Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page

9. Check if this filing amends a previously filed version of this report

LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code BUD

16. Specific lobbying issues

H. R. 5961: Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2019; All provisions related to funding for Food and Drug Administration and related agencies

H. R. 6157: Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019; Provisions related to funding for National Institutes of Health, Centers for Disease Control, Agency for Healthcare Research and Quality, Health Resources and Services Administration, the Social Security Administration and continuing Food and Drug Administration funding

S. 2976: Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2019; All provisions related to funding for Food and Drug Administration and related agencies

S. 3158: Departments of Labor, Health and Human Services, and Education and Related Agencies, Appropriations Act, 2019; Provisions related to funding for National Institutes of Health, Centers for Disease Control, Agency for Healthcare Research and Quality, Health Resources and Services Administration, the Social Security Administration and continuing Food and Drug Administration funding

17. House(s) of Congress and Federal agencies Check if None

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

​

LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code HCR

16. Specific lobbying issues

H.R. 2: Agriculture Improvement Act of 2018; provisions related to Association Health Plans

H.R. 2587: Medical Nutrition Equity Act of 2017; all provisions

H.R. 3325: Advancing Care for Exceptional (ACE) Kids Act; All provisions

H.R. 6261: Improving Choices in Health Care Coverage Act; All provisions

S. 428: ACE Kids Act of 2017; all provisions

S. 1194: Medical Nutrition Equity Act of 2017; all provisions

S. 2507: Improving Choices in Health Care Coverage Act; all provisions

S. 3042: Agriculture Improvement Act of 2018; provisions related to Association Health Plans

S. 3388: Ensuring Coverage for Patients with Pre-Existing Conditions Act; all provisions

H.J. Res. 140 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Department of the Treasury, the Department of Labor, and the Department of Health and Human Services relating to "Short-Term, Limited-Duration Insurance; all provisions

S.J. Res. 63 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Secretary of the Treasury, Secretary of Labor, and Secretary of Health and Human Services relating to "Short-Term, Limited Duration Insurance"; all provisions

Draft Bill: To amend the HITECH Act to allow an individual to obtain a copy of such individuals protected health information at no cost in certain circumstances, and for other purposes; all provisions of draft

Centers for Medicare & Medicaid Services Regulation# CMS-1693-P: Medicare Program: Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program, and Medicaid Promoting Interoperability Program.; all provisions

Centers for Medicare & Medicaid Services Regulation# CMS-9920-F: Adoption of Methodology for HHS-operated Permanent Risk Adjustment Program under the Patient Protection and Affordable Care Act for the 2017 Benefit Year; all provisions

Centers for Medicare & Medicaid Services Regulation# CMS-9924-F: Short-term, Limited-Duration Insurance; all provisions

Centers for Medicare & Medicaid Services Health Plan Management System Memo Re: Prohibition on Imposing Mandatory Step Therapy for Access to Part B Drugs and Services; all provisions

Centers for Medicare & Medicaid Services - Section 1332: State Innovation Waivers; Provisions regarding Michigans Waiver Application

Centers for Medicare & Medicaid Services - Section 1332: State Innovation Waivers; Provisions regarding New Hampshires Waiver Application

Centers for Medicare & Medicaid Services - Section 1115: State Innovation Waivers; Provisions regarding Kentuckys Health Waiver Application work requirements to Medicaid

17. House(s) of Congress and Federal agencies Check if None

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

​

LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code INS

16. Specific lobbying issues

H.R. 2: Agriculture Improvement Act of 2018; provisions related to Association Health Plans

H.R. 2587: Medical Nutrition Equity Act of 2017; all provisions

H.R. 3325: Advancing Care for Exceptional (ACE) Kids Act; All provisions

H.R. 6261: Improving Choices in Health Care Coverage Act; All provisions

S. 428: ACE Kids Act of 2017; all provisions

S. 1194: Medical Nutrition Equity Act of 2017; all provisions

S. 2507: Improving Choices in Health Care Coverage Act; all provisions

S. 3042: Agriculture Improvement Act of 2018; provisions related to Association Health Plans

S. 3388: Ensuring Coverage for Patients with Pre-Existing Conditions Act; all provisions

H.J. Res. 140 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Department of the Treasury, the Department of Labor, and the Department of Health and Human Services relating to "Short-Term, Limited-Duration Insurance; all provisions

S.J. Res. 63 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Secretary of the Treasury, Secretary of Labor, and Secretary of Health and Human Services relating to "Short-Term, Limited Duration Insurance"; all provisions

Draft Bill: To amend the HITECH Act to allow an individual to obtain a copy of such individuals protected health information at no cost in certain circumstances, and for other purposes; all provisions of draft

Centers for Medicare & Medicaid Services Regulation# CMS-1693-P: Medicare Program: Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program, and Medicaid Promoting Interoperability Program.; all provisions

Centers for Medicare & Medicaid Services Regulation# CMS-9920-F: Adoption of Methodology for HHS-operated Permanent Risk Adjustment Program under the Patient Protection and Affordable Care Act for the 2017 Benefit Year; all provisions

Centers for Medicare & Medicaid Services Regulation# CMS-9924-F: Short-term, Limited-Duration Insurance; all provisions

Centers for Medicare & Medicaid Service - Section 1332: State Innovation Waivers; Provisions regarding Michigans Waiver Application

Centers for Medicare & Medicaid Service - Section 1332: State Innovation Waivers; Provisions regarding New Hampshires Waiver Application

Centers for Medicare & Medicaid Services - Section 1115: State Innovation Waivers; Provisions regarding Kentuckys Health Waiver Application work requirements to Medicaid

17. House(s) of Congress and Federal agencies Check if None

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

​

LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code MED

16. Specific lobbying issues

H. R. 5961: Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2019; All provisions related to funding for Food and Drug Administration and related agencies

H. R. 6157: Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019; Provisions related to funding for National Institutes of Health, Centers for Disease Control, Agency for Healthcare Research and Quality, Health Resources and Services Administration, the Social Security Administration and continuing Food and Drug Administration funding

S. 2976: Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2019; All provisions related to funding for Food and Drug Administration and related agencies

S. 3158: Departments of Labor, Health and Human Services, and Education and Related Agencies, Appropriations Act, 2019; Provisions related to funding for National Institutes of Health, Centers for Disease Control, Agency for Healthcare Research and Quality, Health Resources and Services Administration, the Social Security Administration and continuing Food and Drug Administration funding

17. House(s) of Congress and Federal agencies Check if None

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

​

LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code MMM

16. Specific lobbying issues

H.R. 2587: Medical Nutrition Equity Act of 2017; all provisions

H.R. 3325: Advancing Care for Exceptional (ACE) Kids Act; All provisions

S. 428: ACE Kids Act of 2017; all provisions

S. 1194: Medical Nutrition Equity Act of 2017; all provisions

S. 3388: Ensuring Coverage for Patients with Pre-Existing Conditions Act; all provisions

Centers for Medicare & Medicaid Services Regulation# CMS-1693-P: Medicare Program: Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program, and Medicaid Promoting Interoperability Program.; all provisions

Centers for Medicare & Medicaid Services - Section 1332: State Innovation Waivers; Provisions regarding Michigans Waiver Application

Centers for Medicare & Medicaid Service - Section 1115: State Innovation Waivers; Provisions regarding Kentuckys Waiver Application work requirements to Medicaid

Centers for Medicare & Medicaid Service - Section 1332: State Innovation Waivers; Provisions regarding New Jerseys Waiver Application-Reinsurance

Centers for Medicare & Medicaid Service - Section 1115: State Innovation Waivers; Provisions regarding Utahs Waiver Application work requirements to Medicaid

17. House(s) of Congress and Federal agencies Check if None

U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

​

Information Update Page - Complete ONLY where registration information has changed.

20. Client new address

21. Client new principal place of business (if different than line 20)

22. New General description of client’s business or activities

LOBBYIST UPDATE

23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client

ISSUE UPDATE

24. General lobbying issue that no longer pertains

AFFILIATED ORGANIZATIONS

25. Add the following affiliated organization(s)

Internet Address:

26. Name of each previously reported organization that is no longer affiliated with the registrant or client

FOREIGN ENTITIES

27. Add the following foreign entities:

28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization