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 HCR

16. Specific lobbying issues

S.2582 - Consumer Health Insurance Protection Act- lobbied in support of entire bill; comprehensive insurance reform proposals including provisions pegging consumer assistance to plans with higher actuarial value, lowering out-of-pocket maximums, extending eligibility for subsidies, fixing family glitch, investing in enrollment outreach, requiring insurers to cover emergency services at in-network costs, making short-term limited duration plans subject to ACAs consumer protections

Amendment to S. 1771 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2018 - TITLE VI-BIPARTISAN HEALTH CARE STABILIZATION - lobbied in opposition to reinstating cost-sharing reduction (CSR) payments to insurers

S.1835 - Lower Premiums Through Reinsurance Act - lobbied in support of reinsurance

H.R.5155 - Undo Sabotage and Expand Affordability of Health Insurance Act - lobbied in support of entire bill; provisions including raising advance premium tax credits (APTCs), funding reinsurance, financing outreach and enrollment assistance, and stopping proposed regulations relating to short-term plans and association health plans (AHPs)

H.R.195 - Making further continuing appropriations for the fiscal year ending September 30, 2018, and for other purposes.
- DIVISION C-HEALTHY KIDS ACT - lobbied in support of long-term funding for Childrens Health Insurance Program (CHIP)

H.R.1892 - Bipartisan Budget Act
-DIVISION B-SUPPLEMENTAL APPROPRIATIONS, TAX RELIEF, AND MEDICAID CHANGES RELATING TO CERTAIN DISASTERS AND FURTHER EXTENSION OF CONTINUING APPROPRIATIONS
--SUBDIVISION 2-TAX RELIEF AND MEDICAID CHANGES RELATING TO CERTAIN DISASTERS
---TITLE III-HURRICANE MARIA RELIEF FOR PUERTO RICO AND THE VIRGIN ISLANDS MEDICAID PROGRAMS - lobbied in support of provision to fully fund Puerto Rico Medicaid for two years
-DIVISION E-HEALTH AND HUMAN SERVICES EXTENDERS
-- TITLE I-CHIP - lobbied in support of ten years of the Children's Health Insurance Plan (CHIP), increased from six years
--TITLE II-MEDICARE EXTENDERS - lobbied in support of Medicaid extenders package
--TITLE VI-CHILD AND FAMILY SERVICES AND SUPPORTS EXTENDERS - lobbied in support of MIECHV extension
--TITLE IX-PUBLIC HEALTH PROGRAMS - lobbied in support of reauthorization for Community Health Centers funding
-Lobbied for inclusion of a fix for DACA recipients

H.R.1625 - Consolidated Appropriations Act, 2018
-Lobbied in support of repealing Dickey Amendment and ending effective ban on gun violence research
-Lobbied against inclusion of CSR payments to insurers
-Lobbied for inclusion of CREATES Act

S.974 - CREATES Act - lobbied in support of entire bill; proposals to promote drug price competition by making it easier for medicines whose patents have expired to be sold as less expensive generic versions

H.R.817 - End Surprise Billing Act of 2017 - lobbied in support of policies to end the practice of balance billing for out-of-network providers

Additional issues:

Welfare reform - lobbied in opposition to legislative proposals to reform welfare, including imposing work requirements on Medicaid beneficiaries

Replacements for ACAs individual mandate - lobbied in support of auto-enrollment proposals for the ACAs Marketplaces

Oral health - lobbied in support of a Medicare dental benefit; lobbied in support of Medicare coverage of medically necessary oral health care

Health Equity and Accountability Act (HEAA) - lobbied in support of entire bill; TITLE IV - Improvement of Health Care Services - provisions to emphasize intersection of health equity and delivery system reform

Congressional Progressive Caucus FY2019 Budget - lobbied for inclusion of stabilization proposals that would stop proposed regulations relating to short-term plans and association health plans (AHPs)

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

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

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

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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