Parity Enforcement Act of 2019

Public Law 110-343, Emergency Economic Stabilization Act of 2008, Implementation of parity issues Public Law 111-148, Patient Protection and Affordable Care Act, Implementation of parity issues Public Law 114-255, 21st Century Cures Act, Parity issues H.R.3165/S.1737, Mental Health Parity Compliance Act Parity Enforcement Act of 2019 (HR 2848) H.R.2874/S.1756, Behavioral Health Coverage Transparency Act H.R.7539, Strengthening Behavioral Health Parity Act Public Law 116-260, Consolidated Appropriations Act, 2021, Division BB, Private Health Insurance and Public Health Provisions

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Preserve Medicaid funding and Medicaid disproportionate share hospital payments. Support increased FY 2020 appropriations for Centers for Disease Control sexually transmitted disease prevention and control, Public Health Emergency Preparedness and Hospital Preparedness programs. Support easing the Medicaid IMD exclusion and the Medicaid inmate exclusion. Support amending 42 C.F.R Part 2 to align with HIPAA (H.R. 2062 and S. 1012). Support the Prevention and Public Health Fund, including HR 3447. Support medically assisted treatment , including H.R. 2482 and S. 2017. Support H.R. 2848 to address "Valley Fever." Support school based mental health programs, including H.R. 1109. Support women's cancer screenings, including H.R. 3129. Support TB elimination, including H.R. 3080 and S. 834. Support gun safety legislation from a public health perspective, including H.R. 8/S. 42, H.R 1186/S. 447, H.R. 1236/S. 506, H.R. 2708/S. 1462. Support a moratorium on the Medicaid Fiscal Accountability Regulation (MFAR), emergency public health funding, Medicaid federal medical assistance percentage increase, and funding for public hospitals in coronavirus relief legislation including the Heroes Act (H.R. 6800) and subsequent developing legislation. Support equitable distribution of Provider Relief Fund to public hospital systems.

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

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

S. 1895: Lower Health Care Costs Act S.523, H.R. 1243: Climate Change and Health Promotion Act S. 1737, H.R. 3165: Mental Health Parity Compliance Act H.R. 2848: Parity Enforcement Act S 1576, H.R. 2874: Behavioral Health Coverage Transparency Act H.R. 3495: Improve Well-Being for Veterans Act H.R. 1884: Protecting Pre-Existing Conditions and Making Health Care More Affordable Act of 2019 Draft - Primary and Behavioral Health Care Access Act H.R. 5172: Non-Opioids Prevent Addiction in the Nation Act S. 3544 - Coronavirus Relief for Seniors and People with Disabilities Act (S. 3544) H.R. 5469- Pursuing Equity in Mental Health Act of 2019 H.R. 1016, S. 2741: CONNECT for Health Act H.R. 4543: Reducing Mental Health Stigma in the Hispanic Community Act of 2019 H.R. 7078, the Evaluating Disparities and Outcomes of Telehealth During the COVID-19 Emergency Act S. 4182 Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020 S. 2661 - National Suicide Hotline Designation Act H.R. 4564 Suicide Prevention Lifeline Improvement Act

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

Public Law 110-343, Emergency Economic Stabilization Act of 2008, Implementation of parity issues Public Law 111-148, Patient Protection and Affordable Care Act, Implementation of parity issues Public Law 114-255, 21st Century Cures Act, Parity issues H.R.3165/S.1737, Mental Health Parity Compliance Act Parity Enforcement Act of 2019 (HR 2848) H.R.2874/S.1756, Behavioral Health Coverage Transparency Act H.R.7539, Strengthening Behavioral Health Parity Act

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Public Law 110-343, Emergency Economic Stabilization Act of 2008, Implementation of parity issues Public Law 111-148, Patient Protection and Affordable Care Act, Implementation of parity issues Public Law 114-255, 21st Century Cures Act, Parity issues H.R.3165/S.1737, Mental Health Parity Compliance Act Parity Enforcement Act of 2019 (HR 2848) H.R.2874/S.1756, Behavioral Health Coverage Transparency Act H.R.7539, Strengthening Behavioral Health Parity Act

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Mental Health issues (incl. 21st Cures Act implementation, mental health parity - incl. H.R.3165/S.1737 Mental Health Parity Compliance Act and H.R.2848 Parity Enforcement Act) General Health Care issues (including Medicare/Medicaid, pre-existing conditions coverage) Medicare Part D Protected Class Drugs coverage Research, Medical and Scientific Issues (including BRAIN initiative) H.R.1131/S.4583 - The Collaborative Academic Research Efforts (CARE) for Tourette Syndrome Act 21st Century Cures Act Implementation (including National Neurological Conditions Surveillance System) Access to Care and Treatment issues (including step therapy, prior authorization, non-medical switching - including HR 3107 - Improving Seniors Timely Access to Care Act, HR 2279/S.2546 Safe Step Act) Drug pricing broadly Suicide Prevention (HR 419/S.2661 - The National Suicide Hotline Designation Act, S.1782/H.R.3192 - Improving Mental Health Access for Students) Telehealth - increased coverage including making public health emergency coverage for telehealth permanent (including S.2741/H.R.4932 - CONNECT for Health Act, H.R.7663 - Protecting Access to Post-COVID-19 Telehealth Act of 2020)

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

COVID-19 impact on mental health and addiction Relief for SUD treatment facilities and providers Telehealth Remote Recovery Support Medication Assisted Treatment SUD privacy standards (42 CFR Part 2) Public Health Workforce Addiction Professional Credentialing H.Res. 419, Resolution recognizing the contributions of the Addiction Profession workforce Parity Enforcement Act (H.R. 2848) Behavioral Health Coverage Transparency Act (H.R.2874, S.1576) Mental Health Parity Compliance Act (H.R.3165, S.1737) Mental Health Services for Students Act (H.R. 1109/ S. 1122) Heroes Act (H.R. 6800) H.R. 925 - The Heroes Act The Health, Economic Assistance, Liability Protections & Schools (HEALS) Act S.178 - Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act Integrated Substance Use Disorder Program (ITSP) Strengthening Behavioral Health Parity Act (H.R. 7539) Tele-Mental Health Improvement Act ( H.R. 8060/S. 3792) Coronavirus Mental Health and Addiction Assistance Act of 2020 (H.R. 6999/S. 3825) COVID-19 Mental Health Research Act (H.R. 6645) Dr. Lorna Breen Health Care Provider Protection Act (S. 4349) Facilitating Reforms that Offer Necessary Telehealth In Every Rural (FRONTIER) Community Act (S. 4211/7571) Improving Medicaid Programs Response to Overdose Victims and Enhancing (IMPROVE) Addiction Care Act ( S. 4702 / H.R. 8388 ) Marijuana Reinvestment and Expungement (MORE) Act (H.R. 3884) Behavioral Health Coordination and Communication Act (H.R.7723) H.Res. 1057, Expressing the sense of the House of Representatives that in order to effectively address the high prevalence of those suffering from mental health conditions and substance use disorders, the United States needs to make historic financial investments into mental health and substance use disorder care and finally acknowledge such care as a priority in health care equal to physical health, and for other purposes Issues relating to telehealth

Preserve Medicaid funding and Medicaid disproportionate share hospital payments. Support increased FY 2020 appropriations for Centers for Disease Control sexually transmitted disease prevention and control, Public Health Emergency Preparedness and Hospital Preparedness programs. Support easing the Medicaid IMD exclusion and the Medicaid inmate exclusion. Support amending 42 C.F.R Part 2 to align with HIPAA (H.R. 2062 and S. 1012). Support the Prevention and Public Health Fund, including HR 3447. Support medically assisted treatment , including H.R. 2482 and S. 2017. Support H.R. 2848 to address "Valley Fever." Support school based mental health programs, including H.R. 1109. Support women's cancer screenings, including H.R. 3129. Support TB elimination, including H.R. 3080 and S. 834. Support gun safety legislation from a public health perspective, including H.R. 8/S. 42, H.R 1186/S. 447, H.R. 1236/S. 506, H.R. 2708/S. 1462. Support a moratorium on the Medicaid Fiscal Accountability Regulation (MFAR), emergency public health funding, Medicaid federal medical assistance percentage increase, and funding for public hospitals in coronavirus relief legislation including the Heroes Act (H.R. 6800) and subsequent developing legislation. Support equitable distribution of Provider Relief Fund to public hospital systems.

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

Public Law 110-343, Emergency Economic Stabilization Act of 2008, Implementation of parity issues Public Law 111-148, Patient Protection and Affordable Care Act, Implementation of parity issues Public Law 114-255, 21st Century Cures Act, Parity issues H.R.3165/S.1737, Mental Health Parity Compliance Act Parity Enforcement Act of 2019 (HR 2848) H.R.2874/S.1756, Behavioral Health Coverage Transparency Act

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Public Law 110-343, Emergency Economic Stabilization Act of 2008, Implementation of parity issues Public Law 111-148, Patient Protection and Affordable Care Act, Implementation of parity issues Public Law 114-255, 21st Century Cures Act, Parity issues H.R.3165/S.1737, Mental Health Parity Compliance Act Parity Enforcement Act of 2019 (HR 2848) H.R.2874/S.1756, Behavioral Health Coverage Transparency Act

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

S. 1895: Lower Health Care Costs Act S.523, H.R. 1243: Climate Change and Health Promotion Act S. 1737, H.R. 3165: Mental Health Parity Compliance Act H.R. 2848: Parity Enforcement Act S 1576, H.R. 2874: Behavioral Health Coverage Transparency Act H.R. 3495: Improve Well-Being for Veterans Act H.R. 1884: Protecting Pre-Existing Conditions and Making Health Care More Affordable Act of 2019 Draft - Primary and Behavioral Health Care Access Act H.R. 5172: Non-Opioids Prevent Addiction in the Nation Act S. 3544 - Coronavirus Relief for Seniors and People with Disabilities Act (S. 3544) H.R. 5469- Pursuing Equity in Mental Health Act of 2019 H.R. 1016, S. 2741: CONNECT for Health Act S. 3768 : Nursing Home COVID-19 Protection and Prevention Act of 2020

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

Mental Health issues (incl. 21st Cures Act implementation, mental health parity - incl. S.1585/H.R.1737 Mental Health Parity Compliance Act and H.R.2848 Parity Enforcement Act) General Health Care issues (including Medicare/Medicaid, pre-existing conditions coverage) Medicare Part D Protected Class Drugs coverage Research, Medical and Scientific Issues (including BRAIN initiative) H.R. 1131 - The Collaborative Academic Research Efforts (CARE) for Tourette Syndrome Act 21st Century Cures Act Implementation (including National Neurological Conditions Surveillance System) Telemedicine/Telehealth Access to Care and Treatment issues (including step therapy, prior authorization, non-medical switching - including HR 3107 - Improving Seniors Timely Access to Care Act, HR 2279 Safe Step Act) Drug pricing broadly Suicide Prevention (HR 4194 - The National Suicide Hotline Designation Act, S 1782/HR 3192 - Improving Mental Health Access for Students) S.2741/H.R.4932 - CONNECT for Health Act

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

COVID-19 impact on mental health and addiction Relief for SUD treatment facilities and providers Telehealth Remote Recovery Support Medication Assisted Treatment SUD privacy standards (42 CFR Part 2) Public Health Workforce H.Res. 419, Resolution recognizing the contributions of the Addiction Profession workforce Improving Access to Remote Behavioral Health Treatment Act (S. 2244, H.R. 4131) Comprehensive Addiction Resources Emergency (CARE) Act (S. 1365, H.R. 2569) Parity Enforcement Act (H.R. 2848) Behavioral Health Coverage Transparency Act (H.R.2874, S.1576) Mental Health Parity Compliance Act (H.R.3165, S.1737) Medicaid Reentry Act (H.R. 1329) Addiction Treatment Access Act (S. 2412) Overdose Prevention and Patient Safety Act (H.R. 2062) USPS Opioid & Illicit Drug Strategy Act of 2019 (S.2974) SUD Loan Repayment Program: Section 7071 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (P.L. 115-271) HEROES Act (H.R. 6800) Mental Health Research Act (H.R. 6645) Health Care Protection Act (H.R. 6810) Mental Health Services for Students Act (H.R. 1109/ S. 1122)

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

Preserve Medicaid funding and Medicaid disproportionate share hospital payments. Support increased FY 2020 appropriations for Centers for Disease Control sexually transmitted disease prevention and control, Public Health Emergency Preparedness and Hospital Preparedness programs. Support easing the Medicaid IMD exclusion and the Medicaid inmate exclusion. Support amending 42 C.F.R Part 2 to align with HIPAA (H.R. 2062 and S. 1012). Support the Prevention and Public Health Fund, including HR 3447. Support medically assisted treatment , including H.R. 2482 and S. 2017. Support H.R. 2848 to address "Valley Fever." Support school based mental health programs, including H.R. 1109. Support women's cancer screenings, including H.R. 3129. Support TB elimination, including H.R. 3080 and S. 834. Support gun safety legislation from a public health perspective, including H.R. 8/S. 42, H.R 1186/S. 447, H.R. 1236/S. 506, H.R. 2708/S. 1462. Support a moratorium on the Medicaid Fiscal Accountability Regulation (MFAR), emergency public health funding, Medicaid federal medical assistance percentage increase, and funding for public hospitals in coronavirus relief legislation including the CARES Act (H.R. 748) and the Families First Coronavirus Response Act (H.R. 6201).

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

Mental Health issues (incl. 21st Cures Act implementation, mental health parity - incl. S.1585/H.R.1737 Mental Health Parity Compliance Act and H.R.2848 Parity Enforcement Act General Health Care issues (including Medicare/Medicaid, pre-existing conditions coverage) Medicare Part D Protected Class Drugs coverage Research, Medical and Scientific Issues (including BRAIN initiative) H.R. 1131 - The Collaborative Academic Research Efforts (CARE) for Tourette Syndrome Act 21st Century Cures Act Implementation (including National Neurological Conditions Surveillance System) Telemedicine/Telehealth Access to Care and Treatment issues (including step therapy, prior authorization, non-medical switching - including HR 3107 - Improving Seniors Timely Access to Care Act, HR 2279 Safe Step Act) Drug pricing broadly Suicide Prevention (HR 4194 - The National Suicide Hotline Designation Act, S 1782/HR 3192 - Improving Mental Health Access for Students) S.2741/H.R.4932 - CONNECT for Health Act

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

H.R. 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act [P.L. No. 116-136] H.R. 6201, the Families First Coronavirus Response Act H.R. 6047, the Coronavirus Preparedness and Response Supplemental Appropriations Act H.R.6379, Take Responsibility for Workers and Families Act Relief for SUD treatment facilities and providers Telehealth Remote Recovery Support H.Res. 419, Resolution recognizing the contributions of the Addiction Profession workforce S. 2244, H.R. 413, Improving Access to Remote Behavioral Health Treatment Act The Comprehensive Addiction Resources Emergency (CARE) Act (S. 1365, H.R. 2569) The Parity Enforcement Act (HR 2848) The Behavioral Health Coverage Transparency Act (HR.2874, S.1576) Mental Health Parity Compliance Act (H.R.3165, S.1737) The Medicaid Reentry Act (H.R. 1329) S. 2412, the Addiction Treatment Access Act SUD privacy standards (42 CFR Part 2) H.R. 2062, The Overdose Prevention and Patient Safety Act Surprise Medical Billing compromise - timely billing and SUD parity Medication Assisted Treatment S.2974 - USPS Opioid & Illicit Drug Strategy Act of 2019 SUD Loan Repayment Program: Section 7071 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (P.L. 115-271)

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

Public Law 110-343, Emergency Economic Stabilization Act of 2008, Implementation of parity issues Public Law 111-148, Patient Protection and Affordable Care Act, Implementation of parity issues Public Law 114-255, 21st Century Cures Act, Parity issues Public Law 115-271, SUPPORT for Patients and Communities Act S.1895, Lower Health Care Costs Act H.R.3165/S.1737, Mental Health Parity Compliance Act Parity Enforcement Act of 2019 (HR 2848) H.R.2874/S.1756, Behavioral Health Coverage Transparency Act

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Public Law 110-343, Emergency Economic Stabilization Act of 2008, Implementation of parity issues Public Law 111-148, Patient Protection and Affordable Care Act, Implementation of parity issues Public Law 114-255, 21st Century Cures Act, Parity issues Public Law 115-271, SUPPORT for Patients and Communities Act S.1895, Lower Health Care Costs Act H.R.3165/S.1737, Mental Health Parity Compliance Act Parity Enforcement Act of 2019 (HR 2848) H.R.2874/S.1756, Behavioral Health Coverage Transparency Act

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

S. 1895: Lower Health Care Costs Act S.523, H.R. 1243: Climate Change and Health Promotion Act S. 1737, H.R. 3165: Mental Health Parity Compliance Act H.R. 2848: Parity Enforcement Act S 1576, H.R. 2874: Behavioral Health Coverage Transparency Act H.R. 3495: Improve Well-Being for Veterans Act H.R. 1884: Protecting Pre-Existing Conditions and Making Health Care More Affordable Act of 2019 Draft - Primary and Behavioral Health Care Access Act H.R. 5172: Non-Opioids Prevent Addiction in the Nation Act S. 3544 - Coronavirus Relief for Seniors and People with Disabilities Act (S. 3544) H.R. 5469- Pursuing Equity in Mental Health Act of 2019 H.R. 1016, S. 2741: CONNECT for Health Act

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

Behavioral and mental healthcare services and access Mental Health Parity Public Law 110-343, Emergency Economic Stabilization Act of 2008, Implementation of parity issues Public Law 111-148, Patient Protection and Affordable Care Act, Implementation of parity issues Public Law 114-255, 21st Century Cures Act, Parity issues Public Law 115-271, SUPPORT for Patients and Communities Act S.1895, Lower Health Care Costs Act H.R.3165/S.1737, Mental Health Parity Compliance Act Parity Enforcement Act of 2019-HR 2848 H.R.2874/S.1756, Behavioral Health Coverage Transparency Act Mental Health Parity Regulations; Information Technology Legislation; Medicare PPS Regulation; Substance use funding and services

Client expense: Not reported · Firm income: Not reported

Behavioral and mental healthcare services and access Mental Health Parity Public Law 110-343, Emergency Economic Stabilization Act of 2008, Implementation of parity issues Public Law 111-148, Patient Protection and Affordable Care Act, Implementation of parity issues Public Law 114-255, 21st Century Cures Act, Parity issues Public Law 115-271, SUPPORT for Patients and Communities Act S.1895, Lower Health Care Costs Act H.R.3165/S.1737, Mental Health Parity Compliance Act Parity Enforcement Act of 2019-HR 2848 H.R.2874/S.1756, Behavioral Health Coverage Transparency Act Mental Health Parity Regulations; Information Technology Legislation; Medicare PPS Regulation; Substance use funding and services

Client expense: Not reported · Firm income: Not reported

S. 350, Competitive Health Insurance Reform Act (Daines) - McCarran-Ferguson Act S. 455, Marketing and Outreach Restoration to Empower Health Education Act (Shaheen) - funding for outreach and education on ACA Exchanges S. 466, Protecting Americans with Preexisting Conditions Act (Warner) - blocking updated Section 1332 guidance S. 560, Ensuring Lasting Smiles Act (Baldwin) - coverage mandate for treatment of congenital anomaly or birth defect S. 741, Cancer Drug Parity Act (Smith) -- cost sharing for oral anticancer drugs S. 913, Disclosure of Price Information to Enrollees (Braun) S. 961, Improving Health Insurance Affordability Act (Shaheen) - premium tax credits S. 964, Marketplace Certainty Act (Shaheen) - cost-sharing subsidies S. 967, Reducing Costs for Out-of-Network Services Act (Shaheen) - caps on out-of-network charges S. 981, Medicare-X Choice Act (Bennet) - public option S. 1033, CHOICE Act (Whitehouse) - public option S. 1125, Protect Act (Tillis) - pre-existing condition protections S. 1129, Medicare for All Act (Sanders) - government health insurance system S. 1170, Association Health Plans Act (Enzi) - codifying final rule for expanding AHPs S. 1266, Protecting Patients from Surprise Medical Bills Act (Scott) - surprise medical billing S. 1531, STOP Surprise Medical Bills Act (Cassidy-Bennet) - surprise medical billing S. 1576, Behavioral Health Coverage Transparency Act (Warren) - mental health parity S. 1577, Know the Price Act (Cassidy-Bennet) - restrictions on provider contracts S. 1737, Mental Health Parity Compliance Act (Murphy) - mental health parity S. 1948, Chronic Disease Management Act (Thune) - pre-deductible coverage of chronic disease prevention services S. 2546, Safe Step Act (Murkowski)-Step therapy exceptions H.R. 692, Pre-existing Conditions Protection Act (Walden) - pre-existing condition protections H.R. 986, Protecting Americans with Preexisting Conditions Act (Kuster) - blocking updated Section 1332 guidance H.R. 987, Marketing and Outreach Restoration to Empower Health Education Act (Blunt Rochester) - funding for outreach and education on ACA Exchanges, Navigator program, and establishment of state-based Health Insurance Exchanges; drug pricing proposals H.R. 1010, Short-Term Plans (Castor) - blocking final rule that expands short-term plans H.R. 1143, Educating Consumers on the Risks of Short-Term Plans Act (Eshoo) - standardized disclosures for short-term plans H.R. 1379, Ensuring Lasting Smiles Act (Peterson) - coverage mandate for treatment of congenital anomaly or birth defect H.R. 1384, Medicare for All Act (Jayapal) - government health insurance system H.R. 1385, State Allowance for a Variety of Exchanges Act (Kim) - funding for establishment of state-based Health Insurance Exchanges H.R. 1386, Expand Navigators Resources for Outreach, Learning, and Longevity Act (Castor) - funding for Navigator Program H.R. 1418, Competitive Health Insurance Reform Act (DeFazio) - McCarran-Ferguson Act H.R. 1425, State Health Care Premium Reduction Act (Craig) - funding for state reinsurance programs H.R. 1510, Premium Relief Act (Burgess) -- Patient and State Stability Fund H.R. 1730, Cancer Drug Parity Act (Higgins) -- cost sharing for oral anticancer drugs H.R. 1884, Protecting Pre-Existing Conditions and Making Health Care More Affordable Act (Pallone) - reinsurance funding, stabilization and affordability proposals H.R. 2000, Medicare-X Choice Act (Delgado) - public option H.R. 2061, Pathway to Universal Coverage Act (Bera) - auto-enrollment H.R. 2085, CHOICE Act (Schakowsky) - public option H.R. 2183, State Flexibility and Patient Choice Act (Marshall) - flexibility in state innovation waivers H.R. 2848, Parity Enforcement Act (Norcross) - mental health parity H.R. 2874, Behavioral Health Coverage Transparency Act (Kennedy) - mental health parity H.R. 3165, Mental Health Parity Compliance Act (Porter) - mental health parity H.R. 3502, Protecting People From Surprise Medical Bills Act (Ruiz) - surprise medical billing H.R. 3630, No Surprises Act (Pallone)-surprise medical billing H.R. 3784, Air Ambulance Affordability Act of 2019 (Neguse)- air ambulances H.R. 4223, Protecting Patients from Surprise Medical Bills Act (Spano)-surprise medical billing H.R. 4379, Under Performing Directories that Affect Treating Emergencies Act (Axne)-provider directories H.R. 4457, Chronic Condition Copay Elimination Act (Underwood)- Eliminating copays for services/drugs for chronic conditions H.R. 4484, Flexibility Through Lower Expenses Health Care Act (Budd)-STLDI plans H.R. 4530, Native American Health Savings Improvement Act (Moolenaar)-HSAs H.R. 4575, Improving Provider Directories Act (Schrier)-provider directories H.R. 5010, State-Based Universal Health Care Act of 2019 (Khanna) - universal health care systems H.R. 5121, Healthcare Cost Transparency Act (Beyer) - provider price comparison tool H.R. 5144, Insurance Accountability and Transparency Act (Davids) - insurance have publicly accessible self-audit information H.R. 5239 Prescription Drug Price Reporting Act (Joyce) - reporting on drug expenditures and price changes under group health plans H. Res. 271 (Allred) - resolution urging DOJ to reverse position in Texas v. United States litigation Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; prior authorization; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

Preserve Medicaid funding and Medicaid disproportionate share hospital payments. Support increased FY 2020 appropriations for Centers for Disease Control sexually transmitted disease prevention and control, Public Health Emergency Preparedness and Hospital Preparedness programs. Support easing the Medicaid IMD exclusion and the Medicaid inmate exclusion. Support amending 42 C.F.R Part 2 to align with HIPAA (H.R. 2062 and S. 1012). Support the Prevention and Public Health Fund, including HR 3447. Support medically assisted treatment , including H.R. 2482 and S. 2017. Support H.R. 2848 to address "Valley Fever." Support school based mental health programs, including H.R. 1109. Support women's cancer screenings, including H.R. 3129. Support TB elimination, including H.R. 3080 and S. 834. Support gun safety legislation from a public health perspective, including H.R. 8/S. 42, H.R 1186/S. 447, H.R. 1236/S. 506, H.R. 2708/S. 1462.

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

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

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

Public Law 110-343, Emergency Economic Stabilization Act of 2008, Implementation of parity issues Public Law 111-148, Patient Protection and Affordable Care Act, Implementation of parity issues Public Law 114-255, 21st Century Cures Act, Parity issues Public Law 115-271, SUPPORT for Patients and Communities Act S.1895, Lower Health Care Costs Act H.R.3165/S.1737, Mental Health Parity Compliance Act Parity Enforcement Act of 2019 (HR 2848) H.R.2874/S.1756, Behavioral Health Coverage Transparency Act

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Public Law 110-343, Emergency Economic Stabilization Act of 2008, Implementation of parity issues Public Law 111-148, Patient Protection and Affordable Care Act, Implementation of parity issues Public Law 114-255, 21st Century Cures Act, Parity issues Public Law 115-271, SUPPORT for Patients and Communities Act S.1895, Lower Health Care Costs Act H.R.3165/S.1737, Mental Health Parity Compliance Act Parity Enforcement Act of 2019 (HR 2848) H.R.2874/S.1756, Behavioral Health Coverage Transparency Act

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

S. 1895: Lower Health Care Costs Act S.523, H.R. 1243: Climate Change and Health Promotion Act S. 1737, H.R. 3165: Mental Health Parity Compliance Act H.R. 2848: Parity Enforcement Act S 1576, H.R. 2874: Behavioral Health Coverage Transparency Act H.R. 4334 -The Dignity in Aging Act H.R. 3495: Improve Well-Being for Veterans Act H.R. 1884: Protecting Pre-Existing Conditions and Making Health Care More Affordable Act of 2019 Draft - Primary and Behavioral Health Care Access Act H.R. 5172: Non-Opioids Prevent Addiction in the Nation Act

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

Mental Health issues (incl. 21st Cures Act implementation, mental health parity - incl. S.1585/H.R.1737 Mental Health Parity Compliance Act and H.R.2848 Parity Enforcement Act General Health Care issues (including Medicare/Medicaid, pre-existing conditions coverage) Medicare Part D Protected Class Drugs coverage Research, Medical and Scientific Issues (including BRAIN initiative) H.R. 1131 - The Collaborative Academic Research Efforts (CARE) for Tourette Syndrome Act 21st Century Cures Act Implementation (including National Neurological Conditions Surveillance System) Telemedicine/Telehealth Access to Care and Treatment issues (including step therapy, prior authorization, non-medical switching - including HR 3107 - Improving Seniors Timely Access to Care Act, HR 2279 Safe Step Act) Drug pricing broadly Suicide Prevention (HR 4194 - The National Suicide Hotline Designation Act, S 1782/HR 3192 - Improving Mental Health Access for Students) S.2741/H.R.4932 - CONNECT for Health Act

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

H.Res. 419, Resolution recognizing the contributions of the Addiction Profession workforce The Comprehensive Addiction Resources Emergency (CARE) Act (S. 1365, H.R. 2569) H.R. 2767, Supporting Eating Disorders Recovery through Vital Expansion (SERVE) Act The Parity Enforcement Act (HR 2848) The Behavioral Health Coverage Transparency Act (HR.2874, S.1576) Mental Health Parity Compliance Act (H.R.3165, S.1737) Protecting Pre-Existing Conditions and Making Health Care Affordable Act of 2019 (H.R. 1884) The Medicaid Reentry Act (H.R. 1329) S. 2412, the Addiction Treatment Access Act SUD privacy standards (42 CFR Part 2) H.R. 2062, The Overdose Prevention and Patient Safety Act Surprise Medical Billing compromise - timely billing and SUD parity S.2974 - USPS Opioid & Illicit Drug Strategy Act of 2019

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2431 / S.2500 The Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019 HRSA's erroneous projections of child and adolescent psychiatrist workforce Opposing the policy of separating immigrant children from families Call for fair treatment of children in CBP custody Continued full funding for stabilizing the health insurance marketplace Continued full funding for substance use disorder services programs Strengthening Mental Health Parity requirements H.R.1109 Mental Health Services for Students Act H.R.1767/S.824 Excellence in Mental Health Expansion Act CDC funding for public health research into firearm morbidity and mortality prevention Funding for Title V maternal and child service block grant Funding for pediatric mental health care access program Funding for "Plans of Safe Care" for infants with prenatal substance exposure Promoting greater affordability within the U.S. healthcare system H.R.1554 Resident Education Deferred Interest Act HRSA's 2018 Behavioral Health Workforce Projections H.R.2874/S.1576 Behavioral Health Coverage Transparency Act H.R.3165/S.1737 Mental Health Parity Compliance Act H.R.2862 Vaccines Act of 2018 H.R.2848 Parity Enforcement Act H.R.2519 Improving Mental Health Access from the Emergency Department Act H.R.2781 The EMPOWER for Health Act of 2019 Proposal to eliminate military medical billets and graduate medical education programs in the military health system H.R.4564 Suicide Prevention Lifeline Improvement Act Surprise Billing H.R.3180/S.1770 R.I.S.E. from Trauma Act H.R.4861 The Effective Suicide Screening and Assessment in the Emergency Department Act of 2019 H.R.4309 Barriers to Suicide Act of 2019 21st Century Cures Act 2.0 H.R.1367/S.588 Children and Media Research Enhancement Act Proposed Rule on Notification of Non-enforcement of Health and Human Services Grant Regulations

Preserve Medicaid funding and Medicaid disproportionate share hospital payments. Support increased FY 2020 appropriations for Centers for Disease Control sexually transmitted disease prevention and control, Public Health Emergency Preparedness and Hospital Preparedness programs. Support easing the Medicaid IMD exclusion and the Medicaid inmate exclusion. Support amending 42 C.F.R Part 2 to align with HIPAA (H.R. 2062 and S. 1012). Support the Prevention and Public Health Fund, including HR 3447. Support medically assisted treatment , including H.R. 2482 and S. 2017. Support H.R. 2848 to address "Valley Fever." Support school based mental health programs, including H.R. 1109. Support women's cancer screenings, including H.R. 3129. Support TB elimination, including H.R. 3080 and S. 834. Support gun safety legislation from a public health perspective, including H.R. 8/S. 42, H.R 1186/S. 447, H.R. 1236/S. 506, H.R. 2708/S. 1462.

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

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

S. 350, Competitive Health Insurance Reform Act (Daines) - McCarran-Ferguson Act S. 455, Marketing and Outreach Restoration to Empower Health Education Act (Shaheen) - funding for outreach and education on ACA Exchanges S. 466, Protecting Americans with Preexisting Conditions Act (Warner) - blocking updated Section 1332 guidance S. 560, Ensuring Lasting Smiles Act (Baldwin) - coverage mandate for treatment of congenital anomaly or birth defect S. 741, Cancer Drug Parity Act (Smith) -- cost sharing for oral anticancer drugs S. 913, Disclosure of Price Information to Enrollees (Braun) S. 961, Improving Health Insurance Affordability Act (Shaheen) - premium tax credits S. 964, Marketplace Certainty Act (Shaheen) - cost-sharing subsidies S. 967, Reducing Costs for Out-of-Network Services Act (Shaheen) - caps on out-of-network charges S. 981, Medicare-X Choice Act (Bennet) - public option S. 1033, CHOICE Act (Whitehouse) - public option S. 1125, Protect Act (Tillis) - pre-existing condition protections S. 1129, Medicare for All Act (Sanders) - government health insurance system S. 1170, Association Health Plans Act (Enzi) - codifying final rule for expanding AHPs S. 1266, Protecting Patients from Surprise Medical Bills Act (Scott) - surprise medical billing S. 1531, STOP Surprise Medical Bills Act (Cassidy-Bennet) - surprise medical billing S. 1576, Behavioral Health Coverage Transparency Act (Warren) - mental health parity S. 1577, Know the Price Act (Cassidy-Bennet) - restrictions on provider contracts S. 1737, Mental Health Parity Compliance Act (Murphy) - mental health parity S. 1948, Chronic Disease Management Act (Thune) - pre-deductible coverage of chronic disease prevention services S. 2546, Safe Step Act (Murkowski)-Step therapy exceptions H.R. 692, Pre-existing Conditions Protection Act (Walden) - pre-existing condition protections H.R. 986, Protecting Americans with Preexisting Conditions Act (Kuster) - blocking updated Section 1332 guidance H.R. 987, Marketing and Outreach Restoration to Empower Health Education Act (Blunt Rochester) - funding for outreach and education on ACA Exchanges, Navigator program, and establishment of state-based Health Insurance Exchanges; drug pricing proposals H.R. 1010, Short-Term Plans (Castor) - blocking final rule that expands short-term plans H.R. 1143, Educating Consumers on the Risks of Short-Term Plans Act (Eshoo) - standardized disclosures for short-term plans H.R. 1379, Ensuring Lasting Smiles Act (Peterson) - coverage mandate for treatment of congenital anomaly or birth defect H.R. 1384, Medicare for All Act (Jayapal) - government health insurance system H.R. 1385, State Allowance for a Variety of Exchanges Act (Kim) - funding for establishment of state-based Health Insurance Exchanges H.R. 1386, Expand Navigators Resources for Outreach, Learning, and Longevity Act (Castor) - funding for Navigator Program H.R. 1418, Competitive Health Insurance Reform Act (DeFazio) - McCarran-Ferguson Act H.R. 1425, State Health Care Premium Reduction Act (Craig) - funding for state reinsurance programs H.R. 1510, Premium Relief Act (Burgess) -- Patient and State Stability Fund H.R. 1730, Cancer Drug Parity Act (Higgins) -- cost sharing for oral anticancer drugs H.R. 1884, Protecting Pre-Existing Conditions and Making Health Care More Affordable Act (Pallone) - reinsurance funding, stabilization and affordability proposals H.R. 2000, Medicare-X Choice Act (Delgado) - public option H.R. 2061, Pathway to Universal Coverage Act (Bera) - auto-enrollment H.R. 2085, CHOICE Act (Schakowsky) - public option H.R. 2183, State Flexibility and Patient Choice Act (Marshall) - flexibility in state innovation waivers H.R. 2848, Parity Enforcement Act (Norcross) - mental health parity H.R. 2874, Behavioral Health Coverage Transparency Act (Kennedy) - mental health parity H.R. 3165, Mental Health Parity Compliance Act (Porter) - mental health parity H.R. 3502, Protecting People From Surprise Medical Bills Act (Ruiz) - surprise medical billing Discussion Draft, No Surprises Act (Pallone-Walden) - surprise medical billing H.R. 3630, No Surprises Act (Pallone)-surprise medical billing H.R. 3784, Air Ambulance Affordability Act of 2019 (Neguse)- air ambulances H.R. 4223, Protecting Patients from Surprise Medical Bills Act (Spano)-surprise medical billing H.R. 4379, Under Performing Directories that Affect Treating Emergencies Act (Axne)-provider directories H.R. 4457, Chronic Condition Copay Elimination Act (Underwood)- Eliminating copays for services/drugs for chronic conditions H.R. 4484, Flexibility Through Lower Expenses Health Care Act (Budd)-STLDI plans H.R. 4530, Native American Health Savings Improvement Act (Moolenaar)-HSAs H.R. 4575, Improving Provider Directories Act (Schrier)-provider directories H. Res. 271 (Allred) - resolution urging DOJ to reverse position in Texas v. United States litigation Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; pre-existing condition insurance plans; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

Public Law 110-343, Emergency Economic Stabilization Act of 2008, Implementation of parity issues Public Law 111-148, Patient Protection and Affordable Care Act, Implementation of parity issues Public Law 114-255, 21st Century Cures Act, Parity issues Public Law 115-271, SUPPORT for Patients and Communities Act S.1895, Lower Health Care Costs Act H.R.3165/S.1737, Mental Health Parity Compliance Act Parity Enforcement Act of 2019 (HR 2848) H.R.2874/S.1756, Behavioral Health Coverage Transparency Act

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Public Law 110-343, Emergency Economic Stabilization Act of 2008, Implementation of parity issues Public Law 111-148, Patient Protection and Affordable Care Act, Implementation of parity issues Public Law 114-255, 21st Century Cures Act, Parity issues Public Law 115-271, SUPPORT for Patients and Communities Act S.1895, Lower Health Care Costs Act H.R.3165/S.1737, Mental Health Parity Compliance Act Parity Enforcement Act of 2019 (HR 2848) H.R.2874/S.1756, Behavioral Health Coverage Transparency Act

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

S. 1895: Lower Health Care Costs Act H.R. 1058, S. 427: Autism CARES Act of 2019 S.523, H.R. 1243: Climate Change and Health Promotion Act S. 785: Commander John Scott Hannon Veterans Mental Health Care Improvement Act S. 1737, H.R. 3165: Mental Health Parity Compliance Act H.R. 2848: Parity Enforcement Act S 1576, H.R. 2874: Behavioral Health Coverage Transparency Act Older Americans Act - no bill number yet for House or Senate S. 1906: Improve Well-Being for Veterans Act H.R. 3495: Improve Well-Being for Veterans Act H.R. 4309: Barriers to Suicide Act of 2019 H.R. 1884: Protecting Pre-Existing Conditions and Making Health Care More Affordable Act of 2019

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

Mental Health issues (incl. 21st Cures Act implementation, mental health parity - incl. S.1585/H.R.1737 Mental Health Parity Compliance Act and H.R.2848 Parity Enforcement Act General Health Care issues (including Medicare/Medicaid, pre-existing conditions coverage) Medicare Part D Protected Class Drugs coverage Research, Medical and Scientific Issues (including BRAIN initiative) H.R. 1131 - The Collaborative Academic Research Efforts (CARE) for Tourette Syndrome Act 21st Century Cures Act Implementation (including National Neurological Conditions Surveillance System) Telemedicine/Telehealth Access to Care and Treatment issues (including step therapy, prior authorization, non-medical switching - including HR 3107 - Improving Seniors Timely Access to Care Act, HR 2279 Safe Step Act) Drug pricing broadly Suicide Prevention (HR 4194 - The National Suicide Hotline Designation Act, S 1782/HR 3192 - Improving Mental Health Access for Students)

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

H.R. 2062, The Overdose Prevention and Patient Safety Act H.Res. 419, Resolution recognizing the contributions of the Addiction Profession workforce The Comprehensive Addiction Resources Emergency (CARE) Act (S. 1365, H.R. 2569) H.R. 2767, Supporting Eating Disorders Recovery through Vital Expansion (SERVE) Act The Parity Enforcement Act (HR 2848) The Behavioral Health Coverage Transparency Act Mental Health Parity Compliance Act (H.R.3165, S.1737) Protecting Pre-Existing Conditions and Making Health Care Affordable Act of 2019 (H.R. 1884) The Medicaid Reentry Act (H.R. 1329) S. 2412, the Addiction Treatment Access Act Support SUD privacy standards (42 CFR Part 2)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2431 / S.2500 The Mental Health Professionals Workforce Shortage Loan Repayment Act of 2019 HRSA's projections of child and adolescent psychiatrist workforce shortage Opposing the policy of separating immigrant children from families Call for fair treatment of children in CBP custody Continued full funding for stabilizing the health insurance marketplace Continued full funding for substance use disorder services programs Strengthening Mental Health Parity requirements H.R.1109 Mental Health Services for Students Act H.R.986 Protecting Americans with Preexisting Conditions Act of 2019 H.R.1010 To provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect. H.R.1767/S.824 Excellence in Mental Health Expansion Act CDC funding for public health research into firearm morbidity and mortality prevention Funding for Title V maternal and child service block grant Funding for pediatric mental health care access program Funding for "Plans of Safe Care" for infants with prenatal substance exposure Promoting greater affordability within the U.S. healthcare system H.R.1554 Resident Education Deferred Interest Act HRSA's 2018 Behavioral Health Workforce Projections H.R.2874/S.1576 Behavioral Health Coverage Transparency Act H.R.3165/S.1737 Mental Health Parity Compliance Act H.R.2862 Vaccines Act of 2018 H.R.2848 Parity Enforcement Act H.R.2519 Improving Mental Health Access from the Emergency Department Act H.R.2781 The EMPOWER for Health Act of 2019 Proposal to eliminate military medical billets and graduate medical education programs in the military health system

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

S. 350, Competitive Health Insurance Reform Act (Daines) - McCarran-Ferguson Act S. 455, Marketing and Outreach Restoration to Empower Health Education Act (Shaheen) - funding for outreach and education on ACA Exchanges S. 466, Protecting Americans with Preexisting Conditions Act (Warner) - blocking updated Section 1332 guidance S. 560, Ensuring Lasting Smiles Act (Baldwin) - coverage mandate for treatment of congenital anomaly or birth defect S. 741, Cancer Drug Parity Act (Smith) -- cost sharing for oral anticancer drugs S. 913, Disclosure of Price Information to Enrollees (Braun) S. 961, Improving Health Insurance Affordability Act (Shaheen) - premium tax credits S. 964, Marketplace Certainty Act (Shaheen) - cost-sharing subsidies S. 967, Reducing Costs for Out-of-Network Services Act (Shaheen) - caps on out-of-network charges S. 981, Medicare-X Choice Act (Bennet) - public option S. 1033, CHOICE Act (Whitehouse) - public option S. 1125, Protect Act (Tillis) - pre-existing condition protections S. 1129, Medicare for All Act (Sanders) - government health insurance system S. 1170, Association Health Plans Act (Enzi) - codifying final rule for expanding AHPs S. 1266, Protecting Patients from Surprise Medical Bills Act (Scott) - surprise medical billing S. 1531, STOP Surprise Medical Bills Act (Cassidy-Bennet) - surprise medical billing S. 1576, Behavioral Health Coverage Transparency Act (Warren) - mental health parity S. 1577, Know the Price Act (Cassidy-Bennet) - restrictions on provider contracts S. 1737, Mental Health Parity Compliance Act (Murphy) - mental health parity S. 1948, Chronic Disease Management Act (Thune) - pre-deductible coverage of chronic disease prevention services H.R. 692, Pre-existing Conditions Protection Act (Walden) - pre-existing condition protections H.R. 986, Protecting Americans with Preexisting Conditions Act (Kuster) - blocking updated Section 1332 guidance H.R. 987, Marketing and Outreach Restoration to Empower Health Education Act (Blunt Rochester) - funding for outreach and education on ACA Exchanges, Navigator program, and establishment of state-based Health Insurance Exchanges; drug pricing proposals H.R. 1010, Short-Term Plans (Castor) - blocking final rule that expands short-term plans H.R. 1143, Educating Consumers on the Risks of Short-Term Plans Act (Eshoo) - standardized disclosures for short-term plans H.R. 1379, Ensuring Lasting Smiles Act (Peterson) - coverage mandate for treatment of congenital anomaly or birth defect H.R. 1384, Medicare for All Act (Jayapal) - government health insurance system H.R. 1385, State Allowance for a Variety of Exchanges Act (Kim) - funding for establishment of state-based Health Insurance Exchanges H.R. 1386, Expand Navigators Resources for Outreach, Learning, and Longevity Act (Castor) - funding for Navigator Program H.R. 1418, Competitive Health Insurance Reform Act (DeFazio) - McCarran-Ferguson Act H.R. 1425, State Health Care Premium Reduction Act (Craig) - funding for state reinsurance programs H.R. 1510, Premium Relief Act (Burgess) -- Patient and State Stability Fund H.R. 1730, Cancer Drug Parity Act (Higgins) -- cost sharing for oral anticancer drugs H.R. 1884, Protecting Pre-Existing Conditions and Making Health Care More Affordable Act (Pallone) - reinsurance funding, stabilization and affordability proposals H.R. 2000, Medicare-X Choice Act (Delgado) - public option H.R. 2061, Pathway to Universal Coverage Act (Bera) - auto-enrollment H.R. 2085, CHOICE Act (Schakowsky) - public option H.R. 2183, State Flexibility and Patient Choice Act (Marshall) - flexibility in state innovation waivers H.R. 2848, Parity Enforcement Act (Norcross) - mental health parity H.R. 2874, Behavioral Health Coverage Transparency Act (Kennedy) - mental health parity H.R. 3165, Mental Health Parity Compliance Act (Porter) - mental health parity H.R. 3502, Protecting People From Surprise Medical Bills Act (Ruiz) - surprise medical billing H. Res. 271 (Allred) - resolution urging DOJ to reverse position in Texas v. United States litigation Discussion Draft, No Surprises Act (Pallone-Walden) - surprise medical billing Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; pre-existing condition insurance plans; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to all payor claims databases; issues related to association health plans; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; and other issues relating to health care reform implementation.

Public Law 110-343, Emergency Economic Stabilization Act of 2008, Implementation of parity issues Public Law 111-148, Patient Protection and Affordable Care Act, Implementation of parity issues Public Law 114-255, 21st Century Cures Act, Parity issues Public Law 115-271, SUPPORT for Patients and Communities Act S.1895, Lower Health Care Costs Act H.R.3165/S.1737, Mental Health Parity Compliance Act Parity Enforcement Act of 2019 (HR 2848) H.R.2874/S.1756, Behavioral Health Coverage Transparency Act

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

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

Public Law 110-343, Emergency Economic Stabilization Act of 2008, Implementation of parity issues Public Law 111-148, Patient Protection and Affordable Care Act, Implementation of parity issues Public Law 114-255, 21st Century Cures Act, Parity issues Public Law 115-271, SUPPORT for Patients and Communities Act S.1895, Lower Health Care Costs Act H.R.3165/S.1737, Mental Health Parity Compliance Act Parity Enforcement Act of 2019 (HR 2848) H.R.2874/S.1756, Behavioral Health Coverage Transparency Act

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

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

Opposing the policy of separating immigrant children from families Call for fair treatment of children in CBP custody Continued full funding for stabilizing the health insurance marketplace Continued full funding for substance use disorder services programs Strengthening Mental Health Parity requirements H.R.1109 Mental Health Services for Students Act H.R.986 Protecting Americans with Preexisting Conditions Act of 2019 H.R.1010 To provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect. H.R.1226/S.317 ACE Kids Act H.R.1767/S.824 Excellence in Mental Health Expansion Act CDC funding for public health research into firearm morbidity and mortality prevention Funding for Title V maternal and child service block grant Funding for pediatric mental health care access program Funding for "Plans of Safe Care" for infants with prenatal substance exposure Promoting greater affordability within the U.S. healthcare system H.R.1554 Resident Education Deferred Interest Act HRSA's 2018 Behavioral Health Workforce Projections H.R.2874/S.1576 Behavioral Health Coverage Transparency Act H.R.3165/S.1737 Mental Health Parity Compliance Act H.R.2862 Vaccines Act of 2018 H.R.2848 Parity Enforcement Act H.R.2519 Improving Mental Health Access from the Emergency Department Act

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

H.R.: 1058, S. 427: Autism CARES Act of 2019 S.523, H.R. 1243: Climate Change and Health Promotion Act H.R. 1226, S. 317: Advancing Care for Exceptional Kids Act S. 785: Commander John Scott Hannon Veterans Mental Health Care Improvement Act S. 1737, H.R. 3165: Mental Health Parity Compliance Act H.R. 2848: Parity Enforcement Act S 1576, H.R. 2874: Behavioral Health Coverage Transparency Act Older Americans Act

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

Mental Health issues (incl. 21st Cures Act implementation, mental health parity - incl. S.1585/H.R.1737 Mental Health Parity Compliance Act and H.R.2848 Parity Enforcement Act) General Health Care issues (including Medicare/Medicaid, pre-existing conditions coverage) Medicare Part D Protected Class Drugs coverage Research, Medical and Scientific Issues (including BRAIN initiative) H.R. 1131 - The Collaborative Academic Research Efforts (CARE) for Tourette Syndrome Act 21st Century Cures Act Implementation (including National Neurological Conditions Surveillance System) Telemedicine/Telehealth Access to Care and Treatment issues (including step therapy, prior authorization, non-medical switching - including HR 3107 - Improving Seniors Timely Access to Care Act) Drug pricing

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

H.R. 2062, The Overdose Prevention and Patient Safety Act H.Res. 419, Resolution recognizing the contributions of the Addiction Profession workforce The Comprehensive Addiction Resources Emergency (CARE) Act (S. 1365, H.R. 2569) H.R. 2767, Supporting Eating Disorders Recovery through Vital Expansion (SERVE) Act The Parity Enforcement Act (HR 2848) The Behavioral Health Coverage Transparency Act Mental Health Parity Compliance Act (H.R.3165, S.1737) Protecting Pre-Existing Conditions and Making Health Care Affordable Act of 2019 (H.R. 1884) The Medicaid Reentry Act (H.R. 1329)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE