Workplace Violence Prevention for Health Care and Social Service Workers Act

Support H.R. 526, Ensuring Coverage in Public Health Emergencies Act of 2021, a bill to provide for special enrollment periods during public health emergencies; Letter urging Congress to provide additional funds to the Provider Relief Fund and for vaccine distribution and administration, which will allow for continued support of hospitals' COVID-19-related lost revenues, as well as additional expenses incurred due to purchasing supplies and equipment, staffing, establishing emergency testing and vaccination centers and constructing and retrofitting facilities; Support H.R. 708 and S. 168, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act, a bill to provide temporary licensing reciprocity for telehealth and interstate health care treatment; Support H.R. 1306 and S. 412, National Coronavirus Commission Act of 2021, a bill to establish the Commission on the Coronavirus Pandemic in the United States; Support S. 610/ H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act, a bill to address behavioral health and well-being among health care professionals; Support S. 773 a bill 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; Support S.834, Resident Physician Shortage Reduction Act of 2021, a bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions; Oppose H.R. 1195, Workplace Violence Prevention for Health Care and Social Service Workers Act, a bill to direct the Secretary of Labor to issue an occupational safety and health standard that requires covered employers within the health care and social service industries to develop and implement a comprehensive workplace violence prevention plan and urge the Committee on Education and Labor not to report it favorably; Support S.924 and H.R. 2130, Rural America Health Corps Act, a bill to establish a demonstration program to provide payments on eligible loans for individuals who are eligible for the National Health Service Corps Loan Repayment Program; Discussions with ASPR about COVID-19 related medical supply and personnel shortages; Discussions with FEMA about COVID-19 public assistance funding policies; Letter asking Congress to consider an infrastructure proposal that you prioritize hospital and health system needs to ensure our nations health care system is well positioned to meet the opportunities and challenges that lie ahead; Support S.1512/H.R. 2903, CONNECT for Health Act of 2021, a bill to amend title XVIII of the Social Security Act to expand access to telehealth services; Support H.R. 2255/ S 1024, Healthcare Workforce Resilience Act, a bill to enhance our Nations nurse and physician workforce during the COVID-19 crisis by recapturing unused immigrant visas; Support S.1568, Technical Reset to Advance the Instruction of Nurses (TRAIN) Act, a bill to amend title XVIII of the Social Security Act to provide a waiver of the cap on annual payments for nursing and allied health education payments; Support H.R. 3203, a bill 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; Statement to Senate Committee on Homeland Security and Governmental Affairs hearing on "COVID-19 Part II: Evaluating the Medical Supply Chain and Pandemic Response Gaps" urges Congress to take steps to strengthen the nations medical supply chain; Statement to Senate Committee on Finance hearing on COVID-19 Health Care Flexibilities: Perspectives, Experiences, and Lessons Learned stating that these flexibilities can continue to drive significant improvements in patient care long after the public health emergency (PHE) ends and given the beneficial impact of those specific flexibilities urges Congress and the Administration to make them permanent. In addition, a second group of flexibilities will remain critically important for some time following the PHE and will require a carefully crafted phase-out plan to ensure enough time is provided for a necessary transition. Without action from Congress and the Administration prior to the termination of the PHE, we are concerned that much of the progress made because of the implementation of many of these flexibilities may be unnecessarily halted or even lost; Letter urges Senate HELP Committee to consider recommendations and prioritize programs that support the health care workforce needs of the country in the wake of the COVID-19 pandemic and into the future; Support H.R. 769/S. 1491, Rural Maternal and Obstetric Modernization of Services Act or the Rural MOMS Act, a bill to amend the Public Health Service Act to improve obstetric care in rural areas; Support for S.1675/ H.R. 4387, Maternal Health Quality Improvement Act, a bill to improve maternal health; Support 1438, Opioid Workforce Act of 2021, a bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions to help combat the opioid crisis; Support HR 3441,Substance Use Disorder Workforce Act, a bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions to help combat the substance use disorder crisis; Support S.1810 / H.R.3541, Conrad State 30 and Physician Access Reauthorization Act, a bill to provide incentives to physicians to practice in rural and medically underserved communities; Statement to the Senate Judiciary Subcommittee on Competition Policy, Antitrust, and Consumer Rights for the hearing on Antitrust Applied: Hospital Consolidation Concerns and Solutions expressing that integration helps to ensure every community, whether rural, urban or suburban, has access to the same high standard of affordable, evidenced based care; discussions to ensure that H.R. 2547s limits on unfair practice under FDCPA for debt collectors does not inappropriately interfere with or restrict the ability of hospitals to be able to obtain payment for care provided; Support for revising/repealing changes to the Rural Health Clinic (RHC) Program that reduced reimbursement for provider-based RHCs; Hill outreach expressing concerns with United Healths retroactive denial of coverage for emergency-level care in facilities; Hill outreach expressing concern about CMS mid-build audit denials; Senate outreach on prior authorization legislation; Urge support for legislation/administrative action to extend the deadline to use PRF money; Urged HRSA to ensure that the drug companies that denied 340B Statute appropriate discounts make the impacted hospitals whole for the benefit of the vulnerable communities they serve; Support S. 2304 Drug-Price Transparency for Competition Act of 2021 (DTC Act of 2021), a bill to amend title XI of the Social Security Act to require that direct-to-consumer advertisements for prescription drugs and biological products include an appropriate disclosure of pricing information; Support S.246/H.R.851 Future Advancement of Academic Nursing Act or the FAAN Act, a bill to amend the Public Health Service Act to authorize grants to support schools of nursing in program enhancement and infrastructure modernization, increasing the number of nursing faculty and students, and for other purposes; Support S. 1568/HR 4407Technical Reset to Advance the Instruction of Nurses Act or the TRAIN Act, a bill to amend title XVIII of the Social Security Act to provide a waiver of the cap on annual payments for nursing and allied health education payments; Comment letter to the Occupational Safety and Health Administration (OSHA) recommending the withdrawal of the COVID-19 Emergency Temporary Standard for occupational exposure to COVID-19; Meeting with Department of Labor staff to discuss our concerns about the OSHA COVID-19 Emergency Temporary Standard for occupational exposure to COVID-19; Discussion with ASPR staff overseeing the Strategic National Stockpile about their intent to procure supplies of surgical masks; Call with Senator Cassidys staff to discuss concerns about impact of FEMA COVID-19 funding of traveling nurse agencies on hospital nursing shortages; Oppose S 2428, False Claims Amendments Act of 2021A bill to amend title 31, United States Code, to modify False Claims Act procedures, and for other purposes; Discussions about Provider Relief Fund - reporting on past disbursements and urging HHS to disburse remaining PRF money; Discussions about the challenges that teaching hospitals have with training the physician workforce, residency caps that limit funding for training programs, a shortage of residents pursuing primary care specialties, a growing patient pool due to the newly insured and aging of the population; Discussions about the hospital and health system priorities for infrastructure and reconciliation bills; Letter urging Congress to maintain the current legal and regulatory framework for evaluating mergers and acquisitions; Hill outreach to discuss the benefits of health care integration; Hill outreach about the negative impact of potentially anticompetitive conduct by nurse-staffing agencies; Support HR 5035/ S 2982 Child Suicide Prevention and Lethal Means Safety Act, a bill to authorize the Secretary of Health and Human Services to award grants to establish or expand programs to implement evidence-aligned practices in health care settings for the purpose of reducing the suicide rates of covered individuals, and for other purposes; Support H.R.5376 Build Back Better Act, this bill provides funding, establishes programs, and otherwise modifies provisions relating to a broad array of areas, including education, labor, child care, health care, taxes, immigration, and the environment; Discussions with members of congress about the implementation of Rural Emergency Hospital payment designation; Discussions on the No Surprises Act Implementation (surprise billing) and urging federal regulators to restore the independence of the independent dispute resolution process in the No Surprises Act Part 2 regulations; Support HR 5699 Student Assisted Vaccination Effort (SAVE) Act, a bill to expand the definition of qualified persons for purposes of the Public Readiness and Emergency Preparedness Act to include health professional students; Support S 2873 Preventing and Addressing Trauma with Health Services Act (PATHS Act), a bill to require the Secretary of Health and Human Services to award grants to establish or expand programs and activities to increase access to high-quality culturally competent trauma support and mental health care; Letter urging HRSA to delay proposals to withdraw certain HPSAs; Support S 3497 and HR 6397, Medical Student Education Authorization Act of 2022, a bill to amend the Public Health Service Act to establish a grant program to award grants to public institutions of higher education located in a covered State; Support HR 6279 and S 3629, Opioid Treatment Access Act of 2022, a bill to authorize a study on certain exemptions for treatment of opioid use disorder through opioid treatment programs during the COVID-19 public health emergency; Support HR 5703 and S 3677, Post-Disaster Mental Health Response Act, a bill to amend the Robert T. Stafford Disaster Relief and Emergency Assistance Act to authorize the President to provide professional counseling services to victims of emergencies declared under such Act; Submitted a statement on the hearing for Pandemic Profiteers: Legislation to Stop Corporate Price Gouging regarding concerns about anticompetitive conduct on the part of health care staffing agencies, some of which have been exploiting the severe shortage of health care providers during the COVID-19 pandemic; Submitted a statement on the hearing for Americas Mental Health Crisis and supports additional approaches to help ensure improved access to needed comprehensive, affordable and quality behavioral health services; Provide comments to the Affordability Subcommittee of the Healthy Future Task Force expressing our shared focus with Congress on providing relief from the pandemic, ensuring a smooth recovery and rebuilding a better health care system for the future, all while continuing to support efforts to promote greater affordability and value to patients and the health care system; Submitted statement on the hearing for Recruiting, Revitalizing & Diversifying: Examining the Health Care Workforce Shortage about the challenges ahead and the need to examine Americas health care workforce shortage. We must work together to solve these issues so that our nations hospitals and health systems can continue to care for the patients and communities they serve; Submitted statement on the hearing for Protecting Youth Mental Health: Part II - Identifying and Addressing Barriers to Care examines ways to protect the mental health of our nations youth; Submitted statement on the hearing for Exploring Pathways to Affordable, Universal Health Coverage Care expressing the need to build upon and improve our existing system to increase access to coverage of comprehensive health benefits; Submitted a letter to provide information regarding the challenges facing Americas health care workforce as the country enters the third year of the COVID-19 pandemic; Provided comments to the Modernization Subcommittee of the Healthy Future Task Force urging Congress to consider how to ensure the telehealth flexibilities could remain in place for patients and health care providers beyond the PHE; Support HR 7053 and S 3792, Hospital Inpatient Services Modernization Act, a bill to amend title XVIII of the Social Security Act to extend acute hospital care at home waiver flexibilities; Support resolution, H. Res. 909, Expressing support for healthcare personnel and condemning assaults on healthcare personnel as the U.S. healthcare system faces unprecedented staffing shortages and increased workplace-related stressors; Letter urges Congress to provide immediate additional support for hospitals and health systems serving their communities during this unprecedented public health crisis. While the support Congress has provided during the last two years of the COVID-19 pandemic has helped hospitals care for their patients and communities, there is still a significant need for financial support and relief as COVID-19 challenges persist; Support S 3904, Healthcare Cybersecurity Act of 2022, a bill to enhance the cybersecurity of the Healthcare and Public Health Sector; Letter urging OSHA to extend the comment deadline for the rule making on the occupational exposure to COVID-19 in healthcare settings by at least an additional 30 days, through May 23; Meeting with the Office of the Assistant Secretary of Health (OASH) at HHS to discuss the widespread blood shortages in the U.S. and next steps; Stakeholder calls with HHS ASPR regarding the distribution/administration of COVID-19 therapeutics; Discussions on S 571, Public Health Funding Prevents Pandemics Act, a bill to fully fund the Prevention and Public Health Fund and reaffirm the importance of prevention in the United States healthcare system; Regular calls with ASPR and other stakeholders participating in the Health Care and Public Health (HPH) Sector Joint Supply Chain Resilience Working Group (Joint SCRWG), a formal Working Group under the authority of the Critical Infrastructure Partnership Advisory Council (CIPAC) to support the Presidents vision for a resilient public health supply chain; Monthly calls with ASPRs Hospital Preparedness Program (HPP) to discuss updates on the hospital association COVID-19 funding program; Call with ASPR Healthcare and Public Health Government Coordinating Council leadership and other hospital associations to provide feedback on the COVID-19 hospital data guidance update; Provide comment letter to OSHA on the re-opening of comments on the Occupational Exposure to COVID-19 Rulemaking in which we urge OSHA not to finalize its rule for occupational exposure to COVID-19. In our comments, we indicate that we continue to oppose establishing new regulations that are not fully aligned with the Centers for Disease Control and Preventions evolving evidence-based guidance. With the constantly evolving, science-based CDC guidance and recommendations, CMS vaccination requirement and existing OSHA general standards, we strongly believe that an inconsistent and overly strict OSHA COVID-19 health care standard is not necessary, would cause confusion and will ultimately lower hospital employees morale and worsen unprecedented personnel shortages in hospitals. It is essential to a well-functioning health care system that only one set of science-based standards be applied to health care providers, and that these standards be aligned across federal agencies; Letter urging Congress to make the expanded tax credits permanent, ensuring millions of low- and middle-income families continue to have access to affordable coverage in 2023 and beyond; Express concerns with the letter to CMS from Congressman Murphy that makes a number of requests for data surrounding the COVID-19 add on payments for hospitals. We are concerned about the questions as they do not take into account the continued needs of the nations hospitals and health systems. Hospitals continue to face numerous challenges, including increased labor and supply costs and workforce shortages. These additional payments have helped to address some but not all of the high costs associated with COVID-19 patient care. The complexity of care is still higher than pre-pandemic levels as measured by length of stay, which further indicates that its still more resource intensive to treat COVID inpatients. In addition, the high costs associated personal protective equipment, isolation measures, and other additional resources are necessary when treating all patients, unless and until it is determined they do not have COVID-19; Submitted a letter to Ways and Means per their request for information on the health care industry and climate change. We support the sustainability efforts while acknowledging that for a variety of reasons, many hospitals and health systems face challenges and barriers to implementing this work, especially while responding to a pandemic; Letter urging HHS to maintain the COVID-19 public health emergency (PHE) until it is clear that the global pandemic has receded and the capabilities authorized by the PHE are no longer necessary. This will help prevent any future surges from threatening the health and safety of patients and the ability of health care professionals to care for them; Long COVID Best Clinical Practices Discussion with the White House Policy Advisor, Office of the COVID-19 Response; Submitted comment letter to the Federal Trade Commission outlining the impact pharmacy benefit managers (PBMs) practices have on the field. Specifically, urging the FTC to increase scrutiny on insured-mandated white bagging policies, as well as the impact of PBM-negotiated rebates and other business practices on the 340B drug discount pricing program and overall drug prices and drug price increases; Submit a comment letter to the Internal Revenue Service for their proposed rule amending how employer coverage affordability would be measured for family members of employees. We advocated for a fix to the current methodology for assessing affordability of employer coverage for family members, often referred to as the family glitch, which is estimated to affect about 5 million individuals. We commend the IRS on proposing to revise the regulation and improve access to health insurance coverage for millions of American families; Concerns S.4348, Food and Drug Administration Safety and Landmark Advancements Act of 2022 or the FDASLA Act of 2022, a bill to amend the Federal Food, Drug, and Cosmetic Act to revise and extend the user-fee programs for prescription drugs, medical devices, generic drugs, and biosimilar biological product; Comment letter on CMS Radiation Oncology (RO) Model proposed rule. We strongly supports CMS efforts to transform the delivery of cancer care. We also support the original intent of the RO Model, which was to protect access to care by ensuring fair, predictable payment for radiation oncologists. However, this important goal of the original RO Model has been marred by the incorporation of significant payment cuts and substantial administrative burdens for those participating in this mandatory model. As such, the AHA supports CMSs proposal to delay the start date of the RO model from Jan. 1, 2023 to a date to be determined through future rulemaking; Support S. 4352,Travel Nursing Agency Transparency Study Act, a bill to require a study on the effects of travel nurse agencies on the health industry during the COVID-19 pandemic; Letter in response to CMS request for guidance on implementing the regulatory requirement for convening providers and facilities exchange information with co-providers and co-facilities to create a comprehensive good faith estimate as part of the implementation of the No Surprises Act. Due to the lack of currently available automated solutions, this process would require a significant manual effort by providers, which would undoubtedly result in the convening provider being unable to meet the short statutory timeframes for delivering good faith estimates to the patients and could also lead to inadvertent errors. AHA has requested an extension in enforcement direction until a technical solution has been identified and implemented; Support HR 7691, Safety From Violence for Healthcare Employees Act or the SAVE Act, a bill to protect hospital personnel from violence, and for other purposes; Letter requesting that HHS, HRSA, and OIG take immediate enforcement action against the now 17 companies that are refusing to honor their obligations under the 340B program; Letter sent to HHS Secretary to discuss how best to ensure prompt repayment to 340B hospitals without penalizing the rest of the hospital field after the U.S. Supreme Court unanimously agreed that HHS outpatient payment cuts to hospitals in the 340B Drug Pricing Program were unlawful. The Courts decision did not determine a remedy for the unlawful payment cuts, instead, it remanded the case to the lower courts to address the proper remedy; Support HR 7084/ S 3983, Protecting and Transforming Cyber Health Care Act of 2022 or the PATCH Act of 2022, a bill to amend the Federal Food, Drug, and Cosmetic Act to require, for purposes of ensuring cybersecurity, the inclusion in any premarket submission for a cyber device of information to demonstrate a reasonable assurance of safety and effectiveness throughout the lifecycle of the cyber device, and for other purposes; Submit Comment letter of support for CMS continued focus on strengthening health insurance coverage and ensuring ease of enrollment and limited gaps in coverage, including proposed updates to Medicare enrollment and eligibility rules; Submit letter for oversight hearing on Medicare Advantage (MA) plans expressing concerns about some MA plans inappropriate restrictions on beneficiary access to medically necessary care, including those highlighted in a recent report issued by the Department of Health and Human Services Office of Inspector General (HHS-OIG), and urge Congress to increase its oversight of these plans; Provided feedback on the Senate Finance Committees discussion draft addressing mental health care and telehealth. AHA supports allowing Medicare beneficiaries who seek treatment for mental health disorders to receive their care through audio-only services, removing the requirement for Medicare patients to receive an in-person visit prior to receiving mental health services through telehealth, and expanding beyond physicians and limited non-physician practitioners the types of providers who can deliver and bill for telehealth services; Support HR 8576/ S 4352 Travel Nursing Agency Transparency Study Act, a bill to require a study on the effects of travel nurse agencies on the health industry during the COVID-19 pandemic; Support HR 8806 Healthcare Cybersecurity Act of 2022, a bill to enhance the cybersecurity of the Healthcare and Public Health Sector; Submitted a statement for the record for the Senate Judiciary Subcommittee hearing on Flatlining Care: Why Immigrants Are Crucial to Bolstering Our Health Care Workforce. This hearing examines the importance of improving the immigration process in order to help alleviate Americas health care workforce shortage. We encourage Congress to help address domestic health care workforce shortage;

Client expense: $6,950,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, White House Office

Issues surrounding COVID‐19 Emergency Temporary Standard expiration Access to Personal Protective Equipment Workplace Safety Issues S. 4182 / H.R.1195 ‐ Workplace Violence Prevention for Health Care and Social Service Workers Act Mental health resources for nurses Issues relating to mandatory overtime Issues surrounding nurse staffing shortages and remedies to address this crisis Health Care Safety and Nurses Protection Act Issues surrounding healthcare workplace safety standards

Client expense: $423,637 · Firm income: Not reported

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

H.R. 1195, Workplace Violence Prevention for Health Care and Social Service Worker Act OSHA Funding Draft resolution on treating racism as a public health crisis H.R. 9475, TEACH Act S. 3663, Kids Online Safety Act Draft educator mental health bill H.R.1195, Workplace Violence Prevention for Health Care and Social Service Workers Act, Entirety Health Worker Shortage/Staffing Crisis Visas for international healthcare professionals Green New Deal for Health, Entirety Monitor the following: Public Law 117-169, Inflation Reduction Act, Prescription drug reform Public Law 117-159, Bipartisan Safer Communities Act H.R.5015, the Medicaid DSH Payment Adjustment Fairness Act, Hospital funding formula Abortion Access related issues H.R.7784, the Supporting Trauma Informed Education Practices Act H.R.7666, Restoring Hope for Mental Health and Well‐Being Act S.2110, Better Care Better Jobs Act Nurse Overtime and Patient Safety Act 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 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 Federal response to COVID-19 Pandemic H.R.3755, the Women's Health Protection Act, Entirety H.R.7116, 9-8-8 Implementation Act H.R.6833, the Affordable Insulin Now Act Mental health supports for educators S.3796/H.R.7045, Closing Health Coverage Gaps for Public Servants Act Dobbs v. Jackson, United States Supreme Court decision Public Law 117-168, Honoring our Promise to Address Comprehensive Toxics (PACT) Act, Entirety

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues surrounding COVID‐19 Emergency Temporary Standard expiration Access to Personal Protective Equipment Workplace Safety Issues S. 4182 / H.R.1195 ‐ Workplace Violence Prevention for Health Care and Social Service Workers Act Mental health resources for nurses Issues relating to mandatory overtime Issues surrounding nurse staffing shortages and remedies to address this crisis Health Care Safety and Nurses Protection Act Issues surrounding healthcare workplace safety standards

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

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

H.R. 5/S. 393, Equality Act H.R. 7/S. 205, Paycheck Fairness Act H.R. 447, National Apprenticeship Act of 2021 H.R. 603/S. 53, Raise the Wage Act of 2021 H.R. 804/S. 248, Family and Medical Insurance Leave (FAMILY) Act H.R. 830, Wage Increase Fairness Act H.R. 842/S. 420, Protecting the Right to Organize Act of 2021 H.R. 1065/S. 1486/S. 4431, Pregnant Workers Fairness Act H.R. 1195, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1284/S. 403, Fair and Open Competition (FOCA) Act H.R. 1277/S. 374, Improving Corporate Governance Through Diversity Act of 2021 H.R. 1319, American Rescue Plan Act of 2021 H.R. 1458/S.490, Unemployment Insurance Technology Modernization Act of 2021 H.R. 1735/S. 673, Journalism Competition and Preservation Act of 2021 H.R. 2491, Wage Equity Act of 2021 H.R. 2668, Consumer Protection and Recovery Act H.R. 2795, DHS Blue Campaign Enhancement Act H.R. 2873, Affordable Prescriptions for Patients Through Promoting Competition Act of 2021 H.R. 2883, Stop Stalling Access to Affordable Medications H.R. 2884, Affordable Prescriptions for Patients Through Improvements to Patent Litigation Act H.R. 2891/S. 1428, Preserve Access to Affordable Generics and Biosimilars Act H.R. 2926/S. 663, One Agency Act H.R. 3110/S. 1658, Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act H.R. 3114, Longshore and Harbor Workers COVID-19 Compensation Act of 2021 H.R. 3460/S. 1787, State Antitrust Enforcement Venue Act of 2021 H.R. 3816/S. 2992, American Choice and Innovation Online Act H.R. 3825, Ending Platform Monopolies Act H.R. 3826/S. 3197, Platform Competition and Opportunity Act of 2021 H.R. 3843/S. 228, Merger Filing Fee Modernization Act of 2021 H.R. 3849, Augmenting Compatibility and Competition by Enabling Service Switching (ACCESS) Act of 2021 H.R. 4109/S. 2193, Protections for Socially Good Activities Act H.R. 4350, National Defense Authorization Act for Fiscal Year 2022 H.R. 5017/S. 2710, Open App Markets Act H.R. 5376, Build Back Better Act H.R. 5842, Ending the Monopoly of Power Over Workplace Harassment through Education and Reporting (EMPOWER) Act H.R. 6922/S. 3760, Continued Waiver of Interest on State Unemployment Loans during the Pandemic Act H.R. 7194/S. 3889, Employee Rights Act H.R. 7151, Ensuring Sound Guidance Act H.R. 7309, Workforce Innovation and Opportunity Act of 2022 H.R. 7701, Wage Theft Prevention and Wage Recovery Act H.R. 8295/S. 4659, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023 H.Res. 823, Providing for the consideration of the bill (H.R. 3460) to amend title 28 of the United States Code to prevent the transfer of actions arising under the antitrust laws in which a State is a complainant H.J. Res. 100,To provide for a resolution with respect to the unresolved disputes between certain railroads represented by the National Carriers' Conference Committee of the National Railway Labor Conference and certain of their employees H. Con. Res. 119, Providing for a correction in the enrollment of H.J. Res. 100 S. 225, Competition and Antitrust Law Enforcement Reform Act of 2021 S. 478, Higher Wages for American Workers Act of 2021 S. 977, No Oil Producing and Exporting Cartels (NOPEC) Act of 2021 S. 1074, Trust-Busting for the Twenty-First Century Act S. 1204, Bust Up Big Tech Act S. 1380, Clean Slate Act of 2021 S. 1425, Stop Significant and Time-wasting Abuse Limiting Legitimate Innovation of New Generics (STALLING) Act S. 1435, Affordable Prescriptions for Patients Act of 2021 S. 1636, Save Local Business Act S. 2039, Tougher Enforcement Against Monopolists (TEAM) Act S. 2991, Countering Human Trafficking Act of 2021 S. 3311, FTC Integrity Act S. 3847, Prohibiting Anticompetitive Mergers Act of 2022 S. 3889, Employee Rights Act S. 4145, Consumer Protection Remedies Act of 2022 S. J. Res. 13, A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Equal Employment Opportunity Commission relating to "Update of Commission's Conciliation Procedures" Nomination of Jessica Looman to be Administrator of the Wage and Hour Division Interim final rule on Occupational Exposure to COVID-19; Emergency Temporary Standard (86 Fed. Reg. 32,376-32,628, June 21, 2021) Prohibited Transaction Exemption 2020-02, Improving Investment Advice for Workers & Retirees (85 Fed. Reg. 82,798-82,866, December 18, 2020) Proposed Rule, Department of Labor; Employee or Independent Contractor Classification under the Fair Labor Standards Act (87 Fed. Reg. 62,218-62,275, Oct. 13, 2022) Proposed Rule, National Labor Relations Board; Standard for Determining Joint-Employer Status Under the National Labor Relations Act (87 Fed. Reg. 54,641-54,663, September 7, 2022) Request for Comments, Internal Revenue Service; Prevailing Wage, Apprenticeship, Domestic Content, and Energy Communities Requirements Under the Act Commonly Known as the Inflation Reduction Act of 2022 (Docket No. IRS-2022-0025, Notice 2022-51, November 30, 2022) Request for Comments, International Trade Administration; Artificial Intelligence Export Competitiveness (87 Fed. Reg. 50,288-50,289, August 16, 2022) Proposed Rule, Department of Defense, General Services Administration, and National Aeronautics and Space Administration; Federal Acquisition Regulation: Use of Project Labor Agreements for Federal Construction Projects (87 Fed. Reg. 51,044-51,052, August 19, 2022) Final Rule on Prudence and Loyalty in Selecting Plan Investments and Exercising Shareholder Rights (87 Fed. Reg. 73,822-73,886, December 1, 2022) Proposed Rule, Improve Tracking of Workplace Injuries, and Illnesses (87 Fed. Reg. 18,528-18,558, March 3, 2022) Various issues relating to modernization of the unemployment insurance system; application of Kristof Terryn to serve on the Department of Labor's Advisory Committee on Apprenticeship; paid leave including paid family and sick leave; reforms to the Fair Labor Standards Act (P.L. 75-178); independent contractors; unemployment insurance and the coronavirus pandemic; debarment of federal contractors (blacklisting); Equal Employment Opportunity Commission (EEOC) conciliation regulation; the firing of Peter Robb as General Counsel of the National Labor Relations Board (NLRB), and of Alice Stock, Deputy General Counsel of the NLRB; rescission of the joint employer standard under the Fair Labor Standards Act (P.L. 75-718); The FTC's Multilateral Pharmaceutical Merger Taskforce; The USMCA Labor Council; apprenticeships; proposed amendment to the U.S. Longshore and Harbor Workers Compensation Act (Longshore Act), relating to the establishment of statutory presumptions of coverage and compensability for illnesses; potential Wage and Hour Division rulemaking defining and delimiting the exemptions under the Fair Labor Standards Act for Executive, Administrative, Professional, Outside Sales and Computer Employees; potential legislation on the minimum wage; COVID-19 vaccine requirements, including a potential Emergency Temporary Standard from the Occupational Safety and Health Administration relating to employers with more than 100 employees; vaccine requirements for federal contractors; legal and regulatory framework for evaluating mergers and acquisitions; contract terms and their relationship to competition, particularly relating to worker non-compete clauses and exclusive contracts; Federal Trade Commission issues: Freedom of Information Act Requests, Penalty Offense Authority, Zombie Voting, and overall direction of the Commission; anticipated overtime regulations under the Fair Labor Standards Act Office of Federal Contract Compliance Programs, Directive (DIR) 2022-01; filing complaints under the National Labor Relations Act; Executive Order 13999 Protecting Worker Health and Safety; Executive Order 14042, Ensuring Adequate COVID Safety Protocols for Federal Contractors; Executive Order 14036, Promoting Competition in the American Economy; Executive Order 14063, Use of Project Labor Agreements for Federal Construction Projects; President Bidens Path Out of the Pandemic: COVID Action Plan; unemployment insurance; international concerns in the areas of antitrust, standards and investment; domestic and international antitrust policy; Federal Trade Commission (FTC) section 19/13b authority; Policies and practices related to the FTC expanding its authority; Transparency at the FTC; FTCs Draft Strategic Plan for Fiscal Years 2022 to 2026; section 5 of the Federal Trade Commission Act of 1914; efforts to revise the 1995 Bank Merger Competitive Review Gudelines; efforts to modernize enforcement of the antitrust laws regarding mergers; pregnancy discrimination; oversight addressing the National Labor Relations Board, including implementation and oversight of the National Labor Relations Act (P.L. 74-198); election procedures under the Railway Labor Act (P.L. 69-257); National Labor Relations Board (NLRB) decisions and regulatory agenda; definition of labor organization under the Labor Management Reporting and Disclosure Act (P.L. 86-257)

Client expense: $20,990,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Executive Office of the President (EOP), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE

Monitore issues related to OSHA and hospitals. Monitored H.R. 842/S. 420, Protecting the Right to Organize Act. H.R. 1195, Workplace Violence Prevention for Health Care and Social Service Workers Act. Monitored issues related to competition in the health care industry.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Inflation Reduction Act (H.R.5376) implementation, Protecting the Right to Organize (PRO) Act (H.R. 842/S.420), Secure And Fair Elections for Workers (SAFE) Act (H.R. 308), Workplace Violence Prevention Act of 2021 (H.R. 1195), Raise the Wage Act of 2021 (H.R. 603/S. 53), Forced Arbitration Injustice Repeal (FAIR) Act (H.R. 963/S.505), Pregnant Workers Fairness Act of 2021 (H.R.1065), Asuncion Valdivia Heat Illness and Fatality Prevention Act of 2021 (H.R. 2193), DOL Joint Employer Rule Rescission, Uyghur Forced Labor Prevention Act (H.R.1155), Public Service Freedom to Negotiate Act, Infrastructure Investment and Jobs Act (IIJA, H.R.3684) implementation, DOL Salaried Overtime Regulations, DOL tip rule, VA Employee Fairness Act (H.R.1948), child labor in auto parts

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

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

funding for hospitals and physicians related to COVID 19 Health care policy Proposals to strengthen the health care system and achieve Affordable Care Act (ACA) market stability, including extending the expanded ACA subsidies Funding for National Ebola Network/RSPTCs Elimination of Title X Waiver H.R. 1319, "American Rescue Plan Act" - provisions related to healthcare, Medicaid, and federal funding aimed at combating COVID-19, including funding to support vaccination administration, testing and contact tracing and expanding the public health workforce H.R. 3, "Elijah E. Cummings Lower Drug Prices Now Act" Additional legislative proposals to address rising drug costs S. 773, To ensure eligible hospitals continue to have access to the 340B Drug Pricing Program throughout the COVID-19 public health emergency Additional legislative proposals modifying the 340B program including the Protect 340B Act Infrastructure proposals that support the healthcare workforce and hospitals and health facilities, including provisions to improve physical and technical upgrades S.168 / HR 708 Temporary Reciprocity to Ensure Access to Treatment Act or the TREAT Act HR 1195 Workplace Violence Prevention Standard for health care facilities Medicare Coverage for Telehealth - HR 1332/ S 368 Telehealth Modernization Act Ensuring Parity in MA and PACE for Audio-Only Telehealth Act HR 2166 Federal funding to reduce and/or eliminate health care disparities Federal funding to address social determinants of health, especially housing and nutrition Bills to support mental health access and workforce Bills to support funding for nursing working and allied health professionals

Client expense: $293,950 · Firm income: Not reported

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

S.800/H.R. 4870 - Promoting Access to Diabetic Shoes Act H.R. 1956/S. 1986 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2021 H.R. 2067/S. 2235 - Medication Access and Training Expansion (MATE) Act S. 987 - Comprehensive Addiction and Recovery Act (CARA) 3.0 H.R. 1319 - American Rescue Plan Act [Public Law No: 117-2] H.R. 1716 - COVID-19 Mental Health Research Act H.R. 1195 - the Workplace Violence Prevention for Health Care and Social Service Workers Act S. 54 - Strengthening Americas Health Care Readiness Act H.R. 851/S. 246 - the Future Advancement of Academic Nursing (FAAN) Act H.R. 959/S.346 - Black Maternal Health Momnibus Act of 2021 H.R. 1384 - the Mainstreaming Addiction Treatment Act of 2021 H.R. 955 - the Medicaid Reentry Act of 2021 H.R. 1025 - the Kids Access to Primary Care Act of 2021 S. 1315/H.R. 3630 - the Lymphedema Treatment Act S. 1833 - the Ensuring Access to Primary Care for Women & Children Act H.R. 3550/S. 4905 - the Primary and Behavioral Health Care Access Act S. 1512/H.R. 2903 - the CONNECT for Health Act of 2021 S. 287/H.R. 945 - the Perinatal Workforce Act S. 1536/H.R. 3108 - the Medical Nutrition Therapy Act of 2021 H.R. 1667/S. 610 - the Dr. Lorna Breen Health Care Provider Protection Act H.R. 736 - the Community Immunity During COVID-19 Act of 2021 H.R. 3087/S. 2051 - Breast Cancer Patient Equity Act H.R. 6000 - the Cures 2.0 Act S. 2652/H.R. 5067 - the Preserving Patient Access to Home Infusion Act S. 3149/H.R. 5848 - the Rural Health Equity Act H.R. 6308 - the ACO Assignment Improvement Act of 2021 H.R. 5248 - the Temporary Responders for Immediate Aid in Grave Emergencies (TRIAGE) Act of 2021 H.R. 5376 - the Build Back Better Act H.R.3925 - the Reducing Barriers to Substance Use Treatment Act S. Res. 626 and H. Res. 1100 - honoring and recognizing May 6 through 12, 2022 as National Nurses Week S.3098/H.R. 7617 - Preventive Care Awareness Act S.4182 - the Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 7236 - the Strengthen Kids Mental Health Now Act of 2022 H.R. 2376 - the Excellence in Recovery Housing Act H.R. 4944 - the Helping Kids Cope Act of 2021 H.R. 5218 - the Collaborate in an Orderly and Cohesive Manner Act H.R. 7076 - the Supporting Childrens Mental Health Care Access Act of 2022 H.R. 7232 - the 9-8-8 and Parity Assistance Act of 2022 H.R.7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 S.4170 - the Mental Health Reform Reauthorization Act H.R. 8812/S. 5212 - Improving Care and Access to Nurses (ICAN) Act H.R. 8454 - Medical Marijuana and Cannabidiol Research Expansion Act [Public Law No: 117-215] H.R. 3352/S. 1697 - Midwives for MOMs Act H.R. 8817/S. 4844 - the National Nursing Workforce Center Act of 2022 H.R. 3259/S. 586 - the NOPAIN Act H.R. 2617 - Consolidated Appropriations Act, 2023 The Senate Finance Committee Bipartisan Mental Health Workforce Discussion Draft National Healthcare Provider Directory Department of Labor independent contractor classification Issues pertaining to White House Hunger, Nutrition, and Health Conference Issues surrounding federal Monkeypox response Clinical Laboratory Improvement Amendments (CLIA) Replenish the COVID-19 Uninsured Relief Fund Nursing faculty shortage Nursing Education Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Rural health care issues, including rural workforce, COVID-19 vaccination, and reimbursement Medicare sequestration Medicare restrictions pertaining to telehealth Include nurses, APRNs, and nursing students in all National Public Health Plans Provide resources to support nurses, APRNs, and nursing students mental health needs, especially for those responding to the pandemic Funding to ensure childcare coverage Increased Federal Medical Assistance Percentage (FMAP) funding to states Access to personal protective equipment Extension of CMS waivers beyond public health emergency Skilled Nursing Facility admitting examination and assessment requirements COVID-19 Pandemic relief: funding, removal of barriers, telehealth, mental health, personal protective equipment, and testing Telehealth, remote patient monitoring and other forms of health technology COVID-19 Pandemic Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification Medication-Assisted Treatment (MATs) Opioid Abuse Epidemic Documentation of medical records Health plan coverage and program requirements including provider non-discrimination Issues relating to Mental and Substance Use Disorder Workforce Addressing Health Equity Medicare Provider Reimbursement Clinical labor pricing update Tobacco flavors and menthol Site specific restrictions on providers under DEA controlled substances policy

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Nuclear Regulatory Commission (NRC), Office of Special Counsel, SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

H.R. 3165 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2021; H.R. 7755, S. 4067 John Lewis Equality in Medicare and Medicaid Treatment Act; H.R. 1195, S. 4182 Workplace Violence Prevention for Healthcare and Social Workers Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

OSHA Standards (H.R. 1195) OSHA Emergency Temporary Standard rule on COVID-19 Healthcare Workplace Safety OSHA Vaccination and Testing Emergency Temporary Standard

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.J. Res. 52 Oppose Joint Resolutions to End the National Public Health Emergency Designation H.R. 1065 Support for Pregnant Workers Fairness Act H.R. 1195 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1948 Support for VA Employee Fairness Act H.R. 1976 Support for Medicare for All Act H.R. 2549 Support for Tax Fairness for Workers Act H.R. 3165 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R. 7053 Oppose Hospital Inpatient Services Modernization Act S.J.Res.63 Oppose Joint Resolutions to End the National Public Health Emergency Designation S. 771Support for VA Employee Fairness Act S. 1157 Support for Tax Fairness for Workers Act S. 1486 Support for Pregnant Workers Fairness Act S. 1567Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S. 3792 Oppose Hospital Inpatient Services Modernization Act S. 4182 Workplace Violence Prevention for Health Care and Social Service Workers Act S. 4204Support for Medicare for All Act Opposition to Abortion Restrictions and Impacts on Health Care Support for Affordable Healthcare Support for Ending Medical Debt Support for Nurse Overtime and Patient Safety Act Support for Safe Nursing Staffing Standards Support for OSHA Final Standard on Covid-19 for Health Care Workers

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Occupational Safety & Health Administration (OSHA), SENATE, State, Dept of (DOS), Veterans Affairs, Dept of (VA)

H.R. 1195 Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1948 Support for VA Employee Fairness Act H.R. 3165 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R. 7053 Oppose Hospital Inpatient Services Modernization Act S.J.Res.63 Oppose Joint Resolutions to End the National Public Health Emergency Designation S. 771Support for VA Employee Fairness Act S. 1157 Support for Tax Fairness for Workers Act S. 1567Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S. 3792 Oppose Hospital Inpatient Services Modernization Act S. 4182 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act Support for Nurse Overtime and Patient Safety Act Support for Safe Nursing Staffing Standards Support for OSHA Final Standard on Covid-19 for Health Care Workers

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE

H.R. 1195 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1948 Support for VA Employee Fairness Act H.R. 3165 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R. 7053 Oppose Hospital Inpatient Services Modernization Act S.J.Res.63 Oppose Joint Resolutions to End the National Public Health Emergency Designation S. 771Support for VA Employee Fairness Act S. 1567Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S. 3792 Oppose Hospital Inpatient Services Modernization Act and impacts on Health Care Support for Affordable Healthcare Support for Safe Nursing Staffing Standards Support for OSHA Final Standard on Covid-19 for Health Care Workers

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

Government targets: HOUSE OF REPRESENTATIVES, Occupational Safety & Health Administration (OSHA), SENATE, Veterans Affairs, Dept of (VA)

H.J. Res. 52 Oppose Joint Resolutions to End the National Public Health Emergency Designation H.R. 1065 Support for Pregnant Workers Fairness Act H.R. 1195 Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1948 Support for VA Employee Fairness Act H.R. 1976 Support for Medicare for All Act H.R. 2549 Support for Tax Fairness for Workers Act H.R. 3165 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R. 7053 Oppose Hospital Inpatient Services Modernization Act S.J.Res.63 Oppose Joint Resolutions to End the National Public Health Emergency Designation S. 771Support for VA Employee Fairness Act S. 1157 Support for Tax Fairness for Workers Act S. 1486 Support for Pregnant Workers Fairness Act S. 1567Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S. 3792 Oppose Hospital Inpatient Services Modernization Act S. 4182 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S. 4204Support for Medicare for All Act Opposition to Abortion Restrictions and Impacts on Health Care Support for Affordable Healthcare Support for Ending Medical Debt Support for FLRA Nominations Support for Nurse Overtime and Patient Safety Act Support for Safe Nursing Staffing Standards Support for OSHA Final Standard on Covid-19 for Health Care Workers Support for US Policy in regard to Cuba, calling for immediate humanitarian assistance and a reversal of Trump-era policies

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Occupational Safety & Health Administration (OSHA), SENATE, State, Dept of (DOS)

Issues surrounding COVID-19 Emergency Temporary Standard expiration Access to Personal Protective Equipment Workplace Safety Issues S. 4182 / H.R.1195 - Workplace Violence Prevention for Health Care and Social Service Workers Act Mental health resources for nurses Issues relating to mandatory overtime Issues surrounding nurse staffing shortages and remedies to address this crisis Health Care Safety and Nurses Protection Act Issues surrounding healthcare workplace safety standards

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

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

H.R.851/S.246 - Future Advancement of Academic Nursing (FAAN) Act H.R.9200 - Stop Nurse Shortages Act S.2114/H.R. 5699- Student Assisted Vaccination Effort (SAVE) Act H.R.8481/S. 3913-Improving DATA in Public Health Act H.R.8817/S.4844- National Nursing Workforce Center Act of 2022 H.R. 6087- Improving Access to Workers Compensation for Injured Federal Workers Act H.R. 7565- NIH IMPROVE Act H.R. 5721 VIPER Act S.4764/H.R.9040 - Reproductive Health Care Accessibility Act of 2022 H.R. 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 S.104/H.R.379 - Improving the Social Determinants of Health Act S.167/H.R.736 - Community Immunity During COVID-19 Act S.289/H.R.869- RISE Act S.346/H.R.959 - Black Maternal Health Momnibus Act of 2021 S.586/H.R. 3259 - NOPAIN Act S.1697/H.R.3352- Midwives for Maximizing Optimal Maternity Services (MOMS) Act H.R. 3337/S.1716- The Birth Access Benefiting Improved Essential Facility Services Act (BABIES) Act S.2235/H.R. 2067 - Medication Access and Training Expansion (MATE) Act S.1568/H.R.4407 - The Technical Reset to Advance the Instruction of Nurses (TRAIN) Act H.R. 8812/S.5212- Improving Care and Access to Nurses (I CAN) Act S.4182 - Workplace Violence Prevention for Health Care and Social Service Workers Act S.674- Public Health Infrastructure Saves Lives Act S.2187/H.R.4124- National Biomedical Research Act S.467/H.R.1324- Effective Suicide Screening and Assessment in the Emergency Department Act S.3799 - PREVENT Pandemics Act H.R. 831 - Health STATISTICS Act of 2021 H.R.1195 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 3550/S. 4905- Primary and Behavioral Health Care Access Act Support for clinical education, including graduate nursing education, and faculty Ensuring a Sustainable Public Health Workforce Title VIII Nursing Workforce Development Programs Nursing Education, Workforce, Research, and Public Health Infrastructure Needs Nursing faculty shortage Support Mental Health Programs for Nursing Students and the Workforce PPE, telehealth, mental health, and other resources and services to support Nursing Education, Practice, and the Workforce Safety and health of nurse educators and nursing students Public Health Emergency Waivers Ensure equity in COVID-19 efforts and health care Federal monkeypox response Comments on provider nondiscrimination Comments on the establishment of a National Directory of Healthcare Providers and Services

Client expense: $69,000 · 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), Natl Institutes of Health (NIH), Office of Natl Drug Control Policy (NDCP), SENATE, Treasury, Dept of

Support for workplace safety Social worker safety/workplace violence prevention S. 4412/H.R. 8492 -Protecting Social Workers and Health Professionals from Workplace Violence Act H.R. 1195/S. 4182 - Workplace Violence Prevention for Health Care and Social Service Workers Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. H.R. 603, Raise the Wage Act of 2021, entire bill 2. S. 53, Raise the Wage Act of 2021, entire bill 3. S. 205, Paycheck Fairness Act, entire bill 4. H.R. 1195, Workplace Violence Prevention for Health Care and Social Service Workers Act, entire bill 5. H.R. 842, Protecting the Right to Organize Act of 2021, entire bill 6. H.R. 2062, Protecting Older Workers Against Discrimination Act of 2021, entire bill 7. Proposals for paid family leave 8. H.R. 7701, The Wage Theft Prevention and Wage Recovery Act, entire bill

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation related to workplace health and safety. Regulations related to Toxic Substances Control Act (TSCA). Regulations related to electronic medical records. Regulations related to heat illness prevention. Regulations related to lead exposure. H.R.1065 - Pregnant Workers Fairness Act H.R.1195 & S.4182 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.2193 - To direct the Occupational Safety and Health Administration to issue an occupational safety and health standard to protect workers from heat-related injuries and illnesses. S.1068 - Asuncion Valdivia Heat Illness and Fatality Prevention Act of 2021 S.2510 - Preventing HEAT Illness and Deaths Act of 2021 H.R.1180 - Accurate Workplace Injury and Illness Records Restoration Act S.4928 - Beryllium Testing Fairness Act

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

Government targets: Centers For Disease Control & Prevention (CDC), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE

Reproductive health, physician-patient relationship, and EMTALA issues H.R.1193-Cardiovascular Advances in Research and Opportunities Legacy Act H.R.1195-Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.1205-Improving Mental Health Access from the Emergency Department Act of 2021 H.R.1260-Bipartisan Solution to Cyclical Violence Act of 2021 H.R.1324-Effective Suicide Screening and Assessment in the Emergency Department Act of 2021 H.R.1364-Parity Enforcement Act of 2021 H.R.1384-Mainstreaming Addiction Treatment Act of 2021 H.R.1620-Violence Against Women Act Reauthorization Act of 2021 H.R.3650-Improving Access to Medicare Coverage Act of 2021 H.R.4555-Oral Health Literacy and Awareness Act of 2021 H.R.7666-Restoring Hope for Mental Health H.R.7850-Prevent BLEEDing Act of 2022 H.R.8163-Improving Trauma Systems and Emergency Care Act H.R.8597-Emergency Care Improvement Act H.Res.656-Supporting the designation of September 17, 2021, as National Physician Suicide Awareness Day to raise awareness of, and promote a national discussion about, physician suicide and to reduce the stigma of mental health issues S.445-Mainstreaming Addiction Treatment Act of 2021 S.467-Effective Suicide Screening and Assessment in the Emergency Department Act of 2021 S.1133-Cardiovascular Advances in Research and Opportunities Legacy Act S.2048-Improving Access to Medicare Coverage Act of 2021 S.2157-Improving Mental Health Access from the Emergency Department Act of 2021 S.2422-Bipartisan Solution to Cyclical Violence Act S. 4269-Prevent BLEEDing Act S.Res.364-Supporting the designation of September 17, 2021, as National Physician Suicide Awareness Day to raise awareness of, and promote a national discussion about, physician suicide and to reduce the stigma of mental health issues. S.Res.557-A resolution recognizing the week of March 20 through March 26, 2022, as National Poison Prevention Week and encouraging communities across the United States to raise awareness of the dangers of poisoning and promote poison prevention.

Client expense: $447,388 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1195-Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.1260-Bipartisan Solution to Cyclical Violence Act of 2021 H.R.1620-Violence Against Women Act Reauthorization Act of 2021 H.R.3164-Hot Cars Act of 2021

Client expense: $447,388 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES

Due process protections for emergency physicians H.R.1195-Workplace Violence Prevention for Health Care and Social Service Workers Act S. 4182-Workplace Violence Prevention for Health Care and Social Service Workers Act

Client expense: $447,388 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation related to workplace health and safety. Regulations related to Toxic Substances Control Act (TSCA). Regulations related to electronic medical records. Regulations related to heat illness prevention. Regulations related to lead exposure. H.R.1065 - Pregnant Workers Fairness Act H.R.1195 & S.4182 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.2193 - To direct the Occupational Safety and Health Administration to issue an occupational safety and health standard to protect workers from heat-related injuries and illnesses. S.1068 - Asuncion Valdivia Heat Illness and Fatality Prevention Act of 2021 S.2510 - Preventing HEAT Illness and Deaths Act of 2021 H.R.1180 - Accurate Workplace Injury and Illness Records Restoration Act S.4928 - Beryllium Testing Fairness Act

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

Government targets: Centers For Disease Control & Prevention (CDC), Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE

Legislation and policies related to: Workplace safety and violence prevention for nurse, advanced practice registered nurses, and other health care professionals H.R. 1195/S. 4182, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 6087, Improving Access to Workers Compensation for Injured Federal Workers Act

Client expense: Not reported · Firm income: $26,600

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE

Legislation and policies related to: Workplace safety and violence prevention for nurse, advanced practice registered nurses, and other health care professionals H.R. 1195/S. 4182, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 6087, Improving Access to Workers Compensation for Injured Federal Workers Act

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE

Support H.R. 526, Ensuring Coverage in Public Health Emergencies Act of 2021, a bill to provide for special enrollment periods during public health emergencies; Letter urging Congress to provide additional funds to the Provider Relief Fund and for vaccine distribution and administration, which will allow for continued support of hospitals' COVID-19-related lost revenues, as well as additional expenses incurred due to purchasing supplies and equipment, staffing, establishing emergency testing and vaccination centers and constructing and retrofitting facilities; Support H.R. 708 and S. 168, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act, a bill to provide temporary licensing reciprocity for telehealth and interstate health care treatment; Support H.R. 1306 and S. 412, National Coronavirus Commission Act of 2021, a bill to establish the Commission on the Coronavirus Pandemic in the United States; Support S. 610/ H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act, a bill to address behavioral health and well-being among health care professionals; Support S. 773 a bill 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; Support S.834, Resident Physician Shortage Reduction Act of 2021, a bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions; Oppose H.R. 1195, Workplace Violence Prevention for Health Care and Social Service Workers Act, a bill to direct the Secretary of Labor to issue an occupational safety and health standard that requires covered employers within the health care and social service industries to develop and implement a comprehensive workplace violence prevention plan and urge the Committee on Education and Labor not to report it favorably; Support S.924 and H.R. 2130, Rural America Health Corps Act, a bill to establish a demonstration program to provide payments on eligible loans for individuals who are eligible for the National Health Service Corps Loan Repayment Program; Discussions with ASPR about COVID-19 related medical supply and personnel shortages; Discussions with FEMA about COVID-19 public assistance funding policies; Letter asking Congress to consider an infrastructure proposal that you prioritize hospital and health system needs to ensure our nations health care system is well positioned to meet the opportunities and challenges that lie ahead; Support S.1512/H.R. 2903, CONNECT for Health Act of 2021, a bill to amend title XVIII of the Social Security Act to expand access to telehealth services; Support H.R. 2255/ S 1024, Healthcare Workforce Resilience Act, a bill to enhance our Nations nurse and physician workforce during the COVID-19 crisis by recapturing unused immigrant visas; Support S.1568, Technical Reset to Advance the Instruction of Nurses (TRAIN) Act, a bill to amend title XVIII of the Social Security Act to provide a waiver of the cap on annual payments for nursing and allied health education payments; Support H.R. 3203, a bill 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; Statement to Senate Committee on Homeland Security and Governmental Affairs hearing on "COVID-19 Part II: Evaluating the Medical Supply Chain and Pandemic Response Gaps" urges Congress to take steps to strengthen the nations medical supply chain; Statement to Senate Committee on Finance hearing on COVID-19 Health Care Flexibilities: Perspectives, Experiences, and Lessons Learned stating that these flexibilities can continue to drive significant improvements in patient care long after the public health emergency (PHE) ends and given the beneficial impact of those specific flexibilities urges Congress and the Administration to make them permanent. In addition, a second group of flexibilities will remain critically important for some time following the PHE and will require a carefully crafted phase-out plan to ensure enough time is provided for a necessary transition. Without action from Congress and the Administration prior to the termination of the PHE, we are concerned that much of the progress made because of the implementation of many of these flexibilities may be unnecessarily halted or even lost; Letter urges Senate HELP Committee to consider recommendations and prioritize programs that support the health care workforce needs of the country in the wake of the COVID-19 pandemic and into the future; Support H.R. 769/S. 1491, Rural Maternal and Obstetric Modernization of Services Act or the Rural MOMS Act, a bill to amend the Public Health Service Act to improve obstetric care in rural areas; Support for S.1675/ H.R. 4387, Maternal Health Quality Improvement Act, a bill to improve maternal health; Support 1438, Opioid Workforce Act of 2021, a bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions to help combat the opioid crisis; Support HR 3441,Substance Use Disorder Workforce Act, a bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions to help combat the substance use disorder crisis; Support S.1810 / H.R.3541, Conrad State 30 and Physician Access Reauthorization Act, a bill to provide incentives to physicians to practice in rural and medically underserved communities; Statement to the Senate Judiciary Subcommittee on Competition Policy, Antitrust, and Consumer Rights for the hearing on Antitrust Applied: Hospital Consolidation Concerns and Solutions expressing that integration helps to ensure every community, whether rural, urban or suburban, has access to the same high standard of affordable, evidenced based care; discussions to ensure that H.R. 2547s limits on unfair practice under FDCPA for debt collectors does not inappropriately interfere with or restrict the ability of hospitals to be able to obtain payment for care provided; Support for revising/repealing changes to the Rural Health Clinic (RHC) Program that reduced reimbursement for provider-based RHCs; Hill outreach expressing concerns with United Healths retroactive denial of coverage for emergency-level care in facilities; Hill outreach expressing concern about CMS mid-build audit denials; Senate outreach on prior authorization legislation; Urge support for legislation/administrative action to extend the deadline to use PRF money; Urged HRSA to ensure that the drug companies that denied 340B Statute appropriate discounts make the impacted hospitals whole for the benefit of the vulnerable communities they serve; Support S. 2304 Drug-Price Transparency for Competition Act of 2021 (DTC Act of 2021), a bill to amend title XI of the Social Security Act to require that direct-to-consumer advertisements for prescription drugs and biological products include an appropriate disclosure of pricing information; Support S.246/H.R.851 Future Advancement of Academic Nursing Act or the FAAN Act, a bill to amend the Public Health Service Act to authorize grants to support schools of nursing in program enhancement and infrastructure modernization, increasing the number of nursing faculty and students, and for other purposes; Support S. 1568/HR 4407Technical Reset to Advance the Instruction of Nurses Act or the TRAIN Act, a bill to amend title XVIII of the Social Security Act to provide a waiver of the cap on annual payments for nursing and allied health education payments; Comment letter to the Occupational Safety and Health Administration (OSHA) recommending the withdrawal of the COVID-19 Emergency Temporary Standard for occupational exposure to COVID-19; Meeting with Department of Labor staff to discuss our concerns about the OSHA COVID-19 Emergency Temporary Standard for occupational exposure to COVID-19; Discussion with ASPR staff overseeing the Strategic National Stockpile about their intent to procure supplies of surgical masks; Call with Senator Cassidys staff to discuss concerns about impact of FEMA COVID-19 funding of traveling nurse agencies on hospital nursing shortages; Oppose S 2428, False Claims Amendments Act of 2021A bill to amend title 31, United States Code, to modify False Claims Act procedures, and for other purposes; Discussions about Provider Relief Fund - reporting on past disbursements and urging HHS to disburse remaining PRF money; Discussions about the challenges that teaching hospitals have with training the physician workforce, residency caps that limit funding for training programs, a shortage of residents pursuing primary care specialties, a growing patient pool due to the newly insured and aging of the population; Discussions about the hospital and health system priorities for infrastructure and reconciliation bills; Letter urging Congress to maintain the current legal and regulatory framework for evaluating mergers and acquisitions; Hill outreach to discuss the benefits of health care integration; Hill outreach about the negative impact of potentially anticompetitive conduct by nurse-staffing agencies; Support HR 5035/ S 2982 Child Suicide Prevention and Lethal Means Safety Act, a bill to authorize the Secretary of Health and Human Services to award grants to establish or expand programs to implement evidence-aligned practices in health care settings for the purpose of reducing the suicide rates of covered individuals, and for other purposes; Support H.R.5376 Build Back Better Act, this bill provides funding, establishes programs, and otherwise modifies provisions relating to a broad array of areas, including education, labor, child care, health care, taxes, immigration, and the environment; Discussions with members of congress about the implementation of Rural Emergency Hospital payment designation; Discussions on the No Surprises Act Implementation (surprise billing) and urging federal regulators to restore the independence of the independent dispute resolution process in the No Surprises Act Part 2 regulations; Support HR 5699 Student Assisted Vaccination Effort (SAVE) Act, a bill to expand the definition of qualified persons for purposes of the Public Readiness and Emergency Preparedness Act to include health professional students; Support S 2873 Preventing and Addressing Trauma with Health Services Act (PATHS Act), a bill to require the Secretary of Health and Human Services to award grants to establish or expand programs and activities to increase access to high-quality culturally competent trauma support and mental health care; Letter urging HRSA to delay proposals to withdraw certain HPSAs; Support S 3497 and HR 6397, Medical Student Education Authorization Act of 2022, a bill to amend the Public Health Service Act to establish a grant program to award grants to public institutions of higher education located in a covered State; Support HR 6279 and S 3629, Opioid Treatment Access Act of 2022, a bill to authorize a study on certain exemptions for treatment of opioid use disorder through opioid treatment programs during the COVID-19 public health emergency; Support HR 5703 and S 3677, Post-Disaster Mental Health Response Act, a bill to amend the Robert T. Stafford Disaster Relief and Emergency Assistance Act to authorize the President to provide professional counseling services to victims of emergencies declared under such Act; Submitted a statement on the hearing for Pandemic Profiteers: Legislation to Stop Corporate Price Gouging regarding concerns about anticompetitive conduct on the part of health care staffing agencies, some of which have been exploiting the severe shortage of health care providers during the COVID-19 pandemic; Submitted a statement on the hearing for Americas Mental Health Crisis and supports additional approaches to help ensure improved access to needed comprehensive, affordable and quality behavioral health services; Provide comments to the Affordability Subcommittee of the Healthy Future Task Force expressing our shared focus with Congress on providing relief from the pandemic, ensuring a smooth recovery and rebuilding a better health care system for the future, all while continuing to support efforts to promote greater affordability and value to patients and the health care system; Submitted statement on the hearing for Recruiting, Revitalizing & Diversifying: Examining the Health Care Workforce Shortage about the challenges ahead and the need to examine Americas health care workforce shortage. We must work together to solve these issues so that our nations hospitals and health systems can continue to care for the patients and communities they serve; Submitted statement on the hearing for Protecting Youth Mental Health: Part II - Identifying and Addressing Barriers to Care examines ways to protect the mental health of our nations youth; Submitted statement on the hearing for Exploring Pathways to Affordable, Universal Health Coverage Care expressing the need to build upon and improve our existing system to increase access to coverage of comprehensive health benefits; Submitted a letter to provide information regarding the challenges facing Americas health care workforce as the country enters the third year of the COVID-19 pandemic; Provided comments to the Modernization Subcommittee of the Healthy Future Task Force urging Congress to consider how to ensure the telehealth flexibilities could remain in place for patients and health care providers beyond the PHE; Support HR 7053 and S 3792, Hospital Inpatient Services Modernization Act, a bill to amend title XVIII of the Social Security Act to extend acute hospital care at home waiver flexibilities; Support resolution, H. Res. 909, Expressing support for healthcare personnel and condemning assaults on healthcare personnel as the U.S. healthcare system faces unprecedented staffing shortages and increased workplace-related stressors; Letter urges Congress to provide immediate additional support for hospitals and health systems serving their communities during this unprecedented public health crisis. While the support Congress has provided during the last two years of the COVID-19 pandemic has helped hospitals care for their patients and communities, there is still a significant need for financial support and relief as COVID-19 challenges persist; Support S 3904, Healthcare Cybersecurity Act of 2022, a bill to enhance the cybersecurity of the Healthcare and Public Health Sector; Letter urging OSHA to extend the comment deadline for the rule making on the occupational exposure to COVID-19 in healthcare settings by at least an additional 30 days, through May 23; Meeting with the Office of the Assistant Secretary of Health (OASH) at HHS to discuss the widespread blood shortages in the U.S. and next steps; Stakeholder calls with HHS ASPR regarding the distribution/administration of COVID-19 therapeutics; Discussions on S 571, Public Health Funding Prevents Pandemics Act, a bill to fully fund the Prevention and Public Health Fund and reaffirm the importance of prevention in the United States healthcare system; Regular calls with ASPR and other stakeholders participating in the Health Care and Public Health (HPH) Sector Joint Supply Chain Resilience Working Group (Joint SCRWG), a formal Working Group under the authority of the Critical Infrastructure Partnership Advisory Council (CIPAC) to support the Presidents vision for a resilient public health supply chain; Monthly calls with ASPRs Hospital Preparedness Program (HPP) to discuss updates on the hospital association COVID-19 funding program; Call with ASPR Healthcare and Public Health Government Coordinating Council leadership and other hospital associations to provide feedback on the COVID-19 hospital data guidance update; Provide comment letter to OSHA on the re-opening of comments on the Occupational Exposure to COVID-19 Rulemaking in which we urge OSHA not to finalize its rule for occupational exposure to COVID-19. In our comments, we indicate that we continue to oppose establishing new regulations that are not fully aligned with the Centers for Disease Control and Preventions evolving evidence-based guidance. With the constantly evolving, science-based CDC guidance and recommendations, CMS vaccination requirement and existing OSHA general standards, we strongly believe that an inconsistent and overly strict OSHA COVID-19 health care standard is not necessary, would cause confusion and will ultimately lower hospital employees morale and worsen unprecedented personnel shortages in hospitals. It is essential to a well-functioning health care system that only one set of science-based standards be applied to health care providers, and that these standards be aligned across federal agencies; Letter urging Congress to make the expanded tax credits permanent, ensuring millions of low- and middle-income families continue to have access to affordable coverage in 2023 and beyond; Express concerns with the letter to CMS from Congressman Murphy that makes a number of requests for data surrounding the COVID-19 add on payments for hospitals. We are concerned about the questions as they do not take into account the continued needs of the nations hospitals and health systems. Hospitals continue to face numerous challenges, including increased labor and supply costs and workforce shortages. These additional payments have helped to address some but not all of the high costs associated with COVID-19 patient care. The complexity of care is still higher than pre-pandemic levels as measured by length of stay, which further indicates that its still more resource intensive to treat COVID inpatients. In addition, the high costs associated personal protective equipment, isolation measures, and other additional resources are necessary when treating all patients, unless and until it is determined they do not have COVID-19; Submitted a letter to Ways and Means per their request for information on the health care industry and climate change. We support the sustainability efforts while acknowledging that for a variety of reasons, many hospitals and health systems face challenges and barriers to implementing this work, especially while responding to a pandemic; Letter urging HHS to maintain the COVID-19 public health emergency (PHE) until it is clear that the global pandemic has receded and the capabilities authorized by the PHE are no longer necessary. This will help prevent any future surges from threatening the health and safety of patients and the ability of health care professionals to care for them; Long COVID Best Clinical Practices Discussion with the White House Policy Advisor, Office of the COVID-19 Response; Submitted comment letter to the Federal Trade Commission outlining the impact pharmacy benefit managers (PBMs) practices have on the field. Specifically, urging the FTC to increase scrutiny on insured-mandated white bagging policies, as well as the impact of PBM-negotiated rebates and other business practices on the 340B drug discount pricing program and overall drug prices and drug price increases; Submit a comment letter to the Internal Revenue Service for their proposed rule amending how employer coverage affordability would be measured for family members of employees. We advocated for a fix to the current methodology for assessing affordability of employer coverage for family members, often referred to as the family glitch, which is estimated to affect about 5 million individuals. We commend the IRS on proposing to revise the regulation and improve access to health insurance coverage for millions of American families; Concerns S.4348, Food and Drug Administration Safety and Landmark Advancements Act of 2022 or the FDASLA Act of 2022, a bill to amend the Federal Food, Drug, and Cosmetic Act to revise and extend the user-fee programs for prescription drugs, medical devices, generic drugs, and biosimilar biological product; Comment letter on CMS Radiation Oncology (RO) Model proposed rule. We strongly supports CMS efforts to transform the delivery of cancer care. We also support the original intent of the RO Model, which was to protect access to care by ensuring fair, predictable payment for radiation oncologists. However, this important goal of the original RO Model has been marred by the incorporation of significant payment cuts and substantial administrative burdens for those participating in this mandatory model. As such, the AHA supports CMSs proposal to delay the start date of the RO model from Jan. 1, 2023 to a date to be determined through future rulemaking; Support S. 4352,Travel Nursing Agency Transparency Study Act, a bill to require a study on the effects of travel nurse agencies on the health industry during the COVID-19 pandemic; Letter in response to CMS request for guidance on implementing the regulatory requirement for convening providers and facilities exchange information with co-providers and co-facilities to create a comprehensive good faith estimate as part of the implementation of the No Surprises Act. Due to the lack of currently available automated solutions, this process would require a significant manual effort by providers, which would undoubtedly result in the convening provider being unable to meet the short statutory timeframes for delivering good faith estimates to the patients and could also lead to inadvertent errors. AHA has requested an extension in enforcement direction until a technical solution has been identified and implemented; Support HR 7691, Safety From Violence for Healthcare Employees Act or the SAVE Act, a bill to protect hospital personnel from violence, and for other purposes; Letter requesting that HHS, HRSA, and OIG take immediate enforcement action against the now 17 companies that are refusing to honor their obligations under the 340B program; Letter sent to HHS Secretary to discuss how best to ensure prompt repayment to 340B hospitals without penalizing the rest of the hospital field after the U.S. Supreme Court unanimously agreed that HHS outpatient payment cuts to hospitals in the 340B Drug Pricing Program were unlawful. The Courts decision did not determine a remedy for the unlawful payment cuts, instead, it remanded the case to the lower courts to address the proper remedy; Support HR 7084/ S 3983, Protecting and Transforming Cyber Health Care Act of 2022 or the PATCH Act of 2022, a bill to amend the Federal Food, Drug, and Cosmetic Act to require, for purposes of ensuring cybersecurity, the inclusion in any premarket submission for a cyber device of information to demonstrate a reasonable assurance of safety and effectiveness throughout the lifecycle of the cyber device, and for other purposes; Submit Comment letter of support for CMS continued focus on strengthening health insurance coverage and ensuring ease of enrollment and limited gaps in coverage, including proposed updates to Medicare enrollment and eligibility rules; Submit letter for oversight hearing on Medicare Advantage (MA) plans expressing concerns about some MA plans inappropriate restrictions on beneficiary access to medically necessary care, including those highlighted in a recent report issued by the Department of Health and Human Services Office of Inspector General (HHS-OIG), and urge Congress to increase its oversight of these plans; Provided feedback on the Senate Finance Committees discussion draft addressing mental health care and telehealth. AHA supports allowing Medicare beneficiaries who seek treatment for mental health disorders to receive their care through audio-only services, removing the requirement for Medicare patients to receive an in-person visit prior to receiving mental health services through telehealth, and expanding beyond physicians and limited non-physician practitioners the types of providers who can deliver and bill for telehealth services; Support HR 8576/ S 4352 Travel Nursing Agency Transparency Study Act, a bill to require a study on the effects of travel nurse agencies on the health industry during the COVID-19 pandemic; Support HR 8806 Healthcare Cybersecurity Act of 2022, a bill to enhance the cybersecurity of the Healthcare and Public Health Sector; Submitted a statement for the record for the Senate Judiciary Subcommittee hearing on Flatlining Care: Why Immigrants Are Crucial to Bolstering Our Health Care Workforce. This hearing examines the importance of improving the immigration process in order to help alleviate Americas health care workforce shortage. We encourage Congress to help address domestic health care workforce shortage.

Client expense: $5,120,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, White House Office

S.800/H.R. 4870 - Promoting Access to Diabetic Shoes Act H.R. 1956/S. 1986 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2021 H.R. 2067/S. 2235 - Medication Access and Training Expansion (MATE) Act S. 987 - Comprehensive Addiction and Recovery Act (CARA) 3.0 H.R. 1319 - American Rescue Plan Act [Public Law No: 117-2] H.R. 1716 - COVID-19 Mental Health Research Act H.R. 1195 - the Workplace Violence Prevention for Health Care and Social Service Workers Act S. 54 - Strengthening Americas Health Care Readiness Act H.R. 851/S. 246 - the Future Advancement of Academic Nursing (FAAN) Act H.R. 959/S.346 - Black Maternal Health Momnibus Act of 2021 H.R. 1384 - the Mainstreaming Addiction Treatment Act of 2021 H.R. 955 - the Medicaid Reentry Act of 2021 H.R. 1025 - the Kids Access to Primary Care Act of 2021 S. 1315/H.R. 3630 - the Lymphedema Treatment Act S. 1833 - the Ensuring Access to Primary Care for Women & Children Act H.R. 3550/S. 4905 - the Primary and Behavioral Health Care Access Act S. 1512/H.R. 2903 - the CONNECT for Health Act of 2021 S. 287/H.R. 945 - the Perinatal Workforce Act S. 1536/H.R. 3108 - the Medical Nutrition Therapy Act of 2021 H.R. 1667/S. 610 - the Dr. Lorna Breen Health Care Provider Protection Act H.R. 736 - the Community Immunity During COVID-19 Act of 2021 H.R. 3087/S. 2051 - Breast Cancer Patient Equity Act H.R. 6000 - the Cures 2.0 Act S. 2652/H.R. 5067 - the Preserving Patient Access to Home Infusion Act S. 3149/H.R. 5848 - the Rural Health Equity Act H.R. 6308 - the ACO Assignment Improvement Act of 2021 H.R. 5248 - the Temporary Responders for Immediate Aid in Grave Emergencies (TRIAGE) Act of 2021 H.R. 5376 - the Build Back Better Act H.R.3925 - the Reducing Barriers to Substance Use Treatment Act S. Res. 626 and H. Res. 1100 - honoring and recognizing May 6 through 12, 2022 as National Nurses Week S.3098/H.R. 7617 - Preventive Care Awareness Act S.4182 - the Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 7236 - the Strengthen Kids Mental Health Now Act of 2022 H.R. 2376 - the Excellence in Recovery Housing Act H.R. 4944 - the Helping Kids Cope Act of 2021 H.R. 5218 - the Collaborate in an Orderly and Cohesive Manner Act H.R. 7076 - the Supporting Childrens Mental Health Care Access Act of 2022 H.R. 7232 - the 9-8-8 and Parity Assistance Act of 2022 H.R.7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 S.4170 - the Mental Health Reform Reauthorization Act H.R. 8812 - Improving Care and Access to Nurses (ICAN) Act H.R. 8454 - Medical Marijuana and Cannabidiol Research Expansion Act H.R. 3352/S. 1697 - Midwives for MOMs Act Issues pertaining to White House Hunger, Nutrition, and Health Conference Issues surrounding federal Monkeypox response Clinical Laboratory Improvement Amendments (CLIA) Replenish the COVID-19 Uninsured Relief Fund Nursing faculty shortage Nursing Education Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Rural health care issues, including rural workforce, COVID-19 vaccination, and reimbursement Medicare sequestration Medicare restrictions pertaining to telehealth Include nurses, APRNs, and nursing students in all National Public Health Plans Provide resources to support nurses, APRNs, and nursing students mental health needs, especially for those responding to the pandemic Funding to ensure childcare coverage Increased Federal Medical Assistance Percentage (FMAP) funding to states Access to personal protective equipment Extension of CMS waivers beyond public health emergency Skilled Nursing Facility admitting examination and assessment requirements COVID-19 Pandemic relief: funding, removal of barriers, telehealth, mental health, personal protective equipment, and testing Telehealth, remote patient monitoring and other forms of health technology COVID-19 Pandemic Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification Medication-Assisted Treatment (MATs) Opioid Abuse Epidemic Documentation of medical records Health plan coverage and program requirements including provider non-discrimination Issues relating to Mental and Substance Use Disorder Workforce Addressing Health Equity Medicare Provider Reimbursement Clinical labor pricing update Tobacco flavors and menthol Site specific restrictions on providers under DEA controlled substances policy

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Nuclear Regulatory Commission (NRC), Office of Special Counsel, SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Public Law 117-169, Inflation Reduction Act, Prescription drug reform Public Law 117-159, Bipartisan Safer Communities Act Monitor the following: H.R.5015, the Medicaid DSH Payment Adjustment Fairness Act, Hospital funding formula Abortion Access related issues H.R.7784, the Supporting Trauma Informed Education Practices Act H.R.7666, Restoring Hope for Mental Health and Well‐Being Act 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 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 Federal response to COVID-19 Pandemic H.R.3755, the Women's Health Protection Act, Entirety Health Worker Shortage/Staffing Crisis H.R.7116, 9-8-8 Implementation Act H.R.6833, the Affordable Insulin Now Act Mental health supports for educators S.3796/H.R.7045, Closing Health Coverage Gaps for Public Servants Act S.4182, Workplace Violence Prevention for Health Care and Social Service Worker Act Dobbs v. Jackson, United States Supreme Court decision Visas for international healthcare professionals Public Law 117-168, Honoring our Promise to Address Comprehensive Toxics (PACT) Act, Entirety

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5/S. 393, Equality Act H.R. 7/S. 205, Paycheck Fairness Act H.R. 447, National Apprenticeship Act of 2021 H.R. 603/S. 53, Raise the Wage Act of 2021 H.R. 804/S. 248, Family and Medical Insurance Leave (FAMILY) Act H.R. 830, Wage Increase Fairness Act H.R. 842/S. 420, Protecting the Right to Organize Act of 2021 H.R. 1065/S. 1486/S. 4431, Pregnant Workers Fairness Act H.R. 1195, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1284/S. 403, Fair and Open Competition (FOCA) Act H.R. 1277/S. 374, Improving Corporate Governance Through Diversity Act of 2021 H.R. 1319, American Rescue Plan Act of 2021 H.R. 1458/S.490, Unemployment Insurance Technology Modernization Act of 2021 H.R. 1735/S. 673, Journalism Competition and Preservation Act of 2021 H.R. 2491, Wage Equity Act of 2021 H.R. 2668, Consumer Protection and Recovery Act H.R. 2795, DHS Blue Campaign Enhancement Act H.R. 2873, Affordable Prescriptions for Patients Through Promoting Competition Act of 2021 H.R. 2883, Stop Stalling Access to Affordable Medications H.R. 2884, Affordable Prescriptions for Patients Through Improvements to Patent Litigation Act H.R. 2891/S. 1428, Preserve Access to Affordable Generics and Biosimilars Act H.R. 2926/S. 663, One Agency Act H.R. 3110/S. 1658, Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act H.R. 3114, Longshore and Harbor Workers COVID-19 Compensation Act of 2021 H.R. 3460/S. 1787, State Antitrust Enforcement Venue Act of 2021 H.R. 3816/S. 2992, American Choice and Innovation Online Act H.R. 3825, Ending Platform Monopolies Act H.R. 3826/S. 3197, Platform Competition and Opportunity Act of 2021 H.R. 3843/S. 228, Merger Filing Fee Modernization Act of 2021 H.R. 3849, Augmenting Compatibility and Competition by Enabling Service Switching (ACCESS) Act of 2021 H.R. 4109/S. 2193, Protections for Socially Good Activities Act H.R. 4350, National Defense Authorization Act for Fiscal Year 2022 H.R. 4841, Restoring Justice for Workers Act H.R. 5017/S. 2710, Open App Markets Act H.R. 5376, Build Back Better Act H.R. 5842, Ending the Monopoly of Power Over Workplace Harassment through Education and Reporting (EMPOWER) Act H.R. 6922/S. 3760, Continued Waiver of Interest on State Unemployment Loans during the Pandemic Act H.R. 7194/S. 3889, Employee Rights Act H.R. 7151, Ensuring Sound Guidance Act H.R. 7309, Workforce Innovation and Opportunity Act of 2022 H.R. 7701, Wage Theft Prevention and Wage Recovery Act H.R. 8295/S. 4659, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023 H.Res. 823, Providing for the consideration of the bill (H.R. 3460) to amend title 28 of the United States Code to prevent the transfer of actions arising under the antitrust laws in which a State is a complainant S. 225, Competition and Antitrust Law Enforcement Reform Act of 2021 S. 478, Higher Wages for American Workers Act of 2021 S. 977, No Oil Producing and Exporting Cartels (NOPEC) Act of 2021 S. 1074, Trust-Busting for the Twenty-First Century Act S. 1204, Bust Up Big Tech Act S. 1380, Clean Slate Act of 2021 S. 1425, Stop Significant and Time-wasting Abuse Limiting Legitimate Innovation of New Generics (STALLING) Act S. 1435, Affordable Prescriptions for Patients Act of 2021 S. 1636, Save Local Business Act S. 2039, Tougher Enforcement Against Monopolists (TEAM) Act S. 3311, FTC Integrity Act S. 3847, Prohibiting Anticompetitive Mergers Act of 2022 S. 3889, Employee Rights Act S. 4145, Consumer Protection Remedies Act of 2022 S. J. Res. 13, A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Equal Employment Opportunity Commission relating to "Update of Commission's Conciliation Procedures" Draft legislation titled Retirement Savings Modernization Act Nomination of Jessica Looman to be Administrator of the Wage and Hour Division Proposed rule on Joint Employer Status Under the Fair Labor Standards Act, (84 Fed. Reg. 14,043-14,061, April 9, 2019) Interim final rule on Occupational Exposure to COVID-19; Emergency Temporary Standard (86 Fed. Reg. 32,376-32,628, June 21, 2021) Interim final rule on COVID-19 Vaccination and Testing; Emergency Temporary Standard (86 Fed. Reg. 61,402-61,555, November 5, 2021) Advance Notice of Proposed Rulemaking Concerning Heat Injury and Illness Prevention in Outdoor and Indoor Settings (86 Fed. Reg. 59,309-59,326, Oct. 27, 2021) Proposed Amendments to Agriculture Acquisition Regulations (87 Fed. Reg. 9,005-9,021, February 17, 2022) Prohibited Transaction Exemption 2020-02, Improving Investment Advice for Workers & Retirees (85 Fed. Reg. 82,798-82,866, December 18, 2020) Final rule on Financial Factors in Selecting Plan Investments (85 Fed. Reg. 72,846-72,885, November 13, 2020) Final rule on Fiduciary Duties Regarding Proxy Voting and Shareholder Rights (85 Fed. Reg. 81,658-81,695, December 16, 2020) Proposed rule on Prudence and Loyalty in Selecting Plan Investments and Exercising Shareholder Rights (86 Fed. Reg. 57,272-57,304, October 13, 2021) Various issues relating to modernization of the unemployment insurance system; application of Kristof Terryn to serve on the Department of Labor's Advisory Committee on Apprenticeship; paid leave including paid family and sick leave; reforms to the Fair Labor Standards Act (P.L. 75-178); independent contractors; unemployment insurance and the coronavirus pandemic; debarment of federal contractors (blacklisting); contractor blacklisting; Equal Employment Opportunity Commission (EEOC) conciliation regulation; rescission of the joint employer standard under the Fair Labor Standards Act (P.L. 75-718); The FTC's Multilateral Pharmaceutical Merger Taskforce; The USMCA Labor Council; apprenticeships; proposed amendment to the U.S. Longshore and Harbor Workers Compensation Act (Longshore Act), relating to the establishment of statutory presumptions of coverage and compensability for illnesses; potential Wage and Hour Division rulemaking defining and delimiting the exemptions under the Fair Labor Standards Act for Executive, Administrative, Professional, Outside Sales and Computer Employees; potential Wage and Hour Division rulemaking on classification of independent contractors and employees; potential legislation on the minimum wage; COVID-19 vaccine requirements, including a potential Emergency Temporary Standard from the Occupational Safety and Health Administration relating to employers with more than 100 employees; vaccine requirements for federal contractors; legal and regulatory framework for evaluating mergers and acquisitions; contract terms and their relationship to competition, particularly relating to worker non-compete clauses and exclusive contracts; Federal Trade Commission issues: Freedom of Information Act Requests, Penalty Offense Authority, Zombie Voting, and overall direction of the Commission; anticipated overtime regulations under the Fair Labor Standards Act Office of Federal Contract Compliance Programs, Directive (DIR) 2022-01; Executive Order 13999 Protecting Worker Health and Safety; Executive Order 14042, Ensuring Adequate COVID Safety Protocols for Federal Contractors; Executive Order 14036, Promoting Competition in the American Economy; Executive Order 14063, Use of Project Labor Agreements for Federal Construction Projects; President Bidens Path Out of the Pandemic: COVID Action Plan; unemployment insurance; international concerns in the areas of antitrust, standards and investment; domestic and international antitrust policy; Federal Trade Commission (FTC) section 19/13b authority; Policies and practices related to the FTC expanding its authority; Transparency at the FTC; FTCs Draft Strategic Plan for Fiscal Years 2022 to 2026; efforts to revise the 1995 Bank Merger Competitive Review Gudelines; efforts to modernize enforcement of the antitrust laws regarding mergers; competition in the agriculture marketplace; pregnancy discrimination; oversight addressing the National Labor Relations Board, including implementation and oversight of the National Labor Relations Act (P.L. 74-198); election procedures under the Railway Labor Act (P.L. 69-257); National Labor Relations Board (NLRB) decisions and regulatory agenda; definition of labor organization under the Labor Management Reporting and Disclosure Act (P.L. 86-257); GAO study on Fiduciary Investment Advice

Client expense: $23,940,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Executive Office of the President (EOP), Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC)

OSHA Standards (H.R. 1195) OSHA Emergency Temporary Standard rule on COVID-19 Healthcare Workplace Safety OSHA Vaccination and Testing Emergency Temporary Standard

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. S. 246 / H.R. 851 - Future Advancement of Academic Nursing (FAAN) Act 2. H.R. 7961 - Safety from Violence for Healthcare Employees (SAVE) Act 3. S. 1512 / H.R. 2903 - CONNECT for Health Act of 2021 4. S. 3018 / H.R. 3173 - Improving Seniors' Timely Access to Care Act of 2021 5. S. 4182 / H.R. 1195 - Workplace Violence Prevention for Healthcare and Social Service Workers 6. S. 1133 / H.R. 1193 - Cardiovascular Advances in Research and Opportunities Legacy (CAROL) Act 7. S. 350 / H.R. 482 - Newborn Screening Saves Lives Reauthorization Act of 2021 8. The Title VIII Nursing Workforce Reauthorization Act

Client expense: $120,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3165 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2021; H.R. 7755, S. 4067 John Lewis Equality in Medicare and Medicaid Treatment Act; H.R. 1195, S. 4182 Workplace Violence Prevention for Healthcare and Social Workers Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

 Issues surrounding COVID-19 Emergency Temporary Standard expiration  Access to Personal Protective Equipment  Workplace Safety Issues  S. 4182 / H.R.1195 - Workplace Violence Prevention for Health Care and Social Service Workers Act  Mental health resources for nurses  Issues relating to mandatory overtime  Issues surrounding nurse staffing shortages and remedies to address this crisis  Health Care Safety and Nurses Protection Act  Issues surrounding healthcare workplace safety standards

Client expense: $323,733 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Occupational Safety & Health Administration (OSHA), SENATE

Inflation Reduction Act (H.R.5376), Protecting the Right to Organize (PRO) Act (H.R. 842/S.420), Secure And Fair Elections for Workers (SAFE) Act (H.R. 308), Workplace Violence Prevention Act of 2021 (H.R. 1195), Raise the Wage Act of 2021 (H.R. 603/S. 53), Forced Arbitration Injustice Repeal (FAIR) Act (H.R. 963/S.505), Pregnant Workers Fairness Act of 2021 (H.R.1065), Asuncion Valdivia Heat Illness and Fatality Prevention Act of 2021 (H.R. 2193), DOL Joint Employer Rule Rescission, Uyghur Forced Labor Prevention Act (H.R.1155), Public Service Freedom to Negotiate Act, Infrastructure Investment and Jobs Act (IIJA, H.R.3684) implementation, DOL Salaried Overtime Regulations, DOL tip rule, DOL LM-10 Employer Report, VA Employee Fairness Act (H.R.1948)

Client expense: $190,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR)

1. H.R. 603, Raise the Wage Act of 2021, entire bill 2. S. 53, Raise the Wage Act of 2021, entire bill 3. S. 205, Paycheck Fairness Act, entire bill 4. H.R. 1195, Workplace Violence Prevention for Health Care and Social Service Workers Act, entire bill 5. H.R. 842, Protecting the Right to Organize Act of 2021, entire bill 6. H.R. 2062, Protecting Older Workers Against Discrimination Act of 2021, entire bill 7. Proposals for paid family leave 8. H.R. 7701, The Wage Theft Prevention and Wage Recovery Act, entire bill

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 842, S 420- Protecting the Right to Organize (PRO) Act HR 5727- Public Service Freedom to Negotiate (PSFN) Act HR 2351, S 1175, HR 4350- 911 SAVES Act/NDAA HR 564- Comprehensive Paid Leave for Federal Employees Act HR 7309- Workforce Innovation Opportunities Act (WIOA) Reauthorization S 3373- PACT Act of 2022 HR 2193- Asuncion Valdivia Heat Illness and Fatality Prevention Act of 2021 Promoting apprenticeship for behavior health workers Issues related to the Fair Labor Standards Act (FLSA) Unemployment Insurance reform HR 1195- Workplace Violence Prevention for Health Care and Social Service Workers Act HR 2876- Protecting America's Workers Act Workplace safety for congressional employees HR 5456- Federal Employee Civil Relief Act Federal Labor-Management Partnership Act HR 1948- VA Employee Fairness Act of 2021 Research for workplace resilience Home- and Community-Based Services workforce Workforce for individuals with intellectual and developmental disabilities American Red Cross Workers Union Sequoia Hospital Reconciliation Package- Wage Tax Credits for Puerto Rico Nominees- FLRA: Ernest DuBester, Kurt Rumsfeld HR 302- Preventing a Patronage System Act Confirmation of Jessica Looman to be DOL Wage and Hour Division Administrator

Client expense: $470,000 · Firm income: Not reported

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

Issues surrounding COVID-19 Emergency Temporary Standard expiration Access to Personal Protective Equipment Workplace Safety Issues S. 4182 / H.R.1195 - Workplace Violence Prevention for Health Care and Social Service Workers Act Mental health resources for nurses Issues relating to mandatory overtime Issues surrounding nurse staffing shortages and remedies to address this crisis Health Care Safety and Nurses Protection Act Issues surrounding healthcare workplace safety standards

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

Government targets: HOUSE OF REPRESENTATIVES, Occupational Safety & Health Administration (OSHA), SENATE

Support for workplace safety Social worker safety/workplace violence prevention S. 4412/H.R. 8492 -Protecting Social Workers and Health Professionals from Workplace Violence Act H.R. 1195/S. 4182 - Workplace Violence Prevention for Health Care and Social Service Workers Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1195 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1948 Support for VA Employee Fairness Act H.R. 3165 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R. 7961 Support for Safety from Violence for Healthcare Employees (SAVE) Act H.R. 842 Support for Union Organizing, PRO Act and NLRB reform S. 1567 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S. 420 Support for Union Organizing, PRO Act and NLRB reform S. 4182 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S. 771 Support for VA Employee Fairness Act Support for CDC Infection Control Protocols

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE

H.R. 1195 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1948 Support for VA Employee Fairness Act H.R. 1976 Support for Medicare for All Act H.R. 3165 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R. 3755 Support for Women's Health Protection Act H.R. 3967 Support for PACT Act H.R. 5376 Support for Inflation Reduction Act H.R. 7961 Support for Safety from Violence for Healthcare Employees (SAVE) Act H.R. 8296 Support for Womens Health Protection Act H.R. 842 Support for Union Organizing, PRO Act and NLRB reform S. 1567 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S. 420 Support for Union Organizing, PRO Act and NLRB reform S. 3373 Support for PACT Act S. 4132 Support for Womens Health Protection Act S. 4182 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S. 4204 Support for Medicare for All Act S. 771 Support for VA Employee Fairness Act Opposition to Abortion Restrictions and Impacts on Health Care Support for CDC Infection Control Protocols Support for Supplemental Covid and Monkeypox funding Support for Affordable Healthcare

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Occupational Safety & Health Administration (OSHA), SENATE

H.R. 1195 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1948 Support for VA Employee Fairness Act H.R. 3165 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R. 3967 Support for PACT Act H.R. 842 Support for Union Organizing, PRO Act and NLRB reform S. 1567 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S. 420 Support for Union Organizing, PRO Act and NLRB reform S. 3373 Support for PACT Act S. 4182 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S. 771 Support for VA Employee Fairness Act Support for CDC Infection Control Protocols

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

Government targets: HOUSE OF REPRESENTATIVES, Occupational Safety & Health Administration (OSHA), SENATE, Veterans Affairs, Dept of (VA)

H.R. 1195 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1976 Support for Medicare for All Act H.R. 3165 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R. 3755 Support for Women's Health Protection Act H.R. 3967 Support for PACT Act H.R. 7961 Support for Safety from Violence for Healthcare Employees (SAVE) Act H.R. 8296 Support for Womens Health Protection Act S. 1567 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S. 3373 Support for PACT Act S. 4132 Support for Womens Health Protection Act S. 4182 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S. 4204 Support for Medicare for All Act Opposition to Abortion Restrictions and Impacts on Health Care Support for CDC Infection Control Protocols Support for Supplemental Covid and Monkeypox funding

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Occupational Safety & Health Administration (OSHA), SENATE, Veterans Affairs, Dept of (VA)

H.R. 1195 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1976 Support for Medicare for All Act H.R. 3755 Support for Women's Health Protection Act H.R. 3967 Support for PACT Act H.R. 5376 Support for Inflation Reduction Act H.R. 7961 Support for Safety from Violence for Healthcare Employees (SAVE) Act H.R. 8296 Support for Womens Health Protection Act S. 1567 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S. 3373 Support for PACT Act S. 4132 Support for Womens Health Protection Act S. 4182 Support for Workplace Violence Prevention for Health Care and Social Service Workers Act S. 4204 Support for Medicare for All Act Support for Supplemental Covid and Monkeypox funding Support for Affordable Healthcare

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE