Taxpayer Research and Coronavirus Knowledge Act of 2021

H.R. 1783/S. 745, Accessible, Affordable Internet for all Act -- make high speed broadband accessible and affordable to all Americans; part of the Biden Administration's American Job Plan and Infrastructure Plan (e.g., Infrastructure Investment and Jobs Act) S. 922, Eliminate the Digital Divide Act of 2021 -- provides funding to states to extend broadband serves to unserved areas Lobbied on newly created Affordable Connectivity Program; Tribal Broadband Benefit Program, Broadband Infrastructure Program H.R. 1391, American Rescue Plan, lobbied on parts associated with broadband: Emergency Broadband Connectivity Fund; Dept. of Treasury rules on ARP broadband speeds Support for NTIA's Middle Mile Program USF Contributions Reform -- lobbied to support modernizing the USF contributions methodology to account for the broadband era; FAIR Contributions Act; S. 2427, Bill to have FCC study assessing edge providers for USF contributions; S. 3236/H.R. 6314, a bill to require the FCC to modernize USF contributions Rural Digital Opportunity Fund -- lobbied to hold winner of the reverse auctions to their commitments to provide broadband to unserved areas and to not allow them to reduce their commitments; expressed concerns with the concept of reverse auctions in general practice Department of Agriculture's Rural Utilities Services' ReConnect Broadband Loan/Grant Program -- discussed the importance of the program for small rural local exchange carriers H.R. 3369, Broadband for Rural America Act -- codifies RUS' ReConnect Program to expand rural broadband assistance H.R. 1650, requires the FCC to analyze and report on demands associated with edge providers data transmitted on rural broadband networks. NTIA Programs: Tribal Broadband Connectivity Program and Broadband Infrastructure Program; implementation of the IIJA Universal Service Fund Budget Control Mechanism Supply Chain issues as they relate to telecom providers Broadband grants and tax implications

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

Government targets: Agriculture, Dept of (USDA), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Natl Telecommunications & Information Administration (NTIA), SENATE

H.Res.1141, Educator Mental Health Awareness Week Resolution Mental health supports for educators H.R.7828, the PRICED Act H.R. 4132, the Womens Health Protection Act Prescription drug reform, reconciliation H.R. 7784, the Supporting Trauma Informed Education Practices Act Medicare for All H.R.7666, Restoring Hope for Mental Health and Well‐Being Act 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 Monitor the following: H.R.5015, the Medicaid DSH Payment Adjustment Fairness Act, Hospital funding formula Reconciliation bill Abortion Access related issues 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

H.R. 1783/S. 745, Accessible, Affordable Internet for all Act -- make high speed broadband accessible and affordable to all Americans; part of the Biden Administration's American Job Plan and Infrastructure Plan (e.g., Infrastructure Investment and Jobs Act) S. 922, Eliminate the Digital Divide Act of 2021 -- provides funding to states to extend broadband serves to unserved areas Lobbied on newly created Affordable Connectivity Program; Tribal Broadband Benefit Program, Broadband Infrastructure Program H.R. 1391, American Rescue Plan, lobbied on parts associated with broadband: Emergency Broadband Connectivity Fund; Dept. of Treasury rules on ARP broadband speeds Legislation to create and provide support for broadband middle mile networks; part of the IIJA USF Contributions Reform -- lobbied to support modernizing the USF contributions methodology to account for the broadband era; FAIR Contributions Act Rural Digital Opportunity Fund -- lobbied to hold winner of the reverse auctions to their commitments to provide broadband to unserved areas and to not allow them to reduce their commitments; expressed concerns with the concept of reverse auctions in general practice Department of Agriculture's Rural Utilities Services' ReConnect Broadband Loan/Grant Program -- discussed the importance of the program for small rural local exchange carriers H.R. 3369, Broadband for Rural America Act -- codifies RUS' ReConnect Program to expand rural broadband assistance H.R. 1650, requires the FCC to analyze and report on demands associated with edge providers data transmitted on rural broadband networks. NTIA Programs: Tribal Broadband Connectivity Program and Broadband Infrastructure Program; implementation of the IIJA Universal Service Fund Budget Control Mechanism Supply Chain issues as they relate to telecom providers

S.3796/H.R.7045, Closing Health Coverage Gaps for Public Servants Act H.R.7116, 9-8-8 Implementation Act H.R.6833, the Affordable Insulin Now Act H.R.1195, Workplace Violence Prevention for Health Care and Social Service Worker Act Monitor the following: H.R.5015, the Medicaid DSH Payment Adjustment Fairness Act, Hospital funding formula H.R.5376, Build Back Better 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

Client expense: $350,000 · Firm income: Not reported

H.R. 1391: American Rescue Plan, H.R. 3630 No Surprises Act Pub. L. No 116-260 implementation, Data cost collection for ground ambulance; extending the ground ambulance add-ons and addressing rural ZIP code issues; S. 2037/H.R. 4938 Protecting Access to Ground Ambulance Medical Services Act of 2021.

Client expense: Not reported · Firm income: $51,000

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Transportation, Dept of (DOT)

H.R. 1783/S. 745, Accessible, Affordable Internet for all Act -- make high speed broadband accessible and affordable to all Americans; part of the Biden Administration's American Job Plan and Infrastructure Plan (e.g., Infrastructure Investment and Jobs Act) S. 922, Eliminate the Digital Divide Act of 2021 -- provides funding to states to extend broadband serves to unserved areas S. 436, American Broadband Buildout Act of 2021 -- ensures rural Americans have access to broadband services through making grants available to receive service H.R. 133, Consolidated Approps Act of 2021, lobbied on parts of the plan associated with broadband: Emergency Broadband Benefit Program (newly created Affordable Connectivity Program); Tribal Broadband Benefit Program, Broadband Infrastructure Program H.R. 1391, American Rescue Plan, lobbied on parts associated with broadband: Emergency Broadband Connectivity Fund; Dept. of Treasury rules on ARP broadband speeds S. 2071, Broadband Reform & Investment to Drive Growth in the Economy (BRIDGE) Act -- broadband and digital equity grants to states, territories, Puerto Rico, DC and Tribal entities Legislation to create and provide support for broadband middle mile networks; part of the IIJA USF Contributions Reform -- lobbied to support modernizing the USF contributions methodology to account for the broadband era; FAIR Contributions Act Rural Digital Opportunity Fund -- lobbied to hold winner of the reverse auctions to their commitments to provide broadband to unserved areas and to not allow them to reduce their commitments; expressed concerns with the concept of reverse auctions in general practice Department of Agriculture's Rural Utilities Services' ReConnect Broadband Loan/Grant Program -- discussed the importance of the program for small rural local exchange carriers H.R. 3369, Broadband for Rural America Act -- codifies RUS' ReConnect Program to expand rural broadband assistance H.R. 1650, requires the FCC to analyze and report on demands associated with edge providers data transmitted on rural broadband networks. NTIA Programs: Tribal Broadband Connectivity Program and Broadband Infrastructure Program; implementation of the IIJA Universal Service Fund Budget Control Mechanism Supply Chain issues as they relate to telecom providers

H.R.5015, the Medicaid DSH Payment Adjustment Fairness Act, Hospital funding formula Monitor the following: H.R.5376, Build Back Better 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

Client expense: $400,000 · Firm income: Not reported

H.R. 1783/S. 745, Accessible, Affordable Internet for all Act -- make high speed broadband accessible and affordable to all Americans; part of the Biden Administration's American Job Plan and Infrastructure Plan (e.g., Infrastructure Investment and Jobs Act) S. 922, Eliminate the Digital Divide Act of 2021 -- provides funding to states to extend broadband serves to unserved areas S. 436, American Broadband Buildout Act of 2021 -- ensures rural Americans have access to broadband services through making grants available to receive service H.R. 133, Consolidated Approps Act of 2021, lobbied on parts of the plan associated with broadband: Emergency Broadband Benefit Program; Tribal Broadband Benefit Program, Broadband Infrastructure Program H.R. 1391, American Rescue Plan, lobbied on parts associated with broadband: Emergency Broadband Connectivity Fund; Dept. of Treasury rules on ARP broadband speeds S. 2071, Broadband Reform & Investment to Drive Growth in the Economy (BRIDGE) Act -- broadband and digital equity grants to states, territories, Puerto Rico, DC and Tribal entities Legislation to create and provide support for broadband middle mile networks USF Contributions Reform -- lobbied to support modernizing the USF contributions methodology to account for the broadband era Rural Digital Opportunity Fund -- lobbied to hold winner of the reverse auctions to their commitments to provide broadband to unserved areas and to not allow them to reduce their commitments; expressed concerns with the concept of reverse auctions in general practice Department of Agriculture's Rural Utilities Services' ReConnect Broadband Loan/Grant Program -- discussed the importance of the program for small rural local exchange carriers H.R. 3369, Broadband for Rural America Act -- codifies RUS' ReConnect Program to expand rural broadband assistance H.R. 1650, requires the FCC to analyze and report on demands associated with edge providers data transmitted on rural broadband networks. NTIA Programs: Tribal Broadband Connectivity Program and Broadband Infrastructure Program Universal Service Fund Budget Control Mechanism

H.R. 1391: American Rescue Plan, H.R. 3630 No Surprises Act Pub. L. No 116-260 implementation, Data cost collection for ground ambulance; extending the ground ambulance add-ons and addressing rural ZIP code issues; S. 2037/H.R. 4938 Protecting Access to Ground Ambulance Medical Serv- ices Act of 2021.

Client expense: Not reported · Firm income: $51,000

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Transportation, Dept of (DOT)

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

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

H.R. 1391: American Rescue Plan, H.R. 3630 No Surprises Act Pub. L. No 116-260 implementation, Data cost collection for ground ambulance; extending the ground ambulance add-ons and addressing rural ZIP code issues; S. 2037/H.R. 4938 Protecting Access to Ground Ambulance Medical Serv- ices Act of 2021.

Client expense: Not reported · Firm income: $51,000

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Transportation, Dept of (DOT)

Additional Coronavirus Health Care Relief. Advancing Connectivity during the Coronavirus to Ensure Support for Seniors (ACCESS) Act, S. 57 and H.R. 596: Proposals to authorize an emergency supplemental appropriation of $50 million for the Department of Health and Human Services (HHS) Telehealth Resource Center to assist nursing facilities receiving funding through Medicare or Medicaid in expanding their use of telehealth services; establish a grant program authorizing HHS to award grants to nursing facilities to enable residents to participate in virtual visits with loved ones while the health risk of in-person visits remains high during the pandemic; and require the Secretary of HHS to issue guidance on additional ways to improve access to telehealth services in nursing facilities during the pandemic. Medicare Observation Stays. The Improving Access to Medicare Coverage Act of 2021, H.R. 3650 and S. 2048: Proposals to count time spent in observation status toward the three-day prior inpatient stay required under Medicare for coverage of a subsequent stay in a skilled nursing facility. Drug Costs. Fair Accountability and Innovative Research Drug Pricing Act, S. 898: Proposal to require drug manufacturers to notify the U.S. Department of Health and Human Services (HHS) and submit a transparency and justification report 30 days before they increase the price of certain drugs that cost at least $100 by more than 10 percent in one year or 25 percent over three years. The report will require manufacturers to provide a justification for each price increase; manufacturing, research and development costs for the qualifying drug; net profits attributable to the qualifying drug; marketing and advertising spending on the qualifying drug; and other information as deemed appropriate. Medicaid Financing. Coronavirus Medicaid Response Act, S. 439 and H.R. 1353: Proposal to establish an automatic connection between the Federal Medical Assistance Percentage (FMAP) and state unemployment levels to fund Medicaid and its providers during difficult economic times. COVID Drug Database. The Taxpayer Research and Coronavirus Knowledge Act of 2021, H.R. 1391 and S. 482: Proposals to require a single user-friendly database of federal biomedical investments in COVID-19 vaccines, drugs, therapies, medical devices, or other products. Medicare Prescription Drugs. The Elijah E. Cummings Lower Drug Costs Now Act, H.R. 3: Proposals to allow Medicare to negotiate prices with drug makers, cap prices at inflation in Part B and D, cap beneficiary out-of-pocket costs in Part D. Medicare Hearing Coverage. The Medicare Hearing Aid Coverage Act of 2021 (H.R. 1118): Proposal to expand Medicare coverage to include hearing aids and services for seniors under Part B of the Medicare program. Medicare Disability Wait. (No bill) Stop the Wait Act: Proposal to eliminate two provisions that delay the start of both Social Security Disability Insurance and Medicare benefits for disabled individuals, making the commencement of benefits contemporaneous with the decision that a person is disabled.

H.R. 1783/S. 745, Accessible, Affordable Internet for all Act -- make high speed broadband accessible and affordable to all Americans; part of the Biden Administration's American Job Plan and Infrastructure Plan S. 922, Eliminate the Digital Divide Act of 2021 -- provides funding to states to extend broadband serves to unserved areas S. 436, American Broadband Buildout Act of 2021 -- ensures rural Americans have access to broadband services through making grants available to receive service H.R. 133, Consolidated Approps Act of 2021, lobbied on parts of the plan associated with broadband: Emergency Broadband Benefit Program; Tribal Broadband Benefit Program, Broadband Infrastructure Program H.R. 1391, American Rescue Plan, lobbied on parts associated with broadband: Emergency Broadband Connectivity Fund; Dept. of Treasury rules on ARP broadband speeds S. 2071, Broadband Reform & Investment to Drive Growth in the Economy (BRIDGE) Act -- broadband and digital equity grants to states, territories, Puerto Rico, DC and Tribal entities Legislation to create and provide support for broadband middle mile networks USF Contributions Reform -- lobbied to support modernizing the USF contributions methodology to account for the broadband era Rural Digital Opportunity Fund -- lobbied to hold winner of the reverse auctions to their commitments to provide broadband to unserved areas and to not allow them to reduce their commitments; expressed concerns with the concept of reverse auctions in general practice Department of Agriculture's Rural Utilities Services' ReConnect Broadband Loan/Grant Program -- discussed the importance of the program for small rural local exchange carriers H.R. 3369, Broadband for Rural America Act -- codifies RUS' ReConnect Program to expand rural broadband assistance H.R. 1650, requires the FCC to analyze and report on demands associated with edge providers data transmitted on rural broadband networks. NTIA Programs: Tribal Broadband Connectivity Program and Broadband Infrastructure Program Universal Service Fund Budget Control Mechanism

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

H.R. 349: Coronavirus Vaccine and Therapeutic Development Act of 2021 - Provisions related to manufacturing of COVID-19 treatments and vaccines H.R. 387: Vaccinate More Americans Act of 2021 - Provisions related to COVID-19 vaccines H.R. 467: Protecting Patient Access to Lifesaving COVID-19 Drugs Act of 2021 - Provisions related to COVID-19 treatments H.R. 597: Pandemic Treatment Access and Affordability Act of 2021 - Provisions related to drug pricing and COVID-19 vaccines and treatments H.R. 724: Reciprocity Ensures Streamlined Use of Lifesaving Treatments Act of 2021 - Provisions related to FDA drug approval process H.R. 832: Safe and Affordable Drugs from Canada Act of 2021 - Provisions related to prescription drug importation H.R. 853: Closing Loopholes for Orphan Drugs Act - Provisions related to 340B drug discount program H.R. 1391: Taxpayer Research and Coronavirus Knowledge Act of 2021 - Provisions related to COVID-19 health research H.R. 1873: Advancing Education on Biosimilars Act of 2021 - Provisions related to biologics and biosimilar products H.R. 2181: To amend the Federal Food, Drug, and Cosmetic Act to allow for the importation of affordable and safe drugs by wholesale distributors, pharmacies, and individuals. - Provisions related to prescription drug importation H.R. 2347: To amend title XIX of the Social Security Act to ensure adequate access to vaccines under the Medicaid program and the Vaccines for Children program, and for other purposes. - Provisions related to COVID-19 vaccines S. 154: Reciprocity Ensures Streamlined Use of Lifesaving Treatments Act of 2021- Provisions related to FDA drug approval process S. 164: Advancing Education on Biosimilars Act of 2021 - Provisions related to biologics and biosimilar products S. 259: Safe and Affordable Drugs from Canada Act of 2021 - Provisions related to prescription drug importation S. 562: A bill to amend the Federal Food, Drug, and Cosmetic Act with respect to citizen petitions - Provisions related to citizen petitions S. 670: To amend the Federal Food, Drug, and Cosmetic Act to accelerate development of therapies across the spectrum of rare diseases and conditions and facilitate patient access to such therapies, and for other purposes. - Provisions related to FDA policy and health research 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, and for other purposes. - Provisions related to 340B drug discount program S. 898: A bill to require reporting regarding certain drug price increases, and for other purposes. - Provisions related to prescription drug pricing transparency S. 917: A bill to allow for expedited approval of generic prescription drugs and temporary importation of prescription drugs in the case of marginally competitive drug markets and drug shortages S. 920: To amend the Federal Food, Drug, and Cosmetic Act to allow for the importation of affordable and safe drugs by wholesale distributors, pharmacies, and individuals - Provisions related to prescription drug importation HHS PREP Act declaration relating to COVID-19 Drug cost and pricing policy issues Drug importation policy issues Expanded access policy issues Supply chain policy issues Real world evidence policy issues Regenerative medicine policy issues Antimicrobial resistance (AMR) policy issues FDA modernization policy issues 340B drug discount program policy issues Patient assistance program policy issues Foreign manufacturing policy issues Biosimilar approval and reimbursement policy issues Drug shortages policy issues Regulatory efficiencies policy issues COVID-19 policy issues Defense Production Act (DPA) policy issues Final Rule; Importation of Prescription Drugs Executive Order 14017, Americas Supply Chains (February 24, 2021) Executive Order 13948, Lowering Drug Prices by Putting America First (September 13, 2020) Interim Final Rule with comment period; Most Favored Nation (MFN) Model Executive Order 13944, Ensuring Essential Medicines, Medical Countermeasures, and Critical Inputs Are Made in the United States (August 6, 2020) Buy America and other associated issues related to procurement and sourcing of finished product and active pharmaceutical ingredients Nomination of HHS Secretary Xavier Becerra Nominaton of USTR Katherine Tai Nomination of OMB Deputy Director Shalanda Young Nomination of CMS Administrator Chiquita Brooks-LaSure

H.R. 1783/S. 745, Accessible, Affordable Internet for all Act -- make high speed broadband accessible and affordable to all Americans; part of the Biden Administration's American Job Plan and Infrastructure Plan S. 922, Eliminate the Digital Divide Act of 2021 -- provides funding to states to extend broadband serves to unserved areas S. 436, American Broadband Buildout Act of 2021 -- ensures rural Americans have access to broadband services through making grants available to receive service H.R. 133, Consolidated Approps Act of 2021, lobbied on parts of the plan associated with broadband: Emergency Broadband Benefit Program; Tribal Broadband Benefit Program, Broadband Infrastructure Program H.R. 1391, American Rescue Plan, lobbied on parts associated with broadband: Emergency Broadband Connectivity Fund USF Contributions Reform -- lobbied to support modernizing the USF contributions methodology to account for the broadband era Rural Digital Opportunity Fund -- lobbied to hold winner of the reverse auctions to their commitments to provide broadband to unserved areas and to not allow them to reduce their commitments; expressed concerns with the concept of reverse auctions in general practice Department of Agriculture's Rural Utilities Services' ReConnect Broadband Loan/Grant Program -- discussed the importance of the program for small rural local exchange carriers

Client expense: $65,000 · Firm income: Not reported

H.R. 1391: American Rescue Plan, H.R. 3630 No Surprises Act Pub. L. No 116-260 implementation, Data cost collection for ground ambulance; extending the ground ambulance add-ons and addressing rural ZIP code issues.

Client expense: Not reported · Firm income: $51,000

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Transportation, Dept of (DOT)

Coronavirus Health Care Relief. P.L. 117-2, the American Rescue Plan Act: Proposals to increase the Medicaid federal medical assistance percentage (FMAP); expand Medicare coverage for COVID related services; increase FMAP funding specifically for Medicaid home and community-based services; improve nursing home oversight, provide funding for COVID testing; ensure tele-visitation for nursing home residents; lift caps on Medicaid drug inflation rebates; eliminate cost sharing for COVID treatment; and funding to carry out the Defense Production Act for medical supplies and equipment such as testing, personal protective equipment (PPE) and vaccines. Additional Coronavirus Health Care Relief. S. 57 and H.R. 596, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors (ACCESS) Act: Proposals to authorize an emergency supplemental appropriation of $50 million for the Department of Health and Human Services (HHS) Telehealth Resource Center to assist nursing facilities receiving funding through Medicare or Medicaid in expanding their use of telehealth services; establish a grant program authorizing HHS to award grants to nursing facilities to enable residents to participate in virtual visits with loved ones while the health risk of in-person visits remains high during the pandemic; and require the Secretary of HHS to issue guidance on additional ways to improve access to telehealth services in nursing facilities during the pandemic. Medicare Observation Stays. (No bill): Proposals to count time spent in observation status toward the three-day prior inpatient stay required under Medicare for coverage of a subsequent stay in a skilled nursing facility. Drug Costs. S. 898, Fair Accountability and Innovative Research Drug Pricing Act. Proposal to require drug manufacturers to notify the U.S. Department of Health and Human Services (HHS) and submit a transparency and justification report 30 days before they increase the price of certain drugs that cost at least $100 by more than 10 percent in one year or 25 percent over three years. The report will require manufacturers to provide a justification for each price increase; manufacturing, research and development costs for the qualifying drug; net profits attributable to the qualifying drug; marketing and advertising spending on the qualifying drug; and other information as deemed appropriate. Medicaid Financing. S. 439 and H.R. 1353, Coronavirus Medicaid Response Act: Proposal to establish an automatic connection between the Federal Medical Assistance Percentage (FMAP) and state unemployment levels to fund Medicaid and its providers during difficult economic times. COVID Drug Database. H.R. 1391 and S. 482, the Taxpayer Research and Coronavirus Knowledge Act of 2021: Proposals to require a single user-friendly database of federal biomedical investments in COVID-19 vaccines, drugs, therapies, medical devices, or other products. Medicare Prescription Drugs. (No bill): Proposals to allow Medicare to negotiate prices with drug makers, cap prices at inflation in Part B and D, cap beneficiary out-of-pocket costs in Part D. Medicare Hearing Coverage. H.R. 1118, the Medicare Hearing Aid Coverage Act of 2021: Proposal to expand Medicare coverage to include hearing aids and services for seniors under Part B of the Medicare program. Medicare Disability Wait. (No bill) Stop the Wait Act: Proposal to eliminate two provisions that delay the start of both Social Security Disability Insurance and Medicare benefits for disabled individuals, making the commencement of benefits contemporaneous with the decision that a person is disabled.

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

Issues related to the aviation industry; and FAA aircraft certification process. H.R. 1391 American Rescue Plan Act (PL 117-2).

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

H.R. 5: Equality Act H.R. 349: Coronavirus Vaccine and Therapeutic Development Act of 2021 - Provisions related to manufacturing of COVID-19 treatments and vaccines H.R. 387: Vaccinate More Americans Act of 2021 - Provisions related to COVID-19 vaccines H.R. 467: Protecting Patient Access to Lifesaving COVID-19 Drugs Act of 2021 - Provisions related to COVID-19 treatments H.R. 597: Pandemic Treatment Access and Affordability Act of 2021 - Provisions related to drug pricing and COVID-19 vaccines and treatments H.R. 724: Reciprocity Ensures Streamlined Use of Lifesaving Treatments Act of 2021 - Provisions related to FDA drug approval process H.R. 832: Safe and Affordable Drugs from Canada Act of 2021 - Provisions related to prescription drug importation H.R. 853: Closing Loopholes for Orphan Drugs Act - Provisions related to 340B drug discount program H.R. 1391: Taxpayer Research and Coronavirus Knowledge Act of 2021 - Provisions related to COVID-19 health research H.R. 1873: Advancing Education on Biosimilars Act of 2021 - Provisions related to biologics and biosimilar products H.R. 2078: Social and Economic Equity Promotion Act - CBO analyses H.R. 2181: To amend the Federal Food, Drug, and Cosmetic Act to allow for the importation of affordable and safe drugs by wholesale distributors, pharmacies, and individuals - Provisions related to prescription drug importation H.R. 2347: To amend title XIX of the Social Security Act to ensure adequate access to vaccines under the Medicaid program and the Vaccines for Children program, and for other purposes - Provisions related to COVID-19 vaccines S. 154: Reciprocity Ensures Streamlined Use of Lifesaving Treatments Act of 2021- Provisions related to FDA drug approval process S. 164: Advancing Education on Biosimilars Act of 2021 - Provisions related to biologics and biosimilar products S. 259: Safe and Affordable Drugs from Canada Act of 2021 - Provisions related to prescription drug importation S. 562: A bill to amend the Federal Food, Drug, and Cosmetic Act with respect to citizen petitions - Provisions related to citizen petitions S. 670: To amend the Federal Food, Drug, and Cosmetic Act to accelerate development of therapies across the spectrum of rare diseases and conditions and facilitate patient access to such therapies, and for other purposes - Provisions related to FDA policy and health research 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, and for other purposes - Provisions related to 340B drug discount program S. 898: A bill to require reporting regarding certain drug price increases, and for other purposes - Provisions related to prescription drug pricing transparency S. 917: A bill to allow for expedited approval of generic prescription drugs and temporary importation of prescription drugs in the case of marginally competitive drug markets and drug shortages S. 920: To amend the Federal Food, Drug, and Cosmetic Act to allow for the importation of affordable and safe drugs by wholesale distributors, pharmacies, and individuals - Provisions related to prescription drug importation HHS PREP Act declaration relating to COVID-19 Drug cost and pricing policy issues Drug importation policy issues Expanded access policy issues Supply chain policy issues Real world evidence policy issues Regenerative medicine policy issues Antimicrobial resistance (AMR) policy issues High deductible health plans/HSA policy issues FDA modernization policy issues 340B drug discount program policy issues Patient assistance program policy issues Foreign manufacturing policy issues Biosimilar approval and reimbursement policy issues Drug shortages policy issues Regulatory efficiencies policy issues COVID-19 policy issues Defense Production Act (DPA) policy issues Final Rule; Importation of Prescription Drugs Executive Order 14017, Americas Supply Chains (February 24, 2021) Executive Order 13948, Lowering Drug Prices by Putting America First (September 13, 2020) Interim Final Rule with comment period; Most Favored Nation (MFN) Model Executive Order 13944, Ensuring Essential Medicines, Medical Countermeasures, and Critical Inputs Are Made in the United States (August 6, 2020) Buy America and other associated issues related to procurement and sourcing of finished product and active pharmaceutical ingredients Nomination of HHS Secretary Xavier Becerra Nominaton of USTR Katherine Tai Nomination of HHS Assistant Secretary Rachel Levine Nomination of OMB Deputy Director Shalanda Young Nomination of CMS Administrator Chiquita Brooks-LaSure