Community Health Center and Primary Care Workforce Expansion Act of 2019

Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill H.R. 1708/S. 774, the Rim of the Valley Corridor Preservation Act, Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 9, the Climate Action Now Act, H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program H.R. 279, the California Clean Coast Act, to permanently ban future offshore oil and gas leasing in areas of the OCS off the coast of California. FY 2021 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2021 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2021 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. Funding to underground transmission lines in fire prone areas. H.R. 8, the Bipartisan Background Checks Act of 2019 H.R.674, the Gun Violence Prevention Research Act of 2019 Legislation to make it illegal to buy or possess firearms that fire like military-style assault rifles; ban firearms with detachable high capacity ammunition magazines and a limit on magazine capacity to no more than 10 rounds; Providing the Center for Disease Control with the necessary funding and political freedom to study gun violence. Airport Improvement Program/Contract Tower Program FY 2021 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding S. 192, the Community and Public Health Programs Extension Act funding to underground transmission lines in fire prone areas H.R. 1345, Restoring the Partnership for County Health Care Costs Act H.R. 1708, the Rim of the Valley Corridor Preservation Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 1111/H.R. 2199, the Central Coast Heritage Protection Act S. 1377, the Ensuring Quality Access to Legal Defense (EQUAL Defense) Act of 2019 Medicaid Disproportionate Share Hospital (DSH) payments H.R. 2470, the Clean Water Infrastructure Resilience and Sustainability Act H.R. 763, the Energy Innovation and Carbon Dividend Act (EICDA) S. 192, the Community and Public Health Programs Extension Act H.R. 3043, the Permanently Authorizing PILT Act S. 774, the Rim of the Valley Corridor Preservation Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 265, the Threat Assessment, Prevention, and Safety Act of 2019 (TAPS Act) H.R. 1236/S. 506, Extreme Risk Protection Order Act H.R. 3040, the Safe And Friendly for the Environment (SAFE) Streets Act S. 923, Fighting Homelessness Through Services and Housing Act Elder Justice Act reauthorization Older Americans Act Reauthorization S. 1703 Affordable Housing Credit Improvement Act Gun Control legislation: H.R. 1236, H.R. 3076 and H.R. 1186. H.R. 4334, the Supporting Older Americans Act of 2020, Local government stabilization funding/Coronavirus Relief Fund Community Health Center Funding for pandemic response Expanded Federal support for local Medicaid programs/Disproportionate Share Hospitals Legislative moratorium on Medicaid Fiscal Accountability Regulation County eligibility for paid sick leave and family leave tax credits Supplemental Funding for Public Health Emergency Preparedness Grants Emergency supplemental appropriations for coronavirus response. FEMA Disaster Relief Fund Hospital and healthcare provider relief for coronavirus response through the Public Health and Social Services Emergency Fund Library Stabilization Act H.R. 6800 HEROES Act - local government pandemic relief HEALS Act - local government pandemic relief

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

Government targets: Army, Dept of (Corps of Engineers), Centers For Disease Control & Prevention (CDC), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Appropriations for health centers and related programs; Appropriations for National Health Service Corps; Appropriations for Health Professions Programs; Appropriations for the CDC and HRSA; Presidents Budget Request; CHIME(H.R.2328/S.106); Community and Public Health Extensions Act (S.192); Community Health Center and Primary Care Workforce Expansion Act (S.962/H.R.1943); School Based Health Centers Reauthorization (H.R.2075/S.1013); Lower Health Care Costs Act (S.1895).

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

FY 2021 Energy and Water Appropriations Act: funding for flood control, debris basins and bureau of reclamation facilities. NRCS funding for debris basins Disaster recovery funding Recycling programs Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program funding for the National Endowment for the Arts FY 2021 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2021 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2021 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. FY 2021 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding H.R. 1345, Restoring the Partnership for County Health Care Costs Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs S. 1111/H.R. 2199, the Central Coast Heritage Protection Act H.R. 3043, the Permanently Authorizing PILT Act H.R. 1236/S. 506, Extreme Risk Protection Order Act S. 923, Fighting Homelessness Through Services and Housing Act H.R. 1871, Protect Patriot Parents Act H.Res. 109/S. Res. 59, Green New Deal Resolution Older Americans Act Elder Justice Act Local government stabilization funding/Coronavirus Relief Fund Community Health Center Funding for pandemic response County eligibility for paid sick leave and family leave tax credits Supplemental Funding for Public Health Emergency Preparedness Grants Emergency supplemental appropriations for coronavirus response. FEMA Disaster Relief Fund Healthcare provider relief for coronavirus response through the Public Health and Social Services Emergency Fund

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

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Reclamation, HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill H.R. 1708/S. 774, the Rim of the Valley Corridor Preservation Act, Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 9, the Climate Action Now Act, H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program H.R. 279, the California Clean Coast Act, to permanently ban future offshore oil and gas leasing in areas of the OCS off the coast of California. FY 2021 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2021 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2021 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. Funding to underground transmission lines in fire prone areas. H.R. 8, the Bipartisan Background Checks Act of 2019 H.R.674, the Gun Violence Prevention Research Act of 2019 Legislation to make it illegal to buy or possess firearms that fire like military-style assault rifles; ban firearms with detachable high capacity ammunition magazines and a limit on magazine capacity to no more than 10 rounds; Providing the Center for Disease Control with the necessary funding and political freedom to study gun violence. Airport Improvement Program/Contract Tower Program FY 2021 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding S. 192, the Community and Public Health Programs Extension Act funding to underground transmission lines in fire prone areas H.R. 1345, Restoring the Partnership for County Health Care Costs Act H.R. 1708, the Rim of the Valley Corridor Preservation Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 1111/H.R. 2199, the Central Coast Heritage Protection Act S. 1377, the Ensuring Quality Access to Legal Defense (EQUAL Defense) Act of 2019 Medicaid Disproportionate Share Hospital (DSH) payments H.R. 2470, the Clean Water Infrastructure Resilience and Sustainability Act H.R. 763, the Energy Innovation and Carbon Dividend Act (EICDA) S. 192, the Community and Public Health Programs Extension Act H.R. 3043, the Permanently Authorizing PILT Act S. 774, the Rim of the Valley Corridor Preservation Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 265, the Threat Assessment, Prevention, and Safety Act of 2019 (TAPS Act) H.R. 1236/S. 506, Extreme Risk Protection Order Act H.R. 3040, the Safe And Friendly for the Environment (SAFE) Streets Act S. 923, Fighting Homelessness Through Services and Housing Act Elder Justice Act reauthorization Older Americans Act Reauthorization S. 1703 Affordable Housing Credit Improvement Act Gun Control legislation: H.R. 1236, H.R. 3076 and H.R. 1186. H.R. 4334, the Supporting Older Americans Act of 2020, Local government stabilization funding/Coronavirus Relief Fund Community Health Center Funding for pandemic response Expanded Federal support for local Medicaid programs/Disproportionate Share Hospitals Legislative moratorium on Medicaid Fiscal Accountability Regulation County eligibility for paid sick leave and family leave tax credits Supplemental Funding for Public Health Emergency Preparedness Grants Emergency supplemental appropriations for coronavirus response. FEMA Disaster Relief Fund Hospital and healthcare provider relief for coronavirus response through the Public Health and Social Services Emergency Fund Library Stabilization Act

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

Government targets: Army, Dept of (Corps of Engineers), Centers For Disease Control & Prevention (CDC), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

FY 2021 Energy and Water Appropriations Act: funding for flood control, debris basins and bureau of reclamation facilities. NRCS funding for debris basins Disaster recovery funding Recycling programs Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program funding for the National Endowment for the Arts FY 2021 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2021 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2021 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. FY 2021 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding H.R. 1345, Restoring the Partnership for County Health Care Costs Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs S. 1111/H.R. 2199, the Central Coast Heritage Protection Act H.R. 3043, the Permanently Authorizing PILT Act H.R. 1236/S. 506, Extreme Risk Protection Order Act S. 923, Fighting Homelessness Through Services and Housing Act H.R. 1871, Protect Patriot Parents Act H.Res. 109/S. Res. 59, Green New Deal Resolution Older Americans Act Elder Justice Act Local government stabilization funding/Coronavirus Relief Fund Community Health Center Funding for pandemic response County eligibility for paid sick leave and family leave tax credits Supplemental Funding for Public Health Emergency Preparedness Grants Emergency supplemental appropriations for coronavirus response. FEMA Disaster Relief Fund Healthcare provider relief for coronavirus response through the Public Health and Social Services Emergency Fund

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

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Reclamation, HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill H.R. 1708/S. 774, the Rim of the Valley Corridor Preservation Act, Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 9, the Climate Action Now Act, H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program H.R. 279, the California Clean Coast Act, to permanently ban future offshore oil and gas leasing in areas of the OCS off the coast of California. FY 2021 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2021 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2021 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. Funding to underground transmission lines in fire prone areas. H.R. 8, the Bipartisan Background Checks Act of 2019 H.R.674, the Gun Violence Prevention Research Act of 2019 Legislation to make it illegal to buy or possess firearms that fire like military-style assault rifles; ban firearms with detachable high capacity ammunition magazines and a limit on magazine capacity to no more than 10 rounds; Providing the Center for Disease Control with the necessary funding and political freedom to study gun violence. Airport Improvement Program/Contract Tower Program FY 2021 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding S. 192, the Community and Public Health Programs Extension Act funding to underground transmission lines in fire prone areas H.R. 1345, Restoring the Partnership for County Health Care Costs Act H.R. 1708, the Rim of the Valley Corridor Preservation Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 1111/H.R. 2199, the Central Coast Heritage Protection Act S. 1377, the Ensuring Quality Access to Legal Defense (EQUAL Defense) Act of 2019 Medicaid Disproportionate Share Hospital (DSH) payments H.R. 2470, the Clean Water Infrastructure Resilience and Sustainability Act H.R. 763, the Energy Innovation and Carbon Dividend Act (EICDA) S. 192, the Community and Public Health Programs Extension Act H.R. 3043, the Permanently Authorizing PILT Act S. 774, the Rim of the Valley Corridor Preservation Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 265, the Threat Assessment, Prevention, and Safety Act of 2019 (TAPS Act) H.R. 1236/S. 506, Extreme Risk Protection Order Act H.R. 3040, the Safe And Friendly for the Environment (SAFE) Streets Act S. 923, Fighting Homelessness Through Services and Housing Act Elder Justice Act reauthorization Older Americans Act Reauthorization S. 1703 Affordable Housing Credit Improvement Act Gun Control legislation: H.R. 1236, H.R. 3076 and H.R. 1186. H.R. 4334, the Supporting Older Americans Act of 2020, Local government stabilization funding/Coronavirus Relief Fund Community Health Center Funding for pandemic response Expanded Federal support for local Medicaid programs/Disproportionate Share Hospitals Legislative moratorium on Medicaid Fiscal Accountability Regulation County eligibility for paid sick leave and family leave tax credits Supplemental Funding for Public Health Emergency Preparedness Grants Emergency supplemental appropriations for coronavirus response. FEMA Disaster Relief Fund Hospital and healthcare provider relief for coronavirus response through the Public Health and Social Services Emergency Fund

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

Government targets: Army, Dept of (Corps of Engineers), Centers For Disease Control & Prevention (CDC), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Appropriations for health centers and related programs; Appropriations for National Health Service Corps; Appropriations for Health Professions Programs; Appropriations for the CDC and HRSA; Presidents Budget Request; CHIME(H.R.2328/S.106); Community and Public Health Extensions Act (S.192); Community Health Center and Primary Care Workforce Expansion Act (S.962/H.R.1943); School Based Health Centers Reauthorization (H.R.2075/S.1013); Lower Health Care Costs Act (S.1895).

Client expense: $220,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

S106; S192; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. S 304; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. S 2372 Rural Moms Act: Supported a rural maternal health bill and urged members to support it. HR 1358 - GME Reform: Allow the establishment of new family physician residencies. HR 2328 Community Health Investment, and Modernization, and Excellence Act: Also, THCGME, along with Community Health Centers, National Health Service Corps, and Medicaid Funding for the Territories. HR 2328 - Reauthorizing and Extending America's Community Health Act: Support for key primary care extenders, Patient-Centered Outcomes Research Initiative, Independence at Home, Medicaid for the Territories. HR 2895 - Conrad State 30 & Physician Access Act: Expand J-1 visa waiver program for medical residents. No Bill No. - Opioid Use Disorder Treatment GME: Medication-assisted treatment training. No Bill No. - Physician Workforce/GME Reform: Increasing the number of family residency slots. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Teaching Health Center GME funding/Training the Next Generation of Primary Care Doctors Act. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Title VII Primary Care training Enhancement Grants: Support for family medicine training.

Client expense: $997,393 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

S106; S192; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 304; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. HR 1358 - GME Reform: Allow the establishment of new family physician residencies. HR 2740 - HHS FY 2020 Appropriations; Women's Health Research: AAFP funding priorities. Increased funding for women's health research. HR 3030 - Patient Centered Outcomes Research Institute reauthorization: Patient-centered, primary care research, AHRQ funding. No Bill No. - Obesity Drug Study: Responding to GAO inquiry on AAFP policy on obesity drugs. No Bill No. - Rural Health: Improved access to quality care for rural populations. No Bill No. - Teaching Health Center GME funding/Training the Next Generation of Primary Care Doctors Act. No Bill No. - Title VII Primary Care training Enhancement Grants: Support for family medicine training. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ.

Client expense: $997,393 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

S106; S192; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. HR 1358 - GME Reform: Allow the establishment of new family physician residencies. HR 2328 Community Health Investment, and Modernization, and Excellence Act: Also, THCGME, along with Community Health Centers, National Health Service Corps, and Medicaid Funding for the Territories. HR 2328 - Reauthorizing and Extending America's Community Health Act: Support for key primary care extenders, Patient-Centered Outcomes Research Initiative, Independence at Home, Medicaid for the Territories. HR 3107 - Prior Authorization: Improve healthcare access and reduce administrative burden. HR 3436 Chronic Care Management: to remove cost-sharing responsibilities for chronic care management services under the medicare plan. No Bill No. - Opioid prescribing guideline: Responding to FDA inquiry on opioid prescribing guidelines. No Bill No. - Opioid Use Disorder Treatment GME: Medication-assisted treatment training. No Bill No. - Physician Workforce/GME Reform: Increasing the number of family residency slots. No Bill No. - Administrative Burden: Reduced administrative burden on family physicians. No Bill No. - Primary Care Investment: Increased spending on primary care. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Insurance network adequacy to avoid "surprise medical bills": protecting patients and families from unanticipated medical bills. No Bill No. - Administrative Simplification: Suggestions to reduce burdens for FPs. No Bill No. - Medicare coverage of acupuncture: AAFP supporting CMS proposal. No Bill No. - Access to Medicaid Services: Need for higher payment to ensure access to primary care. No Bill No. - Delay in 2017 APM bonuses: Need for CMS to pay APM bonuses to encourage FPs. No Bill No. - 2020 proposed Medicare physician fee schedule: Payments to PCPs. No Bill No. - 2020 proposed outpatient perspective payment system: Site of service neutrality and transparency in hospital charges. No Bill No. - Lower Health Care Costs Act/Surprise Billing: Support for vaccines, maternal health, transparency, and reducing administrative burdens. Also, support for reauthorizing the Teaching Health Center GME (THCGME) program, along with Community Health Centers and National Health Service Corps. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Insurance network adequacy to avoid "surprise medical bills": Health care coverage for all, administrative simplification. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ.

Client expense: $997,393 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

S106; S192; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. S 304; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. S 2372 Rural Moms Act: Supported a rural maternal health bill and urged members to support it. HR 2328 Community Health Investment, and Modernization, and Excellence Act: Also, THCGME, along with Community Health Centers, National Health Service Corps, and Medicaid Funding for the Territories. HR 2328 - Reauthorizing and Extending America's Community Health Act: Support for key primary care extenders, Patient-Centered Outcomes Research Initiative, Independence at Home, Medicaid for the Territories. HR 2740 - HHS FY 2020 Appropriations; Women's Health Research: AAFP funding priorities. Increased funding for women's health research. HR 2774 - Primary Care Patient Protection Act: Create a Primary Care benefit in high deductible health plans. HR 2895 - Conrad State 30 & Physician Access Act: Expand J-1 visa waiver program for medical residents. HR 3030 - Patient Centered Outcomes Research Institute reauthorization: Patient-centered, primary care research, AHRQ funding. HR 3107 - Prior Authorization: Improve healthcare access and reduce administrative burden. HR 3436 - Chronic Care Management: to remove cost-sharing responsibilities for chronic care management services under the medicare plan. No Bill No. - Obesity Drug Study: Responding to GAO inquiry on AAFP policy on obesity drugs. No Bill No. - Opioid prescribing guideline: Responding to FDA inquiry on opioid prescribing guidelines. No Bill No. - Healthcare Coverage for All: Retaining ACA coverage gains and expanding coverage. No Bill No. - Administrative Burden: Reduced administrative burden on family physicians. No Bill No. - Rural Health: Improved access to quality care for rural populations. No Bill No. - Primary Care Investment: Increased spending on primary care. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Insurance network adequacy to avoid "surprise medical bills": protecting patients and families from unanticipated medical bills. No Bill No. - Comment on the definition of Health Literacy: Health Literacy for all patients. No Bill No. - Administrative Simplification: Suggestions to reduce burdens for FPs. No Bill No. - Nondiscrimination in health plans: Healthcare for all. No Bill No. - Patient access to effective drugs: Opioid Issues. No. Bill No. - Telehealth for low-income consumers: Access to high speed internet. No Bill No. - Access to Medicaid Services: Need for higher payment to ensure access to primary care. No Bill No. - 2020 proposed outpatient perspective payment system: Site of service neutrality and transparency in hospital charges. No Bill No. - Lower Health Care Costs Act/Surprise Billing: Support for vaccines, maternal health, transparency, and reducing administrative burdens. Also, support for reauthorizing the Teaching Health Center GME (THCGME) program, along with Community Health Centers and National Health Service Corps. No Bill No. - Teaching Health Center GME funding/Training the Next Generation of Primary Care Doctors Act. No Bill No. - Tobacco Use Prevention: Urged support for Reversing the Youth Tobacco Epidemic Act, Safe Kids Act, and Tobacco to 21 bill. No Bill No. - Surprise Billing: Shared letter on surprise billing. No Bill No. - Drug Prices: Recommendations for various biologic and insulin drug pricing bills. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC.

Client expense: $997,393 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

S106; S192; S 962; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 289, HR 1358 - Physician Workforce/GME Reform: Increasing the number of family medicine residency slots; GME reform to support rural residency training; correct rotator problems. S 304; S 1191; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Support for increased, extended THCGME funding. No Bill No. - Advisory Committee Training in Primary Care Medicine and Dentistry: Title VII Primary Care Training and Enhancement Grants. HR 4995; 4996 - Maternal Health: AAFP supported maternal health bills to expand medicaid access and bolster training and best practices. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - HRSA Title VII funding: Title VII Primary Care training Enhancement Grants. No Bill No. - Codes in the primary care exception list: Adding codes that medical students can perform in teaching settings.

Client expense: $1,218,792 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

S 289, HR 1358 - Physician Workforce/GME Reform: Increasing the number of family medicine residency slots; GME reform to support rural residency training; correct rotator problems. S 304; S 1191; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Support for increased, extended THCGME funding. S106; S192; S 962; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S. 1895 - Surprise medical billing: Eliminate barriers to patient access to primary care, fund THCGME program. HR 3; S 2543 - Drug pricing legislation: Support THGME, primary care in HDHP, Medicare and Medicaid. HR 2339 - Nicotine usage: Urged support for reversing the youth tobacco epidemic, tobacco 21 and the vaping flavors ban. HR 2694 - Pregnant workers Fairness Act: AAFP signed a joint letter supporting HR 2694. HR 2774 - Primary Care Patient Protection Act: Create a Primary Care benefit in high deductible health plans. HR 2774, S 2793, HR 5575 - Primary Care Benefit: establish standard primary care benefit in private health insurance plans. HR 3030; HR 1965 - Patient Centered Outcomes Research Institute reauthorization: Evidence based primary care research. HR 3107 - Administrative Burden/Prior Authorization: Reduce administrative burden. HR 4995; 4996 - Maternal Health: AAFP supported maternal health bills to expand medicaid access and bolster training and best practices. No Bill No. - Advisory Committee Training in Primary Care Medicine and Dentistry: Title VII Primary Care Training and Enhancement Grants. No Bill No. - Rural Health: Improved access to quality care for rural populations. No Bill No. - Insurance network adequacy to avoid "surprise medical bills": protecting patients and families from unanticipated medical bills. No Bill No. - Primary Care Investment: Increased spending on primary care. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ. No Bill No. - Primary Care Innovation: Increased awareness of primary care payment and delivery. No Bill No. - Rural Access Issues: How to increase supply of PCP's in rural areas. No Bill No. - RFI on opioid addiction and access to medication-assisted treatment: Chronic pain management. No Bill No. - Confidentiality of Substance Use Disorder: Opioid issues. No Bill No. - 2020 National Vaccine plan: How to improve vaccination rates. No Bill No. - Concerns with EO provisions on scope of practice. No Bill No. - Concerns with flavored e-cigarettes: Youth e-cig epidemic. No Bill No. - Revising two screening code descriptors: Depression and alcohol misuse screening descriptors. No Bill No. - Fraud and safe harbors in medicare: How to address safe harbors in payment models. No Bill No. - Modernizing self-referral laws: How to improve Stark for payment model arrangements. No Bill No. - Lower Health Care Costs Act/Surprise Billing: Support for vaccines, maternal health, transparency, and reducing administrative burdens. Also, support for reauthorizing the Teaching Health Center GME (THCGME) program, along with Community Health Centers and National Health Service Corps. No Bill No. - Medicare Payment: Educated staff about the Medicare Physician Fee Schedule's E&M code increase.

Client expense: $1,218,792 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

S106; S192; S 962; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 289, HR 1358 - Physician Workforce/GME Reform: Increasing the number of family medicine residency slots; GME reform to support rural residency training; correct rotator problems. S. 1895 - Surprise medical billing: Eliminate barriers to patient access to primary care, fund THCGME program. HR 3; S 2543 - Drug pricing legislation: Support THGME, primary care in HDHP, Medicare and Medicaid. HR 3107 - Administrative Burden/Prior Authorization: Reduce administrative burden. HR 4995; 4996 - Maternal Health: AAFP supported maternal health bills to expand medicaid access and bolster training and best practices. No Bill No. - Advisory Committee Training in Primary Care Medicine and Dentistry: Title VII Primary Care Training and Enhancement Grants. No Bill No. - 2020 proposed Medicare physician fee schedule: Support CMS changes to E&M coding. No Bill No. - Insurance network adequacy to avoid "surprise medical bills": protecting patients and families from unanticipated medical bills; health care coverage for all, administration simplification. No Bill No. - Primary Care Investment: Increased spending on primary care. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ. No Bill No. - Primary Care Innovation: Increased awareness of primary care payment and delivery. No Bill No. - Codes in the primary care exception list: Adding codes that medical students can perform in teaching settings. No Bill No. - Rural Access Issues: How to increase supply of PCP's in rural areas. No Bill No. - EO on Medicare: How to improve medicare. No Bill No. - Program integrity RFI: How to address future of program integrity, billing, coding. No Bill No. - Revising two screening code descriptors: Depression and alcohol misuse screening descriptors. No Bill No. - Fraud and safe harbors in medicare: How to address safe harbors in payment models. No Bill No. - Modernizing self-referral laws: How to improve Stark for payment model arrangements. No Bill No. - Lower Health Care Costs Act/Surprise Billing: Support for vaccines, maternal health, transparency, and reducing administrative burdens. Also, support for reauthorizing the Teaching Health Center GME (THCGME) program, along with Community Health Centers and National Health Service Corps. No Bill No. - Medicare Payment: Educated staff about the Medicare Physician Fee Schedule's E&M code increase. No Bill No. - Medicare site-neutral payment: Ensure payment parity between services furnished in hospital out patient departments and physician offices.

Client expense: $1,218,792 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. S106; S192; S 962; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 304; S 1191; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Support for increased, extended THCGME funding. HR 3; S 2543 - Drug pricing legislation: Support THGME, primary care in HDHP, Medicare and Medicaid. HR 3030; HR 1965 - Patient Centered Outcomes Research Institute reauthorization: Evidence based primary care research. HR 2740; HR 1865- HHS FY 2020 Appropriations; Women's Health Research: AAFP spending priorities. Increased funding for women's health research. No Bill No. - Advisory Committee Training in Primary Care Medicine and Dentistry: Title VII Primary Care Training and Enhancement Grants. No Bill No. - Rural Health: Improved access to quality care for rural populations. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ. No Bill No. - HRSA Title VII funding: Title VII Primary Care training Enhancement Grants.

Client expense: $1,218,792 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. H.R. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 S. 2997, Title VII Health Care Workforce Reauthorization Act of 2019 Issue: Support the reauthorization of Health Resources and Services Administrations Title VII health professions workforce programs. P.L 116-94, Further Consolidated Appropriations Act, 2020, Division N P.L. 116-59, Continuing Appropriations Act 2020, and Health Extenders Act of 2019 P.L. 116-69, Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 S.1895, Lower Health Care Costs Act S. 106, H.R. 1983, H.R.2328, Community Health Investment, Modernization, and Excellence Act of 2019 S. 192, Community and Public Health Programs Extension Act S. 692, H.R. 1943, Community Health Center and Primary Care Workforce Expansion Act of 2019 Issue: Support the reauthorization of the National Health Service Corps, Community Health Centers, and Teaching Health Centers mandatory appropriation funds. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. P.L. 116-94, The Further Consolidated Appropriations Act, 2020, Division N P.L. 116-69, Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 H.R. 3030, Patient-Centered Outcomes Research Extension Act of 2019 H.R. 3439, Protecting Access to Information for Effective and Necessary Treatment Act H.R. 2328, Reauthorizing and Extending Americas Community Health (REACH) Act S. 2897, Patient-Centered Outcomes Research Institute Reauthorization Act Draft Senate Finance Committee Health Extenders Legislation Issue: Support long-term reauthorization of the Patient Centered Outcomes Research Institute (PCORI) and the Patient Centered Outcomes Research Trust Fund Issue: Oppose restrictions on fetal tissue research. Urge changes to HHS and NIH policy on fetal tissue research. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issues: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, and imposing user fees Draft, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2018 Draft, Diagnostic Accuracy and Innovation Act (DAIA) Issue: Oppose burdensome regulation of Laboratory Developed Tests S. 1895, Lower Health Care Costs Act H.R. 3630, No Surprises Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3502, Protecting People From Surprise Medical Bills Act Issues: Educate Congress on surprise medical bills and price transparency. Support general principles for surprise medical bills draft legislation. Oppose statutory benchmark rate setting. Oppose Senate hospital/insurer contracting provisions and onerous reporting burden. S. 1895, Lower Health Care Costs Act, Title IV Issues: Prescription drug pricing, public health, and health information technology. P.L. 116-94, the Further Consolidated Appropriations Act, 2020, Division N H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Issue: Support legislation providing stable and predictable funding for quality measurement activities carried out by the National Quality Forum Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Educate Congress about medical education on nutrition, consent, implicit bias, and maternal health. Issue: Support efforts to address maternal health S. 1416, Affordable Prescriptions for Patients Act S. 1224, H.R. 2374, Stop Significant and Time-Wasting Abuse Limiting Legitimate Innovation of New Generics (STALLING) Act S. 440, Preserving Access to Cost Effective Drugs Act H.R. 2296 / S.1391, The Fair Accountability and Innovative Research (FAIR) Drug Pricing Act of 2019 S. 551, Recovering Excessive Funds for Unused and Needless Drugs (REFUND) Act S. 1209, Reforming Evergreening and Manipulation that Extends Drug Years (REMEDY) Act H.R. 2113, Prescription Drug STAR Act US-Mexico-Canada Agreement Issue: Support measures to lower prescription drug cost H.R. 4004, S.2986, Social Determinants Accelerator Act of 2019 Issue: Support grants to address social determinants of health Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. Draft, firearm safety legislation Issue: Support universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. H.R. 8, Bipartisan Background Checks Act of 2019 Issue: Support universal background checks Issue: Support nomination of Stephen Hahn, MD, as FDA commissioner. H.R. 1888, Expanding Nutritions Role in Curricula and Healthcare (ENRICH Act) Issue: Support legislation to create or expand nutrition and physical activity curricula. Draft Cures 2.0 Legislation Issue: Support efforts to modernize health care coverage and ensure access to scientific break-throughs through electronic health records, addressing health disparities, harnessing data, and supporting the physician workforce. Issue: Addressing preparedness for influenza. S. 2723, Mitigating Emergency Drug Shortages Act Issue: Support efforts to mitigate drug shortages and develop market-based incentives to help ensure a stable supply of medications critical for patient care Draft Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health

Client expense: $1,137,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Director of National Intelligence (ODNI), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Appropriations for health centers and related programs; Appropriations for National Health Service Corps; Appropriations for Health Professions Programs; Presidents Budget Request; CHIME(H.R.2328/S.106; Community and Public Health Extensions Act(S.192); Community Health Center and Primary Care Workforce Expansion Act(S.962/H.R.1943); Appropriations for the CDC and HRSA; School Based Health Centers Reauthorization(H.R.2075/S.1013); Lower Health Care Costs Act (S.1895).

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Section 330 Community Health Center Funding National Health Service Corps Teaching Health Centers program Community Health Center and Primary Care Workforce Expansion Act of 2019 (HR1943/S962) Community Health Investment, Modernization, and Excellence Act of 2019 (S106/HR1983)

Client expense: $16,325 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2020 Energy and Water Appropriations Act: funding for flood control, debris basins and bureau of reclamation facilities. NRCS funding for debris basins Disaster recovery funding Recycling programs Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program funding for the National Endowment for the Arts FY 2020 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2020 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2020 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. FY 2020 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding H.R. 317, the Santa Ynez Band of Chumash Indians Land Affirmation Act. H.R. 1345, Restoring the Partnership for County Health Care Costs Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs S. 1111/H.R. 2199, the Central Coast Heritage Protection Act FY 2019 Emergency Supplemental Appropriations for Disaster recovery H.R. 3043, the Permanently Authorizing PILT Act H.R. 1236/S. 506, Extreme Risk Protection Order Act S. 923, Fighting Homelessness Through Services and Housing Act H.R. 1871, Protect Patriot Parents Act H.Res. 109/S. Res. 59, Green New Deal Resolution Older Americans Act Elder Justice Act

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

Government targets: Army, Dept of (Corps of Engineers), Bureau of Reclamation, HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

H.R. 1015/S. 129, Saint Francis Dam Disaster National Memorial Act - entire bill Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill H.R. 1708/S. 774, the Rim of the Valley Corridor Preservation Act, Violence Against Women Act reauthorization Land and Water Conservation Fund reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 9, the Climate Action Now Act, H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program H.R. 279, the California Clean Coast Act, to permanently ban future offshore oil and gas leasing in areas of the OCS off the coast of California. funding for the Library Services and Technology Act FY 2020 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2020 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2020 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. Funding to underground transmission lines in fire prone areas. H.R. 8, the Bipartisan Background Checks Act of 2019 H.R.674, the Gun Violence Prevention Research Act of 2019 Legislation to make it illegal to buy or possess firearms that fire like military-style assault rifles; ban firearms with detachable high capacity ammunition magazines and a limit on magazine capacity to no more than 10 rounds; Providing the Center for Disease Control with the necessary funding and political freedom to study gun violence. Airport Improvement Program/Contract Tower Program FY 2020 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding reauthorization for the Temporary Assistance for Needy Families (TANF) program S. 192, the Community and Public Health Programs Extension Act funding to underground transmission lines in fire prone areas H.R. 1345, Restoring the Partnership for County Health Care Costs Act H.R. 1708, the Rim of the Valley Corridor Preservation Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 1111/H.R. 2199, the Central Coast Heritage Protection Act S. 1377, the Ensuring Quality Access to Legal Defense (EQUAL Defense) Act of 2019 Medicaid Disproportionate Share Hospital (DSH) payments FY 2019 Emergency Supplemental Appropriations for Disaster recovery H.R. 2470, the Clean Water Infrastructure Resilience and Sustainability Act H.R. 763, the Energy Innovation and Carbon Dividend Act (EICDA) S. 192, the Community and Public Health Programs Extension Act H.R. 3043, the Permanently Authorizing PILT Act S. 774, the Rim of the Valley Corridor Preservation Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 265, the Threat Assessment, Prevention, and Safety Act of 2019 (TAPS Act) H.R. 1236/S. 506, Extreme Risk Protection Order Act H.R. 3040, the Safe And Friendly for the Environment (SAFE) Streets Act S. 923, Fighting Homelessness Through Services and Housing Act Elder Justice Act reauthorization Older Americans Act Reauthorization S. 1703 Affordable Housing Credit Improvement Act Gun Control legislation: H.R. 1236, H.R. 3076 and H.R. 1186.

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

Government targets: Army, Dept of (Corps of Engineers), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

H.R.1686 - Physician Assistant Education Public Health Initiatives Act of 2019 Reauthorization of Title VII of the Public Health Service Act H.R. 2781 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 S.2997 - Title VII Health Care Workforce Reauthorization Act Workforce development and clinical training site issues Issues surrounding opioid use disorders and medication-assisted treatment H.R. 2482/S. 2074 - Mainstreaming Addiction Treatment Act of 2019 H.R. 4899/S.2406 - Rural America Health Corps Act S.1895 - Lower Health Care Costs Act H.R. 2328/S.106 - Community Health Investment, Modernization, and Excellence Act H.R. 1943/S.962 - Community Health Center and Primary Care Workforce Expansion Act H.R. 4243/S.2373 - Rural Maternal and Obstetric Modernization of Services Act H.R. 4995 - Maternal Health Quality Improvement Act S. 2902 - Strengthening Our Rural Health Workforce Act

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

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

Community Health in House, Senate Department of Labor, Education, HHS Appropriations Bill, H.R. 2740, House, Senate Community Health Center Reauthorization Bills, S. 106, H.R. 1938, S. 962, H.R. 1943, H.R. 3055, House, Senate Comprehensive Addiction and Recovery Legislation, Pursuit of grants with Federal Agencies, House, Senate, Bill to Reauthorize and Fund Postgraduate Nurse Practitioner Residency/Fellowship Training and Medical Assistant Training, H.R. 2740, House, Senate Bills to Reform Behavioral Health and Substance Abuse Prevention and Treatment, House, Senate Bills to Reauthorize and Fund FCC Broadband and Other Telehealth, House, Senate Legislation to Train Needed Primary Care Providers.

Client expense: Not reported · Firm income: Not reported

Community Health in House, Senate Department of Labor, Education, HHS Appropriations Bill, H.R. 2740, House, Senate Community Health Center Reauthorization Bills, S. 106, H.R. 1938, S. 962, H.R. 1943, H.R. 3055, House, Senate Comprehensive Addiction and Recovery Legislation, Pursuit of grants with Federal Agencies, House, Senate, Bill to Reauthorize and Fund Postgraduate Nurse Practitioner Residency/Fellowship Training and Medical Assistant Training, H.R. 2740, House, Senate Bills to Reform Behavioral Health and Substance Abuse Prevention and Treatment, House, Senate Bills to Reauthorize and Fund FCC Broadband and Other Telehealth, House, Senate Legislation to Train Needed Primary Care Providers.

Client expense: Not reported · Firm income: Not reported

Community Health in House, Senate Department of Labor, Education, HHS Appropriations Bill, H.R. 2740, House, Senate Community Health Center Reauthorization Bills, S. 106, H.R. 1938, S. 962, H.R. 1943, H.R. 3055, House, Senate Comprehensive Addiction and Recovery Legislation, Pursuit of grants with Federal Agencies, House, Senate, Bill to Reauthorize and Fund Postgraduate Nurse Practitioner Residency/Fellowship Training and Medical Assistant Training, H.R. 2740, House, Senate Bills to Reform Behavioral Health and Substance Abuse Prevention and Treatment, House, Senate Bills to Reauthorize and Fund FCC Broadband and Other Telehealth, House, Senate Legislation to Train Needed Primary Care Providers.

Client expense: Not reported · Firm income: Not reported

Community Health in House, Senate Department of Labor, Education, HHS Appropriations Bill, H.R. 2740, House, Senate Community Health Center Reauthorization Bills, S. 106, H.R. 1938, S. 962, H.R. 1943, H.R. 3055, House, Senate Comprehensive Addiction and Recovery Legislation, Pursuit of grants with Federal Agencies, House, Senate, Bill to Reauthorize and Fund Postgraduate Nurse Practitioner Residency/Fellowship Training and Medical Assistant Training, H.R. 2740, House, Senate Bills to Reform Behavioral Health and Substance Abuse Prevention and Treatment, House, Senate Bills to Reauthorize and Fund FCC Broadband and Other Telehealth, House, Senate Legislation to Train Needed Primary Care Providers.

Client expense: Not reported · Firm income: Not reported

Community Health in House, Senate Department of Labor, Education, HHS Appropriations Bill, H.R. 2740, House, Senate Community Health Center Reauthorization Bills, S. 106, H.R. 1938, S. 962, H.R. 1943, H.R. 3055, House, Senate Comprehensive Addiction and Recovery Legislation, Pursuit of grants with Federal Agencies, House, Senate, Bill to Reauthorize and Fund Postgraduate Nurse Practitioner Residency/Fellowship Training and Medical Assistant Training, H.R. 2740, House, Senate Bills to Reform Behavioral Health and Substance Abuse Prevention and Treatment, House, Senate Bills to Reauthorize and Fund FCC Broadband and Other Telehealth, House, Senate Legislation to Train Needed Primary Care Providers.

Client expense: Not reported · Firm income: Not reported

Community Health in House, Senate Department of Labor, Education, HHS Appropriations Bill, H.R. 2740, House, Senate Community Health Center Reauthorization Bills, S. 106, H.R. 1938, S. 962, H.R. 1943, H.R. 3055, House, Senate Comprehensive Addiction and Recovery Legislation, Pursuit of grants with Federal Agencies, House, Senate, Bill to Reauthorize and Fund Postgraduate Nurse Practitioner Residency/Fellowship Training and Medical Assistant Training, H.R. 2740, House, Senate Bills to Reform Behavioral Health and Substance Abuse Prevention and Treatment, House, Senate Bills to Reauthorize and Fund FCC Broadband and Other Telehealth, House, Senate Legislation to Train Needed Primary Care Providers.

Client expense: Not reported · Firm income: Not reported

Funding for the National Health Service Corps, Health Centers, Teaching Health Centers, HRSA. Community Health Center and Primary Care Workforce Expansion Act (S.962/H.R.1943) Community Health Investment, Modernization, and Excellence Act of 2019 (S.106/H.R.2328) Community and Public Health Programs Extension Act (S.192) Lower Health Care Costs Act (S.1895)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE

Reauthorization for the Community Health Center and the teaching health center programs: S. 192 Community and Public Health Programs Extension Act; S. 962/HR 1943 Community Health Center and Primary Care Workforce Expansion Act; S. 106/HR 2328 CHIME Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Reauthorization and Funding for Community Health Centers: S. 106/HR 2328 CHIME Act, S. 192 Community and Public Health Programs Extension Act, S. 962/HR 1943 Community Health Center and Primary Care Workforce Expansion Act Infrastructure funding for capital needs of Community Health Centers

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S106; S192; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 304; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. HR 1358 - GME Reform: Allow the establishment of new family physician residencies. HR 2740 - HHS FY 2020 Appropriations; Women's Health Research: AAFP funding priorities. Increased funding for women's health research. HR 3030 - Patient Centered Outcomes Research Institute reauthorization: Patient-centered, primary care research, AHRQ funding. No Bill No. - Obesity Drug Study: Responding to GAO inquiry on AAFP policy on obesity drugs. No Bill No. - Rural Health: Improved access to quality care for rural populations. No Bill No. - Teaching Health Center GME funding/Training the Next Generation of Primary Care Doctors Act. No Bill No. - Title VII Primary Care training Enhancement Grants: Support for family medicine training. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ.

Client expense: $997,393 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

S106; S192; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. S 304; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. S 2372 Rural Moms Act: Supported a rural maternal health bill and urged members to support it. HR 1358 - GME Reform: Allow the establishment of new family physician residencies. HR 2328 Community Health Investment, and Modernization, and Excellence Act: Also, THCGME, along with Community Health Centers, National Health Service Corps, and Medicaid Funding for the Territories. HR 2328 - Reauthorizing and Extending America's Community Health Act: Support for key primary care extenders, Patient-Centered Outcomes Research Initiative, Independence at Home, Medicaid for the Territories. HR 2895 - Conrad State 30 & Physician Access Act: Expand J-1 visa waiver program for medical residents. No Bill No. - Opioid Use Disorder Treatment GME: Medication-assisted treatment training. No Bill No. - Physician Workforce/GME Reform: Increasing the number of family residency slots. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Teaching Health Center GME funding/Training the Next Generation of Primary Care Doctors Act. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Title VII Primary Care training Enhancement Grants: Support for family medicine training.

Client expense: $997,393 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

S106; S192; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. HR 1358 - GME Reform: Allow the establishment of new family physician residencies. HR 2328 Community Health Investment, and Modernization, and Excellence Act: Also, THCGME, along with Community Health Centers, National Health Service Corps, and Medicaid Funding for the Territories. HR 2328 - Reauthorizing and Extending America's Community Health Act: Support for key primary care extenders, Patient-Centered Outcomes Research Initiative, Independence at Home, Medicaid for the Territories. HR 3107 - Prior Authorization: Improve healthcare access and reduce administrative burden. HR 3436 Chronic Care Management: to remove cost-sharing responsibilities for chronic care management services under the medicare plan. No Bill No. - Opioid prescribing guideline: Responding to FDA inquiry on opioid prescribing guidelines. No Bill No. - Opioid Use Disorder Treatment GME: Medication-assisted treatment training. No Bill No. - Physician Workforce/GME Reform: Increasing the number of family residency slots. No Bill No. - Administrative Burden: Reduced administrative burden on family physicians. No Bill No. - Primary Care Investment: Increased spending on primary care. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Insurance network adequacy to avoid "surprise medical bills": protecting patients and families from unanticipated medical bills. No Bill No. - Administrative Simplification: Suggestions to reduce burdens for FPs. No Bill No. - Medicare coverage of acupuncture: AAFP supporting CMS proposal. No Bill No. - Access to Medicaid Services: Need for higher payment to ensure access to primary care. No Bill No. - Delay in 2017 APM bonuses: Need for CMS to pay APM bonuses to encourage FPs. No Bill No. - 2020 proposed Medicare physician fee schedule: Payments to PCPs. No Bill No. - 2020 proposed outpatient perspective payment system: Site of service neutrality and transparency in hospital charges. No Bill No. - Lower Health Care Costs Act/Surprise Billing: Support for vaccines, maternal health, transparency, and reducing administrative burdens. Also, support for reauthorizing the Teaching Health Center GME (THCGME) program, along with Community Health Centers and National Health Service Corps. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Insurance network adequacy to avoid "surprise medical bills": Health care coverage for all, administrative simplification. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ.

Client expense: $997,393 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

S106; S192; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. S 304; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. S 2372 Rural Moms Act: Supported a rural maternal health bill and urged members to support it. HR 2328 Community Health Investment, and Modernization, and Excellence Act: Also, THCGME, along with Community Health Centers, National Health Service Corps, and Medicaid Funding for the Territories. HR 2328 - Reauthorizing and Extending America's Community Health Act: Support for key primary care extenders, Patient-Centered Outcomes Research Initiative, Independence at Home, Medicaid for the Territories. HR 2740 - HHS FY 2020 Appropriations; Women's Health Research: AAFP funding priorities. Increased funding for women's health research. HR 2774 - Primary Care Patient Protection Act: Create a Primary Care benefit in high deductible health plans. HR 2895 - Conrad State 30 & Physician Access Act: Expand J-1 visa waiver program for medical residents. HR 3030 - Patient Centered Outcomes Research Institute reauthorization: Patient-centered, primary care research, AHRQ funding. HR 3107 - Prior Authorization: Improve healthcare access and reduce administrative burden. HR 3436 - Chronic Care Management: to remove cost-sharing responsibilities for chronic care management services under the medicare plan. No Bill No. - Obesity Drug Study: Responding to GAO inquiry on AAFP policy on obesity drugs. No Bill No. - Opioid prescribing guideline: Responding to FDA inquiry on opioid prescribing guidelines. No Bill No. - Healthcare Coverage for All: Retaining ACA coverage gains and expanding coverage. No Bill No. - Administrative Burden: Reduced administrative burden on family physicians. No Bill No. - Rural Health: Improved access to quality care for rural populations. No Bill No. - Primary Care Investment: Increased spending on primary care. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Insurance network adequacy to avoid "surprise medical bills": protecting patients and families from unanticipated medical bills. No Bill No. - Comment on the definition of Health Literacy: Health Literacy for all patients. No Bill No. - Administrative Simplification: Suggestions to reduce burdens for FPs. No Bill No. - Nondiscrimination in health plans: Healthcare for all. No Bill No. - Patient access to effective drugs: Opioid Issues. No. Bill No. - Telehealth for low-income consumers: Access to high speed internet. No Bill No. - Access to Medicaid Services: Need for higher payment to ensure access to primary care. No Bill No. - 2020 proposed outpatient perspective payment system: Site of service neutrality and transparency in hospital charges. No Bill No. - Lower Health Care Costs Act/Surprise Billing: Support for vaccines, maternal health, transparency, and reducing administrative burdens. Also, support for reauthorizing the Teaching Health Center GME (THCGME) program, along with Community Health Centers and National Health Service Corps. No Bill No. - Teaching Health Center GME funding/Training the Next Generation of Primary Care Doctors Act. No Bill No. - Tobacco Use Prevention: Urged support for Reversing the Youth Tobacco Epidemic Act, Safe Kids Act, and Tobacco to 21 bill. No Bill No. - Surprise Billing: Shared letter on surprise billing. No Bill No. - Drug Prices: Recommendations for various biologic and insulin drug pricing bills. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC.

Client expense: $997,393 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

FY 2020 Energy and Water Appropriations Act: funding for flood control, debris basins and bureau of reclamation facilities. NRCS funding for debris basins Disaster recovery funding Recycling programs Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program funding for the National Endowment for the Arts FY 2020 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2020 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2020 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. FY 2020 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding H.R. 317, the Santa Ynez Band of Chumash Indians Land Affirmation Act. H.R. 1345, Restoring the Partnership for County Health Care Costs Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs S. 1111/H.R. 2199, the Central Coast Heritage Protection Act FY 2019 Emergency Supplemental Appropriations for Disaster recovery H.R. 3043, the Permanently Authorizing PILT Act H.R. 1236/S. 506, Extreme Risk Protection Order Act S. 923, Fighting Homelessness Through Services and Housing Act H.R. 1871, Protect Patriot Parents Act H.Res. 109/S. Res. 59, Green New Deal Resolution Older Americans Act Elder Justice Act

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

Government targets: Army, Dept of (Corps of Engineers), Bureau of Reclamation, HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

H.R. 1015/S. 129, Saint Francis Dam Disaster National Memorial Act - entire bill Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill H.R. 1708/S. 774, the Rim of the Valley Corridor Preservation Act, Violence Against Women Act reauthorization Land and Water Conservation Fund reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 9, the Climate Action Now Act, H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program H.R. 279, the California Clean Coast Act, to permanently ban future offshore oil and gas leasing in areas of the OCS off the coast of California. funding for the Library Services and Technology Act FY 2020 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2020 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2020 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. Funding to underground transmission lines in fire prone areas. H.R. 8, the Bipartisan Background Checks Act of 2019 H.R.674, the Gun Violence Prevention Research Act of 2019 Legislation to make it illegal to buy or possess firearms that fire like military-style assault rifles; ban firearms with detachable high capacity ammunition magazines and a limit on magazine capacity to no more than 10 rounds; Providing the Center for Disease Control with the necessary funding and political freedom to study gun violence. Airport Improvement Program/Contract Tower Program FY 2020 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding reauthorization for the Temporary Assistance for Needy Families (TANF) program S. 192, the Community and Public Health Programs Extension Act funding to underground transmission lines in fire prone areas H.R. 1345, Restoring the Partnership for County Health Care Costs Act H.R. 1708, the Rim of the Valley Corridor Preservation Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 1111/H.R. 2199, the Central Coast Heritage Protection Act S. 1377, the Ensuring Quality Access to Legal Defense (EQUAL Defense) Act of 2019 Medicaid Disproportionate Share Hospital (DSH) payments FY 2019 Emergency Supplemental Appropriations for Disaster recovery H.R. 2470, the Clean Water Infrastructure Resilience and Sustainability Act H.R. 763, the Energy Innovation and Carbon Dividend Act (EICDA) S. 192, the Community and Public Health Programs Extension Act H.R. 3043, the Permanently Authorizing PILT Act S. 774, the Rim of the Valley Corridor Preservation Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 265, the Threat Assessment, Prevention, and Safety Act of 2019 (TAPS Act) H.R. 1236/S. 506, Extreme Risk Protection Order Act H.R. 3040, the Safe And Friendly for the Environment (SAFE) Streets Act S. 923, Fighting Homelessness Through Services and Housing Act Elder Justice Act reauthorization Older Americans Act Reauthorization S. 1703 Affordable Housing Credit Improvement Act Gun Control legislation: H.R. 1236, H.R. 3076 and H.R. 1186.

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

Government targets: Army, Dept of (Corps of Engineers), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Appropriations for health centers and related programs; Appropriations for National Health Service Corps; Appropriations for Health Professions Programs; Presidents Budget Request; CHIME(H.R.2328/S.106; Community and Public Health Extensions Act(S.192); Community Health Center and Primary Care Workforce Expansion Act(S.962/H.R.1943); Appropriations for the CDC and HRSA; School Based Health Centers Reauthorization(H.R.2075/S.1013); Lower Health Care Costs Act (S.1895).

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

H.R.1686 - Physician Assistant Education Public Health Initiatives Act of 2019 Reauthorization of Title VII of the Public Health Service Act H.R. 2781 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 Workforce development and clinical training site issues Issues surrounding opioid use disorders and medication-assisted treatment H.R. 2482/S. 2074 - Mainstreaming Addiction Treatment Act of 2019 S.2406 - Rural America Health Corps Act S.1895 - Lower Health Care Costs Act H.R. 2328/S.106 - Community Health Investment, Modernization, and Excellence Act H.R. 1943/S.962 - Community Health Center and Primary Care Workforce Expansion Act H.R. 4243/S.2373 - Rural Maternal and Obstetric Modernization of Services Act

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

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

Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. H.R. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 Issue: Support the reauthorization of Health Resources and Services Administrations Title VII health professions workforce programs. S. 106 / H.R. 1983 / H.R.2328, Community Health Investment, Modernization, and Excellence Act of 2019 S. 192, Community and Public Health Programs Extension Act S. 692 / H.R. 1943, Community Health Center and Primary Care Workforce Expansion Act of 2019 Issue: Support the reauthorization of the National Health Service Corps, Community Health Centers, and Teaching Health Centers mandatory appropriation funds. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. H.R. 3030, Patient-Centered Outcomes Research Extension Act of 2019 H.R. 3439, Protecting Access to Information for Effective and Necessary Treatment Act H.R. 2328, Reauthorizing and Extending Americas Community Health (REACH) Act Draft Senate PCORI Reauthorization Bill Issue: Support long-term reauthorization of the Patient Centered Outcomes Research Institute (PCORI) and the Patient Centered Outcomes Research Trust Fund Issue: Oppose restrictions on fetal tissue research. Urge changes to HHS and NIH policy on fetal tissue research. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issues: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, and imposing user fees Draft, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2018 Draft, Diagnostic Accuracy and Innovation Act (DAIA) Issue: Oppose burdensome regulation of Laboratory Developed Tests S. 1895, Lower Health Care Costs Act H.R. 3630, No Surprises Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3502, Protecting People From Surprise Medical Bills Act Issues: Educate Congress on surprise medical bills and price transparency. Support general principles for surprise medical bills draft legislation. Oppose statutory benchmark rate setting. Oppose Senate hospital/insurer contracting provisions and onerous reporting burden. S. 1895, Lower Health Care Costs Act, Title IV Issues: Prescription drug pricing, public health, and health information technology. H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Issue: Support legislation providing stable and predictable funding for quality measurement activities carried out by the National Quality Forum Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Educate Congress about medical education on nutrition, consent, implicit bias, and maternal health. S. 1416, Affordable Prescriptions for Patients Act S. 1224 / H.R. 2374, Stop Significant and Time-Wasting Abuse Limiting Legitimate Innovation of New Generics (STALLING) Act S. 440, Preserving Access to Cost Effective Drugs Act H.R. 2296 / S.1391, The Fair Accountability and Innovative Research (FAIR) Drug Pricing Act of 2019 S. 551, Recovering Excessive Funds for Unused and Needless Drugs (REFUND) Act S. 1209, Reforming Evergreening and Manipulation that Extends Drug Years (REMEDY) Act H.R. 2113, Prescription Drug STAR Act Issue: Support measures to lower prescription drug cost PL., 116-59, Continuing Appropriations Act 2020, and Health Extenders Act of 2019 Issue: Support temporary extension of DSH cut delay, funding for CHCs, THCs and NHSC and PCORI trust fund. H.R. 4004, Social Determinants Accelerator Act of 2019 Issue: Support grants to address social determinants of health Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. Draft, firearm safety legislation Issue: Support universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. H.R. 8, Bipartisan Background Checks Act of 2019 Issue: Support universal background checks

Client expense: $1,127,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Reauthorization for the Community Health Center and the teaching health center programs: S. 192 Community and Public Health Programs Extension Act; S. 962/HR 1943 Community Health Center and Primary Care Workforce Expansion Act; S. 106/HR 2328 CHIME Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Reauthorization and Funding for Community Health Centers: S. 106/HR 2328 CHIME Act, S. 192 Community and Public Health Programs Extension Act, S. 962/HR 1943 Community Health Center and Primary Care Workforce Expansion Act Infrastructure funding for capital needs of Community Health Centers

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Funding for the National Health Service Corps, Health Centers, Teaching Health Centers, HRSA. Community Health Center and Primary Care Workforce Expansion Act (S.962/H.R.1943) Community Health Investment, Modernization, and Excellence Act of 2019 (S.106/H.R.2328) Community and Public Health Programs Extension Act (S.192) Lower Health Care Costs Act (S.1895)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE

House, Senate, Labor, HHS, Education and Related Agencies Bill, H.R. 2740, House, Senate Community Health Center Reauthorization, S. 106, H.R. 1938, S. 962, H.R. 1943, House, Senate Comprehensive Addiction and Recovery Legislation, Pursuit of Grants with Federal Agencies, House, Senate Legislation to Reauthorize and Fund Postgraduate Nurse Practitioner Residency and Fellowship Training Programs & Medical Assistant Training Programs, H.R. 2740, House, Senate Legislation to Reform Behavioral Health and Substance Abuse Prevention and Treatment, House, Senate Legislation to Reauthorize and Fund FCC Broadband & Other Telehealth, House, Senate Legislation to Train More Primary Care Providers

Client expense: Not reported · Firm income: Not reported

House, Senate, Labor, HHS, Education and Related Agencies Bill, H.R. 2740, House, Senate Community Health Center Reauthorization, S. 106, H.R. 1938, S. 962, H.R. 1943, House, Senate Comprehensive Addiction and Recovery Legislation, Pursuit of Grants with Federal Agencies, House, Senate Legislation to Reauthorize and Fund Postgraduate Nurse Practitioner Residency and Fellowship Training Programs & Medical Assistant Training Programs, H.R. 2740, House, Senate Legislation to Reform Behavioral Health and Substance Abuse Prevention and Treatment, House, Senate Legislation to Reauthorize and Fund FCC Broadband & Other Telehealth, House, Senate Legislation to Train More Primary Care Providers

Client expense: Not reported · Firm income: Not reported

House, Senate, Labor, HHS, Education and Related Agencies Bill, H.R. 2740, House, Senate Community Health Center Reauthorization, S. 106, H.R. 1938, S. 962, H.R. 1943, House, Senate Comprehensive Addiction and Recovery Legislation, Pursuit of Grants with Federal Agencies, House, Senate Legislation to Reauthorize and Fund Postgraduate Nurse Practitioner Residency and Fellowship Training Programs & Medical Assistant Training Programs, H.R. 2740, House, Senate Legislation to Reform Behavioral Health and Substance Abuse Prevention and Treatment, House, Senate Legislation to Reauthorize and Fund FCC Broadband & Other Telehealth, House, Senate Legislation to Train More Primary Care Providers

Client expense: Not reported · Firm income: Not reported