SAVE Act of 2021

H.R. 66 - CARING for Kids Act - Rep. Buchanan, Vern - CHIP H.R. 265 - Insular Area Medicaid Parity Act - Rep. Sablan, Gregorio Kilili Camacho - Medicaid funding H.R. 315 - Medicare Sequester COVID Moratorium Act - Rep. Schneider, Bradley Scott - Medicare sequestration H.R. 340 - Incentivizing Medicaid Expansion Act of 2021 - Rep. Veasey, Marc - Medicaid expansion H.R. 432 - Mental Health Access Improvement Act of 2021 - Rep. Thompson, Mike -Medicare coverage of marriage and family therapist services and mental health counselor H.R. 502 - Medicare Dental Benefit Act of 2021 - Rep. Barragan, Nanette Diaz - Medicare coverage of dental and oral health services H.R. 525 - COVID HCBS Relief Act of 2021 - Rep. Dingell, Debbie - increased FMAP for HCBS H.R. 871 - Expand Medicaid Now Act - Rep. Fletcher, Lizzie - FMAP H.R. 918 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Rep. Cardenas, Tony - COVID-19 coverage for the uninsured via Medicaid H.R. 955 - Medicaid Reentry Act of 2021 - Rep. Tonko, Paul -Medicaid coverage for incarcerated individuals H.R. 1167 - Advancing Enrollment and Reducing Drug Costs Act of 2021 - Rep. Pappas, Chris - Medicaid eligibility for low-income subsidies H.R. 1227 - Medicare-X Choice Act of 2021 - Rep. Delgado, Antonio - Medicare public option H.R. 1332 - Telehealth Modernization Act - Rep. Carter, Earl - telehealth services under Medicare H.R. 1349 - The COVID-19 Hospital and Health Provider Loan Conversion Act of 2021- Rep. Kaptur, Marcy - advance payments under parts A and B of Medicare H.R. 1353 - Coronavirus Medicaid Response Act - Rep. Lee, Susie - FMAP H.R. 1390 - CHIPPER Act - Rep. Wild, Susan - CHIP funding H.R. 1397 - TIKES Act - Rep. Blunt Rochester, Lisa - telehealth under Medicaid and CHIP H.R. 1609 - Treatment in Place Act - Rep. Axne, Cynthia - Medicare coverage of ambulance services H.R. 1676 - Jack Reynolds Memory Medigap Expansion Act - Rep. Axne, Cynthia - Medigap coverage for ESRD H.R. 1677 - KEEP Telehealth Options Act of 2021 - Rep. Balderson, Troy - telehealth expansion H.R. 1717 - Protecting Married Seniors from Impoverishment Act of 2021 - Rep. Upton, Fred - permanent protections against spousal impoverishment H.R. 1722 - Puerto Rico Health Care Fairness, Accountability, and Beneficiary Access Act of 2021 - Rep. Velazquez, Nydia - Medicaid in Puerto Rico H.R. 1738 - Stabilize Medicaid and CHIP Coverage Act - Rep. Dingell, Debbie - Medicaid and CHIP continuous enrollment H.R. 1784 - Medicaid REACH Act - Rep. Doggett, Lloyd - requirements for non-expansion H.R. 1791 - CHIPP Act - Rep. Barragan, Nanette Diaz - extending CHIP H.R. 1792 - Ensuring Kids Have Access to Medically Necessary Dental Care Act - Rep. Barragan, Nanette Diaz - dental coverage under CHIP H.R. 1793 - Immediate Coverage for Former Foster Youth Act - Rep. Bass, Karen - Medicaid coverage for foster youth H.R. 1794 - Foster Youth Dental Act of 2021 - Rep. Bass, Karen - Medicaid dental coverage for foster youth H.R. 1823 - To amend title XIX of the Social Security Act to remove the matching requirement for a territory to use specially allocated Federal funds for Medicare covered part D drugs for low-income individuals - Resident Commissioner Gonzalez-Colon, Jenniffer - Medicare covered part D H.R. 1825 - Territories Medicare Prescription Drug Assistance Equality Act of 2021 - Resident Commissioner Gonzalez-Colon, Jenniffer - Medicare Part D premium and cost-sharing subsidies H.R. 1826 - Fairness in Medicare Part B Enrollment Act of 2021 - Resident Commissioner Gonzalez-Colon, Jenniffer - late enrollment penalties under part B of the Medicare program H.R. 1880 - To amend the Deficit Reduction Act of 2005 to make permanent the Money Follows the Person Rebalancing Demonstration - Rep. Dingell, Debbie - Money Follows the Person Rebalancing Demonstration H.R. 1885 - RUSH Protection Act of 2021 - Rep. Kind, Ron - Medicare rural health clinic payments H.R. 1887 - Rural Hospital Support Act - Rep. Reed, Tom - Medicare payments for hospitals H.R. 1890 - Health Insurance Consumer Protection Act - Rep. Schakowsky, Janice D. - network adequacy standards and premium rates H.R. 1914 - CAHOOTS Act - Rep. DeFazio, Peter A. - Medicaid mobile crisis intervention services H.R. 1969 - Medicare Advantage Integrity Act - Resident Commissioner Gonzalez-Colon, Jenniffer - disparity in MA benchmark rates H.R. 2035 - Improving Access to Mental Health Act of 2021 - Rep. Lee, Barbara - mental health services under Medicare H.R. 2080 - SAVE Act - Rep. Bishop, Sanford D., Jr. - Medicare coverage of transportation services H.R. 2166 - Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 - Rep. Sewell, Terri - Medicare Advantage payments for audio-only diagnoses H.R. 2168 - Expanded Telehealth Access Act - Rep. Sherrill, Mikie - Medicare payment for telehealth services H.R. 2170 - HAPI Act - Rep. Soto, Darren - access to vaccines and Medicaid H.R. 2179 - Affordable Insulin for the COVID-19 Emergency Act - Rep. Waters, Maxine - cost-sharing regarding insulin coverage H.R. 2217 - Territory Federal Matching Requirement Equity Act of 2021 - Resident Commissioner Gonzalez-Colon, Jenniffer - Medicaid FMAP for Territories H.R. 2228 - Rural Behavioral Health Access Act of 2021 - Rep. Kildee, Daniel - Medicare coverage of outpatient telehealth services H.R. 4074 - Addressing Social Determinants in Medicare Advantage Act of 2021 - Rep. Bilirakis, Gus M. - Medicare Advantage supplemental benefits H.R. 4640 - Close the Medigap Act of 2021 - Rep. Doggett, Lloyd - Medigap policies H.R. 6833 - Affordable Insulin Now Act - Rep. Craig, Angie - Insulin prices and cost sharing S. 150 - Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 - Sen. Cortez-Masto, Catherine - coverage of audio-only telehealth services in MA S. 151 - COVID HCBS Relief Act of 2021 - Sen. Casey, Robert - FMAP and HCBS S. 245 - SAME Act of 2021 - Sen. Warner, Mark - Medicaid expansion S. 274 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Sen. Bennet, Michael - COVID-19 coverage for the uninsured via Medicaid S. 285 - Medicaid Reentry Act of 2021 - Sen. Baldwin, Tammy - Medicaid coverage for incarcerated individuals S. 368 - Telehealth Modernization Act - Sen. Scott, Tim - coverage of telehealth services under Medicare S. 386 - Medicare-X Choice Act of 2021 - Sen. Bennet, Michael - Medicare public option S. 439 - Coronavirus Medicaid Response Act - Sen. Casey, Robert - increases FMAP S. 440 - Continued Funding for Senior Services During COVID-19 Act - Sen. Casey, Robert - funding for services under the Older Americans Act of 1965 S. 453 - CHIPPER Act - Sen. Casey, Robert - CHIP funding S. 581 - HAPI Act -Sen. Brown, Sherrod - vaccines under Medicaid S. 620 - KEEP Telehealth Options Act of 2021 - Sen. Fischer, Deb - telehealth expansion S. 644 - Rural Hospital Closure Relief Act of 2021 - Sen. Durbin, Richard - Medicare coverage for critical access hospitals S. 646 - Stabilize Medicaid and CHIP Coverage Act of 2021 - Sen. Brown, Sherrod - Medicaid and CHIP enrollment S. 653 - COMP Act - Sen. Portman, Rob - Medicare secondary payer rules S. 712 - Dosha Joi Immediate Coverage for Former Foster Youth Act - Sen. Casey, Robert P., Jr. - Medicaid coverage for foster youth S. 748 - Medicare Sequester Relief Act - Sen. Shaheen, Jeanne - Medicare payment sequestration S. 764 - CAHOOTS Act - Sen. Wyden, Ron - Medicaid mobile crisis intervention services S. 826 - Medicare Patient Empowerment Act of 2021 - Sen. Paul, Rand - Medicaid payment options S. 870 - Improving Access to Mental Health Act of 2021 - Sen. Stabenow, Debbie - mental health services in Medicare S. 999 - Save Rural Hospitals Act of 2021 - Sen. Warner, Mark - Medicare hospital payments Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and risk adjustment data validation (RADV) audit issues including proposed RADV regulation for MA; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); calendar year 2023 policy and technical regulation for MA and Part D; issues related to Medicare for All, Medicare buy-in, reduced Medicare eligibility age, and public option; issues relating to 2023 Rate Notice; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to expanded Medicare fee for service benefits (dental, hearing and vision); issues related to Medicaid coverage gap; issues related to specialty infant formula; issues related to the Inflation Reduction Act passage and implementation; contraceptive coverage and reproductive health; Medicare NCD relating to monoclonal antibodies for treatment of Alzheimers disease; issues related to Managed Long Term Services and Supports (MLTSS); issues related to removal of safe harbor protection for rebates; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to the end of the public health emergency; telehealth; issues related to the cost of insulin, including price, copays, rebates, and medical management tools; issues related to health equity; issues related to vaccination; issues related to audio-only telehealth; issues related to addressing the social determinants of health, including housing, transportation, nutrition, educational opportunities, and MA supplemental benefits; issues related to Medicaid presumptive eligibility and continuous eligibility; issues relating to Medicaid best price; in-home health risk assessments; Medicare Medical Loss Ratio issues; issues related to changes to prior authorization regulations or legislation, electronic documentation, and related issues; issues relating to sequestration under the Medicare Advantage and Part D programs; implications of physician fee schedule on MA; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); issues related to the international price index; issues related to child and maternal health; issues related to Medicaid supplemental and disproportionate share hospital (DSH) funding; issues related to Medicaid funding for territories; issues related to medical management; issues relating to MA supplemental benefits; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value based payment models; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; issues relating to MACRA, including implications for MA and Part D plans; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); issues relating to potential Medicare mental health parity requirements; Medicaid managed care regulations and policies, including CMS's substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the Affordable Care Act (ACA) including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; issues related to health homes for children with medically complex conditions; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation. *Add MACPAC to Agency List.

Client expense: $3,230,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

Tax provisions before the Senate and House of Representatives related to infrastructure investment and financing, including Highway Trust Fund revenues, tax credit bonds, municipal bonds, private activity bonds, investment tax credits. Issues relating to proposals for a new infrastructure spending initiative. Legislation to amend P.L. 115-97, the Tax Cuts and Jobs Act, specifically related to municipal bonds, private activity bonds, the commuter tax benefit, and provisions affecting public pension funds. Legislation related to the extension and expansion of the alternative fuel volumetric tax credit for transit vehicles and the alternative fuel vehicle refueling property tax credit. Legislation related to the extension and expansion of the alternative fuel volumetric tax credit for transit vehicles and the alternative fuel vehicle refueling property tax credit. Specific bills include S.262, Supporting State and Local Leaders Act; S.479, To amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds or the LOCAL Infrastructure Act; S.494, A bill to establish a working group on electric vehicles or the Green Bus Tax Credit Act of 2021; S.941, A bill to amend title 23, United States Code, to improve the transportation infrastructure finance and innovation (TIFIA) program, and for other purposes; H.R.158, Rail Audit Transparency Act; H.R.227, Build America Act of 2021; H.R.383, Road User Charge Advancement Act of 2021; H.R.583, Green Bus Tax Credit Act of 2021; H.R.786, Supporting State and Local Leaders Act; H.R.1319, American Rescue Plan Act of 2021; H.R.1519, To amend the Internal Revenue Code of 1986 to phaseout the Mass Transit Account; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; H.R.2206, To amend title 23, United States Code, to modify the transportation finance infrastructure and innovation program with respect to community development financial institutions, and for other purposes, S.1499 and H.R.2895, Reinventing Economic Partnerships And Infrastructure Redevelopment Act; S.1818 and H.R.3318, Railroad Rehabilitation and Improvement Financing Equity Act; H.R.2634, Local Infrastructure Financing Tools Act; H.R.2769, Intercity Passenger Rail Trust Fund Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act; S.2803, "Transportation Empowerment Act"; H.R.4413, "National Infrastructure Development Bank Act of 2021"; H.R.5304, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5305, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5434, "Surface Transportation Extension Act of 2021"; H.R.3684, the Infrastructure Investment and Jobs Act; H.R. 5896, To incentivize innovative transportation corridors to reduce carbon and GHG emissions, to provide a tax structure that allows for certain investments in public transportation systems, and to enable the fossil fuel workforce to transition to sustainable work sectors; H.R.6119, Further Extending Government Funding Act/H.Res.829, Providing for consideration of the bill (H.R.6119) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes"; H.R.6617, Further Additional Extending Government Funding Act/H.Res.912, Providing for consideration of the bill (H.R. 3076) to provide stability to and enhance the services of the United States Postal Service, and for other purposes; providing for consideration of the bill (H.R. 6617) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes; and for other purposes; H.R.6833, Making continuing appropriations for fiscal year 2023, and for other purposes; H.J.Res.75, Extension of Continuing Appropriations Act, 2022; H.R.7900, National Defense Authorization Act for Fiscal Year 2023; H.R.8294, Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2023.

All issues before the Senate and House of Representatives related to federal public transportation and highway programs, high-speed and intercity passenger rail programs, including issues related to authorization and appropriations laws, annual budget resolutions, and legislation concerning the Highway Trust Fund and other transportation-related tax and revenue issues. Tax policy as it relates to public transportation including the alternative fuel volumetric tax credit for Compressed Natural Gas and Liquefied Natural Gas used in transit vehicles, the alternative fuel vehicle refueling property tax credit, the treatment of municipal bonds, the commuter tax benefit, tax credit bonds, private activity bonds, investment tax credits, Transportation Infrastructure Finance and Innovation Act (TIFIA) and Railroad Rehabilitation & Improvement Financing (RRIF) financing, and the solvency of the Federal Highway Trust Fund. Matters related to the implementation of the Moving Ahead for Progress in the 21st Century (MAP-21) Act and the Fixing America's Surface Transportation (FAST) Act. Legislation concerning Department of Transportation (DOT) regulations. Issues related to implementation of Positive Train Control technologies on commuter railroads as mandated under the P.L. 110-432, the Rail Safety Improvement Act of 2008 and P.L. 114-73, the Surface Transportation Extension Act of 2015. Issues related to successor legislation to the FAST Act. Issues related to existing or new transportation grant programs. Budget and appropriation issues including funding and policy issues related to the Capital Investment Grant Program (CIG), the Rebuilding American Infrastructure with Sustainability and Equity (RAISE) program (formerly known as the Better Utilizing Investments to Leverage Development (BUILD) program), transit security grants, Amtrak, and other transit and intercity passenger rail programs. Issues relating to transit security funding and programs. Administrative actions for transportation related rules, regulations, guidance, guidelines, and best practices, including the DOT RAISE grant selections. Legislation regarding public transportation as it relates to housing policy. Legislation affecting transportation programs in response to natural disasters and other emergencies, including the Novel Coronavirus (COVID-19). Specific bills include S.262, Supporting State and Local Leaders Act; S.267, Investments in Rural Transit Act of 2021; S.303, Essential Transportation Employee Safety Act of 2021; S.354, Metro Safety, Accountability, and Investment Act of 2021; S.356, Transportation Opportunities for Professional Service Act or the TOPS Act; S.358, Tribal Transportation Equity and Transparency Improvement Act of 2021; S.361, A bill to establish a 90-day limit to file a petition for judicial review of a permit, license, or approval for a highway or public transportation project, and for other purposes; S.369, A bill to authorize and appropriate funding for grants to Amtrak for the restoration of long-distance routes and the rehiring of employees furloughed as a result of the COVID-19 pandemic; S.431, To amend title 23, United States Code, to require transportation planners to consider projects and strategies to reduce greenhouse gas emissions, and for other purposes or GREEN Streets Act; S.479, To amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds or the LOCAL Infrastructure Act; S.494, A bill to establish a working group on electric vehicles or the Green Bus Tax Credit Act of 2021; S.508, A bill to establish a working group on electric vehicles; S.700, A bill to establish a portal and database to receive and maintain information regarding blocked railroad-highway grade crossings and to require the Secretary of Transportation to evaluate the requirements of the railway-highway crossings program; S.837, A bill to provide relief to public transportation agencies with projects in the Full Funding Grant Agreement stage of the Capital Investment Grants Program; S.874, A bill to establish a green transportation infrastructure grant program, and for other purposes; S.899, A bill to establish the Intercity Passenger Rail Trust Fund to ensure a safe, sustainable, convenient transportation option for the people of the United States, and for other purposes; S.940, A bill to amend title 49, United States Code, to establish a National Transit Frontline Workforce Training Center, and for other purposes; S.941, A bill to amend title 23, United States Code, to improve the transportation infrastructure finance and innovation (TIFIA) program, and for other purposes; S.955, A bill to require the Federal Railroad Administration and the Federal Highway Administration to provide recommendations for reducing the number of very rural highway-rail grade crossing collisions, to authorize a public outreach and educational program to reduce such collisions, and to authorize grants to improve grade crossing safety; H.R.158, Rail Audit Transparency Act; H.R.227, Build America Act of 2021; H.R.383, Road User Charge Advancement Act of 2021; H.R.385, Preparing Localities for an Autonomous and Connected Environment Act or the PLACE Act; H.R.396, "Transit Security Grant Program Flexibility Act"; H.R.510, Support Local Transportation Act; H.R.512, Green Bus Act of 2021; H.R.583, Green Bus Tax Credit Act of 2021; H.R.740, Climate Resilient Transportation Infrastructure Study Act; H.R.786, Supporting State and Local Leaders Act; H.R.867, High Speed Rail Corridor Development Act of 2021; H.R.947, Railway Upgrades for Rural American Lines Act or the RURAL Act; H.R.1152, Green Buses for Every Community Act; H.R.1319, American Rescue Plan Act of 2021; H.R.1472, To prohibit the use of Federal financial assistance for a certain high-speed rail development project in the State of California that was subject to a previous cooperative agreement, and for other purposes; H.R.1519, To amend the Internal Revenue Code of 1986 to phaseout the Mass Transit Account; H.R.1615, To amend title 49, United States Code, to expand and codify the transit oriented development planning grant program, and for other purposes; H.R.1675, To amend title 49, United States Code, with respect to fixed guideway capital investment grants, and for other purposes; H.R.1697, To amend title 23, United States Code, to increase accessible transportation for individuals with disabilities; H.R.1845, To amend chapter 261 of title 49, United States Code, to provide for high-speed rail corridor development, and for other purposes; H.R.2038, To establish a green transportation infrastructure grant program, and for other purposes; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; H.R.2128, To amend title 49, United States Code, to improve transit safety; H.R.2129, To amend title 49, United States Code, to establish a National Transit Frontline Workforce Training Center, and for other purposes; H.R.2203, To amend titles 23 and 49, United States Code, to improve public understanding of how transportation investments are made by public agencies through establishing greater transparency and accountability processes; H.R.2204, To amend title 23, United States Code, to establish additional requirements for certain transportation projects with estimated costs of $2,500,000,000 or more, and for other purposes; H.R.2205, To amend title 49, United States Code, to provide grants and develop value capture policy; H.R.2206, To amend title 23, United States Code, to modify the transportation finance infrastructure and innovation program with respect to community development financial institutions, and for other purposes; H.R.2287, To direct the Secretary of Transportation to carry out a grant program to support efforts to provide fare-free transit service, and for other purposes; S.1066, State Transportation Flexibility Act; S.1172 and H.R.2287, Freedom to Move Act; S.1240, Manufacturing USA Expansion Act of 2021; S.1465, Railroad Crossing Elimination Act; S.1499 and H.R.2895, Reinventing Economic Partnerships And Infrastructure Redevelopment Act; S.1500 and H.R.2937, Rail Passenger Fairness Act; S.1658 and H.R.3110, Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act; S.1680 and H.R.3317, All Station Accessibility Program Act of 2021; S.1681 and H.R. 3310, Promoting Service in Transportation Act; S.1789 and H.R. 3528, Warren Cowles Grade Crossing Safety Act; S.1818 and H.R.3318, Railroad Rehabilitation and Improvement Financing Equity Act; S.1919, Railway Upgrades for Rural American Lines Act; S.1985, Rural Opportunities to Use Transportation for Economic Success Act; S.2016, Surface Transportation Investment Act of 2021; S.2038, Disability Access to Transportation Act; S.2137, Rural Transportation Equity Act of 2021; H.R.2306, Small Community Transit Improvement Act of 2021; H.R.2334, Reinvesting in Essential Partnerships And Infrastructure for Rural America Act; H.R.2380, Saving Transit Art Resources Act; H.R.2474, Invest in American Railroads Act; H.R.2476, Economic Impact of Tolling Act; H.R.2483, Build More Housing Near Transit Act of 2021; H.R.2634, Local Infrastructure Financing Tools Act; H.R.2683, Helping Communities Invest in Infrastructure Act; H.R.2697, 21st Century Transportation Workforce Development Act; H.R.2769, Intercity Passenger Rail Trust Fund Act; H.R.2924, Transit to Trails Act of 2021; H.R.2937, Rail Passenger Fairness Act; H.R.2958, End the Limo Loophole Act; H.R.3002, To amend title 49, United States Code, to require Amtrak to adopt the repair-in-place method for track maintenance and rehabilitation, and for other purposes; H.R.3090, Interstate Rail Compacts Advancement Act of 2021; H.R.3097, Green Transportation Act; H.R.3201, Providing Assistance for Vital Enhancements Act; H.R.3347, Generating Reduced Emissions by Electrifying New Buses Act; H.R.3594, Surface Transportation Research and Development Act of 2021; H.R.3651, Revitalizing American Priorities for Infrastructure Development Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act; H.R.3698, Dont BLock Our Communities Act; H.R.3744, Stronger Communities through Better Transit Act; H.R.3750, Equity in Transit Service Planning Act; H.R.3902, 21st Century Aerospace Infrastructure Act of 2021; H.R.4093, To amend title 23, United States Code, to modify the distribution of funds under the tribal transportation program, and for other purposes; H.R.4183, Public Transportation Accessibility Study Act; S.2309, "A bill to improve the Consolidated Rail Infrastructure and Safety Improvements Program, and for other purposes"; S.2487, "Put the Brakes on Boondoggles Act"; S.2534 "Expanded Transit Service Act"; S.2726 and H.R. 5228 "Public Transportation Expansion Act"; S.2802, "Balance the Highway Trust Fund Act"; S.2803, "Transportation Empowerment Act"; H.R.4413, "National Infrastructure Development Bank Act of 2021"; H.R.4441, "Travel Mask Mandate Repeal Act of 2021"; H.R.4474, "BRAIN TRAIN Act"; H.R.4520, "GREEN Streets Act"; H.R.4550, "Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2022"; H.R.5304, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5305, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5434, "Surface Transportation Extension Act of 2021"; H.R.5376, "Build Back Better Act"; H.R.3684, the Infrastructure Investment and Jobs Act; S.3045, Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2022; S.3250, Providing Assistance for Transit Help to College Act/H.R.6036, Promoting Advancement Through Transit Help to College Act; H.R.5706, Stop Sexual Assault and Harassment in Transportation Act; H.R. 5896, To incentivize innovative transportation corridors to reduce carbon and GHG emissions, to provide a tax structure that allows for certain investments in public transportation systems, and to enable the fossil fuel workforce to transition to sustainable work sectors; H.R.6046, To amend title 49, United States Code, to allow passenger ferry boats in nonurbanized areas to qualify for certain grants; H.R.6119, Further Extending Government Funding Act/H.Res.829, Providing for consideration of the bill (H.R.6119) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes; H.R.6257, SAFER Travel Act; ; S.3556 and H.R.6567, LICENSE Act of 2022; S.3600, Strengthening American Cybersecurity Act of 2022; S.3901, Reduce Human Trafficking through Transportation Act; H.R.6365, To direct the Surface Transportation Board to require any high-speed rail project to acquire all land for the project before starting construction, and for other purposes; H.R.6617, Further Additional Extending Government Funding Act/H.Res.912, Providing for consideration of the bill (H.R. 3076) to provide stability to and enhance the services of the United States Postal Service, and for other purposes; providing for consideration of the bill (H.R. 6617) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes; and for other purposes; H.R.6688, NO TOD Act; H.R.6833, Making continuing appropriations for fiscal year 2023, and for other purposes; H.J.Res.75, Extension of Continuing Appropriations Act, 2022; H.R.7057, Unmasking of Americans Act of 2022; H.R.7204, Returning Amtrak To Economic Sustainability Act (RATES Act); SD 1582-21-01, Enhancing Public Transportation and Passenger Railroad Cybersecurity; H.R.7900, National Defense Authorization Act for Fiscal Year 2023; H.R.8121, No Electric Ferries Act; H.R.8122, No Desire for Streetcars Act; H.R.8294, Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2023; S.J.Res.61 and H.J.Res.95, A joint resolution to provide for the resolution of issues in a railway labor-management dispute, and for other purposes; S.4909 and H.R.8934, Ferry Service Expansion Act; S.4959, A bill to amend section 11101 of title 49, United States Code, to ensure that rail carriers provide transportation or service in a manner that fulfills the shipper's reasonable service requirements; H.R.8841, Access to Critical Non-Emergency Transportation Services Act.

Legislation before the Senate and House of Representatives related to mobility services funded by Department of Health and Human Services programs and other programs. Legislation regarding coordination and efficiencies among the dozens of federal programs supporting non-emergency medical transportation (NEMT) across several different federal departments. Legislation related to the Coordinating Council on Access and Mobility (CCAM), originally established under Executive Order No. 13330 and codified in Section 3006(c) of the FAST Act. Specific bills include H.R.1319, American Rescue Plan Act of 2021; H.R.1697, To amend title 23, United States Code, to increase accessible transportation for individuals with disabilities; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; S.1680 and H.R.3317, All Station Accessibility Program Act of 2021; S.2038, Disability Access to Transportation Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act/ Infrastructure Investment and Jobs Act; H.R.5305, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.6119, Further Extending Government Funding Act/H.Res.829, Providing for consideration of the bill (H.R.6119) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes"; H.R.6617, Further Additional Extending Government Funding Act/H.Res.912, Providing for consideration of the bill (H.R. 3076) to provide stability to and enhance the services of the United States Postal Service, and for other purposes; providing for consideration of the bill (H.R. 6617) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes; and for other purposes; H.R.6833, Making continuing appropriations for fiscal year 2023, and for other purposes; H.J.Res.75, Extension of Continuing Appropriations Act, 2022; H.R.8841, Access to Critical Non-Emergency Transportation Services Act.

Expanding Medicare benefits to include dental, hearing, and vision Extending and making permanent COVID-19 telehealth flexibilities Increasing drug affordability and accessibility via drug pricing, Medicare Part D redesign and benefits, capping out-of-pocket costs and smoothing, and streamlining prior authorization processes Advocating for improvements to Medicare Part C and Part D proposed rule Inflation Reduction Act of 2022 H.R. 4417, the Capping Drug Costs for Seniors Act S. 2327, the Seniors Prescription Drug Relief Act S. 828/H.R. 432, the Mental Health Access Improvement Act of 2021 H.R. 2080, the Seniors Access to Vaccine Ensured Act of 2021 H.R. 3173/S. 3018, the Improving Seniors Timely Access to Care Act H.R. 4011, the Capping Drug Costs for Seniors Act of 2022 H.R. 4479/S. 2609, the Facilitating Innovative Nuclear Diagnostics (FIND) Act of 2021 S. 2061/H.R. 4058, the Telemental Health Care Access Act of 2021 S. 1512/H.R. 2903, the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021 H.R. 1332/S. 368, the Telehealth Modernization Act H.R. 366, the Protecting Access to Post-COVID-19 Telehealth Act of 2021 H.R. 3733: Essential Caregivers Act of 2021 H.R. 6202, the Telehealth Extension Act of 2021 S. 3575, the Stop the Wait Act of 2022 S. 3593, the Telehealth Extension and Evaluation Act S. 3675, the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) 2.0 Act H.R. 7051/S. 3791, the Access to Prescription Digital Therapeutics Act of 2022 H.R. 5375, the Inflation Reduction Act of 2022

Client expense: $31,190 · Firm income: Not reported

H.R. 66 - CARING for Kids Act - Rep. Buchanan, Vern - CHIP H.R. 265 - Insular Area Medicaid Parity Act - Rep. Sablan, Gregorio Kilili Camacho - Medicaid funding H.R. 315 - Medicare Sequester COVID Moratorium Act - Rep. Schneider, Bradley Scott - Medicare sequestration H.R. 340 - Incentivizing Medicaid Expansion Act of 2021 - Rep. Veasey, Marc - Medicaid expansion H.R. 432 - Mental Health Access Improvement Act of 2021 - Rep. Thompson, Mike -Medicare coverage of marriage and family therapist services and mental health counselor H.R. 502 - Medicare Dental Benefit Act of 2021 - Rep. Barragan, Nanette Diaz - Medicare coverage of dental and oral health services H.R. 525 - COVID HCBS Relief Act of 2021 - Rep. Dingell, Debbie - increased FMAP for HCBS H.R. 871 - Expand Medicaid Now Act - Rep. Fletcher, Lizzie - FMAP H.R. 918 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Rep. Cardenas, Tony - COVID-19 coverage for the uninsured via Medicaid H.R. 955 - Medicaid Reentry Act of 2021 - Rep. Tonko, Paul -Medicaid coverage for incarcerated individuals H.R. 1167 - Advancing Enrollment and Reducing Drug Costs Act of 2021 - Rep. Pappas, Chris - Medicaid eligibility for low-income subsidies H.R. 1227 - Medicare-X Choice Act of 2021 - Rep. Delgado, Antonio - Medicare public option H.R. 1332 - Telehealth Modernization Act - Rep. Carter, Earl - telehealth services under Medicare H.R. 1349 - The COVID-19 Hospital and Health Provider Loan Conversion Act of 2021- Rep. Kaptur, Marcy - advance payments under parts A and B of Medicare H.R. 1353 - Coronavirus Medicaid Response Act - Rep. Lee, Susie - FMAP H.R. 1390 - CHIPPER Act - Rep. Wild, Susan - CHIP funding H.R. 1397 - TIKES Act - Rep. Blunt Rochester, Lisa - telehealth under Medicaid and CHIP H.R. 1609 - Treatment in Place Act - Rep. Axne, Cynthia - Medicare coverage of ambulance services H.R. 1676 - Jack Reynolds Memory Medigap Expansion Act - Rep. Axne, Cynthia - Medigap coverage for ESRD H.R. 1677 - KEEP Telehealth Options Act of 2021 - Rep. Balderson, Troy - telehealth expansion H.R. 1717 - Protecting Married Seniors from Impoverishment Act of 2021 - Rep. Upton, Fred - permanent protections against spousal impoverishment H.R. 1722 - Puerto Rico Health Care Fairness, Accountability, and Beneficiary Access Act of 2021 - Rep. Velazquez, Nydia - Medicaid in Puerto Rico H.R. 1738 - Stabilize Medicaid and CHIP Coverage Act - Rep. Dingell, Debbie - Medicaid and CHIP continuous enrollment H.R. 1784 - Medicaid REACH Act - Rep. Doggett, Lloyd - requirements for non-expansion H.R. 1791 - CHIPP Act - Rep. Barragan, Nanette Diaz - extending CHIP H.R. 1792 - Ensuring Kids Have Access to Medically Necessary Dental Care Act - Rep. Barragan, Nanette Diaz - dental coverage under CHIP H.R. 1793 - Immediate Coverage for Former Foster Youth Act - Rep. Bass, Karen - Medicaid coverage for foster youth H.R. 1794 - Foster Youth Dental Act of 2021 - Rep. Bass, Karen - Medicaid dental coverage for foster youth H.R. 1823 - To amend title XIX of the Social Security Act to remove the matching requirement for a territory to use specially allocated Federal funds for Medicare covered part D drugs for low-income individuals - Resident Commissioner Gonzalez-Colon, Jenniffer - Medicare covered part D H.R. 1825 - Territories Medicare Prescription Drug Assistance Equality Act of 2021 - Resident Commissioner Gonzalez-Colon, Jenniffer - Medicare Part D premium and cost-sharing subsidies H.R. 1826 - Fairness in Medicare Part B Enrollment Act of 2021 - Resident Commissioner Gonzalez-Colon, Jenniffer - late enrollment penalties under part B of the Medicare program H.R. 1880 - To amend the Deficit Reduction Act of 2005 to make permanent the Money Follows the Person Rebalancing Demonstration - Rep. Dingell, Debbie - Money Follows the Person Rebalancing Demonstration H.R. 1885 - RUSH Protection Act of 2021 - Rep. Kind, Ron - Medicare rural health clinic payments H.R. 1887 - Rural Hospital Support Act - Rep. Reed, Tom - Medicare payments for hospitals H.R. 1890 - Health Insurance Consumer Protection Act - Rep. Schakowsky, Janice D. - network adequacy standards and premium rates H.R. 1914 - CAHOOTS Act - Rep. DeFazio, Peter A. - Medicaid mobile crisis intervention services H.R. 1969 - Medicare Advantage Integrity Act - Resident Commissioner Gonzalez-Colon, Jenniffer - disparity in MA benchmark rates H.R. 2035 - Improving Access to Mental Health Act of 2021 - Rep. Lee, Barbara - mental health services under Medicare H.R. 2080 - SAVE Act - Rep. Bishop, Sanford D., Jr. - Medicare coverage of transportation services H.R. 2166 - Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 - Rep. Sewell, Terri - Medicare Advantage payments for audio-only diagnoses H.R. 2168 - Expanded Telehealth Access Act - Rep. Sherrill, Mikie - Medicare payment for telehealth services H.R. 2170 - HAPI Act - Rep. Soto, Darren - access to vaccines and Medicaid H.R. 2179 - Affordable Insulin for the COVID-19 Emergency Act - Rep. Waters, Maxine - cost-sharing regarding insulin coverage H.R. 2217 - Territory Federal Matching Requirement Equity Act of 2021 - Resident Commissioner Gonzalez-Colon, Jenniffer - Medicaid FMAP for Territories H.R. 2228 - Rural Behavioral Health Access Act of 2021 - Rep. Kildee, Daniel - Medicare coverage of outpatient telehealth services H.R. 4074 - Addressing Social Determinants in Medicare Advantage Act of 2021 - Rep. Bilirakis, Gus M. - Medicare Advantage supplemental benefits H.R. 4640 - Close the Medigap Act of 2021 - Rep. Doggett, Lloyd - Medigap policies H.R. 6833 - Affordable Insulin Now Act - Rep. Craig, Angie - Insulin prices and cost sharing S. 150 - Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 - Sen. Cortez-Masto, Catherine - coverage of audio-only telehealth services in MA S. 151 - COVID HCBS Relief Act of 2021 - Sen. Casey, Robert - FMAP and HCBS S. 245 - SAME Act of 2021 - Sen. Warner, Mark - Medicaid expansion S. 274 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Sen. Bennet, Michael - COVID-19 coverage for the uninsured via Medicaid S. 285 - Medicaid Reentry Act of 2021 - Sen. Baldwin, Tammy - Medicaid coverage for incarcerated individuals S. 368 - Telehealth Modernization Act - Sen. Scott, Tim - coverage of telehealth services under Medicare S. 386 - Medicare-X Choice Act of 2021 - Sen. Bennet, Michael - Medicare public option S. 439 - Coronavirus Medicaid Response Act - Sen. Casey, Robert - increases FMAP S. 440 - Continued Funding for Senior Services During COVID-19 Act - Sen. Casey, Robert - funding for services under the Older Americans Act of 1965 S. 453 - CHIPPER Act - Sen. Casey, Robert - CHIP funding S. 581 - HAPI Act -Sen. Brown, Sherrod - vaccines under Medicaid S. 620 - KEEP Telehealth Options Act of 2021 - Sen. Fischer, Deb - telehealth expansion S. 644 - Rural Hospital Closure Relief Act of 2021 - Sen. Durbin, Richard - Medicare coverage for critical access hospitals S. 646 - Stabilize Medicaid and CHIP Coverage Act of 2021 - Sen. Brown, Sherrod - Medicaid and CHIP enrollment S. 653 - COMP Act - Sen. Portman, Rob - Medicare secondary payer rules S. 712 - Dosha Joi Immediate Coverage for Former Foster Youth Act - Sen. Casey, Robert P., Jr. - Medicaid coverage for foster youth S. 748 - Medicare Sequester Relief Act - Sen. Shaheen, Jeanne - Medicare payment sequestration S. 764 - CAHOOTS Act - Sen. Wyden, Ron - Medicaid mobile crisis intervention services S. 826 - Medicare Patient Empowerment Act of 2021 - Sen. Paul, Rand - Medicaid payment options S. 870 - Improving Access to Mental Health Act of 2021 - Sen. Stabenow, Debbie - mental health services in Medicare S. 999 - Save Rural Hospitals Act of 2021 - Sen. Warner, Mark - Medicare hospital payments Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and risk adjustment data validation (RADV) audit issues including proposed RADV regulation for MA; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); calendar year 2023 policy and technical regulation for MA and Part D; Part D reform, out of pocket limits; issues related to Medicare for All, Medicare buy-in, reduced Medicare eligibility age, and public option; issues relating to 2023 Rate Notice; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to expanded Medicare fee for service benefits (dental, hearing and vision); issues related to Medicaid coverage gap; contraceptive coverage and reproductive health; Medicare NCD relating to monoclonal antibodies for treatment of Alzheimers disease; Executive Orders relating to international pricing, Part D rebates, insulin costs, and importation; issues related to MLTSS; issues related to removal of safe harbor protection for rebates; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to the end of the public health emergency; telehealth; issues related to the cost of insulin, including price, copays, rebates, and medical management tools; issues related to health equity; issues related to vaccination; issues related to audio-only telehealth; issues related to addressing the social determinants of health, including housing, transportation, nutrition, educational opportunities, and MA supplemental benefits; issues related to Medicaid presumptive eligibility and continuous eligibility; issues relating to Medicaid best price; in-home health risk assessments; Medicare Medical Loss Ratio issues; issues related to changes to prior authorization regulations or legislation, electronic documentation, and related issues; issues relating to sequestration under the Medicare Advantage and Part D programs; implications of physician fee schedule on MA; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); issues related to the international price index; issues related to child and maternal health; issues related to Medicaid supplemental and disproportionate share hospital (DSH) funding; issues related to Medicaid funding for territories; issues related to medical management; issues relating to MA supplemental benefits; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value based payment models; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; issues relating to MACRA, including implications for MA and Part D plans; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); issues relating to potential Medicare mental health parity requirements; Medicaid managed care regulations and policies, including CMS's substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the Affordable Care Act (ACA) including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; issues related to health homes for children with medically complex conditions; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation.

Legislation before the Senate and House of Representatives related to mobility services funded by Department of Health and Human Services programs and other programs. Legislation regarding coordination and efficiencies among the dozens of federal programs supporting non-emergency medical transportation (NEMT) across several different federal departments. Legislation related to the Coordinating Council on Access and Mobility (CCAM), originally established under Executive Order No. 13330 and codified in Section 3006(c) of the FAST Act. Specific bills include H.R.1319, American Rescue Plan Act of 2021; H.R.1697, To amend title 23, United States Code, to increase accessible transportation for individuals with disabilities; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; S.1680 and H.R.3317, All Station Accessibility Program Act of 2021; S.2038, Disability Access to Transportation Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act/ Infrastructure Investment and Jobs Act; H.R.5305, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.6119, Further Extending Government Funding Act/H.Res.829, Providing for consideration of the bill (H.R.6119) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes"; H.R.6617, Further Additional Extending Government Funding Act/H.Res.912, Providing for consideration of the bill (H.R. 3076) to provide stability to and enhance the services of the United States Postal Service, and for other purposes; providing for consideration of the bill (H.R. 6617) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes; and for other purposes; H.J.Res.75, Extension of Continuing Appropriations Act, 2022.

General Issue Area: TRA - Transportation All issues before the Senate and House of Representatives related to federal public transportation and highway programs, high-speed and intercity passenger rail programs, including issues related to authorization and appropriations laws, annual budget resolutions, and legislation concerning the Highway Trust Fund and other transportation-related tax and revenue issues. Tax policy as it relates to public transportation including the alternative fuel volumetric tax credit for Compressed Natural Gas and Liquefied Natural Gas used in transit vehicles, the alternative fuel vehicle refueling property tax credit, the treatment of municipal bonds, the commuter tax benefit, tax credit bonds, private activity bonds, investment tax credits, Transportation Infrastructure Finance and Innovation Act (TIFIA) and Railroad Rehabilitation & Improvement Financing (RRIF) financing, and the solvency of the Federal Highway Trust Fund. Matters related to the implementation of the Moving Ahead for Progress in the 21st Century (MAP-21) Act and the Fixing America's Surface Transportation (FAST) Act. Legislation concerning Department of Transportation (DOT) regulations. Issues related to implementation of Positive Train Control technologies on commuter railroads as mandated under the P.L. 110-432, the Rail Safety Improvement Act of 2008 and P.L. 114-73, the Surface Transportation Extension Act of 2015. Issues related to successor legislation to the FAST Act. Issues related to existing or new transportation grant programs. Budget and appropriation issues including funding and policy issues related to the Capital Investment Grant Program (CIG), the Rebuilding American Infrastructure with Sustainability and Equity (RAISE) program (formerly known as the Better Utilizing Investments to Leverage Development (BUILD) program), transit security grants, Amtrak, and other transit and intercity passenger rail programs. Issues relating to transit security funding and programs. Administrative actions for transportation related rules, regulations, guidance, guidelines, and best practices, including the DOT RAISE grant selections. Legislation regarding public transportation as it relates to housing policy. Legislation affecting transportation programs in response to natural disasters and other emergencies, including the Novel Coronavirus (COVID-19). Specific bills include S.262, Supporting State and Local Leaders Act; S.267, Investments in Rural Transit Act of 2021; S.303, Essential Transportation Employee Safety Act of 2021; S.354, Metro Safety, Accountability, and Investment Act of 2021; S.356, Transportation Opportunities for Professional Service Act or the TOPS Act; S.358, Tribal Transportation Equity and Transparency Improvement Act of 2021; S.361, A bill to establish a 90-day limit to file a petition for judicial review of a permit, license, or approval for a highway or public transportation project, and for other purposes; S.369, A bill to authorize and appropriate funding for grants to Amtrak for the restoration of long-distance routes and the rehiring of employees furloughed as a result of the COVID-19 pandemic; S.431, To amend title 23, United States Code, to require transportation planners to consider projects and strategies to reduce greenhouse gas emissions, and for other purposes or GREEN Streets Act; S.479, To amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds or the LOCAL Infrastructure Act; S.494, A bill to establish a working group on electric vehicles or the Green Bus Tax Credit Act of 2021; S.508, A bill to establish a working group on electric vehicles; S.700, A bill to establish a portal and database to receive and maintain information regarding blocked railroad-highway grade crossings and to require the Secretary of Transportation to evaluate the requirements of the railway-highway crossings program; S.837, A bill to provide relief to public transportation agencies with projects in the Full Funding Grant Agreement stage of the Capital Investment Grants Program; S.874, A bill to establish a green transportation infrastructure grant program, and for other purposes; S.899, A bill to establish the Intercity Passenger Rail Trust Fund to ensure a safe, sustainable, convenient transportation option for the people of the United States, and for other purposes; S.940, A bill to amend title 49, United States Code, to establish a National Transit Frontline Workforce Training Center, and for other purposes; S.941, A bill to amend title 23, United States Code, to improve the transportation infrastructure finance and innovation (TIFIA) program, and for other purposes; S.955, A bill to require the Federal Railroad Administration and the Federal Highway Administration to provide recommendations for reducing the number of very rural highway-rail grade crossing collisions, to authorize a public outreach and educational program to reduce such collisions, and to authorize grants to improve grade crossing safety; H.R.158, Rail Audit Transparency Act; H.R.227, Build America Act of 2021; H.R.383, Road User Charge Advancement Act of 2021; H.R.385, Preparing Localities for an Autonomous and Connected Environment Act or the PLACE Act; H.R.396, "Transit Security Grant Program Flexibility Act"; H.R.510, Support Local Transportation Act; H.R.512, Green Bus Act of 2021; H.R.583, Green Bus Tax Credit Act of 2021; H.R.740, Climate Resilient Transportation Infrastructure Study Act; H.R.786, Supporting State and Local Leaders Act; H.R.867, High Speed Rail Corridor Development Act of 2021; H.R.947, Railway Upgrades for Rural American Lines Act or the RURAL Act; H.R.1152, Green Buses for Every Community Act; H.R.1319, American Rescue Plan Act of 2021; H.R.1472, To prohibit the use of Federal financial assistance for a certain high-speed rail development project in the State of California that was subject to a previous cooperative agreement, and for other purposes; H.R.1519, To amend the Internal Revenue Code of 1986 to phaseout the Mass Transit Account; H.R.1615, To amend title 49, United States Code, to expand and codify the transit oriented development planning grant program, and for other purposes; H.R.1675, To amend title 49, United States Code, with respect to fixed guideway capital investment grants, and for other purposes; H.R.1697, To amend title 23, United States Code, to increase accessible transportation for individuals with disabilities; H.R.1845, To amend chapter 261 of title 49, United States Code, to provide for high-speed rail corridor development, and for other purposes; H.R.2038, To establish a green transportation infrastructure grant program, and for other purposes; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; H.R.2128, To amend title 49, United States Code, to improve transit safety; H.R.2129, To amend title 49, United States Code, to establish a National Transit Frontline Workforce Training Center, and for other purposes; H.R.2203, To amend titles 23 and 49, United States Code, to improve public understanding of how transportation investments are made by public agencies through establishing greater transparency and accountability processes; H.R.2204, To amend title 23, United States Code, to establish additional requirements for certain transportation projects with estimated costs of $2,500,000,000 or more, and for other purposes; H.R.2205, To amend title 49, United States Code, to provide grants and develop value capture policy; H.R.2206, To amend title 23, United States Code, to modify the transportation finance infrastructure and innovation program with respect to community development financial institutions, and for other purposes; H.R.2287, To direct the Secretary of Transportation to carry out a grant program to support efforts to provide fare-free transit service, and for other purposes; S.1066, State Transportation Flexibility Act; S.1172 and H.R.2287, Freedom to Move Act; S.1240, Manufacturing USA Expansion Act of 2021; S.1465, Railroad Crossing Elimination Act; S.1499 and H.R.2895, Reinventing Economic Partnerships And Infrastructure Redevelopment Act; S.1500 and H.R.2937, Rail Passenger Fairness Act; S.1658 and H.R.3110, Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act; S.1680 and H.R.3317, All Station Accessibility Program Act of 2021; S.1681 and H.R. 3310, Promoting Service in Transportation Act; S.1789 and H.R. 3528, Warren Cowles Grade Crossing Safety Act; S.1818 and H.R.3318, Railroad Rehabilitation and Improvement Financing Equity Act; S.1919, Railway Upgrades for Rural American Lines Act; S.1985, Rural Opportunities to Use Transportation for Economic Success Act; S.2016, Surface Transportation Investment Act of 2021; S.2038, Disability Access to Transportation Act; S.2137, Rural Transportation Equity Act of 2021; H.R.2306, Small Community Transit Improvement Act of 2021; H.R.2334, Reinvesting in Essential Partnerships And Infrastructure for Rural America Act; H.R.2380, Saving Transit Art Resources Act; H.R.2474, Invest in American Railroads Act; H.R.2476, Economic Impact of Tolling Act; H.R.2483, Build More Housing Near Transit Act of 2021; H.R.2634, Local Infrastructure Financing Tools Act; H.R.2683, Helping Communities Invest in Infrastructure Act; H.R.2697, 21st Century Transportation Workforce Development Act; H.R.2769, Intercity Passenger Rail Trust Fund Act; H.R.2924, Transit to Trails Act of 2021; H.R.2937, Rail Passenger Fairness Act; H.R.2958, End the Limo Loophole Act; H.R.3002, To amend title 49, United States Code, to require Amtrak to adopt the repair-in-place method for track maintenance and rehabilitation, and for other purposes; H.R.3090, Interstate Rail Compacts Advancement Act of 2021; H.R.3097, Green Transportation Act; H.R.3201, Providing Assistance for Vital Enhancements Act; H.R.3347, Generating Reduced Emissions by Electrifying New Buses Act; H.R.3594, Surface Transportation Research and Development Act of 2021; H.R.3651, Revitalizing American Priorities for Infrastructure Development Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act; H.R.3698, Dont BLock Our Communities Act; H.R.3744, Stronger Communities through Better Transit Act; H.R.3750, Equity in Transit Service Planning Act; H.R.3902, 21st Century Aerospace Infrastructure Act of 2021; H.R.4093, To amend title 23, United States Code, to modify the distribution of funds under the tribal transportation program, and for other purposes; H.R.4183, Public Transportation Accessibility Study Act; S.2309, "A bill to improve the Consolidated Rail Infrastructure and Safety Improvements Program, and for other purposes"; S.2487, "Put the Brakes on Boondoggles Act"; S.2534 "Expanded Transit Service Act"; S.2726 and H.R. 5228 "Public Transportation Expansion Act"; S.2802, "Balance the Highway Trust Fund Act"; S.2803, "Transportation Empowerment Act"; H.R.4413, "National Infrastructure Development Bank Act of 2021"; H.R.4441, "Travel Mask Mandate Repeal Act of 2021"; H.R.4474, "BRAIN TRAIN Act"; H.R.4520, "GREEN Streets Act"; H.R.4550, "Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2022"; H.R.5304, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5305, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5434, "Surface Transportation Extension Act of 2021"; H.R.5376, "Build Back Better Act"; H.R.3684, the Infrastructure Investment and Jobs Act; S.3045, Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2022; S.3250, Providing Assistance for Transit Help to College Act/H.R.6036, Promoting Advancement Through Transit Help to College Act; H.R.5706, Stop Sexual Assault and Harassment in Transportation Act; H.R. 5896, To incentivize innovative transportation corridors to reduce carbon and GHG emissions, to provide a tax structure that allows for certain investments in public transportation systems, and to enable the fossil fuel workforce to transition to sustainable work sectors; H.R.6046, To amend title 49, United States Code, to allow passenger ferry boats in nonurbanized areas to qualify for certain grants; H.R.6119, Further Extending Government Funding Act/H.Res.829, Providing for consideration of the bill (H.R.6119) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes; H.R.6257, SAFER Travel Act; ; S.3556 and H.R.6567, LICENSE Act of 2022; S.3600, Strengthening American Cybersecurity Act of 2022; S.3901, Reduce Human Trafficking through Transportation Act; H.R.6365, To direct the Surface Transportation Board to require any high-speed rail project to acquire all land for the project before starting construction, and for other purposes; H.R.6617, Further Additional Extending Government Funding Act/H.Res.912, Providing for consideration of the bill (H.R. 3076) to provide stability to and enhance the services of the United States Postal Service, and for other purposes; providing for consideration of the bill (H.R. 6617) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes; and for other purposes; H.R.6688, NO TOD Act; H.J.Res.75, Extension of Continuing Appropriations Act, 2022; H.R.7057, Unmasking of Americans Act of 2022; H.R.7204, Returning Amtrak To Economic Sustainability Act (RATES Act); SD 1582-21-01, Enhancing Public Transportation and Passenger Railroad Cybersecurity; H.R.8121, No Electric Ferries Act; H.R.8122, No Desire for Streetcars Act; H.R.8294, Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2023.

Tax provisions before the Senate and House of Representatives related to infrastructure investment and financing, including Highway Trust Fund revenues, tax credit bonds, municipal bonds, private activity bonds, investment tax credits. Issues relating to proposals for a new infrastructure spending initiative. Legislation to amend P.L. 115-97, the Tax Cuts and Jobs Act, specifically related to municipal bonds, private activity bonds, the commuter tax benefit, and provisions affecting public pension funds. Legislation related to the extension and expansion of the alternative fuel volumetric tax credit for transit vehicles and the alternative fuel vehicle refueling property tax credit. Legislation related to the extension and expansion of the alternative fuel volumetric tax credit for transit vehicles and the alternative fuel vehicle refueling property tax credit. Specific bills include S.262, Supporting State and Local Leaders Act; S.479, To amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds or the LOCAL Infrastructure Act; S.494, A bill to establish a working group on electric vehicles or the Green Bus Tax Credit Act of 2021; S.941, A bill to amend title 23, United States Code, to improve the transportation infrastructure finance and innovation (TIFIA) program, and for other purposes; H.R.158, Rail Audit Transparency Act; H.R.227, Build America Act of 2021; H.R.383, Road User Charge Advancement Act of 2021; H.R.583, Green Bus Tax Credit Act of 2021; H.R.786, Supporting State and Local Leaders Act; H.R.1319, American Rescue Plan Act of 2021; H.R.1519, To amend the Internal Revenue Code of 1986 to phaseout the Mass Transit Account; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; H.R.2206, To amend title 23, United States Code, to modify the transportation finance infrastructure and innovation program with respect to community development financial institutions, and for other purposes, S.1499 and H.R.2895, Reinventing Economic Partnerships And Infrastructure Redevelopment Act; S.1818 and H.R.3318, Railroad Rehabilitation and Improvement Financing Equity Act; H.R.2634, Local Infrastructure Financing Tools Act; H.R.2769, Intercity Passenger Rail Trust Fund Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act; S.2803, "Transportation Empowerment Act"; H.R.4413, "National Infrastructure Development Bank Act of 2021"; H.R.5304, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5305, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5434, "Surface Transportation Extension Act of 2021"; H.R.3684, the Infrastructure Investment and Jobs Act; H.R. 5896, To incentivize innovative transportation corridors to reduce carbon and GHG emissions, to provide a tax structure that allows for certain investments in public transportation systems, and to enable the fossil fuel workforce to transition to sustainable work sectors; H.R.6119, Further Extending Government Funding Act/H.Res.829, Providing for consideration of the bill (H.R.6119) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes"; H.R.6617, Further Additional Extending Government Funding Act/H.Res.912, Providing for consideration of the bill (H.R. 3076) to provide stability to and enhance the services of the United States Postal Service, and for other purposes; providing for consideration of the bill (H.R. 6617) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes; and for other purposes; H.J.Res.75, Extension of Continuing Appropriations Act, 2022; H.R.8294, Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2023.

Expanding Medicare benefits to include dental, hearing, and vision Extending and making permanent COVID-19 telehealth flexibilities Increasing drug affordability and accessibility via drug pricing, Medicare Part D redesign and benefits, capping out-of-pocket costs and smoothing, and streamlining prior authorization processes Advocating for improvements to Medicare Part C and Part D proposed rule H.R. 4417, the Capping Drug Costs for Seniors Act S. 2327, the Seniors Prescription Drug Relief Act S. 828/H.R. 432, the Mental Health Access Improvement Act of 2021 H.R. 2080, the Seniors Access to Vaccine Ensured Act of 2021 H.R. 3173/S. 3018, the Improving Seniors Timely Access to Care Act H.R. 4011, the Capping Drug Costs for Seniors Act of 2022 H.R. 4479/S. 2609, the Facilitating Innovative Nuclear Diagnostics (FIND) Act of 2021 S. 2061/H.R. 4058, the Telemental Health Care Access Act of 2021 S. 1512/H.R. 2903, the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021 H.R. 1332/S. 368, the Telehealth Modernization Act H.R. 366, the Protecting Access to Post-COVID-19 Telehealth Act of 2021 H.R. 3733: Essential Caregivers Act of 2021 H.R. 6202, the Telehealth Extension Act of 2021 S. 3575, the Stop the Wait Act of 2022 S. 3593, the Telehealth Extension and Evaluation Act S. 3675, the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) 2.0 Act H.R. 7051/S. 3791, the Access to Prescription Digital Therapeutics Act of 2022

Client expense: $61,153 · Firm income: Not reported

H.R. 66 - CARING for Kids Act - Rep. Buchanan, Vern - CHIP H.R. 265 - Insular Area Medicaid Parity Act - Rep. Sablan, Gregorio Kilili Camacho - Medicaid funding H.R. 315 - Medicare Sequester COVID Moratorium Act - Rep. Schneider, Bradley Scott - Medicare sequestration H.R. 340 - Incentivizing Medicaid Expansion Act of 2021 - Rep. Veasey, Marc - Medicaid expansion H.R. 432 - Mental Health Access Improvement Act of 2021 - Rep. Thompson, Mike -Medicare coverage of marriage and family therapist services and mental health counselor H.R. 502 - Medicare Dental Benefit Act of 2021 - Rep. Barragan, Nanette Diaz - Medicare coverage of dental and oral health services H.R. 525 - COVID HCBS Relief Act of 2021 - Rep. Dingell, Debbie - increased FMAP for HCBS H.R. 871 - Expand Medicaid Now Act - Rep. Fletcher, Lizzie - FMAP H.R. 918 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Rep. Cardenas, Tony - COVID-19 coverage for the uninsured via Medicaid H.R. 955 - Medicaid Reentry Act of 2021 - Rep. Tonko, Paul -Medicaid coverage for incarcerated individuals H.R. 1167 - Advancing Enrollment and Reducing Drug Costs Act of 2021 - Rep. Pappas, Chris - Medicaid eligibility for low-income subsidies H.R. 1227 - Medicare-X Choice Act of 2021 - Rep. Delgado, Antonio - Medicare public option H.R. 1332 - Telehealth Modernization Act - Rep. Carter, Earl - telehealth services under Medicare H.R. 1349 - The COVID-19 Hospital and Health Provider Loan Conversion Act of 2021- Rep. Kaptur, Marcy - advance payments under parts A and B of Medicare H.R. 1353 - Coronavirus Medicaid Response Act - Rep. Lee, Susie - FMAP H.R. 1390 - CHIPPER Act - Rep. Wild, Susan - CHIP funding H.R. 1397 - TIKES Act - Rep. Blunt Rochester, Lisa - telehealth under Medicaid and CHIP H.R. 1609 - Treatment in Place Act - Rep. Axne, Cynthia - Medicare coverage of ambulance services H.R. 1676 - Jack Reynolds Memory Medigap Expansion Act - Rep. Axne, Cynthia - Medigap coverage for ESRD H.R. 1677 - KEEP Telehealth Options Act of 2021 - Rep. Balderson, Troy - telehealth expansion H.R. 1717 - Protecting Married Seniors from Impoverishment Act of 2021 - Rep. Upton, Fred - permanent protections against spousal impoverishment H.R. 1722 - Puerto Rico Health Care Fairness, Accountability, and Beneficiary Access Act of 2021 - Rep. Velazquez, Nydia - Medicaid in Puerto Rico H.R. 1738 - Stabilize Medicaid and CHIP Coverage Act - Rep. Dingell, Debbie - Medicaid and CHIP continuous enrollment H.R. 1784 - Medicaid REACH Act - Rep. Doggett, Lloyd - requirements for non-expansion H.R. 1791 - CHIPP Act - Rep. Barragan, Nanette Diaz - extending CHIP H.R. 1792 - Ensuring Kids Have Access to Medically Necessary Dental Care Act - Rep. Barragan, Nanette Diaz - dental coverage under CHIP H.R. 1793 - Immediate Coverage for Former Foster Youth Act - Rep. Bass, Karen - Medicaid coverage for foster youth H.R. 1794 - Foster Youth Dental Act of 2021 - Rep. Bass, Karen - Medicaid dental coverage for foster youth H.R. 1823 - To amend title XIX of the Social Security Act to remove the matching requirement for a territory to use specially allocated Federal funds for Medicare covered part D drugs for low-income individuals - Resident Commissioner Gonzalez-Colon, Jenniffer - Medicare covered part D H.R. 1825 - Territories Medicare Prescription Drug Assistance Equality Act of 2021 - Resident Commissioner Gonzalez-Colon, Jenniffer - Medicare Part D premium and cost-sharing subsidies H.R. 1826 - Fairness in Medicare Part B Enrollment Act of 2021 - Resident Commissioner Gonzalez-Colon, Jenniffer - late enrollment penalties under part B of the Medicare program H.R. 1880 - To amend the Deficit Reduction Act of 2005 to make permanent the Money Follows the Person Rebalancing Demonstration - Rep. Dingell, Debbie - Money Follows the Person Rebalancing Demonstration H.R. 1885 - RUSH Protection Act of 2021 - Rep. Kind, Ron - Medicare rural health clinic payments H.R. 1887 - Rural Hospital Support Act - Rep. Reed, Tom - Medicare payments for hospitals H.R. 1890 - Health Insurance Consumer Protection Act - Rep. Schakowsky, Janice D. - network adequacy standards and premium rates H.R. 1914 - CAHOOTS Act - Rep. DeFazio, Peter A. - Medicaid mobile crisis intervention services H.R. 1969 - Medicare Advantage Integrity Act - Resident Commissioner Gonzalez-Colon, Jenniffer - disparity in MA benchmark rates H.R. 2035 - Improving Access to Mental Health Act of 2021 - Rep. Lee, Barbara - mental health services under Medicare H.R. 2080 - SAVE Act - Rep. Bishop, Sanford D., Jr. - Medicare coverage of transportation services H.R. 2166 - Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 - Rep. Sewell, Terri - Medicare Advantage payments for audio-only diagnoses H.R. 2168 - Expanded Telehealth Access Act - Rep. Sherrill, Mikie - Medicare payment for telehealth services H.R. 2170 - HAPI Act - Rep. Soto, Darren - access to vaccines and Medicaid H.R. 2179 - Affordable Insulin for the COVID-19 Emergency Act - Rep. Waters, Maxine - cost-sharing regarding insulin coverage H.R. 2217 - Territory Federal Matching Requirement Equity Act of 2021 - Resident Commissioner Gonzalez-Colon, Jenniffer - Medicaid FMAP for Territories H.R. 2228 - Rural Behavioral Health Access Act of 2021 - Rep. Kildee, Daniel - Medicare coverage of outpatient telehealth services H.R. 4074 - Addressing Social Determinants in Medicare Advantage Act of 2021 - Rep. Bilirakis, Gus M. - Medicare Advantage supplemental benefits H.R. 4640 - Close the Medigap Act of 2021 - Rep. Doggett, Lloyd -- Medigap policies H.R. 6833 - Affordable Insulin Now Act - Rep. Craig, Angie - Insulin prices and cost sharing S. 150 - Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 - Sen. Cortez-Masto, Catherine - coverage of audio-only telehealth services in MA S. 151 - COVID HCBS Relief Act of 2021 - Sen. Casey, Robert - FMAP and HCBS S. 245 - SAME Act of 2021 - Sen. Warner, Mark - Medicaid expansion S. 274 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Sen. Bennet, Michael - COVID-19 coverage for the uninsured via Medicaid S. 285 - Medicaid Reentry Act of 2021 - Sen. Baldwin, Tammy - Medicaid coverage for incarcerated individuals S. 368 - Telehealth Modernization Act - Sen. Scott, Tim - coverage of telehealth services under Medicare S. 386 - Medicare-X Choice Act of 2021 - Sen. Bennet, Michael - Medicare public option S. 439 - Coronavirus Medicaid Response Act - Sen. Casey, Robert - increases FMAP S. 440 - Continued Funding for Senior Services During COVID-19 Act - Sen. Casey, Robert - funding for services under the Older Americans Act of 1965 S. 453 - CHIPPER Act - Sen. Casey, Robert - CHIP funding S. 581 - HAPI Act -Sen. Brown, Sherrod - vaccines under Medicaid S. 620 - KEEP Telehealth Options Act of 2021 - Sen. Fischer, Deb - telehealth expansion S. 644 - Rural Hospital Closure Relief Act of 2021 - Sen. Durbin, Richard - Medicare coverage for critical access hospitals S. 646 - Stabilize Medicaid and CHIP Coverage Act of 2021 - Sen. Brown, Sherrod - Medicaid and CHIP enrollment S. 653 - COMP Act - Sen. Portman, Rob - Medicare secondary payer rules S. 712 - Dosha Joi Immediate Coverage for Former Foster Youth Act - Sen. Casey, Robert P., Jr. - Medicaid coverage for foster youth S. 748 - Medicare Sequester Relief Act - Sen. Shaheen, Jeanne - Medicare payment sequestration S. 764 - CAHOOTS Act - Sen. Wyden, Ron - Medicaid mobile crisis intervention services S. 826 - Medicare Patient Empowerment Act of 2021 - Sen. Paul, Rand - Medicaid payment options S. 870 - Improving Access to Mental Health Act of 2021 - Sen. Stabenow, Debbie - mental health services in Medicare S. 999 - Save Rural Hospitals Act of 2021 - Sen. Warner, Mark - Medicare hospital payments Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and risk adjustment data validation (RADV) audit issues including proposed RADV regulation for MA; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); calendar year 2023 policy and technical regulation for MA and Part D; Part D reform, out of pocket limits; issues related to Medicare for All, Medicare buy-in, reduced Medicare eligibility age, and public option; issues relating to 2023 Rate Notice; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to expanded Medicare fee for service benefits (dental, hearing and vision); issues related to Medicaid coverage gap; Medicare NCD relating to monoclonal antibodies for treatment of Alzheimers disease; Executive Orders relating to international pricing, Part D rebates, insulin costs, and importation; issues related to MLTSS; issues related to removal of safe harbor protection for rebates; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to the end of the public health emergency; telehealth; issues related to the cost of insulin, including price, copays, rebates, and medical management tools; issues related to health equity; issues related to vaccination; issues related to audio-only telehealth; issues related to addressing the social determinants of health, including housing, transportation, nutrition, educational opportunities, and MA supplemental benefits; issues related to Medicaid presumptive eligibility and continuous eligibility; issues relating to Medicaid best price; in-home health risk assessments; Medicare Medical Loss Ratio issues; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to sequestration under the Medicare Advantage and Part D programs; implications of physician fee schedule on MA; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); issues related to the international price index; issues related to child and maternal health; issues related to Medicaid supplemental and disproportionate share hospital (DSH) funding; issues related to Medicaid funding for territories; issues related to medical management; issues relating to MA supplemental benefits; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value based payment models; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; issues relating to MACRA, including implications for MA and Part D plans; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS's substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the Affordable Care Act (ACA) including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; issues related to health homes for children with medically complex conditions; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation.

Tax provisions before the Senate and House of Representatives related to infrastructure investment and financing, including Highway Trust Fund revenues, tax credit bonds, municipal bonds, private activity bonds, investment tax credits. Issues relating to proposals for a new infrastructure spending initiative. Legislation to amend P.L. 115-97, the Tax Cuts and Jobs Act, specifically related to municipal bonds, private activity bonds, the commuter tax benefit, and provisions affecting public pension funds. Legislation related to the extension and expansion of the alternative fuel volumetric tax credit for transit vehicles and the alternative fuel vehicle refueling property tax credit. Legislation related to the extension and expansion of the alternative fuel volumetric tax credit for transit vehicles and the alternative fuel vehicle refueling property tax credit. Specific bills include S.262, Supporting State and Local Leaders Act; S.479, To amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds or the LOCAL Infrastructure Act; S.494, A bill to establish a working group on electric vehicles or the Green Bus Tax Credit Act of 2021; S.941, A bill to amend title 23, United States Code, to improve the transportation infrastructure finance and innovation (TIFIA) program, and for other purposes; H.R.158, Rail Audit Transparency Act; H.R.227, Build America Act of 2021; H.R.383, Road User Charge Advancement Act of 2021; H.R.583, Green Bus Tax Credit Act of 2021; H.R.786, Supporting State and Local Leaders Act; H.R.1319, American Rescue Plan Act of 2021; H.R.1519, To amend the Internal Revenue Code of 1986 to phaseout the Mass Transit Account; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; H.R.2206, To amend title 23, United States Code, to modify the transportation finance infrastructure and innovation program with respect to community development financial institutions, and for other purposes, S.1499 and H.R.2895, Reinventing Economic Partnerships And Infrastructure Redevelopment Act; S.1818 and H.R.3318, Railroad Rehabilitation and Improvement Financing Equity Act; H.R.2634, Local Infrastructure Financing Tools Act; H.R.2769, Intercity Passenger Rail Trust Fund Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act; S.2803, "Transportation Empowerment Act"; H.R.4413, "National Infrastructure Development Bank Act of 2021"; H.R.5304, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5305, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5434, "Surface Transportation Extension Act of 2021"; H.R.3684, the Infrastructure Investment and Jobs Act; H.R. 5896, To incentivize innovative transportation corridors to reduce carbon and GHG emissions, to provide a tax structure that allows for certain investments in public transportation systems, and to enable the fossil fuel workforce to transition to sustainable work sectors; H.R.6119, Further Extending Government Funding Act/H.Res.829, Providing for consideration of the bill (H.R.6119) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes"; H.R.6617, Further Additional Extending Government Funding Act/H.Res.912, Providing for consideration of the bill (H.R. 3076) to provide stability to and enhance the services of the United States Postal Service, and for other purposes; providing for consideration of the bill (H.R. 6617) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes; and for other purposes; H.J.Res.75, Extension of Continuing Appropriations Act, 2022.

General Issue Area: TRA - Transportation All issues before the Senate and House of Representatives related to federal public transportation and highway programs, high-speed and intercity passenger rail programs, including issues related to authorization and appropriations laws, annual budget resolutions, and legislation concerning the Highway Trust Fund and other transportation-related tax and revenue issues. Tax policy as it relates to public transportation including the alternative fuel volumetric tax credit for Compressed Natural Gas and Liquefied Natural Gas used in transit vehicles, the alternative fuel vehicle refueling property tax credit, the treatment of municipal bonds, the commuter tax benefit, tax credit bonds, private activity bonds, investment tax credits, Transportation Infrastructure Finance and Innovation Act (TIFIA) and Railroad Rehabilitation & Improvement Financing (RRIF) financing, and the solvency of the Federal Highway Trust Fund. Matters related to the implementation of the Moving Ahead for Progress in the 21st Century (MAP-21) Act and the Fixing America's Surface Transportation (FAST) Act. Legislation concerning Department of Transportation (DOT) regulations. Issues related to implementation of Positive Train Control technologies on commuter railroads as mandated under the P.L. 110-432, the Rail Safety Improvement Act of 2008 and P.L. 114-73, the Surface Transportation Extension Act of 2015. Issues related to successor legislation to the FAST Act. Issues related to existing or new transportation grant programs. Budget and appropriation issues including funding and policy issues related to the Capital Investment Grant Program (CIG), the Rebuilding American Infrastructure with Sustainability and Equity (RAISE) program (formerly known as the Better Utilizing Investments to Leverage Development (BUILD) program), transit security grants, Amtrak, and other transit and intercity passenger rail programs. Issues relating to transit security funding and programs. Administrative actions for transportation related rules, regulations, guidance, guidelines, and best practices, including the DOT RAISE grant selections. Legislation regarding public transportation as it relates to housing policy. Legislation affecting transportation programs in response to natural disasters and other emergencies, including the Novel Coronavirus (COVID-19). Specific bills include S.262, Supporting State and Local Leaders Act; S.267, Investments in Rural Transit Act of 2021; S.303, Essential Transportation Employee Safety Act of 2021; S.354, Metro Safety, Accountability, and Investment Act of 2021; S.356, Transportation Opportunities for Professional Service Act or the TOPS Act; S.358, Tribal Transportation Equity and Transparency Improvement Act of 2021; S.361, A bill to establish a 90-day limit to file a petition for judicial review of a permit, license, or approval for a highway or public transportation project, and for other purposes; S.369, A bill to authorize and appropriate funding for grants to Amtrak for the restoration of long-distance routes and the rehiring of employees furloughed as a result of the COVID-19 pandemic; S.431, To amend title 23, United States Code, to require transportation planners to consider projects and strategies to reduce greenhouse gas emissions, and for other purposes or GREEN Streets Act; S.479, To amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds or the LOCAL Infrastructure Act; S.494, A bill to establish a working group on electric vehicles or the Green Bus Tax Credit Act of 2021; S.508, A bill to establish a working group on electric vehicles; S.700, A bill to establish a portal and database to receive and maintain information regarding blocked railroad-highway grade crossings and to require the Secretary of Transportation to evaluate the requirements of the railway-highway crossings program; S.837, A bill to provide relief to public transportation agencies with projects in the Full Funding Grant Agreement stage of the Capital Investment Grants Program; S.874, A bill to establish a green transportation infrastructure grant program, and for other purposes; S.899, A bill to establish the Intercity Passenger Rail Trust Fund to ensure a safe, sustainable, convenient transportation option for the people of the United States, and for other purposes; S.940, A bill to amend title 49, United States Code, to establish a National Transit Frontline Workforce Training Center, and for other purposes; S.941, A bill to amend title 23, United States Code, to improve the transportation infrastructure finance and innovation (TIFIA) program, and for other purposes; S.955, A bill to require the Federal Railroad Administration and the Federal Highway Administration to provide recommendations for reducing the number of very rural highway-rail grade crossing collisions, to authorize a public outreach and educational program to reduce such collisions, and to authorize grants to improve grade crossing safety; H.R.158, Rail Audit Transparency Act; H.R.227, Build America Act of 2021; H.R.383, Road User Charge Advancement Act of 2021; H.R.385, Preparing Localities for an Autonomous and Connected Environment Act or the PLACE Act; H.R.396, "Transit Security Grant Program Flexibility Act"; H.R.510, Support Local Transportation Act; H.R.512, Green Bus Act of 2021; H.R.583, Green Bus Tax Credit Act of 2021; H.R.740, Climate Resilient Transportation Infrastructure Study Act; H.R.786, Supporting State and Local Leaders Act; H.R.867, High Speed Rail Corridor Development Act of 2021; H.R.947, Railway Upgrades for Rural American Lines Act or the RURAL Act; H.R.1152, Green Buses for Every Community Act; H.R.1319, American Rescue Plan Act of 2021; H.R.1472, To prohibit the use of Federal financial assistance for a certain high-speed rail development project in the State of California that was subject to a previous cooperative agreement, and for other purposes; H.R.1519, To amend the Internal Revenue Code of 1986 to phaseout the Mass Transit Account; H.R.1615, To amend title 49, United States Code, to expand and codify the transit oriented development planning grant program, and for other purposes; H.R.1675, To amend title 49, United States Code, with respect to fixed guideway capital investment grants, and for other purposes; H.R.1697, To amend title 23, United States Code, to increase accessible transportation for individuals with disabilities; H.R.1845, To amend chapter 261 of title 49, United States Code, to provide for high-speed rail corridor development, and for other purposes; H.R.2038, To establish a green transportation infrastructure grant program, and for other purposes; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; H.R.2128, To amend title 49, United States Code, to improve transit safety; H.R.2129, To amend title 49, United States Code, to establish a National Transit Frontline Workforce Training Center, and for other purposes; H.R.2203, To amend titles 23 and 49, United States Code, to improve public understanding of how transportation investments are made by public agencies through establishing greater transparency and accountability processes; H.R.2204, To amend title 23, United States Code, to establish additional requirements for certain transportation projects with estimated costs of $2,500,000,000 or more, and for other purposes; H.R.2205, To amend title 49, United States Code, to provide grants and develop value capture policy; H.R.2206, To amend title 23, United States Code, to modify the transportation finance infrastructure and innovation program with respect to community development financial institutions, and for other purposes; H.R.2287, To direct the Secretary of Transportation to carry out a grant program to support efforts to provide fare-free transit service, and for other purposes; S.1066, State Transportation Flexibility Act; S.1172 and H.R.2287, Freedom to Move Act; S.1240, Manufacturing USA Expansion Act of 2021; S.1465, Railroad Crossing Elimination Act; S.1499 and H.R.2895, Reinventing Economic Partnerships And Infrastructure Redevelopment Act; S.1500 and H.R.2937, Rail Passenger Fairness Act; S.1680 and H.R.3317, All Station Accessibility Program Act of 2021; S.1681 and H.R. 3310, Promoting Service in Transportation Act; S.1789 and H.R. 3528, Warren Cowles Grade Crossing Safety Act; S.1818 and H.R.3318, Railroad Rehabilitation and Improvement Financing Equity Act; S.1919, Railway Upgrades for Rural American Lines Act; S.1985, Rural Opportunities to Use Transportation for Economic Success Act; S.2016, Surface Transportation Investment Act of 2021; S.2038, Disability Access to Transportation Act; S.2137, Rural Transportation Equity Act of 2021; H.R.2306, Small Community Transit Improvement Act of 2021; H.R.2334, Reinvesting in Essential Partnerships And Infrastructure for Rural America Act; H.R.2380, Saving Transit Art Resources Act; H.R.2474, Invest in American Railroads Act; H.R.2476, Economic Impact of Tolling Act; H.R.2483, Build More Housing Near Transit Act of 2021; H.R.2634, Local Infrastructure Financing Tools Act; H.R.2683, Helping Communities Invest in Infrastructure Act; H.R.2697, 21st Century Transportation Workforce Development Act; H.R.2769, Intercity Passenger Rail Trust Fund Act; H.R.2924, Transit to Trails Act of 2021; H.R.2937, Rail Passenger Fairness Act; H.R.2958, End the Limo Loophole Act; H.R.3002, To amend title 49, United States Code, to require Amtrak to adopt the repair-in-place method for track maintenance and rehabilitation, and for other purposes; H.R.3090, Interstate Rail Compacts Advancement Act of 2021; H.R.3097, Green Transportation Act; H.R.3201, Providing Assistance for Vital Enhancements Act; H.R.3347, Generating Reduced Emissions by Electrifying New Buses Act; H.R.3594, Surface Transportation Research and Development Act of 2021; H.R.3651, Revitalizing American Priorities for Infrastructure Development Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act; H.R.3698, Dont BLock Our Communities Act; H.R.3744, Stronger Communities through Better Transit Act; H.R.3750, Equity in Transit Service Planning Act; H.R.3902, 21st Century Aerospace Infrastructure Act of 2021; H.R.4093, To amend title 23, United States Code, to modify the distribution of funds under the tribal transportation program, and for other purposes; H.R.4183, Public Transportation Accessibility Study Act; S.2309, "A bill to improve the Consolidated Rail Infrastructure and Safety Improvements Program, and for other purposes"; S.2487, "Put the Brakes on Boondoggles Act"; S.2534 "Expanded Transit Service Act"; S.2726 and H.R. 5228 "Public Transportation Expansion Act"; S.2802, "Balance the Highway Trust Fund Act"; S.2803, "Transportation Empowerment Act"; H.R.4413, "National Infrastructure Development Bank Act of 2021"; H.R.4441, "Travel Mask Mandate Repeal Act of 2021"; H.R.4474, "BRAIN TRAIN Act"; H.R.4520, "GREEN Streets Act"; H.R.4550, "Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2022"; H.R.5304, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5305, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5434, "Surface Transportation Extension Act of 2021"; H.R.5376, "Build Back Better Act"; H.R.3684, the Infrastructure Investment and Jobs Act; S.3045, Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2022; S.3250, Providing Assistance for Transit Help to College Act/H.R.6036, Promoting Advancement Through Transit Help to College Act; H.R.5706, Stop Sexual Assault and Harassment in Transportation Act; H.R. 5896, To incentivize innovative transportation corridors to reduce carbon and GHG emissions, to provide a tax structure that allows for certain investments in public transportation systems, and to enable the fossil fuel workforce to transition to sustainable work sectors; H.R.6046, To amend title 49, United States Code, to allow passenger ferry boats in nonurbanized areas to qualify for certain grants; H.R.6119, Further Extending Government Funding Act/H.Res.829, Providing for consideration of the bill (H.R.6119) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes; H.R.6257, SAFER Travel Act; ; S.3556 and H.R.6567, LICENSE Act of 2022; S.3600, Strengthening American Cybersecurity Act of 2022; S.3901, Reduce Human Trafficking through Transportation Act; H.R.6365, To direct the Surface Transportation Board to require any high-speed rail project to acquire all land for the project before starting construction, and for other purposes; H.R.6617, Further Additional Extending Government Funding Act/H.Res.912, Providing for consideration of the bill (H.R. 3076) to provide stability to and enhance the services of the United States Postal Service, and for other purposes; providing for consideration of the bill (H.R. 6617) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes; and for other purposes; H.R.6688, NO TOD Act; H.J.Res.75, Extension of Continuing Appropriations Act, 2022; H.R.7057, Unmasking of Americans Act of 2022; H.R.7204, Returning Amtrak To Economic Sustainability Act (RATES Act); SD 1582-21-01, Enhancing Public Transportation and Passenger Railroad Cybersecurity.

Legislation before the Senate and House of Representatives related to mobility services funded by Department of Health and Human Services programs and other programs. Legislation regarding coordination and efficiencies among the dozens of federal programs supporting non-emergency medical transportation (NEMT) across several different federal departments. Legislation related to the Coordinating Council on Access and Mobility (CCAM), originally established under Executive Order No. 13330 and codified in Section 3006(c) of the FAST Act. Specific bills include H.R.1319, American Rescue Plan Act of 2021; H.R.1697, To amend title 23, United States Code, to increase accessible transportation for individuals with disabilities; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; S.1680 and H.R.3317, All Station Accessibility Program Act of 2021; S.2038, Disability Access to Transportation Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act/ Infrastructure Investment and Jobs Act; H.R.5305, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.6119, Further Extending Government Funding Act/H.Res.829, Providing for consideration of the bill (H.R.6119) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes"; H.R.6617, Further Additional Extending Government Funding Act/H.Res.912, Providing for consideration of the bill (H.R. 3076) to provide stability to and enhance the services of the United States Postal Service, and for other purposes; providing for consideration of the bill (H.R. 6617) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes; and for other purposes; H.J.Res.75, Extension of Continuing Appropriations Act, 2022.

Expanding Medicare benefits to include dental, hearing, and vision Extending and making permanent COVID-19 telehealth flexibilities Increasing drug affordability and accessibility via drug pricing, Medicare Part D redesign and benefits, capping out-of-pocket costs and smoothing, and streamlining prior authorization processes Advocating for improvements to Medicare Part C and Part D proposed rule H.R. 4417, the Capping Drug Costs for Seniors Act S. 2327, the Seniors Prescription Drug Relief Act S. 828/H.R. 432, the Mental Health Access Improvement Act of 2021 H.R. 2080, the Seniors Access to Vaccine Ensured Act of 2021 H.R. 3173/S. 3018, the Improving Seniors Timely Access to Care Act H.R. 4479/S. 2609, the Facilitating Innovative Nuclear Diagnostics (FIND) Act of 2021 S. 2061/H.R. 4058, the Telemental Health Care Access Act of 2021 S. 1512/H.R. 2903, the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021 S. 3593, the Telehealth Extension and Evaluation Act H.R. 6202, the Telehealth Extension Act of 2021 H.R. 1332/S. 368, the Telehealth Modernization Act H.R. 366, the Protecting Access to Post-COVID-19 Telehealth Act of 2021

Client expense: $57,949 · Firm income: Not reported

Tax provisions before the Senate and House of Representatives related to infrastructure investment and financing, including Highway Trust Fund revenues, tax credit bonds, municipal bonds, private activity bonds, investment tax credits. Issues relating to proposals for a new infrastructure spending initiative. Legislation to amend P.L. 115-97, the Tax Cuts and Jobs Act, specifically related to municipal bonds, private activity bonds, the commuter tax benefit, and provisions affecting public pension funds. Legislation related to the extension and expansion of the alternative fuel volumetric tax credit for transit vehicles and the alternative fuel vehicle refueling property tax credit. Legislation related to the extension and expansion of the alternative fuel volumetric tax credit for transit vehicles and the alternative fuel vehicle refueling property tax credit. Specific bills include S.262, Supporting State and Local Leaders Act; S.479, To amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds or the LOCAL Infrastructure Act; S.494, A bill to establish a working group on electric vehicles or the Green Bus Tax Credit Act of 2021; S.941, A bill to amend title 23, United States Code, to improve the transportation infrastructure finance and innovation (TIFIA) program, and for other purposes; H.R.158, Rail Audit Transparency Act; H.R.227, Build America Act of 2021; H.R.383, Road User Charge Advancement Act of 2021; H.R.583, Green Bus Tax Credit Act of 2021; H.R.786, Supporting State and Local Leaders Act; H.R.1319, American Rescue Plan Act of 2021; H.R.1519, To amend the Internal Revenue Code of 1986 to phaseout the Mass Transit Account; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; H.R.2206, To amend title 23, United States Code, to modify the transportation finance infrastructure and innovation program with respect to community development financial institutions, and for other purposes, S.1499 and H.R.2895, Reinventing Economic Partnerships And Infrastructure Redevelopment Act; S.1818 and H.R.3318, Railroad Rehabilitation and Improvement Financing Equity Act; H.R.2634, Local Infrastructure Financing Tools Act; H.R.2769, Intercity Passenger Rail Trust Fund Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act; S.2803, "Transportation Empowerment Act"; H.R.4413, "National Infrastructure Development Bank Act of 2021"; H.R.5304, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5305, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5434, "Surface Transportation Extension Act of 2021".

Legislation before the Senate and House of Representatives related to mobility services funded by Department of Health and Human Services programs and other programs. Legislation regarding coordination and efficiencies among the dozens of federal programs supporting non-emergency medical transportation (NEMT) across several different federal departments. Legislation related to the Coordinating Council on Access and Mobility (CCAM), originally established under Executive Order No. 13330 and codified in Section 3006(c) of the FAST Act. Specific bills include H.R.1319, American Rescue Plan Act of 2021; H.R.1697, To amend title 23, United States Code, to increase accessible transportation for individuals with disabilities; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; S.1680 and H.R.3317, All Station Accessibility Program Act of 2021; S.2038, Disability Access to Transportation Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act.

Client expense: $290,000 · Firm income: Not reported

All issues before the Senate and House of Representatives related to federal public transportation and highway programs, high-speed and intercity passenger rail programs, including issues related to authorization and appropriations laws, annual budget resolutions, and legislation concerning the Highway Trust Fund and other transportation-related tax and revenue issues. Tax policy as it relates to public transportation including the alternative fuel volumetric tax credit for Compressed Natural Gas and Liquefied Natural Gas used in transit vehicles, the alternative fuel vehicle refueling property tax credit, the treatment of municipal bonds, the commuter tax benefit, tax credit bonds, private activity bonds, investment tax credits, Transportation Infrastructure Finance and Innovation Act (TIFIA) and Railroad Rehabilitation & Improvement Financing (RRIF) financing, and the solvency of the Federal Highway Trust Fund. Matters related to the implementation of the Moving Ahead for Progress in the 21st Century (MAP-21) Act and the Fixing America's Surface Transportation (FAST) Act. Legislation concerning Department of Transportation (DOT) regulations. Issues related to implementation of Positive Train Control technologies on commuter railroads as mandated under the P.L. 110-432, the Rail Safety Improvement Act of 2008 and P.L. 114-73, the Surface Transportation Extension Act of 2015. Issues related to successor legislation to the FAST Act. Issues related to existing or new transportation grant programs. Budget and appropriation issues including funding and policy issues related to the Capital Investment Grant Program (CIG), the Rebuilding American Infrastructure with Sustainability and Equity (RAISE) program (formerly known as the Better Utilizing Investments to Leverage Development (BUILD) program), transit security grants, Amtrak, and other transit and intercity passenger rail programs. Issues relating to transit security funding and programs. Administrative actions for transportation related rules, regulations, guidance, guidelines, and best practices, including the DOT RAISE grant selections. Legislation regarding public transportation as it relates to housing policy. Legislation affecting transportation programs in response to natural disasters and other emergencies, including the Novel Coronavirus (COVID-19). Specific bills include S.262, Supporting State and Local Leaders Act; S.267, Investments in Rural Transit Act of 2021; S.303, Essential Transportation Employee Safety Act of 2021; S.354, Metro Safety, Accountability, and Investment Act of 2021; S.356, Transportation Opportunities for Professional Service Act or the TOPS Act; S.358, Tribal Transportation Equity and Transparency Improvement Act of 2021; S.361, A bill to establish a 90-day limit to file a petition for judicial review of a permit, license, or approval for a highway or public transportation project, and for other purposes; S.369, A bill to authorize and appropriate funding for grants to Amtrak for the restoration of long-distance routes and the rehiring of employees furloughed as a result of the COVID-19 pandemic; S.431, To amend title 23, United States Code, to require transportation planners to consider projects and strategies to reduce greenhouse gas emissions, and for other purposes or GREEN Streets Act; S.479, To amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds or the LOCAL Infrastructure Act; S.494, A bill to establish a working group on electric vehicles or the Green Bus Tax Credit Act of 2021; S.508, A bill to establish a working group on electric vehicles; S.700, A bill to establish a portal and database to receive and maintain information regarding blocked railroad-highway grade crossings and to require the Secretary of Transportation to evaluate the requirements of the railway-highway crossings program; S.837, A bill to provide relief to public transportation agencies with projects in the Full Funding Grant Agreement stage of the Capital Investment Grants Program; S.874, A bill to establish a green transportation infrastructure grant program, and for other purposes; S.899, A bill to establish the Intercity Passenger Rail Trust Fund to ensure a safe, sustainable, convenient transportation option for the people of the United States, and for other purposes; S.940, A bill to amend title 49, United States Code, to establish a National Transit Frontline Workforce Training Center, and for other purposes; S.941, A bill to amend title 23, United States Code, to improve the transportation infrastructure finance and innovation (TIFIA) program, and for other purposes; S.955, A bill to require the Federal Railroad Administration and the Federal Highway Administration to provide recommendations for reducing the number of very rural highway-rail grade crossing collisions, to authorize a public outreach and educational program to reduce such collisions, and to authorize grants to improve grade crossing safety; H.R.158, Rail Audit Transparency Act; H.R.227, Build America Act of 2021; H.R.383, Road User Charge Advancement Act of 2021; H.R.385, Preparing Localities for an Autonomous and Connected Environment Act or the PLACE Act; H.R.396, "Transit Security Grant Program Flexibility Act"; H.R.510, Support Local Transportation Act; H.R.512, Green Bus Act of 2021; H.R.583, Green Bus Tax Credit Act of 2021; H.R.740, Climate Resilient Transportation Infrastructure Study Act; H.R.786, Supporting State and Local Leaders Act; H.R.867, High Speed Rail Corridor Development Act of 2021; H.R.947, Railway Upgrades for Rural American Lines Act or the RURAL Act; H.R.1152, Green Buses for Every Community Act; H.R.1319, American Rescue Plan Act of 2021; H.R.1472, To prohibit the use of Federal financial assistance for a certain high-speed rail development project in the State of California that was subject to a previous cooperative agreement, and for other purposes; H.R.1519, To amend the Internal Revenue Code of 1986 to phaseout the Mass Transit Account; H.R.1615, To amend title 49, United States Code, to expand and codify the transit oriented development planning grant program, and for other purposes; H.R.1675, To amend title 49, United States Code, with respect to fixed guideway capital investment grants, and for other purposes; H.R.1697, To amend title 23, United States Code, to increase accessible transportation for individuals with disabilities; H.R.1845, To amend chapter 261 of title 49, United States Code, to provide for high-speed rail corridor development, and for other purposes; H.R.2038, To establish a green transportation infrastructure grant program, and for other purposes; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; H.R.2128, To amend title 49, United States Code, to improve transit safety; H.R.2129, To amend title 49, United States Code, to establish a National Transit Frontline Workforce Training Center, and for other purposes; H.R.2203, To amend titles 23 and 49, United States Code, to improve public understanding of how transportation investments are made by public agencies through establishing greater transparency and accountability processes; H.R.2204, To amend title 23, United States Code, to establish additional requirements for certain transportation projects with estimated costs of $2,500,000,000 or more, and for other purposes; H.R.2205, To amend title 49, United States Code, to provide grants and develop value capture policy; H.R.2206, To amend title 23, United States Code, to modify the transportation finance infrastructure and innovation program with respect to community development financial institutions, and for other purposes; H.R.2287, To direct the Secretary of Transportation to carry out a grant program to support efforts to provide fare-free transit service, and for other purposes; S.1066, State Transportation Flexibility Act; S.1172 and H.R.2287, Freedom to Move Act; S.1240, Manufacturing USA Expansion Act of 2021; S.1465, Railroad Crossing Elimination Act; S.1499 and H.R.2895, Reinventing Economic Partnerships And Infrastructure Redevelopment Act; S.1500 and H.R.2937, Rail Passenger Fairness Act; S.1680 and H.R.3317, All Station Accessibility Program Act of 2021; S.1681 and H.R. 3310, Promoting Service in Transportation Act; S.1789 and H.R. 3528, Warren Cowles Grade Crossing Safety Act; S.1818 and H.R.3318, Railroad Rehabilitation and Improvement Financing Equity Act; S.1919, Railway Upgrades for Rural American Lines Act; S.1985, Rural Opportunities to Use Transportation for Economic Success Act; S.2016, Surface Transportation Investment Act of 2021; S.2038, Disability Access to Transportation Act; S.2137, Rural Transportation Equity Act of 2021; H.R.2306, Small Community Transit Improvement Act of 2021; H.R.2334, Reinvesting in Essential Partnerships And Infrastructure for Rural America Act; H.R.2380, Saving Transit Art Resources Act; H.R.2474, Invest in American Railroads Act; H.R.2476, Economic Impact of Tolling Act; H.R.2483, Build More Housing Near Transit Act of 2021; H.R.2634, Local Infrastructure Financing Tools Act; H.R.2683, Helping Communities Invest in Infrastructure Act; H.R.2697, 21st Century Transportation Workforce Development Act; H.R.2769, Intercity Passenger Rail Trust Fund Act; H.R.2924, Transit to Trails Act of 2021; H.R.2937, Rail Passenger Fairness Act; H.R.2958, End the Limo Loophole Act; H.R.3002, To amend title 49, United States Code, to require Amtrak to adopt the repair-in-place method for track maintenance and rehabilitation, and for other purposes; H.R.3090, Interstate Rail Compacts Advancement Act of 2021; H.R.3097, Green Transportation Act; H.R.3201, Providing Assistance for Vital Enhancements Act; H.R.3347, Generating Reduced Emissions by Electrifying New Buses Act; H.R.3594, Surface Transportation Research and Development Act of 2021; H.R.3651, Revitalizing American Priorities for Infrastructure Development Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act; H.R.3698, Dont BLock Our Communities Act; H.R.3744, Stronger Communities through Better Transit Act; H.R.3750, Equity in Transit Service Planning Act; H.R.3902, 21st Century Aerospace Infrastructure Act of 2021; H.R.4093, To amend title 23, United States Code, to modify the distribution of funds under the tribal transportation program, and for other purposes; H.R.4183, Public Transportation Accessibility Study Act; S.2309, "A bill to improve the Consolidated Rail Infrastructure and Safety Improvements Program, and for other purposes"; S.2487, "Put the Brakes on Boondoggles Act"; S.2534 "Expanded Transit Service Act"; S.2726 and H.R. 5228 "Public Transportation Expansion Act"; S.2802, "Balance the Highway Trust Fund Act"; S.2803, "Transportation Empowerment Act"; H.R.4413, "National Infrastructure Development Bank Act of 2021"; H.R.4441, "Travel Mask Mandate Repeal Act of 2021"; H.R.4474, "BRAIN TRAIN Act"; H.R.4520, "GREEN Streets Act"; H.R.4550, "Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2022"; H.R.5304, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5305, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5434, "Surface Transportation Extension Act of 2021"; H.R.5376, "Build Back Better Act".

Expanding Medicare benefits to include dental, hearing, and vision Telehealth flexibilities and making current telehealth rules permanent Medicare Part D design and benefits, drug pricing principle S.464/H.R.2163, the Safe Step Act of 2021 S.8282/H.R.432, the Mental Health Access Improvement Act H.R.2080, the Seniors Access to Vaccine Ensured Act H.R.3173, Improving Seniors Timely Access to Care S.2061/H.R.4058 the Telemental Health Care Access Act

Client expense: $49,562 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

Tax provisions before the Senate and House of Representatives related to infrastructure investment and financing, including Highway Trust Fund revenues, tax credit bonds, municipal bonds, private activity bonds, investment tax credits. Issues relating to proposals for a new infrastructure spending initiative. Legislation to amend P.L. 115-97, the Tax Cuts and Jobs Act, specifically related to municipal bonds, private activity bonds, the commuter tax benefit, and provisions affecting public pension funds. Legislation related to the extension and expansion of the alternative fuel volumetric tax credit for transit vehicles and the alternative fuel vehicle refueling property tax credit. Legislation related to the extension and expansion of the alternative fuel volumetric tax credit for transit vehicles and the alternative fuel vehicle refueling property tax credit. Specific bills include S.262, Supporting State and Local Leaders Act; S.479, To amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds or the LOCAL Infrastructure Act; S.494, A bill to establish a working group on electric vehicles or the Green Bus Tax Credit Act of 2021; S.941, A bill to amend title 23, United States Code, to improve the transportation infrastructure finance and innovation (TIFIA) program, and for other purposes; H.R.158, Rail Audit Transparency Act; H.R.227, Build America Act of 2021; H.R.383, Road User Charge Advancement Act of 2021; H.R.583, Green Bus Tax Credit Act of 2021; H.R.786, Supporting State and Local Leaders Act; H.R.1319, American Rescue Plan Act of 2021; H.R.1519, To amend the Internal Revenue Code of 1986 to phaseout the Mass Transit Account; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; H.R.2206, To amend title 23, United States Code, to modify the transportation finance infrastructure and innovation program with respect to community development financial institutions, and for other purposes, S.1499 and H.R.2895, Reinventing Economic Partnerships And Infrastructure Redevelopment Act; S.1818 and H.R.3318, Railroad Rehabilitation and Improvement Financing Equity Act; H.R.2634, Local Infrastructure Financing Tools Act; H.R.2769, Intercity Passenger Rail Trust Fund Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act; S.2803, "Transportation Empowerment Act"; H.R.4413, "National Infrastructure Development Bank Act of 2021"; H.R.5304, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5305, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5434, "Surface Transportation Extension Act of 2021"; H.R.3684, the Infrastructure Investment and Jobs Act; H.R. 5896, To incentivize innovative transportation corridors to reduce carbon and GHG emissions, to provide a tax structure that allows for certain investments in public transportation systems, and to enable the fossil fuel workforce to transition to sustainable work sectors; H.R.6119, Further Extending Government Funding Act/H.Res.829, Providing for consideration of the bill (H.R.6119) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes".

General Issue Area: TRA - Transportation All issues before the Senate and House of Representatives related to federal public transportation and highway programs, high-speed and intercity passenger rail programs, including issues related to authorization and appropriations laws, annual budget resolutions, and legislation concerning the Highway Trust Fund and other transportation-related tax and revenue issues. Tax policy as it relates to public transportation including the alternative fuel volumetric tax credit for Compressed Natural Gas and Liquefied Natural Gas used in transit vehicles, the alternative fuel vehicle refueling property tax credit, the treatment of municipal bonds, the commuter tax benefit, tax credit bonds, private activity bonds, investment tax credits, Transportation Infrastructure Finance and Innovation Act (TIFIA) and Railroad Rehabilitation & Improvement Financing (RRIF) financing, and the solvency of the Federal Highway Trust Fund. Matters related to the implementation of the Moving Ahead for Progress in the 21st Century (MAP-21) Act and the Fixing America's Surface Transportation (FAST) Act. Legislation concerning Department of Transportation (DOT) regulations. Issues related to implementation of Positive Train Control technologies on commuter railroads as mandated under the P.L. 110-432, the Rail Safety Improvement Act of 2008 and P.L. 114-73, the Surface Transportation Extension Act of 2015. Issues related to successor legislation to the FAST Act. Issues related to existing or new transportation grant programs. Budget and appropriation issues including funding and policy issues related to the Capital Investment Grant Program (CIG), the Rebuilding American Infrastructure with Sustainability and Equity (RAISE) program (formerly known as the Better Utilizing Investments to Leverage Development (BUILD) program), transit security grants, Amtrak, and other transit and intercity passenger rail programs. Issues relating to transit security funding and programs. Administrative actions for transportation related rules, regulations, guidance, guidelines, and best practices, including the DOT RAISE grant selections. Legislation regarding public transportation as it relates to housing policy. Legislation affecting transportation programs in response to natural disasters and other emergencies, including the Novel Coronavirus (COVID-19). Specific bills include S.262, Supporting State and Local Leaders Act; S.267, Investments in Rural Transit Act of 2021; S.303, Essential Transportation Employee Safety Act of 2021; S.354, Metro Safety, Accountability, and Investment Act of 2021; S.356, Transportation Opportunities for Professional Service Act or the TOPS Act; S.358, Tribal Transportation Equity and Transparency Improvement Act of 2021; S.361, A bill to establish a 90-day limit to file a petition for judicial review of a permit, license, or approval for a highway or public transportation project, and for other purposes; S.369, A bill to authorize and appropriate funding for grants to Amtrak for the restoration of long-distance routes and the rehiring of employees furloughed as a result of the COVID-19 pandemic; S.431, To amend title 23, United States Code, to require transportation planners to consider projects and strategies to reduce greenhouse gas emissions, and for other purposes or GREEN Streets Act; S.479, To amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds or the LOCAL Infrastructure Act; S.494, A bill to establish a working group on electric vehicles or the Green Bus Tax Credit Act of 2021; S.508, A bill to establish a working group on electric vehicles; S.700, A bill to establish a portal and database to receive and maintain information regarding blocked railroad-highway grade crossings and to require the Secretary of Transportation to evaluate the requirements of the railway-highway crossings program; S.837, A bill to provide relief to public transportation agencies with projects in the Full Funding Grant Agreement stage of the Capital Investment Grants Program; S.874, A bill to establish a green transportation infrastructure grant program, and for other purposes; S.899, A bill to establish the Intercity Passenger Rail Trust Fund to ensure a safe, sustainable, convenient transportation option for the people of the United States, and for other purposes; S.940, A bill to amend title 49, United States Code, to establish a National Transit Frontline Workforce Training Center, and for other purposes; S.941, A bill to amend title 23, United States Code, to improve the transportation infrastructure finance and innovation (TIFIA) program, and for other purposes; S.955, A bill to require the Federal Railroad Administration and the Federal Highway Administration to provide recommendations for reducing the number of very rural highway-rail grade crossing collisions, to authorize a public outreach and educational program to reduce such collisions, and to authorize grants to improve grade crossing safety; H.R.158, Rail Audit Transparency Act; H.R.227, Build America Act of 2021; H.R.383, Road User Charge Advancement Act of 2021; H.R.385, Preparing Localities for an Autonomous and Connected Environment Act or the PLACE Act; H.R.396, "Transit Security Grant Program Flexibility Act"; H.R.510, Support Local Transportation Act; H.R.512, Green Bus Act of 2021; H.R.583, Green Bus Tax Credit Act of 2021; H.R.740, Climate Resilient Transportation Infrastructure Study Act; H.R.786, Supporting State and Local Leaders Act; H.R.867, High Speed Rail Corridor Development Act of 2021; H.R.947, Railway Upgrades for Rural American Lines Act or the RURAL Act; H.R.1152, Green Buses for Every Community Act; H.R.1319, American Rescue Plan Act of 2021; H.R.1472, To prohibit the use of Federal financial assistance for a certain high-speed rail development project in the State of California that was subject to a previous cooperative agreement, and for other purposes; H.R.1519, To amend the Internal Revenue Code of 1986 to phaseout the Mass Transit Account; H.R.1615, To amend title 49, United States Code, to expand and codify the transit oriented development planning grant program, and for other purposes; H.R.1675, To amend title 49, United States Code, with respect to fixed guideway capital investment grants, and for other purposes; H.R.1697, To amend title 23, United States Code, to increase accessible transportation for individuals with disabilities; H.R.1845, To amend chapter 261 of title 49, United States Code, to provide for high-speed rail corridor development, and for other purposes; H.R.2038, To establish a green transportation infrastructure grant program, and for other purposes; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; H.R.2128, To amend title 49, United States Code, to improve transit safety; H.R.2129, To amend title 49, United States Code, to establish a National Transit Frontline Workforce Training Center, and for other purposes; H.R.2203, To amend titles 23 and 49, United States Code, to improve public understanding of how transportation investments are made by public agencies through establishing greater transparency and accountability processes; H.R.2204, To amend title 23, United States Code, to establish additional requirements for certain transportation projects with estimated costs of $2,500,000,000 or more, and for other purposes; H.R.2205, To amend title 49, United States Code, to provide grants and develop value capture policy; H.R.2206, To amend title 23, United States Code, to modify the transportation finance infrastructure and innovation program with respect to community development financial institutions, and for other purposes; H.R.2287, To direct the Secretary of Transportation to carry out a grant program to support efforts to provide fare-free transit service, and for other purposes; S.1066, State Transportation Flexibility Act; S.1172 and H.R.2287, Freedom to Move Act; S.1240, Manufacturing USA Expansion Act of 2021; S.1465, Railroad Crossing Elimination Act; S.1499 and H.R.2895, Reinventing Economic Partnerships And Infrastructure Redevelopment Act; S.1500 and H.R.2937, Rail Passenger Fairness Act; S.1680 and H.R.3317, All Station Accessibility Program Act of 2021; S.1681 and H.R. 3310, Promoting Service in Transportation Act; S.1789 and H.R. 3528, Warren Cowles Grade Crossing Safety Act; S.1818 and H.R.3318, Railroad Rehabilitation and Improvement Financing Equity Act; S.1919, Railway Upgrades for Rural American Lines Act; S.1985, Rural Opportunities to Use Transportation for Economic Success Act; S.2016, Surface Transportation Investment Act of 2021; S.2038, Disability Access to Transportation Act; S.2137, Rural Transportation Equity Act of 2021; H.R.2306, Small Community Transit Improvement Act of 2021; H.R.2334, Reinvesting in Essential Partnerships And Infrastructure for Rural America Act; H.R.2380, Saving Transit Art Resources Act; H.R.2474, Invest in American Railroads Act; H.R.2476, Economic Impact of Tolling Act; H.R.2483, Build More Housing Near Transit Act of 2021; H.R.2634, Local Infrastructure Financing Tools Act; H.R.2683, Helping Communities Invest in Infrastructure Act; H.R.2697, 21st Century Transportation Workforce Development Act; H.R.2769, Intercity Passenger Rail Trust Fund Act; H.R.2924, Transit to Trails Act of 2021; H.R.2937, Rail Passenger Fairness Act; H.R.2958, End the Limo Loophole Act; H.R.3002, To amend title 49, United States Code, to require Amtrak to adopt the repair-in-place method for track maintenance and rehabilitation, and for other purposes; H.R.3090, Interstate Rail Compacts Advancement Act of 2021; H.R.3097, Green Transportation Act; H.R.3201, Providing Assistance for Vital Enhancements Act; H.R.3347, Generating Reduced Emissions by Electrifying New Buses Act; H.R.3594, Surface Transportation Research and Development Act of 2021; H.R.3651, Revitalizing American Priorities for Infrastructure Development Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act; H.R.3698, Dont BLock Our Communities Act; H.R.3744, Stronger Communities through Better Transit Act; H.R.3750, Equity in Transit Service Planning Act; H.R.3902, 21st Century Aerospace Infrastructure Act of 2021; H.R.4093, To amend title 23, United States Code, to modify the distribution of funds under the tribal transportation program, and for other purposes; H.R.4183, Public Transportation Accessibility Study Act; S.2309, "A bill to improve the Consolidated Rail Infrastructure and Safety Improvements Program, and for other purposes"; S.2487, "Put the Brakes on Boondoggles Act"; S.2534 "Expanded Transit Service Act"; S.2726 and H.R. 5228 "Public Transportation Expansion Act"; S.2802, "Balance the Highway Trust Fund Act"; S.2803, "Transportation Empowerment Act"; H.R.4413, "National Infrastructure Development Bank Act of 2021"; H.R.4441, "Travel Mask Mandate Repeal Act of 2021"; H.R.4474, "BRAIN TRAIN Act"; H.R.4520, "GREEN Streets Act"; H.R.4550, "Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2022"; H.R.5304, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5305, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5434, "Surface Transportation Extension Act of 2021"; H.R.5376, "Build Back Better Act"; H.R.3684, the Infrastructure Investment and Jobs Act; S.3045, Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2022; S.3250, Providing Assistance for Transit Help to College Act/H.R.6036, Promoting Advancement Through Transit Help to College Act; H.R.5706, Stop Sexual Assault and Harassment in Transportation Act; H.R. 5896, To incentivize innovative transportation corridors to reduce carbon and GHG emissions, to provide a tax structure that allows for certain investments in public transportation systems, and to enable the fossil fuel workforce to transition to sustainable work sectors; H.R.6046, To amend title 49, United States Code, to allow passenger ferry boats in nonurbanized areas to qualify for certain grants; H.R.6119, Further Extending Government Funding Act/H.Res.829, Providing for consideration of the bill (H.R.6119) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes; H.R.6257, SAFER Travel Act.

Legislation before the Senate and House of Representatives related to mobility services funded by Department of Health and Human Services programs and other programs. Legislation regarding coordination and efficiencies among the dozens of federal programs supporting non-emergency medical transportation (NEMT) across several different federal departments. Legislation related to the Coordinating Council on Access and Mobility (CCAM), originally established under Executive Order No. 13330 and codified in Section 3006(c) of the FAST Act. Specific bills include H.R.1319, American Rescue Plan Act of 2021; H.R.1697, To amend title 23, United States Code, to increase accessible transportation for individuals with disabilities; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; S.1680 and H.R.3317, All Station Accessibility Program Act of 2021; S.2038, Disability Access to Transportation Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act/ Infrastructure Investment and Jobs Act; H.R.5305, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.6119, Further Extending Government Funding Act/H.Res.829, Providing for consideration of the bill (H.R.6119) making further continuing appropriations for the fiscal year ending September 30, 2022, and for other purposes".

Client expense: $290,000 · Firm income: Not reported

Tax provisions before the Senate and House of Representatives related to infrastructure investment and financing, including Highway Trust Fund revenues, tax credit bonds, municipal bonds, private activity bonds, investment tax credits. Issues relating to proposals for a new infrastructure spending initiative. Legislation to amend P.L. 115-97, the Tax Cuts and Jobs Act, specifically related to municipal bonds, private activity bonds, the commuter tax benefit, and provisions affecting public pension funds. Legislation related to the extension and expansion of the alternative fuel volumetric tax credit for transit vehicles and the alternative fuel vehicle refueling property tax credit. Legislation related to the extension and expansion of the alternative fuel volumetric tax credit for transit vehicles and the alternative fuel vehicle refueling property tax credit. Specific bills include S.262, Supporting State and Local Leaders Act; S.479, To amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds or the LOCAL Infrastructure Act; S.494, A bill to establish a working group on electric vehicles or the Green Bus Tax Credit Act of 2021; S.941, A bill to amend title 23, United States Code, to improve the transportation infrastructure finance and innovation (TIFIA) program, and for other purposes; H.R.158, Rail Audit Transparency Act; H.R.227, Build America Act of 2021; H.R.383, Road User Charge Advancement Act of 2021; H.R.583, Green Bus Tax Credit Act of 2021; H.R.786, Supporting State and Local Leaders Act; H.R.1319, American Rescue Plan Act of 2021; H.R.1519, To amend the Internal Revenue Code of 1986 to phaseout the Mass Transit Account; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; H.R.2206, To amend title 23, United States Code, to modify the transportation finance infrastructure and innovation program with respect to community development financial institutions, and for other purposes, S.1499 and H.R.2895, Reinventing Economic Partnerships And Infrastructure Redevelopment Act; S.1818 and H.R.3318, Railroad Rehabilitation and Improvement Financing Equity Act; H.R.2634, Local Infrastructure Financing Tools Act; H.R.2769, Intercity Passenger Rail Trust Fund Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act; S.2803, "Transportation Empowerment Act"; H.R.4413, "National Infrastructure Development Bank Act of 2021"; H.R.5304, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5305, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5434, "Surface Transportation Extension Act of 2021".

All issues before the Senate and House of Representatives related to federal public transportation and highway programs, high-speed and intercity passenger rail programs, including issues related to authorization and appropriations laws, annual budget resolutions, and legislation concerning the Highway Trust Fund and other transportation-related tax and revenue issues. Tax policy as it relates to public transportation including the alternative fuel volumetric tax credit for Compressed Natural Gas and Liquefied Natural Gas used in transit vehicles, the alternative fuel vehicle refueling property tax credit, the treatment of municipal bonds, the commuter tax benefit, tax credit bonds, private activity bonds, investment tax credits, Transportation Infrastructure Finance and Innovation Act (TIFIA) and Railroad Rehabilitation & Improvement Financing (RRIF) financing, and the solvency of the Federal Highway Trust Fund. Matters related to the implementation of the Moving Ahead for Progress in the 21st Century (MAP-21) Act and the Fixing America's Surface Transportation (FAST) Act. Legislation concerning Department of Transportation (DOT) regulations. Issues related to implementation of Positive Train Control technologies on commuter railroads as mandated under the P.L. 110-432, the Rail Safety Improvement Act of 2008 and P.L. 114-73, the Surface Transportation Extension Act of 2015. Issues related to successor legislation to the FAST Act. Issues related to existing or new transportation grant programs. Budget and appropriation issues including funding and policy issues related to the Capital Investment Grant Program (CIG), the Rebuilding American Infrastructure with Sustainability and Equity (RAISE) program (formerly known as the Better Utilizing Investments to Leverage Development (BUILD) program), transit security grants, Amtrak, and other transit and intercity passenger rail programs. Issues relating to transit security funding and programs. Administrative actions for transportation related rules, regulations, guidance, guidelines, and best practices, including the DOT RAISE grant selections. Legislation regarding public transportation as it relates to housing policy. Legislation affecting transportation programs in response to natural disasters and other emergencies, including the Novel Coronavirus (COVID-19). Specific bills include S.262, Supporting State and Local Leaders Act; S.267, Investments in Rural Transit Act of 2021; S.303, Essential Transportation Employee Safety Act of 2021; S.354, Metro Safety, Accountability, and Investment Act of 2021; S.356, Transportation Opportunities for Professional Service Act or the TOPS Act; S.358, Tribal Transportation Equity and Transparency Improvement Act of 2021; S.361, A bill to establish a 90-day limit to file a petition for judicial review of a permit, license, or approval for a highway or public transportation project, and for other purposes; S.369, A bill to authorize and appropriate funding for grants to Amtrak for the restoration of long-distance routes and the rehiring of employees furloughed as a result of the COVID-19 pandemic; S.431, To amend title 23, United States Code, to require transportation planners to consider projects and strategies to reduce greenhouse gas emissions, and for other purposes or GREEN Streets Act; S.479, To amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds or the LOCAL Infrastructure Act; S.494, A bill to establish a working group on electric vehicles or the Green Bus Tax Credit Act of 2021; S.508, A bill to establish a working group on electric vehicles; S.700, A bill to establish a portal and database to receive and maintain information regarding blocked railroad-highway grade crossings and to require the Secretary of Transportation to evaluate the requirements of the railway-highway crossings program; S.837, A bill to provide relief to public transportation agencies with projects in the Full Funding Grant Agreement stage of the Capital Investment Grants Program; S.874, A bill to establish a green transportation infrastructure grant program, and for other purposes; S.899, A bill to establish the Intercity Passenger Rail Trust Fund to ensure a safe, sustainable, convenient transportation option for the people of the United States, and for other purposes; S.940, A bill to amend title 49, United States Code, to establish a National Transit Frontline Workforce Training Center, and for other purposes; S.941, A bill to amend title 23, United States Code, to improve the transportation infrastructure finance and innovation (TIFIA) program, and for other purposes; S.955, A bill to require the Federal Railroad Administration and the Federal Highway Administration to provide recommendations for reducing the number of very rural highway-rail grade crossing collisions, to authorize a public outreach and educational program to reduce such collisions, and to authorize grants to improve grade crossing safety; H.R.158, Rail Audit Transparency Act; H.R.227, Build America Act of 2021; H.R.383, Road User Charge Advancement Act of 2021; H.R.385, Preparing Localities for an Autonomous and Connected Environment Act or the PLACE Act; H.R.396, "Transit Security Grant Program Flexibility Act"; H.R.510, Support Local Transportation Act; H.R.512, Green Bus Act of 2021; H.R.583, Green Bus Tax Credit Act of 2021; H.R.740, Climate Resilient Transportation Infrastructure Study Act; H.R.786, Supporting State and Local Leaders Act; H.R.867, High Speed Rail Corridor Development Act of 2021; H.R.947, Railway Upgrades for Rural American Lines Act or the RURAL Act; H.R.1152, Green Buses for Every Community Act; H.R.1319, American Rescue Plan Act of 2021; H.R.1472, To prohibit the use of Federal financial assistance for a certain high-speed rail development project in the State of California that was subject to a previous cooperative agreement, and for other purposes; H.R.1519, To amend the Internal Revenue Code of 1986 to phaseout the Mass Transit Account; H.R.1615, To amend title 49, United States Code, to expand and codify the transit oriented development planning grant program, and for other purposes; H.R.1675, To amend title 49, United States Code, with respect to fixed guideway capital investment grants, and for other purposes; H.R.1697, To amend title 23, United States Code, to increase accessible transportation for individuals with disabilities; H.R.1845, To amend chapter 261 of title 49, United States Code, to provide for high-speed rail corridor development, and for other purposes; H.R.2038, To establish a green transportation infrastructure grant program, and for other purposes; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; H.R.2128, To amend title 49, United States Code, to improve transit safety; H.R.2129, To amend title 49, United States Code, to establish a National Transit Frontline Workforce Training Center, and for other purposes; H.R.2203, To amend titles 23 and 49, United States Code, to improve public understanding of how transportation investments are made by public agencies through establishing greater transparency and accountability processes; H.R.2204, To amend title 23, United States Code, to establish additional requirements for certain transportation projects with estimated costs of $2,500,000,000 or more, and for other purposes; H.R.2205, To amend title 49, United States Code, to provide grants and develop value capture policy; H.R.2206, To amend title 23, United States Code, to modify the transportation finance infrastructure and innovation program with respect to community development financial institutions, and for other purposes; H.R.2287, To direct the Secretary of Transportation to carry out a grant program to support efforts to provide fare-free transit service, and for other purposes; S.1066, State Transportation Flexibility Act; S.1172 and H.R.2287, Freedom to Move Act; S.1240, Manufacturing USA Expansion Act of 2021; S.1465, Railroad Crossing Elimination Act; S.1499 and H.R.2895, Reinventing Economic Partnerships And Infrastructure Redevelopment Act; S.1500 and H.R.2937, Rail Passenger Fairness Act; S.1680 and H.R.3317, All Station Accessibility Program Act of 2021; S.1681 and H.R. 3310, Promoting Service in Transportation Act; S.1789 and H.R. 3528, Warren Cowles Grade Crossing Safety Act; S.1818 and H.R.3318, Railroad Rehabilitation and Improvement Financing Equity Act; S.1919, Railway Upgrades for Rural American Lines Act; S.1985, Rural Opportunities to Use Transportation for Economic Success Act; S.2016, Surface Transportation Investment Act of 2021; S.2038, Disability Access to Transportation Act; S.2137, Rural Transportation Equity Act of 2021; H.R.2306, Small Community Transit Improvement Act of 2021; H.R.2334, Reinvesting in Essential Partnerships And Infrastructure for Rural America Act; H.R.2380, Saving Transit Art Resources Act; H.R.2474, Invest in American Railroads Act; H.R.2476, Economic Impact of Tolling Act; H.R.2483, Build More Housing Near Transit Act of 2021; H.R.2634, Local Infrastructure Financing Tools Act; H.R.2683, Helping Communities Invest in Infrastructure Act; H.R.2697, 21st Century Transportation Workforce Development Act; H.R.2769, Intercity Passenger Rail Trust Fund Act; H.R.2924, Transit to Trails Act of 2021; H.R.2937, Rail Passenger Fairness Act; H.R.2958, End the Limo Loophole Act; H.R.3002, To amend title 49, United States Code, to require Amtrak to adopt the repair-in-place method for track maintenance and rehabilitation, and for other purposes; H.R.3090, Interstate Rail Compacts Advancement Act of 2021; H.R.3097, Green Transportation Act; H.R.3201, Providing Assistance for Vital Enhancements Act; H.R.3347, Generating Reduced Emissions by Electrifying New Buses Act; H.R.3594, Surface Transportation Research and Development Act of 2021; H.R.3651, Revitalizing American Priorities for Infrastructure Development Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act; H.R.3698, Dont BLock Our Communities Act; H.R.3744, Stronger Communities through Better Transit Act; H.R.3750, Equity in Transit Service Planning Act; H.R.3902, 21st Century Aerospace Infrastructure Act of 2021; H.R.4093, To amend title 23, United States Code, to modify the distribution of funds under the tribal transportation program, and for other purposes; H.R.4183, Public Transportation Accessibility Study Act; S.2309, "A bill to improve the Consolidated Rail Infrastructure and Safety Improvements Program, and for other purposes"; S.2487, "Put the Brakes on Boondoggles Act"; S.2534 "Expanded Transit Service Act"; S.2726 and H.R. 5228 "Public Transportation Expansion Act"; S.2802, "Balance the Highway Trust Fund Act"; S.2803, "Transportation Empowerment Act"; H.R.4413, "National Infrastructure Development Bank Act of 2021"; H.R.4441, "Travel Mask Mandate Repeal Act of 2021"; H.R.4474, "BRAIN TRAIN Act"; H.R.4520, "GREEN Streets Act"; H.R.4550, "Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2022"; H.R.5304, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5305, "Extending Government Funding and Delivering Emergency Assistance Act"; H.R.5434, "Surface Transportation Extension Act of 2021"; H.R.5376, "Build Back Better Act".

Legislation before the Senate and House of Representatives related to mobility services funded by Department of Health and Human Services programs and other programs. Legislation regarding coordination and efficiencies among the dozens of federal programs supporting non-emergency medical transportation (NEMT) across several different federal departments. Legislation related to the Coordinating Council on Access and Mobility (CCAM), originally established under Executive Order No. 13330 and codified in Section 3006(c) of the FAST Act. Specific bills include H.R.1319, American Rescue Plan Act of 2021; H.R.1697, To amend title 23, United States Code, to increase accessible transportation for individuals with disabilities; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; S.1680 and H.R.3317, All Station Accessibility Program Act of 2021; S.2038, Disability Access to Transportation Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act.

Client expense: $290,000 · Firm income: Not reported

Expanding Medicare benefits to include dental, hearing, and vision Telehealth flexibilities and making current telehealth rules permanent Medicare Part D design and benefits, drug pricing principle S.464/H.R.2163, the Safe Step Act of 2021 S.8282/H.R.432, the Mental Health Access Improvement Act H.R.2080, the Seniors Access to Vaccine Ensured Act H.R.3173, Improving Seniors Timely Access to Care S.2061, the Telemental Health Care Access Act

Client expense: $52,751 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

Efforts to promote and protect non-emergency medical transportation, including elements of the American Rescue Plan (PL 117-2), H.R. 2080 - The Seniors Access to Vaccines Ensure Act of 2021, and H.R. 3013 - the COVID Vaccine Transportation Access Act; Issues related to expanding Medicaid, including S. Con Res 14 and subsequent committee action.

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

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

Telehealth flexibilities and making current telehealth rules permanent Medicare Part D design and benefits, drug pricing principle S.464/H.R.2163, the Safe Step Act of 2021 S.828/H.R.432, the Mental Health Access Improvement Act H.R.2080, the Seniors Access to Vaccine Ensured Act H.R.3173 Improving Seniors Timely Access to Care S.2061 the Telemental Health Care Access Act

Client expense: $72,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

Telehealth flexibilities and making current telehealth rules permanent Medicare Part D design and benefits S.464/H.R.2163, the Safe Step Act of 2021 S.828/H.R.432, the Mental Health Access Improvement Act H.R.2080, the Seniors Access to Vaccine Ensured Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

Telehealth flexibilities and making current telehealth rules permanent Medicare Part D design and benefits, drug pricing principle S.464/H.R.2163, the Safe Step Act of 2021 S.828/H.R.432, the Mental Health Access Improvement Act H.R.2080, the Seniors Access to Vaccine Ensured Act H.R.3173 Improving Seniors Timely Access to Care S.2061 the Telemental Health Care Access Act

Client expense: $27,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

All issues before the Senate and House of Representatives related to federal public transportation and highway programs, high-speed and intercity passenger rail programs, including issues related to authorization and appropriations laws, annual budget resolutions, legislation concerning the Highway Trust Fund and other transportation-related tax and revenue issues, and proposals for a new infrastructure investment initiative. Tax policy as it relates to public transportation including the alternative fuel volumetric tax credit for Compressed Natural Gas and Liquefied Natural Gas used in transit vehicles, the alternative fuel vehicle refueling property tax credit, the treatment of municipal bonds, the commuter tax benefit, tax credit bonds, private activity bonds, investment tax credits, Transportation Infrastructure Finance and Innovation Act (TIFIA) and Railroad Rehabilitation & Improvement Financing (RRIF) financing, and the solvency of the Federal Highway Trust Fund. Matters related to the implementation of the Moving Ahead for Progress in the 21st Century (MAP-21) Act and the Fixing America's Surface Transportation (FAST) Act. Legislation concerning Department of Transportation (DOT) regulations. Issues related to implementation of Positive Train Control technologies on commuter railroads as mandated under the P.L. 110-432, the Rail Safety Improvement Act of 2008 and P.L. 114-73, the Surface Transportation Extension Act of 2015. Issues related to successor legislation to the FAST Act. Issues related to existing or new transportation grant programs. Budget and appropriation issues for FY 2020 and FY 2021 including the Capital Investment Grant Program (CIG), the Rebuilding American Infrastructure with Sustainability and Equity (RAISE) program (formerly known as the Better Utilizing Investments to Leverage Development (BUILD) program), transit security grants, Amtrak funding, and other funding. Issues relating to transit security funding and programs. Funding and financing proposals for a new infrastructure spending initiative. Administrative actions for transportation related rules, regulations, guidance, guidelines, and best practices, including the DOT RAISE grant selections. Legislation affecting transportation programs in response to the Novel Coronavirus (COVID-19). Specific bills include S.262, Supporting State and Local Leaders Act; S.267, Investments in Rural Transit Act of 2021; S.303, Essential Transportation Employee Safety Act of 2021; S.354, Metro Safety, Accountability, and Investment Act of 2021; S.356, Transportation Opportunities for Professional Service Act or the TOPS Act; S.358, Tribal Transportation Equity and Transparency Improvement Act of 2021; S.361, A bill to establish a 90-day limit to file a petition for judicial review of a permit, license, or approval for a highway or public transportation project, and for other purposes; S.369, A bill to authorize and appropriate funding for grants to Amtrak for the restoration of long-distance routes and the rehiring of employees furloughed as a result of the COVID-19 pandemic; S.431, To amend title 23, United States Code, to require transportation planners to consider projects and strategies to reduce greenhouse gas emissions, and for other purposes or GREEN Streets Act; S.479, To amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds or the LOCAL Infrastructure Act; S.494, A bill to establish a working group on electric vehicles or the Green Bus Tax Credit Act of 2021; S.508, A bill to establish a working group on electric vehicles; S.700, A bill to establish a portal and database to receive and maintain information regarding blocked railroad-highway grade crossings and to require the Secretary of Transportation to evaluate the requirements of the railway-highway crossings program; S.837, A bill to provide relief to public transportation agencies with projects in the Full Funding Grant Agreement stage of the Capital Investment Grants Program; S.874, A bill to establish a green transportation infrastructure grant program, and for other purposes; S.899, A bill to establish the Intercity Passenger Rail Trust Fund to ensure a safe, sustainable, convenient transportation option for the people of the United States, and for other purposes; S.940, A bill to amend title 49, United States Code, to establish a National Transit Frontline Workforce Training Center, and for other purposes; S.941, A bill to amend title 23, United States Code, to improve the transportation infrastructure finance and innovation (TIFIA) program, and for other purposes; S.955, A bill to require the Federal Railroad Administration and the Federal Highway Administration to provide recommendations for reducing the number of very rural highway-rail grade crossing collisions, to authorize a public outreach and educational program to reduce such collisions, and to authorize grants to improve grade crossing safety; H.R.158, Rail Audit Transparency Act; H.R.227, Build America Act of 2021; H.R.383, Road User Charge Advancement Act of 2021; H.R.385, Preparing Localities for an Autonomous and Connected Environment Act or the PLACE Act; H.R.396, "Transit Security Grant Program Flexibility Act"; H.R.510, Support Local Transportation Act; H.R.512, Green Bus Act of 2021; H.R.583, Green Bus Tax Credit Act of 2021; H.R.740, Climate Resilient Transportation Infrastructure Study Act; H.R.786, Supporting State and Local Leaders Act; H.R.867, High Speed Rail Corridor Development Act of 2021; H.R.947, Railway Upgrades for Rural American Lines Act or the RURAL Act; H.R.1152, Green Buses for Every Community Act; H.R.1319, American Rescue Plan Act of 2021; H.R.1472, To prohibit the use of Federal financial assistance for a certain high-speed rail development project in the State of California that was subject to a previous cooperative agreement, and for other purposes; H.R.1519, To amend the Internal Revenue Code of 1986 to phaseout the Mass Transit Account; H.R.1615, To amend title 49, United States Code, to expand and codify the transit oriented development planning grant program, and for other purposes; H.R.1675, To amend title 49, United States Code, with respect to fixed guideway capital investment grants, and for other purposes; H.R.1697, To amend title 23, United States Code, to increase accessible transportation for individuals with disabilities; H.R.1845, To amend chapter 261 of title 49, United States Code, to provide for high-speed rail corridor development, and for other purposes; H.R.2038, To establish a green transportation infrastructure grant program, and for other purposes; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; H.R.2128, To amend title 49, United States Code, to improve transit safety; H.R.2129, To amend title 49, United States Code, to establish a National Transit Frontline Workforce Training Center, and for other purposes; H.R.2203, To amend titles 23 and 49, United States Code, to improve public understanding of how transportation investments are made by public agencies through establishing greater transparency and accountability processes; H.R.2204, To amend title 23, United States Code, to establish additional requirements for certain transportation projects with estimated costs of $2,500,000,000 or more, and for other purposes; H.R.2205, To amend title 49, United States Code, to provide grants and develop value capture policy; H.R.2206, To amend title 23, United States Code, to modify the transportation finance infrastructure and innovation program with respect to community development financial institutions, and for other purposes; H.R.2287, To direct the Secretary of Transportation to carry out a grant program to support efforts to provide fare-free transit service, and for other purposes; S.1066, State Transportation Flexibility Act; S.1172 and H.R.2287, Freedom to Move Act; S.1240, Manufacturing USA Expansion Act of 2021; S.1465, Railroad Crossing Elimination Act; S.1499 and H.R.2895, Reinventing Economic Partnerships And Infrastructure Redevelopment Act; S.1500 and H.R.2937, Rail Passenger Fairness Act; S.1680 and H.R.3317, All Station Accessibility Program Act of 2021; S.1681 and H.R. 3310, Promoting Service in Transportation Act; S.1789 and H.R. 3528, Warren Cowles Grade Crossing Safety Act; S.1818 and H.R.3318, Railroad Rehabilitation and Improvement Financing Equity Act; S.1919, Railway Upgrades for Rural American Lines Act; S.1985, Rural Opportunities to Use Transportation for Economic Success Act; S.2016, Surface Transportation Investment Act of 2021; S.2038, Disability Access to Transportation Act; S.2137, Rural Transportation Equity Act of 2021; H.R.2306, Small Community Transit Improvement Act of 2021; H.R.2334, Reinvesting in Essential Partnerships And Infrastructure for Rural America Act; H.R.2380, Saving Transit Art Resources Act; H.R.2474, Invest in American Railroads Act; H.R.2476, Economic Impact of Tolling Act; H.R.2483, Build More Housing Near Transit Act of 2021; H.R.2634, Local Infrastructure Financing Tools Act; H.R.2683, Helping Communities Invest in Infrastructure Act; H.R.2697, 21st Century Transportation Workforce Development Act; H.R.2769, Intercity Passenger Rail Trust Fund Act; H.R.2924, Transit to Trails Act of 2021; H.R.2937, Rail Passenger Fairness Act; H.R.2958, End the Limo Loophole Act; H.R.3002, To amend title 49, United States Code, to require Amtrak to adopt the repair-in-place method for track maintenance and rehabilitation, and for other purposes; H.R.3090, Interstate Rail Compacts Advancement Act of 2021; H.R.3097, Green Transportation Act; H.R.3201, Providing Assistance for Vital Enhancements Act; H.R.3347, Generating Reduced Emissions by Electrifying New Buses Act; H.R.3594, Surface Transportation Research and Development Act of 2021; H.R.3651, Revitalizing American Priorities for Infrastructure Development Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act; H.R.3698, Dont BLock Our Communities Act; H.R.3744, Stronger Communities through Better Transit Act; H.R.3750, Equity in Transit Service Planning Act; H.R.3902, 21st Century Aerospace Infrastructure Act of 2021; H.R.4093, To amend title 23, United States Code, to modify the distribution of funds under the tribal transportation program, and for other purposes; H.R.4183, Public Transportation Accessibility Study Act.

Legislation before the Senate and House of Representatives related to mobility services funded by Department of Health and Human Services programs and other programs. Legislation regarding coordination and efficiencies among the dozens of federal programs supporting non-emergency medical transportation (NEMT) across several different federal departments. Legislation related to the Coordinating Council on Access and Mobility (CCAM), originally established under Executive Order No. 13330 and codified in Section 3006(c) of the FAST Act. Specific bills include H.R.1319, American Rescue Plan Act of 2021; H.R.1697, To amend title 23, United States Code, to increase accessible transportation for individuals with disabilities; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; S.1680 and H.R.3317, All Station Accessibility Program Act of 2021; S.2038, Disability Access to Transportation Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act.

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

Tax provisions before the Senate and House of Representatives related to infrastructure investment and financing, including Highway Trust Fund revenues, tax credit bonds, municipal bonds, private activity bonds, investment tax credits. Issues relating to proposals for a new infrastructure spending initiative. Legislation to amend P.L. 115-97, the Tax Cuts and Jobs Act, specifically related to municipal bonds, private activity bonds, the commuter tax benefit, and provisions affecting public pension funds. Legislation related to the extension and expansion of the alternative fuel volumetric tax credit for transit vehicles and the alternative fuel vehicle refueling property tax credit. Legislation related to the extension and expansion of the alternative fuel volumetric tax credit for transit vehicles and the alternative fuel vehicle refueling property tax credit. Specific bills include S.262, Supporting State and Local Leaders Act; S.479, To amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds or the LOCAL Infrastructure Act; S.494, A bill to establish a working group on electric vehicles or the Green Bus Tax Credit Act of 2021; S.941, A bill to amend title 23, United States Code, to improve the transportation infrastructure finance and innovation (TIFIA) program, and for other purposes; H.R.158, Rail Audit Transparency Act; H.R.227, Build America Act of 2021; H.R.383, Road User Charge Advancement Act of 2021; H.R.583, Green Bus Tax Credit Act of 2021; H.R.786, Supporting State and Local Leaders Act; H.R.1319, American Rescue Plan Act of 2021; H.R.1519, To amend the Internal Revenue Code of 1986 to phaseout the Mass Transit Account; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; H.R.2206, To amend title 23, United States Code, to modify the transportation finance infrastructure and innovation program with respect to community development financial institutions, and for other purposes, S.1499 and H.R.2895, Reinventing Economic Partnerships And Infrastructure Redevelopment Act; S.1818 and H.R.3318, Railroad Rehabilitation and Improvement Financing Equity Act; H.R.2634, Local Infrastructure Financing Tools Act; H.R.2769, Intercity Passenger Rail Trust Fund Act; H.R.3684, Investing in a New Vision for the Environment and Surface Transportation in America Act.

Efforts to promote and protect non-emergency medical transportation, including elements of the American Rescue Plan (PL 117-2), H.R. 2080 - The Seniors Access to Vaccines Ensure Act, and H.R. 3013 - the COVID Vaccine Transportation Access Act.

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

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

H.R. 66 - CARING for Kids Act - Rep. Buchanan, Vern - CHIP H.R. 265 - Insular Area Medicaid Parity Act - Rep. Sablan, Gregorio Kilili Camacho - Medicaid funding H.R. 315 - Medicare Sequester COVID Moratorium Act - Rep. Schneider, Bradley Scott - Medicare sequestration H.R. 340 - Incentivizing Medicaid Expansion Act of 2021 - Rep. Veasey, Marc - Medicaid expansion H.R. 432 - Mental Health Access Improvement Act of 2021 - Rep. Thompson, Mike -Medicare coverage of marriage and family therapist services and mental health counselor H.R. 502 - Medicare Dental Benefit Act of 2021 - Rep. Barragan, Nanette Diaz - Medicare coverage of dental and oral health services H.R. 525 - COVID HCBS Relief Act of 2021 - Rep. Dingell, Debbie - increased FMAP for HCBS H.R. 871 - Expand Medicaid Now Act - Rep. Fletcher, Lizzie - FMAP H.R. 918 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Rep. Cardenas, Tony - COVID-19 coverage for the uninsured via Medicaid H.R. 955 - Medicaid Reentry Act of 2021 - Rep. Tonko, Paul -Medicaid coverage for incarcerated individuals H.R. 1167 - Advancing Enrollment and Reducing Drug Costs Act of 2021 - Rep. Pappas, Chris - Medicaid eligibility for low-income subsidies H.R. 1227 - Medicare-X Choice Act of 2021 - Rep. Delgado, Antonio - Medicare public option H.R. 1332 - Telehealth Modernization Act - Rep. Carter, Earl - telehealth services under Medicare H.R. 1349 - To amend title XVIII of the Social Security Act to provide for the conversion of certain accelerated and advance payments to grants under parts A and B of the Medicare program - Rep. Kaptur, Marcy - advance payments under parts A and B of Medicare H.R. 1353 - Coronavirus Medicaid Response Act - Rep. Lee, Susie - FMAP H.R. 1390 - CHIPPER Act - Rep. Wild, Susan - CHIP funding H.R. 1397 - TIKES Act - Rep. Blunt Rochester, Lisa - telehealth under Medicaid and CHIP H.R. 1609 - To amend title XI of the Social Security Act to provide Secretarial authority to temporarily waive or modify application of certain Medicare requirements with respect to ambulance services furnished during certain emergency periods - Rep. Axne, Cynthia - Medicare coverage of ambulance services H.R. 1676 - To amend title XVIII to provide for certain Medigap coverage for Medicare beneficiaries with end-stage renal disease, and for other purposes - Rep. Axne, Cynthia - Medigap coverage for ESRD H.R. 1677 - To direct the Secretary of HHS, the Medicare Payment Advisory Commission, and the Medicaid and CHIP Payment and Access Commission to conduct studies and report to Congress on actions taken to expand access to telehealth services under the Medicare, Medicaid, and Children's Health Insurance programs during the COVID-19 emergency - Rep. Balderson, Troy - telehealth expansion H.R. 1717 - To amend title XIX of the Social Security Act to make permanent the protections under Medicaid for recipients of home and community-based services against spousal impoverishment - Rep. Upton, Fred - permanent protections against spousal impoverishment H.R. 1722 - To amend titles XI and XIX of the Social Security Act to stabilize the Medicaid program in Puerto Rico - Rep. Velazquez, Nydia - Medicaid in Puerto Rico H.R. 1738 - To amend titles XIX and XXI of the Social Security Act to provide for 12-month continuous enrollment of individuals under the Medicaid program and CHIP- Rep. Dingell, Debbie - Medicaid and CHIP enrollment H.R. 1784 - To amend title XIX of the Social Security Act to enhance reporting requirements for nonexpansion States, and for other purposes - Rep. Doggett, Lloyd - nonexpansion H.R. 1791 - To amend title XXI of the Social Security Act to permanently extend the Children's Health Insurance Program, and for other purposes - Rep. Barragan, Nanette Diaz - extending CHIP H.R. 1792 - To amend title XXI of the Social Security Act to prohibit lifetime or annual limits on dental coverage under CHIP, and to require wraparound coverage of dental services for certain children under such program - Rep. Barragan, Nanette Diaz - dental coverage under CHIP H.R. 1793 - To amend the SUPPORT for Patients and Communities Act to provide for immediate eligibility for former foster youth under Medicaid - Rep. Bass, Karen - Medicaid coverage for foster youth H.R. 1794 - To amend title XIX of the Social Security Act to strengthen coverage under the Medicaid program for certain foster youth individuals - Rep. Bass, Karen - Medicaid coverage for foster youth H.R. 1823 - To amend title XIX of the Social Security Act to remove the matching requirement for a territory to use specially allocated Federal funds for Medicare covered part D drugs for low-income individuals - Resident Commissioner Gonzalez-Colon, Jenniffer - Medicare covered part D H.R. 1825 - To amend titles XVIII and XIX of the Social Security Act to make premium and cost-sharing subsidies available to low-income Medicare part D beneficiaries who reside in Puerto Rico or another territory of the United States - Resident Commissioner Gonzalez-Colon, Jenniffer - premium and cost-sharing subsidies H.R. 1826 - To amend title XVIII of the Social Security Act to eliminate late enrollment penalties under part B of the Medicare program for individuals residing in Puerto Rico if such individuals enroll within 5 years of becoming entitled to benefits under part A of such program - Resident Commissioner Gonzalez-Colon, Jenniffer - late enrollment penalties under part B of the Medicare program H.R. 1880 - To amend the Deficit Reduction Act of 2005 to make permanent the Money Follows the Person Rebalancing Demonstration - Rep. Dingell, Debbie - Money Follows the Person Rebalancing Demonstration H.R. 1885 - To amend title XVIII of the Social Security Act to adjust certain rural health clinic payments under the Medicare program - Rep. Kind, Ron - Medicare rural health clinic payments H.R. 1887 - To amend title XVIII of the Social Security Act to rebase the calculation of payments for sole community hospitals and Medicare-dependent hospitals, and for other purposes - Rep. Reed, Tom - Medicare payments for hospitals H.R. 1890 - To amend the Patient Protection and ACA to require Exchanges to establish network adequacy standards for qualified health plans and amend the Public Health Service Act to provide protections for consumers against excessive, unjustified, or unfairly discriminatory increases in premium rates - Rep. Schakowsky, Janice D. - network adequacy standards and premium rates H.R. 1914 - To amend title XIX of the Social Security Act to encourage State Medicaid programs to provide community-based mobile crisis intervention services, and for other purposes - Rep. DeFazio, Peter A. - Medicaid mobile crisis intervention services H.R. 1969 - To amend title XVIII of the Social Security Act to address disparity in Medicare Advantage benchmark rates for regions with low Medicare fee-for-service penetration - Resident Commissioner Gonzalez-Colon, Jenniffer - disparity in MA benchmark rates H.R. 2035 - To amend title XVIII of the Social Security Act to improve access to mental health services under the Medicare program - Rep. Lee, Barbara - mental health services under Medicare H.R. 2080 - To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes - Rep. Bishop, Sanford D., Jr. - Medicare coverage of transportation services H.R. 2166 - To amend title XVIII of the Social Security Act to require the inclusion of certain audio-only diagnoses in the determination of risk adjustment for Medicare Advantage plans and PACE programs, and for other purposes - Rep. Sewell, Terri - audio-only diagnoses in MA H.R. 2168 - To amend title XVIII of the Social Security Act to expand the scope of practitioners eligible for payment for telehealth services under the Medicare program, and for other purposes - Rep. Sherrill, Mikie - payment for telehealth services H.R. 2170 - To amend title XIX of the Social Security Act to improve access to adult vaccines under Medicaid - Rep. Soto, Darren - access to vaccines and Medicaid H.R. 2179 - To amend title XVIII of the Social Security Act to eliminate cost-sharing with respect to coverage of insulin as a covered part D drug and associated medical supplies and to provide mail order access to insulin and such supplies under the Medicare program during the COVID-19 emergency period - Rep. Waters, Maxine - cost-sharing regarding insulin coverage H.R. 2217 - To amend title XIX of the Social Security Act to treat each territory as one of the 50 States for purposes of calculating the Federal medical assistance percentage under the Medicaid program - Resident Commissioner Gonzalez-Colon, Jenniffer - FMAP H.R. 2228 - To allow for payment of outpatient critical access hospital services furnished through telehealth under the Medicare program - Rep. Kildee, Daniel - Medicare coverage of outpatient telehealth services S. 150 - Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 - Sen. Cortez-Masto, Catherine - coverage of audio-only telehealth services in MA S. 151 - COVID HCBS Relief Act of 2021 - Sen. Casey, Robert - FMAP and HCBS S. 245 - SAME Act of 2021 - Sen. Warner, Mark - Medicaid expansion S. 274 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Sen. Bennet, Michael - COVID-19 coverage for the uninsured via Medicaid S. 285 - Medicaid Reentry Act of 2021 - Sen. Baldwin, Tammy - Medicaid coverage for incarcerated individuals S. 368 - Telehealth Modernization Act - Sen. Scott, Tim - coverage of telehealth services under Medicare S. 386 - Medicare-X Choice Act of 2021 - Sen. Bennet, Michael - Medicare public option S. 439 - Coronavirus Medicaid Response Act - Sen. Casey, Robert - increases FMAP S. 440 - Continued Funding for Senior Services During COVID-19 Act - Sen. Casey, Robert - funding for services under the Older Americans Act of 1965 S. 453 - CHIPPER Act - Sen. Casey, Robert - CHIP funding S. 581 - A bill to amend title XIX of the Social Security Act to improve access to adult vaccines under Medicaid - Sen. Brown, Sherrod - vaccines under Medicaid S. 620 - A bill to direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission, and the Medicaid and CHIP Payment and Access Commission to conduct studies and report to Congress on actions taken to expand access to telehealth services under the Medicare, Medicaid, and CHIP programs during the COVID-19 emergency - Sen. Fischer, Deb - telehealth expansion S. 644 - A bill to amend title XVIII of the Social Security Act to restore State authority to waive for certain facilities the 35-mile rule for designating critical access hospitals under the Medicare program, and for other purposes - Sen. Durbin, Richard - Medicare coverage for critical access hospitals S. 646 - A bill to amend titles XIX and XXI of the Social Security Act to provide for 12-month continuous enrollment under Medicaid and CHIP - Sen. Brown, Sherrod - Medicaid and CHIP enrollment S. 653 - A bill to amend title XVIII of the Social Security Act to provide for the application of Medicare secondary payer rules to certain workers' compensation settlement agreements and qualified Medicare set-aside provisions - Sen. Portman, Rob - Medicare secondary payer rules S. 712 - A bill to amend the SUPPORT for Patients and Communities Act to provide for immediate eligibility for former foster youth under Medicaid - Sen. Casey, Robert P., Jr. - Medicaid coverage for foster youth S. 748 - A bill to provide for an extension of the temporary suspension of Medicare sequestration during the COVID-19 public health emergency - Sen. Shaheen, Jeanne - Medicare sequestration S. 764 - A bill to amend title XIX of the Social Security Act to encourage State Medicaid programs to provide community-based mobile crisis intervention services, and for other purposes - Sen. Wyden, Ron - Medicaid mobile crisis intervention services S. 826 - A bill to amend title XVIII of the Social Security Act to establish a Medicare payment option for patients and eligible professionals to freely contract, without penalty, for Medicare fee-for-service items and services, while allowing Medicare beneficiaries to use their Medicare benefits - Sen. Paul, Rand - Medicaid payment options S. 870 - A bill to amend title XVIII of the Social Security Act to improve access to mental health services under the Medicare program - Sen. Stabenow, Debbie - mental health services in Medicare S. 999 - A bill to amend the title XVIII of the Social Security Act to preserve access to rural health care by ensuring fairness in Medicare hospital payments - Sen. Warner, Mark - Medicare hospital payments Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and risk adjustment data validation (RADV) audit issues including proposed RADV regulation for MA; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); calendar year 2021 policy and technical regulation for MA and Part D; Part D reform, out of pocket limits; issues related to Medicare for All, Medicare buy-in and public option; issues relating to 2022 Rate Notice; Executive Orders relating to international pricing, Part D rebates, insulin costs, and importation; issues related to MLTSS; issues related to removal of safe harbor protection for rebates; issues relating to COVID-19, including testing and vaccines; issues related to health equity; issues related to vaccination; issues related to audio-only telehealth; issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues related to Medicaid presumptive eligibility and continuous eligibility; issues relating to Medicaid best price; in-home health risk assessments; Medicare Medical Loss Ratio issues; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to sequestration under the Medicare Advantage and Part D programs; implications of physician fee schedule on MA; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); issues related to the international price index; issues related to child and maternal health; issues related to Medicaid supplemental and disproportionate share hospital (DSH) funding; issues related to Medicaid funding for territories; issues related to medical management; issues relating to MA supplemental benefits; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value based payment models; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; issues relating to MACRA, including implications for MA and Part D plans; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS's substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the Affordable Care Act (ACA) including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; issues related to health homes for children with medically complex conditions; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation.

All issues before the Senate and House of Representatives related to federal public transportation and highway programs, high-speed and intercity passenger rail programs, including issues related to authorization and appropriations laws, annual budget resolutions, legislation concerning the Highway Trust Fund and other transportation-related tax and revenue issues, and proposals for a new infrastructure investment initiative. Tax policy as it relates to public transportation including the alternative fuel volumetric tax credit for Compressed Natural Gas and Liquefied Natural Gas used in transit vehicles, the alternative fuel vehicle refueling property tax credit, the treatment of municipal bonds, the commuter tax benefit, tax credit bonds, private activity bonds, investment tax credits, Transportation Infrastructure Finance and Innovation Act (TIFIA) and Railroad Rehabilitation & Improvement Financing (RRIF) financing, and the solvency of the Federal Highway Trust Fund. Matters related to the implementation of the Moving Ahead for Progress in the 21st Century (MAP-21) Act and the Fixing America's Surface Transportation (FAST) Act. Legislation concerning Department of Transportation (DOT) regulations. Issues related to implementation of Positive Train Control technologies on commuter railroads as mandated under the P.L. 110-432, the Rail Safety Improvement Act of 2008 and P.L. 114-73, the Surface Transportation Extension Act of 2015. Issues related to successor legislation to the FAST Act. Issues related to existing or new transportation grant programs. Budget and appropriation issues for FY 2020 and FY 2021 including the Capital Investment Grant Program (CIG), the Rebuilding American Infrastructure with Sustainability and Equity (RAISE) program (formerly known as the Better Utilizing Investments to Leverage Development (BUILD) program), transit security grants, Amtrak funding, and other funding. Issues relating to transit security funding and programs. Funding and financing proposals for a new infrastructure spending initiative. Administrative actions for transportation related rules, regulations, guidance, guidelines, and best practices, including the DOT RAISE grant selections. Legislation affecting transportation programs in response to the Novel Coronavirus (COVID-19). Specific bills include S.262, Supporting State and Local Leaders Act; S.267, Investments in Rural Transit Act of 2021; S.303, Essential Transportation Employee Safety Act of 2021; S.354, Metro Safety, Accountability, and Investment Act of 2021; S.356, Transportation Opportunities for Professional Service Act or the TOPS Act; S.358, Tribal Transportation Equity and Transparency Improvement Act of 2021; S.361, A bill to establish a 90-day limit to file a petition for judicial review of a permit, license, or approval for a highway or public transportation project, and for other purposes; S.369, A bill to authorize and appropriate funding for grants to Amtrak for the restoration of long-distance routes and the rehiring of employees furloughed as a result of the COVID-19 pandemic; S.431, To amend title 23, United States Code, to require transportation planners to consider projects and strategies to reduce greenhouse gas emissions, and for other purposes or GREEN Streets Act; S.479, To amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds or the LOCAL Infrastructure Act; S.494, A bill to establish a working group on electric vehicles or the Green Bus Tax Credit Act of 2021; S.508, A bill to establish a working group on electric vehicles; S.700, A bill to establish a portal and database to receive and maintain information regarding blocked railroad-highway grade crossings and to require the Secretary of Transportation to evaluate the requirements of the railway-highway crossings program; S.837, A bill to provide relief to public transportation agencies with projects in the Full Funding Grant Agreement stage of the Capital Investment Grants Program; S.874, A bill to establish a green transportation infrastructure grant program, and for other purposes; S.899, A bill to establish the Intercity Passenger Rail Trust Fund to ensure a safe, sustainable, convenient transportation option for the people of the United States, and for other purposes; S.940, A bill to amend title 49, United States Code, to establish a National Transit Frontline Workforce Training Center, and for other purposes; S.941, A bill to amend title 23, United States Code, to improve the transportation infrastructure finance and innovation (TIFIA) program, and for other purposes; S.955, A bill to require the Federal Railroad Administration and the Federal Highway Administration to provide recommendations for reducing the number of very rural highway-rail grade crossing collisions, to authorize a public outreach and educational program to reduce such collisions, and to authorize grants to improve grade crossing safety; H.R.158, Rail Audit Transparency Act; H.R.227, Build America Act of 2021; H.R.383, Road User Charge Advancement Act of 2021; H.R.385, Preparing Localities for an Autonomous and Connected Environment Act or the PLACE Act; H.R.396, "Transit Security Grant Program Flexibility Act"; H.R.510, Support Local Transportation Act; H.R.512, Green Bus Act of 2021; H.R.583, Green Bus Tax Credit Act of 2021; H.R.740, Climate Resilient Transportation Infrastructure Study Act; H.R.786, Supporting State and Local Leaders Act; H.R.867, High Speed Rail Corridor Development Act of 2021; H.R.947, Railway Upgrades for Rural American Lines Act or the RURAL Act; H.R.1152, Green Buses for Every Community Act; H.R.1319, American Rescue Plan Act of 2021; H.R.1472, To prohibit the use of Federal financial assistance for a certain high-speed rail development project in the State of California that was subject to a previous cooperative agreement, and for other purposes; H.R.1519, To amend the Internal Revenue Code of 1986 to phaseout the Mass Transit Account; H.R.1615, To amend title 49, United States Code, to expand and codify the transit oriented development planning grant program, and for other purposes; H.R.1675, To amend title 49, United States Code, with respect to fixed guideway capital investment grants, and for other purposes; H.R.1697, To amend title 23, United States Code, to increase accessible transportation for individuals with disabilities; H.R.1845, To amend chapter 261 of title 49, United States Code, to provide for high-speed rail corridor development, and for other purposes; H.R.2038, To establish a green transportation infrastructure grant program, and for other purposes; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; H.R.2128, To amend title 49, United States Code, to improve transit safety; H.R.2129, To amend title 49, United States Code, to establish a National Transit Frontline Workforce Training Center, and for other purposes; H.R.2203, To amend titles 23 and 49, United States Code, to improve public understanding of how transportation investments are made by public agencies through establishing greater transparency and accountability processes; H.R.2204, To amend title 23, United States Code, to establish additional requirements for certain transportation projects with estimated costs of $2,500,000,000 or more, and for other purposes; H.R.2205, To amend title 49, United States Code, to provide grants and develop value capture policy; H.R.2206, To amend title 23, United States Code, to modify the transportation finance infrastructure and innovation program with respect to community development financial institutions, and for other purposes; H.R.2287, To direct the Secretary of Transportation to carry out a grant program to support efforts to provide fare-free transit service, and for other purposes.

Legislation before the Senate and House of Representatives related to mobility services funded by Department of Health and Human Services programs and other programs. Legislation regarding coordination and efficiencies among the dozens of federal programs supporting non-emergency medical transportation (NEMT) across several different federal departments. Legislation related to the Coordinating Council on Access and Mobility (CCAM), originally established under Executive Order No. 13330 and codified in Section 3006(c) of the FAST Act. Specific bills include H.R.1319, American Rescue Plan Act of 2021; H.R.1697, To amend title 23, United States Code, to increase accessible transportation for individuals with disabilities; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes.

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

Tax provisions before the Senate and House of Representatives related to infrastructure investment and financing, including Highway Trust Fund revenues, tax credit bonds, municipal bonds, private activity bonds, investment tax credits. Issues relating to proposals for a new infrastructure spending initiative. Legislation to amend P.L. 115-97, the Tax Cuts and Jobs Act, specifically related to municipal bonds, private activity bonds, the commuter tax benefit, and provisions affecting public pension funds. Legislation related to the extension and expansion of the alternative fuel volumetric tax credit for transit vehicles and the alternative fuel vehicle refueling property tax credit. Legislation related to the extension and expansion of the alternative fuel volumetric tax credit for transit vehicles and the alternative fuel vehicle refueling property tax credit. Specific bills include S.262, Supporting State and Local Leaders Act; S.479, To amend the Internal Revenue Code of 1986 to reinstate advance refunding bonds or the LOCAL Infrastructure Act; S.494, A bill to establish a working group on electric vehicles or the Green Bus Tax Credit Act of 2021; S.941, A bill to amend title 23, United States Code, to improve the transportation infrastructure finance and innovation (TIFIA) program, and for other purposes; H.R.158, Rail Audit Transparency Act; H.R.227, Build America Act of 2021; H.R.383, Road User Charge Advancement Act of 2021; H.R.583, Green Bus Tax Credit Act of 2021; H.R.786, Supporting State and Local Leaders Act; H.R.1319, American Rescue Plan Act of 2021; H.R.1519, To amend the Internal Revenue Code of 1986 to phaseout the Mass Transit Account; H.R.2080, To amend title XVIII of the Social Security Act to provide for temporary coverage of certain transportation services for certain individuals under the Medicare program, and for other purposes; H.R.2206, To amend title 23, United States Code, to modify the transportation finance infrastructure and innovation program with respect to community development financial institutions, and for other purposes.

Telehealth flexibilities and making current telehealth rules permanent Medicare Part D design and benefits S.464/H.R.2163, the Safe Step Act of 2021 S.828/H.R.432, the Mental Health Access Improvement Act H.R.2080, the Seniors Access to Vaccine Ensured Act

Client expense: $25,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

Efforts to promote and protect non-emergency medical transportation, including elements of the American Rescue Plan (PL 117-2) and The Seniors Access to Vaccines Ensure Act (H.R. 2080)

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

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