SMITH & NEPHEW, INC. for SMITH & NEPHEW, INC.

Taxation/Internal Revenue Code TAX

H.R. 184, Protect Medical Innovation Act of 2017. S. 108, Medical Device Access & Innovation Protection Act. Implementation of H.R. 1, Tax Cuts and Jobs Act. H.R. 88, Retirement, Savings, and Other Tax Relief Act

Foreign entity interest: Smith & Nephew plc, identified on Registration (LD-1), has business interests that would be affected by these issues.

Contacted: Natl Economic Council (NEC); Executive Office of the President (EOP); Centers For Medicare and Medicaid Services (CMS); U.S. Trade Representative (USTR); SENATE; HOUSE OF REPRESENTATIVES

Bills named: H.R. 88 (115th), H.R. 184 (115th), S. 108 (115th), H.R. 1 (115th)

Health Issues HCR

Issues related to post-market surveillance of medical devices and unique device identifiers. Issues related to third-party servicing of medical devices, H.R. 2118, the Medical Device Servicing Safety and Accountability Act. Issues related to implementation of Title VII (device inspection and regulatory improvements) of the FDA Reauthorization Act (P.L. 115-52). Section 6111 of H.R. 6, the SUPPORT for Patients and Communities Act, issues related to CMS Open Payments System.

Foreign entity interest: Smith & Nephew plc, identified on Registration (LD-1), has business interests that would be affected by these issues.

Contacted: Executive Office of the President (EOP); SENATE; Natl Economic Council (NEC); U.S. Trade Representative (USTR); HOUSE OF REPRESENTATIVES; Centers For Medicare and Medicaid Services (CMS)

Bills named: H.R. 2118 (115th), H.R. 6 (115th)

Medicare/Medicaid MMM

Medicare Part D reimbursement proposals. Medicare Outpatient payment for skin substitutes. Implementation of disposable negative pressure wound therapy coverage established by "Consolidated Appropriations Act, 2016."

Foreign entity interest: Smith & Nephew plc, identified on Registration (LD-1), has business interests that would be affected by these issues.

Contacted: Centers For Medicare and Medicaid Services (CMS); SENATE; Natl Economic Council (NEC); U.S. Trade Representative (USTR); Executive Office of the President (EOP); HOUSE OF REPRESENTATIVES

Government Issues GOV

H.R. 4170 and S. 2039, Disclosing Foreign Influence Act. S. 2482, Foreign Agents Registration Amendments Act. S. 3274, CLEAN Act H.R. 6533, CLEAN Politics Act

Foreign entity interest: Smith & Nephew plc, identified on Registration (LD-1), has business interests that would be affected by these issues.

Contacted: Centers For Medicare and Medicaid Services (CMS); SENATE; U.S. Trade Representative (USTR); Natl Economic Council (NEC); Executive Office of the President (EOP); HOUSE OF REPRESENTATIVES

Bills named: S. 3274 (115th), S. 2482 (115th), S. 2039 (115th), H.R. 4170 (115th), H.R. 6533 (115th)

Trade (domestic/foreign) TRD

Issues related to market access for medical devices in India and the European Union. Issues related to US tariffs on medical devices and patient access.

Foreign entity interest: Smith & Nephew plc, identified on Registration (LD-1), has business interests that would be affected by these issues.

Contacted: Centers For Medicare and Medicaid Services (CMS); HOUSE OF REPRESENTATIVES; Natl Economic Council (NEC); U.S. Trade Representative (USTR); Executive Office of the President (EOP); SENATE

Veterans VET

Issues related to Veterans Administration procurement.

Foreign entity interest: Smith & Nephew plc, identified on Registration (LD-1), has business interests that would be affected by these issues.

Contacted: Executive Office of the President (EOP); SENATE; U.S. Trade Representative (USTR); Natl Economic Council (NEC); HOUSE OF REPRESENTATIVES; Centers For Medicare and Medicaid Services (CMS)