• Affordable Care Act, all provisions and related regulations, including reporting (IRC 6055 and 6056); employer mandate; wellness issues; out-of-pocket (OOP) limits, nondiscrimination, PCORI & comparative effectiveness, coverage mandates on ERISA plans, access to preventive care items and services. ADA and GINA, HIPAA compliance, privacy, claims data and all payers claims databases. Mental health, substance use disorders, opioids mitigation. Tax treatment of employer-sponsored benefits and insurance. Patent reforms, prescription drug costs, rebates, biosimilars, Rx supply chain, medical management. Value-driven care in public and private coverage, patient safety. Medicare Advantage, Medicare secondary payer, end stage renal disease (ESRD). Retiree health, COBRA, Medicare expansion and public option. Health savings accounts, high deductible health plan expansion. ERISA preemption, plan administration, electronic delivery. Transparency and accountability in the health care system. Caregiving, surprise medical billing, telehealth expansion, interstate provider licensing. Hospital billing, consolidation, anti-competitive practices, vertical integration impacts on health care, cybersecurity, artificial intelligence.
• Paid leave issues Emergency savings Single-employer defined benefit issues Retirement plan disclosures Retirement plan investment requirements, options, duties, and related issues Retirement plan contribution flexibility Retirement savings tax issues Modernizing retirement plan administration Retirement plan recordkeeping issues PBGC premiums SECURE 2.0 Act Multiemployer pensions Litigation and enforcement affecting benefit plans Proposals to change capital holding requirements for banks Retirement plan coverage

Duration: May 15, 2015 to present

General Issues: Health Issues, Retirement

Spending: about $710,000 (But it's complicated. Here's why.)

It can be tricky to figure out how much an organization spent on a particular lobbying engagement. The law only requires lobbyists to report the amount they were paid for federal lobbying each quarter rounded to the nearest $10,000—and if it's less than $3,000 in a given quarter (or less than $13,000 for organizations with in-house lobbyists), they don't have to disclose it at all. Plus, some organizations include spending that doesn’t belong in the report—for instance, money spent lobbying state governments or other legal work.

Agencies lobbied since 2015: U.S. Senate, House of Representatives, Council of Economic Advisers (CEA), Equal Employment Opportunity Commission (EEOC), Health & Human Services - Dept of (HHS), Internal Revenue Service (IRS), Labor - Dept of (DOL), Natl Economic Council (NEC), Treasury - Dept of, Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Pension Benefit Guaranty Corporation (PBGC)