1st Quarter - Report

THE SMITH-FREE GROUP, LLC for HCA

Firm
Client
HCA
Income
$130,000
Expenses
—

What was lobbied

5 issue areas, each in the filer's own words, with who lobbied on it and where.

Insurance INS

Monitored implementation of the Affordable Care Act

LobbyistCovered position, as disclosed
JACK S DEUSER —
JAMES C FREE —
W. TIMOTHY LOCKE —

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Health Issues HCR

HR 1156 Patient Access to Higher Quality Health Care Act of 2017 (all sections of full text) S 1133 Patient Access to Higher Quality Health Care Act of 2017 (all sections of full text) HR 277 American Health Care Reform Act of 2017 (all sections of full text) Discussions seeking guidance to minimize supply chain shortages for areas hit by natural disasters Monitored S 297 Increasing Competition in Pharmaceuticals Act Monitored HR 749 Lower Drug Costs through Competition Act Monitored HR 208 Ensuring Health Care Opportunities Act Monitored S 1115 Making Pharmaceutical Markets More Competitive Act Monitored HR 2562 Making Pharmaceutical Markets More Competitive Act Monitored S 191 Patient Freedom Act of 2017 Monitored S 761 Health Care Options Act of 2017 Monitored HR 1933 Health Care Options Act of 2017 Monitored HR 1628 American Health Care Act of 2017 Monitored Bipartisan Health Care Stabilization Act 2017 (proposed Alexander-Murray legislation) Monitored The Lower Premiums Through Reinsurance Act of 2017 (proposed Collins-Nelson legislation) Monitored S 2312 Helping Ensure Low-income Patients have Access to Care and Treatment (HELP) Act Monitored politically appointed Senate-confirmed positions Monitored PL 115-141 Consolidated Appropriations Act, 2018 Monitored HR 4191 HHS Cybersecurity Modernization Act Monitored HR 4710 340B PAUSE Act Monitored H.R.4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes

LobbyistCovered position, as disclosed
JACK S DEUSER —
JAMES C FREE —
ROBERT HICKMOTT —
TREVOR W. KOLEGO —
W. TIMOTHY LOCKE —
SUMMER MERSINGER —

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Bills named: H.R. 1628 (115th), H.R. 4392 (115th), H.R. 2562 (115th), H.R. 749 (115th), H.R. 4710 (115th), H.R. 277 (115th), H.R. 1933 (115th), H.R. 208 (115th), H.R. 1156 (115th), H.R. 4191 (115th)

Medicare/Medicaid MMM

Discussions pertaining to budget sequestration limits on Medicare spending Discussions involving nominations to federally authorized commissions Discussions pertinent to the proposed reduction in the amount of Medicare bad debt payments to hospitals for Medicare beneficiaries who fail to pay their cost-sharing obligations for treatments provided by the hospital Monitored HR 1130 Fair Medicare Hospital Payments Act of 2017 Monitored S 41 Medicare Prescription Drug Price Negotiation Act of 2017 Monitored HR 242 Medicare Prescription Drug Price Negotiation Act of 2017

LobbyistCovered position, as disclosed
JACK S DEUSER —
JAMES C FREE —
ROBERT HICKMOTT —
TREVOR W. KOLEGO —
W. TIMOTHY LOCKE —
SUMMER MERSINGER —

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Bills named: H.R. 242 (115th), H.R. 1130 (115th)

Taxation/Internal Revenue Code TAX

Monitored implementation of PL 115-97 Tax Cuts and Jobs Act

LobbyistCovered position, as disclosed
JACK S DEUSER —

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Budget/Appropriations BUD

Discussions related to federal natural disaster assistance for hospitals and The Stafford Act Monitored discussions pertaining to the President's FY2019 HHS Budget

LobbyistCovered position, as disclosed
JACK S DEUSER —
JAMES C FREE —
ROBERT HICKMOTT —
TREVOR W. KOLEGO —
W. TIMOTHY LOCKE —

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Shown as published by the Senate Office of Public Records and the House Clerk under the Lobbying Disclosure Act. The official filing is the record; open it for the full form.