Permanency for Audio-Only Telehealth Act

H.R. 8800, Supporting Medicare Providers Act of 2022 Medicare coverage policies and statutes affecting psychologists and psychology trainees practice and reimbursement Draft Legislation - IMD Medicaid (Napolitano) S. 586: NO PAIN Act H.R. 1551/S 584: Nutrition Counseling Aiding Recover for Eating Disorders Act H.R. 1738/S. 646: Stabilize Medicaid and CHIP Coverage Act H.R. 3450/S. 1727: Medicaid Bump Act H.R. 3447: Permanency for Audio Only Telehealth Act H.R. 4058/ S. 2061: Telemental Health Care Access Act S. 2069: Excellence in Mental Health and Addiction Treatment Act S.285: Medicaid Reentry Act S.340: TREATS Act H.R. 1577/S. 596: Treat and Reduce Obesity Act H.R. 314: Medicare Sequester COVID Moratorium Act H.R 1868: To prevent across the board direct spending cuts S. 1512/H.R. 2903: CONNECT for Health Act H.R. 4480: Telehealth Coverage and Payment Parity Act S. 1798/H.R. 1398: TIKES Act H.R. 5674 / S. 3061: Medicare Mental Health Inpatient Equity Act H.R. 2503 Social Determinants Accelerator Act of 2021 Medicaid/Medicare/Private Insurance provisions in the Build Back Better Act S. 610, Public Law 117-71: Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 4406 Supporting Medicaid in the U.S. Territories Act H.R. 341 Ensuring Telemental Health Expansion Act of 2021 H.R. 6698 Stop Unfair Medicaid Recoveries Act H.R. 6636 / S. 2697 Due Process Continuity of Care Act HR 3173/S. 3018 Improving Seniors Access to Timely Care Act H.R. 4040, Advancing Telehealth Beyond COVID-19 Act of 2021 S. 5272 / H.R. 9577, Increasing Mental Health Options Act Draft bill re: Medicare reimbursement of services provided by advanced trainees Response to RFI re: Medicaid and behavioral health access Meeting with CMS staff re: digital therapeutics coding proposal

Client expense: $480,000 · Firm income: Not reported

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

H.R. 1332, Telehealth Modernization Act, all provisions S. 368, Telehealth Modernization Act, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 586, NOPAIN Act, all provisions H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions S. 1512, CONNECT for Health Act of 2021, all provisions H.R. 2256, Resident Physician Shortage Reduction Act of 2021, all provisions S. 834, Resident Physician Shortage Reduction Act of 2021, all provisions H.R. 7995, Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2022, all provisions H.R. 3407, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions S. 411, MOMMAs Act, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, all provisions S. 3018, Improving Seniors Timely Access to Care Act of 2021, all provisions H.R. 8487, Improving Seniors Timely Access to Care Act of 2022, all provisions H.R. 4058, Telemental Health Care Access Act of 2021, all provisions S. 2061, Telemental Health Care Access Act of 2021, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions S. 1438, Substance Use Disorder Workforce Act, all provisions H.R. 955, Medicaid Reentry Act of 2021, all provisions S. 285, Medicaid Reentry Act of 2021, all provisions H.R. 2654, Chiropractic Medicare Coverage Modernization Act of 2021, provisions related to scope of practice H.R. 6020, Supporting Medicare Providers Act of 2021, all provisions S. 3314, Supporting Medicare Providers Act of 2021, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions S. 2938, Bipartisan Safer Communities Act, all provisions H.R. 8800, Supporting Medicare Providers Act of 2022, all provisions H.R. 4040, Advancing Telehealth Beyond COVID-19 Act of 2022, all provisions H.R. 8850, Fair Access In Residency (FAIR) Act, all provisions S. 2173, Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies (PREVENT DIABETES) Act, all provisions S. 4873, Improving Access to Advance Care Planning Act, all provisions H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, all provisions S. 2094, Physician Shortage GME Cap Flex Act of 2021, all provisions H.R. 7213, Equitable Community Access to Pharmacist Services Act, all provisions H.R. 8594, Restore Protections for Dialysis Patients Act, all provisions S. 4750, Restore Protections for Dialysis Patients Act, all provisions H.R. 8188, Saving Access to Laboratory Services Act (SALSA), all provisions S. 4449, SALSA Act, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 19, Lower Costs, More Cures Act of 2021, all provisions H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, all provisions H.R. 315, Medicare Sequester COVID Moratorium Act, all provisions S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, all provisions H.R. 6048, Medicare Stability for Patients and Providers Act, all provisions H.R. 3434, Territories Health Equity Act of 2021, all provisions H.R. 4406, Supporting Medicaid in the U.S. Territories Act of 2021, all provisions S. 801, Connected Maternal Online Monitoring Act, all provisions S. 346, Black Maternal Health Momnibus Act of 2021, all provisions H.R. 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H.R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 66, Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act, all provisions S. 748, Medicare Sequester Relief Act, all provisions H.R. 6000, Cures 2.0 Act, all provisions H.R. 4043, Ensuring Patient Access to Critical Breakthrough Products Act of 2021, all provisions S. 2416, New Opportunities for Value that Extend Lives (NOVEL) Act of 2021, all provisions H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4755, Seniors Chronic Care Management Improvement Act of 2021, all provisions H.R. 6308, ACO Assignment Improvement Act of 2021, all provisions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021, all provisions H.R. 2228, Rural Behavioral Health Access Act of 2021, all provisions H.R. 3447, Permanency for Audio-Only Telehealth Act, all provisions H.R. 7051, Access to Prescription Digital Therapeutics Act of 2022, all provisions S. 3791, Access to Prescription Digital Therapeutics Act of 2022, all provisions H.R. 7573, Telehealth Extension and Evaluation Act, all provisions S. 3593, Telehealth Extension and Evaluation Act, all provisions H.R. 7878, Kidney Health Connect Act of 2022, all provisions S. 4307, Kidney Health Connect Act of 2022, all provisions H.R. 6202, Telehealth Extension Act of 2021, all provisions H.R. 7053, Hospital Inpatient Services Modernization Act, all provisions S. 3792, Hospital Inpatient Services Modernization Act, all provisions H.R. 7116, 9-8-8 Implementation Act of 2022, all provisions H.R. 8879, Inpatient Psychiatric Facility Improvement Act, all provisions H.R. 8878, To amend title XVIII of the Social Security Act to ensure adequate coverage of outpatient mental health services under the Medicare program, all provisions H.R. 432, Mental Health Access Improvement Act of 2021, all provisions H.R. 8910, Behavioral Health Integration Awareness Act of 2022, all provisions H.R. 8884, To direct the Secretary of Health and Human Services to provide outreach and reporting on opioid use disorder treatment services furnished by opioid treatment programs under the Medicare program, all provisions S. 987, CARA 3.0 Act of 2021, all provisions H.R. 925, Data to Save Moms Act, all provisions H.R. 7475, Mamas First Act, all provisions H.R. 5067, Preserving Patient Access to Home Infusion Act, all provisions S. 2652, Preserving Patient Access to Home Infusion Act, all provisions H.R. 8812, 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 purposes, provisions related to scope of practice Medicare program: 21st Century Cures Act/implementation Medicare program: EHR Certification Medicare program: Medicare and CHIP Reauthorization Act (MACRA) Reform Medicare program: MACRA implementation Medicare program: Laboratory testing/Diagnostics/PAMA Medicare program: Merit-based Incentive Payment System (MIPS) quality/cost/improvement activities/promoting interoperability Medicare program: Merit-based Value Pathway Medicare program: Physician Fee Schedule (PFS) inflation updates/budget neutrality rules Medicare program: 2023 Medicare Physician Fee Schedule/4.5% cut Medicare program: Accountable specialty care/payments Medicare program: Alternative Payment Models/incentive payments Medicare program: Telehealth/COVID flexibilities Medicare program: Health IT burdens Medicare program: Self-measured blood pressure devices/benefit category Medicare program: Coding Medicare program: Primary Care First models Medicare program: Appropriate Use Criteria Medicare program: Opioids Medicare program: Medicare Shared Savings Program (MSSP) Medicare program: Dental benefits Medicaid program: Uninsured and healthcare coverage/COVID-19 Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS)/revalidation Medicare program: Open Payments Medicaid program: Special Enrollment Period Medicaid program: Sickle Cell Disease Medicaid program: Improving Access to Physical and Mental Health Care for Children and Youth Under Medicaid and CHIP/draft Medicare program: Provider compliance and regulatory relief Medicare program: Medicare Administrative Contractors (MACs)/Downcoding Medicare and Medicaid programs: Health Equity Medicare and Medicaid programs: Modifier 25, Impossible Day Medicare and Medicaid programs: Connected health technologies Medicare and Medicaid programs: Diabetes

Client expense: $4,360,000 · Firm income: Not reported

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

Excellence in Mental Health and Addiction Treatment Act (S. 2069/ H.R. 4323), all provisions related to expanding and extending the Certified Community Behavioral Health Clinic Medicaid demonstration program. Mental Health Access Improvement Act (S. 828/H.R. 432), all provisions related to allowing marriage and family therapists and mental health counselors to directly bill Medicare for their services. Medicaid Reentry Act (H.R. 955/S. 285), all provisions related to allowing Medicaid coverage for eligible incarcerated individuals to be re-established up to 30 days before their release from jail or prison. Promoting Effective and Empowering Recovery Services in Medicare (PEERS) Act of 2021 (H.R. 2767), all provisions related to allowing peer support specialists to participate in behavioral health integration services under Medicare. Permanency for Audio-Only Telehealth Act (H.R. 3447), all provisions related to expanding access to audio-only telehealth under Medicare. Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act (H.R. 1647/S. 340), all provisions related to coverage of certain telehealth services under Medicare. Excellence in Recovery Housing Act (H.R. 2376/S. 2901), all provisions related to the availability of high-quality recovery housing for individuals with substance use disorders. Due Process Continuity of Care Act (H.R. 6636/S. 2697), all provisions related to the removal of the Medicaid coverage exclusion for inmates in custody pending disposition of charges. Supporting Medicare Providers Act of 2022 (H.R. 8800), all provisions related to the extension of certain increases in payments for physicians services under the Medicare program through 2023.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 315 - Medicare Sequester Moratorium Act - relief from Medicare sequester HR 1332/ S 368 -Telehealth Modernization Act - permanent repeal of Medicare geographic and originating site restrictions HR 1946/S 1873- Multi Cancer Early Detection Coverage and Screening Act - provide for Medicare coverage of multi-cancer early detection screening tests HR 1577/S 596 - Treat and Reduce Obesity Act of 2021 - expands Medicare coverage of intensive behavioral therapy for obesity HR 2347/S 2691 - Strengthening the Vaccines for Children Program Act of 2021 - ensure adequate access to vaccines under the Medicaid program and the Vaccines for Children program S 1287 - REFUND Act of 2021 - provide refunds for certain single dose vial drugs HR 2903/S 1512- CONNECT for Health Act of 2021 - expand access to telehealth services HR 3173/S 3018- Improving Seniors Timely Access to Care Act of 2021- stablishes several requirements and standards relating to prior authorization processes under Medicare Advantage plans HR 3447 - Permanency for Audio-Only Telehealth Act- expand accessibility to certain telehealth services under Medicare HR 4110/S 3656- Reducing Hereditary Cancer Act- provide hereditary cancer genetic testing HR 3089/S 1544- Accelerating Kids' Access to Care Act- streamline enrollment under the Medicaid program of certain providers across State lines HR 1978/S 912- Protecting Seniors Through Immunization Act of 2021- improve Medicare coverage of vaccinations HR 7995- GOLD CARD Act of 2022- exempts qualifying physicians from prior authorization requirements in Medicare Advantage plans HR 5377- Cancer Patient Equity Act of 2021- provides coverage of cancer diagnostic and laboratory tests under Medicare, Medicaid, and CHIP Drug pricing- Inflation Reduction Act HR 8800- Supporting Medicare Providers Act of 2022- Medicare reimbursement HR 8487- Improving Seniors Timely Access to Care Act of 2022- establishes several requirements and standards relating to prior authorization processes under Medicare Advantage plans

Client expense: $125,406 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 8800, Supporting Medicare Providers Act of 2022 Medicare coverage policies and statutes affecting psychologists and psychology trainees practice and reimbursement Draft Legislation - IMD Medicaid (Napolitano) S. 586: NO PAIN Act H.R. 1551/S 584: Nutrition Counseling Aiding Recover for Eating Disorders Act H.R. 1738/S. 646: Stabilize Medicaid and CHIP Coverage Act H.R. 3450/S. 1727: Medicaid Bump Act H.R. 3447: Permanency for Audio Only Telehealth Act H.R. 4058/ S. 2061: Telemental Health Care Access Act S. 2069: Excellence in Mental Health and Addiction Treatment Act S.285: Medicaid Reentry Act S.340: TREATS Act H.R. 1577/S. 596: Treat and Reduce Obesity Act H.R. 314: Medicare Sequester COVID Moratorium Act H.R 1868: To prevent across the board direct spending cuts S. 1512/H.R. 2903: CONNECT for Health Act H.R. 4480: Telehealth Coverage and Payment Parity Act S. 1798/H.R. 1398: TIKES Act H.R. 5674 / S. 3061: Medicare Mental Health Inpatient Equity Act H.R. 2503 Social Determinants Accelerator Act of 2021 Medicaid/Medicare/Private Insurance provisions in the Build Back Better Act S. 610, Public Law 117-71: Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 4406 Supporting Medicaid in the U.S. Territories Act H.R. 341 Ensuring Telemental Health Expansion Act of 2021 H.R. 6698 Stop Unfair Medicaid Recoveries Act H.R. 6636 / S. 2697 Due Process Continuity of Care Act HR 3173/S. 3018 Improving Seniors Access to Timely Care Act H.R. 4040, Advancing Telehealth Beyond COVID-19 Act of 2021 Draft bill re: Medicare reimbursement of services provided by advanced trainees

Client expense: $520,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

American Rescue Plan Act of 2021, H.R.1319; Telemental Health Care Access Act of 2021, (S.2061/H.R.4058); Permanency for Audio-Only Telehealth Act, H.R.3447; Excellence in Mental Health and Addiction Treatment Act of 2021, S.2069; FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502; Build Back Better Act, H.R.5376; Telehealth Extension Act of 2021, H.R.6202 2022 Consolidated Appropriations Act, H.R.2471; 988 Implementation Act, H.R.7116; 988 and Parity Assistance Act of 2022, H.R.7232; Bipartisan Safer Communities Act, S.2938; Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, H.R.8295;

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Draft Legislation - IMD Medicaid (Napolitano) S. 586: NO PAIN Act H.R. 1551/S 584: Nutrition Counseling Aiding Recover for Eating Disorders Act H.R. 3450/S. 1727: Medicaid Bump Act H.R. 3447: Permanency for Audio Only Telehealth Act H.R. 4058: Telemental Health Care Access Act S. 2061: Telemental Health Care Access Act S. 2069: Excellence in Mental Health and Addiction Treatment Act H.R. 1738/S. 646: Stabilize Medicaid and CHIP Coverage Act S.285: Medicaid Reentry Act S.340: TREATS Act H.R. 1577/S. 596: Treat and Reduce Obesity Act H.R. 314: Medicare Sequester COVID Moratorium Act H.R 1868: To prevent across the board direct spending cuts S. 1512/H.R. 2903: CONNECT for Health Act H.R. 4480: Telehealth Coverage and Payment Parity Act S. 1798/H.R. 1398: TIKES Act H.R. 5674 / S. 3061: Medicare Mental Health Inpatient Equity Act H.R. 2503 Social Determinants Accelerator Act of 2021 Medicaid/Medicare/Private Insurance provisions in the Build Back Better Act S. 610, Public Law 117-71: Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 4406 Supporting Medicaid in the U.S. Territories Act H.R. 341 Ensuring Telemental Health Expansion Act of 2021 H.R. 6698 Stop Unfair Medicaid Recoveries Act H.R. 6636 / S. 2697 Due Process Continuity of Care Act HR 3173/S. 3018 Improving Seniors Access to Timely Care Act Draft bill re: Medicare reimbursement of services provided by advanced trainees

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

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

Draft Legislation - IMD Medicaid (Napolitano) S. 586: NO PAIN Act H.R. 1551/S 584: Nutrition Counseling Aiding Recover for Eating Disorders Act H.R. 3450/S. 1727: Medicaid Bump Act H.R. 3447: Permanency for Audio Only Telehealth Act H.R. 4058: Telemental Health Care Access Act S. 2061: Telemental Health Care Access Act S. 2069: Excellence in Mental Health and Addiction Treatment Act H.R. 1738/S. 646: Stabilize Medicaid and CHIP Coverage Act S.285: Medicaid Reentry Act S.340: TREATS Act H.R. 1577/S. 596: Treat and Reduce Obesity Act H.R. 314: Medicare Sequester COVID Moratorium Act H.R 1868: To prevent across the board direct spending cuts S. 1512/H.R. 2903: CONNECT for Health Act H.R. 4480: Telehealth Coverage and Payment Parity Act S. 1798/H.R. 1398: TIKES Act H.R. 5674 / S. 3061: Medicare Mental Health Inpatient Equity Act H.R. 2503 Social Determinants Accelerator Act of 2021 Medicaid/Medicare/Private Insurance provisions in the Build Back Better Act S. 610, Public Law 117-71: Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 4406 Supporting Medicaid in the U.S. Territories Act H.R. 341 Ensuring Telemental Health Expansion Act of 2021 H.R. 6698 Stop Unfair Medicaid Recoveries Act H.R. 6636 / S. 2697 Due Process Continuity of Care Act HR 3173/S. 3018 Improving Seniors Access to Timely Care Act Draft bill re: Medicare reimbursement of services provided by advanced trainees

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

American Rescue Plan Act of 2021, H.R.1319; Telemental Health Care Access Act of 2021, (S.2061/H.R.4058); Permanency for Audio-Only Telehealth Act, H.R.3447; Excellence in Mental Health and Addiction Treatment Act of 2021, S.2069; FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502; Build Back Better Act, H.R.5376; Telehealth Extension Act of 2021, H.R.6202 2022 Consolidated Appropriations Act, H.R.2471; 988 Implementation Act, H.R.7116; 988 and Parity Assistance Act of 2022, H.R.7232; Bipartisan Safer Communities Act, S.2938; Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, H.R.8295

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, provisions relating to Graduate Medical Education S. 2094, Physician Shortage GME Cap Flex Act of 2021, provisions relating to Graduate Medical Education H.R. 1332, Telehealth Modernization Act, all provisions S. 368, Telehealth Modernization Act, all provisions H.R. 4058, Telemental Health Care Access Act of 2021, all provisions S. 2061, Telemental Health Care Access Act of 2021, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, provisions relating to Prior Authorization and attachment standards S. 3018, Improving Seniors Timely Access to Care Act of 2021, provisions relating to Prior Authorization and attachment standards H.R. 7995, Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2022, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NO PAIN) Act, all provisions S. 586, Non-Opioids Prevent Addiction In the Nation (NO PAIN) Act, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions H.R. 7213, Equitable Community Access to Pharmacist Services Act, all provisions S. 748, Medicare Sequester Relief Act, all provisions H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions S. 1512, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions H.R. 2256, Resident Physician Shortage Reduction Act, all provisions S. 834, Resident Physician Shortage Reduction Act, all provisions H.R. 1218, Data Mapping to Save Moms Lives Act, all provisions S. 198, Data Mapping to Save Moms Lives Act, all provisions H.R. 3407, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions S. 411, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions S. 1438, Opioid Workforce Act of 2021, all provisions H.R. 955, Medicaid Reentry Act of 2021, all provisions S. 285, Medicaid Reentry Act of 2021, all provisions H.R. 2654, Chiropractic Medicare Coverage Modernization Act of 2021, all provisions H.R. 6020, Supporting Medicare Providers Act of 2021, all provisions S. 3314, Supporting Medicare Providers Act of 2021, all provisions H.R. 6311, Comprehensive Addiction Resources Emergency Act of 2021, all provisions S. 3418, Comprehensive Addiction Resources Emergency Act of 2021, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 19, Lower Costs, More Cures Act of 2021, all provisions S. 801, Connected Maternal Online Monitoring Act, all provisions H.R. 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H.R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 66, Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act, all provisions S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, all provisions H.R. 6000, Cures 2.0 Act, all provisions H.R. 4043, Ensuring Patient Access to Critical Breakthrough Products Act of 2021, all provisions S. 2416, New Opportunities for Value that Extend Lives (NOVEL) Act of 2021, all provisions H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4755, Seniors Chronic Care Management Improvement Act of 2021, all provisions H.R. 6308, ACO Assignment Improvement Act of 2021, all provisions H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, all provisions H.R. 315, Medicare Sequester COVID Moratorium Act, all provisions H.R. 6048, Medicare Stability for Patients and Providers Act, all provisions H.R. 3348, SOS: Sustaining Outpatient Services Act, all provisions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021, all provisions H.R. 2228, Rural Behavioral Health Access Act of 2021, all provisions H.R. 3447, Permanency for Audio-Only Telehealth Act, all provisions H.R. 7051, Access to Prescription Digital Therapeutics Act of 2022, all provisions S. 3791, Access to Prescription Digital Therapeutics Act of 2022, all provisions H.R. 7878, Kidney Health Connect Act of 2022, all provisions S. 4307, Kidney Health Connect Act of 2022, all provisions H.R. 6202, Telehealth Extension Act of 2021, all provisions S. 987, CARA 3.0 Act of 2021, all provisions H.R. 1438, Opioid Workforce Act of 2021, all provisions H.R. 925, Data to Save Moms Act, all provisions H.R. 7475, Mamas First Act, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 3614, Menstrual Equity For All Act of 2021, provisions related to menstrual products coverage in Medicaid Medicare program: Physician Payment and Delivery Reform Medicare program: Impending Medicare payment cuts Medicare program: Medicare Evaluation and Management/budget neutrality Medicare program: Statutory PAYGO/Sequester Relief Medicare program: Accountable Care Organizations/specialty care Medicare program: Alternative Payment Models Medicare program: AMA Recovery Plan for Americas Physicians/payment reform Medicare program: Global and Professional Direct Contracting alternative payment model/REACH ACOs Medicare program: Appropriate Use Criteria and Prior Authorization Medicare program: Medicare Advantage/prior authorization regulation Medicare program: Automatic blood pressure measurement devices/coverage Medicare program: Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) Medicare program: MIPS/Promoting Interoperability/Cost/Improvement Activities Medicare program: MIPS/data sharing/transparency Medicare program: MACRA physician burdens Medicare program: Quality Payment Program Medicare program: Health IT burden Medicare program: Public Health Emergency COVID-19 /Accelerated and Advance Payments Medicare program: Primary Care First models Medicare program: Medicare Shared Savings Program (MSSP) Medicare program: Modifier 25 Medicare program: Split/shared billing Medicare program: Interoperability/data blocking/HIPAA Medicare program: Coding Medicare program: Provider compliance/Regulatory relief Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS) Enrollment/Revalidation Medicare program: Open Payments Medicare program: Prescription drug pricing/Pharmacy Benefits Managers Medicare program: Step Therapy Medicare and Medicaid programs: Medicare Access and Chip Reauthorization Act (MACRA)/implementation Medicare and Medicaid programs: MACRA Oversight Medicaid program: Improving Access to Physical and Mental Health Care for Children and Youth Under Medicaid and CHIP draft Medicare and Medicaid programs: Health Equity Medicaid program: Maternal Mortality Medicaid program: Uninsured and healthcare coverage/COVID-19 Medicaid program: Special Enrollment Period Medicaid program: Sickle Cell Disease

Client expense: $4,550,000 · Firm income: Not reported

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

HR 315 - Medicare Sequester Moratorium Act - relief from Medicare sequester HR 1332/ S 368 -Telehealth Modernization Act - permanent repeal of Medicare geographic and originating site restrictions HR 1946/S 1873- Multi Cancer Early Detection Coverage and Screening Act - provide for Medicare coverage of multi-cancer early detection screening tests HR 1577/S 596 - Treat and Reduce Obesity Act of 2021 - expands Medicare coverage of intensive behavioral therapy for obesity HR 2347/S 2691 - Strengthening the Vaccines for Children Program Act of 2021 - ensure adequate access to vaccines under the Medicaid program and the Vaccines for Children program S 1287 - REFUND Act of 2021 - provide refunds for certain single dose vial drugs HR 2903/S 1512- CONNECT for Health Act of 2021 - expand access to telehealth services HR 3173/S 3018- Improving Seniors Timely Access to Care Act of 2021- stablishes several requirements and standards relating to prior authorization processes under Medicare Advantage plans HR 3447 - Permanency for Audio-Only Telehealth Act- expand accessibility to certain telehealth services under Medicare HR 4110/S 3656- Reducing Hereditary Cancer Act- provide hereditary cancer genetic testing HR 3089/S 1544- Accelerating Kids' Access to Care Act- streamline enrollment under the Medicaid program of certain providers across State lines HR 1978/S 912- Protecting Seniors Through Immunization Act of 2021- improve Medicare coverage of vaccinations HR 7995- GOLD CARD Act of 2022- exempts qualifying physicians from prior authorization requirements in Medicare Advantage plans HR 5377- Cancer Patient Equity Act of 2021- provides coverage of cancer diagnostic and laboratory tests under Medicare, Medicaid, and CHIP Drug pricing

Client expense: $155,610 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.Res. 1141 - Educator Mental Health Awareness Week Resolution H.Res. 1191 - Providing for consideration of the bill (H.R. 4176) to improve Federal population surveys by requiring the collection of voluntary, self-disclosed information on sexual orientation and gender identity in certain surveys, and for other purposes; providing for consideration of the bill (H.R. 5585) to establish the Advanced Research Projects Agency-Health, and for other purposes; providing for consideration of the bill (H.R. 7666) to amend the Public Health Service Act to reauthorize certain programs relating to mental health and substance use disorders, and for other purposes; and for other purposes. H.R. 623 - Gabriella Miller Kids First Research Act 2.0 H.R. 909 / S. 484 - Moms Matter Act H.R. 1384 / S. 445 - Mainstreaming Addiction Treatment (MAT) Act H.R. 1475/ S. 1795 - Pursuing Equity in Mental Health Act H.R. 2067 - MATE Act H.R. 2256/ S. 834 - Resident Physician Shortage Reduction Act of 2021 H.R. 2377 - Federal Extreme Risk Protection Order Act of 2021 H.R. 2376 - Excellence in Recovery Housing Act H.R. 2929 - Virtual Peer Support Act H.R. 3173/ S. 3018 - Improving Seniors Timely Access to Care Act of 2021 H.R. 3407/ S. 411 - MOMMAS Act H.R. 3447 - Permanency for Audio-Only Telehealth Act H.R. 3450/ S. 1727 - Medicaid Bump Act H.R. 3753/ S. 1962 - Parity Implementation Assistance Act H.R. 3771 - South Asian Heart Health Awareness Act of 2021 H.R. 4058/ S. 2061 - Telemental Health Care Access Act. H.R. 4122 / S. 3658 - Resident Education Deferred Interest (REDI) Act H.R. 4217 / S. 2779 - TRIUMPH for New Moms Act H.R. 4770 - Evaluating Disparities and Outcomes of Telehealth (EDOT) Act of 2021 H.R. 4944 - Helping Kids Cope Act of 2021 H.R. 5218 - Collaborate in an Orderly and Cohesive Manner Act H.R. 5585 - Advanced Research Project Agency-Health Act H.R. 6943 / S. 3635 - Public Safety Officer Support Act H.R. 7073 - Into the Light for Maternal Mental Health Act H.R. 7076 - Supporting Childrens Mental Health Care Access Act of 2022 H.R. 7116 - 988 Implementation Act of 2022 H.R. 7232 - 988 and Parity Assistance Act of 2022 H.R. 7233 - Keeping Incarceration Discharges Streamlined for Children and Accommodating Resources in Education Act or the KIDS CARES Act H.R. 7234 - Summer Barrow Prevention, Treatment, and Recovery Act H.R. 7235 / S.4301 - Substance Use Prevention, Treatment, and Recovery Services Block Grant Act of 2022 H.R. 7236 - Strengthen Kids Mental Health Now Act of 2022 H.R. 7237 - Reauthorizing Evidence-based and Crisis Help Initiatives Needed to Generate Improved Mental Health Outcomes for Patients Act of 2022 or the REACHING Improved Mental Health Outcomes for Patients Act of 2022 H.R. 7238 - Timely Treatment for Opioid Use Disorder Act of 2022 H.R. 7241 - Community Mental Health Services Block Grant Reauthorization Act H.R. 7248 - Continuing Systems of Care for Children Act H.R. 7249 / S. 3686 - Anna Westin Legacy Act of 2022 H.R. 7254 - Mental Health Justice and Parity Act of 2022 H.R. 7255 / S. 4271 - Garrett Lee Smith Memorial Reauthorization Act H.R. 7427 - To amend title XI of the Social Security Act to require CMI testing of incentive payments for behavioral health providers and certain other providers for adoption and use of certified electronic health record technology, and for other purposes. H.R. 7565 - NIH Improve Act H.R. 7649 - To direct the Secretary of Health and Human Services to open a public docket for the submission of public comments regarding factors that should be taken into consideration when reviewing a proposed modification to an approved risk evaluation and mitigation strategy, and for other purposes. H.R. 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 7667 - Food and Drug Amendments of 2022 H.R. 7740 - Employee and Retiree Access to Justice Act of 2022 H.R. 7767 - Strengthening Behavioral Health Benefits Act H.R. 7845 - NIH Clinical Trial Diversity Act H.R. 7857 - Minority Fellowship Program Reauthorization Act of 2022 H.R. 7910 - Protecting Our Kids Act H.R. 8180 - Undertaking Needed Investments in Therapy, Education, and De-Escalation Act of 2022 H.R. 8229 - Telemental Health Parity Act S. 2938 - Bipartisan Safer Communities Act S. 4132 - Womens Health Protection Act S. 4170 - Mental Health Reform Reauthorization Act of 2022 S. 4306 - Improving Access to Behavioral Health Integration Act S. 4348 - Food and Drug Administration Safety and Landmark Advancements S. 4461 - Expanding Access to Mental Health Training Act S. 4448 - Suicide Prevention Act No legislation - Implementation of new REMS regulations

Client expense: $181,613 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

Draft Legislation - IMD Medicaid (Napolitano) S. 586: NO PAIN Act H.R. 1551/S 584: Nutrition Counseling Aiding Recover for Eating Disorders Act H.R. 3450/S. 1727: Medicaid Bump Act H.R. 3447: Permanency for Audio Only Telehealth Act H.R. 4058: Telemental Health Care Access Act S. 2061: Telemental Health Care Access Act S. 2069: Excellence in Mental Health and Addiction Treatment Act H.R. 1738/S. 646: Stabilize Medicaid and CHIP Coverage Act S.285: Medicaid Reentry Act S.340: TREATS Act H.R. 1577/S. 596: Treat and Reduce Obesity Act H.R. 314: Medicare Sequester COVID Moratorium Act H.R 1868: To prevent across the board direct spending cuts S. 1512/H.R. 2903: CONNECT for Health Act H.R. 4480: Telehealth Coverage and Payment Parity Act S. 1798/H.R. 1398: TIKES Act H.R. 5674 / S. 3061: Medicare Mental Health Inpatient Equity Act H.R. 2503 Social Determinants Accelerator Act of 2021 Medicaid/Medicare/Private Insurance provisions in the Build Back Better Act S. 610, Public Law 117-71: Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 4406 Supporting Medicaid in the U.S. Territories Act H.R. 341 Ensuring Telemental Health Expansion Act of 2021 H.R. 6698 Stop Unfair Medicaid Recoveries Act H.R. 6636 / S. 2697 Due Process Continuity of Care Act HR 3173/S. 3018 Improving Seniors Access to Timely Care Act Draft bill re: Medicare reimbursement of services provided by advanced trainees

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Excellence in Mental Health and Addiction Treatment Act (S. 2069/ H.R. 4323), all provisions related to expanding and extending the Certified Community Behavioral Health Clinic Medicaid demonstration program. Mental Health Access Improvement Act (S. 828/H.R. 432), all provisions related to allowing marriage and family therapists and mental health counselors to directly bill Medicare for their services. Medicaid Reentry Act (H.R. 955/S. 285), all provisions related to allowing Medicaid coverage for eligible incarcerated individuals to be re-established up to 30 days before their release from jail or prison. Promoting Effective and Empowering Recovery Services in Medicare (PEERS) Act of 2021 (H.R. 2767), all provisions related to allowing peer support specialists to participate in behavioral health integration services under Medicare. Permanency for Audio-Only Telehealth Act (H.R. 3447), all provisions related to expanding access to audio-only telehealth under Medicare. Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act (H.R. 1647/S. 340), all provisions related to coverage of certain telehealth services under Medicare. Excellence in Recovery Housing Act (H.R. 2376/S. 2901), all provisions related to the availability of high-quality recovery housing for individuals with substance use disorders. Due Process Continuity of Care Act (H.R. 6636/S. 2697), all provisions related to the removal of the Medicaid coverage exclusion for inmates in custody pending disposition of charges.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150, H.R.3447) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act, Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities HR1826 - Fairness in Medicare Part B Enrollment Act HR2217 - Territory Federal Matching Requirement Equity Act of 2021 HR1825 - A Bill to Remove the Matching Requirement for Medicate Part D Drugs.

Client expense: $2,080,000 · 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), SENATE, Treasury, Dept of

H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, all provisions H.R. 315, Medicare Sequester COVID Moratorium Act, all provisions H.R. 6020, Supporting Medicare Providers Act of 2021, all provisions S. 3314, Supporting Medicare Providers Act of 2021, all provisions S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, all provisions H.R. 6048, Medicare Stability for Patients and Providers Act, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 19, Lower Costs, More Cures Act of 2021, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 586, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions S. 1438, Opioid Workforce Act of 2021, all provisions H.R. 1332, Telehealth Modernization Act, all provisions S. 368, Telehealth Modernization Act, all provisions H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions S. 1512, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions H.R. 4058, Telemental Health Care Access Act of 2021, all provisions S. 2061, Telemental Health Care Access Act of 2021, all provisions S. 801, Connected Maternal Online Monitoring Act, all provisions S. 346, Black Maternal Health Momnibus Act of 2021, all provisions H.R. 3407, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions S. 411, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions H.R. 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H.R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 66, Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act, all provisions H.R. 2256, Resident Physician Shortage Reduction Act of 2021, all provisions S. 834, Resident Physician Shortage Reduction Act of 2021, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, all provisions S. 3018, Improving Seniors Timely Access to Care Act of 2021, all provisions S. 748, Medicare Sequester Relief Act, all provisions H.R. 2163, Safe Step Act, all provisions S. 464, Safe Step Act, all provisions H.R. 955, Medicaid Reentry Act of 2021, all provisions S. 285, Medicaid Reentry Act of 2021, all provisions H.R. 2654, Chiropractic Medicare Coverage Modernization Act of 2021, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions H.R. 6000, Cures 2.0 Act, all provisions H.R. 4043, Ensuring Patient Access to Critical Breakthrough Products Act of 2021, all provisions S. 2416, New Opportunities for Value that Extend Lives (NOVEL) Act of 2021, all provisions H.R. 6311, Comprehensive Addiction Resources Emergency (CARE) Act of 2021, all provisions S. 3418, Comprehensive Addiction Resources Emergency (CARE) Act of 2021, all provisions H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, all provisions S. 2094, Physician Shortage GME Cap Flex Act of 2021, all provisions H.R. 6202, Telehealth Extension Act of 2021, all provisions S. 3593, Telehealth Extension and Evaluation Act, all provisions H.R. 2807, Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies (PREVENT DIABETES) Act, all provisions S. 2173, Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies (PREVENT DIABETES) Act, all provisions H.R. 5804, Expanding Access to Diabetes Self-Management Training Act of 2021, all provisions S. 2203, Expanding Access to Diabetes Self-Management Training Act of 2021, all provisions S. 596, Treat and Reduce Obesity Act of 2021, all provisions H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021, all provisions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 2228, Rural Behavioral Health Access Act of 2021, all provisions H.R. 3447, Permanency for Audio-Only Telehealth Act, all provisions H.R. 7051, Access to Prescription Digital Therapeutics Act of 2022, all provisions S. 3791, Access to Prescription Digital Therapeutics Act of 2022, all provisions H.R. 2503, Social Determinants Accelerator Act of 2021, all provisions S. 3039, Social Determinants Accelerator Act of 2021, all provisions H.R. 987, CARA 3.0 Act of 2021, all provisions H.R. 925, Data to Save Moms Act, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4755, Seniors Chronic Care Management Improvement Act of 2021, all provisions H.R. 6308, ACO Assignment Improvement Act of 2021, all provisions H.R. 6583, Stop the Wait Act of 2022, all provisions S. 224, Stop the Wait Act of 2022, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 7213, Equitable Community Access to Pharmacist Services Act, all provisions Medicare program: Gold Card Act/draft Medicare program: 21st Century Cures Act Medicare program: Protecting Access to Medicare Act (PAMA)/Laboratory testing/diagnostics Medicare program: Small Practice, Underserved, and Rural Support Program (SURS) Extension Act of 2022 Medicare program: Telehealth and dialysis centers/COVID-19 flexibilities continuation Medicare program: Telehealth/telephone visit codes/equity/quality Medicare program: Physician Payment Reform Medicare program: MEDPAC Report Medicare program: 2% Medicare sequester moratorium/continuation Medicare program: 4% Medicare sequester/Statutory PAYGO Medicare program: Physician payment/inflation index Medicare program: Medicare Physician Fee Schedule Conversion Factor/extension of 3% increase Medicare program: Medicare Diabetes Prevention Program (MDPP) model Medicare program: Global and Professional Direct Contracting Model (GPDC)/Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Medicare program: Evaluation and Management (E/M)/budget neutrality Medicare program: Prior authorization Medicare program: Interoperability Medicare program: EFT fees Medicare program: Merit-based Incentive Payment System (MIPS)/Quality/Cost/Improvement activities Medicare program: MIPS Value Pathways (MVPs) Medicare program: MIPS draft cost measures/field testing extension Medicare program: Value-based care acceleration/transparency/stability Medicare program: Virtual credit cards Medicare program: Primary Care First models Medicare program: Medicare Shared Savings Program (MSSP) Medicare program: RVS Update Committee (RUC)/Current Procedural Terminology (CPT) Medicare program: Split/shared billing Medicare program: PECOS Enrollment/Revalidation Medicare program: Open Payments Medicare program: Step Therapy Medicare program: Public health emergency/accelerated and advance payments Medicare program: MACRA oversight Medicare program: MACRA/physician burdens Medicare program: Alternative payment models (APMs) Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/implementation/Accountable Care Organizations Medicare and Medicaid programs: Information blocking/Patient privacy Medicare and Medicaid programs: COVID-19 response Medicare and Medicaid programs: Mental Health Parity and Addiction Equity Act (MHPAEA)/patient protection Medicare and Medicaid programs: Health equity/COVID-19 Medicare and Medicaid programs: Drug overdose epidemic Medicare and Medicaid programs: Health IT burdens Medicaid program: Medicaid funding in US territories Medicaid program: Uninsured individuals/COVID-19 Medicaid program: Special enrollment period Medicaid program: Sickle Cell Disease

Client expense: $6,520,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Natl Drug Control Policy (NDCP), SENATE

HR 315 - Medicare Sequester Moratorium Act - relief from Medicare sequester HR 1332/ S 368 -Telehealth Modernization Act - permanent repeal of Medicare geographic and originating site restrictions HR 1946/S 1873- Multi Cancer Early Detection Coverage and Screening Act - provide for Medicare coverage of multi-cancer early detection screening tests HR 1577/S 596 - Treat and Reduce Obesity Act of 2021 - expands Medicare coverage of intensive behavioral therapy for obesity HR 2347/S 2691 - Strengthening the Vaccines for Children Program Act of 2021 - ensure adequate access to vaccines under the Medicaid program and the Vaccines for Children program S 1287 - REFUND Act of 2021 - provide refunds for certain single dose vial drugs HR 2903/S 1512- CONNECT for Health Act of 2021 - expand access to telehealth services HR 3173/S 3018- Improving Seniors Timely Access to Care Act of 2021- stablishes several requirements and standards relating to prior authorization processes under Medicare Advantage plans HR 3447 - Permanency for Audio-Only Telehealth Act- expand accessibility to certain telehealth services under Medicare HR 4110/S 3656- Reducing Hereditary Cancer Act- provide hereditary cancer genetic testing HR 3089/S 1544- Accelerating Kids' Access to Care Act- streamline enrollment under the Medicaid program of certain providers across State lines HR 1978/S 912- Protecting Seniors Through Immunization Act of 2021- improve Medicare coverage of vaccinations

Client expense: $213,980 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

American Rescue Plan Act of 2021, H.R.1319; Telemental Health Care Access Act of 2021, (S.2061/H.R.4058); Permanency for Audio-Only Telehealth Act, H.R.3447; Excellence in Mental Health and Addiction Treatment Act of 2021, S.2069; FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502; Build Back Better Act, H.R.5376; Telehealth Extension Act of 2021, H.R.6202; 2022 Consolidated Appropriations Act, H.R.2471; 988 Implementation Act, H.R.7116; 988 and Parity Assistance Act of 2022, H.R.7232;

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 69 / S. 623 - Sunshine Protection Act of 2021 H.R. 423/ S. 828 - Mental Health Access Improvement Act H.R. 1385/ S. 3696 - Behavioral Health Coordination and Communication Act of 2022 H.R. 1475/ S. 1795 - Pursuing Equity in Mental Health Act H.R. 1545/ S. 3689 - Crisis Counseling Act H.R. 2256/ S. 834 - Resident Physician Shortage Reduction Act of 2021 H.R. 2376 - Excellence in Recovery Housing Act H.R. 2929 - Virtual Peer Support Act H.R. 3345 - Helping MOMS Act of 2021 H.R. 3407/ S. 411 - MOMMAS Act H.R. 3447 - Permanency for Audio-Only Telehealth Act H.R. 3450/ S. 1727 - Medicaid Bump Act H.R. 3753/ S. 1962 - Parity Implementation Assistance Act H.R. 4058/ S. 2061 - Telemental Health Care Access Act of 2021 H.R. 4122/ S. 3658 - Resident Education Deferred Interest (REDI) Act H.R. 4251 - Native Behavioral Health Access Improvement Act of 2021 H.R. 4944 - Helping Kids Cope Act of 2021 H.R. 4770 - Evaluating Disparities and Outcomes of Telehealth (EDOT) Act of 2021 H.R. 5218 - Collaborate in an Orderly and Cohesive Manner Act H.R. 5837 - To amend title XVIII of the Social Security Act to expand access to telehealth services relating to substance use disorder treatment, and for other purposes. H.R. 6202 - Telehealth Extension Act of 2021 H.R. 7045/ S. 3796 - Closing Health Coverage Gaps for Public Servants Act of 2022 H.R. 7073 - Into the Light for Maternal Mental Health Act H.R. 7076 - Supporting Childrens Mental Health Care Access Act of 2022 H.R. 7116 - 988 Implementation Act of 2022 H.R. 7232 - 988 and Parity Assistance Act of 2022 H.R. 7233 - Keeping Incarceration Discharges Streamlined for Children and Accommodating Resources in Education Act or the KIDS CARES Act H.R. 7234 - Summer Barrow Prevention, Treatment, and Recovery Act H.R. 7235 - Substance Use Prevention, Treatment, and Recovery Services Block Grant Act of 2022 H.R. 7236 - Strengthen Kids Mental Health Now Act of 2022 H.R. 7237 - Reauthorizing Evidence-based and Crisis Help Initiatives Needed to Generate Improved Mental Health Outcomes for Patients Act of 2022 or the REACHING Improved Mental Health Outcomes for Patients Act of 2022 H.R. 7238 - Timely Treatment for Opioid Use Disorder Act of 2022 H.R. 7241 - Community Mental Health Services Block Grant Reauthorization Act H.R. 7248 - Continuing Systems of Care for Children Act H.R. 7249 / S. 3686 - Anna Westin Legacy Act of 2022 H.R. 7254 - Mental Health Justice and Parity Act of 2022 H.R. 7255 - Garrett Lee Smith Memorial Reauthorization Act H.R. 7370 - Student Mental Health Rights Act S.Res. 518 - Behavioral Health Resolution S. 3593 - Telehealth Extension and Evaluation Act S. 3628 - Youth Mental Health and Suicide Prevention Act S. 3663 - Kids Online Safety Act S. 3688 - Improving Access to Tele-Behavioral Health Services Act S. 3704 - Advancing Student Services in Schools Today (ASSIST) Act S. 3799 - Prepare for and Response to Existing Viruses, Emerging New Threats, and Pandemics Act (PREVENT Pandemics Act) (No legislation) Implementation of new REMS regulations

Client expense: $166,945 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

Excellence in Mental Health and Addiction Treatment Act (S. 2069/ H.R. 4323), all provisions related to expanding and extending the Certified Community Behavioral Health Clinic Medicaid demonstration program. Mental Health Access Improvement Act (S. 828/H.R. 432), all provisions related to allowing marriage and family therapists and mental health counselors to directly bill Medicare for their services. Medicaid Reentry Act (H.R. 955/S. 285), all provisions related to allowing Medicaid coverage for eligible incarcerated individuals to be re-established up to 30 days before their release from jail or prison. Promoting Effective and Empowering Recovery Services in Medicare (PEERS) Act of 2021 (H.R. 2767), all provisions related to allowing peer support specialists to participate in behavioral health integration services under Medicare. Permanency for Audio-Only Telehealth Act (H.R. 3447), all provisions related to expanding access to audio-only telehealth under Medicare. Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act (H.R. 1647/S. 340), all provisions related to coverage of certain telehealth services under Medicare. Excellence in Recovery Housing Act (H.R. 2376/S. 2901), all provisions related to the availability of high-quality recovery housing for individuals with substance use disorders. Due Process Continuity of Care Act (H.R. 6636/S. 2697), all provisions related to the removal of the Medicaid coverage exclusion for inmates in custody pending disposition of charges.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Draft Legislation - IMD Medicaid (Napolitano) S. 586: NO PAIN Act H.R. 1551/S 584: Nutrition Counseling Aiding Recover for Eating Disorders Act H.R. 3450/S. 1727: Medicaid Bump Act H.R. 3447: Permanency for Audio Only Telehealth Act H.R. 4058: Telemental Health Care Access Act S. 2061: Telemental Health Care Access Act S. 2069: Excellence in Mental Health and Addiction Treatment Act H.R. 1738/S. 646: Stabilize Medicaid and CHIP Coverage Act S.285: Medicaid Reentry Act S.340: TREATS Act H.R. 1577/S. 596: Treat and Reduce Obesity Act H.R. 314: Medicare Sequester COVID Moratorium Act H.R 1868: To prevent across the board direct spending cuts S. 1512/H.R. 2903: CONNECT for Health Act H.R. 4480: Telehealth Coverage and Payment Parity Act S. 1798/H.R. 1398: TIKES Act Letter to CMS re: TN Medicaid proposed amendment (Coalition letter) H.R. 5674 / S. 3061: Medicare Mental Health Inpatient Equity Act H.R. 2503 Social Determinants Accelerator Act of 2021 Medicaid/Medicare/Private Insurance provisions in the Build Back Better Act S. 610, Public Law 117-71: Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 4406 Supporting Medicaid in the U.S. Territories Act H.R. 341 Ensuring Telemental Health Expansion Act of 2021 H.R. 6698 Stop Unfair Medicaid Recoveries Act H.R. 6636 / S. 2697 Due Process Continuity of Care Act

Client expense: $226,000 · Firm income: Not reported

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

HR 315 - Medicare Sequester Moratorium Act - relief from Medicare sequester HR 1332/ S 368 -Telehealth Modernization Act - permanent repeal of Medicare geographic and originating site restrictions HR 1946/S 1873- Multi Cancer Early Detection Coverage and Screening Act - provide for Medicare coverage of multi-cancer early detection screening tests HR 1577/S 596 - Treat and Reduce Obesity Act of 2021 - expands Medicare coverage of intensive behavioral therapy for obesity HR 2347/S 2691 - Strengthening the Vaccines for Children Program Act of 2021 - ensure adequate access to vaccines under the Medicaid program and the Vaccines for Children program S 1287 - REFUND Act of 2021 - provide refunds for certain single dose vial drugs HR 2903/S 1512- CONNECT for Health Act of 2021 - expand access to telehealth services HR 3173/S 3018- Improving Seniors Timely Access to Care Act of 2021- stablishes several requirements and standards relating to prior authorization processes under Medicare Advantage plans HR 3447 - Permanency for Audio-Only Telehealth Act- expand accessibility to certain telehealth services under Medicare HR 4110- Reducing Hereditary Cancer Act- provide hereditary cancer genetic testing HR 3089/S 1544- Accelerating Kids' Access to Care Act- streamline enrollment under the Medicaid program of certain providers across State lines HR 1978/S 912- Protecting Seniors Through Immunization Act of 2021- improve Medicare coverage of vaccinations

Client expense: $95,038 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Telehealth (H.R. 3447 - Permanency for Audio Only, H.R. 4058 - Telemental Health Expansion Act, S. 2061 - Telemental Health Care Access Act) CCBHCs - Excellence in Mental Health and Addiction Treatment Act of 2021 (S. 2069) / H.R.4323 H.R.5611/S.1902 - Behavioral Health Crisis Services Expansion Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Telehealth (H.R. 3447 - Permanency for Audio Only, H.R. 4058 - Telemental Health Expansion Act, S. 2061 - Telemental Health Care Access Act) CCBHCs - Excellence in Mental Health and Addiction Treatment Act of 2021 (S. 2069) / H.R.4323 988 - S.1902/H.R.5611 - Behavioral Health Crisis Services Expansion Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 368/ H.R. 1332: Telehealth Modernization Act S. 754/ H.R. 1916: Ensuring Lasting Smiles Act S. 833/ H.R. 2071: Empowering Medicare Seniors to Negotiate Drug Prices Act S. 1512/ H.R. 2903: CONNECT for Health Act of 2021 S. 1988/H.R. 5425: Protecting Rural Telehealth Access Act H.R. 366: Protecting Access to Post-COVID-19 Telehealth Act H.R. 3173: Improving Seniors Timely Access to Care Act H.R. 3447: Permanency for Audio-Only Telehealth Act H.R. 4040: Advancing Telehealth Beyond Covid-19 Act S. 610: Protecting Medicare and American Farmers from Sequester Cuts Act S. 1731: Medicare Audiologist Access and Services Act Engagement with CMS regarding National Coverage Analysis (NCA) of Aduhelm and other monoclonal antibodies directed at amyloid beta plaque for the treatment of Alzheimers Disease Support for the elimination of the Medicare Appropriate Use Criteria (AUC) Program for advanced diagnostic imaging. Support for policies to address the COVID-19 pandemic, including extending temporary relief for Medicare Physician Fee Schedule payments and postponing Medicare sequestration cuts beyond 2021. Support for a permanent expansion of telehealth in Medicare, including eliminating on originating site and geographic restrictions. Support for policies to address prescription drug costs, including supporting direct negotiation in Medicare, improving drug pricing transparency, and capping beneficiary out-of-pocket costs in Medicare Part D.

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

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

H.R. 19 - Lower Costs, More Cures Act of 2021 - Rep. McMorris Rodgers, Cathy [R-WA-5] - Medicare and Medicaid reforms H.R. 56 - Patient Access to Medical Foods Act - Rep. Biggs, Andy [R-AZ-5] - coverage of medical foods H.R. 66 - CARING for Kids Act - Rep. Buchanan, Vern [R-FL-16] - CHIP extension H.R. 315 - Medicare Sequester COVID Moratorium Act - Rep. Schneider, Bradley Scott [D-IL-10] - Medicare Sequester H.R. 340 - Incentivizing Medicaid Expansion Act of 2021 - Rep. Veasey, Marc A. [D-TX-33] - Medicaid expansion H.R. 502 - Medicare Dental Benefit Act of 2021 - Rep. Barragan, Nanette Diaz [D-CA-44] - Medicare dental coverage H.R. 525 - COVID HCBS Relief Act of 2021 - Rep. Dingell, Debbie [D-MI-12] - HCBS H.R. 599 - Protecting Medicare Beneficiaries with Pre-Existing Conditions Act - Rep. Schneider, Bradley Scott [D-IL-10] - pre-existing conditions H.R. 722 - Ensuring Vaccination and Treatment Affordability Act - Rep. Pappas, Chris [D-NH-1] - cost-sharing for COVID-19 vaccines H.R. 918 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Rep. Cardenas, Tony [D-CA-29] - Medicaid & COVID-19 H.R. 955 - Medicaid Reentry Act of 2021 - Rep. Tonko, Paul [D-NY-20] - Medicaid coverage H.R. 975 - Ensuring Seniors Access to COVID Treatments Act - Rep. Casten, Sean [D-IL-6] - coverage of COVID-19 drugs H.R. 1227 - Medicare-X Choice Act of 2021 - Rep. Delgado, Antonio [D-NY-19] - Medicare-X H.R. 1495 - Jim Ramstad Legacy of Recovery Act - Rep. Emmer, Tom [R-MN-6] - Medicaid coverage for SUD H.R. 1717 - Protecting Married Seniors from Impoverishment Act of 2021 - Rep. Upton, Fred [R-MI-6] - HCBS and spousal impoverishment H.R. 1722 - Puerto Rico Health Care Fairness, Accountability, and Beneficiary Access Act of 2021 - Rep. Velazquez, Nydia M. [D-NY-7] - Medicaid for territories H.R. 1791 - CHIPP Act - Rep. Barragan, Nanette Diaz [D-CA-44] - CHIP extension H.R. 1795 - Expanded Coverage for Former Foster Youth Act - Rep. Bass, Karen [D-CA-37] - coverage for foster youth H.R. 1880 - To amend the Deficit Reduction Act of 2005 to make permanent the Money Follows the Person Rebalancing Demonstration - Rep. Dingell, Debbie [D-MI-12] - Money Follows the Person extension H.R. 1969 - Medicare Advantage Integrity Act - Resident Commissioner Gonzalez-Colon, Jenniffer [R-PR-At Large] - Medicare Advantage benchmark rates H.R. 1976 - Medicare for All Act of 2021 - Rep. Jayapal, Pramila [D-WA-7] - Medicare for All H.R. 1978 - Protecting Seniors Through Immunization Act of 2021 - Rep. Kuster, Ann M. [D-NH-2] - cost sharing for vaccines under Medicare part D H.R. 1999 - Protect Seniors and Cut Waste Act - Rep. Smith, Jason [R-MO-8] - sequester for Pay-As-You-Go H.R. 2166 - Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 - Rep. Sewell, Terri A. [D-AL-7] - Medicare coverage of telehealth H.R. 2217 - Territory Federal Matching Requirement Equity Act of 2021 - Resident Commissioner Gonzalez-Colon, Jenniffer [R-PR-At Large] - FMAP for territories H.R. 2297 - MIND Act - Rep. Boyle, Brendan F. [D-PA-2] - Medicaid payment for services provided in institutions for mental diseases H.R. 2464 - More Help for Seniors Act of 2021 - Rep. Craig, Angie [D-MN-2] - Medicare prescription drug benefit H.R. 2881 - Medicare Buy-In and Health Care Stabilization Act of 2021 - Rep. Higgins, Brian [D-NY-26] - Medicare public insurance H.R. 3108 - Medical Nutrition Therapy Act of 2021 - Rep. Kelly, Robin L. [D-IL-2] - coverage of medical foods H.R. 3173 - Improving Seniors Timely Access to Care Act of 2021 - Rep. DelBene, Suzan K. [D-WA-1] - prior authorization H.R. 3447 - Permanency for Audio-Only Telehealth Act - Rep. Smith, Jason [R-MO-8] - Medicare telehealth coverage H.R. 3450 - Medicaid Bump Act - Rep. Tonko, Paul [D-NY-20] - Medicaid funding and behavioral health H.R. 3894 - CARING for Social Determinants Act of 2021- Rep. Blunt Rochester, Lisa [D-DE-At Large] - Medicaid and SDOH H.R. 3961 - COVER Now Act - Rep. Doggett, Lloyd [D-TX-35] - Medicaid expansion H.R. 4040 Advancing Telehealth Beyond COVID-19 Act of 2021- Rep. Cheney, Liz [R-WY-At Large] - Medicare telehealth coverage H.R. 4043 - Ensuring Patient Access to Critical Breakthrough Products Act of 2021 - Rep. DelBene, Suzan K. [D-WA-1] - Medicare coverage of breakthrough devices H.R. 4074 - Addressing Social Determinants in Medicare Advantage Act of 2021 - Rep. Bilirakis, Gus M. [R-FL-12] - Medicare Advantage supplemental benefits H.R. 4158 - Insulin Access for All Act of 2021 - Rep. Rush, Bobby L. [D-IL-1] - cost sharing for insulin H.R. 4187 - Medicare Vision Act of 2021 - Rep. Schrier, Kim [D-WA - Medicare vision coverage H.R. 4263 - Patient Parity Protection Act of 2021 - Rep. Gottheimer, Josh [D-NJ-5] - out-of-network services H.R. 4311 - Medicare Dental, Vision, and Hearing Benefit Act of 2021 - Rep. Doggett, Lloyd [D-TX-35] - Medicare dental, vision, and hearing benefits H.R. 4406 - Supporting Medicaid in the U.S. Territories Act of 2021 - Rep. Soto, Darren [D-FL-9] - Medicaid support in U.S. territories H.R. 4439 - Medicaid Dental Benefit Act - Rep. Barragan, Nanette Diaz [D-CA-44] - Medicaid dental benefit H.R. 4640 - Close the Medigap Act of 2021 - Rep. Doggett, Lloyd [D-TX-35] - Medicare supplemental health insurance policies H.R. 4650 - Medicare Dental Coverage Act of 2021 - Rep. Kelly, Robin L. [D-IL-2] - Medicare dental benefit H.R. 4941 - PACE Part D Choice Act of 2021 - Rep. Blumenauer, Earl [D-OR-3] - prescription drug plans in the Medicare-only PACE program H.R. 4942 - BETTER Kidney Care Act - Rep. Blumenauer, Earl [D-OR-3] - demonstration program for Medicare enrollees with ESRD H.R. 4974 - State Public Option Act - Rep. Schrier, Kim [D-WA-8] - Medicaid public option H.R. 5099 - Lowering Medicare Premiums and Prescription Drug Costs Act - Rep. Schneider, Bradley Scott [D-IL-10] - Medicare cost-sharing benefits H.R. 5110 - Medicare Medically Necessary Dental Care Act of 2021 - Rep. Cohen, Steve [D-TN-9] - Medicare dental benefits H.R. 5165 - Improving Medicare Coverage Act - Rep. Jayapal, Pramila [D-WA-7] - Medicare eligibility age H.R. 5414 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 - Rep. Bilirakis, Gus M. [R-FL-12] - Medicaid coverage for children in foster care H.R. 5425 - Protecting Rural Telehealth Access Act - Rep. O'Halleran, Tom [D-AZ-1] - Medicare telehealth services H.R. 5576 - Fair Drug Prices for Kids Act - Rep. Wild, Susan [D-PA-7] - Medicaid Drug Rebate Program under CHIP H.R. 5632 - Long-Term Care Pharmacy Definition Act of 2021 - Rep. Schrader, Kurt [D-OR-5] - Medicare long term care pharmacy H.R. 5674 - Medicare Mental Health Inpatient Equity Act of 2021 - Rep. Tonko, Paul [D-NY-20] - inpatient psychiatric hospital services under Medicare H.R. 6101 - Drug Price Transparency in Medicaid Act of 2021 - Rep. Carter, Earl L. "Buddy" [R-GA-1] - drug pricing in Medicaid S. 97 - Medicare Dental Benefit Act of 2021 - Sen. Cardin, Benjamin L. [D-MD] - Medicare dental coverage S. 150 - Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 - Sen. Cortez Masto, Catherine [D-NV] - Medicaid telehealth coverage S. 151 - COVID HCBS Relief Act of 2021 - Sen. Casey, Robert P., Jr. [D-PA] - HCBS S. 274 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Sen. Bennet, Michael F. [D-CO] - Medicaid & COVID-19 S. 340 - TREATS Act - Sen. Portman, Rob [R-OH] - telehealth - Medicare telehealth coverage S. 386 - Medicare-X Choice Act of 2021 - Sen. Bennet, Michael F. [D-CO] - Medicare-X S. 448 - Ensuring Kids Have Access to Medically Necessary Dental Care Act - Sen. Cardin, Benjamin L. [D-MD] - CHIP S. 653 - COMP Act - Sen. Portman, Rob [R-OH] - Medicare secondary payer rules S. 748 - Medicare Sequester Relief Act - Sen. Shaheen, Jeanne [D-NH] - Medicare sequestration S. 1180 - Choose Medicare Act - Sen. Merkley, Jeff [D-OR] - Medicare public insurance S. 1536 - Medical Nutrition Therapy Act of 2021 - Sen. Collins, Susan M. [R-ME] - coverage of medical foods S. 1727 - Medicaid Bump Act - Sen. Smith, Tina [D-MN] - Medicaid funding and behavioral health S. 1844 - Lowering Medicare Premiums and Prescription Drug Costs Act - Sen. Casey, Robert P., Jr. [D-PA] - Medicare premiums and drug costs S. 2111 - Audio-Only Telehealth for Emergencies Act - Sen. Kennedy, John [R-LA] - Medicare coverage of telehealth S. 2112 - EASE Behavioral Health Services Act - Sen. Kennedy, John [R-LA] - telehealth S. 2164 - Lower Costs, More Cures Act of 2021 - Sen. Crapo, Mike [R-ID] - Medicare and Medicaid reforms S. 2197 - Rural and Frontier Telehealth Expansion Act - Sen. Rosen, Jacky [D-NV] - FMAP & telehealth S. 2210 - Better Care Better Jobs Act - Sen. Casey, Robert P., Jr. [D-PA] - HCBS S. 2236 - Expanding Health Care Options for Early Retirees Act - Sen. Brown, Sherrod [D-OH] - Medicare buy-in S. 2315 - Medicaid Saves Lives Act - Sen. Warnock, Raphael [D-GA] - Medicaid expansion S. 2618 - Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021 - Sen. Casey, Bob [D-PA] - Medicaid dental, vision, and hearing benefits S. 2639 - State Public Option Act - Sen. Schatz, Brian [D-HI] - Medicaid public option S. 2689 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 - Sen. Burr, Richard [R-NC] - Medicaid-eligibility for children in foster care S. 3018 - Improving Seniors Timely Access to Care Act of 2021 - Sen. Marshall, Roger [R-KS] - prior authorization under MA S. 3061 - Medicare Mental Health Inpatient Equity Act of 2021 - Sen. Collins, Susan M. [R-ME] - inpatient psychiatric hospital services under Medicare S. 3193 - Expanded Telehealth Access Act - Sen. Daines, Steve [R-MT] - Medicare telehealth service providers S. 3332 - Let States Innovate Under Medicaid Act - Sen. Braun, Mike [R-IN] - Medicaid program promotion Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and risk adjustment data validation (RADV) audit issues including proposed RADV regulation for MA; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); calendar year 2022 policy and technical regulation for MA and Part D; Part D reform, out of pocket limits; issues related to Medicare for All, Medicare buy-in, reduced Medicare eligibility age, and public option; issues relating to 2022 Rate Notice; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to expanded Medicare fee for service benefits (dental, hearing and vision); issues related to Medicaid coverage gap; potential Medicare NCD relating to monoclonal antibodies for treatment of Alzheimers disease; Executive Orders relating to international pricing, Part D rebates, insulin costs, and importation; issues related to MLTSS; issues related to removal of safe harbor protection for rebates; issues relating to COVID-19, including testing and vaccines; issues related to health equity; issues related to vaccination; issues related to audio-only telehealth; issues related to addressing the social determinants of health, including housing, transportation, nutrition, educational opportunities, and MA supplemental benefits; issues related to Medicaid presumptive eligibility and continuous eligibility; issues relating to Medicaid best price; in-home health risk assessments; Medicare Medical Loss Ratio issues; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to sequestration under the Medicare Advantage and Part D programs; implications of physician fee schedule on MA; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); issues related to the international price index; issues related to child and maternal health; issues related to Medicaid supplemental and disproportionate share hospital (DSH) funding; issues related to Medicaid funding for territories; issues related to medical management; issues relating to MA supplemental benefits; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value based payment models; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; issues relating to MACRA, including implications for MA and Part D plans; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS's substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the Affordable Care Act (ACA) including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; issues related to health homes for children with medically complex conditions; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation.

Client expense: $2,630,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

HR 315 - Medicare Sequester Moratorium Act - relief from Medicare sequester HR 1332/ S 368 -Telehealth Modernization Act - permanent repeal of Medicare geographic and originating site restrictions HR 1946/S 1873- Multi Cancer Early Detection Coverage and Screening Act - provide for Medicare coverage of multi-cancer early detection screening tests HR 1577/S 596 - Treat and Reduce Obesity Act of 2021 - expands Medicare coverage of intensive behavioral therapy for obesity HR 2347/S 2691 - Strengthening the Vaccines for Children Program Act of 2021 - ensure adequate access to vaccines under the Medicaid program and the Vaccines for Children program S 1287 - REFUND Act of 2021 - provide refunds for certain single dose vial drugs HR 2903/S 1512- CONNECT for Health Act of 2021 - expand access to telehealth services HR 3173/S 3018- Improving Seniors Timely Access to Care Act of 2021- stablishes several requirements and standards relating to prior authorization processes under Medicare Advantage plans HR 3447 - Permanency for Audio-Only Telehealth Act- expand accessibility to certain telehealth services under Medicare HR 4110- Reducing Hereditary Cancer Act- provide hereditary cancer genetic testing HR 3089/S 1544- Accelerating Kids' Access to Care Act- streamline enrollment under the Medicaid program of certain providers across State lines HR 1978/S 912- Protecting Seniors Through Immunization Act of 2021- improve Medicare coverage of vaccinations

Client expense: $92,330 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, all provisions H.R. 315, Medicare Sequester COVID Moratorium Act, all provisions S. 748, Medicare Sequester Relief Act, all provisions H.R. 5612, To amend title XVIII of the Social Security Act to provide for a one-year waiver of budget neutrality adjustments under the Medicare physician fee schedule, and for other purposes, all provisions H.R. 6020, Supporting Medicare Providers Act of 2021, all provisions S. 3314, Supporting Medicare Providers Act of 2021, all provisions S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, provisions relating to averting Medicare physician fee schedule cuts H.R. 6144, Removing Waste and Protecting Medicare Act, all provisions H.R. 6048, Medicare Stability for Patients and Providers Act, all provisions H.R. 1332, Telehealth Modernization Act, provisions related to permanently lifting Medicare telehealth restrictions S. 368, Telehealth Modernization Act, provisions related to permanently lifting Medicare telehealth restrictions H.R. 2903, CONNECT for Health Act of 2021, provisions related to permanently lifting Medicare telehealth restrictions S. 1512, CONNECT for Health Act of 2021, provisions related to permanently lifting Medicare telehealth restrictions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 4058, Telemental Health Care Access Act of 2021, provisions related to permanently lifting Medicare telehealth restrictions S. 2061, Telemental Health Care Access Act of 2021, provisions related to permanently lifting Medicare telehealth restrictions H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021, all provisions H.R. 2228, Rural Behavioral Health Access Act of 2021, all provisions H.R. 3447, Permanency for Audio-Only Telehealth Act, all provisions H.R. 6000, Cures 2.0 Act, all provisions H.R. 2503, Social Determinants Accelerator Act of 2021, all provisions S. 3039, Social Determinants Accelerator Act of 2021, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, all provisions S. 3018, Improving Seniors Timely Access to Care Act of 2021, all provisions H.R. 2163, Safe Step Act, all provisions S. 464, Safe Step Act, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 586, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 987, CARA 3.0 Act of 2021, all provisions S. 1438, Opioid Workforce Act of 2021, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions H.R. 3407, MOMMAs Act, all provisions S. 411, MOMMAs Act, all provisions H.R. 925, Data to Save Moms Act, all provisions H.R. 3352, Midwives for MOMS Act of 2021, all provisions H.R. 2256, Resident Physician Shortage Reduction Act of 2021, all provisions S. 834, Resident Physician Shortage Reduction Act of 2021, all provisions H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, all provisions S. 2094, Physician Shortage GME Cap Flex Act of 2021, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions H.R. 4755, Seniors Chronic Care Management Improvement Act of 2021, all provisions H.R. 6308, ACO Assignment Improvement Act of 2021, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 19, Lower Costs, More Cures Act of 2021, all provisions H.R. 4034, Ensuring Patient Access to Critical Breakthrough Products Act of 2021, all provisions S. 2416, New Opportunities for Value that Extend Lives (NOVEL) Act of 2021, all provisions H.R. 2144, Access to Genetic Counselor Services Act of 2021, provisions relating to scope of practice S. 1450, Access to Genetic Counselor Services Act of 2021, provisions relating to scope of practice H.R. 2654, Chiropractic Medicare Coverage Modernization Act of 2021, provisions relating to scope of practice H.R. 2305, Improving Access to Mental Health Act of 2021, all provisions H.R. 5218, Collaborate in an Orderly and Cohesive Manner Act, all provisions S. 801, Connected MOM Act, all provisions S. 346, Black Maternal Health Momnibus Act of 2021, all provisions H.R. 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H. R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 66, Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act, all provisions H.R. 955, Medicaid Reentry Act of 2021, all provisions S. 285, Medicaid Reentry Act of 2021, all provisions H.R. 6311, Comprehensive Addiction Resources Emergency Act of 2021, provisions relating to Medicare and Medicaid S. 3418, Comprehensive Addiction Resources Emergency Act of 2021, provisions relating to Medicare and Medicaid Medicare program: No Surprises Act/implementation Medicare program: CY 2021 Physician Fee Schedule/3.75% payment adjustment Medicare program: Physician Payment Reform Medicare program: 2022 physician payment Medicare program: Alternative payment models (APMs) Medicare program: Health equity Medicare program: Medicare Diabetes Prevention Program Medicare program: Prescription drug prices Medicare program: Cybersecurity Medicare program: Medicare expansion/dental, vision, hearing coverage Medicare program: Physician payment/PAYGO and sequester Medicare program: Barriers to patient care Medicare program: 2020 Physician spending/COVID-19 Impact Medicare program: Evaluation and Management (E/M)/budget neutrality Medicare program: Pharmacy Benefit Managers/Rx drug price transparency Medicare program: Merit-Based Incentive Payment System (MIPS) program Medicare program: MIPS/Value Pathways (MVPs) Medicare program: MIPS/cost, promoting interoperability, improvement activities Medicare program: Quality Payment Program (QPP) Medicare program: Health IT physician burdens Medicare program: Primary Care First models Medicare program: Medicare Shared Savings Program (MSSP) Medicare program: Open Payments Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS) Enrollment/Revalidation Medicare program: Telehealth policies Medicare program: RVS Update Committee (RUC) - physician payment Medicare program: Coding - CPT Panel Medicare program: Accountable Care Organizations (ACOs)/Pre-COVID Benchmarks Medicare program: Federal Gold Carding Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/implementation/Accountable Care Organizations Medicare and Medicaid programs: MACRA Oversight Medicare and Medicaid programs: MACRA physician burdens Medicare and Medicaid programs: Prior authorization Medicare and Medicaid programs: COVID-19 public health emergency/accelerated and advance payments Medicare and Medicaid programs: Electronic funds transfer (EFT) standard/Enforcement Medicare and Medicaid programs: Provider Relief Fund Medicare and Medicaid programs: Telehealth Extension and Evaluation Act/draft Medicare and Medicaid programs: Telehealth and Dialysis centers Medicare and Medicaid programs: COVID-19 telehealth flexibilities continuation Medicare and Medicaid programs: Primary and Virtual Health Care Affordability Act Medicare and Medicaid programs: Data Privacy Medicare and Medicaid programs: Social determinants of health Medicare and Medicaid programs: Information blocking/privacy Medicare and Medicaid programs: Information blocking/privacy of adolescents Medicare and Medicaid programs: Opioids Medicaid program: Medicaid funding in U.S. Territories Medicaid program: Medicaid expansion Medicaid program: Maternal mortality Medicaid program: COVID-19/uninsured healthcare coverage Medicaid program: Medicaid Special Enrollment Period

Client expense: $4,770,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Office of Science & Technology Policy (OSTP), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 586/ S. 1391 - STANDUP Act of 2021 H.R. 654 - Drug-Free Communities Pandemic Relief Act H.R. 925 - Data to Save Moms Act H.R. 1475/ S.1795 - Pursuing Equity in Mental Health Act H.R. 1667 / S.610 - Lorna Breen Health Care Provider Protection Act H.R. 2051 - Methamphetamine Response Act of 2021 H.R. 2163 / S. 464 - Safe Step Act H.R. 2255/ S. 1024 - Healthcare Workforce Resilience Act H.R. 2256/ S. 834 -Resident Physician Shortage Reduction Act H.R. 2364 - Synthetic Opioid Danger Awareness Act H.R. 2379 - State Opioid Response Grant Authorization Act of 2021 H.R. 2503 - Social Determinants Accelerator Act of 2021 H.R. 3173/ S. 3018 - Improving Seniors' Timely Access to Care Act H.R 3441/S. 1438 - Substance Use Disorder Workforce Act/ Opioid Workforce Act H.R. 3407/ S. 411 - MOMMAs Act H.R. 3447 - Permanency for Audio-Only Telehealth Act H.R. 3541/ S. 1810 - Conrad State 30 and Physician Access Reauthorization Act H.R. 3753/S. 1962 - Parity Implementation Assistance Act H.R. 3894 - Collecting and Analyzing Resources Integral and Necessary for Guidance (CARING) for Social Determinants Act of 2021 H.R. 4026 - Social Determinants of Health Data Analysis Act of 2021 H.R. 4058/S. 2061 - Telemental Health Care Access Act H.R. 4194 - People's Response Act H.R. 4387 - Maternal Health Quality Improvement Act of 2021 H.R. 4406 - Supporting Medicaid in the U.S. Territories Act of 2021 H.R. 4770 - Evaluating Disparities and Outcomes of Telehealth (EDOT) Act of 2021 H.R. 4943 - Childrens Mental Health Infrastructure Act of 2021 H.R. 4944 - Helping Kids Cope Act of 2021 HR 5218 - Collaborate in an Orderly and Cohesive Manner Act H.R. 5235 - Student Mental Health Helpline Act of 2021 H.R. 5407 - Enhancing Mental Health and Suicide Prevention Through Campus Planning Act H.R. 5435/ S. 3427 - BRAIN Act of 2021/Neuroscience Center of Excellence Act of 2021 H.R. 5611/ S.1902 - Behavioral Health Crisis Services Expansion Act H.R. 5674/ S. 3061 - Medicare Mental Health Inpatient Equity Act H.R. 5837 - A bill to expand telehealth services relating to substance use disorder H.R.5950 - Improving Patient Access to Care and Treatment Act H.R. 6000 - Cures 2.0 Act H.R. 6020/ S. 3314 - Supporting Medicare Providers Act of 2021 H.R. 6202 - Telehealth Extension Act of 2021 S. 610 - Protecting Medicare and American Farmers from Sequester Cuts Act (No legislation) Implementation of No Surprises Act

Client expense: $83,505 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA)

Excellence in Mental Health and Addiction Treatment Act (S. 2069/ H.R. 4323), all provisions related to expanding and extending the Certified Community Behavioral Health Clinic Medicaid demonstration program. Mental Health Access Improvement Act (S. 828/H.R. 432), all provisions related to allowing marriage and family therapists and mental health counselors to directly bill Medicare for their services. Medicaid Reentry Act (H.R. 955/S. 285), all provisions related to allowing Medicaid coverage for eligible incarcerated individuals to be re-established up to 30 days before their release from jail or prison. Promoting Effective and Empowering Recovery Services in Medicare (PEERS) Act of 2021 (H.R. 2767), all provisions related to allowing peer support specialists to participate in behavioral health integration services under Medicare. Permanency for Audio-Only Telehealth Act (H.R. 3447), all provisions related to expanding access to audio-only telehealth under Medicare. Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act (H.R. 1647/S. 340), all provisions related to coverage of certain telehealth services under Medicare. Excellence in Recovery Housing Act (H.R. 2376/S. 2901), all provisions related to the availability of high-quality recovery housing for individuals with substance use disorders. Due Process Continuity of Care Act (S. 2697), all provisions related to the removal of the Medicaid coverage exclusion for inmates in custody pending disposition of charges.

Client expense: $75,400 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Communications Commission (FCC), Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE

American Rescue Plan Act of 2021, H.R.1319; Telemental Health Care Access Act of 2021, (S.2061/H.R.4058); Permanency for Audio-Only Telehealth Act, H.R.3447; Excellence in Mental Health and Addiction Treatment Act of 2021, S.2069; FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502; Build Back Better Act, H.R.5376; Telehealth Extension Act of 2021, H.R.6202

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 870/ H.R. 2035 - Improving Access to Mental Health Act Requirements surrounding mental health services via telehealth S. 987/ H.R. 1647 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act Issues surrounding provision of telehealth services using audio only technology H.R.3447 - Permanancy for Audio-Only Act H.R. 4058 - Telemental Health Care Access Act

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

Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE

Draft Legislation - IMD Medicaid (Napolitano) S. 586: NO PAIN Act H.R. 1551/S 584: Nutrition Counseling Aiding Recover for Eating Disorders Act H.R. 3450/S. 1727: Medicaid Bump Act H.R. 3447: Permanency for Audio Only Telehealth Act H.R. 4058: Telemental Health Care Access Act S. 2061: Telemental Health Care Access Act S. 2069: Excellence in Mental Health and Addiction Treatment Act H.R. 1738/S. 646: Stabilize Medicaid and CHIP Coverage Act S.285: Medicaid Reentry Act S.340: TREATS Act H.R. 1577/S. 596: Treat and Reduce Obesity Act H.R. 314: Medicare Sequester COVID Moratorium Act H.R 1868: To prevent across the board direct spending cuts S. 1512/H.R. 2903: CONNECT for Health Act H.R. 4480: Telehealth Coverage and Payment Parity Act S. 1798/H.R. 1398: TIKES Act Letter to CMS re: TN Medicaid proposed amendment (Coalition letter) H.R. 5674 / S. 3061: Medicare Mental Health Inpatient Equity Act H.R. 2503 Social Determinants Accelerator Act of 2021 Medicaid/Medicare/Private Insurance provisions in the Build Back Better Act S. 610, Public Law 117-71: Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 4406 Supporting Medicaid in the U.S. Territories Act H.R. 341 Ensuring Telemental Health Expansion Act of 2021

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Justice, Dept of (DOJ), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, Veterans Affairs, Dept of (VA), White House Office

Teaching Health Centers; 340B Drug Discount Program; Community Health Center Program; Telehealth Reform; Healthcare Workforce Programs; Health center infrastructure funding; S. Con. Res. 14 Resolution on FY22 Budget/H.R.5376 Build Back Better Act; H.R. 1848 LIFT America Act; H.R.2903/S.1512 CONNECT for Health Act of 2021; H.R. 4437 HEALTH Act of 2021; H.R. 366 Protecting Access to Post COVID-19 Telehealth Act of 2021; H.R. 3447 Permanency for Audio-Only Telehealth Act; H.R. 5365 Primary Health Services Enhancement Act; H.R. 4390 PROTECT 340B Act; H.R. 3671/S. 1958 DOC Act; H.R. 3 The Elijah E. Cummings Lower Drug Costs Now Act; H.R. 19 the Lower Costs, More Cures Act of 2021, S.958/H.R.5141 MOBILE Health Care Act.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 19 - Lower Costs, More Cures Act of 2021 - Rep. McMorris Rodgers, Cathy [R-WA-5] - Medicare and Medicaid reforms H.R. 56 - Patient Access to Medical Foods Act - Rep. Biggs, Andy [R-AZ-5] - coverage of medical foods H.R. 66 - CARING for Kids Act - Rep. Buchanan, Vern [R-FL-16] - CHIP extension H.R. 315 - Medicare Sequester COVID Moratorium Act - Rep. Schneider, Bradley Scott [D-IL-10] - Medicare Sequester H.R. 340 - Incentivizing Medicaid Expansion Act of 2021 - Rep. Veasey, Marc A. [D-TX-33] - Medicaid expansion H.R. 502 - Medicare Dental Benefit Act of 2021 - Rep. Barragan, Nanette Diaz [D-CA-44] - Medicare dental coverage H.R. 525 - COVID HCBS Relief Act of 2021 - Rep. Dingell, Debbie [D-MI-12] - HCBS H.R. 599 - Protecting Medicare Beneficiaries with Pre-Existing Conditions Act - Rep. Schneider, Bradley Scott [D-IL-10] - pre-existing conditions H.R. 722 - Ensuring Vaccination and Treatment Affordability Act - Rep. Pappas, Chris [D-NH-1] - cost-sharing for COVID-19 vaccines H.R. 918 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Rep. Cardenas, Tony [D-CA-29] - Medicaid & COVID-19 H.R. 955 - Medicaid Reentry Act of 2021 - Rep. Tonko, Paul [D-NY-20] - Medicaid coverage H.R. 975 - Ensuring Seniors Access to COVID Treatments Act - Rep. Casten, Sean [D-IL-6] - coverage of COVID-19 drugs H.R. 1227 - Medicare-X Choice Act of 2021 - Rep. Delgado, Antonio [D-NY-19] - Medicare-X H.R. 1495 - Jim Ramstad Legacy of Recovery Act - Rep. Emmer, Tom [R-MN-6] - Medicaid coverage for SUD H.R. 1717 - Protecting Married Seniors from Impoverishment Act of 2021 - Rep. Upton, Fred [R-MI-6] - HCBS and spousal impoverishment H.R. 1722 - Puerto Rico Health Care Fairness, Accountability, and Beneficiary Access Act of 2021 - Rep. Velazquez, Nydia M. [D-NY-7] - Medicaid for territories H.R. 1791 - CHIPP Act - Rep. Barragan, Nanette Diaz [D-CA-44] - CHIP extension H.R. 1795 - Expanded Coverage for Former Foster Youth Act - Rep. Bass, Karen [D-CA-37] - coverage for foster youth H.R. 1880 - To amend the Deficit Reduction Act of 2005 to make permanent the Money Follows the Person Rebalancing Demonstration - Rep. Dingell, Debbie [D-MI-12] - Money Follows the Person extension H.R. 1969 - Medicare Advantage Integrity Act - Resident Commissioner Gonzalez-Colon, Jenniffer [R-PR-At Large] - Medicare Advantage benchmark rates H.R. 1976 - Medicare for All Act of 2021 - Rep. Jayapal, Pramila [D-WA-7] - Medicare for All H.R. 1978 - Protecting Seniors Through Immunization Act of 2021 - Rep. Kuster, Ann M. [D-NH-2] - cost sharing for vaccines under Medicare part D H.R. 1999 - Protect Seniors and Cut Waste Act - Rep. Smith, Jason [R-MO-8] - sequester for Pay-As-You-Go H.R. 2166 - Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 - Rep. Sewell, Terri A. [D-AL-7] - Medicare coverage of telehealth H.R. 2217 - Territory Federal Matching Requirement Equity Act of 2021 - Resident Commissioner Gonzalez-Colon, Jenniffer [R-PR-At Large] - FMAP for territories H.R. 2297 - MIND Act - Rep. Boyle, Brendan F. [D-PA-2] - Medicaid payment for services provided in institutions for mental diseases H.R. 2464 - More Help for Seniors Act of 2021 - Rep. Craig, Angie [D-MN-2] - Medicare prescription drug benefit H.R. 2881 - Medicare Buy-In and Health Care Stabilization Act of 2021 - Rep. Higgins, Brian [D-NY-26] - Medicare public insurance H.R. 3108 - Medical Nutrition Therapy Act of 2021 - Rep. Kelly, Robin L. [D-IL-2] - coverage of medical foods H.R. 3173 - Improving Seniors Timely Access to Care Act of 2021 - Rep. DelBene, Suzan K. [D-WA-1] - prior authorization H.R. 3447 - Permanency for Audio-Only Telehealth Act - Rep. Smith, Jason [R-MO-8] - Medicare telehealth coverage H.R. 3450 - Medicaid Bump Act - Rep. Tonko, Paul [D-NY-20] - Medicaid funding and behavioral health H.R. 3894 - CARING for Social Determinants Act of 2021- Rep. Blunt Rochester, Lisa [D-DE-At Large] - Medicaid and SDOH H.R. 3961 - COVER Now Act - Rep. Doggett, Lloyd [D-TX-35] - Medicaid expansion H.R. 4040 Advancing Telehealth Beyond COVID-19 Act of 2021- Rep. Cheney, Liz [R-WY-At Large] - Medicare telehealth coverage H.R. 4043 - Ensuring Patient Access to Critical Breakthrough Products Act of 2021 - Rep. DelBene, Suzan K. [D-WA-1] - Medicare coverage of breakthrough devices H.R. 4074 - Addressing Social Determinants in Medicare Advantage Act of 2021 - Rep. Bilirakis, Gus M. [R-FL-12] - Medicare Advantage supplemental benefits H.R. 4158 - Insulin Access for All Act of 2021 - Rep. Rush, Bobby L. [D-IL-1] - cost sharing for insulin H.R. 4187 - Medicare Vision Act of 2021 - Rep. Schrier, Kim [D-WA - Medicare vision coverage H.R. 4263 - Patient Parity Protection Act of 2021 - Rep. Gottheimer, Josh [D-NJ-5] - out-of-network services H.R. 4311 - Medicare Dental, Vision, and Hearing Benefit Act of 2021 - Rep. Doggett, Lloyd [D-TX-35] - Medicare dental, vision, and hearing benefits H.R. 4406 - Supporting Medicaid in the U.S. Territories Act of 2021 - Rep. Soto, Darren [D-FL-9] - Medicaid support in U.S. territories H.R. 4439 - Medicaid Dental Benefit Act - Rep. Barragan, Nanette Diaz [D-CA-44] - Medicaid dental benefit H.R. 4640 - Close the Medigap Act of 2021 - Rep. Doggett, Lloyd [D-TX-35] - Medicare supplemental health insurance policies H.R. 4650 - Medicare Dental Coverage Act of 2021 - Rep. Kelly, Robin L. [D-IL-2] - Medicare dental benefit H.R. 4941 - PACE Part D Choice Act of 2021 - Rep. Blumenauer, Earl [D-OR-3] - prescription drug plans in the Medicare-only PACE program H.R. 4942 - BETTER Kidney Care Act - Rep. Blumenauer, Earl [D-OR-3] - demonstration program for Medicare enrollees with ESRD H.R. 4974 - State Public Option Act - Rep. Schrier, Kim [D-WA-8] - Medicaid public option H.R. 5099 - Lowering Medicare Premiums and Prescription Drug Costs Act - Rep. Schneider, Bradley Scott [D-IL-10] - Medicare cost-sharing benefits H.R. 5110 - Medicare Medically Necessary Dental Care Act of 2021 - Rep. Cohen, Steve [D-TN-9] - Medicare dental benefits H.R. 5165 - Improving Medicare Coverage Act - Rep. Jayapal, Pramila [D-WA-7] - Medicare eligibility age H.R. 5414 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 - Rep. Bilirakis, Gus M. [R-FL-12] - Medicaid coverage for children in foster care H.R. 5425 - Protecting Rural Telehealth Access Act - Rep. O'Halleran, Tom [D-AZ-1] - Medicare telehealth services S. 97 - Medicare Dental Benefit Act of 2021 - Sen. Cardin, Benjamin L. [D-MD] - Medicare dental coverage S. 150 - Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 - Sen. Cortez Masto, Catherine [D-NV] - Medicaid telehealth coverage S. 151 - COVID HCBS Relief Act of 2021 - Sen. Casey, Robert P., Jr. [D-PA] - HCBS S. 274 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Sen. Bennet, Michael F. [D-CO] - Medicaid & COVID-19 S. 340 - TREATS Act - Sen. Portman, Rob [R-OH] - telehealth - Medicare telehealth coverage S. 386 - Medicare-X Choice Act of 2021 - Sen. Bennet, Michael F. [D-CO] - Medicare-X S. 448 - Ensuring Kids Have Access to Medically Necessary Dental Care Act - Sen. Cardin, Benjamin L. [D-MD] - CHIP S. 653 - COMP Act - Sen. Portman, Rob [R-OH] - Medicare secondary payer rules S. 748 - Medicare Sequester Relief Act - Sen. Shaheen, Jeanne [D-NH] - Medicare sequestration S. 1180 - Choose Medicare Act - Sen. Merkley, Jeff [D-OR] - Medicare public insurance S. 1536 - Medical Nutrition Therapy Act of 2021 - Sen. Collins, Susan M. [R-ME] - coverage of medical foods S. 1727 - Medicaid Bump Act - Sen. Smith, Tina [D-MN] - Medicaid funding and behavioral health S. 1844 - Lowering Medicare Premiums and Prescription Drug Costs Act - Sen. Casey, Robert P., Jr. [D-PA] - Medicare premiums and drug costs S. 2111 - Audio-Only Telehealth for Emergencies Act - Sen. Kennedy, John [R-LA] - Medicare coverage of telehealth S. 2112 - EASE Behavioral Health Services Act - Sen. Kennedy, John [R-LA] - telehealth S. 2164 - Lower Costs, More Cures Act of 2021 - Sen. Crapo, Mike [R-ID] - Medicare and Medicaid reforms S. 2197 - Rural and Frontier Telehealth Expansion Act - Sen. Rosen, Jacky [D-NV] - FMAP & telehealth S. 2210 - Better Care Better Jobs Act - Sen. Casey, Robert P., Jr. [D-PA] - HCBS S. 2236 - Expanding Health Care Options for Early Retirees Act - Sen. Brown, Sherrod [D-OH] - Medicare buy-in S. 2315 - Medicaid Saves Lives Act - Sen. Warnock, Raphael [D-GA] - Medicaid expansion S. 2618 - Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021 - Sen. Casey, Bob [D-PA] - Medicaid dental, vision, and hearing benefits S. 2639 - State Public Option Act - Sen. Schatz, Brian [D-HI] - Medicaid public option S. 2689 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 - Sen. Burr, Richard [R-NC] - Medicaid-eligibility for children in foster care Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and risk adjustment data validation (RADV) audit issues including proposed RADV regulation for MA; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); calendar year 2022 policy and technical regulation for MA and Part D; Part D reform, out of pocket limits; issues related to Medicare for All, Medicare buy-in, reduced Medicare eligibility age, and public option; issues relating to 2022 Rate Notice; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to expanded Medicare fee for service benefits (dental, hearing and vision); issues related to Medicaid coverage gap; potential Medicare NCD relating to monoclonal antibodies for treatment of Alzheimers disease; Executive Orders relating to international pricing, Part D rebates, insulin costs, and importation; issues related to MLTSS; issues related to removal of safe harbor protection for rebates; issues relating to COVID-19, including testing and vaccines; issues related to health equity; issues related to vaccination; issues related to audio-only telehealth; issues related to addressing the social determinants of health, including housing, transportation, nutrition, educational opportunities, and MA supplemental benefits; issues related to Medicaid presumptive eligibility and continuous eligibility; issues relating to Medicaid best price; in-home health risk assessments; Medicare Medical Loss Ratio issues; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to sequestration under the Medicare Advantage and Part D programs; implications of physician fee schedule on MA; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); issues related to the international price index; issues related to child and maternal health; issues related to Medicaid supplemental and disproportionate share hospital (DSH) funding; issues related to Medicaid funding for territories; issues related to medical management; issues relating to MA supplemental benefits; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value based payment models; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; issues relating to MACRA, including implications for MA and Part D plans; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS's substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the Affordable Care Act (ACA) including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; issues related to health homes for children with medically complex conditions; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation. *Add MACPAC to Agency List.

Client expense: $2,250,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, all provisions H.R. 315, Medicare Sequester COVID Moratorium Act, all provisions H.R. 1332, Telehealth Modernization Act, all provisions S. 368, Telehealth Modernization Act, all provisions H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions S. 1512, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021, all provisions H.R. 2228, Rural Behavioral Health Access Act of 2021, all provisions H.R. 3447, Permanency for Audio-Only Telehealth Act, all provisions H.R. 5241, Linking Seniors to Needed Legal Services Act of 2021, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 586, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 987, CARA 3.0 Act of 2021, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions S. 1438, Opioid Workforce Act of 2021, all provisions H.R. 3407, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions S. 411, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions H.R. 925, Data to Save Moms Act, all provisions H.R. 2256, Resident Physician Shortage Reduction Act of 2021, all provisions S. 834, Resident Physician Shortage Reduction Act of 2021, all provisions H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, all provisions S. 2094, Physician Shortage GME Cap Flex Act of 2021, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions H.R. 4755, Seniors Chronic Care Management Improvement Act of 2021, all provisions H.R. 1330, Patient Access to Higher Quality Health Care Act of 2021, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 4043, Ensuring Patient Access to Critical Breakthrough Products Act of 2021, all provisions S. 2416, NOVEL Act of 2021, all provisions H.R. 2144, Access to Genetic Counselor Services Act of 2021, provisions relating to scope of practice S. 1450, Access to Genetic Counselor Services Act of 2021, provisions relating to scope of practice H.R. 2654, Chiropractic Medicare Coverage Modernization Act of 2021, provisions relating to scope of practice H.R. 5370, Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 202, all provisions H.R. 2807, Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies (PREVENT DIABETES) Act, all provisions S. 2173, Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies (PREVENT DIABETES) Act, all provisions S. 748, Medicare Sequester Relief Act, all provisions H.R. 955, Medicaid Reentry Act of 2021, all provisions S. 285, Medicaid Reentry Act of 2021, all provisions H.R. 19, Lower Costs, More Cures Act of 2021, provisions relating to pharmacy benefits managers and drug price transparency S. 801, Connected MOM Act, all provisions S. 346, Black Maternal Health Momnibus Act of 2021, all provisions H.R. 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H.R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 66, Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act, all provisions S. 2214, Promote Responsible Oversight and Targeted Employee background Check Transparency for Seniors (PROTECTS) Act, all provisions H.R. 5125, Strengthening Innovation in Medicare and Medicaid Act, all provisions H.R. 1587, Medicare Audiologist Access and Services Act of 2021, all provisions S. 2691, Strengthening the Vaccines for Children Program Act of 2021, all provisions Medicare program: No Surprises Act/implementation Medicare program: Physician payment Medicare program: 2022 Physician Fee Schedule/audio-only telehealth expansion Medicare program: Telehealth Extension and Evaluation Act Medicare program: Alternative payment models Medicare program: National Coverage Determination/self-measured blood pressure monitoring devices Medicare program: Physician payment issues/PAYGO and Sequester/3.75% Conversion Factor increase Medicare program: Evaluation and Management (E/M)/budget neutrality Medicare program: Physician-owned hospitals/hospital consolidation Medicare program: Medicare expansion/dental, vision, hearing coverage Medicare program: Diabetes Prevention Medicare program: Surprise Medical Billing/Price transparency Medicare program: Merit-Based Incentive Payment System (MIPS) program Medicare program: MIPS Value Pathways Medicare program: Quality Payment Program Medicare program: Information blocking/interoperability/data segmentation Medicare program: Cybersecurity and HIPAA Medicare program: Measure Application Partnership (MAP) Medicare program: COVID-19 Public Health Emergency/Accelerated and Advance Payments Medicare program: Primary Care First (PCF) models Medicare program: Medicare Shared Savings Program (MSSP) Medicare program: Physician payment/globals Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS)/Revalidation Medicare program: Open Payments Medicare program: Prescription Drug Prices Medicare program: Chronic Care Management code Medicare program: Graduate Medical Education (GME) Medicare program: Step Therapy Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/implementation/Accountable Care Organizations Medicare and Medicaid programs: MACRA/physician burdens Medicare and Medicaid programs: Drug overdose epidemic Medicare and Medicaid programs: 21st Century Cures 2.0 Medicare and Medicaid programs: Waste, fraud, and abuse in telehealth Medicare and Medicaid programs: Prior authorization Medicare and Medicaid programs: Public Option Medicare and Medicaid programs: Electronic Health Records (EHR) certification Medicare and Medicaid programs: Physician Health IT burdens Medicare and Medicaid programs: Data privacy Medicare and Medicaid programs: Provider compliance and regulatory relief Medicaid program: COVID-19/Provider Relief Fund Medicaid program: Funding for U.S. territories Medicaid program: Medicaid expansion Medicaid program: Work requirements Medicaid program: COVID-19/Uninsured and healthcare coverage/child 12 month continuous eligibility Medicaid program: Pediatric mental health care access/behavioral health services Medicaid program: Special enrollment period Medicaid program: Proprietary Laboratory Analysis (PLA) codes

Client expense: $3,490,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institute of Standards & Technology (NIST), Office of Science & Technology Policy (OSTP), SENATE, U.S. Customs & Border Protection, Veterans Affairs, Dept of (VA), White House Office

S. 368/ H.R. 1332: Telehealth Modernization Act S. 754/ H.R. 1916: Ensuring Lasting Smiles Act S. 833/ H.R. 2071: Empowering Medicare Seniors to Negotiate Drug Prices Act S. 1512/ H.R. 2903: CONNECT for Health Act of 2021 S. 1988/H.R. 5425: Protecting Rural Telehealth Access Act H.R. 366: Protecting Access to Post-COVID-19 Telehealth Act H.R. 3173: Improving Seniors Timely Access to Care Act H.R. 3447: Permanency for Audio-Only Telehealth Act H.R. 4040: Advancing Telehealth Beyond Covid-19 Act S. 1731: Medicare Audiologist Access and Services Act Support for the elimination of the Medicare Appropriate Use Criteria (AUC) Program for advanced diagnostic imaging. Support for policies to address the COVID-19 pandemic, including extending temporary relief for Medicare Physician Fee Schedule payments and postponing Medicare sequestration cuts beyond 2021. Support for a permanent expansion of telehealth in Medicare, including eliminating on originating site and geographic restrictions. Support for policies to address prescription drug costs, including supporting direct negotiation in Medicare, improving drug pricing transparency, and capping beneficiary out-of-pocket costs in Medicare Part D.

Client expense: $200,000 · Firm income: Not reported

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

HR 315 - Medicare Sequester Moratorium Act - relief from Medicare sequester HR 1332/ S 368 -Telehealth Modernization Act - permanent repeal of Medicare geographic and originating site restrictions HR 1946/S 1873- Multi Cancer Early Detection Coverage and Screening Act - provide for Medicare coverage of multi-cancer early detection screening tests HR 1577/S 596 - Treat and Reduce Obesity Act of 2021 - expands Medicare coverage of intensive behavioral therapy for obesity HR 2347/S 2691 - Strengthening the Vaccines for Children Program Act of 2021 - ensure adequate access to vaccines under the Medicaid program and the Vaccines for Children program S 1287 - REFUND Act of 2021 - provide refunds for certain single dose vial drugs HR 2903/S 1512- CONNECT for Health Act of 2021 - expand access to telehealth services HR 3173- Improving Seniors Timely Access to Care Act of 2021- stablishes several requirements and standards relating to prior authorization processes under Medicare Advantage plans HR 3447 - Permanency for Audio-Only Telehealth Act- expand accessibility to certain telehealth services under Medicare HR 4110- Reducing Hereditary Cancer Act- provide hereditary cancer genetic testing HR 3089/S 1544- Accelerating Kids' Access to Care Act- streamline enrollment under the Medicaid program of certain providers across State lines HR 1978/S 912- Protecting Seniors Through Immunization Act of 2021- improve Medicare coverage of vaccinations

Client expense: $73,240 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Excellence in Mental Health and Addiction Treatment Act (S. 2069/ H.R. 4323), all provisions related to expanding and extending the Certified Community Behavioral Health Clinic Medicaid demonstration program. Mental Health Access Improvement Act (S. 828/H.R. 432), all provisions related to allowing marriage and family therapists and mental health counselors to directly bill Medicare for their services. Medicaid Reentry Act (H.R. 955/S. 285), all provisions related to allowing Medicaid coverage for eligible incarcerated individuals to be re-established up to 30 days before their release from jail or prison. Promoting Effective and Empowering Recovery Services in Medicare (PEERS) Act of 2021 (H.R. 2767), all provisions related to allowing peer support specialists to participate in behavioral health integration services under Medicare. Permanency for Audio-Only Telehealth Act (H.R. 3447), all provisions related to expanding access to audio-only telehealth under Medicare. Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act (H.R. 1647/S. 340), all provisions related to coverage of certain telehealth services under Medicare.

Client expense: $91,960 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Communications Commission (FCC), Federal Reserve System, HOUSE OF REPRESENTATIVES, SENATE

Telehealth (H.R. 3447 - Permanency for Audio Only, H.R. 4058 - Telemental Health Expansion Act, S. 2061 - Telemental Health Care Access Act) CCBHCs - Excellence in Mental Health and Addiction Treatment Act of 2021 (S. 2069) / H.R.4323

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Telehealth (H.R. 3447 - Permanency for Audio Only, H.R. 4058 - Telemental Health Expansion Act, S. 2061 - Telemental Health Care Access Act) CCBHCs - Excellence in Mental Health and Addiction Treatment Act of 2021 (S. 2069) / H.R.4323

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 870/ H.R. 2035 - Improving Access to Mental Health Act Requirements surrounding mental health services via telehealth S. 987/ H.R. 1647 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act Issues surrounding provision of telehealth services using audio only technology H.R.3447 - Permanancy for Audio-Only Act H.R. 4058 - Telemental Health Care Access Act

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

Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE

H. Res. 349 - In support the goals of Overdose Awareness Day by lowering the United States flag to half-staff on all Federal buildings on August 31st of each year H.Res 538 - Bebe Moore Campbell BIPOC Mental Health Awareness Month H.R. 586/S. 1543- The STANDUP Act H.R. 588 - Stopping the Mental Health Pandemic Act H.R. 593 - Coronavirus Mental Health and Addiction Assistance Act of 2021 H.R. 654/S. 26 - Drug-Free Communities Pandemic Relief Act H.R. 666/ S. 162 - the Anti-Racism in Public Health Act H.R. 721/S. 1841 - Mental Health Services for Students Act H.R. 909/S. 484 - Moms Matter Act H.R. 912 - American Indian and Alaska Native Veterans Mental Health Act H.R. 925/S. 327 - Data to Save Moms Act H.R. 955/S. 285 - Medicaid Reentry Act H.R. 959/ S. 346 - the Black Maternal Health Momnibus Act H.R. 1025 - Kids Access to Primary Care Act of 2021 H.R. 1195 - the Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1205/S. 2157 - Improving Mental Health Access from the Emergency Department Act H.R. 1324/S. 467 - Effective Suicide Screening and Assessment in the Emergency Department Act H.R. 1331 - the Strengthening Mental Health Supports for BIPOC Communities Act H.R. 1400 - the COVID-19 Health Disparities Action Act of 2021 H.R. 1475/S. 1795 - Pursuing Equity in Mental Health Act H.R. 1480 - Helping Emergency Responders Overcome (HERO) Act H.R. 1551/S.584 - Nutrition CARE Act H.R. 1554 - grants for community-based mental health and substance use disorder services H.R. 1587/S. 1731 - Medicare Audiologist Access and Services Act of 2021 H.R. 1667/S. 610 - Dr. Lorna Breen Health Care Provider Protection Act H.R. 1716/ S. 631 - the Covid-19 Mental Health Research Act H.R. 1738/S. 646 - Stabilize Medicaid and CHIP Act H.R. 2051/S. 854 - Methamphetamine Response Act of 2021 H.R. 2161/S. 971 - CAMRA Act Support Letter H.R. 2255/S. 1024 -the Healthcare Workforce Resilience Act H.R. 2256/S. 834 - the Resident Physician Shortage Reduction Act of 2021 H.R. 2264/ S. 660 - the Telemental Health Improvement Act H.R. 2364 - Synthetic Opioid Danger Awareness Act H.R. 2379 - State Opioid Response Grant Authorization Act of 2021 H.R. 2503 - Social Determinants Accelerator Act of 2021 H.R. 2591/S.957 - DUMP Opioids Act H.R. 2611 - Increasing Behavioral Health Treatment Act H.R. 2767/ S. 2144 - the Promoting Effective and Empowering Recovery Services (PEERS) in Medicare Act H.R. 2862 -the Campaign to Prevent Suicide Act H.R. 2874/S. 1576 - Behavioral Health Coverage Transparency Act of 2021 H.R. 2903/S. 1512 - the CONNECT for Health Act of 2021 H.R. 2929/ S. 157 - The Virtual Peer Support Act H.R. 2955 -the Suicide Prevention Act H.R. 2973 - the Strengthening Americas Families Act (SAFA) of 2021 H.R. 2981, the Suicide Prevention Lifeline Improvement Act of 2021 H.R. 3150/S. 1578 - the Mental Health Professionals Workforce Shortage Loan Repayment Act of 2021 H.R. 3407/S. 411 - Mothers and Offspring Mortality and Morbidity Awareness Act MOMMAs Act H.R. 3441 - The Substance Use Disorder Workforce Act of 2021 H.R. 3447 - Permanency for Audio-Only Telehealth Act H.R. 3450/S. 1727, the Medicaid Bump Act H.R. 3541/S. 1810 - Conrad State 30 and Physician Access Reauthorization Act H.R.3467 - the Improving Data Collection for Adverse Childhood Experiences Act H.R. 3753/S. 1962 - Parity Implementation Assistance Act H.R. 3755/S. 1975 - the Womens Health Protection Act H.R. 3894 - Collecting and Analyzing Resources Integral and Necessary for Guidance (CARING) for Social Determinants Act of 2021 H.R. 3931 / S. 2069 - Excellence in Mental Health and Addiction Treatment Expansion Act H.R. 4026 - Social Determinants of Health Data Analysis Act of 2021 H.R. 4058/S. 2061- The Telemental Health Care Access Act H.R. 4146 - Therapeutic Fraud Prevention Act of 2021 H.R. 4151/S. 2238 - FASD Respect Act H.R.4217 - TRIUMPH for New Moms Act of 2021 H.R. 4305, the Crisis Care Enhancement Act H.R. 4351/S. 981 - CARA 3.0 Act of 2021 H.R. 4387/S. 1675 - Maternal Health Quality Improvement Act of 2021 H.R. 4406 - Supporting Medicaid in the U.S. Territories Act of 2021 H.R. 4510 - Health Enterprise Zones Act of 2021 H.R. 4554 - Care That's Fair Act H.R. 4631- Protecting Our Students by Terminating Graduate Rates that Add to Debt (POST GRAD) Act H.R. 4649 - Supporting Underserved Populations by Placing Our Resources in Trusts (SUPPORT) for Mental Health Act H.R. 4770- Evaluating Disparities and Outcomes of Telehealth During the COVID-19 Emergency Act of 2021 (EDOT Act) H.R. 4943 - the Childrens Mental Health Infrastructure Act of 2021 H.R. 4944, the Helping Kids Cope Act of 2021 H.R. 4970 - Rural Medical Residency Expansion Act of 2021 H.R. 5035 - Child Suicide Prevention and Lethal Means Safety Act H.R. 5218 - Collaborate in an Orderly and Cohesive Manner Act H.R. 5224 - Preventing Overdoses and Saving Lives Act of 2021 S. 674 - Public Health Infrastructure Saves Lives Act S. 1024 - Healthcare Workforce Resilience Act S. 1902 - Behavioral Health Crisis Services Expansion Act S. 2086/ - Resilience Investment, Support, and Expansion from Trauma Act (RISE from Trauma Act) (Bill # TBD) - LAI Buprenorphine Access Act (No legislation) Amend Section 1834(m) of the Social Security Act to ensure that the Secretary has the tools to transition following the end of the public health emergency and ensure telehealth is regulated the same as in-person services.    (No legislation)_Retain the 3.75% increase to conversion factor for FY 22 and 23 in the MPFS

Client expense: $236,825 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Draft Legislation - IMD Medicaid (Napolitano) S. 586: NO PAIN Act H.R. 1551/S 584: Nutrition Counseling Aiding Recover for Eating Disorders Act H.R. 3450/S. 1727: Medicaid Bump Act H.R. 3447: Permanency for Audio Only Telehealth Act H.R. 4058: Telemental Health Care Access Act S. 2061: Telemental Health Care Access Act S. 2069: Excellence in Mental Health and Addiction Treatment Act H.R. 1738/S. 646: Stabilize Medicaid and CHIP Coverage Act S.285: Medicaid Reentry Act S.340: TREATS Act H.R. 1577/S. 596: Treat and Reduce Obesity Act H.R. 314: Medicare Sequester COVID Moratorium Act H.R 1868: To prevent across the board direct spending cuts S. 1512/H.R. 2903: CONNECT for Health Act H.R. 4480: Telehealth Coverage and Payment Parity Act S. 1798/H.R. 1398: TIKES Act Letter to CMS re: TN Medicaid proposed amendment (Coalition letter)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, Veterans Affairs, Dept of (VA), White House Office

American Rescue Plan Act of 2021, H.R.1319; Telemental Health Care Access Act of 2021, S.2061; Telemental Health Care Access Act of 2021, H.R.4058; Permanency for Audio-Only Telehealth Act, H.R.3447; Excellence in Mental Health and Addiction Treatment Act of 2021, S.2069; FY22 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, H.R.4502; FY22 Labor, Health and Human Services, Education, and Related Agencies Subcommittee Appropriations Act, H.R.4502; Build Back Better Act, H.R.5376

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE