EMPOWER for Health Act of 2019

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare Reimbursement. Monitoring and outreach on legislative activity related to the COVID-19 pandemic and the federal governments response to the outbreak. Monitoring and outreach on legislative activity related to the HEALS Act (S. 4317 - S. 4324). Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor implementation of Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10). Monitor implementation of 21st Century Cures Act (P.L. 114-255). House Draft, Department of Defense Appropriations Act, FY 2021. Senate Draft, Department of Defense Appropriations Act, FY 2021. H.R. 3, Lower Drug Costs Now Act of 2019. H.R.748, CARES Act (P.L. 116-136) and other legislation related to the policies in reaction to the national health crisis. H.R.7010, Paycheck Protection Program Flexibility Act of 2020 (P.L. 116-142). H.R. 1158, FY2020 Consolidated Appropriations Act (Defense, CJS, FSGG, Homeland Security). H.R. 1554, REDI Act. H.R. 2087, To amend title XVIII of the Social Security Act to require certain manufacturers to report drug pricing information with respect to drugs under the Medicare program, and for other purposes. H.R. 2279, Safe Step Act. H.R. 2693, To amend title XVIII of the Social Security Act to improve access to, and utilization of, bone mass measurement benefits under part B of the Medicare program by establishing a minimum payment amount under such part for bone mass measurement. H.R. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019. H.R. 3107, Improving Seniors' Timely Access to Care Act of 2019. H.R. 4378, FY2020 Continuing Appropriations Resolution (P.L. 116-59). S. 64, Preserve Access to Affordable Generics and Biosimilars Act. S. 283, Increasing Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2019. S. 1391, Fair Accountability and Innovative Research Drug Pricing Act of 2019. S. 2543, Prescription Drug Pricing Reduction Act of 2019. S. 2546, Safe Step Act. H.R. 1763, Resident Physician Shortage Reduction Act. S. 348, Resident Physician Shortage Reduction Act. H.R. 6788, Workforce Resilience Act. S. 3599, Workforce Resilience Act. H.R. 5741, Strengthening Innovation in Medicare and Medicaid Act. H.R. 8505, To amend title XVIII of the Social Security Act to provide for a one-year waiver of budget neutrality adjustments under the Medicare physician fee schedule, and for other purposes H.R. 8702, Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020 H.R. 6644/S. 3741, Health Care at Home Act H.R. 4932/S. 2741, The Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act H.R. 266, Paycheck Protection Program and Health Care Enhancement Act (P.L. 116-139). S. 4014, The Prioritized Paycheck Protection Program (P4) Act. S. 4116, A bill to extend the authority for commitments for the paycheck protection program and separate amounts authorized for other loans under section 7(a) of the Small Business Act, and for other purposes (P.L. 116-147). S.4775, Delivering Immediate Relief to America's Families, Schools and Small Businesses Act. H.R. 6800, The Heroes Act. H.R. 8337 - Continuing Appropriations Act, 2021 and Other Extensions Act (P.L. 116-159). P.L. 116-260, FY2021 Omnibus and COVID Relief and Response Act. H.R. 133: Consolidated Appropriations Act, 2021.

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

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

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare Reimbursement. Monitoring and outreach on legislative activity related to the COVID-19 pandemic and the federal governments response to the outbreak. Monitoring and outreach on legislative activity related to the HEALS Act (S. 4317 - S. 4324). Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor implementation of Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10). Monitor implementation of 21st Century Cures Act (P.L. 114-255). House Draft, Department of Defense Appropriations Act, FY 2021. Senate Draft, Department of Defense Appropriations Act, FY 2021. H.R. 3, Lower Drug Costs Now Act of 2019. H.R.748, CARES Act (P.L. 116-136) and other legislation related to the policies in reaction to the national health crisis. H.R.7010, Paycheck Protection Program Flexibility Act of 2020 (P.L. 116-142). H.R. 1158, FY2020 Consolidated Appropriations Act (Defense, CJS, FSGG, Homeland Security). H.R. 1554, REDI Act. H.R. 2087, To amend title XVIII of the Social Security Act to require certain manufacturers to report drug pricing information with respect to drugs under the Medicare program, and for other purposes. H.R. 2279, Safe Step Act. H.R. 2693, To amend title XVIII of the Social Security Act to improve access to, and utilization of, bone mass measurement benefits under part B of the Medicare program by establishing a minimum payment amount under such part for bone mass measurement. H.R. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019. H.R. 3107, Improving Seniors' Timely Access to Care Act of 2019. H.R. 4378, FY2020 Continuing Appropriations Resolution (P.L. 116-59). S. 64, Preserve Access to Affordable Generics and Biosimilars Act. S. 283, Increasing Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2019. S. 1391, Fair Accountability and Innovative Research Drug Pricing Act of 2019. S. 2543, Prescription Drug Pricing Reduction Act of 2019. S. 2546, Safe Step Act. H.R. 1763, Resident Physician Shortage Reduction Act. S. 348, Resident Physician Shortage Reduction Act. H.R. 6788, Workforce Resilience Act. S. 3599, Workforce Resilience Act. H.R. 5741, Strengthening Innovation in Medicare and Medicaid Act. H.R. 8505, To amend title XVIII of the Social Security Act to provide for a one-year waiver of budget neutrality adjustments under the Medicare physician fee schedule, and for other purposes H.R. 8702, Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020 H.R. 6644/S. 3741, Health Care at Home Act H.R. 4932/S. 2741, The Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act H.R. 266, Paycheck Protection Program and Health Care Enhancement Act (P.L. 116-139). S. 4014, The Prioritized Paycheck Protection Program (P4) Act. S. 4116, A bill to extend the authority for commitments for the paycheck protection program and separate amounts authorized for other loans under section 7(a) of the Small Business Act, and for other purposes (P.L. 116-147). S.4775, Delivering Immediate Relief to America's Families, Schools and Small Businesses Act. H.R. 6800, The Heroes Act. H.R. 8337 - Continuing Appropriations Act, 2021 and Other Extensions Act (P.L. 116-159). P.L. 116-260, FY2021 Omnibus and COVID Relief and Response Act. H.R. 133: Consolidated Appropriations Act, 2021.

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

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

H.R. 985, Fair Access for Safe and Timely Generics Act of 2019 (FAST Generics Act), support passage. H.R. 2035/S. 995, Lifespan Respite Care Reauthorization Act, support reauthorization H.R. 3208/ S.1755 - Real Emergency Access for Aging and Disability Inclusion for Disasters Act, support passage H.R. 2781 - Empower for Health Act of 2019, support passage H.R. 2296/S.1391 - FAIR Drug Pricing Act of 2019, support passage H.R. 3630 - No Surprises Act, support passage H.R. 1010, To provide that the rule entitled Short-Term, Limited Duration Insurance shall have no force or effect, support passage. H.R. 986, The Protecting Americans with Preexisting Conditions Act of 2019, support passage. H.R.1386, Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act of 2019, support passage. H.R. 2408, the Ensuring Access to Quality Complex Rehabilitation technology Act, support passage. H.R 3 - Lower Drug Costs Now Act of 2019, support passage H.R. 19 - Lower Costs, More Cures Act of 2019, support passage H.R. 2387, the Stop The Overuse of Petitions and Get Affordable Medicines to Enter Soon (STOP GAMES) Act of 2019, support passage H.R. 6417, Protecting Cures Act of 2020, support passage H.R. 5800, Ban Surprise Billing Act, support passage H.R. 1595, Secure and Fair Enforcement Banking Act (SAFE Banking Act), support passage S. 1935, Family Coverage Act, support passage. S.1556, No Junk Plans Act, support passage. S.475, Reducing Existing Costs Associated with Pharmaceuticals for Seniors Act of 2019 (RX Cap Act), support passage S. 637, Combatting Unreasonable Rises and Excessively High Drug Prices Act (CURE High Drug Prices Act), support passage S.366, Forcing Limits on Abusive and Tumultuous Prices (FLAT Prices) Act, support passage S. 63, Preserve Access to Affordable Generics and Biosimilars Act, support passage S. 659, Biologic Patent Transparency Act, support passage S.1895 - Lower Health Care Costs Act, support passage S. 2543 - Prescription Drug Price Reduction Act of 2019 - support passage S. 1801, Low Cost Generics Act of 2019, support passage H.R. 1425 Patient Protection and Affordable Care Enhancement Act, support H.R. 6514, Worker Health Coverage Protection Act, Support H.R. 3832, S. 1257, Legacy IRA Act, Support H.R. 6408 - Save the Organizations that Serve America Act S.3544/H.R.6305 - Coronavirus Relief for Seniors and People with Disabilities Act of 2020, support S. 3815, RESTART Act, Oppose S. 3833/H.R. 7010/H.R.6886, Paycheck Protection Program Flexibility Act of 2020, Support S. 4032/H.R. 7324, Universal Giving Pandemic Response Act. Support passage H.R. 6892-Help Charities Protect Communities Act, Support - S.Amdt. 1566 to the CARES Act, Charitable Giving oAmendment Increases the $300 limit on the charitable giving deduction to one-third of the standard deduction ($4,000 for an individual filer/$8,000 for married joint filers) for the remainder of 2020. Support. H.R. 7663-Protecting Access to Post-COVID-19 Telehealth Act, support passage H.R. 6644/S. 3741 - Health Care At Home Act, support passage H.R. 7391- the Protect Telehealth Access Act, support passage S. 3998- the Enhancing Preparedness Through Telehealth Act, support passage

