Mental Health Services for Students Act of 2020

S. 3799/H.R. 4701, HEAL for Immigrant Women and Families Act of 2019; in support of health care services including sexual, reproductive, and material health care for immigrant women; S. 916/H.R. 1897, Mothers and Offspring Mortality and Morbidity Awareness Act, in support of preventing maternal mortality and improving maternal health; S. 116, Modernizing Obstetric Medicine Standards Act, in support of improving maternal safety and health outcomes; S. 368/H.R. 1055, Global Health, Empowerment, and Rights (HER) Act, in opposition to the global gag rule; H.R. 1551, Quality Care for Moms and Babies Act, in support of improving maternal and infant health outcomes; S. 3424/H.R. 6142, Black Maternal Health Momnibus Act of 2020, in support of maternal health and closing disparities in maternal health outcomes for women of color; H.R. 6165, Data to Save Moms Act of 2020, in support of increased data collection to improve maternal mortality and severe maternal morbidity for women of color; H.R. 6137, IMPACT to Save Moms Act of 2020, in support of increasing access to perinatal care and improving black maternal health; H.R. 6144, Kira Johnson Act, in support of investments to prevent maternal mortality and severe maternal morbidity for black women; H.R. 6141, Protecting Moms Who Served Act, in support of improving maternity care coordination for women veterans; H.R. 6132, Social Determinants for Moms Act of 2020, in support of addressing social determinants of health for women in prenatal and postpartum periods; H.R. 6138, Tech to Save Moms Act, in support of investments in technology to improve health outcomes for underserved populations; H.R. 6143, Moms MATTER Act of 2020, in support of improving maternal and behavioral health outcomes for women of color; H.R. 6129, Justice for Incarcerated Moms Act, in support of increasing care and protection to incarcerated mothers; H.R. 1109, Mental Health Services for Students Act of 2020, in support of increasing access to comprehensive school-based mental health programs; S. Res. 655, A resolution declaring racism a public health crisis, in support of declaring racism a public health crisis; H.R. 6637, Health Equity and Accountability Act of 2020, in support of improving health care for minority individuals; In support of comprehensive healthcare for all, including immigrants, particularly during the coronavirus pandemic; In support of quality, affordable, and accessible reproductive health care, particularly during the coronavirus pandemic.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Small Business Administration (SBA), White House Office

Preserve Medicaid funding and Medicaid disproportionate share hospital payments. Support increased FY 2020 appropriations for Centers for Disease Control sexually transmitted disease prevention and control, Public Health Emergency Preparedness and Hospital Preparedness programs. Support easing the Medicaid IMD exclusion and the Medicaid inmate exclusion. Support amending 42 C.F.R Part 2 to align with HIPAA (H.R. 2062 and S. 1012). Support the Prevention and Public Health Fund, including HR 3447. Support medically assisted treatment , including H.R. 2482 and S. 2017. Support H.R. 2848 to address "Valley Fever." Support school based mental health programs, including H.R. 1109. Support women's cancer screenings, including H.R. 3129. Support TB elimination, including H.R. 3080 and S. 834. Support gun safety legislation from a public health perspective, including H.R. 8/S. 42, H.R 1186/S. 447, H.R. 1236/S. 506, H.R. 2708/S. 1462. Support a moratorium on the Medicaid Fiscal Accountability Regulation (MFAR), emergency public health funding, Medicaid federal medical assistance percentage increase, and funding for public hospitals in coronavirus relief legislation including the Heroes Act (H.R. 6800) and subsequent developing legislation. Support equitable distribution of Provider Relief Fund to public hospital systems.

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

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

H.R. 1109/ S. 1122, the Mental Health Services for Students Act S. 1782, the Improving Mental Health Access for Students Act H.R. 7293 / S. 2492, the Suicide Training and awareness nationally delivered for universal prevention act (STAND UP Act) H.R. 2431 / S. 2550, the Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019 H.R. 3414/ S. 2892, the Opioid Workforce Act of 2019 Efforts related to safety of children going back to school during COVID-19.

Client expense: $238,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), 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), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of the Vice President of the United States, SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 6720, Student Loan Forgiveness for Frontline Health Workers Act H.R. 2431/S. 2500; Mental Health Professionals Workforce Shortage Loan Repayment Act H.R. 1109/S. 1122; Mental Health Services for Students Act H.R. 6563/S. 3690, Emergency Educational Connections Act H.R. 6814/S. 3701, Supporting Connectivity for Higher Education Students in Need Act H.R. 7449/S.4141, Bank on Students Coronavirus Emergency Loan Refinancing Act H.R. 7761, Protecting Access to Loan Forgiveness for Public Servants During the COVID-19 Pandemic Act H.R. 7859, Strengthening Behavioral Health Supports for Schools Act School and campus-based mental health services in additional COVID-related stimulus legislation Increased funding for FCCs E-Rate program for remote learning purposes Social and emotional learning and other teaching and learning needs resulting from COVID-19 H.R. 2599/H.R. 7293//S. 2492 Suicide Training and Awareness Nationally Delivered for Universal Prevention (STANDUP) Act H.R. 8942, ASSIST Act H.R. 4564, Suicide Prevention Lifeline Improvement Act H.R. 4585, Campaign to Prevent Suicide Act H.R. 5619, Suicide Prevention Act H.R. 4861/S. 3006, Effective Suicide Screening and Assessment to the Emergency Department Act Draft Legislation - School Climate and Restorative Practices Act

Client expense: $216,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), SENATE

Advanced Coursework Equity Act (S. 4480), Anti-Lunch Shaming Act (H.R. 2311/S. 1119), Behavioral Intervention Guidelines Act (H.R. 3539), Child Care for Working Families Act (H.R. 1364/S. 568), Classrooms Reflecting Communities Act (S. 2887), Coronavirus Child Care and Education Relief Act (S. 4112), Dannys Law (H.R. 3659), Diversifying by Investing in Educators and Students to Improve Outcomes for Youth (DIVERSIFY) Act (H.R. 5350/S. 3158), Educating for Democracy Act (H.R. 8925), Educator Preparation Reform Act (S. 969), Elementary and Secondary School Counseling Act (H.R. 4381/S. 2499), Ending Corporal Punishment in Schools Act (H.R. 727), Enhancing K-12 Cybersecurity Act (H.R. 8612), Expanding Access to the Workforce Through Dual Enrollment Act (H.R. 653), Fast Track to and Through College Act (S. 2736), Full-Service Community Schools Expansion Act (S. 4865)IDEA Full Funding Act (H.R. 1878/S. 866), Inspiring New STEM Professionals by Investing in Renovation of Education Spaces (INSPIRES) Act (S. 3397/H.R. 6109), Jumpstart on College Act (H.R. 4108/S. 2395), K-12 Cybersecurity Act (S. 3033), Keep Our PACT Act (H.R. 2315/S. 1172), Keeping All Students Safe Act (H.R. 8782/S. 4924), Learning Opportunity and Achievement Act (no bill #), Making Education Affordable and Accessible Act (S. 718/H.R. 3891), Mental Health Services for Students Act (H.R. 1109/S. 1122), National Assistant Principals Week resolutions (H. Res. 318/S. Res. 149), National Middle Level Education Month resolution (H. Res. 260), Preparing and Retaining Education Professionals Act (S. 752), Promoting Readiness in Education to Prevent Additional Remediation and Expense (PREPARE) Act (S. 1516), Protecting Our Students in Schools Act (H.R. 8460/S. 4936), Protecting Student Athletes from Concussions Act (S. 2600/H.R. 5611), Public Schools Week resolutions (H. Res. 254/S. Res. 126), Rebuild Americas Schools Act (H.R. 865/S. 266), Recruiting and Retaining Effective School Leaders Act (no bill #), Safe Schools Improvement Act (H.R. 2653/S. 2548), Save the Education Jobs Act (H.R. 8691), School Shooting Safety and Preparedness Act (H.R. 4301), SOAR Permanent Authorization Act (S. 2682), Suicide & Threat Assessment Nationally Dedicated to Universal Prevention (STANDUP) Act (S. 2492), Streamlining Energy Efficiency for Schools Act (H.R. 762/S. 253), Strength in Diversity Act (H.R. 2639/S. 1418), Success in the Middle Act (H.R. 3089/S. 1704), Summer Meals and Learning Act (H.R. 3667/S. 2070), Teachers are Leaders Act (S. 235/H.R. 3108), Trauma Informed Schools Act (H.R. 4146), What Can You Do For Your Country Act (H.R. 2441/S. 1205); 21st Century STEM for Girls and Underrepresented Minorities Act (H.R. 1591/S. 1299); Supporting Children with Disabilities During COVID-19 Act (H.R. 8523/S. 4100); and No Name Calling Week resolution (H. Con. Res. 4); Titles I, II, and IV of ESSA; Comprehensive Literacy State Development Grants; School Leader Recruitment and Support program; Carl D. Perkins CTE program; private school vouchers; District of Columbia private school voucher program; IDEA; HEA reauthorization; Public Service Loan Forgiveness; Teacher Quality Partnership Grants; Impact Aid; E-Rate; homework gap; transgender students; school climate and safety; community schools; school discipline guidance; educator diversity; National Teacher and Principal Survey; social & emotional learning; personal preparation under IDEA; school infrastructure; school funding on U.S. military installations (S. J. Res. 54); Title IX regulations on sexual harassment; Civil Rights Data Collection; bullying; Augustus F. Hawkins Centers of Excellence grant program; TEACH grant program; COVID-19; Education Stabilization Fund; demonstration grants for Indian Children and Youth Program; student loan debt cancellation; equitable services for private schools; arts education; Medicaid reimbursement for special education related services; student eligibility requirements for Higher Education Emergency Relief Fund; White House Office of Children and Youth; and student engagement in federal policymaking

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Education, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

H.R.2431 / S.2500 The Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019 Strengthening Mental Health Parity requirements H.R.1109 Mental Health Services for Students Act Urging Congress and the administration to provide more financial relief for physicians during the COVID-19 crisis H.R.4194, National Suicide Hotline Designation Act of 2019 H.R. 7859 Strengthening Behavioral Health Supports for Schools Act H.R.8141 Strengthening Mental Health Supports for BIPOC Communities Act S.4211 Facilitating Reforms that Offer Necessary Telehealth in Every Rural Community Act (FRONTIER) S.1624 HEALS Act H.R. 3884 Marijuana Opportunity Reinvestment and Expungement Act Urging CDC guidance to states to include mental health and addiction treatment professionals as critical essential workers in COVID-19 vaccine administration preference

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

COVID-19 impact on mental health and addiction Relief for SUD treatment facilities and providers Telehealth Access to Covid-19 Vaccine for Mental Health and Addiction Treatment Providers and Consumers Medicaids Federal Medical Assistance Percentage (FMAP) Public Health Workforce Addiction Professional Credentialing Mental Health Services for Students Act (H.R. 1109/ S. 1122) Heroes Act (H.R. 6800) H.R. 925 - The Heroes Act The Health, Economic Assistance, Liability Protections & Schools (HEALS) Act S.178 - Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act Strengthening Behavioral Health Parity Act (H.R. 7539) Tele-Mental Health Improvement Act ( H.R. 8060/S. 3792) Coronavirus Mental Health and Addiction Assistance Act of 2020 (H.R. 6999/S. 3825) Improving Medicaid Programs Response to Overdose Victims and Enhancing (IMPROVE) Addiction Care Act ( S. 4702 / H.R. 8388 ) Marijuana Reinvestment and Expungement (MORE) Act (H.R. 3884) Medicaid Reentry Act (H.R. 1329)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE

H.R. 1951, To amend title 18, United States Code, to authorize a court to reduce the term of imprisonment imposed on certain defendants convicted as an adult for an offense committed and completed before the defendant attained 18 years of age, and for other purposes - Juvenile Justice and criminal justice reform. S. 1074, REAL Act - Criminal justice and juvenile justice reform, education reform. Beyond the Box Higher Education Act - Criminal justice and juvenile justice reform. Federal sentencing reform - Criminal justice and juvenile justice reform. H.R. 2300, End Debtors' Prison for Kids Act - Juvenile Justice reform. H.R. 3055/S. 2584, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2020 - Funding for juvenile justice programs, funding for re-entry programs, funding for the 2020 Census, funding for Byrne JAG funding. S3548 CARES Act: Covid 19 stimulus for incarcerated children/people HR 6800 HEROES Act for incarcerated children support during COVID H.R. 5053, Justice for Juveniles Act - Juvenile justice HR 1109, Mental Health Services for Students Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Office of Juvenile Justice & Delinquency Prevention, SENATE

Preserve Medicaid funding and Medicaid disproportionate share hospital payments. Support increased FY 2020 appropriations for Centers for Disease Control sexually transmitted disease prevention and control, Public Health Emergency Preparedness and Hospital Preparedness programs. Support easing the Medicaid IMD exclusion and the Medicaid inmate exclusion. Support amending 42 C.F.R Part 2 to align with HIPAA (H.R. 2062 and S. 1012). Support the Prevention and Public Health Fund, including HR 3447. Support medically assisted treatment , including H.R. 2482 and S. 2017. Support H.R. 2848 to address "Valley Fever." Support school based mental health programs, including H.R. 1109. Support women's cancer screenings, including H.R. 3129. Support TB elimination, including H.R. 3080 and S. 834. Support gun safety legislation from a public health perspective, including H.R. 8/S. 42, H.R 1186/S. 447, H.R. 1236/S. 506, H.R. 2708/S. 1462. Support a moratorium on the Medicaid Fiscal Accountability Regulation (MFAR), emergency public health funding, Medicaid federal medical assistance percentage increase, and funding for public hospitals in coronavirus relief legislation including the Heroes Act (H.R. 6800) and subsequent developing legislation. Support equitable distribution of Provider Relief Fund to public hospital systems.

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

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

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act and Pandemic and All-Hazards Preparedness and Advancing Innovation Act (Public Law 113-5, 116-22) 3.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 4.Implementation of Every Student Succeeds Act (Public Law 114-95) 5.Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 6.Midnight Rules Relief Act (S.34/H.R. 21) 7.Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 8.Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 9.Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 10.Regulatory Integrity Act (H.R. 1004) 11.OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 12.A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 13.American Health Care Act (H.R. 1628/H.Res. 228) 14.Ozone Standards Implementation Act (S. 263/H.R. 806) 15.Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 16.Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 17.Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 18.Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 19.Preventing Antibiotic Resistance Act (S. 629) 20.Better Care Reconciliation Act (H.R. 1628) and related amendments 21.Public Health Emergency Response Act (S. 196) 22.Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 23.Treat and Reduce Obesity Act (S. 830/H.R. 1953) 24.Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 25.Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 26.Tobacco Tax Equity Act (S. 1837) 27.Healthy Kids Act (S. 1821/H.R. 3921) 28.Implementation of the Drug Quality and Security Act (P.S. 113-54) 29.Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 30.Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 31.Lead-Safe Housing for Kids Act (S. 1845) 32.Supporting Working Moms Act (S. 2122/H.R. 3255) 33.Championing Healthy Kids Act (H.R. 3922) 34.Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 35.An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 36.Tax Cuts and Jobs Act (Public Law 115-97) 37.Pandemic and All-Hazards Preparedness Advancing Innovation Act (S. 2852/H.R. 6378/H.R. 7328/S. 1379/H.R. 269) 38.Vaccine Access Improvement Act (H.R. 4993) 39.Relief from New Source Performance Standards Act (H.R. 453) 40.Strategies to Address Antimicrobial Resistance (S. 2469) 41.Opioid Quota Reform Act (S. 2535) 42.Hospital Preparedness Program Reauthorization Act (H.R. 4776) 43.Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 44.Opioid Crisis Response Act of 2018 (S. 2680) 45.Agriculture and Nutrition Act (H.R. 2) 46.Agriculture Improvement Act (S. 3042) 47.SECURE Act (H.R. 5998) 48.Trauma-Informed Care for Children and Families Act (S. 774) 49.SUPPORT for Patients and Communities Act (H.R. 6) 50.Centers for Disease Control Emergency Response Act (S. 3161) 51.LABEL Opioids Act (S. 3428) 52.Relief from New Source Performance Standards Act (S. 1857) 53.Outdoors for All Act (S. 3499) 54.The MOMMA Act (H.R. 5977) 55.Preventing Maternal Deaths Act (H.R. 1318) 56.Medicare Access to Vaccines Equity Act (not yet introduced) 57.The Support Act (H.R. 6) 58.Climate Change Health Protection and Promotion Act (S. 529) 59.NURSE Act (H.R. 1597) 60.Investing for the People Act (H.R. 2021) 61.Child Care for Working Families Act (H.R. 365/S. 568) 62.FAMILY Act (H.R. 1185/S. 463) 63.Transportation Alternatives Enhancement Act (S. 1098) 64.Lower Health Care Costs Act (S. 1895) 65.LIFT America Act (H.R 2479) 66.Public Health Funding Restoration Act (H.R. 3447/S. 1944) 67.Supporting Older Americans Act of 2020 (HR 4334) 68.Campus Prevention and Recovery Services for Students Act (H.R. 3591) 69.Healthier Students for Stronger Campuses Act (S. 1281) 70.Saving Lives Through Better Data Act (S. 1793) 71.VACCINES Act (H.R. 2862) 72.DISARM Act (H.R. 4100/S. 1712) 73.Community Access, Resources, and Education for Families Act (H.R. 3117) 74.Protecting Seniors Through Immunization Act (S. 1872) 75.Tobacco-Free Youth Act (S. 1541) 76.Tobacco to 21 Act (H.R. 2411/S. 1258) 77.Investing for People Act (H.R. 2021) 78.School Based Health Centers Reauthorization Act (H.R.2075/S.1013) 79.Reversing the Youth Tobacco Epidemic Act of 2019 (H.R. 2339) 80.Social Determinants Accelerator Act (H.R. 4004/S. 2986) 81.Mental Health Professionals Workforce Shortage Loan Repayment Act (H.R. 2431) 82.The UNDERSTAND Act (S. 1323) 83.Americas Transportation Infrastructure Act (S. 2302) 84.Barriers to Suicide Act of 2019 (H.R. 4309) 85.Promoting Physical Activity for Americans Act (S. 1608/H.R. 2891) 86.Public Health Infrastructure Modernization Act of 2019 (H.R. 5321) 87.Supporting Healthy Mothers and Infants Act (H.R. 5249) 88.Lead-Free Future Act (H.R. 4416) 89.Home Visiting to Reduce Maternal Mortality and Morbidity Act (H.R. 4768) 90.Recognizing the anniversary of the eradication of smallpox and the importance of vaccination in the United States and worldwide (H. Res. 592) 91.Coronavirus Preparedness and Response Supplemental Appropriations Act (H.R. 6074) 92.Families First Coronavirus Response Act (H.R. 6201) 93.Coronavirus Aid, Relief, and Economic Security (CARES) Act (H.R. 748) 94.Connecting Americas Transportation Infrastructure Act (H.R. 5696/S. 3391)) 95.Improving Access to Remote Behavioral Health Treatment Act (S. 2244/H.R. 4131) 96.National Suicide Hotline Designation Act (S. 2661/H.R. 4194) 97.Suicide Prevention Lifeline Improvement Act (H.R. 4564) 98.Campaign to Prevent Suicide Act (H.R. 4585) 99.Medicaid Reentry Act (H.R. 1329) 100.Excellence in Mental Health and Addiction Treatment Expansion Act (S. 824/H.R. 1767) 101.Mental Health Services for Students Act (S. 1122/H.R. 1109) 102.Suicide Training and Awareness Nationally Delivered for Universal Prevention (STANDUP) Act (S. 2492/H.R. 2599) 103.Mental Health Parity Compliance Act (S. 1737/H.R. 3165) 104.Behavioral Health Transparency Act (S. 1576/H.R. 2874) 105.Medicare Mental Health Access Act (S. 2772/H.R. 884) 106.Public Health Emergency Response and Accountability Act (S. 3309) 107.Family Violence Prevention and Services Improvement Act (H.R. 5041) 108.Protecting the Health of Americas Older Adults During COVID-19 and Beyond Act (H.R. 6935) 109.Improving Social Determinants Act (H.R. 6561/S. 4440) 110.Urging the establishment of a United States Commission on Truth, Racial Healing, and Transformation (H.Con.Res.100) 111.FY 2021 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (TBD) 112.Better Tools for Healthy Living Act (S. 1805) 113.The WIC Act (H.R. 6811/S. 2358) 114.Health Equity and Accountability Act (H.R. 6637) 115.Paycheck Protection Program and Health Care Enhancement Act (H.R. 266) 116.The HEROES Act (H.R.6800) 117.Community Solutions for COVID-19 Act (H.R.7077/S.3877) 118.The Black Maternal Health Momnibus Act of 2020 (H.R. 6142) 119.COVID-19 Bias and Anti-Racism Training Act (H.R. 7618/S. 4248) 120.Urging the establishment of a United States Commission on Truth, Racial Healing, and Transformation (H. Con. Res. 100) 121.Community Immunity During COVID-19 Act of 2020 (H.R. 8061) 122.Public Safety Officer Support Act (H.R. 7568) 123.COVID-19 Behavioral Health Support Act (S. 4059) 124.Public Health Workforce Loan Repayment Act (H.R. 6578) 125.Strengthening the Public Health Workforce Act (S. 3737) 126.A resolution declaring racism a public health crisis (S. Res. 655) 127.Pandemic Child Hunger Prevention Act (H.R.7887) 128.Public Health Infrastructure Saves Lives Act (S. 4740) 129.CARE for Families Act (H.R. 3117/S. 3354) 130.Improving Data Collection for Adverse Childhood Experiences Act (H.R. 7689) 131.The STANDUP Act of 2020 (H.R. 7293) 132.The Effective Suicide Screening and Assessment in the Emergency Department Act (H.R. 4861) 133.The Pursuing Equity in Mental Health Act of 2019 (H.R. 5469) 134.The Improving Mental Health Access from the Emergency Department Act (H.R. 2519/S. 1334) 135.The Suicide Prevention Act (H.R. 5619/S. 3198) 136.The Helping Emergency Responders Overcome (HERO) Act (H.R. 1646/S. 3244) 137.The Campaign to Prevent Suicide Act (H.R. 4585) 138.The Maternal Health Immunization Enhancement Act (S. 4690) 139.Pandemic Vaccine Access Improvement Act (Not yet introduced) 140.Moving Forward Act (H.R. 2) 141.Continuing Appropriations Act, 2021 and Other Extensions Act (HR 8319) Coronavirus Response Additional Supplemental Appropriations Act (S. 4320). 142.ETHIC Act (H.R. 8205) 143.Safely Back to School and Work Act (S. 4322) 144.Supporting the goals and ideals of BIPOC Mental Health Awareness Month (H.Res. 1064) 145.COVID-19 Health Disparities Action Act (S. 4262) 146.Protecting American Heroes Act of 2020 (S. 4368) 147.Health STATISTICS Act (H.R. 8080) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, NIMH, Education, USDA, DHS, FEMA, and SAMHSA.

Client expense: $36,974 · Firm income: Not reported

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

S. 3799/H.R. 4701, HEAL for Immigrant Women and Families Act of 2019, in support of health care services including sexual, reproductive, and material health care for immigrant women; S. 916/H.R. 1897, Mothers and Offspring Mortality and Morbidity Awareness Act, in support of preventing maternal mortality and improving maternal health; S. 116, Modernizing Obstetric Medicine Standards Act, in support of improving maternal safety and health outcomes; S. 368/H.R. 1055, Global Health, Empowerment, and Rights (HER) Act, in opposition to the global gag rule; H.R. 1551, Quality Care for Moms and Babies Act, in support of improving maternal and infant health outcomes; S. 3424/H.R. 6142, Black Maternal Health Momnibus Act of 2020, in support of maternal health and closing disparities in maternal health outcomes for women of color; H.R. 6165, Data to Save Moms Act of 2020, in support of increased data collection to improve maternal mortality and severe maternal morbidity for women of color; H.R. 6137, IMPACT to Save Moms Act of 2020, in support of increasing access to perinatal care and improving black maternal health; H.R. 6144, Kira Johnson Act, in support of investments to prevent maternal mortality and severe maternal morbidity for black women; H.R. 6141, Protecting Moms Who Served Act, in support of improving maternity care coordination for women veterans; H.R. 6132, Social Determinants for Moms Act of 2020, in support of addressing social determinants of health for women in prenatal and postpartum periods; H.R. 6138, Tech to Save Moms Act, in support of investments in technology to improve health outcomes for underserved populations; H.R. 6143, Moms MATTER Act of 2020, in support of improving maternal and behavioral health outcomes for women of color; H.R. 6129, Justice for Incarcerated Moms Act, in support of increasing care and protection to incarcerated mothers; H.R. 1109, Mental Health Services for Students Act of 2019, in support of increasing access to comprehensive school-based mental health programs; S. Res. 655, A resolution declaring racism a public health crisis, in support of declaring racism a public health crisis; H.R. 6637, Health Equity and Accountability Act of 2020, in support of improving health care for minority individuals; In support of comprehensive healthcare for all, including immigrants, particularly during the coronavirus pandemic; In support of quality, affordable, and accessible reproductive health care, particularly during the coronavirus pandemic.

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

Government targets: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, SENATE

Advanced Coursework Equity Act (S. 4480); Anti-Lunch Shaming Act (H.R. 2311/S. 1119), Behavioral Intervention Guidelines Act (H.R. 3539), Child Care for Working Families Act (H.R. 1364/S. 568), Classrooms Reflecting Communities Act (S. 2887), Coronavirus Child Care and Education Relief Act (S. 4112), Dannys Law (H.R. 3659) Diversifying by Investing in Educators and Students to Improve Outcomes for Youth (DIVERSIFY) Act (H.R. 5350/S. 3158), Educating for Democracy Act (H.R. 8925); Educator Preparation Reform Act (S. 969), Elementary and Secondary School Counseling Act (H.R. 4381/S. 2499), Ending Corporal Punishment in Schools Act (H.R. 727), Enhancing K-12 Cybersecurity Act (no bill #); Expanding Access to the Workforce Through Dual Enrollment Act (H.R. 653), Fast Track to and Through College Act (S. 2736), IDEA Full Funding Act (H.R. 1878/S. 866), Inspiring New STEM Professionals by Investing in Renovation of Education Spaces (INSPIRES) Act (S. 3397/H.R. 6109), Jumpstart on College Act (H.R. 4108/S. 2395), K-12 Cybersecurity Act (S. 3033), Keep Our PACT Act (H.R. 2315/S. 1172), Learning Opportunity and Achievement Act (no bill #), Making Education Affordable and Accessible Act (S. 718/H.R. 3891), Mental Health Services for Students Act (H.R. 1109/S. 1122), National Assistant Principals Week resolutions (H. Res. 318/S. Res. 149), National Middle Level Education Month resolution (H. Res. 260), Preparing and Retaining Education Professionals Act (S. 752), Promoting Readiness in Education to Prevent Additional Remediation and Expense (PREPARE) Act (S. 1516), Protecting Our Students in Schools Act (H.R. 8460), Protecting Student Athletes from Concussions Act (S. 2600/H.R. 5611), Public Schools Week resolutions (H. Res. 254/S. Res. 126), Rebuild Americas Schools Act (H.R. 865/S. 266), Recruiting and Retaining Effective School Leaders Act (no bill #), Safe Schools Improvement Act (H.R. 2653/S. 2548), Save the Education Jobs Act (no bill #), School Shooting Safety and Preparedness Act (H.R. 4301), SOAR Permanent Authorization Act (S. 2682), Suicide & Threat Assessment Nationally Dedicated to Universal Prevention (STANDUP) Act (S. 2492), Streamlining Energy Efficiency for Schools Act (H.R. 762/S. 253), Strength in Diversity Act (H.R. 2639/S. 1418), Success in the Middle Act (H.R. 3089/S. 1704), Summer Meals and Learning Act (H.R. 3667/S. 2070), Teachers are Leaders Act (S. 235/H.R. 3108), Trauma Informed Schools Act (H.R. 4146), What Can You Do For Your Country Act (H.R. 2441/S. 1205); 21st Century STEM for Girls and Underrepresented Minorities Act (H.R. 1591/S. 1299); and Supporting Children with Disabilities During COVID-19 Act (H.R. 8523/S. 4100); Titles I, II, and IV of ESSA; Comprehensive Literacy State Development Grants; School Leader Recruitment and Support program; Carl D. Perkins CTE program; private school vouchers; District of Columbia private school voucher program; IDEA; HEA reauthorization; Public Service Loan Forgiveness; Teacher Quality Partnership Grants; Impact Aid; E-Rate; homework gap; transgender students; school climate and safety; community schools; school discipline guidance; educator diversity; National Teacher and Principal Survey; social & emotional learning; personal preparation under IDEA; school infrastructure; school funding on U.S. military installations (S. J. Res. 54); Title IX regulations on sexual harassment; Civil Rights Data Collection; bullying; Augustus F. Hawkins Centers of Excellence grant program; TEACH grant program; COVID-19; Education Stabilization Fund; demonstration grants for Indian Children and Youth Program; student loan debt cancellation; equitable services for private schools; arts education; Medicaid reimbursement for special education related services; and student eligibility requirements for Higher Education Emergency Relief Fund

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

Government targets: Agriculture, Dept of (USDA), Education, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 6720, Student Loan Forgiveness for Frontline Health Workers Act H.R. 2431/S. 2500; Mental Health Professionals Workforce Shortage Loan Repayment Act H.R. 1109/S. 1122; Mental Health Services for Students Act H.R. 6563/S. 3690, Emergency Educational Connections Act H.R. 6814/S. 3701, Supporting Connectivity for Higher Education Students in Need Act H.R. 6597, Equity in Student Loan Relief Act H.R. 7294, COVID-19 Perkins Loan Relief Act H.R. 7449/S.4141, Bank on Students Coronavirus Emergency Loan Refinancing Act H.R. 7761, Protecting Access to Loan Forgiveness for Public Servants During the COVID-19 Pandemic Act H.R. 7859, Strengthening Behavioral Health Supports for Schools Act H.R.8136, Trauma-Informed Investigation Act School and campus-based mental health services in additional COVID-related stimulus legislation Increased funding for FCCs E-Rate program for remote learning purposes Social and emotional learning and other teaching and learning needs resulting from COVID-19 H.R. 2599/H.R. 7293//S. 2492 Suicide Training and Awareness Nationally Delivered for Universal Prevention (STANDUP) Act H.R. 4564, Suicide Prevention Lifeline Improvement Act H.R. 4585, Campaign to Prevent Suicide Act H.R. 5619, Suicide Prevention Act H.R. 4861/S. 3006, Effective Suicide Screening and Assessment to the Emergency Department Act Draft Legislation - School Climate and Restorative Practices Act

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

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Science Foundation (NSF), Natl Security Agency (NSA), SENATE, Veterans Affairs, Dept of (VA)

Mental health policy; S.2661/H.R.4194 National Suicide Hotline Designation Act of 2019; Role of psychiatric pharmacists and reimbursements for the same; Enable access to mental health and substance use treatment services during COVID-19 pandemic; S. 2244/H.R. 4131 Improving Access to Remote Behavioral Health Treatment Act; 4th COVID-19 relief package to include: equitable coverage of teletherapy services under public and private ERISA plans during public health emergency; loosening of telehealth restrictions under TRICARE during public health emergency; H.R.4564 Suicide Prevention Lifeline Improvement Act; H.R.4585 Campaign to Prevent Suicide Act; H.R.4861/S.3006 Effective Suicide Screening and Assessment in the Emergency Department Act; H.R.5619/S.3198 Suicide Prevention Act; S. 2492/H.R.7293 Suicide Training and Awareness Nationally Delivered for Universal Prevention Act of 2019; H.R.1109/S.1122 Mental Health Services for Students Act; Funding for behavioral health and addiction providers and online peer support; H.R.6645 COVID-19 Mental Health Research Act; H.R.6720 Student Loan Forgiveness for Frontline Health Workers Act; Make permanent telehealth flexibilities; PREP Act declaration authorizing pharmacists to provide COVID-19 vaccines; Youth mental health policy issues; H.R.6720 Student Loan Forgiveness for Frontline Workers legislation; Mental Health Justice Act; S.1334/H.R.2519 - Improving Mental Health Access from the Emergency Department Act of 2020; S.1122/H.R.1109 - Mental Health Services for Students Act of 2020; S. 3825/H.R. 6999 Coronavirus Mental Health and Addiction Assistance Act; S. 4421 Temporary Reciprocity to Ensure Access to Treatment (TREAT Act); S. 4211 Facilitating Reforms that Offer Necessary Telehealth in Every Rural (FRONTIER) Community Act; Training for law enforcement on interactions with people with acute mental illness; S. Res 738 Designating September as National Suicide Prevention Month; S. 4338/H.R. 5469 Pursuing Equity in Mental Health Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

H. Res. 480, Acknowledging the racial disparities in diagnosing and treating mental health among youth in communities of color H.R. 1109, the Mental Health Services for Students Act of 2019 H.R. 1554, the Resident Education Deferred Interest Act H.R. 1763 / S. 348, the Resident Physician Shortage Reduction Act of 2019 H.R. 2279/ S. 2546, the Safe Step Act H.R. 2482/ S. 2074, the Mainstreaming Addiction Treatment Act of 2019 H.R. 2734 / S. 1448, the Safer Prescribing of Controlled Substances Act H.R. 3180/ S. 1770, the RISE from Trauma Act H.R. 3239/ S. 2135, the Humanitarian Standards for Individuals in Customs and Border Protection Custody Act H.R. 3253, the Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act H.R. 3414/ S. 2892, the Opioid Workforce Act H.R. 3417, BETTER Act of 2019 H.R. 4194/S. 2661, the National Suicide Hotline Designation Act of 2019 H.R. 4309, the Barriers to Suicide Act H.R. 4327, the Enhancing Mental Health and Suicide Prevention Through Campus Planning Act H.R. 4861/ S. 3006, the Effective Suicide Screening and Assessment in the Emergency Department Act H.R. 4932 / S. 2741, the CONNECT for Health Act H.R. 4995, the Maternal Health Quality Improvement Act of 2019 H.R. 4996, the Helping Medicaid Offer Maternity Services Act of 2019 H.R. 5, the Equality Act H.R. 5201, the Telemental Health Expansion Act of 2019 H.R. 5473, the Enhance Access to Support Essential Behavioral Health Services Act H.R.5469, the Pursuing Equity in Mental Health Act of 2019 H.R.5575, the Primary and Behavioral Health Care Access Act of 2020 Out of network billing legislation S. 1227, the Prescription Pricing for the People Act of 2019 S. 2443, the Investment in Tomorrow's Pediatric Health Care Workforce Act S. 824, the Excellence in Mental Health and Addiction Treatment Expansion Act S.1659, the Ensuring Childrens Access to Specialty Care Act of 2019 Title III Sec. 305 Timely Bills to Patients within the Lower Health Care Costs Act of 2019 (S. 1895) Cures 2.0 Title X Family Planning Program Administration Rule Efforts related to psychiatric bed shortages. H.R. 6074, the Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 6201, the Families First Coronavirus Response Act H.R. 748, the Coronavirus Aid, Relief and Economic Security (CARES) Act H.R. 2895/ S. 948, the Conrad State 30 and Physician Access Reauthorization Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act, and Senate efforts. S. 311, the Born-Alive Abortion Survivors Protection Act S. 3275, the Pain-Capable Unborn Child Protection Act H.R. 4056 and S. 2446, the Medicare Audiologist Access and Services Act of 2019 H.R. 5575, the Primary and Behavioral Health Care Access Act Telehealth provisions as related to Covid-19. H.R. 6644, the Health Care at Home Act H.R. 748, the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), including the Payroll Protection Program (PPP), the Public Health and Social Services Emergency Fund, and more. Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 and related Medicare and Medicaid payment updates. Emergency financial relief and stability funding for 501(c)(6) tax-exempt medical and dental trade associations impacted by the pandemic H.R. 7078, the Evaluating Disparities and Outcomes of Telehealth During the COVID-19 Emergency Act of 2020 (EDOT Act of 2020) H.R. 7255, the Coronavirus Health Care Worker Wellness Act of 2020 S. 3919, the Military Suicide Prevention in the 21st Century Act H.R. 7608, the Legislative Vehicle for the Fiscal 2021 Four-Bill Appropriations Package Recommendations on confidential mental health records sharing. H.R. 7539, the Strengthening Behavioral Health Parity Act H.R. 4564, the Suicide Prevention Lifeline Improvement Act of 2019 H.R. 5619, the Suicide Prevention Act H.R. 4585, the Campaign to Prevent Suicide Act H.R. 1646, the Helping Emergency Responders Overcome (HERO) Act of 2019 H.R. 2519, the Improving Mental Health Access from the Emergency Department Act of 2019 H.R. 7147, the Creating Resources to Improve Situations of Inherent Severity Act (CRISIS Act) H.R. 7159/S. 4282, the Crisis Care Improvement and Suicide Prevention Act of 2020 21st Century Cures Act, RE: Opioid State Targeted Response Grants H.R. 7689, the Improving Data Collection for Adverse Childhood Experiences Act H.R. 8094/S. 4349, the Dr. Lorna Breen Health Care Provider Protection Act H.R. 6561/S. 4440, the Improving Social Determinants of Health Act H.R. 7511/ S. 4211, the Facilitating Reforms that Offer Necessary Telehealth in Every Rural (FRONTIER) Community Act H.R. 884 / S. 2772, the Medicare Mental Health Access Act H.R. 1763, the Resident Physician Shortage Reduction Act of 2019 S. 2661, the National Suicide Hotline Designation Act of 2020 (Sen. Gardner - Energy and Commerce) H.R. 3935, the Protecting Patients Transportation to Care Act H.R. 4564, the Suicide Prevention Lifeline Improvement Act of 2020 S. Res. 738, Recognizing suicide as a serious public health problem and expressing support for the designation of September as National Suicide Prevention Month S. 4113, the Broadband Reform and Investment to Drive Growth in the Economy Act of 2020 (BRIDGE Act) H.R. 7859, the Strengthening Behavioral Health Supports for Schools Act S. 4421, the Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act H.R. 8141, the Strengthening Mental Health Supports for BIPOC Communities Act HR 7510, the Assimilating Health and Equity Assessments into Decision-making Act of 2020 or AHEAD Act H.R. 5469/S.4388, the Mental Health Equity Act of 2020 H.R. 7059, the Coronavirus Provider Protection Act, S. 3792, the Tele-Mental Health Improvement Act of 2020. HR 6810 to provide COBRA subsidies for unemployed and furloughed individuals during COVID H.R. 7593/S. 4103, the Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 6645, the Mental Health Research Act H.R. 7539, the Strengthening Behavioral Health Parity Act H.R. 5201, the Telemental Health Expansion Act of 2019 H.R. 6561/S. 3595, the Ensuring Understanding for COVID-19 to Protect Public Health Act S. 4524, the Quit Because of COVID-19 Act S. 4486, the Achieving Thorough Transparency & Accessibility for Information Navigation (ATTAIN) on Mental Health Act H.R. 6800/H.R. 8406, the HEROES Act H.R. 7663, the Protecting Access to Post-COVID-19 Telehealth Act of 2020 S. 4230, the Telehealth Expansion Act of 2020 H.R. 7391, the Protect Telehealth Access Act of 2020 H.R. 7760, To make a supplemental appropriation for the COVID-19 Telehealth Program of the Federal Communications Commission for the fiscal year ending September 30, 2020 H.R.8067, the Addressing COVID-19 Health Disparities Act H.R. 2862, the VACCINES Act of 2019 (G6 letter for internal purposes) Efforts related to Collaborative Care Model S. 3197, the Improving Access to Health Care in Rural and Underserved Areas Act H.R. 6139, the COVID-19 Health Care Worker Protection Act of 2020 H.Res. 908 (S.Res. 580) Condemning all forms of Anti-Asian Sentiment as related to COVID-19 H.R. 6585, the Equitable Data Collection and Disclosure on COVID-19 Act H.R. 7078, the EDOT Act of 2020 HR 7077, the Community Solutions for COVID-19 Act S. 4441, the Crisis Assistance Helping Out On The Streets (CAHOOTS) Act

Client expense: $144,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), 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), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of the Vice President of the United States, SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 1109, the Mental Health Services for Students Act S. 1782, the Improving Mental Health Access for Students Act H.R. 2599/ S. 2492, the Suicide Training and awareness nationally delivered for universal prevention act (STAND UP Act) H.R. 2431 / S. 2550, the Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019 H.R. 3414, the Opioid Workforce Act of 2019 Efforts related to safety of children going back to school during COVID-19.

Client expense: $144,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), 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), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of the Vice President of the United States, SENATE, Veterans Affairs, Dept of (VA), White House Office

COVID-19 impact on mental health and addiction Relief for SUD treatment facilities and providers Telehealth Remote Recovery Support Medication Assisted Treatment SUD privacy standards (42 CFR Part 2) Public Health Workforce Addiction Professional Credentialing H.Res. 419, Resolution recognizing the contributions of the Addiction Profession workforce Parity Enforcement Act (H.R. 2848) Behavioral Health Coverage Transparency Act (H.R.2874, S.1576) Mental Health Parity Compliance Act (H.R.3165, S.1737) Mental Health Services for Students Act (H.R. 1109/ S. 1122) Heroes Act (H.R. 6800) H.R. 925 - The Heroes Act The Health, Economic Assistance, Liability Protections & Schools (HEALS) Act S.178 - Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act Integrated Substance Use Disorder Program (ITSP) Strengthening Behavioral Health Parity Act (H.R. 7539) Tele-Mental Health Improvement Act ( H.R. 8060/S. 3792) Coronavirus Mental Health and Addiction Assistance Act of 2020 (H.R. 6999/S. 3825) COVID-19 Mental Health Research Act (H.R. 6645) Dr. Lorna Breen Health Care Provider Protection Act (S. 4349) Facilitating Reforms that Offer Necessary Telehealth In Every Rural (FRONTIER) Community Act (S. 4211/7571) Improving Medicaid Programs Response to Overdose Victims and Enhancing (IMPROVE) Addiction Care Act ( S. 4702 / H.R. 8388 ) Marijuana Reinvestment and Expungement (MORE) Act (H.R. 3884) Behavioral Health Coordination and Communication Act (H.R.7723) H.Res. 1057, Expressing the sense of the House of Representatives that in order to effectively address the high prevalence of those suffering from mental health conditions and substance use disorders, the United States needs to make historic financial investments into mental health and substance use disorder care and finally acknowledge such care as a priority in health care equal to physical health, and for other purposes Issues relating to telehealth

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

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

H.R.2431 / S.2500 The Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019 Strengthening Mental Health Parity requirements H.R.1109 Mental Health Services for Students Act Urging Congress and the administration to provide more financial relief for physicians during the COVID-19 crisis Calling for ERISA coverage of telehealth services in any additional COVID-19 relief package H.R.6644 Health Care at Home Act H.R.6645 COVID-19 Mental Health Research Act Urging inclusion of investments and policies to mitigate mental health and substance use-related effects of COVID-19 and the impact on patients and families, and those providing care, in any next relief package H.R.4194, National Suicide Hotline Designation Act of 2019 S.948 / H.R.2895 Conrad State 30 and Physician Access Reauthorization Act Opposing efforts to include surprise medical billing provisions in the next COVID-19 relief bill H.R. 7859 Strengthening Behavioral Health Supports for Schools Act H.R.8141 Strengthening Mental Health Supports for BIPOC Communities Act S.4211 Facilitating Reforms that Offer Necessary Telehealth in Every Rural Community Act (FRONTIER) S.4349 / H.R.8094 Dr. Lorna Breen Health Care Provider Act S.1624 HEALS Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Science & Technology Policy (OSTP), President of the U.S., SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

S. 3799/H.R. 4701, HEAL for Immigrant Women and Families Act of 2019, in support of health care services including sexual, reproductive, and material health care for immigrant women; S. 916/H.R. 1897, Mothers and Offspring Mortality and Morbidity Awareness Act, in support of preventing maternal mortality and improving maternal health; S. 116, Modernizing Obstetric Medicine Standards Act, in support of improving maternal safety and health outcomes; S. 368/H.R. 1055, Global Health, Empowerment, and Rights (HER) Act, in opposition to the global gag rule; H.R. 1551, Quality Care for Moms and Babies Act, in support of improving maternal and infant health outcomes; S. 3424/H.R. 6142, Black Maternal Health Momnibus Act of 2020, in support of maternal health and closing disparities in maternal health outcomes for women of color; H.R. 6165, Data to Save Moms Act of 2020, in support of increased data collection to improve maternal mortality and severe maternal morbidity for women of color; H.R. 6137, IMPACT to Save Moms Act of 2020, in support of increasing access to perinatal care and improving black maternal health; H.R. 6144, Kira Johnson Act, in support of investments to prevent maternal mortality and severe maternal morbidity for black women; H.R. 6141, Protecting Moms Who Served Act, in support of improving maternity care coordination for women veterans; H.R. 6132, Social Determinants for Moms Act of 2020, in support of addressing social determinants of health for women in prenatal and postpartum periods; H.R. 6138, Tech to Save Moms Act, in support of investments in technology to improve health outcomes for underserved populations; H.R. 6143, Moms MATTER Act of 2020, in support of improving maternal and behavioral health outcomes for women of color; H.R. 6129, Justice for Incarcerated Moms Act, in support of increasing care and protection to incarcerated mothers; H.R. 1109, Mental Health Services for Students Act of 2019, in support of increasing access to comprehensive school-based mental health programs; In support of comprehensive healthcare for all, including immigrants, particularly during the coronavirus pandemic; In support of quality, affordable, and accessible reproductive health care, particularly during the coronavirus pandemic.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2. Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act and Pandemic and All-Hazards Preparedness and Advancing Innovation Act (Public Law 113-5, 116-22) 3. Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111- 296) 4. Implementation of Every Student Succeeds Act (Public Law 114-95) 5. Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 6. Midnight Rules Relief Act (S.34/H.R. 21) 7. Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 8. Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 9. Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 10. Regulatory Integrity Act (H.R. 1004) 11. OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 12. A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 13. American Health Care Act (H.R. 1628/H.Res. 228) 14. Ozone Standards Implementation Act (S. 263/H.R. 806) 15. Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 16. Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 17. Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 18. Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 19. Preventing Antibiotic Resistance Act (S. 629) 20. Better Care Reconciliation Act (H.R. 1628) and related amendments 21. Public Health Emergency Response Act (S. 196) 22. Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 23. Treat and Reduce Obesity Act (S. 830/H.R. 1953) 24. Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 25. Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 26. Tobacco Tax Equity Act (S. 1837) 27. Healthy Kids Act (S. 1821/H.R. 3921) 28. Implementation of the Drug Quality and Security Act (P.S. 113-54) 29. Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 30. Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 31. Lead-Safe Housing for Kids Act (S. 1845) 32. Supporting Working Moms Act (S. 2122/H.R. 3255) 33. Championing Healthy Kids Act (H.R. 3922) 34. Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 35. An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115- 96) 36. Tax Cuts and Jobs Act (Public Law 115-97) 37. Pandemic and All-Hazards Preparedness Advancing Innovation Act (S. 2852/H.R. 6378/H.R. 7328/S. 1379/H.R. 269) 38. Vaccine Access Improvement Act (H.R. 4993) 39. Relief from New Source Performance Standards Act (H.R. 453) 40. Strategies to Address Antimicrobial Resistance (S. 2469) 41. Opioid Quota Reform Act (S. 2535) 42. Hospital Preparedness Program Reauthorization Act (H.R. 4776) 43. Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 44. Opioid Crisis Response Act of 2018 (S. 2680) 45. Agriculture and Nutrition Act (H.R. 2) 46. Agriculture Improvement Act (S. 3042) 47. SECURE Act (H.R. 5998) 48. Trauma-Informed Care for Children and Families Act (S. 774) 49. SUPPORT for Patients and Communities Act (H.R. 6) 50. Centers for Disease Control Emergency Response Act (S. 3161) 51. LABEL Opioids Act (S. 3428) 52. Relief from New Source Performance Standards Act (S. 1857) 53. Outdoors for All Act (S. 3499) 54. The MOMMA Act (H.R. 5977) 55. Preventing Maternal Deaths Act (H.R. 1318) 56. Medicare Access to Vaccines Equity Act (not yet introduced) 57. The Support Act (H.R. 6) 58. Climate Change Health Protection and Promotion Act (S. 529) 59. NURSE Act (H.R. 1597) 60. Investing for the People Act (H.R. 2021) 61. Child Care for Working Families Act (H.R. 365/S. 568) 62. FAMILY Act (H.R. 1185/S. 463) 63. Transportation Alternatives Enhancement Act (S. 1098) 64. Lower Health Care Costs Act (S. 1895) 65. LIFT America Act (H.R 2479) 66. Public Health Funding Restoration Act (H.R. 3447/S. 1944) 67. Supporting Older Americans Act of 2020 (HR 4334) 68. Campus Prevention and Recovery Services for Students Act (H.R. 3591) 69. Healthier Students for Stronger Campuses Act (S. 1281) 70. Saving Lives Through Better Data Act (S. 1793) 71. VACCINES Act (H.R. 2862) 72. DISARM Act (H.R. 4100/S. 1712) 73. Community Access, Resources, and Education for Families Act (H.R. 3117) 74. Protecting Seniors Through Immunization Act (S. 1872) 75. Tobacco-Free Youth Act (S. 1541) 76. Tobacco to 21 Act (H.R. 2411/S. 1258) 77. Investing for People Act (H.R. 2021) 78. School Based Health Centers Reauthorization Act (H.R.2075/S.1013) 79. Reversing the Youth Tobacco Epidemic Act of 2019 (H.R. 2339) 80. Social Determinants Accelerator Act (H.R. 4004) 81. Mental Health Professionals Workforce Shortage Loan Repayment Act (H.R. 2431) 82. The UNDERSTAND Act (S. 1323) 83. Americas Transportation Infrastructure Act (S. 2302) 84. Barriers to Suicide Act of 2019 (H.R. 4309) 85. Promoting Physical Activity for Americans Act (S. 1608/H.R. 2891) 86. Public Health Infrastructure Modernization Act of 2019 (H.R. 5321) 87. Supporting Healthy Mothers and Infants Act (H.R. 5249) 88. Lead-Free Future Act (H.R. 4416) 89. Home Visiting to Reduce Maternal Mortality and Morbidity Act (H.R. 4768) 90. Recognizing the anniversary of the eradication of smallpox and the importance of vaccination in the United States and worldwide (H. Res. 592) 91. Coronavirus Preparedness and Response Supplemental Appropriations Act (H.R. 6074) 92. Families First Coronavirus Response Act (H.R. 6201) 93. Coronavirus Aid, Relief, and Economic Security (CARES) Act (H.R. 748) 94. Connecting Americas Transportation Infrastructure Act (S. 2302) 95. Improving Access to Remote Behavioral Health Treatment Act (S. 2244/H.R. 4131) 96. National Suicide Hotline Designation Act (S. 2661/H.R. 4194) 97. Suicide Prevention Lifeline Improvement Act (H.R. 4564) 98. Campaign to Prevent Suicide Act (H.R. 4585) 99. Medicaid Reentry Act (H.R. 1329) 100. Excellence in Mental Health and Addiction Treatment Expansion Act (S. 824/H.R. 1767) 101. Mental Health Services for Students Act (S. 1122/H.R. 1109) 102. Suicide Training and Awareness Nationally Delivered for Universal Prevention (STANDUP) Act (S. 2492/H.R. 2599) 103. Mental Health Parity Compliance Act (S. 1737/H.R. 3165) 104. Behavioral Health Transparency Act (S. 1576/H.R. 2874) 105. Medicare Mental Health Access Act (S. 2772/H.R. 884) 106. Public Health Emergency Response and Accountability Act (S. 3309) 107. Family Violence Prevention and Services Improvement Act (H.R. 5041) 108. Protecting the Health of Americas Older Adults During COVID-19 and Beyond Act (H.R. 6935) 109. Improving Social Determinants Act (H.R. 6561) 110. Urging the establishment of a United States Commission on Truth, Racial Healing, and Transformation (H.Con.Res.100) 111. FY 2021 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (TBD) 112. Better Tools for Healthy Living Act (S. 1805) 113. The WIC Act (S. 2358) 114. Health Equity and Accountability Act (H.R. 6637) 115. Paycheck Protection Program and Health Care Enhancement Act (H.R. 266) 116. The HEROES Act (H.R.6800) 117. Community Solutions for COVID-19 Act (H.R.7077/S.3877) 118. The Black Maternal Health Momnibus Act of 2020 (H.R. 6142) 119. COVID-19 Bias and Anti-Racism Training Act (S.___) 120. Urging the establishment of a United States Commission on Truth, Racial Healing, and Transformation (H. Con. Res. 100) 121. Community Immunity During COVID-19 Act of 2020 (H.R._____) 122. Public Safety Officer Support Act (H.R. 7568) 123. COVID-19 Behavioral Health Support Act (S. 4059) 124. Public Health Workforce Loan Repayment Act (H.R. 6578) 125. Strengthening the Public Health Workforce Act (S. 3737) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, NIMH, Education, USDA, DHS, FEMA, and SAMHSA

