Eliminating the Provider Relief Fund Tax Penalties Act of 2020

Issues concerning the Medicare Hospice Benefit and children's hospice issues. Issues concerning hospice payment and alternative payment models. Issues related to advanced care illness management. Issues involving inpatient respite care, bereavement funding, palliative care and a community-based palliative care demonstration. Issues related to COVID-19 emergency funding, extension of the public health emergency, testing and COVID-19 related legislation. Issues related to telehealth flexibilities and regulatory flexibilities granted under the public health emergency. Issues involving hospice providers and tax treatment and reporting requirements of the CARES Act Public Health and Social Services Emergency Fund. Issues concerning hospice program integrity. Issues concerning Medicare Advantage Value-Based Insurance Design. Issues pertaining to the hospice election statement and election statement addendum. HOSPICE Act (H.R. 5821); Hospice Care Improvement Act of 2019 (S. 2807); Rural Access to Hospice Act (H.R.2594/S.1190); COVID-19 Hospice Respite Care Relief Act of 2020 (S. 4423/H.R. 8322); CONNECT Act (S. 2741/H.R. 4932); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S. 1921); CARES Act (H.R. 748); HEROES Act (H.R. 6200); Strengthening Innovation in Medicare and Medicaid Act (H.R.5741); Eliminating the Provider Relief Fund Tax Penalties Act of 2020 (H.R.7819); National Hospice and Palliative Care Month Proclamation Request and Senate Resolution

Client expense: $240,000 · Firm income: Not reported

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

Issues concerning the Medicare Hospice Benefit and children's hospice issues. Issues concerning hospice payment and alternative payment models. Issues related to advanced care illness management. Issues involving inpatient respite care, bereavement funding, palliative care and a community-based palliative care demonstration. Issues related to COVID-19 emergency funding, extension of the public health emergency, testing and COVID-19 related legislation. Issues related to telehealth flexibilities and regulatory flexibilities granted under the public health emergency. Issues involving hospice providers and tax treatment and reporting requirements of the CARES Act Public Health and Social Services Emergency Fund. Issues concerning hospice program integrity. Issues concerning Medicare Advantage Value-Based Insurance Design. Issues pertaining to the hospice election statement and election statement addendum. HOSPICE Act (H.R. 5821); Hospice Care Improvement Act of 2019 (S. 2807); Rural Access to Hospice Act (H.R.2594/S.1190); COVID-19 Hospice Respite Care Relief Act of 2020 (S. 4423/H.R. 8322); CONNECT Act (S. 2741/H.R. 4932); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S. 1921); CARES Act (H.R. 748); HEROES Act (H.R. 6200); Strengthening Innovation in Medicare and Medicaid Act (H.R.5741); Eliminating the Provider Relief Fund Tax Penalties Act of 2020 (H.R.7819); National Hospice and Palliative Care Month Proclamation Request and Senate Resolution

Client expense: $240,000 · Firm income: Not reported

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

Legislation addressing the COVID-19 pandemic. S.3548 & H.R.748 - CARES Act H.R.6201 - Families First Coronavirus Response Act H.R.6433 - HEROES Act of 2020 H.R.266 - Paycheck Protection Program and Health Care Enhancement Act H.R.6776 - Jumpstarting Our Businesses' Success Credit Act of 2020 S.3716 - Main Street Enhancement & Safety Act S.3714 - PPP Deadline Extension Adjustment for Loans Act H.R.6886 - Paycheck Protection Program Flexibility Act of 2020 S.3915 - Protecting Reopening Businesses Recovering from COVID-19 Act H.R.7216 - Small Business PPE Tax Credit Act S.3833 - Paycheck Protection Program Extension Act H.R.8265 - To amend the Small Business Act and the CARES Act to establish a program for second draw loans and make other modifications to the paycheck protection program, and for other purposes. H.R.8260 - Businesses Preparing for a Better Tomorrow Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 S.4214 - A bill to provide a payroll tax credit for certain expenses associated with protecting employees from COVID-19. H.R.7671 - Small Business Comeback Act H.R.7615 - To provide a payroll tax credit for certain expenses associated with protecting employees from COVID-19. S.4116 - A bill to extend the authority for commitments for the paycheck protection program and separate amounts authorized for other loans under section 7(a) of the Small Business Act, and for other purposes. S.4317 - SAFE TO WORK Act

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Occupational Safety & Health Administration (OSHA), SENATE, Treasury, Dept of

Price transparency, out-of-network reimbursement of emergency medical services, surprise medical bills Opioids, pain management Federal funding for Substance Use Disorder treatments Drug Shortages H.R.451-Dont Break Up the T-Band Act of 2020 H.R.501-Poison Center Network Enhancement Act of 2019 H.R.861-End Surprise Billing Act of 2019 H.R.925-The Heroes Act H.R.1301-Mental Health Telemedicine Expansion Act H.R.1309-Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.1418-Competitive Health Insurance Reform Act of 2019 H.R.1554-Resident Education Deferred Interest (REDI) Act H.R.1646-Helping Emergency Responders Overcome (HERO) Act H.R.1682-Improving Access to Medicare Coverage Act of 2019 H.R.1767-Excellence in Mental Health and Addiction Treatment Expansion Act H.R.2281-Easy Medication Access and Treatment (MAT) for Opioid Addiction Act H.R.2328-Reauthorizing and Extending Americas Community Health Act H.R.2464-End the Cycle of Violence Act of 2019 H.R.2482-Mainstreaming Addiction Treatment Act of 2019 H.R.2519-Improving Mental Health Access from the Emergency Department Act of 2019 H.R.2550-Prevent Blood Loss with Emergency Equipment Devices Act of 2019 H.R.2569-Comprehensive Addiction Resources Emergency Act of 2019 H.R.3107-Improving Seniors Timely Access to Care Act of 2019 H.R.3417-Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act of 2019 H.R.3502-Protecting People From Surprise Medical Bills Act H.R.3630-No Surprises Act H.R.3935-Protecting Patients Transportation to Care Act H.R.3984-Health Care Safety Net Enhancement Act of 2019 H.R.4194-National Suicide Hotline Designation Act of 2019 H.R.4861-Effective Suicide Screening and Assessment in the Emergency Department Act of 2019 H.R.4932-Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019 H.R.5619-Suicide Prevention Act H.R.5727-Research Empirical Solutions to End Ambulance Reversals from Closed Hospitals (RESEARCH) Act of 2020 H.R.5800-Ban Surprise Billing Act H.R.5826-Consumer Protections Against Surprise Medical Bills Act of 2020 H.R.5855-Bipartisan Solution to Cyclical Violence Act of 2020 H.R.6663-Truth in Healthcare Marketing Act of 2020 H.R.6800-Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act H.R.6910-Emergency Room Hero and Patient Safety Act H.R.6930-Manufacturing API, Drugs, and Excipients (MADE) in America Act of 2020 H.R.7059-Coronavirus Provider Protection Act H.R.7255-Coronavirus Health Care Worker Wellness Act of 2020 H.R.7574-Strengthening Americas Strategic National Stockpile Act of 2020 H.R.7819-Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R.8094-Dr. Lorna Breen Health Care Provider Protection Act H.R.8441-Frontlines Heroes Act H.R.8505-To amend title XVIII of the Social Security Act to provide for a one-year waiver of budget neutrality adjustments under the Medicare physician fee schedule, and for other purposes H.R.8702-Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020 S.289-Rural Physician Workforce Production Act of 2019 S.299-Geriatrics Workforce Improvement Act S.350-Competitive Health Insurance Reform Act of 2019 S.618-Medicare Choices Empowerment and Protection Act S.753-Improving Access to Medicare Coverage Act of 2019 S.824-Excellence in Mental Health and Addiction Treatment Expansion Act S.851-Workplace Violence Prevention for Health Care and Social Service Workers Act S.1199-Poison Center Network Enhancement Act of 2019 S.1266-Protecting Patients from Surprise Medical Bills Act S.1334-Improving Mental Health Access from the Emergency Department S.1350-Good Samaritan Health Professionals Act of 2019 S.1365-Comprehensive Addiction Resources Emergency Act of 2019 S.1531-Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S.1895-Lower Health Care Costs Act S.2074-Mainstreaming Addiction Treatment Act of 2019 S.2661-National Suicide Hotline Designation Act of 2020 S.2741-Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 S.3006-Effective Suicide Screening and Assessment in the Emergency Department Act of 2019 S.3143-Magnet Injury Prevention Act S.3198-Suicide Prevention Act S.3346-Prevent Blood Loss with Emergency Equipment Devices Act of 2020 S.4349-Dr. Lorna Breen Health Care Provider Protection Act S.5007-Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020

Client expense: $340,838 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.7819-Eliminating the Provider Relief Fund Tax Penalties Act of 2020

Client expense: $340,838 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.7819-Eliminating the Provider Relief Fund Tax Penalties Act of 2020

Client expense: $391,824 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Price transparency, out-of-network reimbursement of emergency medical services, surprise medical bills Opioids, pain management Federal funding for Substance Use Disorder treatments Drug Shortages H.R.451-Dont Break Up the T-Band Act of 2020 H.R.501-Poison Center Network Enhancement Act of 2019 H.R.861-End Surprise Billing Act of 2019 H.R.925-The Heroes Act H.R.1301-Mental Health Telemedicine Expansion Act H.R.1309-Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.1418-Competitive Health Insurance Reform Act of 2019 H.R.1554-Resident Education Deferred Interest (REDI) Act H.R.1646-Helping Emergency Responders Overcome (HERO) Act H.R.1682-Improving Access to Medicare Coverage Act of 2019 H.R.1767-Excellence in Mental Health and Addiction Treatment Expansion Act H.R.2281-Easy Medication Access and Treatment (MAT) for Opioid Addiction Act H.R.2328-Reauthorizing and Extending Americas Community Health Act H.R.2464-End the Cycle of Violence Act of 2019 H.R.2482-Mainstreaming Addiction Treatment Act of 2019 H.R.2519-Improving Mental Health Access from the Emergency Department Act of 2019 H.R.2550-Prevent Blood Loss with Emergency Equipment Devices Act of 2019 H.R.2569-Comprehensive Addiction Resources Emergency Act of 2019 H.R.3107-Improving Seniors Timely Access to Care Act of 2019 H.R.3417-Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act of 2019 H.R.3502-Protecting People From Surprise Medical Bills Act H.R.3630-No Surprises Act H.R.3935-Protecting Patients Transportation to Care Act H.R.3984-Health Care Safety Net Enhancement Act of 2019 H.R.4194-National Suicide Hotline Designation Act of 2019 H.R.4861-Effective Suicide Screening and Assessment in the Emergency Department Act of 2019 H.R.4932-Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019 H.R.5619-Suicide Prevention Act H.R.5727-Research Empirical Solutions to End Ambulance Reversals from Closed Hospitals (RESEARCH) Act of 2020 H.R.5800-Ban Surprise Billing Act H.R.5826-Consumer Protections Against Surprise Medical Bills Act of 2020 H.R.5855-Bipartisan Solution to Cyclical Violence Act of 2020 H.R.6663-Truth in Healthcare Marketing Act of 2020 H.R.6800-Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act H.R.6910-Emergency Room Hero and Patient Safety Act H.R.6930-Manufacturing API, Drugs, and Excipients (MADE) in America Act of 2020 H.R.7059-Coronavirus Provider Protection Act H.R.7255-Coronavirus Health Care Worker Wellness Act of 2020 H.R.7574-Strengthening Americas Strategic National Stockpile Act of 2020 H.R.7819-Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R.8094-Dr. Lorna Breen Health Care Provider Protection Act S.289-Rural Physician Workforce Production Act of 2019 S.299-Geriatrics Workforce Improvement Act S.350-Competitive Health Insurance Reform Act of 2019 S.618-Medicare Choices Empowerment and Protection Act S.753-Improving Access to Medicare Coverage Act of 2019 S.824-Excellence in Mental Health and Addiction Treatment Expansion Act S.851-Workplace Violence Prevention for Health Care and Social Service Workers Act S.1199-Poison Center Network Enhancement Act of 2019 S.1266-Protecting Patients from Surprise Medical Bills Act S.1334-Improving Mental Health Access from the Emergency Department S.1350-Good Samaritan Health Professionals Act of 2019 S.1365-Comprehensive Addiction Resources Emergency Act of 2019 S.1531-Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S.1895-Lower Health Care Costs Act S.2074-Mainstreaming Addiction Treatment Act of 2019 S.2661-National Suicide Hotline Designation Act of 2020 S.2741-Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 S.3006-Effective Suicide Screening and Assessment in the Emergency Department Act of 2019 S.3143-Magnet Injury Prevention Act S.3198-Suicide Prevention Act S.3346-Prevent Blood Loss with Emergency Equipment Devices Act of 2020 S.4349-Dr. Lorna Breen Health Care Provider Protection Act

Client expense: $391,824 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 7819, Eliminating the Provider Relief Fund Tax Penalties Act of 2020, all provisions S. 4525, Eliminating the Provider Relief Fund Tax Penalties Act of 2020, all provisions Public Health and Social Services Emergency Fund/taxation issues

Client expense: $3,870,000 · Firm income: Not reported

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

Oppose legislation to repeal the excise tax on indoor tanning services (H.R. 5512, S. 2713) Advocate for economic relief for physicians who have been adversely affected by the COVID-19 epidemic. (H.R. 748, S. 3548, H.R. 133) Advocate for the inclusion of 501(c)6 non-profit associations to be included in the Payroll Protection Program as part of the CARES Act (H.R. 748, S. 3548, H.R. 133) Advocate for the Codification that expenditures related to forgiven amounts under the PPP should be tax deductible to maximize the benefit of the PPP program for small businesses. (H.R. 133) Advocate for the Codification to ensure that the Public Health and Social Services Emergency Fund and similar funding provided in response to COVID-19 is not taxable and that entities receiving these funds maintain tax deductions attributable to these funds. (H.R. 133) Support the Local Chamber, Tourism, and 501(c)(6) Protection Act (H.R. 6697). Support the Eliminating Provider Relief Fund Tax Penalties Act of 2020 (H.R. 7819, S. 4525).

Client expense: $310,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Oppose legislation to repeal the excise tax on indoor tanning services (H.R. 5512, S. 2713) Advocate for economic relief for physicians who have been adversely affected by the COVID-19 epidemic. (H.R. 748, S. 3548, H.R. 133) Advocate for the inclusion of 501(c)6 non-profit associations to be included in the Payroll Protection Program as part of the CARES Act (H.R. 748, S. 3548, H.R. 133) Advocate for the Codification that expenditures related to forgiven amounts under the PPP should be tax deductible to maximize the benefit of the PPP program for small businesses. (H.R. 133) Advocate for the Codification to ensure that the Public Health and Social Services Emergency Fund and similar funding provided in response to COVID-19 is not taxable and that entities receiving these funds maintain tax deductions attributable to these funds. (H.R. 133) Support the Local Chamber, Tourism, and 501(c)(6) Protection Act (H.R. 6697). Support the Eliminating Provider Relief Fund Tax Penalties Act of 2020 (H.R. 7819, S. 4525).

Client expense: $310,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitoring the Tax Cuts and Jobs Act, legislation to overhaul the nations tax code that contains several notable provisions affecting hospitals; Individual Mandate, Access to Tax-exempt Bond Financing, Interest Deduction for Debt, Medical Expense Deductions, Executive Compensation; Support HR 3300, Economic Mobility Act of 2019, a bill to amend the Internal Revenue Code of 1986 to provide tax relief for workers and families; Letter requesting that Congress use the employer side payroll tax if they use the tax code to provide this assistance so that all hospitals benefit from that relief. The letter also highlights several bond financing options that should be considered; Support HR 2772, Investing in Our Communities Act, a bill to amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds; Support HR 3967, Municipal Bond Market Support Act of 2019, a bill to amend the Internal Revenue Code of 1986 to permanently modify the limitations on the deduction of interest by financial institutions which hold tax-exempt bonds; Support HR 6886Paycheck Protection Program Flexibility Act of 2020, a bill to amend the Small Business Act and the CARES Act to modify certain provisions related to the forgiveness of loans under the paycheck protection program, to allow recipients of loan forgiveness under the paycheck protection program to defer payroll taxes, and for other purposes; A letter requesting that the Treasury and IRS extend the deadlines for tax-exempt hospitals and health systems to prepare community health needs assessments that occur during the COVID public health emergency; Support HR 7819, Eliminating the Provider Relief Fund Tax Penalties Act of 2020, A bill that would remove an unintentional tax penalty on health care providers who received CARES Act funding under the Public Health and Social Services Emergency Fund. If left unchanged, health providers and for-profit hospitals could face a tax as high as 20% on money intended to support them during this pandemic.

Client expense: $4,460,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 6663, Truth in Health Care Marketing Act P.L. 111-148 Affordable Care Act, modifications: 1. Reducing regulatory/costly burdens on medical practices - relief from regulatory burdens 2. Preserving patient access to office ancillary testing services Meaningful Use/EHR program issues P.L. 113-54, Drug Quality & Security Act, all sections Medicare Advantage plan network adequacy Prior authorization utilization policies Medicare Part B Drug Price Issues Medicare Access and CHIP Reauthorization Act (P.L. 114-10) Implementation Issues Proposed Contact Lens Rule Modifications Medicare Physician Payment Issues Drug Pricing and Shortages Issues S. 2020, SEE MORE ACT Vision Research Funding Medical Surprise Billing Legislative proposals HR 3107, Improving Seniors' Timely Access to Care Act HR 3975, Contact Lens Prescription Verification Modernization Act S. 4613, Contact Lens Rule Modernization Act HR 2279/S.2546, Safe Step Act HR 4665, The Medicare Vision Act HR 3, Elijah Cummings Lower Drug Cost Now Act Coronavirus Pandemic Relief Measures HR 6365/S.3559 Immediate Relief for Rural Facilities and Providers Act HR 7059, Coronavirus Provider Protection Act HR 2620, Faster Treatments and Cures for Eye Diseases Act HR 7819, Eliminating the Provider Relief Fund Tax Penalties Act S. 4295, Public Health Emergency Pass-Through Payment Fairness Act HR 8624, Protecting Access to Innovation During COVID-19 Act S.4932, the Medicare Reimbursement Equity Act HR 8702/S. 5007, the Holding Providers Harmless From Medicare Cuts During COVID-19 Act HR 8505, a bill to waive budget neutrality requirements of the Medicare Physician Fee Schedule H.R. 8709, the Analyzing Kinetic Impact Projectiles (KIPs) Against Americans Act

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

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

Oppose legislation to repeal the excise tax on indoor tanning services (H.R. 5512, S. 2713) Advocate for economic relief for physicians who have been adversely affected by the COVID-19 epidemic. (H.R. 748, S. 3548, H.R. 133) Advocate for the inclusion of 501(c)6 non-profit associations to be included in the Payroll Protection Program as part of the CARES Act (H.R. 748, S. 3548, H.R. 133) Advocate for the Codification that expenditures related to forgiven amounts under the PPP should be tax deductible to maximize the benefit of the PPP program for small businesses. (H.R. 133) Advocate for the Codification to ensure that the Public Health and Social Services Emergency Fund and similar funding provided in response to COVID-19 is not taxable and that entities receiving these funds maintain tax deductions attributable to these funds. (H.R. 133) Support the Local Chamber, Tourism, and 501(c)(6) Protection Act (H.R. 6697). Support the Eliminating Provider Relief Fund Tax Penalties Act of 2020 (H.R. 7819, S. 4525).

Client expense: $310,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Oppose legislation to repeal the excise tax on indoor tanning services (H.R. 5512, S. 2713) Advocate for economic relief for physicians who have been adversely affected by the COVID-19 epidemic. (H.R. 748, S. 3548, H.R. 133) Advocate for the inclusion of 501(c)6 non-profit associations to be included in the Payroll Protection Program as part of the CARES Act (H.R. 748, S. 3548, H.R. 133) Advocate for the Codification that expenditures related to forgiven amounts under the PPP should be tax deductible to maximize the benefit of the PPP program for small businesses. (H.R. 133) Advocate for the Codification to ensure that the Public Health and Social Services Emergency Fund and similar funding provided in response to COVID-19 is not taxable and that entities receiving these funds maintain tax deductions attributable to these funds. (H.R. 133) Support the Local Chamber, Tourism, and 501(c)(6) Protection Act (H.R. 6697). Support the Eliminating Provider Relief Fund Tax Penalties Act of 2020 (H.R. 7819, S. 4525).

Client expense: $310,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 7819, Eliminating the Provider Relief Fund Tax Penalties Act of 2020, all provisions S. 4525, Eliminating the Provider Relief Fund Tax Penalties Act of 2020, all provisions Public Health and Social Services Emergency Fund/taxation issues

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

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

Issues concerning the Medicare Hospice Benefit and children's hospice issues. Issues concerning hospice payment and alternative payment models. Issues related to advanced care illness management. Issues involving inpatient respite care, bereavement funding, palliative care and a community-based palliative care demonstration. Issues related to COVID-19 emergency funding, extension of the public health emergency, testing, vaccines, and COVID-19 related legislation. Issues concerning hospice sequestration relief. Issues related to telehealth flexibilities and regulatory flexibilities granted under the public health emergency. Issues involving hospice providers and tax treatment and reporting requirements of the CARES Act Public Health and Social Services Emergency Fund. Issues concerning hospice program integrity. Issues concerning Medicare Advantage Value-Based Insurance Design. Issues pertaining to the hospice election statement and election statement addendum. Consolidated Appropriations Act, 2021 (H.R.133); ChiPACC Act of 2020 (H.R.9002); Medicare Sequester COVID Moratorium Act (H.R.8840); Compassionate Care Act (S.4945); HOSPICE Act (H.R. 5821); Hospice Care Improvement Act of 2019 (S.2807); Rural Access to Hospice Act (H.R.2594/S.1190); COVID-19 Hospice Respite Care Relief Act of 2020 (S.4423/H.R.8322); CONNECT Act (S. 2741/H.R. 4932); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S. 1921); Strengthening Innovation in Medicare and Medicaid Act (H.R.5741); Eliminating the Provider Relief Fund Tax Penalties Act of 2020 (H.R.7819); National Hospice and Palliative Care Month Proclamation Request and Senate Resolution

Client expense: $240,000 · Firm income: Not reported

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

Issues concerning the Medicare Hospice Benefit and children's hospice issues. Issues concerning hospice payment and alternative payment models. Issues related to advanced care illness management. Issues involving inpatient respite care, bereavement funding, palliative care and a community-based palliative care demonstration. Issues related to COVID-19 emergency funding, extension of the public health emergency, testing, vaccines, and COVID-19 related legislation. Issues concerning hospice sequestration relief. Issues related to telehealth flexibilities and regulatory flexibilities granted under the public health emergency. Issues involving hospice providers and tax treatment and reporting requirements of the CARES Act Public Health and Social Services Emergency Fund. Issues concerning hospice program integrity. Issues concerning Medicare Advantage Value-Based Insurance Design. Issues pertaining to the hospice election statement and election statement addendum. Consolidated Appropriations Act, 2021 (H.R.133); ChiPACC Act of 2020 (H.R.9002); Medicare Sequester COVID Moratorium Act (H.R.8840); Compassionate Care Act (S.4945); HOSPICE Act (H.R. 5821); Hospice Care Improvement Act of 2019 (S.2807); Rural Access to Hospice Act (H.R.2594/S.1190); COVID-19 Hospice Respite Care Relief Act of 2020 (S.4423/H.R.8322); CONNECT Act (S. 2741/H.R. 4932); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S. 1921); Strengthening Innovation in Medicare and Medicaid Act (H.R.5741); Eliminating the Provider Relief Fund Tax Penalties Act of 2020 (H.R.7819); National Hospice and Palliative Care Month Proclamation Request and Senate Resolution

Client expense: $240,000 · Firm income: Not reported

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

H.R.748 - Coronavirus Aid, Relief, and Economic Security Act or the (CARES) Act S.3548 - Coronavirus Aid, Relief, and Economic Security Act or the (CARES) Act H.R.6206 - Pandemic Response and Emergency Preparedness Act or the (PREP) Act of 2020 H.R.6201 - Families First Coronavirus Response (FFCRA) Act H.R.133 - Consolidated Appropriations Act, 2021 The Economic Aid to Hard-Hit Small Businesses, Nonprofits, and Venues Act S.3859 - Paycheck Protection Program Timeframe Modification and Extension Act or (PPP TIME) Act H.R.7010 - Paycheck Protection Program Flexibility Act of 2020 H.R.6886 - Paycheck Protection Program Flexibility Act of 2020 S.3805 - Paycheck Protection Program Flexibility Act of 2020 H.R.6178 - Enhancing Questions to Understand Intentions for Pregnancy (EQUIP) Act of 2020 S.3370 - Coronavirus Vaccine Act Provider liability COVID-19 stimulus package PPP loans Vaccine prioritization Lame Duck Stimulus Package H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 266 - Paycheck Protection Program and Health Care Enhancement Act H.R. 7031 - Safeguarding America's First Responders Act of 2020 S. 3607 - Safeguarding America's First Responders Act of 2020 S. 4001 - Protecting Nonprofits from Catastrophic Cash Flow Strain Act of 2020 S. 4209 - Protecting Nonprofits from Catastrophic Cash Flow Strain Act of 2020 S. 4091 - Emergency Aid for Returning Americans Affected by Coronavirus Act (An act to extend the authority for commitments for the paycheck protection program and separate amounts authorized for other loans under section 7(a) of the Small Business Act, and for other purposes) H.R. 6322 - Student Veteran Coronavirus Response Act of 2020 Senate CARES Act 2.0 S.4820 - Long-Term Care Affordability Act Long Term Care Affordability H.R. 8472 - Impact Aid Coronavirus Relief Act S.4063 - Impact Aid Coronavirus Relief Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R.8742 - To extend the availability of amounts under the Coronavirus Relief Fund H.R.8406 - The Heroes Act S.4800 - The Heroes Act S.4852 - A bill to authorize the Secretary of Veterans Affairs to transfer certain coronavirus aid and relief funds to various accounts of the Department of Veterans Affairs, and for other purposes

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.748 - Coronavirus Aid, Relief, and Economic Security Act or the (CARES) Act S.3548 - Coronavirus Aid, Relief, and Economic Security Act or the (CARES) Act H.R.6206 - Pandemic Response and Emergency Preparedness Act or the (PREP) Act of 2020 H.R.6201 - Families First Coronavirus Response (FFCRA) Act H.R.133 - Consolidated Appropriations Act, 2021 The Economic Aid to Hard-Hit Small Businesses, Nonprofits, and Venues Act S.3859 - Paycheck Protection Program Timeframe Modification and Extension Act or (PPP TIME) Act H.R.7010 - Paycheck Protection Program Flexibility Act of 2020 H.R.6886 - Paycheck Protection Program Flexibility Act of 2020 S.3805 - Paycheck Protection Program Flexibility Act of 2020 H.R.6178 - Enhancing Questions to Understand Intentions for Pregnancy (EQUIP) Act of 2020 S.3370 - Coronavirus Vaccine Act Provider liability COVID-19 stimulus package PPP loans Vaccine prioritization Lame Duck Stimulus Package H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 266 - Paycheck Protection Program and Health Care Enhancement Act H.R. 7031 - Safeguarding America's First Responders Act of 2020 S. 3607 - Safeguarding America's First Responders Act of 2020 S. 4001 - Protecting Nonprofits from Catastrophic Cash Flow Strain Act of 2020 S. 4209 - Protecting Nonprofits from Catastrophic Cash Flow Strain Act of 2020 S. 4091 - Emergency Aid for Returning Americans Affected by Coronavirus Act (An act to extend the authority for commitments for the paycheck protection program and separate amounts authorized for other loans under section 7(a) of the Small Business Act, and for other purposes) H.R. 6322 - Student Veteran Coronavirus Response Act of 2020 Senate CARES Act 2.0 S.4820 - Long-Term Care Affordability Act Long Term Care Affordability H.R. 8472 - Impact Aid Coronavirus Relief Act S.4063 - Impact Aid Coronavirus Relief Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R.8742 - To extend the availability of amounts under the Coronavirus Relief Fund H.R.8406 - The Heroes Act S.4800 - The Heroes Act S.4852 - A bill to authorize the Secretary of Veterans Affairs to transfer certain coronavirus aid and relief funds to various accounts of the Department of Veterans Affairs, and for other purposes

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.748 - Coronavirus Aid, Relief, and Economic Security Act or the (CARES) Act S.3548 - Coronavirus Aid, Relief, and Economic Security Act or the (CARES) Act H.R.6206 - Pandemic Response and Emergency Preparedness Act or the (PREP) Act of 2020 H.R.6201 - Families First Coronavirus Response (FFCRA) Act H.R.133 - Consolidated Appropriations Act, 2021 The Economic Aid to Hard-Hit Small Businesses, Nonprofits, and Venues Act S.3859 - Paycheck Protection Program Timeframe Modification and Extension Act or (PPP TIME) Act H.R.7010 - Paycheck Protection Program Flexibility Act of 2020 H.R.6886 - Paycheck Protection Program Flexibility Act of 2020 S.3805 - Paycheck Protection Program Flexibility Act of 2020 H.R.6178 - Enhancing Questions to Understand Intentions for Pregnancy (EQUIP) Act of 2020 S.3370 - Coronavirus Vaccine Act Provider liability COVID-19 stimulus package PPP loans Vaccine prioritization Lame Duck Stimulus Package H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 266 - Paycheck Protection Program and Health Care Enhancement Act H.R. 7031 - Safeguarding America's First Responders Act of 2020 S. 3607 - Safeguarding America's First Responders Act of 2020 S. 4001 - Protecting Nonprofits from Catastrophic Cash Flow Strain Act of 2020 S. 4209 - Protecting Nonprofits from Catastrophic Cash Flow Strain Act of 2020 S. 4091 - Emergency Aid for Returning Americans Affected by Coronavirus Act (An act to extend the authority for commitments for the paycheck protection program and separate amounts authorized for other loans under section 7(a) of the Small Business Act, and for other purposes) H.R. 6322 - Student Veteran Coronavirus Response Act of 2020 Senate CARES Act 2.0 S.4820 - Long-Term Care Affordability Act Long Term Care Affordability H.R. 8472 - Impact Aid Coronavirus Relief Act S.4063 - Impact Aid Coronavirus Relief Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R.8742 - To extend the availability of amounts under the Coronavirus Relief Fund H.R.8406 - The Heroes Act S.4800 - The Heroes Act S.4852 - A bill to authorize the Secretary of Veterans Affairs to transfer certain coronavirus aid and relief funds to various accounts of the Department of Veterans Affairs, and for other purposes

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.748 - Coronavirus Aid, Relief, and Economic Security Act or the (CARES) Act S.3548 - Coronavirus Aid, Relief, and Economic Security Act or the (CARES) Act H.R.6206 - Pandemic Response and Emergency Preparedness Act or the (PREP) Act of 2020 H.R.6201 - Families First Coronavirus Response (FFCRA) Act H.R.133 - Consolidated Appropriations Act, 2021 The Economic Aid to Hard-Hit Small Businesses, Nonprofits, and Venues Act S.3859 - Paycheck Protection Program Timeframe Modification and Extension Act or (PPP TIME) Act H.R.7010 - Paycheck Protection Program Flexibility Act of 2020 H.R.6886 - Paycheck Protection Program Flexibility Act of 2020 S.3805 - Paycheck Protection Program Flexibility Act of 2020 H.R.6178 - Enhancing Questions to Understand Intentions for Pregnancy (EQUIP) Act of 2020 S.3370 - Coronavirus Vaccine Act Provider liability COVID-19 stimulus package PPP loans Vaccine prioritization Lame Duck Stimulus Package H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 266 - Paycheck Protection Program and Health Care Enhancement Act H.R. 7031 - Safeguarding America's First Responders Act of 2020 S. 3607 - Safeguarding America's First Responders Act of 2020 S. 4001 - Protecting Nonprofits from Catastrophic Cash Flow Strain Act of 2020 S. 4209 - Protecting Nonprofits from Catastrophic Cash Flow Strain Act of 2020 S. 4091 - Emergency Aid for Returning Americans Affected by Coronavirus Act (An act to extend the authority for commitments for the paycheck protection program and separate amounts authorized for other loans under section 7(a) of the Small Business Act, and for other purposes) H.R. 6322 - Student Veteran Coronavirus Response Act of 2020 Senate CARES Act 2.0 S.4820 - Long-Term Care Affordability Act Long Term Care Affordability H.R. 8472 - Impact Aid Coronavirus Relief Act S.4063 - Impact Aid Coronavirus Relief Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R.8742 - To extend the availability of amounts under the Coronavirus Relief Fund H.R.8406 - The Heroes Act S.4800 - The Heroes Act S.4852 - A bill to authorize the Secretary of Veterans Affairs to transfer certain coronavirus aid and relief funds to various accounts of the Department of Veterans Affairs, and for other purposes

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.748 - Coronavirus Aid, Relief, and Economic Security Act or the (CARES) Act S.3548 - Coronavirus Aid, Relief, and Economic Security Act or the (CARES) Act H.R.6206 - Pandemic Response and Emergency Preparedness Act or the (PREP) Act of 2020 H.R.6201 - Families First Coronavirus Response (FFCRA) Act H.R.133 - Consolidated Appropriations Act, 2021 The Economic Aid to Hard-Hit Small Businesses, Nonprofits, and Venues Act S.3859 - Paycheck Protection Program Timeframe Modification and Extension Act or (PPP TIME) Act H.R.7010 - Paycheck Protection Program Flexibility Act of 2020 H.R.6886 - Paycheck Protection Program Flexibility Act of 2020 S.3805 - Paycheck Protection Program Flexibility Act of 2020 H.R.6178 - Enhancing Questions to Understand Intentions for Pregnancy (EQUIP) Act of 2020 S.3370 - Coronavirus Vaccine Act Provider liability COVID-19 stimulus package PPP loans Vaccine prioritization Lame Duck Stimulus Package H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 266 - Paycheck Protection Program and Health Care Enhancement Act H.R. 7031 - Safeguarding America's First Responders Act of 2020 S. 3607 - Safeguarding America's First Responders Act of 2020 S. 4001 - Protecting Nonprofits from Catastrophic Cash Flow Strain Act of 2020 S. 4209 - Protecting Nonprofits from Catastrophic Cash Flow Strain Act of 2020 S. 4091 - Emergency Aid for Returning Americans Affected by Coronavirus Act (An act to extend the authority for commitments for the paycheck protection program and separate amounts authorized for other loans under section 7(a) of the Small Business Act, and for other purposes) H.R. 6322 - Student Veteran Coronavirus Response Act of 2020 Senate CARES Act 2.0 S.4820 - Long-Term Care Affordability Act Long Term Care Affordability H.R. 8472 - Impact Aid Coronavirus Relief Act S.4063 - Impact Aid Coronavirus Relief Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R.8742 - To extend the availability of amounts under the Coronavirus Relief Fund H.R.8406 - The Heroes Act S.4800 - The Heroes Act S.4852 - A bill to authorize the Secretary of Veterans Affairs to transfer certain coronavirus aid and relief funds to various accounts of the Department of Veterans Affairs, and for other purposes

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.7676/ S.4106 - "Health Care PRICE Transparency Act" - Oppose public disclosure of confidential hospital negotiated rates with payers H.R. 1384 - "Medicare For All Act of 2019", S.1129 - Oppose government-run national health insurance H.R. 2085/ S.1033 "Consumer Health Options and Insurance Competition Enhancement Act (CHOICE) Act", H.R. 2000/S.981 - "Medicare-X Choice Act of 2019" - Oppose public option S. 1895 - "Lower Health Care Costs Act" - Support protecting patients from surprise billing and oppose government rate setting. Advocated for appropriate transparency and contracting flexibility. S.1531 "Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019", H.R. 3630 "No Surprises Act", H.R. 3502 "Protecting People From Surprise Medical Bills Act", H.R. 5800 Ban Surprise Billing Act, H.R. 5826 "Consumer Protections Against Surprise Medical Bills Act of 2020" - Advocate to protect patients from surprise billing and oppose government rate setting. H.R. 6837/ S. 3750 "Medicare Accelerated and Advance Payments Improvement Act of 2020" - Support amended payment terms for eligible health care providers under the Medicare Accelerated and Advance Payments Program H.R. 6800 "Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act" - Support Division C, Health Provisions for Medicare and Medicaid that support health care providers and patients H.R. 6365/ S. 3559 "Immediate Relief for Rural Facilities and Providers Act of 2020" - Support expansion of access to telehealth programs for tax paying rural hospitals H.R. 7059 "Coronavirus Provider Protection Act" - Evaluated and advocated for improvements to legislation relating to liability protections during COVID-19 S. 4317 - "SAFE TO WORK Act" - Develop proposal to protect hospitals, healthcare professionals and facilities from liability due to COVID-19 H.R. 7819 / S. 4525 - " Eliminating the Provider Relief Fund Tax Penalties Act of 2020" - Support technical corrections to Provider Relief Fund to ensure funds received are not taxable H.R. 8337 - "Continuing Appropriations Act, 2021 and Other Extensions Act" - Support passage of continuing resolution, including language to improve repayment terms of Medicare Accelerated and Advance Payment Programs. H.R. 8061 - "Community Immunity During COVID-19 Act of 2020" - Support legislation that increases community access and awareness to vaccinations. S. 4421 - "The Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act" - Support legislation that provides temporary licensing reciprocity for health care professionals. H.R. 133 - "Consolidated Appropriations Act, 2021" - Advocated in support of protecting patients from surprise billing, COVID-19 response. H.Res. 1200 - "Supporting the goals and ideals of National Rural Health Day" - Support National Rural Health Day.

Client expense: $600,000 · Firm income: Not reported

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

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

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

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

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

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

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

Health savings accounts, flexible spending accounts, expand and make permanent the 199A/pass through deduction for small businesses. H.R. 1366, Responsible Additions and Increases to Sustain Employee Health Benefits Act of 2019 (RAISE ACT) (health savings accounts, flexible spending accounts) S. 503, Responsible Additions and Increases to Sustain Employee Health Benefits Act of 2019 (RAISE ACT) (health savings accounts, flexible spending accounts) H.R. 6886/H.R. 7001 Paycheck Protection Program Flexibility Act Implementation S. 3833 Paycheck Protection Program Extension Act H.R. 7216 Small Business Personal Protective Equipment (PPE) Tax Credit Act S. 3716 Main Street Enhancement and Safety Act H.R. 6821 Small Business Expense Protection Act H.R. 6776 JOBS Credit Act of 2020 H.R. 266 Paycheck Protection Program and Health Care Enhancement Act H.R. 6433, Helping Emergency Responders Overcome Emergency Situations (HEROES) Act S. 2871/H.R. 6448 Indian Health Service Health Professions Tax Fairness Act H.R. 7777 Paycheck Protection Small Business Forgiveness Act S. 4117 Paycheck Protection Small Business Forgiveness Act H.R. 6697 Local Chamber, Tourism, and 501(c)(6) Protection Act S. 4525/H.R. 7819 Eliminating the Provider Relief Fund Tax Penalties Act of 2020 Direct Primary Care Agreements S. 3612 Small Business Expense Protection Act Tax Credits for Purchasing PPE and Making Safety Modifications to Dental Offices Taxation of PPP S. 4318, American Workers, Families, and Employers Assistance Act Taxation of Provider Relief Funding Employee Retention Tax Credit

Client expense: $640,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Science & Technology Policy (OSTP), SENATE, Small Business Administration (SBA), Treasury, Dept of, U.S. Immigration & Customs Enforcement (ICE), Veterans Affairs, Dept of (VA), White House Office

S. 4525 - Eliminating the Provider Relief Fund Tax Penalties Act: making provider relief funds non-taxable H.R. 7819 - Eliminating the Provider Relief Fund Tax Penalties Act: making provider relief funds non-taxable

Client expense: $32,898 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation addressing the COVID-19 pandemic. S.3548 & H.R.748 - CARES Act H.R.6201 - Families First Coronavirus Response Act H.R.6433 - HEROES Act of 2020 H.R.266 - Paycheck Protection Program and Health Care Enhancement Act H.R.6776 - Jumpstarting Our Businesses' Success Credit Act of 2020 S.3716 - Main Street Enhancement & Safety Act S.3714 - PPP Deadline Extension Adjustment for Loans Act H.R.6886 - Paycheck Protection Program Flexibility Act of 2020 S.3915 - Protecting Reopening Businesses Recovering from COVID-19 Act H.R.7216 - Small Business PPE Tax Credit Act S.3833 - Paycheck Protection Program Extension Act H.R.8265 - To amend the Small Business Act and the CARES Act to establish a program for second draw loans and make other modifications to the paycheck protection program, and for other purposes. H.R.8260 - Businesses Preparing for a Better Tomorrow Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 S.4214 - A bill to provide a payroll tax credit for certain expenses associated with protecting employees from COVID-19. H.R.7671 - Small Business Comeback Act H.R.7615 - To provide a payroll tax credit for certain expenses associated with protecting employees from COVID-19. S.4116 - A bill to extend the authority for commitments for the paycheck protection program and separate amounts authorized for other loans under section 7(a) of the Small Business Act, and for other purposes.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Occupational Safety & Health Administration (OSHA), SENATE, Treasury, Dept of

HHS funding under CARES Act; Business Liability; HHS provider fund language; COVID expense tax credits; and COVID Stimulus Package. S.3548: Coronavirus Aid, Relief, and Economic Security Act (CARES) Act H.R.748: Coronavirus Aid, Relief, and Economic Security Act (CARES) Act S.3814: Reviving the Economy Sustainability Towards A Recovery in the Twenty-twenty Act (RESTART) Act H.R.7481: Reviving the Economy Sustainability Towards A Recovery in the Twenty-twenty Act (RESTART) Act H.R.6800: The Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES) Act S.4317: Safe to Work Act S.4017: A bill to extend the period for obligations or expenditures for amounts obligated for the National Disaster Resilience competition H.R.6201 - Families First Coronavirus Response Act H.R.6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R.266 - Paycheck Protection Program and Health Care Enhancement Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R.7010 - Paycheck Protection Program Flexibility Act of 2020 H.R.6886 - Paycheck Protection Program Flexibility Act of 2020 S.3805 - Paycheck Protection Program Flexibility Act of 2020 S.3415 - Paid Sick Days for Public Health Emergencies and Personal and Family Care Act H.R.748 - Coronavirus Aid, Relief, and Economic Security Act or the CARES Act S.3548 - Coronavirus Aid, Relief, and Economic Security Act or the CARES Act

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

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

HHS funding under CARES Act; Business Liability; HHS provider fund language; COVID expense tax credits; and COVID Stimulus Package. S.3548: Coronavirus Aid, Relief, and Economic Security Act (CARES) Act H.R.748: Coronavirus Aid, Relief, and Economic Security Act (CARES) Act S.3814: Reviving the Economy Sustainability Towards A Recovery in the Twenty-twenty Act (RESTART) Act H.R.7481: Reviving the Economy Sustainability Towards A Recovery in the Twenty-twenty Act (RESTART) Act H.R.6800: The Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES) Act S.4317: Safe to Work Act S.4017: A bill to extend the period for obligations or expenditures for amounts obligated for the National Disaster Resilience competition H.R.6201 - Families First Coronavirus Response Act H.R.6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R.266 - Paycheck Protection Program and Health Care Enhancement Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R.7010 - Paycheck Protection Program Flexibility Act of 2020 H.R.6886 - Paycheck Protection Program Flexibility Act of 2020 S.3805 - Paycheck Protection Program Flexibility Act of 2020 S.3415 - Paid Sick Days for Public Health Emergencies and Personal and Family Care Act H.R.748 - Coronavirus Aid, Relief, and Economic Security Act or the CARES Act S.3548 - Coronavirus Aid, Relief, and Economic Security Act or the CARES Act

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

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

HHS funding under CARES Act; Business Liability; HHS provider fund language; COVID expense tax credits; and COVID Stimulus Package. S.3548: Coronavirus Aid, Relief, and Economic Security Act (CARES) Act H.R.748: Coronavirus Aid, Relief, and Economic Security Act (CARES) Act S.3814: Reviving the Economy Sustainability Towards A Recovery in the Twenty-twenty Act (RESTART) Act H.R.7481: Reviving the Economy Sustainability Towards A Recovery in the Twenty-twenty Act (RESTART) Act H.R.6800: The Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES) Act S.4317: Safe to Work Act S.4017: A bill to extend the period for obligations or expenditures for amounts obligated for the National Disaster Resilience competition H.R.6201 - Families First Coronavirus Response Act H.R.6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R.266 - Paycheck Protection Program and Health Care Enhancement Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R.7010 - Paycheck Protection Program Flexibility Act of 2020 H.R.6886 - Paycheck Protection Program Flexibility Act of 2020 S.3805 - Paycheck Protection Program Flexibility Act of 2020 S.3415 - Paid Sick Days for Public Health Emergencies and Personal and Family Care Act H.R.748 - Coronavirus Aid, Relief, and Economic Security Act or the CARES Act S.3548 - Coronavirus Aid, Relief, and Economic Security Act or the CARES Act

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

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

Pandemic Liability Protection; Federal Preemption Liability; Surety; Credit Enhancement; Business Interruption Insurance; CARES Act funding; Credit Risk Transfer issue; Covid-4 Package (liability issue). H.R. 748: The Coronavirus Aid, Relief, and Economic Security (CARES) Act S.3548: The Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R. 6800: Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S.3630: The Facilitating Innovation to Fight Coronavirus Act H.R. 6664: The Coronavirus Public Safety and Economic Recovery Act H.R. 6601: To require a particular jury instruction in Federal civil actions that include a claim for damages based on negligence arising from the transmission of COVID-19 H.R. 6283: The Good Samaritan Health Professionals Act of 2020 H.R. 6359: Promoting Infrastructure by Protecting Our Subcontractors and Taxpayers Act S.1350: Good Samaritan Health Professionals Act of 2019 H.R. 6844: The Employer and Employee COVID Protection Act S.4317: Safe to Work Act H.R. __: The Employer and Employee COVID Protection Act (NO NUMBER) H.R.6201 - Families First Coronavirus Response Act H.R.6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R.266 - Paycheck Protection Program and Health Care Enhancement Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R.7010 - Paycheck Protection Program Flexibility Act of 2020 H.R.6886 - Paycheck Protection Program Flexibility Act of 2020 S.3805 - Paycheck Protection Program Flexibility Act of 2020 S.3415 - Paid Sick Days for Public Health Emergencies and Personal and Family Care Act

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

Government targets: Federal Housing Finance Agency (FHFA), HOUSE OF REPRESENTATIVES, SENATE, White House Office

Pandemic Liability Protection; Federal Preemption Liability; Surety; Credit Enhancement; Business Interruption Insurance; CARES Act funding; Credit Risk Transfer issue; Covid-4 Package (liability issue). H.R. 748: The Coronavirus Aid, Relief, and Economic Security (CARES) Act S.3548: The Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R. 6800: Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S.3630: The Facilitating Innovation to Fight Coronavirus Act H.R. 6664: The Coronavirus Public Safety and Economic Recovery Act H.R. 6601: To require a particular jury instruction in Federal civil actions that include a claim for damages based on negligence arising from the transmission of COVID-19 H.R. 6283: The Good Samaritan Health Professionals Act of 2020 H.R. 6359: Promoting Infrastructure by Protecting Our Subcontractors and Taxpayers Act S.1350: Good Samaritan Health Professionals Act of 2019 H.R. 6844: The Employer and Employee COVID Protection Act S.4317: Safe to Work Act H.R. __: The Employer and Employee COVID Protection Act (NO NUMBER) H.R.6201 - Families First Coronavirus Response Act H.R.6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R.266 - Paycheck Protection Program and Health Care Enhancement Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R.7010 - Paycheck Protection Program Flexibility Act of 2020 H.R.6886 - Paycheck Protection Program Flexibility Act of 2020 S.3805 - Paycheck Protection Program Flexibility Act of 2020 S.3415 - Paid Sick Days for Public Health Emergencies and Personal and Family Care Act

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

Government targets: Federal Housing Finance Agency (FHFA), HOUSE OF REPRESENTATIVES, SENATE, White House Office

Pandemic Liability Protection; Federal Preemption Liability; Surety; Credit Enhancement; Business Interruption Insurance; CARES Act funding; Credit Risk Transfer issue; Covid-4 Package (liability issue). H.R. 748: The Coronavirus Aid, Relief, and Economic Security (CARES) Act S.3548: The Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R. 6800: Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S.3630: The Facilitating Innovation to Fight Coronavirus Act H.R. 6664: The Coronavirus Public Safety and Economic Recovery Act H.R. 6601: To require a particular jury instruction in Federal civil actions that include a claim for damages based on negligence arising from the transmission of COVID-19 H.R. 6283: The Good Samaritan Health Professionals Act of 2020 H.R. 6359: Promoting Infrastructure by Protecting Our Subcontractors and Taxpayers Act S.1350: Good Samaritan Health Professionals Act of 2019 H.R. 6844: The Employer and Employee COVID Protection Act S.4317: Safe to Work Act H.R. __: The Employer and Employee COVID Protection Act (NO NUMBER) H.R.6201 - Families First Coronavirus Response Act H.R.6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R.266 - Paycheck Protection Program and Health Care Enhancement Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R.7010 - Paycheck Protection Program Flexibility Act of 2020 H.R.6886 - Paycheck Protection Program Flexibility Act of 2020 S.3805 - Paycheck Protection Program Flexibility Act of 2020 S.3415 - Paid Sick Days for Public Health Emergencies and Personal and Family Care Act

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

Government targets: Federal Housing Finance Agency (FHFA), HOUSE OF REPRESENTATIVES, SENATE, White House Office

Pandemic Liability Protection; Federal Preemption Liability; Surety; Credit Enhancement; Business Interruption Insurance; CARES Act funding; Credit Risk Transfer issue; Covid-4 Package (liability issue). H.R. 748: The Coronavirus Aid, Relief, and Economic Security (CARES) Act S.3548: The Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R. 6800: Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S.3630: The Facilitating Innovation to Fight Coronavirus Act H.R. 6664: The Coronavirus Public Safety and Economic Recovery Act H.R. 6601: To require a particular jury instruction in Federal civil actions that include a claim for damages based on negligence arising from the transmission of COVID-19 H.R. 6283: The Good Samaritan Health Professionals Act of 2020 H.R. 6359: Promoting Infrastructure by Protecting Our Subcontractors and Taxpayers Act S.1350: Good Samaritan Health Professionals Act of 2019 H.R. 6844: The Employer and Employee COVID Protection Act S.4317: Safe to Work Act H.R. __: The Employer and Employee COVID Protection Act (NO NUMBER) H.R.6201 - Families First Coronavirus Response Act H.R.6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R.266 - Paycheck Protection Program and Health Care Enhancement Act H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R.7010 - Paycheck Protection Program Flexibility Act of 2020 H.R.6886 - Paycheck Protection Program Flexibility Act of 2020 S.3805 - Paycheck Protection Program Flexibility Act of 2020 S.3415 - Paid Sick Days for Public Health Emergencies and Personal and Family Care Act

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

Government targets: Federal Housing Finance Agency (FHFA), HOUSE OF REPRESENTATIVES, SENATE, White House Office

CARES Act funding for local governments; Federal funding for transportation projects; Army Corps of Engineering project funding; Census deadline extension; COVID Stimulus Package; Infrastructure. H.R. 6800 - The HEROES Act (Health and Economic Recovery Omnibus Emergency Solutions Act; H.R.3163 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2020; S.2520 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2020; H.R.6201 - Families First Coronavirus Response Act; H.R.6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020; H.R.266 - Paycheck Protection Program and Health Care Enhancement Act; H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020; H.R.7010 - Paycheck Protection Program Flexibility Act of 2020; H.R.6886 - Paycheck Protection Program Flexibility Act of 2020; S.3805 - Paycheck Protection Program Flexibility Act of 2020; S.3415 - Paid Sick Days for Public Health Emergencies and Personal and Family Care Act; H.R.748 - Coronavirus Aid, Relief, and Economic Security Act or the CARES Act; S.3548 - Coronavirus Aid, Relief, and Economic Security Act or the CARES Act; H.R.2 - Moving Forward Act; H.R.2210 - Invest in America Act; H.R.732 - 2020 Census IDEA Act; and S.358 - Census IDEA Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

CARES Act funding for local governments; Federal funding for transportation projects; Army Corps of Engineering project funding; Census deadline extension; COVID Stimulus Package; Infrastructure. H.R. 6800 - The HEROES Act (Health and Economic Recovery Omnibus Emergency Solutions Act; H.R.3163 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2020; S.2520 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2020; H.R.6201 - Families First Coronavirus Response Act; H.R.6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020; H.R.266 - Paycheck Protection Program and Health Care Enhancement Act; H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020; H.R.7010 - Paycheck Protection Program Flexibility Act of 2020; H.R.6886 - Paycheck Protection Program Flexibility Act of 2020; S.3805 - Paycheck Protection Program Flexibility Act of 2020; S.3415 - Paid Sick Days for Public Health Emergencies and Personal and Family Care Act; H.R.748 - Coronavirus Aid, Relief, and Economic Security Act or the CARES Act; S.3548 - Coronavirus Aid, Relief, and Economic Security Act or the CARES Act; H.R.2 - Moving Forward Act; H.R.2210 - Invest in America Act; H.R.732 - 2020 Census IDEA Act; and S.358 - Census IDEA Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

CARES Act funding for local governments; Federal funding for transportation projects; Army Corps of Engineering project funding; Census deadline extension; COVID Stimulus Package; Infrastructure. H.R. 6800 - The HEROES Act (Health and Economic Recovery Omnibus Emergency Solutions Act; H.R.3163 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2020; S.2520 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2020; H.R.6201 - Families First Coronavirus Response Act; H.R.6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020; H.R.266 - Paycheck Protection Program and Health Care Enhancement Act; H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020; H.R.7010 - Paycheck Protection Program Flexibility Act of 2020; H.R.6886 - Paycheck Protection Program Flexibility Act of 2020; S.3805 - Paycheck Protection Program Flexibility Act of 2020; S.3415 - Paid Sick Days for Public Health Emergencies and Personal and Family Care Act; H.R.748 - Coronavirus Aid, Relief, and Economic Security Act or the CARES Act; S.3548 - Coronavirus Aid, Relief, and Economic Security Act or the CARES Act; H.R.2 - Moving Forward Act; H.R.2210 - Invest in America Act; H.R.732 - 2020 Census IDEA Act; and S.358 - Census IDEA Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

CARES Act funding for local governments; Federal funding for transportation projects; Army Corps of Engineering project funding; Census deadline extension; COVID Stimulus Package; Infrastructure. H.R. 6800 - The HEROES Act (Health and Economic Recovery Omnibus Emergency Solutions Act; H.R.3163 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2020; S.2520 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2020; H.R.6201 - Families First Coronavirus Response Act; H.R.6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020; H.R.266 - Paycheck Protection Program and Health Care Enhancement Act; H.R.7819 - Eliminating the Provider Relief Fund Tax Penalties Act of 2020; H.R.7010 - Paycheck Protection Program Flexibility Act of 2020; H.R.6886 - Paycheck Protection Program Flexibility Act of 2020; S.3805 - Paycheck Protection Program Flexibility Act of 2020; S.3415 - Paid Sick Days for Public Health Emergencies and Personal and Family Care Act; H.R.748 - Coronavirus Aid, Relief, and Economic Security Act or the CARES Act; S.3548 - Coronavirus Aid, Relief, and Economic Security Act or the CARES Act; H.R.2 - Moving Forward Act; H.R.2210 - Invest in America Act; H.R.732 - 2020 Census IDEA Act; and S.358 - Census IDEA Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitoring the Tax Cuts and Jobs Act, legislation to overhaul the nations tax code that contains several notable provisions affecting hospitals; Individual Mandate, Access to Tax-exempt Bond Financing, Interest Deduction for Debt, Medical Expense Deductions, Executive Compensation; Support HR 3300, Economic Mobility Act of 2019, a bill to amend the Internal Revenue Code of 1986 to provide tax relief for workers and families; Letter requesting that Congress use the employer side payroll tax if they use the tax code to provide this assistance so that all hospitals benefit from that relief. The letter also highlights several bond financing options that should be considered; Support HR 2772, Investing in Our Communities Act, a bill to amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds; Support HR 3967, Municipal Bond Market Support Act of 2019, a bill to amend the Internal Revenue Code of 1986 to permanently modify the limitations on the deduction of interest by financial institutions which hold tax-exempt bonds; Support HR 6886Paycheck Protection Program Flexibility Act of 2020, a bill to amend the Small Business Act and the CARES Act to modify certain provisions related to the forgiveness of loans under the paycheck protection program, to allow recipients of loan forgiveness under the paycheck protection program to defer payroll taxes, and for other purposes; A letter requesting that the Treasury and IRS extend the deadlines for tax-exempt hospitals and health systems to prepare community health needs assessments that occur during the COVID public health emergency; Support HR 7819, Eliminating the Provider Relief Fund Tax Penalties Act of 2020, A bill that would remove an unintentional tax penalty on health care providers who received CARES Act funding under the Public Health and Social Services Emergency Fund. If left unchanged, health providers and for-profit hospitals could face a tax as high as 20% on money intended to support them during this pandemic.

Client expense: $4,860,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Oppose legislation to repeal the excise tax on indoor tanning services (H.R. 5512, S. 2713) Advocate for economic relief for physicians who have been adversely affected by the COVID-19 epidemic. (H.R. 748, S. 3548) Advocate for the inclusion of 501(c)6 non-profit associations to be included in the Payroll Protection Program as part of the CARES Act (H.R. 748, S. 3548) Advocate for the Codification that expenditures related to forgiven amounts under the PPP should be tax deductible to maximize the benefit of the PPP program for small businesses. Advocate for the Codification to ensure that the Public Health and Social Services Emergency Fund and similar funding provided in response to COVID-19 is not taxable and that entities receiving these funds maintain tax deductions attributable to these funds. Support the Local Chamber, Tourism, and 501(c)(6) Protection Act (H.R. 6697). Support the Eliminating Provider Relief Fund Tax Penalties Act of 2020 (H.R. 7819, S. 4525).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 4525, Eliminating the Provider Relief Fund Tax Penalties Act: making provider relief funds non-taxable H.R. 7819, Eliminating the Provider Relief Fund Tax Penalties Act: making provider relief funds non-taxable

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.7676/ S.4106 - "Health Care PRICE Transparency Act" - Oppose public disclosure of confidential hospital negotiated rates with payers H.R. 1384 - "Medicare For All Act of 2019", S.1129 - Oppose government-run national health insurance H.R. 2085/ S.1033 "Consumer Health Options and Insurance Competition Enhancement Act (CHOICE) Act", H.R. 2000/S.981 - "Medicare-X Choice Act of 2019" - Oppose public option S. 1895 - "Lower Health Care Costs Act" - Support protecting patients from surprise billing and oppose government rate setting. Advocated for appropriate transparency and contracting flexibility. S.1531 "Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019", H.R. 3630 "No Surprises Act", H.R. 3502 "Protecting People From Surprise Medical Bills Act", H.R. 5800 Ban Surprise Billing Act, H.R. 5826 "Consumer Protections Against Surprise Medical Bills Act of 2020" - Advocate to protect patients from surprise billing and oppose government rate setting. H.R. 6837/ S. 3750 "Medicare Accelerated and Advance Payments Improvement Act of 2020" - Support amended payment terms for eligible health care providers under the Medicare Accelerated and Advance Payments Program H.R. 6800 "Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act" - Support Division C, Health Provisions for Medicare and Medicaid that support health care providers and patients H.R. 6365/ S. 3559 "Immediate Relief for Rural Facilities and Providers Act of 2020" - Support expansion of access to telehealth programs for tax paying rural hospitals H.R. 7059 "Coronavirus Provider Protection Act" - Evaluated and advocated for improvements to legislation relating to liability protections during COVID-19 S. 4317 - "SAFE TO WORK Act" - Develop proposal to protect hospitals, healthcare professionals and facilities from liability due to COVID-19 H.R. 7819 / S. 4525 - " Eliminating the Provider Relief Fund Tax Penalties Act of 2020" - Support technical corrections to Provider Relief Fund to ensure funds received are not taxable H.R. 8337 - "Continuing Appropriations Act, 2021 and Other Extensions Act" - Support passage of continuing resolution, including language to improve repayment terms of Medicare Accelerated and Advance Payment Programs. H.R. 8061 - "Community Immunity During COVID-19 Act of 2020" - Support legislation that increases community access and awareness to vaccinations. S. 4421 - "The Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act" - Support legislation that provides temporary licensing reciprocity for health care professionals.

Client expense: $700,000 · Firm income: Not reported

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

S. 4525, Eliminating the Provider Relief Fund Tax Penalties Act: making provider relief funds non-taxable H.R. 7819, Eliminating the Provider Relief Fund Tax Penalties Act: making provider relief funds non-taxable

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues concerning the Medicare Hospice Benefit and children's hospice issues. Issues concerning hospice payment and alternative payment models. Issues related to advanced care illness management. Issues involving inpatient respite care, bereavement funding, palliative care and a community-based palliative care demonstration. Issues related to COVID-19 emergency funding, extension of the public health emergency, testing and COVID-19 related legislation. Issues related to telehealth flexibilities and regulatory flexibilities granted under the public health emergency. Issues involving hospice providers and tax treatment and reporting requirements of the CARES Act Public Health and Social Services Emergency Fund. Issues concerning hospice program integrity. Issues concerning Medicare Advantage Value-Based Insurance Design. Issues pertaining to the hospice election statement and election statement addendum. HOSPICE Act (H.R. 5821); Hospice Care Improvement Act of 2019 (S. 2807); Rural Access to Hospice Act (H.R.2594/S.1190); COVID-19 Hospice Respite Care Relief Act of 2020 (S. 4423/H.R. 8322); CONNECT Act (S. 2741/H.R. 4932); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S. 1921); CARES Act (H.R. 748); HEROES Act (H.R. 6200); Strengthening Innovation in Medicare and Medicaid Act (H.R.5741); Eliminating the Provider Relief Fund Tax Penalties Act of 2020 (H.R.7819); National Hospice and Palliative Care Month Proclamation Request and Senate Resolution

Client expense: $178,000 · Firm income: Not reported

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