Health Equity and Accountability Act of 2020

End-of-Life Issues; Medical Aid in Dying; Assisted Suicide Funding Restriction Act-Not introduced; Health Equity and Accountability Act-HR6637; Palliative Care and Hospice Education and Training Act-Not introduced; Do No Harm Act-HR1378, S2752; Compassionate Care Act; Hospital Mergers

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor the following: S.2110, Better Care Better Jobs Act Nurse Overtime and Patient Safety Act H.R.1195, Workplace Violence Prevention for Health Care and Social Service Workers Act, Entirety S.632, Health Force and Resilience Force Act, H.R.959/S.346, Black Maternal Health Momnibus Act Student Loan Forgiveness for Frontline Health Workers S.102, the Prescription Drug Price Relief Act S.99, the Medicare Drug Price Negotiation Act S.97, the Affordable and Safe Prescription Drug Importation Act H.R.1391/S.482, Taxpayer Research and Coronavirus Knowledge Act, Entirety H.R.7296/S.4439, Make Medications Affordable by Preventing Pandemic Pricegouging Act, Entirety Executive actions on An America-First Healthcare Plan Executive Order on Lowering Drug Prices by Putting America First Executive Order on Improving Rural Health and Telehealth Access Executive Order on Lowering Prices for Patients by Eliminating Kickbacks to Middlemen Executive Order on Increasing Drug Importation to Lower Prices for American Patients Executive Order on Access to Affordable Life-saving Medications Lower Drug Costs Now Act, Entirety Affordability of pharmaceuticals, generally Treating gun violence as a public health epidemic related issues The National Nurse Act, Entirety Health Equity Issues during COVID Pandemic H.R.728/S.187, Pandemic Emergency Manufacturing Act of 2021, Entirety Support Medicare/ACA enrollment H.R. 6637, Health Equity and Accountability Act, Entirety Delivery of healthcare services to students during COVID pandemic Telehealth issues H.R.1227/S.386, Medicare X Choice Act Rural Healthcare related issues and initiatives

Client expense: $450,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), SENATE, White House Office

End-of-Life Issues; Medical Aid in Dying; Assisted Suicide Funding Restriction Act-Not introduced; Health Equity and Accountability Act-HR6637; Palliative Care and Hospice Education and Training Act-Not introduced; Do No Harm Act-HR1378, S2752; Compassionate Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of Comprehensive Addiction and Recovery Act (CARA) PL 114-198 and education regarding opioid treatment and prevention; Implementation of 21st Century Cures (H.R. 34), advocacy related to healthcare technology and innovation issues; E-Rx (H.R.3528), advocacy related to electronic prescriptions of medications; Implementation of FY'2018 NDAA provision related to e-Commerce portals; education about potential improvements to Prescription Drug Monitoring Programs; H.R. 6 Substance Use- Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act; Education about improvements to Prescription Drug Monitoring programs that would promote greater efficiency and utility at the pharmacy and other issues related to opioid abuse. H.R. 6637, the Health Equity and Accountability Act (HEAA), H.R. 4621, the Collecting and Analyzing Resources Integral and Necessary for Guidance (CARING) for Social Determinants Act of 2019, S. 2986/H.R. 4004, the Social Determinants Accelerator Act, S.4264 - U.S. MADE Act of 2020, H.R. 6880 - The Buy American Medical Supplies Act, H.R. 6930 - MADE in America Act, H.R. 3 Lower Drug Costs Now Act of 2019, H.R.1845 - ALERT Act of 2019. Issues related to Medicare Part D payments; matters related to response to COVID-19 outbreak/H.R.748 - CARES Act; H.R. 6800 Heroes Act, and COVID-19 vaccine distribution. H.R.2503 - The Social Determinants Accelerator Act of 2021, H.R. 3, Drug pricing and transparency, H.R. 16 International price referencing, S.1693 - Medical Supplies for Pandemics Act of 2021, S.65 - Uyghur Forced Labor Prevention Act, H.R. 3173, Improving Seniors Timely Access to Care Act, H.R. 2163 - Safe Step Act

Client expense: $540,000 · Firm income: Not reported

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

CARE Act Nurse Overtime and Patient Safety Act H.Res.304, Black Maternal Health Week H.R.1195, Workplace Violence Prevention for Health Care and Social Service Workers Act, Entirety Monitor the following: S.632, Health Force and Resilience Force Act, S.263, Worker Health Coverage Protection Act (COBRA support) H.R.959/S.346, Black Maternal Health Momnibus Act Student Loan Forgiveness for Frontline Health Workers, lobb Hazard pay for healthcare workers, lobby Domestic Policy Council, Department of Health and Human Services S.102, the Prescription Drug Price Relief Act S.99, the Medicare Drug Price Negotiation Act S.97, the Affordable and Safe Prescription Drug Importation Act H.R.1391/S.482, Taxpayer Research and Coronavirus Knowledge Act, Entirety H.R.7296/S.4439, Make Medications Affordable by Preventing Pandemic Pricegouging Act, Entirety Executive actions on An America-First Healthcare Plan Executive Order on Lowering Drug Prices by Putting America First Executive Order on Improving Rural Health and Telehealth Access Executive Order on Lowering Prices for Patients by Eliminating Kickbacks to Middlemen Executive Order on Increasing Drug Importation to Lower Prices for American Patients Executive Order on Access to Affordable Life-saving Medications Healthcare extenders: continued delay of cuts to payments supporting disproportionate share hospitals and an extension of funding for Community Health Centers Lower Drug Costs Now Act, Entirety Affordability of pharmaceuticals, generally Treating gun violence as a public health epidemic related issues The National Nurse Act, Entirety Health Equity Issues during COVID Pandemic Pandemic Responder Service Award Act, Entirety H.R.728/S.187, Pandemic Emergency Manufacturing Act of 2021, Entirety Support Medicare/ACA enrollment H.R. 6637, Health Equity and Accountability Act, Entirety Delivery of healthcare services to students during COVID pandemic Telehealth issues H.R.1227/S.386, Medicare X Choice Act Rural Healthcare related issues and initiatives

Client expense: $380,000 · Firm income: Not reported

Government targets: Education, Dept of, Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, White House Office

S.632, Health Force and Resilience Force Act, S.263, Worker Health Coverage Protection Act (COBRA support) H.R.959/S.346, Black Maternal Health Momnibus Act Student Loan Forgiveness for Frontline Health Workers, lobb Hazard pay for healthcare workers, lobby Domestic Policy Council, Department of Health and Human Services S.102, the Prescription Drug Price Relief Act S.99, the Medicare Drug Price Negotiation Act S.97, the Affordable and Safe Prescription Drug Importation Act H.R.1195, Workplace Violence Prevention for Health Care and Social Service Workers Act, Entirety Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act, Entirety H.R.1391/S.482, Taxpayer Research and Coronavirus Knowledge Act, Entirety H.R.7296/S.4439, Make Medications Affordable by Preventing Pandemic Pricegouging Act, Entirety COVID-19 related issues and initiatives, generally Monitor the following: Executive actions on An America-First Healthcare Plan Executive Order on Lowering Drug Prices by Putting America First Executive Order on Improving Rural Health and Telehealth Access Executive Order on Lowering Prices for Patients by Eliminating Kickbacks to Middlemen Executive Order on Increasing Drug Importation to Lower Prices for American Patients Executive Order on Access to Affordable Life-saving Medications Healthcare extenders: continued delay of cuts to payments supporting disproportionate share hospitals and an extension of funding for Community Health Centers Lower Drug Costs Now Act, Entirety Affordability of pharmaceuticals, generally Treating gun violence as a public health epidemic related issues Nurse Overtime and Patient Safety Act, Entirety The National Nurse Act, Entirety Health Equity Issues during COVID Pandemic Pandemic Responder Service Award Act, Entirety H.R.728/S.187, Pandemic Emergency Manufacturing Act of 2021, Entirety Support Medicare/ACA enrollment H.R. 6637, Health Equity and Accountability Act, Entirety Delivery of healthcare services to students during COVID pandemic Telehealth issues H.R.1227/S.386, Medicare X Choice Act Rural Healthcare related issues and initiatives

Client expense: $340,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Consumer Financial Protection Bureau (CFPB), Education, Dept of, Executive Office of the President (EOP), Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

Implementation of Comprehensive Addiction and Recovery Act (CARA) PL 114-198 and education regarding opioid treatment and prevention; Implementation of 21st Century Cures (H.R. 34), advocacy related to healthcare technology and innovation issues; E-Rx (H.R.3528), advocacy related to electronic prescriptions of medications; Implementation of FY'2018 NDAA provision related to e-Commerce portals; education about potential improvements to Prescription Drug Monitoring Programs; H.R. 6 Substance Use- Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act; Education about improvements to Prescription Drug Monitoring programs that would promote greater efficiency and utility at the pharmacy and other issues related to opioid abuse. H.R. 6637, the Health Equity and Accountability Act (HEAA), H.R. 4621, the Collecting and Analyzing Resources Integral and Necessary for Guidance (CARING) for Social Determinants Act of 2019, S. 2986/H.R. 4004, the Social Determinants Accelerator Act, S.4264 - U.S. MADE Act of 2020, H.R. 6880 - The Buy American Medical Supplies Act, H.R. 6930 - MADE in America Act, H.R. 3 Lower Drug Costs Now Act of 2019, H.R.1845 - ALERT Act of 2019. Issues related to Medicare Part D payments; matters related to response to COVID-19 outbreak/H.R.748 - CARES Act; H.R. 6800 Heroes Act, and COVID-19 vaccine distribution

Client expense: $530,000 · Firm income: Not reported

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

Conversion Therapy Ending Discrimination Against Gay and Bisexual Blood and Tissue Donors Financial Services and General Government Appropriations Funding for HIV/AIDS Education, Prevention, and Research Funding for and Education Regarding Comprehensive Sexual Health Education Health Insurance Privacy Implementation of Section 1557 Nondiscrimination regulations Implementation and Protection of the Patient Protection and Affordable Care Act Interpretation of the Older Americans Act Labor, HHS, and Education Appropriations LGBTQ Data Collection Labor, HHS, and Education Appropriations PrEP Insurance Coverage Planned Parenthood funding Preventing Prohibitions on Gender Transition-Related Care Privacy in Health Insurance Explanation of Benefits Religious Refusals in Healthcare Repeal of Federal Ban on Funding for Syringe Exchange Programs Ryan White CARE Program Reauthorization Unfair Drug Pricing Practices FDA Ban on Blood Donation by MSM COVID-19 Legislative Response Prohibition of Medicaid Funding for Conversion Therapy Act (H.R. 1981) Supporting the goals and ideals of National Youth HIV & AIDS Awareness Day (H.Res. 308) Youth Access to Sexual Health Services Act of 2019 (H.R. 2701; S. 1530) PrEP Access and Coverage Act (H.R. 3815; S. 1926) Healthy Families Act (H.R. 1784; S.840) Real Education for Healthy Youth Act (H.R. 2720; S.1524) Therapeutic Fraud Prevention Act ( H.R. 3570; S. 2008) Eliminating the HHS Discrimination Division Act of 2020 Coronavirus Aid, Relief, and Economic Security (CARES) Act (H.R. 748) Families First Coronavirus Response Act (H.R. 6201) The Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act (H.R. 6800) To amend title VII of the Public Health Service Act to provide for a loan repayment program for the HIV clinical and dental workforce, and for other purposes. (H.R. 7543) Community Solutions for COVID-19 Act (S. 3877) Health Equity and Accountability Act of 2020 (H.R. 6637) Pursuing Equity in Mental Health Act (H.R. 5469) COVID-19 Health Disparities Action Act of 2020 (H.R. 8203/ S. 4262) COVID-19 in Corrections Data Transparency Act (H.R. 793/S. 4536) Improving Social Determinants of Health Act of 2020 (S. 4440) Science in Blood Donation Act (H.R. 8168) Expressing the sense of the House of Representatives that blood donation policies in the United States should be equitable and based on science. (H.Res. 989)

Client expense: $150,000 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Disease Control & Prevention (CDC), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Office of Natl AIDS Policy, SENATE, White House Office

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act and Pandemic and All-Hazards Preparedness and Advancing Innovation Act (Public Law 113-5, 116-22) 3.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 4.Implementation of Every Student Succeeds Act (Public Law 114-95) 5.Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 6.Midnight Rules Relief Act (S.34/H.R. 21) 7.Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 8.Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 9.Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 10.Regulatory Integrity Act (H.R. 1004) 11.OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 12.A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 13.American Health Care Act (H.R. 1628/H.Res. 228) 14.Ozone Standards Implementation Act (S. 263/H.R. 806) 15.Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 16.Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 17.Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 18.Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 19.Preventing Antibiotic Resistance Act (S. 629) 20.Better Care Reconciliation Act (H.R. 1628) and related amendments 21.Public Health Emergency Response Act (S. 196) 22.Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 23.Treat and Reduce Obesity Act (S. 830/H.R. 1953) 24.Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 25.Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 26.Tobacco Tax Equity Act (S. 1837) 27.Healthy Kids Act (S. 1821/H.R. 3921) 28.Implementation of the Drug Quality and Security Act (P.S. 113-54) 29.Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 30.Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 31.Lead-Safe Housing for Kids Act (S. 1583/H.R. 8713) 32.Supporting Working Moms Act (S. 2122/H.R. 3255) 33.Championing Healthy Kids Act (H.R. 3922) 34.Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 35.An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 36.Tax Cuts and Jobs Act (Public Law 115-97) 37.Pandemic and All-Hazards Preparedness Advancing Innovation Act (P.L. 116-22) 38.Vaccine Access Improvement Act (H.R. 4993) 39.Relief from New Source Performance Standards Act (H.R. 453) 40.Strategies to Address Antimicrobial Resistance (S. 2469) 41.Opioid Quota Reform Act (S. 2535) 42.Hospital Preparedness Program Reauthorization Act (H.R. 4776) 43.Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 44.Opioid Crisis Response Act of 2018 (S. 2680) 45.Agriculture and Nutrition Act (H.R. 2) 46.Agriculture Improvement Act (S. 3042) 47.SECURE Act (H.R. 5998) 48.Trauma-Informed Care for Children and Families Act (S. 774) 49.SUPPORT for Patients and Communities Act (H.R. 6) 50.Centers for Disease Control Emergency Response Act (S. 3161) 51.LABEL Opioids Act (S. 3428) 52.Relief from New Source Performance Standards Act (S. 1857) 53.Outdoors for All Act (S. 3499) 54.The MOMMA Act (H.R. 5977) 55.Preventing Maternal Deaths Act (H.R. 1318) 56.Medicare Access to Vaccines Equity Act (not yet introduced) 57.The Support Act (H.R. 6) 58.Climate Change Health Protection and Promotion Act (S. 529) 59.NURSE Act (H.R. 1597) 60.Investing for the People Act (H.R. 2021) 61.Child Care for Working Families Act (H.R. 365/S. 568) 62.FAMILY Act (H.R. 1185/S. 463) 63.Transportation Alternatives Enhancement Act (S. 1098) 64.Lower Health Care Costs Act (S. 1895) 65.LIFT America Act (H.R 2479) 66.Public Health Funding Restoration Act (H.R. 3447/S. 1944) 67.Supporting Older Americans Act of 2020 (HR 4334) 68.Campus Prevention and Recovery Services for Students Act (H.R. 3591) 69.Healthier Students for Stronger Campuses Act (S. 1281) 70.Saving Lives Through Better Data Act (S. 1793) 71.VACCINES Act (H.R. 2862) 72.DISARM Act (H.R. 4100/S. 1712) 73.Community Access, Resources, and Education for Families Act (H.R. 3117) 74.Protecting Seniors Through Immunization Act (S. 1872) 75.Tobacco-Free Youth Act (S. 1541) 76.Tobacco to 21 Act (H.R. 2411/S. 1258) 77.Investing for People Act (H.R. 2021) 78.School Based Health Centers Reauthorization Act (H.R.2075/S.1013) 79.Reversing the Youth Tobacco Epidemic Act of 2019 (H.R. 2339) 80.Social Determinants Accelerator Act (H.R. 4004/S. 2986) 81.Mental Health Professionals Workforce Shortage Loan Repayment Act (H.R. 2431) 82.The UNDERSTAND Act (S. 1323) 83.Americas Transportation Infrastructure Act (S. 2302) 84.Barriers to Suicide Act of 2019 (H.R. 4309) 85.Promoting Physical Activity for Americans Act (S. 1608/H.R. 2891) 86.Public Health Infrastructure Modernization Act of 2019 (H.R. 5321) 87.Supporting Healthy Mothers and Infants Act (H.R. 5249) 88.Lead-Free Future Act (H.R. 4416) 89.Home Visiting to Reduce Maternal Mortality and Morbidity Act (H.R. 4768) 90.Recognizing the anniversary of the eradication of smallpox and the importance of vaccination in the United States and worldwide (H. Res. 592) 91.Coronavirus Preparedness and Response Supplemental Appropriations Act (H.R. 6074) 92.Families First Coronavirus Response Act (H.R. 6201) 93.Coronavirus Aid, Relief, and Economic Security (CARES) Act (H.R. 748) 94.Connecting Americas Transportation Infrastructure Act (H.R. 5696/S. 3391)) 95.Improving Access to Remote Behavioral Health Treatment Act (S. 2244/H.R. 4131) 96.National Suicide Hotline Designation Act (S. 2661/H.R. 4194) 97.Suicide Prevention Lifeline Improvement Act (H.R. 4564) 98.Campaign to Prevent Suicide Act (H.R. 4585) 99.Medicaid Reentry Act (H.R. 1329) 100.Excellence in Mental Health and Addiction Treatment Expansion Act (S. 824/H.R. 1767) 101.Mental Health Services for Students Act (S. 1122/H.R. 1109) 102.Suicide Training and Awareness Nationally Delivered for Universal Prevention (STANDUP) Act (S. 2492/H.R. 2599) 103.Mental Health Parity Compliance Act (S. 1737/H.R. 3165) 104.Behavioral Health Transparency Act (S. 1576/H.R. 2874) 105.Medicare Mental Health Access Act (S. 2772/H.R. 884) 106.Public Health Emergency Response and Accountability Act (S. 3309) 107.Family Violence Prevention and Services Improvement Act (H.R. 5041) 108.Protecting the Health of Americas Older Adults During COVID-19 and Beyond Act (H.R. 6935) 109.Improving Social Determinants Act (H.R. 6561/S. 4440) 110.Urging the establishment of a United States Commission on Truth, Racial Healing, and Transformation (H.Con.Res.100/S.Con.Res.50) 111.FY 2021 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (TBD) 112.Better Tools for Healthy Living Act (S. 1805) 113.The WIC Act (H.R. 6811/S. 2358) 114.Health Equity and Accountability Act (H.R. 6637/S. 4819) 115.Paycheck Protection Program and Health Care Enhancement Act (H.R. 266) 116.The HEROES Act (H.R.6800) 117.Community Solutions for COVID-19 Act (H.R.7077/S.3877) 118.The Black Maternal Health Momnibus Act of 2020 (H.R. 6142) 119.COVID-19 Bias and Anti-Racism Training Act (H.R. 7618/S. 4248) 120.Urging the establishment of a United States Commission on Truth, Racial Healing, and Transformation (H. Con. Res. 100) 121.Community Immunity During COVID-19 Act of 2020 (H.R. 8061) 122.Public Safety Officer Support Act (H.R. 7568) 123.COVID-19 Behavioral Health Support Act (S. 4059) 124.Public Health Workforce Loan Repayment Act (H.R. 6578) 125.Strengthening the Public Health Workforce Act (S. 3737) 126.A resolution declaring racism a public health crisis (S. Res. 655) 127.Pandemic Child Hunger Prevention Act (H.R.7887) 128.Public Health Infrastructure Saves Lives Act (S. 4740) 129.CARE for Families Act (H.R. 3117/S. 3354) 130.Improving Data Collection for Adverse Childhood Experiences Act (H.R. 7689/S. 4980) 131.The STANDUP Act of 2020 (H.R. 7293) 132.The Effective Suicide Screening and Assessment in the Emergency Department Act (H.R. 4861) 133.The Pursuing Equity in Mental Health Act of 2019 (H.R. 5469) 134.The Improving Mental Health Access from the Emergency Department Act (H.R. 2519/S. 1334) 135.The Suicide Prevention Act (H.R. 5619/S. 3198) 136.The Helping Emergency Responders Overcome (HERO) Act (H.R. 1646/S. 3244) 137.The Campaign to Prevent Suicide Act (H.R. 4585) 138.The Maternal Health Immunization Enhancement Act (S. 4690) 139.Pandemic Vaccine Access Improvement Act (Not yet introduced) 140.Moving Forward Act (H.R. 2) 141.Continuing Appropriations Act, 2021 and Other Extensions Act (HR 8319) Coronavirus Response Additional Supplemental Appropriations Act (S. 4320). 142.ETHIC Act (H.R. 8205) 143.Safely Back to School and Work Act (S. 4322) 144.Supporting the goals and ideals of BIPOC Mental Health Awareness Month (H.Res. 1064) 145.COVID-19 Health Disparities Action Act (S. 4262) 146.Protecting American Heroes Act of 2020 (S. 4368) 147.Health STATISTICS Act (H.R. 8080) 148.Maternal Health Quality Improvement Act (H.R. 4995) 149.Helping MOMS Act of 2020 (H.R. 4996) 150.Maternal Immunization Enhancement Act 151.FY2021 Omnibus and COVID Relief and Response Act (P.L. 116-260) 152.Helping Adults Protect Immunity (HAPI) Act (H.R. 4864) 153.Secure Affordable Vaccines Equally (SAVE) for Seniors Act (H.R. 8623) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, NIMH, Education, USDA, DHS, FEMA, and SAMHSA.

Client expense: $41,268 · Firm income: Not reported

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

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act and Pandemic and All-Hazards Preparedness and Advancing Innovation Act (Public Law 113-5, 116-22) 3.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 4.Implementation of Every Student Succeeds Act (Public Law 114-95) 5.Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 6.Midnight Rules Relief Act (S.34/H.R. 21) 7.Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 8.Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 9.Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 10.Regulatory Integrity Act (H.R. 1004) 11.OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 12.A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 13.American Health Care Act (H.R. 1628/H.Res. 228) 14.Ozone Standards Implementation Act (S. 263/H.R. 806) 15.Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 16.Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 17.Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 18.Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 19.Preventing Antibiotic Resistance Act (S. 629) 20.Better Care Reconciliation Act (H.R. 1628) and related amendments 21.Public Health Emergency Response Act (S. 196) 22.Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 23.Treat and Reduce Obesity Act (S. 830/H.R. 1953) 24.Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 25.Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 26.Tobacco Tax Equity Act (S. 1837) 27.Healthy Kids Act (S. 1821/H.R. 3921) 28.Implementation of the Drug Quality and Security Act (P.S. 113-54) 29.Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 30.Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 31.Lead-Safe Housing for Kids Act (S. 1583/H.R. 8713) 32.Supporting Working Moms Act (S. 2122/H.R. 3255) 33.Championing Healthy Kids Act (H.R. 3922) 34.Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 35.An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 36.Tax Cuts and Jobs Act (Public Law 115-97) 37.Pandemic and All-Hazards Preparedness Advancing Innovation Act (P.L. 116-22) 38.Vaccine Access Improvement Act (H.R. 4993) 39.Relief from New Source Performance Standards Act (H.R. 453) 40.Strategies to Address Antimicrobial Resistance (S. 2469) 41.Opioid Quota Reform Act (S. 2535) 42.Hospital Preparedness Program Reauthorization Act (H.R. 4776) 43.Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 44.Opioid Crisis Response Act of 2018 (S. 2680) 45.Agriculture and Nutrition Act (H.R. 2) 46.Agriculture Improvement Act (S. 3042) 47.SECURE Act (H.R. 5998) 48.Trauma-Informed Care for Children and Families Act (S. 774) 49.SUPPORT for Patients and Communities Act (H.R. 6) 50.Centers for Disease Control Emergency Response Act (S. 3161) 51.LABEL Opioids Act (S. 3428) 52.Relief from New Source Performance Standards Act (S. 1857) 53.Outdoors for All Act (S. 3499) 54.The MOMMA Act (H.R. 5977) 55.Preventing Maternal Deaths Act (H.R. 1318) 56.Medicare Access to Vaccines Equity Act (not yet introduced) 57.The Support Act (H.R. 6) 58.Climate Change Health Protection and Promotion Act (S. 529) 59.NURSE Act (H.R. 1597) 60.Investing for the People Act (H.R. 2021) 61.Child Care for Working Families Act (H.R. 365/S. 568) 62.FAMILY Act (H.R. 1185/S. 463) 63.Transportation Alternatives Enhancement Act (S. 1098) 64.Lower Health Care Costs Act (S. 1895) 65.LIFT America Act (H.R 2479) 66.Public Health Funding Restoration Act (H.R. 3447/S. 1944) 67.Supporting Older Americans Act of 2020 (HR 4334) 68.Campus Prevention and Recovery Services for Students Act (H.R. 3591) 69.Healthier Students for Stronger Campuses Act (S. 1281) 70.Saving Lives Through Better Data Act (S. 1793) 71.VACCINES Act (H.R. 2862) 72.DISARM Act (H.R. 4100/S. 1712) 73.Community Access, Resources, and Education for Families Act (H.R. 3117) 74.Protecting Seniors Through Immunization Act (S. 1872) 75.Tobacco-Free Youth Act (S. 1541) 76.Tobacco to 21 Act (H.R. 2411/S. 1258) 77.Investing for People Act (H.R. 2021) 78.School Based Health Centers Reauthorization Act (H.R.2075/S.1013) 79.Reversing the Youth Tobacco Epidemic Act of 2019 (H.R. 2339) 80.Social Determinants Accelerator Act (H.R. 4004/S. 2986) 81.Mental Health Professionals Workforce Shortage Loan Repayment Act (H.R. 2431) 82.The UNDERSTAND Act (S. 1323) 83.Americas Transportation Infrastructure Act (S. 2302) 84.Barriers to Suicide Act of 2019 (H.R. 4309) 85.Promoting Physical Activity for Americans Act (S. 1608/H.R. 2891) 86.Public Health Infrastructure Modernization Act of 2019 (H.R. 5321) 87.Supporting Healthy Mothers and Infants Act (H.R. 5249) 88.Lead-Free Future Act (H.R. 4416) 89.Home Visiting to Reduce Maternal Mortality and Morbidity Act (H.R. 4768) 90.Recognizing the anniversary of the eradication of smallpox and the importance of vaccination in the United States and worldwide (H. Res. 592) 91.Coronavirus Preparedness and Response Supplemental Appropriations Act (H.R. 6074) 92.Families First Coronavirus Response Act (H.R. 6201) 93.Coronavirus Aid, Relief, and Economic Security (CARES) Act (H.R. 748) 94.Connecting Americas Transportation Infrastructure Act (H.R. 5696/S. 3391)) 95.Improving Access to Remote Behavioral Health Treatment Act (S. 2244/H.R. 4131) 96.National Suicide Hotline Designation Act (S. 2661/H.R. 4194) 97.Suicide Prevention Lifeline Improvement Act (H.R. 4564) 98.Campaign to Prevent Suicide Act (H.R. 4585) 99.Medicaid Reentry Act (H.R. 1329) 100.Excellence in Mental Health and Addiction Treatment Expansion Act (S. 824/H.R. 1767) 101.Mental Health Services for Students Act (S. 1122/H.R. 1109) 102.Suicide Training and Awareness Nationally Delivered for Universal Prevention (STANDUP) Act (S. 2492/H.R. 2599) 103.Mental Health Parity Compliance Act (S. 1737/H.R. 3165) 104.Behavioral Health Transparency Act (S. 1576/H.R. 2874) 105.Medicare Mental Health Access Act (S. 2772/H.R. 884) 106.Public Health Emergency Response and Accountability Act (S. 3309) 107.Family Violence Prevention and Services Improvement Act (H.R. 5041) 108.Protecting the Health of Americas Older Adults During COVID-19 and Beyond Act (H.R. 6935) 109.Improving Social Determinants Act (H.R. 6561/S. 4440) 110.Urging the establishment of a United States Commission on Truth, Racial Healing, and Transformation (H.Con.Res.100/S.Con.Res.50) 111.FY 2021 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (TBD) 112.Better Tools for Healthy Living Act (S. 1805) 113.The WIC Act (H.R. 6811/S. 2358) 114.Health Equity and Accountability Act (H.R. 6637/S. 4819) 115.Paycheck Protection Program and Health Care Enhancement Act (H.R. 266) 116.The HEROES Act (H.R.6800) 117.Community Solutions for COVID-19 Act (H.R.7077/S.3877) 118.The Black Maternal Health Momnibus Act of 2020 (H.R. 6142) 119.COVID-19 Bias and Anti-Racism Training Act (H.R. 7618/S. 4248) 120.Urging the establishment of a United States Commission on Truth, Racial Healing, and Transformation (H. Con. Res. 100) 121.Community Immunity During COVID-19 Act of 2020 (H.R. 8061) 122.Public Safety Officer Support Act (H.R. 7568) 123.COVID-19 Behavioral Health Support Act (S. 4059) 124.Public Health Workforce Loan Repayment Act (H.R. 6578) 125.Strengthening the Public Health Workforce Act (S. 3737) 126.A resolution declaring racism a public health crisis (S. Res. 655) 127.Pandemic Child Hunger Prevention Act (H.R.7887) 128.Public Health Infrastructure Saves Lives Act (S. 4740) 129.CARE for Families Act (H.R. 3117/S. 3354) 130.Improving Data Collection for Adverse Childhood Experiences Act (H.R. 7689/S. 4980) 131.The STANDUP Act of 2020 (H.R. 7293) 132.The Effective Suicide Screening and Assessment in the Emergency Department Act (H.R. 4861) 133.The Pursuing Equity in Mental Health Act of 2019 (H.R. 5469) 134.The Improving Mental Health Access from the Emergency Department Act (H.R. 2519/S. 1334) 135.The Suicide Prevention Act (H.R. 5619/S. 3198) 136.The Helping Emergency Responders Overcome (HERO) Act (H.R. 1646/S. 3244) 137.The Campaign to Prevent Suicide Act (H.R. 4585) 138.The Maternal Health Immunization Enhancement Act (S. 4690) 139.Pandemic Vaccine Access Improvement Act (Not yet introduced) 140.Moving Forward Act (H.R. 2) 141.Continuing Appropriations Act, 2021 and Other Extensions Act (HR 8319) Coronavirus Response Additional Supplemental Appropriations Act (S. 4320). 142.ETHIC Act (H.R. 8205) 143.Safely Back to School and Work Act (S. 4322) 144.Supporting the goals and ideals of BIPOC Mental Health Awareness Month (H.Res. 1064) 145.COVID-19 Health Disparities Action Act (S. 4262) 146.Protecting American Heroes Act of 2020 (S. 4368) 147.Health STATISTICS Act (H.R. 8080) 148.Maternal Health Quality Improvement Act (H.R. 4995) 149.Helping MOMS Act of 2020 (H.R. 4996) 150.Maternal Immunization Enhancement Act 151.FY2021 Omnibus and COVID Relief and Response Act (P.L. 116-260) 152.Helping Adults Protect Immunity (HAPI) Act (H.R. 4864) 153.Secure Affordable Vaccines Equally (SAVE) for Seniors Act (H.R. 8623) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, NIMH, Education, USDA, DHS, FEMA, and SAMHSA.

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

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

Lobbying Report: October 1 - December 31, 2020 Legislation H.R. 1854 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2019 (Lobbying activities related to opposing exemption of cigars from FDA oversight) S. 9 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2019 (Lobbying activities related to opposing exemption of cigars from FDA oversight) Senate FY 2021 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2021 appropriations for the Food and Drug Administration and protecting FDAs authority to oversee all tobacco products) Senate FY 2021 Appropriations for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (Lobbying activities related to FY 2021 appropriations for the Centers for Disease Control and Prevention) Senate FY 2021 Appropriations for the Department of State, Foreign Operations, and Related Programs Appropriations Act S. 655 Stopping Appealing Flavors in E-Cigarettes for Kids Act (Lobbying activities related to curbing the use of flavors in tobacco products, including electronic cigarettes and cigars) S. 1253/H.R. 3942 Preventing Online Sales of E-Cigarettes to Children Act (Lobbying activities related to applying requirements relating to delivery sales of cigarettes to delivery sales of electronic nicotine delivery systems) S. 2463 E-Cigarette Tax Parity Act (Lobbying activities related to the entire bill) S. 2517 Tobacco Tax Equity Act (Lobbying activities related to the entire bill) S. 3223 Resources to Prevent Youth Vaping Act H.R. 6637 Health Equity and Accountability Act of 2020 S. 4819 Senate Health Equity and Accountability Act of 2020 H.R. 7286/ S. 4524 Quit Because of COVID-19 Act H.R. 8343 The Independent Advisory Committee Review of E-Cigarette Applications Act S. 4440 Social Determinants of Health Act H.R. 8137 Accurate Reporting of Smoking Variants Act of 2020 S. 4740 A bill to support public health infrastructure H.R. 2339/ S. 3174 Reversing the Youth Tobacco Epidemic Act H.R. 925 Updated Heroes Act H.R. 2111 Preventing Opportunities for Teen E-Cigarette and Tobacco Addiction (PROTECT) Act H.R. 133 Omnibus and COVID Relief and Response Act Issues Biden transition Tobaccos role in health disparities FDA regulatory authority over tobacco COVID-19 and tobacco Youth tobacco use FDA action on menthol cigarettes FDA review of MRTP and PMTA applications Medicaid and tobacco cessation Prevention and Public Health Fund (Lobbying activities related to preserving the Fund) E-Cigarettes & E-Cigarette Marketing Preventing tobacco use by kids Online sales of tobacco products Misleading social media marketing by tobacco companies Funding for CDC Office on Smoking and Health Public health funding and COVID-19 response Health disparities and COVID-19 Agencies Visited US House of Representatives US Senate Centers for Disease Control and Prevention Food & Drug Administration

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

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

HR 6637 - Health Equity and Accountability Act - Support Support to Expand Medicare Telehealth Coverage of Hearing Speech, Swallowing, and Cognitive Services During PHE