Client expense: $48,803 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

S. 348/H.R. 1763 Resident Physician Shortage Reduction Act of 2019; all provisions. S. 2443: Investment in Tomorrow's Pediatric Health Care Workforce Act; all provisions. S. 2546 / H.R. 2279: Safe Step Act; all provisions. S. 3599/H.R. 6788: Healthcare Workforce Resilience Act; all provisions. S. 3741/ H.R. 6644: The Health Care at Home Act; all provisions. S. 3993: The Equal Access to Care Act; all provisions. S. 4421/ H.R. 8283: the Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act. S. 7819/H.R. 4525 Eliminating the Provider Relief Fund Tax Penalties Act of 2020; all provisions. H.R.133: The Consolidated Appropriations Act, 2021, Division H Title II Department of Health and Human Services; Division BB, Titles I, No Surprises Act. H.R. 2781: Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act, section 4. H.R. 3502: Protecting People from Surprise Medical Bills Act; all provisions. H.R. 6800: The Heroes Act; Title VI and Title X Division C. H.R. 7059: The Coronavirus Provider Protection Act; all provisions. H.R. 7255: Coronavirus Health Care Worker Wellness Act of 2020; all provisions. Supporting policies to address the COVID-19 public health emergency, including funding for personal protective equipment, maintaining telemedicine coverage, ensuring access to affordable health coverage, and medical liability flexibility relating to COVID-19. Funding for the CDC National Neurological Conditions Surveillance System. Medical research funding related to fetal tissue, AHRQ, and the NIH including the BRAIN Initiative. Funding for Congressionally Directed Medical Research Programs at the DoD. Policy to address surprise medical billing. Promoting interoperability in electronic health records. Maintain work authorization for individuals currently in DACA status during the COVID-19 national emergency and other policies to support health care providers who live, work, and train in the United States but are not US citizens.

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

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

Medicare Access and CHIP Reauthorization Act of 2015 implementation, Medicare physician payment reform, MEDPAC, surgical global payments, ACA implementation, health care reform, health care quality improvement, physician workforce issues, comparative clinical effectiveness research, health information technology, EHR meaningful use, EHR data blocking, Patient-Centered Outcomes Research Institute, MEDCAC, Centers for Medicare & Medicaid Innovation, registry access to Medicare claims data, lung cancer screenings, Agency for Healthcare Research & Quality, graduate medical education, electronic cigarette and cigar regulation, PTAC, meaningful use, congenital heart disease funding, unique device identifiers, medical liability reform, COVID-19 pandemic, tobacco riders in appropriations bills, tobacco regulation in the FDA, price transparency, ECMO coding, Prohibit Smoking in VA Facilities Act (S.2106/HR3700) Resident Physician Shortage Reduction Act (S.348/HR1763), Congenital Heart Futures Reauthorization Act, surprise billing, prior authorization, Women and Lung Cancer Research and Preventive Services Act (S.1107/HR2222), T21 bills, Transcatheter aortic valve replacement (TAVR), Increasing Access to Quality Cardiac Rehabilitation Act (HR.3911), Smoke-Free Schools Act of 2019 (HR.4019/S.1832), Protection for Veterans Burn Pits Exposure Act (HR.4086), The Coronavirus Aid, Relief, and Economic Security Act (H.R.748), Coronavirus Provider Protection Act (H.R.7059), Resident Physician Shortage Reduction Act of 2019 (S. 348/H.R. 1763), Quit Because of COVID-19 Act (H.R.7286), Tobacco to 21 Act (S.1258/H.R.2411), The Local Chamber, Tourism, and 501(c)(6) Protection Act (H.R.6697), Immediate Relief for Rural Facilities and Providers Act (S.3559/H.R.6365), Reversing the Youth Tobacco Epidemic Act of 2019 (H.R.2339), Vaccines Act of 2019 (H.R.2862), Investment in Tomorrow's Pediatric Health Care Workforce Act (S.2443), Protecting People from Surprise Medical Bills Act (H.R.3502), Stopping Appealing Flavors in E-Cigarettes for Kids Act (H.R.1498), Resident Education Deferred Interest (REDI) Act (H.R.1554), Improving Access to Medicare Coverage Act (H.R.1682), Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2019 (H.R.1854), Women & Lung Cancer Research & Preventive Services Act (H.R.2222), Prevent BLEEDing Act of 2019 (H.R.2550), Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act (H.R.2781), PCORI Reauthorization (H.R.3030), Improving Seniors Timely Access to Care Act (H.R.3107), Keep Physicians Serving Patients Act (H.R.3302), Stopping Appealing Flavors in E-Cigarettes for Kids Act (S.655), Improving Access to Medicare Coverage Act (S.753), Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020 (H.R. 8702/S.5007), Medicare Reimbursement Equity Act of 2020 (S.4932), To amend title XVIII of the Social Security Act to provide for a one-year waiver of budget neutrality adjustments under the Medicare physician fee schedule, and for other purposes (H.R. 8505)

Client expense: $86,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE, Social Security Administration (SSA)

Support H.R.1265 & H.R.4468 - Nursing Home Workforce Quality Act- to end the mandatory certified nursing assistant training lock out. Support H.R.2781 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 Support S.299 - Geriatrics Workforce Improvement Act Support H.R.4397 - Direct Creation, Advancement, and Retention of Employment Opportunity Act Support H.R.728 - Title VIII Nursing Workforce Reauthorization Act of 2019 Support H.R.748 - CARES Act Support S. 3599 - Healthcare Workforce Resilience Act Support H.R. 6788- Healthcare Workforce Resilience Act Support H.R 7010 - Paycheck Protection Program Flexibility Act of 2020 Support H.R 6800 - HEROS Act Support H.R 8874 Nurses CARE Act

Client expense: $31,167 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support S.299 - Geriatrics Workforce Improvement Act Support H.R.2781 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 Support H.R.728 - Title VIII Nursing Workforce Re-authorization Act of 2019 Support H.R.2035 - Lifespan Respite Care Reauthorization Act of 2019 Support S. 4423COVID-19 Hospice Respite Care Relief Act of 2020 Support H.R.3398 - Pathways to Health Careers Act Support H.R.3417 - Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act of 2019 Support S.2080/H.R. 647 - Palliative Care and Hospice Education and Training Act Support H.R.4397 - Direct Creation, Advancement, and Retention of Employment Opportunity Act Support S. 4840Ensuring Parity in MA for Audio-Only Telehealth Act of 2020 H.R 8322/S.4423 COVID-19 Hospice Respite Care Relief Act of 2020 H.R. 8114 Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020 H.R 7663 Protecting Access to Post-COVID-19 Telehealth Act of 2020

Client expense: $31,167 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3630- No Surprises Act H.R. 2076- Early Detection to Stop Infant Abuse and Prevent Fatalities Act H.R. 2328- Community Health Investment, Modernization, and Excellence Act of 2019 H.R. 3439- PCORI Reauthorization H.R. 3030- Patient-Centered Outcomes Research Extension Act of 2019 H.R. 3666- STRONGER Patents Act 2019 S. 2082- Support Technology and Research for Our Nation's Growth and Economic Resilience Patents Act of 2019 S.2543- Prescription Drug Pricing Reduction Act of 2019 H.R. 4378- Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 H.R. 2507- Newborn Screening Saves Lives Reauthorization Act of 2019 H.R. 2781- EMPOWER for Health Act of 2019 H.R. 4519- Pediatricians Accelerate Childhood Therapies Act of 2019 S. 3023- Pediatricians Accelerate Childhood Therapies Act of 2019 H.R. 3- Lower Drug Cost Now Act of 2019 H.R. 1865- Further Consolidated Appropriations Act, 2020 H.R. 6201-Families First Coronavirus Response Act H.R. 748- CARES Act H.R. 266 Paycheck Protection and Health Care Enhancement Act H.R 7233 KEEP Telehealth Options Act H.R. 7614 Fiscal 2021 Labor-HHS-Education Appropriations H.R. 6800 Health and Economic Recovery Omnibus Emergency Solutions Act S.3985 JUSTICE Act H.R. 7120 Justice in Policing Act S. 4717 Accelerating Kids Access to Care Act H.R. 5900 Accelerating Kids Access to Care Act H.R. 133 Consolidated Appropriations Act, 2021 General issues regarding mental health/ behavioral health, Medicaid, CHIP, and DSH.

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

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

H.R. 3630- No Surprises Act H.R. 2076- Early Detection to Stop Infant Abuse and Prevent Fatalities Act H.R. 2328- Community Health Investment, Modernization, and Excellence Act of 2019 H.R. 3439- PCORI Reauthorization H.R. 3030- Patient-Centered Outcomes Research Extension Act of 2019 H.R. 3666- STRONGER Patents Act 2019 S. 2082- Support Technology and Research for Our Nation's Growth and Economic Resilience Patents Act of 2019 S.2543- Prescription Drug Pricing Reduction Act of 2019 H.R. 4378- Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 H.R. 2507- Newborn Screening Saves Lives Reauthorization Act of 2019 H.R. 2781- EMPOWER for Health Act of 2019 H.R. 4519- Pediatricians Accelerate Childhood Therapies Act of 2019 S. 3023- Pediatricians Accelerate Childhood Therapies Act of 2019 H.R. 3- Lower Drug Cost Now Act of 2019 H.R. 1865- Further Consolidated Appropriations Act, 2020 H.R. 6201-Families First Coronavirus Response Act H.R. 748- CARES Act H.R. 266 Paycheck Protection and Health Care Enhancement Act H.R 7233 KEEP Telehealth Options Act H.R. 7614 Fiscal 2021 Labor-HHS-Education Appropriations H.R. 6800 Health and Economic Recovery Omnibus Emergency Solutions Act S.3985 JUSTICE Act H.R. 7120 Justice in Policing Act S. 4717 Accelerating Kids Access to Care Act H.R. 5900 Accelerating Kids Access to Care Act H.R. 133 Consolidated Appropriations Act, 2021 General issues regarding mental health/ behavioral health, Medicaid, CHIP, and DSH.

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

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

P.L. 111-375 National Alzheimer's Project Act, All Sections P.L. 115-119 Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act P.L. 115-406 Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer's Act P.L. 116-131 Supporting Older Americans Act of 2020 S.591 Guardianship Accountability Act S.299 Geriatrics Workforce Improvement Act S.548/H.R.1342 EMPOWER Care Act H.R.1343 Protecting Married Seniors from Impoverishment Act S.740 Alzheimer's Caregiver Support Act H.R. 1955 Understanding Appropriate Alzheimer's Care Act of 2019 S.880/H.R.1873 Improving HOPE for Alzheimer's Act S.2080/H.R.647 Palliative Care and Hospice Education and Training Act S.1250/H.R.2401 American Cures Act S.1017 Supporting America's Caregivers and Families Act S.995/H.R.2035 Lifespan Respite Care Reauthorization Act of 2019 S.1126/H.R.2283 Concentrating on High-Value Alzheimer's Needs to Get to an End (CHANGE) Act of 2019 S.1361/H.R.2584 Preventive Health Savings Act of 2019 S.1628 Paid Family Leave Pilot Extension Act S.1618 Expanding Capacity for Health Outcomes (ECHO) Act of 2019 S.1202 Independence at Home Act of 2019 H.R.3644 Independence at Home Demonstration Act of 2019 H.R.3436 Improving Chronic Care Management Act H.R.3107 Improving Seniors' Timely Access to Care Act S.2469/H.R.4386 Stop the Wait Act H.R.2781 Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019 S.2521/H.R.4397 Direct CARE Opportunity Act S.2677 Older Americans and Social Isolation and Loneliness Act H.R.4859 Protecting Older Americans from Social Isolation Act of 2019 H.Res.821 to establish a permanent select Committee in Aging in the House of Representatives H.R.6379 Families First Coronavirus Response Act S.3548/H.R.748 Coronavirus Aid, Relief, and Economic Security (CARES) Act; including provisions that would impact individuals living with Alzheimer's and other dementia and their caregivers. H.R.4334 Supporting Older Americans Act of 2020 S.3544/H.R.6305 Coronavirus Relief for Seniors and People with Disabilities Act S.3768 /H.R.6972 Nursing Home COVID-19 Protection and Prevention Act of 2020 H.R.7048 Nursing Home Pandemic Protection Act S.3644/H.R.6698 Quality Care for Nursing Home Residents and Workers During COVID-19 Act H.R.6638 Reducing COVID-19 Disparities by Investing in Public Health H.R.7158 Health Enterprise Zones Act H.R.6800 Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S.3517/H.R.6487 ACCESS Act S.3740/H.R.6951 COVID-19 Recovery for Seniors and People with Disabilities Act H.R.8169 Elder Abuse Protection Act S.4182 Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020 H.R.5958 Senior Health Planning Account Act S.4184/H.R.7463 Assisted Living Facility Coronavirus Reporting Act S.4682/H.R.8511 Care Corp Demonstration Act of 2020 H.R. 2477 Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act In forthcoming COVID-19 relief packages, the Alzheimer's Association is advocating for inclusion of policies that would impact those in the Alzheimer's and dementia community including: - Improving HOPE for Alzheimer's Act (S.880/H.R.1873) - Extension of the Independence at Home demonstration model - Promoting Alzheimer's Awareness to Prevent Elder Abuse Act, including Elder Justice Initiative training for professionals through the Department of Justice - Emergency Preparedness in long-term and community-based care settings - Expanding Capacity for Health Outcomes (Project ECHO) - Project VITAL: Virtual Inclusive Technology for ALL

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

Government targets: Administration on Aging, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

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

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

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

H.R. 2781, the Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 or the EMPOWER for Health Act of 2019, Surprise billing legislation

Client expense: Not reported · Firm income: $12,000

Government targets: Air Force, Dept of, Army, Dept of (Other), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

S. 348/H.R. 1763 Resident Physician Shortage Reduction Act of 2019; all provisions. S. 2443: Investment in Tomorrow's Pediatric Health Care Workforce Act; all provisions. S. 2546 / H.R. 2279: Safe Step Act; all provisions. S. 3741/ H.R. 6644: The Health Care at Home Act; all provisions. S. 3993: The Equal Access to Care Act; all provisions. S. 4421/ H.R. 8283: the Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act. S. 7819/H.R. 4525 Eliminating the Provider Relief Fund Tax Penalties Act of 2020; all provisions. H.R. 2781: Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act, section 4. H.R. 748: Coronavirus Aid, Relief and Economic Security (CARES) Act; Title III. H.R. 3502: Protecting People from Surprise Medical Bills Act; all provisions. H.R. 6800: The Heroes Act; Title VI and Title X Division C. H.R. 7059: The Coronavirus Provider Protection Act; all provisions. H.R. 7255: Coronavirus Health Care Worker Wellness Act of 2020; all provisions. Supporting policies to address the COVID-19 public health emergency, including funding for personal protective equipment, maintaining telemedicine coverage, ensuring access to affordable health coverage, and medical liability flexibility relating to COVID-19. Funding for the CDC National Neurological Conditions Surveillance System. Research into firearm morbidity and mortality prevention at CDC, fetal tissue research, AHRQ, and the NIH including the BRAIN Initiative. Funding for Congressionally Directed Medical Research Programs at the DoD. Lifting the federal ban restricting HHS from studying a Universal Patient Identifier. Policy to address surprise medical billing. Promoting interoperability in electronic health records. Maintain work authorization for individuals currently in DACA status during the COVID-19 national emergency and other policies to support health care providers who live, work, and train in the United States but are not US citizens

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

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

Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Care Reform; Risk Adjustment; Opioids; Individual Health Care Costs; Mental Health; Reinsurance; Transparency; Surprise Billing; Prior Authorization; All payer claims database; Medicare for All; Senior's health care; Community health; NBPP (Notice Benefit and Payment Parameters), COVID-19 Response/Relief Packages, Healthcare access/privacy; Risk Corridors; COBRA; Telehealth/Audio-Only; CDC Guidance Testing; COVID-19; Postal Reform; Mental Health Parity (MHPAEA); Premium Credits; ACA Tax Credits H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr [D-NJ-6](Introduced 07/09/2019) H.R.5826 - 116th Congress (2019-2020) Consumer Protections Against Surprise Medical Bills Act of 2020 Sponsor: Rep. Neal, Richard [D-MA-1] (Introduced 02/10/2020) Public Law 116-127 (H.R.6201) - 116th Congress - Second Session First Coronavirus Response Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6810 - 116th Congress - Second Session Health Care Protection Act Sponsor: Rep. Rodney Davis (R-IL-13) Public Law 116-123 (H.R. 074) - 116th Congress - Second Session Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6800 - - 116th Congress - Second Session HEROES Act Sponsor: Rep. Nita Lowey (D-NY-17) Public Law 116-139 (H.R. 266) - 116th Congress - First Session Vehicle for COVID-19 Small Business, Hospital and Testing Funds Sponsor: Rep. Betty McCollum (D-MN-04) H.R. 6545 - 116th Congress - Second Session Health Insurance Marketplace Affordability Act of 2020 Sponsor: Rep. Stephanie Murphy (D-FL-07) Public Law 116-136 (H.R. 748) - 116th Congress - Second Session Third Coronavirus Stimulus Package Sponsor: Rep. Joe Courtney (D-CT-02) H.R. 2781 - 116th Congress - First Session EMPOWER for Health Act of 2019 Amend title VII of the public Health Service Act to reauthorize certain programs relating to the health professions workforce, and for other purposes. Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 2328 - 116th Congress - First Session Community Health Investment, Modernization, and Excellence Act of 2019 To reauthorize and extend funding for community health centers and the National Health Servvice Corps. Sponsor: Rep. Tom O'Halleran (D-AZ-01) H.R. 6800 - 116th Congress - Second Session The HEROES Act Making emergency supplemental appropriations for the fiscal year ending September 30, 2020, and for other purposes. Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 7723 - 116th Congress - Second Session Behavioral Health Coordination and Communication Act of 2020 To Establish the position of Interagency Coordinator for Behavioral Health to coordinate the programs and activities of the Federal Government relating to mental health and for other purposes. Sponsor: Rep. Joe Kennedy III (D-MA-04)

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

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

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare Reimbursement. Monitoring and outreach on legislative activity related to the COVID-19 pandemic and the federal governments response to the outbreak. CARES Act and other legislation related to the policies in reaction to the national health crisis. H.R. 7010, The Paycheck Protection Program Flexibility Act. House Draft, Department of Defense Appropriations Act, FY 2021. Senate Draft, Department of Defense Appropriations Act, FY 2021. H.R. 3, Lower Drug Costs Now Act of 2019. Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor implementation of Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10). Monitor implementation of 21st Century Cures Act (P.L. 114-255). H.R. 1158, FY2020 Consolidated Appropriations Act (Defense, CJS, FSGG, Homeland Security). H.R. 1554, REDI Act. H.R. 2087, To amend title XVIII of the Social Security Act to require certain manufacturers to report drug pricing information with respect to drugs under the Medicare program, and for other purposes. H.R. 2279, Safe Step Act. H.R. 2693, To amend title XVIII of the Social Security Act to improve access to, and utilization of, bone mass measurement benefits under part B of the Medicare program by establishing a minimum payment amount under such part for bone mass measurement. H.R. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019. H.R. 3107, Improving Seniors' Timely Access to Care Act of 2019. H.R. 4378, FY2020 Continuing Appropriations Resolution (P.L. 116-59). S. 64, Preserve Access to Affordable Generics and Biosimilars Act. S. 283, Increasing Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2019. S. 1391, Fair Accountability and Innovative Research Drug Pricing Act of 2019. S. 2543, Prescription Drug Pricing Reduction Act of 2019. S. 2546, Safe Step Act. H.R. 1763, Resident Physician Shortage Reduction Act. S. 348, Resident Physician Shortage Reduction Act. H.R. 6788, Workforce Resilience Act. S. 3599, Workforce Resilience Act. H.R. 5741, Strengthening Innovation in Medicare and Medicaid Act. H.R.8505, To amend title XVIII of the Social Security Act to provide for a one-year waiver of budget neutrality adjustments under the Medicare physician fee schedule, and for other purposes H.R. 6644/S. 3741, Health Care at Home Act H.R. 4932/S. 2741, The Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act

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

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

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare Reimbursement. Monitoring and outreach on legislative activity related to the COVID-19 pandemic and the federal governments response to the outbreak. CARES Act and other legislation related to the policies in reaction to the national health crisis. H.R. 7010, The Paycheck Protection Program Flexibility Act. House Draft, Department of Defense Appropriations Act, FY 2021. Senate Draft, Department of Defense Appropriations Act, FY 2021. H.R. 3, Lower Drug Costs Now Act of 2019. Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor implementation of Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10). Monitor implementation of 21st Century Cures Act (P.L. 114-255). H.R. 1158, FY2020 Consolidated Appropriations Act (Defense, CJS, FSGG, Homeland Security). H.R. 1554, REDI Act. H.R. 2087, To amend title XVIII of the Social Security Act to require certain manufacturers to report drug pricing information with respect to drugs under the Medicare program, and for other purposes. H.R. 2279, Safe Step Act. H.R. 2693, To amend title XVIII of the Social Security Act to improve access to, and utilization of, bone mass measurement benefits under part B of the Medicare program by establishing a minimum payment amount under such part for bone mass measurement. H.R. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019. H.R. 3107, Improving Seniors' Timely Access to Care Act of 2019. H.R. 4378, FY2020 Continuing Appropriations Resolution (P.L. 116-59). S. 64, Preserve Access to Affordable Generics and Biosimilars Act. S. 283, Increasing Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2019. S. 1391, Fair Accountability and Innovative Research Drug Pricing Act of 2019. S. 2543, Prescription Drug Pricing Reduction Act of 2019. S. 2546, Safe Step Act. H.R. 1763, Resident Physician Shortage Reduction Act. S. 348, Resident Physician Shortage Reduction Act. H.R. 6788, Workforce Resilience Act. S. 3599, Workforce Resilience Act. H.R. 5741, Strengthening Innovation in Medicare and Medicaid Act. H.R.8505, To amend title XVIII of the Social Security Act to provide for a one-year waiver of budget neutrality adjustments under the Medicare physician fee schedule, and for other purposes H.R. 6644/S. 3741, Health Care at Home Act H.R. 4932/S. 2741, The Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act

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

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

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare Reimbursement. Monitoring and outreach on legislative activity related to the COVID-19 pandemic and the federal governments response to the outbreak. CARES Act and other legislation related to the policies in reaction to the national health crisis. H.R. 7010, The Paycheck Protection Program Flexibility Act. House Draft, Department of Defense Appropriations Act, FY 2021. Senate Draft, Department of Defense Appropriations Act, FY 2021. H.R. 3, Lower Drug Costs Now Act of 2019. Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor implementation of Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10). Monitor implementation of 21st Century Cures Act (P.L. 114-255). H.R. 1158, FY2020 Consolidated Appropriations Act (Defense, CJS, FSGG, Homeland Security). H.R. 1554, REDI Act. H.R. 2087, To amend title XVIII of the Social Security Act to require certain manufacturers to report drug pricing information with respect to drugs under the Medicare program, and for other purposes. H.R. 2279, Safe Step Act. H.R. 2693, To amend title XVIII of the Social Security Act to improve access to, and utilization of, bone mass measurement benefits under part B of the Medicare program by establishing a minimum payment amount under such part for bone mass measurement. H.R. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019. H.R. 3107, Improving Seniors' Timely Access to Care Act of 2019. H.R. 4378, FY2020 Continuing Appropriations Resolution (P.L. 116-59). S. 64, Preserve Access to Affordable Generics and Biosimilars Act. S. 283, Increasing Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2019. S. 1391, Fair Accountability and Innovative Research Drug Pricing Act of 2019. S. 2543, Prescription Drug Pricing Reduction Act of 2019. S. 2546, Safe Step Act. H.R. 1763, Resident Physician Shortage Reduction Act. S. 348, Resident Physician Shortage Reduction Act. H.R. 6788, Workforce Resilience Act. S. 3599, Workforce Resilience Act. H.R. 5741, Strengthening Innovation in Medicare and Medicaid Act. H.R.8505, To amend title XVIII of the Social Security Act to provide for a one-year waiver of budget neutrality adjustments under the Medicare physician fee schedule, and for other purposes H.R. 6644/S. 3741, Health Care at Home Act H.R. 4932/S. 2741, The Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act

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

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

Medicare Access and CHIP Reauthorization Act of 2015 implementation, Medicare physician payment reform, MEDPAC, surgical global payments, ACA implementation, health care reform, health care quality improvement, physician workforce issues, comparative clinical effectiveness research, health information technology, EHR meaningful use, EHR data blocking, Patient-Centered Outcomes Research Institute, MEDCAC, Centers for Medicare & Medicaid Innovation, registry access to Medicare claims data, lung cancer screenings, Agency for Healthcare Research & Quality, graduate medical education, electronic cigarette and cigar regulation, PTAC, meaningful use, congenital heart disease funding, unique device identifiers, medical liability reform, COVID-19 pandemic, tobacco riders in appropriations bills, tobacco regulation in the FDA, price transparency, ECMO coding, Prohibit Smoking in VA Facilities Act (S.2106/HR3700) Resident Physician Shortage Reduction Act (S.348/HR1763), Congenital Heart Futures Reauthorization Act, surprise billing, prior authorization, Women and Lung Cancer Research and Preventive Services Act (S.1107/HR2222), T21 bills, Transcatheter aortic valve replacement (TAVR), Increasing Access to Quality Cardiac Rehabilitation Act (HR.3911), Smoke-Free Schools Act of 2019 (HR.4019/S.1832), Protection for Veterans Burn Pits Exposure Act (HR.4086), The Coronavirus Aid, Relief, and Economic Security Act (H.R.748), Coronavirus Provider Protection Act (H.R.7059), Resident Physician Shortage Reduction Act of 2019 (S. 348/H.R. 1763), Quit Because of COVID-19 Act (H.R.7286), Tobacco to 21 Act (S.1258/H.R.2411), The Local Chamber, Tourism, and 501(c)(6) Protection Act (H.R.6697), Immediate Relief for Rural Facilities and Providers Act (S.3559/H.R.6365), Reversing the Youth Tobacco Epidemic Act of 2019 (H.R.2339), Vaccines Act of 2019 (H.R.2862), Investment in Tomorrow's Pediatric Health Care Workforce Act (S.2443), Protecting People from Surprise Medical Bills Act (H.R.3502), Stopping Appealing Flavors in E-Cigarettes for Kids Act (H.R.1498), Resident Education Deferred Interest (REDI) Act (H.R.1554), Improving Access to Medicare Coverage Act (H.R.1682), Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2019 (H.R.1854), Women & Lung Cancer Research & Preventive Services Act (H.R.2222), Prevent BLEEDing Act of 2019 (H.R.2550), Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act (H.R.2781), PCORI Reauthorization (H.R.3030), Improving Seniors Timely Access to Care Act (H.R.3107), Keep Physicians Serving Patients Act (H.R.3302), Stopping Appealing Flavors in E-Cigarettes for Kids Act (S.655), Improving Access to Medicare Coverage Act (S.753)

Client expense: $143,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE, Social Security Administration (SSA)

Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Risk Adjustment; Opioids; Individual Health Care Costs; Mental Health; Transparency; Surprise billing, Prior Authorization; All payer claims database; Medicare for All; Maternal health; Senior's health care; Community health; NBPP (Notice Benefit and Payment Parameters), COVID-19 Response/Relief Packages, Healthcare access/privacy; Risk Corridors; COBRA; Telehealth/ Audio-Only; CDC Guidance Testing; COVID-19; Postal Reform; Mental Health Parity (MHPAEA); Premium Credits; ACA Tax Credits; Black Maternal Health; H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] H.R.3107 - 116th Congress (2019-2020) Improving Seniors' Timely Access to Care Act of 2019 Sponsor: Rep. DelBene, Suzan K. [D-WA-1] H.R. 5826 - 116th Congress - Second Session Consumer Protections Against Surprise Medical Bills Act of 2020 Sponsor: Rep. Richard Neal(D-MA-01) Public Law 116-127 (H.R. 6201) - 116th Congress - Second Session First Coronavirus Response Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6810 - 116th Congress - Second Session Health Care Protection Act Sponsor: Rep. Rodney Davis (R-IL-13) Public Law 116-123 (H.R.6074) - 116th Congress - Second Session Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6800 - 116th Congress - Second Session HEROES Act Sponsor: Rep. Nita Lowey (D-NY-17) Public Law 116-139 (H.R. 266) - 116th Congress - First Session Vehicle for Covid-19 Small Business, Hospital and Testing Funds Sponsor: Rep. Betty McCollum (D-MN-04) H.R. 6763 - 116th Congress - Second Session COVID-19 Racial and Ethnic Disparities Task Force Act of 2020 Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 6545 - 116th Congress - Second Session Health Insurance Marketplace Affordability Act of 2020 Sponsor: Rep. Stephanie Murphy (D-FL-07) Public Law 116-136(H.R. 748) - 116th Congress - First Session Third Coronavirus Stimulus Package Sponsor: Rep. Joe Courtney (D-CT-02) H.R. 2781 - 116th Congress - First Session EMPOWER for Health Act of 2019 To amend title VII of the Public Health Service Act to reauthorize certain programs relating to the health professions workforce, and for other purposes. Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 2328 - 116th Congress - First Session Community Health Investment, Modernization, and Excellence Act of 2019 To reauthorize and extend funding for community health centers and the National Health Service Corps. Sponsor: Rep. Tom O'Halleran (D-AZ-01) H.R. 6800 - 116th Congress - Second Session The Heroes Act Making emergency supplemental appropriations for the fiscal year ending September 30, 2020, and for other purposes. Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 7723 - 116th Congress - Second Session Behavioral Health Coordination and Communication Act of 2020 To establish the position of Interagency Coordinator for Behavioral Health to coordinate the programs and activities of the Federal Government relating to mental health, and for other purposes. Sponsor: Rep. Joe Kennedy III (D-MA-04) H.R. 6763 - 116th Congress - Second Session COVID-19 Racial and Ethnic Disparities Task Force Act of 2020 To provide for the establishment of a COVID-19 Racial and Ethnic Disparities Task Force to gather data about disproportionately affected communities and provide recommendations to combat the racial and ethnic disparities in the COVID-19 response. Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 4996 - 116th Congress - First Session Helping MOMS Act of 2020 To amend title XIX of the Social Security Act to provide for a State option under the Medicaid program to provide for and extend continuous coverage for certain individuals, and for other purposes. Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 925 - 116th Congress - First Session The Heroes Act To extend the authorization of appropriations for allocation to carry out approved wetlands conservation projects under the North American Wetlands Conservation Act through fiscal year 2024. Sponsor: Rep. Mike Thompson (D-CA-05)

Client expense: $104,240 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Risk Adjustment; Opioids; Individual Health Care Costs; Mental Health; Transparency; Surprise billing, Prior Authorization; All payer claims database; Medicare for All; Maternal health; Senior's health care; Community health; NBPP (Notice Benefit and Payment Parameters), COVID-19 Response/Relief Packages, Healthcare access/privacy; Risk Corridors; COBRA; Telehealth/ Audio-Only; CDC Guidance Testing; COVID-19; Postal Reform; Mental Health Parity (MHPAEA); Premium Credits; ACA Tax Credits; Black Maternal Health; H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] H.R.3107 - 116th Congress (2019-2020) Improving Seniors' Timely Access to Care Act of 2019 Sponsor: Rep. DelBene, Suzan K. [D-WA-1] H.R. 5826 - 116th Congress - Second Session Consumer Protections Against Surprise Medical Bills Act of 2020 Sponsor: Rep. Richard Neal(D-MA-01) Public Law 116-127 (H.R. 6201) - 116th Congress - Second Session First Coronavirus Response Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6810 - 116th Congress - Second Session Health Care Protection Act Sponsor: Rep. Rodney Davis (R-IL-13) Public Law 116-123 (H.R.6074) - 116th Congress - Second Session Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6800 - 116th Congress - Second Session HEROES Act Sponsor: Rep. Nita Lowey (D-NY-17) Public Law 116-139 (H.R. 266) - 116th Congress - First Session Vehicle for Covid-19 Small Business, Hospital and Testing Funds Sponsor: Rep. Betty McCollum (D-MN-04) H.R. 6763 - 116th Congress - Second Session COVID-19 Racial and Ethnic Disparities Task Force Act of 2020 Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 6545 - 116th Congress - Second Session Health Insurance Marketplace Affordability Act of 2020 Sponsor: Rep. Stephanie Murphy (D-FL-07) Public Law 116-136(H.R. 748) - 116th Congress - First Session Third Coronavirus Stimulus Package Sponsor: Rep. Joe Courtney (D-CT-02) H.R. 2781 - 116th Congress - First Session EMPOWER for Health Act of 2019 To amend title VII of the Public Health Service Act to reauthorize certain programs relating to the health professions workforce, and for other purposes. Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 2328 - 116th Congress - First Session Community Health Investment, Modernization, and Excellence Act of 2019 To reauthorize and extend funding for community health centers and the National Health Service Corps. Sponsor: Rep. Tom O'Halleran (D-AZ-01) H.R. 6800 - 116th Congress - Second Session The Heroes Act Making emergency supplemental appropriations for the fiscal year ending September 30, 2020, and for other purposes. Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 7723 - 116th Congress - Second Session Behavioral Health Coordination and Communication Act of 2020 To establish the position of Interagency Coordinator for Behavioral Health to coordinate the programs and activities of the Federal Government relating to mental health, and for other purposes. Sponsor: Rep. Joe Kennedy III (D-MA-04) H.R. 6763 - 116th Congress - Second Session COVID-19 Racial and Ethnic Disparities Task Force Act of 2020 To provide for the establishment of a COVID-19 Racial and Ethnic Disparities Task Force to gather data about disproportionately affected communities and provide recommendations to combat the racial and ethnic disparities in the COVID-19 response. Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 4996 - 116th Congress - First Session Helping MOMS Act of 2020 To amend title XIX of the Social Security Act to provide for a State option under the Medicaid program to provide for and extend continuous coverage for certain individuals, and for other purposes. Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 925 - 116th Congress - First Session The Heroes Act To extend the authorization of appropriations for allocation to carry out approved wetlands conservation projects under the North American Wetlands Conservation Act through fiscal year 2024. Sponsor: Rep. Mike Thompson (D-CA-05)

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

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

Support for the Geriatrics Workforce Improvement Act (S. 299) and geriatric workforce enhancement and academic career award programs; the EMPOWER for Health Act (H.R. 2781); and basic and clinical research on medical complexity and health issues affecting older Americans at the National Institute on Aging. Policy issues related to the health care workforce and the federal response to the COVID-19 virus. Policy issues related to pandemic preparedness, telehealth, and primary care incentive payments. Title VII Health Care Workforce Reauthorization Act of 2019 (S. 2997). Nursing Home COVID-19 Protection and Prevention Act of 2020 (H.R. 6972). Implementation of the CARES Act (P.L. 116-136)

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

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

H.R. 985, Fair Access for Safe and Timely Generics Act of 2019 (FAST Generics Act), support passage. H.R. 2035/S. 995, Lifespan Respite Care Reauthorization Act, support reauthorization H.R. 3208/ S.1755 - Real Emergency Access for Aging and Disability Inclusion for Disasters Act, support passage H.R. 2781 - Empower for Health Act of 2019, support passage H.R. 2296/S.1391 - FAIR Drug Pricing Act of 2019, support passage H.R. 3630 - No Surprises Act, support passage H.R. 1010, To provide that the rule entitled Short-Term, Limited Duration Insurance shall have no force or effect, support passage. H.R. 986, The Protecting Americans with Preexisting Conditions Act of 2019, support passage. H.R.1386, Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act of 2019, support passage. H.R. 2408, the Ensuring Access to Quality Complex Rehabilitation technology Act, support passage. H.R 3 - Lower Drug Costs Now Act of 2019, support passage H.R. 19 - Lower Costs, More Cures Act of 2019, support passage H.R. 2387, the Stop The Overuse of Petitions and Get Affordable Medicines to Enter Soon (STOP GAMES) Act of 2019, support passage H.R. 6417, Protecting Cures Act of 2020, support passage H.R. 5800, Ban Surprise Billing Act, support passage H.R. 1595, Secure and Fair Enforcement Banking Act (SAFE Banking Act), support passage S. 1935, Family Coverage Act, support passage. S.1556, No Junk Plans Act, support passage. S.475, Reducing Existing Costs Associated with Pharmaceuticals for Seniors Act of 2019 (RX Cap Act), support passage S. 637, Combatting Unreasonable Rises and Excessively High Drug Prices Act (CURE High Drug Prices Act), support passage S.366, Forcing Limits on Abusive and Tumultuous Prices (FLAT Prices) Act, support passage S. 63, Preserve Access to Affordable Generics and Biosimilars Act, support passage S. 659, Biologic Patent Transparency Act, support passage S.1895 - Lower Health Care Costs Act, support passage S. 2543 - Prescription Drug Price Reduction Act of 2019 - support passage S. 1801, Low Cost Generics Act of 2019, support passage H.R. 1425 Patient Protection and Affordable Care Enhancement Act, support H.R. 6514, Worker Health Coverage Protection Act, Support H.R. 3832, S. 1257, Legacy IRA Act, Support H.R. 6408 - Save the Organizations that Serve America Act S.3544/H.R.6305 - Coronavirus Relief for Seniors and People with Disabilities Act of 2020, support S. 3815, RESTART Act, Oppose S. 3833/H.R. 7010/H.R.6886, Paycheck Protection Program Flexibility Act of 2020, Support S. 4032/H.R. 7324, Universal Giving Pandemic Response Act. Support passage H.R. 6892-Help Charities Protect Communities Act, Support - S.Amdt. 1566 to the CARES Act, Charitable Giving oAmendment Increases the $300 limit on the charitable giving deduction to one-third of the standard deduction ($4,000 for an individual filer/$8,000 for married joint filers) for the remainder of 2020. Support. H.R. 7663-Protecting Access to Post-COVID-19 Telehealth Act, support passage H.R. 6644/S. 3741 - Health Care At Home Act, support passage H.R. 7391- the Protect Telehealth Access Act, support passage S. 3998- the Enhancing Preparedness Through Telehealth Act, support passage

Client expense: $57,579 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), 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. 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 # - 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 for Heart and Lung Research. Support for Increased funding for SAMHSA and HRSA programs. No bill# - Support for Congressional attention to the issue of falls related injuries and falls prevention. HR 3165/S 1737 - Mental Health Parity Compliance Act: Support passage. 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 995 Lifespan Respite Care Reauthorization Act: Support passage HR 3208/S 1755 - REAADI Act - support passage Asked Congress to address the shortage of personal protective equipment and ensure access to appropriate PPE for healthcare providers - including funding the national strategic stockpile. HR 6365/3559 -Immediate Relief for Rural Facilities and Providers Act of 2020: Support passage. No bill # - possible COVID 4 bill: Educated and advocated for funding for early intervention services. 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. HR 6201 - Families First Coronavirus Response Act: Supported expansion to health care providers of Family Medical Leave Benefits included in the bill. Supported provision of appropriate personal protective equipment for health care providers, including occupational therapy practitioners in any COVID-19 response legislation. HR 8094 - Dr. Lorna Breen Health Care Provider Protection Act: Support.

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

Support H.R.1265 & H.R.4468 - Nursing Home Workforce Quality Act- to end the mandatory certified nursing assistant training lock out. Support H.R.2781 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 Support S.299 - Geriatrics Workforce Improvement Act Support H.R.4397 - Direct Creation, Advancement, and Retention of Employment Opportunity Act Support H.R.728 - Title VIII Nursing Workforce Reauthorization Act of 2019 Support H.R.748 - CARES Act Support S. 3599 - Healthcare Workforce Resilience Act Support H.R. 6788- Healthcare Workforce Resilience Act Support H.R 7010 - Paycheck Protection Program Flexibility Act of 2020 Support H.R 6800 - HEROS Act

Client expense: $65,513 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support S.299 - Geriatrics Workforce Improvement Act Support H.R.2781 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 Support H.R.728 - Title VIII Nursing Workforce Re-authorization Act of 2019 Support H.R.2035 - Lifespan Respite Care Reauthorization Act of 2019 Support S. 4423COVID-19 Hospice Respite Care Relief Act of 2020 Support H.R.3398 - Pathways to Health Careers Act Support H.R.3417 - Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act of 2019 Support S.2080/H.R. 647 - Palliative Care and Hospice Education and Training Act Support H.R.4397 - Direct Creation, Advancement, and Retention of Employment Opportunity Act

Client expense: $65,513 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3630- No Surprises Act H.R. 2076- Early Detection to Stop Infant Abuse and Prevent Fatalities Act H.R. 2328- Community Health Investment, Modernization, and Excellence Act of 2019 H.R. 3439- PCORI Reauthorization H.R. 3030- Patient-Centered Outcomes Research Extension Act of 2019 H.R. 3666- STRONGER Patents Act 2019 S. 2082- Support Technology and Research for Our Nation's Growth and Economic Resilience Patents Act of 2019 S.2543- Prescription Drug Pricing Reduction Act of 2019 H.R. 4378- Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 H.R. 2507- Newborn Screening Saves Lives Reauthorization Act of 2019 H.R. 2781- EMPOWER for Health Act of 2019 H.R. 4519- Pediatricians Accelerate Childhood Therapies Act of 2019 S. 3023- Pediatricians Accelerate Childhood Therapies Act of 2019 H.R. 3- Lower Drug Cost Now Act of 2019 H.R. 1865- Further Consolidated Appropriations Act, 2020 H.R. 6201-Families First Coronavirus Response Act H.R. 748- CARES Act H.R. 266 Paycheck Protection and Health Care Enhancement Act H.R 7233 KEEP Telehealth Options Act H.R. 7614 Fiscal 2021 Labor-HHS-Education Appropriations H.R. 6800 Health and Economic Recovery Omnibus Emergency Solutions Act S.3985 JUSTICE Act H.R. 7120 Justice in Policing Act S. 4717 Accelerating Kids Access to Care Act H.R. 5900 Accelerating Kids Access to Care Act General issues regarding mental health/ behavioral health, Medicaid, CHIP, and DSH.

Client expense: $70,000 · Firm income: Not reported

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

H.R. 3630- No Surprises Act H.R. 2076- Early Detection to Stop Infant Abuse and Prevent Fatalities Act H.R. 2328- Community Health Investment, Modernization, and Excellence Act of 2019 H.R. 3439- PCORI Reauthorization H.R. 3030- Patient-Centered Outcomes Research Extension Act of 2019 H.R. 3666- STRONGER Patents Act 2019 S. 2082- Support Technology and Research for Our Nation's Growth and Economic Resilience Patents Act of 2019 S.2543- Prescription Drug Pricing Reduction Act of 2019 H.R. 4378- Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 H.R. 2507- Newborn Screening Saves Lives Reauthorization Act of 2019 H.R. 2781- EMPOWER for Health Act of 2019 H.R. 4519- Pediatricians Accelerate Childhood Therapies Act of 2019 S. 3023- Pediatricians Accelerate Childhood Therapies Act of 2019 H.R. 3- Lower Drug Cost Now Act of 2019 H.R. 1865- Further Consolidated Appropriations Act, 2020 H.R. 6201-Families First Coronavirus Response Act H.R. 748- CARES Act H.R. 266 Paycheck Protection and Health Care Enhancement Act H.R 7233 KEEP Telehealth Options Act H.R. 7614 Fiscal 2021 Labor-HHS-Education Appropriations H.R. 6800 Health and Economic Recovery Omnibus Emergency Solutions Act S.3985 JUSTICE Act H.R. 7120 Justice in Policing Act S. 4717 Accelerating Kids Access to Care Act H.R. 5900 Accelerating Kids Access to Care Act General issues regarding mental health/ behavioral health, Medicaid, CHIP, and DSH.

Client expense: $70,000 · Firm income: Not reported

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

Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Risk Adjustment; Opioids; Individual Health Care Costs; Mental Health; Transparency; Surprise Billing; Prior Authorization; All Payer Claims Database (APCD); Medicare for All; Maternal Health; Community Health; 2021 Notice of Benefit and Payment Parameters (NBPP); COVID-19 Response/Relief Packages; Health Care Access/Privacy; Risk Corridors; COBRA; Telehealth; CDC Guidance Testing; COVID-19; Mental Health Parity (MHPAEA); Premium Credits; ACA Tax Credits; Black Maternal Health HR 266 (116th Congress), Paycheck Protection Program and Health Care Enhancement Act, by Rep. Betty McCollum (D-MN). Responds to the COVID-19 outbreak by providing additional funding for small business loans, health care providers, and COVID-19 testing. HR 748 (116th Congress), Coronavirus Aid, Relief, and Economic Security (CARES) Act, by Rep. Joe Courtney (D-CT). Responds to the COVID-19 outbreak and its impact on the economy, public health, state and local governments, individuals, and businesses. HR 2328 (116th Congress), Community Health Investment, Modernization, and Excellence Act of 2019, by Rep. Tom OHalleran (D-AZ). Reauthorize and extend funding for community health centers and the National Health Service Corps. HR 2781 (116th Congress), EMPOWER for Health Act of 2019, by Rep. Jan Schakowsky (D-IL). Reauthorize certain programs relating to the health professions workforce. HR 3630 (116th Congress), No Surprises Act, by Rep. Frank Pallone, Jr. (D-NJ). Protect health care consumers from surprise billing practices. HR 5826 (116th Congress), Consumer Protections Against Surprise Medical Bills Act of 2020, by Rep. Richard Neal (D-MA). Prevent certain cases of out-of-network surprise medical bills, strengthen health care consumer protections, and improve health care information transparency. HR 6074 (116th Congress), Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020, by Rep. Nita Lowey (D-NY). Provides $8.3 billion in emergency funding for federal agencies to respond to the coronavirus outbreak. HR 6201 (116th Congress), First Coronavirus Response Act, by Rep. Nita Lowey (D-NY). Makes emergency supplemental appropriations for the fiscal year ending September 30, 2020. HR 6545 (116th Congress), Health Insurance Marketplace Affordability Act of 2020, by Rep. Stephanie Murphy (D-FL). Provide an age rating adjustment to the applicable percentage used to determine the credit for coverage under qualified health plans. HR 6763 (116th Congress), COVID-19 Racial and Ethnic Disparities Task Force Act of 2020, by Rep. Robin Kelly (D-IL). Establish a COVID-19 Racial and Ethnic Disparities Task Force to gather data about disproportionately affected communities and provide recommendations to combat the racial and ethnic disparities in the COVID-19 response. HR 6800 (116th Congress), HEROES Act, by Rep. Nita Lowey (D-NY). Responds to the COVID-19 outbreak and its impact on the economy, public health, state and local governments, individuals, and businesses. HR 6810 (116th Congress), Health Care Protection Act, by Rep. Rodney Davis (R-IL). Establish a Health Care Protection Program Fund to provide grants to employers to ensure continuity of coverage under a group health plan through the COVID-19 pandemic, to provide for premium assistance for COBRA benefits. HR 7723 (116th Congress), Behavioral Health Coordination and Communication Act of 2020, by Rep.Joe Kennedy (D-MA). Establish the position of Interagency Coordinator for Behavioral Health to coordinate the programs and activities of the Federal Government relating to mental health.

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

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

Agency for Healthcare Research and Quality Public Health Services Act, Title VII re-authorization; HR2781 CARES Act Council on Graduate Medical Education HRSA Primary Care Medicine and Dentistry Advisory Committee Affordable Care Act Implementation Teaching Health Centers GME Program S. 192, S.304, S.1191, HR2815, HR2328, HR4378 Continuing Appropriations Act 2020, and Health Extenders Act of 2019 HR748 CARES Act National Health Service Corps; HR2328 Draft COVID-19 package #4; Health, Economic Assistance, Liability protections, and Schools (HEALS) Act; HR6800, HEROES Act S.4775 Delivering Immediate Relief to America's Families, Schools, and Small Business Act

Client expense: $60,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

Support the Medical Nutrition Equity Act which requires all payers (Medicare, Medicaid, FEHBP and commercial insurance plans) to cover medically necessary nutrition for patients with diseases and disorders of the gastrointestinal system and metabolic disorders. H.R.2501/S. 3567 Medical Nutrition Equity Act of 2019 Support the Investment in Tomorrow's Pediatric Health Care Workforce Act (S. 2443) and the Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER)forHealthAct (H.R. 2781) to reauthorize the Pediatric Subspecialty Loan Repayment Program.

Client expense: Not reported · Firm income: $21,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L. 111-375 National Alzheimer's Project Act, All Sections P.L. 115-119 Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act P.L. 115-406 Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer's Act S.591 Guardianship Accountability Act S.299 Geriatrics Workforce Improvement Act S.548/H.R.1342 EMPOWER Care Act H.R.1343 Protecting Married Seniors from Impoverishment Act S.740 Alzheimer's Caregiver Support Act H.R. 1955 Understanding Appropriate Alzheimer's Care Act of 2019 S.880/H.R.1873 Improving HOPE for Alzheimer's Act H.R.1903/S.901 Younger-Onset Alzheimer's Disease Act of 2019 S.2080/H.R.647 Palliative Care and Hospice Education and Training Act S.1250/H.R.2401 American Cures Act S.1017 Supporting America's Caregivers and Families Act S.995/H.R.2035 Lifespan Respite Care Reauthorization Act of 2019 S.1126/H.R.2283 Concentrating on High-Value Alzheimer's Needs to Get to an End (CHANGE) Act of 2019 S.1361/H.R.2584 Preventive Health Savings Act of 2019 S.1628 Paid Family Leave Pilot Extension Act S.1618 Expanding Capacity for Health Outcomes (ECHO) Act of 2019 S.1202 Independence at Home Act of 2019 H.R.3644 Independence at Home Demonstration Act of 2019 H.R.3436 Improving Chronic Care Management Act H.R.3107 Improving Seniors' Timely Access to Care Act H.R.4334 Dignity in Aging Act of 2019 S.2469/H.R.4386 Stop the Wait Act H.R.2781 Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019 S.2521/H.R.4397 Direct CARE Opportunity Act S.3057 Modernization of the Older Americans Act Amendments S.2677 Older Americans and Social Isolation and Loneliness Act H.R.4859 Protecting Older Americans from Social Isolation Act of 2019 H.Res.821 to establish a permanent select Committee in Aging in the House of Representatives H.R.6379 Families First Coronavirus Response Act S.3548/H.R.748 Coronavirus Aid, Relief, and Economic Security (CARES) Act; including provisions that would impact individuals living with Alzheimer's and other dementia and their caregivers. H.R.4334 Supporting Older Americans Act of 2020 S.3544/H.R.6305 Coronavirus Relief for Seniors and People with Disabilities Act S.3768 /H.R.6972 Nursing Home COVID-19 Protection and Prevention Act of 2020 H.R.7048 Nursing Home Pandemic Protection Act S.3644/H.R.6698 Quality Care for Nursing Home Residents and Workers During COVID-19 Act H.R.6638 Reducing COVID-19 Disparities by Investing in Public Health H.R.7158 Health Enterprise Zones Act H.R.6800 Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S.3517/H.R.6487 ACCESS Act S.3740/H.R.6951 COVID-19 Recovery for Seniors and People with Disabilities Act In forthcoming COVID-19 relief packages, the Alzheimer's Association is advocating for inclusion of policies that would impact those in the Alzheimer's and dementia community including: - Improving HOPE for Alzheimer's Act (S.880/H.R.1873) - Extension of the Independence at Home demonstration model - Promoting Alzheimer's Awareness to Prevent Elder Abuse Act, including Elder Justice Initiative training for professionals through the Department of Justice - Emergency Preparedness in long-term and community-based care settings - Expanding Capacity for Health Outcomes (Project ECHO) - Project VITAL: Virtual Inclusive Technology for ALL

Client expense: $250,000 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

Agency for Healthcare Research and Quality Public Health Services Act, Title VII re-authorization; HR2781 CARES Act Council on Graduate Medical Education HRSA Primary Care Medicine and Dentistry Advisory Committee Affordable Care Act Implementation Teaching Health Centers GME Program S. 192, S.304, S.1191, HR2815, HR2328, HR4378 Continuing Appropriations Act 2020, and Health Extenders Act of 2019 HR748 CARES Act National Health Service Corps; HR2328

Client expense: $60,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

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

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

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

S. 2443: Investment in Tomorrow's Pediatric Health Care Workforce Act; all provisions. S. 2546 / H.R. 2279: Safe Step Act; all provisions. H.R. 2781: Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act, section 4. H.R. 748: Coronavirus Aid, Relief and Economic Security (CARES) Act; Title III. H.R. 3502: Protecting People from Surprise Medical Bills Act; all provisions. H.R. 6800: The Heroes Act; Title VI and Title X Division C. H.R. 6644/S. 3741, The Health Care at Home Act; all provisions. H.R. 7059, the Coronavirus Provider Protection Act; all provisions. S. 3993, The Equal Access to Care Act; all provisions. Supporting policies to address the COVID-19 public health emergency, including funding for personal protective equipment, maintaining telemedicine coverage, ensuring access to affordable health coverage, and medical liability flexibility relating to COVID-19. Funding for the CDC National Neurological Conditions Surveillance System. Research into firearm morbidity and mortality prevention at CDC, fetal tissue research, AHRQ, and the NIH including the BRAIN Initiative. Funding for Congressionally Directed Medical Research Programs at the DoD. Lifting the federal ban restricting HHS from studying a Universal Patient Identifier. Policy to address surprise medical billing. Promoting interoperability in electronic health records. Maintain work authorization for individuals currently in DACA status during the COVID-19 national emergency and other policies to support health care providers who live, work, and train in the United States but are not US

Client expense: $460,000 · Firm income: Not reported

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

H.R. 2781, the Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 or the EMPOWER for Health Act of 2019, Surprise billing legislation

Client expense: Not reported · Firm income: $12,000

Government targets: Air Force, Dept of, Army, Dept of (Other), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

Medicare Access and CHIP Reauthorization Act of 2015 implementation, Medicare physician payment reform, MEDPAC, surgical global payments, ACA implementation, health care reform, health care quality improvement, physician workforce issues, comparative clinical effectiveness research, health information technology, EHR meaningful use, EHR data blocking, Patient-Centered Outcomes Research Institute, MEDCAC, Centers for Medicare & Medicaid Innovation, registry access to Medicare claims data, lung cancer screenings, Agency for Healthcare Research & Quality, graduate medical education, electronic cigarette and cigar regulation, PTAC, meaningful use, congenital heart disease funding, unique device identifiers, medical liability reform, tobacco riders in appropriations bills, tobacco regulation in the FDA, price transparency, ECMO coding, Prohibit Smoking in VA Facilities Act (S.2106/HR3700) Resident Physician Shortage Reduction Act (S.348/HR1763), Congenital Heart Futures Reauthorization Act, surprise billing, prior authorization, Women and Lung Cancer Research and Preventive Services Act (S.1107/HR2222), T21 bills, Transcatheter aortic valve replacement (TAVR), Increasing Access to Quality Cardiac Rehabilitation Act (HR.3911), Smoke-Free Schools Act of 2019 (HR.4019/S.1832), Protection for Veterans Burn Pits Exposure Act (HR.4086), The Coronavirus Aid, Relief, and Economic Security Act (H.R.748), Coronavirus Provider Protection Act (H.R.7059), Resident Physician Shortage Reduction Act of 2019 (S. 348/H.R. 1763), Quit Because of COVID-19 Act (H.R.7286), Tobacco to 21 Act (S.1258/H.R.2411), The Local Chamber, Tourism, and 501(c)(6) Protection Act (H.R.6697), Immediate Relief for Rural Facilities and Providers Act (S.3559/H.R.6365), Reversing the Youth Tobacco Epidemic Act of 2019 (H.R.2339), Vaccines Act of 2019 (H.R.2862), Investment in Tomorrow's Pediatric Health Care Workforce Act (S.2443), Protecting People from Surprise Medical Bills Act (H.R.3502), Stopping Appealing Flavors in E-Cigarettes for Kids Act (H.R.1498), Resident Education Deferred Interest (REDI) Act (H.R.1554), Improving Access to Medicare Coverage Act (H.R.1682), Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2019 (H.R.1854), Women & Lung Cancer Research & Preventive Services Act (H.R.2222), Prevent BLEEDing Act of 2019 (H.R.2550), Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act (H.R.2781), PCORI Reauthorization (H.R.3030), Improving Seniors Timely Access to Care Act (H.R.3107), Keep Physicians Serving Patients Act (H.R.3302), Stopping Appealing Flavors in E-Cigarettes for Kids Act (S.655), Improving Access to Medicare Coverage Act (S.753)

Client expense: $186,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE, Social Security Administration (SSA)

- H.R. 985, Fair Access for Safe and Timely Generics Act of 2017 (FAST Generics Act), support passage. -H.R. 2035/S. 995, Lifespan Respite Care Reauthorization Act, support reauthorization - H.R. 3208/ S.1755 - Real Emergency Access for Aging and Disability Inclusion for Disasters Act, support passage - H.R. 3215/ S. 1754 - Disaster Relief Medicaid Act, support passage - S.2400/ H.R. 4322 - Expanding Cannabis Research and Information Act, support passage - H.R. 3439 - Reauthorization of the Patient Centered Outcomes Research Institute, support reauthorization. -H.R. 2781 - Empower for Health Act of 2019, support passage -H.R. 2296/S.1391 - FAIR Drug Pricing Act of 2019, support passage - H.R. 3630 - No Surprises Act, support passage -H.R. 1010, To provide that the rule entitled Short-Term, Limited Duration Insurance shall have no force or effect, support passage. -H.R. 986, The Protecting Americans with Preexisting Conditions Act of 2019, support passage. -H.R.1386, Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act of 2019, support passage. -H.R. 2293, the Protecting Access to Wheelchairs Act, support passage. -H.R. 2408, the Ensuring Access to Quality Complex Rehabilitation technology Act, support passage. -H.R 3 - Lower Drug Costs Now Act of 2019, support passage -H.R. 19 - Lower Costs, More Cures Act of 2019, support passage - H.R. 2387, the Stop The Overuse of Petitions and Get Affordable Medicines to Enter Soon (STOP GAMES) Act of 2019, support passage - H.R. 3107, Improving Seniors Timely Access to Care Act of 2019, support passage - H.R. 6417, Protecting Cures Act of 2020, support passage - H.R. 5800, Ban Surprise Billing Act, support passage H.R. 1595, Secure and Fair Enforcement Banking Act (SAFE Banking Act), support passage -S. 1935, Family Coverage Act, support passage. -S.1556, No Junk Plans Act, support passage. -S. 1223, the Protecting Beneficiary Access to Complex Rehab Technology Act, support passage - S.475, Reducing Existing Costs Associated with Pharmaceuticals for Seniors Act of 2019 (RX Cap Act), support passage - S. 637, Combatting Unreasonable Rises and Excessively High Drug Prices Act (CURE High Drug Prices Act), support passage - S.366, Forcing Limits on Abusive and Tumultuous Prices (FLAT Prices) Act, support passage -S. 63, Preserve Access to Affordable Generics and Biosimilars Act, support passage -S. 659, Biologic Patent Transparency Act, support passage -S.1895 - Lower Health Care Costs Act, support passage - S. 1280/HR 2477 - Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act, support passage - S. 691 - Medicare Extra Rx Help Act- support passage - S. 2543 - Prescription Drug Price Reduction Act of 2019 - support passage - Menendez - Lankford- Cardin-Daines Amendment 1 Incentivizing Generic and Biosimilar Use in Medicare Part D - support adoption Menendez -Lankford - Cardin --Daines Amendment 2 Incentivizing Generic Use in Medicare Part D - support adoption S, 1801, Low Cost Generics Act of 2019, support passage S.2911, the Seniors Prescription Drug Relief Act of 2019, support passage. - H.R. 1425 Patient Protection and Affordable Care Enhancement Act, support - H.R. 6514, Worker Health Coverage Protection Act, Support - H.R. 3832, S. 1257, Legacy IRA Act, Support - H.R. 6408 - Save the Organizations that Serve America Act - S.3544/H.R.6305 - Coronavirus Relief for Seniors and People with Disabilities Act of 2020, support -RESTART Act (S. 3814), Oppose - Paycheck Protection Program Flexibility Act of 2020(S. 3833/H.R. 7010/H.R.6886) Support -Help Charities Protect Communities Act (Rep. Beatty), bill number to be determined. Support - S.Amdt. 1566 to the CARES Act,Charitable Giving Amendment.Increases the $300 limit on the charitable giving deduction to one-third of the standard deduction ($4,000 for an individual filer/$8,000 for married joint filers) for the remainder of 2020. Support.

Client expense: $85,876 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare Reimbursement. Monitoring and outreach on legislative activity related to the COVID-19 pandemic and the federal governments response to the outbreak. CARES Act and other legislation related to the policies in reaction to the national health crisis. H.R. 7010, The Paycheck Protection Program Flexibility Act. House Draft, Department of Defense Appropriations Act, FY 2021. Senate Draft, Department of Defense Appropriations Act, FY 2021. H.R. 3, Lower Drug Costs Now Act of 2019. Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor implementation of Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10). Monitor implementation of 21st Century Cures Act (P.L. 114-255). H.R. 1158, FY2020 Consolidated Appropriations Act (Defense, CJS, FSGG, Homeland Security). H.R. 1554, REDI Act. H.R. 2087, To amend title XVIII of the Social Security Act to require certain manufacturers to report drug pricing information with respect to drugs under the Medicare program, and for other purposes. H.R. 2279, Safe Step Act. H.R. 2693, To amend title XVIII of the Social Security Act to improve access to, and utilization of, bone mass measurement benefits under part B of the Medicare program by establishing a minimum payment amount under such part for bone mass measurement. H.R. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019. H.R. 3107, Improving Seniors' Timely Access to Care Act of 2019. H.R. 4378, FY2020 Continuing Appropriations Resolution (P.L. 116-59). S. 64, Preserve Access to Affordable Generics and Biosimilars Act. S. 283, Increasing Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2019. S. 1391, Fair Accountability and Innovative Research Drug Pricing Act of 2019. S. 2543, Prescription Drug Pricing Reduction Act of 2019. S. 2546, Safe Step Act. H.R. 1763, Resident Physician Shortage Reduction Act. S. 348, Resident Physician Shortage Reduction Act. H.R. 6788, Workforce Resilience Act. S. 3599, Workforce Resilience Act. H.R. 5741, Strengthening Innovation in Medicare and Medicaid Act.

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

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

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare Reimbursement. Monitoring and outreach on legislative activity related to the COVID-19 pandemic and the federal governments response to the outbreak. CARES Act and other legislation related to the policies in reaction to the national health crisis. H.R. 7010, The Paycheck Protection Program Flexibility Act. House Draft, Department of Defense Appropriations Act, FY 2021. Senate Draft, Department of Defense Appropriations Act, FY 2021. H.R. 3, Lower Drug Costs Now Act of 2019. Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor implementation of Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10). Monitor implementation of 21st Century Cures Act (P.L. 114-255). H.R. 1158, FY2020 Consolidated Appropriations Act (Defense, CJS, FSGG, Homeland Security). H.R. 1554, REDI Act. H.R. 2087, To amend title XVIII of the Social Security Act to require certain manufacturers to report drug pricing information with respect to drugs under the Medicare program, and for other purposes. H.R. 2279, Safe Step Act. H.R. 2693, To amend title XVIII of the Social Security Act to improve access to, and utilization of, bone mass measurement benefits under part B of the Medicare program by establishing a minimum payment amount under such part for bone mass measurement. H.R. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019. H.R. 3107, Improving Seniors' Timely Access to Care Act of 2019. H.R. 4378, FY2020 Continuing Appropriations Resolution (P.L. 116-59). S. 64, Preserve Access to Affordable Generics and Biosimilars Act. S. 283, Increasing Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2019. S. 1391, Fair Accountability and Innovative Research Drug Pricing Act of 2019. S. 2543, Prescription Drug Pricing Reduction Act of 2019. S. 2546, Safe Step Act. H.R. 1763, Resident Physician Shortage Reduction Act. S. 348, Resident Physician Shortage Reduction Act. H.R. 6788, Workforce Resilience Act. S. 3599, Workforce Resilience Act. H.R. 5741, Strengthening Innovation in Medicare and Medicaid Act.

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

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

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare Reimbursement. Monitoring and outreach on legislative activity related to the COVID-19 pandemic and the federal governments response to the outbreak. CARES Act and other legislation related to the policies in reaction to the national health crisis. H.R. 7010, The Paycheck Protection Program Flexibility Act. House Draft, Department of Defense Appropriations Act, FY 2021. Senate Draft, Department of Defense Appropriations Act, FY 2021. H.R. 3, Lower Drug Costs Now Act of 2019. Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor implementation of Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10). Monitor implementation of 21st Century Cures Act (P.L. 114-255). H.R. 1158, FY2020 Consolidated Appropriations Act (Defense, CJS, FSGG, Homeland Security). H.R. 1554, REDI Act. H.R. 2087, To amend title XVIII of the Social Security Act to require certain manufacturers to report drug pricing information with respect to drugs under the Medicare program, and for other purposes. H.R. 2279, Safe Step Act. H.R. 2693, To amend title XVIII of the Social Security Act to improve access to, and utilization of, bone mass measurement benefits under part B of the Medicare program by establishing a minimum payment amount under such part for bone mass measurement. H.R. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019. H.R. 3107, Improving Seniors' Timely Access to Care Act of 2019. H.R. 4378, FY2020 Continuing Appropriations Resolution (P.L. 116-59). S. 64, Preserve Access to Affordable Generics and Biosimilars Act. S. 283, Increasing Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2019. S. 1391, Fair Accountability and Innovative Research Drug Pricing Act of 2019. S. 2543, Prescription Drug Pricing Reduction Act of 2019. S. 2546, Safe Step Act. H.R. 1763, Resident Physician Shortage Reduction Act. S. 348, Resident Physician Shortage Reduction Act. H.R. 6788, Workforce Resilience Act. S. 3599, Workforce Resilience Act. H.R. 5741, Strengthening Innovation in Medicare and Medicaid Act.

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

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

HR 2283/S.1126 - CHANGE Act of 2019: Support expansion of services for people with Alzheimers and related dementia. 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 for Heart and Lung Research. Support for Increased funding for SAMHSA and HRSA programs. No bill # - FY 2021 Department of Defense Appropriations: Support for designating a stand-alone arthritis program within the Congressionally Directed Medical Research Program (CDMRP) at the Department of Defense, funded at $20 million. Support for extension and expansion of the Certified Community Behavioral Health Clinic (CCBHC) demonstration program (no bill number). No bill# - Support for Congressional attention to the issue of falls related injuries and falls prevention. HR 3165/S 1737 - Mental Health Parity Compliance Act: Support passage. 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 995 Lifespan Respite Care Reauthorization Act: Support passage HR 3208/S 1755 - REAADI Act - support passage Asked Congress to address the shortage of personal protective equipment and ensure access to appropriate PPE for healthcare providers - including funding the national strategic stockpile. HR 6365/3559 -Immediate Relief for Rural Facilities and Providers Act of 2020: Support passage. No bill # - possible COVID 4 bill: Educated and advocated for funding for early intervention services. 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. HR 6201 - Families First Coronavirus Response Act: Supported expansion to health care providers of Family Medical Leave Benefits included in the bill. 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