School-Based Health Centers Reauthorization Act of 2020

SBHC Reauthorization Act - HR 2075; funding for School-based health centers, COVID-19 stimulus funding

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Meetings with SVAC and HVAC members and staff on VA Budget and other legislation. Congressional testimony to Committees in March outlining TREA legislative priorities and working to hold VA accountable to meet the requirements of and to implement three major reforms: 1) Community Care Program -- MISSION Act; Furnished comments on VA Regulations 2) Appeals Modernization Act (AMA) PL 115-55; and 3) Forever GI Bill PL 115-48. Our testimony will also address the following: 1) Women Veterans support for increased services and funding; 2) Navy Blue Water Veterans - HR 299; 3) CHAMPVA at 26 S.1034 and HR 2094 extends coverage to children to age 26; and 4) Survivor Financial Benefits Concurrent Receipt HR 333 and 303 and SBP/DIC Offset HR 553 and S.622. S.785 Cmdr Scott Hannon Act landmark bill signed into law Oct 17 2020, on Suicide Prevention and Mental Health. S.4393 -- Toxic Exposure in American Military (TEAM Act) SVAC cleared for full Senate September 2020. Additional efforts included lobbying Department of Education on Higher Education Act issues and follow up on GAO/OIG recommendations to VA and Education on predatory lending practices by institutions of higher learning (90/10 rule). Letters signed and meeting with CFPB staff regarding educational loans and predatory lending practices of for profit institutions. Social Security Tax issues and impact on Veterans HR 860 and S 269 would boost SS benefits, reduce taxes and strengthen the financing of the SS program. Kiddie Tax issue -- children of deceased veterans being taxed at a higher rate as a consequence of tax reform bill now corrected in HR 1994. VA Home Loan Program issues and user fees to support and fund program, comments on VA regulations regarding Refinancing of VA Loans and potential of institutions to take advantage of veterans Review of VA Budget request and monitoring of House and Senate Action -- HR 2075 --The VAs discretionary total, $94.3 billion, would be $7.77 billion more than the fiscal 2019 enacted level and $1.32 billion more than requested. Most discretionary funding for fiscal 2020, $75.6 billion, was provided in advance under a fiscal 2019 minibus (Public Law 115-244). Health-Care Programs Advance Funding: The Veterans Health Administration (VHA) would receive $93.3 billion, including $87.6 billion in advance funds for fiscal 2021. Advance funding for VHA programs would also be included. Funding Highlights: Medical programs for veterans would include the following amounts, according to the committee report: $9.45 billion for mental health, $30 million more than requested. That would include $221.8 million for suicide prevention outreach. $7.47 billion to treat homeless veterans and $1.86 billion, $40 million more than requested, for other homeless veterans assistance programs. $840 million for medical and prosthetic research, rejecting the presidents request to reduce funding. $705.2 million to support caregivers of veterans. $581.5 million, $35 million more than requested, to treat female veterans. $396.9 million for opioid abuse treatment and prevention. $270 million for rural health. Community Care: Community care would get a boost as the department implements the VA MISSION Act (Public Law 115-182), which allows veterans to get government-subsidized care from private providers under a single discretionary program. The bill includes $4.52 billion in additional fiscal 2020 funds for community care, which would be combined with $10.8 billion in advance funding provided in fiscal 2019. It wouldnt adjust the spending caps to make more room for community care funding, as some Democrats have requested. Health-Care Policies: The bill includes policy provisions, most of which are repeated from previous spending laws, that would: Let eligible veterans receive infertility treatment and reimbursements for adoption expenses. Unlike in previous laws, the authority would be made permanent under the measure. Require the VA to provide immediate assistance from trained professionals when veterans call the departments toll-free suicide hotline. Bar the use of funds for certain kinds of canine medical research. Bar the use of funds for any activity that would increase veterans wait times at VA medical facilities. Bar the use of funds to replace or diminish the quality of care provided by TRICARE, the health-care system for military personnel and their dependents. Extend a pilot program to provide child care services to eligible veterans while they receive mental health treatment at a VA facility. No funds could be provided to a child care center with an employee whos been convicted of a sex offense, an offense involving a child victim, or specified violent crimes.

Client expense: Not reported · Firm income: Not reported

Government targets: Defense Finance & Accounting Service (DFAS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

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

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

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

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of funding for the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies related to health insurance market stabilization Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention Human and child trafficking Palliative Care and Hospice Education and Training Act (H.R. 647/S. 2080) Title VIII Nursing Workforce Reauthorization Act of 2019 (H.R. 728/S. 1399) Coronavirus Aid, Relief, and Economic Security (CARES) Act (H.R. 748/S.3548) Emergency Medical Services for Children Program Reauthorization Act of 2019 (H.R. 776/S. 1173) End Surprise Billing Act of 2019 (H.R. 861) Fairness for Breastfeeding Mothers Act (H.R. 866/S. 528) Mental Health Access Improvement Act of 2019 (H.R. 945) Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 1309) Patient Protection and Affordable Care Enhancement Act (H.R. 1425) Healthy Families Act (H.R. 1784/S. 840) Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act (H.R. 1897) School-Based Health Centers Reauthorization Act of 2019 (H.R. 2075/S. 1013) Scarlett's Sunshine on Sudden Unexpected Death Act (H.R. 2271/S. 1130) Community Health Investment, Modernization, and Excellence Act of 2019 (H.R. 2328) Newborn Screening Saves Lives Reauthorization Act of 2019 (H.R. 2507) Pregnant Workers Fairness Act (H.R. 2694) Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019 (H.R. 2781) Vaccine Awareness Campaign to Champion Immunization Nationally and Enhance Safety (VACCINES) Act of 2019 (H.R. 2862) Physical Activities Recommendations for Americans Act of 2019 (H.R. 2891) Safe Cribs Act of 2019 (H.R. 3170) Safe Sleep for Babies Act of 2019 (H.R. 3172) Pathways to Health Careers Act (H.R. 3398) Chronic Care Management Improvement Act (H.R. 3436) No Surprises Act (H.R. 3630) Midwives for Maximizing Optimal Maternity Services (Midwives for MOMS) Act of 2019 (H.R. 3849) Social Determinants Accelerator Act of 2019 (H.R. 4004/S. 2986) Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act of 2019 (H.R. 3328/H.R. 4100/S. 1712) Effective Suicide Screening and Assessment in the Emergency Department Act of 2019 (H.R. 4861/S. 3006) United States Public Health Service Modernization Act of 2019 (H.R. 4870/S. 2629) Medication Access and Training Expansion (MATE) Act of 2019 (H.R. 4974) Maternal Health Quality Improvement Act of 2019 (H.R. 4995) Helping Medicaid Offer Maternity Services (MOMS) Act of 2019 (H.R. 4996) Protecting Seniors Through Immunization Act of 2019 (H.R. 5076/S. 1872) Pursuing Equity in Mental Health Act of 2019 (H.R. 5469) Primary and Behavioral Health Care Access Act (H.R. 5575) Ban Surprise Billing Act (H.R. 5800) Consumer Protections Against Surprise Medical Bills Act of 2020 (H.R. 5826) Black Maternal Health Momnibus Act of 2020 (H.R. 6142/S. 3424) Families First Coronavirus Response Act (H.R. 6201) Take Responsibility for Workers and Families Act (H.R. 6379) Health Care at Home Act (H.R. 6644) COVID-19 Mental Health Research Act (H.R. 6645) HEROES Act (H.R. 6800) Child Care Is Essential Act (H.R. 7027) Ensuring Children and Child Care Workers Are Safe Act of 2020 (H.R. 7079) Child Care for Economic Recovery Act (H.R. 7327) Protect Telehealth Access Act (H.R. 7391) Protecting Access to Post-COVID-19 Telehealth Act of 2020 (H.R. 7663) Community and Public Health Programs Extension Act (S. 192) National Nurse Act of 2019 (S. 696/H.R. 1597) Excellence in Mental Health and Addiction Treatment Expansion Act (S. 824/H.R. 1767) Nursing Where It's Needed Act (S. 1045) Promoting Physical Activity for Americans Act (S. 1608) Lower Health Care Costs Act (S. 1895) National Suicide Hotline Designation Act (S. 2661) Child Care Protection Improvement Act of 2019 (S. 2683) CONNECT for Health Act of 2019(S. 2741/H.R. 4932) CAPTA Reauthorization Act of 2019 (S. 2971) Suicide Prevention Act (S. 3198/H.R. 5619) Eliminating Abusive and Rampant Neglect of Interactive Technologies (EARN IT) Act of 2020 (S. 3398) Tele-Mental Health Improvement Act (S. 3792) Coronavirus Mental Health and Addiction Assistance Act of 2020 (S. 3825/H.R. 6999) Future Advancement of Academic Nursing (FAAN) Act (S. 4396/H.R. 7945) Safe Authorization for Vaccines during Emergencies (SAVE) Act (S. 4427)

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

Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office

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: $200,000 · 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

SBHC Reauthorization Act - HR 2075; funding for School-based health centers, COVID-19 stimulus funding

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Meetings with SVAC and HVAC members and staff on VA Budget and other legislation. Congressional testimony to Committees in March outlining TREA legislative priorities and working to hold VA accountable to meet the requirements of and to implement three major reforms: 1) Community Care Program -- MISSION Act; Furnished comments on VA Regulations 2) Appeals Modernization Act (AMA) PL 115-55; and 3) Forever GI Bill PL 115-48. Our testimony will also address the following: 1) Women Veterans support for increased services and funding; 2) Navy Blue Water Veterans - HR 299; 3) CHAMPVA at 26 S.1034 and HR 2094 extends coverage to children to age 26; and 4) Survivor Financial Benefits Concurrent Receipt HR 333 and 303 and SBP/DIC Offset HR 553 and S.622. S.785 Cmdr Scott Hannon Act landmark bill signed into law Oct 17 2020, on Suicide Prevention and Mental Health. S.4393 -- Toxic Exposure in American Military (TEAM Act) SVAC cleared for full Senate September 2020. Additional efforts included lobbying Department of Education on Higher Education Act issues and follow up on GAO/OIG recommendations to VA and Education on predatory lending practices by institutions of higher learning (90/10 rule). Letters signed and meeting with CFPB staff regarding educational loans and predatory lending practices of for profit institutions. Social Security Tax issues and impact on Veterans HR 860 and S 269 would boost SS benefits, reduce taxes and strengthen the financing of the SS program. Kiddie Tax issue -- children of deceased veterans being taxed at a higher rate as a consequence of tax reform bill now corrected in HR 1994. VA Home Loan Program issues and user fees to support and fund program, comments on VA regulations regarding Refinancing of VA Loans and potential of institutions to take advantage of veterans Review of VA Budget request and monitoring of House and Senate Action -- HR 2075 --The VAs discretionary total, $94.3 billion, would be $7.77 billion more than the fiscal 2019 enacted level and $1.32 billion more than requested. Most discretionary funding for fiscal 2020, $75.6 billion, was provided in advance under a fiscal 2019 minibus (Public Law 115-244). Health-Care Programs Advance Funding: The Veterans Health Administration (VHA) would receive $93.3 billion, including $87.6 billion in advance funds for fiscal 2021. Advance funding for VHA programs would also be included. Funding Highlights: Medical programs for veterans would include the following amounts, according to the committee report: $9.45 billion for mental health, $30 million more than requested. That would include $221.8 million for suicide prevention outreach. $7.47 billion to treat homeless veterans and $1.86 billion, $40 million more than requested, for other homeless veterans assistance programs. $840 million for medical and prosthetic research, rejecting the presidents request to reduce funding. $705.2 million to support caregivers of veterans. $581.5 million, $35 million more than requested, to treat female veterans. $396.9 million for opioid abuse treatment and prevention. $270 million for rural health. Community Care: Community care would get a boost as the department implements the VA MISSION Act (Public Law 115-182), which allows veterans to get government-subsidized care from private providers under a single discretionary program. The bill includes $4.52 billion in additional fiscal 2020 funds for community care, which would be combined with $10.8 billion in advance funding provided in fiscal 2019. It wouldnt adjust the spending caps to make more room for community care funding, as some Democrats have requested. Health-Care Policies: The bill includes policy provisions, most of which are repeated from previous spending laws, that would: Let eligible veterans receive infertility treatment and reimbursements for adoption expenses. Unlike in previous laws, the authority would be made permanent under the measure. Require the VA to provide immediate assistance from trained professionals when veterans call the departments toll-free suicide hotline. Bar the use of funds for certain kinds of canine medical research. Bar the use of funds for any activity that would increase veterans wait times at VA medical facilities. Bar the use of funds to replace or diminish the quality of care provided by TRICARE, the health-care system for military personnel and their dependents. Extend a pilot program to provide child care services to eligible veterans while they receive mental health treatment at a VA facility. No funds could be provided to a child care center with an employee whos been convicted of a sex offense, an offense involving a child victim, or specified violent crimes.

Client expense: Not reported · Firm income: Not reported

Government targets: Defense Finance & Accounting Service (DFAS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 2075 - School-Based Health Centers Reauthorization Act -preparation for House Energy & Commerce hearing testimony on July 29 -lobbying for full committee markup, held on September 9th -lobbying for floor vote, September 29th S. 1013 - School-Based Health Centers Reauthorization Act -lobbying for HELP Committee hearing and markup

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical Center related issues as follows: H.R.7614, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, FY2021, Medical Center related issues. S.4421, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act H.R.2075, School-Based Health Centers Reauthorization Act of 2019 Monitor Medical Center related issues as follows: Public Law 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act, FY2020, Medical Center related issues Public Law 116-127, Families First Coronavirus Response Act, Medical Center related issues Public Law 116-136, Coronavirus Aid, Relief, and Economic Security (CARES) Act, Medical Center related issues H.R.6800, Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES Act) 340B Drug Pricing related issues Medicare reimbursement issues, generally Organ transplant issues Prescription drug pricing, generally Surprise Medical Billing, generally

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2075 and S. 1013 - School-Based Health Centers Reauthorization Act; appropriations for school-based health centers- House and Senate LHHS Appropriations Subcommittee; support for school-based health care within COVID relief legislation

Client expense: Not reported · Firm income: Not reported

H.R. 2075 and S. 1013 - School-Based Health Centers Reauthorization Act; appropriations for school-based health centers- House and Senate LHHS Appropriations Subcommittee; support for school-based health care within COVID relief legislation

Client expense: Not reported · Firm income: Not reported

H.R. 2075 and S. 1013 - School-Based Health Centers Reauthorization Act; appropriations for school-based health centers- House and Senate LHHS Appropriations Subcommittee; support for school-based health care within COVID relief legislation

Client expense: Not reported · Firm income: Not reported

Meetings with SVAC and HVAC members and staff on VA Budget and other legislation. Congressional testimony to Committees in March outlining TREA legislative priorities and working to hold VA accountable to meet the requirements of and to implement three major reforms: 1) Community Care Program -- MISSION Act; Furnished comments on VA Regulations 2) Appeals Modernization Act (AMA) PL 115-55; and 3) Forever GI Bill PL 115-48. Our testimony will also address the following: 1) Women Veterans support for increased services and funding; 2) Navy Blue Water Veterans - HR 299; 3) CHAMPVA at 26 S.1034 and HR 2094 extends coverage to children to age 26; and 4) Survivor Financial Benefits Concurrent Receipt HR 333 and 303 and SBP/DIC Offset HR 553 and S.622. Additional efforts included lobbying Department of Education on Higher Education Act issues and follow up on GAO/OIG recommendations to VA and Education on predatory lending practices by institutions of higher learning (90/10 rule). Letters signed and meeting with CFPB staff regarding educational loans and predatory lending practices of for profit institutions. Social Security Tax issues and impact on Veterans HR 860 and S 269 would boost SS benefits, reduce taxes and strengthen the financing of the SS program. Kiddie Tax issue -- children of deceased veterans being taxed at a higher rate as a consequence of tax reform bill now corrected in HR 1994. VA Home Loan Program issues and user fees to support and fund program, comments on VA regulations regarding Refinancing of VA Loans and potential of institutions to take advantage of veterans Review of VA Budget request and monitoring of House and Senate Action -- HR 2075 --The VAs discretionary total, $94.3 billion, would be $7.77 billion more than the fiscal 2019 enacted level and $1.32 billion more than requested. Most discretionary funding for fiscal 2020, $75.6 billion, was provided in advance under a fiscal 2019 minibus (Public Law 115-244). Health-Care Programs Advance Funding: The Veterans Health Administration (VHA) would receive $93.3 billion, including $87.6 billion in advance funds for fiscal 2021. Advance funding for VHA programs would also be included. Funding Highlights: Medical programs for veterans would include the following amounts, according to the committee report: $9.45 billion for mental health, $30 million more than requested. That would include $221.8 million for suicide prevention outreach. $7.47 billion to treat homeless veterans and $1.86 billion, $40 million more than requested, for other homeless veterans assistance programs. $840 million for medical and prosthetic research, rejecting the presidents request to reduce funding. $705.2 million to support caregivers of veterans. $581.5 million, $35 million more than requested, to treat female veterans. $396.9 million for opioid abuse treatment and prevention. $270 million for rural health. Community Care: Community care would get a boost as the department implements the VA MISSION Act (Public Law 115-182), which allows veterans to get government-subsidized care from private providers under a single discretionary program. The bill includes $4.52 billion in additional fiscal 2020 funds for community care, which would be combined with $10.8 billion in advance funding provided in fiscal 2019. It wouldnt adjust the spending caps to make more room for community care funding, as some Democrats have requested. Health-Care Policies: The bill includes policy provisions, most of which are repeated from previous spending laws, that would: Let eligible veterans receive infertility treatment and reimbursements for adoption expenses. Unlike in previous laws, the authority would be made permanent under the measure. Require the VA to provide immediate assistance from trained professionals when veterans call the departments toll-free suicide hotline. Bar the use of funds for certain kinds of canine medical research. Bar the use of funds for any activity that would increase veterans wait times at VA medical facilities. Bar the use of funds to replace or diminish the quality of care provided by TRICARE, the health-care system for military personnel and their dependents. Extend a pilot program to provide child care services to eligible veterans while they receive mental health treatment at a VA facility. No funds could be provided to a child care center with an employee whos been convicted of a sex offense, an offense involving a child victim, or specified violent crimes.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

Review of VA Budget request and monitoring of House and Senate Action -- HR 2075 --The VAs discretionary total, $94.3 billion, would be $7.77 billion more than the fiscal 2019 enacted level and $1.32 billion more than requested. Most discretionary funding for fiscal 2020, $75.6 billion, was provided in advance under a fiscal 2019 minibus (Public Law 115-244). Health-Care Programs Advance Funding: The Veterans Health Administration (VHA) would receive $93.3 billion, including $87.6 billion in advance funds for fiscal 2021. Advance funding for VHA programs would also be included. Funding Highlights: Medical programs for veterans would include the following amounts, according to the committee report: $9.45 billion for mental health, $30 million more than requested. That would include $221.8 million for suicide prevention outreach. $7.47 billion to treat homeless veterans and $1.86 billion, $40 million more than requested, for other homeless veterans assistance programs. $840 million for medical and prosthetic research, rejecting the presidents request to reduce funding. $705.2 million to support caregivers of veterans. $581.5 million, $35 million more than requested, to treat female veterans. $396.9 million for opioid abuse treatment and prevention. $270 million for rural health. Community Care: Community care would get a boost as the department implements the VA MISSION Act (Public Law 115-182), which allows veterans to get government-subsidized care from private providers under a single discretionary program. The bill includes $4.52 billion in additional fiscal 2020 funds for community care, which would be combined with $10.8 billion in advance funding provided in fiscal 2019. It wouldnt adjust the spending caps to make more room for community care funding, as some Democrats have requested. Health-Care Policies: The bill includes policy provisions, most of which are repeated from previous spending laws, that would: Let eligible veterans receive infertility treatment and reimbursements for adoption expenses. Unlike in previous laws, the authority would be made permanent under the measure. Require the VA to provide immediate assistance from trained professionals when veterans call the departments toll-free suicide hotline. Bar the use of funds for certain kinds of canine medical research. Bar the use of funds for any activity that would increase veterans wait times at VA medical facilities. Bar the use of funds to replace or diminish the quality of care provided by TRICARE, the health-care system for military personnel and their dependents. Extend a pilot program to provide child care services to eligible veterans while they receive mental health treatment at a VA facility. No funds could be provided to a child care center with an employee whos been convicted of a sex offense, an offense involving a child victim, or specified violent crimes. The measure doesnt include a rider supported by some lawmakers that would protect VA doctors and veterans who participate in a state-approved medical marijuana program. Other VA Programs The bill would provide the following discretionary amounts for VA departmental administration in fiscal 2020:

Client expense: Not reported · Firm income: Not reported

Government targets: Consumer Financial Protection Bureau (CFPB), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Veterans Affairs, Dept of (VA)

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

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

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

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

SBHC Reauthorization Act - HR 2075; funding for School-based health centers, COVID-19 stimulus funding

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Review of VA Budget request and monitoring of House and Senate Action -- HR 2075 --The VAs discretionary total, $94.3 billion, would be $7.77 billion more than the fiscal 2019 enacted level and $1.32 billion more than requested. Most discretionary funding for fiscal 2020, $75.6 billion, was provided in advance under a fiscal 2019 minibus (Public Law 115-244). Health-Care Programs Advance Funding: The Veterans Health Administration (VHA) would receive $93.3 billion, including $87.6 billion in advance funds for fiscal 2021. Advance funding for VHA programs would also be included. Funding Highlights: Medical programs for veterans would include the following amounts, according to the committee report: $9.45 billion for mental health, $30 million more than requested. That would include $221.8 million for suicide prevention outreach. $7.47 billion to treat homeless veterans and $1.86 billion, $40 million more than requested, for other homeless veterans assistance programs. $840 million for medical and prosthetic research, rejecting the presidents request to reduce funding. $705.2 million to support caregivers of veterans. $581.5 million, $35 million more than requested, to treat female veterans. $396.9 million for opioid abuse treatment and prevention. $270 million for rural health. Community Care: Community care would get a boost as the department implements the VA MISSION Act (Public Law 115-182), which allows veterans to get government-subsidized care from private providers under a single discretionary program. The bill includes $4.52 billion in additional fiscal 2020 funds for community care, which would be combined with $10.8 billion in advance funding provided in fiscal 2019. It wouldnt adjust the spending caps to make more room for community care funding, as some Democrats have requested. Health-Care Policies: The bill includes policy provisions, most of which are repeated from previous spending laws, that would: Let eligible veterans receive infertility treatment and reimbursements for adoption expenses. Unlike in previous laws, the authority would be made permanent under the measure. Require the VA to provide immediate assistance from trained professionals when veterans call the departments toll-free suicide hotline. Bar the use of funds for certain kinds of canine medical research. Bar the use of funds for any activity that would increase veterans wait times at VA medical facilities. Bar the use of funds to replace or diminish the quality of care provided by TRICARE, the health-care system for military personnel and their dependents. Extend a pilot program to provide child care services to eligible veterans while they receive mental health treatment at a VA facility. No funds could be provided to a child care center with an employee whos been convicted of a sex offense, an offense involving a child victim, or specified violent crimes. The measure doesnt include a rider supported by some lawmakers that would protect VA doctors and veterans who participate in a state-approved medical marijuana program. Other VA Programs The bill would provide the following discretionary amounts for VA departmental administration in fiscal 2020:

Client expense: Not reported · Firm income: Not reported

Government targets: Consumer Financial Protection Bureau (CFPB), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Veterans Affairs, Dept of (VA)

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

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

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

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

SBHC Reauthorization Act - HR 2075; funding for School-based health centers

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

Review of VA Budget request and monitoring of House and Senate Action -- HR 2075 --The VAs discretionary total, $94.3 billion, would be $7.77 billion more than the fiscal 2019 enacted level and $1.32 billion more than requested. Most discretionary funding for fiscal 2020, $75.6 billion, was provided in advance under a fiscal 2019 minibus (Public Law 115-244). Health-Care Programs Advance Funding: The Veterans Health Administration (VHA) would receive $93.3 billion, including $87.6 billion in advance funds for fiscal 2021. Advance funding for VHA programs would also be included. Funding Highlights: Medical programs for veterans would include the following amounts, according to the committee report: $9.45 billion for mental health, $30 million more than requested. That would include $221.8 million for suicide prevention outreach. $7.47 billion to treat homeless veterans and $1.86 billion, $40 million more than requested, for other homeless veterans assistance programs. $840 million for medical and prosthetic research, rejecting the presidents request to reduce funding. $705.2 million to support caregivers of veterans. $581.5 million, $35 million more than requested, to treat female veterans. $396.9 million for opioid abuse treatment and prevention. $270 million for rural health. Community Care: Community care would get a boost as the department implements the VA MISSION Act (Public Law 115-182), which allows veterans to get government-subsidized care from private providers under a single discretionary program. The bill includes $4.52 billion in additional fiscal 2020 funds for community care, which would be combined with $10.8 billion in advance funding provided in fiscal 2019. It wouldnt adjust the spending caps to make more room for community care funding, as some Democrats have requested. Health-Care Policies: The bill includes policy provisions, most of which are repeated from previous spending laws, that would: Let eligible veterans receive infertility treatment and reimbursements for adoption expenses. Unlike in previous laws, the authority would be made permanent under the measure. Require the VA to provide immediate assistance from trained professionals when veterans call the departments toll-free suicide hotline. Bar the use of funds for certain kinds of canine medical research. Bar the use of funds for any activity that would increase veterans wait times at VA medical facilities. Bar the use of funds to replace or diminish the quality of care provided by TRICARE, the health-care system for military personnel and their dependents. Extend a pilot program to provide child care services to eligible veterans while they receive mental health treatment at a VA facility. No funds could be provided to a child care center with an employee whos been convicted of a sex offense, an offense involving a child victim, or specified violent crimes. The measure doesnt include a rider supported by some lawmakers that would protect VA doctors and veterans who participate in a state-approved medical marijuana program. Other VA Programs The bill would provide the following discretionary amounts for VA departmental administration in fiscal 2020:

Client expense: Not reported · Firm income: Not reported

Government targets: Consumer Financial Protection Bureau (CFPB), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

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

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

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

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

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

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

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

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

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

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

SBHC Reauthorization Act - HR 2075

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

Government targets: HOUSE OF REPRESENTATIVES

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

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

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

Review of VA Budget request and monitoring of House and Senate Action -- HR 2075 --The VAs discretionary total, $94.3 billion, would be $7.77 billion more than the fiscal 2019 enacted level and $1.32 billion more than requested. Most discretionary funding for fiscal 2020, $75.6 billion, was provided in advance under a fiscal 2019 minibus (Public Law 115-244). Health-Care Programs Advance Funding: The Veterans Health Administration (VHA) would receive $93.3 billion, including $87.6 billion in advance funds for fiscal 2021. Advance funding for VHA programs would also be included. Funding Highlights: Medical programs for veterans would include the following amounts, according to the committee report: $9.45 billion for mental health, $30 million more than requested. That would include $221.8 million for suicide prevention outreach. $7.47 billion to treat homeless veterans and $1.86 billion, $40 million more than requested, for other homeless veterans assistance programs. $840 million for medical and prosthetic research, rejecting the presidents request to reduce funding. $705.2 million to support caregivers of veterans. $581.5 million, $35 million more than requested, to treat female veterans. $396.9 million for opioid abuse treatment and prevention. $270 million for rural health. Community Care: Community care would get a boost as the department implements the VA MISSION Act (Public Law 115-182), which allows veterans to get government-subsidized care from private providers under a single discretionary program. The bill includes $4.52 billion in additional fiscal 2020 funds for community care, which would be combined with $10.8 billion in advance funding provided in fiscal 2019. It wouldnt adjust the spending caps to make more room for community care funding, as some Democrats have requested. Health-Care Policies: The bill includes policy provisions, most of which are repeated from previous spending laws, that would: Let eligible veterans receive infertility treatment and reimbursements for adoption expenses. Unlike in previous laws, the authority would be made permanent under the measure. Require the VA to provide immediate assistance from trained professionals when veterans call the departments toll-free suicide hotline. Bar the use of funds for certain kinds of canine medical research. Bar the use of funds for any activity that would increase veterans wait times at VA medical facilities. Bar the use of funds to replace or diminish the quality of care provided by TRICARE, the health-care system for military personnel and their dependents. Extend a pilot program to provide child care services to eligible veterans while they receive mental health treatment at a VA facility. No funds could be provided to a child care center with an employee whos been convicted of a sex offense, an offense involving a child victim, or specified violent crimes. The measure doesnt include a rider supported by some lawmakers that would protect VA doctors and veterans who participate in a state-approved medical marijuana program. Other VA Programs The bill would provide the following discretionary amounts for VA departmental administration in fiscal 2020:

Client expense: Not reported · Firm income: Not reported

Government targets: Consumer Financial Protection Bureau (CFPB), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

H.R.3, Lower Drug Costs Now Act, Entirety H.R. 2328, Reauthorizing and Extending Americas Community Health Act , Title IV, No Surprises Act H.R. 1309/S.851, Workplace Violence Prevention for Health Care and Social Service Workers Act, Entirety S.1895, Lower Health Care Costs Act, Entirety H.R.748, Health Benefits Tax Repeal, Entirety Gun Violence Trauma related issues Affordability of pharmaceuticals, generally S.684, Middle Class Health Benefits Tax Repeal, Entirety Treating gun violence as a public health epidemic related issues Monitor the following: H.R.1597, National Nurse Act, Entirety H.R.986, Protecting Americans with Preexisting Conditions Act of 2019, Entirety H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act, Entirety H.R. 2075/S.1013, the School-Based Health Centers Reauthorization Act of 2019, Entirety H.R.1109, the Mental Health Services for Students Act of 2019, Entirety H.R.3022, Patient Access Protection Act, Entirety H.R.1386, Expand Navigators' Resources for Outreach, Learning, and Longevity (ENROLL) Act of 2019, Entirety S.1770, Resilience Investment, Support, and Expansion from Trauma Act or the RISE from Trauma Act, Entirety S.1357, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act, Entirety

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

Government targets: Education, Dept of, 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. 2958, S. 1642: Increasing Access to Mental Health in Schools Act H.R. 3418: Protecting Our Students by Termination Graduate Rates that Add to Debt Act H.R. 1109, S. 1122: Mental Health Services for Students Act of 2019 H.R. 3489, S. 1204: Higher Education Mental Health Act of 2019 Higher Education Act Reauthorization S. 1203, H.R. 2441: What You Can Do for Your Country Act Public Service Loan Forgiveness (PSLF) Program Negotiated Rulemaking/Accreditation Campus Sexual Assault in HEA Elementary Secondary School Safety Title IX rulemaking Higher Education/Argosy Closure H.R. 2075, S. 1013: School-Based Health Centers Reauthorization Act H.R. 4615, Stop College Closures Act of 2019 H.R. 2431, S. 2500: Mental Health Professionals Workforce Shortage Loan Repayment Act H.R. 3417: Beneficiary Education Tools Telehealth Extender Reauthorization Act of 2019 S.1782: Improving Mental Health Access for Students Act Keeping All Students Safe Act Exclusionary School Discipline

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

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

School-Based Health Centers Reauthorization Act of 2019 (S 1013/HR 2075) Family-to-Family Reauthorization Act (HR 2822) VACCINES Act (HR 2862)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Review of VA Budget request and monitoring of House and Senate Action -- HR 2075 --The VAs discretionary total, $94.3 billion, would be $7.77 billion more than the fiscal 2019 enacted level and $1.32 billion more than requested. Most discretionary funding for fiscal 2020, $75.6 billion, was provided in advance under a fiscal 2019 minibus (Public Law 115-244). Health-Care Programs Advance Funding: The Veterans Health Administration (VHA) would receive $93.3 billion, including $87.6 billion in advance funds for fiscal 2021. Advance funding for VHA programs would also be included. Funding Highlights: Medical programs for veterans would include the following amounts, according to the committee report: $9.45 billion for mental health, $30 million more than requested. That would include $221.8 million for suicide prevention outreach. $7.47 billion to treat homeless veterans and $1.86 billion, $40 million more than requested, for other homeless veterans assistance programs. $840 million for medical and prosthetic research, rejecting the presidents request to reduce funding. $705.2 million to support caregivers of veterans. $581.5 million, $35 million more than requested, to treat female veterans. $396.9 million for opioid abuse treatment and prevention. $270 million for rural health. Community Care: Community care would get a boost as the department implements the VA MISSION Act (Public Law 115-182), which allows veterans to get government-subsidized care from private providers under a single discretionary program. The bill includes $4.52 billion in additional fiscal 2020 funds for community care, which would be combined with $10.8 billion in advance funding provided in fiscal 2019. It wouldnt adjust the spending caps to make more room for community care funding, as some Democrats have requested. Health-Care Policies: The bill includes policy provisions, most of which are repeated from previous spending laws, that would: Let eligible veterans receive infertility treatment and reimbursements for adoption expenses. Unlike in previous laws, the authority would be made permanent under the measure. Require the VA to provide immediate assistance from trained professionals when veterans call the departments toll-free suicide hotline. Bar the use of funds for certain kinds of canine medical research. Bar the use of funds for any activity that would increase veterans wait times at VA medical facilities. Bar the use of funds to replace or diminish the quality of care provided by TRICARE, the health-care system for military personnel and their dependents. Extend a pilot program to provide child care services to eligible veterans while they receive mental health treatment at a VA facility. No funds could be provided to a child care center with an employee whos been convicted of a sex offense, an offense involving a child victim, or specified violent crimes. The measure doesnt include a rider supported by some lawmakers that would protect VA doctors and veterans who participate in a state-approved medical marijuana program. Other VA Programs The bill would provide the following discretionary amounts for VA departmental administration in fiscal 2020:

Client expense: Not reported · Firm income: Not reported

Government targets: Consumer Financial Protection Bureau (CFPB), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

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

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

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

H.R. 1309/S. 851, the Workplace Violence Prevention for Health Care and Social Service Workers Act, Entirety H.R.1597, National Nurse Act, Entirety H.R.986, Protecting Americans with Preexisting Conditions Act of 2019, Entirety H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act, Entirety H.R. 2075/S.1013, the School-Based Health Centers Reauthorization Act of 2019, Entirety H.R.1109, the Mental Health Services for Students Act of 2019, Entirety S.1895, Lower Health Care Cost Act, Entirety H.R.3022, Patient Access Protection Act, Entirety H.R.1386, Expand Navigators' Resources for Outreach, Learning, and Longevity (ENROLL) Act of 2019, Entirety S.1773, Territories Health Equity Act, Entirety S.1770, Resilience Investment, Support, and Expansion from Trauma Act or the RISE from Trauma Act, Entirety S.1357, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act, Entirety S.1365, Comprehensive Addiction Resources Emergency Act of 2019, Entirety Monitor H.R.1597, National Nurse Act, Entirety

Client expense: $390,000 · Firm income: Not reported

Government targets: 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 Re-authorization(H.R.2075/S.1013); Lower Health Care Costs Act (S.1895).

Client expense: $200,000 · 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.1897 MOMMA's Act - Federal efforts with respect to the prevention of maternal mortality H.R.2115 Public Disclosure of Drug Discounts Act - legislation to provide greater transparency of discounts provided by drug manufacturers. S.340/H.R.965 CREATES - facilitate the timely entry of lower-cost generic and biosimilar versions of drugs and biological products H.R. 938 the Bringing Low-cost Options and Competition while Keeping Incentives for New Generics (BLOCKING) Act of 2019 - eligibility for FDA approval of a subsequent generic drug, to remove the barrier to that approval posed by the 180-day exclusivity period afforded to a first generic applicant that has not yet received final approval H.R. 1520, the Purple Book Continuity Act of 2019; publication of a list of licensed biological products H.R. 1503, the Orange Book Transparency Act of 2019; list under section 505(j)(7) of the Federal Food, Drug, and Cosmetic Act, H.R. 1781 Payment Commission Data Act of 2019 - provide the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission with access to certain drug payment information, including certain rebate information H.R. 1264 Payment Commission Data Act of 2019 - provide the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission with access to certain drug payment information, including certain rebate information H.R. 1499, the Protecting Consumer Access to Generic Drugs Act of 2019 - pay for delay; prohibit brand name drug manufacturers from compensating generic drug manufacturers to delay the entry of a generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable product manufacturers to delay entry of biosimilar and interchangeable products H.R.2113 Prescription Drug STAR Act - require drug manufacturer price transparency, to require certain manufacturers to report on product samples provided to certain health care providers, H.R.2296, S.1391 FAIR Drug Pricing Act - Rx pricing transparency, require manufacturers to justify price increases H.R.2376, S.1227 Prescription Pricing for the People Act - directs the Federal Trade Commission to report to Congress on the effect of certain anticompetitive practices in the pharmaceutical supply chain S.Res.134 - A resolution expressing the sense of the Senate that the Department of Justice should reverse its position in Texas v. United States, No. 4:18-cv-00167-O (N.D. Tex.) H.R.1010 - To provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect H.Res.356 - Expressing support for Designation of May as "National Asthma and Allergy Awareness Month" H.R.1868 - Health Care Affordability Act of 2019 - reducing insurance premiums and out-of-pocket costs in the individual and small group markets, both for low-income families and those that are not eligible for tax credits H.R.1385 State Allowance for a Variety of Exchanges (SAVE) Act - preserve the option of States to implement health care marketplaces H.R.1386 ENROLL Act - amending ACA with new Navigator program requirements H.R.1425 State Health Care Premium Reduction Act - Improve Health Insurance Affordability Fund to provide for certain reinsurance payments to lower premiums in the individual health insurance market S.1213 Consumer Health Insurance Protection Act - - comprehensive insurance reform proposals including provisions pegging consumer assistance to plans with higher actuarial value, lowering out-of-pocket maximums, extending eligibility for subsidies, fixing family glitch, investing in enrollment outreach, requiring insurers to cover emergency services at in-network costs, making short-term limited duration plans subject to ACAs consumer protections H.R.986 - Protecting Americans with Preexisting Conditions Act of 2019 - certain guidance related to waivers for State innovation under the Patient Protection and Affordable Care Act shall have no force or effect H.R.2569, S.1365 Comprehensive Addiction Resources Emergency Act of 2019 - provide emergency assistance to States, territories, Tribal nations, and local areas affected by the opioid epidemic and to make financial assistance available to States, territories, Tribal nations, local areas, and public or private nonprofit entities to provide for the development, organization, coordination, and operation of more effective and cost efficient systems for the delivery of essential services to individuals with substance use disorder and their families H.R.987 Strengthening Health Care and Lowering Prescription Drug Costs Ac- requires the Department of Health and Human Services (HHS) to conduct outreach and educational activities regarding federally-facilitated exchanges (i.e., health insurance exchanges that are established and operated within states by HHS). The activities must inform potential enrollees of the availability of coverage and related financial assistance under the exchanges and must be provided in culturally and linguistically appropriate formats. S.1556 No Junk Plans Act - rule entitled Short-Term, Limited Duration Insurance shall have no force or effect. S.1531 STOP Surprise Medical Bills Act - provide protections for health insurance consumers from surprise billing H.R.861 - End Surprise Billing Act of 2019 - prevent surprise billing practices and require notification for consumers Lower Health Care Costs Act - comprehensive legislation to end surprise medical bills, reduce prescription drug prices, improve health care transparency, improve public health, improve exchange of health information No Surprises Act - legislation to protect consumers from surprise medical bills Protecting People From Surprise Medical Bills Act - legislation to protect consumers from surprise medical bills, arbitration as payment mechanism H.R.2075,S.1013 School-Based Health Center Reauthorization Act - reauthorize school-based health centers S.1737 Mental Health Parity Compliance Act - strengthen parity in mental health and substance use disorder benefits H.R.748, S. 684 Middle Class Health Benefits Tax Repeal Act of 2019 - repeal the excise tax on high value employer-sponsored health care coverage, also known as the Cadillac Tax S.1935 Family Coverage Act - fix ACAs family glitch S. 1801 Affordable Medications Act - increase drug price transparency and affordability, spur innovation, and enhance competition S.455/ H.R.987 - MORE Health Education Act - funding for Federal Exchange outreach and educational activities H.R.3180, S. 1770 RISE (Resilience Investment, Support, and Expansion) from Trauma Act - improve the identification and support of children and families who experience trauma Draft legislation on patent evergreening Legislation to reauthorize the Patient-Centered Outcomes Research Institute (PCORI)

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

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

H.R. 2958, S. 1642: Increasing Access to Mental Health in Schools Act H.R. 3418: Protecting Our Students by Termination Graduate Rates that Add to Debt Act H.R. 1109, S. 1122: Mental Health Services for Students Act of 2019 H.R. 3489, S. 1204: Higher Education Mental Health Act of 2019 Higher Education Act Reauthorization S. 1203, H.R. 2441: What You Can Do for Your Country Act Public Service Loan Forgiveness (PSLF) Program Negotiated Rulemaking/Accreditation Campus Sexual Assault in HEA Elementary Secondary School Safety Title IX rulemaking Higher Education/Argosy Closure H.R. 2075, S. 1013: School-Based Health Centers Reauthorization Act H.R. 2431, S. _____: Mental Health Professionals Workforce Shortage Loan Repayment Act H.R. 3417: Beneficiary Education Tools Telehealth Extender Reauthorization Act of 2019 S.1782: Improving Mental Health Access for Students Act Keeping All Students Safe Act Exclusionary School Discipline

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

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

Review of VA Budget request and monitoring of House and Senate Action -- HR 2075 --The VAs discretionary total, $94.3 billion, would be $7.77 billion more than the fiscal 2019 enacted level and $1.32 billion more than requested. Most discretionary funding for fiscal 2020, $75.6 billion, was provided in advance under a fiscal 2019 minibus (Public Law 115-244). Health-Care Programs Advance Funding: The Veterans Health Administration (VHA) would receive $93.3 billion, including $87.6 billion in advance funds for fiscal 2021. Advance funding for VHA programs would also be included. Funding Highlights: Medical programs for veterans would include the following amounts, according to the committee report: $9.45 billion for mental health, $30 million more than requested. That would include $221.8 million for suicide prevention outreach. $7.47 billion to treat homeless veterans and $1.86 billion, $40 million more than requested, for other homeless veterans assistance programs. $840 million for medical and prosthetic research, rejecting the presidents request to reduce funding. $705.2 million to support caregivers of veterans. $581.5 million, $35 million more than requested, to treat female veterans. $396.9 million for opioid abuse treatment and prevention. $270 million for rural health. Community Care: Community care would get a boost as the department implements the VA MISSION Act (Public Law 115-182), which allows veterans to get government-subsidized care from private providers under a single discretionary program. The bill includes $4.52 billion in additional fiscal 2020 funds for community care, which would be combined with $10.8 billion in advance funding provided in fiscal 2019. It wouldnt adjust the spending caps to make more room for community care funding, as some Democrats have requested. Health-Care Policies: The bill includes policy provisions, most of which are repeated from previous spending laws, that would: Let eligible veterans receive infertility treatment and reimbursements for adoption expenses. Unlike in previous laws, the authority would be made permanent under the measure. Require the VA to provide immediate assistance from trained professionals when veterans call the departments toll-free suicide hotline. Bar the use of funds for certain kinds of canine medical research. Bar the use of funds for any activity that would increase veterans wait times at VA medical facilities. Bar the use of funds to replace or diminish the quality of care provided by TRICARE, the health-care system for military personnel and their dependents. Extend a pilot program to provide child care services to eligible veterans while they receive mental health treatment at a VA facility. No funds could be provided to a child care center with an employee whos been convicted of a sex offense, an offense involving a child victim, or specified violent crimes. The measure doesnt include a rider supported by some lawmakers that would protect VA doctors and veterans who participate in a state-approved medical marijuana program. Other VA Programs The bill would provide the following discretionary amounts for VA departmental administration in fiscal 2020:

Client expense: Not reported · Firm income: Not reported

Government targets: Consumer Financial Protection Bureau (CFPB), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)