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), SENATE

S. 3799/H.R. 4701, HEAL for Immigrant Women and Families Act of 2019; in support of health care services including sexual, reproductive, and material health care for immigrant women; S. 916/H.R. 1897, Mothers and Offspring Mortality and Morbidity Awareness Act, in support of preventing maternal mortality and improving maternal health; S. 116, Modernizing Obstetric Medicine Standards Act, in support of improving maternal safety and health outcomes; S. 368/H.R. 1055, Global Health, Empowerment, and Rights (HER) Act, in opposition to the global gag rule; H.R. 1551, Quality Care for Moms and Babies Act, in support of improving maternal and infant health outcomes; S. 3424/H.R. 6142, Black Maternal Health Momnibus Act of 2020, in support of maternal health and closing disparities in maternal health outcomes for women of color; H.R. 6165, Data to Save Moms Act of 2020, in support of increased data collection to improve maternal mortality and severe maternal morbidity for women of color; H.R. 6137, IMPACT to Save Moms Act of 2020, in support of increasing access to perinatal care and improving black maternal health; H.R. 6144, Kira Johnson Act, in support of investments to prevent maternal mortality and severe maternal morbidity for black women; H.R. 6141, Protecting Moms Who Served Act, in support of improving maternity care coordination for women veterans; H.R. 6132, Social Determinants for Moms Act of 2020, in support of addressing social determinants of health for women in prenatal and postpartum periods; H.R. 6138, Tech to Save Moms Act, in support of investments in technology to improve health outcomes for underserved populations; H.R. 6143, Moms MATTER Act of 2020, in support of improving maternal and behavioral health outcomes for women of color; H.R. 6129, Justice for Incarcerated Moms Act, in support of increasing care and protection to incarcerated mothers; H.R. 1109, Mental Health Services for Students Act of 2020, in support of increasing access to comprehensive school-based mental health programs; S. Res. 655, A resolution declaring racism a public health crisis, in support of declaring racism a public health crisis; H.R. 6637, Health Equity and Accountability Act of 2020, in support of improving health care for minority individuals; In support of comprehensive healthcare for all, including immigrants, particularly during the coronavirus pandemic; In support of quality, affordable, and accessible reproductive health care, particularly during the coronavirus pandemic.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Small Business Administration (SBA), White House Office

Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Draft Bipartisan Emergency COVID Relief Act of 2020 H.R. 6650, S. 3634, Health Heroes 2020 Act S. 4055, Strengthening Americas Health Care Readiness Act Issue: Support increased funding for the National Health Service Corps, and National Disaster Medical Service (NDMS) demonstration pilot. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. Support suspension of DATA waivers. Support continuation of telehealth flexibilities allowing authorized practitioners to prescribe buprenorphine. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, imposing user fees, changing the program from an up-front discount to a post-sale rebate, and not providing 340B discounts on covered drugs purchased at community pharmacies. Issue: Oppose efforts to create new requirements for FQHC grantees that participate in the 340B program. Issue: Oppose efforts to reduce OPPS reimbursements to hospitals for drugs acquired under the 340B program. Issue: Oppose efforts to allow certain grandfathered health care plans to increase consumer cost sharing without losing their grandfathered status. Issue: Oppose State relief and empowerment waivers that allow states to offer insurance plans that do not meet the requirements set forth under the Affordable Care Act. Issue: Oppose efforts to expand the availability of Association Health Plans. Issue: Oppose efforts to direct HHS to update the Medicare.gov Hospital Compare website. Issue: Support increased interoperability and exchange of electronic health information and delayed enforcement of information blocking rule until comprehensive guidance is issued. Issue: Oppose efforts to finalize two new mandatory alternative payment models, the Radiation Oncology Model and the End-stage Renal Disease Treatment Choices Model Issue: Oppose burdensome regulation of Laboratory Developed Tests 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 H.R. 3502, Protecting People From Surprise Medical Bills Act Issues: Educate Congress on surprise medical bills and price transparency or disclosure. Support general principles for surprise medical bills draft legislation. Oppose statutory benchmark rate setting. Oppose Senate hospital/insurer contracting provisions and onerous reporting burden. S. 1895, Lower Health Care Costs Act, Title IV Issue: Prescription drug pricing, public health, maternal mortality, and health information technology. Issue: Oppose restrictions on diversity training for federal grantees and employees. Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Educate Congress about medical education on nutrition, consent, implicit bias, and maternal health. H.R. 6637, Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. P.L. 116-260, Consolidated Appropriations Act, 2021 H.R. 4004, S. 2986 Social Determinants Accelerator Act of 2019 Issue: Support grants to address social determinants of health Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. H.R. 4995 Maternal Health Quality Improvement Act of 2020 H.R. 4996 Helping MOMS Act of 2020 Issue: Support maternal health initiatives to expand coverage for postpartum women and expand demonstration project grants. S. 3750/H.R. 6837, Medicare Accelerated and Advance Payment Improvement Act of 2020 Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs. Draft, firearm safety legislation Issue: Support universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. H.R. 8, Bipartisan Background Checks Act of 2019 Issue: Support universal background checks Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. S. 4349/H.R. 8094, Dr. Lorna Breen Health Care Provider Protection Act Issue: Support grants directed at improving physician burnout and well-being. P.L. 116-260, Consolidated Appropriations Act, 2021 P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020 P.L. 116-127, Families First Coronavirus Response Act P.L. 116-136, Coronavirus Aid, Relief, and Economic Security Act (CARES) Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 6800, the Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act Draft Health, Economic Assistance, Liability Protection and Schools (HEALS) Act S. 178 with Amendment No. 2652 HEALS Act S. 4322, Safely Back to School and Back to Work Act S. 178, Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act H.R. 8406, The Heroes Act Draft Emergency Coronavirus Relief Act of 2020 Draft Bipartisan State and Local Support and Small Business Protection Act of 2020 Issues: Support emergency supplemental funding and policies for federal agencies to support coronavirus preparedness, response, relief, vaccine development and distribution, and testing and contact tracing. Ensure access to research samples. Support funding for and provide recommendations for disbursement of provider relief fund. Support revised Medicare and Medicaid reimbursement policies and increased provider flexibility. Support improvements to the Medicare Accelerated and Advance Payment Programs. Support inclusion of Medicare-supported graduate medical education positions. Support fixes to Medicare GME Rural Training Track programs. Support Medicare GME per resident amount and cap-setting technical corrections and administrative relief. Support an increase in the Federal Medicaid Assistance Program. Support for current telehealth waivers to be made permanent. Support for extension of Medicare sequester moratorium. Support changes to CY 2021 Physician Fee Schedule evaluation and management payments. Provide recommendations on personal protective equipment, testing, social distancing, clinical care, and other COVID related preparedness and response efforts of the federal government. Avoid imposing standards that would encourage depletion of scarce PPE and other resources. Support enhanced national COVID-19 data collection to better address health disparities. Support public health infrastructure. See other additions under BUD. Issue: Support extension of public health emergency declaration. Issue: Provide feedback on COVID-19 and pandemic response centers of excellence legislation. Issue: Support establishment of regional pandemic response centers, stronger linkages between public health and academic medicine, and the role of medical students in administering covid vaccines. Issue: Urge establishment and implementation of robust national COVID-19 testing strategy and functional and transparent supply chain. Urge CDC to update testing guidelines. Issue: Describe medical education approach on womens health and support efforts to promote trauma-informed care. Issue: Support science and data driven approach to HHS and EPA decision making. Issue: Support CDC mission S 4248 / HR 7618 COVID-19 Bias and Anti-Racism Training Act Issue: Support grant for anti-racism training in health professions programs. H.R. 8017, Mobile Options for Testing In Our Neighborhoods (MOTION) Act Issue: Support grants for mobile COVID-testing units. S. 4160, To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program, and for other purposes. Issue: Support protections for hospitals that participate in the 340B Drug Pricing Program to temporarily allow them to remain eligible for the program. H.R. 8283 S. 4421, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Issue: Support for a temporary uniform licensing standard for all practitioners in all states throughout a national emergency. Issue: Support the rescission of the Department of Homeland Securitys Public Charge rule. Issue: Participate in Resilient American Communities initiative S. 4740 Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Rescind the Executive Order on Creating Schedule F in the Excepted Service. Issue: Rescind Executive Orders 13771 and 13777, and support re-implementation of directives under Executive Order 13563, Improving Regulation and Regulatory Review. Issue: Support establishment of a Presidential Bioethics Commission. Issue: Support ensuring patients are put first and that conscience protections align with medical professionalism standards. Issue: Support prompt establishment of the Research Policy Board and implementation of the additional reform efforts required by Section 2034 of the 21st Century Cures Act (P.L. 114-255). Issue: Support increased interoperability and exchange of electronic health information. Support delay of enforcement beyond April 2021. Issue: Support identification of specific federal regulations for review for disproportionate administrative impacts. Issue: Support independence of the US Food and Drug Administration. Issue: Support FDA rulemaking to harmonize protection of human research subjects. Issue: Support promotion of data sharing and clinical trials results reporting.

Client expense: $1,035,000 · 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

Appropriations H.R. 133, Consolidated Appropriations Act, 2021 H.R. 7617, Defense, Commerce, Justice, Science, Energy and Water Development, Financial Services and General Government, Homeland Security, Labor, Health and Human Services, Education, Transportation, Housing and Urban Development Appropriations Act, 2021 H.R. 7669, Department of Homeland Security Appropriations Act, 2021 H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act H.R. 7667, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2021 Asylum Final rule, Security Bars and Processing Final rule, Procedures for Asylum and Withholding of Removal; Credible Fear and Reasonable Fear Review Final rule, Procedures for Asylum and Bars to Asylum Eligibility" Border S.2174/H.R. 8772, Missing Persons and Unidentified Remains Act Centers for Disease Control and Prevention (CDC) Order Suspending Introduction of Certain Persons from Countries Where a Communicable Disease Exists Coronavirus H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S. 3548, Coronavirus Aid, Relief, and Economic Security (CARES) Act Deferred Action for Childhood Arrivals (DACA) H.R. 6, American Dream and Promise Act Department of Homeland Security memo, Reconsideration of the June 15, 2012 Memorandum Entitled Exercising Prosecutorial Discretion with Respect to Individuals Who Came to the United States as Children Detention H. Res. 1153, Condemning unwanted, unnecessary medical procedures on individuals without their full, informed consent S. 4741/H.R. 8799, End Transfers of Detained Immigrants Act Employment-Based Immigration H.R. 1044/S. 386, the Fairness for High Skilled Immigrants Act of 2019 Family Separation H.R. 2731/S. 1554, Adoptee Citizenship Act Haitian Family Reunification Program and Filipino World War II Veteran Parole Program Notice, Agency Information Collection Activities; Revision of a Currently Approved Collection: Application for Travel Document. Removal of Instructions Regarding the Haitian Family Reunification Program and Filipino World War II Veteran Parole Program Healthcare H.R. 6637, Health Equity and Accountability Act of 2020 Interior Enforcement H.R.7569/ S.4011, Immigration Enforcement Moratorium Act H.R. 5383, New Way Forward Act International Students Notice of proposed rulemaking, 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 Immigrant Workers Interim Final Rule, Strengthening Wage Protections for the Temporary and Permanent Employment of Certain Aliens in the United States H.R. 3881, Visa Transparency Anti-Trafficking Act H.R. 8954, Seasonal Worker Solidarity Act Notice of proposed rulemaking, Employment Authorization for Certain Classes of Aliens With Final Orders of Removal Immigration Courts Notice of proposed rulemaking, Good Cause for a Continuance in Immigration Proceedings Notice of proposed rulemaking, Motions To Reopen and Reconsider; Effect of Departure; Stay of Removal Notice of proposed rulemaking, Executive Office for Immigration Review Electronic Case Access and Filing Liberian Refugee Immigration Fairness Program Migrant Protection Protocols (MPP) NDAA H.R. 6395, National Defense Authorization Act for FY2021 Nominations Nomination of Amy Coney Barrett to the Supreme Court Refugees Transmission of the Presidents Report to Congress on the Proposed Refugee Admissions for Fiscal Year 2021 Temporary Protected Status (TPS) 18 month Extension and Redesignation of TPS for South Sudan 18 month Extension and Redesignation of TPS for Syria Notice, Continuation of Documentation for Beneficiaries of Temporary Protected Status Designations for El Salvador, Haiti, Nicaragua, Sudan, Honduras, and Nepal H.R. 8793, Hurricane Eta Relief Act of 2020 U-Visas H.R. 4319, Immigrant Witness and Victim Protection Act of 2019 USCIS Notice of proposed rulemaking, Collection and Use of Biometrics by U.S. Citizenship and Immigration Services

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Regulation of electronic nicotine delivery system products as a less harmful alternative for adult smokers; Issues related to enforcement of illicit tobacco products, including importation of counterfeit products; Issues related to taxation and user fees for tobacco products; H.R. 293, Youth Vaping Prevention Act of 2019; H.R. 1498/S. 655, SAFE Kids Act; H.R. 1642/S. 1965, Combating the Illicit Trade in Tobacco Products Act; H.R. 1897/S. 916, MOMMAs Act; provisions related to taxation of tobacco products; H.R. 2339/S.3174, Reversing the Youth Tobacco Epidemic Act; H.R. 3942/S. 1253, Preventing Online Sales of E-Cigarettes to Children Act; H.R. 4425, Quell Underage Inhaling of Toxic Substances Act of 2019; H.R. 5721/S. 3223, Resources to Prevent Youth Vaping Act; H.R. 6637, Health Equity and Accountability Act of 2020; provisions related to taxation of tobacco products; S. 616, E-cigarette Youth Protection Act; S. 2517, Tobacco Tax Equity Act of 2019; S. 2519, Prohibiting Non-tobacco E-cigarette Flavors; and S. 2536, E-Cigarette Device Standards Act of 2019.

Client expense: $740,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of Comprehensive Addiction and Recovery Act (CARA) PL 114-198 and education regarding opioid treatment and prevention; Implementation of 21st Century Cures (H.R. 34), advocacy related to healthcare technology and innovation issues; E-Rx (H.R.3528), advocacy related to electronic prescriptions of medications; Implementation of FY'2018 NDAA provision related to e-Commerce portals; education about potential improvements to Prescription Drug Monitoring Programs; H.R. 6 Substance Use- Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act; Education about improvements to Prescription Drug Monitoring programs that would promote greater efficiency and utility at the pharmacy and other issues related to opioid abuse. H.R. 6637, the Health Equity and Accountability Act (HEAA), H.R. 4621, the Collecting and Analyzing Resources Integral and Necessary for Guidance (CARING) for Social Determinants Act of 2019, S. 2986/H.R. 4004, the Social Determinants Accelerator Act, S.4264 - U.S. MADE Act of 2020, H.R. 6880 - The Buy American Medical Supplies Act, H.R. 6930 - MADE in America Act, H.R. 3 Lower Drug Costs Now Act of 2019, H.R.1845 - ALERT Act of 2019. Issues related to Medicare Part D payments; matters related to response to COVID-19 outbreak/H.R.748 - CARES Act; H.R. 6800 Heroes Act, and COVID-19 vaccine distribution

Client expense: $340,000 · Firm income: Not reported

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

COBRA support S.4653, A bill to protect the healthcare of hundreds of millions of people of the United States and prevent efforts of the Department of Justice to advocate courts to strike down the Patient Protection and Affordable Care Act, Entirety Monitor the following: Executive actions on An America-First Healthcare Plan Executive Order on Lowering Drug Prices by Putting America First Executive Order on Improving Rural Health and Telehealth Access Executive Order on Lowering Prices for Patients by Eliminating Kickbacks to Middlemen Executive Order on Increasing Drug Importation to Lower Prices for American Patients Executive Order on Access to Affordable Life-saving Medications Healthcare extenders: continued delay of cuts to payments supporting disproportionate share hospitals and an extension of funding for Community Health Centers H.R.3, Lower Drug Costs Now Act, Entirety H.R. 1309/S.851, Workplace Violence Prevention for Health Care and Social Service Workers Act, Entirety Affordability of pharmaceuticals, generally Treating gun violence as a public health epidemic related issues S.1357, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act, Entirety Surprise medical billing, generally Nurse Overtime and Patient Safety Act, Entirety H.R.5800, The Ban Surprise Billing Act, Entirety H.R.5826, Consumer Protections Against Surprise Medical Bills Act, Entirety S.696 the National Nurse Act, Entirety H.R. 1425, the Patient Protection and Affordable Care Enhancement Act, Entirety Health Equity Issues during COVID Pandemic S.3763, Pandemic Responder Service Award Act, Entirety H.R.7288, Taxpayer Research and Coronavirus Knowledge Act, Entirety H.R.7296, Make Medications Affordable by Preventing Pandemic Pricegouging Act, Entirety H.R.7113, COVID-19 Emergency Manufacturing Act, Entirety S.3799, HEAL for Immigrant Women and Families Act, Entirety National Infrastructure for Mitigating the Impact of COVID-19 within Racial and Ethnic Minority Communities grant program Support Medicare/ACA enrollment H.R. 6637, Health Equity and Accountability Act, Entirety Nondiscrimination in Health and Health Education Programs and Activities, Final Rule (RIN 0945-AA11) Delivery of healthcare services to students during COVID pandemic Telehealth issues S.3599 Healthcare Workforce Resilience Act Political interference in work of experts H.R.6514, Worker Health Coverage Protection Act Emergency PPE Petition Department of Health and Human Services Regulations/Programs, Proposed Rule: Securing Updated and Necessary Statutory Evaluations Timely (Sunset Proposal)

Client expense: $370,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R.3053 - To amend title V of the Social Security Act to reauthorize the Personal Responsibility Education Program S. 2296/H.R. 8862 Pregnancy Assistance Act of 2019 H.R. 2720/S. 1524 Real Education For Healthy Youth Act H.R. 2701/S. 1530 Youth Access to Sexual Health Services Act H.R. 6178 Enhancing Questions to Understand Intentions for Pregnancy (EQUIP) Act of 2020 H.R. 6637 Health Equity and Accountability Act of 2020 H.R. 4701/S. 3799 HEAL for Immigrant Women and Families Act of 2020 Keeping the Hyde Amendment out of future COVID-19 relief legislation (no bill number) H.R. 7517/S. 4246 Protect Access to Birth Control Act General additional COVID relief

Client expense: $21,219 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Conversion Therapy Ending Discrimination Against Gay and Bisexual Blood and Tissue Donors Financial Services and General Government Appropriations Funding for HIV/AIDS Education, Prevention, and Research Funding for and Education Regarding Comprehensive Sexual Health Education Health Insurance Privacy Implementation of Section 1557 Nondiscrimination regulations Implementation and Protection of the Patient Protection and Affordable Care Act Interpretation of the Older Americans Act Labor, HHS, and Education Appropriations LGBTQ Data Collection Labor, HHS, and Education Appropriations PrEP Insurance Coverage Planned Parenthood funding Preventing Prohibitions on Gender Transition-Related Care Privacy in Health Insurance Explanation of Benefits Religious Refusals in Healthcare Repeal of Federal Ban on Funding for Syringe Exchange Programs Ryan White CARE Program Reauthorization Unfair Drug Pricing Practices FDA Ban on Blood Donation by MSM COVID-19 Legislative Response Prohibition of Medicaid Funding for Conversion Therapy Act (H.R. 1981) Supporting the goals and ideals of National Youth HIV & AIDS Awareness Day (H.Res. 308) Youth Access to Sexual Health Services Act of 2019 (H.R. 2701; S. 1530) PrEP Access and Coverage Act (H.R. 3815; S. 1926) Healthy Families Act (H.R. 1784; S.840) Real Education for Healthy Youth Act (H.R. 2720; S.1524) Therapeutic Fraud Prevention Act ( H.R. 3570; S. 2008) Eliminating the HHS Discrimination Division Act of 2020 Coronavirus Aid, Relief, and Economic Security (CARES) Act (H.R. 748) Families First Coronavirus Response Act (H.R. 6201) The Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act (H.R. 6800) To amend title VII of the Public Health Service Act to provide for a loan repayment program for the HIV clinical and dental workforce, and for other purposes. (H.R. 7543) Community Solutions for COVID-19 Act (S. 3877) Health Equity and Accountability Act of 2020 (H.R. 6637) Pursuing Equity in Mental Health Act (H.R. 5469) COVID-19 Health Disparities Action Act of 2020 (H.R. 8203/ S. 4262) COVID-19 in Corrections Data Transparency Act (H.R. 793/S. 4536) Improving Social Determinants of Health Act of 2020 (S. 4440) Science in Blood Donation Act (H.R. 8168) Expressing the sense of the House of Representatives that blood donation policies in the United States should be equitable and based on science. (H.Res. 989) World AIDS Day Resolution (H.Res. 1223) COVID Community Care Act (H.R. 8192) The Heroes Act (H.R. 8406)

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

Government targets: Administration for Children & Families (ACF), Administration on Aging, Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl AIDS Policy, Office of Personnel Management (OPM), Office on Violence Against Women, SENATE, Social Security Administration (SSA), State, Dept of (DOS), Treasury, Dept of, U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA), White House Office

H.R.1686 - Physician Assistant Education Public Health Initiatives Act of 2019 Workforce development and clinical training site issues Issues surrounding opioid use disorders and medication-assisted treatment H.R. 2482/S. 2074 - Mainstreaming Addiction Treatment Act of 2019 H.R. 4974/S. 4640 - Medication Access and Training Expansion (MATE) Act H.R.6164 - Perinatal Workforce Act of 2020 H.R. 6142/S.3423 - the Black Maternal Health Momnibus Act of 2020 H.R.6650/S. 3634 - Health Heroes 2020 Act S.4055 - Strengthening America's Health Care Readiness Act H.R.6800 - The HEROES Act Telehealth issues, such as integrating students into telemedicine appointments Issues surrounding personal protective equipment availability H.R. 8061 - Community Immunity During COVID-19 Act Integrated Substance Use Disorder Program (ITSP) H.R. 925 - The Heroes Act The Health, Economic Assistance, Liability Protections & Schools (HEALS) Act S.178 - Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act S.5000 - CARA 2.0 Act of 2020 Emergency Coronavirus Relief Act of 2020 H.R. 6637/S. 4819 - Health Equity and Accountability Act Primary Care Training and Enhancement Program (PCTE) National Health Service Corps Students to Service Program

Client expense: $90,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

Support emergency funding for CDC to prepare for the allocation, distribution and administration of a new COVID-19 vaccine. Support the Public Health Infrastructure Saves Lives Act. Support the Strengthening the Public Health Workforce Act. Support H.R. 7983/S. 4536 the COVID-19 in Corrections Data Transparency Act. Support reopening the Affordable Care Acts federal exchanges in legislation to respond to the COVID-19 pandemic. H.R. 6637, the Health Equity and Accountability Act of 2020. Support funding for school nutrition programs to combat food insecurity during the COVID-19 pandemic. Support H.R. 6561, the Improving Social Determinants of Health Act of 2020. Support increasing Supplemental Nutrition Assistance Program benefits during the COVID-19 pandemic. Support the extension of waivers through the Special Supplemental Nutrition Program for Women, Infants, and Children. Support the COVID-19 in Immigration Detention Data Transparency Act. Support for including the VACCINES Act and the Community Immunity During COVID-19 Act in COVID-19 relief legislation.

Client expense: $25,019 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of the Vice President of the United States, SENATE, Vice President of the U.S., White House Office

Regulation of electronic nicotine delivery system products as a less harmful alternative for adult smokers; Issues related to enforcement of illicit tobacco products, including importation of counterfeit products; Issues related to taxation and user fees for tobacco products; H.R. 4742, To amend the IRC of 1986 to impose a tax on nicotine used in vaping. H.R. 6637, Health Equity and Accountability Act of 2020, provisions related to taxation of tobacco products; S. 2517, Tobacco Tax Equity Act of 2019

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Endorse the plan to end the current COVID-19 pandemic and prevent the pandemics of the future that is being advanced by Sen. Elizabeth Warren, Rep. Ro Khanna, and Rep. Barbara Lee. The plan would invest in domestic programs to improve health outcomes, support global public health efforts, create public health jobs, and erase systemic racism in our healthcare system. Support the Health Equity and Accountability Act of 2020 (H.R.6637), which would take measures to eliminate racial and ethnic health disparities. Ensure that any changes made to the 340B Drug Discount Program would not have the effect of limiting access to affordable, clinically appropriate, pharmaceuticals for low-income, uninsured, underinsured, and other vulnerable patients. Pursue common-sense reforms that make health coverage and care affordable for all families in America; Bring down health care costs and transform our health care system by ending health industry abuses and prioritizing high-quality, consumer-centered health care; and, End racial injustice in health and health care. Fund investments in clean energy, healthcare, and peacebuilding by decreasing the Pentagon budget. Prevent a catastrophic wave of evictions this winter by extending, improving, and enforcing the federal eviction moratorium due to COVID-19. Support an issuance of 2 trillion Special Drawing Rights in the International Monetary Fund to strengthen the global response to the pandemic. Pass a COVID-19 relief package that: provides resources for those experiencing homelessness; increases SNAP benefits; includes policies that encourage and support employers to retain and rehire workers; ensures affordable healthcare access; safeguard incarcerated individuals who are most vulnerable to COVID-19; ensures that mixed-status families are eligible for stimulus payments; automatically extends work authorization and visa renewal deadlines for refugees and immigrants who are providing economic and recovery assistance to our country; and provides no-cost COVID-19 testing, treatment, and vaccination for all. Provide funding for nonprofit organizations in COVID-19 relief package.

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

Government targets: Army, Dept of (Corps of Engineers), Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), White House Office

Implementation of Comprehensive Addiction and Recovery Act (CARA) PL 114-198 and education regarding opioid treatment and prevention; Implementation of 21st Century Cures (H.R. 34), advocacy related to healthcare technology and innovation issues; E-Rx (H.R.3528), advocacy related to electronic prescriptions of medications; Implementation of FY'2018 NDAA provision related to e-Commerce portals; education about potential improvements to Prescription Drug Monitoring Programs; H.R. 6 Substance Use- Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act; Education about improvements to Prescription Drug Monitoring programs that would promote greater efficiency and utility at the pharmacy and other issues related to opioid abuse. H.R. 6637, the Health Equity and Accountability Act (HEAA), H.R. 4621, the Collecting and Analyzing Resources Integral and Necessary for Guidance (CARING) for Social Determinants Act of 2019, S. 2986/H.R. 4004, the Social Determinants Accelerator Act, S.4264 - U.S. MADE Act of 2020, H.R. 6880 - The Buy American Medical Supplies Act, H.R. 6930 - MADE in America Act, H.R. 3 Lower Drug Costs Now Act of 2019, H.R.1845 - ALERT Act of 2019

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

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

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

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

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

Regulation of electronic nicotine delivery system products as a less harmful alternative for adult smokers; Issues related to enforcement of illicit tobacco products, including importation of counterfeit products; Issues related to taxation and user fees for tobacco products; H.R. 293, Youth Vaping Prevention Act of 2019; H.R. 1498/S. 655, SAFE Kids Act; H.R. 1642/S. 1965, Combating the Illicit Trade in Tobacco Products Act; H.R. 1897/S. 916, MOMMAs Act; provisions related to taxation of tobacco products; H.R. 2084, SCOTT Act of 2019; H.R. 2111/S. 1048, PROTECT Act; H.R. 2339/S.3174, Reversing the Youth Tobacco Epidemic Act; H.R. 3942/S. 1253, Preventing Online Sales of E-Cigarettes to Children Act; H.R. 4425, Quell Underage Inhaling of Toxic Substances Act of 2019; H.R. 5721/S. 3223, Resources to Prevent Youth Vaping Act; H.R. 6637, Health Equity and Accountability Act of 2020; provisions related to taxation of tobacco products; H.R. 8137, the Accurate Reporting of Smoking Variants Act of 2020; S. 616, E-cigarette Youth Protection Act; S. 2517, Tobacco Tax Equity Act of 2019; S. 2519, Prohibiting Non-tobacco E-cigarette Flavors; and S. 2536, E-Cigarette Device Standards Act of 2019.

Client expense: $890,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. H.R. 6650, S. 3634, Health Heroes 2020 Act S. 4055, Strengthening Americas Health Care Readiness Act Issue: Support increased funding for the National Health Service Corps, and National Disaster Medical Service (NDMS) demonstration pilot. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. Support suspension of DATA waivers. Support continuation of telehealth flexibilities allowing authorized practitioners to prescribe buprenorphine. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Oppose burdensome regulation of Laboratory Developed Tests Issues: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, and imposing user fees 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 H.R. 3502, Protecting People From Surprise Medical Bills Act Issues: Educate Congress on surprise medical bills and price disclosure. Support general principles for surprise medical bills draft legislation. Oppose statutory benchmark rate setting. Oppose Senate hospital/insurer contracting provisions and onerous reporting burden. S. 1895, Lower Health Care Costs Act, Title IV Issues: Prescription drug pricing, public health, maternal mortality, and health information technology. Issue: Support legislation providing stable and predictable funding for quality measurement activities carried out by the National Quality Forum Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Educate Congress about medical education on nutrition, consent, implicit bias, and maternal health. Issue: Oppose restrictions on diversity training for federal grantees and employees. Issue: Educate Congress on the structural racism and inherent biases that have created health inequities that impact minority communities and other marginalized groups, including the disproportionate impact of COVID-19 on communities of color. Issue: Support public health guidance for law enforcement regarding tactics to reduce the risk of coronavirus transmission, and to protect all personal and health data collected as part of the COVID-19 response. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. H.R. 6637, Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. H.R. 4004, S. 2986 Social Determinants Accelerator Act of 2019 Issue: Support grants to address social determinants of health Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. S. 3750/H.R. 6837, Medicare Accelerated and Advance Payment Improvement Act of 2020 Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs. Draft, firearm safety legislation Issue: Support universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. H.R. 8, Bipartisan Background Checks Act of 2019 Issue: Support universal background checks Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. S. 4349/H.R. 8094, Dr. Lorna Breen Health Care Provider Protection Act Issue: Support grants directed at improving physician burnout and well-being. P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020 P.L. 116-127, Families First Coronavirus Response Act P.L. 116-136, Coronavirus Aid, Relief, and Economic Security Act (CARES) Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 6800, the Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act Draft Health, Economic Assistance, Liability Protection and Schools (HEALS) Act S. 178 with Amendment No. 2652 HEALS Act S. 4322, Safely Back to School and Back to Work Act S. 178, Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act H.R. 8406, The Heroes Act Issues: Support emergency supplemental funding and policies for federal agencies to support coronavirus preparedness, response, relief, and testing. Ensure access to research samples. Support funding for and provide recommendations for disbursement of provider relief fund. Support revised Medicare and Medicaid reimbursement policies and increased provider flexibility. Support improvements to the Medicare Accelerated and Advance Payment Programs. Support inclusion of Medicare-supported graduate medical education positions. Support an increase in the Federal Medicaid Assistance Program. Support for current telehealth waivers to be made permanent. Provide recommendations on personal protective equipment, testing, social distancing, clinical care, and other COVID related preparedness and response efforts of the federal government. Avoid imposing standards that would encourage depletion of scarce PPE and other resources. Support enhanced national COVID-19 data collection to better address health disparities. See other additions under BUD. Issue: Support extension of public health emergency declaration. Issue: Provide feedback on COVID-19 and pandemic response centers of excellence legislation. Issue: Urge establishment and implementation of robust national COVID-19 testing strategy and functional and transparent supply chain. Urge CDC to update testing guidelines. Issue: Describe medical education approach on womens health and support efforts to promote trauma-informed care. Issue: Support science and data driven approach to HHS decision making. Issue: Support CDC mission S 4248, HR 7618, COVID-19 Bias and Anti-Racism Training Act Issue: Support grant for anti-racism training in health professions programs. H.R. 8017, Mobile Options for Testing In Our Neighborhoods (MOTION) Act Issue: Support grants for mobile COVID-testing units. S. 4160, To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program, and for other purposes. Issue: Support protections for hospitals that participate in the 340B Drug Pricing Program to temporarily allow them to remain eligible for the program. H.R. 8283 S. 4421, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Issue: Support for a temporary uniform licensing standard for all practitioners in all states throughout a national emergency.

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

S. 3799/H.R. 4701, HEAL for Immigrant Women and Families Act of 2019, in support of health care services including sexual, reproductive, and material health care for immigrant women; S. 916/H.R. 1897, Mothers and Offspring Mortality and Morbidity Awareness Act, in support of preventing maternal mortality and improving maternal health; S. 116, Modernizing Obstetric Medicine Standards Act, in support of improving maternal safety and health outcomes; S. 368/H.R. 1055, Global Health, Empowerment, and Rights (HER) Act, in opposition to the global gag rule; H.R. 1551, Quality Care for Moms and Babies Act, in support of improving maternal and infant health outcomes; S. 3424/H.R. 6142, Black Maternal Health Momnibus Act of 2020, in support of maternal health and closing disparities in maternal health outcomes for women of color; H.R. 6165, Data to Save Moms Act of 2020, in support of increased data collection to improve maternal mortality and severe maternal morbidity for women of color; H.R. 6137, IMPACT to Save Moms Act of 2020, in support of increasing access to perinatal care and improving black maternal health; H.R. 6144, Kira Johnson Act, in support of investments to prevent maternal mortality and severe maternal morbidity for black women; H.R. 6141, Protecting Moms Who Served Act, in support of improving maternity care coordination for women veterans; H.R. 6132, Social Determinants for Moms Act of 2020, in support of addressing social determinants of health for women in prenatal and postpartum periods; H.R. 6138, Tech to Save Moms Act, in support of investments in technology to improve health outcomes for underserved populations; H.R. 6143, Moms MATTER Act of 2020, in support of improving maternal and behavioral health outcomes for women of color; H.R. 6129, Justice for Incarcerated Moms Act, in support of increasing care and protection to incarcerated mothers; H.R. 1109, Mental Health Services for Students Act of 2019, in support of increasing access to comprehensive school-based mental health programs; S. Res. 655, A resolution declaring racism a public health crisis, in support of declaring racism a public health crisis; H.R. 6637, Health Equity and Accountability Act of 2020, in support of improving health care for minority individuals; In support of comprehensive healthcare for all, including immigrants, particularly during the coronavirus pandemic; In support of quality, affordable, and accessible reproductive health care, particularly during the coronavirus pandemic.

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

Government targets: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, SENATE

Health Equity and Accountability Act (H.R. 6637) House Resolution Condemning Forced Unnecessary Medical Procedures (H. Res. 1153) HEAL for Immigrant Women and Families Act (H.R. 4701/S. 3799)

Client expense: $12,603 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Coronavirus Language Access Act (S. 4526) Health Equity and Accountability Act (H.R. 6637) House Resolution Condemning Forced Unnecessary Medical Procedures (H. Res. 1153) Nomination of Chad F. Wolf, of Virginia, to be Secretary of Homeland Security (P.N. 2235) HEAL for Immigrant Women and Families Act (H.R. 4701/S. 3799)

Client expense: $73,968 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.3599 Healthcare Workforce Resilience Act Political interference in work of experts H.R.6514, Worker Health Coverage Protection Act Emergency PPE Petition, AFT H.R.1603, Alan Reinstein Ban Asbestos Now Act of 2019, Entirety S.4653, A bill to protect the healthcare of hundreds of millions of people of the United States and prevent efforts of the Department of Justice to advocate courts to strike down the Patient Protection and Affordable Care Act, Entirety Monitor the following: Executive actions on An America-First Healthcare Plan Executive Order on Lowering Drug Prices by Putting America First Executive Order on Improving Rural Health and Telehealth Access Executive Order on Lowering Prices for Patients by Eliminating Kickbacks to Middlemen Executive Order on Increasing Drug Importation to Lower Prices for American Patients Executive Order on Access to Affordable Life-saving Medications Healthcare extenders: continued delay of cuts to payments supporting disproportionate share hospitals and an extension of funding for Community Health Centers H.R.3, Lower Drug Costs Now Act, Entirety H.R. 1309/S.851, Workplace Violence Prevention for Health Care and Social Service Workers Act, Entirety Affordability of pharmaceuticals, generally Treating gun violence as a public health epidemic related issues S.1357, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act, Entirety Surprise medical billing, generally Nurse Overtime and Patient Safety Act, Entirety H.R.5800, The Ban Surprise Billing Act, Entirety H.R.5826, Consumer Protections Against Surprise Medical Bills Act, Entirety S.696 the National Nurse Act, Entirety H.R. 1425, the Patient Protection and Affordable Care Enhancement Act, Entirety Health Equity Issues during COVID Pandemic S.3763, Pandemic Responder Service Award Act, Entirety H.R.7288, Taxpayer Research and Coronavirus Knowledge Act, Entirety H.R.7296, Make Medications Affordable by Preventing Pandemic Pricegouging Act, Entirety H.R.7113, COVID-19 Emergency Manufacturing Act, Entirety S.3799, HEAL for Immigrant Women and Families Act, Entirety National Infrastructure for Mitigating the Impact of COVID-19 within Racial and Ethnic Minority Communities grant program Support Medicare/ACA enrollment H.R. 6637, Health Equity and Accountability Act, Entirety Nondiscrimination in Health and Health Education Programs and Activities, Final Rule (RIN 0945-AA11) FDA/FTC Workshop on a Competitive Marketplace for Biosimilars Docket No. FDA-2019-N-6050, FDA Delivery of healthcare services to students during COVID pandemic Telehealth issues

Client expense: $340,000 · Firm income: Not reported

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

H.R.3053 - To amend title V of the Social Security Act to reauthorize the Personal Responsibility Education Program S. 2296 Pregnancy Assistance Act of 2019 H.R. 2720/S. 1524 Real Education For Healthy Youth Act H.R. 2701/S. 1530 Youth Access to Sexual Health Services Act H.R. 6178 Enhancing Questions to Understand Intentions for Pregnancy (EQUIP) Act of 2020 H. Res. 1082 Resolution calling on the Trump Administration to defend the ACA in the California v. Texas lawsuit and condemns the Administrations ongoing legal attack on the ACA during a global pandemic H.R. 6637 Health Equity and Accountability Act of 2020 H.R. 4701/S. 3799 HEAL for Immigrant Women and Families Act of 2020 Keeping the Hyde Amendment out of future COVID-19 relief legislation (no bill number) H.R. 7517/S. 4246 Protect Access to Birth Control Act

Client expense: $18,821 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Lobbying Report: July 1 - September 30, 2020 Legislation H.R. 6800 Health and Economic Recovery Omnibus Emergency Solutions Act or the HEROES Act H.R. 1854 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2019 (Lobbying activities related to opposing exemption of cigars from FDA oversight) S. 9 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2019 (Lobbying activities related to opposing exemption of cigars from FDA oversight) Senate FY 2021 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2021 appropriations for the Food and Drug Administration and protecting FDAs authority to oversee all tobacco products) H.R. 7610 FY 2021 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2021 appropriations for the Food and Drug Administration and protecting FDAs authority to oversee all tobacco products) Senate FY 2021 Appropriations for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (Lobbying activities related to FY 2021 appropriations for the Centers for Disease Control and Prevention) H.R. 7614 FY 2021 Appropriations for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (Lobbying activities related to FY 2021 appropriations for the Centers for Disease Control and Prevention) Senate FY 2021 Appropriations for the Department of State, Foreign Operations, and Related Programs Appropriations Act H.R. 7608 Consolidated Appropriations Act (Lobbying activities related to FY 2021 appropriations for the Food and Drug Administration and protecting FDAs authority to oversee all tobacco products) H.R. 7617 Consolidated Appropriations Act (Lobbying activities related to FY 2021 appropriations for the Centers for Disease Control and Prevention) S. 655 Stopping Appealing Flavors in E-Cigarettes for Kids Act (Lobbying activities related to curbing the use of flavors in tobacco products, including electronic cigarettes and cigars) S. 3174 Reversing the Youth Tobacco Epidemic Act of 2020 (Lobbying activities related to the entire bill) S. 1253/H.R. 3942 Preventing Online Sales of E-Cigarettes to Children Act (Lobbying activities related to applying requirements relating to delivery sales of cigarettes to delivery sales of electronic nicotine delivery systems) S. 2463 E-Cigarette Tax Parity Act (Lobbying activities related to the entire bill) S. 2517 Tobacco Tax Equity Act (Lobbying activities related to the entire bill) S. 3223 Resources to Prevent Youth Vaping Act H.R. 6637 Health Equity and Accountability Act of 2020 Senate Health Equity and Accountability Act of 2020 H.R. 7286/ S. 4524 Quit Because of COVID-19 Act H.R. 8343 The Independent Advisory Committee Review of E-Cigarette Applications Act S. 4440 Social Determinants of Health Act H.R. 8137 Accurate Reporting of Smoking Variants Act of 2020 S. 4740 A bill to support public health infrastructure Issues Prevention and Public Health Fund (Lobbying activities related to preserving the Fund) Tobaccos role in health disparities FDA regulation of tobacco products Flavored tobacco products E-Cigarettes E-Cigarette Marketing Preventing tobacco use by kids Online sales of tobacco products Misleading social media marketing by tobacco companies Funding for CDC Office on Smoking and Health Public health funding and COVID-19 response Health disparities and COVID-19 Medicaid and tobacco cessation Agencies Visited US House of Representatives US Senate Centers for Disease Control and Prevention

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, SENATE

H.R 8061 Community Immunity during COVID-19 Act of 2020To amend the Public Health Service Act to direct the Secretary of Health and Human Services to make grants to covered health departments to increase the rate of recommended immunizations, and for other purposes. S. 4248COVID-19 Bias and Anti-Racism Training Act - Improving bias training in states/localities S. 4262The COVID-19 Health Disparities Action Act- This bill establishes a series of requirements relating tothequality of care provided in nursing and long-term care facilities, specifically with respect toCOVID-19(i.e., coronavirus disease 2019) and elder abuse, and also modifies and extends several elder justice programs and initiatives. S.4533The Anti-Racism in Public Health Act- To amendthePublicHealthServiceActto provide forpublichealthresearch andinvestmentinto understanding and eliminating structural racism and police violence. S. 4339Masks for All Act of 2020- This bill provides fundingforthe Federal Emergency Management Agency (FEMA) to provideforthe manufacture and distribution of high-quality facemasksforevery individual in the United States during the COVID-19 (i.e., coronavirus disease 2019) emergency. H.R.8436 - Equal Health Care for All ActTo prohibit discrimination in health care and require the provision of equitable health care, s.4521Health Care Improvement Act- To amend the Patient Protection and AffordableCareActto reducehealthcarecosts and expandhealthcarecoverage to more Americans. H.Res.1125- Diversity in Clinical Trials - Expressing support for prioritizing racial and ethnicdiversityinclinicaltrialsfor therapies, diagnostics, and vaccines for COVID-19. H.R8200Ending Health Disparities During COVID-19 ActTo improve the health of minority individuals during the COVID-19 pandemic, and for other purposes S. 4557COVid Enrollment Response (COVER) Act - To support efforts to provide intensive, individualized assistance for enrolling in health care coverage. S.4526Coronavirus Language Access ActTo ensure that COVID-19-related Federal programs and assistance provide for the translation of informational materials relating to awareness, screening, testing, and treatment for COVID-19 into priority languages. S.4539Taxpayer Research and Coronavirus Knowledge Act of 2020To direct the Secretary of Health and Human Services and other Federal officials to compile into a searchable database information relating to Federal support for biomedical research and development related to COVID-19, and for other purposes. H.R.8544 - STRONG Support for Children ActTo amend the Public Health Service Act to support the development and implementation of programs using data analysis to identify and facilitate strategies to improve outcomes for children in geographic areas with a high prevalence of trauma from exposure to adverse childhood experiences, and for other purposes. H.R. 2694- the Pregnant Workers Fairness Act - prohibits employment practices that discriminate against making reasonable accommodations for qualified employees affected by pregnancy, childbirth, or related medical conditions. A qualified employee is an employee or applicant who, with or without reasonable accommodation, can perform the essential functions of the position, with specified exceptions. S.3606Health Force and Resilience Force Act of 2020establishment of aHealthForceandaResilienceForceto respond to publichealthemergenciesandmeet publichealthneeds. H.R. 6437/S.3609 - Coronavirus Immigrant Families Protection Actensure that all communities have access to urgently needed COVID-19 testing, treatment, public health information, and relief benefits regardless of immigration status or limited English proficiency, H.R.8573 - To prohibit group health plans, health insurance issuers offering group or individual health insurance coverage, State plans under title XIX of the Social Security Act, State child health plans under title XXI of such Act, and the TRICARE program from applying a deductible to outpatient pediatric services. S.4737Community Immunity during COVID-19 Act of 2020A bill to amend the Public Health Service Act to direct the Secretary of Health and Human Services to make grants to covered health departments to increase the rate of recommended immunizations, and for other purposes. H.R.6637- HealthEquityandAccountabilityActof2020HealthEquityandAccountabilityActof2020 H.R. 7510 - AHEAD: Assimilating Health and Equity Assessments into Decision Making Act Requires Health Impact Assessments for non-health legislative proposals Legislation to waive cost-sharing for treatments and future vaccines against SARS-CoV-2, the virus that causes COVID-19, in the next coronavirus economic stimulus bill. Health Care and HousingLegislation to incentivize low-income housing developments that focus on social determinants of health. H.Res.1057- Mental Health Bill Resolution expressing the sense of the House of Representatives that in order to effectively address the high prevalence of those suffering from mental health conditions and substance use disorders, the United States needs to make historic financial investments into mental health and substance use disorder care and finally acknowledge such care as a priority in health care equal to physical health Legislation to provide a comprehensive effort to test, trace and quarantine individuals must be nationally coordinated and implemented in states and localities across the country Pandemic response/stimulus legislationLegislation to provide consumer assistance for health coverage enrollment; to broaden premium tax credits and fully subsidizing COBRA coverage offered to laid-off workers; to expand the recently-enacted Medicaid option to support states ability to finance and expand Medicaid, including COVID 19 treatment, with eligibility extended to all in need, regardless of geography or immigration status. H.R. 6800 - HEROES Act -Legislation responding to the COVID-19 (i.e., coronavirus disease 2019) outbreak and its impact on the economy, public health, state and local governments, individuals, and businesses.

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

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

Regulation of electronic nicotine delivery system products as a less harmful alternative for adult smokers; Issues related to enforcement of illicit tobacco products, including importation of counterfeit products; Issues related to taxation and user fees for tobacco products; H.R. 4742, To amend the IRC of 1986 to impose a tax on nicotine used in vaping. H.R. 6637, Health Equity and Accountability Act of 2020, provisions related to taxation of tobacco products; S. 2517, Tobacco Tax Equity Act of 2019

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Conversion Therapy Ending Discrimination Against Gay and Bisexual Blood and Tissue Donors Financial Services and General Government Appropriations Funding for HIV/AIDS Education, Prevention, and Research Funding for and Education Regarding Comprehensive Sexual Health Education Health Insurance Privacy Implementation of Section 1557 Nondiscrimination regulations Implementation and Protection of the Patient Protection and Affordable Care Act Interpretation of the Older Americans Act Labor, HHS, and Education Appropriations LGBTQ Data Collection Labor, HHS, and Education Appropriations PrEP Insurance Coverage Planned Parenthood funding Preventing Prohibitions on Gender Transition-Related Care Privacy in Health Insurance Explanation of Benefits Religious Refusals in Healthcare Repeal of Federal Ban on Funding for Syringe Exchange Programs Ryan White CARE Program Reauthorization Unfair Drug Pricing Practices FDA Ban on Blood Donation by MSM COVID-19 Legislative Response Prohibition of Medicaid Funding for Conversion Therapy Act (H.R. 1981) Supporting the goals and ideals of National Youth HIV & AIDS Awareness Day (H.Res. 308) Youth Access to Sexual Health Services Act of 2019 (H.R. 2701; S. 1530) PrEP Access and Coverage Act (H.R. 3815; S. 1926) Healthy Families Act (H.R. 1784; S.840) Real Education for Healthy Youth Act (H.R. 2720; S.1524) Therapeutic Fraud Prevention Act ( H.R. 3570; S. 2008) Eliminating the HHS Discrimination Division Act of 2020 Coronavirus Aid, Relief, and Economic Security (CARES) Act (H.R. 748) Families First Coronavirus Response Act (H.R. 6201) The Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act (H.R. 6800) To amend title VII of the Public Health Service Act to provide for a loan repayment program for the HIV clinical and dental workforce, and for other purposes. (H.R. 7543) Community Solutions for COVID-19 Act (S. 3877) Health Equity and Accountability Act of 2020 (H.R. 6637) Pursuing Equity in Mental Health Act (H.R. 5469) COVID-19 Health Disparities Action Act of 2020 (H.R. 8203/ S. 4262) COVID-19 in Corrections Data Transparency Act (H.R. 793/S. 4536) Improving Social Determinants of Health Act of 2020 (S. 4440) Science in Blood Donation Act (H.R. 8168) Expressing the sense of the House of Representatives that blood donation policies in the United States should be equitable and based on science. (H.Res. 989)

Client expense: $150,000 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Administration on Aging, Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl AIDS Policy, Office of Personnel Management (OPM), Office on Violence Against Women, SENATE, Social Security Administration (SSA), State, Dept of (DOS), Treasury, Dept of, U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA), White House Office

Support H.R. 7463/S. 4184 the Assisted Living Facility Coronavirus Reporting Act. Support H.R. 7983/S. 4536 the COVID-19 in Corrections Data Transparency Act. Support S. 4507 the GET CARE Act of 2020. Support increasing federal Medicaid matching funds and direct aid to states during the COVID-19 pandemic. Support reopening the Affordable Care Acts federal exchanges in legislation to respond to the COVID-19 pandemic. H.R. 6637, the Health Equity and Accountability Act of 2020. Support funding for school nutrition programs to combat food insecurity during the COVID-19 pandemic. Support H.R. 6561, the Improving Social Determinants of Health Act of 2020. Support increasing Supplemental Nutrition Assistance Program benefits during the COVID-19 pandemic. Support increased FY 2021 funding for public health data/IT systems modernization within the Centers for Disease Control and Prevention. Support the Strengthening the Public Health Workforce Act. Support updating the CDC COVID-19 surveillance system to collect data on race, ethnicity, sex, age, primary language, sexual orientation, disability status, gender identity and socioeconomic status. Support H.R. 1425, the Patient Protection and Affordable Care Enhancement Act. Support actions to protect the food system and food workers during the COVID-19 pandemic. Support the extension of waivers through the Special Supplemental Nutrition Program for Women, Infants, and Children. Oppose S. 696/H.R. 1597, the National Nurse Act. Support H.R. 8067, legislation that would provide funding to the Agency for Healthcare Research and Quality on the most critical health system issues in responding to COVID-19.

Client expense: $16,051 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of the Vice President of the United States, SENATE, Vice President of the U.S., White House Office

Regulation of electronic nicotine delivery system products as a less harmful alternative for adult smokers; Issues related to enforcement of illicit tobacco products, including importation of counterfeit products; Issues related to taxation and user fees for tobacco products; H.R. 293, Youth Vaping Prevention Act of 2019; H.R. 1498/S. 655, SAFE Kids Act; H.R. 1642/S. 1965, Combating the Illicit Trade in Tobacco Products Act; H.R. 1897/S. 916, MOMMAs Act; provisions related to taxation of tobacco products; H.R. 2084, SCOTT Act of 2019; H.R. 2111/S. 1048, PROTECT Act; H.R. 2339/S.3174, Reversing the Youth Tobacco Epidemic Act; H.R. 3942/S. 1253, Preventing Online Sales of E-Cigarettes to Children Act; H.R. 4425, Quell Underage Inhaling of Toxic Substances Act of 2019; H.R. 5721/S. 3223, Resources to Prevent Youth Vaping Act; H.R. 6637, Health Equity and Accountability Act of 2020; provisions related to taxation of tobacco products; S. 616, E-cigarette Youth Protection Act; S. 2517, Tobacco Tax Equity Act of 2019; S. 2519, Prohibiting Non-tobacco E-cigarette Flavors; and S. 2536, E-Cigarette Device Standards Act of 2019.

Client expense: $1,150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Patent & Trademark Office (PTO), SENATE

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

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

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

Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Issue: Support the reauthorization of the National Health Service Corps, Community Health Centers, and Teaching Health Centers mandatory appropriation funds. H.R. 6650, S. 3634, Health Heroes 2020 Act S. 4055, Strengthening Americas Health Care Readiness Act Issue: Support increased funding for the National Health Service Corps, and National Disaster Medical Service (NDMS) demonstration pilot. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. Support suspension of DATA waivers. Support continuation of telehealth flexibilities allowing authorized practitioners to prescribe buprenorphine. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issues: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, and imposing user fees H.R. 6102, S. 3404, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2018 Issue: Oppose burdensome regulation of Laboratory Developed Tests 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 H.R. 3502, Protecting People From Surprise Medical Bills Act Issues: Educate Congress on surprise medical bills and price transparency. Support general principles for surprise medical bills draft legislation. Oppose statutory benchmark rate setting. Oppose Senate hospital/insurer contracting provisions and onerous reporting burden. S. 1895, Lower Health Care Costs Act, Title IV Issues: Prescription drug pricing, public health, maternal mortality, and health information technology. Issue: Support legislation providing stable and predictable funding for quality measurement activities carried out by the National Quality Forum Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Educate Congress about medical education on nutrition, consent, implicit bias, and maternal health. H.R. 6637, Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. H.R. 4004, S. 2986, Social Determinants Accelerator Act of 2019 Issue: Support grants to address social determinants of health Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. S. 3750, H.R. 6837, Medicare Accelerated and Advance Payment Improvement Act of 2020 Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs. Draft, firearm safety legislation Issue: Support universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. H.R. 8, Bipartisan Background Checks Act of 2019 Issue: Support universal background checks Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020 P.L. 116-127, Families First Coronavirus Response Act P.L. 116-136, Coronavirus Aid, Relief, and Economic Security Act (CARES) Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act Issues: Support emergency supplemental funding and policies for federal agencies to support coronavirus preparedness, response, relief, and testing. Support funding for and provide recommendations for disbursement of provider relief fund. Support revised Medicare and Medicaid reimbursement policies and increased provider flexibility. Support improvements to the Medicare Accelerated and Advance Payment Programs. Support inclusion of Medicare-supported graduate medical education positions. Support an increase in the Federal Medicaid Assistance Program. Support protections for hospitals that participate in the 340B Drug Pricing Program to temporarily allow them to remain eligible for the program. Support for current telehealth waivers to be made permanent. Support for a temporary uniform licensing standard for all practitioners in all states throughout a national emergency. Provide recommendations on personal protective equipment, testing, social distancing, clinical care, and other COVID related preparedness and response efforts of the federal government. Avoid imposing standards that would encourage depletion of scarce PPE and other resources. Support enhanced national COVID-19 data collection to better address health disparities. See other additions under BUD. Issue: Support extension of public health emergency declaration. Issue: Urge establishment and implementation of robust national COVID-19 testing strategy and functional and transparent supply chain. Issue: Describe medical education approach on womens health and support efforts to promote trauma-informed care.

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. 1425, the Patient Protection and Affordable Care Enhancement Act, Entirety Health Equity Issues during COVID Pandemic S.3763, Pandemic Responder Service Award Act, Entirety H.R.7288, Taxpayer Research and Coronavirus Knowledge Act, Entirety H.R.7296, Make Medications Affordable by Preventing Pandemic Pricegouging Act, Entirety H.R.7113, COVID-19 Emergency Manufacturing Act, Entirety S.3799, HEAL for Immigrant Women and Families Act, Entirety National Infrastructure for Mitigating the Impact of COVID-19 within Racial and Ethnic Minority Communities grant program Support Medicare/ACA enrollment H.R. 6637, Health Equity and Accountability Act, Entirety Nondiscrimination in Health and Health Education Programs and Activities, Final Rule (RIN 0945-AA11) FDA/FTC Workshop on a Competitive Marketplace for Biosimilars Docket No. FDA-2019-N-6050, FDA Delivery of healthcare services to students during COVID pandemic Monitor the following: H.R.3, Lower Drug Costs Now Act, Entirety H.R. 1309/S.851, Workplace Violence Prevention for Health Care and Social Service Workers Act, Entirety Affordability of pharmaceuticals, generally Treating gun violence as a public health epidemic related issues S.1357, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act, Entirety Surprise medical billing, generally Nurse Overtime and Patient Safety Act, Entirety H.R.5800, The Ban Surprise Billing Act, Entirety H.R.5826, Consumer Protections Against Surprise Medical Bills Act, Entirety S.696 the National Nurse Act, Entirety

Client expense: $440,000 · Firm income: Not reported

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

Regulation of Electronic Nicotine Delivery System products as a less harmful alternative for adult smokers Issues related to enforcement of illicit tobacco products, including importation of counterfeit products Issues related to taxation and user fees for tobacco products H.R. 293, Youth Vaping Prevention Act of 2019; H.R. 1498/S, 655, SAFE Kids Act; H.R. 1642/S. 1965 Combating the Ilicit Trade in Tobacco Products Act; H.R. 1897/S. 916 MOMMA's Act; provisions to taxation of tobacco products H.R. 2084, SCOTT Act of 2019 H.R. 2111/ S. 1048, PROTECT Act H.R. 2339/S.3174, Reversing the Youth Tobacco Epidemic Act; H.R. 4425, Quell Underage Inhaling of Toxic Substances Act of 2019; H.R. 3942/S. 1253, Preventing Online Sales of E-Cigarettes to Children Act; H.R. 5721/S. 3223, Resources to Prevent Youth Vaping Act; S. 616, E-cigarette Youth Protection Act; H.R. 6637, Health Equity and Accountability Act of 2020; provisions related to taxation of tobacco products; S. 2517, Tobacco Tax Equity Act of 2019; S. 2519, Prohibiting Non-tobacco E-cigarette Flavors; S. 2536, E-Cigarette Device Standards Act of 2019

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

Government targets: HOUSE OF REPRESENTATIVES, Patent & Trademark Office (PTO), SENATE

Regulation of electronic nicotine delivery system products as a less harmful alternative for adult smokers. Issues related to enforcement of illicit tobacco products, including importation of counterfeit products; Issues related to taxation and user fees for tobacco products; H.R. 4742, To amend the IRC of 1986 to impose a tax on nicotine used in vaping H.R. 6637, Health Equity and Accountability Act of 2020, provisions related to taxation of tobacco products; S. 2517, Tobacco Tax Equity Act of 2019.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to taxation and user fees for tobacco products; H.R. 4742, To amend the IRC of 1986 to impose a tax on nicotine used in vaping. H.R. 6637, Health Equity and Accountability Act of 2020, provisions related to taxation of tobacco products; S. 2517, Tobacco Tax Equity Act of 2019.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE