Office of Government & Public Affairs 1 Dupont Circle NW Washington, DC 20036-1193 P 202 939 9355 F 202 833 4762 www.acenet.edu March 18, 2013 Centers for Medicare & Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue, SW Washington, DC 20201 RE: CMS–9958–P Comm

Office of Government & Public Affairs Submitted via http://www.regulations.gov March 18, 2013 Internal Revenue Service CC:PA:LPD:PR (REG-138006-12) Room 5203 P.O. Box 7604 Ben Franklin Station Washington, DC 20044 Re: Shared Responsibility for Employers Regarding Health Coverage (REG-138006-12) Dear Sir or Madam: On be

AMERICAN COUNCIL ON EDUCATION OFFICE OF THE PRESIDENT April 12, 2011 Centers for Medicare & Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue, SW Washington, DC 20201 RE: CMS-9981-P Comments on Proposed Rules Relating to Student Health Insurance Coverage Under

Dear Secretary Sebelius and Director DeParle: On behalf of the American Council on Education and the undersigned higher education associations, I am writing to thank you for your support and to request additional assistance to ensure colleges and universities can continue to provide high-quality, low-cost health coverage to our students. Together, the undersigned associations represent the nation’s two- and four-year, public and private colleges and universities, which currently provide health coverage to more than 4.5 million college students nationwide.

Dear Majority Leader Reid and Speaker Pelosi: We are writing to express our strong support for the inclusion of a regulatory pathway for biosimilars in the final health reform package. Both the House and Senate bills have pathways that will ensure patients have access to lower-cost therapeutics while providing incentives for continued medical research and innovation. These pathways are identical in many ways, though we believe that the House language approved overwhelmingly by the House Energy and Commerce Committee is the better language and should be adopted in the final bill.

Dear Speaker Pelosi, Majority Leader Reid, Minority Leader Boehner, and Minority Leader McConnell: On behalf of the Association of American Medical Colleges (AAMC), I write to express our concerns with several provisions of the Senate-passed “Patient Protection and Affordable Care Act” (HR 3590) that apply to the Federal Civil False Claims Act (FCA) and have potential serious and unintended consequences for medical schools and teaching hospitals. The AAMC represents the nation’s 131 medical schools, nearly 400 major teaching hospitals and health systems (including 68 VA medical centers), and nearly 90 academic and scientific societies. Through these institutions and organizations, the AAMC also represents 125,000 faculty members and 180,000 student and resident physicians.

Dear Speaker Pelosi, Majority Leader Reid, Minority Leader Boehner, and Minority Leader McConnell: On behalf of the members of the American Council on Education (ACE), the Association of American Universities (AAU), and the Association of Public and Land-grant Universities (APLU), we appreciate that Congress is working on health care, one of the most pressing and difficult issues of our time. As you work to reconcile differences between the House-passed “Affordable Health Care for America Act” (H.R. 3962) and the Senate-passed “Patient Protection and Affordable Care Act” (H.R. 3590), we ask for your careful attention to and consideration of some key issues affecting research universities, including academic medical centers. These institutions play a unique and essential role in the provision of health care in our country.