Medical Nutrition Therapy Act of 2021

H.R. 3108 Medical Nutrition Therapy Act of 2021.

Client expense: $810,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES

H.R. 3108 Medical Therapy Nutrition Act of 2021.

Client expense: $1,150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES

H.R. 3108 Medical Therapy Nutrition Act of 2021.

Client expense: $850,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES

H.R. 3108 The Medical Nutrition Therapy Act of 2021. Proposals to reduce adult malnutrition and hospital readmissions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Issues (Andrew Hu) House and Senate       Issues/Topics Public health funding  Behavioral health and crisis intervention Healthcare Workforce Rural health care and rural hospitals Telehealth  Medicare   Medicaid  Dual Medicare and Medicaid Eligibility Hospital Consolidation     Nutrition Services and Food Security  Obesity in older adults School meals Child nutrition Opioids and Substance Use Disorders Caregiving and Aging Home and Community Based Services Pandemic Preparedness Bills S3799 PREVENT Pandemics Act H.R. 6613 - Keeping School Meals Flexible Act S1536/HR3108 - Medical Nutrition Therapy Act of 2021 HR 5218 - Collaborate in an Orderly and Cohesive Manner HR 7232 - 9-8-8 and Parity Assistance Act of 2022

Client expense: $630,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical Nutrition Equity Act of 2021 - H.R. 3783 Medical Nutrition Equity Act of 2021 - S. 2013 Medical Nutrition Therapy Act of 2021 - H.R.3108 Medical Nutrition Therapy Act of 2021 - S.1536 DRA of 2022 - H.R.6641

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES

Medical Nutrition Equity Act of 2021 - H.R. 3783 Medical Nutrition Equity Act of 2021 - S. 2013 Medical Nutrition Therapy Act of 2021 - H.R.3108 Medical Nutrition Therapy Act of 2021 - S.1536 DRA of 2022 - H.R.6641

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES

FY23 Congressional appropriations: -Increase NIH funds, including $632 million increase for NIDDK to support kidney research and prioritizing research to improve the diagnosis of kidney diseases and health equity interventions -Provide $25 million to KidneyX to continue development of an artificial kidney and other innovations innovative kidney therapeutics and technologies -Support CDC Chronic Kidney Disease Initiative at $15 million Other: -Enact the Living Donor Protection Act (HR1255 S377) -Enact the Jack Reyonlds Medigap Expansion Act (HR1676) -Enact the Improving Access to Home Dialysis Act of (HR5426) -Enact the Medical Nutrition Therapy Act (HR3108 S1536) -Enact the Health Equity and Accountability Act (HR7585) -Increase transparency and accountability in the US transplant system -Address conversion factor physician payment cuts in the FY 23 Medicare Physician Fee Schedule -Address Clinical Labor Cuts impacting vascular access in the FY 23 Medicare Physician Fee Schedule -Address the impact of changes to Medicare Secondary Payer policy on access to care

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

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

Issues/Topics Public health funding  Behavioral health and crisis intervention Healthcare Workforce Rural health care and rural hospitals Telehealth  Medicare   Medicaid  Dual Medicare and Medicaid Eligibility Nutrition Services and Food Security  Obesity in older adults School meals Opioids and Substance Use Disorders Caregiving and Aging Home and Community Based Services Pandemic Preparedness Bills S. 3799, PREVENT Pandemics Act H.R. 6613, Keeping School Meals Flexible Act S. 1536 / H.R. 3108, Medical Nutrition Therapy Act of 2021 H.R. 5218, Collaborate in an Orderly and Cohesive Manner H.R. 7232, 9-8-8 and Parity Assistance Act of 2022 H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 1887 / S. 4009, Rural Hospital Support Act S. 2089, Keep Kids Fed Act S. 3913 / H.R. 8481, Improving DATA in Public Health Act S.4264, Advancing Integration in Medicare and Medicaid (AIM) Act S.3534 / H.R.7152, Tracking Pathogens Act S. 1162 / H.R. 6770, PACE Plus Act S.3626, PACE Expanded Act S. 569 / H.R. 1577, Treat and Reduce Obesity Act H.R. 4040, Advancing Telehealth Beyond COVID-19 Act of 2021

Client expense: $960,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues/Topics Public health funding  Behavioral health and crisis intervention Healthcare Workforce Rural health care and rural hospitals Telehealth  Medicare   Medicaid  Dual Medicare and Medicaid Eligibility Nutrition Services and Food Security  Obesity in older adults School meals Opioids and Substance Use Disorders Caregiving and Aging Home and Community Based Services Pandemic Preparedness Bills S. 3799, PREVENT Pandemics Act H.R. 6613, Keeping School Meals Flexible Act S. 1536 / H.R. 3108, Medical Nutrition Therapy Act of 2021 H.R. 5218, Collaborate in an Orderly and Cohesive Manner H.R. 7232, 9-8-8 and Parity Assistance Act of 2022 H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 1887 / S. 4009, Rural Hospital Support Act S. 2089, Keep Kids Fed Act S. 3913 / H.R. 8481, Improving DATA in Public Health Act S.4264, Advancing Integration in Medicare and Medicaid (AIM) Act S.3534 / H.R.7152, Tracking Pathogens Act S. 1162 / H.R. 6770, PACE Plus Act S.3626, PACE Expanded Act S. 569 / H.R. 1577, Treat and Reduce Obesity Act H.R. 4040, Advancing Telehealth Beyond COVID-19 Act of 2021

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

S. 800/H.R. 4870 - the Promoting Access to Diabetic Shoes Act H.R. 1956/S. 1986 - the Increasing Access to Quality Cardiac Rehabilitation Care Act of 2021 S. 987 - the Comprehensive Addiction and Recovery Act (CARA) 3.0 H.R. 955 - the Medicaid Reentry Act of 2021 H.R. 1025 - the Kids Access to Primary Care Act of 2021 S. 1315/H.R. 3630 - the Lymphedema Treatment Act S. 1833 - the Ensuring Access to Primary Care for Women & Children Act S. 1512/H.R. 2903 - the CONNECT for Health Act of 2021 S. 1536/H.R. 3108 - the Medical Nutrition Therapy Act of 2021 H.R. 5376 - the Build Back Better Act H.R. 6308 - the ACO Assignment Improvement Act of 2021 H.R. 3925 - the Reducing Barriers to Substance Use Treatment Act H.R. 7236 - the Strengthen Kids Mental Health Now Act of 2022 H.R. 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 S. 4170 - the Mental Health Reform Reauthorization Act H.R. 8812/S. 5212 - Improving Care and Access to Nurses (ICAN) Act H.R. 3259/S. 586 - the NOPAIN Act The Senate Finance Committee Bipartisan Mental Health Workforce Discussion Draft Medicare Provider Reimbursement Clinical Laboratory Improvement Amendments (CLIA) Nursing Education Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Increased Federal Medical Assistance Percentage (FMAP) funding to states Rural health care issues, including rural workforce, COVID-19 vaccination, and reimbursement. Medicare sequestration Medicare restrictions pertaining to telehealth Extension of CMS waivers beyond public health emergency Skilled nursing facility admitting examination and assessment requirements Preserving Patient Access to Home Infusion Act COVID-19 Pandemic relief: funding, removal of barriers, telehealth, mental health, personal protective equipment, and testing Telehealth, remote patient monitoring and other forms of health technology Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification Expanded Medicare benefit provisions related to NPs Addressing Health Equity Clinical labor pricing update

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

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

Activities to address access and utilization of home dialysis, including H.R. 5426, the "Improving Access to Home Dialysis Act of 2021" to authorize Medicare reimbursement for staff-assisted home dialysis and for other purposes. H.R. 8594 and S. 4750, "Restore Protections for Dialysis Patients Act," to provide Medicare access to kidney dialysis. Letter to HHS regarding Final Rule for the Medicare Part B-ID benefit to extend eligibility of coverage of immunosuppressive drugs for kidney transplant recipients for Medicare ESRD beneficiaries. Support for Protected Classes under Medicare Part D program. S. 4873, Improving Access to Advance Care Planning Act for Medicare advanced care planning. H.R. 1676, provide access to Medigap coverage for Medicare end-stage kidney disease patients under age 65. These Medicare beneficiaries do not have a guaranteed opportunity to purchase a Medigap policy. S. 1536, H.R. 3108, Medicare Medical Nutrition Therapy Act. Legislation would expand coverage of nutrition therapy services to additional diseases and conditions and expand the types of medical providers for such services. S. 2203, H.R. 5804, Medicare Diabetes Self-Management Training Act. Expands coverage of diabetes outpatient self-management training. S. 2173, H.R. 2807, PREVENT DIABETES Act. Requires Medicare to offer its Diabetes Prevention Program in a virtual or online format. Support for Kidney Health Evaluation (KED) for patients with diabetes. S. 1512 and H.R. 2903, "CONNECT for Health Act." Expands coverage of telehealth services under Medicare. S. 596 and H.R. 1577, the "Treat and Reduce Obesity Act," to expand the types of health professionals permitted to provide weight loss management and counseling services under Medicare Part B and to include coverage of weight loss management drugs under Medicare Part D. Support for COVID-19 patients (telehealth, home dialysis, copayment waivers, regulatory waivers). Participated in health community effort to urge HHS to expand Medicare coverage to include medically necessary dental treatments for solid organ transplant recipients and other vulnerable individuals.

Client expense: $110,000 · Firm income: Not reported

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

Medical Nutrition Therapy Act of 2021 H.R. 3108/S. 1536 Treat and Reduce Obesity Act of 2021 H.R. 1577/S. 596 Nutrition CARE Act S. 584/H.R. 1551 Expanding Access to Diabetes Self-Management Training Act of 2021 S. 2203/H.R. 5804 Older Americans Act programs Indian Health Service Loan Repayment Program Indian Health Service Facility Equipment Modernization Indian Health Service Staff Housing Medically Tailored Meals Telehealth Maternal and Child Health Malnutrition Quality Measures American Rescue Plan Act of 2021 H.R. 1319 Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act (S. 1658/H.R. 3110) Pregnant Workers Fairness Act H.R. 1065 Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 H.R. 5370 Health Equity and Accountability Act H.R. 7585

Client expense: Not reported · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service

Medical Nutrition Therapy Act of 2021 H.R. 3108/S. 1536 Treat and Reduce Obesity Act of 2021 H.R. 1577/S. 596 Nutrition CARE Act S. 584/H.R. 1551 Expanding Access to Diabetes Self-Management Training Act of 2021 S. 2203/H.R. 5804 Medically Tailored Meals Telehealth Diabetes Prevention Program Maternal and Child Health/Medicaid Malnutrition Quality Measures Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 H.R. 5370 Health Equity and Accountability Act H.R. 7585

Client expense: Not reported · Firm income: Not reported

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

COVID services & COVID services for the uninsured S. 3799PREVENT Pandemics Act S. Amdt to H.R. 2471 Consolidated Appropriations Act of 2022 S. 1536Medical Nutrition Therapy Act of 2021 S. 4293Pharmacy Benefit Manager Transparency Act H.R. 7666 Restoring Hope for Mental Health and Wellbeing Act H.R. 2355 Opioid Prescription Verification Act H.R. 1384 Mainstreaming Addiction Treatment Act H.R. 7007 COVID Supplemental Appropriations Act of 2022 H.R. 3108 Medical Nutrition Therapy Act of 2021 H.R. 5585 Advanced Research Project Agency-Health H.R. 6279 Opioid Treatment Access Act H.R. 7559 Prescription Information Modernization Act H.R. 5376 Inflation Reduction Act H.R. 2617 Consolidated Appropriations Act of 2023

Client expense: $280,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

FY23 Congressional appropriations: -Increase NIH funds, including $632 million increase for NIDDK to support kidney research and prioritizing research to improve the diagnosis of kidney diseases and health equity interventions -Provide $25 million to KidneyX to continue development of an artificial kidney and other innovations innovative kidney therapeutics and technologies -Support CDC Chronic Kidney Disease Initiative at $15 million Other: -Enact the Living Donor Protection Act (HR1255 S377) -Enact the Restore Protections for Dialysis Patients Act (HR8594/S4750) -Enact the Jack Reyonlds Medigap Expansion Act (HR1676) -Enact the Improving Access to Home Dialysis Act of (HR5426) -Enact the Medical Nutrition Therapy Act (HR3108 S1536) -Enact the Health Equity and Accountability Act (HR7585) -Increase transparency and accountability in the US transplant system -Address Clinical Labor Cuts impacting vascular access in FY 23 Medicare Physician Fee Schedule

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

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

Issues/Topics Public health funding  Behavioral health and crisis intervention Healthcare Workforce Rural health care and rural hospitals Telehealth  Medicare   Medicaid  Dual Medicare and Medicaid Eligibility Hospital Consolidation  Nutrition Services and Food Security  Obesity in older adults School meals Child nutrition Opioids and Substance Use Disorders Caregiving and Aging Home and Community Based Services Pandemic Preparedness Bills S. 3799, PREVENT Pandemics Act H.R. 6613, Keeping School Meals Flexible Act S. 1536 / H.R. 3108, Medical Nutrition Therapy Act of 2021 H.R. 5218, Collaborate in an Orderly and Cohesive Manner H.R. 7232, 9-8-8 and Parity Assistance Act of 2022 H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 1887 / S. 4009, Rural Hospital Support Act S. 2089, Keep Kids Fed Act S. 3913 / H.R. 8481, Improving DATA in Public Health Act S.4264, Advancing Integration in Medicare and Medicaid (AIM) Act S.3534 / H.R.7152, Tracking Pathogens Act S. 1162 / H.R. 6770, PACE Plus Act S.3626, PACE Expanded Act S. 569 / H.R. 1577, Treat and Reduce Obesity Act H.R. 4040, Advancing Telehealth Beyond COVID-19 Act of 2021

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

S.800/H.R. 4870 - the Promoting Access to Diabetic Shoes Act H.R. 1956/S. 1986 - the Increasing Access to Quality Cardiac Rehabilitation Care Act of 2021 S. 987 - the Comprehensive Addiction and Recovery Act (CARA) 3.0 H.R. 955 - the Medicaid Reentry Act of 2021 H.R. 1025 - the Kids Access to Primary Care Act of 2021 S. 1315/H.R. 3630 - the Lymphedema Treatment Act S. 1833 - the Ensuring Access to Primary Care for Women & Children Act S. 1512/H.R. 2903 - the CONNECT for Health Act of 2021 S. 1536/H.R. 3108 - the Medical Nutrition Therapy Act of 2021 H.R. 5376 - the Build Back Better Act H.R. 6308 - the ACO Assignment Improvement Act of 2021 H.R.3925 - the Reducing Barriers to Substance Use Treatment Act H.R. 7236 - the Strengthen Kids Mental Health Now Act of 2022 H.R.7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 S.4170 - the Mental Health Reform Reauthorization Act H.R. 8812 - Improving Care and Access to Nurses (ICAN) Act Medicare Provider Reimbursement Clinical Laboratory Improvement Amendments (CLIA) Nursing Education Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Increased Federal Medical Assistance Percentage (FMAP) funding to states Rural health care issues, including rural workforce, COVID-19 vaccination, and reimbursement. Medicare sequestration Medicare restrictions pertaining to telehealth Extension of CMS waivers beyond public health emergency Skilled nursing facility admitting examination and assessment requirements Preserving Patient Access to Home Infusion Act COVID-19 Pandemic relief: funding, removal of barriers, telehealth, mental health, personal protective equipment, and testing Telehealth, remote patient monitoring and other forms of health technology Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification Expanded Medicare benefit provisions related to NPs Addressing Health Equity Medicare Provider Reimbursement Clinical labor pricing update

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

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

Activities to address access and utilization of home dialysis, including H.R. 5426, the "Improving Access to Home Dialysis Act of 2021" to authorize Medicare reimbursement for staff-assisted home dialysis and for other purposes. Submitted comments on Proposed Rules for the ESRD Prospective Payment System, ESRD Quality Incentive Program, and ESRD Treatment Choices Model. Submitted comments on Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System. Submitted comments on Proposed 2023 Payment Policies under the Physician Fee Schedule. Responded to RFI on Medicare Advantage. H.R. 8594 and S. 4750, "Restore Protections for Dialysis Patients Act," to provide Medicare access to kidney dialysis. Support for Protected Classes under Medicare Part D program. H.R. 1676, provide access to Medigap coverage for Medicare end-stage kidney disease patients under age 65. These Medicare beneficiaries do not have a guaranteed opportunity to purchase a Medigap policy. S. 1536, H.R. 3108, Medicare Medical Nutrition Therapy Act. Legislation would expand coverage of nutrition therapy services to additional diseases and conditions and expand the types of medical providers for such services. S. 2203, H.R. 5804, Medicare Diabetes Self-Management Training Act. Expands coverage of diabetes outpatient self-management training. S. 2173, H.R. 2807, PREVENT DIABETES Act. Requires Medicare to offer its Diabetes Prevention Program in a virtual or online format. Support for Kidney Health Evaluation (KED) for patients with diabetes. S. 1512 and H.R. 2903, "CONNECT for Health Act." Expands coverage of telehealth services under Medicare. S. 596 and H.R. 1577, the "Treat and Reduce Obesity Act," to expand the types of health professionals permitted to provide weight loss management and counseling services under Medicare Part B and to include coverage of weight loss management drugs under Medicare Part D. Support for COVID-19 patients (telehealth, home dialysis, copayment waivers, regulatory waivers). Participated in health community effort to urge HHS to expand Medicare coverage to include medically necessary dental treatments for solid organ transplant recipients and other vulnerable individuals.

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

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

FDASLA Act of 2022 - S. 4348 Marketing of food to children Legislation related to nutrition and produce incentives Infant Formula Tariff Relief Operation Fly Formula White House Conference on Hunger, Nutrition and Health Abbott Infant Formula Recall Medical Nutrition Therapy Act, H.R. 3108/S. 1536 Joint Explanatory Statement, Commerce, Justice, Science & Related Agencies Appropriations Act of 2022, Title VI - Food Traceability Economic issues related to the food industry H.R. 6026 - Keep Food Containers Safe from PFAS Act of 2021

Client expense: $300,000 · Firm income: Not reported

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

Medical Nutrition Therapy Act of 2021 H.R. 3108/S. 1536 Treat and Reduce Obesity Act of 2021 H.R. 1577/S. 596 Nutrition CARE Act S. 584/H.R. 1551 Expanding Access to Diabetes Self-Management Training Act of 2021 S. 2203/H.R. 5804 Older Americans Act programs Indian Health Service Loan Repayment Program Indian Health Service Facility Equipment Modernization Indian Health Service Staff Housing Medically Tailored Meals Telehealth Maternal and Child Health Malnutrition Quality Measures American Rescue Plan Act of 2021 H.R. 1319 Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act (S. 1658/H.R. 3110) Pregnant Workers Fairness Act H.R. 1065 Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 H.R. 5370 Health Equity and Accountability Act H.R. 7585

Client expense: Not reported · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service

Medical Nutrition Therapy Act of 2021 H.R. 3108/S. 1536 Treat and Reduce Obesity Act of 2021 H.R. 1577/S. 596 Nutrition CARE Act S. 584/H.R. 1551 Expanding Access to Diabetes Self-Management Training Act of 2021 S. 2203/H.R. 5804 Medically Tailored Meals Telehealth Diabetes Prevention Program Maternal and Child Health/Medicaid Malnutrition Quality Measures Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 H.R. 5370 Health Equity and Accountability Act H.R. 7585

Client expense: Not reported · Firm income: Not reported

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

Federal nutrition programs and medical nutrition; Support for the Medical Nutrition Therapy Act (H.R. 3108/ S. 1536; New Era of Food Safety Blueprint; Food Labeling; Plant-based labeling; Child Nutrition Reauthorization (no bill number); Baby Food Safety Act (S.1019/ H.R. 2229); WIC Online; Support for a White House Conference of Food, Nutrition, Hunger, and Health; Protect Infants from Formula Shortages Act (HR.7989/S.4256); Infant Formula; Operation Fly Formula

Client expense: $140,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), SENATE, White House Office

COVID services & COVID services for the uninsured S. 3799PREVENT Pandemics Act S. Amdt to H.R. 2471 Consolidated Appropriations Act of 2022 S. 1536Medical Nutrition Therapy Act of 2021 S. 4293Pharmacy Benefit Manager Transparency Act H.R. 7666 Restoring Hope for Mental Health and Wellbeing Act H.R. 2355 Opioid Prescription Verification Act H.R. 1384 Mainstreaming Addiction Treatment Act H.R. 7007 COVID Supplemental Appropriations Act of 2022 H.R. 3108 Medical Nutrition Therapy Act of 2021 H.R. 5585 Advanced Research Project Agency-Health H.R. 6279 Opioid Treatment Access Act H.R. 7559 Prescription Information Modernization Act H.R. 5376 Inflation Reduction Act

Client expense: $220,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

Medical Nutrition Therapy Act of 2021 H.R. 3108/S. 1536 Treat and Reduce Obesity Act of 2021 H.R. 1577/S. 596 Nutrition CARE Act S. 584/H.R. 1551 Expanding Access to Diabetes Self-Management Training Act of 2021 S. 2203/H.R. 5804 Medically Tailored Meals Telehealth Diabetes Prevention Program Maternal and Child Health/Medicaid Malnutrition Quality Measures Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 H.R. 5370 Health Equity and Accountability Act H.R. 7585

Client expense: Not reported · Firm income: Not reported

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

Medical Nutrition Therapy Act of 2021 H.R. 3108/S. 1536 Treat and Reduce Obesity Act of 2021 H.R. 1577/S. 596 Nutrition CARE Act S. 584/H.R. 1551 Expanding Access to Diabetes Self-Management Training Act of 2021 S. 2203/H.R. 5804 Older Americans Act programs Indian Health Service Loan Repayment Program Indian Health Service Facility Equipment Modernization Indian Health Service Staff Housing Medically Tailored Meals Telehealth Maternal and Child Health Malnutrition Quality Measures American Rescue Plan Act of 2021 H.R. 1319 Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act (S. 1658/H.R. 3110) Pregnant Workers Fairness Act H.R. 1065 Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 H.R. 5370 Health Equity and Accountability Act H.R. 7585

Client expense: Not reported · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service

FDASLA Act of 2022 - S. 4348 Access to Baby Formula Act of 2022 - H.R. 7791 Infant Formula Supplemental Appropriations Act, 2022 - H.R. 7790 Infant Formula Tariff Relief Operation Fly Formula White House Conference on Hunger, Nutrition and Health Abbott Infant Formula Recall Medical Nutrition Therapy Act, H.R. 3108/S. 1536 FDA Inspection Authority Joint Explanatory Statement, Commerce, Justice, Science & Related Agencies Appropriations Act of 2022, Title VI - Food Traceability Economic issues related to the food industry H.R. 6026 - Keep Food Containers Safe from PFAS Act of 2021 FDA Closer to Zero H.R.2229/S.1019 - Baby Food Safety Act of 2021 - To amend the Federal Food, Drug, and Cosmetic Act to limit the presence of toxic elements in, and otherwise regulate, infant and toddler food, and for other purposes.

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

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

FY23 Congressional appropriations: -Increase NIH funds, including $632 million increase for NIDDK to support kidney research and prioritizing research to improve the diagnosis of kidney diseases and health equity interventions -Provide $25 million to KidneyX to continue development of an artificial kidney and other innovations innovative kidney therapeutics and technologies -Support CDC Chronic Kidney Disease Initiative at $15 million Other: -Enact the Living Donor Protection Act (HR1255 S377) -Enact the Jack Reyonlds Medigap Expansion Act (HR1676) -Enact the Improving Access to Home Dialysis Act of (HR5426) -Enact the Medical Nutrition Therapy Act (HR3108 S1536) -Enact the Health Equity and Accountability Act (HR7585) -Address Clinical Labor Cuts impacting vascular access in FY 23 Medicare Physician Fee Schedule

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

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

Issues/Topics Public health funding  Behavioral health and crisis intervention Healthcare Workforce Rural health care and rural hospitals Telehealth  Medicare   Medicaid  Dual Medicare and Medicaid Eligibility Hospital Consolidation     Nutrition Services and Food Security  Obesity in older adults School meals Child nutrition Opioids and Substance Use Disorders Caregiving and Aging Home and Community Based Services Pandemic Preparedness Bills S3799 PREVENT Pandemics Act H.R. 6613 - Keeping School Meals Flexible Act S1536/HR3108 - Medical Nutrition Therapy Act of 2021 HR 5218 - Collaborate in an Orderly and Cohesive Manner HR 7232 - 9-8-8 and Parity Assistance Act of 2022 HR 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 H.R.1887/ S.4009 - Rural Hospital Support Act S.2089 - Keep Kids Fed Act H.R.6613 - Keeping School Meals Flexible Act S.3913 - Improving DATA in Public Health Act S.4264 - Advancing Integration in Medicare and Medicaid (AIM) Act S.3534/HR.7152 - Tracking Pathogens Act

Client expense: $720,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2203/H.R.4804, The Expanding Access to Diabetes Self-Management Training Act; S.2173/H.R.2807 - PREVENT DIABETES Act; S.1512 - CONNECT for Health Act; S.596/H.R.1577 - Treat and Reduce Obesity Act; S.1536/H.R.3108 - Medical Nutrition Therapy Act; issues related to diabetes self-management, generally

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

COVID services & COVID services for the uninsured S. 3799PREVENT Pandemics Act S. Amdt to H.R. 2471 Consolidated Appropriations Act of 2022 S. 1536Medical Nutrition Therapy Act of 2021 S. 4293Pharmacy Benefit Manager Transparency Act H.R. 7666 Restoring Hope for Mental Health and Wellbeing Act H.R. 2355 Opioid Prescription Verification Act H.R. 1384 Mainstreaming Addiction Treatment Act H.R. 7007 COVID Supplemental Appropriations Act of 2022 H.R. 3108 Medical Nutrition Therapy Act of 2021 H.R. 5585 Advanced Research Project Agency-Health H.R. 6279 Opioid Treatment Access Act H.R. 7559 Prescription Information Modernization Act

Client expense: $300,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

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

Client expense: $181,696 · Firm income: Not reported

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

S.800/H.R. 4870 - the Promoting Access to Diabetic Shoes Act H.R. 1956/S. 1986 - the Increasing Access to Quality Cardiac Rehabilitation Care Act of 2021 S. 987 - the Comprehensive Addiction and Recovery Act (CARA) 3.0 H.R. 955 - the Medicaid Reentry Act of 2021 H.R. 1025 - the Kids Access to Primary Care Act of 2021 S. 1315/H.R. 3630 - the Lymphedema Treatment Act S. 1833 - the Ensuring Access to Primary Care for Women & Children Act S. 1512/H.R. 2903 - the CONNECT for Health Act of 2021 S. 1536/H.R. 3108 - the Medical Nutrition Therapy Act of 2021 H.R. 5376 - the Build Back Better Act H.R. 6308 - the ACO Assignment Improvement Act of 2021 H.R.3925 - the Reducing Barriers to Substance Use Treatment Act H.R. 7236 - the Strengthen Kids Mental Health Now Act of 2022 H.R.7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 S.4170 - the Mental Health Reform Reauthorization Act Nursing Education Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Increased Federal Medical Assistance Percentage (FMAP) funding to states Rural health care issues, including rural workforce, COVID-19 vaccination, and reimbursement. Medicare sequestration Medicare restrictions pertaining to telehealth Extension of CMS waivers beyond public health emergency Skilled nursing facility admitting examination and assessment requirements Preserving Patient Access to Home Infusion Act COVID-19 Pandemic relief: funding, removal of barriers, telehealth, mental health, personal protective equipment, and testing Telehealth, remote patient monitoring and other forms of health technology Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification Expanded Medicare benefit provisions related to NPs Addressing Health Equity Medicare Provider Reimbursement Clinical labor pricing update

Client expense: $181,696 · Firm income: Not reported

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

Federal nutrition programs and medical nutrition; Support for the Medical Nutrition Therapy Act (H.R. 3108/ S. 1536; New Era of Food Safety Blueprint; Food Labeling; Plant-based labeling; Child Nutrition Reauthorization (no bill number); Baby Food Safety Act (S.1019/ H.R. 2229); WIC Online; Support for a White House Conference of Food, Nutrition, Hunger, and Health; Protect Infants from Formula Shortages Act (HR.7989/S.4256); Infant Formula; Operation Fly Formula

Client expense: $159,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), SENATE, White House Office

Health Issues (Andrew Hu) House and Senate       Issues/Topics Public health funding  Behavioral health and crisis intervention Healthcare Workforce Rural health care and rural hospitals Telehealth  Medicare   Medicaid  Dual Medicare and Medicaid Eligibility Hospital Consolidation     Nutrition Services and Food Security  Obesity in older adults School meals Child nutrition Opioids and Substance Use Disorders Caregiving and Aging Home and Community Based Services Pandemic Preparedness Bills S3799 PREVENT Pandemics Act H.R. 6613 - Keeping School Meals Flexible Act S1536/HR3108 - Medical Nutrition Therapy Act of 2021 HR 5218 - Collaborate in an Orderly and Cohesive Manner HR 7232 - 9-8-8 and Parity Assistance Act of 2022

Client expense: $630,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical Nutrition Therapy Act of 2021 H.R. 3108/S. 1536 Treat and Reduce Obesity Act of 2021 H.R. 1577/S. 596 Nutrition CARE Act S. 584/H.R. 1551 Expanding Access to Diabetes Self-Management Training Act of 2021 S. 2203/H.R. 5804 Older Americans Act programs Indian Health Service Loan Repayment Program Indian Health Service Facility Equipment Modernization Indian Health Service Staff Housing Medically Tailored Meals Telehealth Maternal and Child Health Malnutrition Quality Measures American Rescue Plan Act of 2021 H.R. 1319 Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act (S. 1658/H.R. 3110) Pregnant Workers Fairness Act H.R. 1065 Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 H.R. 5370

Client expense: Not reported · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service

Medical Nutrition Therapy Act of 2021 H.R. 3108/S. 1536 Treat and Reduce Obesity Act of 2021 H.R. 1577/S. 596 Nutrition CARE Act S. 584/H.R. 1551 Expanding Access to Diabetes Self-Management Training Act of 2021 S. 2203/H.R. 5804 Medically Tailored Meals Telehealth Diabetes Prevention Program Maternal and Child Health/Medicaid Malnutrition Quality Measures Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 H.R. 5370

Client expense: Not reported · Firm income: Not reported

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

H.R. 3108 The Medical Nutrition Therapy Act of 2021. Proposals to reduce adult malnutrition and hospital readmissions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Abbott Infant Formula Recall Medical Nutrition Therapy Act, H.R. 3108/S. 1536 FDA Inspection Authority Joint Explanatory Statement, Commerce, Justice, Science & Related Agencies Appropriations Act of 2022, Title VI - Food Traceability Economic issues related to the food industry H.R. 6026 - Keep Food Containers Safe from PFAS Act of 2021 FDA Closer to Zero H.R.2229/S.1019 - Baby Food Safety Act of 2021 - To amend the Federal Food, Drug, and Cosmetic Act to limit the presence of toxic elements in, and otherwise regulate, infant and toddler food, and for other purposes.

Client expense: $280,000 · Firm income: Not reported

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

Health Issues (Andrew Hu) House and Senate       Issues/Topics Public health funding  Behavioral health and crisis intervention Healthcare Workforce Rural health care and rural hospitals Telehealth  Medicare   Medicaid  Dual Medicare and Medicaid Eligibility Hospital Consolidation     Nutrition Services and Food Security  Obesity in older adults School meals Child nutrition Opioids and Substance Use Disorders Caregiving and Aging Home and Community Based Services Pandemic Preparedness Bills S3799 PREVENT Pandemics Act H.R. 6613 - Keeping School Meals Flexible Act S1536/HR3108 - Medical Nutrition Therapy Act of 2021 HR 5218 - Collaborate in an Orderly and Cohesive Manner HR 7232 - 9-8-8 and Parity Assistance Act of 2022

Client expense: $620,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.800/H.R. 4870 - the Promoting Access to Diabetic Shoes Act H.R. 1956/S. 1986 - the Increasing Access to Quality Cardiac Rehabilitation Care Act of 2021 S. 987 - the Comprehensive Addiction and Recovery Act (CARA) 3.0 H.R. 955 - the Medicaid Reentry Act of 2021 H.R. 1025 - the Kids Access to Primary Care Act of 2021 S. 1315/H.R. 3630 - the Lymphedema Treatment Act S. 1833 - the Ensuring Access to Primary Care for Women & Children Act S. 1512/H.R. 2903 - the CONNECT for Health Act of 2021 S. 1536/H.R. 3108 - the Medical Nutrition Therapy Act of 2021 H.R. 5376 - the Build Back Better Act H.R. 6308 - the ACO Assignment Improvement Act of 2021 H.R.3925 - the Reducing Barriers to Substance Use Treatment Act Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Increased Federal Medical Assistance Percentage (FMAP) funding to states Rural health care issues, including rural workforce, COVID-19 vaccination, and reimbursement. Medicare sequestration Medicare restrictions pertaining to telehealth Extension of CMS waivers beyond public health emergency Skilled nursing facility admitting examination and assessment requirements Preserving Patient Access to Home Infusion Act COVID-19 Pandemic relief: funding, removal of barriers, telehealth, mental health, personal protective equipment, and testing Telehealth, remote patient monitoring and other forms of health technology Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification Expanded Medicare benefit provisions related to NPs Addressing Health Equity Medicare Provider Reimbursement Clinical labor pricing update

Client expense: $207,243 · Firm income: Not reported

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

S.800/H.R 4870 - Promoting Access to Diabetic Shoes Act H.R. 1956/S. 1986 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2021 H.R. 2067/S. 2235 - Medication Access and Training Expansion (MATE) Act S. 987 - Comprehensive Addiction and Recovery Act (CARA) 3.0 H.R. 1319 - American Rescue Plan Act [Public Law No: 117-2] H.R. 1716 - COVID-19 Mental Health Research Act H.R. 1195 - the Workplace Violence Prevention for Health Care and Social Service Workers Act S. 54 - Strengthening Americas Health Care Readiness Act H.R. 851/S. 246 - the Future Advancement of Academic Nursing (FAAN) Act H.R. 959 - Black Maternal Health Momnibus Act of 2021 H.R. 1384 - the Mainstreaming Addiction Treatment Act of 2021 H.R. 955 - the Medicaid Reentry Act of 2021 H.R. 1025 - the Kids Access to Primary Care Act of 2021 S. 1315/H.R. 3630 - the Lymphedema Treatment Act S. 1833 - the Ensuring Access to Primary Care for Women & Children Act H.R. 3550 - the Primary and Behavioral Health Care Access Act of 2021 S. 1512/H.R. 2903 - the CONNECT for Health Act of 2021 S. 287/H.R. 945 - the Perinatal Workforce Act S. 1536/H.R. 3108 - the Medical Nutrition Therapy Act of 2021 H.R. 1667/S. 610 - the Dr. Lorna Breen Health Care Provider Protection Act H.R. 736 - the Community Immunity During COVID-19 Act of 2021 H.R. 3087/S. 2051 - Breast Cancer Patient Equity Act H.R. 6000 - the Cures 2.0 Act S. 2652/H.R. 5067 - the Preserving Patient Access to Home Infusion Act S. 3149/H.R. 5848 - the Rural Health Equity Act H.R. 6308 - the ACO Assignment Improvement Act of 2021 H.R. 5248 - the Temporary Responders for Immediate Aid in Grave Emergencies (TRIAGE) Act of 2021 H.R. 5376 - the Build Back Better Act H.R.3925 - the Reducing Barriers to Substance Use Treatment Act Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Rural health care issues, including rural workforce, COVID-19 vaccination, and reimbursement Medicare sequestration Medicare restrictions pertaining to telehealth Include nurses, APRNs, and nursing students in all National Public Health Plans Provide resources to support nurses, APRNs, and nursing students mental health needs, especially for those responding to the pandemic Funding to ensure childcare coverage Increased Federal Medical Assistance Percentage (FMAP) funding to states Access to personal protective equipment Extension of CMS waivers beyond public health emergency Skilled Nursing Facility admitting examination and assessment requirements COVID-19 Pandemic relief: funding, removal of barriers, telehealth, mental health, personal protective equipment, and testing Telehealth, remote patient monitoring and other forms of health technology COVID-19 Pandemic Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification Medication-Assisted Treatment (MATs) Opioid Abuse Epidemic Documentation of medical records Health plan coverage and program requirements including provider non-discrimination Issues relating to Mental and Substance Use Disorder Workforce Addressing Health Equity Medicare Provider Reimbursement Clinical labor pricing update

Client expense: $207,243 · Firm income: Not reported

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

S.2203/H.R.4804, The Expanding Access to Diabetes Self-Management Training Act; S.2173/H.R.2807 - PREVENT DIABETES Act; S.1512 - CONNECT for Health Act; S.596/H.R.1577 - Treat and Reduce Obesity Act; S.1536/H.R.3108 - Medical Nutrition Therapy Act; issues related to diabetes self-management, generally.

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

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