Client expense: $32,208 · Firm income: Not reported

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

Preserve Medicaid funding and Medicaid disproportionate share hospital payments. Support increased FY 2020 appropriations for Centers for Disease Control sexually transmitted disease prevention and control, Public Health Emergency Preparedness and Hospital Preparedness programs. Support easing the Medicaid IMD exclusion and the Medicaid inmate exclusion. Support amending 42 C.F.R Part 2 to align with HIPAA (H.R. 2062 and S. 1012). Support the Prevention and Public Health Fund, including HR 3447. Support medically assisted treatment , including H.R. 2482 and S. 2017. Support H.R. 2848 to address "Valley Fever." Support school based mental health programs, including H.R. 1109. Support women's cancer screenings, including H.R. 3129. Support TB elimination, including H.R. 3080 and S. 834. Support gun safety legislation from a public health perspective, including H.R. 8/S. 42, H.R 1186/S. 447, H.R. 1236/S. 506, H.R. 2708/S. 1462. Support a moratorium on the Medicaid Fiscal Accountability Regulation (MFAR), emergency public health funding, Medicaid federal medical assistance percentage increase, and funding for public hospitals in coronavirus relief legislation including the Heroes Act (H.R. 6800) and subsequent developing legislation. Support equitable distribution of Provider Relief Fund to public hospital systems.

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

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

H.R. 1109, Mental Health Services for Students Act S. 1782 Improving Mental Health Access for Students Act H.R. 2599/ S. 2492 Suicide Training and awareness nationally delivered for universal prevention act (STAND UP Act) H.R. 2431 / S. 2550, the Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019 H.R. 3414, the Opioid Workforce Act of 2019

Client expense: $162,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), 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), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of the Vice President of the United States, SENATE, Veterans Affairs, Dept of (VA), White House Office

H. Res. 480, Acknowledging the racial disparities in diagnosing and treating mental health among youth in communities of color H.R. 1109, the Mental Health Services for Students Act of 2019 H.R. 1554, the Resident Education Deferred Interest Act H.R. 1763 / S. 348, the Resident Physician Shortage Reduction Act of 2019 H.R. 2062 / S. 1012 (42 CFR Part 2) H.R. 2279/ S. 2546, the Safe Step Act H.R. 2482/ S. 2074, the Mainstreaming Addiction Treatment Act of 2019 H.R. 2734 / S. 1448, the Safer Prescribing of Controlled Substances Act H.R. 2862, the VACCINES Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 H.R. 3180/ S. 1770, the RISE from Trauma Act H.R. 3239/ S. 2135, the Humanitarian Standards for Individuals in Customs and Border Protection Custody Act H.R. 3253, the Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act H.R. 3414/ S. 2892, the Opioid Workforce Act H.R. 3417, BETTER Act of 2019 H.R. 4194, S. 2661, the National Suicide Hotline Designation Act of 2019 H.R. 4309, the Barriers to Suicide Act H.R. 4327, the Enhancing Mental Health and Suicide Prevention Through Campus Planning Act H.R. 4861/ S. 3006, the Effective Suicide Screening and Assessment in the Emergency Department Act H.R. 4932 / S. 2741, the CONNECT for Health Act H.R. 4995, the Maternal Health Quality Improvement Act of 2019 H.R. 4996, the Helping Medicaid Offer Maternity Services Act of 2019 H.R. 5, the Equality Act H.R. 5201, the Telemental Health Expansion Act of 2019 H.R. 5473, the Enhance Access to Support Essential Behavioral Health Services Act H.R.5469, the Pursuing Equity in Mental Health Act of 2019 H.R.5575, the Primary and Behavioral Health Care Access Act of 2020 Out of network billing legislation S. 1227, the Prescription Pricing for the People Act of 2019 S. 2443, the Investment in Tomorrow's Pediatric Health Care Workforce Act S. 824, the Excellence in Mental Health and Addiction Treatment Expansion Act S.1659, the Ensuring Childrens Access to Specialty Care Act of 2019 Title III Sec. 305 Timely Bills to Patients within the Lower Health Care Costs Act of 2019 (S. 1895) Cures 2.0 Suggestions related to addressing mental health in rural communities. Title X Family Planning Program Administration Rule Efforts related to psychiatric bed shortages. H.R. 6074, the Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 6201, the Families First Coronavirus Response Act H.R. 748, the Coronavirus Aid, Relief and Economic Security (CARES) Act H.R. 2895, S. 948, the Conrad State 30 and Physician Access Reauthorization Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act, and Senate efforts. S. 311, the Born-Alive Abortion Survivors Protection Act S. 3275, the Pain-Capable Unborn Child Protection Act H.R. 4056 and S. 2446, the Medicare Audiologist Access and Services Act of 2019 H.R. 5575, the Primary and Behavioral Health Care Access Act Telehealth provisions as related to Covid-19. H.R. 6644, the Health Care at Home Act H.R. 748, the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), including the Payroll Protection Program (PPP), the Public Health and Social Services Emergency Fund, the provider fund (for MH funding), and more. Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 and related Medicare and Medicaid payment updates. Emergency financial relief and stability funding for 501(c)(6) tax-exempt medical and dental trade associations impacted by the pandemic H.R.7078 , the Evaluating Disparities and Outcomes of Telehealth During the COVID-19 Emergency Act of 2020 (EDOT Act of 2020) H.R. 7255, the Coronavirus Health Care Worker Wellness Act of 2020 S.3919, Military Suicide Prevention in the 21st Century Act H.R. 7608, Legislative Vehicle for the Fiscal 2021 Four-Bill Appropriations Package H.R. 6788/S. 3599, Healthcare Workforce Resilience Act Recommendations on confidential mental health records sharing. H.R. 4564, the Suicide Prevention Lifeline Improvement Act of 2019 H.R. 5619, the Suicide Prevention Act H.R. 4585, the Campaign to Prevent Suicide Act H.R. 1646, the Helping Emergency Responders Overcome (HERO) Act of 2019 H.R.884/S. 2772, the Medicare Mental Health Access Act H.R. 2519, the Improving Mental Health Access from the Emergency Department Act of 2019 H.R. 7147, the Creating Resources to Improve Situations of Inherent Severity Act (CRISIS Act) H.R. 7159, the Crisis Care Improvement and Suicide Prevention Act of 2020 21st Century Cures Act, RE: Opioid State Targeted Response Grants S.4088, the Ensuring Access to Primary Care for Women & Children Act H.R. 6159, the KIDS Access to Primary Care Act S. 3741, the Health Care at Home Act S. 3792, the Tele-mental Health Improvement Act H.R. 6697, the Local Chamber, Tourism, and 501(c)(6) Protection Act

Client expense: $162,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), 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), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of the Vice President of the United States, SENATE, Veterans Affairs, Dept of (VA), White House Office

Anti-Lunch Shaming Act (H.R. 2311/S. 1119), Behavioral Intervention Guidelines Act (H.R. 3539), Child Care for Working Families Act (H.R. 1364/S. 568), Classrooms Reflecting Communities Act (S. 2887), Coronavirus Child Care and Education Relief Act (S. 4112), Dannys Law (H.R. 3659) Diversifying by Investing in Educators and Students to Improve Outcomes for Youth (DIVERSIFY) Act (H.R. 5350/S. 3158), Educator Preparation Reform Act (S. 969), Elementary and Secondary School Counseling Act (H.R. 4381/S. 2499), Ending Corporal Punishment in Schools Act (H.R. 727), Expanding Access to the Workforce Through Dual Enrollment Act (H.R. 653), Fast Track to and Through College Act (S. 2736), IDEA Full Funding Act (H.R. 1878/S. 866), Inspiring New STEM Professionals by Investing in Renovation of Education Spaces (INSPIRES) Act (S. 3397/H.R. 6109), Jumpstart on College Act (H.R. 4108/S. 2395), K-12 Cybersecurity Act (S. 3033), Keep Our PACT Act (H.R. 2315/S. 1172), Making Education Affordable and Accessible Act (S. 718/H.R. 3891), Mental Health Services for Students Act (H.R. 1109/S. 1122), National Assistant Principals Week resolutions (H. Res. 318/S. Res. 149), National Middle Level Education Month resolution (H. Res. 260), Preparing and Retaining Education Professionals Act (S. 752), Promoting Readiness in Education to Prevent Additional Remediation and Expense (PREPARE) Act (S. 1516), Protecting Student Athletes from Concussions Act (S. 2600/H.R. 5611), Public Schools Week resolutions (H. Res. 254/S. Res. 126), Rebuild Americas Schools Act (H.R. 865/S. 266), Recruiting and Retaining Effective School Leaders Act (no bill #), Safe Schools Improvement Act (H.R. 2653/S. 2548), School Shooting Safety and Preparedness Act (H.R. 4301), SOAR Permanent Authorization Act (S. 2682), Suicide & Threat Assessment Nationally Dedicated to Universal Prevention (STANDUP) Act (S. 2492), Streamlining Energy Efficiency for Schools Act (H.R. 762/S. 253), Strength in Diversity Act (H.R. 2639/S. 1418), Success in the Middle Act (H.R. 3089/S. 1704), Summer Meals and Learning Act (H.R. 3667/S. 2070), Teachers are Leaders Act (S. 235/H.R. 3108), Trauma Informed Schools Act (H.R. 4146), What Can You Do For Your Country Act (H.R. 2441/S. 1205); and 21st Century STEM for Girls and Underrepresented Minorities Act (H.R. 1591/S. 1299); Titles I, II, and IV of ESSA; Comprehensive Literacy State Development Grants; School Leader Recruitment and Support program; Carl D. Perkins CTE program; private school vouchers; District of Columbia private school voucher program; IDEA; HEA reauthorization; Public Service Loan Forgiveness; Teacher Quality Partnership Grants; Impact Aid; E-Rate; homework gap; transgender students; school climate and safety; community schools; school discipline guidance; educator diversity; National Teacher and Principal Survey; social & emotional learning; Personal Preparation under IDEA; school infrastructure; school funding on U.S. military installations (S. J. Res. 54); Title IX regulations on sexual harassment; Civil Rights Data Collection; bullying; Augustus F. Hawkins Centers of Excellence grant program; TEACH grant program; COVID-19; Education Stabilization Fund; demonstration grants for Indian Children and Youth Program; student loan debt cancellation; equitable services for private schools; and arts education

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

Government targets: Education, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

Mental health policy; S.2661/H.R.4194 National Suicide Hotline Designation Act of 2019; Role of psychiatric pharmacists and reimbursements for the same; Enable access to mental health and substance use treatment services during COVID-19 pandemic; S. 2244/H.R. 4131 Improving Access to Remote Behavioral Health Treatment Act; 4th COVID-19 relief package to include: equitable coverage of teletherapy services under public and private ERISA plans during public health emergency; loosening of telehealth restrictions under TRICARE during public health emergency; H.R.4564 Suicide Prevention Lifeline Improvement Act; H.R.4585 Campaign to Prevent Suicide Act; H.R.4861/S.3006 Effective Suicide Screening and Assessment in the Emergency Department Act; H.R.5619/S.3198 Suicide Prevention Act; S. 2492/H.R.2599 Suicide Training and Awareness Nationally Delivered for Universal Prevention Act of 2019; H.R.1109/S.1122 Mental Health Services for Students Act; Funding for behavioral health and addiction providers and online peer support; S.3792 the Tele-Mental Health Improvement Act of 2020; H.R.6645 COVID-19 Mental Health Research Act; H.R.6644 Health Care at Home Act; H.R.6720 Student Loan Forgiveness for Frontline Health Workers Act; Make permanent telehealth flexibilities; PREP Act declaration authorizing pharmacists to provide COVID-19 vaccines; Youth mental health policy issues; H.R.6720 Student Loan Forgiveness for Frontline Workers legislation; H.R.6645 Covid-19 Mental Health Research Act.

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

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

H.R. 6720, Student Loan Forgiveness for Frontline Health Workers Act H.R. 2431/S. 2500; Mental Health Professionals Workforce Shortage Loan Repayment Act H.R. 1109/S. 1122; Mental Health Services for Students Act H.R. 6563/S. 3690, Emergency Educational Connections Act H.R. 6814/S. 3701, Supporting Connectivity for Higher Education Students in Need Act H.R. 6597, Equity in Student Loan Relief Act H.R. 7294, COVID-19 Perkins Loan Relief Act H.R. 6699, Opportunities for Heroes Act H.R. 4674; College Affordability Act H.R. 5325; Ending PUSHOUT Act Public Service Loan Forgiveness (PSLF) Program Campus Sexual Assault legislation School and campus-based mental health services in additional COVID-related stimulus legislation H.R. 2958, S. 1642; Increasing Access to Mental Health in Schools Act H.R. 2599/S. 2492 Suicide Training and Awareness Nationally Delivered for Universal Prevention (STANDUP) Act

Client expense: $320,000 · 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), Office of Natl Drug Control Policy (NDCP), SENATE, Veterans Affairs, Dept of (VA)

H.R.2431 / S.2500 The Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019 Strengthening Mental Health Parity requirements H.R.1109 Mental Health Services for Students Act Funding for the re-authorized Pediatric Subspecialty Loan Repayment Program Funding for the Environmental influences on Child Health Outcomes (ECHO) program Requesting temporary lifting of restrictions on telebehavioral health Urging Congress and the administration to provide more financial relief for physicians during the COVID-19 crisis Urging that any additional COVID-19 relief package cover children in mixed-immigration status families and address DACA recipients and families Calling for ERISA coverage of telehealth services in any additional COVID-19 relief package H.R.6644 Health Care at Home Act Urging Congress to direct HHS to prioritize access to the $75 billion provider relief fund to those who have not received relief grants, especially those in pediatric medicine H.R.7059 Coronavirus Provider Protection Act H.R.6645 COVID-19 Mental Health Research Act Urging Congress to extend eligibility for the PPP loan program to include 501(c)(6) nonprofit organizations in the next COVID-19 aid package Urging inclusion of investments and policies to mitigate mental health and substance use-related effects of COVID-19 and the impact on patients and families, and those providing care, in any next relief package H.R.4194, National Suicide Hotline Designation Act of 2019 H.R.1435 Patient Protection and Affordable Care Enhancement Act

Client expense: $5,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

COVID-19 impact on mental health and addiction Relief for SUD treatment facilities and providers Telehealth Remote Recovery Support Medication Assisted Treatment SUD privacy standards (42 CFR Part 2) Public Health Workforce H.Res. 419, Resolution recognizing the contributions of the Addiction Profession workforce Improving Access to Remote Behavioral Health Treatment Act (S. 2244, H.R. 4131) Comprehensive Addiction Resources Emergency (CARE) Act (S. 1365, H.R. 2569) Parity Enforcement Act (H.R. 2848) Behavioral Health Coverage Transparency Act (H.R.2874, S.1576) Mental Health Parity Compliance Act (H.R.3165, S.1737) Medicaid Reentry Act (H.R. 1329) Addiction Treatment Access Act (S. 2412) Overdose Prevention and Patient Safety Act (H.R. 2062) USPS Opioid & Illicit Drug Strategy Act of 2019 (S.2974) SUD Loan Repayment Program: Section 7071 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (P.L. 115-271) HEROES Act (H.R. 6800) Mental Health Research Act (H.R. 6645) Health Care Protection Act (H.R. 6810) Mental Health Services for Students Act (H.R. 1109/ S. 1122)

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

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

Preserve Medicaid funding and Medicaid disproportionate share hospital payments. Support increased FY 2020 appropriations for Centers for Disease Control sexually transmitted disease prevention and control, Public Health Emergency Preparedness and Hospital Preparedness programs. Support easing the Medicaid IMD exclusion and the Medicaid inmate exclusion. Support amending 42 C.F.R Part 2 to align with HIPAA (H.R. 2062 and S. 1012). Support the Prevention and Public Health Fund, including HR 3447. Support medically assisted treatment , including H.R. 2482 and S. 2017. Support H.R. 2848 to address "Valley Fever." Support school based mental health programs, including H.R. 1109. Support women's cancer screenings, including H.R. 3129. Support TB elimination, including H.R. 3080 and S. 834. Support gun safety legislation from a public health perspective, including H.R. 8/S. 42, H.R 1186/S. 447, H.R. 1236/S. 506, H.R. 2708/S. 1462. Support a moratorium on the Medicaid Fiscal Accountability Regulation (MFAR), emergency public health funding, Medicaid federal medical assistance percentage increase, and funding for public hospitals in coronavirus relief legislation including the CARES Act (H.R. 748) and the Families First Coronavirus Response Act (H.R. 6201).

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

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

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2. Implementation of the FDA Food Safety Modernization Act (Public Law 111353) 3. Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act and Pandemic and All-Hazards Preparedness and Advancing Innovation Act (Public Law 113-5, 116-22) 4. Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111296) 5. Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 6. Implementation of Every Student Succeeds Act (Public Law 114-95) 7. Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 8. FY 2020 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (H.R. 2740/Not Yet Introduced)) 9. FY 2020 Departments of Agriculture, Rural Development, Food and Drug Administration and Related Agencies Appropriations (H.R. 3164/Not yet introduced) 10. FY2020 Departments of Transportation, HUD and related agencies Appropriations (H.R. 3163/Not Yet Introduced) 11. FY2020 Further Consolidated Appropriations Act (H.R. 1865/P.L. 116-94) 12. Midnight Rules Relief Act (S.34/H.R. 21) 13. Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 14. Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 15. Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 16. Regulatory Integrity Act (H.R. 1004) 17. OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 18. A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 19. American Health Care Act (H.R. 1628/H.Res. 228) 20. Ozone Standards Implementation Act (S. 263/H.R. 806) 21. Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 22. Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 23. Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 24. Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 25. Preventing Antibiotic Resistance Act (S. 629) 26. Better Care Reconciliation Act (H.R. 1628) and related amendments 27. Public Health Emergency Response Act (S. 196) 28. Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 29. Consolidated Appropriations Act, 2017 (Public Law 115-31) 30. Treat and Reduce Obesity Act (S. 830/H.R. 1953) 31. Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 32. Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 33. Tobacco Tax Equity Act (S. 1837) 34. Healthy Kids Act (S. 1821/H.R. 3921) 35. Implementation of the Drug Quality and Security Act (P.S. 113-54) 36. Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 37. Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 38. Lead-Safe Housing for Kids Act (S. 1845) 39. Supporting Working Moms Act (S. 2122/H.R. 3255) 40. Championing Healthy Kids Act (H.R. 3922) 41. Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 42. An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 11596) 43. Tax Cuts and Jobs Act (Public Law 115-97) 44. Pandemic and All-Hazards Preparedness Advancing Innovation Act (S. 2852/H.R. 6378/H.R. 7328/S. 1379/H.R. 269) 45. Vaccine Access Improvement Act (H.R. 4993) 46. Relief from New Source Performance Standards Act (H.R. 453) 47. Strategies to Address Antimicrobial Resistance (S. 2469) 48. Opioid Quota Reform Act (S. 2535) 49. Hospital Preparedness Program Reauthorization Act (H.R. 4776) 50. Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 51. Opioid Crisis Response Act of 2018 (S. 2680) 52. Agriculture and Nutrition Act (H.R. 2) 53. Agriculture Improvement Act (S. 3042) 54. SECURE Act (H.R. 5998) 55. Trauma-Informed Care for Children and Families Act (S. 774) 56. SUPPORT for Patients and Communities Act (H.R. 6) 57. Centers for Disease Control Emergency Response Act (S. 3161) 58. LABEL Opioids Act (S. 3428) 59. Relief from New Source Performance Standards Act (S. 1857) 60. Outdoors for All Act (S. 3499) 61. The MOMMA Act (H.R. 5977) 62. Preventing Maternal Deaths Act (H.R. 1318) 63. Medicare Access to Vaccines Equity Act (note yet introduced) 64. The Support Act (H.R. 6) 65. Climate Change Health Protection and Promotion Act (S. 529) 66. FY 2020 Departments of the Interior, Environment, and Related Agencies Appropriations Act (H.R. 3052/Not Yet Introduced) 67. NURSE Act (H.R. 1597) 68. Investing for the People Act (H.R. 2021) 69. Child Care for Working Families Act (H.R. 365/S. 568) 70. FAMILY Act (H.R. 1185/S. 463) 71. Transportation Alternatives Enhancement Act (S. 1098) 72. Lower Health Care Costs Act (S. 1895) 73. LIFT America Act (H.R 2479) 74. Public Health Funding Restoration Act (H.R. 3447/S. 1944) 75. Older Americans Act reauthorization (not yet introduced) 76. Campus Prevention and Recovery Services for Students Act (H.R. 3591) 77. Healthier Students for Stronger Campuses Act (S. 1281) 78. Saving Lives Through Better Data Act (S. 1793) 79. VACCINES Act (H.R. 2862) 80. DISARM Act (H.R. 4100/S. 1712) 81. Community Access, Resources, and Education for Families Act (H.R. 3117) 82. Protecting Seniors Through Immunization Act (S. 1872) 83. Tobacco-Free Youth Act (S. 1541) 84. Tobacco to 21 Act (H.R. 2411/S. 1258) 85. Investing for People Act (H.R. 2021) 86. School Based Health Centers Reauthorization Act (H.R.2075/S.1013) 87. Reversing the Youth Tobacco Epidemic Act of 2019 (H.R. 2339) 88. Social Determinants Accelerator Act (H.R. 4004) 89. Mental Health Professionals Workforce Shortage Loan Repayment Act (H.R. 2431) 90. The UNDERSTAND Act (S. 1323) 91. Americas Transportation Infrastructure Act (S. 2302) 92. Health Equity and Accountability Act (Not yet introduced) 93. Barriers to Suicide Act of 2019 (H.R. 4309) 94. Promoting Physical Activity for Americans Act (S. 1608/H.R. 2891) 95. Public Health Infrastructure Modernization Act of 2019 (H.R. 5321) 96. Supporting Healthy Mothers and Infants Act (H.R. 5249) 97. Lead-Free Future Act (H.R. 4416) 98. Home Visiting to Reduce Maternal Mortality and Morbidity Act (H.R. 4768) 99. Recognizing the anniversary of the eradication of smallpox and the importance of vaccination in the United States and worldwide (H. Res. 592) 100. Coronavirus Preparedness and Response Supplemental Appropriations Act (H.R. 6074) 101. Families First Coronavirus Response Act (H.R. 6201) 102. Coronavirus Aid, Relief, and Economic Security (CARES) Act (H.R. 748) 103. Connecting Americas Transportation Infrastructure Act (S. 2302) 104. Improving Access to Remote Behavioral Health Treatment Act (S. 2244/H.R. 4131) 105. National Suicide Hotline Designation Act (S. 2661/H.R. 4194) 106. Suicide Prevention Lifeline Improvement Act (H.R. 4564) 107. Campaign to Prevent Suicide Act (H.R. 4585) 108. Medicaid Reentry Act (H.R. 1329) 109. Excellence in Mental Health and Addiction Treatment Expansion Act (S. 824/H.R. 1767) 110. Mental Health Services for Students Act (S. 1122/H.R. 1109) 111. Suicide Training and Awareness Nationally Delivered for Universal Prevention (STANDUP) Act (S. 2492/H.R. 2599) 112. Mental Health Parity Compliance Act (S. 1737/H.R. 3165) 113. Behavioral Health Transparency Act (S. 1576/H.R. 2874) 114. Medicare Mental Health Access Act (S. 2772/H.R. 884) 115. Public Health Emergency Response and Accountability Act (S. 3309) 116. Family Violence Prevention and Services Improvement Act (H.R. 5041) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, NIMH, Education, USDA, DHS, FEMA, and SAMHSA

Client expense: $35,610 · Firm income: Not reported

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

HR 2283/S.1126 - CHANGE Act of 2019: Support expansion of services for people with Alzheimers and related dementia. No bill # - FY 2021 LHHS appropriations: Support funding for Mental Health workforce development programs at HRSA and support continued inclusion of occupational therapy in these programs (BHWET and MBHET). Support for funding for Geriatrics Workforce Enhancement Program. Support for Heart and Lung Research. Support for Increased funding for SAMHSA and HRSA programs. No bill # - FY 2021 Department of Defense Appropriations: Support for designating a stand-alone arthritis program within the Congressionally Directed Medical Research Program (CDMRP) at the Department of Defense, funded at $20 million. Support for extension and expansion of the Certified Community Behavioral Health Clinic (CCBHC) demonstration program (no bill number). No bill# - Support for Congressional attention to the issue of falls related injuries and falls prevention. HR 3165/S 1737 - Mental Health Parity Compliance Act: Support passage. HR 2781 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019: Advocated for inclusion of language of HR 3637, Allied Health Workforce Diversity Act; support passage. S. 2997 - Title VII Health Care Workforce Reauthorization Act of 2019: Advocated for inclusion of language of S 2747, Allied Health Workforce Diversity Act; support passage. HR 1109, Mental Health Services for Students Act: Support passage S. 1782 - The Improving Mental Health Access for Students Act: support passage HR 4564, Suicide Prevention Lifeline Improvement Act: Support passage HR 1767, Excellence in Mental Health and Addiction Treatment Expansion Act: Support passage HR 4861 Effective Suicide Screening and Assessment in the Emergency Department Act: Support passage HR 4309 Barriers to Suicide Act: Support passage S 995 Lifespan Respite Care Reauthorization Act: Support passage HR 3208/S 1755 - REAADI Act - support passage Asked Congress to address the shortage of personal protective equipment and ensure access to appropriate PPE for healthcare providers - including funding the national strategic stockpile. HR 6365/3559 -Immediate Relief for Rural Facilities and Providers Act of 2020: Support passage.

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

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

No bill: Support inclusion of occupational therapy services via telehealth under Medicare Part B, Medicare Advantage and any demonstration programs such as telehealth within accountable care organizations. HR 3127/S 1725 - The Home Health Flexibility Act: Support the ability of occupational therapists to conduct the initial and comprehensive assessments for Medicare Home Health cases. S 518/HR 1948 - Lymphedema Treatment Act - Support passage. No bill: Advocate for Congressional oversight of new Medicare payment models - PDPM & PDGM. No bill: Support for Congressional attention to the issue of falls related injuries and falls prevention. No bill: Advocated to stop proposed cuts to therapy services in the 2021 Physician Fee Schedule. HR 4932/S 2741 - CONNECT for Health Act of 2019: Support expanded coverage for services provided to Medicare patients via telehealth, including occupational therapy and other therapy services. HR 1329 - Medicaid Reentry Act (mental health and Medicaid policy): Support passage S 1754/HR 3215 - The Disaster Relief Medicaid Act (DRMA): Support passage No bill: Support for Medicare payment for evidence-based programs, led by occupational therapists, that support caregivers for people with dementia. No bill: Support for Medicare payment for evidence-based programs, led by occupational therapists, to support aging in place. HR 1109 - Mental Health Services for Students Act: Support passage HR 4564 - Suicide Prevention Lifeline Improvement Act: Support passage HR 1767 - Excellence in Mental Health and Addiction Treatment Expansion Act: Support passage HR 4861 - Effective Suicide Screening and Assessment in the Emergency Department Act: Support passage HR 4309 - Barriers to Suicide Act: Support passage S 995 - Lifespan Respite Care Reauthorization Act: Support passage S 1202 - Independence At Home Act: support passage HR2408 - Ensuring Access to Complex Rehabilitation Technology Act of 2019: support passage HR 748, CARES Act: Asked that occupational therapy practitioners and other therapy providers be made eligible to provide Medicare telehealth services under emergency waivers. CMS - Met with Gift Tee, Director of the Division of Practitioner Services; Kathy Bryant; and Pam West: Discussed Medicare Part B payment reductions to therapy provider payments proposed for the 2021 physician fee schedule. We discussed proposals that would allow the changes to evaluation and management (E&M) codes to proceed without adversely affecting specialties that do not bill E&M codes. HR 6365/3559 -Immediate Relief for Rural Facilities and Providers Act of 2020: Support passage.

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

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

No bill number. Support inclusion of specialized instructional support personnel into title 2 of Higher Education Act. HR 1109: The Mental Health Services for Students Act of 2019: support passage. S. 1782 - The Improving Mental Health Access for Students Act: support passage. HR 3637/S 2747 - The Allied Health Workforce Diversity Act of 2019: Support legislation to help increase the diversity of the occupational therapy workforce. HR 2781 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019: Advocated for inclusion of language of HR 3637, Allied Health Workforce Diversity Act: support passage. S. 2997 - Title VII Health Care Workforce Reauthorization Act of 2019: Advocated for inclusion of language of S 2747, Allied Health Workforce Diversity Act: support passage. S.2248 - HEROES Act: Support passage. HR 4107 - Funding Early Childhood is the Right IDEA Act: Support passage. HR 2431/S. 2500 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019: Support passage. No bill # - FY 2021 LHHS appropriations: Support funding for Mental Health workforce development programs at HRSA and support continued inclusion of occupational therapy in these programs (BHWET and MBHET). Support for funding for Geriatrics Workforce Enhancement Program. Support Full funding for IDEA and Title I funding. HR 3070 - CAPABILITY Act of 2019: advocated to include specialized instruction support personnel in the bill. HR 4674 - College Affordability Act (Higher Education Act reauthorization): support bill and advocated about accreditation, graduate loans, public service loan forgiveness, especially as it relates to occupational therapy. HR 4107 - Funding Early Childhood is the Right IDEA Act: support passage. HR 1878/S. 866 - IDEA Full Funding Bill: support passage Supported having a minimum six month freeze on student loan payment and resetting interest rates to zero during that time either through regulatory action or in HR 748 - CARES Act. HR 6201 - Families First Corona Virus Response Act: Supported Increased overall funding to IDEA and ESEA. HR 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act: Oppose additional IDEA and ESEA Waiver authority for Secretary in HR 748 or future legislation. Supported Increased overall funding to IDEA and ESEA

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

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

H.R.2431 / S.2500 The Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019 Strengthening Mental Health Parity requirements H.R.1109 Mental Health Services for Students Act H.R.1767/S.824 Excellence in Mental Health Expansion Act CDC funding for public health research into firearm morbidity and mortality prevention H.R.1554 Resident Education Deferred Interest Act H.R.2874/S.1576 Behavioral Health Coverage Transparency Act H.R.3165/S.1737 Mental Health Parity Compliance Act H.R.2519 Improving Mental Health Access from the Emergency Department Act H.R.2781 The EMPOWER for Health Act of 2019 H.R.4564 Suicide Prevention Lifeline Improvement Act Surprise Medical Billing H.R.3180/S.1770 R.I.S.E. from Trauma Act H.R.4861 The Effective Suicide Screening and Assessment in the Emergency Department Act of 2019 H.R.4309 Barriers to Suicide Act of 2019 21st Century Cures Act 2.0 H.R.1367/S.588 Children and Media Research Enhancement Act H.R.748/S.3548 The CARES Act H.R.6201 The Families First Coronavirus Response Act Funding for the re-authorized Pediatric Subspecialty Loan Repayment Program Funding for the Environmental influences on Child Health Outcomes (ECHO) program Requiring ERISA plans to cover telehealth in their mental health coverage Requesting temporary lift of restrictions on telebehavioral health Opposing all legislation that hurts transgender people Urging Congress and the administration to provide more financial relief for physicians during the COVID-19 crisis H.R. 5575 Primary and Behavioral Health Care Access Act H.R. 3711/S. 2907 Nutrition CARE Act of 2019 Urging twice weekly Federal updates for physician groups on COVID-19 by HHS Urging that medical practices and their immediate public health and PPE needs be addressed in the third stimulus package related to COVID-19 Requesting Congress temporarily lift restrictions on telebehavioral health at all levels of care Urging HHS to provide one month of billing revenue to each physician (MD or DO) enrolled in Medicare or Medicaid Financial relief for 501(c)(6) tax-exempt medical and dental trade associations impacted by COVID-19 Urging Congress to take multiple recommended actions to protect patients, physicians, and the public in any additional COVID-19 relief package

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

Government targets: Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

Anti-Lunch Shaming Act (H.R. 2311/S. 1119), Behavioral Intervention Guidelines Act (H.R. 3539), Child Care for Working Families Act (H.R. 1364/S. 568), Classrooms Reflecting Communities Act (S. 2887), Dannys Law (H.R. 3659) Diversifying by Investing in Educators and Students to Improve Outcomes for Youth (DIVERSIFY) Act (H.R. 5350/S. 3158), Educator Preparation Reform Act (S. 969), Elementary and Secondary School Counseling Act (H.R. 4381/S. 2499), Ending Corporal Punishment in Schools Act (H.R. 727), Expanding Access to the Workforce Through Dual Enrollment Act (H.R. 653), Fast Track to and Through College Act (S. 2736), IDEA Full Funding Act (H.R. 1878/S. 866), Inspiring New STEM Professionals by Investing in Renovation of Education Spaces (INSPIRES) Act (S. 3397/H.R. 6109), Jumpstart on College Act (H.R. 4108/S. 2395), K-12 Cybersecurity Act (S. 3033), Keep Our PACT Act (H.R. 2315/S. 1172), Making Education Affordable and Accessible Act (S. 718/H.R. 3891), Mental Health Services for Students Act (H.R. 1109/S. 1122), National Assistant Principals Week resolutions (H. Res. 318/S. Res. 149), National Middle Level Education Month resolution (H. Res. 260), Preparing and Retaining Education Professionals Act (S. 752), Promoting Readiness in Education to Prevent Additional Remediation and Expense (PREPARE) Act (S. 1516), Protecting Student Athletes from Concussions Act (S. 2600/H.R. 5611), Public Schools Week resolutions (H. Res. 254/S. Res. 126), Rebuild Americas Schools Act (H.R. 865/S. 266), Recruiting and Retaining Effective School Leaders Act (no bill #), Safe Schools Improvement Act (H.R. 2653/S. 2548), School Shooting Safety and Preparedness Act (H.R. 4301), SOAR Permanent Authorization Act (S. 2682), Suicide & Threat Assessment Nationally Dedicated to Universal Prevention (STANDUP) Act (S. 2492), Streamlining Energy Efficiency for Schools Act (H.R. 762/S. 253), Strength in Diversity Act (H.R. 2639/S. 1418), Success in the Middle Act (H.R. 3089/S. 1704), Summer Meals and Learning Act (H.R. 3667/S. 2070), Teachers are Leaders Act (S. 235/H.R. 3108), Trauma Informed Schools Act (H.R. 4146), What Can You Do For Your Country Act (H.R. 2441/S. 1205); and 21st Century STEM for Girls and Underrepresented Minorities Act (H.R. 1591/S. 1299); Titles I, II, and IV of ESSA; Comprehensive Literacy State Development Grants; School Leader Recruitment and Support program; Carl D. Perkins CTE program; private school vouchers; District of Columbia private school voucher program; IDEA; HEA reauthorization; Public Service Loan Forgiveness; Teacher Quality Partnership Grants; Impact Aid; E-Rate; homework gap; transgender students; school climate and safety; community schools; school discipline guidance; educator diversity; National Teacher and Principal Survey; social & emotional learning; Personal Preparation under IDEA; school infrastructure; school funding on U.S. military installations (S. J. Res. 54); Title IX regulations on sexual harassment; Civil Rights Data Collection; bullying; Augustus F. Hawkins Centers of Excellence grant program; TEACH grant program; COVID-19; Education Stabilization Fund

Client expense: $90,000 · Firm income: Not reported

Government targets: Education, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 1109, Mental Health Services for Students Act S. 1782 Improving Mental Health Access for Students Act H.R. 2599/ S. 2492 Suicide Training and awareness nationally delivered for universal prevention act (STAND UP Act) H.R. 2431 / S. 2550, the Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019 H.R. 3414, the Opioid Workforce Act of 2019

Client expense: $210,000 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), 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), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of the Vice President of the United States, President of the U.S., SENATE, U.S. Immigration & Customs Enforcement (ICE), Veterans Affairs, Dept of (VA), White House Office

H. Res. 480, Acknowledging the racial disparities in diagnosing and treating mental health among youth in communities of color H.R. 1109, the Mental Health Services for Students Act of 2019 H.R. 1554, the Resident Education Deferred Interest Act H.R. 1763 / S. 348, the Resident Physician Shortage Reduction Act of 2019 H.R. 2062 / S. 1012 (42 CFR Part 2) and S. 3374, the Protecting Jessica Grubb's Legacy Act H.R. 2279/ S. 2546, the Safe Step Act H.R. 2482/ S. 2074, the Mainstreaming Addiction Treatment Act of 2019 H.R. 2734 / S. 1448, the Safer Prescribing of Controlled Substances Act H.R. 2862, the VACCINES Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 H.R. 3180/ S. 1770, the RISE from Trauma Act H.R. 3239/ S. 2135, the Humanitarian Standards for Individuals in Customs and Border Protection Custody Act H.R. 3253, the Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act H.R. 3414/ S. 2892, the Opioid Workforce Act H.R. 3417, BETTER Act of 2019 H.R. 4194, S. 2661, the National Suicide Hotline Designation Act of 2019 H.R. 4309, the Barriers to Suicide Act H.R. 4327, the Enhancing Mental Health and Suicide Prevention Through Campus Planning Act H.R. 4861/ S. 3006, the Effective Suicide Screening and Assessment in the Emergency Department Act H.R. 4932 / S. 2741, the CONNECT for Health Act H.R. 4995, the Maternal Health Quality Improvement Act of 2019 H.R. 4996, the Helping Medicaid Offer Maternity Services Act of 2019 H.R. 5, the Equality Act H.R. 5201, the Telemental Health Expansion Act of 2019 H.R. 5473, the Enhance Access to Support Essential Behavioral Health Services Act H.R.5469, the Pursuing Equity in Mental Health Act of 2019 H.R.5575, the Primary and Behavioral Health Care Access Act of 2020 Out of network billing legislation S. 1227, the Prescription Pricing for the People Act of 2019 S. 2443, the Investment in Tomorrow's Pediatric Health Care Workforce Act S. 824, the Excellence in Mental Health and Addiction Treatment Expansion Act S.1659, the Ensuring Childrens Access to Specialty Care Act of 2019 Title III Sec. 305 Timely Bills to Patients within the Lower Health Care Costs Act of 2019 (S. 1895) Cures 2.0 Suggestions related to addressing mental health in rural communities. Title X Family Planning Program Administration Rule Efforts related to psychiatric bed shortages. H.R. 6074, the Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 6201, the Families First Coronavirus Response Act H.R. 748, the Coronavirus Aid, Relief and Economic Security (CARES) Act H.R. 2895, S. 948, the Conrad State 30 and Physician Access Reauthorization Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act, and Senate efforts. S. 311, the Born-Alive Abortion Survivors Protection Act S. 3275, the Pain-Capable Unborn Child Protection Act H.R. 4056 and S. 2446, the Medicare Audiologist Access and Services Act of 2019 H.R. 5575, the Primary and Behavioral Health Care Access Act H.R. 6143, the MOMS Matter Act H.R. 1309, the Workplace Violence Prevention for Health Care and Social Service Workers Act

Client expense: $210,000 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), 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), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of the Vice President of the United States, President of the U.S., SENATE, U.S. Immigration & Customs Enforcement (ICE), Veterans Affairs, Dept of (VA), White House Office

H.R. 2431, S. 2500; Mental Health Professionals Workforce Shortage Loan Repayment Act H.R. 1109, S. 1122; Mental Health Services for Students Act H.R. 4674; College Affordability Act H.R. 5325; Ending PUSHOUT Act Higher Education Act Reauthorization Public Service Loan Forgiveness (PSLF) Program Campus Sexual Assault legislation Campus Mental Health in H.R. 748, Coronavirus Aid, Relief, and Economic Security (CARES) Act and additional COVID-related stimulus legislation H.R. 2958, S. 1642; Increasing Access to Mental Health in Schools Act Elementary Secondary School Safety H.R. 2075, S. 1013: School-Based Health Centers Reauthorization Act H.R. 3417: Beneficiary Education Tools Telehealth Extender Reauthorization Act of 2019 S.1782: Improving Mental Health Access for Students Act Keeping All Students Safe Act S. 2492 Suicide Training and Awareness Nationally Delivered for Universal Prevention (STANDUP) Act

Client expense: $230,000 · 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), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

Opposition to a provision in the Coronavirus Aid, Relief, and Economic Security Act, which would remove the CDC from collaboration with the Office of the Assistant Secretary for Preparedness and Response on the management of the Strategic National Stockpile. Oppose provision in the Coronavirus Aid, Relief, and Economic Security Act, which would exclude nonprofit clinics that receive Medicaid reimbursement from receiving stimulus loans during the COVID-19 pandemic. Support S. 3170, the Providing Urgent Maternal Protections for Nursing Mothers Act. Support efforts to protect the health of older adults during the COVID-19 pandemic. Support of additional actions to address current and future mental health and substance use needs related to the COVID-19 pandemic. Support increasing federal Medicaid matching funds and direct aid to states during the COVID-19 pandemic. Support reopening the Affordable Care Acts federal exchanges in legislation to respond to the COVID-19 pandemic. Support S. 2661/H.R. 4194, the National Suicide Hotline Designation Act, which would formally designate a three-digit number for the Lifeline. Support H.R. 4564, The Suicide Prevention Lifeline Improvement Act. Support H.R. 4585, the Campaign to Prevent Suicide Act. SupportS. 824/H.R. 1767, the Excellence in Mental Health and Addiction Treatment Expansion Act. Support S. 1122/H.R. 1109, the Mental Health Services for Students Act. Support S. 2492/H.R. 2599, the Suicide Training and Awareness Nationally Delivered for Universal Prevention (STANDUP) Act. Support S. 1737/H.R. 3165, the Mental Health Parity Compliance Act. Support S. 1576/H.R. 2874, the Behavioral Health Transparency Act. Support expansion of HRSAs NHSC Substance Use Disorder Workforce Loan Repayment Program. Support H.R. 2431, the Mental Health Professionals Workforce Shortage Loan Repayment Act. Support H.R. 4334, the Supporting Older Americans Act Support funding for nonprofit organizations to be engaged in the COVID-19 response. Support S.3436, the Border Health Security Act of 2020.

Client expense: $37,156 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Office of the Vice President of the United States, SENATE, Vice President of the U.S., White House Office

Preserve Medicaid funding and Medicaid disproportionate share hospital payments. Support increased FY 2020 appropriations for Centers for Disease Control sexually transmitted disease prevention and control, Public Health Emergency Preparedness and Hospital Preparedness programs. Support easing the Medicaid IMD exclusion and the Medicaid inmate exclusion. Support amending 42 C.F.R Part 2 to align with HIPAA (H.R. 2062 and S. 1012). Support the Prevention and Public Health Fund, including HR 3447. Support medically assisted treatment , including H.R. 2482 and S. 2017. Support H.R. 2848 to address "Valley Fever." Support school based mental health programs, including H.R. 1109. Support women's cancer screenings, including H.R. 3129. Support TB elimination, including H.R. 3080 and S. 834. Support gun safety legislation from a public health perspective, including H.R. 8/S. 42, H.R 1186/S. 447, H.R. 1236/S. 506, H.R. 2708/S. 1462.

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

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

H.R.3, Lower Drug Costs Now Act, Entirety H.R. 1309/S.851, Workplace Violence Prevention for Health Care and Social Service Workers Act, Entirety H.R.748, Health Benefits Tax Repeal, Entirety Affordability of pharmaceuticals, generally S.684, Middle Class Health Benefits Tax Repeal, Entirety Treating gun violence as a public health epidemic related issues S.1357, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act, Entirety Nurse Overtime and Patient Safety Act, Entirety Prescription Drug Affordability and Access Act, Entirety Affordable Drug Manufacturing Act, Entirety Monitor the following: H.R.1109, the Mental Health Services for Students Act of 2019, Entirety H.R.3022, Patient Access Protection Act, Entirety S.1770, Resilience Investment, Support, and Expansion from Trauma Act or the RISE from Trauma Act, Entirety H.R. 2328, Reauthorizing and Extending Americas Community Health Act , Title IV, No Surprises Act S.1895, Lower Health Care Costs Act, Entirety Universal healthcare generally H.R. 2328, Reauthorizing and Extending Americas Community Health Act , Title IV, No Surprises Act S.1895, Lower Health Care Costs Act, Entirety S.2675, Study, Treat, Observe, and Prevent Neglected Diseases of Poverty Act, Entirety H.R.934, Health Benefits for Miners Act, Entirety S.J.Res.52, 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 and the Secretary of Health and Human Services relating to "State Relief and Empowerment Waivers". H.R.1603, Ban Asbestos Now Act

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

Mental Health Services for Students Act (H.R. 1109), all provisions; Mental Health Services for Students Act (S. 1122), all provisions; Lower Health Care Costs Act (S.1895), provisions related to surprise medical bills and benchmark rate, hospital transparency provisions and public health improvements; No Surprises Act of 2019 (H.R. 3630) provisions related to surprise medical bills and benchmark rate; National Suicide Hotline Designation Act (S.2661), all provisions

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

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

Anti-Lunch Shaming Act (H.R. 2311/S. 1119), Behavioral Intervention Guidelines Act (H.R. 3539), Child Care for Working Families Act (H.R. 1364/S. 568), Classrooms Reflecting Communities Act (S. 2887), Diversifying by Investing in Educators and Students to Improve Outcomes for Youth (DIVERSIFY) Act (H.R. 5350/S. 3158), Educator Preparation Reform Act (S. 969), Elementary and Secondary School Counseling Act (H.R. 4381/S. 2499), Ending Corporal Punishment in Schools Act (H.R. 727), Expanding Access to the Workforce Through Dual Enrollment Act (H.R. 653), Fast Track to and Through College Act (S. 2736), IDEA Full Funding Act (H.R. 1878/S. 866), Inspiring New STEM Professionals by Investing in Renovation of Education Spaces (INSPIRES) Act (no bill #), Jumpstart on College Act (H.R. 4108/S. 2395), Keep Our PACT Act (H.R. 2315/S. 1172), Making Education Affordable and Accessible Act (S. 718), Mental Health Services for Students Act (H.R. 1109/S. 1122), National Assistant Principals Week resolutions (H. Res. 318/S. Res. 149), National Middle Level Education Month resolution (H. Res. 260), Preparing and Retaining Education Professionals Act (S. 752), Promoting Readiness in Education to Prevent Additional Remediation and Expense (PREPARE) Act (S. 1516), Protecting Student Athletes from Concussions Act (S. 2600), Public Schools Week resolutions (H. Res. 254/S. Res. 126), Rebuild Americas Schools Act (H.R. 865/S. 266), Recruiting and Retaining Effective School Leaders Act (no bill #), Safe Schools Improvement Act (H.R. 2653/S. 2548), School Shooting Safety and Preparedness Act (H.R. 4301), SOAR Permanent Authorization Act (S. 2682), Suicide & Threat Assessment Nationally Dedicated to Universal Prevention (STANDUP) Act (S. 2492), Streamlining Energy Efficiency for Schools Act (H.R. 762/S. 253), Strength in Diversity Act (H.R. 2639/S. 1418), Success in the Middle Act (H.R. 3089/S. 1704), Summer Meals and Learning Act (H.R. 3667/S. 2070), Teachers are Leaders Act (S. 235/H.R. 3108), Trauma Informed Schools Act (H.R. 4146), What Can You Do For Your Country Act (H.R. 2441/S. 1205); and 21st Century STEM for Girls and Underrepresented Minorities Act (H.R. 1591/S. 1299); Titles I, II, and IV of ESSA; Comprehensive Literacy State Development Grants; School Leader Recruitment and Support program; Carl D. Perkins CTE program; private school vouchers; District of Columbia private school voucher program; IDEA; HEA reauthorization; Public Service Loan Forgiveness; Teacher Quality Partnership Grants; Impact Aid; E-Rate; homework gap; transgender students; school climate and safety; community schools; school discipline guidance; educator diversity; National Teacher and Principal Survey; social & emotional learning; Personal Preparation under IDEA; school infrastructure; school funding on U.S. military installations (S. J. Res. 54); Title IX regulations on sexual harassment; and Civil Rights Data Collection

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

Government targets: Education, Dept of, Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 2958, S. 1642: Increasing Access to Mental Health in Schools Act H.R. 3418: Protecting Our Students by Termination Graduate Rates that Add to Debt Act H.R. 1109, S. 1122: Mental Health Services for Students Act of 2019 Higher Education Act Reauthorization Public Service Loan Forgiveness (PSLF) Program Campus Sexual Assault legislation Elementary Secondary School Safety Title IX rulemaking H.R. 2075, S. 1013: School-Based Health Centers Reauthorization Act H.R. 4674, College Affordability Act Borrower Defense/Argosy H.R. 5205, Student Mental Health Rights Act H.R. 4327, Enhancing Mental Health and Suicide Prevention Through Campus Planning Act H.R. 2431, S. _____: Mental Health Professionals Workforce Shortage Loan Repayment Act H.R. 3417: Beneficiary Education Tools Telehealth Extender Reauthorization Act of 2019 S.1782: Improving Mental Health Access for Students Act Keeping All Students Safe Act Exclusionary School Discipline S. 2492 Suicide Training and Awareness Nationally Delivered for Universal Prevention (STANDUP) Act

Client expense: $200,000 · 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, Employment & Training Administration, 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 Institutes of Health (NIH), Natl Science Foundation (NSF), Natl Security Agency (NSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

No bill: Support inclusion of occupational therapy services via telehealth under Medicare Part B, Medicare Advantage and any demonstration programs such as telehealth within accountable care organizations. HR 3127/S 1725 - The Home Health Flexibility Act: Support the ability of occupational therapists to conduct the initial and comprehensive assessments for Medicare Home Health cases. S 518/HR 1948 - Lymphedema Treatment Act - Support passage. No bill: Advocate for Congressional oversight of new Medicare payment models - PDPM & PDGM. No bill: Support for Congressional attention to the issue of falls related injuries and falls prevention. No bill: Advocate to obtain signatures on letter to CMS regarding proposed cuts to therapy services in the Physician Fee Schedule Proposed Rule. HR 4932/S 2741 - CONNECT for Health Act of 2019: Support expanded coverage for services provided to Medicare patients via telehealth, including occupational therapy and other therapy services. HR 1329 - Medicaid Reentry Act (mental health and Medicaid policy): Support passage S 1754/HR 3215 - The Disaster Relief Medicaid Act (DRMA): Support passage No bill: Support for Medicare payment for evidence-based programs, led by occupational therapists, that support caregivers for people with dementia. No bill: Support for Medicare payment for evidence-based programs, led by occupational therapists, to support aging in place. HR 1109 - Mental Health Services for Students Act: Support passage HR 4564 - Suicide Prevention Lifeline Improvement Act: Support passage HR 1767 - Excellence in Mental Health and Addiction Treatment Expansion Act: Support passage HR 4861 - Effective Suicide Screening and Assessment in the Emergency Department Act: Support passage HR 4309 - Barriers to Suicide Act: Support passage S 995 - Lifespan Respite Care Reauthorization Act: Support passage

Client expense: $180,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE