Title VIII Nursing Workforce Reauthorization Act of 2018

HR 1783, Improving Veterans Access to Quality Care Act HR 959 Title VIII Reauthorization Act HR 1628, HR 277, the American Health Care Act Medicare reimbursement Chronic Pain management Nursing workforce development

Client expense: $190,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 1783, Improving Veterans Access to Quality Care Act of 2017 HR 959, Title VIII Nursing Workforce Reauthorization Act of 2017 Chronic Pain management Rural access to anesthesiologists services act Nursing Workforce Development HR 1628, HR 277 The American Health Care Act Budget Reconciliation Improvement Act National Defense Authorization Act Labor Health and Human Services Budget

Client expense: $190,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 1783, Improving Veterans Access to Quality Care Act HR 959 Title VIII Reauthorization Act HR 1628, HR 277, the American Health Care Act Medicare reimbursement Chronic Pain management Nursing workforce development

Client expense: $190,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HCR - Health Issues HR 1318 Preventing Maternal Deaths Act S 1112, the Maternal Health Accountability Act HR 959/S S 1109 Title VIII Nursing Workforce Reauthorization HR 947 FAMILY Act S 3029 PREEMIE Reauthorization Act of 2018 Letter to USDA Dietary Guidelines Advisory Committee Nominations Center for Nutrition Policy and Promotion: Nomination of Dr. J. Thomas Brenna, PhD Letter to OMB concerning the proposed Title X rule. S 3776 MOMMAs Act

Client expense: Not reported · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, U.S. Trade Representative (USTR)

HR 662 MEND Act HR 959 Title VIII Nursing Workforce Reauthorization Act of 2017 HR 284 Advancing Medical Resident Training in Community Hospitals Act of 2017 HR 1506 VA Health Care Provider Education Debt Relief Act of 2017 HR 1603 Physician Assistant Higher Education Modernization Act of 2017 HR 1604 Health IT Modernization for Underserved Communities Act of 2017 HR 1605 Physician Assistant Education Public Health Initiatives Act of 2017 HR 1639 Physical Therapist Workforce and Patient Access Act of 2017 HR 1651 National Nurse Act of 2017 HR 1660 Global Health Innovation Act of 2017 HR 4508 The PROSPER Act S 426 Grow Our Own Directive: Physician Assistant Employment and Education Act of 2017 S 615 Higher Education Innovation Act S 619 Physical Therapist Workforce and Patient Access Act of 2017 S 620 Community College to Career Fund Act S 628 Educating Tomorrow's Workforce Act of 2017 S 783 Improving Access to Maternity Care Act Higher Education Act Legislation Lobbying

Client expense: Not reported · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

H.R. 880/ S. 1022 the MISSION ZERO Act; H.R. 959, the Title VIII Nursing Workforce Reauthorization Act; H.R. 767/S. 256 SOAR to Health and Wellness Act; H.R. 3780 Air Ambulance Quality and Accountability Act; H.R. 1876/ S. 781 Good Samaritan Health Professionals Act; H.R. 5223 Health Care Workplace Violence Prevention Act; H.R. 5176/ S. 2610 Preventing Overdoses While in Emergency Rooms (POWER) Act; H.R. 5197/ S. 2516 Alternatives to Opioids (ALTO) in the ED Act; H.R. 5329 Poison Center Network Enhancement Act; S. 2852 Pandemic and All-Hazards Preparedness Act; H.R. 6 SUPPORT for Patients and Communities Act (Opioids bill); H.R. 2485/ S. 1167 Airplance KiTS Act; FAA Reauthorization;H.R. 6748/ S. 3482 Emergency Medical Services for Children Program Reauthorization Act

Client expense: $32,800 · Firm income: Not reported

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

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of funding for the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies related to health insurance market stabilization Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention Human and child trafficking H.R. 315/S. 783 - Improving Access to Maternity Care Act H.R. 767/S. 256 - Stop, Observe, Ask, and Respond (SOAR) to Health and Wellness Act of 2017 H.R. 772/S. 261 - Common Sense Nutrition Disclosure Act H.R. 959/S. 1109 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R. 1168 - United States Cadet Nurse Corps Equity Act H.R. 1174/S. 1497 - Fairness For Breastfeeding Mothers Act of 2017 H.R. 1215 - Protecting Access to Care Act of 2017 H.R. 1318 - Preventing Maternal Deaths Act of 2017 H.R. 1865 - Allow States and Victims to Fight Online Sex Trafficking Act of 2017 H.R. 2742/S. 1257 - Modernizing the Interstate Placement of Children in Foster Care Act H.R. 2824 - Increasing Opportunity through Evidence-Based Home Visiting Act H.R. 2857 - Supporting Families in Substance Abuse Treatment Act H.R. 2834 - Partnership Grants to Strengthen Families Affected by Parental Substance Abuse Act H.R. 2866 - Reducing Barriers for Relative Foster Parents Act H.R. 2847 - Improving Services for Older Youth in Foster Care Act H.R. 3192 - CHIP Mental Health Parity Act H.R. 3291 - Alleviating Adverse Childhood Experiences (ACES) Act H.R. 3387 - Drinking Water System Improvement Act of 2017 H.R. 3525 - Home Visiting Works Act of 2017 H.R. 3728 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) Act of 2017 H.R. 3921 - Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act H.R. 3922 - Continuing Community Health And Medical Professional Programs to Improve Our Nation, Increase National Gains, and Help Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (CHAMPIONING HEALTHY KIDS) Act of 2017 H.R. 3928 - Truth in Healthcare Marketing Act of 2017 H.R. 4695 - Bipartisan Market Stabilization and Innovation Act of 2017 H.R. 4978/S. 2410 - Chronic Disease Management Act of 2018 H.R. 4998 - Health Insurance for Former Foster Youth Act H.R. 5385/S. 2597 - Childrens Hospital GME Support Reauthorization Act of 2018 H.R. 5425/S. 2647 - Food Labeling Modernization Act of 2018 H.R. 5977 - Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act H.R. 6199 - Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 H.R. 6560 - ChiPACC Act of 2018 H.R. 7141 - Workplace Violence Prevention for Health Care and Social Service Workers Act S. 761/H.R. 1933 - Health Care Options Act of 2017 S. 920 - National Clinical Care Commission Act S. 1016/H.R. 2556 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2017 S. 1028 - Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act S. 1091/H.R. 3105 - Supporting Grandparents Raising Grandchildren Act S. 1112 - Maternal Health Accountability Act of 2017 S. 1268 - Child Protection and Family Support Act of 2017 S. 1377 - Reaching Underserved Rural Areas to Lead on Telehealth Act S. 1441/H.R. 3059 - Community Health Center and Primary Care Workforce Expansion Act of 2017 S. 1522/H.R. 3186 - Every Kid Outdoors Act S. 1630/H.R. 3381 - Child Poverty Reduction Act of 2017 S. 1693 - Stop Enabling Sex Traffickers Act of 2017 S. 1827 - Keeping Kids Insurance Dependable and Secure (KIDS) Act S. 1829 - Strong Families Act of 2017 S. 2415 - Accelerating Kids Access to Care Act S. 2582 - Consumer Health Insurance Protection Act of 2018 S. 2852/H.R. 3678 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 S. 3029 - Prematurity Research Expansion and Education for Mothers who deliver Infants Early (PREEMIE) Reauthorization Act of 2018 S. 3074 - Focus on Children Act S. 3075 - Childrens Budget Act S. 3319 - Stopping Appealing Flavors in E-Cigarettes (SAFE) for Kids Act S. 3388 - Ensuring Coverage for Patients with Pre-Existing Conditions Act S. 3482/H.R. 6748 - Emergency Medical Services for Children Program Reauthorization Act of 2018 S. 3685 - Nursing Where It's Needed (Nurse WIN) Act S. 3729 - United States Cadet Nurse Corps Service Recognition Act of 2018 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

Client expense: Not reported · Firm income: $23,450

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Legislative proposals affecting Medicare and Medicaid hospital reimbursement policies Health Information Technology Health Care Reform Implementation Medicare Graduate Medical Education Payments S. 2597/H.R. 5385, Children's Hospital GME Support Reauthorization Act of 2018 H.R. 959/S. 1109, Title VIII Nursing Workforce Reauthorization Act S. 781/ H.R. 1876, Good Samaritan Health Professional Act of 2017 - provisions related to limiting the liability of health care professionals who volunteer to provide health care services in response to a disaster H.R. 1215, "Protecting Access to Care Act" - provisions related to medical liability system reform 42 CFR Part 2 alignment with HIPAA S. 2852/H.R. 6378, Pandemic and All-Hazards Preparedness & Advancing Innovation Act - provisions related to hospitals

Client expense: Not reported · Firm income: $110,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Opioid issues (S. 2680, the Opioid Crisis Response Act of 2018; H.R. 5176, Preventing Overdoses While in Emergency Rooms (POWER) Act; H.R. 5197, Alternatives to Opioids (ALTO) in the Emergency Department Act; H.R. 5009, Jessies Law; H.R. 5818 / S. 2843, the Opioid Workforce Act; H.R. 5797, the IMD CARE Act; H.R. 6082/H.R. 5795, the Overdose Prevention and Patient Safety Act; S. 2905, Strengthening Partnerships to Prevent Opioid Abuse Act; S. 2460, Every Prescription Conveyed Securely Act; S. 2920, Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act; H.R. 5582, the Abuse Deterrent Access Act; H.R. 5685, the Medicare Opioid Safety Education Act; Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018; H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act; S. 2899, Caring Recovery for Infants and Babies Act; S. 2898, Medication-Assisted Treatment Improvement Act; S.2911, Enhancing Patient Access to Non-Opioid Treatment Options) Draft Protecting Patients from Surprise Medical Bills Act HIPAA policy in mental and behavioral health information sharing 21st Century Cures Act implementation Pandemic and All Hazards Preparedness Reauthorization, including Hospital Preparedness Program (S. 2852, the Pandemic and All-Hazards Preparedness and Advancing Innovation Act (PAHPAI) of 2018) S.781/ HR 1876. Good Samaritan Health Professional Act of 2017 Health workforce reauthorizations (H.R. 959, the Title VIII Nursing Workforce Reauthorization Act; H.R. 3728, the Educating Medical Professionals and Optimizing Workforce Efficiency Readiness (EMPOWER) Act; H.R. 1676, the Palliative Care and Hospice Education and Training Act Liver allocation policy (H.R. 6458 National Organ Transplant Act Amendments of 2018; H.R. 6517 Fairness in Liver Allocation Act of 2018) H.R. 5678, Rural Emergency Medical Center (REMC) Act of 2018) Disproportionate share hospital payments (H.R. 1892, Bipartisan Budget Act of 2018; implementation of the S-10 worksheet) H.R. 2267 / S. 1301, Resident Physician Shortage Reduction Act H.R. 5818 / S. 2843, Opioid Workforce Act Telehealth payment (H.R. 1892, Bipartisan Budget Act of 2018; H.R. 6, SUPPORT for Patients and Communities Act) Stark law reform Hospital outpatient payment policy Site neutral payment policy included in outpatient prospective payment system proposed rule Physician fee schedule rule Evaluation and management coding and payment policy in physician fee schedule rule S. 2597 / H.R. 5385, Children's Hospital GME Support Reauthorization Act of 2018 Opioid funding (CARA implementation; S. 2004, Combating the Opioid Epidemic Act; H.R. 1892, Bipartisan Budget Act of 2018; Consolidated Appropriations Act, 2018) Behavioral health funding (H.R. 1892, Bipartisan Budget Act of 2018; Consolidated Appropriations Act, 2018; H.R. 6157) HR 6470 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2019 H.R. 5645, the Standard Merger and Acquisition Reviews Through Equal Rules (SMARTER) Act Public Charge proposed rule Q4 Submitted Letters SUBJECT: DHS Docket No. USCIS-2010-0012, Inadmissibility on Public Charge Grounds; Proposed Rule SUBJECT: Docket No. FDA-2018-N-3272, Identifying the Root Causes of Drug Shortages and Finding Enduring Solutions SUBJECT: CMS-1701-P, Medicare Program: Medicare Shared Savings Program; Accountable Care Organizations Pathways to Success Proposed Rule SUBJECT: OIG-0803-N, Request for Information Regarding Anti-Kickback Statute and Beneficiary Inducements CMP SUBJECT: CMS-3346-P, Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction SUBJECT: Notice of Proposed Rulemaking, 340B Drug Pricing Program Ceiling Price and Manufacturer Civil Monetary Penalties Effective Date Change

Client expense: $317,828 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, Social Security Administration (SSA)

H.R. 959/S. 1109, Title VIII Nursing Workforce Reauthorization Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Alexander-Murray Bipartisan Health Care Stabilization Act of 2017 S.1835 - Lower Premiums Through Reinsurance Act of 2017 S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.3692, S.2317 - Addiction Treatment Access Improvement Act of 2017 H.R. 5102, S. 2524 - Substance Use Disorder Workforce Loan Repayment Act H.R. 6 [P.L. No: 115-271] - SUPPORT for Patients and Communities Act (Public Law No: 115-271) Gun violence and gun violence research issues S.2680 - Opioid Crisis Response Act of 2018 H.R. 3/S.2979/H.Res.923 - Spending Cuts to Expired and Unnecessary Programs Act H.R.4938 - RESPOND Now Act S.2456/H.R. 5311 - CARA 2.0 Act of 2018 H.R. 5052, S. 2446: Safe Staffing for Nurse and Patient Safety Act Patient Safety Issues H.R. 4573, Gun Violence Research Act of 2017 S.3065/H.R. 6156 - Protecting JOBs Act H.R. 5223, The Health Care Workplace Violence Prevention Act

Client expense: $105,253 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Proposed changes to Medicare hospital reimbursement policy Health care policy H.R. 959/S. 1109, Title VIII Nursing Workforce Reauthorization Act Support S.781/H.R. 1876, Good Samaritan Health Professional Act of 2017 - provisions related to limiting the liability of health care professionals who volunteer to provide health care services in response to a disaster 42 CFR Part 2 alignment with HIPAA S. 2852/H.R. 6378, Pandemic and All-Hazards Preparedness & Advancing Innovation Act - provisions related to hospitals

Client expense: Not reported · Firm income: $50,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L. 111-148 - Patient Protection and Affordable Care Act Health Information Technology Health workforce shortage issues, Title VII and Title VIII of the Public Health Service Act, nursing, graduate nursing education, nursing-managed health clinics Health wellness and prevention programs University Center for Excellence in Developmental Disabilities Leadership in Education in Neurodevelopmental Disabilities and Related Disorders (LEND) S. 850, H.R. 1922, Foreign Medical Schools Accountability Act H.R. 959, Title VIII Nursing Workforce Reauthorization Act H.R. 3728 Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness Act of 2017 (EMPOWER) Act S.2873, P.L. 114-270, ECHO Act S. 2184, Veterans Community Care and Access Act H.R. 3922, CHAMPIONING Healthy Kids Act S. 2312, Helping Ensure Low-Income Patients have Access to Care and Treatment (HELP) Act H.R. 6781, Mental Health Telemedicine Expansion Act H.R.6, SUPPORT for Patients and Communities Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.xxxx/H.R. 959, the Title VIII Nursing Workforce Reauthorization Act - provisions related to the programs that support nursing faculty and the supply of future nurses. MedPAC discussion related to Medicare billing for advanced practice registered nurses (APRNs).

Client expense: $110,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Medicare Payment Advisory Commission (MedPAC), 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

340B Drug Pricing Program Opioid issues (S. 2680, the Opioid Crisis Response Act of 2018; H.R. 5176, Preventing Overdoses While in Emergency Rooms (POWER) Act; H.R. 5197, Alternatives to Opioids (ALTO) in the Emergency Department Act; H.R. 5009, Jessies Law; H.R. 5818 / S. 2843, the Opioid Workforce Act; H.R. 5797, the IMD CARE Act; H.R. 6082/H.R. 5795, the Overdose Prevention and Patient Safety Act; S. 2905, Strengthening Partnerships to Prevent Opioid Abuse Act; S. 2460, Every Prescription Conveyed Securely Act; S. 2920, Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act; H.R. 5582, the Abuse Deterrent Access Act; H.R. 5685, the Medicare Opioid Safety Education Act; Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018; H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act; S. 2899, Caring Recovery for Infants and Babies Act; S. 2898, Medication-Assisted Treatment Improvement Act; S.2911, Enhancing Patient Access to Non-Opioid Treatment Options) Draft Protecting Patients from Surprise Medical Bills Act HIPAA policy in mental and behavioral health information sharing 21st Century Cures Act implementation Pandemic and All Hazards Preparedness Reauthorization, including Hospital Preparedness Program (S. 2852 / H.R. 6378, H.R. 7328, the Pandemic and All-Hazards Preparedness and Advancing Innovation Act (PAHPAI) of 2018) S.781/ HR 1876. Good Samaritan Health Professional Act of 2017 Health workforce reauthorizations (H.R. 959, the Title VIII Nursing Workforce Reauthorization Act; H.R. 3728, the Educating Medical Professionals and Optimizing Workforce Efficiency Readiness (EMPOWER) Act; H.R. 1676, the Palliative Care and Hospice Education and Training Act Liver allocation policy S.2554, Patient Right to Know Drug Prices Act Consumer-directed health care proposals (Associations Health Plans, Short-term Limited Duration Insurance plans, Section 1332 waivers) Maternal health legislation (H.R. 315, Improving Access to Maternity Care Act and H.R. 1318, Preventing Maternal Deaths Act)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitoring healthcare regulations and legislation; Palliative Care Hospice Education and Treatment Act PCHETA (H.R. 1676/S. 693); Oral Cancer Drug Parity Act (H.R. 1409);Title VIII Nursing Workforce Reauthorization Act (H.R. 959; Lymphedema Treatment Act (HR 930, S497); Cancer Communications and Planning Act (HR 5160)

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

H.R. 6543, the Aim Higher Act - provisions related to the reauthorization of the Higher Education Act including changes to the Title IV federal student aid program H.R. 6147/S. 3073, the FY 19 Interior Appropriations Act - provisions related to funding for the National Endowment for the Humanities H.R. xxxx/S. xxxx, the FY 20 Labor-HHS-Education Appropriations Act - provisions around funding for federal student aid programs (including Pell Grants, work-study and SEOG); international education and the Institute of Education Sciences (and National Center for Special Education Research); funding for Title VIII nursing workforce development programs H.R. 2434/S. 1121, the College Transparency Act - provisions related to student unit records H.R. 4479/S. 2169, the Student Right to Know Before You Go Act - provisions related to student unit records H.R. 959/S. 1109, the Title VIII Nursing Workforce Reauthorization Act - provisions related to reauthorization of Title VIII programs General issues around EDs Title IX Notice of Proposed Rulemaking General issues around Dept. of Education regulatory efforts related to the upcoming negotiated rulemaking session on accreditation and innovation General issues around needed guidance from the Dept. of Education related to unreimbursed Perkins Loan cancellations General issues around the outlook for the reauthorization of the Higher Education Act General issues around the Institute of Education Sciences, including reauthorization General issues around federal student aid, loan limits and repayment plans for graduate education General issues around college costs, federal student aid, loan repayment, low-income student access, and affordability

Client expense: $15,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, Treasury, Dept of

H.R. xxxx/S. 3158, the FY 19 Labor-HHS-Education Appropriations Act - provisions around funding for Title VIII nursing workforce development programs H.R. 959/S. 1109, the Title VIII Nursing Workforce Reauthorization Act - provisions related to reauthorization of Title VIII programs

Client expense: $15,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, Treasury, Dept of

HR 959/S 1109 - the Title VIII Nursing Workforce Development Programs Reauthorization Act HR 6 - SUPPORT for Families and Communities Act HR 6597/S 3796 - Mental Health Professionals Workforce Shortage Loan Relief Act of 2018 Letter to CMS regarding comments to reduce regulatory burdens in health care

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R. 6 [P.L. No. 115-271]- SUPPORT for Patients and Communities Act H. Res. 1099 - Providing for the concurrence by the House in the Senate amendment to H.R. 6, with an amendment S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R. 3692 - Addiction Treatment Access Improvement Act of 2017 S. 2317 - Addiction Treatment Access Improvement Act of 2018 S. 2456/H.R. 5311- CARA 2.0 Act of 2018 H.R.1478 - Gun Violence Research Act Priorities for health care reform Opioid Abuse Epidemic S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018 S. 3065/H.R. 6156 - Protecting JOBs Act H.R. 315 [P.L. No: 115-320] Improving Access to Maternity Care Act S. 3685 Nurse WIN Act

Client expense: $50,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, 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, White House Office

Affordable Care Act repeal and replace legislation Indigent Care issues (340B Drug Discount program) Disproportionate Share Hospital programs H.R.3692/S.2317, Addiction Treatment Access Improvement Act of 2017, Medication Assisted Treatment S.2456, Comprehensive Addiction and Recovery (CARA) 2.0 Act of 2018, Medication Assisted Treatment HRSA Bureau of Health Workforce, Physicians Assistant expansiosn Prescription Drug Prices Nursing Education H.R.959/S.1109, Title VIII Nursing Workforce Reauthorization Act of 2017, generally H.R.6, SUPPORT for Patients and Communities Act, Opioids related issues Area Health Education Centers Medicaid Reimbursement community Health Workers Physician Shortage Physician Assistants Veterans Medical Care/VA Mission Act, Implementation

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

APRN regulation Telehealth Occupational Licensing Reform Antitrust Cadet Nurse Corps Equity Act (H.R. 1168) Title VIII Nursing Workforce Reauthorization Act (H.R. 959; S. 1109) Nurse Licensure Compact

Client expense: $140,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

H.R. 5818/S. 2843 - "Opioid Workforce Act of 2018" H.R. 6 - "SUPPORT for Patients and Communities Act of 2018" - Supported Legislation. H.R. 6378/S. 2852 - "The Pandemic and All Hazards Preparedness Act (PAHPA)" - Monitored and reviewed legislation. Monitored Congressional Proposals concerning health price transparency. H.R. 676/S.1804 - "Expanded & Improved Medicare For All Act" - Oppose legislation to impose single payer health care delivery H.R. 959 - "Title VIII Nursing Workforce Re-authorization Act of 2018" - Urge support for legislation to provide loan repayment for nurses to practice in any care setting. Surprise Billing - Support protecting patients from surprise bills.

Client expense: $720,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

Alexander-Murray Bipartisan Health Care Stabilization Act of 2017 S.1835 - Lower Premiums Through Reinsurance Act of 2017 S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.3692, S.2317 - Addiction Treatment Access Improvement Act of 2017 H.R. 5102, S. 2524 - Substance Use Disorder Workforce Loan Repayment Act H.R. 6 [P.L. No: 115-271] - SUPPORT for Patients and Communities Act (Public Law No: 115-271) Gun violence and gun violence research issues S.2680 - Opioid Crisis Response Act of 2018 H.R. 3/S.2979/H.Res.923 - Spending Cuts to Expired and Unnecessary Programs Act H.R.4938 - RESPOND Now Act S.2456/H.R. 5311 - CARA 2.0 Act of 2018 H.R. 5052, S. 2446: Safe Staffing for Nurse and Patient Safety Act Patient Safety Issues H.R. 4573, Gun Violence Research Act of 2017 S.3065/H.R. 6156 - Protecting JOBs Act H.R. 5223, The Health Care Workplace Violence Prevention Act

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.3692, S.2317 - Addiction Treatment Access Improvement Act of 2017 HR6, SUPPORT for Patients and Communities Act (Public Law No: 115-271) H.R. 5102, S. 2524 - Substance Use Disorder Workforce Loan Repayment Act S.2456 - CARA 2.0 Act of 2018 H.R. 4284- INFO Act H.R. 5197, Alternatives to Opioids in the Emergency Room Department H.R. 5718, Perioperative Reduction of Opioids (PRO) Act H.R. 5774, Combating Opioid Abuse for Care in Hospitals (COACH) Act H.R. 5002, Ace Research Act H.R. 1783- Improving Veterans Access to Quality Care Act of 2017

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R.1617/S.3067 - Promoting Access to Diabetic Shoes Act S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S.1361 - Improving Access to Cardiac and Pulmonary Rehabilitation Act of 2017 S.783/H.R. 315 [P.L. No: 115-320] - Improving Access to Maternity Care Act S. 2317 - Addiction Treatment Access Improvement Act of 2018 S.2004 / H.R. 4501- Combating the Opioid Epidemic Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 H.R. 3922 - CHAMPIONING HEALTHY KIDS Act S. 1827: KIDS Act of 2017 S.1835 - Lower Premiums Through Reinsurance Act of 2017 H.R. 1478 - Gun Violence Research Act Medicare Extenders Home Infusion Therapy Medication-Assisted Therapies (MATs) Opioid Abuse Epidemic S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018 S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R.3692 - Addiction Treatment Access Improvement Act of 2017 H.R. 6 [P.L. No: 115-271] - SUPPORT for Patients and Communities Act H.Res.1099 - Providing for the concurrence by the House in the Senate amendment to H.R. 6, with an amendment H.R. 5605 - Advancing High Quality Treatment for Opioid Use Disorders in Medicare 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 H.R. 449 - Synthetic Drug Awareness Act of 2017 H.R. 5002/S.2406 - Advancing Cutting-Edge (ACE) Research Act H.R. 5796 - Responsible Education Achieves Care and Healthy Outcomes for Users Treatment Act H.R. 5798 - Opioid Screening and Chronic Pain Management Alternatives for Seniors Act S.3120 - Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018 Medicare Carrier Advisory Committees Reducing Regulatory Burdens H.R.6310 - Primary Care Enhancement Act of 2018 H.R.6317 - Primary Care Enhancement Act of 2018 H.R.6199 - Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018

Client expense: Not reported · Firm income: $50,000

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

S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R. 6 [P.L. No: 115-271] - SUPPORT for Patients and Communities Act H.Res.1099 - Providing for the concurrence by the House in the Senate amendment to H.R. 6, with an amendment S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R. 3692 - Addiction Treatment Access Improvement Act of 2017 S. 2317 - Addiction Treatment Access Improvement Act of 2018 S. 2456/H.R. 5311- CARA 2.0 Act of 2018 H.R.1478 - Gun Violence Research Act Priorities for health care reform Opioid Abuse Epidemic S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018 S.3065/H.R. 6156 - Protecting JOBs Act H.R. 315 [P.L. No: 115-320] - Improving Access to Maternity Care Act

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, White House Office

S.445/H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R.1617/S.3067 - Promoting Access to Diabetic Shoes Act S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S.1361 - Improving Access to Cardiac and Pulmonary Rehabilitation Act of 2017 S.783/H.R.315 [P.L. No: 115-320] - Improving Access to Maternity Care Act H.R.3692 - Addiction Treatment Access Improvement Act of 2017 S. 2317 - Addiction Treatment Access Improvement Act of 2018 S.2004 / H.R. 4501- Combating the Opioid Epidemic Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R. 3922 - CHAMPIONING HEALTHY KIDS Act S. 1827: KIDS Act of 2017 Alexander-Murray Bipartisan Health Care Stabilization Act of 2017 S.1835 - Lower Premiums Through Reinsurance Act of 2017 H.R. 1478 - Gun Violence Research Act Graham-Cassidy-Heller-Johnson Amendment in the nature of a substitute to H.R. 1628 - American Health Care Act of 2017 H.R. 1628 - American Health Care Act of 2017 Better Care Reconciliation Act Discussion Draft S. 222 - Obamacare Replacement Act H.R. 372 - Competitive Health Insurance Reform Act of 2017 S. 934 - FDA Reauthorization Act of 2017 S. 870 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 H.R. 449 - The Synthetic Drug Awareness Act of 2017 S. 191 - Patient Freedom Act of 2017 S. 403 - Health Savings Act of 2017 H.R. 1136 - FDA Deeming Authority Clarification Act of 2017 S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018 H.R. 6 [P.L. No: 115-271] - SUPPORT for Patients and Communities Act H.R. 5605 - Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act H.R. 3331/S.1732 - 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 H.R. 5002/S.2406 - Advancing Cutting-Edge (ACE) Research Act H.R. 5796 - Responsible Education Achieves Care and Healthy Outcomes for Users Treatment Act H.R. 5798 - Opioid Screening and Chronic Pain Management Alternatives for Seniors Act S.3120 - Helping to End Addiction and Lessen (HEAL) Substance Use Disorders 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. 6310/H.R. 6317 - Primary Care Enhancement Act of 2018 H.R. 6199 - Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 H.R. 6502 - Reducing Unnecessary Senior Hospitalizations Act of 2018 Medical Record Documentation Medicare Extenders Home Infusion Therapy Medication-Assisted Therapies (MATs) Opioid Abuse Epidemic Medicare Carrier Advisory Committees Reducing Regulatory Burdens

Client expense: $206,455 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 1783, Improving Veterans Access to Quality Care Act of 2017 HR 959, Title VIII Nursing Workforce Reauthorization Act of 2017 Chronic Pain management Rural access to anesthesiologists services act Nursing Workforce Development HR 1628, HR 277 The American Health Care Act Budget Reconciliation Improvement Act National Defense Authorization Act Labor Health and Human Services Budget

Client expense: $190,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 1783, Improving Veterans Access to Quality Care Act HR 959 Title VIII Reauthorization Act HR 1628, HR 277, the American Health Care Act Medicare reimbursement Chronic Pain management Nursing workforce development

Client expense: $190,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 5818/S. 2843 - "Opioid Workforce Act of 2018" H.R. 6 - "SUPPORT for Patients and Communities Act of 2018" - Supported Legislation. H.R. 6378/S. 2852 - "The Pandemic and All Hazards Preparedness Act (PAHPA)" - Monitored and reviewed legislation. Monitored Congressional Proposals concerning health price transparency. H.R. 676/S.1804 - "Expanded & Improved Medicare For All Act" - Oppose legislation to impose single payer health care delivery H.R. 959 - "Title VIII Nursing Workforce Re-authorization Act of 2018" - Urge support for legislation to provide loan repayment for nurses to practice in any care setting.

Client expense: $650,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of funding for the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies related to health insurance market stabilization Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention Human and child trafficking H.R. 315/S. 783 - Improving Access to Maternity Care Act H.R. 767/S. 256 - Stop, Observe, Ask, and Respond (SOAR) to Health and Wellness Act of 2017 H.R. 772/S. 261 - Common Sense Nutrition Disclosure Act H.R. 959/S. 1109 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R. 1174/S. 1497 - Fairness For Breastfeeding Mothers Act of 2017 H.R. 1215 - Protecting Access to Care Act of 2017 H.R. 1318 - Preventing Maternal Deaths Act of 2017 H.R. 1865 - Allow States and Victims to Fight Online Sex Trafficking Act of 2017 H.R. 2742/S. 1257 - Modernizing the Interstate Placement of Children in Foster Care Act H.R. 2824 - Increasing Opportunity through Evidence-Based Home Visiting Act H.R. 2857 - Supporting Families in Substance Abuse Treatment Act H.R. 2834 - Partnership Grants to Strengthen Families Affected by Parental Substance Abuse Act H.R. 2866 - Reducing Barriers for Relative Foster Parents Act H.R. 2847 - Improving Services for Older Youth in Foster Care Act H.R. 3192 - CHIP Mental Health Parity Act H.R. 3291 - Alleviating Adverse Childhood Experiences (ACES) Act H.R. 3387 - Drinking Water System Improvement Act of 2017 H.R. 3525 - Home Visiting Works Act of 2017 H.R. 3728 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) Act of 2017 H.R. 3921 - Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act H.R. 3922 - Continuing Community Health And Medical Professional Programs to Improve Our Nation, Increase National Gains, and Help Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (CHAMPIONING HEALTHY KIDS) Act of 2017 H.R. 3928 - Truth in Healthcare Marketing Act of 2017 H.R. 4695 - Bipartisan Market Stabilization and Innovation Act of 2017 H.R. 4978/S. 2410 - Chronic Disease Management Act of 2018 H.R. 4998 - Health Insurance for Former Foster Youth Act H.R. 5385/S. 2597 - Childrens Hospital GME Support Reauthorization Act of 2018 H.R. 5425/S. 2647 - Food Labeling Modernization Act of 2018 H.R. 5977 - Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act H.R. 6199 - Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 H.R. 6560 - ChiPACC Act of 2018 S. 761/H.R. 1933 - Health Care Options Act of 2017 S. 920 - National Clinical Care Commission Act S. 1016/H.R. 2556 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2017 S. 1028 - Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act S. 1091/H.R. 3105 - Supporting Grandparents Raising Grandchildren Act S. 1112 - Maternal Health Accountability Act of 2017 S. 1268 - Child Protection and Family Support Act of 2017 S.1377 - Reaching Underserved Rural Areas to Lead on Telehealth Act S. 1441/H.R. 3059 - Community Health Center and Primary Care Workforce Expansion Act of 2017 S. 1693 - Stop Enabling Sex Traffickers Act of 2017 S. 1827 - Keeping Kids Insurance Dependable and Secure (KIDS) Act S. 1829 - Strong Families Act of 2017 S. 2415 - Accelerating Kids Access to Care Act S. 2852/H.R. 3678 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 S. 3029 - Prematurity Research Expansion and Education for Mothers who deliver Infants Early (PREEMIE) Reauthorization Act of 2018 S. 3319 - Stopping Appealing Flavors in E-Cigarettes (SAFE) for Kids Act S. 3388 - Ensuring Coverage for Patients with Pre-Existing Conditions Act 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"

Client expense: Not reported · Firm income: $23,450

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

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 Issue: Educate Congress and 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. 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. Issue: Amend Controlled Substances Act to improve MAT waiver process for qualified health professionals. H.R. 5261, Treatment, Education, and Community Help to Combat Addiction Act of 2018 Issue: Provide grants to regional Centers of Excellence in substance use disorder education. 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. 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 H.R. 6, SUPPORT for Patients and Communities Act Issue: 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: 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.

Client expense: $857,000 · 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), 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. xxxx/S. 3158, the FY 19 Labor-HHS-Education Appropriations Act - provisions around funding for Title VIII nursing workforce development programs H.R. 959/S. 1109, the Title VIII Nursing Workforce Reauthorization Act - provisions related to reauthorization of Title VIII programs

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

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, Treasury, Dept of

H.R. 4508, the PROSPER Act - provisions related to the reauthorization of the Higher Education Act including changes to the Title IV federal student aid program (ONE Loan, Federal Work-Study, SEOG, repayment plans, Public Service Loan Forgiveness, loan repayment rates by program, aid distribution, and FAFSA simplification); regulatory reform; campus safety (changes to Title IX and the Clery Act); accreditation; free speech; teacher preparation; and specific impacts on graduate students including loss of some federal student aid H.R. 6543, the Aim Higher Act - provisions related to the reauthorization of the Higher Education Act including changes to the Title IV federal student aid program H.R. 6470/S. 3158, the FY 19 Labor-HHS-Education Appropriations Act - provisions around funding for federal student aid programs (including Pell Grants, work-study and SEOG); international education and the Institute of Education Sciences (and National Center for Special Education Research); funding for Title VIII nursing workforce development programs H.R. 6147/S. 3073, the FY 19 Interior Appropriations Act - provisions related to funding for the National Endowment for the Humanities H.R. 2434/S. 1121, the College Transparency Act - provisions related to student unit records H.R. 4479/S. 2169, the Student Right to Know Before You Go Act - provisions related to student unit records H.R. 959/S. 1109, the Title VIII Nursing Workforce Reauthorization Act - provisions related to reauthorization of Title VIII programs General issues around Dept. of Education regulatory efforts related to borrower defense, financial responsibility standards, gainful employment, changes to College Scorecard, and the upcoming negotiated rulemaking session on innovation General issues around expected Title IX regulations General issues around the outlook for the reauthorization of the Higher Education Act General issues around the Institute of Education Sciences, including reauthorization General issues around Public Service Loan Forgiveness General issues around federal student aid, loan limits and repayment plans for graduate education General issues around college costs, federal student aid, loan repayment, low-income student access, and affordability

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

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, Treasury, Dept of

Alexander-Murray Bipartisan Health Care Stabilization Act of 2017 S.1835- Lower Premiums Through Reinsurance Act of 2017 S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.3692, S.2317 - Addiction Treatment Access Improvement Act of 2017 H.R. 5102, S. 2524 - Substance Use Disorder Workforce Loan Repayment Act H.R. 6 - SUPPORT for Patients and Communities Act H.Res.1099 - Providing for the concurrence by the House in the Senate amendment to H.R. 6, with an amendment Gun violence and gun violence research issues S.2680 - Opioid Crisis Response Act of 2018 H.R. 3/S.2979/H.Res.923 - Spending Cuts to Expired and Unnecessary Programs Act H.R.4938 - RESPOND Now Act S.2456/H.R. 5311 - CARA 2.0 Act of 2018 H.R. 5052, S. 2446: Safe Staffing for Nurse and Patient Safety Act Patient Safety Issues H.R. 4573, Gun Violence Research Act of 2017 S.3065/H.R. 6156 - Protecting JOBs Act H.R. 5223, The Health Care Workplace Violence Prevention Act H.R. 1168, United States Cadet Nurse Corp Equity Act

Client expense: $133,450 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Insurance market policies (Bipartisan Health Care Stabilization Act; Short-term, Limited Duration Health Insurance rule; Association Health Plans rule) Risk adjustment payments Cost sharing reduction payments Insurance navigator funding 340B Drug Pricing Program (H.R. 4392; H.R. 4710, 340B PAUSE Act; S. 2453, Ensuring the Value of the 340B Program Act; H.R. 6071, Stretching Entity Resources for Vulnerable Communities Act; H.R. 2889, Closing Loopholes for Orphan Drugs Act; H.R. 5598, 340B Optimization Act; H.R. 6240, Drug Discount Accountability Act; H.R. 6273, Creating Access to Rape Kit Exams (CARE) for Survivors Act) Opioid issues (S. 2680, the Opioid Crisis Response Act of 2018; H.R. 5176, Preventing Overdoses While in Emergency Rooms (POWER) Act; H.R. 5197, Alternatives to Opioids (ALTO) in the Emergency Department Act; H.R. 5009, Jessies Law; H.R. 5818 / S. 2843, the Opioid Workforce Act; H.R. 5797, the IMD CARE Act; H.R. 6082/H.R. 5795, the Overdose Prevention and Patient Safety Act; S. 2905, Strengthening Partnerships to Prevent Opioid Abuse Act; S. 2460, Every Prescription Conveyed Securely Act; S. 2920, Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act; H.R. 5582, the Abuse Deterrent Access Act; H.R. 5685, the Medicare Opioid Safety Education Act; Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018; H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act; S. 2899, Caring Recovery for Infants and Babies Act; S. 2898, Medication-Assisted Treatment Improvement Act; S.2911, Enhancing Patient Access to Non-Opioid Treatment Options) IV and medication shortages Drug prices (American Patients First, Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs; S. 2554 / H.R. 6143, Patient Right to Know Drug Prices Act; S. 2553, Know the Lowest Price Act; H.R. 6733, Know the Cost Act) Draft Protecting Patients from Surprise Medical Bills Act HIPAA policy in mental and behavioral health information sharing 21st Century Cures Act implementation Pandemic and All Hazards Preparedness Reauthorization, including Hospital Preparedness Program (S. 2852, the Pandemic and All-Hazards Preparedness and Advancing Innovation Act (PAHPAI) of 2018) S.781/ HR 1876. Good Samaritan Health Professional Act of 2017 Health workforce reauthorizations (H.R. 959, the Title VIII Nursing Workforce Reauthorization Act; H.R. 3728, the Educating Medical Professionals and Optimizing Workforce Efficiency Readiness (EMPOWER) Act; H.R. 1676, the Palliative Care and Hospice Education and Training Act Consumer Directed Health Plans Legislation (H.R. 6311 would modify the definition of a qualified health plan and allow individuals purchasing health insurance in the individual market to purchase a "copper" plan or use the premium tax credit to buy off-marketplace coverage; H.R. 6301 to allow CDHPs to provide coverage for services like telehealth, chronic disease management, or primary care visits below the minimum deductible; H.R. 6317 to allow coverage of direct primary care service arrangements; H.R. 6305 to permit use of CDHPs to receive certain employment-related health services like onsite clinics; H.R. 6309 to allow individuals only enrolled in Medicare Part A to contribute to health savings accounts; H.R. 6199 to include certain over-the-counter medical products as qualified medical expenses; H.R. 6306 to increase the current contribution limits for HSAs; H.R. 6312, Personal Health Investment Today (PHIT) Act to count sports equipment and exercise costs toward medical expenses; H.R. 6313 to allow carry-forward of flexible spending account balances each year; H.R. 6314 to allow bronze and catastrophic plans in connection with health savings accounts, allowing plans categorized as catastrophic and bronze in the individual and small group markets to qualify for HSA contributions) H.R. 4616 to delay the implementation of the excise tax on high cost employer-sponsored health coverage; and place a moratorium on the employer mandate Liver allocation policy

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2680, the Opioid Crisis Response Act of 2018 H.R. 6311, the Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act H.R. 6199, the Restoring Access to Medication and Modernizing Health Savings Accounts Act H.R. 959, Title VIII Nursing Workforce Reauthorization Act

Client expense: $340,250 · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

HR 662 MEND Act HR 959 Title VIII Nursing Workforce Reauthorization Act of 2017 HR 284 Advancing Medical Resident Training in Community Hospitals Act of 2017 HR 1506 VA Health Care Provider Education Debt Relief Act of 2017 HR 1603 Physician Assistant Higher Education Modernization Act of 2017 HR 1604 Health IT Modernization for Underserved Communities Act of 2017 HR 1605 Physician Assistant Education Public Health Initiatives Act of 2017 HR 1639 Physical Therapist Workforce and Patient Access Act of 2017 HR 1651 National Nurse Act of 2017 HR 1660 Global Health Innovation Act of 2017 HR 4508 The PROSPER Act S 426 Grow Our Own Directive: Physician Assistant Employment and Education Act of 2017 S 615 Higher Education Innovation Act S 619 Physical Therapist Workforce and Patient Access Act of 2017 S 620 Community College to Career Fund Act S 628 Educating Tomorrow's Workforce Act of 2017 S 783 Improving Access to Maternity Care Act Higher Education Act Legislation Lobbying

Client expense: Not reported · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

H.R. 880/ S. 1022 the MISSION ZERO Act; H.R. 959, the Title VIII Nursing Workforce Reauthorization Act; H.R. 767/S. 256 SOAR to Health and Wellness Act; H.R. 3780 Air Ambulance Quality and Accountability Act; H.R. 1876/ S. 781 Good Samaritan Health Professionals Act; H.R. 5223 Health Care Workplace Violence Prevention Act; H.R. 5176/ S. 2610 Preventing Overdoses While in Emergency Rooms (POWER) Act; H.R. 5197/ S. 2516 Alternatives to Opioids (ALTO) in the ED Act; H.R. 5329 Poison Center Network Enhancement Act; S. 2852 Pandemic and All-Hazards Preparedness Act; H.R. 6 SUPPORT for Patients and Communities Act (Opioids bill); H.R. 2485/ S. 1167 Airplance KiTS Act; FAA Reauthorization;H.R. 6748/ S. 3482 Emergency Medical Services for Children Program Reauthorization Act

Client expense: $32,200 · Firm income: Not reported

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

Legislative proposals affecting Medicare and Medicaid hospital reimbursement policies Health Information Technology Health Care Reform Implementation Medicare Graduate Medical Education Payments S. 2597/H.R. 5385, Children's Hospital GME Support Reauthorization Act of 2018 H.R. 959/S. 1109, Title VIII Nursing Workforce Reauthorization Act S. 781/ H.R. 1876, Good Samaritan Health Professional Act of 2017 - provisions related to limiting the liability of health care professionals who volunteer to provide health care services in response to a disaster H.R. 1215, "Protecting Access to Care Act" - provisions related to medical liability system reform S. 2680, Opioid Crisis Response Act H.R. 6, Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act - provisions related to IMD exclusion, alignment of 42 CFR Part 2 regulations with HIPAA and medication-assisted treatment Legislative proposals to combat opioid abuse

Client expense: Not reported · Firm income: $110,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 959/S. 1109, Title VIII Nursing Workforce Reauthorization Act S. 2680, Opioid Crisis Response Act H.R. 6, Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act - provisions related to IMD exclusion, alignment of 42 CFR Part 2 regulations with HIPAA and medication-assisted treatment Legislative proposals to combat opioid abuse

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R. 6 - SUPPORT for Patients and Communities Act H. Res. 1099 - Providing for the concurrence by the House in the Senate amendment to H.R. 6, with an amendment S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R. 3692 - Addiction Treatment Access Improvement Act of 2017 S. 2317 - Addiction Treatment Access Improvement Act of 2018 S. 2456/H.R. 5311- CARA 2.0 Act of 2018 H.R.1478 - Gun Violence Research Act Priorities for health care reform Opioid Abuse Epidemic S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018 S. 3065/H.R. 6156 - Protecting JOBs Act

Client expense: $50,000 · Firm income: Not reported

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

Affordable Care Act repela and replace legislation Indigent Care issues (340B Drug Discount program) Disproportionate Share Hospital programs H.R.3692/S.2317, Addiction Treatment Access Improvement Act of 2017, Medication Assisted Treatment S.2456, Comprehensive Addiction and Recovery (CARA) 2.0 Act of 2018, Medication Assisted Treatment HRSA Bureau of Health Workforce, Physicians Assistant expansiosn Prescription Drug Prices Nursing Education H.R.959/S.1109, Title VIII Nursing Workforce Reauthorization Act of 2017, generally H.R.6, SUPPORT for Patients and Communities Act, Opioids related issues Area Health Education Centers Medicaid Reimbursement community Health Workers Physician Shortage

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE