles Act S. 3546/ H.R. 6338, Pandemic Healthcare Access Act S. 4039, To amend the Internal Revenue Code of 1986 to make permanent the permissible first-dollar coverage of telehealth services for purposes of health savings accounts. H.R. 5566, Patient Fairness Act of 2020

Client expense: $2,730,000 · Firm income: Not reported

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

H.R. 748 - CARES Act -Courtney - COVID-19 coverage H.R. 3630 - No Surprises Act - Pallone - surprise medical billing H.R. 3784 - Air Ambulance Affordability Act of 2019 - Neguse - air ambulances H.R. 4223, Protecting Patients from Surprise Medical Bills Act - Spano - surprise medical billing H.R. 5121 - Healthcare Cost Transparency Act - Beyer - provider price comparison tool H.R. 5239 - Prescription Drug Price Reporting Act - Joyce - reporting on drug expenditures and price changes under group health plans H.R. 5575 - Primary and Behavioral Health Care Access Act of 2020 -Underwood - coverage of primary care and behavioral health visits H.R. 6005 - Know the Price Act - Malinowski - health plan transparency H.R. 6173 - Covering Coronavirus Test Act of 2020 - DeGette - COVID-19 testing coverage H.R. 6193 - Medication Access in Emergencies Act of 2020 - Pappas - coverage of prescription drugs during emergency periods H.R. 6201 - Families First Coronavirus Response Act - Lowey - includes several provisions related to COVID-19 testing coverage H.R. 6213 - No Cost for COVID-19 Testing Act - Wilson - COVID-19 testing coverage H.R. 6214 - To amend title XVIII of the Social Security Act to provide for coverage of testing for COVID-19 at no cost sharing under the Medicare Advantage program - Kind - Medicare Advantage coverage of COVID-19 related visits and testing H.R. 6222 - Ensuring Affordable COVID-19 Preventive Care Act of 2020 - Schakowsky - coverage of certain new preventative services related to COVID-19 H.R. 6231 - Ensuring Access to COVID-19 Preventive Care Act of 2020 - Bucshon - coverage of certain vaccines and testing services during the COVID-19 emergency H.R. 6299 - Rapid Coverage of COVID-19 Vaccine Act of 2020 - Courtney - COVID-19 coverage H.R. 6317 - To provide for special enrollment periods during public health emergencies, coverage of services related to public health emergencies, and for other purposes - Doggett - special enrollment periods in public health emergency H.R. 6338 - To waive high deductible health plan requirements for health savings accounts -Budd - HDHP coverage during COVID S. 1531 - STOP Surprise Medical Bills Act - Cassidy-Bennet - surprise medical billing S. 1948 - Chronic Disease Management Act - Thune - pre-deductible coverage of chronic disease prevention services S. 2546 - Safe Step Act - Murkowski - Step therapy exceptions S. 3200 - Chronic Disease Management Act of 2020 - Thune - coverage of chronic disease prevention services S. 3383 - Continuing Coverage for Preexisting Conditions Act of 2020 -Kennedy - preexisting conditions S. 3499 - A bill to amend coverage requirements to ensure that no person incurs cost sharing when receiving a test to confirm a COVID-19 infection - Smith - COVID-19 cost -sharing S. 3505 - A bill to require private health insurance to rapidly cover preventive services and vaccines related to the coronavirus - Jones - rapid COVID-19 coverage S. 3536 - A bill to provide for special enrollment periods during public health emergencies, coverage of services related to public health emergencies, and for other purposes - Casey - COVID-19 coverage Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to COVID-19; issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; prior authorization; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

Client expense: $3,630,000 · 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), Office of the Vice President of the United States, SENATE, Treasury, Dept of, White House Office

Issues related to health savings accounts, the health insurance tax, and other taxes included in the Affordable Care Act. H.R. 748, The Coronavirus Aid, Relief, and Economic Security Act S. 1948, The Chronic Disease Management Act of 2019 S. 3200, The Chronic Disease Management Act of 2020

Client expense: $3,460,000 · Firm income: Not reported

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

General diabetes prevention; medication affordability and access; S. 1948/H.R. 3709, Chronic Disease Management Act; issues related to high deductible health plan pre-deductible coverage of treatments and services for chronic diseases; Medication affordability and access.

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

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

Medication affordability and access; general diabetes prevention; S. 1948/H.R. 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S. 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S. 3129 Lower Costs, More Cures Act.

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

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

Medication affordability and access; general diabetes prevention; S 1948/HR 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act

Client expense: $610,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), SENATE

H.R. 457, Health Savings Account Act H.R. 603, Heath Savings Account Expansion Act H.R. 748, Middle Class Health Benefits Tax Repeal Act of 2019 H.R. 908, Stop Penalizing Work Seniors Act Green Amendment to H.R. 1500, Consumers First Act H.R. 1679, PHIT Act of 2019 H.R. 1922, Restoring Access to Medication Act of 2019 S. 1948 / H.R. 3709, Chronic Disease Management Act of 2019 H.R. 2108, Retirement Freedom Act H.R. 2163, Freedom for Families Act H.R. 2177, Faith in Health Savings Act of 2019 H.R. 3708, Primary Care Enhancement Act of 2019 H.R. 3796, Health Savings for Senior Act H.R. 3594, Healthcare Freedom Act H.R. 4130, Keeping HSAs Accessible Act of 2019 H.R. 4530, Native American Health Savings Improvement Act H.R. 5050, Veterans and Consumers Fair Credit Act H.R. 5332, the Protecting Your Credit Score Act of 2019 S. 12, Health Savings Act of 2019 S. 680, PHIT Act of 2019 S. 684, Middle Class Health Benefits Tax Repeal Act of 2019 S. 1030, Retirement Freedom Act S. 1089, Restoring Access to Medication Act S. 2440, Qualified Health Savings Account Distribution Act of 2019 S. 2441, Health Savings Account Expansion Act of 2019 S. 3112, Personalized Care Act of 2019 S. 3439, Lower Health Insurance Deductibles Act H.R. 5566, Patient Fairness Act of 2020

Client expense: $2,400,000 · Firm income: Not reported

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

S. 1948, H.R. 3709 -- Chronic Disease Management Act of 2019 Issues in the House of Representatives related to amending the Internal Revenue Code, with respect to health savings accounts (HSAs), to allow the high deductible health plans required for an HSA to provide care for chronic conditions with no deductible - discussions outside the scope of S. 1948 and H.R. 3709.

Client expense: $190,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE