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. 2076/H.R. 4256, Building Our Largest Dementia (BOLD) Infrastructure for Alzheimers Act - Discussed bill, home and community-based services, and nursing home quality.

Shared AARPs comment letter to CMS on the CMMI RFI (no bill number).

H.R. 3778, Direct Creation, Advancement, and Retention of Employment (CARE) Opportunity Act - Discussed feedback on the bill.

S. 1977/H.R. 3590, Seniors Tax Hike Prevention Act of 2017 - Discussed passage and importance of 7.5% threshold for medical expense deductions.

Discussed implications and importance of Alexander/Murray stabilization proposal on health insurance markets.

S. 1835, Lower Premiums Through Reinsurance Act of 2017 - Discussed reinsurance legislation and impact on health insurance enrollee premiums and markets.

H.R. 4695, Bipartisan Market Stabilization and Innovation Act of 2017 - Discussed implications on older Americans with bill sponsor.

Discussed general strategies and proposals to improve and build upon the Patient Protection and Affordable Care Act.

Discussed nutrition programs including the Supplemental Nutrition Assistance Program (SNAP).

H.R. 3354, Omnibus Appropriations Act, 2018, H.R. 1370, H.J.R. 123, Further Continuing Appropriations Act, 2018, H.J. Res. 99 (P.L. 115-30), H.R.244, Consolidated Appropriations Act 2017 (P.L. 115-31), (H.R. 3358 & S. 1771) Labor-HHS Appropriations bill for FY 2018 and Transportation-HUD Appropriations bill for FY 2018 - Lobbied in support of increased funding for CMS' state survey and certification program and opposition to hostile policy riders re: Patient Protection and Affordable Care Act, and various related medical care research and supportive services.

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

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

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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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

Shared AARPs comment letter on Medicare home health payment system proposed rule.

Responded to request for hearing questions regarding disaster preparedness.

Responded to inquiry on Medicare and telehealth.

Discussed nursing home oversight, quality of care, disaster preparedness and response.

S. 2227, Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources and Care Act (EMPOWER Care Act) - Discussed support for the bill.

Signed onto letter to HHS/CMS re: nursing home conditions of participation and arbitration.

S. 910/H.R. 2472, Disability Integration Act - Discussed the bill.

S. 2076/H.R. 4256, Building Our Largest Dementia (BOLD) Infrastructure for Alzheimers Act - Discussed bill, home and community-based services, and nursing home quality.

Shared AARPs comment letter to CMS on the CMMI RFI (no bill number).

S. 1334/H.R. 2797, Patient Choice and Quality Care Act - Signed letter in support of legislation.

Discussed coverage of oral health care under Medicare.

Sent letter on Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act of 2017.

Discussed expanding access to hearing aid technologies.

Filed comments on 1115 waiver applications or 1115 waiver amendment applications for Utah and Massachusetts.

Discussed opposition to income-related premiums for Medicare.

Expressed support for re-authorization of the CHIP program.

Participated in an informational call regarding Medicaid-For-All legislation.

H.R. 3354, Omnibus Appropriations Act, 2018, H.R. 1370, H.J.R. 123, Further Continuing Appropriations Act, 2018, H.J. Res. 99 (P.L. 115-30), H.R.244, Consolidated Appropriations Act 2017 (P.L. 115-31) and (H.R.3358 & S.1771) Labor-HHS Appropriations bill for FY 2018 - Lobbied in support of increased funding for CMS' state survey and certification program and opposition to hostile policy riders re: Patient Protection and Affordable Care Act.

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), Medicare Payment Advisory Commission (MedPAC)

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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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 PHA

16. Specific lobbying issues

Provided comments to CMS on value-based pricing arrangements for prescription drugs.

S. 974/H.R. 2212, CREATES Act - Discussed support of bill.

H.R. 2051, FAST Generics Act - Discussed support of bill.

S.1131/H.R. 2439, FAIR Drug Pricing Act - Discussed support of bill.

S. 124, Preserve Access to Affordable Generics Act - Discussed support of bill.

Advocated for biosimilar drugs to be added to the Medicare Part D Coverage Gap Discount Program.

Cody Miller PMI Act - Participated in meetings with the sponsoring office to discuss updates to the bill text and re-introduction in the 115th Congress.

Submitted a letter outlining the reforms we support to lower prescription drugs costs to the House Energy and Commerce Committee and the Senate HELP Committee when they held hearings on the drug supply chain.

Discussed possible ways to improve Medicare Part D.

Discussed Rx Price Watch Reports and the impact of high drug costs.

Discussed drug pricing reforms AARP supports, including secretarial negotiation, importation, reducing exclusivity for biologics, and ending pay-for-delay deals.

H.R. 3354, Omnibus Appropriations Act, 2018, H.R. 1370, H.J.R. 123, Further Continuing Appropriations Act, 2018, H.J. Res. 99 (P.L. 115-30), H.R. 244, Consolidated Appropriations Act 2017 (P.L. 115-31) and (H.R. 3358 & S. 1771) Agriculture-Rural Development & Related Agencies bill for FY 2018 - Lobbied in support of increased funding for FDA drug processing funding and user fees.

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

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

16. Specific lobbying issues

S. 1028/H.R. 3759, RAISE Family Caregivers Act - Discussed support for the bill and the amended House bill, urged co-sponsorship, thanked for cosponsoring and supporting, and discussed advancing the legislation and ACT Caucus Dear Colleague. Discussed family caregiving summit.

S. 1028/H.R. 3759, RAISE Family Caregivers Act - Discussed bill and implementation and Older Americans Act.

H.R. 3759, RAISE Family Caregivers Act - Responded to inquiry on family caregiving from Dep't of Veterans Affairs.

S. 1151/H.R. 2505, the Credit for Caring Act; S. Amdt. 1589 to H.R. 1, Tax Cuts and Jobs Act; Amendment 288 in the Senate Finance Committee to H.R. 1 - Discussed the bill and the amendments and support for them and related strategy.

Responded to inquiry about policy ideas and legislation relating to family caregiving or paying for long-term services and supports (LTSS).

Extended invitations to family caregiving summit and discussed panel logistics.

Extended invitations to family caregiving Hispanic/Latino documentary screening and discussed event logistics.

Discussed special orders in the House on family caregiving including the RAISE Family Caregivers Act and provided facts and information on family caregiving.

Discussed ACT Caucus Dear Colleague for National Family Caregivers Month.

Discussed event logistics for family caregiving summit (including with staff from Administration for Community Living).

Responded to inquiry regarding Virtual Caregiving Fair and a family caregiving summit.

H.R. 3354, Omnibus Appropriations Act, 2018, H.R. 1370, H.J.R. 123, Further Continuing Appropriations Act, 2018, H.J. Res. 99 (P.L. 115-30), H.R. 244, Consolidated Appropriations Act 2017 (P.L. 115-31), (H.R. 3268 & S. 1603) Agriculture-Rural Development & Related Agencies bill for FY 2108, Labor-HHS Appropriations bill for FY 2018 (H.R. 3358 & S. 1771), Transportation-HUD Appropriations bill for FY 2018 (H.R. 3353 & S. 1655), and Energy & Water Appropriation bill for FY 2018 (H.R. 3266 & S. 1609) - Lobbied in support of funding for various programs, including Social Security administrative expenses, senior nutrition (Commodity Supplemental Food program and Older Americans Act Title III), caregiving, energy assistance, supportive services, housing and volunteer community service programs.

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

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

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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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 TAX

16. Specific lobbying issues

S. 1151/H.R. 2505, the Credit for Caring Act; S. Amdt. 1589 to H.R. 1, Tax Cuts and Jobs Act; Amendment 288 in the Senate Finance Committee to H.R. 1 - Discussed the bill and the amendments and support for them and related strategy.

S. 208/H.R. 3632, Promoting Affordable Childcare for Everyone (PACE) Act - Responded to inquiry on bill.

S. 1977/H.R. 3590, Seniors Tax Hike Prevention Act of 2017 - Discussed passage and importance of 7.5% threshold for medical expense deductions.

H.R. 1, Tax Cuts and Jobs Act - Discussed inclusion of language from H.R. 3590 and/or S. 1977 in final passage of Tax Cuts and Jobs Act of 2017.

Discussed health and retirement tax incentives: sent letter to House and Senate committee leadership addressing medical expense deduction, taxation of Social Security benefits, the retention of the extra standard deduction for those ages 65 or older, state and local tax treatment, access to workplace retirement plans, targeted incentives for work-place retirement saving plans, protection of earned pensions for vulnerable retirees and their families, and maintenance of consumer protections.

H.R. 3354, Omnibus Appropriations Act, 2018, H.R. 1370, H.J.R. 123, Further Continuing Appropriations Act, 2018, H.J. Res. 99 (P.L. 115-30), H.R.244, Consolidated Appropriations Act 2017 (P.L. 115-31) and (H.R. 3280) Financial Services & General Government Appropriations bill for FY 2018 - Lobbied to protect and enhance funding levels for IRS VITA & TCE taxpayer assistance programs.

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

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

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 TRA

16. Specific lobbying issues

S. 1885, AV START Act - Discussed autonomous vehicles.

Discussed traffic safety and older pedestrians.

Discussed safe road design for all users of the road.

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

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Natl Highway Traffic Safety Administration (NHTSA)

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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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 LBR

16. Specific lobbying issues

S. 443/H.R. 2650, Protecting Older Workers Against Discrimination Act - Supported bill.

H.R. 1313, Preserving Employee Wellness Programs Act - Opposed bill and any weakening of civil rights protections.

Discussed activities to commemorate 50th Anniversary of the Age Discrimination in Employment Act with congressional staff and EEOC.

Discussed workforce development reforms to better serve older workers (no bill).

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

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Equal Employment Opportunity Commission (EEOC)

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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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 FIN

16. Specific lobbying issues

Discussed support for the Department of Labor Fiduciary rule.

Sent a letter to the Security and Exchange Commission (SEC) in support of a uniform standard that would apply to both broker-dealers and investment advisers when providing personalized investment advice to retail customers.

Discussed support for Dodd-Frank regulations related to the Consumer Financial Protection Bureau (CFPB).

Sent letter to Senate opposing a congressional review act (CRA) vote on the CFPBs arbitration rule.

H.R. 3354, Omnibus Appropriations Act, 2018, H.R. 1370, H.J.R. 123, Further Continuing Appropriations Act, 2018, H.J. Res. 99 (P.L. 115-30), H.R.244, Consolidated Appropriations Act 2017 (P.L. 115-31) and (H.R. 3280) Financial Services & General Government Appropriations bill for FY 2018 - Lobbied in opposition to inclusion of hostile riders concerning SEC and DOL fiduciary duty rules with House and Senate Appropriations Committee staff.

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

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Consumer Financial Protection Bureau (CFPB), Securities & Exchange Commission (SEC), Labor - Dept of (DOL)

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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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 RET

16. Specific lobbying issues

Discussed bill related to taxes on Social Security benefits (no bill).

Responded to inquiry on Social Security.

Discussed support for the Department of Labor Fiduciary rule.

Discussed retirement issues relevant to tax reform.

S. 2147/H.R. 4444, Butch Lewis Multiemployer Pension Act - Supported bill.

H.R. 4523, Automatic 401(k) Retirement Act - Supported bill.

H.R. 4547, Strengthening Protections for Social Security Beneficiaries Act - Supported bill.

Met with House and Senate staff to discuss retirement issues relevant to tax reform.

Discussed pending Social Security issues with House and Senate staff.

Met with House and Senate staff to discuss multiemployer pension issues.

Discussed miscellaneous retirement issues, including issues related to insurance annuities, small employer plans, and a national retirement clearinghouse.

Submitted comments to DOL on employer sponsored disability plan claims procedures.

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

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

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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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 CIV

16. Specific lobbying issues

S. 443/H.R. 2650, Protecting Older Workers Against Discrimination Act - Supported bill.

H.R. 1313, Preserving Employee Wellness Programs Act - Opposed bill and any weakening of civil rights protections.

Discussed activities to commemorate 50th Anniversary of the Age Discrimination in Employment Act with congressional staff and EEOC.

H.R. 620, ADA Education and Reform Act of 2017 - Spoke with staff about concerns.

H.R. 3354, Omnibus Appropriations Act, 2018, H.R. 1370, H.J.R. 123, Further Continuing Appropriations Act, 2018, H.J. Res. 99 (P.L. 115-30), H.R.244, Consolidated Appropriations Act 2017 (P.L. 115-31), (H.R. 3267 & S. 1662) Commerce, Science & Justice Appropriations bill for FY 2018, (H.R. 3266 & S. 1609) Energy & Water Appropriation bill for FY 2018 and (H.R.3280) Financial Services & General Government Appropriations bill for FY 2018 - Lobbied in support of Legal Services Corporation, full funding for Census Bureau American Community Survey and in opposition to policy riders affecting access to the Internet.

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

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Equal Employment Opportunity Commission (EEOC)

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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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. 3354, Omnibus Appropriations Act, 2018, H.R. 1370, H.J.R. 123, Further Continuing Appropriations Act, 2018, H.J. Res. 99 (P.L. 115-30), H.R. 244 & H.R. 601, Consolidated Appropriations Act 2017 (P.L. 115-31), (H.R. 3268 & S. 1603) Agriculture-Rural Development & Related Agencies bill for FY 2018, (H.R..3267 & S. 1662) Commerce, Science & Justice Appropriations bill for FY 2018, Energy & Water Appropriation bill for FY 2018, (H.R. 3280) Financial Services & General Government Appropriations bill for FY 2018, (H.R. 3358 & S. 1771) Labor-HHS Appropriations bill for FY 2018, and Transportation-HUD Appropriations bill for FY 2018 - Lobbied to protect funding levels for federal programs which provide health, nutrition, housing, energy assistance, legal aid and retirement security.

S. Con. Res. 25/H. Con. Res. 71 - Discussed AARPs views on the FY2018 Senate budget resolution.

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

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

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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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 TEC

16. Specific lobbying issues

Met with FCC Chairman Ajit Pays office and FCC Commissioner OReillys office in regards to Accelerating Wireline Broadband Deployment by Removing Barriers to Infrastructure Investment, WC Docket No. 17-84.

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

Federal Communications Commission (FCC)

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