Conrad State 30 and Physician Access Reauthorization Act

International medical graduates and visa extensions. H.R. 2895/ S. 948, the Conrad State 30 and Physician Access Reauthorization Act H.R. 6788/S. 3599, the Healthcare Workforce Resilience Act DACA status protections for healthcare workforce members. Efforts to better control confidential therapy records sharing for detained children. Additional efforts RE: child separation.

Client expense: $238,000 · Firm income: Not reported

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

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

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

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

HR 133 Consolidate Appropriations Act of 2020:Oppose Medicare financial relief that excludes certain primary care service. HR 2774; S 2783 - Primary Care Patient Protection Act: Create a primary care benefit in high deductible health plans. HR 2815/S 1119 - Teaching Health Centers GME; Community Health Centers; National Health Service Corps; Special Diabetes Program; Special Diabetes Program for Indians: Increased funding, five-year reauthorization. HR 2895/S. 948 - Conrad State 30 & Physician Access Act: Expand program, streamline eligibility. HR 6149/S. 4088 - Kids Access to Primary Care Act/Ensuring Access to Primary Care for Women and Children Act: Increase Medicaid payment rates for primary care. HR 6788/S. 3599 Healthcare workforce Resilience Act: recapture 15,000 unused employment-based physician immigrant visas from prior fiscal years to bolster physician workforce during COVID pandemic. HR 6837/S 3750: Medicare Accelerated and Advance Payments Improvement Act of 2020: Advanced payments to Medicare Part B providers. HR 7059 Coronavirus Provider Protection Act: targeted and limited liability protections for health care providers responding to COVID pandemic. HR 7663/S 4230 - Expansion of telehealth; Protecting Access to Post-COVID-19 Telehealth Act: Expansion of telehealth services for primary care; coverage and payment parity during PHE. H.R. 8061- Community Immunity During COVID-19 Act: Support grants to increase the rates of recommended immunizations. HR 8623/S 4864 - Ensure Medicare and Medicaid coverage of COVID-19 vaccine and all recommended immunizations without cost-sharing. HR 8337 - Continuing Appropriations Act 2021 and Other Extensions Act: Extension of THCGMEs, Medicare Accelerated Payments. S. 4349 - Dr. Lorna Breen Provider Protection Act: Support the wellbeing of frontline physicians during COVID-19. P.L. 116-123 - CORONAVIRUS PREPAREDNESS AND RESPONSE SUPPLEMENTAL APPROPRIATIONS ACT, 2020: Ensure primary care physicians have adequate supplies, finances to serve their patients, are eligible for loans, payment for telehealth services. P.L. 116-127 - The Families First Coronavirus Response Act: Support for small business and non-profits during COVID crisis. P.L. 116-136 - CARES Act: Ensure primary care physicians have adequate supplies, finances to serve their patients, are eligible for Small Business loans, payment for telehealth services. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Teaching Health Centers GME; Community Health Centers; National Health Service Corps; Special Diabetes Program; Special Diabetes Program for Indians: Increased funding, five-year reauthorization. No Bill No. - 501(c)(6) Non-Profits Relief: include emergency financial relief for 501(c)(6) organizations in COVID response legislation. No Bill No. - Emergency financial relief for primary care physicians: additional financial support for primary care clinicians to stabilize our nations primary care infrastructure. No Bill No. - Issues related to increase immunization utilization/distribution: Efforts to support children and adults securing needed immunizations.

Client expense: $701,260 · Firm income: Not reported

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

HR 2895/S. 948 - Conrad State 30 & Physician Access Act: Expand program, streamline eligibility. HR 6788/S. 3599 Healthcare workforce Resilience Act: recapture 15,000 unused employment-based physician immigrant visas from prior fiscal years to bolster physician workforce during COVID pandemic.

Client expense: $701,260 · Firm income: Not reported

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

HR 133 Consolidate Appropriations Act of 2020:Oppose Medicare financial relief that excludes certain primary care service. HR 2815/S 1119 - Teaching Health Centers GME; Community Health Centers; National Health Service Corps; Special Diabetes Program; Special Diabetes Program for Indians: Increased funding, five-year reauthorization. HR 2895/S. 948 - Conrad State 30 & Physician Access Act: Expand program, streamline eligibility. HR 8337 - Continuing Appropriations Act 2021 and Other Extensions Act: Extension of THCGMEs, Medicare Accelerated Payments. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Teaching Health Centers GME; Community Health Centers; National Health Service Corps; Special Diabetes Program; Special Diabetes Program for Indians: Increased funding, five-year reauthorization. No Bill No. - 501(c)(6) Non-Profits Relief: include emergency financial relief for 501(c)(6) organizations in COVID response legislation.

Client expense: $701,260 · Firm income: Not reported

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

S. 948, Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R. 6788, Healthcare Workforce Resilience Act, all provisions S. 3599, Healthcare Workforce Resilience Act, all provisions Executive Orders related to immigration/international medical graduates J-1 Visa/duration of status USCIS collection and use of biometrics H-1B Visas

Client expense: $4,170,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Veterans Affairs, Dept of (VA), White House Office

Monitor S. 948 and H.R. 2895 - Conrad State 30 and Physician Access Reauthorization Act, generally

Client expense: Not reported · Firm income: $18,000

Government targets: SENATE

-Issues relating to the reauthorization of the Conrad 30 program (HR 2895/S 948) -Issues relating to passage of S. 3599/H.R. 6788, the Healthcare Workforce Resilience Act

Client expense: Not reported · Firm income: $18,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare and Medicaid reimbursement and funding issues, health care reform, telehealth, surprise medical billing, and COVID-19 response; H.R.748, CARES Act (P.L.116-136); H.R.6800, The HEROES Act; H.R.2895, Conrad State 30 and Physician Access Reauthorization Act; H.R.7759, Saving Rural Hospitals from Closure Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Healthcare and COVID-19 measures included in the Consolidated Appropriations Act of 2020 (H.R. 133) Healthcare Workforce Resilience Act (S. 3599/H.R. 6788) Conrad State 30 & Physician Access Act (H.R. 2895) Public Health and Social Services Emergency Fund (coronavirus relief packages H.R. 133; H.R. 7010, H.R. 6800) Regulatory relief in light of coronavirus (all coronavirus relief packages - H.R. 133; H.R. 6074; H.R. 6201; H.R. 748, H.R. 6800) Transparency (surprise medical bills; public posting of hospital charges; final price transparency rule; inpatient prospective payment system proposed rule; Transparency in Coverage Proposed Rule) Surprise medical billing (H.R. 133; H.R. 5826; H.R. 3630; S. 1531) Liability relief (all coronavirus relief packages - H.R. 133; H.R. 6800; S. 1624; S. 4775) 340B Drug Pricing Program

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

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

Childcare Issues related to childcare - no specific bill COVID-19 Pandemic H.R. 6800 - Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S. 3599/H.R.6788 - Healthcare Workforce Resilience Act H.R. 6793 - Pandemic Production Act H.R. 266 - Paycheck Protection Program and Health Care Enhancement Act H.R.7010 - Paycheck Protection Program Flexibility Act of 2020 H.R.6720 - Student Loan Forgiveness for Frontline Health Workers Act H.R. 7059 - Coronavirus Provider Protection Act H.R. 748 - The Coronavirus Aid, Relief, and Economic Security Act or the CARES Act Issues related to the COVID-19 Pandemic including: - no specific bill Financial assistance for health care providers Medicare Accelerated and Advance Payment Program Medicare and Medicaid payment rates Federal Medicaid Match Liability protection for health care providers Demographic data for the COVID-19 response Access to personal protective equipment (PPE) and medical supplies PPE supply chain improvements Access to testing for COVID-19 Telemedicine/telehealth Small Business Administration loans Support for contact tracing programs Mental and behavioral health Support for programs addressing domestic violence and child maltreatment Support for resident physicians and medical students Student loan forgiveness/debt relief State and local funding General advocacy on a COVID-19 stimulus/relief package FMAP increase in the Families First Coronavirus Response Act (P.L. 116-127) H.R.6793, the Pandemic Production Act (PPA) S.4349/ H.R.8094, the Dr. Lorna Breen Health Care Provider Protection Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R. 8702 Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020 S. 5082 - Expanding COVID-19 Testing Capacity Act of 2020 H.R. 133 - Consolidated Appropriations Act, 2021 Immigration Public Charge - no specific bill S. 948/H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act S. 3599/H.R. 6788 - the Healthcare Workforce Resilience Act Interoperability/ONC Issues related to interoperability - no specific bill Medicare/Medicaid The Medicare Access and CHIP Reauthorization Act (MACRA) Medicaid Fiscal Accountability regulation Block Grants - no specific bill Issues related to Medicare Physician Payments H.R. 133 - Consolidated Appropriations Act, 2021 Prior Authorization - no specific bill Publications Open access to information based on publicly funded research OSTP Request for Information - FR Doc. 2020-06622 - Public Access to Peer-Reviewed Scholarly Publications, Data and Code Resulting From Federally Funded Research Issues related to scholarly and scientific publishing and public access H.R. 133 - Consolidated Appropriations Act, 2021 Racial Justice/Health Equity Issues related to racial justice/health care equity - no specific bill Scope of Practice - no specific bill Surprise Billing S. 1895 - Lower Health Care Costs Act H.R. 3630 - No Surprises Act S 1531 - Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 Consumer Protections Against Surprise Medical Bills Act of 2020 - House Ways & Means Issues related to surprise medical billing/out-of-network medical billing No Surprises Act (compromise legislative proposal between House Ways & Means, Energy & Commerce, Education & Labor Committees and Senate HELP committee - no specific bill number) H.R. 133 - Consolidated Appropriations Act, 2021 Telehealth S. 4375, the Telehealth Modernization Act of 2020 Issues related to telehealth - no specific bill Vaccines Issues related to vaccines - no specific bill Regulatory Comments Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY 2021

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Science & Technology Policy (OSTP), SENATE

Childcare Issues related to childcare - no specific bill COVID-19 Pandemic H.R. 6800 - Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S. 3599/H.R.6788 - Healthcare Workforce Resilience Act H.R. 6793 - Pandemic Production Act H.R. 266 - Paycheck Protection Program and Health Care Enhancement Act H.R.7010 - Paycheck Protection Program Flexibility Act of 2020 H.R.6720 - Student Loan Forgiveness for Frontline Health Workers Act H.R. 7059 - Coronavirus Provider Protection Act H.R. 748 - The Coronavirus Aid, Relief, and Economic Security Act or the CARES Act Issues related to the COVID-19 Pandemic including: - no specific bill Financial assistance for health care providers Medicare Accelerated and Advance Payment Program Medicare and Medicaid payment rates Federal Medicaid Match Liability protection for health care providers Demographic data for the COVID-19 response Access to personal protective equipment (PPE) and medical supplies PPE supply chain improvements Access to testing for COVID-19 Telemedicine/telehealth Small Business Administration loans Support for contact tracing programs Mental and behavioral health Support for programs addressing domestic violence and child maltreatment Support for resident physicians and medical students Student loan forgiveness/debt relief State and local funding General advocacy on a COVID-19 stimulus/relief package FMAP increase in the Families First Coronavirus Response Act (P.L. 116-127) H.R.6793, the Pandemic Production Act (PPA) S.4349/ H.R.8094, the Dr. Lorna Breen Health Care Provider Protection Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R. 8702 Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020 S. 5082 - Expanding COVID-19 Testing Capacity Act of 2020 H.R. 133 - Consolidated Appropriations Act, 2021 Immigration Public Charge - no specific bill S. 948/H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act S. 3599/H.R. 6788 - the Healthcare Workforce Resilience Act Interoperability/ONC Issues related to interoperability - no specific bill Medicare/Medicaid The Medicare Access and CHIP Reauthorization Act (MACRA) Medicaid Fiscal Accountability regulation Block Grants - no specific bill Issues related to Medicare Physician Payments H.R. 133 - Consolidated Appropriations Act, 2021 Prior Authorization - no specific bill Publications Open access to information based on publicly funded research OSTP Request for Information - FR Doc. 2020-06622 - Public Access to Peer-Reviewed Scholarly Publications, Data and Code Resulting From Federally Funded Research Issues related to scholarly and scientific publishing and public access H.R. 133 - Consolidated Appropriations Act, 2021 Racial Justice/Health Equity Issues related to racial justice/health care equity - no specific bill Scope of Practice - no specific bill Surprise Billing S. 1895 - Lower Health Care Costs Act H.R. 3630 - No Surprises Act S 1531 - Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 Consumer Protections Against Surprise Medical Bills Act of 2020 - House Ways & Means Issues related to surprise medical billing/out-of-network medical billing No Surprises Act (compromise legislative proposal between House Ways & Means, Energy & Commerce, Education & Labor Committees and Senate HELP committee - no specific bill number) H.R. 133 - Consolidated Appropriations Act, 2021 Telehealth S. 4375, the Telehealth Modernization Act of 2020 Issues related to telehealth - no specific bill Vaccines Issues related to vaccines - no specific bill Regulatory Comments Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY 2021

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Science & Technology Policy (OSTP), SENATE

S. 3599/H.R.6788 - Healthcare Workforce Resilience Act Public Charge - no specific bill S. 948/H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Science & Technology Policy (OSTP), SENATE

H.R. 1044/S. 386, the Fairness for High-Skilled Immigrants Act of 2019; H.R. 2895/S. 948, the Conrad State 30 and Physician Access Reauthorization Act; H.R. 6788/S. 3599, the Healthcare Workforce Resilience Act; issues relating to the Presidents Proclamation Suspending Entry of Aliens Who Present a Risk to the U.S. Labor Market Following the Coronavirus Outbreak (dated June 22, 2020); and issues pertaining to add issues pertaining to Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media (DHS Docket No. ICEB-2019-0006).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6, American Dream and Promise Act of 2019 H.R. 60, Better Agriculture Resources Now (BARN) Act H.R. 250, Legal Workforce Act H.R. 549, Venezuela TPS Act of 2019 H.R. 641/S. 175, Agricultural Worker Program Act of 2019 H.R. 648, Consolidated Appropriations Act, 2019 H.R. 748/S. 3548, Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R. 773, To Terminate the EB-5 program H.R. 1044/S. 386, Fairness for High-Skilled Immigrants Act of 2019 H.R. 1158, Consolidated Appropriations Act, 2020 H.R. 1399/S.556, Accountability Through Electronic Verification Act H.R. 1740, Workforce for an Expanding Economy Act H.R. 1778, Dairy and Sheep H-2A Visa Enhancement Act H.R. 1865, Further Consolidated Appropriations Act, 2020 H.R. 1996, Secure Travel Partnership Act of 2019 H.R. 2187, Jobs Originated through Launching Travel (JOLT) Act of 2019 H.R. 2278/S. 1103, Reforming American Immigration for a Strong Economy (RAISE) Act H.R. 2413, Nicaragua TPS Act of 2019 H.R. 2418/H.R. 2877/S. 3134, To add Ireland to the E-3 nonimmigrant visa program H.R. 2658, Commercial Fishing and Seafood Business Act of 2019 H.R. 2783, TPS and DED Protection Act of 2019 H.R. 2813, Asylum Seeker Work Authorization Act of 2019 H.R. 2820, Dream Act of 2019 H.R. 2821, American Promise Act of 2019 H.R. 2895/S. 948, Conrad State 30 and Physician Access Reauthorization Act H.R. 3033, H-4 Employment Protection Act of 2019 H.R. 3055, Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 H.R. 3319, Paperwork Reduction for Farmers and H-2A Modernization Act H.R. 3401/S. 1900, Emergency Supplemental Appropriations for Humanitarian Assistance and Security at the Southern Border Act, 2019 H.R. 3564, Fairness for High-Skilled Americans Act of 2019 H.R. 3740, AGRI Act of 2019 H.R. 4218, Poland Visa Waiver Act of 2019 H.R. 4482, Protecting America's Food and Agriculture Act of 2019 H.R. 4498, Promoting Tourism to Enhance our Economy Act of 2019 H.R. 5038, Farm Workforce Modernization Act of 2019 H.R. 5174, State Sponsored Visa Pilot Program Act of 2019 H.R. 6312, COVID-19 Relief for Small Businesses Act of 2020 H.R. 6379, Take Responsibility for Workers and Families Act H.R. 6395/S. 4049, National Defense Authorization Act for Fiscal Year 2021 H.R. 6404, To extend the deadline for States to meet the requirements of the REAL ID Act of 2005 due to COVID-19 H.R. 6507, COVID-19 Employment Authorization Document Extension Act H.R. 6717, Health Care Workforce Protection Act of 2020 H.R. 6788/S. 3599, Healthcare Workforce Resilience Act H.R. 6800, The Heroes Act H.R. 6870, Landscaping Workforce Act of 2020 H.R. 6905, FIRST COVID-19 Care Delivery Act of 2020 H.R. 6993/S. 3770, H-1B and L-1 Visa Reform Act of 2020 H.R. 7508, To provide supplemental appropriations to U.S. Citizenship and Immigration Services, and for other purposes. H.R. 7669, Department of Homeland Security Appropriations Act, 2021 H.R. 8046, Improving Opportunities for New Americans Act of 2020 H.R. 8078, Emergency Stopgap USCIS Stabilization Act H.R. 8089, Emergency Stopgap USCIS Stabilization Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act S. 135, Prioritizing Help to Businesses Act S. 301, E-Verify Act of 2019 S. 328, Startup Act S. 599, Singh's Law S. 636, Venezuela Temporary Protected Status Act of 2019 S. 874, Dream Act of 2019 S. 1004, Securing America's Ports of Entry Act of 2019 S. 1744, Keep STEM Talent Act of 2019 S. 1806, Permanent E-Verify Act S. 1887, Paperwork Reduction for Farmers and H-2A Modernization Act S. 2091, Backlog Elimination, Legal Immigration, and Employment Visa Enhancement Act S. 2540, EB-5 Reform and Integrity Act of 2019 S. 2778, Immigrant Investor Program Reform Act S. 2863, E Visa Integrity Act of 2019 S. 2926, Advancing Mutual Interests and Growing Our Success (AMIGOS) Act S. 3470, New Deal for New Americans Act of 2020 S. 3504, A bill to require the Secretary of Homeland Security to extend, until not earlier than September 30, 2021, the requirement that State-issued identification must be compliant with the REAL ID Act of 2005 to be accepted by Federal agencies for certain purposes H.J.Res. 31, Consolidated Appropriations Act, 2019 Potential legislation updating The Heroes Act (116th Cong.) Potential legislation similar to H.R. 6794/S. 2344, Immigration Innovation Act of 2018 Proposed rule regarding registration requirement for petitioners seeking to file H-1B petitions on behalf of cap-subject aliens (83 Fed. Reg. 62,406-62,447, December 3, 2018) Various issues relating to visa waiver program; H-1B Visa Program; H-1B registration rule; H-2 Visa Program and temporary rule; H-4 rule; L-1 Visa Program; EB-5 Visa Program; EB-5 rule; EB-5 regional center program; H-2A Visa Program; E-Verify program; I-129 form delay request; private-public partnerships with the Department of Homeland Security at land border ports of entry; STEM visa reform; nonimmigrant workers in temporary or seasonal nonagricultural employment; Customs and Border Protection staffing at U.S. ports of entry; border security; immigration policy and reforms; guest worker programs; legalization concepts; visa reform; customs trade facilitation and enforcement; Deferred Action for Childhood Arrivals (DACA) program; extension of temporary protected status (TPS) designations for El Salvador, Honduras, and Haiti; administrative-regulatory efforts related to public charge, notice to appear, H-4 & OPT; supplemental funding for additional Customs and Border Protection (CBP) officers at ports-of-entry; United States Citizenship and Immigration Services (USCIS) decision on electronic registration for the fiscal year (FY) 2021 H-1B cap filing season and stakeholder engagement for the H-1B registration tool; United States Citizenship and Immigration Services (USCIS) fee schedule; United States Citizenship and Immigration Services (USCIS) funding; Presidential Proclamation 9996, suspension of entry as immigrants and nonimmigrants of certain additional persons who pose a risk of transmitting 2019 Novel Coronavirus, March 14, 2020; Presidential Proclamation 10014, suspending entry of immigrants who present risk to the U.S. labor market during the economic recovery following the COVID-19 outbreak, April 22, 2020; Presidential Proclamation 10052, suspending entry of aliens who present a risk to the U.S. labor market following the Coronavirus outbreak, June 22, 2020; Potential recision of the Deferred Action for Childhood Arrivals (DACA) program; high-skilled immigration; lesser skilled immigration; temporary agriculture guest worker; temporary non-agriculture guest worker; optional practical training program; size and administration of employment-based immigrant visa categories; size and administration of family-based immigrant visa categories; expansion of the use of the E-Verify system; employment verification; interior enforcement; family separations; family reunification; temporary suspension of entry of nationals from certain countries; increased vetting of visa applicants; unfair immigration related employment practices; travel issues; trusted traveler programs; biometric entry-exit; increasing the number of ICE officers, border patrol agents and Customs and Border Protection officers; aerial security enhancements; temporary DHS guidance for the I-9 employment verification process in the wake of COVID-19; Department of Labor Guidance on Labor Condition Application requirements in the wake of COVID-19; temporary Department of Labor procedural changes regarding the Permanent Labor Certification process in the wake of COVID-19; State Department policy accommodations regarding the use of interview waivers for H-2 nonimmigrant workers in the wake of COVID-19; temporary United States Citizenship and Immigration Services (USCIS) procedures to provide flexibility with regard to filing deadlines, and temporary USCIS guidelines providing flexibility to wet-ink signatures on USCIS forms and documents; United States Citizenship and Immigration Services (USCIS) funding shortfalls; Customs and Border Protection (CBP) funding shortfalls; clarification of the criteria that makes one eligible for a waiver from the entry restrictions for various employment-based immigrants and nonimmigrants; forthcoming regulatory proposals that would restrict applicant eligibility for the H-1B program; forthcoming regulatory proposals that would drastically change how prevailing wage levels are determined for the purposes of obtaining certain employment nonimmigrant and immigrant visas; forthcoming proposals that would significantly change how cap-subject H-1B petitions will be chosen in the future

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

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Citizenship & Immigration Services (BCIS), Bureau of Industry and Security (BIS), Bureau of Reclamation, Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Consumer Financial Protection Bureau (CFPB), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Energy Regulatory Commission (FERC), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), General Services Administration (GSA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

Safe Step Act HR 2279/S. 2546 Telehealth Expansion HR 6644 COVID Relief for Physicians: HR 6720, HR 7059, HR 2895/S. 948, HR 6788/S. 3599, HR 7077/S. 3877

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Safe Step Act HR 2279/S. 2546 Telehealth Expansion HR 6644 COVID Relief for Physicians: HR 6720, HR 7059, HR 2895/S. 948, HR 6788/S. 3599, HR 7077/S. 3877

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6, American Dream and Promise Act of 2019 H.R. 60, Better Agriculture Resources Now (BARN) Act H.R. 250, Legal Workforce Act H.R. 549, Venezuela TPS Act of 2019 H.R. 641/S. 175, Agricultural Worker Program Act of 2019 H.R. 648, Consolidated Appropriations Act, 2019 H.R. 748/S. 3548, Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R. 773, To Terminate the EB-5 program H.R. 1044/S. 386, Fairness for High-Skilled Immigrants Act of 2019 H.R. 1158, Consolidated Appropriations Act, 2020 H.R. 1399/S.556, Accountability Through Electronic Verification Act H.R. 1740, Workforce for an Expanding Economy Act H.R. 1778, Dairy and Sheep H-2A Visa Enhancement Act H.R. 1865, Further Consolidated Appropriations Act, 2020 H.R. 1996, Secure Travel Partnership Act of 2019 H.R. 2187, Jobs Originated through Launching Travel (JOLT) Act of 2019 H.R. 2278/S. 1103, Reforming American Immigration for a Strong Economy (RAISE) Act H.R. 2413, Nicaragua TPS Act of 2019 H.R. 2418/H.R. 2877/S. 3134, To add Ireland to the E-3 nonimmigrant visa program H.R. 2658, Commercial Fishing and Seafood Business Act of 2019 H.R. 2783, TPS and DED Protection Act of 2019 H.R. 2813, Asylum Seeker Work Authorization Act of 2019 H.R. 2820, Dream Act of 2019 H.R. 2821, American Promise Act of 2019 H.R. 2895/S. 948, Conrad State 30 and Physician Access Reauthorization Act H.R. 3033, H-4 Employment Protection Act of 2019 H.R. 3055, Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 H.R. 3319, Paperwork Reduction for Farmers and H-2A Modernization Act H.R. 3401/S. 1900, Emergency Supplemental Appropriations for Humanitarian Assistance and Security at the Southern Border Act, 2019 H.R. 3564, Fairness for High-Skilled Americans Act of 2019 H.R. 3740, AGRI Act of 2019 H.R. 4218, Poland Visa Waiver Act of 2019 H.R. 4482, Protecting America's Food and Agriculture Act of 2019 H.R. 4498, Promoting Tourism to Enhance our Economy Act of 2019 H.R. 5038, Farm Workforce Modernization Act of 2019 H.R. 5174, State Sponsored Visa Pilot Program Act of 2019 H.R. 6312, COVID-19 Relief for Small Businesses Act of 2020 H.R. 6379, Take Responsibility for Workers and Families Act H.R. 6395/S. 4049, National Defense Authorization Act for Fiscal Year 2021 H.R. 6404, To extend the deadline for States to meet the requirements of the REAL ID Act of 2005 due to COVID-19 H.R. 6507, COVID-19 Employment Authorization Document Extension Act H.R. 6717, Health Care Workforce Protection Act of 2020 H.R. 6788/S. 3599, Healthcare Workforce Resilience Act H.R. 6800, The Heroes Act H.R. 6870, Landscaping Workforce Act of 2020 H.R. 6905, FIRST COVID-19 Care Delivery Act of 2020 H.R. 6993/S. 3770, H-1B and L-1 Visa Reform Act of 2020 H.R. 7508, To provide supplemental appropriations to U.S. Citizenship and Immigration Services, and for other purposes. H.R. 7669, Department of Homeland Security Appropriations Act, 2021 H.R. 8046, Improving Opportunities for New Americans Act of 2020 H.R. 8078, Emergency Stopgap USCIS Stabilization Act H.R. 8089, Emergency Stopgap USCIS Stabilization Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act S. 135, Prioritizing Help to Businesses Act S. 301, E-Verify Act of 2019 S. 328, Startup Act S. 599, Singh's Law S. 636, Venezuela Temporary Protected Status Act of 2019 S. 874, Dream Act of 2019 S. 1004, Securing America's Ports of Entry Act of 2019 S. 1744, Keep STEM Talent Act of 2019 S. 1806, Permanent E-Verify Act S. 1887, Paperwork Reduction for Farmers and H-2A Modernization Act S. 2091, Backlog Elimination, Legal Immigration, and Employment Visa Enhancement Act S. 2540, EB-5 Reform and Integrity Act of 2019 S. 2778, Immigrant Investor Program Reform Act S. 2863, E Visa Integrity Act of 2019 S. 2926, Advancing Mutual Interests and Growing Our Success (AMIGOS) Act S. 3470, New Deal for New Americans Act of 2020 S. 3504, A bill to require the Secretary of Homeland Security to extend, until not earlier than September 30, 2021, the requirement that State-issued identification must be compliant with the REAL ID Act of 2005 to be accepted by Federal agencies for certain purposes H.J.Res. 31, Consolidated Appropriations Act, 2019 Potential legislation updating The Heroes Act (116th Cong.) Potential legislation similar to H.R. 6794/S. 2344, Immigration Innovation Act of 2018 Proposed rule regarding registration requirement for petitioners seeking to file H-1B petitions on behalf of cap-subject aliens (83 Fed. Reg. 62,406-62,447, December 3, 2018) Various issues relating to visa waiver program; H-1B Visa Program; H-1B registration rule; H-2 Visa Program and temporary rule; H-4 rule; L-1 Visa Program; EB-5 Visa Program; EB-5 rule; EB-5 regional center program; H-2A Visa Program; E-Verify program; I-129 form delay request; private-public partnerships with the Department of Homeland Security at land border ports of entry; STEM visa reform; nonimmigrant workers in temporary or seasonal nonagricultural employment; Customs and Border Protection staffing at U.S. ports of entry; border security; immigration policy and reforms; guest worker programs; legalization concepts; visa reform; customs trade facilitation and enforcement; Deferred Action for Childhood Arrivals (DACA) program; extension of temporary protected status (TPS) designations for El Salvador, Honduras, and Haiti; administrative-regulatory efforts related to public charge, notice to appear, H-4 & OPT; supplemental funding for additional Customs and Border Protection (CBP) officers at ports-of-entry; United States Citizenship and Immigration Services (USCIS) decision on electronic registration for the fiscal year (FY) 2021 H-1B cap filing season and stakeholder engagement for the H-1B registration tool; United States Citizenship and Immigration Services (USCIS) fee schedule; United States Citizenship and Immigration Services (USCIS) funding; Presidential Proclamation 9996, suspension of entry as immigrants and nonimmigrants of certain additional persons who pose a risk of transmitting 2019 Novel Coronavirus, March 14, 2020; Presidential Proclamation 10014, suspending entry of immigrants who present risk to the U.S. labor market during the economic recovery following the COVID-19 outbreak, April 22, 2020; Presidential Proclamation 10052, suspending entry of aliens who present a risk to the U.S. labor market following the Coronavirus outbreak, June 22, 2020; Potential recision of the Deferred Action for Childhood Arrivals (DACA) program; high-skilled immigration; lesser skilled immigration; temporary agriculture guest worker; temporary non-agriculture guest worker; optional practical training program; size and administration of employment-based immigrant visa categories; size and administration of family-based immigrant visa categories; expansion of the use of the E-Verify system; employment verification; interior enforcement; family separations; family reunification; temporary suspension of entry of nationals from certain countries; increased vetting of visa applicants; unfair immigration related employment practices; travel issues; trusted traveler programs; biometric entry-exit; increasing the number of ICE officers, border patrol agents and Customs and Border Protection officers; aerial security enhancements; temporary DHS guidance for the I-9 employment verification process in the wake of COVID-19; Department of Labor Guidance on Labor Condition Application requirements in the wake of COVID-19; temporary Department of Labor procedural changes regarding the Permanent Labor Certification process in the wake of COVID-19; State Department policy accommodations regarding the use of interview waivers for H-2 nonimmigrant workers in the wake of COVID-19; temporary United States Citizenship and Immigration Services (USCIS) procedures to provide flexibility with regard to filing deadlines, and temporary USCIS guidelines providing flexibility to wet-ink signatures on USCIS forms and documents; United States Citizenship and Immigration Services (USCIS) funding shortfalls; Customs and Border Protection (CBP) funding shortfalls; clarification of the criteria that makes one eligible for a waiver from the entry restrictions for various employment-based immigrants and nonimmigrants; forthcoming regulatory proposals that would restrict applicant eligibility for the H-1B program; forthcoming regulatory proposals that would drastically change how prevailing wage levels are determined for the purposes of obtaining certain employment nonimmigrant and immigrant visas; forthcoming proposals that would significantly change how cap-subject H-1B petitions will be chosen in the future

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

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Citizenship & Immigration Services (BCIS), Bureau of Industry and Security (BIS), Bureau of Reclamation, Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Consumer Financial Protection Bureau (CFPB), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Energy Regulatory Commission (FERC), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), General Services Administration (GSA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

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

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

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

H.R. 6, The American Dream and Promise Act of 2019 S. 874, The Dream Act of 2019 Issue: Support policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Oppose rescission of Deferred Action for Childhood Arrivals (DACA) executive action without permanent replacement. Support Dreamer eligibility for federal student loans. S. 948, H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act Issue: Support reauthorization and expansion of the Conrad 30 program, and improvements to physician immigration Issue: Support policies to ensure timely and predictable processing for immigration of academic medicine community Issue: Support extending duration of stay for physicians on visas during the COVID pandemic, expediting change of status and visa renewals, and expedite visa approvals for medical residents entering the country. Issue: Oppose policies limiting entry of medical students, residents, researchers, and health professionals to the U.S. on the F-1, J-1, and H-1B visas.

Client expense: $1,095,000 · Firm income: Not reported

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

2020 Q3 Lobbying Report - July 1-Sept. 30 HCR Continuing Appropriations Act, 2021 and Other Extensions Act (H.R. 8319) Coronavirus response legislation (H.R. 6800; S. 1624, S. 4775) Healthcare Workforce Resilience Act (S. 3599/H.R. 6788) Conrad State 30 & Physician Access Act (H.R. 2895) Public Health and Social Services Emergency Fund (coronavirus relief packages H.R. 7010, H.R. 6800) Regulatory relief in light of coronavirus (all coronavirus relief packages - H.R. 6074; H.R. 6201; H.R. 748, H.R. 6800) Transparency (surprise medical bills; public posting of hospital charges; final price transparency rule; Transparency in Coverage Proposed Rule) Surprise medical billing (H.R. 5826; H.R. 3630; S. 1531) Liability relief (all coronavirus relief packages - H.R. 6800; S. 1624; S. 4775) 340B Drug Pricing Program Drug pricing policy and drug shortages MMM Public Health Emergency designation Medicaid Fiscal Accountability Regulation Rural hospital policies Graduate Medical Education (GME) funding (S. 348/H.R. 1763; Resident Physician Shortage Reduction Act of 2019; H.R. 2349/H.R. 3414 Opioid Workforce Act) Delay of Medicaid Disproportionate Share Hospital payment cuts (H.R. 3022; Patient Access Protection Act) Medicare sequestration Federal Medical Assistance Percentage increase (CARES Act, H.R. 6800) Telehealth flexibilities and payment (all coronavirus relief packages - H.R. 6800, S. 1624, S. 4775) Medicare hospital accelerated payment program (coronavirus relief packages; H.R. 8319; Medicare Accelerated and Advance Payments Improvement Act, H.R. 6836/S. 3750) Post-acute care flexibilities (coronavirus relief packages - H.R. 6800; S. 1624, S. 4775) Stark law reform Site neutral payment policy included in outpatient prospective payment system rule BUD FY 2021 Appropriations bills Submitted Comments CMS-1735-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2021 Rates; Quality Reporting and Medicare and Medicaid Promoting Interoperability Programs Requirements for Eligible Hospitals and Critical Access Hospitals; Proposed Rule, Federal Register (Vol. 85, No. 104) May 29, 2020 CMS-1730-P, Medicare and Medicaid Programs; CY 2021 Home Health Prospective Payment System Update: Home Health Quality Reporting Requirements; and Home Infusion Therapy Services Requirements, Federal Register (Vol. 85, No.126), June 30, 2020

Client expense: $270,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, Social Security Administration (SSA)

H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 948, Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R. 6788, Healthcare Workforce Resilience Act, all provisions S. 3599, Healthcare Workforce Resilience Act, all provisions Executive Orders related to immigration and international medical graduates J-1 Visa duration of status regulations H-1B Physician/dependent Visas F-1 Visa/medical students ICE-run Family residential centers/children/parents/caregivers U.S. Customs and Border Protection (CBP)/expiring contract for medical services Detained immigrants/living conditions/health care/informed consent practices

Client expense: $4,260,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Office of Natl Drug Control Policy (NDCP), President of the U.S., SENATE, State, Dept of (DOS), U.S. Immigration & Customs Enforcement (ICE), Veterans Affairs, Dept of (VA), White House Office

H.R. 6, American Dream and Promise Act of 2019 H.R. 60, Better Agriculture Resources Now (BARN) Act H.R. 250, Legal Workforce Act H.R. 549, Venezuela TPS Act of 2019 H.R. 641/S. 175, Agricultural Worker Program Act of 2019 H.R. 648, Consolidated Appropriations Act, 2019 H.R. 748/S. 3548, Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R. 773, To Terminate the EB-5 program H.R. 1044/S. 386, Fairness for High-Skilled Immigrants Act of 2019 H.R. 1158, Consolidated Appropriations Act, 2020 H.R. 1399/S.556, Accountability Through Electronic Verification Act H.R. 1740, Workforce for an Expanding Economy Act H.R. 1778, Dairy and Sheep H-2A Visa Enhancement Act H.R. 1865, Further Consolidated Appropriations Act, 2020 H.R. 1996, Secure Travel Partnership Act of 2019 H.R. 2187, Jobs Originated through Launching Travel (JOLT) Act of 2019 H.R. 2278/S. 1103, Reforming American Immigration for a Strong Economy (RAISE) Act H.R. 2413, Nicaragua TPS Act of 2019 H.R. 2418/H.R. 2877/S. 3134, To add Ireland to the E-3 nonimmigrant visa program H.R. 2658, Commercial Fishing and Seafood Business Act of 2019 H.R. 2783, TPS and DED Protection Act of 2019 H.R. 2813, Asylum Seeker Work Authorization Act of 2019 H.R. 2820, Dream Act of 2019 H.R. 2821, American Promise Act of 2019 H.R. 2895/S. 948, Conrad State 30 and Physician Access Reauthorization Act H.R. 3033, H-4 Employment Protection Act of 2019 H.R. 3055, Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 H.R. 3319, Paperwork Reduction for Farmers and H-2A Modernization Act H.R. 3401/S. 1900, Emergency Supplemental Appropriations for Humanitarian Assistance and Security at the Southern Border Act, 2019 H.R. 3564, Fairness for High-Skilled Americans Act of 2019 H.R. 3740, AGRI Act of 2019 H.R. 4218, Poland Visa Waiver Act of 2019 H.R. 4482, Protecting America's Food and Agriculture Act of 2019 H.R. 4498, Promoting Tourism to Enhance our Economy Act of 2019 H.R. 5038, Farm Workforce Modernization Act of 2019 H.R. 5174, State Sponsored Visa Pilot Program Act of 2019 H.R. 6312, COVID-19 Relief for Small Businesses Act of 2020 H.R. 6379, Take Responsibility for Workers and Families Act H.R. 6395/S. 4049, National Defense Authorization Act for Fiscal Year 2021 H.R. 6404, To extend the deadline for States to meet the requirements of the REAL ID Act of 2005 due to COVID-19 H.R. 6507, COVID-19 Employment Authorization Document Extension Act H.R. 6717, Health Care Workforce Protection Act of 2020 H.R. 6788/S. 3599, Healthcare Workforce Resilience Act H.R. 6800, The Heroes Act H.R. 6870, Landscaping Workforce Act of 2020 H.R. 6905, FIRST COVID-19 Care Delivery Act of 2020 H.R. 6993/S. 3770, H-1B and L-1 Visa Reform Act of 2020 H.R. 7508, To provide supplemental appropriations to U.S. Citizenship and Immigration Services, and for other purposes. H.R. 7669, Department of Homeland Security Appropriations Act, 2021 H.R. 8046, Improving Opportunities for New Americans Act of 2020 H.R. 8078, Emergency Stopgap USCIS Stabilization Act H.R. 8089, Emergency Stopgap USCIS Stabilization Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act S. 135, Prioritizing Help to Businesses Act S. 301, E-Verify Act of 2019 S. 328, Startup Act S. 599, Singh's Law S. 636, Venezuela Temporary Protected Status Act of 2019 S. 874, Dream Act of 2019 S. 1004, Securing America's Ports of Entry Act of 2019 S. 1744, Keep STEM Talent Act of 2019 S. 1806, Permanent E-Verify Act S. 1887, Paperwork Reduction for Farmers and H-2A Modernization Act S. 2091, Backlog Elimination, Legal Immigration, and Employment Visa Enhancement Act S. 2540, EB-5 Reform and Integrity Act of 2019 S. 2778, Immigrant Investor Program Reform Act S. 2863, E Visa Integrity Act of 2019 S. 2926, Advancing Mutual Interests and Growing Our Success (AMIGOS) Act S. 3470, New Deal for New Americans Act of 2020 S. 3504, A bill to require the Secretary of Homeland Security to extend, until not earlier than September 30, 2021, the requirement that State-issued identification must be compliant with the REAL ID Act of 2005 to be accepted by Federal agencies for certain purposes H.J.Res. 31, Consolidated Appropriations Act, 2019 Potential legislation updating The Heroes Act (116th Cong.) Potential legislation similar to H.R. 6794/S. 2344, Immigration Innovation Act of 2018 Proposed rule regarding registration requirement for petitioners seeking to file H-1B petitions on behalf of cap-subject aliens (83 Fed. Reg. 62,406-62,447, December 3, 2018) Various issues relating to visa waiver program; H-1B Visa Program; H-1B registration rule; H-2 Visa Program and temporary rule; H-4 rule; L-1 Visa Program; EB-5 Visa Program; EB-5 rule; EB-5 regional center program; H-2A Visa Program; E-Verify program; I-129 form delay request; private-public partnerships with the Department of Homeland Security at land border ports of entry; STEM visa reform; nonimmigrant workers in temporary or seasonal nonagricultural employment; Customs and Border Protection staffing at U.S. ports of entry; border security; immigration policy and reforms; guest worker programs; legalization concepts; visa reform; customs trade facilitation and enforcement; Deferred Action for Childhood Arrivals (DACA) program; extension of temporary protected status (TPS) designations for El Salvador, Honduras, and Haiti; administrative-regulatory efforts related to public charge, notice to appear, H-4 & OPT; supplemental funding for additional Customs and Border Protection (CBP) officers at ports-of-entry; United States Citizenship and Immigration Services (USCIS) decision on electronic registration for the fiscal year (FY) 2021 H-1B cap filing season and stakeholder engagement for the H-1B registration tool; United States Citizenship and Immigration Services (USCIS) fee schedule; United States Citizenship and Immigration Services (USCIS) funding; Presidential Proclamation 9996, suspension of entry as immigrants and nonimmigrants of certain additional persons who pose a risk of transmitting 2019 Novel Coronavirus, March 14, 2020; Presidential Proclamation 10014, suspending entry of immigrants who present risk to the U.S. labor market during the economic recovery following the COVID-19 outbreak, April 22, 2020; Presidential Proclamation 10052, suspending entry of aliens who present a risk to the U.S. labor market following the Coronavirus outbreak, June 22, 2020; Potential recision of the Deferred Action for Childhood Arrivals (DACA) program; high-skilled immigration; lesser skilled immigration; temporary agriculture guest worker; temporary non-agriculture guest worker; optional practical training program; size and administration of employment-based immigrant visa categories; size and administration of family-based immigrant visa categories; expansion of the use of the E-Verify system; employment verification; interior enforcement; family separations; family reunification; temporary suspension of entry of nationals from certain countries; increased vetting of visa applicants; unfair immigration related employment practices; travel issues; trusted traveler programs; biometric entry-exit; increasing the number of ICE officers, border patrol agents and Customs and Border Protection officers; aerial security enhancements; temporary DHS guidance for the I-9 employment verification process in the wake of COVID-19; Department of Labor Guidance on Labor Condition Application requirements in the wake of COVID-19; temporary Department of Labor procedural changes regarding the Permanent Labor Certification process in the wake of COVID-19; State Department policy accommodations regarding the use of interview waivers for H-2 nonimmigrant workers in the wake of COVID-19; temporary United States Citizenship and Immigration Services (USCIS) procedures to provide flexibility with regard to filing deadlines, and temporary USCIS guidelines providing flexibility to wet-ink signatures on USCIS forms and documents; United States Citizenship and Immigration Services (USCIS) funding shortfalls; Customs and Border Protection (CBP) funding shortfalls; clarification of the criteria that makes one eligible for a waiver from the entry restrictions for various employment-based immigrants and nonimmigrants; forthcoming regulatory proposals that would restrict applicant eligibility for the H-1B program; forthcoming regulatory proposals that would drastically change how prevailing wage levels are determined for the purposes of obtaining certain employment nonimmigrant and immigrant visas; forthcoming proposals that would significantly change how cap-subject H-1B petitions will be chosen in the future

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

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Citizenship & Immigration Services (BCIS), Bureau of Industry and Security (BIS), Bureau of Reclamation, Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Consumer Financial Protection Bureau (CFPB), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Energy Regulatory Commission (FERC), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), General Services Administration (GSA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

P.L. 116-123 - CORONAVIRUS PREPAREDNESS AND RESPONSE SUPPLEMENTAL APPROPRIATIONS ACT, 2020 (P.L. 116-123): Ensure primary care physicians have adequate supplies, finances to serve their patients, are eligible for loans, payment for telehealth services. P.L. 116-127 - The Families First Coronavirus Response Act: Support for small business and non-profits during COVID crisis. P.L. 116-136 - CARES Act: Ensure primary care physicians have adequate supplies, finances to serve their patients, are eligible for Small Business loans, payment for telehealth services. HR 2774; S 2783 - Primary Care Patient Protection Act: Create a primary care benefit in high deductible health plans. HR 2895/S. 948 - Conrad State 30 & Physician Access Act: Expand program, streamline eligibility. HR 6149/S. 4088 - Kids Access to Primary Care Act/Ensuing Access to Primary Care for Women and Children Act: Increase Medicaid payment rates for primary care. HR 6788/S. 3599 Healthcare workforce Resilience Act: recapture 15,000 unused employment-based physician immigrant visas from prior fiscal years to bolster physician workforce during COVID pandemic. HR 6837/S 3750: Medicare Accelerated and Advance Payments Improvement Act of 2020: Advanced payments to Medicare Part B providers. HR 7059 Coronavirus Provider Protection Act: targeted and limited liability protections for health care providers responding to COVID pandemic. HR 7663/S 4230 - Expansion of telehealth; Protecting Access to Post-COVID-19 Telehealth Act: Expansion of telehealth services for primary care; coverage and payment parity during PHE. H.R. 8061- Community Immunity During COVID-19 Act: Support grants to increase the rates of recommended immunizations. HR 8337 - Continuing Appropriations Act 2021 and Other Extensions Act: Extension of THCGMEs, Medicare Accelerated Payments. S. 4349 - Dr. Lorna Breen Provider Protection Act: Support the wellbeing of frontline physicians during COVID-19. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Teaching Health Centers GME; Community Health Centers; National Health Service Corps; Special Diabetes Program; Special Diabetes Program for Indians: Increased funding, five-year reauthorization. No Bill No. - 501(c)(6) Non-Profits Relief: include emergency financial relief for 501(c)(6) organizations in COVID response legislation. No Bill No. - Emergency financial relief for primary care physicians: additional financial support for primary care clinicians to stabilize our nations primary care infrastructure. No Bill No. - Issues related to increase immunization utilization/distribution: Efforts to support children and adults securing needed immunizations.

Client expense: $1,257,804 · 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. 2895/S. 948 - Conrad State 30 & Physician Access Act: Expand program, streamline eligibility. HR 6149/S. 4088 - Kids Access to Primary Care Act/Ensuing Access to Primary Care for Women and Children Act: Increase Medicaid payment rates for primary care. HR 8337 - Continuing Appropriations Act 2021 and Other Extensions Act: Extension of THCGMEs, Medicare Accelerated Payments. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Teaching Health Centers GME; Community Health Centers; National Health Service Corps; Special Diabetes Program; Special Diabetes Program for Indians: Increased funding, five-year reauthorization. No Bill No. - 501(c)(6) Non-Profits Relief: include emergency financial relief for 501(c)(6) organizations in COVID response legislation.

Client expense: $1,257,804 · Firm income: Not reported

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

HR 2895/S. 948 - Conrad State 30 & Physician Access Act: Expand program, streamline eligibility. HR 6788/S. 3599 Healthcare workforce Resilience Act: recapture 15,000 unused employment-based physician immigrant visas from prior fiscal years to bolster physician workforce during COVID pandemic.

Client expense: $1,257,804 · Firm income: Not reported

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

-Issues relating to the reauthorization of the Conrad 30 program (HR 2895/S 948) -Issues relating to passage of S. 3599/H.R. 6788, the Healthcare Workforce Resilience Act

Client expense: Not reported · Firm income: $18,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3599/H.R.6788 - Healthcare Workforce Resilience Act Public Charge - no specific bill S. 948/H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act

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), Health Resources & Services Administration (HRSA), Office of Science & Technology Policy (OSTP), SENATE

Childcare Issues related to childcare - no specific bill COVID-19 Pandemic H.R. 6800 - Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S. 3599/H.R.6788 - Healthcare Workforce Resilience Act H.R. 6793 - Pandemic Production Act H.R. 266 - Paycheck Protection Program and Health Care Enhancement Act H.R.7010 - Paycheck Protection Program Flexibility Act of 2020 H.R.6720 - Student Loan Forgiveness for Frontline Health Workers Act H.R. 7059 - Coronavirus Provider Protection Act H.R. 748 - The Coronavirus Aid, Relief, and Economic Security Act or the CARES Act Issues related to the COVID-19 Pandemic including: - no specific bill Financial assistance for health care providers Medicare Accelerated and Advance Payment Program Medicare and Medicaid payment rates Federal Medicaid Match Liability protection for health care providers Demographic data for the COVID-19 response Access to personal protective equipment (PPE) and medical supplies PPE supply chain improvements Access to testing for COVID-19 Telemedicine/telehealth Small Business Administration loans Support for contact tracing programs Mental and behavioral health Support for programs addressing domestic violence and child maltreatment Support for resident physicians and medical students Student loan forgiveness/debt relief State and local funding General advocacy on a COVID-19 stimulus/relief package FMAP increase in the Families First Coronavirus Response Act (P.L. 116-127) H.R.6793, the Pandemic Production Act (PPA) S.4349/ H.R.8094, the Dr. Lorna Breen Health Care Provider Protection Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 Immigration Public Charge - no specific bill S. 948/H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act Interoperability/ONC Issues related to interoperability - no specific bill Medicare/Medicaid The Medicare Access and CHIP Reauthorization Act (MACRA) Medicaid Fiscal Accountability regulation Block Grants - no specific bill Issues related to Medicare Payments Prior Authorization - no specific bill Publications Open access to information based on publicly funded research OSTP Request for Information - FR Doc. 2020-06622 - Public Access to Peer-Reviewed Scholarly Publications, Data and Code Resulting From Federally Funded Research Issues related to scholarly and scientific publishing and public access Racial Justice/Health Equity Issues related to racial justice/health care equity - no specific bill Scope of Practice - no specific bill Surprise Billing S. 1895 - Lower Health Care Costs Act H.R. 3630 - No Surprises Act S 1531 - Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 Consumer Protections Against Surprise Medical Bills Act of 2020 - House Ways & Means Telehealth S. 4375, the Telehealth Modernization Act of 2020 Issues related to telehealth - no specific bill Vaccines Issues related to vaccines - no specific bill Regulatory Comments Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY 2021

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), Health Resources & Services Administration (HRSA), Office of Science & Technology Policy (OSTP), SENATE

Childcare Issues related to childcare - no specific bill COVID-19 Pandemic H.R. 6800 - Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S. 3599/H.R.6788 - Healthcare Workforce Resilience Act H.R. 6793 - Pandemic Production Act H.R. 266 - Paycheck Protection Program and Health Care Enhancement Act H.R.7010 - Paycheck Protection Program Flexibility Act of 2020 H.R.6720 - Student Loan Forgiveness for Frontline Health Workers Act H.R. 7059 - Coronavirus Provider Protection Act H.R. 748 - The Coronavirus Aid, Relief, and Economic Security Act or the CARES Act Issues related to the COVID-19 Pandemic including: - no specific bill Financial assistance for health care providers Medicare Accelerated and Advance Payment Program Medicare and Medicaid payment rates Federal Medicaid Match Liability protection for health care providers Demographic data for the COVID-19 response Access to personal protective equipment (PPE) and medical supplies PPE supply chain improvements Access to testing for COVID-19 Telemedicine/telehealth Small Business Administration loans Support for contact tracing programs Mental and behavioral health Support for programs addressing domestic violence and child maltreatment Support for resident physicians and medical students Student loan forgiveness/debt relief State and local funding General advocacy on a COVID-19 stimulus/relief package FMAP increase in the Families First Coronavirus Response Act (P.L. 116-127) H.R.6793, the Pandemic Production Act (PPA) S.4349/ H.R.8094, the Dr. Lorna Breen Health Care Provider Protection Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 Immigration Public Charge - no specific bill S. 948/H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act Interoperability/ONC Issues related to interoperability - no specific bill Medicare/Medicaid The Medicare Access and CHIP Reauthorization Act (MACRA) Medicaid Fiscal Accountability regulation Block Grants - no specific bill Issues related to Medicare Payments Prior Authorization - no specific bill Publications Open access to information based on publicly funded research OSTP Request for Information - FR Doc. 2020-06622 - Public Access to Peer-Reviewed Scholarly Publications, Data and Code Resulting From Federally Funded Research Issues related to scholarly and scientific publishing and public access Racial Justice/Health Equity Issues related to racial justice/health care equity - no specific bill Scope of Practice - no specific bill Surprise Billing S. 1895 - Lower Health Care Costs Act H.R. 3630 - No Surprises Act S 1531 - Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 Consumer Protections Against Surprise Medical Bills Act of 2020 - House Ways & Means Telehealth S. 4375, the Telehealth Modernization Act of 2020 Issues related to telehealth - no specific bill Vaccines Issues related to vaccines - no specific bill Regulatory Comments Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY 2021

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), Health Resources & Services Administration (HRSA), Office of Science & Technology Policy (OSTP), SENATE

Continuing Appropriations Act, 2021 and Other Extensions Act (H.R. 8319) Coronavirus response legislation (H.R. 6800; S. 1624, S. 4775) Healthcare Workforce Resilience Act (S. 3599/H.R. 6788) Conrad State 30 & Physician Access Act (H.R. 2895) Public Health and Social Services Emergency Fund (coronavirus relief packages H.R. 7010, H.R. 6800) Regulatory relief in light of coronavirus (all coronavirus relief packages - H.R. 6074; H.R. 6201; H.R. 748, H.R. 6800) Transparency (surprise medical bills; public posting of hospital charges; final price transparency rule; inpatient prospective payment system proposed rule; Transparency in Coverage Proposed Rule) Surprise medical billing (H.R. 5826; H.R. 3630; S. 1531) Liability relief (all coronavirus relief packages - H.R. 6800; S. 1624; S. 4775) 340B Drug Pricing Program Drug pricing policy and drug shortages

Client expense: $190,000 · 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. 1044/S. 386, the Fairness for High-Skilled Immigrants Act of 2019; H.R. 2895/S. 948, the Conrad State 30 and Physician Access Reauthorization Act; H.R. 6788/S. 3599, the Healthcare Workforce Resilience Act; and issues relating to the Presidents Proclamation Suspending Entry of Aliens Who Present a Risk to the U.S. Labor Market Following the Coronavirus Outbreak (dated June 22, 2020).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor S. 948 and H.R. 2895 - Conrad State 30 and Physician Access Reauthorization Act, generally

Client expense: Not reported · Firm income: $18,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare and Medicaid reimbursement and funding issues, health care reform, telehealth, surprise medical billing, and COVID-19 response; H.R.748, CARES Act (P.L.116-136); H.R.6800, The HEROES Act; H.R.2895, Conrad State 30 and Physician Access Reauthorization Act; H.R.7759, Saving Rural Hospitals from Closure Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

International medical graduates and visa extensions. H.R. 2895/ S. 948, the Conrad State 30 and Physician Access Reauthorization Act H.R. 6788/S. 3599, the Healthcare Workforce Resilience Act DACA status protections for healthcare workforce members. Efforts to better control confidential therapy records sharing for detained children. Additional efforts RE: child separation.

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

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

H. Res. 480, Acknowledging the racial disparities in diagnosing and treating mental health among youth in communities of color H.R. 1109, the Mental Health Services for Students Act of 2019 H.R. 1554, the Resident Education Deferred Interest Act H.R. 1763 / S. 348, the Resident Physician Shortage Reduction Act of 2019 H.R. 2279/ S. 2546, the Safe Step Act H.R. 2482/ S. 2074, the Mainstreaming Addiction Treatment Act of 2019 H.R. 2734 / S. 1448, the Safer Prescribing of Controlled Substances Act H.R. 3180/ S. 1770, the RISE from Trauma Act H.R. 3239/ S. 2135, the Humanitarian Standards for Individuals in Customs and Border Protection Custody Act H.R. 3253, the Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act H.R. 3414/ S. 2892, the Opioid Workforce Act H.R. 3417, BETTER Act of 2019 H.R. 4194/S. 2661, the National Suicide Hotline Designation Act of 2019 H.R. 4309, the Barriers to Suicide Act H.R. 4327, the Enhancing Mental Health and Suicide Prevention Through Campus Planning Act H.R. 4861/ S. 3006, the Effective Suicide Screening and Assessment in the Emergency Department Act H.R. 4932 / S. 2741, the CONNECT for Health Act H.R. 4995, the Maternal Health Quality Improvement Act of 2019 H.R. 4996, the Helping Medicaid Offer Maternity Services Act of 2019 H.R. 5, the Equality Act H.R. 5201, the Telemental Health Expansion Act of 2019 H.R. 5473, the Enhance Access to Support Essential Behavioral Health Services Act H.R.5469, the Pursuing Equity in Mental Health Act of 2019 H.R.5575, the Primary and Behavioral Health Care Access Act of 2020 Out of network billing legislation S. 1227, the Prescription Pricing for the People Act of 2019 S. 2443, the Investment in Tomorrow's Pediatric Health Care Workforce Act S. 824, the Excellence in Mental Health and Addiction Treatment Expansion Act S.1659, the Ensuring Childrens Access to Specialty Care Act of 2019 Title III Sec. 305 Timely Bills to Patients within the Lower Health Care Costs Act of 2019 (S. 1895) Cures 2.0 Title X Family Planning Program Administration Rule Efforts related to psychiatric bed shortages. H.R. 6074, the Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 6201, the Families First Coronavirus Response Act H.R. 748, the Coronavirus Aid, Relief and Economic Security (CARES) Act H.R. 2895/ S. 948, the Conrad State 30 and Physician Access Reauthorization Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act, and Senate efforts. S. 311, the Born-Alive Abortion Survivors Protection Act S. 3275, the Pain-Capable Unborn Child Protection Act H.R. 4056 and S. 2446, the Medicare Audiologist Access and Services Act of 2019 H.R. 5575, the Primary and Behavioral Health Care Access Act Telehealth provisions as related to Covid-19. H.R. 6644, the Health Care at Home Act H.R. 748, the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), including the Payroll Protection Program (PPP), the Public Health and Social Services Emergency Fund, and more. Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 and related Medicare and Medicaid payment updates. Emergency financial relief and stability funding for 501(c)(6) tax-exempt medical and dental trade associations impacted by the pandemic H.R. 7078, the Evaluating Disparities and Outcomes of Telehealth During the COVID-19 Emergency Act of 2020 (EDOT Act of 2020) H.R. 7255, the Coronavirus Health Care Worker Wellness Act of 2020 S. 3919, the Military Suicide Prevention in the 21st Century Act H.R. 7608, the Legislative Vehicle for the Fiscal 2021 Four-Bill Appropriations Package Recommendations on confidential mental health records sharing. H.R. 7539, the Strengthening Behavioral Health Parity Act H.R. 4564, the Suicide Prevention Lifeline Improvement Act of 2019 H.R. 5619, the Suicide Prevention Act H.R. 4585, the Campaign to Prevent Suicide Act H.R. 1646, the Helping Emergency Responders Overcome (HERO) Act of 2019 H.R. 2519, the Improving Mental Health Access from the Emergency Department Act of 2019 H.R. 7147, the Creating Resources to Improve Situations of Inherent Severity Act (CRISIS Act) H.R. 7159/S. 4282, the Crisis Care Improvement and Suicide Prevention Act of 2020 21st Century Cures Act, RE: Opioid State Targeted Response Grants H.R. 7689, the Improving Data Collection for Adverse Childhood Experiences Act H.R. 8094/S. 4349, the Dr. Lorna Breen Health Care Provider Protection Act H.R. 6561/S. 4440, the Improving Social Determinants of Health Act H.R. 7511/ S. 4211, the Facilitating Reforms that Offer Necessary Telehealth in Every Rural (FRONTIER) Community Act H.R. 884 / S. 2772, the Medicare Mental Health Access Act H.R. 1763, the Resident Physician Shortage Reduction Act of 2019 S. 2661, the National Suicide Hotline Designation Act of 2020 (Sen. Gardner - Energy and Commerce) H.R. 3935, the Protecting Patients Transportation to Care Act H.R. 4564, the Suicide Prevention Lifeline Improvement Act of 2020 S. Res. 738, Recognizing suicide as a serious public health problem and expressing support for the designation of September as National Suicide Prevention Month S. 4113, the Broadband Reform and Investment to Drive Growth in the Economy Act of 2020 (BRIDGE Act) H.R. 7859, the Strengthening Behavioral Health Supports for Schools Act S. 4421, the Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act H.R. 8141, the Strengthening Mental Health Supports for BIPOC Communities Act HR 7510, the Assimilating Health and Equity Assessments into Decision-making Act of 2020 or AHEAD Act H.R. 5469/S.4388, the Mental Health Equity Act of 2020 H.R. 7059, the Coronavirus Provider Protection Act, S. 3792, the Tele-Mental Health Improvement Act of 2020. HR 6810 to provide COBRA subsidies for unemployed and furloughed individuals during COVID H.R. 7593/S. 4103, the Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 6645, the Mental Health Research Act H.R. 7539, the Strengthening Behavioral Health Parity Act H.R. 5201, the Telemental Health Expansion Act of 2019 H.R. 6561/S. 3595, the Ensuring Understanding for COVID-19 to Protect Public Health Act S. 4524, the Quit Because of COVID-19 Act S. 4486, the Achieving Thorough Transparency & Accessibility for Information Navigation (ATTAIN) on Mental Health Act H.R. 6800/H.R. 8406, the HEROES Act H.R. 7663, the Protecting Access to Post-COVID-19 Telehealth Act of 2020 S. 4230, the Telehealth Expansion Act of 2020 H.R. 7391, the Protect Telehealth Access Act of 2020 H.R. 7760, To make a supplemental appropriation for the COVID-19 Telehealth Program of the Federal Communications Commission for the fiscal year ending September 30, 2020 H.R.8067, the Addressing COVID-19 Health Disparities Act H.R. 2862, the VACCINES Act of 2019 (G6 letter for internal purposes) Efforts related to Collaborative Care Model S. 3197, the Improving Access to Health Care in Rural and Underserved Areas Act H.R. 6139, the COVID-19 Health Care Worker Protection Act of 2020 H.Res. 908 (S.Res. 580) Condemning all forms of Anti-Asian Sentiment as related to COVID-19 H.R. 6585, the Equitable Data Collection and Disclosure on COVID-19 Act H.R. 7078, the EDOT Act of 2020 HR 7077, the Community Solutions for COVID-19 Act S. 4441, the Crisis Assistance Helping Out On The Streets (CAHOOTS) Act

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

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

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

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

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

-Issues relating to the reauthorization of the Conrad 30 program (HR 2895/S 948) -Issues relating to passage of S. 3599/H.R. 6788, the Healthcare Workforce Resilience Act

Client expense: Not reported · Firm income: $18,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3198 Suicide Prevention Act: Legislator inquiry/Expand suicide prevention grant pilot program to primary care physicians. S. 3599; HR 6788: Healthcare workforce Resilience Act: recapture 15,000 unused employment-based physician immigrant visas from prior fiscal years to bolster physician workforce during COVID pandemic. S 3750; HR 6837: Medicare Accelerated and Advance Payments Improvement Act of 2020: Advanced payments to medicare Part B providers. S. 4088; HR 6149: Ensuring Access to Primary Care for Women and Children Act; Kids Access to Primary Care Act: Increase Medicaid payment rates for primary care. HR 748 - CARES Act: Fund CHC & THCGME, promote telemedicine in primary care, set Medicaid at Medicare parity. HR 2774, S 2793 - Primary Care Patient Protection Act: create a primary care benefit in high deductible health plans. HR 2895 Conrad State 30 &Physician Access Act; expand program, streamlined eligibility. HR 6074 - Coronavirus Preparedness & Response Supplemental Act - Ensure adequate PPE, funding and loans, telehealth care payment. HR 6201 - Families First Coronavirus Response Act: Support for small business and non-profits during pandemic. HR 7059: Coronavirus Provider Protection Act: Targeted and limited liability protections for healthcare providers responding to COVID pandemic. HR 7158 Health Enterprise Zone: Legislator inquiry/Reducing health disparities in underserved areas. No Bill No: communication with CMS on the 2021 and 2022 Part C and D proposed rule; Medicare Advantage, price transparency. No Bill No: communication with CMS on rural maternal health; Improving rural maternal health. No Bill No: communication with CMS on Covid-19 policy changes; payment for telehealth changes. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC No Bill No. - Teaching Health Centers GME; Community Health Centers; National Health Service Corps; Special Diabetes Program; Special Diabetes Program for Indians; increased finding, five-year reauthorization. No Bill No. - 501(c)(6) Non-Profits Relief; include emergency financial relief for 501(c)(6) organizations in COVID response legislation. No Bill No.: Emergency Financial relief for Primary Care Physicians: additional financial support for primary care physicians; additional financial support for primary care clinicians to stabilize our nation's primary care infrastructure. No Bill No.: Expansion of telehealth: Protecting Access to post COVID -19 telehealth act: Expansion of telehealth services for primary care; coverage and payment parity during PHE. No Bill No.: DACA status during the Covid-19 National Emergency: Maintain work authorization for individuals currently in DACA status during the covid 19 national emergency. No Bill No. - CHC & National Health Service Corps reauthorization: Health care access, scholarships and medical student debt relief. No Bill No. - Administrative Simplification: Promote reduced administrative burden on family physicians of prior authorization, EMR.

Client expense: $908,864 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

HR 2895 Conrad State 30 &Physician Access Act; expand program, streamlined eligibility. S. 7614 - 2021 Appropriations: AHRQ, HRSA, NHSC, Title VII, Title X, Medical Education, Rural Health,Telehealth, Medicare Accelerated and Advanced Payment Program, CDC. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC No Bill No. - Teaching Health Centers GME; Community Health Centers; National Health Service Corps; Special Diabetes Program; Special Diabetes Program for Indians; increased finding, five-year reauthorization. No Bill No. - 501(c)(6) Non-Profits Relief; include emergency financial relief for 501(c)(6) organizations in COVID response legislation. No Bill No. - Graduate Medical Education: GME to support family medicine education and rural training. No Bill No. - CHC & National Health Service Corps reauthorization: Health care access, scholarships and medical student debt relief.

Client expense: $908,864 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

S. 3599; HR 6788: Healthcare workforce Resilience Act: recapture 15,000 unused employment-based physician immigrant visas from prior fiscal years to bolster physician workforce during COVID pandemic. HR 2895 Conrad State 30 &Physician Access Act; expand program, streamlined eligibility. No Bill No.: DACA status during the Covid-19 National Emergency: Maintain work authorization for individuals currently in DACA status during the covid 19 national emergency.

Client expense: $908,864 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

H.R. 6, American Dream and Promise Act of 2019 S. 874, Dream Act of 2019 Issue: Support policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Oppose rescission of Deferred Action for Childhood Arrivals (DACA) executive action without permanent replacement. Support Dreamer eligibility for federal student loans. S. 948, H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act Issue: Support reauthorization and expansion of the Conrad 30 program, and improvements to physician immigration Issue: Support policies to ensure timely and predictable processing for immigration of academic medicine community Issue: Support extending duration of stay for physicians on visas during the COVID pandemic, expediting change of status and visa renewals, and expedite visa approvals for medical residents entering the country. Issue: Oppose policies limiting entry of medical students, residents, researchers, and health professionals to the U.S. on the F-1, J-1, and H-1B visas.

Client expense: $1,316,000 · Firm income: Not reported

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

H.R. 6, American Dream and Promise Act of 2019 H.R. 60, Better Agriculture Resources Now (BARN) Act H.R. 250, Legal Workforce Act H.R. 549, Venezuela TPS Act of 2019 H.R. 641/S. 175, Agricultural Worker Program Act of 2019 H.R. 648, Consolidated Appropriations Act, 2019 H.R. 748/S. 3548, Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R. 773, To Terminate the EB-5 program H.R. 1044/S. 386, Fairness for High-Skilled Immigrants Act of 2019 H.R. 1158, Consolidated Appropriations Act, 2020 H.R. 1399/S.556, Accountability Through Electronic Verification Act H.R. 1740, To amend the Immigration and Nationality Act to provide for an H-2C nonimmigrant classification, and for other purposes H.R. 1778, Dairy and Sheep H-2A Visa Enhancement Act H.R. 1865, Further Consolidated Appropriations Act, 2020 H.R. 1996, Secure Travel Partnership Act of 2019 H.R. 2187, Jobs Originated through Launching Travel (JOLT) Act of 2019 H.R. 2278/S. 1103, Reforming American Immigration for a Strong Economy (RAISE) Act H.R. 2413, Nicaragua TPS Act of 2019 H.R. 2418/H.R. 2877/S. 3134, To add Ireland to the E-3 nonimmigrant visa program H.R. 2658, Commercial Fishing and Seafood Business Act of 2019 H.R. 2783, TPS and DED Protection Act of 2019 H.R. 2813, Asylum Seeker Work Authorization Act of 2019 H.R. 2820, Dream Act of 2019 H.R. 2821, American Promise Act of 2019 H.R. 2895/S. 948, Conrad State 30 and Physician Access Reauthorization Act H.R. 3033, H-4 Employment Protection Act of 2019 H.R. 3055, Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 H.R. 3319, Paperwork Reduction for Farmers and H-2A Modernization Act H.R. 3401 Emergency Supplemental Appropriations for Humanitarian Assistance and Security at the Southern Border Act, 2019 H.R. 3564, Fairness for High-Skilled Americans Act of 2019 H.R. 3740, AGRI Act of 2019 H.R. 4218, Poland Visa Waiver Act of 2019 H.R. 4482, Protecting America's Food and Agriculture Act of 2019 H.R. 4498, Promoting Tourism to Enhance our Economy Act of 2019 H.R. 5038, Farm Workforce Modernization Act of 2019 H.R. 5174, State Sponsored Visa Pilot Program Act of 2019 H.R. 6312, COVID-19 Relief for Small Businesses Act of 2020 H.R. 6379, Take Responsibility for Workers and Families Act H.R. 6404, To extend the deadline for States to meet the requirements of the REAL ID Act of 2005 due to COVID-19 H.R. 6507, COVID-19 Employment Authorization Document Extension Act H.R. 6717, Health Care Workforce Protection Act of 2020 H.R. 6788/S. 3599, Healthcare Workforce Resilience Act H.R. 6870, Landscaping Workforce Act of 2020 H.R. 6905, FIRST COVID-19 Care Delivery Act of 2020 H.R. 6993/S. 3770, H-1B and L-1 Visa Reform Act of 2020 S. 135, Prioritizing Help to Businesses Act S. 301, E-Verify Act of 2019 S. 328, Startup Act S. 599, Singh's Law S. 636, Venezuela Temporary Protected Status Act of 2019 S. 874, Dream Act of 2019 S. 1004, Securing America's Ports of Entry Act of 2019 S. 1744, Keep STEM Talent Act of 2019 S. 1806, Permanent E-Verify Act S. 1887, Paperwork Reduction for Farmers and H-2A Modernization Act S. 1900, Emergency Supplemental Appropriations for Humanitarian Assistance and Security at the Southern Border Act, 2019 S. 2091, Backlog Elimination, Legal Immigration, and Employment Visa Enhancement Act S. 2540, EB-5 Reform and Integrity Act of 2019 S. 2778, Immigrant Investor Program Reform Act S. 2863, E Visa Integrity Act of 2019 S. 2926, Advancing Mutual Interests and Growing Our Success (AMIGOS) Act S. 3470, New Deal for New Americans Act of 2020 S. 3504, A bill to require the Secretary of Homeland Security to extend, until not earlier than September 30, 2021, the requirement that State-issued identification must be compliant with the REAL ID Act of 2005 to be accepted by Federal agencies for certain purposes H.J.Res. 31, Consolidated Appropriations Act, 2019 Proposed rule regarding registration requirement for petitioners seeking to file H-1B petitions on behalf of cap-subject aliens (83 Fed. Reg. 62,406-62,447, December 3, 2018) Various issues relating to visa waiver program; H-1B Visa Program; H-1B registration rule; H-2 Visa Program and temporary rule; H-4 rule; L-1 Visa Program; EB-5 Visa Program; EB-5 rule; EB-5 regional center program; H-2A Visa Program; E-Verify program; I-129 form delay request; private-public partnerships with the Department of Homeland Security at land border ports of entry; STEM visa reform; nonimmigrant workers in temporary or seasonal nonagricultural employment; Customs and Border Protection staffing at U.S. ports of entry; border security; immigration policy and reforms; immigration and non-immigrant temporary worker visa policy; guest worker programs; legalization concepts; visa reform; customs trade facilitation and enforcement; Deferred Action for Childhood Arrival (DACA) program; extension of temporary protected status (TPS) designations for El Salvador, Honduras, and Haiti; administrative-regulatory efforts related to public charge, notice to appear, H-4 & OPT; supplemental funding for additional Customs and Border Protection (CBP) officers at ports-of-entry; United States Citizenship and Immigration Services (USCIS) decision on electronic registration for the fiscal year (FY) 2021 H-1B cap filing season and stakeholder engagement for the H-1B registration tool; United States Citizenship and Immigration Services (USCIS) fee schedule; United States Citizenship and Immigration Services (USCIS) funding; Presidential Proclamation 9996, suspension of entry as immigrants and nonimmigrants of certain additional persons who pose a risk of transmitting 2019 Novel Coronavirus, March 14, 2020; Presidential Proclamation 10014, suspending entry of immigrants who present risk to the U.S. labor market during the economic recovery following the COVID-19 outbreak, April 22, 2020; Presidential Proclamation 10052, suspending entry of aliens who present a risk to the U.S. labor market following the Coronavirus outbreak, June 22, 2020; high-skilled immigration; lesser skilled immigration; temporary agriculture guest worker; temporary non-agriculture guest worker; optional practical training program; size and administration of employment-based immigrant visa categories; size and administration of family-based immigrant visa categories; expansion of the use of the E-Verify system; employment verification; interior enforcement; family separations; family reunification; temporary suspension of entry of nationals from certain countries; increased vetting of visa applicants; unfair immigration related employment practices; travel issues; trusted traveler programs; biometric entry-exit; increasing the number of ICE officers, border patrol officers and Customs and Border Protection officers; aerial security enhancements; temporary DHS guidance for the I-9 employment verification process in the wake of COVID-19; Department of Labor Guidance on Labor Condition Application requirements in the wake of COVID-19; temporary Department of Labor procedural changes regarding the Permanent Labor Certification process in the wake of COVID-19; State Department policy accommodations regarding the use of interview waivers for H-2 nonimmigrant workers in the wake of COVID-19; temporary United States Citizenship and Immigration Services (USCIS) procedures to provide flexibility with regard to filing deadlines, and temporary USCIS guidelines providing flexibility to wet-ink signatures on USCIS forms and documents; United States Citizenship and Immigration Services (USCIS) funding shortfalls; Customs and Border Protection (CBP) funding shortfalls

Client expense: $12,300,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Citizenship & Immigration Services (BCIS), Bureau of Industry and Security (BIS), Bureau of Labor Statistics (BLS), Bureau of Reclamation, Commerce, Dept of (DOC), Commodity Futures Trading Commission (CFTC), Consumer Financial Protection Bureau (CFPB), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Emergency Management Agency (FEMA), Federal Energy Regulatory Commission (FERC), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Institute of Standards & Technology (NIST), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), White House Office

H. Res. 480, Acknowledging the racial disparities in diagnosing and treating mental health among youth in communities of color H.R. 1109, the Mental Health Services for Students Act of 2019 H.R. 1554, the Resident Education Deferred Interest Act H.R. 1763 / S. 348, the Resident Physician Shortage Reduction Act of 2019 H.R. 2062 / S. 1012 (42 CFR Part 2) H.R. 2279/ S. 2546, the Safe Step Act H.R. 2482/ S. 2074, the Mainstreaming Addiction Treatment Act of 2019 H.R. 2734 / S. 1448, the Safer Prescribing of Controlled Substances Act H.R. 2862, the VACCINES Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 H.R. 3180/ S. 1770, the RISE from Trauma Act H.R. 3239/ S. 2135, the Humanitarian Standards for Individuals in Customs and Border Protection Custody Act H.R. 3253, the Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act H.R. 3414/ S. 2892, the Opioid Workforce Act H.R. 3417, BETTER Act of 2019 H.R. 4194, S. 2661, the National Suicide Hotline Designation Act of 2019 H.R. 4309, the Barriers to Suicide Act H.R. 4327, the Enhancing Mental Health and Suicide Prevention Through Campus Planning Act H.R. 4861/ S. 3006, the Effective Suicide Screening and Assessment in the Emergency Department Act H.R. 4932 / S. 2741, the CONNECT for Health Act H.R. 4995, the Maternal Health Quality Improvement Act of 2019 H.R. 4996, the Helping Medicaid Offer Maternity Services Act of 2019 H.R. 5, the Equality Act H.R. 5201, the Telemental Health Expansion Act of 2019 H.R. 5473, the Enhance Access to Support Essential Behavioral Health Services Act H.R.5469, the Pursuing Equity in Mental Health Act of 2019 H.R.5575, the Primary and Behavioral Health Care Access Act of 2020 Out of network billing legislation S. 1227, the Prescription Pricing for the People Act of 2019 S. 2443, the Investment in Tomorrow's Pediatric Health Care Workforce Act S. 824, the Excellence in Mental Health and Addiction Treatment Expansion Act S.1659, the Ensuring Childrens Access to Specialty Care Act of 2019 Title III Sec. 305 Timely Bills to Patients within the Lower Health Care Costs Act of 2019 (S. 1895) Cures 2.0 Suggestions related to addressing mental health in rural communities. Title X Family Planning Program Administration Rule Efforts related to psychiatric bed shortages. H.R. 6074, the Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 6201, the Families First Coronavirus Response Act H.R. 748, the Coronavirus Aid, Relief and Economic Security (CARES) Act H.R. 2895, S. 948, the Conrad State 30 and Physician Access Reauthorization Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act, and Senate efforts. S. 311, the Born-Alive Abortion Survivors Protection Act S. 3275, the Pain-Capable Unborn Child Protection Act H.R. 4056 and S. 2446, the Medicare Audiologist Access and Services Act of 2019 H.R. 5575, the Primary and Behavioral Health Care Access Act Telehealth provisions as related to Covid-19. H.R. 6644, the Health Care at Home Act H.R. 748, the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), including the Payroll Protection Program (PPP), the Public Health and Social Services Emergency Fund, the provider fund (for MH funding), and more. Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 and related Medicare and Medicaid payment updates. Emergency financial relief and stability funding for 501(c)(6) tax-exempt medical and dental trade associations impacted by the pandemic H.R.7078 , the Evaluating Disparities and Outcomes of Telehealth During the COVID-19 Emergency Act of 2020 (EDOT Act of 2020) H.R. 7255, the Coronavirus Health Care Worker Wellness Act of 2020 S.3919, Military Suicide Prevention in the 21st Century Act H.R. 7608, Legislative Vehicle for the Fiscal 2021 Four-Bill Appropriations Package H.R. 6788/S. 3599, Healthcare Workforce Resilience Act Recommendations on confidential mental health records sharing. H.R. 4564, the Suicide Prevention Lifeline Improvement Act of 2019 H.R. 5619, the Suicide Prevention Act H.R. 4585, the Campaign to Prevent Suicide Act H.R. 1646, the Helping Emergency Responders Overcome (HERO) Act of 2019 H.R.884/S. 2772, the Medicare Mental Health Access Act H.R. 2519, the Improving Mental Health Access from the Emergency Department Act of 2019 H.R. 7147, the Creating Resources to Improve Situations of Inherent Severity Act (CRISIS Act) H.R. 7159, the Crisis Care Improvement and Suicide Prevention Act of 2020 21st Century Cures Act, RE: Opioid State Targeted Response Grants S.4088, the Ensuring Access to Primary Care for Women & Children Act H.R. 6159, the KIDS Access to Primary Care Act S. 3741, the Health Care at Home Act S. 3792, the Tele-mental Health Improvement Act H.R. 6697, the Local Chamber, Tourism, and 501(c)(6) Protection Act

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

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

H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 948, Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R. 6788, Healthcare Workforce Resilience Act, all provisions S. 3599, Healthcare Workforce Resilience Act, all provisions International Medical Graduates (IMGs)/work permits IMGs/60-day grace period extension H-4 Visa extensions J-1, H-1B, and O-1 IMG exemptions/COVID-19 J-1 and H-1B Visa/Presidential Proclamation waiver Pregnant asylum seekers/access to health care/ Customs and Border Protection (CBP) oversight DACA Immigration/Binary Choice

Client expense: $3,840,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Bureau of Prisons (BOP), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Office of Natl Drug Control Policy (NDCP), President of the U.S., SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office