Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019

Bill # H.R. 647 and S2080: Palliative Care and Hospice Education and Training Act. Establishes Palliative Care and Hospice Education Centers to increase access to palliative care Bill # H.R. 728: Title VIII Nursing Workforce Reauthorization Act.To amend title VIII of the Public Health Service Act to extend advanced education nursing grants to support clinical nurse specialist programs Bill # H.R. 1767 and S824: Excellence in Mental Health and Addiction Treatment Expansion Act. To increase the number of states that may conduct Medicaid demonstration programs to improve access to community mental health services Bill # H.R. 2062 and S1012: Overdose Prevention and Patient Safety Act.Amends the Public Health Service Act to protect the confidentiality of substance use disorder patient records Bill # H.R. 2431 and S2500: Mental Health Professionals Workforce Shortage Loan Repayment Act. Authorizes a loan repayment program for mental health professionals to relieve workforce shortages Bill #H.R. 2482 and S2074: Mainstreaming Addiction Treatment (MAT) Act. Loosens restrictions on doctors prescribing buprenorphine for addiction treatment Bill #H.R. 2895 and S948: Conrad State 30 and Physician Access Reauthorization Act. Reauthorizes the Conrad 30 program through FY 2021 Bill #H.R. 3165 and S1737: Mental Health Parity Compliance Act. To achieve complete implementation of the Mental Health Parity and Addiction Equity Act (federal parity law) Bill #H.R. 4004 and S2986: Social Determinants Accelerator Act. To direct the Secretary of Health and Human Services to establish an interagency council on social determinants of health Bill #H.R. 4468: Nursing Home Workforce Quality Act. To address the shortage of certified nursing assistants (CNAs) Bill #H.R. 4859: Protecting Older Americans from Social Isolation Act. To amend the Older Americans Act to reduce social isolation among older individuals Bill #H.R. 5242: Opioid Settlement Accountability Act. To ensure that opioid settlement funds are used to fight the opioid epidemic, including treatment, prevention, education and enforcement efforts. Bill # H.R. 945 and S286: Mental Health Access Improvement Act. To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare Bill # H.R. 986:Protecting Americans with Preexisting Conditions Act.To prevent the promotion of short-term, limited duration insurance plans and association health plans Bill #S1399:Title VIII Nursing Workforce Reauthorization Act.To amend title VIII of the Public Health Service Act to extend advanced education nursing grants to support clinical nurse specialist programs Bill #S1895 Lower Health Care Costs Act Bill # HR5640 and S3152:Data Mapping to Save Moms' Lives Act. To require the Federal Communications Commission to incorporate data on maternal health outcomes into its broadband health maps. Bill # S3374: Protecting Jessica Grubbs Legacy Act. Amends the Public Health Service Act to protect the confidentiality of substance use disorder patient records. Bill S3599 and HR6788 Healthcare Workforce Resilience Act to expand the number of immigrant visas available to nurses and physicians Bill # HR748 S3548: Coronavirus Aid, Relief, and Economic Security Act provides financial relief and resources to individuals, families, and businesses impacted by the COVID-19 public health emergency. Bill # 7010 Paycheck protection program flexibility Bill #HR7292 Advanced Accelerated Payment Program forgiveness Bill HR 7077 and S3877 Community Solutions for COVID-19 Act grants to reduce or eliminate disparities HR 8200 Ending health disparities during COVID-19 Bill HR7838 and S4160 To enable certain hospitals participating in 340B drug discount program prior to COVID-19 public health emergency to maintain eligibility

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

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

HR 3637/S 2747 - The Allied Health Workforce Diversity Act of 2019: Support legislation to help increase the diversity of the occupational therapy workforce. No bill number: Support funding for Mental Health workforce development programs at HRSA and support continued inclusion of occupational therapy in these programs. HR 2431/S 2500 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019: Support passage. No bill # - FY 2021 LHHS appropriations: Support funding for Mental Health workforce development programs at HRSA and support continued inclusion of occupational therapy in these programs (BHWET and MBHET). Support for funding for Geriatrics Workforce Enhancement Program. No Bill # - possible COVID 4 bill: Advocated for inclusion of healthcare providers in paid sick and family and medical leave benefits passed as part of HR 6201. S 2248 - Heroes Entering Role of Education Service (HEROES) Act: Support passage. HR 6800 - Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act - Support inclusion of language allowing student loan forgiveness for frontline health workers. Advocated for inclusion of occupational therapy practitioners in legislation providing COVID-19 Hazard Pay, including HR 6484-Hazard Pay for the Frontlines During Health Emergencies Act and HR 6709-Coronavirus Frontline Workers Fair Pay Act. Supported provision of appropriate personal protective equipment for health care providers, including occupational therapy practitioners in any COVID-19 response legislation.

Client expense: $160,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

No bill number. Support inclusion of specialized instructional support personnel into title 2 of Higher Education Act. HR 3637/S 2747 - The Allied Health Workforce Diversity Act of 2019: Support legislation to help increase the diversity of the occupational therapy workforce. S.2248 - HEROES Act: Support passage. HR 4107 - Funding Early Childhood is the Right IDEA Act: Support passage. HR 2431/S. 2500 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019: Support passage. No bill # - FY 2021 LHHS appropriations: Support funding for Mental Health workforce development programs at HRSA and support continued inclusion of occupational therapy in these programs (BHWET and MBHET). Support for funding for Geriatrics Workforce Enhancement Program. Support Full funding for IDEA and Title I funding. HR 4107 - Funding Early Childhood is the Right IDEA Act: support passage. HR 1878/S. 866 - IDEA Full Funding Bill: support passage Supported having a minimum six month freeze on student loan payment and resetting interest rates to zero during that time either through regulatory action or in H.R. 133-Consolidated Appropriations Act, 2021. No Bill: Oppose additional IDEA and ESEA Waiver authority for Secretary, and supported increased overall funding to IDEA and ESEA in COVID legislation No bill # - possible COVID 4 bill: Educated and advocated for funding for early intervention services, special education, and general education funding. No bill # - educated and advocated for action on Specialized Instructional Support Personnel (SISP) provider shortages during and after the COVID-19 pandemic. HR 6720 - Student Loan Forgiveness for Frontline Health Workers Act: Supported passage and inclusion of similar language allowing student loan forgiveness for frontline health workers in HR 6800, HEROES Act. No bill: Educated staff about the role of occupational therapy professionals in supporting return to school (in person and virtual) during COVID-19.

Client expense: $160,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate for marriage and family therapists in loan repayment program - HR 2431.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

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

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

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

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

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

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

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)

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) Mental Health Access Improvement Act of 2019 (H.R. 945) Patient Protection and Affordable Care Enhancement Act (H.R. 1425) Mental Health Professional Workforce Shortage Loan Repayment Act of 2019 (H.R. 2431) 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) Helping Medicaid Offer Maternity Services (MOMS) Act of 2019 (H.R. 4996) Primary and Behavioral Health Care Access Act (H.R. 5575) Black Maternal Health Momnibus Act of 2020 (H.R. 6142/S. 3424) Families First Coronavirus Response Act (H.R. 6201) Health Care at Home Act (H.R. 6644) COVID-19 Mental Health Research Act (H.R. 6645) HEROES Act (H.R. 6800) Protecting Access to Post-COVID-19 Telehealth Act of 2020 (H.R. 7663) National Nurse Act of 2019 (S. 696/H.R. 1597) United States Cadet Nurse Corps Service Recognition Act of 2019 (S. 997/H.R. 2056) National Suicide Hotline Designation Act (S. 2661) CONNECT for Health Act of 2019 (S. 2741/H.R. 5619) 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)

Client expense: Not reported · Firm income: $26,600

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

Bill # H.R. 647 and S2080: Palliative Care and Hospice Education and Training Act. Establishes Palliative Care and Hospice Education Centers to increase access to palliative care Bill # H.R. 728: Title VIII Nursing Workforce Reauthorization Act.To amend title VIII of the Public Health Service Act to extend advanced education nursing grants to support clinical nurse specialist programs Bill # H.R. 1767 and S824: Excellence in Mental Health and Addiction Treatment Expansion Act. To increase the number of states that may conduct Medicaid demonstration programs to improve access to community mental health services Bill # H.R. 2062 and S1012: Overdose Prevention and Patient Safety Act.Amends the Public Health Service Act to protect the confidentiality of substance use disorder patient records Bill # H.R. 2431 and S2500: Mental Health Professionals Workforce Shortage Loan Repayment Act. Authorizes a loan repayment program for mental health professionals to relieve workforce shortages Bill #H.R. 2482 and S2074: Mainstreaming Addiction Treatment (MAT) Act. Loosens restrictions on doctors prescribing buprenorphine for addiction treatment Bill #H.R. 2895 and S948: Conrad State 30 and Physician Access Reauthorization Act. Reauthorizes the Conrad 30 program through FY 2021 Bill #H.R. 3165 and S1737: Mental Health Parity Compliance Act. To achieve complete implementation of the Mental Health Parity and Addiction Equity Act (federal parity law) Bill #H.R. 4004 and S2986: Social Determinants Accelerator Act. To direct the Secretary of Health and Human Services to establish an interagency council on social determinants of health Bill #H.R. 4468: Nursing Home Workforce Quality Act. To address the shortage of certified nursing assistants (CNAs) Bill #H.R. 4859: Protecting Older Americans from Social Isolation Act. To amend the Older Americans Act to reduce social isolation among older individuals Bill #H.R. 5242: Opioid Settlement Accountability Act. To ensure that opioid settlement funds are used to fight the opioid epidemic, including treatment, prevention, education and enforcement efforts. Bill # H.R. 945 and S286: Mental Health Access Improvement Act. To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare Bill # H.R. 986:Protecting Americans with Preexisting Conditions Act.To prevent the promotion of short-term, limited duration insurance plans and association health plans Bill #S1399:Title VIII Nursing Workforce Reauthorization Act.To amend title VIII of the Public Health Service Act to extend advanced education nursing grants to support clinical nurse specialist programs Bill #S1895 Lower Health Care Costs Act Bill # HR5640 and S3152:Data Mapping to Save Moms' Lives Act. To require the Federal Communications Commission to incorporate data on maternal health outcomes into its broadband health maps. Bill # S3374: Protecting Jessica Grubbs Legacy Act. Amends the Public Health Service Act to protect the confidentiality of substance use disorder patient records. Bill S3599 and HR6788 Healthcare Workforce Resilience Act to expand the number of immigrant visas available to nurses and physicians Bill # HR748 S3548: Coronavirus Aid, Relief, and Economic Security Act provides financial relief and resources to individuals, families, and businesses impacted by the COVID-19 public health emergency. Bill # 7010 Paycheck protection program flexibility Bill #HR7292 Advanced Accelerated Payment Program forgiveness Bill HR 7077 and S3877 Community Solutions for COVID-19 Act grants to reduce or eliminate disparities HR 8200 Ending health disparities during COVID-19 Bill HR7838 and S4160 To enable certain hospitals participating in 340B drug discount program prior to COVID-19 public health emergency to maintain eligibility

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Navy, Dept of, SENATE

Advocate for marriage and family therapists in loan repayment program - HR 2431.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

HR 3637/S 2747 - The Allied Health Workforce Diversity Act of 2019: Support legislation to help increase the diversity of the occupational therapy workforce. HR 2781 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019: Advocated for inclusion of language of HR 3637, Allied Health Workforce Diversity Act; support passage. No bill number: Support funding for Mental Health workforce development programs at HRSA and support continued inclusion of occupational therapy in these programs. HR 2431/S 2500 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019: Support passage. No bill # - FY 2021 LHHS appropriations: Support funding for Mental Health workforce development programs at HRSA and support continued inclusion of occupational therapy in these programs (BHWET and MBHET). Support for funding for Geriatrics Workforce Enhancement Program. No Bill # - possible COVID 4 bill: Advocated for inclusion of healthcare providers in paid sick and family and medical leave benefits passed as part of HR 6201. HR 6365/3559 -Immediate Relief for Rural Facilities and Providers Act of 2020: Support passage. S 2248 - Heroes Entering Role of Education Service (HEROES) Act: Support passage. HR 6800 - Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act - Support inclusion of language allowing student loan forgiveness for frontline health workers. Advocated for inclusion of occupational therapy practitioners in legislation providing COVID-19 Hazard Pay, including HR 6484-Hazard Pay for the Frontlines During Health Emergencies Act and HR 6709-Coronavirus Frontline Workers Fair Pay Act. Supported provision of appropriate personal protective equipment for health care providers, including occupational therapy practitioners in any COVID-19 response legislation.

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

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

No bill number. Support inclusion of specialized instructional support personnel into title 2 of Higher Education Act. HR 3637/S 2747 - The Allied Health Workforce Diversity Act of 2019: Support legislation to help increase the diversity of the occupational therapy workforce. HR 2781 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019: Advocated for inclusion of language of HR 3637, Allied Health Workforce Diversity Act: support passage. S. 2997 - Title VII Health Care Workforce Reauthorization Act of 2019: Advocated for inclusion of language of S 2747, Allied Health Workforce Diversity Act: support passage. S.2248 - HEROES Act: Support passage. HR 4107 - Funding Early Childhood is the Right IDEA Act: Support passage. HR 2431/S. 2500 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019: Support passage. No bill # - FY 2021 LHHS appropriations: Support funding for Mental Health workforce development programs at HRSA and support continued inclusion of occupational therapy in these programs (BHWET and MBHET). Support for funding for Geriatrics Workforce Enhancement Program. Support Full funding for IDEA and Title I funding. HR 4107 - Funding Early Childhood is the Right IDEA Act: support passage. HR 1878/S. 866 - IDEA Full Funding Bill: support passage Supported having a minimum six month freeze on student loan payment and resetting interest rates to zero during that time either through regulatory action or in HR 748 - CARES Act. HR 6201 - Families First Corona Virus Response Act: Supported Increased overall funding to IDEA and ESEA. HR 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act: Oppose additional IDEA and ESEA Waiver authority for Secretary in HR 748 or future legislation. Supported Increased overall funding to IDEA and ESEA No bill # - possible COVID 4 bill: Educated and advocated for funding for early intervention services, special education, and general education funding. No bill # - educated and advocated for action on Specialized Instructional Support Personnel (SISP) provider shortages during and after the COVID-19 pandemic. HR 6720 - Student Loan Forgiveness for Frontline Health Workers Act: Supported passage and inclusion of similar language allowing student loan forgiveness for frontline health workers in HR 6800, HEROES Act. No bill: Educated staff about the role of occupational therapy professionals in supporting return to school (in person and virtual) during COVID-19.

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

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

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

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

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

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

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

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of the Vice President of the United States, SENATE, Veterans Affairs, Dept of (VA), White House Office

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

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

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

Behavioral Health Workforce Education and Training Program Appropriations and general mental health workforce issues. Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019, H.R. 2431. FY2020 Further Consolidated Appropriations Act (LHHSED, AG, Energy Water, Interior, Leg. Branch, MCVA, State-For. Ops, T-HUD), H.R. 1865.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies related to nursing education and practice 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) Mental Health Access Improvement Act of 2019 (H.R. 945) Patient Protection and Affordable Care Enhancement Act (H.R. 1425) Mental Health Professional Workforce Shortage Loan Repayment Act of 2019 (H.R. 2431) United States Public Health Service Modernization Act of 2019 (H.R. 4870/S. 2629) Primary and Behavioral Health Care Access Act (H.R. 5575) Black Maternal Health Momnibus Act of 2020 (H.R. 6142/S. 3424) Families First Coronavirus Response Act (H.R. 6201) Health Care at Home Act (H.R. 6644) COVID-19 Mental Health Research Act (H.R. 6645) HEROES Act (H.R. 6800) National Nurse Act of 2019 (S. 696/H.R. 1597) United States Cadet Nurse Corps Service Recognition Act of 2019 (S. 997/H.R. 2056) CONNECT for Health Act of 2019 (S. 2741/H.R. 5619) Tele-Mental Health Improvement Act (S. 3792) Coronavirus Mental Health and Addiction Assistance Act of 2020 (S. 3825/H.R. 6999)

Client expense: Not reported · Firm income: $26,600

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

Legislation and policies related to nursing education and practice 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) Mental Health Access Improvement Act of 2019 (H.R. 945) Patient Protection and Affordable Care Enhancement Act (H.R. 1425) Mental Health Professional Workforce Shortage Loan Repayment Act of 2019 (H.R. 2431) United States Public Health Service Modernization Act of 2019 (H.R. 4870/S. 2629) Primary and Behavioral Health Care Access Act (H.R. 5575) Black Maternal Health Momnibus Act of 2020 (H.R. 6142/S. 3424) Families First Coronavirus Response Act (H.R. 6201) Health Care at Home Act (H.R. 6644) COVID-19 Mental Health Research Act (H.R. 6645) HEROES Act (H.R. 6800) National Nurse Act of 2019 (S. 696/H.R. 1597) United States Cadet Nurse Corps Service Recognition Act of 2019 (S. 997/H.R. 2056) CONNECT for Health Act of 2019 (S. 2741/H.R. 5619) Tele-Mental Health Improvement Act (S. 3792) Coronavirus Mental Health and Addiction Assistance Act of 2020 (S. 3825/H.R. 6999)

Client expense: $26,600 · Firm income: Not reported

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

Advocate for marriage and family therapists in loan repayment program - HR 2431.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

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

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

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of the Vice President of the United States, SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 3637/S 2747 - The Allied Health Workforce Diversity Act of 2019: Support legislation to help increase the diversity of the occupational therapy workforce. HR 2781 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019: Advocated for inclusion of language of HR 3637, Allied Health Workforce Diversity Act; support passage. S. 2997 - Title VII Health Care Workforce Reauthorization Act of 2019: Advocated for inclusion of language of S 2747, Allied Health Workforce Diversity Act; support passage. No bill number: Support funding for Mental Health workforce development programs at HRSA and support continued inclusion of occupational therapy in these programs. HR 2431/S 2500 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019: Support passage. No bill # - FY 2021 LHHS appropriations: Support funding for Mental Health workforce development programs at HRSA and support continued inclusion of occupational therapy in these programs (BHWET and MBHET). Support for funding for Geriatrics Workforce Enhancement Program. COVID #2 was HR 6201 - Families First Corona Virus Response Act: Supported expanded unemployment benefits, include independent contractors as eligible for unemployment benefits. Supported inclusion of emergency paid sick leave, including independent contractors; opposed exemption of health care workers from these provisions. Supported inclusion of emergency paid family and medical leave, including for independent contractors. COVID #3 was HR 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act: Supported expanded unemployment benefits, include independent contractors as eligible for unemployment benefits. Supported inclusion of emergency paid sick leave, including independent contractors; opposed exemption of health care workers from these provisions. Supported inclusion of emergency paid family and medical leave, including for independent contractors. No Bill # - possible COVID 4 bill: Advocated for inclusion of healthcare providers in paid sick and family and medical leave benefits passed as part of HR 6201. HR 6365/3559 -Immediate Relief for Rural Facilities and Providers Act of 2020: Support passage. S 2248 - Heroes Entering Role of Education Service (HEROES) Act: Support passage. HR 6800 - Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act - Support inclusion of language allowing student loan forgiveness for frontline health workers. Advocated for inclusion of occupational therapy practitioners in legislation providing COVID-19 Hazard Pay, including HR 6484-Hazard Pay for the Frontlines During Health Emergencies Act and HR 6709-Coronavirus Frontline Workers Fair Pay Act. Supported provision of appropriate personal protective equipment for health care providers, including occupational therapy practitioners in any COVID-19 response legislation.

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

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

No bill number. Support inclusion of specialized instructional support personnel into title 2 of Higher Education Act. HR 3637/S 2747 - The Allied Health Workforce Diversity Act of 2019: Support legislation to help increase the diversity of the occupational therapy workforce. HR 2781 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019: Advocated for inclusion of language of HR 3637, Allied Health Workforce Diversity Act: support passage. S. 2997 - Title VII Health Care Workforce Reauthorization Act of 2019: Advocated for inclusion of language of S 2747, Allied Health Workforce Diversity Act: support passage. S.2248 - HEROES Act: Support passage. HR 4107 - Funding Early Childhood is the Right IDEA Act: Support passage. HR 2431/S. 2500 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019: Support passage. No bill # - FY 2021 LHHS appropriations: Support funding for Mental Health workforce development programs at HRSA and support continued inclusion of occupational therapy in these programs (BHWET and MBHET). Support for funding for Geriatrics Workforce Enhancement Program. Support Full funding for IDEA and Title I funding. HR 4107 - Funding Early Childhood is the Right IDEA Act: support passage. HR 1878/S. 866 - IDEA Full Funding Bill: support passage Supported having a minimum six month freeze on student loan payment and resetting interest rates to zero during that time either through regulatory action or in HR 748 - CARES Act. HR 6201 - Families First Corona Virus Response Act: Supported Increased overall funding to IDEA and ESEA. HR 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act: Oppose additional IDEA and ESEA Waiver authority for Secretary in HR 748 or future legislation. Supported Increased overall funding to IDEA and ESEA No bill # - possible COVID 4 bill: Educated and advocated for funding for early intervention services, special education, and general education funding. No bill # - educated and advocated for action on Specialized Instructional Support Personnel (SISP) provider shortages during and after the COVID-19 pandemic. HR 6720 - Student Loan Forgiveness for Frontline Health Workers Act: Supported passage and inclusion of similar language allowing student loan forgiveness for frontline health workers in HR 6800, HEROES Act.

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

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

Behavioral Health Workforce Education and Training Program Appropriations and general mental health workforce issues. Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019, H.R. 2431. FY2020 Further Consolidated Appropriations Act (LHHSED, AG, Energy Water, Interior, Leg. Branch, MCVA, State-For. Ops, T-HUD), H.R. 1865.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

Client expense: $320,000 · Firm income: Not reported

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

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

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

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

Bill # H.R. 647 and S2080: Palliative Care and Hospice Education and Training Act. Establishes Palliative Care and Hospice Education Centers to increase access to palliative care Bill # H.R. 728: Title VIII Nursing Workforce Reauthorization Act.To amend title VIII of the Public Health Service Act to extend advanced education nursing grants to support clinical nurse specialist programs Bill # H.R. 1767 and S824: Excellence in Mental Health and Addiction Treatment Expansion Act. To increase the number of states that may conduct Medicaid demonstration programs to improve access to community mental health services Bill # H.R. 2062 and S1012: Overdose Prevention and Patient Safety Act.Amends the Public Health Service Act to protect the confidentiality of substance use disorder patient records Bill # H.R. 2431 and S2500: Mental Health Professionals Workforce Shortage Loan Repayment Act. Authorizes a loan repayment program for mental health professionals to relieve workforce shortages Bill #H.R. 2482 and S2074: Mainstreaming Addiction Treatment (MAT) Act. Loosens restrictions on doctors prescribing buprenorphine for addiction treatment Bill #H.R. 2895 and S948: Conrad State 30 and Physician Access Reauthorization Act. Reauthorizes the Conrad 30 program through FY 2021 Bill #H.R. 3165 and S1737: Mental Health Parity Compliance Act. To achieve complete implementation of the Mental Health Parity and Addiction Equity Act (federal parity law) Bill #H.R. 4004 and S2986: Social Determinants Accelerator Act. To direct the Secretary of Health and Human Services to establish an interagency council on social determinants of health Bill #H.R. 4468: Nursing Home Workforce Quality Act. To address the shortage of certified nursing assistants (CNAs) Bill #H.R. 4859: Protecting Older Americans from Social Isolation Act. To amend the Older Americans Act to reduce social isolation among older individuals Bill #H.R. 5242: Opioid Settlement Accountability Act. To ensure that opioid settlement funds are used to fight the opioid epidemic, including treatment, prevention, education and enforcement efforts. Bill # H.R. 945 and S286: Mental Health Access Improvement Act. To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare Bill # H.R. 986:Protecting Americans with Preexisting Conditions Act.To prevent the promotion of short-term, limited duration insurance plans and association health plans Bill #S1399:Title VIII Nursing Workforce Reauthorization Act.To amend title VIII of the Public Health Service Act to extend advanced education nursing grants to support clinical nurse specialist programs Bill #S1895 Lower Health Care Costs Act Bill # HR5640 and S3152:Data Mapping to Save Moms' Lives Act. To require the Federal Communications Commission to incorporate data on maternal health outcomes into its broadband health maps. Bill # S3374: Protecting Jessica Grubbs Legacy Act. Amends the Public Health Service Act to protect the confidentiality of substance use disorder patient records. Bill # HR748 S3548: Coronavirus Aid, Relief, and Economic Security Act provides financial relief and resources to individuals, families, and businesses impacted by the COVID-19 public health emergency. Bill # 7010 Paycheck protection program flexibility Bill #HR7292 Advanced Accelerated Payment Program forgiveness

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 728/S 1399 - Title VIII Nursing Workforce Reauthorization Act of 2019 HR 748/S 3548 - Coronavirus Aid, Relief, and Economic Security (CARES) Act HR 2056/S 997 - US Cadet Nurse Corps Service Act of 2019 HR 2431 - Mental Health Professional Workforce Shortage Loan Repayment Act of 2019 HR 3849 Midwives for Moms Act HR 4870/S 2629 - United States Public Health Service Modernization Act of 2019 HR 5575 - Primary and Behavioral Health Care Access Act HR 6142/S 3424 - Black Maternal Health Momnibus Act of 2020 HR 6201 - Families First Coronavirus Response Act

Client expense: $26,600 · Firm income: Not reported

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

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) United States Cadet Nurse Corps Service Recognition Act of 2019 (S. 997/H.R. 2056) Mental Health Professional Workforce Shortage Loan Repayment Act of 2019 (H.R. 2431) Midwives for Maximizing Optimal Maternity Services (Midwives for MOMS) Act of 2019 (H.R. 3849) United States Public Health Service Modernization Act of 2019 (H.R. 4870/S. 2629) Primary and Behavioral Health Care Access Act (H.R. 5575) Black Maternal Health Momnibus Act of 2020 (H.R. 6142/S. 3424) Families First Coronavirus Response Act (H.R. 6201)

Client expense: Not reported · Firm income: $26,600

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

Advocate for marriage and family therapists in loan repayment program - HR 2431.

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

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

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

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

HR 3637/S 2747 - The Allied Health Workforce Diversity Act of 2019: Support legislation to help increase the diversity of the occupational therapy workforce. HR 2781 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019: Advocated for inclusion of language of HR 3637, Allied Health Workforce Diversity Act; support passage. S. 2997 - Title VII Health Care Workforce Reauthorization Act of 2019: Advocated for inclusion of language of S 2747, Allied Health Workforce Diversity Act; support passage. No bill number: Support funding for Mental Health workforce development programs at HRSA and support continued inclusion of occupational therapy in these programs. HR 2431/S 2500 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019: Support passage. No bill # - FY 2021 LHHS appropriations: Support funding for Mental Health workforce development programs at HRSA and support continued inclusion of occupational therapy in these programs (BHWET and MBHET). Support for funding for Geriatrics Workforce Enhancement Program. COVID #2 was HR 6201 - Families First Corona Virus Response Act: Supported expanded unemployment benefits, include independent contractors as eligible for unemployment benefits. Supported inclusion of emergency paid sick leave, including independent contractors; opposed exemption of health care workers from these provisions. Supported inclusion of emergency paid family and medical leave, including for independent contractors. COVID #3 was HR 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act: Supported expanded unemployment benefits, include independent contractors as eligible for unemployment benefits. Supported inclusion of emergency paid sick leave, including independent contractors; opposed exemption of health care workers from these provisions. Supported inclusion of emergency paid family and medical leave, including for independent contractors. HR 6365/3559 -Immediate Relief for Rural Facilities and Providers Act of 2020: Support passage. S 2248 - HEROs Act: Support passage.

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

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

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

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

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

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

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

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

Bill # H.R. 647 and S2080: Palliative Care and Hospice Education and Training Act. Establishes Palliative Care and Hospice Education Centers to increase access to palliative care Bill # H.R. 728: Title VIII Nursing Workforce Reauthorization Act.To amend title VIII of the Public Health Service Act to extend advanced education nursing grants to support clinical nurse specialist programs Bill # H.R. 1767 and S824: Excellence in Mental Health and Addiction Treatment Expansion Act. To increase the number of states that may conduct Medicaid demonstration programs to improve access to community mental health services Bill # H.R. 2062 and S1012: Overdose Prevention and Patient Safety Act.Amends the Public Health Service Act to protect the confidentiality of substance use disorder patient records Bill # H.R. 2431 and S2500: Mental Health Professionals Workforce Shortage Loan Repayment Act. Authorizes a loan repayment program for mental health professionals to relieve workforce shortages Bill #H.R. 2482 and S2074: Mainstreaming Addiction Treatment (MAT) Act. Loosens restrictions on doctors prescribing buprenorphine for addiction treatment Bill #H.R. 2895 and S948: Conrad State 30 and Physician Access Reauthorization Act. Reauthorizes the Conrad 30 program through FY 2021 Bill #H.R. 3165 and S1737: Mental Health Parity Compliance Act. To achieve complete implementation of the Mental Health Parity and Addiction Equity Act (federal parity law) Bill #H.R. 4004 and S2986: Social Determinants Accelerator Act. To direct the Secretary of Health and Human Services to establish an interagency council on social determinants of health Bill #H.R. 4468: Nursing Home Workforce Quality Act. To address the shortage of certified nursing assistants (CNAs) Bill #H.R. 4859: Protecting Older Americans from Social Isolation Act. To amend the Older Americans Act to reduce social isolation among older individuals Bill #H.R. 5242: Opioid Settlement Accountability Act. To ensure that opioid settlement funds are used to fight the opioid epidemic, including treatment, prevention, education and enforcement efforts. Bill # H.R. 945 and S286: Mental Health Access Improvement Act. To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare Bill # H.R. 986:Protecting Americans with Preexisting Conditions Act.To prevent the promotion of short-term, limited duration insurance plans and association health plans Bill #S1399:Title VIII Nursing Workforce Reauthorization Act.To amend title VIII of the Public Health Service Act to extend advanced education nursing grants to support clinical nurse specialist programs Bill #S1895 Lower Health Care Costs Act Bill # HR5640 and S3152:Data Mapping to Save Moms' Lives Act. To require the Federal Communications Commission to incorporate data on maternal health outcomes into its broadband health maps. Bill # S3374: Protecting Jessica Grubbs Legacy Act. Amends the Public Health Service Act to protect the confidentiality of substance use disorder patient records. Bill # HR748: Coronavirus Aid, Relief, and Economic Security Act provides financial relief and resources to individuals, families, and businesses impacted by the COVID-19 public health emergency.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of the Vice President of the United States, President of the U.S., SENATE, U.S. Immigration & Customs Enforcement (ICE), Veterans Affairs, Dept of (VA), White House Office

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

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

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

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

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

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

Behavioral Health Workforce Education and Training Program Appropriations and general mental health workforce issues. Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019, H.R. 2431. FY2020 Further Consolidated Appropriations Act (LHHSED, AG, Energy Water, Interior, Leg. Branch, MCVA, State-For. Ops, T-HUD), H.R. 1865.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 728/S 1399 - Title VIII Nursing Workforce Reauthorization Act of 2019 HR 2056/S 997 - US Cadet Nurse Corps Service Act of 2019 HR 2431 - Mental Health Professional Workforce Shortage Loan Repayment Act of 2019 HR 3849 Midwives for Moms Act Prison to Prosperity Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate for marriage and family therapists in loan repayment program - HR 2431.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), 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)

"Title VIII Nursing Workforce Reauthorization Act of 2019" (H.R. 728/S. 1399) "United States Cadet Nurse Corps Service Recognition Act of 2019" (H.R. 2056/S. 997) "Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019" (H.R. 2431/S. 2500) "Midwives for Maximizing Optimal Maternity Services (Midwives for MOMS) Act of 2019" (H.R.3849) Provisions of the "National Defense Authorization Act for Fiscal Year 2020" (H.R. 2500/S. 1790) related to recognition of the U.S. Cadet Nurse Corps

Client expense: Not reported · Firm income: $26,600

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

HR 728/S 1399 - Title VIII Nursing Workforce Reauthorization Act of 2019 HR 2056/S 997 - US Cadet Nurse Corps Service Act of 2019 HR 2431 - Mental Health Professional Workforce Shortage Loan Repayment Act of 2019 HR 3849 Midwives for Moms Act Provisions of HR 2500/S 1790, National Defense Authorization Act for Fiscal Year 2020, related to recognition of the U.S. Cadet Nurse Corps

Client expense: $26,600 · Firm income: Not reported

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

The Special Registration for Telemedicine Clarification Act (H.R. 5483 (115)), all provisions related to establishing a special registration process with the Drug Enforcement Agency (DEA) for certain providers that wish to prescribe controlled substances via telemedicine. Mainstreaming Addiction Treatment Act (S. 2074/H.R. 2482), all provisions related to removing the waiver requirement for health care providers to prescribe buprenorphine for opioid use disorder. National Suicide Hotline Designation Act of 2019 (H.R. 4194), all provisions related to requiring the Federal Communications Commission designate 9-8-8 as a universal national suicide prevention and mental health crisis hotline number. Improving Access to Remote Behavioral Health Treatment Act of 2019 (S. 2244/H.R. 4131), all provisions related to amending regulations for the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 and allowing community mental health centers to register to practice telemedicine. Comprehensive Addiction Resources Emergency Act of 2019 (S. 1365/H.R. 2569), all provisions related to providing emergency assistance to areas affected by the opioid epidemic, as well as grant funding for substance use disorder treatment research. Mental Health Parity Compliance Act (S. 1737/H.R. 3165), all provisions related to strengthening parity for mental health and substance use disorder benefits. Effective Suicide Screening and Assessment in the Emergency Department Act of 2019 (S. 3006/H.R. 4861), all provisions related to establishing a program to improve identification, assessment, and treatment of patients in the emergency department who are at risk of suicide. Behavioral Health Coverage Transparency Act (S. 1576/H.R. 2874), all provisions related to strengthening parity for mental health and substance use disorder benefits. Medication Access and Training Expansion Act of 2019 (H.R. 4974), all provisions related to prescriber training on treating patients with opioid and other substance use disorders. Resilience Investment, Support and Expansion from Trauma Act (S. 1770/H.R. 3180), all provisions related to supporting children and families who experience trauma. Barriers to Suicide Act of 2019 (H.R. 4309), all provisions related to establishing a grant program to install suicide deterrents. Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019 (S. 2500/H.R. 2431), all provisions related to authorizing a loan repayment program for mental health professionals. Parity Enforcement Act of 2019 (H.R. 2848), all provisions related to strengthening parity for mental health and substance use disorder benefits. Protecting Pre-Existing Conditions and Making Health Care More Affordable Act of 2019 (H.R. 1884), all provisions related to improving affordability of and increasing access to health insurance coverage. Mental Health Services for Students Act of 2019 (S. 1122), all provisions related to providing access to school-based comprehensive mental health programs. CREATE Opportunities Act (S. 1983/H.R. 3496), all provisions related to providing medication-assisted treatment to individuals with opioid use disorder and are incarcerated. Primary and Behavioral Health Care Access Act (H.R. 5575), all provisions related to requiring group health plans and health insurance issuers to provide for primary and behavioral health care visits without cost-sharing.

Client expense: $68,150 · Firm income: Not reported

Government targets: Drug Enforcement Administration (DEA), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE

Bill # H.R. 647 and S2080: Palliative Care and Hospice Education and Training Act. Establishes Palliative Care and Hospice Education Centers to increase access to palliative care Bill # H.R. 728: Title VIII Nursing Workforce Reauthorization Act.To amend title VIII of the Public Health Service Act to extend advanced education nursing grants to support clinical nurse specialist programs Bill # H.R. 1767 and S824: Excellence in Mental Health and Addiction Treatment Expansion Act. To increase the number of states that may conduct Medicaid demonstration programs to improve access to community mental health services Bill # H.R. 2062 and S1012: Overdose Prevention and Patient Safety Act.Amends the Public Health Service Act to protect the confidentiality of substance use disorder patient records Bill # H.R. 2431 and S2500: Mental Health Professionals Workforce Shortage Loan Repayment Act. Authorizes a loan repayment program for mental health professionals to relieve workforce shortages Bill #H.R. 2482 and S2074: Mainstreaming Addiction Treatment (MAT) Act. Loosens restrictions on doctors prescribing buprenorphine for addiction treatment Bill #H.R. 2895 and S948: Conrad State 30 and Physician Access Reauthorization Act. Reauthorizes the Conrad 30 program through FY 2021 Bill #H.R. 3165 and S1737: Mental Health Parity Compliance Act. To achieve complete implementation of the Mental Health Parity and Addiction Equity Act (federal parity law) Bill #H.R. 4004 and S2986: Social Determinants Accelerator Act. To direct the Secretary of Health and Human Services to establish an interagency council on social determinants of health Bill #H.R. 4468: Nursing Home Workforce Quality Act. To address the shortage of certified nursing assistants (CNAs) Bill #H.R. 4859: Protecting Older Americans from Social Isolation Act. To amend the Older Americans Act to reduce social isolation among older individuals Bill #H.R. 5242: Opioid Settlement Accountability Act. To ensure that opioid settlement funds are used to fight the opioid epidemic, including treatment, prevention, education and enforcement efforts. Bill # H.R. 945 and S286: Mental Health Access Improvement Act. To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare Bill # H.R. 986:Protecting Americans with Preexisting Conditions Act.To prevent the promotion of short-term, limited duration insurance plans and association health plans Bill #S1399:Title VIII Nursing Workforce Reauthorization Act.To amend title VIII of the Public Health Service Act to extend advanced education nursing grants to support clinical nurse specialist programs Bill #S1895 Lower Health Care Costs Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE