Legislative and regulatory issues, including:
Health care reform;
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage;
S. 655, Chronic Disease Management Act;
S. 1001 / H.R. 1843, Telehealth Expansion Act of 2023;
S. 731, TELEHEALTH HSA Act of 2023;
H.R. 3800 / S. 3224, the Chronic Disease Flexible Coverage Act;
H.R. 824, the Telehealth Benefit Expansion for Workers Act of 2023;
H.R. 3237, to amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department;
H.R. 3417, the FAIR Act;
H.R. 3561, the Promoting Access to Treatments and Increasing; Extremely Needed Transparency Act of 2023 or the PATIENT Act of 2023;
S. 1869, the Site-based Invoicing and Transparency Enhancement Act;
S. 1451 / H.R. 3120, the Healthy Competition for Better Care Act;
S. 1339, the Pharmacy Benefit Manager Reform Act;
Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs, including implementation of H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260);
H.R. 5688, Bipartisan HSA Improvements Act of 2023;
H.R. 5687, HSA Modernization Act of 2023;
H.R. 5378, the Lower Costs, More Transparency Act;
S. 2840, the Bipartisan Primary Care and Health Workforce Act
Duration: December 1, 2017
to
present
General Issues: Health Issues , Taxation/Internal Revenue Code
Spending: about $760,000 (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 2017: U.S. Senate, House of Representatives, Health & Human Services - Dept of (HHS), Treasury - Dept of, Internal Revenue Service (IRS), Labor - Dept of (DOL), Executive Office of the President (EOP), Natl Economic Council (NEC), Council of Economic Advisers (CEA), Office of Management & Budget (OMB)
Lobbyists
Lobbyists named here were listed on a filing related to this lobbying engagement. They may not be working on it now. Occasionally, a single lobbyist whose name is spelled two different ways on filings may be represented twice here.
Lobbyist
Covered positions?
Kathryn Spangler
Dep. Health Policy Director, Senate HELP Committee
Disclosures Filed
Once a lobbying engagement begins, the lobbyist or firm is required to file updates four times a year. Those updates sometimes change which lobbyists are involved or add new issues being discussed. When lobbyists stop working for a client, the firm is also supposed to file a report disclosing the end of the relationship.
1st Quarter, 2024
In Q1, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on April 18.
Original Filing: 301554426.xml
Lobbying Issues
Legislative and regulatory issues, including:
Health care reform;
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage;
S. 655, Chronic Disease Management Act;
S. 1001 / H.R. 1843, Telehealth Expansion Act of 2023;
S. 731, TELEHEALTH HSA Act of 2023;
H.R. 3800 / S. 3224, the Chronic Disease Flexible Coverage Act;
H.R. 824, the Telehealth Benefit Expansion for Workers Act of 2023;
H.R. 3237, to amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department;
H.R. 3417, the FAIR Act;
H.R. 3561, the Promoting Access to Treatments and Increasing; Extremely Needed Transparency Act of 2023 or the PATIENT Act of 2023;
S. 1869, the Site-based Invoicing and Transparency Enhancement Act;
S. 1451 / H.R. 3120, the Healthy Competition for Better Care Act;
S. 1339, the Pharmacy Benefit Manager Reform Act;
Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs, including implementation of H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260);
H.R. 5688, Bipartisan HSA Improvements Act of 2023;
H.R. 5687, HSA Modernization Act of 2023;
H.R. 5378, the Lower Costs, More Transparency Act;
S. 2840, the Bipartisan Primary Care and Health Workforce Act
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Treasury - Dept of Internal Revenue Service (IRS) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
4th Quarter, 2023
In Q4, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on Jan. 19.
Original Filing: 301532000.xml
Lobbying Issues
Legislative and regulatory issues, including:
Health care reform;
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage;
S. 655, Chronic Disease Management Act;
S. 1001 / H.R. 1843, Telehealth Expansion Act of 2023;
S. 731, TELEHEALTH HSA Act of 2023;
H.R. 3800 / S. 3224, the Chronic Disease Flexible Coverage Act;
H.R. 824, the Telehealth Benefit Expansion for Workers Act of 2023;
H.R. 3237, to amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department;
H.R. 3417, the FAIR Act;
H.R. 3561, the Promoting Access to Treatments and Increasing; Extremely Needed Transparency Act of 2023 or the PATIENT Act of 2023;
S. 1869, the Site-based Invoicing and Transparency Enhancement Act;
S. 1451 / H.R. 3120, the Healthy Competition for Better Care Act;
S. 1339, the Pharmacy Benefit Manager Reform Act;
Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs, including implementation of H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260);
H.R. 5688, Bipartisan HSA Improvements Act of 2023;
H.R. 5687, HSA Modernization Act of 2023;
H.R. 5378, the Lower Costs, More Transparency Act;
S. 2840, the Bipartisan Primary Care and Health Workforce Act
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Treasury - Dept of Internal Revenue Service (IRS) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
3rd Quarter, 2023
In Q3, Spangler Strategies LLC lobbied for American Benefits Council , earning $20,000. The report was filed on Oct. 17, 2023.
Original Filing: 301502430.xml
Lobbying Issues
Legislative and regulatory issues, including:
Health care reform;
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage;
S. 655, Chronic Disease Management Act;
S. 1001 / H.R. 1843, Telehealth Expansion Act of 2023;
S. 731, TELEHEALTH HSA Act of 2023;
H.R. 3800, the Chronic Disease Flexible Coverage Act;
H.R. 824, the Telehealth Benefit Expansion for Workers Act of 2023;
H.R. 3237, to amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department;
H.R. 3417, the FAIR Act;
H.R. 3561, the Promoting Access to Treatments and Increasing; Extremely Needed Transparency Act of 2023 or the PATIENT Act of 2023;
S. 1869, the Site-based Invoicing and Transparency Enhancement Act;
S. 1451 / H.R. 3120, the Healthy Competition for Better Care Act;
Transparency in Billing Act (discussion draft);
Transparency in Coverage Act (discussion draft);
Health DATA Act (discussion draft);
Hidden Fee Disclosure Act (discussion draft);
S. 1339, the Pharmacy Benefit Manager Reform Act;
Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs, including implementation of H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260);
H.R. 5688, Bipartisan HSA Improvements Act of 2023;
H.R. 5687, HSA Modernization Act of 2023;
H.R. 5378, the Lower Costs, More Transparency Act;
S. 2840, the Bipartisan Primary Care and Health Workforce Act
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Treasury - Dept of Internal Revenue Service (IRS) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
2nd Quarter, 2023
In Q2, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on July 19, 2023.
Original Filing: 301481369.xml
Lobbying Issues
Legislative and regulatory issues, including:
Health care reform;
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage;
S. 655, Chronic Disease Management Act;
S. 1001 / H.R. 1843, Telehealth Expansion Act of 2023;
S. 731, TELEHEALTH HSA Act of 2023;
H.R. 3800, the Chronic Disease Flexible Coverage Act;
H.R. 824, the Telehealth Benefit Expansion for Workers Act of 2023;
H.R. 3237, to amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department;
H.R. 3417, the FAIR Act;
H.R. 3561, the Promoting Access to Treatments and Increasing; Extremely Needed Transparency Act of 2023 or the PATIENT Act of 2023;
S. 1869, the Site-based Invoicing and Transparency Enhancement Act;
S. 1451 / H.R. 3120, the Healthy Competition for Better Care Act;
Transparency in Billing Act (discussion draft);
Transparency in Coverage Act (discussion draft);
Health DATA Act (discussion draft);
Hidden Fee Disclosure Act (discussion draft);
S. 1339, the Pharmacy Benefit Manager Reform Act;
Implementation of H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260);
RIN: 0938-AU63, Title: Requirements Related to Surprise Billing, Part I (CMS-9909);
RIN: 0938-AU62, Title: Requirements Related to Surprise Billing, Part II (CMS-9908-IFC);
RIN: 1210-AC00, Title: Requirements Related to Surprise Billing, Part 2;
Final Rule: Requirements Related to Surprise Billing (Document Citation:87 FR 52618; Document Number 2022-18202).
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Treasury - Dept of Internal Revenue Service (IRS) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
1st Quarter, 2023
In Q1, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on April 19, 2023.
Original Filing: 301458281.xml
Lobbying Issues
Legislative and regulatory issues, including:
Health care reform;
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage;
S. 655, Chronic Disease Management Act;
S. 1001 / H.R. 1843, Telehealth Expansion Act of 2023;
S. 731, TELEHEALTH HSA Act of 2023;
Draft legislation pertaining to accurate billing practices
Draft legislation pertaining to anti-competitive contracting clauses
Implementation of H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260);
RIN: 0938-AU63, Title: Requirements Related to Surprise Billing, Part I (CMS-9909);
RIN: 0938-AU62, Title: Requirements Related to Surprise Billing, Part II (CMS-9908-IFC);
RIN: 1210-AC00, Title: Requirements Related to Surprise Billing, Part 2;
Final Rule: Requirements Related to Surprise Billing (Document Citation:87 FR 52618; Document Number 2022-18202).
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Treasury - Dept of Internal Revenue Service (IRS) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
4th Quarter, 2022
In Q4, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on Jan. 19, 2023.
Original Filing: 301432330.xml
Lobbying Issues
Legislative and regulatory issues, including:
Health care reform;
S.128, Primary Care Enhancement Act of 2021;
S. 1424 / H.R. 3563, the Chronic Disease Management Act;
Enhancing Health Savings for All Americans Act-draft legislation;
Lower Health Insurance Deductibles Act-draft legislation;
S. 1704 / H.R. 5981, the Telehealth Expansion Act of 2021;
S. 2097, TELEHEALTH HSA Act of 2021;
H.R. 5541, the Primary and Virtual Care Affordability Act;
Implementation of H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260);
RIN: 0938-AU63, Title: Requirements Related to Surprise Billing, Part I (CMS-9909);
RIN: 0938-AU62, Title: Requirements Related to Surprise Billing, Part II (CMS-9908-IFC);
RIN: 1210-AC00, Title: Requirements Related to Surprise Billing, Part 2;
Final Rule: Requirements Related to Surprise Billing (Document Citation: 87 FR 52618; Document Number 2022-18202);
S. 3139, Healthy Competition for Better Care Act;
H.R. 8133, Transparency of Hospital Billing Act;
H.R. 8134, Consumer Choice of Care Act;
H.R. 8135, Addressing Anti-Competitive Contracting Clauses Act;
Draft legislation "Improving Needed Safeguards for Users of Lifesaving Insulin Now Act;
H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022;
H.R. 7780, Mental Health Matters Act;
S. 4750, the Restore Protections for Dialysis Patients Act;
H.R. 2617, Consolidated Appropriations Act, 2023.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Treasury - Dept of Internal Revenue Service (IRS) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
3rd Quarter, 2022
In Q3, Spangler Strategies LLC lobbied for American Benefits Council , earning $20,000. The report was filed on Oct. 17, 2022.
Original Filing: 301405892.xml
Lobbying Issues
Legislative and regulatory issues, including:
Health care reform;
H.R.1319, American Rescue Plan Act of 2021 (P.L.117-2);
S.128, Primary Care Enhancement Act of 2021;
S. 1424 / H.R. 3563, the Chronic Disease Management Act;
Enhancing Health Savings for All Americans Act-draft legislation;
Lower Health Insurance Deductibles Act-draft legislation;
S. 1704 / H.R. 5981, the Telehealth Expansion Act of 2021;
S. 2097, TELEHEALTH HSA Act of 2021;
H.R. 5541, the Primary and Virtual Care Affordability Act;
Implementation of H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260);
RIN: 0938-AU63, Title: Requirements Related to Surprise Billing, Part I (CMS-9909);
RIN: 0938-AU62, Title: Requirements Related to Surprise Billing, Part II (CMS-9908-IFC);
RIN: 1210-AC00, Title: Requirements Related to Surprise Billing, Part 2;
Final Rule: Requirements Related to Surprise Billing (Document Citation: 87 FR 52618; Document Number 2022-18202);
S. 3139, Healthy Competition for Better Care Act;
FY2022 Budget Reconciliation (H.R.5376);
H.R. 2471, Consolidated Appropriations Act, 2022 (P.L.117-103);
H.R. 8133, Transparency of Hospital Billing Act;
H.R. 8134, Consumer Choice of Care Act;
H.R. 8135, Addressing Anti-Competitive Contracting Clauses Act;
Draft legislation "Improving Needed Safeguards for Users of Lifesaving Insulin Now Act;
H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022;
H.R. 7780, Mental Health Matters Act.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Treasury - Dept of Internal Revenue Service (IRS) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
2nd Quarter, 2022
In Q2, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on July 19, 2022.
Original Filing: 301384924.xml
Lobbying Issues
Legislative and regulatory issues, including:
Health care reform;
H.R.1319, American Rescue Plan Act of 2021 (P.L.117-2);
S.128, Primary Care Enhancement Act of 2021;
S. 1424 / H.R. 3563, the Chronic Disease Management Act;
Enhancing Health Savings for All Americans Act-draft legislation;
Lower Health Insurance Deductibles Act-draft legislation;
S. 1704 / H.R. 5981, the Telehealth Expansion Act of 2021;
S. 2097, TELEHEALTH HSA Act of 2021;
H.R. 5541, the Primary and Virtual Care Affordability Act;
Implementation of H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260);
RIN: 0938-AU63, Title: Requirements Related to Surprise Billing, Part I (CMS-9909);
RIN: 0938-AU62, Title: Requirements Related to Surprise Billing, Part II (CMS-9908-IFC);
RIN: 1210-AC00, Title: Requirements Related to Surprise Billing, Part 2;
S. 3139, Healthy Competition for Better Care Act;
FY2022 Budget Reconciliation (H.R.5376);
H.R. 2471, Consolidated Appropriations Act, 2022 (P.L.117-103);
H.R. 8133, Transparency of Hospital Billing Act;
H.R. 8134, Consumer Choice of Care Act;
H.R. 8135, Addressing Anti-Competitive Contracting Clauses Act;
Draft legislation "Improving Needed Safeguards for Users of Lifesaving Insulin Now Act.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Treasury - Dept of Internal Revenue Service (IRS) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
1st Quarter, 2022
In Q1, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on April 19, 2022.
Original Filing: 301362399.xml
Lobbying Issues
Legislative and regulatory issues, including:
Health care reform;
H.R.1319, American Rescue Plan Act of 2021 (P.L.117-2);
S.128, Primary Care Enhancement Act of 2021;
S. 1424 / H.R. 3563, the Chronic Disease Management Act;
Enhancing Health Savings for All Americans Act-draft legislation;
Lower Health Insurance Deductibles Act-draft legislation;
S. 1704 / H.R. 5981, the Telehealth Expansion Act of 2021;
S. 2097, TELEHEALTH HSA Act of 2021;
H.R. 5541, the Primary and Virtual Care Affordability Act;
Implementation of H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260);
RIN: 0938-AU63, Title: Requirements Related to Surprise Billing, Part I (CMS-9909);
RIN: 0938-AU62, Title: Requirements Related to Surprise Billing, Part II (CMS-9908-IFC);
S. 3139, Healthy Competition for Better Care Act;
FY2022 Budget Reconciliation (H.R.5376);
H.R. 2471, Consolidated Appropriations Act, 2022 (P.L.117-103).
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Treasury - Dept of Internal Revenue Service (IRS) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
4th Quarter, 2021
In Q4, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on Jan. 18, 2022.
Original Filing: 301325825.xml
Lobbying Issues
Legislative and regulatory issues, including:
Health care reform;
H.R.1319, American Rescue Plan Act of 2021 (P.L.117-2);
S.128, Primary Care Enhancement Act of 2021;
S. 1424 / H.R. 3563, the Chronic Disease Management Act;
Enhancing Health Savings for All Americans Act-draft legislation;
Lower Health Insurance Deductibles Act-draft legislation;
S. 1704 / H.R. 5981, the Telehealth Expansion Act of 2021;
S. 2097, TELEHEALTH HSA Act of 2021;
H.R. 5541, the Primary and Virtual Care Affordability Act;
FY2022 Budget Reconciliation (S.Con.Res.14, H.R.5376);
Lower Health Care Cost Act-draft legislation;
Implementation of H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260);
RIN: 0938-AU63, Title: Requirements Related to Surprise Billing, Part I (CMS-9909);
RIN: 0938-AU62, Title: Requirements Related to Surprise Billing, Part II (CMS-9908-IFC);
H.R. 5376, Build Back Better Act;
S. 3139, Healthy Competition for Better Care Act.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Treasury - Dept of Internal Revenue Service (IRS) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
3rd Quarter, 2021
In Q3, Spangler Strategies LLC lobbied for American Benefits Council , earning $20,000. The report was filed on Oct. 19, 2021.
Original Filing: 301303005.xml
Lobbying Issues
Legislative and regulatory issues, including:
Health care reform;
H.R.1319, American Rescue Plan Act of 2021 (P.L.117-2);
S.128, Primary Care Enhancement Act of 2021;
S. 1424 / H.R. 3563, the Chronic Disease Management Act;
Enhancing Health Savings for All Americans Act-draft legislation;
Lower Health Insurance Deductibles Act-draft legislation;
S. 1704, the Telehealth Expansion Act of 2021;
H.R. 5541, the Primary and Virtual Care Affordability Act;
FY2022 Budget Reconciliation (S.Con.Res.14, H.R.5376);
Lower Health Care Cost Act-draft legislation;
Implementation of H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260);
RIN: 0938-AU63, Title: Requirements Related to Surprise Billing, Part I (CMS-9909);
RIN: 0938-AU62, Title: Requirements Related to Surprise Billing, Part II (CMS-9908-IFC).
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Treasury - Dept of Internal Revenue Service (IRS) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
2nd Quarter, 2021
In Q2, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on July 16, 2021.
Original Filing: 301277544.xml
Lobbying Issues
Legislative and regulatory issues, including:
Health care reform;
H.R.1319, American Rescue Plan Act of 2021 (P.L.117-2);
S.128, Primary Care Enhancement Act of 2021;
S. 1424 / H.R. 3563, the Chronic Disease Management Act;
Enhancing Health Savings for All Americans Act-draft legislation;
Lower Health Insurance Deductibles Act-draft legislation;
S. 1704, the Telehealth Expansion Act of 2021;
Lower Health Care Cost Act-draft legislation;
Implementation of H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260);
RIN: 0938-AU63, Title: Requirements Related to Surprise Billing; Part I (CMS-9909).
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Treasury - Dept of Internal Revenue Service (IRS) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
1st Quarter, 2021
In Q1, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on April 19, 2021.
Original Filing: 301258804.xml
Lobbying Issues
Legislative and regulatory issues, including:
Health care reform;
H.R.1319, American Rescue Plan Act of 2021 (P.L.117-2);
S.Con.Res.5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030;
S.128, Primary Care Enhancement Act of 2021;
Chronic Disease Management Act-draft legislation;
Enhancing Health Savings for All Americans Act-draft legislation;
Lower Health Insurance Deductibles Act-draft legislation;
Telehealth Expansion Act-draft legislation;
Lower Health Care Cost Act-draft legislation;
Implementation of H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260).
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Treasury - Dept of Internal Revenue Service (IRS) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
4th Quarter, 2020
In Q4, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on Jan. 19, 2021.
Original Filing: 301235494.xml
Lobbying Issues
Legislative and regulatory issues including:
Health care reform
Implementation of the Affordable Care Act -- PL 111-148
Health Savings Act of 2019 - S. 12
Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200
Health Savings Account Act -- H.R. 457
Health Savings Account Expansion Act of 2019 -- H.R. 603
Stop Penalizing Working Seniors Act -- H.R. 908
Primary Care Enhancement Act -- H.R. 3708
Health Savings for Seniors Act -- H. R. 3796
S. 2543, the Prescription Drug Pricing Reduction Act of 2019
H.R. 3, Lower Drug Costs Now Act of 2019
S. 1895, the Lower Health Care Cost Act
S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019
H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes
H.R. 3502, Protecting People From Surprise Medical Bills Act
H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019
Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019
Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223
Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc.
Executive Order on Protecting and Improving Medicare for Our Nations Seniors
H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act
H.R. 5825, the Transparency in Health Care Investments Act of 2020
H.R. 5800, Ban Surprise Billing Act
IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19
H.R. 3539, the Telehealth Expansion Act
H.R. 6201, Families First Coronavirus Response Act (P.L.116-127)
H.R. 748, CARES Act (P.L.116-136)
H.R. 6800, The Heroes Act
H.R. 6810, Health Care Protection Act
S. 4329, the Continuous Health Coverage for Workers Act
S. 4714, A bill to preserve health benefits for workers
H.R. 925, The Heroes Act
The HEALS Act (Senate proposed legislation)
H.R. 133, the Consolidated Appropriations Act
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Executive Office of the President (EOP) Natl Economic Council (NEC) Treasury - Dept of Internal Revenue Service (IRS) Council of Economic Advisers (CEA)
Type of Issue
Health Issues Taxation/Internal Revenue Code
3rd Quarter, 2020
In Q3, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on Oct. 20, 2020.
Original Filing: 301217535.xml
Lobbying Issues
Legislative and regulatory issues including:
Health care reform
Implementation of the Affordable Care Act -- PL 111-148
Health Savings Act of 2019 - S. 12
Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200
Health Savings Account Act -- H.R. 457
Health Savings Account Expansion Act of 2019 -- H.R. 603
Stop Penalizing Working Seniors Act -- H.R. 908
Primary Care Enhancement Act -- H.R. 3708
Health Savings for Seniors Act -- H. R. 3796
S. 2543, the Prescription Drug Pricing Reduction Act of 2019
H.R. 3, Lower Drug Costs Now Act of 2019
S. 1895, the Lower Health Care Cost Act
S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019
H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes
H.R. 3502, Protecting People From Surprise Medical Bills Act
H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019
Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019
Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223
Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc.
Executive Order on Protecting and Improving Medicare for Our Nations Seniors
H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act
H.R. 5825, the Transparency in Health Care Investments Act of 2020
H.R. 5800, Ban Surprise Billing Act
IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19
H.R. 3539, the Telehealth Expansion Act
H.R. 6201, Families First Coronavirus Response Act (P.L.116-127)
H.R. 748, CARES Act (P.L.116-136)
H.R. 6800, The Heroes Act
H.R. 6810, Health Care Protection Act
S. 4329, the Continuous Health Coverage for Workers Act
S. 4714, A bill to preserve health benefits for workers
H.R. 925, The Heroes Act
The HEALS Act (Senate proposed legislation)
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Executive Office of the President (EOP) Natl Economic Council (NEC) Treasury - Dept of Internal Revenue Service (IRS) Council of Economic Advisers (CEA)
Type of Issue
Health Issues Taxation/Internal Revenue Code
2nd Quarter, 2020
In Q2, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on July 18, 2020.
Original Filing: 301192837.xml
Lobbying Issues
Legislative and regulatory issues including:
Health care reform
Implementation of the Affordable Care Act -- PL 111-148
Middle Class Health Benefits Tax Repeal Act of 2019 - S. 684 / H.R. 748
Health Savings Act of 2019 - S. 12
Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200
Health Savings Account Act -- H.R. 457
Health Savings Account Expansion Act of 2019 -- H.R. 603
Stop Penalizing Working Seniors Act -- H.R. 908
Primary Care Enhancement Act -- H.R. 3708
Health Savings for Seniors Act -- H. R. 3796
S. 2543, the Prescription Drug Pricing Reduction Act of 2019
H.R. 3, Lower Drug Costs Now Act of 2019
S. 1895, the Lower Health Care Cost Act
S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019
H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes
H.R. 3502, Protecting People From Surprise Medical Bills Act
H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019
Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019
Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223
Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc.
Executive Order on Protecting and Improving Medicare for Our Nations Seniors
H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act
H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act
H.R. 5825, the Transparency in Health Care Investments Act of 2020
H.R. 5800, Ban Surprise Billing Act
IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19
H.R. 3539, the Telehealth Expansion Act
H.R. 6201, Families First Coronavirus Response Act (P.L.116-127)
H.R. 748, CARES Act (P.L.116-136)
H.R.6800, The Heroes Act
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Executive Office of the President (EOP) Natl Economic Council (NEC) Office of Management & Budget (OMB) Treasury - Dept of Internal Revenue Service (IRS) Council of Economic Advisers (CEA)
Type of Issue
Health Issues Taxation/Internal Revenue Code
1st Quarter, 2020
In Q1, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on April 20, 2020.
Original Filing: 301173604.xml
Lobbying Issues
Legislative and regulatory issues including:
Health care reform
Implementation of the Affordable Care Act -- PL 111-148
Middle Class Health Benefits Tax Repeal Act of 2019 - S. 684 / H.R. 748
Health Savings Act of 2019 - S. 12
Chronic Disease Management Act -- S. 1948 / H.R. 3709 / S. 3200
Health Savings Account Act -- H.R. 457
Health Savings Account Expansion Act of 2019 -- H.R. 603
Stop Penalizing Working Seniors Act -- H.R. 908
Primary Care Enhancement Act -- H.R. 3708
Health Savings for Seniors Act -- H. R. 3796
S. 2543, the Prescription Drug Pricing Reduction Act of 2019
H.R. 3, Lower Drug Costs Now Act of 2019
S. 1895, the Lower Health Care Cost Act
S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019
H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes
H.R. 3502, Protecting People From Surprise Medical Bills Act
H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019
Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019
Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223
Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc.
Executive Order on Protecting and Improving Medicare for Our Nations Seniors
H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act
H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act
H.R. 5825, the Transparency in Health Care Investments Act of 2020
H.R. 5800, Ban Surprise Billing Act
IRS Notice 2020-15, High Deductible Health Plans and Expenses Related to COVID-19
H.R. 3539, the Telehealth Expansion Act
H.R. 6201, Families First Coronavirus Response Act (P.L.116-127)
H.R. 748, CARES Act (P.L.116-136)
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Executive Office of the President (EOP) Natl Economic Council (NEC) Office of Management & Budget (OMB) Treasury - Dept of Internal Revenue Service (IRS) Council of Economic Advisers (CEA)
Type of Issue
Health Issues Taxation/Internal Revenue Code
4th Quarter, 2019
In Q4, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on Jan. 20, 2020.
Original Filing: 301122555.xml
Lobbying Issues
Legislative and regulatory issues including:
Health care reform
Implementation of the Affordable Care Act -- PL 111-148
draft bills related to health care price and quality transparency
21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program, RIN 0955-AA01
Middle Class Health Benefits Tax Repeal Act of 2017 - S. 684 / H.R. 748
Health Savings Act of 2019 - S. 12
Chronic Disease Management Act -- S. 1948 / H.R. 3709
Health Savings Account Act -- H.R. 457
Health Savings Account Expansion Act of 2019 -- H.R. 603
Stop Penalizing Working Seniors Act -- H.R. 908
Primary Care Enhancement Act -- H.R. 3708
Health Savings for Seniors Act -- H. R. 3796
Removal of safe harbor protection for rebates, RIN 0936-AA08
HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs, RIN 0991-ZA49
S. 2543, the Prescription Drug Pricing Reduction Act of 2019
H.R. 3, Lower Drug Costs Now Act of 2019
S. 1895, the Lower Health Care Cost Act
S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019
H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes
H.R. 3502, Protecting People From Surprise Medical Bills Act
H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019
Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019
Health Reimbursement Arrangements and Other Account-Based Group Health Plans (CMS-9918-P), RIN 0938-AT90
Health Reimbursement Arrangements and Other Account-Based Group Health Plans, RIN 1210-AB87
Application of Various Provisions of Section 2711 of the Public Health Service Act, the Affordable Care Act, and the Internal Revenue Code to Health Reimbursement Arrangements, RIN 1545-BO46
Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223
Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc.
Executive Order on Protecting and Improving Medicare for Our Nations Seniors
H.R. 4716, The Inhaler Coverage and Access Now (I CAN) Act
H.R. 1865, Further Consolidated Appropriations Act, 2020
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Executive Office of the President (EOP) Natl Economic Council (NEC) Office of Management & Budget (OMB) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
3rd Quarter, 2019
In Q3, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on Oct. 21, 2019.
Original Filing: 301073390.xml
Lobbying Issues
Legislative and regulatory issues including:
Health care reform
Implementation of the Affordable Care Act -- PL 111-148
draft bills related to health care price and quality transparency
21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program, RIN 0955-AA01
Middle Class Health Benefits Tax Repeal Act of 2017 - S. 684 / H.R. 748
Health Savings Act of 2019 - S. 12
Chronic Disease Management Act -- S. 1948 / H.R. 3709
Health Savings Account Act -- H.R. 457
Health Savings Account Expansion Act of 2019 -- H.R. 603
Stop Penalizing Working Seniors Act -- H.R. 908
Primary Care Enhancement Act -- H.R. 3708
Health Savings for Seniors Act -- H. R. 3796
Removal of safe harbor protection for rebates, RIN 0936-AA08
HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs, RIN 0991-ZA49
S. 2543, the Prescription Drug Pricing Reduction Act of 2019
H.R. 3, Lower Drug Costs Now Act of 2019
S. 1895, the Lower Health Care Cost Act
S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019
H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes
H.R. 3502, Protecting People From Surprise Medical Bills Act
H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019
Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019
Health Reimbursement Arrangements and Other Account-Based Group Health Plans (CMS-9918-P), RIN 0938-AT90
Health Reimbursement Arrangements and Other Account-Based Group Health Plans, RIN 1210-AB87
Application of Various Provisions of Section 2711 of the Public Health Service Act, the Affordable Care Act, and the Internal Revenue Code to Health Reimbursement Arrangements, RIN 1545-BO46
Treasury Notice 2019-45, Additional Preventive Care Benefits Permitted to be Provided by a High Deductible Health Plan Under 223
Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; etc.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Executive Office of the President (EOP) Natl Economic Council (NEC) Office of Management & Budget (OMB) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
2nd Quarter, 2019
In Q2, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on July 19, 2019.
Original Filing: 301050158.xml
Lobbying Issues
Legislative and regulatory issues including:
Health care reform
Implementation of the Affordable Care Act -- PL 111-148
draft bills related to surprise medical bills
draft bills related to health care price and quality transparency
21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program, RIN 0955-AA01
Middle Class Health Benefits Tax Repeal Act of 2017 - S. 684 / H.R. 748
Health Savings Act of 2019 - S. 12
Chronic Disease Management Act -- S. 1948 / H.R. 3709
Health Savings Account Act -- H.R. 457
Health Savings Account Expansion Act of 2019 -- H.R. 603
Stop Penalizing Working Seniors Act -- H.R. 908
A bill to provide that direct primary care service arrangements do not disqualify high deductible health savings account contributions (draft legislation)
Removal of safe harbor protection for rebates, RIN 0936-AA08
HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs, RIN 0991-ZA49
S. 1895, the Lower Health Care Cost Act
S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019
H.R. 3630, To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes
H.R. 3502, Protecting People From Surprise Medical Bills Act
Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First, published June 24, 2019
Health Reimbursement Arrangements and Other Account-Based Group Health Plans (CMS-9918-P), RIN 0938-AT90
Health Reimbursement Arrangements and Other Account-Based Group Health Plans, RIN 1210-AB87
Application of Various Provisions of Section 2711 of the Public Health Service Act, the Affordable Care Act, and the Internal Revenue Code to Health Reimbursement Arrangements, RIN 1545-BO46
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Executive Office of the President (EOP) Natl Economic Council (NEC) Office of Management & Budget (OMB) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
1st Quarter, 2019
In Q1, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on April 19, 2019.
Original Filing: 301030327.xml
Lobbying Issues
Legislative and regulatory issues including:
Health care reform
Implementation of the Affordable Care Act -- PL 111-148
draft bills related to surprise medical bills
draft bills related to health care price and quality transparency
21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program, RIN 0955-AA01
Middle Class Health Benefits Tax Repeal Act of 2017 - S. 684 / H.R. 748
Health Savings Act of 2019 - S. 12
Chronic Disease Management Act
Health Savings Account Act -- H.R. 457
Health Savings Account Expansion Act of 2019 -- H.R. 603
Stop Penalizing Working Seniors Act -- H.R. 908
A bill to provide that direct primary care service arrangements do not disqualify high deductible health savings account contributions (draft legislation)
Removal of safe harbor protection for rebates, RIN 0936-AA08
HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs, RIN 0991-ZA49
Agencies Lobbied
U.S. Senate U.S. House of Representatives Health & Human Services - Dept of (HHS) Executive Office of the President (EOP) Natl Economic Council (NEC) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
4th Quarter, 2018
In Q4, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on Jan. 19, 2019.
Original Filing: 301010553.xml
Lobbying Issues
Legislative and regulatory issues including:
Health care reform
Implementation of the Affordable Care Act -- PL 111-148
Bipartisan Budget Act of 2018 -- H.R. 1892/PL 115-123
Middle Class Health Benefits Tax Repeal Act of 2017 - S. 58/H.R. 173
Save American Workers Act -- H.R. 3798
Restoring Access to Medication and Modernizing Health Savings Accounts Act (H.R. 6199)
Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act (H.R. 6311)
Health Savings Act of 2017 - S. 403/H.R. 1175
Chronic Disease Management Act - S. 2410/H.R. 4978
Bipartisan HSA Improvement Act of 2018 - H.R. 5138/H.R. 6305
Mental Health Parity
H.R. 6301, to provide high deductible health plans with first dollar coverage flexibility
H.R. 6317, to provide that direct primary care service arrangements do not disqualify deductible health savings account contributions
H.R. 6309, to allow individuals entitled to Medicare Part A by reason of being over age 65 to contribute to health savings accounts
H.R. 6306, to increase the contribution limitation for health savings accounts, and for other purposes
H.R. 4616, to provide for a temporary moratorium on the employer mandate and to provide for a delay in the implementation of the excise tax on high cost employer-sponsored health coverage
H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act
S. 2554, the Patient Right to Know Drug Prices Act
S. 2553, the Know the Lowest Price Act
HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs, RIN 0991-ZA49
Agencies Lobbied
U.S. Senate U.S. House of Representatives Treasury - Dept of Internal Revenue Service (IRS) Health & Human Services - Dept of (HHS) Executive Office of the President (EOP) Natl Economic Council (NEC) Labor - Dept of (DOL)
Type of Issue
Health Issues Taxation/Internal Revenue Code
3rd Quarter, 2018
In Q3, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on Oct. 22, 2018.
Original Filing: 300994286.xml
Lobbying Issues
Legislative and regulatory issues including:
Health care reform
Implementation of the Affordable Care Act -- PL 111-148
Bipartisan Budget Act of 2018 -- H.R. 1892/PL 115-123
Middle Class Health Benefits Tax Repeal Act of 2017 - S. 58/H.R. 173
Save American Workers Act -- H.R. 3798
Restoring Access to Medication and Modernizing Health Savings Accounts Act (H.R. 6199)
Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act (H.R. 6311)
Health Savings Act of 2017 - S. 403/H.R. 1175
Chronic Disease Management Act - S. 2410/H.R. 4978
Bipartisan HSA Improvement Act of 2018 - H.R. 5138/H.R. 6305
Mental Health Parity
H.R. 6301, to provide high deductible health plans with first dollar coverage flexibility
H.R. 6317, to provide that direct primary care service arrangements do not disqualify deductible health savings account contributions
H.R. 6309, to allow individuals entitled to Medicare Part A by reason of being over age 65 to contribute to health savings accounts
H.R. 6306, to increase the contribution limitation for health savings accounts, and for other purposes
H.R. 4616, to provide for a temporary moratorium on the employer mandate and to provide for a delay in the implementation of the excise tax on high cost employer-sponsored health coverage
H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act
S. 2554, the Patient Right to Know Drug Prices Act
S. 2553, the Know the Lowest Price Act
HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs, RIN 0991-ZA49
Agencies Lobbied
U.S. Senate U.S. House of Representatives Treasury - Dept of Internal Revenue Service (IRS) Health & Human Services - Dept of (HHS) Executive Office of the President (EOP) Natl Economic Council (NEC)
Type of Issue
Health Issues Taxation/Internal Revenue Code
2nd Quarter, 2018
In Q2, Spangler Strategies LLC lobbied for American Benefits Council , earning $30,000. The report was filed on July 19, 2018.
Original Filing: 300972515.xml
Lobbying Issues
Legislative and regulatory issues including:
Health care reform
Implementation of the Affordable Care Act -- PL 111-148
Bipartisan Budget Act of 2018 -- H.R. 1892/PL 115-123
Middle Class Health Benefits Tax Repeal Act of 2017 - S. 58/H.R. 173
Health Savings Act of 2017 - S. 403/H.R. 1175
Chronic Disease Management Act - S. 2410/H.R. 4978
Bipartisan HSA Improvement Act of 2018 - H.R. 5138/H.R. 6305
Mental Health Parity
H.R. 6301, to provide high deductible health plans with first dollar coverage flexibility
H.R. 6317, to provide that direct primary care service arrangements do not disqualify deductible health savings account contributions
H.R. 6309, to allow individuals entitled to Medicare Part A by reason of being over age 65 to contribute to health savings accounts
H.R. 6306, to increase the contribution limitation for health savings accounts, and for other purposes
H.R. 4616, to provide for a temporary moratorium on the employer mandate and to provide for a delay in the implementation of the excise tax on high cost employer-sponsored health coverage
H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act
S. 2680, The Opioid Crisis Response Act of 2018
S. 3120, Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018
Agencies Lobbied
U.S. Senate U.S. House of Representatives Treasury - Dept of Internal Revenue Service (IRS) Health & Human Services - Dept of (HHS) Executive Office of the President (EOP) Natl Economic Council (NEC)
Type of Issue
Health Issues Taxation/Internal Revenue Code
1st Quarter, 2018
In Q1, Spangler Strategies LLC lobbied for American Benefits Council , earning $50,000. The report was filed on April 18, 2018.
Original Filing: 300948297.xml
Lobbying Issues
Legislative and regulatory issues including:
Health care reform
Implementation of the Affordable Care Act -- PL 111-148
Bipartisan Budget Act of 2018 -- H.R. 1892 / PL 115-123
Consolidated Appropriations Act 2018 -- H.R. 1625 / PL 115-141
Middle Class Health Benefits Tax Repeal Act of 2017 - S. 58/H.R. 173
Health Savings Act of 2017 - S. 403/H.R. 1175
Chronic Disease Management Act - S.2410/H.R. 4978
Bipartisan HSA Improvement Act of 2018 - H.R. 5138
Mental Health Parity
Employer wellness programs including nondiscrimination rules.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Treasury - Dept of Internal Revenue Service (IRS) Health & Human Services - Dept of (HHS) Executive Office of the President (EOP) Natl Economic Council (NEC)
Type of Issue
Health Issues Taxation/Internal Revenue Code
4th Quarter, 2017
In Q4, Spangler Strategies LLC lobbied for American Benefits Council , earning $20,000. The report was filed on Jan. 22, 2018.
Original Filing: 300932563.xml
Lobbying Issues
Legislative and regulatory issues including:
Health care reform
Implementation of the Affordable Care Act -- PL 111-148
Comprehensive tax reform related to health plans - H.R. 1
Middle Class Health Benefits Tax Repeal Act of 2017 - S. 58/H.R. 173
Health Savings Act of 2017 - S. 403/H.R. 1175
Employer wellness programs including nondiscrimination rules.
Agencies Lobbied
U.S. Senate U.S. House of Representatives Treasury - Dept of Internal Revenue Service (IRS) Health & Human Services - Dept of (HHS) Executive Office of the President (EOP) Natl Economic Council (NEC)
4th Quarter, 2017
Spangler Strategies LLC filed a lobbying registration on Jan. 12, 2018 to represent American Benefits Council, effective Dec. 1, 2017.
Original Filing: 300923493.xml
Issue(s) they said they’d lobby about: Legislative and regulatory issues including: health care reform, tax incentives for employer sponsored health plans, state requirements affecting self-insured plans, employer wellness programs including nondiscrimination rules, Mental Health Parity Disclosure and employer-sponsored benefits including electronic communication and disclosure. .
Source: Clerk of the U.S. House of Representatives and Secretary of the Senate