Veterans Affairs Medical-Surgical Purchasing Stabilization Act

H.R. 91, the Building Supportive Networks for Women Veterans Act H.R. 93 H.R. 95, the Veterans Access to Child Care Act H.R. 105, the Protect Veterans from Financial Fraud Act of 2017 H.R. 282, the Military Residency Choice Act H.R. 299, the Blue Water Navy Vietnam Veterans Act of 2017 H.R. 369 H.R. 457 H.R. 467, the VA Scheduling Accountability Act of 2017 H.R. 501, the VA Transparency Enhancement Act of 2017 H.R. 611/ S. 152, the VA Accountability First and Appeals Modernization Act H.R. 907, the Newborn Improvement Act H.R. 918, the Veterans Urgent Access to Mental Health Care Act H.R. 927 H.R. 1005 H.R. 1058, VA Provider Equity Act H.R. 1063, the Veteran Prescription Continuity Act H.R. 1066, the VA Management Alignment Act of 2017 H.R. 1133, the Veterans Transplant Coverage Act of 2017 H.R. 1162, the No Hero Left Untreated Act H.R. 1206, the Reducing Barriers for Veterans Education Act H.R. 1259/ S. 493, the VA Accountability First Act H.R. 1328, the American Heroes COLA Act of 2017 H.R. 1329 H.R. 1390 H.R. 1472, the Military and Veteran Caregiver Services Improvement Act of 2017 H.R. 1506, the VA Health Care Provider Education Debt Relief Act of 2017 H.R. 1545, the VA Prescription Data Accountability Act of 2017 H.R. 1564 H.R. 1662 H.R. 1690, the Department of Veterans Affairs Bonus Transparency Act H.R. 1712, the Protection and Advocacy for Veterans Act H.R. 1721 H.R. 1725, the Quicker Veterans Benefits Delivery Act of 2017 H.R. 1802, the Military and Veteran Caregiver Services Improvement Act of 2017 H.R. 1848, the Veterans Affairs Medical Scribe Pilot Act of 2017 H.R. 1900, the National Veterans Memorial and Museum Act H.R. 1943, the Restoring Maximum Mobility to Our Nations Veterans Act of 2017 H.R. 1972, the VA Billing Accountability Act H.R. 2123, the Veterans E-Health and Telemedicine Support (VETS) Act of 2017 H.R. 2147/ S. 946, the Veterans Treatment Court Improvement Act of 2017 H.R. 2225, the Veterans Dog Training Therapy Act H.R. 2322, Injured and Amputee Veterans Bill of Rights H.R. 2327, the Puppies Assisting Wounded Servicemembers (PAWS) Act of 2017 H.R. 2409 H.R. 2601, the Veterans Increased Choice for Transplanted Organs and Recovery (VICTOR) Act of 2017 H.R. 2631, the Justice for Service Members Act of 2017 H.R. 2683, the Protecting Veterans Credit Act H.R. 2772, the SEA Act H.R. 2787, the VET MD Act H.R. 3023 H.R. 3122, the Veterans Care Financial Protection Act of 2017 H.R. 3197, the PUPPERS Act of 2017 H.R. 3642, the Military Sexual Assault Victims Empowerment (SAVE) Act H.R. 3656 H.R. 3657 H.R. 3696, the Wounded Warrior Workforce Enhancement Act H.R. 3705, the Veterans Fair Debt Notice Act of 2017 H.R. 3832, the Veterans Opioid Abuse Prevention Act H.R. 3940, the Veterans Education Disabled Assistance Act H.R. 4099 H.R. 4242, the VA Care in the Community Act H.R. 4243 H.R. 4334, the Improving Oversight of Women Veterans' Care Act of 2017 H.R. 4369, the, Protecting Benefits for Disabled Veterans of America H.R. 4451, the Homeless Veterans Reintegration Programs Reauthorization Act of 2017 H.R. 4635, the Peer-2-Peer Act H.R. 4830, the SIT-REP Act H.R. 4835, the Job TOOLS for Veterans Act H.R. 5044, the Service-Disabled Veterans Small Business Continuation Act H.R. 5177, the Encouraging Veterans Employment Act H.R. 5413, the Improving Veterans Access to Congressional Services Act of 2018 H.R. 5418, the Veterans Affairs Medical-Surgical Purchasing Stabilization Act H.R. 5467, the Purple Heart and Disabled Veterans Equal Access Act of 2018 H.R. 5452, the Reduce Unemployment for Veterans of All Ages Act of 2018 H.R. 5520, the VA Medicinal Cannabis Research Act of 2018 H.R. 5521, the VA Hiring Enhancement Act H.R. 5538 H.R. 5644, the VET OPP Act H.R. 5649, the Navy SEAL Chief Petty Officer William Bill Mulder (Ret.) Transition Improvement Act of 2018 H.R. 5671/S. 3181, the Burn Pits Accountability Act H.R. 5674, the VA MISSION Act of 2018 H.R. 5693, the Long-Term Care Veterans Choice Act H.R. 5864, the VA Hospitals Establishing Leadership Performance Act H.R. 5938, the Veterans Serving Veterans Act of 2018 H.R. 5974, the VA COST SAVINGS Enhancements Act H.R. 6066 H.R. 6419, the Justice for ALS Veterans Act of 2018 H.R. 6734, the Full Military Honors Act of 2018 H.R. 6869, the Violence Against Women Veterans Act H.R. 6993 H.R. 7138, the Accelerating Veterans Recovery Outdoors Act The Veteran Coordinated Access & Rewarding Experiences (CARE) Act House Draft Bill, the VA Energy Procurement and Environmental Assets House Draft Bill Regarding State Homes and Other Purposes House Draft Legislation Regarding the Veterans Crisis Line House Draft Bill Regarding Caregiver Expansion House Draft Bill Regarding HUD/VASH eligibility to include veterans with other than honorable discharges. House Draft Bill Regarding Access to Same Day Mental Health Services House Draft Bill, the Wounded Warrior Assistance Act House Draft Bill on improving access to housing adaptations through VA for veterans with ALS. The Honoring Yesterdays Heroes Act S. 75 the Arla Harrell Act S. 86 S. 111, the Filipino Veterans Promise Act S. 115, the Veterans Transplant Coverage Act S. 116 S. 152 S. 410, the Shawna Hill Post-9/11 Education Transferability Act S. 426, the Grow Our Own Directive: Physician Assistance Employment and Education Act of 2017 S. 473 S. 514, the No Hero Left Untreated Act S. 591, the Military and Veteran Caregiver Services Improvement Act of 2017 S. 681, the Deborah Sampson Act S. 683, the Keeping Our Commitment to Disabled Veterans Act of 2017 S. 712 S. 758, the Janey Ensminger Act of 2017 S. 764, the Veterans Education Priority Enrollment Act of 2017 S. 784, the Veterans Compensation Cost-of-Living Adjustment Act of 2017 S. 798, the Yellow Ribbon Improvement Act S. 833, the Servicemembers and Veterans Empowerment and Support Act of 2017 S. 882 S. 899, the Department of Veterans Affairs Veteran Transition Improvement Act S. 1024, the Veterans Appeals Improvement and Modernization Act of 2017 S. 1094, the Department of Veterans Affairs Accountability and Whistleblower Protection Act of 2017 S. 1111, the Violence Against Women Veterans Act S. 1153, the Veterans Acquiring Community Care Expect Safe Services Act of 2017 S. 1209 S. 1261, the Veterans Emergency Room Relief Act of 2017 S. 1266, the Enhancing Veteran Care Act S. 1279, the Veterans Health Administration Reform Act S. 1325, the Better Workforce for Veterans Act of 2017 S. 1550, the Department of Veterans Affairs Quality Employment Act of 2017 S. 1596, the BRAVE Act of 2017 S. 1952, the VA Financial Accountability Act of 2017 S. 1990, the Dependency and Indemnity Compensation Improvement Act of 2017 S. 2107, the VA Provider Accountability Act S. 2131, the VA Newborn Emergency Treatment Act S. 2193, the Caring for our Veterans Act of 2017 S. 2210, the Veteran PEER Act S. 2372, the VA MISSION Act of 2018 S. 2402 S. 2485, the Medal of Honor Surviving Spouses Recognition Act of 2018 S. 2679, the Veterans Small Business Enhancement Act of 2018 S. 2748, the BATTLE for Servicemembers Act S. 3184 S. 3269, the Department of Veterans Affairs Tribal Advisory Committee Act of 2018 S. 3302, the VA Hiring Enhancement Act S. 3313, the Veterans Dental Care Eligibility Expansion and Enhancement Act of 2018 S. 3355, the Agent Orange Exposure Fairness Act of 2018 S. 3507 S. 3528, the Care for Veterans Act of 2018 S. 3529, the VET PFAS Act S. 3620, the Chiropractic Health Parity for Military Beneficiaries Act S. 3683, the Department of Veterans Affairs Website Accessibility Act of 2018 Senate Draft, to provide child care assistance to veterans receiving certain training or vocational rehabilitation, and for other purposes. Senate Draft Bill, the PUPPERS Act of 2017 Senate protection and advocacy system draft legislation Senate Draft Bill, to require the Secretary of Veterans Affairs to establish a program to award grants to persons to provide and coordinate the provision of suicide prevention services for veterans transitioning from service in the Armed Forces who are at risk of suicide and for their families, and for other purposes. Senate Draft Bill, the Modernization of Medical Records Access for Veterans Act Senate Draft Bill on improving the Transition Assistance Program The Veterans Choice Act The Improving Veterans Access to Community Care Act Implementation of P.L. 113-146, the Veterans Access, Choice, and Accountability Act Implementation of P.L. 115-55, the Veterans Appeals Improvement and Modernization Act of 2017 Implementation of P.L. 115-48, the Harry W. Colmery Veterans Educational Assistance Act of 2017

Client expense: $65,208 · Firm income: Not reported

Government targets: AMTRAK - Natl Railroad Passenger Corporation, HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institute of Mental Health (NIMH), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

VHA Directive 2009-053 - Pain care directive - working to increase veteran access to pain specialists and FDA approved alternative treatments in the VHA Public Law No. 113-146 - Veterans Access, Choice, and Accountability Act: Implementation of law to allow veterans to seek healthcare from non-VA facilities if unable to receive care from the VA in a timely manner. National Pain Strategy - Encouraging adaption of the NIH's National Pain Strategy Medial device supply chain procurement - VHA patient access to Med Technology as VHA migrates to new sourcing methodology Implementation of Comprehensive Addiction and Recovery Act (CARA) law to improve the quality of Pain Care provided to veterans. Purchase Order Prompt Pay - Ensures the VA pays bills in accordance with the law. HR5418 - VA Medsurg Purchasing Stabilization Act - VA device formulary; requires clinical expertise development

Client expense: $450,000 · Firm income: Not reported

Improvements in veterans and survivor benefits. H.R. 299, Blue Water Navy Vietnam Veterans, to provide include as part of the Republic of Vietnam its territorial seas for purposes of the presumption of service connection for diseases associated with exposure by veterans to certain herbicide agents; H.R. 5413 Improving Veterans Access to Congressional Services, permit Members of Congress to use facilities of the Department of Veterans Affairs for the purposes of meeting with constituents; H.R. 5418, Veterans Affairs Medical-Surgical Purchasing Stabilization, to ensure VA employees have relevant medical expertise; H.R.5674 VA MISSION Act, to improve veterans health care; H.R.5895 FY19 Military Construction and Veterans Affairs Appropriations; H.R.6418 VA Website Accessibility, to improve access to information for veterans with disabilities; S. 2372 VA MISSION Act; S. 3024 FY19 MilCon VA appropriations; S.3184, to modify the requirements for applications for construction of State home facilities to increase the maximum percentage of nonveterans allowed to be treated; S. 1596, to increase burial allowances; S.2881, Mare Island Naval Cemetery; S. 1952, to improve VA financial accountability; S. 1990, Dependency and Indemnity Compensation Improvement; S. 2485 Medal of Honor Surviving Spouses Recognition; S. 514, No Hero Left Untreated, to improve treatment for PTSD

Client expense: $414,436 · Firm income: Not reported

Issues related to antimicrobial resistance H.R.5418, Veterans Affairs Medical-Surgical Purchasing Stabilization Act Issues related to hazardous drug safety Issues related to medical technology regulation S.2852, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 H.R.5774, Combatting Opioid Abuse for Care in Hospitals (COACH) Act of 2018 S.2680, The Opioid Response Act of 2018

Client expense: $270,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to implementation of PL 115-52, the Food and Drug Administration Reauthorization Act Issues related to implementation of the 21st Century Cures Act Issues related to the competitiveness of the medical technology industry and the impact of Federal policies. H.R. 2118 related to third party servicing of medical devices Issues related to diagnostics regulation Issues related to promoting innovation in the med tech industry and improving FDA regulating procedures for devices Issues related to cybersecurity for medical technology Issues related to procurement and acquisition policies of the VA health system for medical technology and supplies H.R. 5418 related to improving the Medical-Surgical Prime Vendor procurement program at the VA S. 1691 related to cybersecurity and government procurement Issues related to medical technology and the opioid crisis H.R. 6 related to the opioid crisis

Client expense: $700,000 · Firm income: Not reported

Lobbying in support of the FAIR Heroes Act (HR 4571, S 2117) (to improve insurance options for chapter 61 military retirees who qualify for Medicare Part B and TRICARE); the Comprehensive Homes for Heroes Act (HR 252) (to provide assistance to nonprofit organizations to supply housing for veterans); the Blue Water Navy Vietnam Veterans Act of 2018 (HR 299) (to provide medical treatment to veterans exposed to Agent Orange); the BRAVE Act of 2017 (S 1596) (to improve burial and funeral operations); the Veterans Affairs Medical Surgical Purchasing Stabilization Act (HR 5418) (to improve purchasing practices); the Mare Island Naval Cemetery Transfer Act (S 2881) (to fund and maintain the Mare Island Cemetery); the Dependency and Indemnity Compensation Improvement Act of 2017 (S 1990) (to increase amounts payable by VA for dependence when a veteran is rated totally disabled at the time of death); the No Hero Left Untreated Act (S 2748) (to authorize a pilot for magnetic EEG/EKG guided resonance therapy); the Improving Access to Congressional Services Act of 2018 (HR 5413) (to require VA to allow congressional offices at VA hospitals); the VA Website Accountability Act of 2018 (HR 6418) (to improve accessibility of VA websites); and additional advocacy relating to toxic exposures, medicinal cannabis, and suicide prevention.

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

VHA Directive 2009-053 - Pain care directive - working to increase veteran access to pain specialists and FDA approved alternative treatments in the VHA Public Law No. 113-146 - Veterans Access, Choice, and Accountability Act: Implementation of law to allow veterans to seek healthcare from non-VA facilities if unable to receive care from the VA in a timely manner. National Pain Strategy - Encouraging adaption of the NIH's National Pain Strategy Medial device supply chain procurement - VHA patient access to Med Technology as VHA migrates to new sourcing methodology Implementation of Comprehensive Addiction and Recovery Act (CARA) law to improve the quality of Pain Care provided to veterans. Purchase Order Prompt Pay - Ensures the VA pays bills in accordance with the law. HR5418 - VA Medsurg Purchasing Stabilization Act - VA device formulary; requires clinical expertise development

Client expense: $410,000 · Firm income: Not reported

H.R. 91, the Building Supportive Networks for Women Veterans Act H.R. 93 H.R. 95, the Veterans Access to Child Care Act H.R. 105, the Protect Veterans from Financial Fraud Act of 2017 H.R. 282, the Military Residency Choice Act H.R. 299, the Blue Water Navy Vietnam Veterans Act of 2017 H.R. 369 H.R. 457 H.R. 467, the VA Scheduling Accountability Act of 2017 H.R. 501, the VA Transparency Enhancement Act of 2017 H.R. 611/ S. 152, the VA Accountability First and Appeals Modernization Act H.R. 907, the Newborn Improvement Act H.R. 918, the Veterans Urgent Access to Mental Health Care Act H.R. 927 H.R. 1005 H.R. 1058, VA Provider Equity Act H.R. 1063, the Veteran Prescription Continuity Act H.R. 1066, the VA Management Alignment Act of 2017 H.R. 1133, the Veterans Transplant Coverage Act of 2017 H.R. 1162, the No Hero Left Untreated Act H.R. 1206, the Reducing Barriers for Veterans Education Act H.R. 1259/ S. 493, the VA Accountability First Act H.R. 1328, the American Heroes COLA Act of 2017 H.R. 1329 H.R. 1390 H.R. 1472, the Military and Veteran Caregiver Services Improvement Act of 2017 H.R. 1506, the VA Health Care Provider Education Debt Relief Act of 2017 H.R. 1545, the VA Prescription Data Accountability Act of 2017 H.R. 1564 H.R. 1662 H.R. 1690, the Department of Veterans Affairs Bonus Transparency Act H.R. 1712, the Protection and Advocacy for Veterans Act H.R. 1721 H.R. 1725, the Quicker Veterans Benefits Delivery Act of 2017 H.R. 1802, the Military and Veteran Caregiver Services Improvement Act of 2017 H.R. 1848, the Veterans Affairs Medical Scribe Pilot Act of 2017 H.R. 1900, the National Veterans Memorial and Museum Act H.R. 1943, the Restoring Maximum Mobility to Our Nations Veterans Act of 2017 H.R. 1972, the VA Billing Accountability Act H.R. 2123, the Veterans E-Health and Telemedicine Support (VETS) Act of 2017 H.R. 2147/ S. 946, the Veterans Treatment Court Improvement Act of 2017 H.R. 2225, the Veterans Dog Training Therapy Act H.R. 2322, Injured and Amputee Veterans Bill of Rights H.R. 2327, the Puppies Assisting Wounded Servicemembers (PAWS) Act of 2017 H.R. 2409 H.R. 2601, the Veterans Increased Choice for Transplanted Organs and Recovery (VICTOR) Act of 2017 H.R. 2631, the Justice for Service Members Act of 2017 H.R. 2683, the Protecting Veterans Credit Act H.R. 2772, the SEA Act H.R. 2787, the VET MD Act H.R. 3023 H.R. 3122, the Veterans Care Financial Protection Act of 2017 H.R. 3197, the PUPPERS Act of 2017 H.R. 3642, the Military Sexual Assault Victims Empowerment (SAVE) Act H.R. 3656 H.R. 3657 H.R. 3696, the Wounded Warrior Workforce Enhancement Act H.R. 3705, the Veterans Fair Debt Notice Act of 2017 H.R. 3832, the Veterans Opioid Abuse Prevention Act H.R. 3940, the Veterans Education Disabled Assistance Act H.R. 4099 H.R. 4242, the VA Care in the Community Act H.R. 4243 H.R. 4334, the Improving Oversight of Women Veterans' Care Act of 2017 H.R. 4369, the, Protecting Benefits for Disabled Veterans of America H.R. 4451, the Homeless Veterans Reintegration Programs Reauthorization Act of 2017 H.R. 4635, the Peer-2-Peer Act H.R. 4830, the SIT-REP Act H.R. 4835, the Job TOOLS for Veterans Act H.R. 5044, the Service-Disabled Veterans Small Business Continuation Act H.R. 5177, the Encouraging Veterans Employment Act H.R. 5413, the Improving Veterans Access to Congressional Services Act of 2018 H.R. 5418, the Veterans Affairs Medical-Surgical Purchasing Stabilization Act H.R. 5467, the Purple Heart and Disabled Veterans Equal Access Act of 2018 H.R. 5452, the Reduce Unemployment for Veterans of All Ages Act of 2018 H.R. 5520, the VA Medicinal Cannabis Research Act of 2018 H.R. 5521, the VA Hiring Enhancement Act H.R. 5538 H.R. 5644, the VET OPP Act H.R. 5649, the Navy SEAL Chief Petty Officer William Bill Mulder (Ret.) Transition Improvement Act of 2018 H.R. 5671/S. 3181, the Burn Pits Accountability Act H.R. 5674, the VA MISSION Act of 2018 H.R. 5693, the Long-Term Care Veterans Choice Act H.R. 5864, the VA Hospitals Establishing Leadership Performance Act H.R. 5938, the Veterans Serving Veterans Act of 2018 H.R. 5974, the VA COST SAVINGS Enhancements Act H.R. 6066 H.R. 6419, the Justice for ALS Veterans Act of 2018 H.R. 6764, the Full Military Honors Act of 2018 H.R. 6869, the Violence Against Women Veterans Act H.R. 6993 The Veteran Coordinated Access & Rewarding Experiences (CARE) Act House Draft Bill, the VA Energy Procurement and Environmental Assets House Draft Bill Regarding State Homes and Other Purposes House Draft Legislation Regarding the Veterans Crisis Line House Draft Bill Regarding Caregiver Expansion House Draft Bill Regarding HUD/VASH eligibility to include veterans with other than honorable discharges. House Draft Bill Regarding Access to Same Day Mental Health Services House Draft Bill, the Wounded Warrior Assistance Act House Draft Bill on improving access to housing adaptations through VA for veterans with ALS. The Honoring Yesterdays Heroes Act S. 75 the Arla Harrell Act S. 86 S. 111, the Filipino Veterans Promise Act S. 115, the Veterans Transplant Coverage Act S. 116 S. 152 S. 410, the Shawna Hill Post-9/11 Education Transferability Act S. 426, the Grow Our Own Directive: Physician Assistance Employment and Education Act of 2017 S. 473 S. 514, the No Hero Left Untreated Act S. 591, the Military and Veteran Caregiver Services Improvement Act of 2017 S. 681, the Deborah Sampson Act S. 683, the Keeping Our Commitment to Disabled Veterans Act of 2017 S. 712 S. 758, the Janey Ensminger Act of 2017 S. 764, the Veterans Education Priority Enrollment Act of 2017 S. 784, the Veterans Compensation Cost-of-Living Adjustment Act of 2017 S. 798, the Yellow Ribbon Improvement Act S. 833, the Servicemembers and Veterans Empowerment and Support Act of 2017 S. 882 S. 899, the Department of Veterans Affairs Veteran Transition Improvement Act S. 1024, the Veterans Appeals Improvement and Modernization Act of 2017 S. 1094, the Department of Veterans Affairs Accountability and Whistleblower Protection Act of 2017 S. 1111, the Violence Against Women Veterans Act S. 1153, the Veterans Acquiring Community Care Expect Safe Services Act of 2017 S. 1209 S. 1261, the Veterans Emergency Room Relief Act of 2017 S. 1266, the Enhancing Veteran Care Act S. 1279, the Veterans Health Administration Reform Act S. 1325, the Better Workforce for Veterans Act of 2017 S. 1550, the Department of Veterans Affairs Quality Employment Act of 2017 S. 1596, the BRAVE Act of 2017 S. 1952, the VA Financial Accountability Act of 2017 S. 1990, the Dependency and Indemnity Compensation Improvement Act of 2017 S. 2107, the VA Provider Accountability Act S. 2131, the VA Newborn Emergency Treatment Act S. 2193, the Caring for our Veterans Act of 2017 S. 2210, the Veteran PEER Act S. 2372, the VA MISSION Act of 2018 S. 2402 S. 2485, the Medal of Honor Surviving Spouses Recognition Act of 2018 S. 2679, the Veterans Small Business Enhancement Act of 2018 S. 2748, the BATTLE for Servicemembers Act S. 3184 S. 3302, the VA Hiring Enhancement Act S. 3313, the Veterans Dental Care Eligibility Expansion and Enhancement Act of 2018 S. 3507 S. 3528, the Care for Veterans Act of 2018 S. 3529, the VET PFAS Act Senate Draft, to provide child care assistance to veterans receiving certain training or vocational rehabilitation, and for other purposes. Senate Draft Bill, the PUPPERS Act of 2017 Senate protection and advocacy system draft legislation Senate Draft Bill, to require the Secretary of Veterans Affairs to establish a program to award grants to persons to provide and coordinate the provision of suicide prevention services for veterans transitioning from service in the Armed Forces who are at risk of suicide and for their families, and for other purposes. Senate Draft Bill, the Modernization of Medical Records Access for Veterans Act Senate Draft Bill on improving the Transition Assistance Program The Veterans Choice Act The Improving Veterans Access to Community Care Act Implementation of P.L. 113-146, the Veterans Access, Choice, and Accountability Act Implementation of P.L. 115-55, the Veterans Appeals Improvement and Modernization Act of 2017 Implementation of P.L. 115-48, the Harry W. Colmery Veterans Educational Assistance Act of 2017

Issues related to antimicrobial resistance H.R.5418, Veterans Affairs Medical-Surgical Purchasing Stabilization Act Issues related to hazardous drug safety Issues related to medical technology regulation S.2852, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 H.R.5774, Combating Opioid Abuse for Care in Hospitals Act of 2018

Client expense: $230,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to implementation of PL 115-52, the Food and Drug Administration Reauthorization Act Issues related to implementation of the 21st Century Cures Act Issues related to the competitiveness of the medical technology industry and the impact of Federal policies. H.R. 2164 related to medical device preemption protection H.R. 2163 related to medical device reporting H.R. 2118 related to third party servicing of medical devices H.R. 1703 related to medical product communications H.R. 2026 related to medical product communications Issues related to diagnostics regulation Issues related to promoting innovation in the med tech industry and improving FDA regulating procedures for devices Issues related to cybersecurity for medical technology Issues related to procurement and acquisition policies of the VA health system for medical technology and supplies H.R. 5418 related to improving the Medical-Surgical Prime Vendor procurement program at the VA S. 1691 related to cybersecurity and government procurement Issues related to medical technology and the opioid crisis H.R. 6 related to the opioid crisis

Client expense: $740,386 · Firm income: Not reported

H.R.5418 Veterans Affairs Medical-Surgical Purchasing Stabilization Act

Client expense: $930,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Highway Administration (FHA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Highway Traffic Safety Administration (NHTSA), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

VHA Directive 2009-053 - Pain care directive - working to increase veteran access to pain specialists and FDA approved alternative treatments in the VHA Public Law No. 113-146 - Veterans Access, Choice, and Accountability Act: Implementation of law to allow veterans to seek healthcare from non-VA facilities if unable to receive care from the VA in a timely manner. National Pain Strategy - Encouraging adaption of the NIH's National Pain Strategy Medial device supply chain procurement - VHA patient access to Med Technology as VHA migrates to new sourcing methodology Implementation of Comprehensive Addiction and Recovery Act (CARA) law to improve the quality of Pain Care provided to veterans. Purchase Order Prompt Pay - Ensures the VA pays bills in accordance with the law. HR5418 - VA Medsurg Purchasing Stabilization Act

Client expense: $410,000 · Firm income: Not reported