Autism Collaboration, Accountability, Research, Education, and Support Act of 2019

The Autism Cares Act of 2019 (S 427 / HR 1058) regarding funding for autism research, services, training and monitoring. The Empower Care Act (S 548 / HR 1342) regarding home and community based services to individuals with autism and their families. H.R.748 and S.3548 (CARES Act) regarding payroll protection plan for non-profits.

Client expense: Not reported · Firm income: $7,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Coronavirus, COVID-19 relief 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 Research tobacco, e-cigarettes and flavorings University Center for Excellence in Developmental Disabilities Leadership in Education in Neurodevelopmental Disabilities and Related Disorders (LEND) H.R. 728, S. 1399 - Title VIII Nursing Workforce Reauthorization Act H.R.1058, S.427 - Autism CARES Act of 2019 H.R. 3630 - No Surprises Act S. 1895 - Lower Health Care Costs Act H.R. 1058, S. 427 - House Autism CARES Act H.R.2417 - HEADs UP Act H.R. 3 - Lower Drug Costs Now Act S. 2543 - Prescription Drug Pricing Reduction Act. H.R. 2328 - Reauthorizing and Extending Americas Community Health (REACH) Act S. 2997 - Title VII Reauthorization Act H.R. 5826 - Consumer Protections Against Surprise Medical Bills H.R. 5800 - Ban Surprise Medical Bills S. 2433 - Investment in Tomorrows Pediatric Health Care Workforce Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Autism CARES Act (HR 1058); Telehealth issues (CARES Act); Health data interoperability rules.

Client expense: $80,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Federal Communications Commission (FCC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Economic Council (NEC), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

The Autism Cares Act of 2019 (S 427 / HR 1058) regarding funding for autism research, services, training and monitoring; The Empower Care Act (S 548 / HR 1342) regarding home and community based services to individuals with autism and their families. H.R.748 and S.3548 (CARES Act) regarding payroll protection plan for non-profits.

Client expense: Not reported · Firm income: $7,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.582, the Raise the Wage Act, related to providing for increases in the Federal minimum wage, and for other purposes, all provisions; H.R.873 / S.260, the Transformation to Competitive Employment Act, related to assisting employers providing employment under special certificates issued under section 14(c) of the Fair Labor Standards Act of 1938 to transform their business and program models, to support individuals with disabilities to transition to competitive integrated employment, to phase out the use of such special certificates, and for other purposes, all provisions; H.R. 989, the Promoting Apprenticeships through Regional Training Networks for Employers Required Skills (PARTNERS) Act of 2019, related to promoting registered apprenticeships and other work-based learning programs for small and medium-sized businesses within in-demand industry sectors, through the establishment and support of industry or sector partnerships, all provisions; H.R.1058 / S.427, the Autism Collaboration, Accountability, Research, Education, and Support (Autism CARES) Act, related to amending the Public Health Service Act to enhance activities of the National Institutes of Health with respect to research on autism spectrum disorder and enhance programs relating to autism, and for other purposes, all provisions; H.R.1226 / S.317, the Advancing Care for Exceptional (ACE) Kids Act, related to amending title XIX of the Social Security Act to provide States with the option of providing coordinated care for children with complex medical conditions through a health home, all provisions; H.R. 1342 / S.548, the Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources, and Care (EMPOWER Care) Act, related to reauthorizing the Money Follows the Person Demonstration Program, all provisions; H.R.1434 / S.634, the Education Freedom Scholarships and Opportunity Act, related to amending the Internal Revenue Code of 1986 to establish tax credits to encourage individual and corporate taxpayers to contribute to scholarships for elementary and secondary students through eligible scholarship-granting organizations, and for other purposes, all provisions; H.R. 1662, the Cultivating Learning Assistance for Student Success Act, related to directing the Secretary of Education to establish a pilot program to provide grants to secondary schools for assistive technology devices and assistive technology services and to create programs to benefit students with autism or apraxia, and for other purposes, all provisions; H.R. 21 / H.R. 264 / H.R.265 / H.R.266 / H.R.267 / H.R. 648, related to appropriations; A bill not yet introduced to amend the Small Business Act (P.L. 85-536) A bill not yet introduced to amend portions of the Individuals with Disabilities Education Act (P.L. 89-10) A bill not yet introduced to amend the Social Security Amendments of 1965 (P.L. 89-97); A bill not yet introduced to amend the Higher Education Act (P.L. 89-329); A bill not yet introduced to reauthorize the Education Sciences Reform Act (P.L. 107-279); A bill not yet introduced to prohibit and prevent the use of seclusion and reduce of the use of physical restraint in schools, and for other purposes; Implementation of the Individuals with Disabilities Education Act (P.L. 89-10); Implementation of the Social Security Amendments of 1965 (P.L. 89-97); Implementation of the National Apprenticeship Act (P.L. 89-554); Implementation of the Rehabilitation Act of 1973 (P.L. 93-112); Implementation of the Workforce Innovation and Opportunity Act (P.L. 113-128); and Implementation of the Elementary and Secondary Education Act (P.L. 114-95).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), SENATE

S. 73: End Taxpayer Subsidies for Drug Ads Act; all provisions. S. 348/H.R. 1763: Support the Resident Physician Shortage Reduction Act of 2019; all provisions. S. 427 / H.R. 1058: Autism CARES Act of 2019; all provisions. S. 948/ H.R. 2895: Conrad State 30 and Physician Access Reauthorization Act; all provisions. S. 1384: Prescription Drug Rebate Reform Act of 2019; all provisions. S. 1391 / H.R. 2296: FAIR Accountability and Innovative Research Drug Pricing Act; all provisions. S. 3032: Cannabidiol and Marijuana Research Expansion Act; all provisions. H.R. 1155: Preventing Unkind and Painful Procedures and Experiments on Respected Species Act of 2019; all provisions. H.R. 2113: Prescription Drug STAR Act: Sections 2 and 5 H.R. 2279: Safe Step Act; all provisions. H.R. 3030: Patient-Centered Outcomes Research Extension Act of 2019; all provisions. H.R. 3439: Protecting Access to Information for Effective and Necessary Treatment (PATIENTS) Act of 2019; all provisions. Supporting policies to address prescription drug costs, including improving drug pricing transparency and eliminating or reducing direct-to-consumer advertising. Funding for the National Neurological Conditions Surveillance System and opposing certain expansions to this program. Research into firearm morbidity and mortality prevention at CDC, fetal tissue research, and the NIH including the BRAIN Initiative. Funding for Congressionally Directed Medical Research Programs at the DoD. Raising budget caps to avoid sequestration. Policy to address surprise medical billing. Promoting interoperability in electronic health records.

Client expense: $350,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

Medicaid Block Grants, Tobacco to 21 Act (HR 2411/S 1258), Tobacco-Free Youth Act (S 1541), Reversing the Youth Tobacco Epidemic Act (HR 2339), SAFE Kids Act (S 655), Fetal Tissue Research, EMPOWER for Health Act (HR 2781), , HR 2211/S 1902 (STURDY ACT), HR 3172/S 1767 (Safe Sleep Act), HR 3170/S 1816 (Safe Cribs Act), Safe Sleep, Crib Bumpers, Inclined Sleepers, Child Nicotine Poisoning Prevention Act Implementation, HR 8/S 42 Firearm Background Checks, HR 2480 Stronger CAPTA Act, S 1009/HR 2076 Sentinel Injuries, Labor HHS Appropriations - CAPTA and Firearm Research, Climate Change, S 107 IV-E Waiver Legislation, HR 2702/S 1376 Family First Transition and Support Act, HR 1185/S 463 Family and Medical Insurance Leave Act, IHS Advance Appropriations (HR 1128), Lead Poisoning Prevention, Cosmetics Reform, Clean Power Plan and Affordable Clean Energy Rule, Mercury and Air Toxics Standard Adoption and Foster Care Analyses and Reporting System, Gun Violence Prevention Research, Consumer Product Safety, Remote Act, Standards for Individuals in CBP Custody, Standards in ICE Family Detention, Standards in ORR Facilities, Therapeutic Fraud Prevention Act, Child Nutrition Reauthorization, Funding for Mental Health Access Grants, Funding for HRSA Maternal Depression Grants, OTC Drug Reform, Requirements for Airplane EMKs, Research for Pregnant and Lactating Women, Medical Nutrition Equity Act, American Dream & Promise Act, WIC Act, WIC, Funding for Public Health Preparedness, , Family Separation, Family Detention, Breast Feeding Peer Counseling Program, , Fair Day in Court for Kids Act, Keep Families Together Act, Menu Labeling, Nutrition Facts Label, CARE for Families Act (HR 3117), Equality Act (HR 5), , Autism Cares Act (HR 1058/ S 427), Newborn Screening (HR 2507), Emergency Medical Services for Children Reauthorization Act (HR 776), , Section 1332 Waivers,1115 Waivers Work Requirements, Medicaid/CHIP Enrollment, HR 1236/S 506, HR 3959/S 2278, HR 3593/S 1601, Every Child Deserves a Family Act, Foster Care/Adoption Discrimination, Family First Transition and Support Act, Paid Family Leave, TSCA Implementation, Perchlorate in Drinking Water, Opioid Packaging, PFAS, Medicaid Administrative Burden, Multi-component Immunization Administration, Medicaid Intersection with Third-Party Liability, Medicaid Per Capita Caps, Public Charge, Medicaid Funding for Puerto Rico, Early Childhood Development, Health Information Technology, HR 2500/S1215, Palliative Care and Hospice Education and Training Act (S. 2080), Medical Deferred Action, Access to Healthy Food for Young Children Act of 2019 (S. 2501), H.R. 3246, Traveling Parents Screening Consistency Act of 2019, Friendly Airports for Mothers Expansion (FAME) Act, Healthy Meals for Opioid-Affected Kids and Kids Raised by Grandfamilies, Preventing Online Sales of E-Cigarettes to Children Act (H.R. 3942/S. 1253), E-Cigarette Tax Parity Act (S. 2463), Investment in Tomorrow's Pediatric Health Care Workforce Act (S. 2443), Adolescent SBIRT Appropriations, CAMRA Act (H.R. 1367/S. 558), Global Child Thrive Act (HR 4864/ S. 2715), Support UNFPA Funding Act HR 4722, Resolution to End Sexual Violence Against Girls (HR 723), HR 189 - US Leadership on Global Nutrition, 21st Century Cures 2.0, Dietary Guidelines, Rear seatbelt warning systems, Improving Rates of HPV Vaccine, Preventing Reductions in Military Medical Personnel, Payment for Vaccine Administration, Healthy Start Reauthorization, Title VII Health Care Workforce Reauthorization Act of 2019 (S. 2997), CAMRA Act (H.R. 1367/S. 558), Pregnancy Assistance Fund Reauthorization, Telehealth Access, Medicaid Access Rule, Medicaid Access Monitoring Reporting, Medicaid 12 Month Continuous Coverage, CHIP Eligibility Expansion, Maternal Health Quality Improvement Act of 2019 (HR 4995), MOMS Act of 2019 (HR 4996)

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

Government targets: Administration for Children & Families (ACF), Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Federal Aviation Administration (FAA), 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), Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, U.S. Agency for International Development (USAID), U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE)

Reauthorization of S. 427, H.R. 1058: Autism CARES Act of 2019; general funding for autism research, services, and treatment; provisions related to appropriations for Autism CARES Act, (Public Law 113-157), implementation of Kevin and Avontes Law, and the Congressionally Directed Medical Research Program autism program. HR 1865, Further Consolidated Appropriations Act, 2020; HR 1158, Consolidated Appropriations Act, 2020; HR 2704, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2020; S. 2474, HR 2968, Department of Defense Appropriations Act, 2020; S. 2584, HR 3055, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2020

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

Government targets: HOUSE OF REPRESENTATIVES, 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 Draft 21st Century Cures 2.0 legislation Recognizing the importance of vaccinations and immunizations in the United States (H. Res. 179) Palliative Care and Hospice Education and Training Act (H.R. 647/S. 2080) Title VIII Nursing Workforce Reauthorization Act of 2019 (H.R. 728/S. 1399) Emergency Medical Services for Children Program Reauthorization Act of 2019 (H.R. 776/S. 1173) End Surprise Billing Act of 2019 (H.R. 861) Fairness for Breastfeeding Mothers Act (H.R. 866/S. 528) Protecting Americans with Preexisting Conditions Act of 2019 (H.R. 986) Marketing and Outreach Restoration to Empower (MORE) Health Education Act of 2019 (H.R. 987) Autism CARES Act of 2019 (H.R. 1058) Educating Consumers on the Risks of Short-Term Plans Act of 2019 (H.R. 1143) Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 1309) Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act (H.R. 1897) Community Health Investment, Modernization, and Excellence Act of 2019 (H.R. 2328) Stronger Child Abuse Prevention and Treatment Act (H.R. 2480) Mainstreaming Addiction Treatment Act (H.R. 2482) Newborn Screening Saves Lives Reauthorization Act of 2019 (H.R. 2507) Pregnant Workers Fairness Act (H.R. 2694) Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019 (H.R. 2781) VACCINES Act of 2019 (H.R. 2862) Safe Cribs Act of 2019 (H.R. 3170) Safe Sleep for Babies Act of 2019 (H.R. 3172) Sustaining Excellence in Medicaid Act of 2019 (H.R. 3253) Pathways to Health Careers Act (H.R. 3398) Chronic Care Management Improvement Act (H.R. 3436) No Surprises Act (H.R. 3630) Midwives for Maximizing Optimal Maternity Services (Midwives for MOMS) Act of 2019 (H.R. 3849) Social Determinants Accelerator Act of 2019 (H.R. 4004) Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act of 2019 (H.R. 3328/H.R. 4100/S. 1712) Effective Suicide Screening and Assessment in the Emergency Department Act of 2019 (H.R. 4861) Medication Access and Training Expansion (MATE) Act (H.R. 4974) Maternal Health Quality Improvement Act of 2019 (H.R. 4995) Helping Medicaid Offer Maternity Services (MOMS) Act of 2019 (H.R. 4996) Community and Public Health Programs Extension Act (S. 192) National Nurse Act of 2019 (S. 696/H.R. 1597) Excellence in Mental Health and Addiction Treatment Expansion Act (S. 824/H.R. 1767) Nursing Where It's Needed Act (S. 1045) Promoting Physical Activity for Americans Act (S. 1608) Lower Health Care Costs Act (S. 1895) Child Care Improvement Act of 2019 (S. 2683) CAPTA Reauthorization Act of 2019 (S. 2971)

Client expense: Not reported · Firm income: $24,000

Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), 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), 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)

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) H.R. 728, S. 1399, Title VIII Nursing Workforce Reauthorization Act H.R.1058, S.427, Autism CARES Act of 2019 H.R. 3630, No Surprises Act S. 1895, Lower Health Care Costs Act H.R. 1058, S. 427, House Autism CARES Act H.R.2417 - HEADs UP Act H.R. 3, Lower Drug Costs Now Act S. 2543, Prescription Drug Pricing Reduction Act. H.R. 2328, Reauthorizing and Extending Americas Community Health (REACH) Act S. 2997, Title VII Reauthorization Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Autism CARES Act (HR 1058)

Client expense: $80,000 · Firm income: Not reported

Government targets: Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Economic Council (NEC), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

The Autism Cares Act of 2019 (S 427 / HR 1058) regarding funding for autism research, services, training and monitoring; The Empower Care Act (S 548 / HR 1342) regarding home and community based services to individuals with autism and their families.

Client expense: Not reported · Firm income: $7,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1865, Further Consolidated Appropriations Act, 2020, provisions related to autism funding at the Department of Health and Human Services, the Department of Defense, and other federal departments H.R. 1865, Further Consolidated Appropriations Act, 2020, provisions related to autism funding at the Department of Health and Human Services, the Department of Defense, and other federal departments Implementation of the RAISE Family Caregivers Act H.R. 1342/ S.548 EMPOWER Care Act of 2019 FY2021 LHHS Appropriations H.R. 4095 - Family Care Act of 2019 CHAMPVA coverage S.260/h.r.873 - Transformation to Competitive Employment Act H.R. 1865, Further Consolidated Appropriations Act, 2020, provisions related to autism funding at the Department of Health and Human Services, the Department of Defense, and other federal departments legislative proposals related to autism services Implementation of the Individuals with Disabilities Education Act (P.L. 89-10) Implementation of the Rehabilitation Act of 1973 (P.L. 93-112) Implementation of the Workforce Innovation and Opportunity Act (P.L. 113-128) Implementation of the National Apprenticeship Act (P.L. 89-554) Implementation of H.R. 1058/S. 427 - Autism CARES Act Implementation of 1905(r) of the Social Security Act, related to provisions of early and periodic screening, diagnostic, and treatment services. Implementation of Kevin and Avonte's Law of 2018 (H.R. 1625, Consolidated Appropriations Act, 2018, Division Q), all provisions A bill not yet introduced to improve inter-agency collaboration, based on the Promoting Readiness of Minors in SSI program A bill not yet introduced related to apprenticeships for individuals with disabilities A bill not yet introduced to amend the Higher Education Act (P.L. 89-329) A bill not yet introduced to prohibit and prevent the use of seclusion and reduce of the use of physical restraint in schools, and for other purposes; A bill not yet introduced to improve direct services for individuals with autism and their families A bill not yet introduced to improve professional development opportunities for educators A bill not yet introduced to create Patient-Centered Health Reform A bill not yet introduced to improve direct services for individuals with autism and their families Future HCBS Infrastructure Improvement Act of 2020 Future Inclusive Faith funding Future Autism Services Legislation Proposed Rule-making - CMS 2393 Medicaid Program; Medicaid Fiscal Accountability Regulation, all provisions.

Client expense: $82,892 · 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), Labor, Dept of (DOL), SENATE, Veterans Affairs, Dept of (VA)

Autism research programs and autism intervention programs generally Department of Education special education programs regarding autism Department of Health and Human Services programs regarding autism and sickle cell disease research H.R. 1058 and S. 427 (Autism CARES Act of 2019), all provisions H.R. 2740 (Labor, Health and Human Services, Education, Defense, State, Foreign Operations, and Energy and Water Development Appropriations Act, 2020), Division A, Title II, regarding National Institutes of Health funding, Children's Hospital Graduate Medical Education program, sickle cell disease research, and other programs related to pediatric health care H.R. 4378 (Continuing Appropriations Act, 2020, and Health Extenders Act of 2019), Division A, regarding HHS appropriations

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid program reforms, including possible regulations involving hospital outpatient departments Implementation of health care reform Section 340B Drug Pricing program Healthcare disparities issues generally Drug pricing reforms generally, including H.R. 3 (Lower Drug Costs Now Act of 2019), all provisions Poison Control Center funding programs generally Implementation of Public Law 115-91 (National Defense Authorization Act for Fiscal Year 2018), Section 708, regarding TRICARE policies for patient referrals involving pregnant women H.R. 501 (Poison Center Network Enhancement Act of 2019), all provisions Department of Defense policy on child abuse reporting Reauthorization of Patient-Centered Outcomes Research Institute S. 1895 (Lower Health Care Costs Act), Title I, regarding hospital billing practices H.R. 1058 and S. 427 (Autism CARES Act of 2019), all provisions H.R. 2328 (REACH Act), Title IV, regarding hospital billing practices S. 2067 (Affordable Health Care for Children with Disabilities Act), all provisions Implementation of electronic health records regulations generally S. 2259 (Family Violence Prevention and Services Improvement Act of 2019), all provisions Department of Homeland Security "public charge" rule related to access to Medicaid benefits Telemedicine policy generally

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

Government targets: HOUSE OF REPRESENTATIVES, 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 Recognizing the importance of vaccinations and immunizations in the United States (H. Res. 179) Title VIII Nursing Workforce Reauthorization Act of 2019 (H.R. 728/S. 1399) Emergency Medical Services for Children Program Reauthorization Act of 2019 (H.R. 776/S. 1173) End Surprise Billing Act of 2019 (H.R. 861) Fairness for Breastfeeding Mothers Act (H.R. 866/S. 528) Protecting Americans with Preexisting Conditions Act of 2019 (H.R. 986) Marketing and Outreach Restoration to Empower (MORE) Health Education Act of 2019 (H.R. 987) To provide that the rule entitled Short-Term, Limited Duration Insurance shall have no force or effect (H.R. 1010) Autism CARES Act of 2019 (H.R. 1058) Educating Consumers on the Risks of Short-Term Plans Act of 2019 (H.R. 1143) Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 1309) Personal Health Investment Today (PHIT) Act of 2019 (H.R. 1679/S. 680) Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act (H.R. 1897) Community Health Investment, Modernization, and Excellence Act of 2019 (H.R. 2328) Stronger Child Abuse Prevention and Treatment Act (H.R. 2480) Mainstreaming Addiction Treatment Act (H.R. 2482) Newborn Screening Saves Lives Reauthorization Act of 2019 (H.R. 2507) Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019 (H.R. 2781) VACCINES Act of 2019 (H.R. 2862) To extend the program of block grants to States for temporary assistance for needy families and related programs through September 30, 2019 (H.R. 2940) Safe Cribs Act of 2019 (H.R. 3170) Safe Sleep for Babies Act of 2019 (H.R. 3172) Sustaining Excellence in Medicaid Act of 2019 (H.R. 3253) Pathways to Health Careers Act (H.R. 3398) Chronic Care Management Improvement Act (H.R. 3436) No Surprises Act (H.R. 3630) Midwives for Maximizing Optimal Maternity Services (Midwives for MOMS) Act of 2019 (H.R. 3849) Social Determinants Accelerator Act of 2019 (H.R. 4004) A resolution recognizing the importance of vaccinations and immunizations in the United States (S. Res. 165) Community and Public Health Programs Extension Act (S. 192) National Nurse Act of 2019 (S. 696/H.R. 1597) Excellence in Mental Health and Addiction Treatment Expansion Act (S. 824/H.R. 1767) Nursing Where It's Needed Act (S. 1045) Lower Health Care Costs Act (S. 1895)

Client expense: Not reported · Firm income: $24,000

Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), 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), 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)

Reauthorization of S. 427, H.R. 1058: Autism CARES Act of 2019; general funding for autism research, services, and treatment; provisions related to appropriations for Autism CARES Act, (Public Law 113-157), implementation of Kevin and Avontes Law, and the Congressionally Directed Medical Research Program autism program. HR 2704, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2020; S. 2474, HR 2968, Department of Defense Appropriations Act, 2020; S. 2584, HR 3055, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2020

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1058/S.427, the Autism CARES Act of 2019, support for passage. S.1895, the Lower Health Care Cost Act, issues related to surprise billing, air ambulance, provider-payor contracting, among others. H.R.3630, the No Surprises Act, provisions related to surprise billing. Issues related to UNOS organ donation and allocation policies. Issues related to Organ Procurement Organization performance metrics. Issues related to EHR and medical device interoperability. Issues in the CY2020 Home Health Prospective Payment Proposed Rule. Issues related to the proposed Radiation Oncology Model. Issues related to the CY2020 OPPS and PFS Proposed Rules. Support for the Executive Order on Kidney Health. Support for the KidneyX Initiative. Support for implementation of the National Academies National Cancer Control Plan. Reform of 42 CFR Part 2.

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

Autism CARES Act (HR 1058)

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

Government targets: Federal Energy Regulatory Commission (FERC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Economic Council (NEC), Office of Science & Technology Policy (OSTP), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Medicaid Block Grants, Tobacco to 21 Act (HR 2411/S 1258), Tobacco-Free Youth Act (S 1541), Reversing the Youth Tobacco Epidemic Act (HR 2339), SAFE Kids Act (S 655), Fetal Tissue Research, EMPOWER for Health Act (HR 2781), , HR 2211/S 1902 (STURDY ACT), HR 3172/S 1767 (Safe Sleep Act), HR 3170/S 1816 (Safe Cribs Act), Safe Sleep, Crib Bumpers, Inclined Sleepers, Child Nicotine Poisoning Prevention Act Implementation, HR 8/S 42 Firearm Background Checks, HR 2480 Stronger CAPTA Act, S 1009/HR 2076 Sentinel Injuries, Labor HHS Appropriations - CAPTA and Firearm Research, Climate Change, S 107 IV-E Waiver Legislation, HR 2702/S 1376 Family First Transition and Support Act, HR 1185/S 463 Family and Medical Insurance Leave Act, IHS Advance Appropriations (HR 1128), Lead Poisoning Prevention, Cosmetics Reform, Clean Power Plan and Affordable Clean Energy Rule, Mercury and Air Toxics Standard Adoption and Foster Care Analyses and Reporting System, Gun Violence Prevention Research, Consumer Product Safety, Remote Act, Standards for Individuals in CBP Custody, Standards in ICE Family Detention, Standards in ORR Facilities, Therapeutic Fraud Prevention Act, Child Nutrition Reauthorization, Funding for Mental Health Access Grants, Funding for HRSA Maternal Depression Grants, OTC Drug Reform, Requirements for Airplane EMKs, Research for Pregnant and Lactating Women, Medical Nutrition Equity Act, American Dream & Promise Act, WIC Act, WIC, Funding for Public Health Preparedness, , Family Separation, Family Detention, Breast Feeding Peer Counseling Program, , Fair Day in Court for Kids Act, Keep Families Together Act, Menu Labeling, Nutrition Facts Label, CARE for Families Act (HR 3117), Equality Act (HR 5), , Autism Cares Act (HR 1058/ S 427), Newborn Screening (HR 2507),National Defense Authorization Act, Vaccines (HR 2862), Emergency Medical Services for Children Reauthorization Act (HR 776), , Section 1332 Waivers,1115 Waivers Work Requirements, Medicaid/CHIP Enrollment, HR 1236/S 506, HR 3959/S 2278, HR 3593/S 1601, Every Child Deserves a Family Act, Foster Care/Adoption Discrimination, Family First Transition and Support Act, Paid Family Leave, TSCA Implementation, Perchlorate in Drinking Water, Opioid Packaging, PFAS, Medicaid Administrative Burden, Multi-component Immunization Administration, Medicaid Intersection with Third-Party Liability, Medicaid Per Capita Caps, Public Charge, Medicaid Funding for Puerto Rico, Global Health Bureau Transformation, Early Childhood Development, Global Health Security Act (HR 2166), FY 2020 Appropriations, Health Information Technology, HR 2500/S1215, Palliative Care and Hospice Education and Training Act (S. 2080), Medical Deferred Action, Access to Healthy Food for Young Children Act of 2019 (S. 2501), H.R. 3246, Traveling Parents Screening Consistency Act of 2019, Friendly Airports for Mothers Expansion (FAME) Act, Healthy Meals for Opioid-Affected Kids and Kids Raised by Grandfamilies, Preventing Online Sales of E-Cigarettes to Children Act (H.R. 3942/S. 1253), E-Cigarette Tax Parity Act (S. 2463), Investment in Tomorrow's Pediatric Health Care Workforce Act (S. 2443), Adolescent SBIRT Appropriations, CAMRA Act (H.R. 1367/S. 558)

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

Government targets: Administration for Children & Families (ACF), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Federal Aviation Administration (FAA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, U.S. Agency for International Development (USAID), U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE)

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) H.R. 728, S. 1399, Title VIII Nursing Workforce Reauthorization Act H.R.1058, S.427, Autism CARES Act of 2019 H.R. 3630, No Surprises Act S. 1895, Lower Health Care Costs Act H.R. 1058, S. 427, House Autism CARES Act H.R.2417 - HEADs UP Act H.R. 3, Lower Drug Costs Now Act S. 2543, Prescription Drug Pricing Reduction Act. H.R. 2328, Reauthorizing and Extending Americas Community Health (REACH) Act

Client expense: $80,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Autism Research programs and Autism Intervention Programs generally Department of Education Special education programs regarding Autism Department of Health and Human Services Programs regarding Autism and Sickle Cell Disease Research H.R. 1058 and S.427 (Autism CARES Act of 2019), all provisions H.R. 2740 (Labor, Health and Human Services, Education, Defense, State, Foreign Operations, and Energy and Water Development Appropriations Act, 2020), Division A, Title II, Regarding National Institutes of Health funding, Children's Hospital Graduate Medical Education program, Sickle Cell disease research, and other programs related to pediatric healthcare H.R. 4378 (Continuing Appropriations Act, 2020, and Health Extenders Act of 2019), Division A, regarding HHS appropriations

Client expense: $150,200 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.582, the Raise the Wage Act, related to providing for increases in the Federal minimum wage, and for other purposes, all provisions. H.R.873 / S.260, the Transformation to Competitive Employment Act, related to assisting employers providing employment under special certificates issued under section 14(c) of the Fair Labor Standards Act of 1938 to transform their business and program models, to support individuals with disabilities to transition to competitive integrated employment, to phase out the use of such special certificates, and for other purposes, all provisions. H.R.1058 / S.427, the Autism Collaboration, Accountability, Research, Education, and Support (Autism CARES) Act, related to amending the Public Health Service Act to enhance activities of the National Institutes of Health with respect to research on autism spectrum disorder and enhance programs relating to autism, and for other purposes, all provisions. H.R.3070 - CAPABILITY Act. Sec. 1557 NPRM / https://www.regulations.gov/document?D=HHS-OCR-2019-0007-0001. S.1835 - 21st Century Assistive Tech Act. S.1836 - AFSFA Act. S.1755 / H.R..3208 - Real Emergency Access for Aging and Disability Inclusion for Disasters Act. H.R.3070 - CAPABILITY Act . Sec. 1557 NPRM / https://www.regulations.gov/document?D=HHS-OCR-2019-0007-0001. S.1835 - 21st Century Assistive Tech Act. S.1836 - AFSFA Act. H.R. 2740 / H.R. 3055, related to appropriations. H.R. 1342 EMPOWER Care Act of 2019 / H.R. 3253 Sustaining Excellence in Medicaid Act of 2019. Fiscal 2021 LHHS Appropriations. H.R. 1342 EMPOWER Care Act of 2019 / H.R. 3253 Sustaining Excellence in Medicaid Act of 2019 . H.R. 4378, Continuing Appropriations Act, and Health Extenders Act of 2019. H.R. 4095 - Family Care Act of 2019. A bill not yet introduced related to apprenticeships for individuals with disabilities. A bill not yet introduced to amend the Higher Education Act (P.L. 89-329); A bill not yet introduced to amend the Individuals with Disabilities Education Act (P.L. 89-10). A bill not yet introduced to reauthorize the Education Sciences Reform Act (P.L. 107-279); A bill not yet introduced related to future Inclusive Faith funding. A bill not yet introduced related to future research funding. A bill not yet introduced related to Patient-Centered Health Reform. A bill not yet introduced related to the improvement of Autism Services. A bill not yet introduced related to HCBS Infrastructure Improvement Act of 2019. A regulatory action not yet released related to employment of individuals with disabilities. A bill not yet introduced related to the ABLE Act. Implementation of the Individuals with Disabilities Education Act (P.L. 89-10). Implementation of the National Apprenticeship Act (P.L. 89-554). Implementation of the Rehabilitation Act of 1973 (P.L. 93-112). Implementation of the Autism CARES Act of 2014 (P.L. 113-157). Implementation of Kevin and Avonte's Law.

Client expense: $105,406 · Firm income: Not reported

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

The Autism Cares Act of 2019 (S 427 / HR 1058) regarding funding for autism research, services, training and monitoring; The Empower Care Act (S 548 / HR 1342) regarding home and community based services to individuals with autism and their families.

Client expense: Not reported · Firm income: $7,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1895: Lower Health Care Costs Act H.R. 1058, S. 427: Autism CARES Act of 2019 S.523, H.R. 1243: Climate Change and Health Promotion Act S. 785: Commander John Scott Hannon Veterans Mental Health Care Improvement Act S. 1737, H.R. 3165: Mental Health Parity Compliance Act H.R. 2848: Parity Enforcement Act S 1576, H.R. 2874: Behavioral Health Coverage Transparency Act Older Americans Act - no bill number yet for House or Senate S. 1906: Improve Well-Being for Veterans Act H.R. 3495: Improve Well-Being for Veterans Act H.R. 4309: Barriers to Suicide Act of 2019 H.R. 1884: Protecting Pre-Existing Conditions and Making Health Care More Affordable Act of 2019

Client expense: $300,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institute on Alcohol Abuse & Alcoholism (NIAA), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Natl Security Agency (NSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Medicaid program reforms, including possible regulations involving hospital outpatient departments Implementation of health care reform Section 340B Drug Pricing program Healthcare disparities issues generally Drug pricing reforms generally, including H.R. 3 (Lower Drug Costs Now Act of 2019), all provisions Poison Control Center funding programs generally Implementation of Public Law 115-91 (National Defense Authorization Act for Fiscal Year 2018), Section 708, regarding TRICARE policies for patient referrals involving pregnant women H.R. 501 (Poison Center Network Enhancement Act of 2019), all provisions Department of Defense policy on child abuse reporting Reauthorization of Patient-Centered Outcomes Research Institute S. 1895 (Lower Health Care Costs Act), Title I, regarding hospital billing practices H.R. 1058 and S. 427 (Autism CARES Act of 2019), all provisions H.R. 2328 (REACH Act), Title IV, regarding hospital billing practices S. 2067 (Affordable Health Care for Children with Disabilities Act), all provisions Implementation of electronic health records regulations generally S. 2259 (Family Violence Prevention and Services Improvement Act of 2019), all provisions Department of Homeland Security "public charge" rule related to access to Medicaid benefits Telemedicine policy generally Surprise medical billing policy generally

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Expressed support for reauthorization of the Patient-Centered Outcomes Trust Fund and the Patient-Centered Outcomes Research Institute Expressed support for preventing cuts to the Medicaid Disproportionate Share Hospital (DSH) program Expressed support for reauthorization of the NIH Special Diabetes Fund Expressed support for the ECHO Act of 2019 (S 1618) Discussed proposals to prevent surprise medical billing Discussed the Lower Health Care Costs Act (S. 1895) Expressed support of the Autism CARES Act (S 427, HR 1058) Discussed reimbursements for CAR-T cell therapy Requested letters of support for CDC NIOSH grant Discussed the availability of marijuana for public health research

Client expense: $135,659 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, 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 Recognizing the importance of vaccinations and immunizations in the United States (H. Res. 179) Condemning the Trump Administrations Legal Campaign to Take Away Americans Health Care (H. Res. 271) Pandemic and All-Hazards Preparedness & Advancing Innovation (PAHPAI) Act (H.R. 269/S. 1379) Title VIII Nursing Workforce Reauthorization Act of 2019 (H.R. 728/S. 1399) Emergency Medical Services for Children Program Reauthorization Act of 2019 (H.R. 776/S. 1173) End Surprise Billing Act of 2019 (H.R. 861) Fairness for Breastfeeding Mothers Act (H.R. 866/S. 528) Protecting Americans with Preexisting Conditions Act of 2019 (H.R. 986) Marketing and Outreach Restoration to Empower (MORE) Health Education Act of 2019 (H.R. 987) To provide that the rule entitled Short-Term, Limited Duration Insurance shall have no force or effect (H.R. 1010) Autism CARES Act of 2019 (H.R. 1058) Educating Consumers on the Risks of Short-Term Plans Act of 2019 (H.R. 1143) Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 1309) Personal Health Investment Today (PHIT) Act of 2019 (H.R. 1679/S. 680) Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act (H.R. 1897) Stronger Child Abuse Prevention and Treatment Act (H.R. 2480) Newborn Screening Saves Lives Reauthorization Act of 2019 (H.R. 2507) Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019 (H.R. 2781) VACCINES Act of 2019 (H.R. 2862) To extend the program of block grants to States for temporary assistance for needy families and related programs through September 30, 2019 (H.R. 2940) A resolution recognizing the importance of vaccinations and immunizations in the United States (S. Res. 165) Community and Public Health Programs Extension Act (S. 192) National Nurse Act of 2019 (S. 696/H.R. 1597) Excellence in Mental Health and Addiction Treatment Expansion Act (S. 824/H.R. 1767) Nursing Where It's Needed Act (S. 1045) Lower Health Care Costs Act (S. 1895)

Client expense: Not reported · Firm income: $24,000

Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), 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), 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)

S. 73: End Taxpayer Subsidies for Drug Ads Act; all provisions. S. 348/H.R. 1763: Support the Resident Physician Shortage Reduction Act of 2019; all provisions. S. 427 / H.R. 1058: Autism CARES Act of 2019; all provisions. S. 948/ H.R. 2895: Conrad State 30 and Physician Access Reauthorization Act; all provisions. S. 1384: Prescription Drug Rebate Reform Act of 2019; all provisions. S. 1391 / H.R. 2296: FAIR Accountability and Innovative Research Drug Pricing Act; all provisions. S. 3032: Cannabidiol and Marijuana Research Expansion Act; all provisions. H.R. 1155: Preventing Unkind and Painful Procedures and Experiments on Respected Species Act of 2019; all provisions. H.R. 2113: Prescription Drug STAR Act: Sections 2 and 5 H.R. 2279: Safe Step Act; all provisions. H.R. 3030: Patient-Centered Outcomes Research Extension Act of 2019; all provisions. H.R. 3439: Protecting Access to Information for Effective and Necessary Treatment (PATIENTS) Act of 2019; all provisions. Supporting policies to address prescription drug costs, including improving drug pricing transparency and eliminating or reducing direct-to-consumer advertising. Funding for the National Neurological Conditions Surveillance System and opposing certain expansions to this program. Research into firearm morbidity and mortality prevention at CDC, fetal tissue research, and the NIH including the BRAIN Initiative. Funding for Congressionally Directed Medical Research Programs at the DoD. Raising budget caps to avoid sequestration. Policy to address surprise medical billing. Promoting interoperability in electronic health records.

Client expense: $250,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

H.R.1058/S.427, the Autism CARES Act of 2019, support for passage. S.1895, the Lower Health Care Cost Act, issues related to surprise billing, air ambulance, provider-payor contracting, among others. S.1531, the STOP Surprise Medical Bills Act, provisions related to surprise billing. H.R.3630, the No Surprises Act, provisions related to surprise billing. H.R.2740, the FY20 House Labor-HHS-Ed appropriations bill, report language on liver allocation. H.R. xxx, the VALID Act, related to the regulation of in vitro diagnostics. General issues on expanding telemedicine services. General issues related to coverage and use of diagnostic tests, including laboratory developed tests. Issues related to UNOS organ donation and allocation policies. Issues related to Organ Procurement Organization performance metrics. Issues related to the reauthorization of PCORI Vacancies on the National Committee on Vital and Health Statistics. Issues related to the CMS and ONC interoperability rules.

Client expense: $80,000 · Firm income: Not reported

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

Medicaid Block Grants, Medicaid DSH, Territory Medicaid Funding, Surprise Billing, Health Insurance Across State Lines, Medicaid Payment Equity, Poverty Measure Change, HR 1425 State Health Care Premium Reduction Act, HR 1868, HR 1425, Protecting Pre-Existing Conditions Act 2019, Tobacco to 21 Act (HR 2411/S 1258), Tobacco-Free Youth Act (S 1541), Reversing the Youth Tobacco Epidemic Act (HR 2339), SAFE Kids Act (S 655), Lower Health Care Costs Act, Secs 414/415 (S. 1895), The X Family Planning Program Appropriations, Agency for Healthcare Research and Quality Appropriations , NIH Environmental Influences on Child Health Outcomes Appropriations, Childrens Hospital Graduate Medical Education Appropriations, Teen Pregnancy Prevention Program Appropriations, CDC School-Based HIV Prevention Appropriations, Elimination of Sexual Risk Avoidance Funding, Census Bureau Appropriations, Personal Responsibility Education Program Appropriations, Patient-Centered Outcomes Research Institute Reauthorization, Fetal Tissue Research, Cannabidiol and Marijuana Research Expansion Act (S. 2032), FDA Regulation of Novel Heat-Not-Burn Tobacco Products, FDA Authorization of Modified Risk Tobacco Applications for Certain Smokeless Tobacco Products, Telehealth and Subspecialty Pediatrics Care, Childrens Online Privacy Protection Act Update, EMPOWER for Health Act (HR 2781), Pediatric Subspecialty Loan Repayment Program Reauthorization, HR 2211/S 1902 (STURDY ACT), HR 3712/S 1767 (Safe Sleep Act), HR 3170/S 1816 (Safe Cribs Act), Safe Sleep, Crib Bumpers, Inclined Sleepers, Child Nicotine Poisoning Prevention Act Implementation, HR 8/S 42 Firearm Background Checks, HR 2480 Stronger CAPTA Act, S 1009/HR 2076 Sentinel Injuries, Labor HHS Appropriations - CAPTA and Firearm Research, HR Climate Action Now Act, S 107 IV-E Waiver Legislation, HR 2702/S 1376 Family First Transition and Support Act, HR 1185/S 463 Family and Medical Insurance Leave Act, IHS Advance Appropriations (HR 1128), Sunscreen Innovation Act Implementation, Lead Poisoning Prevention, Cosmetics Reform, Clean Power Plan and Affordable Clean Energy Rule, Mercury and Air Toxics Standard, CCDBG Policy and Funding, Adoption and Foster Care Analyses and Reporting System, Gun Violence Prevention Research, Consumer Product Safety, Scarletts Sunshine Act (HR 2271/S 1130), Mercury Air Toxics Standards, Cosmetics Safety, Sunscreen Safety, HR 9/ S 1843, Food Safety, HR 2967/ S 1660, Adverse Childhood Experiences, Remote Act, Standards for Individuals in CBP Custody, Standards in ICE Family Detention, Standards in ORR Facilities, Therapeutic Fraud Prevention Act, Child Nutrition Reauthorization, Funding for Pediatric Device Consortia, Funding for Mental Health Access Grants, Funding for HRSA Maternal Depression Grants, OTC Drug Reform, Requirements for Airplane EMKs, Research for Pregnant and Lactating Women, HR 269/ S 1379 PAHPAI, Medical Nutrition Equity Act, American Dream & Promise Act, WIC Act, WIC, School Meals, Summer Feeding, Dietary Guidelines, Funding for Public Health Preparedness, National Advisory Committee of Children and Disasters, Family Separation, Family Detention, Breast Feeding Peer Counseling Program, Public Charge, Enforcement at Sensitive Locations, Medical Screening at the Border, Fair Day in Court for Kids Act, Keep Families Together Act, Menu Labeling, Nutrition Facts Label, Humanitarian Standards for Individuals in Customs and Border Protection Act (HR 3239), CARE for Families Act (HR 3117), Equality Act (HR 5), Family First Prevention Services Act, Autism Cares Act (HR 1058/ S 427), Newborn Screening (HR 2507),National Defense Authorization Act, Vaccines (HR 2862), Emergency Medical Services for Children Reauthorization Act (HR 776), FY20 Labor, HHS, Education Appropriations, Section 1332 Waivers,1115 Waivers Work Requirements, Medicaid/CHIP Enrollment, ACE Kids Act (HR 1226/S 317), Short-Term Plans, Associations Health Plans, Vaccine Administration/Payments,Stabilize Medicaid and CHIP Coverage Act,

Client expense: $340,000 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Federal Aviation Administration (FAA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE)

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) H.R. 728, S. 1399, Title VIII Nursing Workforce Reauthorization Act H.R.1058, S.427, Autism CARES Act of 2019 H.R. 3630, No Surprises Act S. 1895, Lower Health Care Costs Act H.R. 1058, S. 427, House Autism CARES Act H.R.2417 - HEADs UP Act

Client expense: $80,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Reauthorization of S. 427, H.R. 1058: Autism CARES Act of 2019; general funding for autism research, services, and treatment; provisions related to appropriations for Autism CARES Act, (Public Law 113-157), implementation of Kevin and Avontes Law, and the Congressionally Directed Medical Research Program autism program. HR 2704, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2020; HR 20968, Department of Defense Appropriations Act, 2020; HR 3055, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2020

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of Health care reform generally pertaining to pediatric healthcare and autism services Medicaid program reforms, including hospital outpatient department regulations Section 340B Drug Pricing Program Sickle Cell disease research funding generally drug pricing reforms generally department of Justice Implementation of grant program for missing individuals with autism and Developmental disabilities Organ transplant policy generally, including liver transplant distribution methodology Reauthorization of Child Abuse Prevention And Treatment Act (CAPTA) Programs H.R. 2076 and S. 1009 (Early Detection to Stop Infant Abuse and Prevent Fatalities Act), all provisions S. 1895 (Lower Health Care Costs Act) and House draft No Surprises Act, regarding hospital billing practices H.R.1618 (Nicholas and Zachary Burt Carbon Monoxide Poisoning Prevention Act), all provisions S.427 and H.R.1058 (Autism CARES Act), all provisions

Client expense: $138,891 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Autism Research programs and Autism Intervention Programs generally Department of Education Special education programs regarding Autism Department of Health and Human Services Programs regarding Autism and Sickle Cell Disease Research H.R. 1058 and S.427 (Autism CARES Act of 2019), all provisions H.R. 2740 (Labor, Health and Human Services, Education, Defense, State, Foreign Operations, and Energy and Water Development Appropriations Act, 2020), Division A, Title II, Regarding National Institutes of Health funding, Children's Hospital Graduate Medical Education program, Sickle Cell disease research, and other programs related to pediatric healthcare

Client expense: $138,891 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.582, the Raise the Wage Act, related to providing for increases in the Federal minimum wage, and for other purposes, all provisions; H.R.873 / S.260, the Transformation to Competitive Employment Act, related to assisting employers providing employment under special certificates issued under section 14(c) of the Fair Labor Standards Act of 1938 to transform their business and program models, to support individuals with disabilities to transition to competitive integrated employment, to phase out the use of such special certificates, and for other purposes, all provisions; H.R.1058 / S.427, the Autism Collaboration, Accountability, Research, Education, and Support (Autism CARES) Act, related to amending the Public Health Service Act to enhance activities of the National Institutes of Health with respect to research on autism spectrum disorder and enhance programs relating to autism, and for other purposes, all provisions; and H.R. 2740 / H.R. 3055, related to appropriations. A bill not yet introduced to amend portions of the Individuals with Disabilities Education Act (P.L. 89-10); A bill not yet introduced to amend the Higher Education Act (P.L. 89-329); A bill not yet introduced to reauthorize the Education Sciences Reform Act (P.L. 107-279); A bill not yet introduced to amend the Medicaid Extenders Act of 2019 (P.L. 116-3); A bill not yet introduced to improve Medicaid infrastructure related to home and community-based services; and A bill not yet introduced to improve autism services. Implementation of the Individuals with Disabilities Education Act (P.L. 89-10); Implementation of the National Apprenticeship Act (P.L. 89-554); Implementation of the Rehabilitation Act of 1973 (P.L. 93-112); Implementation of the Workforce Innovation and Opportunity Act (P.L. 113-128); Implementation of the Elementary and Secondary Education Act (P.L. 114-95); and Implementation of the Autism CARES Act of 2014 (P.L. 113-157).

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

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

Autism research programs and autism intervention programs generally Department of Education special education programs regarding autism Department of Health and Human Services programs regarding autism and sickle cell disease research H.R. 1058 and S. 427 (Autism CARES Act of 2019), all provisions H.R. 2740 (Labor, Health and Human Services, Education, Defense, State, Foreign Operations, and Energy and Water Development Appropriations Act, 2020), Division A, Title II, regarding National Institutes of Health funding, Children's Hospital Graduate Medical Education program, sickle cell disease research, and other programs related to pediatric health care

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

Medicaid program reforms, including possible regulations involving hospital outpatient departments Implementation of health care reform Section 340B Drug Pricing program Healthcare disparities issues generally Drug pricing reforms generally Poison Control Center funding programs generally Implementation of Public Law 115-91 (National Defense Authorization Act for Fiscal Year 2018), Section 708, regarding TRICARE policies for patient referrals involving pregnant women H.R. 501 (Poison Center Network Enhancement Act of 2019), all provisions Department of Defense policy on child abuse reporting Reauthorization of Patient-Centered Outcomes Research Institute H.R. 2076 and S. 1009 (Early Detection to Stop Infant Abuse and Prevent Fatalities Act), all provisions S. 1895 (Lower Health Care Costs Act), Title I, regarding hospital billing practices H.R. 1058 and S. 427 (Autism CARES Act of 2019), all provisions

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

Issues related to Autism. Higher Education Reauthorization Act. Kevin and Avonte's Law. Perkin's Act Reauthorization. Child Abuse Reform and Enforcement (CARE) Act Reauthorization. World Autism Day recognition at the White House. Reauthorization of H.R.1058: Autism CARES Act of 2019.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

I lobbied the WV delegation offices for their possible co-sponsorship of the Expanding Capacity for Health Outcomes Act of 2019, which seeks to increase access to health care services in rural areas by expanding the use of technology based collaborative learning and capacity building models. The Senate bill is S. 1618. A House companion bill has yet to be introduced. I also lobbied the WV delegation for their potential co-sponsorship of S.427/H.R. 1058, the Autism Collaboration Accountability, Research, Education, and Support (CARES) Act which supports a number of programs that the WVU Center of Excellence for Disabilities administers for the State of WV.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid program reforms, including possible regulations involving hospital outpatient departments Implementation of health care reform Section 340B Drug Pricing program Healthcare disparities issues generally Drug pricing reforms generally Telemedicine and telehealth programs generally Poison Control Center funding programs generally Implementation of Public Law 115-91 (National Defense Authorization Act for Fiscal Year 2018), Section 708, regarding TRICARE policies for patient referrals involving pregnant women H.R. 501 (Poison Center Network Enhancement Act of 2019), all provisions Department of Defense policy on child abuse reporting Reauthorization of Patient-Centered Outcomes Research Institute H.R. 2076 and S. 1009 (Early Detection to Stop Infant Abuse and Prevent Fatalities Act), all provisions S. 1895 (Lower Health Care Costs Act), Title I, regarding hospital billing practices H.R. 1058 and S. 427 (Autism CARES Act of 2019), all provisions

Client expense: $240,000 · Firm income: Not reported

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

Lifespan Respite Care Act (PL 109-442); Older Americans Act Amendments of 2006 (PL 109-365); The Patient Protection and Affordable Care Act (PL 111-148); Medicaid Extenders Act of 2019 (PL 116-3); HR 1839: Medicaid Services Investment and Accountability Act of 2019; HR 1342/S 548: EMPOWER (Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources) Care Act; and H Res 100/S Res 85: Recognizing the 100th anniversary of Easterseals, a leading advocate and service provider for children and adults with disabilities, veterans, older adults, caregivers, and their families; HR 1058: Autism CARES (Autism Collaboration, Accountability, Research, Education, and Support) Act; HR 2035: Lifespan Respite Care Reauthorization; HR 3253: Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019; and S 1160/HR 2503: Supporting Family Mental Health in CAPTA Act.

Client expense: $56,582 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Social Security Administration (SSA), Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

Patient Protection and Affordable Care Act (PL 111-148); RAISE (Recognize, Assist, Include, Support, and Engage) Family Caregivers Act of 2017 (PL 115-119); HR 1058/S 427: Autism CARES (Collaboration, Accountability, Research, Education, and Support) Act of 2019; Children's Health Insurance Program (CHIP); and Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program.

Client expense: $56,582 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Social Security Administration (SSA), Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

The Autism Cares Act of 2019 (S 427 / HR 1058) regarding funding for autism research, services, training and monitoring; The Empower Care Act (S 548 / HR 1342) regarding home and community based services to individuals with autism and their families.

Client expense: Not reported · Firm income: $7,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1058, S. 427: Autism CARES Act of 2019 S.523, H.R. 1243: Climate Change and Health Promotion Act H.R. 1226, S. 317: Advancing Care for Exceptional Kids Act S. 785: Commander John Scott Hannon Veterans Mental Health Care Improvement Act

Client expense: $280,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Natl Security Agency (NSA), SENATE, U.S. Commission on Civil Rights