Middle Class Health Benefits Tax Repeal Act of 2019

H.R. 6800 - The Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES Act), S.684 - Middle Class Health Benefits Tax Repeal Act of 2019, and S. 1895 - Lower Health Care Costs Act, all provisions.

Client expense: $1,820,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense Security Cooperation Agency (DSCA), Defense, Dept of (DOD), Director of National Intelligence (ODNI), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Aeronautics & Space Administration (NASA), Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

H.R. 4549 - American Innovation and Competitiveness Act of 2019, provisions related to R&D Amortization. S. 4317 - SAFE to Work Act, Liability protection for employers regarding workplace COVID exposure. S.684 - Middle Class Health Benefits Tax Repeal Act of 2019, all provisions. Issues related to international tax & competitiveness, Organisation for Economic Co-operation and Development (OECD) digital tax, and Foreign Derived Intangible Income (FDII). Issues related to Tax Cuts and Jobs Act (TCJA)/Tax Reform implementation: Global Intangible Low Tax Income (GILTI) High Tax Exception and Taxation of Advance Payments. H.R. 6201 - Families First Coronavirus Response Act, all provisions.

Client expense: $1,820,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense Security Cooperation Agency (DSCA), Defense, Dept of (DOD), Director of National Intelligence (ODNI), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Aeronautics & Space Administration (NASA), Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

Implementation and improvements to health reform proposals impacting employer coverage, including surprise billing, drug pricing reform, repeal of Cadillac Tax (H.R. 748/S. 684), ERISA preemption and state waivers; employer plan exclusion, opioid addiction relief including opposition to ESRD offset; retiree health.

Client expense: $1,820,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 748/S. 684, the Middle Class Health Benefits Tax Repeal Act, which would repeal a provision of the Patient Protection and Affordable Care Act that imposes a 40% Cadillac tax on health care plans most likely to be used by law enforcement and other public safety officers; H.R. 141/S. 521, the Social Security Fairness Act, which would repeal both the Windfall Elimination Provision and the Government Pension Offset in current Social Security law; H.R. 4540 (Neal, D-MA), the Public Servants Protection and Fairness Act, which would repeal the Windfall Elimination Provision (WEP) and replace it with a more equitable and individualized calculation of Social Security benefits while ensuring that no workers will be negatively impacted by the new formula; H.R. 4897, the Public Safety Retirees Healthcare Protection Act, which would increase the pretax benefit from $3,000 to $6,000 for public safety employees to pay for premiums on health care and long-term care insurance; H.R. 5342, the Supporting Americas First Responders Act, which would establish a new above-the-line deduction for law enforcement and other public safety officers and which was incorporated into H.R. 5377, the Restoring Tax Fairness for State and Localities Act; and S. 710, the Social Security Fairness for Firefighters and Police Officers Act, which would repeal both the Windfall Elimination Provision and the Government Pension Offset for those serving as law enforcement officers or firefighters.

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

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

S. 1895, Lower Health Care Costs Act H.R. 3, Lower Drug Costs Now Act of 2019 HR 2782 Employee Flexibility Act of 2019 S 1510, Employee Flexibility Act of 2019 HR 748, Middle Class Health Benefits Tax Repeal Act S 684, Middle Class Health Benefits Tax Repeal Act HR 2447, Health Insurance Tax Relief Act of 2019 S 172, Health Insurance Tax Relief Act of 2019

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

Government targets: Federal Accounting Standards Advisory Board (FASAB), Federal Reserve System, HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

S. 1895, Lower Health Care Costs Act H.R. 3, Lower Drug Costs Now Act of 2019 HR 2782 Employee Flexibility Act of 2019 S 1510, Employee Flexibility Act of 2019 HR 748, Middle Class Health Benefits Tax Repeal Act S 684, Middle Class Health Benefits Tax Repeal Act HR 2447, Health Insurance Tax Relief Act of 2019 S 172, Health Insurance Tax Relief Act of 2019

Client expense: $156,610 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

S.692 & H.R.2207 - Protect Medical Innovation Act of 2019 S.503 & H.R.1366 - Responsible Additions & Increases to Sustain Employee Health Benefits Act of 2019 S.684 - Middle Class Health Benefits Tax Repeal Act of 2019 H.R.7149 - To amend the Internal Revenue Code of 1986 to provide special disposition rules for unused benefits in flexible spending arrangements of individuals for calendar year 2020.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Occupational Safety & Health Administration (OSHA), SENATE, Treasury, Dept of

General lobbying on the following issues: issues impacting corporate taxation and employer provided benefits; and issues related to international data taxation. Lobbying on the following bills: H.R. 133 - Consolidated Appropriations Act of 2021 (issues related to corporate taxation); H.R.957 - Tax Cuts and Jobs Middle Class Enhancement Act (all provisions related to Implementation of the Tax Cuts and Jobs Act including provisions related to GILTI); H.R. 1725, Digital Goods and Services Fairness Act of 2019 (all provisions); H.R. 1869/S. 803, Restoring Investment in Improvements Act, restores the fifteen year depreciation recovery period for Qualified Improvement Property (all provisions); S. 604, Mobile Workforce State Income Tax Simplification Act of 2019 (all provisions); and S. 684/H.R. 748, Middle Class Health Benefits Tax Repeal Act of 2019 (all provisions).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.684, Middle Class Health Benefits Tax Repeal Act of 2019, excise tax on high-cost employer sponsored health plans and Cadillac tax; H.R.3, Elijah E. Cummings Lower Drug Costs Now Act, cost of prescriptions; General issues regarding implementation of the Affordable Care Act.

Client expense: $1,990,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Natl Economic Council (NEC), Natl Highway Traffic Safety Administration (NHTSA), Office of the Vice President of the United States, SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 515: State and Local Tax Deduction Fairness Act of 2019 S. 684: Middle Class Health Benefits Tax Repeal Act of 2019 H.R. 861: End Surprise Billing Act of 2019 H.R. 2103: Tax Fairness for Workers Act S. 1026: Tax Fairness for Workers Act H.R. 2208: Cabin Air Safety Act of 2019 S. 1112: Cabin Air Safety Act of 2019 H.R. 3630: No Surprises Act H.R. 3632: Fair and Open Skies Act H.R. 4166: Safe Landings Act S. 2198: PLANE Act of 2019 S. 2341: Airline Passengers Bill of Rights S. 4774: Air Carrier Worker Support Extension Act of 2020 HR 6800 - Health and Economic Recovery Omnibus Emergency Solutions Act or the Heroes Act HR 133: Consolidated Appropriations Act of 2021

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6800 - The Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES Act), S.684 - Middle Class Health Benefits Tax Repeal Act of 2019, and S. 1895 - Lower Health Care Costs Act, all provisions.

Client expense: $2,140,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense Security Cooperation Agency (DSCA), Defense, Dept of (DOD), Director of National Intelligence (ODNI), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Aeronautics & Space Administration (NASA), Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

H.R. 3, Lower Drug Costs Now Act of 2019 H.R. 19/S. 3129, Lower Costs, More Cures Act of 2019 H.R. 275, Medicare Prescription Drug Price Negotiation Act of 2019 H.R. 448/S. 99, Medicare Drug Price Negotiation Act H.R. 748/ S. 3548, Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R. 1346, Medicare Buy-In and Health Care Stabilization Act of 2019 H.R. 1384, Medicare for All Act of 2019 H.R. 1398/S. 172, Health Insurance Tax Relief Act of 2019 H.R. 1425, Patient Protection and Affordable Care Enhancement Act H.R. 1865, Further Consolidated Appropriations Act, 2020 H.R. 1922/S. 1089, Restoring Access to Medication Act of 2019 H.R. 1985, Family Savings for Kids and Seniors Act H.R. 2207, Protect Medical Innovation Act of 2019 H.R. 3030, Patient-Centered Outcomes Research Extension Act of 2019 H.R. 6074, Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R. 6201, Families First Coronavirus Response Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act H.R. 7617, Defense, Commerce, Justice, Science, Energy and Water Development, Financial Services and General Government, Labor, Health and Human Services, Education, Transportation, Housing, and Urban Development Appropriations Act, 2021 S. 12, Health Savings Act of 2019 S. 61, Safe and Affordable Drugs from Canada Act of 2019 S. 62, Empowering Medicare Seniors to Negotiate Drug Prices Act of 2019 S. 64, Preserve Access to Affordable Generics and Biosimilars Act S. 80, Jobs and Premium Protection Act, including provisions relating to repeal of the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S. 178, UIGHUR Act of 2019, including provisions relating to substitute amendment regarding COVID-19 relief package S. 340, Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019 S. 344, Hatch-Waxman Integrity Act of 2019 S. 470, Medicare at 50 Act S. 684, Middle Class Health Benefits Tax Repeal Act of 2019 S. 692, Protect Medical Innovation Act of 2019 S. 1416, Affordable Prescriptions for Patients Act of 2019 S. 1541, Tobacco-Free Youth Act S. 1895, Lower Health Care Costs Act S. 2543, Prescription Drug Pricing Reduction Act of 2019 S. 2897, Patient-Centered Outcomes Research Institute Reauthorization Act S. 3200, Chronic Disease Management Act of 2020 S. 3548, Coronavirus Aid, Relief, and Economic Security (CARES) Act S. 4317, Safeguarding Americas Frontline Employees To Offer Work Opportunities Required to Kickstart the Economy (SAFE TO WORK) Act Potential legislation similar to H.R. 2911/S. 1697, Small Business Healthcare Relief Act (114th Cong.) Proposed regulation on the Patient Protection and Affordable Care Act; HHS notice of benefit and payment parameters for 2020 (84 Fed. Reg. 227-321, January 24, 2019) Proposed regulations on Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; interoperability and patient access for Medicare advantage organization and Medicaid managed care plans, state Medicaid agencies, CHIP agencies and CHIP managed care entities, issuers of qualified health plans in the federally-facilitated exchanges and health care providers; supplement and extension of comment period (84 Fed, Reg. 16,834, April 23, 2019) Proposed regulation on Patient Protection and Affordable Care Act; HHS notice of benefit and payment parameters for 2021; notice requirement for non-federal governmental plans (85 Fed. Reg. 7,088-7,159, February 6, 2020) Various issues relating to Patient Protection and Affordable Care Act (P.L. 111-148) and the Health Care and Education Affordability Reconciliation Act of 2010 (P.L. 111-152), including the employer-sponsored health care system, implementation of regulatory process, delivery system reform, health savings account (HSAs), health reimbursement account (HRAs), and flexible spending account (FSAs) changes, medical malpractice reform, the impact on small business, section 1557 on nondiscrimination, incompleteness or inaccuracy of cost impact analysis, lack of quantified benefit analysis, and need for empirical data sources on which to base costs and benefits, protect Medicare Part Ds Non-Interference Clause from repeal, proposed rule regarding section 1557; Public Health Services Act (P.L.78-410), Internal Revenue Code and the Employee Retirement Income Security Act (ERISA) (P.L. 93-406), regarding regulatory process and legislative corrections to ERISA preemption, changes to Medicare Advantage and Parts B, C, and D, including rebates and non-interference with prescription drug prices, entitlement reform, health information technology, telemedicine services in Medicare, and coordination and disease management programs; association health plans; importation of foreign pharmaceuticals into the United States and preemptive authority of federal food and drug regulations; balance or surprise billing and related issues; single-payer health care options; health reimbursement arrangements and other account-based group health plans; Health and Human Services international pricing index (IPI) model; legislation addressing mental health parity; inclusion of prescription drug pricing on 2019 congressional agenda; reauthorization of the Patient Centered Outcomes Research Institute (PCORI); potential premium reduction/reinsurance program to reduce health insurance premiums; proposals to expand Medicare including Medicare Buy-In and the development of a public option; Medicare hospital outpatient prospective payment system for CY 2020; drug pricing including most-favored nations proposals, international pricing index, importation and mandatory rebates; potential healthcare pricing proposals, including a medicaid rebate cap, spread pricing, and inflation penalty; comments on Medicare and State Healthcare Programs: fraud and abuse; revisions to safe harbors under the anti-kickback statute, and civil monetary penalty rules regarding beneficiary inducements; comments on Medicare Program; modernizing and clarifying the physician self-referral regulations; comments on CMS proposed Medicaid fiscal accountability regulation; comments on CMS proposed transparency in coverage rule; comments to the U.S. Department of Health and Human Services on the declaration under the Public Readiness and Emergency Preparedness (PREP) Act for medical countermeasures against COVID-19, as amended on April 10, 2020 and June 8, 2020 (Declaration), Section 319F-3 of the Public Health Service (PHS) Act (42 U.S.C. 247d-6d); comments to the U.S. Department of Health and Human Services on CMS-2393-P: Medicaid Program; Medicaid fiscal accountability regulation; comments to the U.S. Department of Health and Human Services on the Administrations proposed rule to eliminate drug manufacturer rebates in Part D; transparency in coverage; issues relating to the coronavirus pandemic, including testing, liability protection, and temporary COBRA subsidies; Public Health and Social Services Emergency Fund (PHSSEF); health insurance coverage during the coronavirus pandemic; health legislative priorities for the potential Phase 4 coronavirus relief package; provisions relating to Health Savings Accounts (HSA) and Flexible Spending Arrangements (FSA) in the Coronavirus, Aid, Relief, and Economic Security (CARES) Act (P.L. 116-136); FCCs COVID-19 Telehealth Program; Federal Emergency Management Agencys (FEMA) temporary rule regarding Prioritization and Allocation of Certain Scarce or Threatened Health and Medical Resources for Domestic Use; distribution of COVID-19 vaccines; comments on notice of proposed rulemaking: securing updated and necessary statutory evaluations timely (SUNSET); reform of the World Health Organization (WHO); continued U.S. membership in the World Health Organization; COVID-19 liability issues; Phase IV COVID-19 relief legislation and civil liability issues affecting the business community

Client expense: $22,290,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Citizenship & Immigration Services (BCIS), Bureau of Industry and Security (BIS), Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Consumer Financial Protection Bureau (CFPB), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Energy Regulatory Commission (FERC), Federal Reserve System, Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Employer Mandate Repeal; Commonsense Reporting, HR 1.R. 748/ S.684, Tax Exclusion; Association Health Plans; Mental Health; Surprise Billing, Drug Pricing, S.1510/H.R.2782- Employee Flexibility Act of 2019; S.1895- the Lower Health Care Costs Act; H.R.6810 - Health Care Protection Act; COBRA and Coverage Continuation; H.R. 6800, HEREOS Act; H.R.1425 - Patient Protection and Affordable Care Enhancement Act; Administrative guidance on COVID-19 vaccination

Client expense: $261,446 · Firm income: Not reported

Government targets: Army, Dept of (Corps of Engineers), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), Federal Motor Carrier Safety Administration, Federal Transit Administration (FTA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Issues impacting corporate taxation and employer provided benefits, issues related to international data taxation S 604, Mobile Workforce State Income Tax Simplification Act of 2019, all provisions HR 1725, Digital Goods and Services Fairness Act of 2019, all provisions Implementation of the Tax Cuts and Jobs Act including provisions related to GILTI HR 1869/S 803, Restoring Investment in Improvements Act, restores the fifteen year depreciation recovery period for Qualified Improvement Property, all provisions S 684/HR 748, Middle Class Health Benefits Tax Repeal Act of 2019 HR 133, Consolidated Appropriations Act, 2021, issues related to corporate taxation

Client expense: $2,630,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Natl Economic Council (NEC), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, Treasury, Dept of, White House Office

S.80, Jobs and Premium Protection Act (all provisions) S.172, Health Insurance Tax Relief Act (all provisions) S.340, CREATES Act (all provisions) S.684, Middle Class Health Benefits Tax Repeal Act (all provisions) S.1531, Stopping the Outrageous Practice of Surprise Medical Bills Act (all provisions) S.1895, Lower Health Care Costs Act S.1510, Employee Flexibility Act (all provisions) S.2366, Commonsense Reporting Act (all provisions) HR 6800, Heroes Act HR 748, Middle Class Health Benefits Tax Repeal Act (all provisions) HR 861, End Surprise Billing Act (all provisions) HR 965, CREATES Act (all provisions) HR 1384, Medicare for All Act (all provisions) HR 1398, Health Insurance Tax Relief Act (all provisions) HR 3630, No Surprises Act HR 2782, Employee Flexibility Act (all provisions) HR 4070, Commonsense Reporting Act (all provisions) HR 3502, Protecting People From Surprise Medical Bills Act (all provisions) S.2543 Prescription Drug Pricing Reduction Act (all provisions) H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act (all provisions) H.R. 1994, the Setting Every Community Up for Retirement Enhancement (SECURE) Act (all provisions) H.R. 1865, Consolidated Appropriations Act (surprise billing provisions) H.R. 133, Coronavirus Response and Relief Supplemental Appropriations Act, 2021 (all provisions)

Client expense: $1,660,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Equal Employment Opportunity Commission (EEOC), Federal Maritime Commission, Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Postal Service (USPS), U.S. Trade Representative (USTR), White House Office

S 4822/HR 4549 - American Innovation and Jobs Act including issues related to the immediate expensing of qualified research and development expenditure and to reverse a change in the 2017 tax law to ensure that companies can continue to fully deduct R&D investments each year; S 604/HR 5674 - Mobile Workforce State Income Tax Simplification Act of 2020 to limit the authority of states to tax employees for employment duties performed in other states; S 3995 - Remote and Mobile Worker Relief Act of 2020 to ensure that remote workers and medical professionals who supported hard hit areas during COVID-19 do not face unexpected state income tax bills; HR 748 - CARES Act including issues related to tax and R&D credit; HR 6800 - HEROES Act including issues related to tax and R&D credit; HR 4035 - Pension and Budget Integrity Act of 2019 including issues related to pension funding relief and Pension Benefit Guaranty Corporation (PBGC) premium eduction; S 684 - Middle Class Health Benefits Tax Repeal Act of 2019 including issues related to healthcare, paid leave, prescription drug costs, surprise billing, Health Savings Account (HSA) modernization; Discussions on corporate tax rate

Client expense: $2,860,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Commerce, Dept of (DOC), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Navy, Dept of, SENATE, State, Dept of (DOS)

Taxation of employer-provided health care; Health care cost containment; S. 684/ H.R. 748 - CARES Act - transparency, telehealth, mental health care, COBRA coverage, wellness plans Issues related to the HEALS Act (S. 178) H.R. 133, Consolidated Appropriations Act, 2021 - surprise medical billing, air ambulances

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Supported efforts to repeal certain provisions of the Affordable Care Act: Health Insurance Tax, Cadillac Tax, small group expansion requirement, and Medical Device Tax. Supported efforts to expand health savings accounts (HSA) and flexible spending accounts (FSA) benefits; supported the Commonsense Reporting Act of 2017 (S 1908 / HR 3919); supported the Bipartisan HSA Improvement Act of 2018 (HR 5138); supported developing legislation to establish federal chemical labeling standards. Supported Save American Workers HR 3798; STARS Act HR 3956; Cadillac Tax Repeal (HR 748, S. 684); Health Insurance Tax Repeal (HR 2447, S. 80); Health Insurance Tax Delay (HR 1398, S. 172); Commonsense Reporting Act of 2019 (S. 2366/H.R. 4070); and Employee Flexibility Act (HR 2782, S. 1510).

Client expense: $117,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), Federal Highway Administration (FHA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Intl Trade Administration (ITA), Natl Highway Traffic Safety Administration (NHTSA), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

Treatment of tax-preferred savings accounts, transit benefits and the employer exclusion for health benefits. Excise Tax. H.R. 748 - Middle Class Health Benefits Tax Repeal Act of 2019 S. 684 - Middle Class Health Benefits Tax Repeal Act of 2019 H.R. 2177 - Faith in Health Savings Accounts Act of 2019 H.R. 603 - Health Savings Account Expansion Act of 2019 H.R. 457 - Health Savings Account Act S. 12 - Health Savings Act of 2019 H.R. 908 - Stop Penalizing Working Seniors Act H.R. 1922 - Restoring Access to Medication Act of 2019 S. 1089 - Restoring Access to Medication Act of 2019 H.R.3796 - Health Savings for Seniors Act H.R. 3708 - Primary Care Enhancement Act of 2019 H.R. 748, The Coronavirus Aid, Relief and Economic Security (CARES) Act - Public Law No: 116-136 H.R. 1364, Improving Child Care for Working Families Act Support for COBRA benefits H.R. 7008 - Family Savings Flexibility Act H.R. 748 - HEROES Act H.R. 7008 - Family Savings Flexibility Act H.R. 6958 - COVID-19 Dependent Care Flexible Spending Arrangement Rollover Act of 2020 HRAS H.R. 7997 - COVID-19 Health and Dependent Care Flexible Spending Account Distribution Act H.R. 133 - Consolidated Appropriations Act, 2021 H.R. 8450 - To treat certain face coverings and disinfectants as medical expenses for purposes of certain Federal tax benefits

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), 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

Tax Reform (generally) Implementation of Section 199 for the IRS Code, as amended by Public Law 115-97 HR 216/S 1149- Main Street Tax Certainty Act HR 748/S 684- Cadillac Tax Repeal A technical correction addressing the tax treatment of loan forgiveness under the PPP

Client expense: $170,000 · Firm income: Not reported

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

H.R. 3, Lower Drug Costs Now Act of 2019 H.R. 19/S. 3129, Lower Costs, More Cures Act of 2019 H.R. 275, Medicare Prescription Drug Price Negotiation Act of 2019 H.R. 448/S. 99, Medicare Drug Price Negotiation Act H.R. 748/ S. 3548, Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R. 1346, Medicare Buy-In and Health Care Stabilization Act of 2019 H.R. 1384, Medicare for All Act of 2019 H.R. 1398/S. 172, Health Insurance Tax Relief Act of 2019 H.R. 1425, Patient Protection and Affordable Care Enhancement Act H.R. 1865, Further Consolidated Appropriations Act, 2020 H.R. 1922/S. 1089, Restoring Access to Medication Act of 2019 H.R. 1985, Family Savings for Kids and Seniors Act H.R. 2207, Protect Medical Innovation Act of 2019 H.R. 3030, Patient-Centered Outcomes Research Extension Act of 2019 H.R. 6074, Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R. 6201, Families First Coronavirus Response Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act H.R. 7617, Defense, Commerce, Justice, Science, Energy and Water Development, Financial Services and General Government, Labor, Health and Human Services, Education, Transportation, Housing, and Urban Development Appropriations Act, 2021 S. 12, Health Savings Act of 2019 S. 61, Safe and Affordable Drugs from Canada Act of 2019 S. 62, Empowering Medicare Seniors to Negotiate Drug Prices Act of 2019 S. 64, Preserve Access to Affordable Generics and Biosimilars Act S. 80, Jobs and Premium Protection Act, including provisions relating to repeal of the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S. 178, UIGHUR Act of 2019, including provisions relating to substitute amendment regarding COVID-19 relief package S. 340, Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019 S. 344, Hatch-Waxman Integrity Act of 2019 S. 470, Medicare at 50 Act S. 684, Middle Class Health Benefits Tax Repeal Act of 2019 S. 692, Protect Medical Innovation Act of 2019 S. 1416, Affordable Prescriptions for Patients Act of 2019 S. 1541, Tobacco-Free Youth Act S. 1895, Lower Health Care Costs Act S. 2543, Prescription Drug Pricing Reduction Act of 2019 S. 2897, Patient-Centered Outcomes Research Institute Reauthorization Act S. 3200, Chronic Disease Management Act of 2020 S. 4317, Safeguarding Americas Frontline Employees To Offer Work Opportunities Required to Kickstart the Economy (SAFE TO WORK) Act Potential legislation similar to H.R. 2911/S. 1697, Small Business Healthcare Relief Act (114th Cong.) Proposed regulation on the Patient Protection and Affordable Care Act; HHS notice of benefit and payment parameters for 2020 (84 Fed. Reg. 227-321, January 24, 2019) Proposed regulations on Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; interoperability and patient access for Medicare advantage organization and Medicaid managed care plans, state Medicaid agencies, CHIP agencies and CHIP managed care entities, issuers of qualified health plans in the federally-facilitated exchanges and health care providers; supplement and extension of comment period (84 Fed, Reg. 16,834, April 23, 2019) Proposed regulation on Patient Protection and Affordable Care Act; HHS notice of benefit and payment parameters for 2021; notice requirement for non-federal governmental plans (85 Fed. Reg. 7,088-7,159, February 6, 2020) Various issues relating to Patient Protection and Affordable Care Act (P.L. 111-148) and the Health Care and Education Affordability Reconciliation Act of 2010 (P.L. 111-152), including the employer-sponsored health care system, implementation of regulatory process, provider network adequacy, delivery system reform, health savings account (HSAs), health reimbursement account (HRAs), and flexible spending account (FSAs) changes, IPAB, employer mandate, reporting requirements for issuers and applicable large employers, premium stabilization programs, medical loss ratio, medical malpractice reform, exchanges, the impact on small business, the Small Business Tax Credit, section 1332 waivers, section 1557 on nondiscrimination, caps on compensation deductibility required under section 9014, incompleteness or inaccuracy of cost impact analysis, lack of quantified benefit analysis, and need for empirical data sources on which to base costs and benefits, the Cost Sharing Reduction (CSR) program, the section 9010 Health Insurance Providers Fee or Health Insurance Tax (HIT), 40% excise tax on high-cost employer-sponsored health coverage (Cadillac tax); medical device tax; protect Medicare Part Ds Non-Interference Clause from repeal, proposed rule regarding section 1557; Public Health Services Act (P.L.78-410), Internal Revenue Code and the Employee Retirement Income Security Act (ERISA) (P.L. 93-406), regarding regulatory process and legislative corrections to ERISA preemption, changes to Medicare Advantage and Parts B, C, and D, including rebates and non-interference with prescription drug prices, entitlement reform, health information technology, telemedicine services in Medicare, and coordination and disease management programs; association health plans; importation of foreign pharmaceuticals into the United States and preemptive authority of federal food and drug regulations; balance or surprise billing and related issues; single-payer health care options; health reimbursement arrangements and other account-based group health plans; Health and Human Services international pricing index (IPI) model; legislation addressing mental health parity; inclusion of prescription drug pricing on 2019 congressional agenda; reauthorization of the Patient Centered Outcomes Research Institute; (PCORI); potential premium reduction/reinsurance program to reduce health insurance premiums; proposals to expand Medicare including Medicare Buy-In and the development of a public option; medical hospital outpatient prospective payment system for CY 2020; drug pricing including most-favored nations proposals, international pricing index, importation and mandatory rebates; potential healthcare pricing proposals, including a medicaid rebate cap, spread pricing, and inflation penalty; comments on Medicare and State Healthcare Programs: fraud and abuse; revisions to safe harbors under the anti-kickback statute, and civil monetary penalty rules regarding beneficiary inducements; comments on Medicare Program; modernizing and clarifying the physician self-referral regulations; comments on CMS proposed Medicaid fiscal accountability regulation; comments on CMS proposed transparency in coverage rule; comments to the U.S. Department of Health and Human Services on the declaration under the Public Readiness and Emergency Preparedness (PREP) Act for medical countermeasures against COVID-19, as amended on April 10, 2020 and June 8, 2020 (Declaration), Section 319F-3 of the Public Health Service (PHS) Act (42 U.S.C. 247d-6d); comments to the U.S. Department of Health and Human Services on CMS-2393-P: Medicaid Program; Medicaid fiscal accountability regulation; comments to the U.S. Department of Health and Human Services on the Administrations proposed rule to eliminate drug manufacturer rebates in Part D; transparency in coverage; issues relating to the coronavirus pandemic, including testing, liability protection, and temporary COBRA subsidies; Public Health and Social Services Emergency Fund (PHSSEF); health insurance coverage during the coronavirus pandemic; health legislative priorities for the potential Phase 4 coronavirus relief package; provisions relating to Health Savings Accounts (HSA) and Flexible Spending Arrangements (FSA) in the Coronavirus, Aid, Relief, and Economic Security (CARES) Act (P.L. 116-136); FCCs COVID-19 Telehealth Program; Federal Emergency Management Agencys (FEMA) temporary rule regarding Prioritization and Allocation of Certain Scarce or Threatened Health and Medical Resources for Domestic Use; reform of the World Health Organization (WHO); continued U.S. membership in the World Health Organization Public Readiness and Emergency Preparedness Act (P.L. 109-148, Division C), and COVID -19; potential legislation dealing with COVID-19 liability issues

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

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Citizenship & Immigration Services (BCIS), Bureau of Industry and Security (BIS), Bureau of Reclamation, Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Consumer Financial Protection Bureau (CFPB), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Energy Regulatory Commission (FERC), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), General Services Administration (GSA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

General lobbying on the following issues: issues impacting corporate taxation and employer provided benefits; and issues related to international data taxation. Lobbying on the following bills: H.R.957 - Tax Cuts and Jobs Middle Class Enhancement Act (all provisions related to Implementation of the Tax Cuts and Jobs Act including provisions related to GILTI); H.R. 1725, Digital Goods and Services Fairness Act of 2019 (all provisions); H.R. 1869/S. 803, Restoring Investment in Improvements Act, restores the fifteen year depreciation recovery period for Qualified Improvement Property (all provisions); S. 604, Mobile Workforce State Income Tax Simplification Act of 2019 (all provisions); S. 684/H.R. 748, Middle Class Health Benefits Tax Repeal Act of 2019 (all provisions); S.3296/H.R.6802 - Align Act (all provisions); and S. 3995 - Remote and Mobile Worker Relief Act of 2020 (all provisions).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.692 & H.R.2207 - Protect Medical Innovation Act of 2019 S.503 & H.R.1366 - Responsible Additions & Increases to Sustain Employee Health Benefits Act of 2019 S.684 - Middle Class Health Benefits Tax Repeal Act of 2019

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Occupational Safety & Health Administration (OSHA), SENATE, Treasury, Dept of

H.R. 748/S. 684, the Middle Class Health Benefits Tax Repeal Act, which would repeal a provision of the Patient Protection and Affordable Care Act that imposes a 40% Cadillac tax on health care plans most likely to be used by law enforcement and other public safety officers; H.R. 141/S. 521, the Social Security Fairness Act, which would repeal both the Windfall Elimination Provision and the Government Pension Offset in current Social Security law; H.R. 4540 (Neal, D-MA), the Public Servants Protection and Fairness Act, which would repeal the Windfall Elimination Provision (WEP) and replace it with a more equitable and individualized calculation of Social Security benefits while ensuring that no workers will be negatively impacted by the new formula; H.R. 4897, the Public Safety Retirees Healthcare Protection Act, which would increase the pretax benefit from $3,000 to $6,000 for public safety employees to pay for premiums on health care and long-term care insurance; H.R. 5342, the Supporting Americas First Responders Act, which would establish a new above-the-line deduction for law enforcement and other public safety officers and which was incorporated into H.R. 5377, the Restoring Tax Fairness for State and Localities Act; and S. 710, the Social Security Fairness for Firefighters and Police Officers Act, which would repeal both the Windfall Elimination Provision and the Government Pension Offset for those serving as law enforcement officers or firefighters.

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

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

H.R. 3, Lower Drug Costs Now Act of 2019 H.R. 19/S. 3129, Lower Costs, More Cures Act of 2019 H.R. 275, Medicare Prescription Drug Price Negotiation Act of 2019 H.R. 448/S. 99, Medicare Drug Price Negotiation Act H.R. 748/ S. 3548, Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R. 1346, Medicare Buy-In and Health Care Stabilization Act of 2019 H.R. 1384, Medicare for All Act of 2019 H.R. 1398/S. 172, Health Insurance Tax Relief Act of 2019 H.R. 1425, Patient Protection and Affordable Care Enhancement Act H.R. 1865, Further Consolidated Appropriations Act, 2020 H.R. 1922/S. 1089, Restoring Access to Medication Act of 2019 H.R. 1985, Family Savings for Kids and Seniors Act H.R. 2207, Protect Medical Innovation Act of 2019 H.R. 3030, Patient-Centered Outcomes Research Extension Act of 2019 H.R. 6074, Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R. 6201, Families First Coronavirus Response Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act H.R. 7617, Defense, Commerce, Justice, Science, Energy and Water Development, Financial Services and General Government, Labor, Health and Human Services, Education, Transportation, Housing, and Urban Development Appropriations Act, 2021 S. 12, Health Savings Act of 2019 S. 61, Safe and Affordable Drugs from Canada Act of 2019 S. 62, Empowering Medicare Seniors to Negotiate Drug Prices Act of 2019 S. 64, Preserve Access to Affordable Generics and Biosimilars Act S. 80, Jobs and Premium Protection Act, including provisions relating to repeal of the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S. 178, UIGHUR Act of 2019, including provisions relating to substitute amendment regarding COVID-19 relief package S. 340, Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019 S. 344, Hatch-Waxman Integrity Act of 2019 S. 470, Medicare at 50 Act S. 684, Middle Class Health Benefits Tax Repeal Act of 2019 S. 692, Protect Medical Innovation Act of 2019 S. 1416, Affordable Prescriptions for Patients Act of 2019 S. 1541, Tobacco-Free Youth Act S. 1895, Lower Health Care Costs Act S. 2543, Prescription Drug Pricing Reduction Act of 2019 S. 2897, Patient-Centered Outcomes Research Institute Reauthorization Act S. 3200, Chronic Disease Management Act of 2020 S. 4317, Safeguarding Americas Frontline Employees To Offer Work Opportunities Required to Kickstart the Economy (SAFE TO WORK) Act Potential legislation similar to H.R. 2911/S. 1697, Small Business Healthcare Relief Act (114th Cong.) Proposed regulation on the Patient Protection and Affordable Care Act; HHS notice of benefit and payment parameters for 2020 (84 Fed. Reg. 227-321, January 24, 2019) Proposed regulations on Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; interoperability and patient access for Medicare advantage organization and Medicaid managed care plans, state Medicaid agencies, CHIP agencies and CHIP managed care entities, issuers of qualified health plans in the federally-facilitated exchanges and health care providers; supplement and extension of comment period (84 Fed, Reg. 16,834, April 23, 2019) Proposed regulation on Patient Protection and Affordable Care Act; HHS notice of benefit and payment parameters for 2021; notice requirement for non-federal governmental plans (85 Fed. Reg. 7,088-7,159, February 6, 2020) Various issues relating to Patient Protection and Affordable Care Act (P.L. 111-148) and the Health Care and Education Affordability Reconciliation Act of 2010 (P.L. 111-152), including the employer-sponsored health care system, implementation of regulatory process, provider network adequacy, delivery system reform, health savings account (HSAs), health reimbursement account (HRAs), and flexible spending account (FSAs) changes, IPAB, employer mandate, reporting requirements for issuers and applicable large employers, premium stabilization programs, medical loss ratio, medical malpractice reform, exchanges, the impact on small business, the Small Business Tax Credit, section 1332 waivers, section 1557 on nondiscrimination, caps on compensation deductibility required under section 9014, incompleteness or inaccuracy of cost impact analysis, lack of quantified benefit analysis, and need for empirical data sources on which to base costs and benefits, the Cost Sharing Reduction (CSR) program, the section 9010 Health Insurance Providers Fee or Health Insurance Tax (HIT), 40% excise tax on high-cost employer-sponsored health coverage (Cadillac tax); medical device tax; protect Medicare Part Ds Non-Interference Clause from repeal, proposed rule regarding section 1557; Public Health Services Act (P.L.78-410), Internal Revenue Code and the Employee Retirement Income Security Act (ERISA) (P.L. 93-406), regarding regulatory process and legislative corrections to ERISA preemption, changes to Medicare Advantage and Parts B, C, and D, including rebates and non-interference with prescription drug prices, entitlement reform, health information technology, telemedicine services in Medicare, and coordination and disease management programs; association health plans; importation of foreign pharmaceuticals into the United States and preemptive authority of federal food and drug regulations; balance or surprise billing and related issues; single-payer health care options; health reimbursement arrangements and other account-based group health plans; Health and Human Services international pricing index (IPI) model; legislation addressing mental health parity; inclusion of prescription drug pricing on 2019 congressional agenda; reauthorization of the Patient Centered Outcomes Research Institute; (PCORI); potential premium reduction/reinsurance program to reduce health insurance premiums; proposals to expand Medicare including Medicare Buy-In and the development of a public option; medical hospital outpatient prospective payment system for CY 2020; drug pricing including most-favored nations proposals, international pricing index, importation and mandatory rebates; potential healthcare pricing proposals, including a medicaid rebate cap, spread pricing, and inflation penalty; comments on Medicare and State Healthcare Programs: fraud and abuse; revisions to safe harbors under the anti-kickback statute, and civil monetary penalty rules regarding beneficiary inducements; comments on Medicare Program; modernizing and clarifying the physician self-referral regulations; comments on CMS proposed Medicaid fiscal accountability regulation; comments on CMS proposed transparency in coverage rule; comments to the U.S. Department of Health and Human Services on the declaration under the Public Readiness and Emergency Preparedness (PREP) Act for medical countermeasures against COVID-19, as amended on April 10, 2020 and June 8, 2020 (Declaration), Section 319F-3 of the Public Health Service (PHS) Act (42 U.S.C. 247d-6d); comments to the U.S. Department of Health and Human Services on CMS-2393-P: Medicaid Program; Medicaid fiscal accountability regulation; comments to the U.S. Department of Health and Human Services on the Administrations proposed rule to eliminate drug manufacturer rebates in Part D; transparency in coverage; issues relating to the coronavirus pandemic, including testing, liability protection, and temporary COBRA subsidies; Public Health and Social Services Emergency Fund (PHSSEF); health insurance coverage during the coronavirus pandemic; health legislative priorities for the potential Phase 4 coronavirus relief package; provisions relating to Health Savings Accounts (HSA) and Flexible Spending Arrangements (FSA) in the Coronavirus, Aid, Relief, and Economic Security (CARES) Act (P.L. 116-136); FCCs COVID-19 Telehealth Program; Federal Emergency Management Agencys (FEMA) temporary rule regarding Prioritization and Allocation of Certain Scarce or Threatened Health and Medical Resources for Domestic Use; reform of the World Health Organization (WHO); continued U.S. membership in the World Health Organization Public Readiness and Emergency Preparedness Act (P.L. 109-148, Division C), and COVID -19; potential legislation dealing with COVID-19 liability issues

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

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Citizenship & Immigration Services (BCIS), Bureau of Industry and Security (BIS), Bureau of Reclamation, Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Consumer Financial Protection Bureau (CFPB), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Energy Regulatory Commission (FERC), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), General Services Administration (GSA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

H.R. 4549 - American Innovation and Competitiveness Act of 2019, provisions related to R&D Amortization. S. 4317 - SAFE to Work Act, Liability protection for employers regarding workplace COVID exposure. S.684 - Middle Class Health Benefits Tax Repeal Act of 2019, all provisions. Issues related to international tax & competitiveness, Organisation for Economic Co-operation and Development (OECD) digital tax, and Foreign Derived Intangible Income (FDII). Issues related to Tax Cuts and Jobs Act (TCJA)/Tax Reform implementation: Global Intangible Low Tax Income (GILTI) High Tax Exception and Taxation of Advance Payments. H.R. 6201 - Families First Coronavirus Response Act, all provisions.

Client expense: $2,170,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense Security Cooperation Agency (DSCA), Defense, Dept of (DOD), Director of National Intelligence (ODNI), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Aeronautics & Space Administration (NASA), Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

H.R. 6800 - The Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES Act), S.684 - Middle Class Health Benefits Tax Repeal Act of 2019, and S. 1895 - Lower Health Care Costs Act, all provisions.

Client expense: $2,170,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense Security Cooperation Agency (DSCA), Defense, Dept of (DOD), Director of National Intelligence (ODNI), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Aeronautics & Space Administration (NASA), Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

Supported efforts to repeal certain provisions of the Affordable Care Act: Health Insurance Tax, Cadillac Tax, small group expansion requirement, and Medical Device Tax. Supported efforts to expand health savings accounts (HSA) and flexible spending accounts (FSA) benefits; supported the Commonsense Reporting Act of 2017 (S 1908 / HR 3919); supported the Bipartisan HSA Improvement Act of 2018 (HR 5138); supported developing legislation to establish federal chemical labeling standards. Supported Save American Workers HR 3798; STARS Act HR 3956; Cadillac Tax Repeal (HR 748, S. 684); Health Insurance Tax Repeal (HR 2447, S. 80); Health Insurance Tax Delay (HR 1398, S. 172); Commonsense Reporting Act of 2019 (S. 2366/H.R. 4070); and Employee Flexibility Act (HR 2782, S. 1510).

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

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), Federal Highway Administration (FHA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Intl Trade Administration (ITA), Natl Highway Traffic Safety Administration (NHTSA), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

S.80, Jobs and Premium Protection Act (all provisions) S.172, Health Insurance Tax Relief Act (all provisions) S.340, CREATES Act (all provisions) S.684, Middle Class Health Benefits Tax Repeal Act (all provisions) S.1531, Stopping the Outrageous Practice of Surprise Medical Bills Act (all provisions) S.1895, Lower Health Care Costs Act S.1510, Employee Flexibility Act (all provisions) S.2366, Commonsense Reporting Act (all provisions) HR 6800, Heroes Act HR 748, Middle Class Health Benefits Tax Repeal Act (all provisions) HR 861, End Surprise Billing Act (all provisions) HR 965, CREATES Act (all provisions) HR 1384, Medicare for All Act (all provisions) HR 1398, Health Insurance Tax Relief Act (all provisions) HR 3630, No Surprises Act HR 2782, Employee Flexibility Act (all provisions) HR 4070, Commonsense Reporting Act (all provisions) HR 3502, Protecting People From Surprise Medical Bills Act (all provisions) S.2543 Prescription Drug Pricing Reduction Act (all provisions) H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act (all provisions) H.R. 1994, the Setting Every Community Up for Retirement Enhancement (SECURE) Act (all provisions)

Client expense: $1,400,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Federal Maritime Commission, Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Postal Service (USPS), U.S. Trade Representative (USTR), White House Office

Employer Mandate Repeal;Commonsense Reporting, HR 1.R. 748/ S.684, Tax Exclusion; Association Health Plans; Surprise Billing, Drug Pricing, S.1510/H.R.2782- Employee Flexibility Act of 2019; S.1895- the Lower Health Care Costs Act; H.R.6810 - Health Care Protection Act; COBRA and Coverage Continuation; H.R. 6800, HEREOS Act; H.R.1425 - Patient Protection and Affordable Care Enhancement Act

Client expense: $198,737 · Firm income: Not reported

Government targets: Army, Dept of (Corps of Engineers), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), Federal Motor Carrier Safety Administration, Federal Transit Administration (FTA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Employer Mandate Repeal;Commonsense Reporting, HR 1.R. 748/ S.684, Tax Exclusion; Association Health Plans; Surprise Billing, Drug Pricing, S.1510/H.R.2782- Employee Flexibility Act of 2019; S.1895- the Lower Health Care Costs Act; H.R.6810 - Health Care Protection Act; COBRA and Coverage Continuation; H.R. 6800, HEREOS Act; H.R.1425 - Patient Protection and Affordable Care Enhancement Act

Client expense: $198,737 · Firm income: Not reported

Government targets: Army, Dept of (Corps of Engineers), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), Federal Motor Carrier Safety Administration, Federal Transit Administration (FTA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Issues impacting corporate taxation and employer provided benefits, issues related to international data taxation S 604, Mobile Workforce State Income Tax Simplification Act of 2019, all provisions HR 1725, Digital Goods and Services Fairness Act of 2019, all provisions Implementation of the Tax Cuts and Jobs Act including provisions related to GILTI HR 1869/S 803, Restoring Investment in Improvements Act, restores the fifteen year depreciation recovery period for Qualified Improvement Property, all provisions S 684/HR 748, Middle Class Health Benefits Tax Repeal Act of 2019 S 3995, Remote and Mobile Worker Relief Act of 2020, all provisions S 3296/HR 6802, Align Act, all provisions

Client expense: $2,530,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Natl Economic Council (NEC), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, Treasury, Dept of, White House Office

S 684 - Middle Class Health Benefits Tax Repeal Act of 2019 including issues related to healthcare, paid leave, prescription drug costs, paid leave, surprise billing, Health Savings Account modernization; HR 4035 - Pension and Budget Integrity Act of 2019 including issues related to pension and education; S 3548/ HR 748 - CARES Act including issues related to tax and R&D credit; HR 4549 - American Innovation and Competitiveness Act of 2019, including repealing Section 174 of the tax code related to the immediate expensing of qualified R&D expenditures; S 604/HR 5674, Mobile Workforce State Income Tax Simplification Act of 2019 to limit the authority of states to tax employees for employment duties performed in other states, R&D credit; S 3995 - Remote and Mobile Worker Relief Act of 2020 to ensure that remote workers and medical professionals during COVID-19 do not face unexpected state income tax bills; S 1624/HR 5184 - HEALS Act including issues related to the equitable adjustment to contractors; S 4320 - Coronavirus Response Additional Supplemental Appropriations Act, 2020 including issues related to the equitable adjustment to contractors; S 4318 - American Workers, Families, and Employers Assistance Act including issues related to tax simplification from state taxes for remote workers and the repeal of the R&D amortization; HR 6800 - The Heroes Act including issues related to the repeal of R&D amortization and pensions, tax and R&D credit; Discussions on the corporate tax rate

Client expense: $2,960,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Commerce, Dept of (DOC), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Navy, Dept of, SENATE, State, Dept of (DOS)

P.L. 116-136 - Coronavirus Aid, Relief, and Economic Security Act (CARES) Act - Inclusion of certain over-the-counter medical products as qualified medical expenses. COVID-19 Vaccine Prioritization; Pharmacist Scope of Practice Internal Revenue Services (IRS) Affordable Care Act employer shared responsibility (Section 4980H) and reporting requirements (Sections 6055 and 6056) S. 684 / H.R. 748 - Middle Class Health Benefits Tax Repeal Act S. 1895 - the Lower Health Care Costs Act H.R. 2782/S. 1510 - the Employee Flexibility Act of 2019 H.R. 4070/S. 2366 - the Commonsense Reporting Act H.R. 7008 - the Family Savings Flexibility Act

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of, U.S. Mint, U.S. Trade Representative (USTR), White House Office

S.684, Middle Class Health Benefits Tax Repeal Act of 2019, excise tax on high-cost employer sponsored health plans and Cadillac tax; H.R.3, Elijah E. Cummings Lower Drug Costs Now Act, cost of prescriptions; General issues regarding implementation of the Affordable Care Act.

Client expense: $1,220,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Natl Economic Council (NEC), Natl Highway Traffic Safety Administration (NHTSA), Office of the Vice President of the United States, SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Taxation of employer-provided health care; Health care cost containment; S. 684/ H.R. 748- CARES Act ; transparency, telehealth, mental health care, COBRA coverage, wellness plans

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Treatment of tax-preferred savings accounts, transit benefits and the employer exclusion for health benefits. Excise Tax. H.R. 748 - Middle Class Health Benefits Tax Repeal Act of 2019 S. 684 - Middle Class Health Benefits Tax Repeal Act of 2019 H.R. 2177 - Faith in Health Savings Accounts Act of 2019 H.R. 603 - Health Savings Account Expansion Act of 2019 H.R. 457 - Health Savings Account Act S. 12 - Health Savings Act of 2019 H.R. 908 - Stop Penalizing Working Seniors Act H.R. 1922 - Restoring Access to Medication Act of 2019 S. 1089 - Restoring Access to Medication Act of 2019 H.R.3796 - Health Savings for Seniors Act H.R. 3708 - Primary Care Enhancement Act of 2019 H.R. 748, The Coronavirus Aid, Relief and Economic Security (CARES) Act - Public Law No: 116-136 H.R. 1364, Improving Child Care for Working Families Act Support for COBRA benefits H.R. 7008 - Family Savings Flexibility Act H.R. 748 - HEROES Act H.R. 7008 - Family Savings Flexibility Act H.R. 6958 - COVID-19 Dependent Care Flexible Spending Arrangement Rollover Act of 2020 HRAS H.R. 7997 - COVID-19 Health and Dependent Care Flexible Spending Account Distribution Act

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

H.R. 3, Lower Drug Costs Now Act of 2019 H.R. 19/S. 3129, Lower Costs, More Cures Act of 2019 H.R. 275, Medicare Prescription Drug Price Negotiation Act of 2019 H.R. 448/S. 99, Medicare Drug Price Negotiation Act H.R. 748/ S. 3548, Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R. 1346, Medicare Buy-In and Health Care Stabilization Act of 2019 H.R. 1384, Medicare for All Act of 2019 H.R. 1398/S. 172, Health Insurance Tax Relief Act of 2019 H.R. 1425, Patient Protection and Affordable Care Enhancement Act H.R. 1865, Further Consolidated Appropriations Act, 2020 H.R. 1922/S. 1089, Restoring Access to Medication Act of 2019 H.R. 1985, Family Savings for Kids and Seniors Act H.R. 2207, Protect Medical Innovation Act of 2019 H.R. 3030, Patient-Centered Outcomes Research Extension Act of 2019 H.R. 6074, Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R. 6201, Families First Coronavirus Response Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act H.R. 7617, Defense, Commerce, Justice, Science, Energy and Water Development, Financial Services and General Government, Labor, Health and Human Services, Education, Transportation, Housing, and Urban Development Appropriations Act, 2021 S. 12, Health Savings Act of 2019 S. 61, Safe and Affordable Drugs from Canada Act of 2019 S. 62, Empowering Medicare Seniors to Negotiate Drug Prices Act of 2019 S. 64, Preserve Access to Affordable Generics and Biosimilars Act S. 80, Jobs and Premium Protection Act, including provisions relating to repeal of the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S. 178, UIGHUR Act of 2019, including provisions relating to substitute amendment regarding COVID-19 relief package S. 340, Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019 S. 344, Hatch-Waxman Integrity Act of 2019 S. 470, Medicare at 50 Act S. 684, Middle Class Health Benefits Tax Repeal Act of 2019 S. 692, Protect Medical Innovation Act of 2019 S. 1416, Affordable Prescriptions for Patients Act of 2019 S. 1541, Tobacco-Free Youth Act S. 1895, Lower Health Care Costs Act S. 2543, Prescription Drug Pricing Reduction Act of 2019 S. 2897, Patient-Centered Outcomes Research Institute Reauthorization Act S. 3200, Chronic Disease Management Act of 2020 S. 4317, Safeguarding Americas Frontline Employees To Offer Work Opportunities Required to Kickstart the Economy (SAFE TO WORK) Act Potential legislation similar to H.R. 2911/S. 1697, Small Business Healthcare Relief Act (114th Cong.) Proposed regulation on the Patient Protection and Affordable Care Act; HHS notice of benefit and payment parameters for 2020 (84 Fed. Reg. 227-321, January 24, 2019) Proposed regulations on Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; interoperability and patient access for Medicare advantage organization and Medicaid managed care plans, state Medicaid agencies, CHIP agencies and CHIP managed care entities, issuers of qualified health plans in the federally-facilitated exchanges and health care providers; supplement and extension of comment period (84 Fed, Reg. 16,834, April 23, 2019) Proposed regulation on Patient Protection and Affordable Care Act; HHS notice of benefit and payment parameters for 2021; notice requirement for non-federal governmental plans (85 Fed. Reg. 7,088-7,159, February 6, 2020) Various issues relating to Patient Protection and Affordable Care Act (P.L. 111-148) and the Health Care and Education Affordability Reconciliation Act of 2010 (P.L. 111-152), including the employer-sponsored health care system, implementation of regulatory process, provider network adequacy, delivery system reform, health savings account (HSAs), health reimbursement account (HRAs), and flexible spending account (FSAs) changes, IPAB, employer mandate, reporting requirements for issuers and applicable large employers, premium stabilization programs, medical loss ratio, medical malpractice reform, exchanges, the impact on small business, the Small Business Tax Credit, section 1332 waivers, section 1557 on nondiscrimination, caps on compensation deductibility required under section 9014, incompleteness or inaccuracy of cost impact analysis, lack of quantified benefit analysis, and need for empirical data sources on which to base costs and benefits, the Cost Sharing Reduction (CSR) program, the section 9010 Health Insurance Providers Fee or Health Insurance Tax (HIT), 40% excise tax on high-cost employer-sponsored health coverage (Cadillac tax); medical device tax; protect Medicare Part Ds Non-Interference Clause from repeal, proposed rule regarding section 1557; Public Health Services Act (P.L.78-410), Internal Revenue Code and the Employee Retirement Income Security Act (ERISA) (P.L. 93-406), regarding regulatory process and legislative corrections to ERISA preemption, changes to Medicare Advantage and Parts B, C, and D, including rebates and non-interference with prescription drug prices, entitlement reform, health information technology, telemedicine services in Medicare, and coordination and disease management programs; association health plans; importation of foreign pharmaceuticals into the United States and preemptive authority of federal food and drug regulations; balance or surprise billing and related issues; single-payer health care options; health reimbursement arrangements and other account-based group health plans; Health and Human Services international pricing index (IPI) model; legislation addressing mental health parity; inclusion of prescription drug pricing on 2019 congressional agenda; reauthorization of the Patient Centered Outcomes Research Institute; (PCORI); potential premium reduction/reinsurance program to reduce health insurance premiums; proposals to expand Medicare including Medicare Buy-In and the development of a public option; medical hospital outpatient prospective payment system for CY 2020; drug pricing including most-favored nations proposals, international pricing index, importation and mandatory rebates; potential healthcare pricing proposals, including a medicaid rebate cap, spread pricing, and inflation penalty; comments on Medicare and State Healthcare Programs: fraud and abuse; revisions to safe harbors under the anti-kickback statute, and civil monetary penalty rules regarding beneficiary inducements; comments on Medicare Program; modernizing and clarifying the physician self-referral regulations; comments on CMS proposed Medicaid fiscal accountability regulation; comments on CMS proposed transparency in coverage rule; comments to the U.S. Department of Health and Human Services on the declaration under the Public Readiness and Emergency Preparedness (PREP) Act for medical countermeasures against COVID-19, as amended on April 10, 2020 and June 8, 2020 (Declaration), Section 319F-3 of the Public Health Service (PHS) Act (42 U.S.C. 247d-6d); comments to the U.S. Department of Health and Human Services on CMS-2393-P: Medicaid Program; Medicaid fiscal accountability regulation; comments to the U.S. Department of Health and Human Services on the Administrations proposed rule to eliminate drug manufacturer rebates in Part D; transparency in coverage; issues relating to the coronavirus pandemic, including testing, liability protection, and temporary COBRA subsidies; Public Health and Social Services Emergency Fund (PHSSEF); health insurance coverage during the coronavirus pandemic; health legislative priorities for the potential Phase 4 coronavirus relief package; provisions relating to Health Savings Accounts (HSA) and Flexible Spending Arrangements (FSA) in the Coronavirus, Aid, Relief, and Economic Security (CARES) Act (P.L. 116-136); FCCs COVID-19 Telehealth Program; Federal Emergency Management Agencys (FEMA) temporary rule regarding Prioritization and Allocation of Certain Scarce or Threatened Health and Medical Resources for Domestic Use; reform of the World Health Organization (WHO); continued U.S. membership in the World Health Organization Public Readiness and Emergency Preparedness Act (P.L. 109-148, Division C), and COVID -19; potential legislation dealing with COVID-19 liability issues

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

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Citizenship & Immigration Services (BCIS), Bureau of Industry and Security (BIS), Bureau of Reclamation, Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Consumer Financial Protection Bureau (CFPB), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Energy Regulatory Commission (FERC), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), General Services Administration (GSA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

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

Tax Reform (generally) Implementation of Section 199 for the IRS Code, as amended by Public Law 115-97 HR 216/S 1149- Main Street Tax Certainty Act HR 748/S 684- Cadillac Tax Repeal

Client expense: $220,000 · Firm income: Not reported

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

H.R. 515: State and Local Tax Deduction Fairness Act of 2019 S. 684: Middle Class Health Benefits Tax Repeal Act of 2019 H.R. 861: End Surprise Billing Act of 2019 H.R. 2103: Tax Fairness for Workers Act S. 1026: Tax Fairness for Workers Act H.R. 2208: Cabin Air Safety Act of 2019 S. 1112: Cabin Air Safety Act of 2019 H.R. 3630: No Surprises Act H.R. 3632: Fair and Open Skies Act H.R. 4166: Safe Landings Act S. 2198: PLANE Act of 2019 S. 2341: Airline Passengers Bill of Rights S. 4774: Air Carrier Worker Support Extension Act of 2020 S.3548 - Coronavirus Aid, Relief, and Economic Security Act (CARES Act) HR 6800 - Health and Economic Recovery Omnibus Emergency Solutions Act or the Heroes Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation and improvements to health reform proposals impacting employer coverage, including surprise billing, drug pricing reform, repeal of Cadillac Tax (H.R. 748/S. 684), ERISA preemption and state waivers; employer plan exclusion, opioid addiction relief including opposition to ESRD offset; retiree health.

Client expense: $780,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

S. 1895, Lower Health Care Costs Act H.R. 3, Lower Drug Costs Now Act of 2019 HR 2782 Employee Flexibility Act of 2019 S 1510, Employee Flexibility Act of 2019 HR 748, Middle Class Health Benefits Tax Repeal Act S 684, Middle Class Health Benefits Tax Repeal Act HR 2447, Health Insurance Tax Relief Act of 2019 S 172, Health Insurance Tax Relief Act of 2019

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

Government targets: Federal Accounting Standards Advisory Board (FASAB), Federal Reserve System, HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office