PACT Act of 2021

Boston Children's Hospital advocates for medical research funding generally (eg NIH) and to assure an emphasis on pediatric research issues and concerns. In the current Congress, we have sought increases in the overall NIH appropriation level, and worked to assure better coordination across NIH institutes for pediatric initiatives. We have also focused on Department of Defense (DoD) support for medical research. We have focused on the need to provide additional support for early career pediatric researchers as exemplified in the Pediatricians Accelerate Childhood Therapies (PACT) Act (S. 1357 and H.R. 3773); inclusion of children within the All of Us research program and the 21st Century Cures 2.0. Our informatics research program has provided information on disease surveillance, health IT and interoperability concerns to Congressional leaders.

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

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

HR 7630 / S 4120, Childhood Cancer STAR Reauthorization Act; HR 3773 / S 1357, the Pediatricians Accelerate Childhood Therapies (PACT) Act; HR 623, the Gabriella Miller Kids First Act

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

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

Medicaid program reforms, including telemedicine Section 340B Drug Pricing program Drug pricing reforms generally Juvenile mental and behavioral health legislation generally H.R. 4943 (Children's Mental Health Infrastructure Act of 2021), all provisions H.R. 4944 (Helping Kids Cope Act of 2021), all provisions H.R. 5585 (Advanced Research Project Agency-Health Act), all provisions H.R. 6000 (Cures 2.0 Act) regarding regulation of new biomedical products and technologies H.R. 7236 (Strengthen Kids' Mental Health Now Act of 2022), all provisions H.R. 7666 (Restoring Hope for Mental Health and Well-Being Act of 2022), all provisions H.R. 3773 (PACT Act of 2021), all provisions S. 4472 (Health Care Capacity for Pediatric Mental Health Act of 2022), all provisions H.R. 3089/S. 1544 (Accelerating Kids' Access to Care Act), all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Pediatricians Accelerate Childhood Therapies Act of 2021 (H.R. 3773/S.1357), support all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2022 Appropriations for the National Institutes of Health (NIH), National Cancer Institute (NCI), and the Food & Drug Administration (FDA) S 289/HR 869 RISE Act - emergency funding for the NIH S 2187 - National Biomedical Research Act- establishes Biomedical Innovation Fund H.R. 5394- Meaningful Access to Federal Health Plan Claims Data Act of 2021 -ensures meaningful access to claims data by clinician-led clinical data registries HR 3773/S 1357- PACT Act of 2021- requires the NIH to support early career pediatric researchers

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1357 and H.R. 3773, The Pediatricians Accelerate Childhood Therapies (PACT) Act of 2021 H.R. 8876 Jackie Walorski Maternal and Child Home Visiting Reauthorization Act of 2022 S. 346 and H.R. 959, Black Maternal Health Momnibus Act of 2021 The PREEMIE Act Reauthorization (not yet introduced) S.2741, Reducing Obesity in Youth Act of 2021 S. 350, The Newborn Screening Saves Lives Reauthorization Act of 2021 The inclusion of mental health provisions in potential End of Year Package: H.R.4943, Childrens Mental Health Infrastructure Act of 2021 H.R.4944, Helping Kids Cope Act of 2021 S.4472, Health Care Capacity for Pediatric Mental Health Act Other key provisions such as school health, workforce, etc.

Client expense: $145,718 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 7630 / S 4120, Childhood Cancer STAR Reauthorization Act; HR 3773 / S 1357, the Pediatricians Accelerate Childhood Therapies (PACT) Act; HR 623, the Gabriella Miller Kids First Act

Client expense: $170,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid program reforms, including telemedicine Section 340B Drug Pricing program Drug pricing reforms generally Juvenile mental and behavioral health legislation generally H.R. 4943 (Children's Mental Health Infrastructure Act of 2021), all provisions H.R. 4944 (Helping Kids Cope Act of 2021), all provisions H.R. 5585 (Advanced Research Project Agency-Health Act), all provisions H.R. 6000 (Cures 2.0 Act) regarding regulation of new biomedical products and technologies H.R. 7236 (Strengthen Kids' Mental Health Now Act of 2022), all provisions H.R. 7666 (Restoring Hope for Mental Health and Well-Being Act of 2022), all provisions H.R. 3773 (PACT Act of 2021), all provisions S. 4472 (Health Care Capacity for Pediatric Mental Health Act of 2022), all provisions H.R. 6972 (Give Kids a Chance Act of 2022), all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid program reforms, including telemedicine Section 340B Drug Pricing Program Sickle cell disease research funding generally Drug pricing reforms generally Implementation of Children's Hospital Graduate Medical Education program Mental and behavioral health legislation generally H.R. 4943 (Children's Mental Health Infrastructure Act of 2021), all provisions H.R. 4944 (Helping Kids Cope Act of 2021), all provisions H.R. 6000 (Cures 2.0 Act), regarding regulation of new biomedical products and technologies H.R. 5585 (Advanced Research Project Agency-Health Act), all provisions H.R. 7236 (Strengthen Kids' Mental Health Now Act of 2022), all provisions H.R. 7666 (Restoring Hope for Mental Health and Well-Being Act of 2022), all provisions H.R. 3773 (PACT Act of 2021), all provisions H.R. 6972 (Give Kids a Chance Act of 2022), all provisions S. 4348 (FDASLA Act of 2022), Title VIII, Subtitle C, regarding regulation of in vitro clinical tests H.R. 7667 (Food and Drug Amendments of 2022), all provisions

Client expense: Not reported · Firm income: $50,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid program reforms, including telemedicine Section 340B Drug Pricing Program Sickle Cell Disease research funding generally Drug pricing reforms generally Implementation of Children's Hospital Graduate Medical Education program Mental and behavioral health legislation generally H.R. 4943 (Children's Mental Health Infrastructure Act of 2021), all provisions H.R. 4944 (Helping Kids Cope Act of 2021), all provisions H.R. 6000 (Cures 2.0 Act of 2021), all provisions H.R. 5585 (Advanced Research Project Agency-Health Act), all provisions H.R. 7236 (Strengthen Kids' Mental Health Now Act of 2022), all provisions H.R. 7666 (Restoring Hope for Mental Health and Well-Being Act of 2022), all provisions H.R. 3773 (PACT Act of 2021), all provisions H.R. 6972 (Give Kids a Chance Act of 2022), all provisions

Client expense: $119,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid program reforms, including telemedicine Section 340B Drug Pricing program Drug pricing reforms generally Juvenile mental and behavioral health legislation generally H.R. 4943 (Children's Mental Health Infrastructure Act of 2021), all provisions H.R. 4944 (Helping Kids Cope Act of 2021), all provisions H.R. 5585 (Advanced Research Project Agency-Health Act), all provisions H.R. 6000 (Cures 2.0 Act) regarding regulation of new biomedical products and technologies H.R. 7236 (Strengthen Kids' Mental Health Now Act of 2022), all provisions H.R. 7666 (Restoring Hope for Mental Health and Well-Being Act of 2022), all provisions H.R. 3773 (PACT Act of 2021), all provisions S. 4472 (Health Care Capacity for Pediatric Mental Health Act of 2022), all provisions H.R. 6972 (Give Kids a Chance Act of 2022), all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2022 Appropriations for the National Institutes of Health (NIH), National Cancer Institute (NCI), and the Food & Drug Administration (FDA) S 289/HR 869 RISE Act - emergency funding for the NIH S 2187 - National Biomedical Research Act- establishes Biomedical Innovation Fund H.R. 5394- Meaningful Access to Federal Health Plan Claims Data Act of 2021 -ensures meaningful access to claims data by clinician-led clinical data registries HR 3773/S 1357- PACT Act of 2021- requires the NIH to support early career pediatric researchers

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for early-career pediatric researchers including the Pediatricians Accelerate Childhood Therapies (PACT) Act (S. 1357 and H.R. 3773); prescription drug user fee legislation specifically the VALID Act (S. 2209 and H.R. 4128) and its impact on diagnostic tests for pediatrics.

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

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

Pediatricians Accelerate Childhood Therapies Act of 2021 (H.R. 3773/S.1357), support all provisions.

Client expense: $90,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Boston Children's Hospital advocates for medical research funding generally (eg NIH) and to assure an emphasis on pediatric research issues and concerns. In the current Congress, we have sought increases in the overall NIH appropriation level, and worked to assure better coordination across NIH institutes for pediatric initiatives. We have also focused on Department of Defense (DoD) support for medical research. We have focused on the need to provide additional support for early career pediatric researchers as exemplified in the Pediatricians Accelerate Childhood Therapies (PACT) Act (S. 1357 and H.R. 3773); inclusion of children within the All of Us research program and the 21st Century Cures 2.0. Our informatics research program has provided information on disease surveillance, health IT and interoperability concerns to Congressional leaders.

Client expense: $80,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

H.R.4943, Childrens Mental Health Infrastructure Act of 2021 H.R.4944, Helping Kids Cope Act of 2021 S. 1357 and H.R. 3773, The Pediatricians Accelerate Childhood Therapies (PACT) Act of 2021 S.168 and H.R.708, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act S.2730 and H.R.3549, Comprehensive Mental Health in Schools Pilot Program Act of 2021 S.1841 and H.R.721, Mental Health Services for Students Act S.4215, Give Kids a Chance Act S.4472, Health Care Capacity for Pediatric Mental Health Act H.R. 7961, The Safety From Violence for Healthcare Employees (SAVE) Act S. 4170, Mental Health Reform Authorization Act of 2022 H.R.7241, Community Mental Health Services Block Grant Reauthorization Act H.R. 7483, Cost of Mental Illness Act of 2022 The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Reauthorization Children's Hospitals Graduate Medical Education Reauthorization S.509, LINC to Address Social Needs Act

Client expense: $174,436 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Boston Children's Hospital advocates for medical research funding generally (eg NIH) and to assure an emphasis on pediatric research issues and concerns. In the current Congress, we have sought increases in the overall NIH appropriation level, and worked to assure better coordination across NIH institutes for pediatric initiatives. We have also focused on Department of Defense (DoD) support for medical research. We have focused on the need to provide additional support for early career pediatric researchers as exemplified in the Pediatricians Accelerate Childhood Therapies (PACT) Act (S. 1357 and H.R. 3773); inclusion of children within the All of Us research program and the 21st Century Cures 2.0. Our informatics research program has provided information on disease surveillance, health IT and interoperability concerns to Congressional leaders.

Client expense: $90,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

H.R.4943, Childrens Mental Health Infrastructure Act of 2021 H.R.4944, Helping Kids Cope Act of 2021 S. 346 and H.R. 959, Black Maternal Health Momnibus Act of 2021 S. 2741 and H.R. 5247, The Reducing Obesity in Youth Act (ROYA) of 2021 S. 1357 and H.R. 3773, The Pediatricians Accelerate Childhood Therapies (PACT) Act of 2021 S. 509, LINC To Address Social Needs Act S.168 and H.R.708, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act H.R.3549, Comprehensive Mental Health in Schools Pilot Program Act of 2021 S.1841 and H.R.721, Mental Health Services for Students Act S.3799 - PREVENT Pandemics Act H.R.6875 - Right Drug Dose Now Act Give Kids a Chance Act (Draft Senate version, no bill # yet) NIH IMPROVE ACT (no bill #) S.3628 - Youth Mental Health and Suicide Prevention Act Integrated behavioral health care act (Draft bill) (Senate bill)

Client expense: $186,520 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Draft legislation to reauthorize programs created by the Childhood Cancer STAR Act (P.L. 115-180); HR 869/S 289, the RISE Act; HR 3773 / S 1357, the Pediatricians Accelerate Childhood Therapies (PACT) Act HR 6000, the Cures 2.0 Act

Client expense: $270,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

Support for early-career pediatric researchers including the Pediatricians Accelerate Childhood Therapies (PACT) Act (S. 1357 and H.R. 3773); 21st Century Cures 2.0.

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

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

Boston Children's Hospital advocates for medical research funding generally (eg NIH) and to assure an emphasis on pediatric research issues and concerns. In the current Congress, we have sought increases in the overall NIH appropriation level, and worked to assure better coordination across NIH institutes for pediatric initiatives. We have also focused on Department of Defense (DoD) support for medical research. We have focused on the need to provide additional support for early career pediatric researchers as exemplified in the Pediatricians Accelerate Childhood Therapies (PACT) Act (S. 1357 and H.R. 3773); inclusion of children within the All of Us research program and the 21st Century Cures 2.0. Our informatics research program has provided information on disease surveillance, health IT and interoperability concerns to Congressional leaders.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

Medicaid program reforms, including telemedicine Implementation of health care reform Section 340B Drug Pricing program Healthcare disparities issues generally Drug pricing reforms generally Implementation of electronic health records regulations generally Telemedicine policy generally, including FCC COVID-19 Telehealth Program Juvenile mental and behavioral health legislation generally Asthma prevention issues generally H.R. 623 (Gabriella Miller Kids First Research Act 2.0), all provisions H.R. 708 and S. 168 (TREAT Act), all provisions H.R. 1397 and S. 1798 (Telehealth Improvement for Kids Essential Services (TIKES) Act), all provisions H.R. 3089 and S. 1544 (Accelerating Kids Access to Care Act), all provisions H.R. 3773 and S. 1357 (Pediatricians Accelerate Childhood Therapies (PACT) Act), all provisions H.R. 4943 (Children's Mental Health Infrastructure Act of 2021), all provisions H.R. 4944 (Helping Kids Cope Act of 2021), all provisions H.R. 5131 and S. 2762 (Pediatric Access to Critical Healthcare (PATCH) Act), all provisions H.R. 3894 (CARING for Social Determinants Act of 2021), all provisions H.R. 5414 and S. 2689 (Ensuring Medicaid Continuity for Children in Foster Care Act of 2021), all provisions H.R. 959 (Black Maternal Health Momnibus Act of 2021), all provisions H.R. 5585 (Advanced Research Project Agency-Health Act), all provisions Draft 21st Century Cures Act 2.0, regarding regulation of new biomedical products and technologies Neonatal health generally

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Science & Technology Policy (OSTP), SENATE

HR 869/S 289, the RISE Act; HR 3773 / S 1357, the Pediatricians Accelerate Childhood Therapies (PACT) Act

Client expense: $175,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Support for early-career pediatric researchers including the Pediatricians Accelerate Childhood Therapies (PACT) Act (S. 1357 and H.R. 3773); Inclusion of children within the All of Us research program; 21st Century Cures 2.0.

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

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

Medicaid program reforms, including telemedicine Implementation of health care reform Section 340B Drug Pricing program Health care disparities issues generally Drug pricing reforms generally Implementation of electronic health records regulations generally Telemedicine policy generally, including FCC COVID-19 Telehealth Program Juvenile mental and behavioral health legislation generally Asthma prevention issues generally H.R. 623 (Gabriella Miller Kids First Research Act 2.0), all provisions H.R. 708 and S. 168 (TREAT Act), all provisions Advanced Research Projects Agency for Health proposed legislation H.R. 1397 and S. 1798 (Telehealth Improvement for Kids' Essential Services (TIKES) Act), all provisions H.R. 3089 and S. 1544 (Accelerating Kids' Access to Care Act), all provisions H.R. 3773 and S. 1357 (Pediatricians Accelerate Childhood Therapies (PACT) Act), all provisions H.R. 4943 (Children's Mental Health Infrastructure Act of 2021), all provisions H.R. 4944 (Helping Kids Cope Act of 2021), all provisions H.R. 5131 and S. 2762 (Pediatric Access to Critical Healthcare (PATCH) Act), all provisions H.R. 3894 (CARING for Social Determinants Act of 2021), all provisions H.R. 5414 and S. 2689 (Ensuring Medicaid Continuity for Children in Foster Care Act of 2021), all provisions H.R. 959 (Black Maternal Health Momnibus Act of 2021), all provisions H.R. 5585 (Advanced Research Project Agency - Health Act), all provisions Draft 21st Century Cures Act 2.0, regarding regulation of new biomedical products and technologies Neonatal health generally

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Science & Technology Policy (OSTP), SENATE

Pediatricians Accelerate Childhood Therapies Act H.R.3773/S.1357), support all provisions

Client expense: $130,000 · Firm income: Not reported

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

Support for early-career pediatric researchers including the Pediatricians Accelerate Childhood Therapies (PACT) Act (S. 1357 and H.R. 3773); Inclusion of children within the All of Us research program; 21st Century Cures 2.0.

Client expense: Not reported · Firm income: $15,000

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

H.R.4943, Childrens Mental Health Infrastructure Act of 2021 H.R.4944, Helping Kids Cope Act of 2021 S. 346 and H.R. 959, Black Maternal Health Momnibus Act of 2021 S. 2741 and H.R. 5247, The Reducing Obesity in Youth Act (ROYA) of 2021 S. 1357 and H.R. 3773, The Pediatricians Accelerate Childhood Therapies (PACT) Act of 2021 S. 509, LINC To Address Social Needs Act S.1675 and H.R.4387, The Maternal Health Quality Improvement Act of 2021 S.168 and H.R.708, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act H.R.3549, Comprehensive Mental Health in Schools Pilot Program Act of 2021 S.1841 and H.R.721, Mental Health Services for Students Act H.R.4198 - Mental Health in Schools Excellence Program Act of 2021 S.1795 and H.R.1475 Pursuing Equity in Mental Health Act Patient ID matching strategy

Client expense: $227,157 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Boston Children's Hospital advocates for medical research funding generally (eg NIH) and to assure an emphasis on pediatric research issues and concerns. In the current Congress, we have sought increases in the overall NIH appropriation level, and worked to assure better coordination across NIH institutes for pediatric initiatives. We have also focused on Department of Defense (DoD) support for medical research. We have focused on the need to provide additional support for early career pediatric researchers as exemplified in the Pediatricians Accelerate Childhood Therapies (PACT) Act (S. 1357 and H.R. 3773); inclusion of children within the All of Us research program and the 21st Century Cures 2.0. Our informatics research program has provided information on disease surveillance, health IT and interoperability concerns to Congressional leaders.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

Support for early-career pediatric researchers including the Pediatricians Accelerate Childhood Therapies (PACT) Act (S. 1357 and H.R. 3773); Inclusion of children within the All of Us research program; 21st Century Cures 2.0.

Client expense: Not reported · Firm income: $15,000

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

Outreach and monitoring regarding: -H.R. 3773 / S. 1357, Pediatric Research PACT Act of 2021. -Telemedicine and telehealth flexibility. -Centers of Excellence. -H.R. 3684, Infrastructure Investment and Jobs Act. -H.R. 5376, Build Back Better Act. -H.R.959 - Black Maternal Health Momnibus Act of 2021.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid program reforms, including telemedicine Implementation of health care reform Section 340B Drug Pricing program Healthcare disparities issues generally Drug pricing reforms generally Implementation of electronic health records regulations generally Telemedicine policy generally, including FCC COVID-19 Telehealth Program Mental and behavioral health legislation generally Asthma prevention issues generally H.R. 623 (Gabriella Miller Kids First Research Act 2.0), all provisions H.R. 708 and S. 168 (TREAT Act), all provisions Advanced Research Projects Agency for Health proposed legislation H.R. 1397 and S. 1798 (Telehealth Improvement for Kids Essential Services (TIKES) Act), all provisions H.R. 3089 and S. 1544 (Accelerating Kids Access to Care Act), all provisions H.R. 3773 and S. 1357 (Pediatricians Accelerate Childhood Therapies (PACT) Act), all provisions H.R. 4943 (Children's Mental Health Infrastructure Act of 2021), all provisions H.R. 4944 (Helping Kids Cope Act of 2021), all provisions H.R. 5131 and S. 2762 (Pediatric Access to Critical Healthcare (PATCH) Act), all provisions H.R. 3894 (CARING for Social Determinants Act of 2021), all provisions H.R. 5414 and S. 2689 (Ensuring Medicaid Continuity for Children in Foster Care Act of 2021), all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Pediatricians Accelerate Childhood Therapies Act H.R.3773/S.1357), support all provisions

Client expense: $80,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid program reforms, including telemedicine Implementation of health care reform Section 340B Drug Pricing program Health care disparities issues generally Drug pricing reforms generally Implementation of electronic health records regulations generally Telemedicine policy generally, including FCC COVID-19 Telehealth Program Mental and behavioral health legislation generally Asthma prevention issues generally H.R. 623 (Gabriella Miller Kids First Research Act 2.0), all provisions H.R. 708 and S. 168 (TREAT Act), all provisions Advanced Research Projects Agency for Health proposed legislation H.R. 1397 and S. 1798 (Telehealth Improvement for Kids' Essential Services (TIKES) Act), all provisions H.R. 3089 and S. 1544 (Accelerating Kids' Access to Care Act), all provisions H.R. 3773 and S. 1357 (Pediatricians Accelerate Childhood Therapies (PACT) Act), all provisions H.R. 4943 (Children's Mental Health Infrastructure Act of 2021), all provisions H.R. 4944 (Helping Kids Cope Act of 2021), all provisions H.R. 5131 and S. 2762 (Pediatric Access to Critical Healthcare (PATCH) Act), all provisions H.R. 3894 (CARING for Social Determinants Act of 2021), all provisions H.R. 5414 and S. 2689 (Ensuring Medicaid Continuity for Children in Foster Care Act of 2021), all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5376 Build Back Better Act: -H.R.4943, Childrens Mental Health Infrastructure Act of 2021 -H.R.4944, Helping Kids Cope Act of 2021 -S. 346 and H.R. 959, Black Maternal Health Momnibus Act of 2021 S. 2741 and H.R. 5247, The Reducing Obesity in Youth Act (ROYA) of 2021 S. 1357 and H.R. 3773, The Pediatricians Accelerate Childhood Therapies (PACT) Act of 2021 S. 509, LINC To Address Social Needs Act S.168 and H.R.708, The TREAT Act S.1675 and H.R.4387, The Maternal Health Quality Improvement Act of 2021 H.R.909, Moms Matter Act H.R.2503, Social Determinants Accelerator Act of 2021 S.1841 and H.R.721, Mental Health Services in Schools Act S.1795/H.R.1475, Pursuing Equity in Mental Health Act H.R.3549, Comprehensive Mental Health in Schools Pilot Program Act of 2021

Client expense: $173,896 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Pediatric mental health workforce; Pediatric mental health prevention; Pediatric mental telehealth. H.R. 5247/S. 2741 - The Reducing Obesity in Youth Act (ROYA) of 2021. S.1357/H.R.3773 - The Pediatricians Accelerate Childhood Therapies (PACT) Act of 2021. The Build Back Better Act, a Bill to provide for reconciliation pursuant to title II of the Concurrent Resolution on the Budget for Fiscal Year 2022, S. Con. Res. 14. H.R. 4943 - Children's Mental Health Infrastructure Act of 2021. H.R. 4944 - Helping Kids Cope Act of 2021. S.346/H.R. 959 - Black Maternal Health Omnibus Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Boston Children's Hospital advocates for medical research funding generally (eg NIH) and to assure an emphasis on pediatric research issues and concerns. In the current Congress, we have sought increases in the overall NIH appropriation level, and worked to assure better coordination across NIH institutes for pediatric initiatives. We have also focused on Department of Defense (DoD) support for medical research. We have focused on the need to provide additional support for early career pediatric researchers as exemplified in the Pediatricians Accelerate Childhood Therapies (PACT) Act (S. 1357 and H.R. 3773); inclusion of children within the All of Us research program and the 21st Century Cures 2.0. Our informatics research program has provided information on disease surveillance, health IT and interoperability concerns to Congressional leaders.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

Medicaid program reforms, including telemedicine Implementation of health care reform Section 340B Drug Pricing program Healthcare disparities issues generally Drug pricing reforms generally Implementation of electronic health records regulations generally Telemedicine policy generally, including FCC COVID-19 Telehealth Program Mental and behavioral health legislation generally Asthma prevention issues generally H.R. 623 (Gabriella Miller Kids First Research Act 2.0), all provisions H.R. 708 and S. 168 (TREAT Act), all provisions Advanced Research Projects Agency for Health proposed legislation H.R. 2877 (Behavioral Intervention Guidelines Act of 2021), all provisions S. 1902 (Behavioral Health Crisis Services Expansion Act), all provisions H.R. 1397 and S. 1798 (Telehealth Improvement for Kids Essential Services (TIKES) Act), all provisions H.R. 3089 and S. 1544 (Accelerating Kids Access to Care Act), all provisions H.R. 3773 and S. 1357 (Pediatricians Accelerate Childhood Therapies (PACT) Act), all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for early-career pediatric researchers including the Pediatricians Accelerate Childhood Therapies (PACT) Act (S. 1357 and H.R. 3773); inclusion of children within the All of Us research program; 21st Century Cures 2.0

Client expense: Not reported · Firm income: $15,000

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

Outreach and monitoring regarding: -COVID-19 stimulus legislation, including NIH funding and research funding. -H.R. 3773 / S. 1357, Pediatric Research PACT Act of 2021. -Telemedicine. -COVID Centers of Excellence.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to truck-only vehicle miles traveled taxes. S 1931 - Surface Transportation Reauthorization Act of 2021. H.R. 3684 - INVEST in America Act S. 1465 Railroad Crossing Elimination Act H.R. 3773. Safe Roads Act of 2021 Other road/highway issues relating to highway funding, highway infrastructure motor carrier taxes, public private partnerships, hours of service, truck productivity, tolling and devolution

Client expense: $560,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

S. 659 / H.R. 1745 Drive Safe Act HR 3523 - Cullum Owings Large Truck Safe Operating Speed Act. Issues relating to truck-only vehicle miles traveled taxes. S 1931 - Surface Transportation Reauthorization Act of 2021. H.R. 3684 - INVEST in America Act S. 1465 Railroad Crossing Elimination Act H.R. 3773. Safe Roads Act of 2021 S. 508 - To Establish a Working Group on Electric Vehicles HR 3711 - Self Drive Act S. 2016 Surface Transportation Investment Act HR 3684 INVEST in America Act DRAFT LEGISLATION - Senate Bipartisan Infrastructure Framework Other Trucking issues include Hazardous Materials, Government Traffic, Hours of Service, Public Private Partnerships, Tolling, Background Check, Highway Funding, Transportation Worker ID, Fuel Supply and Cost Issues, Economic Issues and Federal Pre-emption.

Client expense: $560,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

Medicaid program reforms, including telemedicine Implementation of health care reform Section 340B Drug Pricing program Health care disparities issues generally Drug pricing reforms generally Implementation of electronic health records regulations generally Telemedicine policy generally, including FCC COVID-19 Telehealth Program Mental and behavioral health legislation generally Asthma prevention issues generally H.R. 623 (Gabriella Miller Kids First Research Act 2.0), all provisions H.R. 708 and S. 168 (TREAT Act), all provisions Advanced Research Projects Agency for Health proposed legislation H.R. 2877 (Behavioral Intervention Guidelines Act of 2021), all provisions S. 1902 (Behavioral Health Crisis Services Expansion Act), all provisions H.R. 1397 and S. 1798 (Telehealth Improvement for Kids Essential Services (TIKES) Act), all provisions H.R. 3089 and S. 1544 (Accelerating Kids Access to Care Act), all provisions H.R. 3773 and S. 1357 (Pediatricians Accelerate Childhood Therapies (PACT) Act), all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE