Enewetak Atoll Cleanup Radiation Study Act

Healthcare Price Transparency Rules for Hospitals 340B Medicare DSH Medicare Physician Payment (MACRA) H.R. 365 The Primary Care Enhancement Act S. 898/H.R. 2141 Conrad State 30 and Physician Access Reauthorization Act S. 1130 Rural Emergency Acute Care Hospital (REACH) Act S. 257 / H.R. 1611: Protecting Access to Rural Therapy Services Act S. 258 / H.R. 169: Critical Access Hospital Relief Act of 2015 H.R. 672 / S. 607: Rural Community Hospital Demonstration Extension Act of 2015 S. 1135: Hospital Payment Fairness Act H.R. 1479: Repeal of the Obamacare Bay State Boondoggle Act S. 1648: Rural Emergency Acute Care Hospital Act H.R. 3225: Save Rural Hospitals Act H.R. 1343 / S. 688: Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 1148 / H.R. 2124: Resident Physician Shortage Reduction Act S. 2484 / H.R. 4442: CONNECT for Health Act H.R. 2156: Medicare Audit Improvement Act H.R. 5164: Rural Hospital Regulatory Relief Act S. 3435: Craig Thomas Rural Hospital and Provider Equity Act of 2016 H.R. 5406: Helping Ensure Accountability, Leadership, and Trust in Tribal Healthcare Act H.R. 34: 21st Century Cures Act H.R. 3298: Medicare Post-Acute Care Value-Based Purchasing Act H.R 1628: American Health Care Act S. 872 / H.R. 1955: Rural Hospital Access Act S. 377: Medicare Ambulance Access, Fraud Prevention and Reform Act H.R. 1156: Patient Access to Higher Quality Health Care Act of 2017 H.R. 2: Medicare Access and CHIP Reauthorization Act of 2016 H.R. 1628 Better Care Reconciliation Act (BCRA) H.R. 4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes. The Senate Committee on Health, Education, Labor and Pensions (HELP) June 26 passed the Lower Health Care Costs Act of 2019 (S.1895) Congress should act now to delay the Medicaid DSH cuts that are scheduled to go into effect Nov. 22. The Coronavirus Aid, Relief, and Economic Security (CARES) Act.

Client expense: Not reported · Firm income: Not reported

S. 2136 S. 2106 S. 2096 S. 2073 S. 2072 S. 2027 S. 2022 S. 2011 S. 1946 S. 1934 S. 1906 S. 1896 S. 1718 S. 1656 S. 1648 S. 1646 S. 1635 S. 1621 S. 1594 S. 1573 S. 1563 S. 1545 S. 1392 S. 1390 S. 1381 S. 1331 S. 1315 S. 1283 S. 1263 S. 1222 S. 1195 S. 1154 S. 1118 S. 1105 S. 1101 S. 1047 S. 1034 S. 1024 S. 1023 S. 1003 S. 997 S. 980 S. 902 S. 900 S. 898 S. 891 S. 857 S. 853 S. 850 S. 835 S. 805 S. 791 S. 785 S. 746 S. 711 S. 699 S. 666 S. 646 S. 629 S. 606 S. 598 S. 576 S. 555 S. 554 S. 524 S. 514 S. 462 S. 450 S. 408 S. 374 S. 341 S. 332 S. 319 S. 318 S. 221 S. 179 S. 154 S. 127 S. 123 S. 91 S.Res. 256 S.Res. 55 H.R. 1553 H.R. 46 H.R. 2274 H.R. 3504 H.R. 2943 H.R. 2372 H.R. 2359 H.R. 2340 H.R. 2333 H.R. 2045 H.R. 1947 H.R. 1812 H.R. 1200 H.R. 1199 H.R. 299 H.R. 2196 H.R. 2109 H.R. 326 H.Res. 404 H.Res. 403 H.R. 3746 H.R. 2970 H.R. 2942 H.R. 2941 H.R. 2195 H.R. 2056 H.R. 1779 H.R. 1092 H.R. 955 H.R. 2326 H.R. 3867 H.R. 3866 H.R. 3826 H.R. 3813 H.R. 3798 H.R. 3788 H.R. 3752 H.R. 3749 H.R. 3700 H.R. 3640 H.R. 3636 H.R. 3608 H.R. 3582 H.R. 3535 H.R. 3530 H.R. 3527 H.R. 3495 H.R. 3450 H.R. 3350 H.R. 3277 H.R. 3231 H.R. 3228 H.R. 3224 H.R. 3221 H.R. 3189 H.R. 3147 H.R. 3103 H.R. 3083 H.R. 3036 H.R. 3012 H.R. 3010 H.R. 2997 H.R. 2994 H.R. 2982 H.R. 2972 H.R. 2948 H.R. 2934 H.R. 2931 H.R. 2924 H.R. 2916 H.R. 2898 H.R. 2885 H.R. 2884 H.R. 2866 H.R. 2846 H.R. 2823 H.R. 2816 H.R. 2798 H.R. 2791 H.R. 2752 H.R. 2736 H.R. 2681 H.R. 2677 H.R. 2676 H.R. 2675 H.R. 2645 H.R. 2629 H.R. 2628 H.R. 2568 H.R. 2557 H.R. 2556 H.R. 2493 H.R. 2487 H.R. 2435 H.R. 2385 H.R. 2334 H.R. 2308 H.R. 2230 H.R. 2227 H.R. 2224 H.R. 2223 H.R. 2221 H.R. 2201 H.R. 2200 H.R. 2191 H.R. 2184 H.R. 2138 H.R. 2102 H.R. 2094 H.R. 1997 H.R. 1963 H.R. 1962 H.R. 1944 H.R. 1925 H.R. 1924 H.R. 1918 H.R. 1913 H.R. 1826 H.R. 1807 H.R. 1802 H.R. 1758 H.R. 1752 H.R. 1750 H.R. 1749 H.R. 1722 H.R. 1721 H.R. 1718 H.R. 1713 H.R. 1674 H.R. 1658 H.R. 1647 H.R. 1628 H.R. 1599 H.R. 1577 H.R. 1552 H.R. 1527 H.R. 1482 H.R. 1448 H.R. 1424 H.R. 1381 H.R. 1377 H.R. 1360 H.R. 1341 H.R. 1271 H.R. 1182 H.R. 1163 H.R. 1155 H.R. 1133 H.R. 1126 H.R. 1125 H.R. 1030 H.R. 1005 H.R. 1001 H.R. 941 H.R. 846 H.R. 749 H.R. 747 H.R. 730 H.R. 716 H.R. 713 H.R. 712 H.R. 698 H.R. 697 H.R. 685 H.R. 637 H.R. 628 H.R. 610 H.R. 592 H.R. 578 H.R. 566 H.R. 561 H.R. 547 H.R. 497 H.R. 485 H.R. 464 H.R. 445 H.R. 444 H.R. 433 H.R. 203 H.R. 154 H.R. 100 H.R. 96 H.R. 95 H.R. 80 H.R. 54 H.R. 23 H.Con.Res. 13 H.Res. 483 H.Res. 451 H.Res. 434 H.Res. 270 S. 863 H.R. 840 S. 49 H.R. 617 H.R. 1615 H.R. 3357 H.R. 688 H.R. 2406 H.R. 2750 H.R. 2635 H.R. 1585 H.R. 1119 H.R. 2098 H.R. 1078 H.Res. 152 H.R. 3356 H.R. 1837 H.R. 1810 H.R. 2399 H.R. 2398 S. 1749 H.R. 1988 H.R. 2777 H.R. 3652 H.R. 562 H.Res. 413 H.R. 3517 H.R. 3178 H.R. 3072 H.R. 2947 H.R. 2886 H.R. 2618 H.R. 2617 H.R. 1911 H.R. 663 H.R. 333 H.R. 303 H.Res. 455 H.Res. 269 H.Res. 39 H.R. 2384 H.R. 2401 H.R. 3112 H.R. 1565 H.R. 2148 H.Res. 100 H.R. 1966 H.R. 1183 H.R. 269 H.R. 1151 H.R. 601 H.R. 127 H.R. 2803 H.R. 3815 H.R. 3523

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), Natl Archives & Records Administration (NARA), Navy, Dept of, SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 95, HR 96, HR 203, HR 268, HR 299, HR 303, HR 326, HR 333, HR 444, HR 445, HR 485, HR 497, HR 499, HR 547, HR 553, HR 566, HR 663, HR 712, HR 713, HR 716, HR 840, HR 886, HR 1001, HR 1078, HR 1092, HR 1163, HR 1182, HR 1199, HR 1200, HR 1377, HR 1381, HR 1482, HR 1527, HR 1615, HR 1628, HR 1658, HR 1674, HR 1721, HR 1750, HR 1802, HR 1807, HR 1812, HR 1924, HR 1963, HR 2045, HR 2094, HR 2102, HR 2138, HR 2195, HR 2200, HR 2201, HR 2223, HR 2333, HR 2359, HR 2372, HR 2399, HR 2435, HR 2493, HR 2557, HR 2568, HR 2617, HR 2628, HR 2645, HR 2681, HR 2752, HR 2798, HR 2924, HR 2938, HR 2941, HR 2942, HR 2972, HR 2982, HR 3036, HR 3221, HR 3224, HR 3321, HR 3356, HR 3636, HR 3798,HR 4096, HR 4137, HR 4360, HR 4451, HR 4554, HR 4748, HR 4771, HR 4890, HR 4985, HR 5028, HR 5045, HR 5245, HR 5556, HR 5610, HR 5724, HR 5772, HR 5867, HR 5957, HR 5995, HR 6027, HR 6082, HR 6092, HR 6125, HR 6140, HR 6141, HR 6168, HR 6237, HR 6262, HR 6353, HR 6493, HR 6571, HR 6933, HR 7072, HR 7105, HR 7111, HR 7163, HR 7287, HR 7443, HR 7504, HR 7541, HR 7684, HR 7747, HR 7795, HR 7879, HR 7888, HR 8005, HR 8033, HR 8068, HR 8084, HR 8107, HR 8108, HR 8130, HR 8144, HR 8145, HR 8147, HR 8149, HR 8172, HR 8173, HR 8212, HR 8247, S 91, S 154, S 179, S 191, S 208, S 257, S 318, S 332, S 374, S 408, S 514, S 524, S 554, S 555, S 576, S 629, S 679, S 746, S 785, S 805, S 850, S 863, S 902, S 979, S 980, S 1003, S 1023, S 1034, S 1047, S 1105, S 1154, S 1263, S 1392, S 1563, S 1680, S 1881, S 1896, S 2022, S 2072, S 2216, S 2407, S 2661, S 2774, S 2810, S 2825, S 2925, S 2950, S 2966, S 3008, S 3089, S 3091, S 3182, S 3195, S 3210, S 3282, S 3378, S 3408, S 3444, S 3446, S 3503, S 3587, S 3761, S 3868, S 3885, S 3898, S 3899, S 4043, S 4166, S 4365, S 4384, S 4412, S 4415, S 4429, S 4520, S 4545, S 4594, S 4753

Client expense: $119,958 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

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

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

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

Support 100% COBRA Subsidies in HEROES Act No Bill Number Health Care Bill H.R. 1628

Client expense: $510,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Navy, Dept of, SENATE, White House Office

S.3548, CARES Act: To provide emergency assistance and health care response for individuals, families, and businesses affected by the 2020 coronavirus pandemic; Practice Support/Grants to Practice S.3599, Healthcare Workforce Resilience Act: Foreign physician immigration status H.R. 7059, Coronavirus Provider Protection Act: Liability protection for healthcare providers Public Law No: 116-142, Paycheck Protection Program Flexibility Act of 2020 S.3201, Temporary Reauthorization and Study of the Emergency Scheduling of Fentanyl Analogues Act: Letter to Congressional Leadership regarding Fentanyl S.2723, Mitigating Emergency Drug Shortages Act: reducing drug shortages H.R. 3502, Protecting People From Surprise Medical Bills Act: Surprise Medical Bills H.R. 2500, National Defense Authorization Act for Fiscal Year 2020: Krishnamoorthi amdt on drug shortages H.R. 3107, Improving Seniors' Timely Access to Care Act of 2019: pre-authorization S. 1895, Lower Health Care Costs Act H.R. 3692, Addiction Treatment Access Improvement Act of 2017: Medically assisted treatment; opioids H.R. 5761, Ending Maternal Mortality Act of 2018: Maternal mortality H.R. 5718, Perioperative Reduction of Opioids Act: Opioids H.R. 5197, Alternatives to Opioids (ALTO) in the Emergency Department Act: Medically assisted treatment; opioids S. 2516, Alternatives to Opioids (ALTO) in the Emergency Department Act: Medically assisted treatment; opioids S.2680, Opioid Crisis Response Act of 2018: Medically assisted treatment; opioids S.2456, CARA 2.0 Act of 2018: Medically assisted treatment; opioids H.R. 1565, Saving Lives, Saving Costs S.1475, Saving Lives, Saving Costs Comprehensive Addiction and Recovery Act of 2016 (PL 114-198) FY 2021 LHHS Appropriations: Fiscal Year 2021 Appropriations for Subcommittee on Labor, Health and Human Services Outside Witness Testimony Affordable Care Act reform efforts H.R. 1628, American Health Care Act of 2017 S. Amdt. 1030 to H.R. 1628, "Graham-Cassidy" Better Care Reconciliation Act of 2017 H.R. 1492, Medical Controlled Substances Transportation Act of 2017 H.R. 1215, Protecting Access to Care Act of 2017 H.R. 3545, Overdose Prevention and Patient Safety Act H.R. 3446, Restoring Board Immunity Act of 2017: Professional Licensing S.2260, Opioids and STOP Pain Initiative ACT:opioids 42 CFR Part 2, Confidentiality of Substance Use Disorder Patient Records: appropriate access to patient information essential for providing whole-person care H.R.3928, Truth in Healthcare Marketing Act of 2017 H.R. 1554, REDI Act: student loan debt repayment for residents 21st Century Cures Initiative Drug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee DEA Scheduling Propofol Comparative Effectiveness Research - PCORI HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management FTC Letters to States re: Interventional Pain Medicine & Advanced Practice Nurses & Competition in Healthcare Anesthesia Research Funding (Pediatric and others) Scope of Practice FDA Operating Room Fires Naloxone FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS - pediatric anesthesia research USP - US Pharmacopeia National Pain Strategy Nondiscrimination Compounding FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) Agency for Healthcare Research and Quality (AHRQ) funding Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Sequestration Opioids and opioid abuse; Brain health Certified Anesthesiologist Assistants Blood management COVID-19: Increased supply of PPE and ventilators, Funding for physician practices impacted by the cancellation of elective surgeries, unique role of anesthesiologists in responding to COVID-19 pandemic, medical liability, Scope of Practice (Waiver of federal supervision requirement under the Emergency Declaration), insurance moratorium; COVID Update Memorandum 4/21/20

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Healthcare Price Transparency Rules for Hospitals 340B Medicare DSH Medicare Physician Payment (MACRA) H.R. 365 The Primary Care Enhancement Act S. 898/H.R. 2141 Conrad State 30 and Physician Access Reauthorization Act S. 1130 Rural Emergency Acute Care Hospital (REACH) Act S. 257 / H.R. 1611: Protecting Access to Rural Therapy Services Act S. 258 / H.R. 169: Critical Access Hospital Relief Act of 2015 H.R. 672 / S. 607: Rural Community Hospital Demonstration Extension Act of 2015 S. 1135: Hospital Payment Fairness Act H.R. 1479: Repeal of the Obamacare Bay State Boondoggle Act S. 1648: Rural Emergency Acute Care Hospital Act H.R. 3225: Save Rural Hospitals Act H.R. 1343 / S. 688: Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 1148 / H.R. 2124: Resident Physician Shortage Reduction Act S. 2484 / H.R. 4442: CONNECT for Health Act H.R. 2156: Medicare Audit Improvement Act H.R. 5164: Rural Hospital Regulatory Relief Act S. 3435: Craig Thomas Rural Hospital and Provider Equity Act of 2016 H.R. 5406: Helping Ensure Accountability, Leadership, and Trust in Tribal Healthcare Act H.R. 34: 21st Century Cures Act H.R. 3298: Medicare Post-Acute Care Value-Based Purchasing Act H.R 1628: American Health Care Act S. 872 / H.R. 1955: Rural Hospital Access Act S. 377: Medicare Ambulance Access, Fraud Prevention and Reform Act H.R. 1156: Patient Access to Higher Quality Health Care Act of 2017 H.R. 2: Medicare Access and CHIP Reauthorization Act of 2016 H.R. 1628 Better Care Reconciliation Act (BCRA) H.R. 4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes. The Senate Committee on Health, Education, Labor and Pensions (HELP) June 26 passed the Lower Health Care Costs Act of 2019 (S.1895) Congress should act now to delay the Medicaid DSH cuts that are scheduled to go into effect Nov. 22. The Coronavirus Aid, Relief, and Economic Security (CARES) Act.

Client expense: Not reported · Firm income: Not reported

Healthcare Price Transparency Rules for Hospitals 340B Medicare DSH Medicare Physician Payment (MACRA) H.R. 365 The Primary Care Enhancement Act S. 898/H.R. 2141 Conrad State 30 and Physician Access Reauthorization Act S. 1130 Rural Emergency Acute Care Hospital (REACH) Act S. 257 / H.R. 1611: Protecting Access to Rural Therapy Services Act S. 258 / H.R. 169: Critical Access Hospital Relief Act of 2015 H.R. 672 / S. 607: Rural Community Hospital Demonstration Extension Act of 2015 S. 1135: Hospital Payment Fairness Act H.R. 1479: Repeal of the Obamacare Bay State Boondoggle Act S. 1648: Rural Emergency Acute Care Hospital Act H.R. 3225: Save Rural Hospitals Act H.R. 1343 / S. 688: Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 1148 / H.R. 2124: Resident Physician Shortage Reduction Act S. 2484 / H.R. 4442: CONNECT for Health Act H.R. 2156: Medicare Audit Improvement Act H.R. 5164: Rural Hospital Regulatory Relief Act S. 3435: Craig Thomas Rural Hospital and Provider Equity Act of 2016 H.R. 5406: Helping Ensure Accountability, Leadership, and Trust in Tribal Healthcare Act H.R. 34: 21st Century Cures Act H.R. 3298: Medicare Post-Acute Care Value-Based Purchasing Act H.R 1628: American Health Care Act S. 872 / H.R. 1955: Rural Hospital Access Act S. 377: Medicare Ambulance Access, Fraud Prevention and Reform Act H.R. 1156: Patient Access to Higher Quality Health Care Act of 2017 H.R. 2: Medicare Access and CHIP Reauthorization Act of 2016 H.R. 1628 Better Care Reconciliation Act (BCRA) H.R. 4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes. The Senate Committee on Health, Education, Labor and Pensions (HELP) June 26 passed the Lower Health Care Costs Act of 2019 (S.1895) Congress should act now to delay the Medicaid DSH cuts that are scheduled to go into effect Nov. 22. The Coronavirus Aid, Relief, and Economic Security (CARES) Act.

Client expense: Not reported · Firm income: Not reported

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

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

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

S.3548, CARES Act: To provide emergency assistance and health care response for individuals, families, and businesses affected by the 2020 coronavirus pandemic; Practice Support/Grants to Practice H.R. 7059, Coronavirus Provider Protection Act: Liability protection for healthcare providers Public Law No: 116-142, Paycheck Protection Program Flexibility Act of 2020 S.3201, Temporary Reauthorization and Study of the Emergency Scheduling of Fentanyl Analogues Act: Letter to Congressional Leadership regarding Fentanyl Surprise Medical Bills S.2723, Mitigating Emergency Drug Shortages Act: reducing drug shortages H.R. 3502, Protecting People From Surprise Medical Bills Act H.R. 2500, National Defense Authorization Act for Fiscal Year 2020: Krishnamoorthi amdt on drug shortages H.R. 3107, Improving Seniors' Timely Access to Care Act of 2019: pre-authorization S. 1895, Lower Health Care Costs Act H.R. 3692, Addiction Treatment Access Improvement Act of 2017: Medically assisted treatment; opioids H.R. 5761, Ending Maternal Mortality Act of 2018: Maternal mortality H.R. 5718, Perioperative Reduction of Opioids Act: Opioids H.R. 5197, Alternatives to Opioids (ALTO) in the Emergency Department Act: Medically assisted treatment; opioids S. 2516, Alternatives to Opioids (ALTO) in the Emergency Department Act: Medically assisted treatment; opioids S.2680, Opioid Crisis Response Act of 2018: Medically assisted treatment; opioids S.2456, CARA 2.0 Act of 2018: Medically assisted treatment; opioids H.R. 1565, Saving Lives, Saving Costs S.1475, Saving Lives, Saving Costs Comprehensive Addiction and Recovery Act of 2016 (PL 114-198) FY 2021 LHHS Appropriations: Fiscal Year 2021 Appropriations for Subcommittee on Labor, Health and Human Services Outside Witness Testimony Affordable Care Act reform efforts H.R. 1628, American Health Care Act of 2017 S. Amdt. 1030 to H.R. 1628, "Graham-Cassidy" Better Care Reconciliation Act of 2017 H.R. 1492, Medical Controlled Substances Transportation Act of 2017 H.R. 1215, Protecting Access to Care Act of 2017 H.R. 3545, Overdose Prevention and Patient Safety Act H.R. 3446, Restoring Board Immunity Act of 2017: Professional Licensing S.2260, Opioids and STOP Pain Initiative ACT:opioids 42 CFR Part 2, Confidentiality of Substance Use Disorder Patient Records: appropriate access to patient information essential for providing whole-person care H.R.3928, Truth in Healthcare Marketing Act of 2017 H.R. 1554, REDI Act: student loan debt repayment for residents 21st Century Cures Initiative Drug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee DEA Scheduling Propofol Comparative Effectiveness Research - PCORI HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management FTC Letters to States re: Interventional Pain Medicine & Advanced Practice Nurses & Competition in Healthcare Anesthesia Research Funding (Pediatric and others) Scope of Practice FDA Operating Room Fires Naloxone FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS - pediatric anesthesia research USP - US Pharmacopeia National Pain Strategy Nondiscrimination Compounding FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) Agency for Healthcare Research and Quality (AHRQ) funding Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Sequestration Opioids and opioid abuse; Brain health Anesthesiologist Assistants Blood management COVID-19: Increased supply of PPE and ventilators,Funding for physician practices impacted by the cancellation of elective surgeries, unique role of anesthesiologists in responding to COVID-19 pandemic, medical liability, Scope of Practice (Waiver of federal supervision requirement under the Emergency Declaration), insurance moratorium; COVID Update Memorandum 4/21/20 Immigration: Foreign physician immigration status

Client expense: $380,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 95, HR 96, HR 203, HR 268, HR 299, HR 303, HR 326, HR 333, HR 444, HR 445, HR 485, HR 497, HR 499, HR 547, HR 553, HR 566, HR 663, HR 712, HR 713, HR 716, HR 840, HR 886, HR 1001, HR 1078, HR 1092, HR 1163, HR 1182, HR 1199, HR 1200, HR 1377, HR 1381, HR 1482, HR 1527, HR 1628, HR 1658, HR 1674, HR 1721, HR 1750, HR 1802, HR 1807, HR 1924, HR 1963, HR 2045, HR 2094, HR 2102, HR 2138, HR 2195, HR 2200, HR 2201, HR 2223, HR 2333, HR 2359, HR 2372, HR 2399, HR 2435, HR 2493, HR 2557, HR 2568, HR 2617, HR 2628, HR 2645, HR 2681, HR 2752, HR 2798, HR 2924, HR 2938, HR 2941, HR 2942, HR 2972, HR 2982, HR 3036, HR 3221, HR 3224, HR 3321, HR 3636, HR 3798,HR 4096, HR 4137, HR 4360, HR 4451, HR 4554, HR 4748, HR 4771, HR 4890, HR 4985, HR 5028, HR 5045, HR 5245, HR 5556, HR 5610, HR 5724, HR 5772, HR 5867, HR 6027, HR 6125, HR 6140, HR 6141, HR 6168, HR 6237, HR 6262, HR 6353, HR 6571, HR 6933, HR 7105, HR 7111, HR 7287, S 91, S 179, S 191, S 208, S 257, S 318, S 374, S 408, S 514, S 524, S 554, S 555, S 576, S 679, S 746, S 785, S 805, S 850, S 863, S 902 S 979, S 980, S 1003, S 1023, S 1034, S 1047, S 1105, S 1154, S 1263, S 1392, S 1563, S 1896, S 2022, S 2072, S 2216, S 2407, S 2774, S 2810, S 2825, S 2950, S 2966, S 3008, S 3091, S 3182, S 3195, S 3210, S 3378, S 3408, S 3444, S 3446, S 3587, S 3898, S 3899, S. Res. 518

Client expense: $155,859 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

S. 2136 S. 2106 S. 2096 S. 2073 S. 2072 S. 2027 S. 2022 S. 2011 S. 1946 S. 1934 S. 1906 S. 1896 S. 1718 S. 1656 S. 1648 S. 1646 S. 1635 S. 1621 S. 1594 S. 1573 S. 1563 S. 1545 S. 1392 S. 1390 S. 1381 S. 1331 S. 1315 S. 1283 S. 1263 S. 1222 S. 1195 S. 1154 S. 1118 S. 1105 S. 1101 S. 1047 S. 1034 S. 1024 S. 1023 S. 1003 S. 997 S. 980 S. 902 S. 900 S. 898 S. 891 S. 857 S. 853 S. 850 S. 835 S. 805 S. 791 S. 785 S. 746 S. 711 S. 699 S. 666 S. 646 S. 629 S. 606 S. 598 S. 576 S. 555 S. 554 S. 524 S. 514 S. 462 S. 450 S. 408 S. 374 S. 341 S. 332 S. 319 S. 318 S. 221 S. 179 S. 154 S. 127 S. 123 S. 91 S.Res. 256 S.Res. 55 H.R. 1553 H.R. 46 H.R. 2274 H.R. 3504 H.R. 2943 H.R. 2372 H.R. 2359 H.R. 2340 H.R. 2333 H.R. 2045 H.R. 1947 H.R. 1812 H.R. 1200 H.R. 1199 H.R. 299 H.R. 2196 H.R. 2109 H.R. 326 H.Res. 404 H.Res. 403 H.R. 3746 H.R. 2970 H.R. 2942 H.R. 2941 H.R. 2195 H.R. 2056 H.R. 1779 H.R. 1092 H.R. 955 H.R. 2326 H.R. 3867 H.R. 3866 H.R. 3826 H.R. 3813 H.R. 3798 H.R. 3788 H.R. 3752 H.R. 3749 H.R. 3700 H.R. 3640 H.R. 3636 H.R. 3608 H.R. 3582 H.R. 3535 H.R. 3530 H.R. 3527 H.R. 3495 H.R. 3450 H.R. 3350 H.R. 3277 H.R. 3231 H.R. 3228 H.R. 3224 H.R. 3221 H.R. 3189 H.R. 3147 H.R. 3103 H.R. 3083 H.R. 3036 H.R. 3012 H.R. 3010 H.R. 2997 H.R. 2994 H.R. 2982 H.R. 2972 H.R. 2948 H.R. 2934 H.R. 2931 H.R. 2924 H.R. 2916 H.R. 2898 H.R. 2885 H.R. 2884 H.R. 2866 H.R. 2846 H.R. 2823 H.R. 2816 H.R. 2798 H.R. 2791 H.R. 2752 H.R. 2736 H.R. 2681 H.R. 2677 H.R. 2676 H.R. 2675 H.R. 2645 H.R. 2629 H.R. 2628 H.R. 2568 H.R. 2557 H.R. 2556 H.R. 2493 H.R. 2487 H.R. 2435 H.R. 2385 H.R. 2334 H.R. 2308 H.R. 2230 H.R. 2227 H.R. 2224 H.R. 2223 H.R. 2221 H.R. 2201 H.R. 2200 H.R. 2191 H.R. 2184 H.R. 2138 H.R. 2102 H.R. 2094 H.R. 1997 H.R. 1963 H.R. 1962 H.R. 1944 H.R. 1925 H.R. 1924 H.R. 1918 H.R. 1913 H.R. 1826 H.R. 1807 H.R. 1802 H.R. 1758 H.R. 1752 H.R. 1750 H.R. 1749 H.R. 1722 H.R. 1721 H.R. 1718 H.R. 1713 H.R. 1674 H.R. 1658 H.R. 1647 H.R. 1628 H.R. 1599 H.R. 1577 H.R. 1552 H.R. 1527 H.R. 1482 H.R. 1448 H.R. 1424 H.R. 1381 H.R. 1377 H.R. 1360 H.R. 1341 H.R. 1271 H.R. 1182 H.R. 1163 H.R. 1155 H.R. 1133 H.R. 1126 H.R. 1125 H.R. 1030 H.R. 1005 H.R. 1001 H.R. 941 H.R. 846 H.R. 749 H.R. 747 H.R. 730 H.R. 716 H.R. 713 H.R. 712 H.R. 698 H.R. 697 H.R. 685 H.R. 637 H.R. 628 H.R. 610 H.R. 592 H.R. 578 H.R. 566 H.R. 561 H.R. 547 H.R. 497 H.R. 485 H.R. 464 H.R. 445 H.R. 444 H.R. 433 H.R. 203 H.R. 154 H.R. 100 H.R. 96 H.R. 95 H.R. 80 H.R. 54 H.R. 23 H.Con.Res. 13 H.Res. 483 H.Res. 451 H.Res. 434 H.Res. 270 S. 863 H.R. 840 S. 49 H.R. 617 H.R. 1615 H.R. 3357 H.R. 688 H.R. 2406 H.R. 2750 H.R. 2635 H.R. 1585 H.R. 1119 H.R. 2098 H.R. 1078 H.Res. 152 H.R. 3356 H.R. 1837 H.R. 1810 H.R. 2399 H.R. 2398 S. 1749 H.R. 1988 H.R. 2777 H.R. 3652 H.R. 562 H.Res. 413 H.R. 3517 H.R. 3178 H.R. 3072 H.R. 2947 H.R. 2886 H.R. 2618 H.R. 2617 H.R. 1911 H.R. 663 H.R. 333 H.R. 303 H.Res. 455 H.Res. 269 H.Res. 39 H.R. 2384 H.R. 2401 H.R. 3112 H.R. 1565 H.R. 2148 H.Res. 100 H.R. 1966 H.R. 1183 H.R. 269 H.R. 1151 H.R. 601 H.R. 127 H.R. 2803 H.R. 3815 H.R. 3523

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), Natl Archives & Records Administration (NARA), Navy, Dept of, SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office

Healthcare Price Transparency Rules for Hospitals 340B Medicare DSH Medicare Physician Payment (MACRA) H.R. 365 The Primary Care Enhancement Act S. 898/H.R. 2141 Conrad State 30 and Physician Access Reauthorization Act S. 1130 Rural Emergency Acute Care Hospital (REACH) Act S. 257 / H.R. 1611: Protecting Access to Rural Therapy Services Act S. 258 / H.R. 169: Critical Access Hospital Relief Act of 2015 H.R. 672 / S. 607: Rural Community Hospital Demonstration Extension Act of 2015 S. 1135: Hospital Payment Fairness Act H.R. 1479: Repeal of the Obamacare Bay State Boondoggle Act S. 1648: Rural Emergency Acute Care Hospital Act H.R. 3225: Save Rural Hospitals Act H.R. 1343 / S. 688: Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 1148 / H.R. 2124: Resident Physician Shortage Reduction Act S. 2484 / H.R. 4442: CONNECT for Health Act H.R. 2156: Medicare Audit Improvement Act H.R. 5164: Rural Hospital Regulatory Relief Act S. 3435: Craig Thomas Rural Hospital and Provider Equity Act of 2016 H.R. 5406: Helping Ensure Accountability, Leadership, and Trust in Tribal Healthcare Act H.R. 34: 21st Century Cures Act H.R. 3298: Medicare Post-Acute Care Value-Based Purchasing Act H.R 1628: American Health Care Act S. 872 / H.R. 1955: Rural Hospital Access Act S. 377: Medicare Ambulance Access, Fraud Prevention and Reform Act H.R. 1156: Patient Access to Higher Quality Health Care Act of 2017 H.R. 2: Medicare Access and CHIP Reauthorization Act of 2016 H.R. 1628 Better Care Reconciliation Act (BCRA) H.R. 4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes. The Senate Committee on Health, Education, Labor and Pensions (HELP) June 26 passed the Lower Health Care Costs Act of 2019 (S.1895) Congress should act now to delay the Medicaid DSH cuts that are scheduled to go into effect Nov. 22.

Client expense: Not reported · Firm income: Not reported

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 95, HR 96, HR 203, HR 268, HR 299, HR 303, HR 326, HR 333, HR 444, HR 445, HR 485, HR 497, HR 499, HR 547, HR 553, HR 566, HR 663, HR 712, HR 713, HR 716, HR 840, HR 886, HR 1001, HR 1078, HR 1092, HR 1163, HR 1182, HR 1199, HR 1200, HR 1377, HR 1381, HR 1482, HR 1527, HR 1628, HR 1658, HR 1674, HR 1721, HR 1750, HR 1802, HR 1807, HR 1924, HR 1963, HR 2094, HR 2102, HR 2138, HR 2195, HR 2200, HR 2201, HR 2223, HR 2333, HR 2359, HR 2372, HR 2399, HR 2493, HR 2557, HR 2568, HR 2617, HR 2628, HR 2645, HR 2681, HR 2752, HR 2798, HR 2924, HR 2938, HR 2941, HR 2942, HR 2972, HR 2982, HR 3036, HR 3221, HR 3224, HR 3321, HR 3356, HR 3636, HR 3798,HR 4096, HR 4137, HR 4360, HR 4451, HR 4554, HR 4771, HR 4890, HR 4985, HR 5028, HR 5045, HR 5245, HR 5556, HR 5610, HR 5724, HR 5772, HR 5867, HR 6125, HR 6140, HR 6141, HR 6237, HR 6262, S 91, S 154, S 179, S 191, S 208, S 257, S 318, S 374, S 408, S 514, S 524, S 554, S 555, S 576, S 679, S 746, S 785, S 805, S 850, S 863, S 902, S 979, S 980, S 1003, S 1023, S 1034, S 1047, S 1105, S 1154, S 1392, S 1563, S 1881, S 1896, S 2022, S 2072, S 2216, S 2407, S 2774, S 2810, S 2925, S 2950, S 2966, S 3008, S 3091, S 3182, S 3195, S 3210, S 3378, S 3408, S 3444

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

S.3548, CARES Act: To provide emergency assistance and health care response for individuals, families, and businesses affected by the 2020 coronavirus pandemic; Practice Support/Grants to Practice S.3201, Temporary Reauthorization and Study of the Emergency Scheduling of Fentanyl Analogues Act: Letter to Congressional Leadership regarding Fentanyl Surprise Medical Bills S.2723, Mitigating Emergency Drug Shortages Act: reducing drug shortages H.R. 3502, Protecting People From Surprise Medical Bills Act H.R. 2500, National Defense Authorization Act for Fiscal Year 2020: Krishnamoorthi amdt on drug shortages H.R. 3107, Improving Seniors' Timely Access to Care Act of 2019: pre-authorization S. 1895, Lower Health Care Costs Act H.R. 3692, Addiction Treatment Access Improvement Act of 2017: Medically assisted treatment; opioids H.R. 5761, Ending Maternal Mortality Act of 2018: Maternal mortality H.R. 5718, Perioperative Reduction of Opioids Act: Opioids H.R. 5197, Alternatives to Opioids (ALTO) in the Emergency Department Act: Medically assisted treatment; opioids S. 2516, Alternatives to Opioids (ALTO) in the Emergency Department Act: Medically assisted treatment; opioids S.2680, Opioid Crisis Response Act of 2018: Medically assisted treatment; opioids S.2456, CARA 2.0 Act of 2018: Medically assisted treatment; opioids H.R. 1565, Saving Lives, Saving Costs S.1475, Saving Lives, Saving Costs Comprehensive Addiction and Recovery Act of 2016 (PL 114-198) FY 2021 LHHS Appropriations: Fiscal Year 2021 Appropriations for Subcommittee on Labor, Health and Human Services Outside Witness Testimony Affordable Care Act reform efforts H.R. 1628, American Health Care Act of 2017 S. Amdt. 1030 to H.R. 1628, "Graham-Cassidy" Better Care Reconciliation Act of 2017 H.R. 1492, Medical Controlled Substances Transportation Act of 2017 H.R. 1215, Protecting Access to Care Act of 2017 H.R. 3545, Overdose Prevention and Patient Safety Act H.R. 3446, Restoring Board Immunity Act of 2017: Professional Licensing S.2260, Opioids and STOP Pain Initiative ACT:opioids 42 CFR Part 2, Confidentiality of Substance Use Disorder Patient Records: appropriate access to patient information essential for providing whole-person care H.R.3928, Truth in Healthcare Marketing Act of 2017 H.R. 1554, REDI Act: student loan debt repayment for residents 21st Century Cures Initiative Drug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee DEA Scheduling Propofol Comparative Effectiveness Research - PCORI HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management FTC Letters to States re: Interventional Pain Medicine & Advanced Practice Nurses & Competition in Healthcare Anesthesia Research Funding (Pediatric and others) Scope of Practice FDA Operating Room Fires Naloxone FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS - pediatric anesthesia research USP - US Pharmacopeia National Pain Strategy Nondiscrimination Compounding FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) Agency for Healthcare Research and Quality (AHRQ) funding Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Sequestration Opioids and opioid abuse; Brain health Anesthesiologist Assistants Blood management Immigration: Foreign Physician Immigration Status COVID-19: Increased supply of PPE and ventilators,Funding for physician practices impacted by the cancellation of elective surgeries, unique role of anesthesiologists in responding to COVID-19 pandemic, medical liability, Scope of Practice (Waiver of federal supervision requirement under the Emergency Declaration)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

S. 2136 S. 2106 S. 2096 S. 2073 S. 2072 S. 2027 S. 2022 S. 2011 S. 1946 S. 1934 S. 1906 S. 1896 S. 1718 S. 1656 S. 1648 S. 1646 S. 1635 S. 1621 S. 1594 S. 1573 S. 1563 S. 1545 S. 1392 S. 1390 S. 1381 S. 1331 S. 1315 S. 1283 S. 1263 S. 1222 S. 1195 S. 1154 S. 1118 S. 1105 S. 1101 S. 1047 S. 1034 S. 1024 S. 1023 S. 1003 S. 997 S. 980 S. 902 S. 900 S. 898 S. 891 S. 857 S. 853 S. 850 S. 835 S. 805 S. 791 S. 785 S. 746 S. 711 S. 699 S. 666 S. 646 S. 629 S. 606 S. 598 S. 576 S. 555 S. 554 S. 524 S. 514 S. 462 S. 450 S. 408 S. 374 S. 341 S. 332 S. 319 S. 318 S. 221 S. 179 S. 154 S. 127 S. 123 S. 91 S.Res. 256 S.Res. 55 H.R. 1553 H.R. 46 H.R. 2274 H.R. 3504 H.R. 2943 H.R. 2372 H.R. 2359 H.R. 2340 H.R. 2333 H.R. 2045 H.R. 1947 H.R. 1812 H.R. 1200 H.R. 1199 H.R. 299 H.R. 2196 H.R. 2109 H.R. 326 H.Res. 404 H.Res. 403 H.R. 3746 H.R. 2970 H.R. 2942 H.R. 2941 H.R. 2195 H.R. 2056 H.R. 1779 H.R. 1092 H.R. 955 H.R. 2326 H.R. 3867 H.R. 3866 H.R. 3826 H.R. 3813 H.R. 3798 H.R. 3788 H.R. 3752 H.R. 3749 H.R. 3700 H.R. 3640 H.R. 3636 H.R. 3608 H.R. 3582 H.R. 3535 H.R. 3530 H.R. 3527 H.R. 3495 H.R. 3450 H.R. 3350 H.R. 3277 H.R. 3231 H.R. 3228 H.R. 3224 H.R. 3221 H.R. 3189 H.R. 3147 H.R. 3103 H.R. 3083 H.R. 3036 H.R. 3012 H.R. 3010 H.R. 2997 H.R. 2994 H.R. 2982 H.R. 2972 H.R. 2948 H.R. 2934 H.R. 2931 H.R. 2924 H.R. 2916 H.R. 2898 H.R. 2885 H.R. 2884 H.R. 2866 H.R. 2846 H.R. 2823 H.R. 2816 H.R. 2798 H.R. 2791 H.R. 2752 H.R. 2736 H.R. 2681 H.R. 2677 H.R. 2676 H.R. 2675 H.R. 2645 H.R. 2629 H.R. 2628 H.R. 2568 H.R. 2557 H.R. 2556 H.R. 2493 H.R. 2487 H.R. 2435 H.R. 2385 H.R. 2334 H.R. 2308 H.R. 2230 H.R. 2227 H.R. 2224 H.R. 2223 H.R. 2221 H.R. 2201 H.R. 2200 H.R. 2191 H.R. 2184 H.R. 2138 H.R. 2102 H.R. 2094 H.R. 1997 H.R. 1963 H.R. 1962 H.R. 1944 H.R. 1925 H.R. 1924 H.R. 1918 H.R. 1913 H.R. 1826 H.R. 1807 H.R. 1802 H.R. 1758 H.R. 1752 H.R. 1750 H.R. 1749 H.R. 1722 H.R. 1721 H.R. 1718 H.R. 1713 H.R. 1674 H.R. 1658 H.R. 1647 H.R. 1628 H.R. 1599 H.R. 1577 H.R. 1552 H.R. 1527 H.R. 1482 H.R. 1448 H.R. 1424 H.R. 1381 H.R. 1377 H.R. 1360 H.R. 1341 H.R. 1271 H.R. 1182 H.R. 1163 H.R. 1155 H.R. 1133 H.R. 1126 H.R. 1125 H.R. 1030 H.R. 1005 H.R. 1001 H.R. 941 H.R. 846 H.R. 749 H.R. 747 H.R. 730 H.R. 716 H.R. 713 H.R. 712 H.R. 698 H.R. 697 H.R. 685 H.R. 637 H.R. 628 H.R. 610 H.R. 592 H.R. 578 H.R. 566 H.R. 561 H.R. 547 H.R. 497 H.R. 485 H.R. 464 H.R. 445 H.R. 444 H.R. 433 H.R. 203 H.R. 154 H.R. 100 H.R. 96 H.R. 95 H.R. 80 H.R. 54 H.R. 23 H.Con.Res. 13 H.Res. 483 H.Res. 451 H.Res. 434 H.Res. 270 S. 863 H.R. 840 S. 49 H.R. 617 H.R. 1615 H.R. 3357 H.R. 688 H.R. 2406 H.R. 2750 H.R. 2635 H.R. 1585 H.R. 1119 H.R. 2098 H.R. 1078 H.Res. 152 H.R. 3356 H.R. 1837 H.R. 1810 H.R. 2399 H.R. 2398 S. 1749 H.R. 1988 H.R. 2777 H.R. 3652 H.R. 562 H.Res. 413 H.R. 3517 H.R. 3178 H.R. 3072 H.R. 2947 H.R. 2886 H.R. 2618 H.R. 2617 H.R. 1911 H.R. 663 H.R. 333 H.R. 303 H.Res. 455 H.Res. 269 H.Res. 39 H.R. 2384 H.R. 2401 H.R. 3112 H.R. 1565 H.R. 2148 H.Res. 100 H.R. 1966 H.R. 1183 H.R. 269 H.R. 1151 H.R. 601 H.R. 127 H.R. 2803 H.R. 3815 H.R. 3523

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), Natl Archives & Records Administration (NARA), Navy, Dept of, SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office

Healthcare Price Transparency Rules for Hospitals 340B Medicare DSH Medicare Physician Payment (MACRA) H.R. 365 The Primary Care Enhancement Act S. 898/H.R. 2141 Conrad State 30 and Physician Access Reauthorization Act S. 1130 Rural Emergency Acute Care Hospital (REACH) Act S. 257 / H.R. 1611: Protecting Access to Rural Therapy Services Act S. 258 / H.R. 169: Critical Access Hospital Relief Act of 2015 H.R. 672 / S. 607: Rural Community Hospital Demonstration Extension Act of 2015 S. 1135: Hospital Payment Fairness Act H.R. 1479: Repeal of the Obamacare Bay State Boondoggle Act S. 1648: Rural Emergency Acute Care Hospital Act H.R. 3225: Save Rural Hospitals Act H.R. 1343 / S. 688: Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 1148 / H.R. 2124: Resident Physician Shortage Reduction Act S. 2484 / H.R. 4442: CONNECT for Health Act H.R. 2156: Medicare Audit Improvement Act H.R. 5164: Rural Hospital Regulatory Relief Act S. 3435: Craig Thomas Rural Hospital and Provider Equity Act of 2016 H.R. 5406: Helping Ensure Accountability, Leadership, and Trust in Tribal Healthcare Act H.R. 34: 21st Century Cures Act H.R. 3298: Medicare Post-Acute Care Value-Based Purchasing Act H.R 1628: American Health Care Act S. 872 / H.R. 1955: Rural Hospital Access Act S. 377: Medicare Ambulance Access, Fraud Prevention and Reform Act H.R. 1156: Patient Access to Higher Quality Health Care Act of 2017 H.R. 2: Medicare Access and CHIP Reauthorization Act of 2016 H.R. 1628 Better Care Reconciliation Act (BCRA) H.R. 4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes. The Senate Committee on Health, Education, Labor and Pensions (HELP) June 26 passed the Lower Health Care Costs Act of 2019 (S.1895) Congress should act now to delay the Medicaid DSH cuts that are scheduled to go into effect Nov. 22.

Client expense: Not reported · Firm income: Not reported

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act and Pandemic and All-Hazards Preparedness and Advancing Innovation Act (Public Law 113-5, 116-22) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 6.Implementation of Every Student Succeeds Act (Public Law 114-95) 7.Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 8.FY 2020 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (H.R. 2740/Not Yet Introduced)) 9.FY 2020 Departments of Agriculture, Rural Development, Food and Drug Administration and Related Agencies Appropriations (H.R. 3164/Not yet introduced) 10.FY2020 Departments of Transportation, HUD and related agencies Appropriations (H.R. 3163/Not Yet Introduced) 11.FY2020 Further Consolidated Appropriations Act (H.R. 1865/P.L. 116-94) 12.Midnight Rules Relief Act (S.34/H.R. 21) 13.Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 14.Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 15.Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 16.Regulatory Integrity Act (H.R. 1004) 17.OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 18.A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 19.American Health Care Act (H.R. 1628/H.Res. 228) 20.Ozone Standards Implementation Act (S. 263/H.R. 806) 21.Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 22.Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 23.Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 24.Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 25.Preventing Antibiotic Resistance Act (S. 629) 26.Better Care Reconciliation Act (H.R. 1628) and related amendments 27.Public Health Emergency Response Act (S. 196) 28.Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 29.Consolidated Appropriations Act, 2017 (Public Law 115-31) 30.Treat and Reduce Obesity Act (S. 830/H.R. 1953) 31.Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 32.Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 33.Tobacco Tax Equity Act (S. 1837) 34.Healthy Kids Act (S. 1821/H.R. 3921) 35.Implementation of the Drug Quality and Security Act (P.S. 113-54) 36.Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 37.Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 38.Lead-Safe Housing for Kids Act (S. 1845) 39.Supporting Working Moms Act (S. 2122/H.R. 3255) 40.Championing Healthy Kids Act (H.R. 3922) 41.Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 42.An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 43.Tax Cuts and Jobs Act (Public Law 115-97) 44.Pandemic and All-Hazards Preparedness Advancing Innovation Act (S. 2852/H.R. 6378/H.R. 7328/S. 1379/H.R. 269) 45.Vaccine Access Improvement Act (H.R. 4993) 46.Relief from New Source Performance Standards Act (H.R. 453) 47.Strategies to Address Antimicrobial Resistance (S. 2469) 48.Opioid Quota Reform Act (S. 2535) 49.Hospital Preparedness Program Reauthorization Act (H.R. 4776) 50.Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 51.Opioid Crisis Response Act of 2018 (S. 2680) 52.Agriculture and Nutrition Act (H.R. 2) 53.Agriculture Improvement Act (S. 3042) 54.SECURE Act (H.R. 5998) 55.Trauma-Informed Care for Children and Families Act (S. 774) 56.SUPPORT for Patients and Communities Act (H.R. 6) 57.Centers for Disease Control Emergency Response Act (S. 3161) 58.LABEL Opioids Act (S. 3428) 59.Relief from New Source Performance Standards Act (S. 1857) 60.Outdoors for All Act (S. 3499) 61.The MOMMA Act (H.R. 5977) 62.Preventing Maternal Deaths Act (H.R. 1318) 63.Medicare Access to Vaccines Equity Act (note yet introduced) 64.The Support Act (H.R. 6) 65.Climate Change Health Protection and Promotion Act (S. 529) 66.FY 2020 Departments of the Interior, Environment, and Related Agencies Appropriations Act (H.R. 3052/Not Yet Introduced) 67.NURSE Act (H.R. 1597) 68.Investing for the People Act (H.R. 2021) 69.Child Care for Working Families Act (H.R. 365/S. 568) 70.FAMILY Act (H.R. 1185/S. 463) 71.Transportation Alternatives Enhancement Act (S. 1098) 72.Lower Health Care Costs Act (S. 1895) 73.LIFT America Act (H.R 2479) 74.Public Health Funding Restoration Act (H.R. 3447/S. 1944) 75.Older Americans Act reauthorization (not yet introduced) 76.Campus Prevention and Recovery Services for Students Act (H.R. 3591) 77.Healthier Students for Stronger Campuses Act (S. 1281) 78.Saving Lives Through Better Data Act (S. 1793) 79.VACCINES Act (H.R. 2862) 80.DISARM Act (H.R. 4100/S. 1712) 81.Community Access, Resources, and Education for Families Act (H.R. 3117) 82.Protecting Seniors Through Immunization Act (S. 1872) 83.Tobacco-Free Youth Act (S. 1541) 84.Tobacco to 21 Act (H.R. 2411/S. 1258) 85.Investing for People Act (H.R. 2021) 86.School Based Health Centers Reauthorization Act (H.R.2075/S.1013) 87.Reversing the Youth Tobacco Epidemic Act of 2019 (H.R. 2339) 88.Social Determinants Accelerator Act (H.R. 4004) 89.Mental Health Professionals Workforce Shortage Loan Repayment Act (H.R. 2431) 90.The UNDERSTAND Act (S. 1323) 91.Americas Transportation Infrastructure Act (S. 2302) 92.Health Equity and Accountability Act (Not yet introduced) 93.Barriers to Suicide Act of 2019 (H.R. 4309) 94.Promoting Physical Activity for Americans Act (S. 1608) 95.Public Health Infrastructure Modernization Act of 2019 (H.R. 5321) 96.Supporting Healthy Mothers and Infants Act (H.R. 5249) 97.Lead-Free Future Act (H.R. 4416) 98.Home Visiting to Reduce Maternal Mortality and Morbidity Act (H.R. 4768) 99.Recognizing the anniversary of the eradication of smallpox and the importance of vaccination in the United States and worldwide (H.Res. 592) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, NIMH, Education, USDA, DHS, FEMA, and SAMHSA.

Client expense: $35,486 · Firm income: Not reported

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

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act and Pandemic and All-Hazards Preparedness and Advancing Innovation Act (Public Law 113-5, 116-22) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 7.Implementation of Every Student Succeeds Act (Public Law 114-95) 8.Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 9.FY 2020 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (H.R. 2740/Not Yet Introduced)) 10.FY 2020 Departments of Agriculture, Rural Development, Food and Drug Administration and Related Agencies Appropriations (H.R. 3164/Not yet introduced) 11.FY2020 Departments of Transportation, HUD and related agencies Appropriations (H.R. 3163/Not Yet Introduced) 12.Midnight Rules Relief Act (S.34/H.R. 21) 13.Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 14.Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 15.Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 16.Regulatory Integrity Act (H.R. 1004) 17.OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 18.A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 19.American Health Care Act (H.R. 1628/H.Res. 228) 20.Ozone Standards Implementation Act (S. 263/H.R. 806) 21.Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 22.Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 23.Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 24.Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 25.Preventing Antibiotic Resistance Act (S. 629) 26.Better Care Reconciliation Act (H.R. 1628) and related amendments 27.Public Health Emergency Response Act (S. 196) 28.Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 29.Consolidated Appropriations Act, 2017 (Public Law 115-31) 30.Treat and Reduce Obesity Act (S. 830/H.R. 1953) 31.Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 32.Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 33.Tobacco Tax Equity Act (S. 1837) 34.Healthy Kids Act (S. 1821/H.R. 3921) 35.Implementation of the Drug Quality and Security Act (P.S. 113-54) 36.Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 37.Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 38.Lead-Safe Housing for Kids Act (S. 1845) 39.Supporting Working Moms Act (S. 2122/H.R. 3255) 40.Championing Healthy Kids Act (H.R. 3922) 41.Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 42.An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 43.Tax Cuts and Jobs Act (Public Law 115-97) 44.Pandemic and All-Hazards Preparedness Advancing Innovation Act (S. 2852/H.R. 6378/H.R. 7328/S. 1379/H.R. 269) 45.Vaccine Access Improvement Act (H.R. 4993) 46.Relief from New Source Performance Standards Act (H.R. 453) 47.Strategies to Address Antimicrobial Resistance (S. 2469) 48.Opioid Quota Reform Act (S. 2535) 49.Hospital Preparedness Program Reauthorization Act (H.R. 4776) 50.Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 51.Health Equity and Accountability Act (H.R. 5942) 52.Opioid Crisis Response Act of 2018 (S. 2680) 53.Agriculture and Nutrition Act (H.R. 2) 54.Agriculture Improvement Act (S. 3042) 55.SECURE Act (H.R. 5998) 56.Trauma-Informed Care for Children and Families Act (S. 774) 57.SUPPORT for Patients and Communities Act (H.R. 6) 58.Centers for Disease Control Emergency Response Act (S. 3161) 59.LABEL Opioids Act (S. 3428) 60.Relief from New Source Performance Standards Act (S. 1857) 61.Outdoors for All Act (S. 3499) 62.The MOMMA Act (H.R. 5977) 63.Preventing Maternal Deaths Act (H.R. 1318) 64.Medicare Access to Vaccines Equity Act (note yet introduced) 65.The Support Act (H.R. 6) 66.Climate Change Health Protection and Promotion Act (S. 529) 67.FY 2020 Departments of the Interior, Environment, and Related Agencies Appropriations Act (H.R. 3052/Not Yet Introduced) 68.NURSE Act (H.R. 1597) 69.Investing for the People Act (H.R. 2021) 70.Child Care for Working Families Act (H.R. 365/S. 568) 71.FAMILY Act (H.R. 1185/S. 463) 72.Transportation Alternatives Enhancement Act (S. 1098) 73.Lower Health Care Costs Act (S. 1895) 74.LIFT America Act (H.R 2479) 75.Public Health Funding Restoration Act (H.R. 3447/S. 1944) 76.Older Americans Act reauthorization (not yet introduced) 77.Campus Prevention and Recovery Services for Students Act (H.R. 3591) 78.Healthier Students for Stronger Campuses Act (S. 1281) 79.Saving Lives Through Better Data Act (S. 1793) 80.VACCINES Act (H.R. 2862) 81.DISARM Act (S. 1712/not yet introduced) 82.Community Access, Resources, and Education for Families Act (H.R. 3117) 83.Protecting Seniors Through Immunization Act (S. 1872) 84.Tobacco-Free Youth Act (S. 1541) 85.Tobacco to 21 Act (H.R. 2411/S. 1258) 86.Investing for People Act (H.R. 2021) 87.School Based Health Centers Reauthorization Act (H.R.2075/S.1013) 88.Reversing the Youth Tobacco Epidemic Act of 2019 (H.R. 2339) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, Education, USDA, DHS, FEMA, and SAMHSA.

Client expense: $40,118 · Firm income: Not reported

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

Surprise Medical Bills S.2723, Mitigating Emergency Drug Shortages Act: reducing drug shortages H.R. 3502, Protecting People From Surprise Medical Bills Act H.R. 2500, National Defense Authorization Act for Fiscal Year 2020: Krishnamoorthi amdt on drug shortages H.R. 3107, Improving Seniors' Timely Access to Care Act of 2019: pre-authorization S. 1895, Lower Health Care Costs Act H.R. 3692, Addiction Treatment Access Improvement Act of 2017: Medically assisted treatment; opioids H.R. 5761, Ending Maternal Mortality Act of 2018: Maternal mortality H.R. 5718, Perioperative Reduction of Opioids Act: Opioids H.R. 5197, Alternatives to Opioids (ALTO) in the Emergency Department Act: Medically assisted treatment; opioids S. 2516, Alternatives to Opioids (ALTO) in the Emergency Department Act: Medically assisted treatment; opioids S.2680, Opioid Crisis Response Act of 2018: Medically assisted treatment; opioids S.2456, CARA 2.0 Act of 2018: Medically assisted treatment; opioids H.R. 1565, Saving Lives, Saving Costs S.1475, Saving Lives, Saving Costs Comprehensive Addiction and Recovery Act of 2016 (PL 114-198) Affordable Care Act reform efforts H.R. 1628, American Health Care Act of 2017 S. Amdt. 1030 to H.R. 1628, "Graham-Cassidy" Better Care Reconciliation Act of 2017 H.R. 1492, Medical Controlled Substances Transportation Act of 2017 H.R. 1215, Protecting Access to Care Act of 2017 H.R. 3545, Overdose Prevention and Patient Safety Act H.R. 3446, Restoring Board Immunity Act of 2017: Professional Licensing S.2260, Opioids and STOP Pain Initiative ACT:opioids 42 CFR Part 2, Confidentiality of Substance Use Disorder Patient Records: appropriate access to patient information essential for providing whole-person care H.R.3928, Truth in Healthcare Marketing Act of 2017 H.R. 1554, REDI Act: student loan debt repayment for residents 21st Century Cures Initiative Drug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee DEA Scheduling Propofol Comparative Effectiveness Research - PCORI HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management FTC Letters to States re: Interventional Pain Medicine & Advanced Practice Nurses & Competition in Healthcare Anesthesia Research Funding (Pediatric and others) Scope of Practice FDA Operating Room Fires Naloxone FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS - pediatric anesthesia research USP - US Pharmacopeia National Pain Strategy Nondiscrimination Compounding FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) Agency for Healthcare Research and Quality (AHRQ) funding Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Sequestration Opioids and opioid abuse; Brain health Anesthesiologist Assistants Blood management

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 95, HR 96, HR 203, HR 268, HR 299, HR 303, HR 326, HR 333, HR 444, HR 445, HR 485, HR 497, HR 547, HR 553, HR 566, HR 663, HR 712, HR 713, HR 716, HR 840, HR 1001, HR 1078, HR 1092, HR 1163, HR 1182, HR 1199, HR 1200, HR 1377, HR 1381, HR 1482, HR 1527, HR 1628, HR 1750, HR 1807, HR 1924, HR 2102, HR 2138, HR 2195, HR 2200, HR 2201, HR 2223, HR 2333, HR 2359, HR 2372, HR 2399, HR 2568, HR 2617, HR 2628, HR 2645, HR 2681, HR 2752, HR 2798, HR 2924, HR 2938, HR 2941, HR 2942, HR 2972, HR 2982, HR 3036, HR 3224, HR 3636, HR 3798,HR 4096, HR 4137, HR 4360, HR 4771, S 91, S 179, S 191, S 208, S 257, S 318, S 374, S 408, S 514, S 524, S 554, S 555, S 576, S 679, S 746, S 785, S 805, S 850, S 979, S 1023, S 1047, S 1105, S 1154, S 1563, S 1896, S 2022, S 2072, S 2407

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

S. 2136 S. 2106 S. 2096 S. 2073 S. 2072 S. 2027 S. 2022 S. 2011 S. 1946 S. 1934 S. 1906 S. 1896 S. 1718 S. 1656 S. 1648 S. 1646 S. 1635 S. 1621 S. 1594 S. 1573 S. 1563 S. 1545 S. 1392 S. 1390 S. 1381 S. 1331 S. 1315 S. 1283 S. 1263 S. 1222 S. 1195 S. 1154 S. 1118 S. 1105 S. 1101 S. 1047 S. 1034 S. 1024 S. 1023 S. 1003 S. 997 S. 980 S. 902 S. 900 S. 898 S. 891 S. 857 S. 853 S. 850 S. 835 S. 805 S. 791 S. 785 S. 746 S. 711 S. 699 S. 666 S. 646 S. 629 S. 606 S. 598 S. 576 S. 555 S. 554 S. 524 S. 514 S. 462 S. 450 S. 408 S. 374 S. 341 S. 332 S. 319 S. 318 S. 221 S. 179 S. 154 S. 127 S. 123 S. 91 S.Res. 256 S.Res. 55 H.R. 1553 H.R. 46 H.R. 2274 H.R. 3504 H.R. 2943 H.R. 2372 H.R. 2359 H.R. 2340 H.R. 2333 H.R. 2045 H.R. 1947 H.R. 1812 H.R. 1200 H.R. 1199 H.R. 299 H.R. 2196 H.R. 2109 H.R. 326 H.Res. 404 H.Res. 403 H.R. 3746 H.R. 2970 H.R. 2942 H.R. 2941 H.R. 2195 H.R. 2056 H.R. 1779 H.R. 1092 H.R. 955 H.R. 2326 H.R. 3867 H.R. 3866 H.R. 3826 H.R. 3813 H.R. 3798 H.R. 3788 H.R. 3752 H.R. 3749 H.R. 3700 H.R. 3640 H.R. 3636 H.R. 3608 H.R. 3582 H.R. 3535 H.R. 3530 H.R. 3527 H.R. 3495 H.R. 3450 H.R. 3350 H.R. 3277 H.R. 3231 H.R. 3228 H.R. 3224 H.R. 3221 H.R. 3189 H.R. 3147 H.R. 3103 H.R. 3083 H.R. 3036 H.R. 3012 H.R. 3010 H.R. 2997 H.R. 2994 H.R. 2982 H.R. 2972 H.R. 2948 H.R. 2934 H.R. 2931 H.R. 2924 H.R. 2916 H.R. 2898 H.R. 2885 H.R. 2884 H.R. 2866 H.R. 2846 H.R. 2823 H.R. 2816 H.R. 2798 H.R. 2791 H.R. 2752 H.R. 2736 H.R. 2681 H.R. 2677 H.R. 2676 H.R. 2675 H.R. 2645 H.R. 2629 H.R. 2628 H.R. 2568 H.R. 2557 H.R. 2556 H.R. 2493 H.R. 2487 H.R. 2435 H.R. 2385 H.R. 2334 H.R. 2308 H.R. 2230 H.R. 2227 H.R. 2224 H.R. 2223 H.R. 2221 H.R. 2201 H.R. 2200 H.R. 2191 H.R. 2184 H.R. 2138 H.R. 2102 H.R. 2094 H.R. 1997 H.R. 1963 H.R. 1962 H.R. 1944 H.R. 1925 H.R. 1924 H.R. 1918 H.R. 1913 H.R. 1826 H.R. 1807 H.R. 1802 H.R. 1758 H.R. 1752 H.R. 1750 H.R. 1749 H.R. 1722 H.R. 1721 H.R. 1718 H.R. 1713 H.R. 1674 H.R. 1658 H.R. 1647 H.R. 1628 H.R. 1599 H.R. 1577 H.R. 1552 H.R. 1527 H.R. 1482 H.R. 1448 H.R. 1424 H.R. 1381 H.R. 1377 H.R. 1360 H.R. 1341 H.R. 1271 H.R. 1182 H.R. 1163 H.R. 1155 H.R. 1133 H.R. 1126 H.R. 1125 H.R. 1030 H.R. 1005 H.R. 1001 H.R. 941 H.R. 846 H.R. 749 H.R. 747 H.R. 730 H.R. 716 H.R. 713 H.R. 712 H.R. 698 H.R. 697 H.R. 685 H.R. 637 H.R. 628 H.R. 610 H.R. 592 H.R. 578 H.R. 566 H.R. 561 H.R. 547 H.R. 497 H.R. 485 H.R. 464 H.R. 445 H.R. 444 H.R. 433 H.R. 203 H.R. 154 H.R. 100 H.R. 96 H.R. 95 H.R. 80 H.R. 54 H.R. 23 H.Con.Res. 13 H.Res. 483 H.Res. 451 H.Res. 434 H.Res. 270 S. 863 H.R. 840 S. 49 H.R. 617 H.R. 1615 H.R. 3357 H.R. 688 H.R. 2406 H.R. 2750 H.R. 2635 H.R. 1585 H.R. 1119 H.R. 2098 H.R. 1078 H.Res. 152 H.R. 3356 H.R. 1837 H.R. 1810 H.R. 2399 H.R. 2398 S. 1749 H.R. 1988 H.R. 2777 H.R. 3652 H.R. 562 H.Res. 413 H.R. 3517 H.R. 3178 H.R. 3072 H.R. 2947 H.R. 2886 H.R. 2618 H.R. 2617 H.R. 1911 H.R. 663 H.R. 333 H.R. 303 H.Res. 455 H.Res. 269 H.Res. 39 H.R. 2384 H.R. 2401 H.R. 3112 H.R. 1565 H.R. 2148 H.Res. 100 H.R. 1966 H.R. 1183 H.R. 269 H.R. 1151 H.R. 601 H.R. 127 H.R. 2803 H.R. 3815 H.R. 3523

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), Natl Archives & Records Administration (NARA), Navy, Dept of, SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act and Pandemic and All-Hazards Preparedness and Advancing Innovation Act (Public Law 113-5, 116-22) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 7.Implementation of Every Student Succeeds Act (Public Law 114-95) 8.Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 9.FY 2020 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (H.R. 2740/Not Yet Introduced)) 10.FY 2020 Departments of Agriculture, Rural Development, Food and Drug Administration and Related Agencies Appropriations (H.R. 3164/Not yet introduced) 11.FY2020 Departments of Transportation, HUD and related agencies Appropriations (H.R. 3163/Not Yet Introduced) 12.Midnight Rules Relief Act (S.34/H.R. 21) 13.Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 14.Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 15.Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 16.Regulatory Integrity Act (H.R. 1004) 17.OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 18.A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 19.American Health Care Act (H.R. 1628/H.Res. 228) 20.Ozone Standards Implementation Act (S. 263/H.R. 806) 21.Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 22.Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 23.Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 24.Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 25.Preventing Antibiotic Resistance Act (S. 629) 26.Better Care Reconciliation Act (H.R. 1628) and related amendments 27.Public Health Emergency Response Act (S. 196) 28.Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 29.Consolidated Appropriations Act, 2017 (Public Law 115-31) 30.Treat and Reduce Obesity Act (S. 830/H.R. 1953) 31.Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 32.Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 33.Tobacco Tax Equity Act (S. 1837) 34.Healthy Kids Act (S. 1821/H.R. 3921) 35.Implementation of the Drug Quality and Security Act (P.S. 113-54) 36.Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 37.Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 38.Lead-Safe Housing for Kids Act (S. 1845) 39.Supporting Working Moms Act (S. 2122/H.R. 3255) 40.Championing Healthy Kids Act (H.R. 3922) 41.Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 42.An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 43.Tax Cuts and Jobs Act (Public Law 115-97) 44.Pandemic and All-Hazards Preparedness Advancing Innovation Act (S. 2852/H.R. 6378/H.R. 7328/S. 1379/H.R. 269) 45.Vaccine Access Improvement Act (H.R. 4993) 46.Relief from New Source Performance Standards Act (H.R. 453) 47.Strategies to Address Antimicrobial Resistance (S. 2469) 48.Opioid Quota Reform Act (S. 2535) 49.Hospital Preparedness Program Reauthorization Act (H.R. 4776) 50.Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 51.Health Equity and Accountability Act (H.R. 5942) 52.Opioid Crisis Response Act of 2018 (S. 2680) 53.Agriculture and Nutrition Act (H.R. 2) 54.Agriculture Improvement Act (S. 3042) 55.SECURE Act (H.R. 5998) 56.Trauma-Informed Care for Children and Families Act (S. 774) 57.SUPPORT for Patients and Communities Act (H.R. 6) 58.Centers for Disease Control Emergency Response Act (S. 3161) 59.LABEL Opioids Act (S. 3428) 60.Relief from New Source Performance Standards Act (S. 1857) 61.Outdoors for All Act (S. 3499) 62.The MOMMA Act (H.R. 5977) 63.Preventing Maternal Deaths Act (H.R. 1318) 64.Medicare Access to Vaccines Equity Act (note yet introduced) 65.The Support Act (H.R. 6) 66.Climate Change Health Protection and Promotion Act (S. 529) 67.FY 2020 Departments of the Interior, Environment, and Related Agencies Appropriations Act (H.R. 3052/Not Yet Introduced) 68.NURSE Act (H.R. 1597) 69.Investing for the People Act (H.R. 2021) 70.Child Care for Working Families Act (H.R. 365/S. 568) 71.FAMILY Act (H.R. 1185/S. 463) 72.Transportation Alternatives Enhancement Act (S. 1098) 73.Lower Health Care Costs Act (S. 1895) 74.LIFT America Act (H.R 2479) 75.Public Health Funding Restoration Act (H.R. 3447/S. 1944) 76.Older Americans Act reauthorization (not yet introduced) 77.Campus Prevention and Recovery Services for Students Act (H.R. 3591) 78.Healthier Students for Stronger Campuses Act (S. 1281) 79.Saving Lives Through Better Data Act (S. 1793) 80.VACCINES Act (H.R. 2862) 81.DISARM Act (S. 1712/not yet introduced) 82.Community Access, Resources, and Education for Families Act (H.R. 3117) 83.Protecting Seniors Through Immunization Act (S. 1872) 84.Tobacco-Free Youth Act (S. 1541) 85.Tobacco to 21 Act (H.R. 2411/S. 1258) 86.Investing for People Act (H.R. 2021) 87.School Based Health Centers Reauthorization Act (H.R.2075/S.1013) 88.Reversing the Youth Tobacco Epidemic Act of 2019 (H.R. 2339) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, Education, USDA, DHS, FEMA, and SAMHSA.

Client expense: $44,350 · Firm income: Not reported

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

HR 1730/S 741, the Cancer Drug Parity Act; HR 1010, to To provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect; HR 986/S 466, the Protecting Americans with Pre-existing Conditions Act; HR 647, the Palliative Care and Hospice Education and Treatment Act (PCHETA); S 64, the Preserve Access to Affordable Generics and Biosimilars Act; S 440, the Preserving Access to Cost Effective Drugs (PACED) Act; The Lower Health Care Costs Act of 2019; HR 692, the Pre-existing Conditions Protection Act of 2019; S 1125, the Protect Act; HR 965, the CREATES Act; potential regulatory activity to reform the anti-kickback statute and Stark self-referral regulations; Congressional hearings and oversight related to non-ACA-compliant insurance products; LLS plans for a clinical trial for pediatric patients diagnosed with acute myeloid leukemia (AML); Texas v US lawsuit implications for protections for people with pre-existing conditions; H.R. 1628, the Paid Family Leave Pilot Extension Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 95, HR 96, HR 203, HR 268, HR 299, HR 303, HR 326, HR 333, HR 444, HR 445, HR 485, HR 497, HR 547, HR 553, HR 566, HR 663, HR 712, HR 713, HR 716, HR 840, HR 1001, HR 1078, HR 1092, HR 1163, HR 1182, HR 1199, HR 1200, HR 1377, HR 1381, HR 1482, HR 1527, HR 1628, HR 1750, HR 1807, HR 1924, HR 2102, HR 2138, HR 2195, HR 2200, HR 2201, HR 2223, HR 2333, HR 2359, HR 2372, HR 2399, HR 2568, HR 2617, HR 2628, HR 2645, HR 2681, HR 2752, HR 2798, HR 2924, HR 2938, HR 2941, HR 2942, HR 2972, HR 2982, HR 3036, HR 3224, HR 3636, HR 3798,HR 4096, HR 4137, S 91, S 179, S 191, S 208, S 257, S 318, S 374, S 408, S 514, S 524, S 554, S 555, S 576, S 746, S 785, S 805, S 850, S 979, S 1023, S 1047, S 1105, S 1154, S 1563, S 1896, S 2022, S 2072, S 2407

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

Surprise Medical Bills H.R. 3502, Protecting People From Surprise Medical Bills Act H.R. 2500, National Defense Authorization Act for Fiscal Year 2020: Krishnamoorthi amdt on drug shortages H.R. 3107, Improving Seniors' Timely Access to Care Act of 2019: pre-authorization S. 1895, Lower Health Care Costs Act H.R. 3692, Addiction Treatment Access Improvement Act of 2017: Medically assisted treatment; opioids H.R. 5761, Ending Maternal Mortality Act of 2018: Maternal mortality H.R. 5718, Perioperative Reduction of Opioids Act: Opioids H.R. 5197, Alternatives to Opioids (ALTO) in the Emergency Department Act: Medically assisted treatment; opioids S. 2516, Alternatives to Opioids (ALTO) in the Emergency Department Act: Medically assisted treatment; opioids S.2680, Opioid Crisis Response Act of 2018: Medically assisted treatment; opioids S.2456, CARA 2.0 Act of 2018: Medically assisted treatment; opioids H.R. 1565, Saving Lives, Saving Costs S.1475, Saving Lives, Saving Costs Comprehensive Addiction and Recovery Act of 2016 (PL 114-198) Affordable Care Act reform efforts H.R. 1628, American Health Care Act of 2017 S. Amdt. 1030 to H.R. 1628, "Graham-Cassidy" Better Care Reconciliation Act of 2017 H.R. 1492, Medical Controlled Substances Transportation Act of 2017 H.R. 1215, Protecting Access to Care Act of 2017 H.R. 3545, Overdose Prevention and Patient Safety Act H.R. 3446, Restoring Board Immunity Act of 2017: Professional Licensing S.2260, Opioids and STOP Pain Initiative ACT:opioids 42 CFR Part 2, Confidentiality of Substance Use Disorder Patient Records: appropriate access to patient information essential for providing whole-person care H.R.3928, Truth in Healthcare Marketing Act of 2017 H.R. 1554, REDI Act: student loan debt repayment for residents 21st Century Cures Initiative Drug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee DEA Scheduling Propofol Comparative Effectiveness Research - PCORI HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management FTC Letters to States re: Interventional Pain Medicine & Advanced Practice Nurses & Competition in Healthcare Anesthesia Research Funding (Pediatric and others) Scope of Practice FDA Operating Room Fires Naloxone FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS - pediatric anesthesia research USP - US Pharmacopeia National Pain Strategy Nondiscrimination Compounding FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) Agency for Healthcare Research and Quality (AHRQ) funding Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Sequestration Opioids and opioid abuse; Brain health Anesthesiologist Assistants Blood management

Client expense: $290,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

S. 753/H.R. 1628, The Improving Access to Medicare Coverage Act of 2019 (observation status legislation); legislation involving telemedicine in the nursing home setting; issues involving the medical director within the nursing home.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Healthcare Price Transparency Rules for Hospitals 340B Medicare DSH Medicare Physician Payment (MACRA) H.R. 365 The Primary Care Enhancement Act S. 898/H.R. 2141 Conrad State 30 and Physician Access Reauthorization Act S. 1130 Rural Emergency Acute Care Hospital (REACH) Act S. 257 / H.R. 1611: Protecting Access to Rural Therapy Services Act S. 258 / H.R. 169: Critical Access Hospital Relief Act of 2015 H.R. 672 / S. 607: Rural Community Hospital Demonstration Extension Act of 2015 S. 1135: Hospital Payment Fairness Act H.R. 1479: Repeal of the Obamacare Bay State Boondoggle Act S. 1648: Rural Emergency Acute Care Hospital Act H.R. 3225: Save Rural Hospitals Act H.R. 1343 / S. 688: Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 1148 / H.R. 2124: Resident Physician Shortage Reduction Act S. 2484 / H.R. 4442: CONNECT for Health Act H.R. 2156: Medicare Audit Improvement Act H.R. 5164: Rural Hospital Regulatory Relief Act S. 3435: Craig Thomas Rural Hospital and Provider Equity Act of 2016 H.R. 5406: Helping Ensure Accountability, Leadership, and Trust in Tribal Healthcare Act H.R. 34: 21st Century Cures Act H.R. 3298: Medicare Post-Acute Care Value-Based Purchasing Act H.R 1628: American Health Care Act S. 872 / H.R. 1955: Rural Hospital Access Act S. 377: Medicare Ambulance Access, Fraud Prevention and Reform Act H.R. 1156: Patient Access to Higher Quality Health Care Act of 2017 H.R. 2: Medicare Access and CHIP Reauthorization Act of 2016 H.R. 1628 Better Care Reconciliation Act (BCRA) H.R. 4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes. The Senate Committee on Health, Education, Labor and Pensions (HELP) June 26 passed the Lower Health Care Costs Act of 2019 (S.1895) Congress should act now to delay the Medicaid DSH cuts that are scheduled to go into effect Nov. 22.

Client expense: Not reported · Firm income: Not reported

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act and Pandemic and All-Hazards Preparedness and Advancing Innovation Act (Public Law 113-5, 116-22) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 7.Implementation of Every Student Succeeds Act (Public Law 114-95) 8.Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 9.FY 2020 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (H.R. 2740/Not Yet Introduced)) 10.FY 2020 Departments of Agriculture, Rural Development, Food and Drug Administration and Related Agencies Appropriations (H.R. 3164/Not yet introduced) 11.FY2020 Departments of Transportation, HUD and related agencies Appropriations (H.R. 3163/Not Yet Introduced) 12.Midnight Rules Relief Act (S.34/H.R. 21) 13.Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 14.Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 15.Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 16.Regulatory Integrity Act (H.R. 1004) 17.OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 18.A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 19.American Health Care Act (H.R. 1628/H.Res. 228) 20.Ozone Standards Implementation Act (S. 263/H.R. 806) 21.Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 22.Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 23.Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 24.Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 25.Preventing Antibiotic Resistance Act (S. 629) 26.Better Care Reconciliation Act (H.R. 1628) and related amendments 27.Public Health Emergency Response Act (S. 196) 28.Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 29.Consolidated Appropriations Act, 2017 (Public Law 115-31) 30.Treat and Reduce Obesity Act (S. 830/H.R. 1953) 31.Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 32.Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 33.Tobacco Tax Equity Act (S. 1837) 34.Healthy Kids Act (S. 1821/H.R. 3921) 35.Implementation of the Drug Quality and Security Act (P.S. 113-54) 36.Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 37.Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 38.Lead-Safe Housing for Kids Act (S. 1845) 39.Supporting Working Moms Act (S. 2122/H.R. 3255) 40.Championing Healthy Kids Act (H.R. 3922) 41.Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 42.An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 43.Tax Cuts and Jobs Act (Public Law 115-97) 44.Pandemic and All-Hazards Preparedness Advancing Innovation Act (S. 2852/H.R. 6378/H.R. 7328/S. 1379/H.R. 269) 45.Vaccine Access Improvement Act (H.R. 4993) 46.Relief from New Source Performance Standards Act (H.R. 453) 47.Strategies to Address Antimicrobial Resistance (S. 2469) 48.Opioid Quota Reform Act (S. 2535) 49.Hospital Preparedness Program Reauthorization Act (H.R. 4776) 50.Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 51.Health Equity and Accountability Act (H.R. 5942) 52.Opioid Crisis Response Act of 2018 (S. 2680) 53.Agriculture and Nutrition Act (H.R. 2) 54.Agriculture Improvement Act (S. 3042) 55.SECURE Act (H.R. 5998) 56.Trauma-Informed Care for Children and Families Act (S. 774) 57.SUPPORT for Patients and Communities Act (H.R. 6) 58.Centers for Disease Control Emergency Response Act (S. 3161) 59.LABEL Opioids Act (S. 3428) 60.Relief from New Source Performance Standards Act (S. 1857) 61.Outdoors for All Act (S. 3499) 62.The MOMMA Act (H.R. 5977) 63.Preventing Maternal Deaths Act (H.R. 1318) 64.Medicare Access to Vaccines Equity Act (note yet introduced) 65.The Support Act (H.R. 6) 66.Climate Change Health Protection and Promotion Act (S. 529) 67.FY 2020 Departments of the Interior, Environment, and Related Agencies Appropriations Act (H.R. 3052/Not Yet Introduced) 68.NURSE Act (H.R. 1597) 69.Investing for the People Act (H.R. 2021) 70.Child Care for Working Families Act (H.R. 365/S. 568) 71.FAMILY Act (H.R. 1185/S. 463) 72.Transportation Alternatives Enhancement Act (S. 1098) 73.Lower Health Care Costs Act (S. 1895) 74.LIFT America Act (H.R 2479) 75.Public Health Funding Restoration Act (H.R. 3447/S. 1944) 76.Older Americans Act reauthorization (not yet introduced) 77.Campus Prevention and Recovery Services for Students Act (H.R. 3591) 78.Healthier Students for Stronger Campuses Act (S. 1281) 79.Saving Lives Through Better Data Act (S. 1793) 80.VACCINES Act (H.R. 2862) 81.DISARM Act (S. 1712/not yet introduced) 82.Community Access, Resources, and Education for Families Act (H.R. 3117) 83.Protecting Seniors Through Immunization Act (S. 1872) 84.Tobacco-Free Youth Act (S. 1541) 85.Tobacco to 21 Act (H.R. 2411/S. 1258) 86.Investing for People Act (H.R. 2021) 87.School Based Health Centers Reauthorization Act (H.R.2075/S.1013) 88.Reversing the Youth Tobacco Epidemic Act of 2019 (H.R. 2339) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, Education, USDA, DHS, FEMA, and SAMHSA.

Client expense: $38,304 · Firm income: Not reported

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

S. 2136 S. 2106 S. 2096 S. 2073 S. 2072 S. 2027 S. 2022 S. 2011 S. 1946 S. 1934 S. 1906 S. 1896 S. 1718 S. 1656 S. 1648 S. 1646 S. 1635 S. 1621 S. 1594 S. 1573 S. 1563 S. 1545 S. 1392 S. 1390 S. 1381 S. 1331 S. 1315 S. 1283 S. 1263 S. 1222 S. 1195 S. 1154 S. 1118 S. 1105 S. 1101 S. 1047 S. 1034 S. 1024 S. 1023 S. 1003 S. 997 S. 980 S. 902 S. 900 S. 898 S. 891 S. 857 S. 853 S. 850 S. 835 S. 805 S. 791 S. 785 S. 746 S. 711 S. 699 S. 666 S. 646 S. 629 S. 606 S. 598 S. 576 S. 555 S. 554 S. 524 S. 514 S. 462 S. 450 S. 408 S. 374 S. 341 S. 332 S. 319 S. 318 S. 221 S. 179 S. 154 S. 127 S. 123 S. 91 S.Res. 256 S.Res. 55 H.R. 1553 H.R. 46 H.R. 2274 H.R. 3504 H.R. 2943 H.R. 2372 H.R. 2359 H.R. 2340 H.R. 2333 H.R. 2045 H.R. 1947 H.R. 1812 H.R. 1200 H.R. 1199 H.R. 299 H.R. 2196 H.R. 2109 H.R. 326 H.Res. 404 H.Res. 403 H.R. 3746 H.R. 2970 H.R. 2942 H.R. 2941 H.R. 2195 H.R. 2056 H.R. 1779 H.R. 1092 H.R. 955 H.R. 2326 H.R. 3867 H.R. 3866 H.R. 3826 H.R. 3813 H.R. 3798 H.R. 3788 H.R. 3752 H.R. 3749 H.R. 3700 H.R. 3640 H.R. 3636 H.R. 3608 H.R. 3582 H.R. 3535 H.R. 3530 H.R. 3527 H.R. 3495 H.R. 3450 H.R. 3350 H.R. 3277 H.R. 3231 H.R. 3228 H.R. 3224 H.R. 3221 H.R. 3189 H.R. 3147 H.R. 3103 H.R. 3083 H.R. 3036 H.R. 3012 H.R. 3010 H.R. 2997 H.R. 2994 H.R. 2982 H.R. 2972 H.R. 2948 H.R. 2934 H.R. 2931 H.R. 2924 H.R. 2916 H.R. 2898 H.R. 2885 H.R. 2884 H.R. 2866 H.R. 2846 H.R. 2823 H.R. 2816 H.R. 2798 H.R. 2791 H.R. 2752 H.R. 2736 H.R. 2681 H.R. 2677 H.R. 2676 H.R. 2675 H.R. 2645 H.R. 2629 H.R. 2628 H.R. 2568 H.R. 2557 H.R. 2556 H.R. 2493 H.R. 2487 H.R. 2435 H.R. 2385 H.R. 2334 H.R. 2308 H.R. 2230 H.R. 2227 H.R. 2224 H.R. 2223 H.R. 2221 H.R. 2201 H.R. 2200 H.R. 2191 H.R. 2184 H.R. 2138 H.R. 2102 H.R. 2094 H.R. 1997 H.R. 1963 H.R. 1962 H.R. 1944 H.R. 1925 H.R. 1924 H.R. 1918 H.R. 1913 H.R. 1826 H.R. 1807 H.R. 1802 H.R. 1758 H.R. 1752 H.R. 1750 H.R. 1749 H.R. 1722 H.R. 1721 H.R. 1718 H.R. 1713 H.R. 1674 H.R. 1658 H.R. 1647 H.R. 1628 H.R. 1599 H.R. 1577 H.R. 1552 H.R. 1527 H.R. 1482 H.R. 1448 H.R. 1424 H.R. 1381 H.R. 1377 H.R. 1360 H.R. 1341 H.R. 1271 H.R. 1182 H.R. 1163 H.R. 1155 H.R. 1133 H.R. 1126 H.R. 1125 H.R. 1030 H.R. 1005 H.R. 1001 H.R. 941 H.R. 846 H.R. 749 H.R. 747 H.R. 730 H.R. 716 H.R. 713 H.R. 712 H.R. 698 H.R. 697 H.R. 685 H.R. 637 H.R. 628 H.R. 610 H.R. 592 H.R. 578 H.R. 566 H.R. 561 H.R. 547 H.R. 497 H.R. 485 H.R. 464 H.R. 445 H.R. 444 H.R. 433 H.R. 203 H.R. 154 H.R. 100 H.R. 96 H.R. 95 H.R. 80 H.R. 54 H.R. 23 H.Con.Res. 13 H.Res. 483 H.Res. 451 H.Res. 434 H.Res. 270 S. 863 H.R. 840 S. 49 H.R. 617 H.R. 1615 H.R. 3357 H.R. 688 H.R. 2406 H.R. 2750 H.R. 2635 H.R. 1585 H.R. 1119 H.R. 2098 H.R. 1078 H.Res. 152 H.R. 3356 H.R. 1837 H.R. 1810 H.R. 2399 H.R. 2398 S. 1749 H.R. 1988 H.R. 2777 H.R. 3652 H.R. 562 H.Res. 413 H.R. 3517 H.R. 3178 H.R. 3072 H.R. 2947 H.R. 2886 H.R. 2618 H.R. 2617 H.R. 1911 H.R. 663 H.R. 333 H.R. 303 H.Res. 455 H.Res. 269 H.Res. 39 H.R. 2384 H.R. 2401 H.R. 3112 H.R. 1565 H.R. 2148 H.Res. 100 H.R. 1966 H.R. 1183 H.R. 269 H.R. 1151 H.R. 601 H.R. 127 H.R. 2803 H.R. 3815 H.R. 3523

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), Natl Archives & Records Administration (NARA), Navy, Dept of, SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office

H.R. 2740 Labor-HHS Appropriations bill, FY 2020 - Lobbied in support of increased funding for CMS' state survey and certification program and opposition to hostile policy riders re ACA, and various related medical care research and supportive services. Discussed issue related to the Supplemental Nutrition Assistance Program. P.L. 114-42, NOTICE Act and no bill number, Improving Access to Medicare Coverage Act - discussed transparency/surprise medical billing, including observation issues and related prior legislation, in response to Senate request for information. S.340/H.R. 965 - the CREATES Act. S.64/H.R. 2375 - the Preserve Access to Generics and Biosimilars Act. H.R. 1499 - the Preserving Consumer Access to Generics Act. Endorsed H.R. 986, H.R. 987, and H.R. 1010, aimed at protecting the core consumer provisions of the ACA, including the prohibition on insurers engaging in an age tax and preexisting condition discrimination. S.1531- STOP Act. Discussed support for restoration and extension of the medical expense deduction. S.110/HR. 2073 Medical Expenses Permanency Legislation. S.617 Tax Extenders & Disaster Relief Act. H.R.2730/S. 1443 Credit for Caring Act. Medical Expense Deductions (included in H.R. 1628 and Better Care Reconciliation Act drafts) S.1209 REMEDY ACT. H.R.1373, Protecting Seniors from Poverty Act. H.R.2150/S. 296, Home Health Care Planning Improvement Act. H.R.1682/S.753 Improving Access to Medicare Coverage Act. H.R.1342/S.548 Empower Act. Better Care Reconciliation Act draft.

Client expense: $1,900,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Transportation, Dept of (DOT), Treasury, Dept of, White House Office

Surprise Medical Bills H.R. 3502, Protecting People From Surprise Medical Bills Act S. 1895, Lower Health Care Costs Act H.R. 3692, Addiction Treatment Access Improvement Act of 2017: Medically assisted treatment; opioids H.R. 5761, Ending Maternal Mortality Act of 2018: Maternal mortality H.R. 5718, Perioperative Reduction of Opioids Act: Opioids H.R. 5197, Alternatives to Opioids (ALTO) in the Emergency Department Act: Medically assisted treatment; opioids S. 2516, Alternatives to Opioids (ALTO) in the Emergency Department Act: Medically assisted treatment; opioids S.2680, Opioid Crisis Response Act of 2018: Medically assisted treatment; opioids S.2456, CARA 2.0 Act of 2018: Medically assisted treatment; opioids H.R. 1565, Saving Lives, Saving Costs S.1475, Saving Lives, Saving Costs Comprehensive Addiction and Recovery Act of 2016 (PL 114-198) Affordable Care Act reform efforts H.R. 1628, American Health Care Act of 2017 S. Amdt. 1030 to H.R. 1628, "Graham-Cassidy" Better Care Reconciliation Act of 2017 H.R. 1492, Medical Controlled Substances Transportation Act of 2017 H.R. 1215, Protecting Access to Care Act of 2017 H.R. 3545, Overdose Prevention and Patient Safety Act H.R. 3446, Restoring Board Immunity Act of 2017: Professional Licensing S.2260, Opioids and STOP Pain Initiative ACT:opioids 42 CFR Part 2, Confidentiality of Substance Use Disorder Patient Records: appropriate access to patient information essential for providing whole-person care H.R.3928, Truth in Healthcare Marketing Act of 2017 H.R. 1554, REDI Act: student loan debt repayment for residents 21st Century Cures Initiative Drug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee DEA Scheduling Propofol Comparative Effectiveness Research - PCORI HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management FTC Letters to States re: Interventional Pain Medicine & Advanced Practice Nurses & Competition in Healthcare Anesthesia Research Funding (Pediatric and others) Scope of Practice FDA Operating Room Fires Naloxone FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS - pediatric anesthesia research USP - US Pharmacopeia National Pain Strategy Nondiscrimination Compounding FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) Agency for Healthcare Research and Quality (AHRQ) funding Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Sequestration Opioids and opioid abuse; Brain health Anesthesiologist Assistants

Client expense: $310,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 95, HR 96, HR 203, HR 268, HR 299, HR 303, HR 326, HR 333, HR 444, HR 445, HR 485, HR 497, HR 547, HR 553, HR 566, HR 663, HR 712, HR 713, HR 716, HR 840, HR 1001, HR 1078, HR 1092, HR 1182, HR 1199, HR 1200, HR 1377, HR 1381, HR 1482, HR 1527, HR 1628, HR 1750, HR 1807, HR 1924, HR 2102, HR 2138, HR 2195, HR 2200, HR 2201, HR 2223, HR 2333, HR 2359, HR 2372, HR 2399, HR 2568, HR 2617, HR 2752, HR 2798, HR 2938, S 91, S 179, S 191, S 208, S 257, S 318, S 374, S 408, S 514, S 524, S 554, S 555, S 576, S 746, S 785, S 805, S 850, S 979, S 1023, S 1047, S 1105, S 1154, S 1563

Client expense: $147,945 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

S. 753/H.R. 1628, The Improving Access to Medicare Coverage Act of 2019 (observation status legislation); legislation involving telemedicine in the nursing home setting; issues involving the medical director within the nursing home.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2953 Preventive Health Savings Act and S.2164 H.R.3124/S.1299 Preventing Diabetes in Medicare Act H.R. 5768 Expanding Access to DSMT Act H.R.1953/S.830 TROA H.R.1413 Enrich Act H.R.1934 Eat for Health Act H.R.1628 American Health Act H.R.722 Common Sense Nutrition Disclosure Act H.R.5942 Health Equity and Accountability Act of 2018

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

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

Healthcare Price Transparency Rules for Hospitals 340B Medicare DSH Medicare Physician Payment (MACRA) H.R. 365 The Primary Care Enhancement Act S. 898/H.R. 2141 Conrad State 30 and Physician Access Reauthorization Act S. 1130 Rural Emergency Acute Care Hospital (REACH) Act S. 257 / H.R. 1611: Protecting Access to Rural Therapy Services Act S. 258 / H.R. 169: Critical Access Hospital Relief Act of 2015 H.R. 672 / S. 607: Rural Community Hospital Demonstration Extension Act of 2015 S. 1135: Hospital Payment Fairness Act H.R. 1479: Repeal of the Obamacare Bay State Boondoggle Act S. 1648: Rural Emergency Acute Care Hospital Act H.R. 3225: Save Rural Hospitals Act H.R. 1343 / S. 688: Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 1148 / H.R. 2124: Resident Physician Shortage Reduction Act S. 2484 / H.R. 4442: CONNECT for Health Act H.R. 2156: Medicare Audit Improvement Act H.R. 5164: Rural Hospital Regulatory Relief Act S. 3435: Craig Thomas Rural Hospital and Provider Equity Act of 2016 H.R. 5406: Helping Ensure Accountability, Leadership, and Trust in Tribal Healthcare Act H.R. 34: 21st Century Cures Act H.R. 3298: Medicare Post-Acute Care Value-Based Purchasing Act H.R 1628: American Health Care Act S. 872 / H.R. 1955: Rural Hospital Access Act S. 377: Medicare Ambulance Access, Fraud Prevention and Reform Act H.R. 1156: Patient Access to Higher Quality Health Care Act of 2017 H.R. 2: Medicare Access and CHIP Reauthorization Act of 2016 H.R. 1628 Better Care Reconciliation Act (BCRA) H.R. 4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes

Client expense: Not reported · Firm income: Not reported

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 95, HR 96, HR 203, HR 268, HR 299, HR 303, HR 326, HR 333, HR 444, HR 445, HR 485, HR 497, HR 547, HR 553, HR 566, HR 663, HR 712, HR 713, HR 840, HR 1001, HR 1078, HR 1092, HR 1182, HR 1199, HR 1200, HR 1377, HR 1381, HR 1482, HR 1527, HR 1628, HR 2200, HR 2201, S 91, S 179, S 191, S 208, S 257, S 318, S 374, S 408, S 514, S 554, S 555, S 576, S 805, S 979

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

H.R. 2953 Preventive Health Savings Act and S.2164 H.R.3124/S.1299 Preventing Diabetes in Medicare Act H.R. 5768 Expanding Access to DSMT Act H.R.1953/S.830 TROA H.R.1413 Enrich Act H.R.1934 Eat for Health Act H.R.1628 American Health Act H.R.722 Common Sense Nutrition Disclosure Act H.R.5942 Health Equity and Accountability Act of 2018

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

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

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2. Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3. Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4. Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5. Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6. Implementation of the Drug Quality and Security Act of 2013 (Public Law 113-54) 7. Implementation of Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 8. Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 9. Implementation of Every Student Succeeds Act (Public Law 114-95) 10. Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 11. FY 2018 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 1771/H.R. 3358) 12. FY 2018 Departments of Agriculture, Rural Development, Food and Drug Administration and Related Agencies Appropriations (S. 1603/H.R. 3268) 13. Consolidated Appropriations Act 2018 (Public Law 115-141) 14. Midnight Rules Relief Act (S.34/H.R. 21) 15. Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 16. Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 17. Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 18. Regulatory Integrity Act (H.R. 1004) 19. OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 20. A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 21. American Health Care Act (H.R. 1628/H.Res. 228) 22. Ozone Standards Implementation Act (S. 263/H.R. 806) 23. Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 24. Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 25. Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 26. Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 27. Preventing Antibiotic Resistance Act (S. 629) 28. Better Care Reconciliation Act (H.R. 1628) and related amendments 29. Public Health Emergency Response Act (S. 196) 30. Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 31. Consolidated Appropriations Act, 2017 (Public Law 115-31) 32. Treat and Reduce Obesity Act (S. 830/H.R. 1953) 33. Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 34. Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 35. Tobacco Tax Equity Act (S. 1837) 36. Healthy Kids Act (S. 1821/H.R. 3921) 37. Implementation of the Drug Quality and Security Act (P.S. 113-54) 38. Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 39. Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 40. Lead-Safe Housing for Kids Act (S. 1845) 41. Supporting Working Moms Act (S. 2122/H.R. 3255) 42. Championing Healthy Kids Act (H.R. 3922) 43. Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 44. An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 45. Tax Cuts and Jobs Act (Public Law 115-97) 46. Pandemic and All-Hazards Preparedness Advancing Innovation Act (S. 2852/H.R. 6378/H.R. 7328) 47. Vaccine Access Improvement Act (H.R. 4993) 48. Relief from New Source Performance Standards Act (H.R. 453) 49. Strategies to Address Antimicrobial Resistance (S. 2469) 50. Opioid Quota Reform Act (S. 2535) 51. Hospital Preparedness Program Reauthorization Act (H.R. 4776) 52. Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 53. Health Equity and Accountability Act (H.R. 5942) 54. Opioid Crisis Response Act of 2018 (S. 2680) 55. Agriculture and Nutrition Act (H.R. 2) 56. Agriculture Improvement Act (S. 3042) 57. SECURE Act (H.R. 5998) 58. FY 2019 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 3158) 59. FY 2019 Departments of the Interior, Environment, and Related Agencies Appropriations Act (H.R. 6147/S. 3073) 60. FY 2019 Departments of Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations (H.R. 5961/ S. 2976) 61. Trauma-Informed Care for Children and Families Act (S. 774) 62. SUPPORT for Patients and Communities Act (H.R. 6) 63. Centers for Disease Control Emergency Response Act (S. 3161) 64. LABEL Opioids Act (S. 3428) 65. Relief from New Source Performance Standards Act (S. 1857) 66. Outdoors for All Act (S. 3499) 67. The MOMMA Act (H.R. 5977) 68. The WIC Act (not yet introduced) 69. Preventing Maternal Deaths Act (H.R. 1318) 70. Medicare Access to Vaccines Equity Act (note yet introduced) 71. The Support Act (H.R. 6) 72. Climate Change Health Protection and Promotion Act (S. 529) 73. FY 2020 Departments of the Interior, Environment, and Related Agencies Appropriations Act 74. NURSE Act (H.R. 1597) 75. Investing for the People Act (H.R. 2021) 76. Child Care for Working Families Act (H.R. 365/S. 568) 77. FAMILY Act (H.R. 1185/S. 463) 78. Transportation Alternatives Enhancement Act (S. 1098) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, Education, USDA, DHS, FEMA, and SAMHSA

Client expense: $33,373 · Firm income: Not reported

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

S. 753/H.R. 1628, The Improving Access to Medicare Coverage Act of 2019 (observation status legislation); legislation involving telemedicine in the nursing home setting.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation regarding the RUSH Act, legislation introduced last Congress involving telemedicine in the nursing home; issues involving antipsychotics in the nursing home; observation status legislation (S. 753 and H.R. 1628)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Healthcare Price Transparency Rules for Hospitals 340B Medicare DSH Medicare Physician Payment (MACRA) H.R. 365 The Primary Care Enhancement Act S. 898/H.R. 2141 Conrad State 30 and Physician Access Reauthorization Act S. 1130 Rural Emergency Acute Care Hospital (REACH) Act S. 257 / H.R. 1611: Protecting Access to Rural Therapy Services Act S. 258 / H.R. 169: Critical Access Hospital Relief Act of 2015 H.R. 672 / S. 607: Rural Community Hospital Demonstration Extension Act of 2015 S. 1135: Hospital Payment Fairness Act H.R. 1479: Repeal of the Obamacare Bay State Boondoggle Act S. 1648: Rural Emergency Acute Care Hospital Act H.R. 3225: Save Rural Hospitals Act H.R. 1343 / S. 688: Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 1148 / H.R. 2124: Resident Physician Shortage Reduction Act S. 2484 / H.R. 4442: CONNECT for Health Act H.R. 2156: Medicare Audit Improvement Act H.R. 5164: Rural Hospital Regulatory Relief Act S. 3435: Craig Thomas Rural Hospital and Provider Equity Act of 2016 H.R. 5406: Helping Ensure Accountability, Leadership, and Trust in Tribal Healthcare Act H.R. 34: 21st Century Cures Act H.R. 3298: Medicare Post-Acute Care Value-Based Purchasing Act H.R 1628: American Health Care Act S. 872 / H.R. 1955: Rural Hospital Access Act S. 377: Medicare Ambulance Access, Fraud Prevention and Reform Act H.R. 1156: Patient Access to Higher Quality Health Care Act of 2017 H.R. 2: Medicare Access and CHIP Reauthorization Act of 2016 H.R. 1628 Better Care Reconciliation Act (BCRA) H.R. 4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes

Client expense: Not reported · Firm income: Not reported

H.R. 3692, Addiction Treatment Access Improvement Act of 2017: Medically assisted treatment; opioids H.R. 5761, Ending Maternal Mortality Act of 2018: Maternal mortality H.R. 5718, Perioperative Reduction of Opioids Act: Opioids H.R. 5197, Alternatives to Opioids (ALTO) in the Emergency Department Act: Medically assisted treatment; opioids S. 2516, Alternatives to Opioids (ALTO) in the Emergency Department Act: Medically assisted treatment; opioids S.2680, Opioid Crisis Response Act of 2018: Medically assisted treatment; opioids S.2456, CARA 2.0 Act of 2018: Medically assisted treatment; opioids H.R. 1565, Saving Lives, Saving Costs S.1475, Saving Lives, Saving Costs Comprehensive Addiction and Recovery Act of 2016 (PL 114-198) Affordable Care Act reform efforts H.R. 1628, American Health Care Act of 2017 S. Amdt. 1030 to H.R. 1628, "Graham-Cassidy" Better Care Reconciliation Act of 2017 H.R. 1492, Medical Controlled Substances Transportation Act of 2017 H.R. 1215, Protecting Access to Care Act of 2017 H.R. 3545, Overdose Prevention and Patient Safety Act H.R. 3446, Restoring Board Immunity Act of 2017: Professional Licensing S.2260, Opioids and STOP Pain Initiative ACT:opioids 42 CFR Part 2, Confidentiality of Substance Use Disorder Patient Records: appropriate access to patient information essential for providing whole-person care H.R.3928, Truth in Healthcare Marketing Act of 2017 H.R. 5734, Resident Education Deferred Interest Act: student loan debt repayment for residents 21st Century Cures Initiative Drug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee DEA Scheduling Propofol Comparative Effectiveness Research - PCORI HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management FTC Letters to States re: Interventional Pain Medicine & Advanced Practice Nurses & Competition in Healthcare Anesthesia Research Funding (Pediatric and others) Scope of Practice FDA Operating Room Fires Naloxone FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS - pediatric anesthesia research USP - US Pharmacopeia National Pain Strategy Nondiscrimination Compounding FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) Agency for Healthcare Research and Quality (AHRQ) funding Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Sequestration Opioids and Opioid abuse; Brain health

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)