Nurses Certification And Recognition of Experience Act of 2021

H.R.1319, American Rescue Plan Act of 2021, To secure provider relief for assisted living and other senior congregate care communities; H.R.1799, PPP Extension Act of 2021, To extend the deadline for application of paycheck protection program loans for eligible senior living providers; H.R.842, Protecting the Right to Organize Act of 2021, To prevent legislation that would exacerbate workforce challenges among senior living providers; S.420, Protecting the Right to Organize Act of 2021, To prevent legislation that would exacerbate workforce challenges among senior living providers; H.R.1848, Leading Infrastructure for Tomorrow's America Act, To advance measures that will target national investments in the infrastructure needs of long-term care facilities; H.R.331, the Nurses CARE Act, to extend temporary nurse aide authorizations and meet care needs of seniors; H.R.4131, the Better Care Betters Jobs Act, to support investments in long-term care services specifically for home and community based services; S.2210, the Better Care Betters Jobs Act, to support investments in long-term care services specifically for home and community based services; H.R.5376, the Build Back Better Act, to support investments in long-term care services and workforce development; H.R.5823, the Pandemic Risk Insurance Act, to provide federal reinsurance for pandemic related losses and ensure availability of coverage related to pandemics; H.R.5963, he Provider Relief Fund Improvement Act, to release all available provider relief funds to reimburse expenses and losses attributed to COVID-19; H.R.6161, the Employee Retention Tax Credit Reinstatement Act, to restore eligibility for senior living providers to claim the tax credit that was ended prematurely, and help with workforce challenges; H.R.6530, the SENIOR Act of 2022, to provide targeted financial relief for senior living providers and workforce development grants to address staffing shortages; S.2415, the Long-Term Care Affordability Act, to provide additional tax-preferred savings options for Americans to plan for their long-term care needs; H.R.7107, the Long-Term Care Affordability Act, to provide additional tax-preferred savings options for Americans to plan for their long-term care needs; S.3799, PREVENT Pandemics Act, to plan for and better prepare for future pandemics and the impact on senior living operators; S.3611, the Provider Relief Fund Improvement Act, to release all available provider relief funds to reimburse expenses and losses attributed to COVID-19; S.4169, the Expanding Veterans Options for Long Term Care Act, to establish a pilot program to allow Veterans to access assisted living care services; H.R.447, the National Apprenticeship Act of 2021, to provide the DOL's Office of Apprenticeships statutory authority to address workforce shortages; H.R.3807, The Restaurant Revitalization Fund Replenishment Act of 2021, to provide supplemental relief for certain businesses impacted by COVID-19; H.R.8750, the Expanding Veterans Options for Long Term Care Act, to establish a pilot program to allow Veterans to access assisted living care services; H.R.2617, Consolidated Appropriations Act, 2023, to provide workforce development programs, disaster relief funding, retirement savings, low-income seniors housing, dementia research, and telehealth programs.

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

HR2114- To amend titles XVIII and XIX of the Social Security Act to require skilled nursing facilities, nursing facilities, and intermediate care facilities for the intellectually disabled to permit certain essential caregiver visitors during a public health emergency under the Medicare and Medicaid programs. HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR828- PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act HR844-PROTECT Long Term Care Facilities Act Protecting Residents with Oversight, Transparency, and Enforcement for Compassionate Treatment in Long Term Care Facilities Act S230 PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act S782 Nursing Home Reform Modernization Act of 2021 SRes151- A resolution calling on the President and the Secretary of Health and Human Services to take action to lower prescription drug costs. S24 Protecting Personal Health Data Act S286 Coronavirus Vaccine Act H.R 2922 Elder Abuse Protection Act of 2021 Support HR 1985 Support HR 2319 Support HR 3650 Support HR 3733 Support HR 4289 Support HR 5169 Support HR 598 Support HR 727 Support S 2048 Support S 2694 Support S 315 Support S 317 Support S 333 Support S 782 Support S 596 Support S 4381 Ensuring Seniors Access to Quality Care Act Monitoring HR3617 MORE Act Marijuana Opportunity Reinvestment and Expungement Act Supporting S3431 Revitalizing the Aging Network Act Monitoring HR6000 Cures 2.0 Act

Client expense: $47,954 · Firm income: Not reported

HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR 1308 American Rescue Plan Act of 2021 HR1371 Crush the Virus Act of 2021 HR2255 To enhance our Nation's nurse and physician workforce during the COVID-19 crisis by recapturing unused immigrant visas. HR352 Jobs to Fight COVID-19 Act of 2021 HR598 Quality Care for Nursing Home Residents and Workers During COVID-19 and Beyond Act S315 Quality Care for Nursing Home Residents Act HR602 Relaunching Americas Workforce Act US HR900 Essential Worker Pandemic Compensation Act of 2021 H.R. 4288 Workforce for an Expanding Economy Act HR2418 Student Loan Forgiveness for Frontline Health Workers Act S1195 Healthy Families Act US HR2999 Direct CARE Opportunity Act Direct Creation, Advancement, and Retention of Employment Opportunity Act S1578 Mental Health Professionals Workforce Shortage Loan Repayment Act of 2021 HR 1909 Citizenship for Essential Workers Act HR 2114 Essential Caregivers Act of 2021 HR 2491 Wage Equity Act of 2021 HR 2999 Direct CARE Opportunity Act Direct Creation, Advancement, and Retention of Employment Opportunity Act HR 4288 Workforce for an Expanding Economy Act Workforce for an Expanding Economy Act S1195 Healthy Families Act S 757 Citizenship for Essential Workers Act Support 3992 Monitoring HR2418 Student Loan Forgiveness for Frontline Health Workers Act Support S747 Citizenship for Essential Workers Act Monitoring S1194 and S1578 Support HR7744 Building Americas Health Care Workforce Act Support HR8019 Professionals Access To Health Workforce Integration Act of 2022 Support HR8021 Immigrants in Nursing and Allied Health Act of 2022 Support HR8022 International Medical Graduates Assistance Act of 2022 Support HR8805 Ensuring Seniors Access to Quality Care Act Monitoring S3665 Asylum Seeker Work Authorization Act of 2022 Support S4352 Travel Nursing Agency Transparency Study Act S 4381 Ensuring Seniors' Access to Quality Care Act

Monitoring the following bills HR22114- To amend titles XVIII and XIX of the Social Security Act to require skilled nursing facilities, nursing facilities, and intermediate care facilities for the intellectually disabled to permit certain essential caregiver visitors during a public health emergency under the Medicare and Medicaid programs. HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR828- PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act HR844-PROTECT Long Term Care Facilities Act Protecting Residents with Oversight, Transparency, and Enforcement for Compassionate Treatment in Long-Term Care Facilities Act S230 PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act S782 Nursing Home Reform Modernization Act of 2021 SRes151- A resolution calling on the President and the Secretary of Health and Human Services to take action to lower prescription drug costs. S274-Stronger Medicaid Response to the COVID-19 Pandemic Act H.R. 2455 The Resetting the IMPACT Act of 2021 Monitoring HR1868 To prevent across-the-board direct spending cuts, and for other purposes. Support HR 2455 Resetting the Impact Act of 2021 TRIA Act of 2021 Support HR 5376 Support HR 3617 Support HR 2768 Support S 3018 Monitoring S870 Improving Access to Mental Health Act of 2021 Monitoring HR 5563 Stop Penalizing Working Seniors Act Support HR 1868 To prevent across-the-board direct spending cuts, and for other purposes. Monitoring HR3173 Improving Seniors Timely Access to Care Act of 2022 Support HR8812 To amend titles XVIII and XIX of the Social Security Act and the Bipartisan Budget Act of 2018 to increase access to services provided by advanced practice registered nurses under the Medicare and Medicaid programs, and for other purpose Monitoring HR7755 John Lewis Equality in Medicare and Medicaid Treatment Act of 2022

Monitoring the following bills HR22114- To amend titles XVIII and XIX of the Social Security Act to require skilled nursing facilities, nursing facilities, and intermediate care facilities for the intellectually disabled to permit certain essential caregiver visitors during a public health emergency under the Medicare and Medicaid programs. HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR828- PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act HR844-PROTECT Long Term Care Facilities Act Protecting Residents with Oversight, Transparency, and Enforcement for Compassionate Treatment in Long Term Care Facilities Act S230 PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act S782 Nursing Home Reform Modernization Act of 2021 SRes151- A resolution calling on the President and the Secretary of Health and Human Services to take action to lower prescription drug costs. S274-Stronger Medicaid Response to the COVID-19 Pandemic Act H.R. 2455 The Resetting the IMPACT Act of 2021 Monitoring HR1868 To prevent across-the-board direct spending cuts, and for other purposes. Support HR 2455 Resetting the Impact Act of 2021 TRIA Act of 2021 Support HR 5376 Support HR 3617 Support HR 2768 Support S 3018 Monitoring S870 Improving Access to Mental Health Act of 2021 Monitoring HR 5563 Stop Penalizing Working Seniors Act

Client expense: $45,049 · Firm income: Not reported

HR2114- To amend titles XVIII and XIX of the Social Security Act to require skilled nursing facilities, nursing facilities, and intermediate care facilities for the intellectually disabled to permit certain essential caregiver visitors during a public health emergency under the Medicare and Medicaid programs. HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR828- PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act HR844-PROTECT Long Term Care Facilities Act Protecting Residents with Oversight, Transparency, and Enforcement for Compassionate Treatment in Long Term Care Facilities Act S230 PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act S782 Nursing Home Reform Modernization Act of 2021 SRes151- A resolution calling on the President and the Secretary of Health and Human Services to take action to lower prescription drug costs. S24 Protecting Personal Health Data Act S286 Coronavirus Vaccine Act H.R 2922 Elder Abuse Protection Act of 2021 Support HR 1985 Support HR 2319 Support HR 3650 Support HR 3733 Support HR 4289 Support HR 5169 Support HR 598 Support HR 727 Support S 2048 Support S 2694 Support S 315 Support S 317 Support S 333 Support S 782 Support S 596 Support S 57

Client expense: $45,049 · Firm income: Not reported

HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR 1308 American Rescue Plan Act of 2021 HR1371 Crush the Virus Act of 2021 HR2255 To enhance our Nation's nurse and physician workforce during the COVID-19 crisis by recapturing unused immigrant visas. HR352 Jobs to Fight COVID-19 Act of 2021 HR598 Quality Care for Nursing Home Residents and Workers During COVID-19 and Beyond Act S315 Quality Care for Nursing Home Residents Act HR602 Relaunching Americas Workforce Act US HR900 Essential Worker Pandemic Compensation Act of 2021 H.R. 4288 Workforce for an Expanding Economy Act HR2418 Student Loan Forgiveness for Frontline Health Workers Act S1195 Healthy Families Act US HR2999 Direct CARE Opportunity Act Direct Creation, Advancement, and Retention of Employment Opportunity Act S1578 Mental Health Professionals Workforce Shortage Loan Repayment Act of 2021 HR 1909 Citizenship for Essential Workers Act HR 2114 Essential Caregivers Act of 2021 HR 2491 Wage Equity Act of 2021 HR 2999 Direct CARE Opportunity Act Direct Creation, Advancement, and Retention of Employment Opportunity Act HR 4288 Workforce for an Expanding Economy Act Workforce for an Expanding Economy Act S1195 Healthy Families Act S 757 Citizenship for Essential Workers Act Support 3992 Monitoring HR2418 Student Loan Forgiveness for Frontline Health Workers Act Support S747 Citizenship for Essential Workers Act Monitoring S1194 and S1578

Client expense: $45,049 · Firm income: Not reported

The Elder Justice Reauthorization and Modernization Act of 2021 Nursing Home Workforce Support and Expansion Act H.R. 331, Nurses CARE Act of 2021 H.R. 4288, Workforce for an Expanding Economy Act H.R.5336, Strengthening Knowledge, Improving Learning, and Livelihoods (SKILLS) Act LIFT ACT AHCA/NCAL proposal of Care For Our Seniors Act H.R. 3733 Essential Caregivers Act S. 1024 / H.R. 2255 Healthcare Workforce Resilience Act H.R. 5602 The Bolstering Infectious Outbreaks (BIO) Preparedness Workforce Act Staff Agency Price Gouging -- White House & Federal Trade Commission outreach Immigration Delays - outreach to U.S. Departments of State, Homeland Security & USCIS Advocating for providing temporary nurse aides a reasonable grace period after the public health emergency ends Administration nursing home reform plan FY2023 Appropriations H.R.7744 - Building Americas Health Care Workforce Act Support the formation and creation of the 21st Century Long-Term Care Caucus Outreach to DOL in support of LTC apprenticeship programs Congressional Letters and Outreach around SNF Payment Rule and Administration Staffing Mandate Proposal Outreach on LTC workforce related appropriations matters H.R.7744 - Building America's Health Care Workforce Act Outreach to CMS and the Hill on the TNA waiver issue Outreach to CMS and the Hill on minimum staffing standards S.4381/H.R.8805 - Ensuring Seniors Access to Quality Care Act

Client expense: $980,000 · Firm income: Not reported

H.R.1319, American Rescue Plan Act of 2021, To secure provider relief for assisted living and other senior congregate care communities; H.R.1799, PPP Extension Act of 2021, To extend the deadline for application of paycheck protection program loans for eligible senior living providers; H.R.842, Protecting the Right to Organize Act of 2021, To prevent legislation that would exacerbate workforce challenges among senior living providers; S.420, Protecting the Right to Organize Act of 2021, To prevent legislation that would exacerbate workforce challenges among senior living providers; H.R.1848, Leading Infrastructure for Tomorrow's America Act, To advance measures that will target national investments in the infrastructure needs of long-term care facilities; H.R.331, the Nurses CARE Act, to extend temporary nurse aide authorizations and meet care needs of seniors; H.R.4131, the Better Care Betters Jobs Act, to support investments in long-term care services specifically for home and community based services; S.2210, the Better Care Betters Jobs Act, to support investments in long-term care services specifically for home and community based services; H.R.5376, the Build Back Better Act, to support investments in long-term care services and workforce development; H.R.5823, the Pandemic Risk Insurance Act, to provide federal reinsurance for pandemic related losses and ensure availability of coverage related to pandemics; H.R.5963, he Provider Relief Fund Improvement Act, to release all available provider relief funds to reimburse expenses and losses attributed to COVID-19; H.R.6161, the Employee Retention Tax Credit Reinstatement Act, to restore eligibility for senior living providers to claim the tax credit that was ended prematurely, and help with workforce challenges; H.R.6530, the SENIOR Act of 2022, to provide targeted financial relief for senior living providers and workforce development grants to address staffing shortages; S.2415, the Long-Term Care Affordability Act, to provide additional tax-preferred savings options for Americans to plan for their long-term care needs; H.R.7107, the Long-Term Care Affordability Act, to provide additional tax-preferred savings options for Americans to plan for their long-term care needs; S.3799, PREVENT Pandemics Act, to plan for and better prepare for future pandemics and the impact on senior living operators; S.3611, the Provider Relief Fund Improvement Act, to release all available provider relief funds to reimburse expenses and losses attributed to COVID-19; S.4169, the Expanding Veterans Options for Long Term Care Act, to establish a pilot program to allow Veterans to access assisted living care services; H.R.447, the National Apprenticeship Act of 2021, to provide the DOL's Office of Apprenticeships statutory authority to address workforce shortages; H.R.3807, The Restaurant Revitalization Fund Replenishment Act of 2021, to provide supplemental relief for certain businesses impacted by COVID-19; H.R.8750, the Expanding Veterans Options for Long Term Care Act, to establish a pilot program to allow Veterans to access assisted living care services.

HR2114- To amend titles XVIII and XIX of the Social Security Act to require skilled nursing facilities, nursing facilities, and intermediate care facilities for the intellectually disabled to permit certain essential caregiver visitors during a public health emergency under the Medicare and Medicaid programs. HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR828- PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act HR844-PROTECT Long Term Care Facilities Act Protecting Residents with Oversight, Transparency, and Enforcement for Compassionate Treatment in Long Term Care Facilities Act S230 PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act S782 Nursing Home Reform Modernization Act of 2021 SRes151- A resolution calling on the President and the Secretary of Health and Human Services to take action to lower prescription drug costs. S24 Protecting Personal Health Data Act S286 Coronavirus Vaccine Act H.R 2922 Elder Abuse Protection Act of 2021 Support HR 1985 Support HR 2319 Support HR 3650 Support HR 3733 Support HR 4289 Support HR 5169 Support HR 598 Support HR 727 Support S 2048 Support S 2694 Support S 315 Support S 317 Support S 333 Support S 782 Support S 596 Support S 57

Client expense: $63,738 · Firm income: Not reported

HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR 1308 American Rescue Plan Act of 2021 HR1371 Crush the Virus Act of 2021 HR2255 To enhance our Nation's nurse and physician workforce during the COVID-19 crisis by recapturing unused immigrant visas. HR352 Jobs to Fight COVID-19 Act of 2021 HR598 Quality Care for Nursing Home Residents and Workers During COVID-19 and Beyond Act S315 Quality Care for Nursing Home Residents Act HR602 Relaunching Americas Workforce Act US HR900 Essential Worker Pandemic Compensation Act of 2021 H.R. 4288 Workforce for an Expanding Economy Act HR2418 Student Loan Forgiveness for Frontline Health Workers Act S1195 Healthy Families Act US HR2999 Direct CARE Opportunity Act Direct Creation, Advancement, and Retention of Employment Opportunity Act S1578 Mental Health Professionals Workforce Shortage Loan Repayment Act of 2021 HR 1909 Citizenship for Essential Workers Act HR 2114 Essential Caregivers Act of 2021 HR 2491 Wage Equity Act of 2021 HR 2999 Direct CARE Opportunity Act Direct Creation, Advancement, and Retention of Employment Opportunity Act HR 4288 Workforce for an Expanding Economy Act Workforce for an Expanding Economy Act S1195 Healthy Families Act S 757 Citizenship for Essential Workers Act Support 3992 Monitoring HR2418 Student Loan Forgiveness for Frontline Health Workers Act Support S747 Citizenship for Essential Workers Act Monitoring S1194 and S1578

Client expense: $63,738 · Firm income: Not reported

Monitoring the following bills HR22114- To amend titles XVIII and XIX of the Social Security Act to require skilled nursing facilities, nursing facilities, and intermediate care facilities for the intellectually disabled to permit certain essential caregiver visitors during a public health emergency under the Medicare and Medicaid programs. HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR828- PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act HR844-PROTECT Long Term Care Facilities Act Protecting Residents with Oversight, Transparency, and Enforcement for Compassionate Treatment in Long Term Care Facilities Act S230 PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act S782 Nursing Home Reform Modernization Act of 2021 SRes151- A resolution calling on the President and the Secretary of Health and Human Services to take action to lower prescription drug costs. S274-Stronger Medicaid Response to the COVID-19 Pandemic Act H.R. 2455 The Resetting the IMPACT Act of 2021 Monitoring HR1868 To prevent across-the-board direct spending cuts, and for other purposes. Support HR 2455 Resetting the Impact Act of 2021 TRIA Act of 2021 Support HR 5376 Support HR 3617 Support HR 2768 Support S 3018 Monitoring S870 Improving Access to Mental Health Act of 2021 Monitoring HR 5563 Stop Penalizing Working Seniors Act

Client expense: $63,738 · Firm income: Not reported

The Elder Justice Reauthorization and Modernization Act of 2021 Nursing Home Workforce Support and Expansion Act H.R. 331, Nurses CARE Act of 2021 H.R. 4288, Workforce for an Expanding Economy Act H.R.5336, Strengthening Knowledge, Improving Learning, and Livelihoods (SKILLS) Act LIFT ACT AHCA/NCAL proposal of Care For Our Seniors Act H.R. 3733 Essential Caregivers Act S. 1024 / H.R. 2255 Healthcare Workforce Resilience Act H.R. 5602 The Bolstering Infectious Outbreaks (BIO) Preparedness Workforce Act Staff Agency Price Gouging -- White House & Federal Trade Commission outreach Immigration Delays - outreach to U.S. Departments of State, Homeland Security & USCIS Advocating for providing temporary nurse aides a reasonable grace period after the public health emergency ends Administration nursing home reform plan FY2023 Appropriations H.R.7744 - Building Americas Health Care Workforce Act S.4381 - Ensuring Seniors Access to Quality Care Act Support the formation and creation of the 21st Century Long-Term Care Caucus Outreach to DOL in support of LTC apprenticeship programs Congressional Letters and Outreach around SNF Payment Rule and Administration Staffing Mandate Proposal Outreach on LTC workforce related appropriations matters

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

H.R.1319, American Rescue Plan Act of 2021, To secure provider relief for assisted living and other senior congregate care communities; H.R.1799, PPP Extension Act of 2021, To extend the deadline for application of paycheck protection program loans for eligible senior living providers; H.R.842, Protecting the Right to Organize Act of 2021, To prevent legislation that would exacerbate workforce challenges among senior living providers; S.420, Protecting the Right to Organize Act of 2021, To prevent legislation that would exacerbate workforce challenges among senior living providers; H.R.1848, Leading Infrastructure for Tomorrow's America Act, To advance measures that will target national investments in the infrastructure needs of long-term care facilities; H.R.331, the Nurses CARE Act, to extend temporary nurse aide authorizations and meet care needs of seniors; H.R.4131, the Better Care Betters Jobs Act, to support investments in long-term care services specifically for home and community based services; S.2210, the Better Care Betters Jobs Act, to support investments in long-term care services specifically for home and community based services; H.R.5376, the Build Back Better Act, to support investments in long-term care services and workforce development; H.R.5823, the Pandemic Risk Insurance Act, to provide federal reinsurance for pandemic related losses and ensure availability of coverage related to pandemics; H.R.5963, he Provider Relief Fund Improvement Act, to release all available provider relief funds to reimburse expenses and losses attributed to COVID-19; H.R.6161, the Employee Retention Tax Credit Reinstatement Act, to restore eligibility for senior living providers to claim the tax credit that was ended prematurely, and help with workforce challenges; H.R.6530, the SENIOR Act of 2022, to provide targeted financial relief for senior living providers and workforce development grants to address staffing shortages; S.2415, the Long-Term Care Affordability Act, to provide additional tax-preferred savings options for Americans to plan for their long-term care needs; H.R.7107, the Long-Term Care Affordability Act, to provide additional tax-preferred savings options for Americans to plan for their long-term care needs; S.3799, PREVENT Pandemics Act, to plan for and better prepare for future pandemics and the impact on senior living operators; S.3611, the Provider Relief Fund Improvement Act, to release all available provider relief funds to reimburse expenses and losses attributed to COVID-19; S.4169, the Expanding Veterans Options for Long Term Care Act, to establish a pilot program to allow Veterans to access assisted living care services; H.R.447, the National Apprenticeship Act of 2021, to provide the DOL's Office of Apprenticeships statutory authority to address workforce shortages; H.R.3807, The Restaurant Revitalization Fund Replenishment Act of 2021, to provide supplemental relief for certain businesses impacted by COVID-19.

The Elder Justice Reauthorization and Modernization Act of 2021 Nursing Home Workforce Support and Expansion Act H.R. 331, Nurses CARE Act of 2021 H.R. 4288, Workforce for an Expanding Economy Act H.R.5336, Strengthening Knowledge, Improving Learning, and Livelihoods (SKILLS) Act LIFT ACT AHCA/NCAL proposal of Care For Our Seniors Act H.R. 3733 Essential Caregivers Act S. 1024 / H.R. 2255 Healthcare Workforce Resilience Act H.R. 5602 The Bolstering Infectious Outbreaks (BIO) Preparedness Workforce Act Staff Agency Price Gouging -- White House & Federal Trade Commission outreach Immigration Delays - outreach to U.S. Departments of State, Homeland Security & USCIS Advocating for providing temporary nurse aides a reasonable grace period after the public health emergency ends Administration nursing home reform plan FY2023 Appropriations

Client expense: $910,000 · Firm income: Not reported

HR2114- To amend titles XVIII and XIX of the Social Security Act to require skilled nursing facilities, nursing facilities, and intermediate care facilities for the intellectually disabled to permit certain essential caregiver visitors during a public health emergency under the Medicare and Medicaid programs. HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR828- PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act HR844-PROTECT Long Term Care Facilities Act Protecting Residents with Oversight, Transparency, and Enforcement for Compassionate Treatment in Long Term Care Facilities Act S230 PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act S782 Nursing Home Reform Modernization Act of 2021 SRes151- A resolution calling on the President and the Secretary of Health and Human Services to take action to lower prescription drug costs. S24 Protecting Personal Health Data Act S286 Coronavirus Vaccine Act H.R 2922 Elder Abuse Protection Act of 2021 Support HR 1985 Support HR 2319 Support HR 3650 Support HR 3733 Support HR 4289 Support HR 5169 Support HR 598 Support HR 727 Support S 2048 Support S 2694 Support S 315 Support S 317 Support S 333 Support S 782 Support S 596 Support S 57

Client expense: $45,049 · Firm income: Not reported

HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR 1308 American Rescue Plan Act of 2021 HR1371 Crush the Virus Act of 2021 HR2255 To enhance our Nation's nurse and physician workforce during the COVID-19 crisis by recapturing unused immigrant visas. HR352 Jobs to Fight COVID-19 Act of 2021 HR598 Quality Care for Nursing Home Residents and Workers During COVID-19 and Beyond Act S315 Quality Care for Nursing Home Residents Act HR602 Relaunching Americas Workforce Act US HR900 Essential Worker Pandemic Compensation Act of 2021 H.R. 4288 Workforce for an Expanding Economy Act HR2418 Student Loan Forgiveness for Frontline Health Workers Act S1195 Healthy Families Act US HR2999 Direct CARE Opportunity Act Direct Creation, Advancement, and Retention of Employment Opportunity Act S1578 Mental Health Professionals Workforce Shortage Loan Repayment Act of 2021 HR 1909 Citizenship for Essential Workers Act HR 2114 Essential Caregivers Act of 2021 HR 2491 Wage Equity Act of 2021 HR 2999 Direct CARE Opportunity Act Direct Creation, Advancement, and Retention of Employment Opportunity Act HR 4288 Workforce for an Expanding Economy Act Workforce for an Expanding Economy Act S1195 Healthy Families Act S 757 Citizenship for Essential Workers Act Support 3992 Monitoring HR2418 Student Loan Forgiveness for Frontline Health Workers Act Support S747 Citizenship for Essential Workers Act Monitoring S1194 and S1578

Client expense: $45,049 · Firm income: Not reported

Monitoring the following bills HR22114- To amend titles XVIII and XIX of the Social Security Act to require skilled nursing facilities, nursing facilities, and intermediate care facilities for the intellectually disabled to permit certain essential caregiver visitors during a public health emergency under the Medicare and Medicaid programs. HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR828- PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act HR844-PROTECT Long Term Care Facilities Act Protecting Residents with Oversight, Transparency, and Enforcement for Compassionate Treatment in Long Term Care Facilities Act S230 PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act S782 Nursing Home Reform Modernization Act of 2021 SRes151- A resolution calling on the President and the Secretary of Health and Human Services to take action to lower prescription drug costs. S274-Stronger Medicaid Response to the COVID-19 Pandemic Act H.R. 2455 The Resetting the IMPACT Act of 2021 Monitoring HR1868 To prevent across-the-board direct spending cuts, and for other purposes. Support HR 2455 Resetting the Impact Act of 2021 TRIA Act of 2021 Support HR 5376 Support HR 3617 Support HR 2768 Support S 3018 Monitoring S870 Improving Access to Mental Health Act of 2021 Monitoring HR 5563 Stop Penalizing Working Seniors Act

Client expense: $45,049 · Firm income: Not reported

H.R.1319, American Rescue Plan Act of 2021, To secure provider relief for assisted living and other senior congregate care communities; H.R.1799, PPP Extension Act of 2021, To extend the deadline for application of paycheck protection program loans for eligible senior living providers; H.R.842, Protecting the Right to Organize Act of 2021, To prevent legislation that would exacerbate workforce challenges among senior living providers; S.420, Protecting the Right to Organize Act of 2021, To prevent legislation that would exacerbate workforce challenges among senior living providers; H.R.1848, Leading Infrastructure for Tomorrow's America Act, To advance measures that will target national investments in the infrastructure needs of long-term care facilities; H.R.331, the Nurses CARE Act, to extend temporary nurse aide authorizations and meet care needs of seniors; H.R.4131, the Better Care Betters Jobs Act, to support investments in long-term care services specifically for home and community based services; S.2210, the Better Care Betters Jobs Act, to support investments in long-term care services specifically for home and community based services; H.R.5376, the Build Back Better Act, to support investments in long-term care services and workforce development; H.R.5823, the Pandemic Risk Insurance Act, to provide federal reinsurance for pandemic related losses and ensure availability of coverage related to pandemics; H.R.5963, he Provider Relief Fund Improvement Act, to release all available provider relief funds to reimburse expenses and losses attributed to COVID-19; H.R.6161, the Employee Retention Tax Credit Reinstatement Act, to restore eligibility for senior living providers to claim the tax credit that was ended prematurely, and help with workforce challenges; H.R.6530, the SENIOR Act of 2022, to provide targeted financial relief for senior living providers and workforce development grants to address staffing shortages; S.2415, the Long-Term Care Affordability Act, to provide additional tax-preferred savings options for Americans to plan for their long-term care needs; H.R.7107, the Long-Term Care Affordability Act, to provide additional tax-preferred savings options for Americans to plan for their long-term care needs; S.3799, PREVENT Pandemics Act, to plan for and better prepare for future pandemics and the impact on senior living operators; S.3611, the Provider Relief Fund Improvement Act, to release all available provider relief funds to reimburse expenses and losses attributed to COVID-19

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation Observation Stays Issue Outreach to HHS/CMS/Administration Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Payroll Based Journal - Section 6106 of the Affordable Care Act Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). S. 2993- Ensuring Seniors Access to Quality Care Act S 2943/HR 5216 Quality Care for Nursing Home Residents Act of 2019 HR 5326 Fairness in Nursing Home Arbitration Act H.R.5897/S.3297 - Preventing Abuse and Neglect of Vulnerable Americans Act of 2020 Public Law 116-136, CARES Act Public Law 116-127 (H.R. 6201) Families First Coronavirus Response Act HR 6800 HEROES Act S. 3768/H.R. 6972 Nursing Home COVID-19 Protection and Prevention Act of 2020. S. 4108 A bill to amend title XIX of the Social Security Act to increase Federal support to State Medicaid programs during economic downturns, and for other purposes. S.3644 Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. H.R. 7048 Nursing Home Pandemic Protection Act H.R.6872 - SOS Act of 2020 H.R. 6849 Nursing Facility Quality Reporting Act of 2020 H.R. 6847 COHORT Act of 2020 Public Health Fund Distribution to HHS as agency CMS on Public Health Waiver and other waivers RUSH Act H.R. 6209/S.3447 H.R. 8574 amend titles XVIII and XIX of the Social Security Act to increase enforcement under Medicare and Medicaid for skilled nursing facilities and nursing facilities during the COVID-19 emergency period and other infectious disease outbreak periods, and for other purposes. S. 4666 National Coronavirus Commission Act of 2020 AHCA response to Ways and Means Committee report Under-Enforced and Over Prescribed: The Antipsychotic Drug Epidemic Ravings Americas Nursing Homes. BENES Act (S 1280/HR 2477) H.R.331 - Nurses CARE Act of 2021 S.368 and H.R.1332 Telehealth Modernization Act Protecting Rural Telehealth Access Act (S.1988) Support for Provider Relief Funds (PRF) for long term care providers and outreach to HRSA and the Hill on PRF Rep. Terri Sewell Provider Relief Fund letter Re-introduction work of the Preventing Abuse and Neglect of Vulnerable Americans Act Improving Access to Medicare Coverage Act (H.R. 3650/S. 2048) SNF Payment Rule OSHA Emergency Temporary Standards Care For Our Seniors Act Infrastructure Proposal Long Term Care Advocacy AHCA monitoring Ways and Means Investigative and Oversight Subcommittee hearing on the role private equity plays in the skilled nursing facility sector.

The Elder Justice Reauthorization and Modernization Act of 2021 Nursing Home Workforce Support and Expansion Act H.R. 331, Nurses CARE Act of 2021 H.R. 4288, Workforce for an Expanding Economy Act H.R.5336, Strengthening Knowledge, Improving Learning, and Livelihoods (SKILLS) Act LIFT ACT AHCA/NCAL proposal of Care For Our Seniors Act H.R. 3733 Essential Caregivers Act S. 1024 / H.R. 2255 Healthcare Workforce Resilience Act H.R. 5602 The Bolstering Infectious Outbreaks (BIO) Preparedness Workforce Act Staff Agency Price Gouging -- White House & Federal Trade Commission outreach Immigration Delays - outreach to U.S. Departments of State, Homeland Security & USCIS

Client expense: $1,080,000 · Firm income: Not reported

HR2114- To amend titles XVIII and XIX of the Social Security Act to require skilled nursing facilities, nursing facilities, and intermediate care facilities for the intellectually disabled to permit certain essential caregiver visitors during a public health emergency under the Medicare and Medicaid programs. HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR828- PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act HR844-PROTECT Long Term Care Facilities Act Protecting Residents with Oversight, Transparency, and Enforcement for Compassionate Treatment in Long Term Care Facilities Act S230 PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act S782 Nursing Home Reform Modernization Act of 2021 SRes151- A resolution calling on the President and the Secretary of Health and Human Services to take action to lower prescription drug costs. S24 Protecting Personal Health Data Act S286 Coronavirus Vaccine Act H.R 2922 Elder Abuse Protection Act of 2021 Support HR 1985 Support HR 2319 Support HR 3650 Support HR 3733 Support HR 4289 Support HR 5169 Support HR 598 Support HR 727 Support S 2048 Support S 2694 Support S 315 Support S 317 Support S 333 Support S 782 Support S 596 Support S 57

Client expense: $27,188 · Firm income: Not reported

Monitoring the following bills HR22114- To amend titles XVIII and XIX of the Social Security Act to require skilled nursing facilities, nursing facilities, and intermediate care facilities for the intellectually disabled to permit certain essential caregiver visitors during a public health emergency under the Medicare and Medicaid programs. HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR828- PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act HR844-PROTECT Long Term Care Facilities Act Protecting Residents with Oversight, Transparency, and Enforcement for Compassionate Treatment in Long Term Care Facilities Act S230 PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act S782 Nursing Home Reform Modernization Act of 2021 SRes151- A resolution calling on the President and the Secretary of Health and Human Services to take action to lower prescription drug costs. S274-Stronger Medicaid Response to the COVID-19 Pandemic Act H.R. 2455 The Resetting the IMPACT Act of 2021 Monitoring HR1868 To prevent across-the-board direct spending cuts, and for other purposes. Support HR 2455 Resetting the Impact Act of 2021 TRIA Act of 2021 Support HR 5376 Support HR 3617 Support HR 2768 Support S 3018

Client expense: $27,188 · Firm income: Not reported

HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR 1308 American Rescue Plan Act of 2021 HR1371 Crush the Virus Act of 2021 HR2255 To enhance our Nation's nurse and physician workforce during the COVID-19 crisis by recapturing unused immigrant visas. HR352 Jobs to Fight COVID-19 Act of 2021 HR598 Quality Care for Nursing Home Residents and Workers During COVID-19 and Beyond Act S315 Quality Care for Nursing Home Residents Act HR602 Relaunching Americas Workforce Act US HR900 Essential Worker Pandemic Compensation Act of 2021 H.R. 4288 Workforce for an Expanding Economy Act HR2418 Student Loan Forgiveness for Frontline Health Workers Act S1195 Healthy Families Act US HR2999 Direct CARE Opportunity Act Direct Creation, Advancement, and Retention of Employment Opportunity Act S1578 Mental Health Professionals Workforce Shortage Loan Repayment Act of 2021 HR 1909 Citizenship for Essential Workers Act HR 2114 Essential Caregivers Act of 2021 HR 2491 Wage Equity Act of 2021 HR 2999 Direct CARE Opportunity Act Direct Creation, Advancement, and Retention of Employment Opportunity Act HR 4288 Workforce for an Expanding Economy Act Workforce for an Expanding Economy Act S1195 Healthy Families Act S 757 Citizenship for Essential Workers Act Support 3992

Client expense: $27,188 · Firm income: Not reported

H.R.1319, American Rescue Plan Act of 2021, To secure provider relief for assisted living and other senior congregate care communities; H.R.1799, PPP Extension Act of 2021, To extend the deadline for application of paycheck protection program loans for eligible senior living providers; H.R.842, Protecting the Right to Organize Act of 2021, To prevent legislation that would exacerbate workforce challenges among senior living providers; S.420, Protecting the Right to Organize Act of 2021, To prevent legislation that would exacerbate workforce challenges among senior living providers; H.R.1848, Leading Infrastructure for Tomorrow's America Act, To advance measures that will target national investments in the infrastructure needs of long-term care facilities; H.R.331, the Nurses CARE Act, to extend temporary nurse aide authorizations and meet care needs of seniors; H.R.4131, the Better Care Betters Jobs Act, to support investments in long-term care services specifically for home and community based services; S.2210, the Better Care Betters Jobs Act, to support investments in long-term care services specifically for home and community based services; H.R.5376, the Build Back Better Act, to support investments in long-term care services and workforce development; H.R.5823, the Pandemic Risk Insurance Act, to provide federal reinsurance for pandemic related losses and ensure availability of coverage related to pandemics; H.R.5963, he Provider Relief Fund Improvement Act, to release all available provider relief funds to reimburse expenses and losses attributed to COVID-19; H.R.6161, the Employee Retention Tax Credit Reinstatement Act, to restore eligibility for senior living providers to claim the tax credit that was ended prematurely, and help with workforce challenges.

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

The Elder Justice Reauthorization and Modernization Act of 2021 Nursing Home Workforce Support and Expansion Act H.R. 331, Nurses CARE Act of 2021 H.R. 4288, Workforce for an Expanding Economy Act H.R.5336, Strengthening Knowledge, Improving Learning, and Livelihoods (SKILLS) Act LIFT ACT AHCA/NCAL proposal of Care For Our Seniors Act

Client expense: $890,000 · Firm income: Not reported

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation Observation Stays Issue Outreach to HHS/CMS/Administration Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Payroll Based Journal - Section 6106 of the Affordable Care Act Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). S. 2993- Ensuring Seniors Access to Quality Care Act S 2943/HR 5216 Quality Care for Nursing Home Residents Act of 2019 HR 5326 Fairness in Nursing Home Arbitration Act H.R.5897/S.3297 - Preventing Abuse and Neglect of Vulnerable Americans Act of 2020 Public Law 116-136, CARES Act Public Law 116-127 (H.R. 6201) Families First Coronavirus Response Act HR 6800 HEROES Act S. 3768/H.R. 6972 Nursing Home COVID-19 Protection and Prevention Act of 2020. S. 4108 A bill to amend title XIX of the Social Security Act to increase Federal support to State Medicaid programs during economic downturns, and for other purposes. S.3644 Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. H.R. 7048 Nursing Home Pandemic Protection Act H.R.6872 - SOS Act of 2020 H.R. 6849 Nursing Facility Quality Reporting Act of 2020 H.R. 6847 COHORT Act of 2020 Public Health Fund Distribution to HHS as agency CMS on Public Health Waiver and other waivers RUSH Act H.R. 6209/S.3447 H.R. 8574 amend titles XVIII and XIX of the Social Security Act to increase enforcement under Medicare and Medicaid for skilled nursing facilities and nursing facilities during the COVID-19 emergency period and other infectious disease outbreak periods, and for other purposes. S. 4666 National Coronavirus Commission Act of 2020 AHCA response to Ways and Means Committee report Under-Enforced and Over Prescribed: The Antipsychotic Drug Epidemic Ravings Americas Nursing Homes. BENES Act (S 1280/HR 2477) H.R.331 - Nurses CARE Act of 2021 S.368 and H.R.1332 Telehealth Modernization Act Protecting Rural Telehealth Access Act (S.1988) Support for Provider Relief Funds (PRF) for long term care providers and outreach to HRSA and the Hill on PRF Rep. Terri Sewell Provider Relief Fund letter Re-introduction work of the Preventing Abuse and Neglect of Vulnerable Americans Act Improving Access to Medicare Coverage Act (H.R. 3650/S. 2048) SNF Payment Rule OSHA Emergency Temporary Standards Care For Our Seniors Act Infrastructure Proposal Long Term Care Advocacy AHCA monitoring Ways and Means Investigative and Oversight Subcommittee hearing on the role private equity plays in the skilled nursing facility sector.

HR2114- To amend titles XVIII and XIX of the Social Security Act to require skilled nursing facilities, nursing facilities, and intermediate care facilities for the intellectually disabled to permit certain essential caregiver visitors during a public health emergency under the Medicare and Medicaid programs. HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR828- PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act HR844-PROTECT Long Term Care Facilities Act Protecting Residents with Oversight, Transparency, and Enforcement for Compassionate Treatment in Long Term Care Facilities Act S230 PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act S782 Nursing Home Reform Modernization Act of 2021 SRes151- A resolution calling on the President and the Secretary of Health and Human Services to take action to lower prescription drug costs. S24 Protecting Personal Health Data Act S286 Coronavirus Vaccine Act H.R 2922 Elder Abuse Protection Act of 2021 Support HR 1985 Support HR 2319 Support HR 3650 Support HR 3733 Support HR 4289 Support HR 5169 Support HR 598 Support HR 727 Support S 2048 Support S 2694 Support S 315 Support S 317 Support S 333 Support S 782 Support S 596 Support S 57

Client expense: $37,570 · Firm income: Not reported

HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR 1308 American Rescue Plan Act of 2021 HR1371 Crush the Virus Act of 2021 HR2255 To enhance our Nation's nurse and physician workforce during the COVID-19 crisis by recapturing unused immigrant visas. HR352 Jobs to Fight COVID-19 Act of 2021 HR598 Quality Care for Nursing Home Residents and Workers During COVID-19 and Beyond Act S315 Quality Care for Nursing Home Residents Act HR602 Relaunching Americas Workforce Act US HR900 Essential Worker Pandemic Compensation Act of 2021 H.R. 4288 Workforce for an Expanding Economy Act HR2418 Student Loan Forgiveness for Frontline Health Workers Act S1195 Healthy Families Act US HR2999 Direct CARE Opportunity Act Direct Creation, Advancement, and Retention of Employment Opportunity Act S1578 Mental Health Professionals Workforce Shortage Loan Repayment Act of 2021 HR 1909 Citizenship for Essential Workers Act HR 2114 Essential Caregivers Act of 2021 HR 2491 Wage Equity Act of 2021 HR 2999 Direct CARE Opportunity Act Direct Creation, Advancement, and Retention of Employment Opportunity Act HR 4288 Workforce for an Expanding Economy Act Workforce for an Expanding Economy Act S1195 Healthy Families Act S 757 Citizenship for Essential Workers Act

Client expense: $37,570 · Firm income: Not reported

Monitoring the following bills HR22114- To amend titles XVIII and XIX of the Social Security Act to require skilled nursing facilities, nursing facilities, and intermediate care facilities for the intellectually disabled to permit certain essential caregiver visitors during a public health emergency under the Medicare and Medicaid programs. HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR828- PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act HR844-PROTECT Long Term Care Facilities Act Protecting Residents with Oversight, Transparency, and Enforcement for Compassionate Treatment in Long Term Care Facilities Act S230 PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act S782 Nursing Home Reform Modernization Act of 2021 SRes151- A resolution calling on the President and the Secretary of Health and Human Services to take action to lower prescription drug costs. S274-Stronger Medicaid Response to the COVID-19 Pandemic Act H.R. 2455 The Resetting the IMPACT Act of 2021 Monitoring HR1868 To prevent across-the-board direct spending cuts, and for other purposes. Support HR 2455 Resetting the Impact Act of 2021 TRIA Act of 2021

Client expense: $37,570 · Firm income: Not reported

H.R.1319, American Rescue Plan Act of 2021, To secure provider relief for assisted living and other senior congregate care communities; H.R.1799, PPP Extension Act of 2021, To extend the deadline for application of paycheck protection program loans for eligible senior living providers; H.R.842, Protecting the Right to Organize Act of 2021, To prevent legislation that would exacerbate workforce challenges among senior living providers; S.420, Protecting the Right to Organize Act of 2021, To prevent legislation that would exacerbate workforce challenges among senior living providers; H.R.1848, Leading Infrastructure for Tomorrow's America Act, To advance measures that will target national investments in the infrastructure needs of long-term care facilities; H.R.331, the Nurses CARE Act, to extend temporary nurse aide authorizations and meet care needs of seniors; H.R.4131, the Better Care Betters Jobs Act, to support investments in long-term care services specifically for home and community based services; S.2210, the Better Care Betters Jobs Act, to support investments in long-term care services specifically for home and community based services; H.R.5376, the Build Back Better Act, to support investments in long-term care services and workforce development

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

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation Observation Stays Issue Outreach to HHS/CMS/Administration Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Payroll Based Journal - Section 6106 of the Affordable Care Act Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). S. 2993- Ensuring Seniors Access to Quality Care Act S 2943/HR 5216 Quality Care for Nursing Home Residents Act of 2019 HR 5326 Fairness in Nursing Home Arbitration Act H.R.5897/S.3297 - Preventing Abuse and Neglect of Vulnerable Americans Act of 2020 Public Law 116-136, CARES Act Public Law 116-127 (H.R. 6201) Families First Coronavirus Response Act HR 6800 HEROES Act S. 3768/H.R. 6972 Nursing Home COVID-19 Protection and Prevention Act of 2020. S. 4108 A bill to amend title XIX of the Social Security Act to increase Federal support to State Medicaid programs during economic downturns, and for other purposes. S.3644 Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. H.R. 7048 Nursing Home Pandemic Protection Act H.R.6872 - SOS Act of 2020 H.R. 6849 Nursing Facility Quality Reporting Act of 2020 H.R. 6847 COHORT Act of 2020 Public Health Fund Distribution to HHS as agency CMS on Public Health Waiver and other waivers RUSH Act H.R. 6209/S.3447 H.R. 8574 amend titles XVIII and XIX of the Social Security Act to increase enforcement under Medicare and Medicaid for skilled nursing facilities and nursing facilities during the COVID-19 emergency period and other infectious disease outbreak periods, and for other purposes. S. 4666 National Coronavirus Commission Act of 2020 AHCA response to Ways and Means Committee report Under-Enforced and Over Prescribed: The Antipsychotic Drug Epidemic Ravings Americas Nursing Homes. BENES Act (S 1280/HR 2477) H.R.331 - Nurses CARE Act of 2021 S.368 and H.R.1332 Telehealth Modernization Act Protecting Rural Telehealth Access Act (S.1988) Support for Provider Relief Funds (PRF) for long term care providers Rep. Terri Sewell Provider Relief Fund letter Re-introduction work of the Preventing Abuse and Neglect of Vulnerable Americans Act Improving Access to Medicare Coverage Act (H.R. 3650/S. 2048) SNF Payment Rule OSHA Emergency Temporary Standards Care For Our Seniors Act Infrastructure Proposal Long Term Care Advocacy AHCA monitoring Ways and Means Investigative and Oversight Subcommittee hearing on the role private equity plays in the skilled nursing facility sector.

HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR 1308 American Rescue Plan Act of 2021 HR1371 Crush the Virus Act of 2021 HR2255 To enhance our Nation's nurse and physician workforce during the COVID-19 crisis by recapturing unused immigrant visas. HR352 Jobs to Fight COVID-19 Act of 2021 HR598 Quality Care for Nursing Home Residents and Workers During COVID-19 and Beyond Act S315 Quality Care for Nursing Home Residents Act HR602 Relaunching Americas Workforce Act US HR900 Essential Worker Pandemic Compensation Act of 2021 H.R. 4288 Workforce for an Expanding Economy Act HR2418 Student Loan Forgiveness for Frontline Health Workers Act S1195 Healthy Families Act US HR2999 Direct CARE Opportunity Act Direct Creation, Advancement, and Retention of Employment Opportunity Act S1578 Mental Health Professionals Workforce Shortage Loan Repayment Act of 2021

Client expense: $98,609 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR22114- To amend titles XVIII and XIX of the Social Security Act to require skilled nursing facilities, nursing facilities, and intermediate care facilities for the intellectually disabled to permit certain essential caregiver visitors during a public health emergency under the Medicare and Medicaid programs. HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR828- PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act HR844-PROTECT Long Term Care Facilities Act Protecting Residents with Oversight, Transparency, and Enforcement for Compassionate Treatment in Long Term Care Facilities Act S230 PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act S782 Nursing Home Reform Modernization Act of 2021 SRes151- A resolution calling on the President and the Secretary of Health and Human Services to take action to lower prescription drug costs. S24 Protecting Personal Health Data Act S286 Coronavirus Vaccine Act H.R 2922 Elder Abuse Protection Act of 2021

Client expense: $98,609 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitoring the following bills HR22114- To amend titles XVIII and XIX of the Social Security Act to require skilled nursing facilities, nursing facilities, and intermediate care facilities for the intellectually disabled to permit certain essential caregiver visitors during a public health emergency under the Medicare and Medicaid programs. HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR828- PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act HR844-PROTECT Long Term Care Facilities Act Protecting Residents with Oversight, Transparency, and Enforcement for Compassionate Treatment in Long Term Care Facilities Act S230 PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act S782 Nursing Home Reform Modernization Act of 2021 SRes151- A resolution calling on the President and the Secretary of Health and Human Services to take action to lower prescription drug costs. S274-Stronger Medicaid Response to the COVID-19 Pandemic Act H.R. 2455 The Resetting the IMPACT Act of 2021

Client expense: $98,609 · Firm income: Not reported

H.R.1319, American Rescue Plan Act of 2021, To secure provider relief for assisted living and other senior congregate care communities; H.R.1799, PPP Extension Act of 2021, To extend the deadline for application of paycheck protection program loans for eligible senior living providers; H.R.842, Protecting the Right to Organize Act of 2021, To prevent legislation that would exacerbate workforce challenges among senior living providers; S.420, Protecting the Right to Organize Act of 2021, To prevent legislation that would exacerbate workforce challenges among senior living providers; H.R.1848, Leading Infrastructure for Tomorrow's America Act, To advance measures that will target national investments in the infrastructure needs of long-term care facilities; H.R.331, the Nurses CARE Act, to extend temporary nurse aide authorizations and meet care needs of seniors; H.R.4131, the Better Care Betters Jobs Act, to support investments in long-term care services specifically for home and community based services; S.2210, the Better Care Betters Jobs Act, to support investments in long-term care services specifically for home and community based services

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

HR22114- To amend titles XVIII and XIX of the Social Security Act to require skilled nursing facilities, nursing facilities, and intermediate care facilities for the intellectually disabled to permit certain essential caregiver visitors during a public health emergency under the Medicare and Medicaid programs. HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR828- PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act HR844-PROTECT Long Term Care Facilities Act Protecting Residents with Oversight, Transparency, and Enforcement for Compassionate Treatment in Long Term Care Facilities Act S230 PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act S782 Nursing Home Reform Modernization Act of 2021 SRes151- A resolution calling on the President and the Secretary of Health and Human Services to take action to lower prescription drug costs. S24 Protecting Personal Health Data Act S286 Coronavirus Vaccine Act

Client expense: $33,946 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR22114- To amend titles XVIII and XIX of the Social Security Act to require skilled nursing facilities, nursing facilities, and intermediate care facilities for the intellectually disabled to permit certain essential caregiver visitors during a public health emergency under the Medicare and Medicaid programs. HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR828- PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act HR844-PROTECT Long Term Care Facilities Act Protecting Residents with Oversight, Transparency, and Enforcement for Compassionate Treatment in Long Term Care Facilities Act S230 PREPARE LTC Act Promoting Restoration of Emergency Preparedness and Advancing Response to Epidemics in Long-Term Care Act S782 Nursing Home Reform Modernization Act of 2021 SRes151- A resolution calling on the President and the Secretary of Health and Human Services to take action to lower prescription drug costs. S274-Stronger Medicaid Response to the COVID-19 Pandemic Act

Client expense: $33,946 · Firm income: Not reported

HR331- Nurses CARE Act of 2021 Nurses Certification And Recognition of Experience Act of 2021 HR 1308 American Rescue Plan Act of 2021 HR1371 Crush the Virus Act of 2021 HR2255 To enhance our Nation's nurse and physician workforce during the COVID-19 crisis by recapturing unused immigrant visas. HR352 Jobs to Fight COVID-19 Act of 2021 HR598 Quality Care for Nursing Home Residents and Workers During COVID-19 and Beyond Act S315 Quality Care for Nursing Home Residents Act HR602 Relaunching Americas Workforce Act US HR900 Essential Worker Pandemic Compensation Act of 2021

Client expense: $33,946 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Payroll Based Journal - Section 6106 of the Affordable Care Act Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). S. 2993- Ensuring Seniors Access to Quality Care Act S 2943/HR 5216 Quality Care for Nursing Home Residents Act of 2019 HR 5326 Fairness in Nursing Home Arbitration Act H.R.5897/S.3297 - Preventing Abuse and Neglect of Vulnerable Americans Act of 2020 Public Law 116-136, CARES Act Public Law 116-127 (H.R. 6201) Families First Coronavirus Response Act HR 6800 HEROES Act S. 3768/H.R. 6972 Nursing Home COVID-19 Protection and Prevention Act of 2020. S. 4108 A bill to amend title XIX of the Social Security Act to increase Federal support to State Medicaid programs during economic downturns, and for other purposes. S.3644 Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. H.R. 7048 Nursing Home Pandemic Protection Act H.R.6872 - SOS Act of 2020 H.R. 6849 Nursing Facility Quality Reporting Act of 2020 H.R. 6847 COHORT Act of 2020 Public Health Fund Distribution to HHS as agency CMS on Public Health Waiver and other waivers RUSH Act H.R. 6209/S.3447 H.R. 8574 amend titles XVIII and XIX of the Social Security Act to increase enforcement under Medicare and Medicaid for skilled nursing facilities and nursing facilities during the COVID-19 emergency period and other infectious disease outbreak periods, and for other purposes. S. 4666 National Coronavirus Commission Act of 2020 AHCA response to Ways and Means Committee report Under-Enforced and Over Prescribed: The Antipsychotic Drug Epidemic Ravings Americas Nursing Homes. BENES Act (S 1280/HR 2477) H.R.331 - Nurses CARE Act of 2021 S.368 and H.R.1332 Telehealth Modernization Act