Quality Care for Moms and Babies Act

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

Medicaid coverage and pregnancy quality of care issues; H.R.1551 Quality Care for Moms and Babies Act; S.1960 Quality Care for Moms and Babies Act; H.R.4995 Maternal Health Quality Improvement Act of 2019; H.R.4996 Helping Medicaid Offer Maternity Services Act of 2019; S.1895 Lower Health Care Costs Act. Medicaid coverage of postpartum care.

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

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

1) General copyright law reform (including matters relating to songwriter royalty payments, the ASCAP and BMI consent decrees, the section 115 mechanical license, intellectual property enforcement, modernization/reform of the U.S. Copyright Office, and felony streaming); 2) H.R. 5447/S.2823/H.R. 1551, the Music Modernization Act; 3) HR 748, the "Coronavirus Aid, Relief, and Economic Security (CARES) Act"; 4) HR 7841/S 3814, the "RESTART Act"; 5) HR 7886, the "HITS Act"; 6) S 4258/HR 7806, the "Save Our Stages Act"; 7) S 4442/HR 7691 the "Mixed Earner Pandemic Unemployment Assistance Act"; 8) DMCA Reform; and 9) Protecting Lawful Streaming Act.

Client expense: $135,091 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, U.S. Copyright Office

Advocate to reduce maternal mortality, increase access to comprehensive prenatal care, implement evidence-based childbirth education in prenatal care models and make childbirth education more accessible to all women. H.R. 1551/S. 1960, the Quality Care for Moms and Babies Act H.R. 1897/S. 916, the MOMMA's Act H.R. 2602, the Healthy MOMMIES Act H.R. 2778/S. 1481, the Healthy MOM Act H.R. 4215, Excellence in Maternal Health Act S. 116, MOMs Act S. 1343, MOMMIES Act H.R. 6132, the Social Determinants for Moms Act H.R. 6144, the Honoring Kira Johnson Act H.R. 6141, the Protecting Moms who Served Act H.R. 6164, the Perinatal Workforce Act H.R. 5640/S. 3152, the Data Mapping to Save Moms Lives Act H.R. 6143, the Moms MATTER Act H.R. 6129, the Justice for Incarcerated Moms Act H.R. 5640/S. 3152, the Data Mapping to Save Moms Act H.R. 6137, the IMPACT to Save Moms Act H.R. 2751, the Mamas First Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

Medicaid coverage and pregnancy quality of care issues; H.R.1551 Quality Care for Moms and Babies Act; S.1960 Quality Care for Moms and Babies Act; H.R.4995 Maternal Health Quality Improvement Act of 2019; H.R.4996 Helping Medicaid Offer Maternity Services Act of 2019; S.1895 Lower Health Care Costs Act. Medicaid coverage of postpartum care.

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

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

Maternal and child health legislation,focusing on National Children's Study (ECHO), Zika preparedness, tobacco control, opioids legislation and neonatal abstinence syndrome (NAS), antibiotic resistance, environmental health, vaccination, newborn screening, Healthy Start, maternal mental health. Specific legislation includes: MOMMAs Act (H.R. 1897/S. 916, MOMs Act (S. 116),MOMMIES Act (H.R. 2602, S. 1343), Quality Care for Moms and Babies Act (H.R. 1551/S. 1960), Maternal CARE Act (H.R. 6698/S. 1600), The Healthy Maternity and Obstetric Medicine Act (Healthy MOM Act) (H.R. 2778/S. 1481), Rural Maternal and Obstetric Modernization of Services (MOMS) Act (S. 2373), the Maternal Outcomes Matter Act of 2019 (S. 2586), Healthy Maternity and Obstetric Medicine Act (H.R. 2778, S. 1481), H.R. 4995, Maternal Health Quality Improvement Act of 2019, H.R. 4996, Helping Medicaid Offer Maternity Services Act of 2019, Reversing the Youth Tobacco Epidemic Act (H.R. 2339), Public Health Funding Restoration Act (H.R. 3447, S. 1944), and the Comprehensive Addiction Resources Emergency CARE Act (H.R. 2569, S. 1365), Newborn Screening Saves Lives Reauthorization Act of 2019 (HR 2507/S. 2158), Traveling Parents Screening Consistency Act (HR 3246), the Tobacco Tax Equity Act (S. 2517), EQUIP Act of 2020 (HR 6178), and the Protecting American Lungs Act of 2019 (HR 4742). Black Maternal Health Momnibus Act of 2020 (HR 6142)including the Social Determinants for Moms Act (HR 6132), the Protecting Moms who Served Act (HR 6164), the Data to Save Moms Act (HR 6165), the Moms MATTER Act (HR 6143), and Kira Johnson Act (HR 6144). Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (P.L. 116-123), Families First Coronavirus Response Act (P.L. 116-127), Coronavirus Aid, Relief, and Economic Security (CARES) Act (HR 748) (P.L. 116-136), and HEROES Act (H.R. 6800). Mothers and Newborns Success Act (S.4269), Maternal Health Pandemic Response Act of 2020 (H.R. 8027), Community Immunity During COVID-19 Act of 2020 (H.R. 8061), Maternal Immunization Enhancement Act (S.4690), Public Health Infrastructure Saves Lives Act (PHISLA), COVID-19 Treatment Coverage Act (S.4469)

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Postal Regulatory Commission, SENATE, Treasury, Dept of, U.S. Postal Service (USPS)

1) General copyright law reform (including matters relating to songwriter royalty payments, the ASCAP and BMI consent decrees, the section 115 mechanical license, intellectual property enforcement, modernization/reform of the U.S. Copyright Office, and felony streaming); 2) H.R. 5447/S.2823/H.R. 1551, the Music Modernization Act; 3) HR 748, the "Coronavirus Aid, Relief, and Economic Security (CARES) Act"; and 4) HR 7841/S 3814, the "RESTART Act". 5) HR 7886, the "HITS Act". 6) S 4258/HR 7806, the "Save Our Stages Act". 7) S 4442/HR 7691 the "Mixed Earner Pandemic Unemployment Assistance Act".

Client expense: $104,999 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, U.S. Copyright Office

Advocate to reduce maternal mortality, increase access to comprehensive prenatal care, implement evidence-based childbirth education in prenatal care models and make childbirth education more accessible to all women. H.R. 1551/S. 1960, the Quality Care for Moms and Babies Act H.R. 1897/S. 916, the MOMMA's Act H.R. 2602, the Healthy MOMMIES Act H.R. 2778/S. 1481, the Healthy MOM Act H.R. 4215, Excellence in Maternal Health Act S. 116, MOMs Act S. 1343, MOMMIES Act H.R. 6132, the Social Determinants for Moms Act H.R. 6144, the Honoring Kira Johnson Act H.R. 6141, the Protecting Moms who Served Act H.R. 6164, the Perinatal Workforce Act H.R. 5640/S. 3152, the Data Mapping to Save Moms Lives Act H.R. 6143, the Moms MATTER Act H.R. 6129, the Justice for Incarcerated Moms Act H.R. 5640/S. 3152, the Data Mapping to Save Moms Act H.R. 6137, the IMPACT to Save Moms Act H.R. 2751, the Mamas First Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

Maternal and child health legislation,focusing on National Children's Study (ECHO), Zika preparedness, tobacco control, opioids legislation and neonatal abstinence syndrome (NAS), antibiotic resistance, environmental health, vaccination, newborn screening, Healthy Start, maternal mental health. Specific legislation includes: MOMMAs Act (H.R. 1897/S. 916, MOMs Act (S. 116),MOMMIES Act (H.R. 2602, S. 1343), Quality Care for Moms and Babies Act (H.R. 1551/S. 1960), Maternal CARE Act (H.R. 6698/S. 1600), The Healthy Maternity and Obstetric Medicine Act (Healthy MOM Act) (H.R. 2778/S. 1481), Rural Maternal and Obstetric Modernization of Services (MOMS) Act (S. 2373), the Maternal Outcomes Matter Act of 2019 (S. 2586), Healthy Maternity and Obstetric Medicine Act (H.R. 2778, S. 1481), H.R. 4995, Maternal Health Quality Improvement Act of 2019, H.R. 4996, Helping Medicaid Offer Maternity Services Act of 2019, Reversing the Youth Tobacco Epidemic Act (H.R. 2339), Public Health Funding Restoration Act (H.R. 3447, S. 1944), and the Comprehensive Addiction Resources Emergency CARE Act (H.R. 2569, S. 1365), Newborn Screening Saves Lives Reauthorization Act of 2019 (HR 2507/S. 2158), Traveling Parents Screening Consistency Act (HR 3246), the Tobacco Tax Equity Act (S. 2517), EQUIP Act of 2020 (HR 6178), and the Protecting American Lungs Act of 2019 (HR 4742). Black Maternal Health Momnibus Act of 2020 (HR 6142)including the Social Determinants for Moms Act (HR 6132), the Protecting Moms who Served Act (HR 6164), the Data to Save Moms Act (HR 6165), the Moms MATTER Act (HR 6143), and Kira Johnson Act (HR 6144). Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (P.L. 116-123), Families First Coronavirus Response Act (P.L. 116-127), Coronavirus Aid, Relief, and Economic Security (CARES) Act (HR 748) (P.L. 116-136), and HEROES Act (H.R. 6800).

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Postal Regulatory Commission, SENATE, Treasury, Dept of, U.S. Postal Service (USPS)

Advocate to reduce maternal mortality, increase access to comprehensive prenatal care, implement evidence-based childbirth education in prenatal care models and make childbirth education more accessible to all women. Support: H.R. 1551/S. 1960, the Quality Care for Moms and Babies Act H.R. 1897/S. 916, the MOMMA's Act H.R. 2602, the Healthy MOMMIES Act H.R. 2778/S. 1481, the Healthy MOM Act H.R. 4215, Excellence in Maternal Health Act S. 116, MOMs Act S. 1343, MOMMIES Act H.R. 6132, the Social Determinants for Moms Act H.R. 6144, the Honoring Kira Johnson Act H.R. 6141, the Protecting Moms who Served Act H.R. 6164, the Perinatal Workforce Act H.R. 5640/S. 3152, the Data Mapping to Save Moms Lives Act H.R. 6143, the Moms MATTER Act H.R. 6129, the Justice for Incarcerated Moms Act H.R. 5640/S. 3152, the Data Mapping to Save Moms Act H.R. 6137, the IMPACT to Save Moms Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1) General copyright law reform (including matters relating to songwriter royalty payments, the ASCAP and BMI consent decrees, the section 115 mechanical license, intellectual property enforcement, modernization/reform of the U.S. Copyright Office, and felony streaming); 2) H.R. 5447/S.2823/H.R. 1551, the Music Modernization Act; 3) HR 748, the "Coronavirus Aid, Relief, and Economic Security (CARES) Act"; and 4) HR 7841/S 3814, the "RESTART Act".

Client expense: $95,412 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, U.S. Copyright Office

Medicaid coverage and pregnancy quality of care issues; H.R.1551 Quality Care for Moms and Babies Act; S.1960 Quality Care for Moms and Babies Act; H.R.4995 Maternal Health Quality Improvement Act of 2019; H.R.4996 Helping Medicaid Offer Maternity Services Act of 2019; S.1895 Lower Health Care Costs Act. Medicaid coverage of postpartum care.

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

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

Medicaid coverage and pregnancy quality of care issues; H.R.1551 Quality Care for Moms and Babies Act; S.1960 Quality Care for Moms and Babies Act; H.R.4995 Maternal Health Quality Improvement Act of 2019; H.R.4996 Helping Medicaid Offer Maternity Services Act of 2019; S.1895 Lower Health Care Costs Act.

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

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

Maternal and child health legislation,focusing on National Children's Study (ECHO), Zika preparedness, tobacco control, opioids legislation and neonatal abstinence syndrome (NAS), antibiotic resistance, environmental health, vaccination, newborn screening, Healthy Start, maternal mental health. Specific legislation includes: MOMMAs Act (H.R. 1897/S. 916, MOMs Act (S. 116),MOMMIES Act (H.R. 2602, S. 1343), Quality Care for Moms and Babies Act (H.R. 1551/S. 1960), Maternal CARE Act (H.R. 6698/S. 1600), The Healthy Maternity and Obstetric Medicine Act (Healthy MOM Act) (H.R. 2778/S. 1481), Rural Maternal and Obstetric Modernization of Services (MOMS) Act (S. 2373), the Maternal Outcomes Matter Act of 2019 (S. 2586), Healthy Maternity and Obstetric Medicine Act (H.R. 2778, S. 1481), H.R. 4995, Maternal Health Quality Improvement Act of 2019, H.R. 4996, Helping Medicaid Offer Maternity Services Act of 2019, Reversing the Youth Tobacco Epidemic Act (H.R. 2339), Public Health Funding Restoration Act (H.R. 3447, S. 1944), and the Comprehensive Addiction Resources Emergency CARE Act (H.R. 2569, S. 1365), Newborn Screening Saves Lives Reauthorization Act of 2019 (HR 2507/S. 2158), Traveling Parents Screening Consistency Act (HR 3246), the Tobacco Tax Equity Act (S. 2517), EQUIP Act of 2020 (HR 6178), and the Protecting American Lungs Act of 2019 (HR 4742). Black Maternal Health Momnibus Act of 2020 (HR 6142)including the Social Determinants for Moms Act (HR 6132), the Protecting Moms who Served Act (HR 6164), the Data to Save Moms Act (HR 6165), the Moms MATTER Act (HR 6143), and Kira Johnson Act (HR 6144). Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (P.L. 116-123), Families First Coronavirus Response Act (P.L. 116-127), and Coronavirus Aid, Relief, and Economic Security (CARES) Act (HR 748) (P.L. 116-136).

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Postal Regulatory Commission, SENATE, Treasury, Dept of, U.S. Postal Service (USPS)

H.R. 4701, HEAL for Immigrant Women and Families Act of 2019, in support of health care services including sexual, reproductive, and maternal 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, To provide improved care and protection to incarcerated mothers, and for other purposesin support of increasing care and protection to incarcerated mothers; 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: $75,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate to reduce maternal mortality, increase access to comprehensive prenatal care, implement evidence-based childbirth education in prenatal care models and make childbirth education more accessible to all women. Support: H.R. 1551/S. 1960, the Quality Care for Moms and Babies Act H.R. 1897/S. 916, the MOMMA's Act H.R. 2602, the Healthy MOMMIES Act H.R. 2778/S. 1481, the Healthy MOM Act H.R. 4215, Excellence in Maternal Health Act S. 116, MOMs Act S. 1343, MOMMIES Act H.R. 6132, the Social Determinants for Moms Act H.R. 6144, the Honoring Kira Johnson Act H.R. 6141, the Protecting Moms who Served Act H.R. 6164, the Perinatal Workforce Act H.R. 5640/S. 3152, the Data Mapping to Save Moms Lives Act H.R. 6143, the Moms MATTER Act H.R. 6129, the Justice for Incarcerated Moms Act H.R. 5640/S. 3152, the Data Mapping to Save Moms Act H.R. 6137, the IMPACT to Save Moms Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1) General copyright law reform (including matters relating to songwriter royalty payments, the ASCAP and BMI consent decrees, the section 115 mechanical license, intellectual property enforcement, modernization/reform of the U.S. Copyright Office, and felony streaming); 2) H.R. 5447/S.2823/H.R. 1551, the Music Modernization Act; and 3) HR 748, the "Coronavirus Aid, Relief, and Economic Security (CARES) Act".

Client expense: $95,412 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, U.S. Copyright Office

PL 116-136 CARES Act (all sections of full text) HR 3502 Protecting People From Surprise Medical Bills Act (all sections of full text)(support) S 1266 Protecting Patients from Surprise Medical Bills Act (all sections of full text)(support) S 1531 Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 (all sections of full text)(support) S 1895 Lower Health Care Costs Act, Title I (all sections of full text)(oppose) Monitored HR 3062 Patient Access to Higher Quality Health Care Act of 2019 Monitored HR 861 The End Surprise Billing Act of 2019 Monitored HR 3630 No Surprises Act Monitored implementation of Sec. 6001 of the Affordable Care Act of 2010 Monitored discussions pertinent to health care group purchasing organizations (GPOs) role in helping to prevent drug shortages Monitored Executive Order #13877 Improving Price Quality Transparency in American Healthcare To Put Patients First Monitored HR 4379 Under-Performing Directories that Affect Treating Emergencies Act Monitored HR 1897 MOMMA's Act ("Mothers and Offspring Mortality and Morbidity Awareness Act") Monitored HR 1551 Quality Care for Moms and Babies Act Monitored HR 2902 Maternal Care Access and Reducing Emergencies Act Monitored HR 2602 Healthy MOMMIES Act Monitored HR 4995 Maternal Health Quality Improvement Act of 2019 Monitored S 2408 Telehealth Across State Lines Act of 2019 Monitored S 2741 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 Monitored HR 4932 Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019

Client expense: Not reported · Firm income: $130,000

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

Health Insurance Coverage (general); Health Disparities (general); Breastfeeding (general); Assisted Reproductive Technology (general); Smoking Cessation (general); Substance Use Disorder (general); Gynecologic Cancer (general); Gynecologic Devices (general); Reproductive Health (general); Intimate Partner Violence (general); Gun Violence (general); Immunization (general); Breast Cancer (general); E-Cigarettes (general); Medical Liability Reform (general); Health IT (general); Patient-Physician Relationship (general); Conscience Refusals (general); Child Welfare (general); Prematurity (general); Maternal Mortality and Morbidity (general); Graduate Medical Education (general); Contraception (general); Abortion (general); Indian Health (general); Teaching Health Centers (general); Sexuality Education (general); Teen Pregnancy Prevention Program (general); Personal Responsibility Education Program (general); Research in Pregnant and Breastfeeding Women (general); Health Care Reform (general); Title X Family Planning Program (general); Womens Preventive Services (general); Drug Pricing (general); Administrative Burden (general); Surprise Billing (general); Pediatric Loan Repayment Program (general); H.R. 1551/S.1960, Quality Care for Moms and Babies Act; H.R. 1897/S. 916, MOMMAs Act; H.R. 1763/S. 348, Resident Physician Shortage Reduction Act of 2019; H.R. 1554, Resident Education Deferred Interest Act; H.R.___/S. 116, MOMS Act; S.___, Rural MOMS Act; H.R. 2778/S. 1481, Healthy MOM Act; H.R. 2902/S. 1600, Maternal CARE Act; H.R. 2602/S. 1343, MOMMIES Act; H.R. 1585/S.___, Violence Against Women Reauthorization Act of 2019; S. 130/S. 311, Born-Alive Abortion Survivors Protection Act; H.R. 784/S. 160, Pain-Capable Unborn Child Protection Act; H.R. 2975/S. 1645, Womens Health Protection Act; H.R. 986/S. 466, Protecting Americans with Preexisting Conditions Act; H.R. 1010, To provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect; H.R. 1143, Educating Consumers on the Risks of Short-Term Plans Act of 2019; S.Res. 29, A resolution expressing support for the designation of a Womens Health Research Day; H.R. 2815/S. 304/S. 1191, Training the Next Generation of Primary Care Doctors Act of 2019; H.R.__/S.__, Wise Investment in our Children Act; H.Res. 317/S.Res. 154, A resolution recognizing Black Maternal Health Week; H.R. 2689/S. 1438, Breast Cancer Research Stamp Reauthorization Act; S. 1895, Lower Health Care Costs Act; H.R. 2862/S. 1619, VACCINES Act; H.R. 3296/S. 1847, Affordability is Access Act; H.R. 2777/S. 1936, Protecting Access to Lifesaving Screenings Act; H.R. 3109, GEDI Act; H.R. 2803/S. 1461, Access to Infertility Treatment and Care Act; H.R. 2411/S. 1258, Tobacco to 21 Act; implementation of P.L. 115-344, Preventing Maternal Deaths Act; implementation of P.L. 115-320, Improving Access to Maternity Care Act

Client expense: $420,234 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Environmental Protection Agency (EPA), 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), Indian Health Service, Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA), White House Office

Extension and modification of the renewable energy production tax credit (PTC) and investment tax credit (ITC) for renewable energy resources; tax incentives for nuclear and coal power plants; H.R.1551 and S. 666 - To amend the Internal Revenue Code of 1986 to modify the credit for production from advanced nuclear power facilities; H.R.5270 - Electricity Reliability and Fuel Security Act; IRS guidance on solar ITC commenced construction safe harbor; S 1288, Clean Energy for America Act; HR 3301, Taxpayer Certainty and Disaster Tax Relief Act of 2019; S 617, Tax Extender and Disaster Relief Act of 2019; S 1988, Incentivizing Offshore Wind Power Act; S 1957; Offshore Wind Incentives for New Development Act; S 1142 and HR 2096, Energy Storage Tax Incentive and Deployment Act of 2019; S 2289/HR 3961, Renewable Energy Extension Act; HR 1865, Further Consolidated Appropriations Act, 2020 - Taxpayer Certainty and Disaster Tax Relief Act of 2019 section;

Client expense: $3,150,000 · Firm income: Not reported

Government targets: Energy, Dept of, Environmental Protection Agency (EPA), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, SENATE

H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Issues related to ACA reinsurance/stabilization; rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Prescription Rebates; Privacy; Universal Coverage. H.R. 3439 - Protecting Access To Information for Effective and Necessary Treatment Act, PATIENT Act: Regarding all provisions. H.R. 861 - End Surprise Billing Act, HR 3630 - No Surprises Act, H.R. 3502 - Protecting People from Surprise Medical Bills Act; Issues relating to surprise billing, including benchmark payments, arbitration models, and out of network billing. H.R. 1897, S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act, H.R. 1551 - Quality Care for Moms and Babies Act, H.R. 2902 - Maternal Care Act: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues relating to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues relating to drug costs. Centers for Medicare and Medicaid Services 84 FR 39398 - Hospital Outpatient Prospective Payment System (OPPS); EO 13877 / 84 FR 30849 - Improving Price and Quality Transparency in American Healthcare To Put Patients First; Centers for Medicare and Medicaid Services Proposed Rule 84 FR 7610 - Interoperability and Patient Access; Office of National Coordinator for Health Information Technology Proposed Rule 84 FR 7424 - Interoperability, Information Blocking, and the ONC Health IT Certification Program; Issues relating to drug and price transparency.

Client expense: $1,330,000 · Firm income: Not reported

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

H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Issues related to ACA reinsurance/stabilization; rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Prescription Rebates; Privacy; Universal Coverage. H.R. 3439 - Protecting Access To Information for Effective and Necessary Treatment Act, PATIENT Act: Regarding all provisions. H.R. 861 - End Surprise Billing Act, HR 3630 - No Surprises Act, H.R. 3502 - Protecting People from Surprise Medical Bills Act; Issues relating to surprise billing, including benchmark payments, arbitration models, and out of network billing. H.R. 1897, S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act, H.R. 1551 - Quality Care for Moms and Babies Act, H.R. 2902 - Maternal Care Act: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues relating to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues relating to drug costs. Centers for Medicare and Medicaid Services 84 FR 39398 - Hospital Outpatient Prospective Payment System (OPPS); EO 13877 / 84 FR 30849 - Improving Price and Quality Transparency in American Healthcare To Put Patients First; Centers for Medicare and Medicaid Services Proposed Rule 84 FR 7610 - Interoperability and Patient Access; Office of National Coordinator for Health Information Technology Proposed Rule 84 FR 7424 - Interoperability, Information Blocking, and the ONC Health IT Certification Program; Issues relating to drug and price transparency.

Client expense: $1,070,000 · Firm income: Not reported

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

S. 916/HR 1897 MOMMA's Act (maternal mortality); S. 116 MOMS Act (maternal health); HR 2902/ S 1600 Maternal CARE Act; HR 1551/S 1960 Quality Care for Moms and Babies Act; maternal mortality, severe maternal morbidity, research in pregnancy; Healthy Start

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

Maternal morbidity and mortality Pregnancy intention screening legislation Paid family leave S.463 - Family and Medical Insurance Leave Act Supporting Healthy Outcomes for Mothers and Infants Act H.R.1309 - Workplace Violence Prevention for Health Care and Social Service Workers Act Reversing the Youth Tobacco Epidemic Act (H.R. 2339) H.R. 4768, the Home Visiting to Reduce Maternal Mortality and Morbidity Act Quality Care for Moms and Babies Act (H.R. 1551/S. 1960) Pregnant Workers Fairness Act (HR 2694) HR 1534, the Federal Employees Paid Leave Act H.R. 4995, the Maternal Health Quality Improvement Act of 2019 H.R. 4996, the Helping Medicaid Offer Maternity Services Act of 2019 S.2158 - Newborn Screening Saves Lives Reauthorization Act HHS Secretarys Advisory Committee on Infant Mortality

Client expense: Not reported · Firm income: Not reported

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

Maternal and child health legislation,focusing on National Children's Study (ECHO), Zika preparedness, tobacco control, opioids legislation and neonatal abstinence syndrome (NAS), antibiotic resistance, environmental health, vaccination, newborn screening, Healthy Start, maternal mental health. Specific legislation includes: MOMMAs Act (H.R. 1897/S. 916, MOMs Act (S. 116),MOMMIES Act (H.R. 2602, S. 1343), Quality Care for Moms and Babies Act (H.R. 1551/S. 1960), Maternal CARE Act (H.R. 6698/S. 1600), The Healthy Maternity and Obstetric Medicine Act (Healthy MOM Act) (H.R. 2778/S. 1481), Rural Maternal and Obstetric Modernization of Services (MOMS) Act (S. 2373), the Maternal Outcomes Matter Act of 2019 (S. 2586), Healthy Maternity and Obstetric Medicine Act (H.R. 2778, S. 1481), H.R. 4995, Maternal Health Quality Improvement Act of 2019, H.R. 4996, Helping Medicaid Offer Maternity Services Act of 2019, Reversing the Youth Tobacco Epidemic Act (H.R. 2339), Public Health Funding Restoration Act (H.R. 3447, S. 1944), and the Comprehensive Addiction Resources Emergency CARE Act (H.R. 2569, S. 1365), Newborn Screening Saves Lives Reauthorization Act of 2019 (HR 2507/S. 2158), Traveling Parents Screening Consistency Act (HR 3246), and the Tobacco Tax Equity Act (S. 2517).

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Postal Regulatory Commission, SENATE, Treasury, Dept of, U.S. Postal Service (USPS)

HR 3502 Protecting People from Surprise Medical Bills Act (all sections of full text)(support) S1266 Protecting Patients from Surprise Medical Bills Act (all sections of full text)(support) S1531 Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 (all sections of full text)(support) S1895 Lower Health Care Costs Act, Title I (all sections of full text)(oppose) Monitored HR 3062 Patient Access to Higher Quality Health Care Act of 2019 Monitored HR 861 The End Surprise Billing Act of 2019 Monitored HR 3630 No Surprises Act Monitored implementation of Sec. 6001 of the Affordable Care Act of 2010 Monitored discussions pertinent to health care group purchasing organizations (GPOs) role in helping to prevent drug shortages Monitored Executive Order #13877 Improving Price Quality Transparency in American Healthcare To Put Patients First Monitored HR 4379 Under Performing Directories that Affect Treating Emergencies Act Monitored HR 1897 MOMMA's Act ("Mothers and Offspring Mortality and Morbidity Awareness Act") Monitored HR 1551 Quality Care for Moms and Babies Act Monitored HR 2902 Maternal Care Access and Reducing Emergencies Act Monitored HR 2602 Healthy MOMMIES Act Monitored HR 4995 Maternal Health Quality Improvement Act of 2019 Monitored S 2408 Telehealth Across State Lines Act of 2019 Monitored S 2741 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 Monitored HR 4932 Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019

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

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

H.R. 4701 HEAL for Immigrant Women and Families Act of 2019 - in support of health care services including sexual, reproductive, and maternal 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. 116Modernizing 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.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 62, Empowering Medicare Seniors to Negotiate Drug Prices Act (Klobuchar) - Part D price negotiations S. 99, Medicare Drug Price Negotiation Act (Sanders) - Part D price negotiations, formulary changes S. 205, Right Rebate Act (Wyden) - Medicaid drug rebate program S. 317, ACE Kids Act (Grassley) - health homes for children with medically complex conditions S. 377, Medicare Negotiation and Competitive Licensing Act (Brown) - Part D price negotiation S. 470, Medicare at 50 Act (Stabenow) - Medicare buy-in option S. 475, RxCAP Act (Wyden) - Part D cost-sharing S. 489, State Public Option Act (Schatz) - Medicaid buy-in option S. 516, Prescription Drug Monitoring Act (Klobuchar) - required use of PDMPs S. 548, EMPOWER Care Act (Portman) - MFP demonstration S. 640, Phair Pricing Act (Kennedy) -- Part D rebates at the point of sale S. 691, Medicare Extra Rx HELP Act (Casey) - Part D assistance for low-income seniors S. 709, Prescription Drug Pricing Dashboard Act (Casey) - interactive dashboard with drug price and utilization data for federal programs S. 773, Telehealth Innovation and Improvement Act (Gardner) - testing expanded coverage of telehealth services in Medicare S. 988, Improving Transparency and Accuracy in Medicare Part D Spending Act (Capito) - payments on clean claims S. 1114, Medicare Advantage Quality Payment Relief Act (Daines-King) - MA benchmark cap S. 2081, Stop Drug Companies from Overcharging Seniors in Medicare Part B Act of 2019 (Peters)- drugs in Part B S. 2252, Empowering States to Address Drug Costs Act (Van Hollen)- drug pricing S. 2446, Medicare Audiologist Access and Services Act of 2019 (Warren)-Medicare coverage of audiologist services S. 2650 - Medicare Prescription Drug Savings and Choice Act of 2019 (Durbin) - lowering prescription drug costs S. 2807, Hospice Care Improvement Act of 2019 (Portman) - Medicare hospice programs S. 2846, Protecting Patients Transportation to Care Act (Isakson) - Medicaid coverage of transportation S. 2911, Seniors Prescription Drug Relief Act of 2019 (Cassidy) - Part D smoothing S. 3000, Patient Shared Savings Act (Cassidy) - prescription drug plans S. 3001, Permanent Relief for Seniors and Medicare, Medicaid, Human Services Extension Act of 2019 (Toomey) - extensions S. 3029, Territories Medicare Prescription Drug Assistance Equity Act of 2019 (Menendez) - Territories, low-income Medicare part D beneficiaries S. 3078, Audit & Appeals Fairness, Integrity, and Reforms in Medicare Act of 2019 (Grassley) - Medicare appeals process S. 3129, Lower Costs, More Cures Act of 2019 (Crapo) - drug pricing H.R. 19, Lower Costs, More Cures Act of 2019 (Walden) - drug pricing H.R. 259, Medicaid Extenders Act (Pallone) - MFP demonstration, spousal impoverishment protections H.R. 448, Medicare Drug Price Negotiation Act (Cummings) - Part D price negotiations, formulary changes H.R. 789, Improving Transparency and Accuracy in Medicare Part D Spending Act (Welch) - payments on clean claims H.R. 937, Right Rebate Act (Schrader) - Medicaid drug rebate program H.R. 1034, Phair Pricing Act (Collins) - Part D rebates at the point of sale H.R. 1035, Prescription Drug Price Transparency Act (Collins) - Medicare PBM standards H.R. 1046, Medicare Negotiation and Competitive Licensing Act (Doggett) - Part D price negotiation H.R. 1226, ACE Kids Act (Castor) - health homes for children with medically complex conditions H.R. 1277, State Public Option Act (Lujan) - Medicaid buy-in option H.R. 1301, Mental Health Telemedicine Expansion Act (DelBene) - Medicare coverage of mental health telehealth services H.R. 1342, EMPOWER Care Act (Dingell) - MFP demonstration H.R. 1343, Protecting Married Seniors from Impoverishment Act (Dingell) - spousal impoverishment protections H.R. 1346, Medicare Buy-In and Health Care Stabilization Act (Higgins) - Medicare buy-in option H.R. 1375, PAID Act (Kind) - transparency of Medicare secondary payer information H.R. 1394, Medigap Consumer Protection Act (Doggett) - Medicare supplemental consumer protections H.R. 1551, Quality Care for Moms and Babies Act (Engel) - quality measures in Medicaid and CHIP H.R. 1781, Payment Commission Data Act (Carter) - MedPAC and MACPAC access to drug pricing and rebate data in Medicare and Medicaid H.R. 1839, Medicaid Services Investment and Accountability Act (Ruiz) - MFP demonstration, spousal impoverishment protections, ACE Kids Act, Medicaid drug rebate program, health homes for children with medically complex conditions H.R. 2131, Medicare Advantage Quality Payment Relief Act (Kind-Kelly) - MA benchmark cap H.R. 2757, Creating Lower Cost Alternatives for Your Prescription Drugs Act (Cunningham) - eliminate copay for generic drugs in Medicare Part D H.R. 3107, Improving Seniors' Timely Access to Care Act (DelBene) - Medicare Advantage prior authorization H.R. 3253, Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act (Dingell) - MFP demonstration, spousal impoverishment protections, Medicaid drug rebate program H.R. 3417, Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act (Neal) - funding for quality measurement initiatives, Medicare coverage of mental health telehealth services, real-time benefit tools in Medicare Part D, Medicare eligibility and enrollment notices H.R. 3461, Community-Based Independence for Seniors Act (Sanchez-Kelly) - Community-Based Institutional Special Needs Plan H.R. 3613, State Accountability, Flexibility, and Equity for Hospitals Act of 2019 (Bilirakis) -Medicaid DSH payments H.R. 3631, Territories Health Care Improvement Act (Soto) -Medicaid funding H.R. 3644, Independence at Home Demonstration Act of 2019 (Burgess)-Medicare demonstration program H.R. 3925, Reducing Barriers to Substance Use Treatment Act (Tonko)- Opioids H.R. 3935, Protecting Patients Transportation to Care Act (Carter)-Medicaid coverage for transportation H.R. 4378, Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 (Lowey)-Health extenders H.R. 4453, Protecting Seniors from Health Care Fraud Act of 2019 (Ruiz)-Distributing information to Medicare beneficiaries to prevent fraud H.R. 4527, Expanding Health Care Options for Early Retirees Act (Malinowski)-Option for first responders to buy-in to Medicare H.R. 4529, Promoting Access to Broadband Act of 2019 (Maloney)-Medicaid H.R. 4583, Medicare Extra Rx Higher Eligibility Limits in Part D Act of 2019 (Schneider) - prescription drug affordability H.R. 4597, Acting to Cancel Copays and Ensure Substantial Savings for Biosimilars Act of 2019 (Peters) - biosimilars, Part B H.R. 4618, Medicare Hearing Act of 2019 (McBath) - coverage for certain hearing items and services under part B H.R. 4619, Pharmaceutical Rebates for Excessive Pricing Above Inflation Act (Schakowsky) - drug rebates, Part D H.R. 4620, More Help for Seniors Act of 2019 (Rose) - expand eligibility for low-income subsidies under Part D of the Medicare program H.R. 4621, Collecting and Analyzing Resources Integral and Necessary for Guidance for Social Determinants Act of 2019 (Blunt Rochester) - best practices re social determinants of health H.R. 4628, Better Tools to Lower Costs Act of 2019 (Scanlon) - resource requirements H.R. 4629, Star Rating for Biosimilars Act (Tonko) - biosimilars H.R. 4632, Better Transparency in Information for Medicare Beneficiaries Act of 2019 (Kind) - provides consumers information regarding premiums under LIS benchmark plans H.R. 4649, Capping Drug Costs for Seniors Act of 2019 (Horsford) - cap on beneficiary liability under part D of the Medicare program H.R. 4650, Medicare Dental Act of 2019 (Kelly) - Medicare dental coverage H.R. 4655, Enhancing Retirement Security for Medicare Beneficiaries Act of 2019 (Lee) - eligibility of individuals for premium and cost-sharing subsidies under part D H.R. 4661, Advancing Enrollment and Reducing Drug Costs Act of 2019 (Pappas) - Medicaid in territories H.R. 4663, Freedom from Price Gouging Act (Porter) - drug rebates, Part B H.R. 4665, Medicare Vision Act of 2019 (Schrier) - vision items and services under part B H.R. 4666, To amend title XVIII of the Social Security Act to provide certain low-income territorial residents with automatic eligibility for premium and cost-sharing subsidies under the Medicare program, and for other purposes (Shalala) - Medicare in territories H.R. 4669, Maximizing Drug Coverage for Low-Income Seniors Act of 2019 (Stevens) - auto enrollment and intelligent assignment H.R. 4671, Helping Seniors Afford Health Care Act (Kim) - Medicare affordability and low income beneficiaries H.R. 4676, Protecting Medicare Beneficiaries with Pre-Existing Conditions Act (Schneider) - Medigap H.R. 4699, To amend title XIX of the Social Security Act to remove the matching requirement for a territory to use specially allocated Federal funds for Medicare covered part D drugs for low-income individuals (Gonzales-Colon) - Part D, territories H.R. 4769, Medicare Prescription Drug Savings and Choice Act of 2019 (Schakowsky) - lowering prescription drug costs H.R. 4946, Ensuring Seniors Access to Local Pharmacies Act of 2019 (Welch) - equal access of Medicare beneficiaries to community pharmacies in underserved areas H.R. 4996, Helping Medicaid Offer Maternity Services Act of 2019 (Kelly) - State extension of Medicaid H.R. 5006, Expanding Access to Inpatient Mental Health Act (Emmer) - Medicaid coverage for SUD/mental health for institutionalized H.R. 5039, Life Sustaining Prescription Drug Price Relief Act of 2019 (Lipinski) - part D H.R. 5057, Pass- Through Technical Corrections Act (Tonko) - drug pass-through status under Medicare outpatient payment H.R. 5201, Telemental Health Expansion Act of 2019 (Matsui) - Medicare coverage of mental telehealth H.R. 5232, Road to Recovery Act (Fitzpatrick) - Medicaid and CHIP SUD treatment H.R. 5281, Drug Price Transparency in Medicaid Act of 2019 (Carter) - transparency and spread pricing affordability Discussion Draft, Medicare Part D Reform (Neal-Pallone-Brady-Walden) - maximum out-of-pocket limit, federal reinsurance payments Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and risk adjustment data validation (RADV) audit issues including proposed RADV regulation for MA; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); calendar year 2021 policy and technical regulation for MA and Part D; MA and Part D proposed rule on drug pricing changes for 2020; Part D reform, out of pocket limits; issues related to Medicare for All, Medicare buy-in and public option; CMSs price transparency proposal for direct-to-consumer advertisements; issues relating to 2021 Rate Notice and Call Letter; issues related to MLTSS; issues related to proposed changes to removal of safe harbor protection for rebates (proposed rule); in-home health risk assessments; Medicare Medical Loss Ratio issues; implementation of sequestration under the Medicare Advantage and Part D programs; implications of the health insurer fee for MA and Part D plans; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); issues related to the international price index; issues related to child and maternal health; issues related to Medicaid supplemental and disproportionate share hospital (DSH) funding; issues related to Medicaid funding for territories; issues related to medical management; issues relating to MA supplemental benefits; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value-based insurance design (VBID) demonstration; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; implementation of the Affordable Care Act (ACA) and the Bipartisan Budget Act of 2018 changes to the Part D coverage gap; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; new payment system for physicians under MACRA, including implications for MA and Part D plans; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS's substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; issues relating to prescription drug price blueprint; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; issues related to health homes for children with medically complex conditions; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation.

Client expense: $2,340,000 · Firm income: Not reported

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

Extension and modification of the renewable energy production tax credit (PTC) and investment tax credit (ITC) for renewable energy resources; tax incentives for nuclear and coal power plants; H.R.1551 and S. 666 - To amend the Internal Revenue Code of 1986 to modify the credit for production from advanced nuclear power facilities; H.R.5270 - Electricity Reliability and Fuel Security Act; IRS guidance on solar ITC commenced construction safe harbor; S 1288, Clean Energy for America Act; HR 3301, Taxpayer Certainty and Disaster Tax Relief Act of 2019; S 617, Tax Extender and Disaster Relief Act of 2019; S 1988, Incentivizing Offshore Wind Power Act; S 1957; Offshore Wind Incentives for New Development Act; S 1142 and HR 2096, Energy Storage Tax Incentive and Deployment Act of 2019; S 2289/HR 3961, Renewable Energy Extension Act; HR 1865, Further Consolidated Appropriations Act, 2020 - Taxpayer Certainty and Disaster Tax Relief Act of 2019 section;

Client expense: $3,050,000 · Firm income: Not reported

Government targets: Energy, Dept of, Environmental Protection Agency (EPA), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, SENATE

Advocate to reduce maternal mortality, increase access to comprehensive prenatal care, implement evidence-based childbirth education in prenatal care models and make childbirth education more accessible to all women. H.R. 1551/S. 1960, the Quality Care for Moms and Babies Act H.R. 1897/S. 916, the MOMMA's Act H.R. 2602, the Healthy MOMMIES Act H.R. 2778/S. 1481, the Healthy MOM Act H.R. 4215, Excellence in Maternal Health Act S. 116, MOMs Act S. 1343, MOMMIES Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Rural Healthcare; Risk Adjustment; State Flexibility; Opioids; Sober Homes; Marketplace Stability; Individual Market Reform; Value-based Care; Health Care Costs; Mental Health; Small Business Plans; Reinsurance; CSRs; SNPs; FEHBP Issues; 42 CFR Part 2; Transparency; Silverloading; Health IT; Interoperability; Texas lawsuit; Surprise billing, Transparency, Small Business, State Flexibility; Health Reimbursement Arrangements (HRAs)Outreach, Education, and Enrollment; Prior Authorization; All payer claims database; Negotiated rate disclosure; Consumer-facing app disclosures; Provider directories; Medicare for All; Medicare Buy-in; Maternal health; Senior's health care; Social determinants of health; Community health; Lyme disease; Cybersecurity, NBPP (Notice Benefit and Payment Parameters) H.R.1346 - 116th Congress (2019-2020) Medicare Buy-In and Health Care Stabilization Act of 2019 Sponsor: Rep. Higgins, Brian [D-NY-26] (Introduced 02/25/2019) H.R.1384 - 116th Congress (2019-2020) Medicare for All Act of 2019 Sponsor: Rep. Jayapal, Pramila [D-WA-7] (Introduced 02/27/2019) H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act Sponsor: Rep. Ruiz, Raul [D-CA-36] (Introduced 06/26/2019) Cosponsors: (48) H.R.2003 - 116th Congress (2019-2020) Ensuring FEHBP Coverage During Shutdowns Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] (Introduced 04/01/2019) H.R.2004 - 116th Congress (2019-2020) Ensuring FEDVIP and FLTCIP Coverage During Shutdowns Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] (Introduced 04/01/2019) S.973 - 116th Congress (2019-2020) Ensuring FEDVIP and FLTCIP Coverage During Shutdowns Act Sponsor: Sen. Smith, Tina [D-MN] (Introduced 04/01/2019) S.971 - 116th Congress (2019-2020) Ensuring FEHBP Coverage During Shutdowns Act Sponsor: Sen. Smith, Tina [D-MN] (Introduced 04/01/2019) H.R.1385 - 116th Congress (2019-2020) SAVE Act Sponsor: Rep. Kim, Andy [D-NJ-3] (Introduced 02/27/2019) H.R.1386 - 116th Congress (2019-2020) ENROLL Act of 2019 Sponsor: Rep. Castor, Kathy [D-FL-14] (Introduced 02/27/2019) H.R.987 - Strengthening Health Care and Lowering Prescription Drug Costs Act 116th Congress (2019-2020) Sponsor: Rep. Blunt Rochester, Lisa [D-DE-At Large] (Introduced 02/06/2019) H.R.1010 - 116th Congress (2019-2020) To provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect. Sponsor: Rep. Castor, Kathy [D-FL-14] (Introduced 02/06/2019) H.R.986 - 116th Congress (2019-2020) Protecting Americans with Preexisting Conditions Act of 2019 Sponsor: Rep. Kuster, Ann M. [D-NH-2] (Introduced 02/06/2019) H.R.1425 - 116th Congress (2019-2020) State Health Care Premium Reduction Act Sponsor: Rep. Craig, Angie [D-MN-2] (Introduced 02/28/2019) H.R.1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18] (Introduced 02/11/2019) H.R.1520 - 116th Congress (2019-2020) Purple Book Continuity Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18] (Introduced 03/05/2019) S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] (Introduced 06/19/2019) H.R.1046 - 116th Congress (2019-2020) Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35] H.R.1897 - 116th Congress (2019-2020) MOMMA's Act Sponsor: Rep. Kelly, Robin L. [D-IL-2] (Introduced 03/27/2019) H.R.1551 - 116th Congress (2019-2020) Quality Care for Moms and Babies Act Sponsor: Rep. Engel, Eliot L. [D-NY-16] (Introduced 03/06/2019 H.R.2902 - 116th Congress (2019-2020) Maternal CARE Act Sponsor: Rep. Adams, Alma S. [D-NC-12] H.R.2602 - 116th Congress (2019-2020) Healthy MOMMIES Act Sponsor: Rep. Pressley, Ayanna [D-MA-7] H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] H.R.4378 - 116th Congress (2019-2020) Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 Sponsor: Rep. Lowey, Nita M. [D-NY-17] H.R.2328 - 116th Congress (2019-2020) Community Health Investment, Modernization, and Excellence Act of 2019 Sponsor: Rep. O'Halleran, Tom [D-AZ-1] H.R.3439 - 116th Congress (2019-2020) PATIENT Act Sponsor: Rep. Beyer, Donald S., Jr. [D-VA-8] H.R.3107 - 116th Congress (2019-2020) Improving Seniors' Timely Access to Care Act of 2019 Sponsor: Rep. DelBene, Suzan K. [D-WA-1] H.R.4004 - 116th Congress (2019-2020) Social Determinants Accelerator Act of 2019 Sponsor: Rep. Bustos, Cheri [D-IL-17] H.R.2279 - 116th Congress (2019-2020) Safe Step Act Sponsor: Rep. Ruiz, Raul [D-CA-36] H.R.360 - 116th Congress (2019-2020) Cyber Sense Act of 2019 Sponsor: Rep. Latta, Robert E. [R-OH-5] S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] S. 2897 - 116th Congress (2019-2020) Patient-Centered Outcomes Research Institute Reauthorization Act Sponsor: Sen. Mark Warner (D-VA) S. 2546 - 116th Congress (2019-2020) Safe Step Act Sen. Lisa Murkowski (R-AK) S. 2004 - 116th Congress (2019-2020) Ensuring FEDVIP and FLTCIP Coverage During Shutdowns Act Rep. Elijah Cummings (D-MD-07) H.R. 2774 - 116th Congress (2019-2020) Primary Care Patient Protection Act of 2019 Rep. Brad Schneider (D-IL-10)

Client expense: $1,840,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

Health Insurance Coverage (general); Health Disparities (general); Breastfeeding (general); Assisted Reproductive Technology (general); Smoking Cessation (general); Substance Use Disorder (general); Gynecologic Cancer (general); Gynecologic Devices (general); Reproductive Health (general); Intimate Partner Violence (general); Gun Violence (general); Immunization (general); Breast Cancer (general); E-Cigarettes (general); Medical Liability Reform (general); Health IT (general); Patient-Physician Relationship (general); Conscience Refusals (general); Child Welfare (general); Prematurity (general); Maternal Mortality and Morbidity (general); Graduate Medical Education (general); Contraception (general); Abortion (general); Indian Health (general); Teaching Health Centers (general); Sexuality Education (general); Teen Pregnancy Prevention Program (general); Personal Responsibility Education Program (general); Research in Pregnant and Breastfeeding Women (general); Health Care Reform (general); Title X Family Planning Program (general); Womens Preventive Services (general); Drug Pricing (general); Administrative Burden (general); Surprise Billing (general); Pediatric Loan Repayment Program (general); H.R. 1551/S.1960, Quality Care for Moms and Babies Act; H.R. 1897/S. 916, MOMMAs Act; H.R. 1763/S. 348, Resident Physician Shortage Reduction Act of 2019; H.R. 1554, Resident Education Deferred Interest Act; H.R.___/S. 116, MOMS Act; S. 2373/H.R. 4243, Rural MOMS Act; H.R. 2778/S. 1481, Healthy MOM Act; H.R. 2902/S. 1600, Maternal CARE Act; H.R. 2602/S. 1343, MOMMIES Act; H.R. 1585/S.___, Violence Against Women Reauthorization Act of 2019; S. 130/S. 311, Born-Alive Abortion Survivors Protection Act; H.R. 2975/S. 1645, Womens Health Protection Act; H.R. 986/S. 466, Protecting Americans with Preexisting Conditions Act; H.R. 1010, To provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect; H.R. 1143, Educating Consumers on the Risks of Short-Term Plans Act of 2019; S.Res. 29, A resolution expressing support for the designation of a Womens Health Research Day; H.R. 2815/S. 304/S. 1191, Training the Next Generation of Primary Care Doctors Act of 2019; H.R.__/S.__, Wise Investment in our Children Act; H.Res. 317/S.Res. 154, A resolution recognizing Black Maternal Health Week; H.R. 2689/S. 1438, Breast Cancer Research Stamp Reauthorization Act; S. 1895, Lower Health Care Costs Act; H.R. 2862/S. 1619, VACCINES Act; H.R. 3296/S. 1847, Affordability is Access Act; H.R. 2777/S. 1936, Protecting Access to Lifesaving Screenings Act; H.R. 3109, GEDI Act; H.R. 2803/S. 1461, Access to Infertility Treatment and Care Act; H.R. 2411/S. 1258, Tobacco to 21 Act; implementation of P.L. 115-344, Preventing Maternal Deaths Act; implementation of P.L. 115-320, Improving Access to Maternity Care Act; S. 2586, Maternal Outcomes Matter Act; HR 3630, No Surprises Act; HR 3502, Protecting People From Surprise Medical Bills Act; Cures 2.0; S. 227/H.R. 2733, Savannas Act; S. 336/H.R. 2029, the Studying the Missing and Murdered Indian Crisis Act; H.R. 4495, Maternal Health Quality Improvement Act of 2019; H.R. 4996, Helping MOMS Act; Ways and Means Rural and Underserved Communities Health Task Force; H.R. 5640/S. 3152, the Data Mapping to Save Moms Lives Act;

Client expense: $192,376 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Environmental Protection Agency (EPA), 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), Indian Health Service, Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA), White House Office

HR 3502 Protecting People From Surprise Medical Bills Act (all sections of full text)(support) S 1266 Protecting Patients from Surprise Medical Bills Act (all sections of full text)(support) S 1531 Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 (all sections of full text)(support) S 1895 Lower Health Care Costs Act, Title I (all sections of full text)(oppose) Monitored HR 3062 Patient Access to Higher Quality Health Care Act of 2019 Monitored HR 861 The End Surprise Billing Act of 2019 Monitored HR 3630 No Surprises Act Monitored implementation of Sec. 6001 of the Affordable Care Act of 2010 Monitored discussions pertinent to health care group purchasing organizations (GPOs) role in helping to prevent drug shortages Monitored Executive Order #13877 Improving Price Quality Transparency in American Healthcare To Put Patients First Monitored HR 4379 Under-Performing Directories that Affect Treating Emergencies Act Monitored HR 1897 MOMMA's Act ("Mothers and Offspring Mortality and Morbidity Awareness Act") Monitored HR 1551 Quality Care for Moms and Babies Act Monitored HR 2902 Maternal Care Access and Reducing Emergencies Act Monitored HR 2602 Healthy MOMMIES Act Monitored HR 4995 Maternal Health Quality Improvement Act of 2019 Monitored S 2408 Telehealth Across State Lines Act of 2019 Monitored S 2741 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 Monitored HR 4932 Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019

Client expense: Not reported · Firm income: $260,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support H.R. 2862 the Vaccine Awareness Campaign to Champion Immunization Nationally and Enhance Safety (VACCINES) Act of 2019. Support S. 1944/H.R. 3447, the Public Health Funding Restoration Act. Support H.R. 2507, the Newborn Screening Saves Lives Reauthorization Act of 2019. Support H.R. 3443, the bipartisan Over-the-Counter Monograph Safety, Innovation, and Reform Act. Support Community Access, Resources, and Education for Families (CARE for Families) Act. Support S. 916/H.R. 1897, the Mothers and Offspring Mortality and Morbidity Awareness (MOMMA) Act. Support H.R. 1551/S.1960, the Quality Care for Moms and Babies Act. Support S.1895, the Lower Health Care Costs Act. Support H.R. 4996 Helping Medicaid Offer Maternity Services Act of 2019.

Client expense: $19,878 · Firm income: Not reported

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

Medicare and Medicaid policies related to quality measurement and quality improvement, including the "Reauthorizing and Extending America's Community Health Act (H.R. 2328)", the "Beneficiary Education Tools, Telehealth and Extenders Reauthorization Act (H.R. 3417)", H.R. 3031, the "Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 (H.R. 4378)", the "Quality Care for Moms and Babies Act (H.R. 1551/S.1960" and the "Further Consolidated Appropriations Act, 2020".

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid coverage and pregnancy quality of care issues; H.R.1551 Quality Care for Moms and Babies Act; S.1960 Quality Care for Moms and Babies Act; H.R.4995 Maternal Health Quality Improvement Act of 2019; H.R.4996 Helping Medicaid Offer Maternity Services Act of 2019; S.1895 Lower Health Care Costs Act.

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

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

H.R.3053 - To amend title V of the Social Security Act to reauthorize the Personal Responsibility Education Program H.R. 2328 To reauthorize and extend funding for community health centers and the National Health Service Corps S. 2296 Pregnancy Assistance Act of 2019 H.R. 2720/S. 1524 Real Education For Healthy Youth Act H.R. 2701/S. 1530 Youth Access to Sexual Health Services Act H.R. 3296/S. 1847 Affordability is Access Act H.R. 1692/S. 758 EACH Woman Act H.R. 2975/S. 1645 Women's Health Protection Act Birth Control Access Innovation Act (no bill number yet) H.R. 1551/S. 1960 Quality Care for Moms and Babies Act

Client expense: $72,604 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Surprise medical billing legislation (H.R. 2328 and S. 1895) Drug pricing legislation (H.R. 3) Price Transparency proposals (H.R. 2328 and S. 1895) Maternal mortality legislation (H.R.1897, H.R. 1551, H.R. 2902, H.R. 2602)

Client expense: $85,827 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Extension and modification of the renewable energy production tax credit (PTC) and investment tax credit (ITC) for renewable energy resources; tax incentives for nuclear and coal power plants; H.R.1551 and S. 666 - To amend the Internal Revenue Code of 1986 to modify the credit for production from advanced nuclear power facilities; H.R.5270 - Electricity Reliability and Fuel Security Act; IRS guidance on solar ITC commenced construction safe harbor; S 1288, Clean Energy for America Act; HR 3301, Taxpayer Certainty and Disaster Tax Relief Act of 2019; S 617, Tax Extender and Disaster Relief Act of 2019; S 1988, Incentivizing Offshore Wind Power Act; S 1957; Offshore Wind Incentives for New Development Act; S 1142 and HR 2096, Energy Storage Tax Incentive and Deployment Act of 2019; S 2289/HR 3961, Renewable Energy Extension Act

Client expense: $1,360,000 · Firm income: Not reported

Government targets: Energy, Dept of, Environmental Protection Agency (EPA), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, SENATE

Advocate to reduce maternal mortality, increase access to comprehensive prenatal care, implement evidence-based childbirth education in prenatal care models and make childbirth education more accessible to all women. H.R. 1551/S. 1960, the Quality Care for Moms and Babies Act H.R. 1897/S. 916, the MOMMA's Act H.R. 2602, the Healthy MOMMIES Act H.R. 2778/S. 1481, the Healthy MOM Act H.R. 4215, Excellence in Maternal Health Act S. 116, MOMs Act S. 1343, MOMMIES Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 62, Empowering Medicare Seniors to Negotiate Drug Prices Act (Klobuchar) - Part D price negotiations S. 99, Medicare Drug Price Negotiation Act (Sanders) - Part D price negotiations, formulary changes S. 205, Right Rebate Act (Wyden) - Medicaid drug rebate program S. 317, ACE Kids Act (Grassley) - health homes for children with medically complex conditions S. 377, Medicare Negotiation and Competitive Licensing Act (Brown) - Part D price negotiation S. 470, Medicare at 50 Act (Stabenow) - Medicare buy-in option S. 475, RxCAP Act (Wyden) - Part D cost-sharing S. 489, State Public Option Act (Schatz) - Medicaid buy-in option S. 516, Prescription Drug Monitoring Act (Klobuchar) - required use of PDMPs S. 548, EMPOWER Care Act (Portman) - MFP demonstration S. 640, Phair Pricing Act (Kennedy) -- Part D rebates at the point of sale S. 691, Medicare Extra Rx HELP Act (Casey) - Part D assistance for low-income seniors S. 709, Prescription Drug Pricing Dashboard Act (Casey) - interactive dashboard with drug price and utilization data for federal programs S. 773, Telehealth Innovation and Improvement Act (Gardner) - testing expanded coverage of telehealth services in Medicare S. 988, Improving Transparency and Accuracy in Medicare Part D Spending Act (Capito) - payments on clean claims S. 1114, Medicare Advantage Quality Payment Relief Act (Daines-King) - MA benchmark cap S. 2081, Stop Drug Companies from Overcharging Seniors in Medicare Part B Act of 2019 (Peters)- drugs in Part B S. 2252, Empowering States to Address Drug Costs Act (Van Hollen)- drug pricing S. 2446, Medicare Audiologist Access and Services Act of 2019 (Warren)-Medicare coverage of audiologist services H.R. 259, Medicaid Extenders Act (Pallone) - MFP demonstration, spousal impoverishment protections H.R. 448, Medicare Drug Price Negotiation Act (Cummings) - Part D price negotiations, formulary changes H.R. 789, Improving Transparency and Accuracy in Medicare Part D Spending Act (Welch) - payments on clean claims H.R. 937, Right Rebate Act (Schrader) - Medicaid drug rebate program H.R. 1034, Phair Pricing Act (Collins) - Part D rebates at the point of sale H.R. 1035, Prescription Drug Price Transparency Act (Collins) - Medicare PBM standards H.R. 1046, Medicare Negotiation and Competitive Licensing Act (Doggett) - Part D price negotiation H.R. 1226, ACE Kids Act (Castor) - health homes for children with medically complex conditions H.R. 1277, State Public Option Act (Lujan) - Medicaid buy-in option H.R. 1301, Mental Health Telemedicine Expansion Act (DelBene) - Medicare coverage of mental health telehealth services H.R. 1342, EMPOWER Care Act (Dingell) - MFP demonstration H.R. 1343, Protecting Married Seniors from Impoverishment Act (Dingell) - spousal impoverishment protections H.R. 1346, Medicare Buy-In and Health Care Stabilization Act (Higgins) - Medicare buy-in option H.R. 1375, PAID Act (Kind) - transparency of Medicare secondary payer information H.R. 1394, Medigap Consumer Protection Act (Doggett) - Medicare supplemental consumer protections H.R. 1551, Quality Care for Moms and Babies Act (Engel) - quality measures in Medicaid and CHIP H.R. 1781, Payment Commission Data Act (Carter) - MedPAC and MACPAC access to drug pricing and rebate data in Medicare and Medicaid H.R. 1839, Medicaid Services Investment and Accountability Act (Ruiz) - MFP demonstration, spousal impoverishment protections, ACE Kids Act, Medicaid drug rebate program, health homes for children with medically complex conditions H.R. 2131, Medicare Advantage Quality Payment Relief Act (Kind-Kelly) - MA benchmark cap H.R. 2757, Creating Lower Cost Alternatives for Your Prescription Drugs Act (Cunningham) - eliminate copay for generic drugs in Medicare Part D H.R. 3107, Improving Seniors' Timely Access to Care Act (DelBene) - Medicare Advantage prior authorization H.R. 3253, Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act (Dingell) - MFP demonstration, spousal impoverishment protections, Medicaid drug rebate program H.R. 3417, Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act (Neal) - funding for quality measurement initiatives, Medicare coverage of mental health telehealth services, real-time benefit tools in Medicare Part D, Medicare eligibility and enrollment notices H.R. 3461, Community-Based Independence for Seniors Act (Sanchez-Kelly) - Community-Based Institutional Special Needs Plan Discussion Draft, Medicare Part D Reform (Neal-Pallone-Brady-Walden) - maximum out-of-pocket limit, federal reinsurance payments H.R. 3613, State Accountability, Flexibility, and Equity for Hospitals Act of 2019 (Bilirakis) -Medicaid DSH payments H.R. 3631, Territories Health Care Improvement Act (Soto) -Medicaid funding H.R. 3644, Independence at Home Demonstration Act of 2019 (Burgess)-Medicare demonstration program H.R. 3925, Reducing Barriers to Substance Use Treatment Act (Tonko)- Opioids H.R. 3935, Protecting Patients Transportation to Care Act (Carter)-Medicaid coverage for transportation H.R. 4378, Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 (Lowey)-Health extenders H.R. 4453, Protecting Seniors from Health Care Fraud Act of 2019 (Ruiz)-Distributing information to Medicare beneficiaries to prevent fraud H.R. 4527, Expanding Health Care Options for Early Retirees Act (Malinowski)-Option for first responders to buy-in to Medicare H.R. 4529, Promoting Access to Broadband Act of 2019 (Maloney)-Medicaid Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and risk adjustment data validation (RADV) audit issues; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); calendar year 2020 policy and technical regulation for MA and Part D; MA and Part D proposed rule on drug pricing changes for 2020; Part D reform, out of pocket limits; issues related to Medicare for All, Medicare buy-in and public option; CMSs price transparency proposal for direct-to-consumer advertisements; issues relating to 2020 Rate Notice and Call Letter; issues related to proposed changes to removal of safe harbor protection for rebates (proposed rule); in-home health risk assessments; Medicare Medical Loss Ratio issues; implementation of sequestration under the Medicare Advantage and Part D programs; implications of the health insurer fee for MA and Part D plans; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); issues related to the international price index; issues related to child and maternal health; issues related to Medicaid supplemental and disproportionate share hospital (DSH) funding; issues related to Medicaid funding for territories; issues related to medical management; issues relating to MA supplemental benefits; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value-based insurance design (VBID) demonstration; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; implementation of the Affordable Care Act (ACA) and the Bipartisan Budget Act of 2018 changes to the Part D coverage gap; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; new payment system for physicians under MACRA, including implications for MA and Part D plans; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS's substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; issues relating to prescription drug price blueprint; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; issues related to health homes for children with medically complex conditions; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation.

Client expense: $2,110,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, White House Office

HR 3502 Protecting People from Surprise Medical Bills Act (all sections of full text)(support) S1266 Protecting Patients from Surprise Medical Bills Act (all sections of full text)(support) S1531 Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 (all sections of full text)(support) S1895 Lower Health Care Costs Act, Title I (all sections of full text)(oppose) S 2543 Prescription Drug Pricing Reduction Act, Sec. 109 Monitored HR 3 Lower Drug Cost Now Act of 2019 Monitored HR 3062 Patient Access to Higher Quality Health Care Act of 2019 Monitored HR 861 The End Surprise Billing Act of 2019 Monitored HR 3630 No Surprises Act Monitored implementation of Sec. 6001 of the Affordable Care Act of 2010 Monitored discussions pertinent to health care group purchasing organizations (GPOs) role in helping to prevent drug shortages Monitored Executive Order #13877 Improving Price Quality Transparency in American Healthcare To Put Patients First Monitored HR 4379 Under Performing Directories that Affect Treating Emergencies Act Monitored HR 1897 MOMMA's Act ("Mothers and Offspring Mortality and Morbidity Awareness Act") Monitored HR 1551 Quality Care for Moms and Babies Act Monitored HR 2902 Maternal Care Access and Reducing Emergencies Act Monitored HR 2602 Healthy MOMMIES Act Monitored S 2408 Telehealth Across State Lines Act of 2019

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

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