Continuous Health Coverage for Workers Act

H.R.133, Consolidated Appropriations Act, 2021 (All sections of full text) H.R. 3630 No Surprises Act (all sections of full text) HR 6800 Health and Economic Recovery Omnibus Emergency Solutions Act or the HEROES Act (Division C - Health Provisions) HR 3502 Protecting People From Surprise Medical Bills Act (all sections of full text)(support) S 1266 Protecting Patients from Surprise Medical Bills Act (all sections of full text)(support) S 1531 Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 (all sections of full text)(support) S 1895 Lower Health Care Costs Act, Title I (all sections of full text)(oppose) HR 4932 Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019 Discussions involving taxation of hospitals Monitored Presidential Executive Order actions related and subsequent to Executive Order 13813 of October 12, 2017 Monitored S 4329 Continuous Health Care Coverage for Workers Act Monitored S 2741 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 Monitored S 3537 Protecting our Pharmaceutical Supply Chain from China Act Monitored HR 3482 Protecting our Pharmaceutical Supply Chain from China Act Monitored S 3627 Medical Supply Transparency and Delivery Act Monitored HR 6711 Medical Supply Transparency and Delivery Act Monitored S 3847 COVID-19 Emergency Manufacturing Act of 2020 Monitored implementation of Sec. 6001 of the Affordable Care Act of 2010 Monitored discussions pertinent to health care group purchasing organizations (GPOs) Monitored Executive Order #13877 Improving Price Quality Transparency in American Healthcare To Put Patients First Monitored S 2408 Telehealth Across State Lines Act of 2019

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

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

Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) Prescription Drug Pricing Reduction Act (S. 2543) To amend title V of the Social Security Act to reauthorize the Personal Responsibility Education Program. (H.R. 3053) Worker Health Coverage Protection Act (H.R. 6514) Kids' Access to Primary Care Act (H.R. 6159) Health Care Protection Act (H.R. 6810/S.4714) Continuous Health Coverage for Workers Act (S. 4329) Helping MOMS Act of 2020 (H.R. 4996) A bill to preserve health benefits for workers (S. 4714) The HEROES Act (H.R. 6800) Maternal Health Quality Improvement Act (H.R. 4995)

Client expense: $81,441 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 4840 Ensuring Parity in MA for Audio-Only Telehealth Act of 2020 HR 133 The Consolidated Appropriations Act HR 6800 the HEROES Act re COVID relief S. 4163 re COVID Testing (Gardner) S. 4329 Continuous Health Coverage for Workers Act (McSally) HR 7472 re contract tracing (Speier) S. 4230 Telehealth Expansion Act (Wyden) HR 6395, National Defense Authorization Act S. 4049, National Defense Authorization Act HR 6666, COVID 19 Testing, Reaching and Contacting Everyone Act (TRACE Act) HR 1425, Patient Protection and Affordable Care Enhancement Act HR 6514, Worker Health Coverage Protection Act HR 6568, Coverage for COVID 19 Treatment Act HR 5438, Cox, The End Valley Fever Now Act S. 2897, Warner, regarding the reauthorization of PCORI HR 5201, Matsui, regarding telehealth and behavioral health HR 2328, the No Surprises Act S. 1895, the Lower Health Care Costs Act HR 987 and S. 455, regarding outreach and education activities under the ACA HR 3439, regarding the reauthorization of PCORI House Resolution 271, regarding the Justice Departments position in Texas v. United States HR 2062 & S. 1012, regarding 42 CFR Part 2 and confidentiality of certain health information HR 1884, with provisions to stabilize and strengthen the ACA and the nongroup insurance market. S. 470, regarding a Medicare buy-in option for individuals aged 50-64 S. 489 and HR 1277, regarding a Medicaid buy-in option S. 1129, to establish a single payer system based on Medicare for All. HR 1384, to establish a single payer health care system HR 1425, regarding reinsurance funding under the ACA HR 986 and S. 466, regarding Section 1332 state waiver guidance. HR 1010, regarding Short Term Limited Duration Insurance policies HR 1143, regarding Short Term Limited Duration Insurance policies HR 861, regarding surprise billing

Client expense: $160,000 · Firm income: Not reported

P.L. 116-127 - Families First Coronavirus Response Act - entire bill. P.L. 116-136 - Coronavirus Aid, Relief, and Economic Security Act - entire bill, including implementation. H.R. 6514 - Worker Health Coverage Protection Act - issues related to health coverage continuation. S. 4329 - Continuous Health Coverage for Workers Act - issues related to health coverage continuation. Worker Health Coverage Protection Act (discussion draft) - issues related to health coverage continuation. H.R. 133 (P.L. 116-260) - Consolidated Appropriations Act, 2021- issues related to medical surprise billing, transparency, and flexible spending arrangements.

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

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of

COVID-19 public health and economic impact and federal response, including legislative and regulatory policy proposals to protect employer-sponsored health care coverage. 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: $40,000

Government targets: Council of Economic Advisers (CEA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Natl Economic Council (NEC), SENATE

COVID-19 public health and economic impact and federal response, including legislative and regulatory policy proposals to protect employer-sponsored health care coverage. 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: $40,000

Government targets: Council of Economic Advisers (CEA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Natl Economic Council (NEC), SENATE

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

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

Issues related to surprise billing, including H. R. 3630, No Surprises Act and H. R. 3502, Protecting People from Surprise Medical Bills Act. Issues related to drug pricing. S. 1895, Lower Health Care Costs Act and other health care cost initiatives currently under consideration. Issues related to the implementation of PL 116-136, Coronavirus Aid, Relief, and Economic Security Act (CARES Act), including issues related to insurance coverage. Issues related to H.R. 6800, the HEROES Act. Issues related to proposals including risk mitigation plans and COBRA subsidies. Issues related to health disparities. Issues related to S. 4329, Continuous Health Coverage for Workers Act. Issues related to H.R. 1418, Competitive Health Insurance Reform Act, including the repeal of McCarran-Ferguson. Issues related to H.R. 133, Consolidated Appropriations Act for Fiscal Year 2021, including surprise billing provisions.

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

-Issues related to H.R. 6644 / S. 3741, 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 -Issues related to H.R. 6800 / H.R. 925 the Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES Act) -Issues related to H.R. 6810, the Health Care Protection Act, and H.R. 6514, the Worker Health Coverage Protection Act, and S. 4329, the Continuous Health Coverage for Workers Act. -Issues related to H.R. 861, the End Surprise Billing Act; H.R. 3502, The Protecting People from Surprise Medical Bills Act; H.R.2328, Community Health Investment, Modernization, and Excellence Act of 2019 and H.R. 3630, The No Surprises Act, and H.R. 5800, The Ban Surprise Billing Act. -Issues related to P.L. 116-123, the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020; P.L. 116-127, Families First Coronavirus Response Act. P.L. 116-136, Coronavirus Aid, Response, and Economic Security Act (CARES Act). HR 6379, Take Responsibility for Workers and Families Act. -Issues related to S. 1895, the Lower Health Care Costs Act, including: surprise billing, and transparency and information sharing in the individual and commercial markets. -Issues related to the drug and medical device supply chain concerns related to the coronavirus response efforts. -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 coverage expansion proposals, stand-alone dental plans, and non-discrimination provisions. -June 24, 2019 Executive Order, "Improving Price and Quality Transparency in American Healthcare to Put Patients First" -July 24, 2020 Executive Orders that direct federal agencies to prioritize policies that would: (1) permit drug importation from Canada and other countries, and specifically authorizes the re-importation of insulin products; (2) ensure that prices charged to low-income uninsured patients for insulin and epinephrine at Federally Qualified Health Centers (FQHCs are federally subsidized clinics that commonly participate in the 340B drug pricing program) align with the costs at which the FQHC acquired the drugs; (3) ban drug rebates in Medicare that are not passed at the point of sale; and (4) advance a most favored nation (MFN) rule to lower Medicare drug payments to prices similar to what other countries pay. -H.R. 6561/S. 4440 - Improving Social Determinants of Health Act of 2020. -Healthcare, Economic Assistance, Liability, And Schools (HEALS Act), including S. 4317 the Safe to Work Act; S. 4318, the American Workers, Families, And Employers Assistance Act; S. 4321, the Continuing Small Business Recovery And Paycheck Protection Program Act; S. 4322, the Safely Back To School And Back To Work Act; and S. 4323, Time to Rescue United States Trusts Act of 2020 (TRUST Act). -Issues related to H.R. 7839 Continuing Access to In Home Intravenous Immunoglobulin (IVIG) Act. -Issues related to H.R. 8308, to amend the Public Health Service Act 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, and for other purposes.

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.

COVID-19 public health and economic impact and federal response, including legislative and regulatory policy proposals to protect employer-sponsored health care coverage. 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: $40,000

Government targets: Council of Economic Advisers (CEA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Natl Economic Council (NEC), SENATE

COVID-19 public health and economic impact and federal response, including legislative and regulatory policy proposals to protect employer-sponsored health care coverage. 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: $40,000

Government targets: Council of Economic Advisers (CEA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Natl Economic Council (NEC), SENATE

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)

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)

P.L. 116-127 - Families First Coronavirus Response Act - entire bill. P.L. 116-136 - Coronavirus Aid, Relief, and Economic Security Act - entire bill, including implementation. H.R. 6514 - Worker Health Coverage Protection Act - issues related to health coverage continuation. S. 4329 - Continuous Health Coverage for Workers Act - issues related to health coverage continuation. Worker Health Coverage Protection Act (discussion draft) - issues related to health coverage continuation.

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

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of

HR 6800 the HEROES Act re COVID relief S. 4163 re COVID Testing (Gardner) S. 4329 Continuous Health Coverage for Workers Act (McSally) HR 7472 re contract tracing (Speier) S. 4230 Telehealth Expansion Act (Wyden) HR 6395, National Defense Authorization Act S. 4049, National Defense Authorization Act HR 6666, COVID 19 Testing, Reaching and Contacting Everyone Act (TRACE Act) HR 1425, Patient Protection and Affordable Care Enhancement Act HR 6514, Worker Health Coverage Protection Act HR 6568, Coverage for COVID 19 Treatment Act HR 6800, Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES Act) HR 5438, Cox, The End Valley Fever Now Act S. 2897, Warner, regarding the reauthorization of PCORI HR 5201, Matsui, regarding telehealth and behavioral health HR 2328, the No Surprises Act S. 1895, the Lower Health Care Costs Act HR 987 and S. 455, regarding outreach and education activities under the ACA HR 3439, regarding the reauthorization of PCORI House Resolution 271, regarding the Justice Departments position in Texas v. United States HR 2062 & S. 1012, regarding 42 CFR Part 2 and confidentiality of certain health information HR 1884, with provisions to stabilize and strengthen the ACA and the nongroup insurance market. S. 470, regarding a Medicare buy-in option for individuals aged 50-64 S. 489 and HR 1277, regarding a Medicaid buy-in option S. 1129, to establish a single payer system based on Medicare for All. HR 1384, to establish a single payer health care system HR 1425, regarding reinsurance funding under the ACA HR 986 and S. 466, regarding Section 1332 state waiver guidance. HR 1010, regarding Short Term Limited Duration Insurance policies HR 1143, regarding Short Term Limited Duration Insurance policies HR 861, regarding surprise billing

Client expense: $200,000 · Firm income: Not reported

PL 116-136 CARES Act (all sections of full text) HR 6800 Health and Economic Recovery Omnibus Emergency Solutions Act or the HEROES Act (Division C - Health Provisions) HR 3502 Protecting People From Surprise Medical Bills Act (all sections of full text)(support) S 1266 Protecting Patients from Surprise Medical Bills Act (all sections of full text)(support) S 1531 Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 (all sections of full text)(support) S 1895 Lower Health Care Costs Act, Title I (all sections of full text)(oppose) HR 4932 Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019 Discussions involving taxation of hospitals Monitored Presidential Executive Order actions related and subsequent to Executive Order 13813 of October 12, 2017 Monitored S 4329 Continuous Health Care Coverage for Workers Act Monitored S 2741 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 Monitored S 3537 Protecting our Pharmaceutical Supply Chain from China Act Monitored HR 3482 Protecting our Pharmaceutical Supply Chain from China Act Monitored S 3627 Medical Supply Transparency and Delivery Act Monitored HR 6711 Medical Supply Transparency and Delivery Act Monitored S 3847 COVID-19 Emergency Manufacturing Act of 2020 Monitored implementation of Sec. 6001 of the Affordable Care Act of 2010 Monitored discussions pertinent to health care group purchasing organizations (GPOs) role in helping to prevent drug shortages Monitored Executive Order #13877 Improving Price Quality Transparency in American Healthcare To Put Patients First Monitored S 2408 Telehealth Across State Lines Act of 2019

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

Discussions regarding the Centers for Medicare and Medicaid (CMS) implementation and expansion of the Accelerated and Advance Payments Program under the CARES Act HR 1384 Medicare for All Act of 2019 (all sections of full text)(oppose) Disproportionate Share Hospital payments (DSH) extensions for qualifying hospitals in spending bills Discussions involving Medicare bad debt/uncompensated care payments to hospitals \ Monitored CMS Medicaid Fiscal Accountability Regulation (MFAR) rulemaking activity Monitored S 4329 Patient Access to Higher Quality Health Care Act of 2019 Monitored HR 3062 Patient Access to Higher Quality Health Care Act of 2019 Monitored S 2543 Prescription Drug Pricing Reduction Act, Sec. 109 Monitored HR 2000 Medicare-X Choice Act of 2019 Monitored S 981 Medicare-X Choice Act of 2019 Monitored S 470 Medicare at 50 Act Monitored HR 1301 The Mental Health Telemedicine Expansion Act of 2019 Monitored HR 1559 The 340B Protection and Accountability Act of 2019 Monitored CMS regulations and reporting requirements under the Emergency Medical Treatment and Labor Act

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

Issues related to surprise billing, including H. R. 3630, No Surprises Act and H. R. 3502, Protecting People from Surprise Medical Bills Act. Issues related to drug pricing. S. 1895, Lower Health Care Costs Act and other health care cost initiatives currently under consideration. Issues related to the implementation of PL 116-136, Coronavirus Aid, Relief, and Economic Security Act (CARES Act), including issues related to insurance coverage. Issues related to H.R. 6800, the HEROES Act. Issues related to proposals including risk mitigation plans and COBRA subsidies. Issues related to health disparities. Issues related to S. 4329, Continuous Health Coverage for Workers Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE