Health Equity and Accountability Act of 2018

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Implementation of the Drug Quality and Security Act of 2013 (Public Law 113-54) 7.Implementation of Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 8.Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 9.Implementation of Every Student Succeeds Act (Public Law 114-95) 10.Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 11.FY 2018 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 1771/H.R. 3358) 12.FY 2018 Departments of Agriculture, Rural Development, Food and Drug Administration and Related Agencies Appropriations (S. 1603/H.R. 3268) 13.Consolidated Appropriations Act 2018 (Public Law 115-141) 14.Midnight Rules Relief Act (S.34/H.R. 21) 15.Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 16.Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 17.Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 18.Regulatory Integrity Act (H.R. 1004) 19.OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 20.A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 21.American Health Care Act (H.R. 1628/H.Res. 228) 22.Ozone Standards Implementation Act (S. 263/H.R. 806) 23.Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 24.Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 25.Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 26.Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 27.Preventing Antibiotic Resistance Act (S. 629) 28.Better Care Reconciliation Act (H.R. 1628) and related amendments 29.Public Health Emergency Response Act (S. 196) 30.Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 31.Consolidated Appropriations Act, 2017 (Public Law 115-31) 32.Treat and Reduce Obesity Act (S. 830/H.R. 1953) 33.Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 34.Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 35.Tobacco Tax Equity Act (S. 1837) 36.Healthy Kids Act (S. 1821/H.R. 3921) 37.Implementation of the Drug Quality and Security Act (P.S. 113-54) 38.Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 39.Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 40.Lead-Safe Housing for Kids Act (S. 1845) 41.Supporting Working Moms Act (S. 2122/H.R. 3255) 42.Championing Healthy Kids Act (H.R. 3922) 43.Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 44.An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 45.Tax Cuts and Jobs Act (Public Law 115-97) 46.Pandemic and All-Hazards Preparedness Advancing Innovation Act (S. 2852/H.R. 6783) 47.Vaccine Access Improvement Act (H.R. 4993) 48.Relief from New Source Performance Standards Act (H.R. 453) 49.Strategies to Address Antimicrobial Resistance (S. 2469) 50.Opioid Quota Reform Act (S. 2535) 51.Hospital Preparedness Program Reauthorization Act (H.R. 4776) 52.Relief from New Source Performance Standards Act (H.R. 453) 53.Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 54.Health Equity and Accountability Act (H.R. 5942) 55.Opioid Crisis Response Act of 2018 (S. 2680) 56.Agriculture and Nutrition Act (H.R. 2) 57.Agriculture Improvement Act (S. 3042) 58.SECURE Act (H.R. 5998) 59.FY 2019 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 3158) 60.FY 2019 Departments of the Interior, Environment, and Related Agencies Appropriations Act (H.R. 6147/S. 3073) 61.FY 2019 Departments of Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations (H.R. 5961/ S. 2976) 62.Trauma-Informed Care for Children and Families Act (S. 774) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, Education, USDA, DHS, FEMA, and SAMHSA.

Client expense: $30,059 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT)

H.R.2953 Preventive Health Savings Act and S.2164 H.R.3124/S.1299 Preventing Diabetes in Medicare Act H.R. 5768 Expanding Access to DSMT Act H.R.1953/S.830 TROA H.R. 1413 Enrich Act H.R. 1634 Eat for Health Act H.R. 1628 American Healthcare Act H.R. 772 Common Sense Nutrition Disclosure Act H.R. 5942 Health Equity and Accountability Act of 2018

Client expense: $20,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE

Medicaid waivers -H.R.5942 - Health Equity and Accountability Act of 2018

Client expense: $10,500 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2. Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3. Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4. Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5. Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6. Implementation of the Drug Quality and Security Act of 2013 (Public Law 113-54) 7. Implementation of Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 8. Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 9. Implementation of Every Student Succeeds Act (Public Law 114-95) 10. Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 11. FY 2018 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 1771/H.R. 3358) 12. FY 2018 Departments of Agriculture, Rural Development, Food and Drug Administration and Related Agencies Appropriations (S. 1603/H.R. 3268) 13. Consolidated Appropriations Act 2018 (Public Law 115-141) 14. Midnight Rules Relief Act (S.34/H.R. 21) 15. Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 16. Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 17. Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 18. Regulatory Integrity Act (H.R. 1004) 19. OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 20. A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 21. American Health Care Act (H.R. 1628/H.Res. 228) 22. Ozone Standards Implementation Act (S. 263/H.R. 806) 23. Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 24. Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 25. Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 26. Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 27. Preventing Antibiotic Resistance Act (S. 629) 28. Better Care Reconciliation Act (H.R. 1628) and related amendments 29. Public Health Emergency Response Act (S. 196) 30. Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 31. Consolidated Appropriations Act, 2017 (Public Law 115-31) 32. Treat and Reduce Obesity Act (S. 830/H.R. 1953) 33. Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 34. Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 35. Tobacco Tax Equity Act (S. 1837) 36. Healthy Kids Act (S. 1821/H.R. 3921) 37. Implementation of the Drug Quality and Security Act (P.S. 113-54) 38. Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 39. Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 40. Lead-Safe Housing for Kids Act (S. 1845) 41. Supporting Working Moms Act (S. 2122/H.R. 3255) 42. Championing Healthy Kids Act (H.R. 3922) 43. Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 44. An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 45. Tax Cuts and Jobs Act (Public Law 115-97) 46. Pandemic and All-Hazards Preparedness Advancing Innovation Act (S. 2852/H.R. 6378/H.R. 7328) 47. Vaccine Access Improvement Act (H.R. 4993) 48. Relief from New Source Performance Standards Act (H.R. 453) 49. Strategies to Address Antimicrobial Resistance (S. 2469) 50. Opioid Quota Reform Act (S. 2535) 51. Hospital Preparedness Program Reauthorization Act (H.R. 4776) 52. Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 53. Health Equity and Accountability Act (H.R. 5942) 54. Opioid Crisis Response Act of 2018 (S. 2680) 55. Agriculture and Nutrition Act (H.R. 2) 56. Agriculture Improvement Act (S. 3042) 57. SECURE Act (H.R. 5998) 58. FY 2019 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 3158) 59. FY 2019 Departments of the Interior, Environment, and Related Agencies Appropriations Act (H.R. 6147/S. 3073) 60. FY 2019 Departments of Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations (H.R. 5961/ S. 2976) 61. Trauma-Informed Care for Children and Families Act (S. 774) 62. SUPPORT for Patients and Communities Act (H.R. 6) 63. Centers for Disease Control Emergency Response Act (S. 3161) 64. LABEL Opioids Act (S. 3428) 65. Relief from New Source Performance Standards Act (S. 1857) 66. Outdoors for All Act (S. 3499) 67. The MOMMA Act (H.R. 5977) 68. The WIC Act (not yet introduced) 69. Preventing Maternal Deaths Act (H.R. 1318) 70. Medicare Access to Vaccines Equity Act (note yet introduced) 71. The Support Act (H.R. 6) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, Education, USDA, DHS, FEMA, and SAMHSA.

Client expense: $28,207 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT)

Support ending the ban on CDC Gun Research Support the preservation of gains made in health care coverage under the Affordable Care Act Support the elimination of racial and ethnic disparities in health care and disease Support full funding for AIDS prevention, treatment, education and research Support ending childhood obesity Support protecting Medicare and Medicaid benefits Support restoring Medicaid Eligibility to COFA recipients living in the USA (support HR 2982 / S. 1391) support a robust, transparent 340B program Support the Health Equity and Accountability Act of 2018, legislation which takes steps to eliminate health disparities among racial and ethnic minorities, support HR 5942 Support the 340B Drug Pricing Program Support $57.95 million for the Racial and Ethnic Approaches to Community Health program in FY2019 Oppose renewed efforts to roll back the expansion in coverage and consumer protections under the Affordable Care Act Support that the Department of Health and Human Services extend the public comment period for the proposed rule on Medicare payment to home care providers by a minimum of 30 days to allow for meaningful stakeholder participation in the comment process and completion of a robust analysis of the economic impact of the proposal, as well as its more general impact on Medicaid home and community-based services Support the Senate carefully considering the stakes for our health care system and for millions of peoples ability to access care, as it undergoes the confirmation process for the next Supreme Court juSupport the enactment of a series of fundamental reforms to rebalance our moneyed political system, empower everyday Americans, ensure equal justice for all, protect the publics right to know, reduce barriers to participation in our elections, vigorously enforce voting laws, and fix our ethics laws. Support the bipartisan commitment to domestic HIV/AIDS programs, and continue to invest in high-impact prevention, treatment, and research programs which have led to decreases in new HIV infections and more people living with HIV linked to and retained in care. Support funding for the Ryan White HIV/AIDS Care and Treatment Program, the Centers for Disease Control and Preventions (CDC) National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, the HHS Secretarys Minority AIDS Initiative Fund (SMAIF), SAMHSAs Minority AIDS Initiative programs at equal levels as in FY 18; support an increase in funding for medical research at the National Institutes of Health. Support Title X Family Planning and the Teen Pregnancy Prevention Program; oppose limiting certain types of harm reduction services. Oppose the abstinence-only-until-marriage sexual risk avoidance competitive grant program Support at least $393 million for the Housing Opportunities for people with AIDS (HOPWA) in FY2019 Support HR 3168 / S 1522, the Every Kid Outdoors Act, which directs the Departments of the Interior, Agriculture, Commerce, and the Army to establish the Every Kids Outdoors program to provide fourth graders free access to federal lands and waters to which the public has access. Oppose the Palmer (AL) amendment to HR 6147 that would prohibit the District of Columbia from using funds appropriated by the bill to enforce certain health insurance requirements. Oppose proposed changes to rules promulgated under the Flores agreement which would allow the federal government to hold children of suspected undocumented migrants under potentially harsher conditions and for longer periods of time. Ensure Medicare, Medicaid, and protections for people with preexisting conditions

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

Government targets: Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Bureau of Prisons (BOP), Bureau of the Census, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Director of National Intelligence (ODNI), Education, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Housing Finance Agency (FHFA), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Appropriations for health centers and related programs; Appropriations for National Health Service Corps; Appropriations for Health Professions Programs; Presidents Budget Request; Health Equity and Accountability Act of 2018(H.R. 5942; Senate Budget Resolution(S.Con.Res.3); Further Continuing and Security Assistance Appropriations Act(H.R.2028). Community Health and Medical Professionals Improve Our Nation Act(H.R.3922); Supplemental Disaster Appropriations(H.R.4872); Bi-partisan Budget Act(H.R.1892); Department of Defense & Labor, Health & Human Services, & Education Appropriations Act(H.R. 6157).

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Access to Contraception for Women Servicemembers and Dependents Act (H.R. 2180) Health Equity and Accountability Act of 2018 (H.R. 5942/S. 3660) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Secretary of the Treasury, Secretary of Labor, and Secretary of Health and Human Services relating to "Short-Term, Limited Duration Insurance". (S.J. Res 63) 21st Century Women's Act (Not Yet Introduced) ENROLL Act (H.R. 7102) Preventing Maternal Deaths Act of 2017 (H.R. 1318) Maternal Health Accountability Act (S. 1112) Right Rebate Act of 2018 (S. 3702) IMPROVE Act (H.R. 7217) Improving Access to Maternity Care Act (H.R. 315) Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905)

Client expense: $57,905 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation H.R. 564 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2017 (Lobbying activities related to opposing exemption of cigars from FDA oversight) S. 294 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2017 (Lobbying activities related to opposing exemption of cigars from FDA oversight) H.R. 1136 FDA Deeming Authority Clarification Act of 2017 (Lobbying activities related to opposing bill to change the grandfather date for newly deemed products) H.R. 4273 Tobacco to 21 Act (Lobbying activities related to prohibiting the sale or distribution of tobacco products to individuals under the age of 21) S. 2100 Tobacco to 21 Act (Lobbying activities related to prohibiting the sale or distribution of tobacco products to individuals under the age of 21) S. 2976 Senate FY2019 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2019 appropriations for the Food and Drug Administration and protecting FDAs authority to oversee all tobacco products) H.R. 5961 House FY2019 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2019 appropriations for the Food and Drug Administration and protecting FDAs authority to oversee all tobacco products) H.R. 6147 -- Interior, Environment, Financial Services and General Government, Agriculture, Rural Development, Food and Drug Administration, and Transportation, Housing and Urban Development Appropriations Act, 2019 H.R. 5942 Health Equity and Accountability Act (Lobbying activities related to supporting coverage of comprehensive tobacco cessation services in Medicaid and private health insurance) S. 3660 Health Equity and Accountability Act (Lobbying activities related to supporting coverage of comprehensive tobacco cessation services in Medicaid and private health insurance) S. 3319 SAFE Kids Act (Lobbying activities related to curbing the use of flavors in tobacco products, including electronic cigarettes and cigars) H.R. 7035 National Strategy to Increase Life Expectancy Act S. 3701 Smoke-Free Schools Act of 2018 Issues Prevention and Public Health Fund (Lobbying activities related to preserving the Fund) Tobaccos role in health disparities FDA regulation of tobacco products Tobacco and trade agreements Flavored tobacco products Judicial nominations for 6th Circuit E-cigarettes Preventing tobacco use by kids Tobacco control legislation and oversight in general Tobacco taxes Age verification and shipping restrictions for tobacco products Contraband tobacco Misleading social media marketing by tobacco companies

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

Government targets: Centers For Disease Control & Prevention (CDC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

Legislation H.R. 564 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2017 (Lobbying activities related to opposing exemption of cigars from FDA oversight) S. 294 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2017 (Lobbying activities related to opposing exemption of cigars from FDA oversight) H.R. 1136 FDA Deeming Authority Clarification Act of 2017 (Lobbying activities related to opposing bill to change the grandfather date for newly deemed products) H.R. 4273 Tobacco to 21 Act (Lobbying activities related to prohibiting the sale or distribution of tobacco products to individuals under the age of 21) S. 2100 Tobacco to 21 Act (Lobbying activities related to prohibiting the sale or distribution of tobacco products to individuals under the age of 21) S. 2976 Senate FY2019 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2019 appropriations for the Food and Drug Administration and protecting FDAs authority to oversee all tobacco products) H.R. 5961 House FY2019 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2019 appropriations for the Food and Drug Administration and protecting FDAs authority to oversee all tobacco products) H.R. 6147 -- Interior, Environment, Financial Services and General Government, Agriculture, Rural Development, Food and Drug Administration, and Transportation, Housing and Urban Development Appropriations Act, 2019 H.R. 5942 Health Equity and Accountability Act (Lobbying activities related to supporting coverage of comprehensive tobacco cessation services in Medicaid and private health insurance) S. 3660 Health Equity and Accountability Act (Lobbying activities related to supporting coverage of comprehensive tobacco cessation services in Medicaid and private health insurance) S. 3319 SAFE Kids Act (Lobbying activities related to curbing the use of flavors in tobacco products, including electronic cigarettes and cigars) H.R. 7035 National Strategy to Increase Life Expectancy Act S. 3701 Smoke-Free Schools Act of 2018 Issues Prevention and Public Health Fund (Lobbying activities related to preserving the Fund) Tobaccos role in health disparities FDA regulation of tobacco products Tobacco and trade agreements Flavored tobacco products Judicial nominations for 6th Circuit E-cigarettes Preventing tobacco use by kids Tobacco control legislation and oversight in general Tobacco taxes Age verification and shipping restrictions for tobacco products Contraband tobacco Misleading social media marketing by tobacco companies

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

Government targets: Centers For Disease Control & Prevention (CDC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

issues pertaining to healthcare policies and reform. HR 1275 World's Greatest Healthcare Plan of 2017; HR 408 American Future Healthcare Act of 2017; HR 1628 American Healthcare Act 2017; HR 3253 Hold Congress Accountable on Healthcare Act; HR5942 Health Equity and Accountability Act of 2018.

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issue: Educate congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Issue: Support continuation of high-quality affordable health insurance through preservation of current levels of health care coverage. Support programs and funds for safety-net providers. H.R. 3728, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) Act of 2017 Issue: Support reauthorization of Title VII health professions programs P.L. 115-241, Childrens Hospital GME Support Reauthorization Act Issue: Support reauthorization of the Childrens Hospital GME program H.R. 959/S. 1109 Title VIII Nursing Workforce Reauthorization Act of 2017 Issue: Support reauthorization of Title VIII nursing workforce development programs S.3095 / H.R. 2574, Building a Health Care Workforce for the Future Act Issue: Support bill to increase scholarship opportunities for medical students and encourage primary care workforce development S. 3660 / H.R. 5942, Health Equity and Accountability Act Issue: Support workforce grants to medical schools to improve health equity Issue: Oppose regulatory proposals to narrow the definition of sex Issue: Educate Congress and the administration, support training on substance use disorders, pain management, and safe prescribing practices. Strategies to prevent, identify, and treat opioid addiction Issue: Support reauthorization of the Patient Centered Outcomes Research Institute (PCORI) and the Patient Centered Outcomes Research Trust Fund Issue: Promote resilience of health professionals Issue: Support policies to address IV fluid shortages exacerbated by hurricanes, and educate Congress on the shortage of IV saline fluid and injectable drug shortage. Issue: Oppose restrictions on fetal tissue and embryonic stem cell research. P.L. 115-176/H.R. 5247, Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act. Issue: Oppose Right to Try legislation that removes safety measures under FDAs current expanded access program. P.L. 115-271 SUPPORT for Patients and Communities Act H.R. 5261, Treatment, Education, and Community Help to Combat Addiction Act of 2018 S.2680, Opioid Crisis Response Act of 2018 S.2711, Enhancing Access to Addiction Treatment Act of 2018 Issue: Support policies to address the opioid epidemic including improving coverage and payment for non-opioid therapies, enhancing usability of PDMPs, addressing physician shortages, promoting medication assisted treatment, eliminating Medicare limits on in-patient psychiatric hospital treatment, eliminating Medicaid IMD exclusion, aligning privacy regulations, and investing in research and education, and reauthorizing the Patient Centered Outcomes Research Institute. Provide grants to regional Centers of Excellence in substance use disorder education. Support policy eliminating Medicaid IMD exclusion and revising 42 Code of Federal Regulations (CFR) Part 2 to amend the Public Health Service Act to align federal privacy standards for substance use disorder (SUD) patient records more closely with standards under the Health Insurance Portability and Accountability Act (HIPAA). Issue: Amend Controlled Substances Act to improve MAT waiver process for qualified health professionals. H.R. 6082, the Overdose Prevention and Patient Safety Act Issue: Support legislation revising 42 Code of Federal Regulations (CFR) Part 2 to amend the Public Health Service Act to align federal privacy standards for substance use disorder (SUD) patient records more closely with standards under the Health Insurance Portability and Accountability Act (HIPAA). H.R. 7328/ H.R. 6378/S.2852, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 Issue: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. H.R.4776 Hospital Preparedness Reauthorization Act of 2018. Issue: Support reauthorization of the Hospital Preparedness Program Issue: Support legislative solutions to fire arm related injuries and fatalities including research, public health surveillance, and firearm background checks. 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. Issue: Support rescission of Medicare cuts to hospitals that participate in 340B Drug Pricing Program H.R. 4710, 340B PAUSE Act Issue: Oppose bill that would impose a moratorium on 340B hospitals and other issues S. 2312, 340B HELP Act Issue: Oppose bill that would impose a moratorium and add additional reporting requirements for 340B hospitals S.2453, Ensuring the Value of the 340B Program Act of 2018 Issue: Oppose bill that would require hospitals to report total 340B acquisition costs H.R. 6071, Stretching Entity Resources for Vulnerable Communities Act Issue: Support bill to rescind Medicare cuts to 340B hospitals and improve program integrity H.R. 5598: 340B Optimization Act Issue: Oppose bill that would change eligibility metrics in the 340B program H.R. 6240, Drug Discount Accountability Act Issue: Oppose bill that would impose a user fee on hospitals that participate in the 340B program S. 3366, Maternal CARE Act Issue: Support efforts to reduce preventable maternal mortality Issue: Support national preparedness infrastructure.

Client expense: $892,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office

H.R.6261 - Improving Choices in Health Care Coverage Act S.3095 - Building a Health Care Workforce for the Future Act H.R.6128 - HSA Employer Flexibility Act H.R.6110 - Dr. Todd Graham Pain Management, Treatment, and Recovery Act of 2018 H.R.6098 - Family Medical Leave Modernization Act H.R.6097 - State-Based Universal Health Care Act of 2018 H.R.6082 - Overdose Prevention and Patient Safety Act H.R.6 - SUPPORT for Patients and Communities Act S.3063 - Health Insurance Tax Relief Act of 2018 H.R.6071 - SERV Communities Act S.3053 - CHIP Mental Health and Addiction Parity Act S.3048 - Examining Opioid Treatment Infrastructure Act of 2018 H.R.6050 - Increasing Access to Care Act S.3016 - Action for Dental Health Act of 2018 S.3000 - Patient Advocacy Transparency Act H.R.5997 - Ensuring Patient Access to Critical Breakthrough Products Act of 2018 H.Res.915 - Expressing the sense of the Congress in support of protecting patients' access to medically appropriate, evidence-based healthcare and information, and the ethical and professional obligations of healthcare professionals to provide that care and information H.R.5966 - Women Veterans Access to Quality Care Act of 2018 H.R.5965 - Access to Infertility Treatment and Care Act H.R.5963 - To delay the reimposition of the annual fee on health insurance providers until after 2020 S.2960 - Access to Infertility Treatment and Care Act S.Res.526 - A resolution expressing the sense of the Senate that politicians should not interfere with a woman's personal health care decisions or attempt to prevent providers from offering their full medical recommendations to their patients H.R.5942 - Health Equity and Accountability Act of 2018 H.R.5933 - Substance Abuse Prevention Act of 2018 H.R.5932 - Increasing Access to Mental Health in Schools Act H.R.5925 - CRISIS Act S.2934 - Increasing Access to Mental Health in Schools Act H.R.5917 - Professional's Access to Health Workforce Integration Act of 2018 H.R.5914 - To require a study and report on policy and regulatory changes that may have contributed to the opioid epidemic S.2920 - Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act of 2018 S.2912 - Opioid Addiction Treatment Programs Enhancement Act H.R.6144 - Know the Lowest Price Act of 2018 S.204 - Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2017 S.2680 - Opioid Crisis Response Act of 2018 H.R.5511 - Healthy Communities Act of 2018 H.R.5491 - Rural Health Insurance Act of 2018 H.R.5455 - Accelerating Biomedical Research Act H.R.5641 - State Offices of Rural Health Reauthorization Act of 2018 H.R.5625 - Easy Enrollment Act of 2018 H.R.5624 - Pathway to Universal Coverage Act of 2018 H.R.5603 - Access to Telehealth Services for Substance Use Disorders Act S.2732 - Defending Access to Mental Health Care Act H.R.5699 - HOST Act of 2018 S.2802 - Responsible Additions and Increases to Sustain Employee Health Benefits Act of 2018 H.R.5725 - BEST Act S.2902 - Better Data Sharing to Combat the Opioid Crisis Act S.2901 - eTREAT Act H.R.5892 - To establish an Advisory Committee on Opioids and the Workplace to advise the Secretary of Labor on actions the Department of Labor can take to address the impact of opioid abuse on the workplace H.R.5858 - Primary Care Patient Protection Act of 2018 S.2875 - COMBAT Act of 2018 H.R.5795 - Overdose Prevention and Patient Safety Act S.2851 - Regional Health Care Emergency Preparedness and Response Systems Act H.R.5775 - Providing Reliable Options for Patients and Educational Resources Act of 2018 H.R.5769 - Expanding Access to Treatment Act S. 2608 - Reducing Opioid Risk Act S. 2589 - Comprehensive Opioid Recovery Centers Act of 2018 S. 2582 - Consumer Health Insurance Protection Act of 2018 S. 2554 - Patient Right to Know Drug Prices Act H.R. 5258 - Affordable Health Insurance for the Middle Class Act H.R. 5254 - To direct the Secretary of HHS to conduct a study on the feasibility of expanding eligibility for enrollment in Medicare Advantage plans to individuals enrolled under the Medicaid program or enrolled under a group health plan H.R. 5223 - Health Care Workplace Violence Prevention Act S. 2507 - Improving Choice in Health Care Coverage Act H.R. 5155 - Undo Sabotage and Expand Affordability of Health Insurance Act of 2018 S. 2496 - Small Business Health Account Act of 2018 S. 2494 - Fair Care Act H.R. 5138 - Bipartisan HSA Improvement Act of 2018 H.R. 5124 - Community Action Opioid Response Act of 2018 H.R. 5097 - PAVE Act of 2018 H.R. 5080 - COMBAT Act of 2018 H.R. 5062 - Advancing Access to Precision Medicine Act H.R. 5047 - VA Community Care Enhancement Act S. 2437 - Opioid Response Enhancement Act S. 2415 - Accelerating Kids Access to Care Act H.R. 4978 - Chronic Disease Management Act of 2018 S. 2410 - Chronic Disease Management Act of 2018 H.R. 4952 - To direct the Secretary of HHS to conduct a study and submit a report on the effects of the inclusion of quality increases in the determination of blended benchmark amounts under part C of the Medicare program H.R. 4938 - Respond NOW Act H.R. 4894 - Harmful Tax Prevention Act H.R. 4841 - Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 H.R. 4831 - Healthcare Tax Relief Act H.R. 4820 - ASK Act S. 2315 - Over-the-Counter Drug Safety, Innovation, and Reform Act H.R. 4808 - Transparent Health Care Pricing Act of 2018 S. 2312 - HELP Act H.R. 4784 - ACA OUTREACH Act H.R. 4778 - Behavioral Health Coverage Transparency Act of 2018 S. 2302 - Access to Independent Health Insurance Advisors Act of 2018 S. 2301 - Behavioral Health Coverage Transparency Act of 2018 H.R. 4575 - A bill to amend title XXVII of the Public Health Service Act to preserve consumer and employer access to licensed independent insurance producers. S. 2303 - A bill to amend title XXVII of the Public Health Service Act to preserve consumer and employer access to licensed independent insurance producers. H.R. 1625 - Consolidated Appropriations Act, 2018 S. 2553 - Know the Lowest Price Act of 2018 H.R. 5343 - Prescription Transparency Act of 2018 H.R. 5150 - Protecting Medicare from Excessive Price Increases Act of 2018 H.R. 4874 - End The Shutdown Act of 2018 H.R. 4872 - End The Shutdown Act of 2018 H.R. 5104 - A bill to amend title XVIII of the Social Security Act to provide for a special enrollment period under Medicare for individuals enrolled in COBRA continuation coverage, and for other purposes H.R. 6 - SUPPORT for Patients and Communities Act S. 2554 - Patient Right to Know Drug Prices Act S. 2553 - Know the Lowest Price Act of 2018 H.R. 302 - FAA Re authorization Act of 2018 H. R. 6662 - Empowering Seniors Enrollment Decision Act of 2018 H.R. 6305 - Bipartisan HSA Improvement Act of 2018 H.R. 6312 - Personal Health Investment Today (PHIT) Act H.R. 6309 - To amend the Internal Revenue Code of 1986 to allow individuals entitled to Medicare Part A by reason of being over age 65 to contribute to health savings accounts H.R. 4616 - To amend the Patient Protection and Affordable Care Act to provide for a temporary moratorium on the employer mandate and to provide for a delay in the implementation of the excise tax on high cost employer-sponsored health coverage H.R. 6311 - To amend the Internal Revenue Code of 1986 and the Patient Protection and Affordable Care Act to modify the definition of qualified health plan for purposes of the health insurance premium tax credit and to allow individuals purchasing health insurance in the individual market to purchase a lower premium copper plan

Client expense: $330,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

H.R. 2788, Health Equity and Access under the Law for Immigrant Women & Families Act of 2017, House and Senate, (encouraging Senate introduction and planning for House re-introduction; bill provides for expanded eligibility for affordable health insurance coverage to lawfully present immigrant individuals). No bill number, adolescent sexual and reproductive health and rights, international family planning, HIV prevention funding, maternal mortality, State Foreign Operations appropriations, House and Senate. H.R. 671 and S. 210, Global Health, Empowerment, and Rights Act of 2017, House and Senate, (reproductive rights and international family planning programs). H.R. 5942 and S. 3660, Health Equity and Accountability Act of 2018, House and Senate, (improving health outcomes for women, children, and families). No bill number, adolescent pregnancy, HIV, and other STI prevention, Health and Human Services, Centers for Disease Control and Prevention.

Client expense: $10,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE

H.R. 1289 - Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act S. 1188/H.R.2535 - Lifespan Respite Care Reauthorization Act of 2017 H.R. 6 [P.L. No: 115-271] - SUPPORT for Patients and Communities Act S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.Res.1099 - Providing for the concurrence by the House in the Senate amendment to H.R. 6, with an amendment H.R.3331 - To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology. S.1732 - Improving Access to Behavioral Health Information Technology Act S. 1905/ H.R.3931 - Excellence in Mental Health and Addiction Treatment Expansion Act S.1016/H.R. 2556 - CONNECT for Health Act of 2017 S.2120/H.R. 5034 - International Violence Against Women Act of 2017 S.2164/H.R.2953 - To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. S.1334/H.R.2797 - Patient Choice and Quality Care Act of 2017 H.R.620 - ADA Education and Reform Act of 2017 S.Res.427 - A resolution supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. H.Res.770 - Supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. H.R.3713 - Geriatrics Workforce and Caregiver Enhancement Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 S.2301/H.R. 4778- Behavioral Health Coverage Transparency Act of 2018 S. 1015/H.R.2345 [P.L. No: 115-233] - National Suicide Hotline Improvement Act of 2017 H.R.4704 - Nursing Home CARE Act S.2227/H.R. 5306 - EMPOWER Care Act S.2076/H.R. 4256 [P.L. No: 115-406] - BOLD Infrastructure for Alzheimer's Act S.2680 - Opioid Crisis Response Act of 2018 Improving Parity for Mental Health and Substance Use Disorder Coverage. H.R. 5942 - Health Equity and Accountability Act of 2018 Preserve ACA Essential Health Benefits, cost sharing subsidies, state waivers, and funding for navigators and assisters. Health care access Reduce Gun Violence: Comprehensive Legislative Solutions to firearm-related injuries and fatalities Opioid Epidemic 340B drug pricing issues Section 1115 waiver approval issues Medicare Part D program issues Medicaid non-emergency medical transportation (NEMT) issues H.R.6597 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2018 H.R.5202/S.916 - Ensuring Patient Access to Substance Use Disorder Treatments Act of 2018 S.1370/H.R.2913 - Mental Health in Schools Act of 2017 S.3337 - Mental Health Services for Students Act of 2018

Client expense: Not reported · Firm income: $40,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

H.R.2953 Preventive Health Savings Act and S.2164 H.R.3124/S.1299 Preventing Diabetes in Medicare Act H.R. 5768 Expanding Access to DSMT Act H.R.1953/S.830 TROA H.R. 1413 Enrich Act H.R. 1634 Eat for Health Act H.R. 1628 American Healthcare Act H.R. 772 Common Sense Nutrition Disclosure Act H.R. 5942 Health Equity and Accountability Act of 2018

Client expense: $20,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Implementation of the Drug Quality and Security Act of 2013 (Public Law 113-54) 7.Implementation of Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 8.Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 9.Implementation of Every Student Succeeds Act (Public Law 114-95) 10.Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 11.FY 2018 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 1771/H.R. 3358) 12.FY 2018 Departments of Agriculture, Rural Development, Food and Drug Administration and Related Agencies Appropriations (S. 1603/H.R. 3268) 13.Consolidated Appropriations Act 2018 (Public Law 115-141) 14.Midnight Rules Relief Act (S.34/H.R. 21) 15.Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 16.Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 17.Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 18.Regulatory Integrity Act (H.R. 1004) 19.OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 20.A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 21.American Health Care Act (H.R. 1628/H.Res. 228) 22.Ozone Standards Implementation Act (S. 263/H.R. 806) 23.Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 24.Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 25.Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 26.Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 27.Preventing Antibiotic Resistance Act (S. 629) 28.Better Care Reconciliation Act (H.R. 1628) and related amendments 29.Public Health Emergency Response Act (S. 196) 30.Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 31.Consolidated Appropriations Act, 2017 (Public Law 115-31) 32.Treat and Reduce Obesity Act (S. 830/H.R. 1953) 33.Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 34.Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 35.Tobacco Tax Equity Act (S. 1837) 36.Healthy Kids Act (S. 1821/H.R. 3921) 37.Implementation of the Drug Quality and Security Act (P.S. 113-54) 38.Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 39.Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 40.Lead-Safe Housing for Kids Act (S. 1845) 41.Supporting Working Moms Act (S. 2122/H.R. 3255) 42.Championing Healthy Kids Act (H.R. 3922) 43.Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 44.An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 45.Tax Cuts and Jobs Act (Public Law 115-97) 46.Pandemic and All-Hazards Preparedness Advancing Innovation Act (S. 2852/H.R. 6378) 47.Vaccine Access Improvement Act (H.R. 4993) 48.Relief from New Source Performance Standards Act (H.R. 453) 49.Strategies to Address Antimicrobial Resistance (S. 2469) 50.Opioid Quota Reform Act (S. 2535) 51.Hospital Preparedness Program Reauthorization Act (H.R. 4776) 52.Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 53.Health Equity and Accountability Act (H.R. 5942) 54.Opioid Crisis Response Act of 2018 (S. 2680) 55.Agriculture and Nutrition Act (H.R. 2) 56.Agriculture Improvement Act (S. 3042) 57.SECURE Act (H.R. 5998) 58.FY 2019 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 3158) 59.FY 2019 Departments of the Interior, Environment, and Related Agencies Appropriations Act (H.R. 6147/S. 3073) 60.FY 2019 Departments of Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations (H.R. 5961/ S. 2976) 61.Trauma-Informed Care for Children and Families Act (S. 774) 62.SUPPORT for Patients and Communities Act (H.R. 6) 63.Centers for Disease Control Emergency Response Act (S. 3161) 64.LABEL Opioids Act (S. 3428) 65.Relief from New Source Performance Standards Act (S. 1857) 66.Outdoors for All Act (S. 3499) 67.The MOMMA Act (H.R. 5977) 68.The WIC Act (not yet introduced) 69.Preventing Maternal Deaths Act (H.R. 1318) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, Education, USDA, DHS, FEMA, and SAMHSA.

Client expense: $31,434 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT)

No bill number, adolescent sexual and reproductive health and rights, international family planning, HIV prevention funding, House and Senate. H.R. 671 and S. 210, Global Health, Empowerment, and Rights Act of 2017, House and Senate, (reproductive rights and international family planning programs). H.R. 5942 and not introduced yet in Senate, Health Equity and Accountability Act of 2018, House and Senate, (improving health equity and care for women, children, and families). No bill number, adolescent pregnancy, HIV, and other STI prevention, US Dept of Health and Human Services and Centers for Disease Control and Prevention. H.R. 2788, Health Equity and Access under the Law for Immigrant Women and Families Act of 2017, House and Senate, (encouraging Senate introduction and planning for House re-introduction; bill provides for expanded eligibility for affordable health insurance coverage to lawfully present immigrant individuals).

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

S.J.RES.63 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Secretary of the Treasury, Secretary of Labor, and Secretary of Health and Human Services relating to "Short-Term, Limited Duration Insurance". S.3411 - Affordable Medications Act - comprehensive legislation to address rising prescription drug prices CURE High Drug Prices Act - prevent price gouging by pharmaceutical companies S.3485 - Basic Health Program Expansion Act of 2018 - allow States to expand basic health programs to cover more low-income individuals at lower cost. H.R.5977 - MOMMA's Act - improve Federal efforts with respect to the prevention of maternal mortality H.R.6478 - Biosimilars Competition Act of 2018 - enhance competition for prescription drugs by increasing the ability of the Department of Justice and Federal Trade Commission to enforce existing antitrust laws regarding biologic and biosimilar products S.3194 - Capping Prescription Costs Act of 2018 - cap prescription drug cost-sharing to $250 per month for each enrolled individual, or $500 for each family starting in 2020 H.R.2889 - Closing Loopholes for Orphan Drugs Act - revise the 340B Drug Pricing Program, which currently requires drug manufacturers to discount orphan drugs (drugs for rare conditions) for certain entities covered by the program. The bill discounts orphan drugs that are not being used to treat rare conditions for all entities covered by the program H.R.5942 - Health Equity and Accountability Act of 2018 - lobbied in support of entire bill; specifically lobbied in support of TITLE IV-IMPROVING HEALTH CARE ACCESS AND QUALITY - Subtitle C-Advancing Health Equity Through Payment And Delivery Reform. H.R.2422 - Action for Dental Health Act of 2017 - HHS provides grants to improve essential oral health care for low-income and other underserved individuals by breaking down barriers to care S.974 - CREATES Act of 2017 - facilitate the timely entry of lower-cost generic and biosimilar versions of drugs and biological products S.Res.581 - A resolution authorizing the Senate Legal Counsel to represent the Senate in Texas v. United States, No. 4:18-cv-00167-O (N.D. Tex.) Reducing Costs for Out-of-Network Services Act of 2018 - cap the amount that hospitals and physicians could charge uninsured patients and out-of-network patients who have individual market coverage Surprise billing - draft legislation to prevent surprise medical billing of patients.

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

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

Appropriations for health centers and related programs; Appropriations for National Health Service Corps; Appropriations for Health Professions Programs; Presidents Budget Request; Health Equity and Accountability Act of 2018 (H.R. 5942) Senate Budget Resolution of (S.Con.Res.3); Further Continuing and Security Assistance Appropriations Act (H.R.2028). Community Health Investment, Modernization, and Excellence Act of 2017(H.R.3770/S.1899); Community Health and Medical Professionals Improve Our Nation Act (H.R.3922); Supplemental Disaster Appropriations(H.R.4872); Continuing Resolution(H.J. Res. 124); Bi-partisan Budget Act (H.R.1892); Department of Defense & Labor, Health & Human Services, & Education Appropriations Act (H.R. 6157).

Client expense: $200,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Lobbying Report: July 1 - September 30, 2018 Legislation H.R. 564 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2017 (Lobbying activities related to opposing exemption of cigars from FDA oversight) S. 294 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2017 (Lobbying activities related to opposing exemption of cigars from FDA oversight) H.R. 1136 FDA Deeming Authority Clarification Act of 2017 (Lobbying activities related to opposing bill to change the grandfather date for newly deemed products) H.R. 4273 House Tobacco to 21 Act (Lobbying activities related to prohibiting the sale or distribution of tobacco products to individuals under the age of 21) S. 2976 Senate FY2019 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2019 appropriations for the Food and Drug Administration and protecting FDAs authority to oversee all tobacco products) H.R. 5961 House FY2019 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2019 appropriations for the Food and Drug Administration and protecting FDAs authority to oversee all tobacco products) H.R. 6147 -- Interior, Environment, Financial Services and General Government, Agriculture, Rural Development, Food and Drug Administration, and Transportation, Housing and Urban Development Appropriations Act, 2019 S. 3158 Senate FY2019 Appropriations for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (Lobbying activities related to FY 2019 appropriations for the Centers for Disease Control and Prevention) H.R. 6470 House FY2019 Appropriations for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (Lobbying activities related to FY 2019 appropriations for the Centers for Disease Control and Prevention) H.R. 5942 Health Equity and Accountability Act S. 3319 SAFE Kids Act H.R. 6157 Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 Issues Prevention and Public Health Fund (Lobbying activities related to preserving the Fund) Tobaccos role in health disparities FDA regulation of tobacco products NAFTA Renegotiation Flavored tobacco products Tobacco use in schools Judicial nominations for 6th Circuit E-cigarettes Preventing tobacco use by kids Tobacco control legislation and oversight in general Tobacco taxes Age verification and shipping restrictions for tobacco products Agencies Visited US House of Representatives US Senate United States Trade Representative Centers for Disease Control and Prevention

Client expense: $165,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

H.R.6261 - Improving Choices in Health Care Coverage Act S.3095 - Building a Health Care Workforce for the Future Act H.R.6128 - HSA Employer Flexibility Act H.R.6110 - Dr. Todd Graham Pain Management, Treatment, and Recovery Act of 2018 H.R.6098 - Family Medical Leave Modernization Act H.R.6097 - State-Based Universal Health Care Act of 2018 H.R.6082 - Overdose Prevention and Patient Safety Act H.R.6 - SUPPORT for Patients and Communities Act S.3063 - Health Insurance Tax Relief Act of 2018 H.R.6071 - SERV Communities Act S.3053 - CHIP Mental Health and Addiction Parity Act S.3048 - Examining Opioid Treatment Infrastructure Act of 2018 H.R.6050 - Increasing Access to Care Act S.3016 - Action for Dental Health Act of 2018 S.3000 - Patient Advocacy Transparency Act H.R.5997 - Ensuring Patient Access to Critical Breakthrough Products Act of 2018 H.Res.915 - Expressing the sense of the Congress in support of protecting patients' access to medically appropriate, evidence-based healthcare and information, and the ethical and professional obligations of healthcare professionals to provide that care and information H.R.5966 - Women Veterans Access to Quality Care Act of 2018 H.R.5965 - Access to Infertility Treatment and Care Act H.R.5963 - To delay the reimposition of the annual fee on health insurance providers until after 2020 S.2960 - Access to Infertility Treatment and Care Act S.Res.526 - A resolution expressing the sense of the Senate that politicians should not interfere with a woman's personal health care decisions or attempt to prevent providers from offering their full medical recommendations to their patients H.R.5942 - Health Equity and Accountability Act of 2018 H.R.5933 - Substance Abuse Prevention Act of 2018 H.R.5932 - Increasing Access to Mental Health in Schools Act H.R.5925 - CRISIS Act S.2934 - Increasing Access to Mental Health in Schools Act H.R.5917 - Professional's Access to Health Workforce Integration Act of 2018 H.R.5914 - To require a study and report on policy and regulatory changes that may have contributed to the opioid epidemic S.2920 - Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act of 2018 S.2912 - Opioid Addiction Treatment Programs Enhancement Act H.R.6144 - Know the Lowest Price Act of 2018 S.204 - Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2017 S.2680 - Opioid Crisis Response Act of 2018 H.R.5511 - Healthy Communities Act of 2018 H.R.5491 - Rural Health Insurance Act of 2018 H.R.5455 - Accelerating Biomedical Research Act H.R.5641 - State Offices of Rural Health Reauthorization Act of 2018 H.R.5625 - Easy Enrollment Act of 2018 H.R.5624 - Pathway to Universal Coverage Act of 2018 H.R.5603 - Access to Telehealth Services for Substance Use Disorders Act S.2732 - Defending Access to Mental Health Care Act H.R.5699 - HOST Act of 2018 S.2802 - Responsible Additions and Increases to Sustain Employee Health Benefits Act of 2018 H.R.5725 - BEST Act S.2902 - Better Data Sharing to Combat the Opioid Crisis Act S.2901 - eTREAT Act H.R.5892 - To establish an Advisory Committee on Opioids and the Workplace to advise the Secretary of Labor on actions the Department of Labor can take to address the impact of opioid abuse on the workplace H.R.5858 - Primary Care Patient Protection Act of 2018 S.2875 - COMBAT Act of 2018 H.R.5795 - Overdose Prevention and Patient Safety Act S.2851 - Regional Health Care Emergency Preparedness and Response Systems Act H.R.5775 - Providing Reliable Options for Patients and Educational Resources Act of 2018 H.R.5769 - Expanding Access to Treatment Act S. 2608 - Reducing Opioid Risk Act S. 2589 - Comprehensive Opioid Recovery Centers Act of 2018 S. 2582 - Consumer Health Insurance Protection Act of 2018 S. 2554 - Patient Right to Know Drug Prices Act H.R. 5258 - Affordable Health Insurance for the Middle Class Act H.R. 5254 - To direct the Secretary of HHS to conduct a study on the feasibility of expanding eligibility for enrollment in Medicare Advantage plans to individuals enrolled under the Medicaid program or enrolled under a group health plan H.R. 5223 - Health Care Workplace Violence Prevention Act S. 2507 - Improving Choice in Health Care Coverage Act H.R. 5155 - Undo Sabotage and Expand Affordability of Health Insurance Act of 2018 S. 2496 - Small Business Health Account Act of 2018 S. 2494 - Fair Care Act H.R. 5138 - Bipartisan HSA Improvement Act of 2018 H.R. 5124 - Community Action Opioid Response Act of 2018 H.R. 5097 - PAVE Act of 2018 H.R. 5080 - COMBAT Act of 2018 H.R. 5062 - Advancing Access to Precision Medicine Act H.R. 5047 - VA Community Care Enhancement Act S. 2437 - Opioid Response Enhancement Act S. 2415 - Accelerating Kids Access to Care Act H.R. 4978 - Chronic Disease Management Act of 2018 S. 2410 - Chronic Disease Management Act of 2018 H.R. 4952 - To direct the Secretary of HHS to conduct a study and submit a report on the effects of the inclusion of quality increases in the determination of blended benchmark amounts under part C of the Medicare program H.R. 4938 - Respond NOW Act H.R. 4894 - Harmful Tax Prevention Act H.R. 4841 - Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 H.R. 4831 - Healthcare Tax Relief Act H.R. 4820 - ASK Act S. 2315 - Over-the-Counter Drug Safety, Innovation, and Reform Act H.R. 4808 - Transparent Health Care Pricing Act of 2018 S. 2312 - HELP Act H.R. 4784 - ACA OUTREACH Act H.R. 4778 - Behavioral Health Coverage Transparency Act of 2018 S. 2302 - Access to Independent Health Insurance Advisors Act of 2018 S. 2301 - Behavioral Health Coverage Transparency Act of 2018 H.R. 4575 - A bill to amend title XXVII of the Public Health Service Act to preserve consumer and employer access to licensed independent insurance producers. S. 2303 - A bill to amend title XXVII of the Public Health Service Act to preserve consumer and employer access to licensed independent insurance producers. H.R. 1625 - Consolidated Appropriations Act, 2018 S. 2553 - Know the Lowest Price Act of 2018 H.R. 5343 - Prescription Transparency Act of 2018 H.R. 5150 - Protecting Medicare from Excessive Price Increases Act of 2018 H.R. 4874 - End The Shutdown Act of 2018 H.R. 4872 - End The Shutdown Act of 2018 H.R. 5104 - A bill to amend title XVIII of the Social Security Act to provide for a special enrollment period under Medicare for individuals enrolled in COBRA continuation coverage, and for other purposes H.R. 6 - SUPPORT for Patients and Communities Act S. 2554 - Patient Right to Know Drug Prices Act S. 2553 - Know the Lowest Price Act of 2018 H.R. 302 - FAA Re authorization Act of 2018 H. R. 6662 - Empowering Seniors Enrollment Decision Act of 2018 H.R. 6305 - Bipartisan HSA Improvement Act of 2018 H.R. 6312 - Personal Health Investment Today (PHIT) Act H.R. 6309 - To amend the Internal Revenue Code of 1986 to allow individuals entitled to Medicare Part A by reason of being over age 65 to contribute to health savings accounts H.R. 4616 - To amend the Patient Protection and Affordable Care Act to provide for a temporary moratorium on the employer mandate and to provide for a delay in the implementation of the excise tax on high cost employer-sponsored health coverage H.R. 6311 - To amend the Internal Revenue Code of 1986 and the Patient Protection and Affordable Care Act to modify the definition of qualified health plan for purposes of the health insurance premium tax credit and to allow individuals purchasing health insurance in the individual market to purchase a lower premium copper plan

Client expense: $330,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

Medicaid waivers -S. 2456: CARA 2.0 Act of 2018 -H.R.5942 - Health Equity and Accountability Act of 2018 -- H.R. 6 - Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act

Client expense: $17,500 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

Support ending the ban on CDC Gun Research Support the preservation of gains made in health care coverage under the Affordable Care Act Support the elimination of racial and ethnic disparities in health care and disease Support full funding for AIDS prevention, treatment, education and research Support ending childhood obesity Support protecting Medicare and Medicaid benefits Support restoring Medicaid Eligibility to COFA recipients living in the USA (support HR 2982 / S. 1391) support a robust, transparent 340B program Support the Health Equity and Accountability Act of 2018, legislation which takes steps to eliminate health disparities among racial and ethnic minorities, support HR 5942 Support the 340B Drug Pricing Program Support $57.95 million for the Racial and Ethnic Approaches to Community Health program in FY2019 Oppose renewed efforts to roll back the expansion in coverage and consumer protections under the Affordable Care Act Support that the Department of Health and Human Services extend the public comment period for the proposed rule on Medicare payment to home care providers by a minimum of 30 days to allow for meaningful stakeholder participation in the comment process and completion of a robust analysis of the economic impact of the proposal, as well as its more general impact on Medicaid home and community-based services Support the Senate carefully considering the stakes for our health care system and for millions of peoples ability to access care, as it undergoes the confirmation process for the next Supreme Court juSupport the enactment of a series of fundamental reforms to rebalance our moneyed political system, empower everyday Americans, ensure equal justice for all, protect the publics right to know, reduce barriers to participation in our elections, vigorously enforce voting laws, and fix our ethics laws. Support the bipartisan commitment to domestic HIV/AIDS programs, and continue to invest in high-impact prevention, treatment, and research programs which have led to decreases in new HIV infections and more people living with HIV linked to and retained in care. Support funding for the Ryan White HIV/AIDS Care and Treatment Program, the Centers for Disease Control and Preventions (CDC) National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, the HHS Secretarys Minority AIDS Initiative Fund (SMAIF), SAMHSAs Minority AIDS Initiative programs at equal levels as in FY 18; support an increase in funding for medical research at the National Institutes of Health. Support Title X Family Planning and the Teen Pregnancy Prevention Program; oppose limiting certain types of harm reduction services. Oppose the abstinence-only-until-marriage sexual risk avoidance competitive grant program Support at least $393 million for the Housing Opportunities for people with AIDS (HOPWA) in FY2019 Support HR 3168 / S 1522, the Every Kid Outdoors Act, which directs the Departments of the Interior, Agriculture, Commerce, and the Army to establish the Every Kids Outdoors program to provide fourth graders free access to federal lands and waters to which the public has access. Oppose the Palmer (AL) amendment to HR 6147 that would prohibit the District of Columbia from using funds appropriated by the bill to enforce certain health insurance requirements.

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

Government targets: Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Bureau of Prisons (BOP), Bureau of the Census, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Director of National Intelligence (ODNI), Education, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Housing Finance Agency (FHFA), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

H.R. 1289 - Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act S. 1188/H.R.2535 - Lifespan Respite Care Reauthorization Act of 2017 H.R. 6 - SUPPORT for Patients and Communities Act S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.Res.1099 - Providing for the concurrence by the House in the Senate amendment to H.R. 6, with an amendment H.R.3331 - To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology. S.1732 - Improving Access to Behavioral Health Information Technology Act S. 1905/ H.R.3931 - Excellence in Mental Health and Addiction Treatment Expansion Act S.1016/H.R. 2556 - CONNECT for Health Act of 2017 S.2120/H.R. 5034 - International Violence Against Women Act of 2017 S.2164/H.R.2953 - To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. S.1334/H.R.2797 - Patient Choice and Quality Care Act of 2017 H.R.620 - ADA Education and Reform Act of 2017 S.Res.427 - A resolution supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. H.Res.770 - Supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. H.R.3713 - Geriatrics Workforce and Caregiver Enhancement Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 S.2301/H.R. 4778- Behavioral Health Coverage Transparency Act of 2018 S. 1015/H.R.2345 [P.L. No: 115-233] - National Suicide Hotline Improvement Act of 2017 H.R.4704 - Nursing Home CARE Act S.2227/H.R. 5306 - EMPOWER Care Act S.2076/H.R. 4256 - BOLD Infrastructure for Alzheimer's Act S.2680 - Opioid Crisis Response Act of 2018 Improving Parity for Mental Health and Substance Use Disorder Coverage. H.R. 5942 - Health Equity and Accountability Act of 2018 Preserve ACA Essential Health Benefits, cost sharing subsidies, state waivers, and funding for navigators and assisters. Reduce Gun Violence: Comprehensive Legislative Solutions to firearm-related injuries and fatalities Opioid Epidemic 340B drug pricing issues Section 1115 waiver approval issues Medicare Part D program issues Medicaid non-emergency medical transportation (NEMT) issues H.R.6597 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2018 H.R.5202/S.916 - Ensuring Patient Access to Substance Use Disorder Treatments Act of 2018 S.1370/H.R.2913 - Mental Health in Schools Act of 2017 S.3337 - Mental Health Services for Students Act of 2018

Client expense: Not reported · Firm income: $40,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

H.R.2953 Preventive Health Savings Act and S.2164 H.R.3124/S.1299 Preventing Diabetes in Medicare Act H.R. 5768 Expanding Access to DSMT Act H.R.1953/S.830 TROA H.R. 1413 Enrich Act H.R. 1634 Eat for Health Act H.R. 1628 American Healthcare Act H.R. 772 Common Sense Nutrition Disclosure Act H.R. 5942 Health Equity and Accountability Act of 2018

Client expense: $20,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE

Oppose any new cuts to Medicare / Medicaid or federal health programs which comprise our nations safety net Support ending the ban on CDC Gun Research Support the preservation of gains made in health care coverage under the Affordable Care Act Support the elimination of racial and ethnic disparities in health care and disease Support full funding for AIDS prevention, treatment, education and research Support ending childhood obesity Support protecting Medicare and Medicaid benefits Support restoring Medicaid Eligibility to COFA recipients living in the USA (support HR 2982 / S. 1391) support a robust, transparent 340B program Support the Health Equity and Accountability Act of 2018, legislation which takes steps to eliminate health disparities among racial and ethnic minorities, support HR 5942 Oppose limiting food and non-alcoholic front-of-pack nutrition labeling via NAFTA Support the finalization of a proposed rule banning the electric shock devices used by the Judge Rotenberg Center Support at least $393 million in FY2019 for Housing for People with AIDS Support HHS addressing concerns raised by the GAO in its recent report of the 1115 Medicaid waivers which have been granted that have the effect of limiting eligibility, reducing enrollment, or curtailing program benefits Oppose extending the public comment period for the Advanced Notice of Proposed Rulemaking of Flavors in Tobacco Products Oppose proposal to rescind $7 billion from CHIP Support the 340B Drug Pricing Program Support $57.95 million for the Racial and Ethnic Approaches to Community Health program in FY2019 Support the CDC protecting funding for and affirming its commitment to maintaining the Sexual Orientation and Gender Identity (SOGI) optional module to the Behavioral Risk Factor Surveillance System (BRFSS)

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

Government targets: Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Bureau of Prisons (BOP), Bureau of the Census, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Director of National Intelligence (ODNI), Education, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Housing Finance Agency (FHFA), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), State, Dept of (DOS), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Lobbying Report: April 1 - June 30, 2018 Legislation H.R. 564 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2017 (Lobbying activities related to opposing exemption of cigars from FDA oversight) S. 294 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2017 (Lobbying activities related to opposing exemption of cigars from FDA oversight) H.R. 1136 FDA Deeming Authority Clarification Act of 2017 (Lobbying activities related to opposing bill to change the grandfather date for newly deemed products) S. 2100 Senate Tobacco to 21 Act (Lobbying activities related to prohibiting the sale or distribution of tobacco products to individuals under the age of 21) H.R. 4273 House Tobacco to 21 Act (Lobbying activities related to prohibiting the sale or distribution of tobacco products to individuals under the age of 21) S. 2976 Senate FY2019 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2019 appropriations for the Food and Drug Administration and protecting FDAs authority to oversee all tobacco products) H.R. 5961 House FY2019 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2019 appropriations for the Food and Drug Administration and protecting FDAs authority to oversee all tobacco products) S. 3158 Senate FY2019 Appropriations for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (Lobbying activities related to FY 2019 appropriations for the Centers for Disease Control and Prevention) House FY2019 Appropriations for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (Lobbying activities related to FY 2019 appropriations for the Centers for Disease Control and Prevention) H.R. 5942 Health Equity and Accountability Act Stop Tobacco Sales to Youth Act S. 2873 Puerto Rico Economic Empowerment Act (lobbying related to reduction in the Prevention and Public Health Fund) Issues Prevention and Public Health Fund (Lobbying activities related to preserving the Fund) Tobaccos role in health disparities FDA regulation of tobacco products NAFTA Renegotiation Flavored tobacco products Tobacco use in schools Judicial nominations for 6th Circuit

Client expense: $113,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

A resolution supporting the goals, activities, and ideals of Prematurity Awareness Month (H. Res. 625/S. Res. 319) Maternal Health Accountability Act (H.R. 1318/S. 1112) Invest in Women's Health Act of 2017 (S. 689) Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act (S. 3120) CREATES Act (H.R. 2212/S. 974) MOMMA's Act (H.R. 5977) State-Based Universal Health Care Act (H.R. 6097) SUPPORT for Patients and Communities Act (H.R. 6) Jeanette Acosta Invest in Women's Health Act (H.R. 6315) Health Equity and Accountability Act (H.R. 5942) Women's Health Protection Act (H.R. 1322/S. 510) A resolution recognizing the importance of the goal of National Women's Health Week to empower adolescent girls and women of all ages to make informed choices about their sexual activity and effective steps to prevent against HIV (S. Res. 507)

Client expense: $421,508 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Implementation of the Drug Quality and Security Act of 2013 (Public Law 113-54) 7.Implementation of Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 8.Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 9.Implementation of Every Student Succeeds Act (Public Law 114-95) 10.Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 11.FY 2018 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 1771/H.R. 3358) 12.FY 2018 Departments of Agriculture, Rural Development, Food and Drug Administration and Related Agencies Appropriations (S. 1603/H.R. 3268) 13.Consolidated Appropriations Act 2018 (Public Law 115-141) 14.Midnight Rules Relief Act (S.34/H.R. 21) 15.Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 16.Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 17.Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 18.Regulatory Integrity Act (H.R. 1004) 19.OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 20.A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 21.American Health Care Act (H.R. 1628/H.Res. 228) 22.Ozone Standards Implementation Act (S. 263/H.R. 806) 23.Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 24.Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 25.Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 26.Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 27.Preventing Antibiotic Resistance Act (S. 629) 28.Better Care Reconciliation Act (H.R. 1628) and related amendments 29.Public Health Emergency Response Act (S. 196) 30.Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 31.Consolidated Appropriations Act, 2017 (Public Law 115-31) 32.Treat and Reduce Obesity Act (S. 830/H.R. 1953) 33.Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 34.Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 35.Tobacco Tax Equity Act (S. 1837) 36.Healthy Kids Act (S. 1821/H.R. 3921) 37.Implementation of the Drug Quality and Security Act (P.S. 113-54) 38.Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 39.Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 40.Lead-Safe Housing for Kids Act (S. 1845) 41.Supporting Working Moms Act (S. 2122/H.R. 3255) 42.Championing Healthy Kids Act (H.R. 3922) 43.Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 44.An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 45.Tax Cuts and Jobs Act (Public Law 115-97) 46.Pandemic and All-Hazards Preparedness Advancing Innovation Act (S. 2852/H.R. 6783) 47.Vaccine Access Improvement Act (H.R. 4993) 48.Relief from New Source Performance Standards Act (H.R. 453) 49.Strategies to Address Antimicrobial Resistance (S. 2469) 50.Opioid Quota Reform Act (S. 2535) 51.Hospital Preparedness Program Reauthorization Act (H.R. 4776) 52.Relief from New Source Performance Standards Act (H.R. 453) 53.Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 54.Health Equity and Accountability Act (H.R. 5942) 55.Opioid Crisis Response Act of 2018 (S. 2680) 56.Agriculture and Nutrition Act (H.R. 2) 57.Agriculture Improvement Act (S. 3042) 58.SECURE Act (H.R. 5998) 59.FY 2019 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 3158) 60.FY 2019 Departments of the Interior, Environment, and Related Agencies Appropriations Act (H.R. 6147/S. 3073) 61.FY 2019 Departments of Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations (H.R. 5961/ S. 2976) 62.Trauma-Informed Care for Children and Families Act (S. 774) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, Education, USDA, DHS, FEMA, and SAMHSA.

Client expense: $30,059 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT)

H.R.6261 - Improving Choices in Health Care Coverage Act S.3095 - Building a Health Care Workforce for the Future Act H.R.6128 - HSA Employer Flexibility Act H.R.6110 - Dr. Todd Graham Pain Management, Treatment, and Recovery Act of 2018 H.R.6098 - Family Medical Leave Modernization Act H.R.6097 - State-Based Universal Health Care Act of 2018 H.R.6082 - Overdose Prevention and Patient Safety Act H.R.6 - SUPPORT for Patients and Communities Act S.3063 - Health Insurance Tax Relief Act of 2018 H.R.6071 - SERV Communities Act S.3053 - CHIP Mental Health and Addiction Parity Act S.3048 - Examining Opioid Treatment Infrastructure Act of 2018 H.R.6050 - Increasing Access to Care Act S.3016 - Action for Dental Health Act of 2018 S.3000 - Patient Advocacy Transparency Act H.R.5997 - Ensuring Patient Access to Critical Breakthrough Products Act of 2018 H.Res.915 - Expressing the sense of the Congress in support of protecting patients' access to medically appropriate, evidence-based healthcare and information, and the ethical and professional obligations of healthcare professionals to provide that care and information H.R.5966 - Women Veterans Access to Quality Care Act of 2018 H.R.5965 - Access to Infertility Treatment and Care Act H.R.5963 - To delay the reimposition of the annual fee on health insurance providers until after 2020 S.2960 - Access to Infertility Treatment and Care Act S.Res.526 - A resolution expressing the sense of the Senate that politicians should not interfere with a woman's personal health care decisions or attempt to prevent providers from offering their full medical recommendations to their patients H.R.5942 - Health Equity and Accountability Act of 2018 H.R.5933 - Substance Abuse Prevention Act of 2018 H.R.5932 - Increasing Access to Mental Health in Schools Act H.R.5925 - CRISIS Act S.2934 - Increasing Access to Mental Health in Schools Act H.R.5917 - Professional's Access to Health Workforce Integration Act of 2018 H.R.5914 - To require a study and report on policy and regulatory changes that may have contributed to the opioid epidemic S.2920 - Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act of 2018 S.2912 - Opioid Addiction Treatment Programs Enhancement Act H.R.6144 - Know the Lowest Price Act of 2018 S.204 - Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2017 S.2680 - Opioid Crisis Response Act of 2018 H.R.5511 - Healthy Communities Act of 2018 H.R.5491 - Rural Health Insurance Act of 2018 H.R.5455 - Accelerating Biomedical Research Act H.R.5641 - State Offices of Rural Health Reauthorization Act of 2018 H.R.5625 - Easy Enrollment Act of 2018 H.R.5624 - Pathway to Universal Coverage Act of 2018 H.R.5603 - Access to Telehealth Services for Substance Use Disorders Act S.2732 - Defending Access to Mental Health Care Act H.R.5699 - HOST Act of 2018 S.2802 - Responsible Additions and Increases to Sustain Employee Health Benefits Act of 2018 H.R.5725 - BEST Act S.2902 - Better Data Sharing to Combat the Opioid Crisis Act S.2901 - eTREAT Act H.R.5892 - To establish an Advisory Committee on Opioids and the Workplace to advise the Secretary of Labor on actions the Department of Labor can take to address the impact of opioid abuse on the workplace H.R.5858 - Primary Care Patient Protection Act of 2018 S.2875 - COMBAT Act of 2018 H.R.5795 - Overdose Prevention and Patient Safety Act S.2851 - Regional Health Care Emergency Preparedness and Response Systems Act H.R.5775 - Providing Reliable Options for Patients and Educational Resources Act of 2018 H.R.5769 - Expanding Access to Treatment Act S. 2608 - Reducing Opioid Risk Act S. 2589 - Comprehensive Opioid Recovery Centers Act of 2018 S. 2582 - Consumer Health Insurance Protection Act of 2018 S. 2554 - Patient Right to Know Drug Prices Act H.R. 5258 - Affordable Health Insurance for the Middle Class Act H.R. 5254 - To direct the Secretary of HHS to conduct a study on the feasibility of expanding eligibility for enrollment in Medicare Advantage plans to individuals enrolled under the Medicaid program or enrolled under a group health plan H.R. 5223 - Health Care Workplace Violence Prevention Act S. 2507 - Improving Choice in Health Care Coverage Act H.R. 5155 - Undo Sabotage and Expand Affordability of Health Insurance Act of 2018 S. 2496 - Small Business Health Account Act of 2018 S. 2494 - Fair Care Act H.R. 5138 - Bipartisan HSA Improvement Act of 2018 H.R. 5124 - Community Action Opioid Response Act of 2018 H.R. 5097 - PAVE Act of 2018 H.R. 5080 - COMBAT Act of 2018 H.R. 5062 - Advancing Access to Precision Medicine Act H.R. 5047 - VA Community Care Enhancement Act S. 2437 - Opioid Response Enhancement Act S. 2415 - Accelerating Kids Access to Care Act H.R. 4978 - Chronic Disease Management Act of 2018 S. 2410 - Chronic Disease Management Act of 2018 H.R. 4952 - To direct the Secretary of HHS to conduct a study and submit a report on the effects of the inclusion of quality increases in the determination of blended benchmark amounts under part C of the Medicare program H.R. 4938 - Respond NOW Act H.R. 4894 - Harmful Tax Prevention Act H.R. 4841 - Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 H.R. 4831 - Healthcare Tax Relief Act H.R. 4820 - ASK Act S. 2315 - Over-the-Counter Drug Safety, Innovation, and Reform Act H.R. 4808 - Transparent Health Care Pricing Act of 2018 S. 2312 - HELP Act H.R. 4784 - ACA OUTREACH Act H.R. 4778 - Behavioral Health Coverage Transparency Act of 2018 S. 2302 - Access to Independent Health Insurance Advisors Act of 2018 S. 2301 - Behavioral Health Coverage Transparency Act of 2018 H.R. 4575 - A bill to amend title XXVII of the Public Health Service Act to preserve consumer and employer access to licensed independent insurance producers. S. 2303 - A bill to amend title XXVII of the Public Health Service Act to preserve consumer and employer access to licensed independent insurance producers. H.R. 1625 - Consolidated Appropriations Act, 2018 S. 2553 - Know the Lowest Price Act of 2018 H.R. 5343 - Prescription Transparency Act of 2018 H.R. 5150 - Protecting Medicare from Excessive Price Increases Act of 2018 H.R. 4874 - End The Shutdown Act of 2018 H.R. 4872 - End The Shutdown Act of 2018 H.R. 5104 - A bill to amend title XVIII of the Social Security Act to provide for a special enrollment period under Medicare for individuals enrolled in COBRA continuation coverage, and for other purposes

Client expense: $330,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

Medicaid waivers -S. 2456: CARA 2.0 Act of 2018 -H.R.5942 - Health Equity and Accountability Act of 2018

Client expense: $13,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

H.R.5942 - Health Equity and Accountability Act of 2018 - entire bill; specifically TITLE IV-IMPROVING HEALTH CARE ACCESS AND QUALITY - Subtitle C- Advancing Health Equity Through Payment And Delivery Reform S.2700/H.R.5545 - Comprehensive Addiction Resources Emergency Act of 2018 - entire bill H.R. 4 - sections 412 and 413, provides for greater transparency and consumer protection regarding air ambulance charges H.R.2422 - Action for Dental Health Act of 2017 - entire bill S.974 - CREATES Act of 2017 - entire bill H.R. 3032 - Mental Health Access Improvement Act - entire bill S. 1879 - Seniors Mental Health Access Improvement Act of 2017 - entire bill H.R.817 - End Surprise Billing Act of 2017 - entire bill Replacements for ACAs individual mandate - auto-enrollment proposals for the ACAs Marketplaces 340B - efforts to diminish the 340B programs ability to help serve vulnerable patients and communities

Client expense: $20,000 · Firm income: Not reported

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

No bill number, Health Equity and Access under the Law for Immigrant Women & Families Act of 2017, Senate, (encouraging Senate introduction, expand eligibility for affordable health insurance coverage to lawfully present immigrant individuals). No bill number, House and Senate, (adolescent sexual and reproductive health and rights, international family planning, HIV prevention). H.R. 671 and S. 210, Global Health, Empowerment, and Rights Act of 2017, House and Senate, (reproductive rights and international family planning programs). H.R. 5942, Health Equity and Accountability Act of 2018, House and Senate, (improving health equity and care for women, children, and families).

Client expense: $20,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, SENATE

H.R.2953 Preventive Health Savings Act and S.2164 H.R.3124/S.1299 Preventing Diabetes in Medicare Act H.R. 5768 Expanding Access to DSMT Act H.R.1953/S.830 TROA H.R. 1413 Enrich Act H.R. 1634 Eat for Health Act H.R. 1628 American Healthcare Act H.R. 772 Common Sense Nutrition Disclosure Act H.R. 5942 Health Equity and Accountability Act of 2018

Client expense: $20,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE

H.R. 1289 - Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act S.870 Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 Public Law No: 115-119 (S.1028/H.R. 3759) RAISE Family Caregivers Act S. 1188/H.R.2535 - Lifespan Respite Care Reauthorization Act of 2017 S.670/H.R. 1652 - Over-the-Counter Hearing Aid Act H.R. 6 - SUPPORT for Patients and Communities Act H.R.3331 - To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology. S.1732 - Improving Access to Behavioral Health Information Technology Act S. 1905/ H.R.3931 - Excellence in Mental Health and Addiction Treatment Expansion Act S.1016/H.R. 2556 - CONNECT for Health Act of 2017 S.2120/H.R. 5034 - International Violence Against Women Act of 2017 S.2164/H.R.2953 - To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. S.1334/H.R.2797 - Patient Choice and Quality Care Act of 2017 H.R.620 - ADA Education and Reform Act of 2017 S.Res.427 - A resolution supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. H.Res.770 - Supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. H.R.3713 - Geriatrics Workforce and Caregiver Enhancement Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 S.2301/H.R. 4778- Behavioral Health Coverage Transparency Act of 2018 S. 1015/H.R.2345 - National Suicide Hotline Improvement Act of 2017 H.R.4704 - Nursing Home CARE Act S.2227/H.R. 5306 - EMPOWER Care Act S.2076/H.R. 4256 - BOLD Infrastructure for Alzheimer's Act S.2680 - Opioid Crisis Response Act of 2018 Improving Parity for Mental Health and Substance Use Disorder Coverage. H.R. 5942 - Health Equity and Accountability Act of 2018 Preserve ACA Essential Health Benefits, cost sharing subsidies, state waivers, and funding for navigators and assisters. Reduce Gun Violence: Comprehensive Legislative Solutions to firearm-related injuries and fatalities Opioid Epidemic 340B drug pricing issues Section 1115 waiver approval issues Medicare Part D program issues Medicaid non-emergency medical transportation (NEMT) issues

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)