Prescriber Support Act of 2017

H.R. 1267, Personal Health Investment Today (PHIT) Act, all provisions H.R. 4240, Public Safety and Second Amendment Rights Protection Act of 2017, all provisions H.R. 6142, Reducing Drug Waste Act of 2018, all provisions H.R. 6301, Promoting High-Value Health Care Through Flexibility for High Deductible Health Plans Act of 2018, all provisions H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018, all provisions H.R. 6305, Bipartisan HSA Improvement Act of 2018, all provisions H.R. 6306, Health Care Security Act of 2018, all provisions H.R. 6313, Responsible Additions and Increases to Sustain Employee Health Benefits Act of 2018, all provisions H.R. 6314, Health Savings Act of 2018, all provisions H.R. 6317, Primary Care Enhancement Act of 2018, all provisions H.R. 6082, Overdose Prevention and Patient Safety Act, all provisions H.R. 6, Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act, all provisions S. 2680, Opioid Crisis Response Act of 2018, all provisions S. 3120, Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018, provisions relating to human services H.R. 6733, Know the Cost Act of 2018, all provisions S. 2554, Patient Right to Know Drug Prices Act, all provisions S. 2020, Cyber Shield Act of 2017, all provisions H.R. 394, Restoring Access to Medication Act of 2017, all provisions S. 85, Restoring Access to Medication Act of 2017, all provisions H.R. 1375, Prescriber Support Act of 2017, all provisions S. 1016, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2017, provisions relating to telehealth S. 2456, CARA 2.0 Act of 2018, all provisions H.R. 4825, Marijuana Effective Drug Studies (MEDS) Act of 2018, all provisions S. 1112, Maternal Health Accountability Act of 2017, all provisions Diagnostic Accuracy and Innovation Prescription Drug Pricing Affordable Care Act (ACA) risk-adjustment program 42 CFR Part 2/Substance abuse confidentiality regulations Software as a Medical Device (SaMD) SaMD Transparency Certificate-of-Need Reform Physician-Owned Hospitals Augmented Intelligence (AI) Cybersecurity ACA Navigator program funding cuts Electronic Health Records (EHR) EHR Vendor Reporting Program EHR Interoperability In-Office Compounding Opioids Consent2Share demonstration Prescription drug costs and pricing Substance use disorder Medical price transparency Administrative burdens and simplification Telehealth Laboratory developed tests (LDTs) Health Savings Accounts - Prescription requirement for over-the-counter medications Electronic prescribing of controlled substances Prescription Drug Monitoring Program (PDMP) Federal prescription limits Sunshine Act Regulation - Journal reprints and textbooks Direct-to-consumer (DTC) advertising - prescription drug price disclosure Biosimilar Regulations Generic Drug Regulations Pharmacy Benefit Managers (PBMs) Surprise billing

Client expense: $4,120,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), SENATE, Veterans Affairs, Dept of (VA), White House Office

Implementation of Public Law 114-198 pharmacy provisions; Implementation of Public Law 114-255 pharmacy provisions; H.R. 1854/S. 778, Prescription Drug Monitoring Act of 2017; S 892 / H.R. 4408, Opioid Addiction Prevention Act of 2017; HR 3528 / S.2460, Every Prescription Conveyed Securely Act; H.R. 3545, Overdose Prevention and Patient Safety Act; S. 1850, Protecting Jessica Grubbs Legacy Act; H.R. 1271, DXM Abuse Prevention Act of 2017; H.R. 1375, Prescriber Support Act of 2017; S. 523, Budgeting for Opioid Addiction Treatment Act; S. 581 / H.R. 5009, Jessies Law; S 1079, Protecting Americans from Dangerous Opioids Act; H.R. 4236, MONITOR Act of 2017; H.R. 3991, Expanded Access to Opioid Abuse Treatment Act of 2017; H.R. 4275, Empowering Pharmacists in the Fight Against Opioid Abuse Act; H.R. 5219, Opioid Prescription Verification Act of 2018; H.R. 5676, SENIOR Communities Protection Act of 2018; H.R. 5773, PASS Act of 2018; Draft legislation, Medicare Care Coordination Improvement Act of 2017; Draft legislation, Pain Care Coordination Act of 2018; S. 2456/H.R. 5311, CARA 2.0 Act of 2018; H.R. 5687, SOUND Disposal and Packaging Act; H.R. 5202, Ensuring Patient Access to Substance Use Disorder Treatments Act of 2018; H.R. 5812, CONNECTIONS Act; H.R. 5801, Medicaid PARTNERSHIP Act; H.R. 6, SUPPORT for Patients and Communities Act; H.R. 5808, Medicaid Pharmaceutical Home Act of 2018; H.R. 5675, To amend title XVIII of the Social Security Act to require prescription drug plan sponsors under the Medicare program to establish drug management programs for at-risk beneficiaries; S. 2680, Opioid Crisis Response Act of 2018; S. 2645 / H.R. 5628, Access to Increased Drug Disposal Act of 2018; H.R. 6600 / S. 3282, the DEA Order Clearinghouse Act of 2018; H.R. 6688, ALERT Act of 2018

Issues related to implementation of the 21st Century Cures Act (Public Law No: 114-255); in general H.R. 5311/S. 2456, the CARA 2.0 Act of 2018 H.R. 2556/S. 1016, the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act S. 1850, the Protecting Jessica Grubbs Legacy Act H.R. 3545, the Overdose Prevention and Patient Safety Act Docket ID: SAMHSA-4162-20, Confidentiality of Substance Use Disorder Patient Records Issues relating to the reauthorization of the Childrens Health Insurance Program H.R. 3192/S. 2253, the CHIP Mental Health Parity Act S. 774, the Trauma-Informed Care for Children and Families ActH.R. 4778/S. 2301, the Behavioral Health Coverage Transparency Act S. 2406/H.R. 5002, the Advancing Cutting-Edge (ACE) Research Act H.R. 5102/S. 2524, the Substance use Disorder Workforce Loan Repayment Act Issues relating to market stabilization for the Affordable Care Act Issues related to opioids. Issues related to gun violence and mental health, in general H.R. 2276/S. 2575, the Audiology Patient Choice Act H.R. 6, SUPPORT for Patients and Communities Act S. 2680, the Opioid Crisis Response Act of 2018 H.R. 994, the Examining Opioid Treatment Infrastructure Act H.R. 1375, a bill to amend the Public Health Service Act to authorize the Secretary of Health of Human Services to award grants to States (or collaborations of States) to establish, expand, or maintain a comprehensive regional, State, or municipal system to provide training, education, consultation, and other resources to prescribers relating to patient pain, substance misuse, and substance abuse disorders, and for other purposes. S. 581/H.R. 5009, Jessie's Law H.R. 2077, theRestoring the Patient's Voice Act H.R. 2345, the National Suicide Hotline Improvement Act S. 1354, a bill to establish an Individual Market Reinsurance fund to provide funding for State individual market stabilization reinsurance programs. H.R. 3692, the Addiction Treatment Access Improvement Act H.R. 3931/S.1905, the Excellence in Mental Health and Addiction Treatment Expansion Act H.R. 4733/S. 2260, the Opioids and STOP Pain Initiative Act H.R. 4778/S. 2301, Behavioral Health Coverage Transparency Act S. 2317, a bill to amend the Controlled Substances Act to provide for additional flexibility with respect to medication-assisted treatment for opioid use disorders, and for other purposes. H.R. 4903, Combating Opioid Misuse By Advancing Treatment (COMBAT) Act H.R. 5083, the Expanding Access to Evidence-Based Opioid Treatment for Seniors Act H.R. 5327, the Comprehensive Opioid Recovery Centers Act H.R. 5385/S. 2597, the Children's Hospital GME Support Reauthorization Act S. 2606, the Opioid ECHO Act H.R. 5795, the Overdose Prevention and Patient Safety Act H.R. 5483, the Special Registration for Telemedicine Clarification Act H.R. 6082, the Overdose Prevention and Patient Safety Act

H.R. 394, Restoring Access to Medication Act of 2017, all provisions S. 85, Restoring Access to Medication Act of 2017, all provisions S. 2456, CARA 2.0 Act of 2018, all provisions S. 2680, Opioid Crisis Response Act of 2018, all provisions S. 2535, Opioid Quota Reform Act, all provisions H.R. 6, Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act, all provisions S. 3120, Helping to End Addiction and Lessen Substance Use Disorders Act of 2018, all provisions S. 2891, Fighting the Opioid Epidemic with Sunshine Act of 2018, all provisions S. 3042, Agriculture Improvement Act of 2018, provisions related to the SNAP Program H.R. 5818, Opioid Workforce Act of 2018, all provisions S. 2843, Opioid Workforce Act of 2018, all provisions H.R. 3692, Addiction Treatment Access Improvement Act of 2017, all provisions H.R. 5812, Creating Opportunities that Necessitate New and Enhanced Connections That Improve Opioid Navigation Strategies (CONNECTIONS) Act of 2018, all provisions H.R. 5002, Advancing Cutting Edge (ACE) Research Act, all provisions S. 2406, Advancing Cutting Edge (ACE) Research Act, all provisions H.Amdt.627 to H.R. 2, provisions relating to unpasteurized milk or milk products H.R. 449, Synthetic Drug Awareness Act of 2018, all provisions H.R. 4275, Empowering Pharmacists in the Fight Against Opioid Abuse Act, all provisions H.R. 4284, Indexing Narcotics, Fentanyl, and Opioids (INFO) Act of 2018, all provisions H.R. 5041, Safe Disposal of Unused Medication Act, all provisions H.R. 5202, Ensuring Patient Access to Substance Use Disorder Treatments Act of 2018, all provisions H.R. 5102, Substance Use Disorder Workforce Loan Repayment Act of 2018, all provisions S. 2524, Substance Use Disorder Workforce Loan Repayment Act of 2018, all provisions H.R. 5176, Preventing Overdoses While in Emergency Rooms Act of 2018, all provisions H.R. 5197, Alternatives to Opioids (ALTO) in the Emergency Department Act, all provisions H.R. 5261, Treatment, Education, and Community Help (TEACH) to Combat Addiction Act of 2018, all provisions H.R. 5272, Reinforcing Evidence-Based Standards Under Law in Treating Substance Abuse (RESULTS) Act of 2018, all provisions H.R. 5327, Comprehensive Opioid Recovery Centers Act of 2018, all provisions H.R. 5329, Poison Center Network Enhancement Act of 2018, all provisions H.R. 5483, Special Registration for Telemedicine Clarification Act of 2018, all provisions H.R. 5580, Surveillance and Testing of Opioids to Prevent (STOP) Fentanyl Deaths Act of 2018, all provisions H.R. 5687, Securing Opioids and Unused Narcotics with Deliberate (SOUND) Disposal and Packaging Act of 2018, all provisions H.R. 5353, Eliminating Opioid Related Infectious Diseases Act of 2018, all provisions H.R. 5796, Responsible Education Achieves Care and Healthy Outcomes for Users' Treatment (REACH OUT) Act of 2018, all provisions H.R. 1375, Prescriber Support Act of 2017, all provisions H.R. 5788, Synthetics Trafficking and Overdose Prevention (STOP) Act of 2018, all provisions H.R. 1057, Synthetics Trafficking and Overdose Prevention (STOP) Act of 2017, all provisions H.R. 6142, Reducing Drug Waste Act of 2018, all provisions H.R. 4909, Student, Teachers, and Officers Preventing (STOP) School Violence Act of 2018, all provisions H.R. 4477, Fix NICS Act of 2017, all provisions S. 2135, Fix NICS Act of 2017, all provisions H.R. 4240, Public Safety and Second Amendment Rights Protection Act of 2017, all provisions S. 2456, CARA 2.0 Act of 2018, all provisions S. 1803, Marijuana Effective Drug Studies Act of 2017, all provisions S. 1112, Maternal Health Accountability Act of 2017, all provisions Affordable Care Act stability 42 CFR Part 2/Substance abuse confidentiality regulations Substance Use Disorder Prescription Drug Monitoring Program (PDMP) Federal prescription limits Health Savings Accounts - Prescription requirement for over-the-counter medications Sunshine Act Regulations - journal reprints and textbooks Drug pricing transparency Augmented Intelligence (AI) Laboratory testing oversight Laboratory Developed Tests Software as a medical device Drug compounding Breastfeeding Patient Matching Mortality Cybersecurity Transparency in regulatory science Regulatory burdens Gun violence research Bump stocks Physician Assisted Suicide AMA/Google Health Care Interoperability and Innovation Challenge Health insurance premiums Title X funding Virtual Diabetes Prevention Program (DPP)/Telehealth/remote patient monitoring Electronic prescribing of controlled substances Pharmacy Benefits Manager HHS Blueprint to lower drug prices

Implementation of Public Law 114-198 pharmacy provisions; Implementation of Public Law 114-255 pharmacy provisions; H.R. 1854/S. 778, Prescription Drug Monitoring Act of 2017; S 892 / H.R. 4408, Opioid Addiction Prevention Act of 2017; HR 3528 / S.2460, Every Prescription Conveyed Securely Act; H.R. 3545, Overdose Prevention and Patient Safety Act; S. 1850, Protecting Jessica Grubbs Legacy Act; H.R. 1271, DXM Abuse Prevention Act of 2017; H.R. 1375, Prescriber Support Act of 2017; S. 523, Budgeting for Opioid Addiction Treatment Act; S. 581 / H.R. 5009, Jessies Law; S 1079, Protecting Americans from Dangerous Opioids Act; H.R. 4236, MONITOR Act of 2017; H.R. 3991, Expanded Access to Opioid Abuse Treatment Act of 2017; H.R. 4275, Empowering Pharmacists in the Fight Against Opioid Abuse Act; H.R. 5219, Opioid Prescription Verification Act of 2018; H.R. 5676, SENIOR Communities Protection Act of 2018; H.R. 5773, PASS Act of 2018; Draft legislation, Medicare Care Coordination Improvement Act of 2017; Draft legislation, Pain Care Coordination Act of 2018; S. 2456/H.R. 5311, CARA 2.0 Act of 2018; H.R. 5687, SOUND Disposal and Packaging Act; H.R. 5202, Ensuring Patient Access to Substance Use Disorder Treatments Act of 2018; H.R. 5812, CONNECTIONS Act; H.R. 5801, Medicaid PARTNERSHIP Act; H.R. 6, SUPPORT for Patients and Communities Act; H.R. 5808, Medicaid Pharmaceutical Home Act of 2018; H.R. 5675, To amend title XVIII of the Social Security Act to require prescription drug plan sponsors under the Medicare program to establish drug management programs for at-risk beneficiaries; S. 2680, Opioid Crisis Response Act of 2018; S. 2645 / H.R. 5628, Access to Increased Drug Disposal Act of 2018;

Client expense: $320,000 · Firm income: Not reported

Increased funding and focus on the social determinants of health, including food - No specific bill Opposition to proposed cuts to the Supplemental Nutrition Assistance Program - No specific bill HR 496 - S 128 The Bridge Act - DACA protections Separation of Immigrant Children From Their Families - No specific bill Prescription Drug Prices S. 771 - Improving Access to Affordable Prescription Drugs - Legislation that seeks to address prescription drug costs by increasing transparency and accountability, boosting access and affordability of key drugs, spurring innovation, and increasing choice and competition by allowing Medicare to negotiate the price of drugs, among other provisions. Efforts to address the cost of prescription drugs, including proposals to include the manufacturers suggested retail price in direct to consumer advertising of prescription drugs - no specific bill Opioids HR 6 - SUPPORT for Patients and Communities Act HR 1375 - Prescriber Support Act - Grants to states for programs to help prescribers (1) treat and manage patient pain; and (2) prevent, identify, and respond to patient substance misuse and substance abuse disorder HR 3528 - Every Prescription Conveyed Securely Act - mandated eprescribing of controlled substances S. 1554 - Safer Prescribing of Controlled Substances Act - Federal Mandates for Opioid Prescriber Education H.R.5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 - Federal Student Loan forgiveness for substance abuse prevention and treatment professionals HR 4097 - Medicare Beneficiary Opioid Addiction Treatment Act - access for Medicare beneficiaries to MAT Safe Injection Facilities - no specific bill HR 4778 - S. 2301 Behavioral Health Coverage Transparency Act- requirements for transparency in behavioral health coverage Expanded Access to MAT, Naloxone, treatment, prevention and recovery programs for substance abuse disorder - no specific bill HR 5545/S. 5102 Comprehensive Addiction Resources Emergency (Care) Act of 2018 HR 5311/S. 2456 CARA 2.0 Act of 2018 Physician Burnout & Wellness - no specific bill Gun Violence HR 1832, S.834 - A bill to authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention. S. 2546 - Making America Safe and Secure Act of 2018 - MASS Act S. 1701 - Fair Access to Science and Technology Act - changes to copyright protections for publications Changes to Sunshine Act Regarding Patient education materials - no specific bill Telemedicine S. 870 - Creating High Quality Results and Outcomes Necessary to Improve Chronic Care HR 2556 - Connect for Health Act of 2017 S. 2574/HR 2276 - Audiology Patient Choice - oppose changing Medicare reimbursement to include audiologists in definition of physician Regulatory Issues Electronic medical records - efforts to streamline and improve interoperability DEA issues Updated regulations to implement Partial Fill law Updated regulations for Eprescribing of Controlled Substances Department of Labor : Definition of Employer Under Section 3(5) of ERISA - Association Health Plans (RIN 1210-AB85): Proposal creating association health plans Department of Health and Human Services: Protecting Statutory Conscience Rights in Health care, Delegations of Authority. 45 CFR, Part 88, HHS-OCR-2018-0002; RIN 0945-ZA03 Proposed Rule on Short-Term, Limited-Duration Insurance (CMS-9923-P; RIN 0938-AT48) Opposition to Medicaid Point of Care Testing Cuts as part of the Clinical Laboratory Fee Schedule The Office of Population Affairs (OPA), in the Office of the Assistant Secretary for Health, proposes to revise its Title X regulations (Title X of the Public Health Service Act) to ensure compliance with, and enhance implementation of, the statutory requirement that none of the funds appropriated for Title X may be used in programs where abortion is a method of family planning and related statutory requirements. (Docket No.: HHS-OS-2018-0008;42 CFR Part 59; RIN 0937-ZA00 Compliance with Statutory Program Integrity Requirements)

Increased funding and focus on the social determinants of health, including food - No specific bill S. 771 - Improving Access to Affordable Prescription Drugs - Legislation that seeks to address prescription drug costs by increasing transparency and accountability, boosting access and affordability of key drugs, spurring innovation, and increasing choice and competition by allowing Medicare to negotiate the price of drugs, among other provisions. Efforts to address the cost of prescription drugs, including proposals to include the manufacturers suggested retail price in direct to consumer advertising of prescription drugs - no specific bill Opioids HR 6 - SUPPORT for Patients and Communities Act HR 1375 - Prescriber Support Act - Grants to states for programs to help prescribers (1) treat and manage patient pain; and (2) prevent, identify, and respond to patient substance misuse and substance abuse disorder HR 3528 - Every Prescription Conveyed Securely Act - mandated eprescribing of controlled substances S. 1554 - Safer Prescribing of Controlled Substances Act - Federal Mandates for Opioid Prescriber Education H.R.5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 - Federal Student Loan forgiveness for substance abuse prevention and treatment professionals HR 4097 - Medicare Beneficiary Opioid Addiction Treatment Act - access for Medicare beneficiaries to MAT Safe Injection Facilities - no specific bill HR 4778 - S. 2301 Behavioral Health Coverage Transparency Act- requirements for transparency in behavioral health coverage Expanded Access to MAT, Naloxone, treatment, prevention and recovery programs for substance abuse disorder - no specific bill HR 5545/S. 5102 Comprehensive Addiction Resources Emergency (Care) Act of 2018 HR 5311/S. 2456 CARA 2.0 Act of 2018 Physician Burnout & Wellness - no specific bill Telemedicine S. 870 - Creating High Quality Results and Outcomes Necessary to Improve Chronic Care HR 2556 - Connect for Health Act of 2017 S. 2574/HR 2276 - Audiology Patient Choice - oppose changing Medicare reimbursement to include audiologists in definition of physician Regulatory Issues Electronic medical records - efforts to streamline and improve interoperability DEA issues Updated regulations to implement Partial Fill law Updated regulations for Eprescribing of Controlled Substances Department of Health and Human Services: Protecting Statutory Conscience Rights in Health care, Delegations of Authority. 45 CFR, Part 88, HHS-OCR-2018-0002; RIN 0945-ZA03 Opposition to Medicaid Point of Care Testing Cuts as part of the Clinical Laboratory Fee Schedule The Office of Population Affairs (OPA), in the Office of the Assistant Secretary for Health, proposes to revise its Title X regulations (Title X of the Public Health Service Act) to ensure compliance with, and enhance implementation of, the statutory requirement that none of the funds appropriated for Title X may be used in programs where abortion is a method of family planning and related statutory requirements. (Docket No.: HHS-OS-2018-0008;42 CFR Part 59; RIN 0937-ZA00 Compliance with Statutory Program Integrity Requirements)

Opioids HR 6 - SUPPORT for Patients and Communities Act HR 1375 - Prescriber Support Act - Grants to states for programs to help prescribers (1) treat and manage patient pain; and (2) prevent, identify, and respond to patient substance misuse and substance abuse disorder HR 3528 - Every Prescription Conveyed Securely Act - mandated eprescribing of controlled substances S. 1554 - Safer Prescribing of Controlled Substances Act - Federal Mandates for Opioid Prescriber Education H.R.5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 - Federal Student Loan forgiveness for substance abuse prevention and treatment professionals HR 4097 - Medicare Beneficiary Opioid Addiction Treatment Act - access for Medicare beneficiaries to MAT Safe Injection Facilities - no specific bill HR 4778 - S. 2301 Behavioral Health Coverage Transparency Act- requirements for transparency in behavioral health coverage Expanded Access to MAT, Naloxone, treatment, prevention and recovery programs for substance abuse disorder - no specific bill HR 5545/S. 5102 Comprehensive Addiction Resources Emergency (Care) Act of 2018 HR 5311/S. 2456 CARA 2.0 Act of 2018 Physician Burnout & Wellness - no specific bill

Client expense: $70,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 394, Restoring Access to Medication Act of 2017, all provisions S. 85, Restoring Access to Medication Act of 2017, all provisions H.R. 1625, Consolidated Appropriations Act, 2018, provisions relating to Fix NICS Act, Dickey Amendment H.R. 3545, Overdose Prevention and Patient Safety Act, all provisions H.R. 5009, Jessie's Law, all provisions H.R. 5311, Comprehensive Addiction and Recovery Act (CARA) 2.0 Act of 2018, all provisions S. 2456, Comprehensive Addiction and Recovery Act (CARA) 2.0 Act of 2018, all provisions H.R. 1375, Prescriber Support Act of 2017, all provisions S. 2135, Fix NICS Act of 2017, all provisions H.R. 4909, Student, Teachers, and Officers Preventing (STOP) School Violence Act of 2018, all provisions H.R. 5002, Advancing Cutting-Edge (ACE) Research Act, all provisions S. 2406, Advancing Cutting-Edge (ACE) Research Act, all provisions H.R. 878, Right to Try Act of 2017, all provisions H.R. 2368, Right to Try Act, all provisions H.R. 5247, Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2018, all provisions S. 204, Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2017, all provisions H.R. 4191, HHS Cybersecurity Modernization Act, all provisions H.R. 4163, Cyber Shield Act of 2017, all provisions S. 2020, Cyber Shield Act of 2017, all provisions H.R. 4613, Ensuring Patient Access to Healthcare Records Act of 2017 H.R. 2063, Opioid Preventing Abuse through Continuing Education (Opioid PACE) Act of 2017, all provisions S. 1803, Marijuana Effective Drug Studies Act of 2017, all provisions H.R. 1318, Preventing Maternal Deaths Act of 2017, all provisions S. 1112, Maternal Health Accountability Act of 2017, all provisions H.R. 2851, Stop the Importation and Trafficking of Synthetic Analogues (SITSA) Act of 2017 H.R. 5219, Opioid Prescription Verification Act of 2018, all provisions 42 CFR/Privacy of substance abuse records Opioid Abuse Cost-sharing reduction payments and ACA stabilization Health Savings Accounts - Prescription requirement for over-the-counter medications Telemedicine Electronic Health Records (EHR) Electronic prescribing of controlled substances Prescription Drug Monitoring Programs (PDMPs) Interoperability of EHRs and PDMPs Prior authorization and medically assisted therapy Continuing Medical Education (CME) requirements for DEA licensure Gun Violence Prescription drug pricing/transparency/value/prior authorization burdens Provider Price Transparency Continuing Medical Education (CME) and opioid/pain management prescribing Cybersecurity Laboratory Developed Tests (LDTs) Conscience Rights/Delegation of Authority Title X Funding Regulatory burdens FDA oversight of digital health tools/modernization options In-office Drug Compounding Virtual Diabetes Prevention Program/Telehealth Blood pressure device validation/accuracy

HR 1271 DXM Abuse Prevention Act of 2017 HR 1375 Prescriber Support Act of 2017 HR 1575 Addiction Recovery through Family Health Accounts Act S 523 Budgeting for Opioid Addiction Treatment Act S 581 To include information concerning a patient's opioid addiction in certain medical records. HR 1854/S 778 Prescription Drug Monitoring Act of 2017 HR 3991 allow certain pharmacists to dispense narcotic drugs for maintenance or detoxification treatment HR 3692 amends the Controlled Substances Act to provide for additional flexibility with respect to medication-assisted treatment for opioid use disorders

Client expense: $34,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1625 Consolidated Appropriations ACT of 2018 $4 billion in opioid treatment $2.3 billion for mental health programs: Increased funding for SAMHSAs Community Mental Health Services Block Grant (MHBG) and funding for SAMHSAs Programs of Regional and National Significance Opioids HR 1375 - Prescriber Support Act - Grants to states for programs to help prescribers (1) treat and manage patient pain; and (2) prevent, identify, and respond to patient substance misuse and substance abuse disorder HR 3528 - Every Prescription Conveyed Securely Act - mandated eprescribing of controlled substances S. 1554 - Safer Prescribing of Controlled Substances Act - Federal Mandates for Opioid Prescriber Education H.R.5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 - Federal Student Loan forgiveness for substance abuse prevention and treatment professionals HR 4097 - Medicare Beneficiary Opioid Addiction Treatment Act - access for Medicare beneficiaries to MAT Safe Injection Facilities - no specific bill HR 4778 - S. 2301 Behavioral Health Coverage Transparency Act- requirements for transparency in behavioral health coverage Expanded Access to MAT, Naloxone, treatment, prevention and recovery programs for substance abuse disorder - no specific bill DEA issues Updated regulations to implement Partial Fill law Updated regulations for Eprescribing of Controlled Substances Policies re Drug Substitutions

Client expense: $100,000 · Firm income: Not reported

Bipartisan Budget Act of 2018 MACRA - Revisions to the Medicare Access and Chip Reauthorization Act Changes to the Medicare Physician Fee Schedule National Health Service Corps reauthorization Repeal of IPAB (HR 849 - Protecting Seniors' Access to Medicare Act of 2017) EHR reduction of Hardships HR 1625 Consolidated Appropriations ACT of 2018 $4 billion in opioid treatment $2.3 billion for mental health programs: Increased funding for SAMHSAs Community Mental Health Services Block Grant (MHBG) and funding for SAMHSAs Programs of Regional and National Significance Increased funding and focus on the social determinants of health, including food - No specific bill S. 771 - Improving Access to Affordable Prescription Drugs - Legislation that seeks to address prescription drug costs by increasing transparency and accountability, boosting access and affordability of key drugs, spurring innovation, and increasing choice and competition by allowing Medicare to negotiate the price of drugs, among other provisions. Efforts to address the cost of prescription drugs, including proposals to include the manufacturers suggested retail price in direct to consumer advertising of prescription drugs - no specific bill Opioids HR 1375 - Prescriber Support Act - Grants to states for programs to help prescribers (1) treat and manage patient pain; and (2) prevent, identify, and respond to patient substance misuse and substance abuse disorder HR 3528 - Every Prescription Conveyed Securely Act - mandated eprescribing of controlled substances S. 1554 - Safer Prescribing of Controlled Substances Act - Federal Mandates for Opioid Prescriber Education H.R.5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 - Federal Student Loan forgiveness for substance abuse prevention and treatment professionals HR 4097 - Medicare Beneficiary Opioid Addiction Treatment Act - access for Medicare beneficiaries to MAT HR 4778 - S. 2301 Behavioral Health Coverage Transparency Act- requirements for transparency in behavioral health coverage Expanded Access to MAT, Naloxone, treatment, prevention and recovery programs for substance abuse disorder - no specific bill Physician Burnout & Wellness - no specific bill Telemedicine S. 870 - Creating High Quality Results and Outcomes Necessary to Improve Chronic Care HR 2556 - Connect for Health Act of 2017 Regulatory Issues Electronic medical records - efforts to streamline and improve interoperability DEA issues Updated regulations to implement Partial Fill law Updated regulations for Eprescribing of Controlled Substances Policies re Drug Substitutions Department of Health and Human Services: Protecting Statutory Conscience Rights in Health care, Delegations of Authority. 45 CFR, Part 88, HHS-OCR-2018-0002; RIN 0945-ZA03

Alexander-Murray Bill on Cost-Sharing Reduction Funding and Section 1332 Waivers Bipartisan Budget Act of 2018 Community Health Investment, Modernization, and Excellence Act of 2017 (HR 3770, S. 1899) Community Health Centers Reauthorization CHIP reauthorization extended through 2027 MACRA - Revisions to the Medicare Access and Chip Reauthorization Act Changes to the Medicare Physician Fee Schedule National Health Service Corps reauthorization Repeal of IPAB (HR 849 - Protecting Seniors' Access to Medicare Act of 2017) EHR reduction of Hardships HR 1625 Consolidated Appropriations ACT of 2018 $4 billion in opioid treatment $2.3 billion for mental health programs: Increased funding for SAMHSAs Community Mental Health Services Block Grant (MHBG) and funding for SAMHSAs Programs of Regional and National Significance HR 195 - Healthy Kids Act - CHIP Reauthorization (passed as part of a Continuing Resolution) Increased funding and focus on the social determinants of health, including food - No specific bill HR 496 - S 128 The Bridge Act - DACA protections Prescription Drug Prices S. 771 - Improving Access to Affordable Prescription Drugs - Legislation that seeks to address prescription drug costs by increasing transparency and accountability, boosting access and affordability of key drugs, spurring innovation, and increasing choice and competition by allowing Medicare to negotiate the price of drugs, among other provisions. Efforts to address the cost of prescription drugs, including proposals to include the manufacturers suggested retail price in direct to consumer advertising of prescription drugs - no specific bill Opioids HR 1375 - Prescriber Support Act - Grants to states for programs to help prescribers (1) treat and manage patient pain; and (2) prevent, identify, and respond to patient substance misuse and substance abuse disorder HR 3528 - Every Prescription Conveyed Securely Act - mandated eprescribing of controlled substances S. 1554 - Safer Prescribing of Controlled Substances Act - Federal Mandates for Opioid Prescriber Education H.R.5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 - Federal Student Loan forgiveness for substance abuse prevention and treatment professionals HR 4097 - Medicare Beneficiary Opioid Addiction Treatment Act - access for Medicare beneficiaries to MAT Safe Injection Facilities - no specific bill HR 4778 - S. 2301 Behavioral Health Coverage Transparency Act- requirements for transparency in behavioral health coverage Expanded Access to MAT, Naloxone, treatment, prevention and recovery programs for substance abuse disorder - no specific bill Physician Burnout & Wellness - no specific bill Gun Violence HR 1832, S.834 - A bill to authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention. Make America Safe Again - Senator Markey bill to provide grants to states which implement strong gun safety laws S. 1701 - Fair Access to Science and Technology Act - changes to copyright protections for publications Telemedicine S. 870 - Creating High Quality Results and Outcomes Necessary to Improve Chronic Care HR 2556 - Connect for Health Act of 2017 Regulatory Issues Electronic medical records - efforts to streamline and improve interoperability DEA issues Updated regulations to implement Partial Fill law Updated regulations for Eprescribing of Controlled Substances Policies re Drug Substitutions Department of Labor : Definition of Employer Under Section 3(5) of ERISA - Association Health Plans (RIN 1210-AB85): Proposal creating association health plans Department of Health and Human Services: Protecting Statutory Conscience Rights in Health care, Delegations of Authority. 45 CFR, Part 88, HHS-OCR-2018-0002; RIN 0945-ZA03

Implementation of Public Law 114-198 pharmacy provisions; Implementation of Public Law 114-255 pharmacy provisions; H.R. 1854/S. 778, Prescription Drug Monitoring Act of 2017; S 892 / H.R. 4408, Opioid Addiction Prevention Act of 2017; HR 3528 / S.2460, Every Prescription Conveyed Securely Act; H.R. 3545, Overdose Prevention and Patient Safety Act; S. 1850, Protecting Jessica Grubbs Legacy Act; H.R. 1271, DXM Abuse Prevention Act of 2017; H.R. 1375, Prescriber Support Act of 2017; S. 523, Budgeting for Opioid Addiction Treatment Act; S. 581, Jessies Law; S 1079, Protecting Americans from Dangerous Opioids Act; H.R. 4236, MONITOR Act of 2017; H.R. 3991, Expanded Access to Opioid Abuse Treatment Act of 2017; H.R. 4275, Empowering Pharmacists in the Fight Against Opioid Abuse Act H.R. 5219, Opioid Prescription Verification Act of 2018 Draft legislation on suspension of payments for pharmacies suspected of fraud in Medicare Part D Draft legislation, Medicare Care Coordination Improvement Act of 2017 Draft legislation, Pain Care Coordination Act of 2018 S. 2456/H.R. 5311, CARA 2.0 Act of 2018 Discussion Draft of H.R. __, FDA Packaging and Disposal H.R. 5202, Ensuring Patient Access to Substance Use Disorder Treatments Act of 2018

Client expense: $400,000 · Firm income: Not reported

Implementation of Public Law 114-198 pharmacy provisions; Implementation of Public Law 114-255 pharmacy provisions; H.R. 1854/S. 778, Prescription Drug Monitoring Act of 2017; S 892, Opioid Addiction Prevention Act of 2017; HR 3528, Every Prescription Conveyed Securely Act; H.R. 3545, Overdose Prevention and Patient Safety Act; S. 1850, Protecting Jessica Grubbs Legacy Act; H.R. 1271, DXM Abuse Prevention Act of 2017; H.R. 1375, Prescriber Support Act of 2017; S. 523, Budgeting for Opioid Addiction Treatment Act; S. 581, Jessies Law; S 1079, Protecting Americans from Dangerous Opioids Act; H.R. 4236, MONITOR Act of 2017; H.R. 3991, Expanded Access to Opioid Abuse Treatment Act of 2017; H.R. 4275, Empowering Pharmacists in the Fight Against Opioid Abuse Act

Client expense: $480,000 · Firm income: Not reported

HR 1271 DXM Abuse Prevention Act of 2017 HR 1375 Prescriber Support Act of 2017 HR 1575 Addiction Recovery through Family Health Accounts Act S 523 Budgeting for Opioid Addiction Treatment Act S 581 To include information concerning a patient's opioid addiction in certain medical records. HR 1854/S 778 Prescription Drug Monitoring Act of 2017

Client expense: $34,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of Public Law 114-198 pharmacy provisions; Implementation of Public Law 114-255 pharmacy provisions; H.R. 1854/S. 778, Prescription Drug Monitoring Act of 2017; S 892, Opioid Addiction Prevention Act of 2017; HR 3528, Every Prescription Conveyed Securely Act; H.R. 3545, Overdose Prevention and Patient Safety Act; S. 1850, Protecting Jessica Grubbs Legacy Act; H.R. 1271, DXM Abuse Prevention Act of 2017; H.R. 1375, Prescriber Support Act of 2017; S. 523, Budgeting for Opioid Addiction Treatment Act; S. 581, Jessies Law; S 1079, Protecting Americans from Dangerous Opioids Act;

Client expense: $380,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Economic Council (NEC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Personnel Management (OPM), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, White House Office

HR 1271 DXM Abuse Prevention Act of 2017 HR 1375 Prescriber Support Act of 2017 HR 1575 Addiction Recovery through Family Health Accounts Act S 523 Budgeting for Opioid Addiction Treatment Act S 581 To include information concerning a patient's opioid addiction in certain medical records. HR 1854/S 778 Prescription Drug Monitoring Act of 2017

Client expense: $34,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 394, Restoring Access to Medication Act of 2017, all provisions S. 85, Restoring Access to Medication Act of 2017, all provisions H.R. 1732, Synthetic Drug Control Act of 2017, all provisions H.R. 1628, American Health Care Act of 2017, all provisions H.R. 496, Bar Removal of Individuals who Dream and Grow our Economy (BRIDGE) Act, all provisions S. 128, Bar Removal of Individuals who Dream and Grow our Economy (BRIDGE) Act, all provisions H.R. 1057, Synthetics Trafficking and Overdose Prevention Act of 2017, all provisions S. 372, Synthetics Trafficking and Overdose Prevention (STOP) Act of 2017, all provisions H.R. 1270, Living Donor Protection Act of 2017, all provisions H.R. 1224, NIST Cybersecurity Framework, Assessment, and Auditing Act of 2017, all provisions H.R. 1375, Prescriber Support Act of 2017, all provisions H.R. 1370, Department of Homeland Security Blue Campaign Authorization Act of 2017, proposed amendment on physicians in ICE facilities H.R. 365, Primary Care Enhancement Act of 2017, all provisions Better Care Reconciliation Act of 2017 Affordable Care Act (ACA) Repeal/Replace MacArthur Amendment to H.R. 1628 American Health Care Act Preventive Health Savings Act National Clinical Care Commission Act Health Care Reform ACA Cost-sharing reduction funding Laboratory Developed Testing Regulation and Oversight Opioid Abuse Telemedicine EHR certification/Stage 3 Meaningful Use Health Savings Accounts - Prescription requirement for over-the-counter medications Immigration Prescription Drug Pricing Health IT HIPAA: Audit program, cybersecurity, and patient access Regulatory Relief FDA small practice/solo physician group policies Diabetes Individual health insurance market Precision Medicine National Quality Forum Digital Medicine Coding - Alternative Payment Models, Digital Medicine Unique Patient Identifier Sale of health insurance across state lines

HR 1271 DXM Abuse Prevention Act of 2017 HR 1375 Prescriber Support Act of 2017 HR 1575 Addiction Recovery through Family Health Accounts Act S 523 Budgeting for Opioid Addiction Treatment Act S 581 To include information concerning a patient's opioid addiction in certain medical records. HR 1854/S 778 Prescription Drug Monitoring Act of 2017

Client expense: $30,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1628, American Health Care Act of 2017, all provisions H.R. 394, Restoring Access to Medication Act of 2017, all provisions S. 85, Restoring Access to Medication Act of 2017, all provisions H.R. 496, Bar Removal of Individuals who Dream and Grow our Economy (BRIDGE) Act, all provisions S. 128, Bar Removal of Individuals who Dream and Grow our Economy (BRIDGE) Act, all provisions H.R. 365, Primary Care Enhancement Act of 2017, all provisions H.R. 315, Improving Access to Maternity Care Act, all provisions H.R. 1732, Synthetic Drug Control Act of 2017, all provisions H.R.1375, Prescriber Support Act of 2017, all provisions H.R. 1101, Small Business Health Fairness Act of 2017, all provisions Electronic prescription of controlled substances and prior authorization Health Care Reform Health Savings Accounts - Prescription requirement for over-the-counter medications Immigration/physician shortage/international medical graduates Telemedicine Physician office labs Laboratory developed tests Prescription drug pricing Pharmacy Benefit Managers/prescription drug price transparency FDA regulation of diagnostic tests Vaccine safety Insurance market reforms Health insurance provider networks and meaningful coverage Physician-assisted Suicide Non-QPP regulatory relief Affordable Care Act reforms Opioid abuse Drug Compounding Diabetes prevention Prescription Drug Monitoring Program (PDMP) Electronic Health Records (EHR) EHR certification/Stage 2 Meaningful Use Title X funding 21st Century Cures Health IT Precision medicine Project Sonar

Client expense: $6,830,000 · Firm income: Not reported

HR 1271 DXM Abuse Prevention Act of 2017 HR 1375 Prescriber Support Act of 2017 HR 1575 Addiction Recovery through Family Health Accounts Act S 523 Budgeting for Opioid Addiction Treatment Act S 581 To include information concerning a patient's opioid addiction in certain medical records.

Client expense: $30,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE