Medical Nutrition Equity Act of 2021

ARC Act of 2021 (H.R. 2631) Credit for Caring Act (S. 1670 / H.R. 3321) Easy Enrollment in Health Care Act (S. 3001) Ensuring Coverage in Public Health Emergencies Act of 2021 (H.R. 526) Healthcare Cybersecurity Act (S. 3904) Improving Social Determinants of Health Act (H.R. 379/S. 4440) Medical Nutrition Equity Act (S. 2013/H.R. 3783) The Protecting Americans with Pre-Existing Conditions Act of 2021 (S. 779) Safe Step Act of 2021 (H.R. 2163) Immunization Infrastructure Modernization Act (H.R. 550) Implementation of the Advancing Care for Exceptional Kids Act (ACE Kids, Pub. L. 116-16) Prescription Drug User Fee Act (PDUFA), provisions related to improving clinical trial diversity and equitable opportunities for trial participation Palliative Care and Hospice Education and Training Act (H.R. 647) A bill to provide for the publication by the Secretary of Health and Human Services of physical activity recommendations for Americans (H.R. 2094/S. 1301) Halt Obesity in America Act (H.R. 5625) Youth Sports Facilities Act (no bill number) Requirements related to No Surprises Act Final Rule

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

ARC Act of 2021 (H.R.2631) Credit for Caring Act (S.1670 / H.R. 3321) Easy Enrollment in Health Care Act (S.3001) Ensuring Coverage in Public Health Emergencies Act of 2021 (H.R. 526) Healthcare Cybersecurity Act (S.3904) Improving Social Determinants of Health Act (H.R. 379/S4440) Medical Nutrition Equity Act (S. 2013/H.R. 3783) The Protecting Americans with Pre-Existing Conditions Act of 2021 (S.779) Requirements related to No Surprises Act Final Rule Safe Step Act of 2021 (H.R. 2163) Immunization Infrastructure Modernization Act (H.R. 550) A bill to provide for the publication by the Secretary of Health and Human Services of physical activity recommendations for Americans (H.R. 2094/S. 1301)

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

ARC Act of 2021 (H.R.2631) Build Back Better Act (H.R.5376) Credit for Caring Act (S.1670 / H.R. 3321) Easy Enrollment in Health Care Act (S.3001) Ensuring Coverage in Public Health Emergencies Act of 2021 (H.R. 526) Healthcare Cybersecurity Act (S.3904) Improving Social Determinants of Health Act (H.R. 379/S4440) Medical Nutrition Equity Act (S. 2013/H.R. 3783) The Protecting Americans with Pre-Existing Conditions Act of 2021 (S.779) Public Health Infrastructure Saves Lives Act (S. 674) Public Health Funding Prevents Pandemics Act (S. 571) Requirements related to No Surprises Act, Parts I & II interim final rules Safe Step Act of 2021 (H.R. 2163) To Fund Prevention and Public Health Fund (H.R. 1583) Immunization Infrastructure Modernization Act (H.R. 550) A bill to provide for the publication by the Secretary of Health and Human Services of physical activity recommendations for Americans (H.R. 2094/S. 1301)

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

Legislative issues related to federal health programs, newborn screening, and insurance coverage of medical foods; S.2013/H.R.3783, Medical Nutrition Equity Act of 2021; FY2023 Consolidated Appropriations Act (H.R.2617).

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

ARC Act of 2021 (H.R. 2631) Credit for Caring Act (S. 1670 / H.R. 3321) Easy Enrollment in Health Care Act (S. 3001) Ensuring Coverage in Public Health Emergencies Act of 2021 (H.R. 526) Healthcare Cybersecurity Act (S. 3904) Improving Social Determinants of Health Act (H.R. 379/S. 4440) Medical Nutrition Equity Act (S. 2013/H.R. 3783) The Protecting Americans with Pre-Existing Conditions Act of 2021 (S. 779) Safe Step Act of 2021 (H.R. 2163) Immunization Infrastructure Modernization Act (H.R. 550) Implementation of the Advancing Care for Exceptional Kids Act (ACE Kids, Pub. L. 116-16) Prescription Drug User Fee Act (PDUFA), provisions related to improving clinical trial diversity and equitable opportunities for trial participation Palliative Care and Hospice Education and Training Act (H.R. 647) A bill to provide for the publication by the Secretary of Health and Human Services of physical activity recommendations for Americans (H.R. 2094/S. 1301) Halt Obesity in America Act (H.R. 5625) Youth Sports Facilities Act (no bill number)

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

HR 5- Equality Act HR 366- Protecting Access to Post-COVID-19 Telehealth Act of 2021 HR 1319- American Rescue Act of 2021 HR 1677- To Direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission... S 620 Keep Telehealth Options Act of 2021 HR 4502- Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act... S. 1544- Accelerating Kids' Access to Care Act HR 3089- Accelerating Kids' Access to Care Act HR 4943- The Children's Mental Health Infrastructure Act of 2021 HR 4944- The Helping Kids Cope Act of 2021 HR 4390- The PROTECT 340B Act HR 1916- Lasting Smiles Act HR 1397- The Telehealth Improvement for Kids' Essential Services HR 3783- Medical Nutrition Equity Act S 2013- Medical Nutrition Equity Act S 2691- Strengthening the Vaccines for Children Program Act of 2021 HR 2347- Strengthening the Vaccines for Children Program Act of 2021 HR 7236 Strengthen Kids' Mental Health Now Act HR 8295 Labor HHS FY23 Appropriations HR 6833 Continuing Appropriations Act of 2023 S 4747 Investing in Kids Mental Health Now Act S 4472 Health Care Capacity for Pediatric Mental Health HR 2617 Consolidated Appropriations Act of 2023 General issues regarding mental health, physical health, Medicaid, CHIP, and DSH.

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

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

HR 5- Equality Act HR 366- Protecting Access to Post-COVID-19 Telehealth Act of 2021 HR 1319- American Rescue Act of 2021 HR 1677- To Direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission... S 620 Keep Telehealth Options Act of 2021 HR 4502- Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act... S. 1544- Accelerating Kids' Access to Care Act HR 3089- Accelerating Kids' Access to Care Act HR 4943- The Children's Mental Health Infrastructure Act of 2021 HR 4944- The Helping Kids Cope Act of 2021 HR 4390- The PROTECT 340B Act HR 1916- Lasting Smiles Act HR 1397- The Telehealth Improvement for Kids' Essential Services HR 3783- Medical Nutrition Equity Act S 2013- Medical Nutrition Equity Act S 2691- Strengthening the Vaccines for Children Program Act of 2021 HR 2347- Strengthening the Vaccines for Children Program Act of 2021 HR 7236 Strengthen Kids' Mental Health Now Act HR 8295 Labor HHS FY23 Appropriations HR 6833 Continuing Appropriations Act of 2023 S 4747 Investing in Kids Mental Health Now Act S 4472 Health Care Capacity for Pediatric Mental Health HR 2617 Consolidated Appropriations Act of 2023 General issues regarding mental health, physical health, Medicaid, CHIP, and DSH.

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

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

FDA labeling of plant-based and dairy products. Engaging in USDA nutrition policies related to Women, Infants, & Children Program, School Meals and Supplemental Nutrition Assistance Program; including re-authorization of the Child Nutrition Act. Responded to and provided comments to legislative efforts regarding shortages of infant formula, such as S.4256. Supporting legislative efforts to support medical foods: Medical Nutrition Equity Act H.R. 3783/S. 2013.

Client expense: $160,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Educate policymakers about the benefits of medical foods, including H.R.3783 / S.2013, Medical Nutrition Equity Act of 2021, and the domestic infant formula shortage.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical Nutrition Equity Act (S. 2013 / H.R. 3783), which would require Medicare, Medicaid, FEHBP, CHIP and commercial payers to cover medically necessary nutrition for gastrointestinal disorders and metabolic disorders. Support the Safe Step Act (S. 464 / H.R. 2163) which creates a clear, timely and transparent process for a patient or physician to request an exception to step therapy protocols in certain situations. Step therapy is a tactic used by insurance companies that requires a patient to try and fail on their preferred medications before covering the therapy prescribed by their health care provider.

Client expense: Not reported · Firm income: $21,000

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

HR 5370 (medically tailored home-delivered meals demonstration pilot act of 2021); HR 3783 (medical nutrition equity act of 2021)

Client expense: Not reported · Firm income: Not reported

ARC Act of 2021 (H.R. 2631) Credit for Caring Act (S. 1670 / H.R. 3321) Easy Enrollment in Health Care Act (S. 3001) Ensuring Coverage in Public Health Emergencies Act of 2021 (H.R. 526) Healthcare Cybersecurity Act (S. 3904) Improving Social Determinants of Health Act (H.R. 379/S. 4440) Medical Nutrition Equity Act (S. 2013/H.R. 3783) The Protecting Americans with Pre-Existing Conditions Act of 2021 (S. 779) Safe Step Act of 2021 (H.R. 2163) Immunization Infrastructure Modernization Act (H.R. 550) Implementation of the Advancing Care for Exceptional Kids Act (ACE Kids, Pub. L. 116-16) Prescription Drug User Fee Act (PDUFA), provisions related to improving clinical trial diversity and equitable opportunities for trial participation Palliative Care and Hospice Education and Training Act (H.R. 647) A bill to provide for the publication by the Secretary of Health and Human Services of physical activity recommendations for Americans (H.R. 2094/S. 1301) Halt Obesity in America Act (H.R. 5625) Youth Sports Facilities Act (no bill number) Requirements related to No Surprises Act Final Rule

Client expense: $180,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

Medical Nutrition Equity Act (S. 2013/H.R. 3783)

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

Government targets: HOUSE OF REPRESENTATIVES, President of the U.S., SENATE, Vice President of the U.S.

Medical Nutrition Equity Act (S. 2013/H.R. 3783)

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

Government targets: HOUSE OF REPRESENTATIVES, President of the U.S., SENATE, Vice President of the U.S.

HR 5- Equality Act HR 366- Protecting Access to Post-COVID-19 Telehealth Act of 2021 HR 1319- American Rescue Act of 2021 HR 1677- To Direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission... S 620 Keep Telehealth Options Act of 2021 HR 4502- Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act... S. 1544- Accelerating Kids' Access to Care Act HR 3089- Accelerating Kids' Access to Care Act HR 4943- The Children's Mental Health Infrastructure Act of 2021 HR 4944- The Helping Kids Cope Act of 2021 HR 4390- The PROTECT 340B Act HR 1916- Lasting Smiles Act HR 1397- The Telehealth Improvement for Kids' Essential Services HR 3783- Medical Nutrition Equity Act S 2013- Medical Nutrition Equity Act S 2691- Strengthening the Vaccines for Children Program Act of 2021 HR 2347- Strengthening the Vaccines for Children Program Act of 2021 HR 7236 Strengthen Kids' Mental Health Now Act HR 8295 Labor HHS FY23 Appropriations HR 6833 Continuing Appropriations Act of 2023 S 4747 Investing in Kids Mental Health Now Act S 4472 Health Care Capacity for Pediatric Mental Health General issues regarding mental health, physical health, Medicaid, CHIP, and DSH.

Client expense: $37,000 · Firm income: Not reported

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

HR 5- Equality Act HR 366- Protecting Access to Post-COVID-19 Telehealth Act of 2021 HR 1319- American Rescue Act of 2021 HR 1677- To Direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission... S 620 Keep Telehealth Options Act of 2021 HR 4502- Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act... S. 1544- Accelerating Kids' Access to Care Act HR 3089- Accelerating Kids' Access to Care Act HR 4943- The Children's Mental Health Infrastructure Act of 2021 HR 4944- The Helping Kids Cope Act of 2021 HR 4390- The PROTECT 340B Act HR 1916- Lasting Smiles Act HR 1397- The Telehealth Improvement for Kids' Essential Services HR 3783- Medical Nutrition Equity Act S 2013- Medical Nutrition Equity Act S 2691- Strengthening the Vaccines for Children Program Act of 2021 HR 2347- Strengthening the Vaccines for Children Program Act of 2021 HR 7236 Strengthen Kids' Mental Health Now Act HR 8295 Labor HHS FY23 Appropriations HR 6833 Continuing Appropriations Act of 2023 S 4747 Investing in Kids Mental Health Now Act S 4472 Health Care Capacity for Pediatric Mental Health General issues regarding mental health, physical health, Medicaid, CHIP, and DSH.

Client expense: $37,000 · Firm income: Not reported

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

Legislative issues related to federal health programs, newborn screening, and insurance coverage of medical foods; S.2013/H.R.3783, Medical Nutrition Equity Act of 2021.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Educate policymakers about the benefits of medical foods, including H.R.3783/S.2013, Medical Nutrition Equity Act of 2021, and the domestic infant formula shortage.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

FDA labeling of plant-based and dairy products. Engaging in USDA nutrition policies related to Women, Infants, & Children Program, School Meals and Supplemental Nutrition Assistance Program; including re-authorization of the Child Nutrition Act. Responded to and provided comments to legislative efforts regarding shortages of infant formula, such as S.4256. Supporting legislative efforts to support medical foods: Medical Nutrition Equity Act H.R. 3783/S. 2013.

Client expense: $160,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Medical Nutrition Equity Act (S. 2013 / H.R. 3783), which would require Medicare, Medicaid, FEHBP, CHIP and commercial payers to cover medically necessary nutrition for gastrointestinal disorders and metabolic disorders. Support the Safe Step Act (S. 464 / H.R. 2163) which creates a clear, timely and transparent process for a patient or physician to request an exception to step therapy protocols in certain situations. Step therapy is a tactic used by insurance companies that requires a patient to try and fail on their preferred medications before covering the therapy prescribed by their health care provider.

Client expense: Not reported · Firm income: $21,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical Nutrition Equity Act (S. 2013/H.R. 3783)

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

Government targets: HOUSE OF REPRESENTATIVES, President of the U.S., SENATE, Vice President of the U.S.

Medical Nutrition Equity Act (S. 2013/H.R. 3783)

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

Government targets: HOUSE OF REPRESENTATIVES, President of the U.S., SENATE, Vice President of the U.S.

Educate policymakers about the benefits of medical foods, including H.R.3783/S.2013, Medical Nutrition Equity Act of 2021, and the domestic infant formula shortage.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Legislative issues related to federal health programs, newborn screening, and insurance coverage of medical foods; S.2013/H.R.3783, Medical Nutrition Equity Act of 2021.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FDA labeling of plant-based and dairy products. Engaging in USDA nutrition policies related to Women, Infants, & Children Program, School Meals and Supplemental Nutrition Assistance Program; including re-authorization of the Child Nutrition Act. Matters pertaining to the House Oversight and Reform Economic and Consumer Policy Subcommittees baby food inquiry and related Staff Report of February 4, 2021, the FDAs Closer to Zero action plan, and the Baby Food Safety Act (H.R. 2229 and S.1019). Responded to and provided comments to legislative efforts regarding shortages of infant formula, such as S.4256. Supporting legislative efforts to support medical foods: Medical Nutrition Equity Act H.R. 3783/S. 2013.

Client expense: $160,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

HR 5- Equality Act HR 366- Protecting Access to Post-COVID-19 Telehealth Act of 2021 HR 1319- American Rescue Act of 2021 HR 1677- To Direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission... S 620 Keep Telehealth Options Act of 2021 HR 4502- Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act... S. 1544- Accelerating Kids' Access to Care Act HR 3089- Accelerating Kids' Access to Care Act HR 4943- The Children's Mental Health Infrastructure Act of 2021 HR 4944- The Helping Kids Cope Act of 2021 HR 4390- The PROTECT 340B Act HR 1916- Lasting Smiles Act HR 1397- The Telehealth Improvement for Kids' Essential Services HR 3783- Medical Nutrition Equity Act S 2013- Medical Nutrition Equity Act S 2691- Strengthening the Vaccines for Children Program Act of 2021 HR 2347- Strengthening the Vaccines for Children Program Act of 2021 HR 7236 Strengthen Kids' Mental Health Now Act HR 8295 Labor HHS FY23 Appropriations General issues regarding mental health, physical health, Medicaid, CHIP, and DSH.

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), SENATE

HR 5- Equality Act HR 366- Protecting Access to Post-COVID-19 Telehealth Act of 2021 HR 1319- American Rescue Act of 2021 HR 1677- To Direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission... S 620 Keep Telehealth Options Act of 2021 HR 4502- Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act... S. 1544- Accelerating Kids' Access to Care Act HR 3089- Accelerating Kids' Access to Care Act HR 4943- The Children's Mental Health Infrastructure Act of 2021 HR 4944- The Helping Kids Cope Act of 2021 HR 4390- The PROTECT 340B Act HR 1916- Lasting Smiles Act HR 1397- The Telehealth Improvement for Kids' Essential Services HR 3783- Medical Nutrition Equity Act S 2013- Medical Nutrition Equity Act S 2691- Strengthening the Vaccines for Children Program Act of 2021 HR 2347- Strengthening the Vaccines for Children Program Act of 2021 HR 7236 Strengthen Kids' Mental Health Now Act HR 8295 Labor HHS FY23 Appropriations General issues regarding mental health, physical health, Medicaid, CHIP, and DSH.

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), SENATE

ARC Act of 2021 (H.R.2631) Credit for Caring Act (S.1670 / H.R. 3321) Easy Enrollment in Health Care Act (S.3001) Ensuring Coverage in Public Health Emergencies Act of 2021 (H.R. 526) Healthcare Cybersecurity Act (S.3904) Improving Social Determinants of Health Act (H.R. 379/S4440) Medical Nutrition Equity Act (S. 2013/H.R. 3783) The Protecting Americans with Pre-Existing Conditions Act of 2021 (S.779) Requirements related to No Surprises Act Final Rule Safe Step Act of 2021 (H.R. 2163) Immunization Infrastructure Modernization Act (H.R. 550) A bill to provide for the publication by the Secretary of Health and Human Services of physical activity recommendations for Americans (H.R. 2094/S. 1301)

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

Medical Nutrition Equity Act (S. 2013 / H.R. 3783), which would require Medicare, Medicaid, FEHBP, CHIP and commercial payers to cover medically necessary nutrition for gastrointestinal disorders and metabolic disorders. Support the Safe Step Act (S. 464 / H.R. 2163) which creates a clear, timely and transparent process for a patient or physician to request an exception to step therapy protocols in certain situations. Step therapy is a tactic used by insurance companies that requires a patient to try and fail on their preferred medications before covering the therapy prescribed by their health care provider. March meeting with the Food and Drug Administration to discuss challenges with access to Ethanol for use in locks to prevent central line infections in pediatric patients with intestinal failure. Outreach to the Food and Drug Administration regarding Drug development and drug approval in eosinophilic esophagitis.

Client expense: Not reported · Firm income: $21,000

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Medical Nutrition Equity Act (S. 2013/H.R. 3783)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical Nutrition Equity Act (S. 2013/H.R. 3783)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ARC Act of 2021 (H.R.2631) Build Back Better Act (H.R.5376) Credit for Caring Act (S.1670 / H.R. 3321) Easy Enrollment in Health Care Act (S.3001) Ensuring Coverage in Public Health Emergencies Act of 2021 (H.R. 526) Healthcare Cybersecurity Act (S.3904) Improving Social Determinants of Health Act (H.R. 379/S4440) Medical Nutrition Equity Act (S. 2013/H.R. 3783) The Protecting Americans with Pre-Existing Conditions Act of 2021 (S.779) Public Health Infrastructure Saves Lives Act (S. 674) Public Health Funding Prevents Pandemics Act (S. 571) Requirements related to No Surprises Act, Parts I & II interim final rules Safe Step Act of 2021 (H.R. 2163) To Fund Prevention and Public Health Fund (H.R. 1583) Immunization Infrastructure Modernization Act (H.R. 550) A bill to provide for the publication by the Secretary of Health and Human Services of physical activity recommendations for Americans (H.R. 2094/S. 1301)

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

HR 5- Equality Act HR 366- Protecting Access to Post-COVID-19 Telehealth Act of 2021 HR 1319- American Rescue Act of 2021 HR 1677- To Direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission... S 620 Keep Telehealth Options Act of 2021 HR 4502- Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act... S. 1544- Accelerating Kids' Access to Care Act HR 3089- Accelerating Kids' Access to Care Act HR 4943- The Children's Mental Health Infrastructure Act of 2021 HR 4944- The Helping Kids Cope Act of 2021 HR 4390- The PROTECT 340B Act HR 1916- Lasting Smiles Act HR 1397- The Telehealth Improvement for Kids' Essential Services HR 3783- Medical Nutrition Equity Act S 2013- Medical Nutrition Equity Act S 2691- Strengthening the Vaccines for Children Program Act of 2021 HR 2347- Strengthening the Vaccines for Children Program Act of 2021 HR 7236 Strengthen Kids' Mental Health Now Act General issues regarding mental health, physical health, Medicaid, CHIP, and DSH.

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

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

HR 5- Equality Act HR 366- Protecting Access to Post-COVID-19 Telehealth Act of 2021 HR 1319- American Rescue Act of 2021 HR 1677- To Direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission... S 620 Keep Telehealth Options Act of 2021 HR 4502- Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act... S. 1544- Accelerating Kids' Access to Care Act HR 3089- Accelerating Kids' Access to Care Act HR 4943- The Children's Mental Health Infrastructure Act of 2021 HR 4944- The Helping Kids Cope Act of 2021 HR 4390- The PROTECT 340B Act HR 1916- Lasting Smiles Act HR 1397- The Telehealth Improvement for Kids' Essential Services HR 3783- Medical Nutrition Equity Act S 2013- Medical Nutrition Equity Act S 2691- Strengthening the Vaccines for Children Program Act of 2021 HR 2347- Strengthening the Vaccines for Children Program Act of 2021 HR 7236 Strengthen Kids' Mental Health Now Act General issues regarding mental health, physical health, Medicaid, CHIP, and DSH.

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

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

FDA labeling of plant-based and dairy products. Engaging in USDA nutrition policies related to Women, Infants, & Children Program, School Meals and Supplemental Nutrition Assistance Program; including re-authorization of the Child Nutrition Act. Matters pertaining to the House Oversight and Reform Economic and Consumer Policy Subcommittees baby food inquiry and related Staff Report of February 4, 2021, the FDAs Closer to Zero action plan, and the Baby Food Safety Act (H.R. 2229 and S.1019) Supporting legislative efforts to support medical foods: Medical Nutrition Equity Act H.R. 3783/S. 2013.

Client expense: $310,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Educate policymakers about the benefits of medical foods, including H.R.3783/S.2013, Medical Nutrition Equity Act of 2021.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical Nutrition Equity Act (S. 2013 / H.R. 3783), which would require Medicare, Medicaid, FEHBP, CHIP and commercial payers to cover medically necessary nutrition for gastrointestinal disorders and metabolic disorders. Support the Safe Step Act (S. 464 / H.R. 2163) which creates a clear, timely and transparent process for a patient or physician to request an exception to step therapy protocols in certain situations. Step therapy is a tactic used by insurance companies that requires a patient to try and fail on their preferred medications before covering the therapy prescribed by their health care provider. Request meeting with the Food and Drug Administration to discuss challenges with access to Ethanol for use in locks to prevent central line infections in pediatric patients with intestinal failure.

Client expense: Not reported · Firm income: $21,000

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Medical Nutrition Equity Act (S. 2013/H.R. 3783)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical Nutrition Equity Act (S. 2013/H.R. 3783)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ARC Act of 2021 (H.R.2631) Build Back Better Act (H.R.5376) Credit for Caring Act (S.1670 / H.R. 3321) Easy Enrollment in Health Care Act (S.3001) Ensuring Coverage in Public Health Emergencies Act of 2021 (H.R. 526) Improving Social Determinants of Health Act (H.R. 379/S4440) Medical Nutrition Equity Act (S. 2013/H.R. 3783) The Protecting Americans with Pre-Existing Conditions Act of 2021 (S.779) Public Health Infrastructure Saves Lives Act (S. 674) Public Health Funding Prevents Pandemics Act (S. 571) Requirements related to No Surprises Act, Parts I & II interim final rules Safe Step Act of 2021 (H.R. 2163) To Fund Prevention and Public Health Fund (H.R. 1583) Immunization Infrastructure Modernization Act (H.R. 550) A bill to provide for the publication by the Secretary of Health and Human Services of physical activity recommendations for Americans (H.R. 2094/S. 1301)

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Interior, Dept of (DOI), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

H.R. 31 - Health Coverage Choice Act - Rep. Biggs, Andy [R-AZ-5] - short-term, limited-duration health insurance plans H.R. 145 - Continuing Coverage for Preexisting Conditions Act of 2021 - Rep. Joyce, David P. [R-OH-14] - pre-existing conditions H.R. 317 - To amend the Public Health Service Act to establish a health insurance Federal Invisible Risk Sharing Program - Rep. Schweikert, David [R-AZ-6] - federal risk sharing program H.R. 477 - Allys Act - Rep. Neguse, Joe [D-CO-2] - coverage for hearing devices H.R. 533 - Stop COVID-19 Test Surprise Medical Bills Act of 2021 - Rep. Fletcher, Lizzie [D-TX-7] - surprise medical bills H.R. 689 - Premium Relief Act of 2021 - Rep. Burgess, Michael C. [R-TX-26] - Patient and State Stability Fund H.R. 796 - Coverage for COVID-19 Treatment Act of 2021 - Rep. Blunt Rochester, Lisa [D-DE-At Large] - coverage for COVID-19 drugs H.R. 892 - Pre-existing Conditions Protection Act of 2021 - Rep. McMorris Rodgers, Cathy [R-WA-5] - pre-existing conditions H.R. 1255 - Living Donor Protection Act of 2021 - Rep. Nadler, Jerrold [D-NY-10] - coverage for organ donors H.R. 1790 - Fair Indexing for Health Care Affordability Act - Rep. Axne, Cynthia [D-IA-3] - maximum out of pocket costs and premium tax credits H.R. 2264 - Tele-Mental Health Improvement Act - Rep. Trone, David J. [D-MD-6] - telehealth H.R. 2808 - Health Freedom and Flexibility Act - Rep. Rosendale Sr., Matthew M. [R-MT-At Large] - HSAs H.R. 3029 - Health Care PRICE Transparency Act - Rep. Davidson, Warren [R-OH-8] - price transparency H.R. 3783 - Medical Nutrition Equity Act of 2021 - Rep. McGovern, James P. [D-MA-2] - coverage of medical foods H.R. 3947 - Justice for Patients Act - Rep. Porter, Katie [D-CA-45] - health insurance contracts H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios - Rep. Curtis, John R. [R-UT-3] - SDOH and MLRs H.R. 4123 - Increasing Health Coverage through HRAs Act of 2021 - Rep. Bishop, Dan [R-NC-9] - health reimbursement arrangements H.R. 4289 - WISH Act - Rep. Suozzi, Thomas R. [D-NY-3] - long-term care insurance benefits H.R. 4385 - Cancer Drug Parity Act of 2021 - Rep. Higgins, Brian [D-NY-26] - cost sharing for oral anticancer drugs H.R. 4480 - Telehealth Coverage and Payment Parity Act - Rep. Phillips, Dean [D-MN-3] - payment parity for telehealth services H.R. 4669 - Capping Costs for Consumers Act of 2021 - Rep. Schrier, Kim [D-WA-8] - cost-sharing reductions H.R. 4911 - Medicare Advantage Quality Payment Relief Act of 2021 - Rep. Kind, Ron [D-WI-3] - Medicare Advantage payments H.R. 5157 - Direct Primary Care for America Act - Rep. Crenshaw, Dan [R-TX-2] - HSAs and spending requirements H.R. 5214 - To amend the Internal Revenue Code of 1986 to permit expenditures from health savings accounts, flexible spending arrangements, and health reimbursement arrangements for dietary supplements - Rep. Curtis, John R. [R-UT-3] - HSAs and spending requirements H.R. 5390 - COBRA Subsidy Extension for Workers and Families Act - Rep. Mrvan, Frank J. [D-IN-1] - COBRA coverage H.R. 5432 - COVID-19 Testing Coverage Act of 2021 - Rep. Miller-Meeks, Mariannette [R-IA-2] - COVID-19 testing coverage H.R. 5536 - SMART Act - Rep. Rush, Bobby L. [D-IL-1] - outpatient physical therapy payment rules in rural areas H.R. 5610 - Easy Enrollment in Health Care Act - Rep. Bera, Ami [D-CA-7] - health insurance affordability programs and minimum essential coverage H.R. 5981 - Telehealth Expansion Act of 2021 - Rep. Steel, Michelle [R-CA-48] - telehealth services and high deductible health plans H.R. 6271 - Health Savings Act of 2021 - Rep. LaTurner, Jake [R-KS-2] - HSAs S. 125 - Protecting Life in Health Savings Accounts Act - Sen. Lee, Mike [R-UT] - HSAs S. 377 - Living Donor Protection Act of 2021 - Sen. Gillibrand, Kirsten E. [D-NY] - coverage for organ donors S. 380 - Health Savings Act of 2021 - Sen. Rubio, Marco [R-FL] - HSAs S. 660 - Tele-Mental Health Improvement Act - Sen. Smith, Tina [D-MN] - SUD and mental health S. 754 - Ensuring Lasting Smiles Act - Sen. Baldwin, Tammy [D-WI] - insurance benefits S. 756 - Continuing Coverage for Preexisting Conditions Act of 2021 - Sen. Kennedy, John [R-LA] - pre-existing conditions S. 1524 - Health Care PRICE Transparency Act- Sen. Braun, Mike [R-IN] - price transparency S. 2097 - TELEHEALTH HSA Act of 2021 - Sen. Kennedy, John [R-LA] - HSAs S. 2099 - Health Savings Account Expansion Act of 2021 - Sen. Sasse, Ben [R-NE] - HSAs S. 3001 - Easy Enrollment in Health Care Act - Sen. Van Hollen, Chris [D-MD] - health insurance affordability programs and minimum essential coverage S. 3139 - Healthy Competition for Better Care Act - Sen. Braun, Mike [R-IN] - anticompetitive terms in insurance contracts S. 3239 - Healthy MOM Act - Sen. Brown, Sherrod [D-OH] - SEPs for pregnant women Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to COBRA continuation coverage; issues related to behavioral health benefits; issues related to encouraging impaired workers to stay in/return to the workforce; issues related to expanding long-term care insurance coverage; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to health equity; issues related to vaccination; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to the No Surprises Act, enacted as part of the Consolidated Appropriations Act in December 2020, including disclosure of agent broker compensation (Section 202c); issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to Medicaid best price; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; issues related to repeal of the antitrust-related portions of the McCarran-Ferguson Act; implementation of the Mental Health Parity Act requirements; implementation of the 21st Century Cures Act requirements; summary of benefits and coverage disclosures; prior authorization; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; health reimbursement accounts; dependent coverage; treatment of expatriate plans; issues related to surprise medical bills; issues related to all payor claims databases; issues related to association health plans; issues related to substance abuse and provider treatment records (42 CFR Part 2); issues related to medical management; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues relating to dental coverage; issues relating to proposals for single-payer and Medicare/Medicaid buy-in options; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; issues related to cost-sharing reductions (CSRs); issues related to interoperability and price transparency; issues related to the employer market; issues relating to the individual market; 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

Educate policymakers about the benefits of medical foods, including H.R.3783/S.2013, Medical Nutrition Equity Act of 2021.

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

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, SENATE

HR 5- Equality Act HR 366- Protecting Access to Post-COVID-19 Telehealth Act of 2021 HR 1319- American Rescue Act of 2021 HR 1677- To Direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission... S 620 Keep Telehealth Options Act of 2021 HR 4502- Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act... S. 1544- Accelerating Kids' Access to Care Act HR 3089- Accelerating Kids' Access to Care Act HR 4943- The Children's Mental Health Infrastructure Act of 2021 HR 4944- The Helping Kids Cope Act of 2021 HR 4390- The PROTECT 340B Act HR 1916- Lasting Smiles Act HR 1397- The Telehealth Improvement for Kids' Essential Services HR 3783- Medical Nutrition Equity Act S 2013- Medical Nutrition Equity Act General issues regarding mental health, physical health, Medicaid, CHIP, and DSH.P, and DSH.

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

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

HR 5- Equality Act HR 366- Protecting Access to Post-COVID-19 Telehealth Act of 2021 HR 1319- American Rescue Act of 2021 HR 1677- To Direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission... S 620 Keep Telehealth Options Act of 2021 HR 4502- Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act... S. 1544- Accelerating Kids' Access to Care Act HR 3089- Accelerating Kids' Access to Care Act HR 4943- The Children's Mental Health Infrastructure Act of 2021 HR 4944- The Helping Kids Cope Act of 2021 HR 4390- The PROTECT 340B Act HR 1916- Lasting Smiles Act HR 1397- The Telehealth Improvement for Kids' Essential Services HR 3783- Medical Nutrition Equity Act S 2013- Medical Nutrition Equity Act General issues regarding mental health, physical health, Medicaid, CHIP, and DSH.

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

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