Increasing Behavioral Health Treatment Act

Cures 2.0 Act, H.R.6000; Medicare Mental Health Inpatient Equity Act of 2021 (H.R.5674/S.3061); Increasing Behavioral Health Treatment Act, H.R.2611; Brycen Gray and Ben Price COVID-19 Neurological Impact Act, H.R.5772; FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502 2022 Consolidated Appropriations Act, H.R.2471; Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, H.R.8295; Restoring Hope for Mental Health and Well-Being Act, H.R.7666; 2023 Consolidated Appropriations Act, H.R.2617

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Child welfare issues in general Implementation of the Family First Prevention Services Act -- included in PL 115-123; in general and specifically referring to the interaction between certain foster care placements and Medicaid law. Reauthorization of Title IV-B of the Social Security Act -- met with Congressional staff and relayed recommendations compiled by LACo Dept of Children and Family Services to Congressional offices Monitored the reauthorization of the Child Abuse Prevention and Treatment Act (CAPTA)-- Monitored the Senate Finance Committee Request for Information on Mental and Behavioral Health Monitored CMS guidance on Medicaid 1115 Waiver specifically serious mental illness/serious emotional disturbance (SMI/SED) and the implications for foster care groups home and interaction with the Institutions for Mental Disease exemption - advocated for legislation to address the issue. Researched and engaged Congressional staff on issues associated with the issuance of Social Security cards to children and youth in foster care. Advocated for an administrative resolution of the issue. Monitored action on the Maternal Infant and Early Childhood Home Visiting Program (MIECHV) Provided Congressional staff analysis and technical assistance on education stability and kinship navigation services Advocated in support of efforts to eliminate the AFDC income eligibility for foster care Bills -- HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 HR 5856 -- 21st Century Children and Families Act HR 4299 - Foster Care Stabilization Act S. 1927/HR 485 CAPTA Reauthorization H.R. 8177 - Access to Foster Care to 21 Act H.R. 5856 -- Children's Safe Welcome Act of 2022 H.R. 8954 -- Strengthening Tribal Families Act of 2022 H.R. 8876 The Jackie Walorski Maternal and Child Home Visiting Reauthorization H.R. 9549 -- Fostering Secure Family Partnership Act Advocated on County child welfare priorities for inclusion in the end of year Omnibus spending bill -- P.L. 117-328

FY 2023 appropriations for HUDs Capital Fund Program, the Community Development Block Grant program and the HOME Investment Partnerships program. American Jobs Plan, infrastructure funding Legislation to reauthorize federal surface transportation programs. H.R.1620, the Violence Against Women Reauthorization Act of 2021, to extend and improve these programs. H.R. 6, the American Dream and Promise Act of 2021, to create a path to citizenship for undocumented immigrants who were brought to the United States as children. H.R. 1603, the Farm Workforce Modernization Act of 2021, which would allow undocumented farmworkers to earn legal status. S. 264, the Dream Act of 2021, H.R. 973, the Central Coast Heritage Protection Act, H.R. 455, the California Clean Coast Act, Funding for transitioning to zero-emission vehicles FY 2023 Funding for PILT FY 2023 funding for state and local law enforcement assistance FY 2023 Funding for homeless Assistance Community Project Funding The Affordable Housing Redevelopment Act The Fighting Homelessness Through Services and Housing Act H.R. 602 Relaunching America's Workforce Act FY 2023 Energy and Water Appropriations Act U.S. Army Corps of Engineers funding FY 2023 Interior, Environment and Related Agencies Appropriations Act; Payments in Lieu of Taxes program, EPAs State and Local Air Quality programs, Land and Water Conservation Fund, National Endowment for the Arts, and Cleanup/removal of abandoned oil and gas wells Electric Vehicle charging infrastructure federal efforts to protect the Western Monarch Butterfly S. 1855, the Wildfire Emergency Act State and Local Tax Deduction S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California (PUBLIC) Lands Act Build Back Better budget reconciliation legislation - public health, transportation, climate change, housing, broadband, and local government funding S. 2689, the Ensuring Medicaid Continuity for Children in Foster Care Act of 2021. H.R. 2611, the Increasing Behavioral Health Treatment Act. S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California Lands (PUBLIC Lands) Act. S. 3011, Recovery Aid Flexibility. S. 596, Treat and Reduce Obesity Act H.R.5376, Build Back Better Act FY23 Community Project Funding FY23 Congressionally Directed Spending FY 2023 Labor, Health and Human Services funding for public health and prevention, mental health programs and substance abuse prevention. Reauthorization and expansion of mental health programs Older Americans Act Funding Pandemic relief and prevention Inflation Reduction Act Child Nutrition Programs Central Coast Heritage Protection Act Clean Energy Programs FY23 Omnibus Appropriations Act, Community Project funding and Congressionally Directed Spending for County of Ventura Projects. COVID-19 Public Health Emergency FEMA Presidentially declared nationwide emergency and major disaster declaration for the COVID-19 pandemic The Restoring Hope for Mental Health and Well-Being Act The Prepare for and Respond to Existing Viruses, Emerging New Threats, and Pandemics Act (PREVENT Pandemics Act) Water Resources Development Act reauthorization, Lower Mission Creek Project S. 1136/H.R. 2573, the Affordable Housing Credit Improvement Act, expand the Low-Income Housing Tax Credit, S. 2405, the Commitment to Veteran Support and Outreach Act S. 4295, the Financial Data Transparency Act of 2022, provisions that would require the Municipal Securities Rulemaking Board to establish uniform data standards for local governments H.R. 8450, the Healthy Meals, Healthy Kids Act, U.S. Department of the Treasury released guidance for the Local Assistance and Tribal Consistency Fund (LATCF), Transportation Grants the Inflation Reduction Act of 2022, provisions for Prescription drug pricing reform, investment in energy security and climate change, and expanded Affordable Care Act premium subsidies FY 2023 Labor, Health and Human Services Appropriations bill, Older Americans Act (OAA) program funding

FY 2023 appropriations for HUDs Capital Fund Program, the Community Development Block Grant program and the HOME Investment Partnerships program. American Jobs Plan, infrastructure funding H.R. 6, the American Dream and Promise Act of 2021,to create a path to citizenship for undocumented immigrants who were brought to the United States as children. H.R. 1603, the Farm Workforce Modernization Act of 2021, which would allow undocumented farmworkers to earn legal status. S. 264, the Dream Act of 2021, Legislation to enact a revenue-neutral carbon tax HR 613, the SALT Deductibility Act, H.R.202, the SALT Fairness Act of 2021. H.R. 1075, the Rim of the Valley Corridor Preservation Act, H.R. 973, the Central Coast Heritage Protection Act, H.R. 455, the California Clean Coast Act, Funding for transitioning to zero-emission vehicles FY 2023 Funding for PILT FY 2023 funding for state and local law enforcement assistance FY 2023 Funding for homeless Assistance Community Project Funding The Affordable Housing Redevelopment Act The Fighting Homelessness Through Services and Housing Act S. 127 the Build America's Libraries Act FY 2022 Energy and Water Appropriations Act U.S. Army Corps of Engineers funding Federal Truck Size Regulations H.R. 3684, the Investing in a New Vision for the Environment and Surface Transportation in America Act (INVEST in America Act) FY 2023 Interior, Environment and Related Agencies Appropriations Act; Payments in Lieu of Taxes program, EPAs State and Local Air Quality programs, Land and Water Conservation Fund, National Endowment for the Arts, and Cleanup/removal of abandoned oil and gas wells Broadband funding Electric Vehicle charging infrastructure federal efforts to protect the Western Monarch Butterfly S. 1855, the Wildfire Emergency Act State and Local Tax Deduction S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California (PUBLIC) Lands Act H.R.1620, the Violence Against Women Reauthorization Act of 2021 Revenue-neutral carbon tax H.R. 3684, the Infrastructure Investment and Jobs Act - transportation, climate change, housing, broadband, and local government funding Build Back Better budget reconciliation legislation - public health, transportation, climate change, housing, broadband, and local government funding S. Con. Res. 14, the FY 2022 Budget Resolution - public health, transportation, climate change, housing, broadband, and local government funding the Surface Transportation Reauthorization Act of 2021 (STRA), S. 2689, the Ensuring Medicaid Continuity for Children in Foster Care Act of 2021. H.R. 2611, the Increasing Behavioral Health Treatment Act. S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California Lands (PUBLIC Lands) Act. Federal Truck Size Regulations H.R. 2307, revenue neutral carbon fee. S. 3011, Recovery, Infrastructure, and Disaster Flexibility Act FY23 Community Project Funding FY23 Congressionally Directed Spending FY 2023 Labor, Health and Human Services Appropriations: Older Americans Act programs, Public Health and prevention, Safety net hospitals, Ryan White HIV/Aids, Mental Health, Substance Abuse. Federal Gun Control Federal funding for researching firearms violence Pandemic relief and prevention programs Mental Health program reauthorization H.R. 6823 Elizabeth Dole Home and Community Services for Veterans and Caregivers Act S. 2372 Recovering America's Wildlife Act FY23 Omnibus Appropriations Act, Community Project funding and Congressionally Directed Spending for County of Ventura Projects. COVID-19 Public Health Emergency FEMA Presidentially declared nationwide emergency and major disaster declaration for the COVID-19 pandemic The Restoring Hope for Mental Health and Well-Being Act The Prepare for and Respond to Existing Viruses, Emerging New Threats, and Pandemics Act (PREVENT Pandemics Act) Water Resources Development Act reauthorization, Santa Paula Creek Project S. 1136/H.R. 2573, the Affordable Housing Credit Improvement Act, expand the Low-Income Housing Tax Credit, S. 2405, the Commitment to Veteran Support and Outreach Act S. 4295, the Financial Data Transparency Act of 2022, provisions that would require the Municipal Securities Rulemaking Board to establish uniform data standards for local governments H.R. 8450, the Healthy Meals, Healthy Kids Act, U.S. Department of the Treasury released guidance for the Local Assistance and Tribal Consistency Fund (LATCF), Transportation Grants the Inflation Reduction Act of 2022, provisions for Prescription drug pricing reform, investment in energy security and climate change, and expanded Affordable Care Act premium subsidies FY 2023 Labor, Health and Human Services Appropriations bill, Older Americans Act (OAA) program funding

FY 2023 appropriations for HUDs Capital Fund Program, the Community Development Block Grant program and the HOME Investment Partnerships program. American Jobs Plan, infrastructure funding Legislation to reauthorize federal surface transportation programs. H.R.1620, the Violence Against Women Reauthorization Act of 2021, to extend and improve these programs. H.R. 6, the American Dream and Promise Act of 2021, to create a path to citizenship for undocumented immigrants who were brought to the United States as children. H.R. 1603, the Farm Workforce Modernization Act of 2021, which would allow undocumented farmworkers to earn legal status. S. 264, the Dream Act of 2021, H.R. 973, the Central Coast Heritage Protection Act, H.R. 455, the California Clean Coast Act, Funding for transitioning to zero-emission vehicles FY 2023 Funding for PILT FY 2023 funding for state and local law enforcement assistance FY 2023 Funding for homeless Assistance Community Project Funding The Affordable Housing Redevelopment Act The Fighting Homelessness Through Services and Housing Act H.R. 602 Relaunching America's Workforce Act FY 2023 Energy and Water Appropriations Act U.S. Army Corps of Engineers funding FY 2023 Interior, Environment and Related Agencies Appropriations Act; Payments in Lieu of Taxes program, EPAs State and Local Air Quality programs, Land and Water Conservation Fund, National Endowment for the Arts, and Cleanup/removal of abandoned oil and gas wells Electric Vehicle charging infrastructure federal efforts to protect the Western Monarch Butterfly S. 1855, the Wildfire Emergency Act State and Local Tax Deduction S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California (PUBLIC) Lands Act Build Back Better budget reconciliation legislation - public health, transportation, climate change, housing, broadband, and local government funding S. 2689, the Ensuring Medicaid Continuity for Children in Foster Care Act of 2021. H.R. 2611, the Increasing Behavioral Health Treatment Act. S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California Lands (PUBLIC Lands) Act. S. 3011, Recovery Aid Flexibility. S. 596, Treat and Reduce Obesity Act H.R.5376, Build Back Better Act FY23 Community Project Funding FY23 Congressionally Directed Spending FY 2023 Labor, Health and Human Services funding for public health and prevention, mental health programs and substance abuse prevention. Reauthorization and expansion of mental health programs Older Americans Act Funding Pandemic relief and prevention Inflation Reduction Act Child Nutrition Programs Central Coast Heritage Protection Act Clean Energy Programs

FY 2023 appropriations for HUDs Capital Fund Program, the Community Development Block Grant program and the HOME Investment Partnerships program. American Jobs Plan, infrastructure funding H.R. 6, the American Dream and Promise Act of 2021,to create a path to citizenship for undocumented immigrants who were brought to the United States as children. H.R. 1603, the Farm Workforce Modernization Act of 2021, which would allow undocumented farmworkers to earn legal status. S. 264, the Dream Act of 2021, Legislation to enact a revenue-neutral carbon tax HR 613, the SALT Deductibility Act, H.R.202, the SALT Fairness Act of 2021. H.R. 1075, the Rim of the Valley Corridor Preservation Act, H.R. 973, the Central Coast Heritage Protection Act, H.R. 455, the California Clean Coast Act, Funding for transitioning to zero-emission vehicles FY 2023 Funding for PILT FY 2023 funding for state and local law enforcement assistance FY 2023 Funding for homeless Assistance Community Project Funding The Affordable Housing Redevelopment Act The Fighting Homelessness Through Services and Housing Act S. 127 the Build America's Libraries Act FY 2022 Energy and Water Appropriations Act U.S. Army Corps of Engineers funding Federal Truck Size Regulations H.R. 3684, the Investing in a New Vision for the Environment and Surface Transportation in America Act (INVEST in America Act) FY 2023 Interior, Environment and Related Agencies Appropriations Act; Payments in Lieu of Taxes program, EPAs State and Local Air Quality programs, Land and Water Conservation Fund, National Endowment for the Arts, and Cleanup/removal of abandoned oil and gas wells Broadband funding Electric Vehicle charging infrastructure federal efforts to protect the Western Monarch Butterfly S. 1855, the Wildfire Emergency Act State and Local Tax Deduction S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California (PUBLIC) Lands Act H.R.1620, the Violence Against Women Reauthorization Act of 2021 Revenue-neutral carbon tax H.R. 3684, the Infrastructure Investment and Jobs Act - transportation, climate change, housing, broadband, and local government funding Build Back Better budget reconciliation legislation - public health, transportation, climate change, housing, broadband, and local government funding S. Con. Res. 14, the FY 2022 Budget Resolution - public health, transportation, climate change, housing, broadband, and local government funding the Surface Transportation Reauthorization Act of 2021 (STRA), S. 2689, the Ensuring Medicaid Continuity for Children in Foster Care Act of 2021. H.R. 2611, the Increasing Behavioral Health Treatment Act. S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California Lands (PUBLIC Lands) Act. Federal Truck Size Regulations H.R. 2307, revenue neutral carbon fee. S. 3011, Recovery, Infrastructure, and Disaster Flexibility Act FY23 Community Project Funding FY23 Congressionally Directed Spending FY 2023 Labor, Health and Human Services Appropriations: Older Americans Act programs, Public Health and prevention, Safety net hospitals, Ryan White HIV/Aids, Mental Health, Substance Abuse. Federal Gun Control Federal funding for researching firearms violence Pandemic relief and prevention programs Mental Health program reauthorization H.R. 6823 Elizabeth Dole Home and Community Services for Veterans and Caregivers Act S. 2372 Recovering America's Wildlife Act Inflation Reduction Act Child Nutrition Programs

Preserve Medicaid and Affordable Care Act Medicaid expansion. Preserve Medicaid funding and Medicaid disproportionate share hospital payments. Support easing the Medicaid IMD exclusion including support for the Increasing Behavioral Health Treatment Act (H.R. 2611). Support easing the Medicaid inmate exclusion, including support for the Humane Correctional Health Care Act (S. 1821/H.R. 3514). Support protecting the Medicaid program and the Affordable Care Act, including the Medicaid expansion. Support H.R. 955, S. 285, Medicaid Reentry Act to permit Medicaid coverage for inmates 30 days prior to release. Support similar provisions in H.R. 5376, Build Back Better Act or other moving vehicles. Support measures to phase down enhanced FMAP after COVID public health emergency ends.

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

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

Support protecting the Medicaid program and the Affordable Care Act, including the Medicaid expansion and Prevention and Public Health Fund. Support Hill-Burton reauthorization or other infrastructure funding for hospitals and public health systems. Support equitable distribution of funding for public safety net hospitals from Provider Relief Fund or other new funding vehicle. Support public health infrastructure investments. Support H.R. 1846, To amend the Public Health Service Act with respect to hospital infrastructure. Support H.R. 955, S. 285, Medicaid Reentry Act. Support similar provisions in H.R. 5376, Build Back Better Act or other legislative vehicles. H.R. 2611, Increasing Behavioral Health Treatment Act to lift the Medicaid IMD exclusion. Support S. 674, Public Health Infrastructure Saves Lives Act to invest in core public health infrastructure. Support H.R. 1846, To amend the Public Health Service Act with respect to hospital infrastructure to fund safety net hospital construction. Support H.R. 955, S. 285, Medicaid Reentry Act to permit Medicaid coverage for inmates 30 days prior to release. Support public health investments in H.R. 4502, FY 2022 Consolidated Appropriations Act (including LHHSED). Support H.R. 5611, S. 1902, Behavioral Health Crisis Services Expansion Act. Support measures to phase down the enhanced FMAP after the end of the COVID public health emergency. Support behavioral health crisis, and 988 implementation and parity provisions in legislation including H.R. 7116, 9-8-8 Implementation Act and H.R. 7666, Restoring Hope for Mental Health and Well Being Act. Support measures to relieve the shortage of critical IV contrast solution for diagnostic testing.

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

General children's health issues and Medicaid Improved access through Medicaid for youth in foster care to a child welfare specialty plan Interaction between certain group homes and the Institutions for Mental Disease (IMD) exemption HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 Monitored and gave input on Senate Finance Committee efforts to improve access to mental and behavioral health servies

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

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

General federal child welfare policy Legislation to improve access for foster youth to obtain a driver's license Proposal to help facilitate access to a child welfare specialty plan for health purposes Monitored and gave input on Senate Finance Committee efforts to improve mental and behavioral health access to children and youth Lobbied in support of HR 7932/S. 5052 -- participated in public events and coalitions in support of the legislation General implementation of the Family First Prevention Services Act (FFPSA) Bills -- HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 HR 7932/S. 5051 The Foster Youth and Driving Act H.R. 6657 -- Protecting Sibling Relationships in Foster Care Act of 2022

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

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Child welfare issues in general Implementation of the Family First Prevention Services Act -- included in PL 115-123; in general and specifically referring to the interaction between certain foster care placements and Medicaid law. Reauthorization of Title IV-B of the Social Security Act -- met with and relayed recommendations compiled by LACo Dept of Children and Family Services to Congressional offices Monitored the reauthorization of the Child Abuse Prevention and Treatment Act (CAPTA)-- Monitored the Senate Finance Committee Request for Information on Mental and Behavioral Health Monitored CMS guidance on Medicaid 1115 Waiver specifically serious mental illness/serious emotional disturbance (SMI/SED) and the implications for foster care groups home and interaction with the Institutions for Mental Disease exemption - advocated for legislation to address the issue. Researched and engaged Congressional staff on issues associated with the issuance of Social Security cards to children and youth in foster care. Advocated for an administrative resolution of the issue. Monitored action on the Maternal Infant and Early Childhood Home Visiting Program (MIECHV) Provided Congressional staff analysis and technical assistance on education stability and kinship navigation services Bills -- HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 HR 5856 -- 21st Century Children and Families Act HR 4299 - Foster Care Stabilization Act S. 1927/HR 485 CAPTA Reauthorization H.R. 8177 - Access to Foster Care to 21 Act H.R. 5856 -- Children's Safe Welcome Act of 2022 H.R. 8954 -- Strengthening Tribal Families Act of 2022 H.R. 8876 The Jackie Walorski Maternal and Child Home Visiting Reauthorization

Client expense: Not reported · Firm income: $36,000

Cures 2.0 Act, H.R.6000; Medicare Mental Health Inpatient Equity Act of 2021 (H.R.5674/S.3061); Increasing Behavioral Health Treatment Act, H.R.2611; Brycen Gray and Ben Price COVID-19 Neurological Impact Act, H.R.5772; FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502 2022 Consolidated Appropriations Act, H.R.2471; Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, H.R.8295; Restoring Hope for Mental Health and Well-Being Act, H.R.7666

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Cures 2.0 Act, H.R.6000; Medicare Mental Health Inpatient Equity Act of 2021 (H.R.5674/S.3061); Increasing Behavioral Health Treatment Act, H.R.2611; Brycen Gray and Ben Price COVID-19 Neurological Impact Act, H.R.5772; FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502 2022 Consolidated Appropriations Act, H.R.2471; Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, H.R.8295; Restoring Hope for Mental Health and Well-Being Act, H.R.7666

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2023 appropriations for HUDs Capital Fund Program, the Community Development Block Grant program and the HOME Investment Partnerships program. American Jobs Plan, infrastructure funding Legislation to reauthorize federal surface transportation programs. H.R.1620, the Violence Against Women Reauthorization Act of 2021, to extend and improve these programs. H.R. 6, the American Dream and Promise Act of 2021, to create a path to citizenship for undocumented immigrants who were brought to the United States as children. H.R. 1603, the Farm Workforce Modernization Act of 2021, which would allow undocumented farmworkers to earn legal status. S. 264, the Dream Act of 2021, H.R. 973, the Central Coast Heritage Protection Act, H.R. 455, the California Clean Coast Act, Funding for transitioning to zero-emission vehicles FY 2023 Funding for PILT FY 2023 funding for state and local law enforcement assistance FY 2023 Funding for homeless Assistance Community Project Funding The Affordable Housing Redevelopment Act The Fighting Homelessness Through Services and Housing Act H.R. 602 Relaunching America's Workforce Act FY 2023 Energy and Water Appropriations Act U.S. Army Corps of Engineers funding FY 2023 Interior, Environment and Related Agencies Appropriations Act; Payments in Lieu of Taxes program, EPAs State and Local Air Quality programs, Land and Water Conservation Fund, National Endowment for the Arts, and Cleanup/removal of abandoned oil and gas wells Electric Vehicle charging infrastructure federal efforts to protect the Western Monarch Butterfly S. 1855, the Wildfire Emergency Act State and Local Tax Deduction S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California (PUBLIC) Lands Act Build Back Better budget reconciliation legislation - public health, transportation, climate change, housing, broadband, and local government funding S. 2689, the Ensuring Medicaid Continuity for Children in Foster Care Act of 2021. H.R. 2611, the Increasing Behavioral Health Treatment Act. S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California Lands (PUBLIC Lands) Act. S. 3011, Recovery Aid Flexibility. S. 596, Treat and Reduce Obesity Act H.R.5376, Build Back Better Act FY23 Community Project Funding FY23 Congressionally Directed Spending FY 2023 Labor, Health and Human Services funding for public health and prevention, mental health programs and substance abuse prevention. Reauthorization and expansion of mental health programs Older Americans Act Funding Pandemic relief and prevention

FY 2023 appropriations for HUDs Capital Fund Program, the Community Development Block Grant program and the HOME Investment Partnerships program. American Jobs Plan, infrastructure funding H.R. 6, the American Dream and Promise Act of 2021,to create a path to citizenship for undocumented immigrants who were brought to the United States as children. H.R. 1603, the Farm Workforce Modernization Act of 2021, which would allow undocumented farmworkers to earn legal status. S. 264, the Dream Act of 2021, Legislation to enact a revenue-neutral carbon tax HR 613, the SALT Deductibility Act, H.R.202, the SALT Fairness Act of 2021. H.R. 1075, the Rim of the Valley Corridor Preservation Act, H.R. 973, the Central Coast Heritage Protection Act, H.R. 455, the California Clean Coast Act, Funding for transitioning to zero-emission vehicles FY 2023 Funding for PILT FY 2023 funding for state and local law enforcement assistance FY 2023 Funding for homeless Assistance Community Project Funding The Affordable Housing Redevelopment Act The Fighting Homelessness Through Services and Housing Act S. 127 the Build America's Libraries Act FY 2022 Energy and Water Appropriations Act U.S. Army Corps of Engineers funding Federal Truck Size Regulations H.R. 3684, the Investing in a New Vision for the Environment and Surface Transportation in America Act (INVEST in America Act) FY 2023 Interior, Environment and Related Agencies Appropriations Act; Payments in Lieu of Taxes program, EPAs State and Local Air Quality programs, Land and Water Conservation Fund, National Endowment for the Arts, and Cleanup/removal of abandoned oil and gas wells Broadband funding Electric Vehicle charging infrastructure federal efforts to protect the Western Monarch Butterfly S. 1855, the Wildfire Emergency Act State and Local Tax Deduction S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California (PUBLIC) Lands Act H.R.1620, the Violence Against Women Reauthorization Act of 2021 Revenue-neutral carbon tax H.R. 3684, the Infrastructure Investment and Jobs Act - transportation, climate change, housing, broadband, and local government funding Build Back Better budget reconciliation legislation - public health, transportation, climate change, housing, broadband, and local government funding S. Con. Res. 14, the FY 2022 Budget Resolution - public health, transportation, climate change, housing, broadband, and local government funding the Surface Transportation Reauthorization Act of 2021 (STRA), S. 2689, the Ensuring Medicaid Continuity for Children in Foster Care Act of 2021. H.R. 2611, the Increasing Behavioral Health Treatment Act. S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California Lands (PUBLIC Lands) Act. Federal Truck Size Regulations H.R. 2307, revenue neutral carbon fee. S. 3011, Recovery, Infrastructure, and Disaster Flexibility Act FY23 Community Project Funding FY23 Congressionally Directed Spending FY 2023 Labor, Health and Human Services Appropriations: Older Americans Act programs, Public Health and prevention, Safety net hospitals, Ryan White HIV/Aids, Mental Health, Substance Abuse. Federal Gun Control Federal funding for researching firearms violence Pandemic relief and prevention programs Mental Health program reauthorization

Support protecting the Medicaid program and the Affordable Care Act, including the Medicaid expansion and Prevention and Public Health Fund. Support Hill-Burton reauthorization or other infrastructure funding for hospitals and public health systems. Support equitable distribution of funding for public safety net hospitals from Provider Relief Fund or other new funding vehicle. Support public health infrastructure investments. Support H.R. 1846, To amend the Public Health Service Act with respect to hospital infrastructure. Support H.R. 955, S. 285, Medicaid Reentry Act. Support similar provisions in H.R. 5376, Build Back Better Act or other legislative vehicles. H.R. 2611, Increasing Behavioral Health Treatment Act to lift the Medicaid IMD exclusion. Support S. 674, Public Health Infrastructure Saves Lives Act to invest in core public health infrastructure. Support H.R. 1846, To amend the Public Health Service Act with respect to hospital infrastructure to fund safety net hospital construction. Support H.R. 955, S. 285, Medicaid Reentry Act to permit Medicaid coverage for inmates 30 days prior to release. Support public health investments in H.R. 4502, FY 2022 Consolidated Appropriations Act (including LHHSED). Support H.R. 5611, S. 1902, Behavioral Health Crisis Services Expansion Act. Support measures to phase down the enhanced FMAP after the end of the COVID public health emergency. Support behavioral health crisis, and 988 implementation and parity provisions in legislation including H.R. 7116, 9-8-8 Implementation Act and H.R. 7666, Restoring Hope for Mental Health and Well Being Act. Support measures to relieve the shortage of critical IV contrast solution for diagnostic testing.

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

Preserve Medicaid and Affordable Care Act Medicaid expansion. Preserve Medicaid funding and Medicaid disproportionate share hospital payments. Support easing the Medicaid IMD exclusion including support for the Increasing Behavioral Health Treatment Act (H.R. 2611). Support easing the Medicaid inmate exclusion, including support for the Humane Correctional Health Care Act (S. 1821/H.R. 3514). Support protecting the Medicaid program and the Affordable Care Act, including the Medicaid expansion. Support H.R. 955, S. 285, Medicaid Reentry Act to permit Medicaid coverage for inmates 30 days prior to release. Support similar provisions in H.R. 5376, Build Back Better Act or other moving vehicles. Support measures to phase down enhanced FMAP after COVID public health emergency ends.

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

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

General children's health issues and Medicaid Improved access through Medicaid for youth in foster care to a child welfare specialty plan Interaction between certain group homes and the Institutions for Mental Disease (IMD) exemption HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 Monitored and gave input on Senate Finance Committee efforts to improve access to mental and behavioral health servies

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

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

A General federal child welfare policy Access for foster youth to obtain a driver's license Proposal to help facilitate access to a child welfare specialty plan for health purposes General implementation of the Family First Prevention Services Act (FFPSA) HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 HR 7932 The Foster Youth and Driving Act Monitored and gave input on Senate Finance Committee efforts to improve mental and behavioral health access to children and youth Lobbied in support of HR 7932 -- participated in public events in support of the legislation

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

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Child welfare issues in general Implementation of the Family First Prevention Services Act -- included in PL 115-123; in general and specifically referring to the interaction between certain foster care placements and Medicaid law. Reauthorization of Title IV-B of the Social Security Act -- relayed recommendations compiled by LACo Dept of Children and Family Services to Congressional offices Monitored the reauthorization of the Child Abuse Prevention and Treatment Act (CAPTA)-- Monitored the Senate Finance Committee Request for Information on Mental and Behavioral Health Monitored CMS guidance on Medicaid 1115 Waiver specifically serious mental illness/serious emotional disturbance (SMI/SED) and the implications for foster care groups home and interaction with the Institutions for Mental Disease exemption Researched and engaged Congressional staff on issues associated with the issuance of Social Security cards to children and youth in foster care. Bills -- HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 HR 1658 - To Amend the Child Abuse Prevention and Treatment Act to promote a high-quality workforce in the child welfare system HR 5856 -- 21st Century Children and Families Act S. 503 PARENTS Act of 2021 HR 4299 - Foster Care Stabilization Act S. 1927/HR 485 CAPTA Reauthorization H.R. 8177 - Access to Foster Care to 21 Act

Client expense: Not reported · Firm income: $36,000

Support protecting the Medicaid program and the Affordable Care Act, including the Medicaid expansion and Prevention and Public Health Fund. Support Hill-Burton reauthorization (infrastructure funding for hospitals and public health systems) in infrastructure legislation. Support equitable distribution of funding for public safety net hospitals from Provider Relief Fund. Support public health infrastructure investments. Support H.R. 1846, To amend the Public Health Service Act with respect to hospital infrastructure. Support H.R. 955, S. 285, Medicaid Reentry Act. Support similar provisions in H.R. 5376, Build Back Better Act. H.R. 2611, Increasing Behavioral Health Treatment Act to lift the Medicaid IMD exclusion. Support H.R. 2297, Meeting IMD Needs with Direction Act/MIND Act to lift the Medicaid IMD exclusion for the duration of the public health emergency plus 180 days. Support S. 674, Public Health Infrastructure Saves Lives Act to invest in core public health infrastructure. Support H.R. 1846, To amend the Public Health Service Act with respect to hospital infrastructure to fund safety net hospital construction. Support H.R. 955, S. 285, Medicaid Reentry Act to permit Medicaid coverage for inmates 30 days prior to release. Support public health investments in H.R. 4502, FY 2022 Consolidated Appropriations Act (including LHHSED). Support H.R. 1620, Violence Against Women Reauthorization Act. Support H.R. 5611, S. 1902, Behavioral Health Crisis Services Expansion Act. Support Mental Health Parity provisions in Build Back Better Act. Support measures to phase down the enhanced FMAP after the end of the COVID public health emergency.

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

Preserve Medicaid and Affordable Care Act Medicaid expansion. Preserve Medicaid funding and Medicaid disproportionate share hospital payments. Support easing the Medicaid IMD exclusion including support for the Increasing Behavioral Health Treatment Act (H.R. 2611). Support easing the Medicaid inmate exclusion, including support for the Humane Correctional Health Care Act (S. 1821/H.R. 3514). Support protecting the Medicaid program and the Affordable Care Act, including the Medicaid expansion. Support H.R. 2297, Meeting IMD Needs with Direction Act/MIND Act to lift the Medicaid IMD exclusion for the duration of the public health emergency plus 180 days. Support H.R. 955, S. 285, Medicaid Reentry Act to permit Medicaid coverage for inmates 30 days prior to release. Support similar provisions in H.R. 5376, Build Back Better Act. Support measures to phase down enhanced FMAP after COVID public health emergency ends.

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

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

Cures 2.0 Act, H.R.6000; Medicare Mental Health Inpatient Equity Act of 2021 (H.R.5674/S.3061); Increasing Behavioral Health Treatment Act, H.R.2611; Brycen Gray and Ben Price COVID-19 Neurological Impact Act, H.R.5772; FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502; 2022 Consolidated Appropriations Act, H.R.2471;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2022 appropriations for HUDs Capital Fund Program, the Community Development Block Grant program and the HOME Investment Partnerships program. American Jobs Plan, infrastructure funding Legislation to reauthorize federal surface transportation programs. H.R.1620, the Violence Against Women Reauthorization Act of 2021, to extend and improve these programs. H.R. 6, the American Dream and Promise Act of 2021, on March 18 to create a path to citizenship for undocumented immigrants who were brought to the United States as children. H.R. 1603, the Farm Workforce Modernization Act of 2021, which would allow undocumented farmworkers to earn legal status. S. 264, the Dream Act of 2021, H.R. 973, the Central Coast Heritage Protection Act, H.R. 455, the California Clean Coast Act, Funding for transitioning to zero-emission vehicles FY 2022 Funding for PILT FY 2022 funding for state and local law enforcement assistance FY 2022 Funding for homeless Assistance Community Project Funding The Affordable Housing Redevelopment Act The Fighting Homelessness Through Services and Housing Act H.R. 602 Relaunching America's Workforce Act FY 2022 Energy and Water Appropriations Act U.S. Army Corps of Engineers funding FY 2022 Interior, Environment and Related Agencies Appropriations Act; Payments in Lieu of Taxes program, EPAs State and Local Air Quality programs, Land and Water Conservation Fund, National Endowment for the Arts, and Cleanup/removal of abandoned oil and gas wells Electric Vehicle charging infrastructure federal efforts to protect the Western Monarch Butterfly S. 1855, the Wildfire Emergency Act State and Local Tax Deduction S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California (PUBLIC) Lands Act H.R.1620, the Violence Against Women Reauthorization Act of 2021 Build Back Better budget reconciliation legislation - public health, transportation, climate change, housing, broadband, and local government funding S. 2689, the Ensuring Medicaid Continuity for Children in Foster Care Act of 2021. H.R. 2611, the Increasing Behavioral Health Treatment Act. S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California Lands (PUBLIC Lands) Act. S. 3011, Recovery Aid Flexibility. S. 596, Treat and Reduce Obesity Act H.R.5376, Build Back Better Act FY23 Community Project Funding FY23 Congressionally Directed Spending

FY 2022 appropriations for HUDs Capital Fund Program, the Community Development Block Grant program and the HOME Investment Partnerships program. American Jobs Plan, infrastructure funding H.R. 6, the American Dream and Promise Act of 2021, on March 18 to create a path to citizenship for undocumented immigrants who were brought to the United States as children. H.R. 1603, the Farm Workforce Modernization Act of 2021, which would allow undocumented farmworkers to earn legal status. S. 264, the Dream Act of 2021, Legislation to enact a revenue-neutral carbon tax HR 613, the SALT Deductibility Act, H.R.202, the SALT Fairness Act of 2021. H.R. 1075, the Rim of the Valley Corridor Preservation Act, H.R. 973, the Central Coast Heritage Protection Act, H.R. 455, the California Clean Coast Act, Funding for transitioning to zero-emission vehicles FY 2022 Funding for PILT FY 2022 funding for state and local law enforcement assistance FY 2022 Funding for homeless Assistance Community Project Funding The Affordable Housing Redevelopment Act The Fighting Homelessness Through Services and Housing Act S. 127 the Build America's Libraries Act FY 2022 Energy and Water Appropriations Act U.S. Army Corps of Engineers funding Federal Truck Size Regulations H.R. 3684, the Investing in a New Vision for the Environment and Surface Transportation in America Act (INVEST in America Act) FY 2022 Interior, Environment and Related Agencies Appropriations Act; Payments in Lieu of Taxes program, EPAs State and Local Air Quality programs, Land and Water Conservation Fund, National Endowment for the Arts, and Cleanup/removal of abandoned oil and gas wells Broadband funding Electric Vehicle charging infrastructure federal efforts to protect the Western Monarch Butterfly S. 1855, the Wildfire Emergency Act State and Local Tax Deduction S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California (PUBLIC) Lands Act H.R.1620, the Violence Against Women Reauthorization Act of 2021 Revenue-neutral carbon tax H.R. 3684, the Infrastructure Investment and Jobs Act - transportation, climate change, housing, broadband, and local government funding Build Back Better budget reconciliation legislation - public health, transportation, climate change, housing, broadband, and local government funding S. Con. Res. 14, the FY 2022 Budget Resolution - public health, transportation, climate change, housing, broadband, and local government funding the Surface Transportation Reauthorization Act of 2021 (STRA), S. 2689, the Ensuring Medicaid Continuity for Children in Foster Care Act of 2021. H.R. 2611, the Increasing Behavioral Health Treatment Act. S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California Lands (PUBLIC Lands) Act. Federal Truck Size Regulations H.R. 2307, revenue neutral carbon fee. S. 3011, Recovery, Infrastructure, and Disaster Flexibility Act FY23 Community Project Funding FY23 Congressionally Directed Spending

General children's health issues and Medicaid Improved access through Medicaid for youth in foster care to a child welfare specialty plan Interaction between certain group homes and the Institutions for Mental Disease (IMD) exemption HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 Monitored President's FY 2023 Budget Monitored and gave input on Senate Finance Committee efforts to improve access to mental and behavioral health servies

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

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

General children's health issues and Medicaid Improved access through Medicaid for youth in foster care to a child welfare specialty plan Interaction between certain group homes and the Institutions for Mental Disease (IMD) exemption HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 Monitored President's FY 2023 Budget Monitored and gave input on Senate Finance Committee efforts to improve access to mental and behavioral health servies

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

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Child welfare issues in general Implementation of the Family First Prevention Services Act -- included in PL 115-123; in general and specifically referring to the interaction between certain foster care placements and Medicaid law. Reauthorization of Title IV-B of the Social Security Act HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 HR 5661/S. 3078 - Continued State Flexibility to Assist Older Foster Youth Act HR 1658 - To Amend the Child Abuse Prevention and Treatment Act to promote a high-quality workforce in the child welfare system S. 1496 Child Welfare Workforce Support Act HR 1558 - Child Poverty Reduction Act of 2021 S. 2638 - Family Strengthening Infrastructure Act HR 5856 -- 21st Century Children and Families Act S. 503 PARENTS Act of 2021 HR 4299 - Foster Care Stabilization Act S. 1927/HR 485 CAPTA Reauthorization S. 1848/HR 3488 - John Lewis Every Child Deserves a Family Act HR 3083 - Foster Youth Mentor Act Monitored the reauthorization of the Child Abuse Prevention and Treatment Act (CAPTA)-- Monitored the Senate Finance Committee Request for Information on Mental and Behavioral Health Monitored CMS guidance on Medicaid 1115 Waiver specifically serious mental illness/serious emotional disturbance (SMI/SED) and the implications for foster care groups home and interaction with the Institutions for Mental Disease exemption Also monitored the release of the President's FY 2023 Budget

Client expense: Not reported · Firm income: $36,000

Preserve Medicaid and Affordable Care Act Medicaid expansion. Preserve Medicaid funding and Medicaid disproportionate share hospital payments. Support easing the Medicaid IMD exclusion including support for the Increasing Behavioral Health Treatment Act (H.R. 2611). Support easing the Medicaid inmate exclusion, including support for the Humane Correctional Health Care Act (S. 1821/H.R. 3514). Support protecting the Medicaid program and the Affordable Care Act, including the Medicaid expansion. Support H.R. 2297, Meeting IMD Needs with Direction Act/MIND Act to lift the Medicaid IMD exclusion for the duration of the public health emergency plus 180 days. Support H.R. 955, S. 285, Medicaid Reentry Act to permit Medicaid coverage for inmates 30 days prior to release. Support similar provisions in H.R. 5376, Build Back Better Act.

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

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

Support protecting the Medicaid program and the Affordable Care Act, including the Medicaid expansion and Prevention and Public Health Fund. Support Hill-Burton reauthorization (infrastructure funding for hospitals and public health systems) in infrastructure legislation. Support equitable distribution of funding for public safety net hospitals from Provider Relief Fund. Support public health infrastructure investments. Support H.R. 1846, To amend the Public Health Service Act with respect to hospital infrastructure. Support H.R. 955, S. 285, Medicaid Reentry Act. Support similar provisions in H.R. 5376, Build Back Better Act. H.R. 2611, Increasing Behavioral Health Treatment Act to lift the Medicaid IMD exclusion. Support H.R. 2297, Meeting IMD Needs with Direction Act/MIND Act to lift the Medicaid IMD exclusion for the duration of the public health emergency plus 180 days. Support S. 674, Public Health Infrastructure Saves Lives Act to invest in core public health infrastructure. Support H.R. 1846, To amend the Public Health Service Act with respect to hospital infrastructure to fund safety net hospital construction. Support H.R. 955, S. 285, Medicaid Reentry Act to permit Medicaid coverage for inmates 30 days prior to release. Support public health investments in H.R. 4502, FY 2022 Consolidated Appropriations Act (including LHHSED). Support H.R. 1620, Violence Against Women Reauthorization Act. support H.R. 1384, S. 445, Mainstreaming Addiction Treatment Act/MAT Act to ease the requirements to prescribe MAT for opioid use disorder treatment. Support H.R. 5611, S. 1902, Behavioral Health Crisis Services Expansion Act. Support Mental Health Parity provisions in Build Back Better Act.

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

Q4 Lobbying Report (October 1-December 31) Health Issues Provider Relief Fund Improvement Act (H.R. 5963) Provider Relief Fund Deadline Extension Act (S. 2493/H.R. 4735) Infrastructure Investment and Jobs Act (H.R. 3684) Build Back Better Act (H.R. 5376) FY 2022 Budget Resolution Public Service Loan Forgiveness program/physician federal loan forgiveness Coronavirus Provider Protection Act (H.R. 3021) Healthcare Workforce Resilience Act of 2021 Increasing Behavioral Health Treatment Act (H.R.2611) Rural America Health Corps Act (S.54) Black Maternal Health Momnibus Act of 2021 (S. 346/H.R. 959) Conrad State 30 & Physician Access Act Public Health and Social Services Emergency Fund Regulatory relief in light of coronavirus Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program, including S. 773/H.R. 3203 American Rescue Plan (H.R. 1319) American Jobs Plan Leading Infrastructure for Tomorrows America Act/LIFT America Act (H.R. 1848) Rural Hospital Closure Relief Act (H.R. 1639/S.644) National Coronavirus Commission Act (S. 412) Strengthening Mental Health Supports for BIPOC Communities Act (H.R. 1331) Rural and Underserved Small Hospital Protection Act/RUSH Act (H.R. 1885) Rural America Health Corps Act (S. 924/H.R. 2130), Strengthening Americas Health Care Readiness Act (S. 54) Resident Physician Shortage Act (S. 834/H.R. 2256) OSHA rule on COVID-19 Healthcare Workplace Safety No Surprises Act regulations Medicare/Medicaid Protecting Medicare and American Farmers from Sequester Cuts Act (S.610) Medicaid DSH Payment Adjustment Fairness Act of 2021 (H.R. 5015) Stopping Doctor Shortages Act (H.R. 1133/S. 311) Better Way for Providers to Repay Act of 2021 (H.R. 2407) Public Health Emergency designation Accelerated and Advance Payment Program repayment flexibility Rural hospital policies (Rural Health Clinic payment - H.R. 1868) Sequestration relief (H.R. 1868) Graduate Medical Education (GME) funding (Resident Physician Shortage Reduction Act of 2021 (S. 834) Disproportionate share hospital allotment increase (technical correction) Telehealth flexibilities and payment (TREAT Act - S. 168/H.R. 708; Telehealth Modernization Act -S. 368/H.R. 1332; TREATS Act - S. 340) Medicare for All (H.R. 1976) Resetting the Impact Act (TRIA) of 2021 (H.R. 2455) Submitted Comments SUBJECT: [Docket No. FDA-2016-D-0271], Hospital and Health System Compounding Under Section 503A of the Federal Food, Drug, and Cosmetic Act; Revised Draft Guidance for Industry; (Vol 86, No 192), October 7, 2021 Subject: CMS-9908-IFC, Requirements Related to Surprise Billing; Part II; Interim Final Rule with Comment Period, Federal Register (Vol. 86, No. 192), October 7, 2021 SUBJECT: CMS-9907-P, Requirements Related to Air Ambulance Services, Agent and Broker Disclosures, and Provider Enforcement, Federal Register (Vol. 86, No. 177), September 16, 2021 SUBJECT: [IS No. 2696-21; DHS Docket No. USCIS- 2021-0013; Public Charge Ground of Inadmissibility; Advanced Notice of Proposed Rulemaking; Federal Register (Vol. 86, No. 160), August 23, 2021

FY 2022 appropriations for HUDs Capital Fund Program, the Community Development Block Grant program and the HOME Investment Partnerships program. American Jobs Plan, infrastructure funding Legislation to reauthorize federal surface transportation programs. H.R.1620, the Violence Against Women Reauthorization Act of 2021, to extend and improve these programs. H.R. 6, the American Dream and Promise Act of 2021, on March 18 to create a path to citizenship for undocumented immigrants who were brought to the United States as children. H.R. 1603, the Farm Workforce Modernization Act of 2021, which would allow undocumented farmworkers to earn legal status. S. 264, the Dream Act of 2021, H.R. 1319, the American Rescue Plan, funding for public health/vaccine distribution, and emergency payments to state and local governments. Tax Credits for Paid Leave and Housing/Homeless Assistance. H.R. 973, the Central Coast Heritage Protection Act, H.R. 455, the California Clean Coast Act, Funding for transitioning to zero-emission vehicles FY 2022 Funding for PILT FY 2022 funding for state and local law enforcement assistance FY 2022 Funding for homeless Assistance Community Project Funding The Affordable Housing Redevelopment Act The Fighting Homelessness Through Services and Housing Act H.R. 602 Relaunching America's Workforce Act FY 2022 Energy and Water Appropriations Act U.S. Army Corps of Engineers funding Federal Truck Size Regulations H.R. 3684, the Investing in a New Vision for the Environment and Surface Transportation in America Act (INVEST in America Act) FY 2022 Interior, Environment and Related Agencies Appropriations Act; Payments in Lieu of Taxes program, EPAs State and Local Air Quality programs, Land and Water Conservation Fund, National Endowment for the Arts, and Cleanup/removal of abandoned oil and gas wells Electric Vehicle charging infrastructure Surface Transportation Reauthorization Act of 2021 federal efforts to protect the Western Monarch Butterfly S. 1855, the Wildfire Emergency Act State and Local Tax Deduction S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California (PUBLIC) Lands Act H.R.1620, the Violence Against Women Reauthorization Act of 2021 H.R. 3684, the Infrastructure Investment and Jobs Act - transportation, climate change, housing, broadband, and local government funding Build Back Better budget reconciliation legislation - public health, transportation, climate change, housing, broadband, and local government funding S. Con. Res. 14, the FY 2022 Budget Resolution - public health, transportation, climate change, housing, broadband, and local government funding the Surface Transportation Reauthorization Act of 2021 (STRA), S. 2689, the Ensuring Medicaid Continuity for Children in Foster Care Act of 2021. H.R. 2611, the Increasing Behavioral Health Treatment Act. S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California Lands (PUBLIC Lands) Act. S. 3011, Recovery Aid Flexibility. S. 596, Treat and Reduce Obesity Act H.R.5376, Build Back Better Act

FY 2022 appropriations for HUDs Capital Fund Program, the Community Development Block Grant program and the HOME Investment Partnerships program. American Jobs Plan, infrastructure funding Legislation to reauthorize federal surface transportation programs. H.R.1620, the Violence Against Women Reauthorization Act of 2021, to extend and improve these programs. H.R. 6, the American Dream and Promise Act of 2021, on March 18 to create a path to citizenship for undocumented immigrants who were brought to the United States as children. H.R. 1603, the Farm Workforce Modernization Act of 2021, which would allow undocumented farmworkers to earn legal status. S. 264, the Dream Act of 2021, Legislation to enact a revenue-neutral carbon tax HR 613, the SALT Deductibility Act, H.R.202, the SALT Fairness Act of 2021. H.R. 1319, the American Rescue Plan, funding for public health/vaccine distribution, and emergency payments to state and local governments. Tax Credits for Paid Leave and Housing/Homeless Assistance. H.R. 1075, the Rim of the Valley Corridor Preservation Act, H.R. 973, the Central Coast Heritage Protection Act, H.R. 455, the California Clean Coast Act, Funding for transitioning to zero-emission vehicles FY 2022 Funding for PILT FY 2022 funding for state and local law enforcement assistance FY 2022 Funding for homeless Assistance Community Project Funding The Affordable Housing Redevelopment Act The Fighting Homelessness Through Services and Housing Act S. 127 the Build America's Libraries Act FY 2022 Energy and Water Appropriations Act U.S. Army Corps of Engineers funding Federal Truck Size Regulations H.R. 3684, the Investing in a New Vision for the Environment and Surface Transportation in America Act (INVEST in America Act) FY 2022 Interior, Environment and Related Agencies Appropriations Act; Payments in Lieu of Taxes program, EPAs State and Local Air Quality programs, Land and Water Conservation Fund, National Endowment for the Arts, and Cleanup/removal of abandoned oil and gas wells Broadband funding Electric Vehicle charging infrastructure Surface Transportation Reauthorization Act of 2021 federal efforts to protect the Western Monarch Butterfly S. 1855, the Wildfire Emergency Act State and Local Tax Deduction S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California (PUBLIC) Lands Act H.R.1620, the Violence Against Women Reauthorization Act of 2021 Revenue-neutral carbon tax H.R. 3684, the Infrastructure Investment and Jobs Act - transportation, climate change, housing, broadband, and local government funding Build Back Better budget reconciliation legislation - public health, transportation, climate change, housing, broadband, and local government funding S. Con. Res. 14, the FY 2022 Budget Resolution - public health, transportation, climate change, housing, broadband, and local government funding the Surface Transportation Reauthorization Act of 2021 (STRA), S. 2689, the Ensuring Medicaid Continuity for Children in Foster Care Act of 2021. H.R. 2611, the Increasing Behavioral Health Treatment Act. S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California Lands (PUBLIC Lands) Act. Federal Truck Size Regulations H.R. 2307, revenue neutral carbon fee. S. 3011, Recovery, Infrastructure, and Disaster Flexibility Act

H.R.2611, Increasing Behavioral Health Treatment Act, IMD exclusion generally H.R.1978, Protecting Seniors Through Immunization Act of 2021, Vaccine related issues H.R.5611, Behavioral Health Crisis Services Expansion Act, generally Afghan Refugee Resettlement Health issues 9-8-8 Hotline for Behavioral Health emergencies issues Monitor the following: Public Health and Social Service Border related issues Implementation of Public Law 117-2, American Rescue Plan Act of 2021, Local government related issues OSHA Emergency Temporary Standard for Vaccinations 42 CFR Part 2, Patient Privacy provisions, generally Public charge rule Addiction and Behavioral Health related issues 340B Disproportionate Share Hospital Medicaid Inmate Exclusion Alzheimer services, generally Implementation of the Older American's Act Reauthorization Implementation of Public Law 116-260, Consolidated Appropriations Act, 2021, Division M, Coronavirus Response and Relief Supplemental Appropriations Act, 2021, Local government related issues; and Division N, Additional Coronavirus Response Relief, Local government related issues

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

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE

Cures 2.0 Act, H.R.6000; Medicare Mental Health Inpatient Equity Act of 2021 (H.R.5674/S.3061); Increasing Behavioral Health Treatment Act, H.R.2611; Brycen Gray and Ben Price COVID-19 Neurological Impact Act, H.R.5772; FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General children's health issues and Medicaid Improved access through Medicaid for youth in foster care to a child welfare specialty plan Interaction between certain group homes and the Institutions for Mental Disease (IMD) exemption HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021

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

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

A General federal child welfare policy Access for foster youth to obtain a driver's license (Davis-Bacon bill from 116th Congress --HR 7042 Proposal to help facilitate access to a child welfare specialty plan for health purposes General implementation of the Family First Prevention Services Act (FFPSA) HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 HR 5376 Build Back Better Act HR 5661/S. 3078 - Continued State Flexibility to Assist Older Foster Youth Act S. 503 PARENTS Act of 2021

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

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Child welfare issues in general Implementation of the Family First Prevention Services Act -- included in PL 115-123; in general and specifically referring to the interaction between certain foster care placements and Medicaid law. HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 HR 5376 Build Back Better Act HR 5661/S. 3078 - Continued State Flexibility to Assist Older Foster Youth Act S. 503 PARENTS Act of 2021 Also monitored and gave input on the development of the reauthorization of Title IV-B of the SSA -- Also monitored the Senate Finance Committee Request for Information on Mental Health Also monitored CMS guidance on Medicaid 1115 Waiver specifically serious mental illness/serious emotional disturbance (SMI/SED) and the implications for foster care groups home and interaction with the Institutions for Mental Disease exemption Also monitored CMS Health Affairs Blog: A Strategic Vision for CHIP and Medicaid

Client expense: Not reported · Firm income: $36,000

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

- Telehealth, reforming barriers to Medicare reimbursement and access to services. - Medicare: 1) coverage of Mental Health Counselors and Marriage and Family Therapists - the Mental Health Access Improvement Act H.R. 432 and S. 828 and 2) coverage of peer support specialists services - Promoting Effective and Empowering Recovery Services in Medicare (PEERS) Act H.R.2767 and S.2144 - Health Coverage for individuals released from jails and prisons, the Medicaid Reentry Act S. 285 and H.R. 955 - Institution for Mental Disease (IMD) Exclusion H.R.2611, Increasing Behavioral Health Treatment Act

Client expense: $58,252 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, White House Office

FY 2022 appropriations for HUDs Capital Fund Program, the Community Development Block Grant program and the HOME Investment Partnerships program. American Jobs Plan, infrastructure funding Legislation to reauthorize federal surface transportation programs. H.R.1620, the Violence Against Women Reauthorization Act of 2021, to extend and improve these programs. H.R. 6, the American Dream and Promise Act of 2021, on March 18 to create a path to citizenship for undocumented immigrants who were brought to the United States as children. H.R. 1603, the Farm Workforce Modernization Act of 2021, which would allow undocumented farmworkers to earn legal status. S. 264, the Dream Act of 2021, H.R. 1319, the American Rescue Plan, funding for public health/vaccine distribution, and emergency payments to state and local governments. Tax Credits for Paid Leave and Housing/Homeless Assistance. H.R. 973, the Central Coast Heritage Protection Act, H.R. 455, the California Clean Coast Act, Funding for transitioning to zero-emission vehicles FY 2022 Funding for PILT FY 2022 funding for state and local law enforcement assistance FY 2022 Funding for homeless Assistance Community Project Funding The Affordable Housing Redevelopment Act The Fighting Homelessness Through Services and Housing Act H.R. 602 Relaunching America's Workforce Act FY 2022 Energy and Water Appropriations Act U.S. Army Corps of Engineers funding Federal Truck Size Regulations H.R. 3684, the Investing in a New Vision for the Environment and Surface Transportation in America Act (INVEST in America Act) FY 2022 Interior, Environment and Related Agencies Appropriations Act; Payments in Lieu of Taxes program, EPAs State and Local Air Quality programs, Land and Water Conservation Fund, National Endowment for the Arts, and Cleanup/removal of abandoned oil and gas wells Electric Vehicle charging infrastructure Surface Transportation Reauthorization Act of 2021 federal efforts to protect the Western Monarch Butterfly S. 1855, the Wildfire Emergency Act State and Local Tax Deduction S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California (PUBLIC) Lands Act H.R.1620, the Violence Against Women Reauthorization Act of 2021 H.R. 3684, the Infrastructure Investment and Jobs Act - transportation, climate change, housing, broadband, and local government funding Build Back Better budget reconciliation legislation - public health, transportation, climate change, housing, broadband, and local government funding S. Con. Res. 14, the FY 2022 Budget Resolution - public health, transportation, climate change, housing, broadband, and local government funding the Surface Transportation Reauthorization Act of 2021 (STRA), S. 2689, the Ensuring Medicaid Continuity for Children in Foster Care Act of 2021. H.R. 2611, the Increasing Behavioral Health Treatment Act. S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California Lands (PUBLIC Lands) Act.

FY 2022 appropriations for HUDs Capital Fund Program, the Community Development Block Grant program and the HOME Investment Partnerships program. American Jobs Plan, infrastructure funding Legislation to reauthorize federal surface transportation programs. H.R.1620, the Violence Against Women Reauthorization Act of 2021, to extend and improve these programs. H.R. 6, the American Dream and Promise Act of 2021, on March 18 to create a path to citizenship for undocumented immigrants who were brought to the United States as children. H.R. 1603, the Farm Workforce Modernization Act of 2021, which would allow undocumented farmworkers to earn legal status. S. 264, the Dream Act of 2021, Legislation to enact a revenue-neutral carbon tax HR 613, the SALT Deductibility Act, H.R.202, the SALT Fairness Act of 2021. H.R. 1319, the American Rescue Plan, funding for public health/vaccine distribution, and emergency payments to state and local governments. Tax Credits for Paid Leave and Housing/Homeless Assistance. H.R. 1075, the Rim of the Valley Corridor Preservation Act, H.R. 973, the Central Coast Heritage Protection Act, H.R. 455, the California Clean Coast Act, Funding for transitioning to zero-emission vehicles FY 2022 Funding for PILT FY 2022 funding for state and local law enforcement assistance FY 2022 Funding for homeless Assistance Community Project Funding The Affordable Housing Redevelopment Act The Fighting Homelessness Through Services and Housing Act S. 127 the Build America's Libraries Act FY 2022 Energy and Water Appropriations Act U.S. Army Corps of Engineers funding Federal Truck Size Regulations H.R. 3684, the Investing in a New Vision for the Environment and Surface Transportation in America Act (INVEST in America Act) FY 2022 Interior, Environment and Related Agencies Appropriations Act; Payments in Lieu of Taxes program, EPAs State and Local Air Quality programs, Land and Water Conservation Fund, National Endowment for the Arts, and Cleanup/removal of abandoned oil and gas wells Broadband funding Electric Vehicle charging infrastructure Surface Transportation Reauthorization Act of 2021 federal efforts to protect the Western Monarch Butterfly S. 1855, the Wildfire Emergency Act State and Local Tax Deduction S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California (PUBLIC) Lands Act H.R.1620, the Violence Against Women Reauthorization Act of 2021 Revenue-neutral carbon tax H.R. 3684, the Infrastructure Investment and Jobs Act - transportation, climate change, housing, broadband, and local government funding Build Back Better budget reconciliation legislation - public health, transportation, climate change, housing, broadband, and local government funding S. Con. Res. 14, the FY 2022 Budget Resolution - public health, transportation, climate change, housing, broadband, and local government funding the Surface Transportation Reauthorization Act of 2021 (STRA), S. 2689, the Ensuring Medicaid Continuity for Children in Foster Care Act of 2021. H.R. 2611, the Increasing Behavioral Health Treatment Act. S. 1459, the Protecting Unique and Beautiful Landscapes by Investing in California Lands (PUBLIC Lands) Act. Federal Truck Size Regulations

Public Health and Social Service Border related issues H.R.2611, Increasing Behavioral Health Treatment Act, IMD exclusion generally Vaccine distribution and administration issues Monitor the following: Implementation of Public Law 117-2, American Rescue Plan Act of 2021, Local government related issues OSHA Emergency Temporary Standard for Vaccinations 42 CFR Part 2, Patient Privacy provisions, generally Public charge rule Addiction and Behavioral Health related issues 340B Disproportionate Share Hospital Medicaid Inmate Exclusion Alzheimer services, generally Implementation of the Older American's Act Reauthorization Implementation of Public Law 116-260, Consolidated Appropriations Act, 2021, Division M, Coronavirus Response and Relief Supplemental Appropriations Act, 2021, Local government related issues; and Division N, Additional Coronavirus Response Relief, Local government related issues

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

Government targets: Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE

Support protecting the Medicaid program and the Affordable Care Act, including the Medicaid expansion and Prevention and Public Health Fund. Support Hill-Burton reauthorization (infrastructure funding for hospitals and public health systems) in infrastructure legislation. Support equitable distribution of funding for public safety net hospitals from Provider Relief Fund. Support public health infrastructure investments. Support H.R. 1846, To amend the Public Health Service Act with respect to hospital infrastructure. Support H.R. 955, S. 285, Medicaid Reentry Act. Support similar provisions in H.R. 5376, Build Back Better Act. H.R. 2611, Increasing Behavioral Health Treatment Act to lift the Medicaid IMD exclusion. Support H.R. 2297, Meeting IMD Needs with Direction Act/MIND Act to lift the Medicaid IMD exclusion for the duration of the public health emergency plus 180 days. Support S. 674, Public Health Infrastructure Saves Lives Act to invest in core public health infrastructure. Support H.R. 1846, To amend the Public Health Service Act with respect to hospital infrastructure to fund safety net hospital construction. Support H.R. 955, S. 285, Medicaid Reentry Act to permit Medicaid coverage for inmates 30 days prior to release. Support public health investments in H.R. 4502, FY 2022 Consolidated Appropriations Act (including LHHSED). Support H.R. 1620, Violence Against Women Reauthorization Act. support H.R. 1384, S. 445, Mainstreaming Addiction Treatment Act/MAT Act to ease the requirements to prescribe MAT for opioid use disorder treatment.

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

Preserve Medicaid and Affordable Care Act Medicaid expansion. Preserve Medicaid funding and Medicaid disproportionate share hospital payments. Support easing the Medicaid IMD exclusion including support for the Increasing Behavioral Health Treatment Act (H.R. 2611). Support easing the Medicaid inmate exclusion, including support for the Humane Correctional Health Care Act (S. 1821/H.R. 3514). Support protecting the Medicaid program and the Affordable Care Act, including the Medicaid expansion. Support H.R. 2297, Meeting IMD Needs with Direction Act/MIND Act to lift the Medicaid IMD exclusion for the duration of the public health emergency plus 180 days. Support H.R. 955, S. 285, Medicaid Reentry Act to permit Medicaid coverage for inmates 30 days prior to release. Support similar provisions in H.R. 5376, Build Back Better Act.

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

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

Q3 Lobbying Report (July 1-September 30) Health Issues Provider Relief Fund Deadline Extension Act (S. 2493/H.R. 4735) Infrastructure Investment and Jobs Act (H.R. 3684) Build Back Better Act (H.R. 5376) FY 2022 Budget Resolution Public Service Loan Forgiveness program/physician federal loan forgiveness Coronavirus Provider Protection Act (H.R. 3021) Healthcare Workforce Resilience Act of 2021 Increasing Behavioral Health Treatment Act (H.R.2611) Rural America Health Corps Act (S.54) Black Maternal Health Momnibus Act of 2021 (S. 346/H.R. 959) Conrad State 30 & Physician Access Act Public Health and Social Services Emergency Fund Regulatory relief in light of coronavirus Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program, including S. 773/H.R. 3203 American Rescue Plan (H.R. 1319) American Jobs Plan Leading Infrastructure for Tomorrows America Act/LIFT America Act (H.R. 1848) Rural Hospital Closure Relief Act (H.R. 1639/S.644) National Coronavirus Commission Act (S. 412) Strengthening Mental Health Supports for BIPOC Communities Act (H.R. 1331) Rural and Underserved Small Hospital Protection Act/RUSH Act (H.R. 1885) Rural America Health Corps Act (S. 924/H.R. 2130), Strengthening Americas Health Care Readiness Act (S. 54) Resident Physician Shortage Act (S. 834/H.R. 2256) OSHA rule on COVID-19 Healthcare Workplace Safety No Surprises Act regulations Medicare/Medicaid Medicaid DSH Payment Adjustment Fairness Act of 2021 (H.R. 5015) Stopping Doctor Shortages Act (H.R. 1133/S. 311) Better Way for Providers to Repay Act of 2021 (H.R. 2407) Public Health Emergency designation Accelerated and Advance Payment Program repayment flexibility Rural hospital policies (Rural Health Clinic payment - H.R. 1868) Sequestration relief (H.R. 1868) Graduate Medical Education (GME) funding (Resident Physician Shortage Reduction Act of 2021 (S. 834) Disproportionate share hospital allotment increase (technical correction) Telehealth flexibilities and payment (TREAT Act - S. 168/H.R. 708; Telehealth Modernization Act -S. 368/H.R. 1332; TREATS Act - S. 340) Medicare for All (H.R. 1976) Resetting the Impact Act (TRIA) of 2021 (H.R. 2455) Submitted Comments Subject: CMS-9909-IFC, Requirements Related to Surprise Billing; Part I; Interim Final Rule with Comment Period, Federal Register (Vol. 86, No. 131), July 13, 2021 SUBJECT: CMS-1753-P, Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; Radiation Oncology Model; Request for Information on Rural Emergency Hospitals (Vol 86, No 147), August 4, 2021 SUBJECT: CMS-1751-P, Medicare Program; CY 2022 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Provider Enrollment Regulation Updates; Provider and Supplier Prepayment and Post Payment Medical Review Requirements; Proposed Rule; Federal Register (Vol. 86, No.139), July 23, 2021 SUBJECT: CMS-1747-P, Medicare and Medicaid Programs; CY 2022 Home Health Prospective Payment System Update: Home Health Value-Based Purchasing Model Requirements and Proposed Model Expansion; Home Health Quality Reporting Requirements; Home Infusion Therapy Services Requirements; survey and Enforcement Requirements for Hospice Programs; Medicare Provider Enrollment Requirements; Inpatient Rehabilitation Facility Quality Reporting Program Requirements; and Long-term Care Hospital Quality Reporting Program Requirements; Federal Register (Vol. 86, No.127), July 7, 2021 Subject: Information Collection Request Title: COVID-19 Provider Relief Fund Reporting Activities, OMB No. 0906- XXXX New, Federal Register (Vol. 86, No. 140), July 26, 2021

Access for foster youth to obtain a driver's license (Davis-Bacon bill from 116th Congress --HR 7042 Proposal to help facilitate access to a child welfare specialty plan for health purposes General implementation of the Family First Prevention Services Act (FFPSA) HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 HR 5376 Build Back Better Act S. Con Res 14 - Budget Resolution HR 5167 - Emergency Support for Older Foster Youth Under Chaffee

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

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE