Better Care Better Jobs Act

Issues related to home and community-based healthcare services legislation under development in the House and Senate, specifically H.R.4131 and S.2210, the Better Care Better Jobs Act.

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

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

H.R. 2815, BIOSIM Act, support passage H.R. 2855, the STAR Rating for Biosimilars Act, support passage H.R. 2846- Ensuring Access to Lower-Cost Medicines for Seniors Act of 021 - support passage S.2210/H.R. 4131- Better Care Better Jobs Act - support passage S.2315- Medicaid Saves Lives Act, support passage S.2327- Seniors Prescription Drug Relief Act- support passage S.2562-Choose Home Care Act of 2021- support passage S.2612- Prevent Interruptions in Physical Therapy Act of 2021- support passage S. 2694- Nursing Home Improvement and Accountability Act of 2021 - support passage H.R. 5011- Choose Medicare Act, support passage H.R. 5099- Lowering Medicare Premiums and Prescription Drug Costs Act, support passage H.R. 5165 - Improving Medicare Coverage Act - support passage H.R. 5237 - "To amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes." - monitor for position determination H.R. 5260 - Reduced Costs and Continued Cures Act - monitor for position determination H.R. 5536 - SMART Act - support passage H.R. 5514 Choose Home Care Act of 2021, support passage Senate Reconciliation/Senate Finance prescription drug pricing package - supporting provisions that allow Medicare to negotiate for a specific amount of drugs, implement a $2,000 out-of-pocket cap on drug costs in Medicare Part D and a smoothing mechanism so that people in Medicare can spread their costs over the course of the year, and limit drug price increases by implementing rebates if prescription drug prices rise faster than inflation. H.R. 7667- Food and Drug Amendments of 2022, support passage S.4248- Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act, support passage H.R. 5435- BRAIN Act of 2021, establishing a Neuroscience Center of Excellence at the Food and Drug Administration, support passage H.R.315 - Common Sense Cannabis Reform for Veterans, Small Business and Medical Professionals Act, monitor to support H.R. 6000 - Cures 2.0 Act, supporting the goals of Rep. Upton/DeGette's Cures 2.0 initiative aimed at accelerating medical research, patient access to novel therapeutics and authorizing the Administration's Advanced Research Projects Agency for Health (ARPA-H) proposal -support passage S. 3726- CARE for Long COVID Act- support passage S.4447 - Modernizing Accelerated Approval Act, support passage and inclusion in Senate FDASLA package. S. 3799 Prevent Pandemics Act - support passage Lisa Blunt Rochester- Long-COVID RECOVERY NOW Act, support passage (bill number forthcoming)

Client expense: $58,169 · Firm income: Not reported

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

Medicare home health payment policy. Oppose home health and hospice payment cuts and co-pays. Home health rural add-on payment adjustment. CMMI VBID Medicare Advantage Carve-in proposal. H.R. 2898/S. 1399, Homecare for Seniors Act. Medicaid payment and eligibility policy. Medicaid Money Follows the Person program. Medicaid protections against spousal impoverishments. H.R. 3371/S. 1309, Home Health Emergency Access to Telehealth Act. Hospice Face to Face Telehealth recertification. Patient Choice and Quality Care Act (draft legislation). Medicaid HCBS FMAP increase. Increased minimum wage legislative proposals. H.R. 2903/S. 1512, CONNECT for Health Act of 2021. H.R. 3321/S. 1670, Credit for Caring Act of 2021. H.R. 2565, Expanding Access to Palliative Care Act. H.R. 5514/S. 2562, Choose Home Care Act of 2021. H.R. 4131/S.2210, Better Care Better Jobs Act. Health information technology funding and standards for long-term post-acuter care providers. Palliative dialysis payment policy in Medicare hospice. Medicare Sequestration Moratoria. Hospice concurrent care policy. Community-based palliative care in CMMI alternative payment model demonstrations. H.R. 3173/S. 3018, Improving Seniors' Timely Access to Care Act. H.R. 8812, The Improving Care and Access to Nurses (ICAN) Act. H.R. 432, Mental Health Access Improvement Act of 2021. S. 4873, Improving Access to Advance Care Planning Act. H.R. 8581/S. 4605, Preserving Access to Home Health Act of 2022. H.R. 4040, Advancing Telehealth Beyond COVID-19 Act of 2021. H.R. 5067/S. 2652, Preserving Patient Access to Home Infusion Act. H.R. 2617, Consolidated Appropriations Act, FY2023. Hospice aggregate cap. Hospice program integrity concerns. Hospice payment reform/benefit redesign.

Client expense: $250,000 · 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. 2815, BIOSIM Act, support passage H.R. 2855, the STAR Rating for Biosimilars Act, support passage H.R. 2846- Ensuring Access to Lower-Cost Medicines for Seniors Act of 021 - support passage S.2210/H.R. 4131- Better Care Better Jobs Act - support passage S.2315- Medicaid Saves Lives Act, support passage S.2327- Seniors Prescription Drug Relief Act- support passage S.2562-Choose Home Care Act of 2021- support passage S.2612- Prevent Interruptions in Physical Therapy Act of 2021- support passage S. 2694- Nursing Home Improvement and Accountability Act of 2021 - support passage H.R. 5011- Choose Medicare Act, support passage H.R. 5099- Lowering Medicare Premiums and Prescription Drug Costs Act, support passage H.R. 5165 - Improving Medicare Coverage Act - support passage H.R. 5237 - "To amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes." - monitor for position determination H.R. 5260 - Reduced Costs and Continued Cures Act - monitor for position determination H.R. 5536 - SMART Act - support passage H.R. 5514 Choose Home Care Act of 2021, support passage Senate Reconciliation/Senate Finance prescription drug pricing package - supporting provisions that allow Medicare to negotiate for a specific amount of drugs, implement a $2,000 out-of-pocket cap on drug costs in Medicare Part D and a smoothing mechanism so that people in Medicare can spread their costs over the course of the year, and limit drug price increases by implementing rebates if prescription drug prices rise faster than inflation. H.R. 7667- Food and Drug Amendments of 2022, support passage S.4248- Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act, support passage H.R. 5435- BRAIN Act of 2021, establishing a Neuroscience Center of Excellence at the Food and Drug Administration, support passage H.R.315 - Common Sense Cannabis Reform for Veterans, Small Business and Medical Professionals Act, monitor to support H.R. 6000 - Cures 2.0 Act, supporting the goals of Rep. Upton/DeGette's Cures 2.0 initiative aimed at accelerating medical research, patient access to novel therapeutics and authorizing the Administration's Advanced Research Projects Agency for Health (ARPA-H) proposal -support passage S. 3726- CARE for Long COVID Act- support passage S.4447 - Modernizing Accelerated Approval Act, support passage and inclusion in Senate FDASLA package. S. 3799 Prevent Pandemics Act - support passage Lisa Blunt Rochester- Long-COVID RECOVERY NOW Act, support passage (bill number forthcoming)

Client expense: $45,264 · Firm income: Not reported

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

Support for these programs during COVID-19 pandemic H.R. 1319, H.R. 4131, H.R. 5376 - Build Back Better Act, H.R. 2617 - Consolidated Appropriations Act, 2023

Client expense: $213,695 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

Promotion of home and community based services (HCBS) funding (S. 2210, H.R. 4131 and H.R. 1880)

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

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

HR 4131 Better Care Better Jobs Act (all sctions of full text)(support) S 2210 Better Care Better Jobs Act (all sections of full text)(support) HR 5632 Long-Term Care Pharmacy Definition Act of 2021 (all sections of full text)(support) S 1574 Long-Term Care Pharmacy Definition Act of 2021 (all sections of full text)(support) S 3314 Supporting Medicare Providers Act of 2021 (all sections of full text) HR 6020 Supporting Medicare Providers Act of 2021 (all sections of full text) S 4605 Preserving Access to Home Health Act of 2022 (all sections of full text)(support) HR 8581 Preserving Access to Home Health Act of 2022 (all sections of full text)(support) Discussions involving Medicare sequestration Discussions involving PAYGO Discussions involving home health Monitored discussions involving Medicare prescription drug proposals Monitored discussions involving hospice proposals

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid home and community based services (HCBS); orphan & rare disease issues, including Orphan Drug Tax Credit; coverage restrictions; Better Care Better Jobs Act (H.R. 4131/S. 2210); 21st Century Cures Act (P.L. 114-255); Safe Step Act (H.R. 2163/ S. 464); Cures 2.0 (H.R. 6000); BENEFIT Act (H.R. 4472; S. 373); Money Follows the Person; Medicaid Spousal Impoverishment; Access to Accessible Medical Equipment (ACA Sec. 1557); NIH research

Client expense: $75,000 · Firm income: Not reported

Government targets: 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), SENATE

Medicaid home and community-based services (HCBS); healthcare access, including to patient-preferred treatment, assistive technology devices and durable medical equipment; Better Care Better Jobs Act (H.R. 4131/ S. 2210); Money Follows the Person; Medicaid Spousal Impoverishment

Client expense: $75,000 · Firm income: Not reported

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

1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding Medicare Part D coverage gap assistance, preventive care services, and dual eligible Medicare and Medicare beneficiaries 2. Proposals to create a premium support or voucher program under Medicare 3. Proposals to "means test" Medicare premiums and benefits 4. Proposals to change federal and state Medicaid cost sharing 5. Proposals to raise the Medicare eligibility age 6. Proposals regarding prescription drug costs for low income Medicare beneficiaries 7. Expansion of Medicare benefits to include hearing, vision, and dental benefits 8. Medicare Observation Status Regulations 9. Proposals to streamline Medicare enrollment during the COVID-19 pandemic 10. Proposals to permit Medicare prescription drug pricing negotiations 10. S. 245, States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021, entire bill 11. H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, entire bill 12. S. 782, Nursing Home Reform Modernization Act of 2021, entire bill 13. H.R. 4131, To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, entire bill 14. Demonstration projects for expanding home and community based services under Medicare and Medicaid 15. H.R. 4311, Medicare Dental, Vision, and Hearing Act of 2021, entire bill 16. H.R. 4811, Medicare Negotiation and Competitive Licensing Act of 2021, entire bill 17. H.R. 5260, Reduced Costs and Continued Cures Act, entire bill 18. H.R. 1676, Jack Reynolds Memory Medigap Expansion Act, entire bill 19. Proposals to adjust 2022 Medicare Part B premiums 20. H.R. 3650, Improving Access to Medicare Coverage Act of 2021, entire bill 21. Medicare Direct Contracting Entity (DCE)program 22. Medicare ACO Realizing Equity, Access, and Community Health (REACH) program 23. H.R. 6698, Stop Unfair Medicaid Recoveries Act of 2022, entire bill 24. Medicare regulations under the No Surprises Act 25. Administration of ACO REACH program 26. Administration of Medicare telephone help lines 27. H.R. 5376, Inflation Reduction Act of 2022, provisions relating to Medicare drug negotiations, vaccine access and pricing, insulin pricing, out of pocket annual caps, catastrophic drug out of pocket costs 28. Expansion of Medicare coverage for medically necessary dental services

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

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

H.R. 2815, BIOSIM Act, support passage H.R. 2855, the STAR Rating for Biosimilars Act, support passage H.R. 2846- Ensuring Access to Lower-Cost Medicines for Seniors Act of 021 - support passage S.2210/H.R. 4131- Better Care Better Jobs Act - support passage S.2315- Medicaid Saves Lives Act, support passage S.2327- Seniors Prescription Drug Relief Act- support passage S.2562-Choose Home Care Act of 2021- support passage S.2612- Prevent Interruptions in Physical Therapy Act of 2021- support passage S. 2694- Nursing Home Improvement and Accountability Act of 2021 - support passage H.R. 5011- Choose Medicare Act, support passage H.R. 5099- Lowering Medicare Premiums and Prescription Drug Costs Act, support passage H.R. 5165 - Improving Medicare Coverage Act - support passage H.R. 5237 - "To amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes." - monitor for position determination H.R. 5260 - Reduced Costs and Continued Cures Act - monitor for position determination H.R. 5536 - SMART Act - support passage H.R. 5514 Choose Home Care Act of 2021, support passage Senate Reconciliation/Senate Finance prescription drug pricing package - supporting provisions that allow Medicare to negotiate for a specific amount of drugs, implement a $2,000 out-of-pocket cap on drug costs in Medicare Part D and a smoothing mechanism so that people in Medicare can spread their costs over the course of the year, and limit drug price increases by implementing rebates if prescription drug prices rise faster than inflation. H.R. 5376, Inflation Reduction Act (support passage, particularly drug pricing provisions)

Client expense: $11,123 · Firm income: Not reported

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

H.R. 2815, BIOSIM Act, support passage H.R. 2855, the STAR Rating for Biosimilars Act, support passage H.R. 2846- Ensuring Access to Lower-Cost Medicines for Seniors Act of 021 - support passage S.2210/H.R. 4131- Better Care Better Jobs Act - support passage S.2315- Medicaid Saves Lives Act, support passage S.2327- Seniors Prescription Drug Relief Act- support passage S.2562-Choose Home Care Act of 2021- support passage S.2612- Prevent Interruptions in Physical Therapy Act of 2021- support passage S. 2694- Nursing Home Improvement and Accountability Act of 2021 - support passage H.R. 5011- Choose Medicare Act, support passage H.R. 5099- Lowering Medicare Premiums and Prescription Drug Costs Act, support passage H.R. 5165 - Improving Medicare Coverage Act - support passage H.R. 5237 - "To amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes." - monitor for position determination H.R. 5260 - Reduced Costs and Continued Cures Act - monitor for position determination H.R. 5536 - SMART Act - support passage H.R. 5514 Choose Home Care Act of 2021, support passage Senate Reconciliation/Senate Finance prescription drug pricing package - supporting provisions that allow Medicare to negotiate for a specific amount of drugs, implement a $2,000 out-of-pocket cap on drug costs in Medicare Part D and a smoothing mechanism so that people in Medicare can spread their costs over the course of the year, and limit drug price increases by implementing rebates if prescription drug prices rise faster than inflation. H.R. 5376, Inflation Reduction Act (support passage, particularly drug pricing provisions)

Client expense: $11,123 · Firm income: Not reported

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

Support for these programs during COVID-19 pandemic H.R. 1319, H.R. 4131, H.R. 5376 - Build Back Better Act

Client expense: $253,591 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to home and community-based healthcare services legislation under development in the House and Senate, specifically H.R.4131 and S.2210, the Better Care Better Jobs Act.

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

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

H.R. 2815, BIOSIM Act, support passage H.R. 2855, the STAR Rating for Biosimilars Act, support passage H.R. 2846- Ensuring Access to Lower-Cost Medicines for Seniors Act of 021 - support passage S.2210/H.R. 4131- Better Care Better Jobs Act - support passage S.2315- Medicaid Saves Lives Act, support passage S.2327- Seniors Prescription Drug Relief Act- support passage S.2562-Choose Home Care Act of 2021- support passage S.2612- Prevent Interruptions in Physical Therapy Act of 2021- support passage S. 2694- Nursing Home Improvement and Accountability Act of 2021 - support passage H.R. 5011- Choose Medicare Act, support passage H.R. 5099- Lowering Medicare Premiums and Prescription Drug Costs Act, support passage H.R. 5165 - Improving Medicare Coverage Act - support passage H.R. 5237 - "To amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes." - monitor for position determination H.R. 5260 - Reduced Costs and Continued Cures Act - monitor for position determination H.R. 5536 - SMART Act - support passage H.R. 5514 Choose Home Care Act of 2021, support passage Senate Reconciliation/Senate Finance prescription drug pricing package - supporting provisions that allow Medicare to negotiate for a specific amount of drugs, implement a $2,000 out-of-pocket cap on drug costs in Medicare Part D and a smoothing mechanism so that people in Medicare can spread their costs over the course of the year, and limit drug price increases by implementing rebates if prescription drug prices rise faster than inflation. H.R. 5376, Inflation Reduction Act (support passage, particularly drug pricing provisions)

Client expense: $42,877 · Firm income: Not reported

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

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

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

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

Medicare home health payment policy. Oppose home health and hospice payment cuts and co-pays. Home health rural add-on payment adjustment. Home Health Review Choice Demonstration Program. Hospice payment policy. CMMI VBID Medicare Advantage Carve-in proposal. H.R. 2898/S. 1399, Homecare for Seniors Act. Medicaid payment and eligibility policy. Medicaid Money Follows the Person program. Medicaid protections against spousal impoverishments. Administration for Community Living falls prevention program. H.R. 3371/S. 1309, Home Health Emergency Access to Telehealth Act. Hospice Face to Face Telehealth recertification. Patient Choice and Quality Care Act (draft legislation). Federal response to coronavirus pandemic, including: regulatory relief, PPE, testing, telehealth, Medicaid reimbursement, and homebound status. S. 2214, PROTECTS Act. Medicaid HCBS FMAP increase. HCBS Access Act (draft legislation). Additional funding for Provider Relief Fund. COVID-19 vaccine funding, administration, and distribution to the homebound. Increased minimum wage legislative proposals. H.R. 2903/S. 1512, CONNECT for Health Act of 2021. H.R. 3321/S. 1670, Credit for Caring Act of 2021. H.R. 3689/S. 234, Americans Giving Care to Elders (AGE) Act of 2021. COVID-19 Public Health Emergency/testing of hospice patients. H.R. 2565, Expanding Access to Palliative Care Act. H.R. 5514/S. 2562, Choose Home Care Act of 2021. H.R. 5376, Inflation Reduction Act of 2022. H.R. 4131/S.2210, Better Care Better Jobs Act. Health information technology funding and standards for long-term post-acuter care providers. COVID-19 vaccine mandate. Palliative dialysis payment policy in Medicare hospice. H.R. 6698, Stop Unfair Medicaid Recoveries Act of 2022. H.R. 7053/S. 3792, Hospital Inpatient Services Modernization Act. Medicare Sequestration Moratoria. Hospice concurrent care policy. Community-based palliative care in CMMI alternative payment model demonstrations. H.R. 3173/S. 3018, Improving Seniors' Timely Access to Care Act. H.R. 8812, The Improving Care and Access to Nurses (ICAN) Act. H.R. 432, Mental Health Access Improvement Act of 2021. S. 4873, Improving Access to Advance Care Planning Act. H.R. 8581/S. 4605, Preserving Access to Home Health Act of 2022. H.R. 4040, Advancing Telehealth Beyond COVID-19 Act of 2021. H.R. 5067/S. 2652, Preserving Patient Access to Home Infusion Act

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

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

Promotion of home and community based services (HCBS) funding (S. 2210, H.R. 4131 and H.R. 1880)

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

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

1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding Medicare Part D coverage gap assistance, preventive care services, and dual eligible Medicare and Medicare beneficiaries 2. Proposals to create a premium support or voucher program under Medicare 3. Proposals to "means test" Medicare premiums and benefits 4. Proposals to change federal and state Medicaid cost sharing 5. Proposals to raise the Medicare eligibility age 6. Proposals regarding prescription drug costs for low income Medicare beneficiaries 7. Expansion of Medicare benefits to include hearing, vision, and dental benefits 8. Medicare Observation Status Regulations 9. Proposals to streamline Medicare enrollment during the COVID-19 pandemic 10. Proposals to permit Medicare prescription drug pricing negotiations 10. S. 245, States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021, entire bill 11. H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, entire bill 12. S. 782, Nursing Home Reform Modernization Act of 2021, entire bill 13. H.R. 4131, To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, entire bill 14. Demonstration projects for expanding home and community based services under Medicare and Medicaid 15. H.R. 4311, Medicare Dental, Vision, and Hearing Act of 2021, entire bill 16. H.R. 4811, Medicare Negotiation and Competitive Licensing Act of 2021, entire bill 17. H.R. 5260, Reduced Costs and Continued Cures Act, entire bill 18. H.R. 1676, Jack Reynolds Memory Medigap Expansion Act, entire bill 19. Proposals to adjust 2022 Medicare Part B premiums 20. H.R. 3650, Improving Access to Medicare Coverage Act of 2021, entire bill 21. Medicare Direct Contracting Entity (DCE)program 22. Medicare ACO Realizing Equity, Access, and Community Health (REACH) program 23. H.R. 6698, Stop Unfair Medicaid Recoveries Act of 2022, entire bill 24. Medicare regulations under the No Surprises Act 25. Administration of ACO REACH program 26. Administration of Medicare telephone help lines 27. H.R. 5376, Inflation Reduction Act of 2022, provisions relating to Medicare drug negotiations, vaccine access and pricing, insulin pricing, out of pocket annual caps, catastrophic drug out of pocket costs 28. Expansion of Medicare coverage for medically necessary dental services

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

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

H.R. 525/S. 151, the COVID HCBS Relief Act of 2021 H.R. 1880, to amend the Deficit Reduction Act of 2005 to make permanent the Money Follows the Person Rebalancing Demonstration H.R. 2594, the Colorectal Cancer Payment Fairness Act H.R. 2999, the Direct CARE Opportunity Act H.R.4131, to amend title XIX of the Social Security Act to expand access to home and community-based services under Medicaid, and for other purposes H.R. 2356/S. 2363, the Better Wound Care at Home Act H.R. 4937/S. 2646, the Disaster Relief Medicaid Act H.R. 6698, the Stop Unfair Medicaid Recoveries Act S. 1476, the SENIOR CARE Act S. 2210, the Better Care Better Jobs Act S. 2344, the Supporting Our Direct Care Workforce and Family Caregivers Act Discussions on interaction between Medicare Part B and Tricare for medically retired veterans

Client expense: $82,012 · Firm income: Not reported

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

HR 4131 Better Care Better Jobs Act (all sctions of full text)(support) S 2210 Better Care Better Jobs Act (all sections of full text)(support) HR 5632 Long-Term Care Pharmacy Definition Act of 2021 (all sections of full text)(support) S 1574 Long-Term Care Pharmacy Definition Act of 2021 (all sections of full text)(support) S 3314 Supporting Medicare Providers Act of 2021 (all sections of full text) HR 6020 Supporting Medicare Providers Act of 2021 (all sections of full text) Discussions involving Medicare sequestration Discussions involving PAYGO Discussions involving home health S 4605 Preserving Access to Home Health Act of 2022 (all sections of full text)(support) HR 8581 Preserving Access to Home Health Act of 2022 (all sections of full text)(support) Monitored discussions involving Medicare prescription drug proposals Monitored discussions involving hospice proposals

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581 Palliative Care and Hospice Education and Training Act (S.4260) Better Care Better Jobs Act (S. 2210/H.R. 4131)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1: For the People Act of 2021, all provisions. H.R. 249: Protecting Federal Workers Act, all provisions. H.R. 308: Secure and Fair Elections for Workers Act, all provisions. H.R. 447: National Apprenticeship Act of 2021, all provisions. H.R. 594: WORKER Act, all provisions. H.R. 842: Protecting the Right to Organize Act of 2021, all provisions. H.R. 848: GREEN Act of 2021, all provisions. H.R. 903: Rights for the TSA Workforce Act of 2021, all provisions. H.R. 998: Offshore Wind Jobs and Opportunity Act, all provisions. H.R. 1087: Shareholder Political Transparency Act of 2021, all provisions. H.R. 1275: National Right-to-Work Act, all provisions. H.R. 1284: FOCA Act, all provisions. H.R. 1319: American Rescue Plan Act of 2021, all provisions. H.R. 1334: DISCLOSE Act of 2021, all provisions. H.R. 1352: Water Affordability, Transparency, Equity, and Reliability Act of 2021, all provisions. H.R. 1537: Farm Workforce Modernization Act of 2021, all provisions. H.R. 1603: Farm Workforce Modernization Act of 2021, all provisions. H.R. 1902: Do Your Job Act of 2021, all provisions. H.R. 1948: VA Employee Fairness Act of 2021, all provisions. H.R. 2063: Protecting American Jobs Act, all provisions. H.R. 2403: To amend the Labor Management Relations Act to prohibit neutrality agreements, and for other purposes., all provisions. H.R. 2404: Cesar Chavez Commemorative Coin Act, all provisions. H.R. 2415: Orphaned Well Cleanup and Jobs Act of 2021, all provisions. H.R. 2549: Tax Fairness for Workers Act, all provisions. H.R. 2586: Fire Fighters and EMS Employer-Employee Cooperation Act, all provisions. H.R. 2640: Union Member Protection Act, all provisions. H.R. 2644: Green New Deals for Cities Act of 2021, all provisions. H.R. 2664: Green New Deal for Public Housing Act, all provisions. H.R. 2670: The Civilian Climate Corps for Jobs and Justice Act, all provisions. H.R. 2919: THRIVE Act, all provisions. H.R. 2984: Investing in American Workers Act, all provisions. H.R. 3185: Save Local Business Act, all provisions. H.R. 3225: Public Safety Employer-Employee Cooperation Act, all provisions. H.R. 3473: Build Local, Hire Local Act, all provisions. H.R. 3640: Union Transparency and Accountability Act, all provisions. H.R. 3895: College Athlete Right to Organize Act, all provisions. H.R. 4131: Better Care Better Jobs Act, all provisions. H.R. 4442: Green New Deal for Public Schools Act of 2021, all provisions. H.R. 4497: Housing is Infrastructure Act of 2021, all provisions. H.R. 4502: 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 an, all provisions. H.R. 4839: Tribal Labor Sovereignty Act of 2021, all provisions. H.R. 4872: Zero-Emission Homes Act of 2021, all provisions. H.R. 5019: Creative Economy Revitalization Act, all provisions. H.R. 5020: Get Toxic Substances Out of Schools Act of 2021, all provisions. H.R. 5171: Freedom From Union Violence Act of 2021, all provisions. H.R. 5178: Truth in Employment Act of 2021, all provisions. H.R. 5332: Reclaiming the Solar Supply Chain Act of 2021, all provisions. H.R. 5376: Inflation Reduction Act of 2022, all provisions. H.R. 5495: Building Resilient Supply Chains Act, all provisions. H.R. 5727: Public Service Freedom to Negotiate Act of 2021, all provisions. H.R. 5896: Jobs for a Carbon Free Transportation System Act, all provisions. H.R. 6478: Supply Chain Resiliency Act, all provisions. H.R. 6492: Climate Resilience Workforce Act, all provisions. H.R. 6579: Teamwork for Employees and Managers Act of 2022, all provisions. H.R. 6608: Scratch Cooked Meals for Students Act, all provisions. H.R. 6662: EVs for All Act, all provisions. H.R. 6670: Schedules That Work Act, all provisions. H.R. 6699: Part-Time Worker Bill of Rights Act, all provisions. H.R. 6952: RAISE Act, all provisions. H.R. 7101: Prohibiting Anticompetitive Mergers Act of 2022, all provisions. H.R. 7111: Employee Privacy Protection Act, all provisions. H.R. 7194: Employee Rights Act, all provisions. H.R. 7309: Workforce Innovation and Opportunity Act of 2022, all provisions. H.R. 7388: Offshore Wind American Manufacturing Act of 2022, all provisions. H.R. 7390: Expanding Labor Representation in the Workforce System Act, all provisions. H.R. 7439: Energy Security and Independence Act of 2022, all provisions. H.R. 7510: National Education Association Charter Repeal Act, all provisions. H.R. 7543: Union Auto Workers Job Protection Act, all provisions. H.R. 7780: Mental Health Matters Act, all provisions. H.R. 8046: Cesar E. Chavez and the Farmworker Movement National Historical Park Act, all provisions. H.R. 8295: Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023, all provisions. H.R. 8448: No Tax Breaks for Union Busting (NTBUB) Act, all provisions. H.R. 8450: Healthy Meals, Healthy Kids Act, all provisions. H.R. 8473: FABRIC Act, all provisions. H.R. 8793: Nationwide Right to Unionize Act, all provisions. H.Res. 104: Recognizing the duty of the Federal Government to implement an agenda to Transform, Heal, and Renew by Investing in a Vibrant Economy ("THRIVE")., all provisions. S. 1: For the People Act of 2021, all provisions. S. 283: National Climate Bank Act, all provisions. S. 403: FOCA Act, all provisions. S. 406: National Right-to-Work Act, all provisions. S. 420: Protecting the Right to Organize Act of 2021, all provisions. S. 771: Department of Veterans Affairs Employee Fairness Act of 2021, all provisions. S. 805: Davis-Bacon Repeal Act, all provisions. S. 882: Protecting American Jobs Act, all provisions. S. 938: Climate Emergency Act of 2021, all provisions. S. 1157: Tax Fairness for Workers Act, all provisions. S. 1218: Green New Deal for Public Housing Act, all provisions. S. 1244: Civilian Climate Corps for Jobs and Justice Act, all provisions. S. 1525: THRIVE Act, all provisions. S. 1636: Save Local Business Act, all provisions. S. 1827: Build Local, Hire Local Act, all provisions. S. 1856: Rights for the TSA Workforce Act of 2021, all provisions. S. 1929: College Athlete Right To Organize Act, all provisions. S. 2093: For the People Act of 2021, all provisions. S. 2104: Global Labor Support Act of 2021, all provisions. S. 2118: Clean Energy for America Act, all provisions. S. 2178: Fire Fighters and EMS Employer-Employee Cooperation Act, all provisions. S. 2210: Better Care Better Jobs Act, all provisions. S. 2671: DISCLOSE Act of 2021, all provisions. S. 2747: Freedom to Vote Act, all provisions. S. 2858: Creative Economy Revitalization Act, all provisions. S. 3208: Supply Chain Resiliency Act, all provisions. S. 3285: Protecting Americas Meatpacking Workers Act of 2021, all provisions. S. 3418: Comprehensive Addiction Resources Emergency Act of 2021, all provisions. S. 3464: National Right-to-Work Act, all provisions. S. 3585: Teamwork for Employees and Managers Act of 2022, all provisions. S. 3641: Part-Time Worker Bill of Rights Act, all provisions. S. 3642: Schedules That Work Act, all provisions. S. 3847: Prohibiting Anticompetitive Mergers Act of 2022, all provisions. S. 3889: Employee Rights Act, all provisions. S. 4013: Energy Security and Independence Act of 2022, all provisions. S. 4139: HEATR Act, all provisions. S. 4144: ICEE HOT Act of 2022, all provisions. S. 4192: No Tax Breaks for Union Busting (NTBUB) Act, all provisions. S. 4213: FABRIC Act, all provisions. S. 4329: Reclaiming the Solar Supply Chain Act of 2022, all provisions. S. 4371: Cesar E. Chavez and the Farmworker Movement National Historical Park Act, all provisions. S. 443: DISCLOSE Act of 2021, all provisions. S. 4591: Cannabis Administration and Opportunity Act, all provisions. S. 4640: Clean Energy Jobs Act of 2022, all provisions. S. 4803: Nationwide Right To Unionize Act, all provisions. S.Res. 43: A resolution recognizing the duty of the Federal Government to implement an agenda to Transform, Heal, and Renew by Investing in a Vibrant Economy ("THRIVE")., all provisions.

Client expense: $190,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid home and community based services (HCBS); orphan & rare disease issues, including Orphan Drug Tax Credit; coverage restrictions; Better Care Better Jobs Act (H.R. 4131/S. 2210); 21st Century Cures Act (P.L. 114-255); Safe Step Act (H.R. 2163/ S. 464); Cures 2.0 (H.R. 6000); BENEFIT Act (H.R. 4472; S. 373); NIH research

Client expense: $75,000 · Firm income: Not reported

Government targets: 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), SENATE

Medicaid home and community-based services (HCBS); healthcare access, including to patient-preferred treatment, assistive technology devices and durable medical equipment; Better Care Better Jobs Act (H.R. 4131/ S. 2210);

Client expense: $75,000 · Firm income: Not reported

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

Build Back Better Act - HR 5376 Support for programs during COVID-19 pandemic HR 1319, HR 4131 Better Care, Better Jobs Act, HR 5169/S.26994

Client expense: $375,513 · Firm income: Not reported

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

Issues related to home and community-based healthcare services legislation under development in the House and Senate, specifically H.R.4131 and S.2210, the Better Care Better Jobs Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3 - Elijah Cummings Lower Drug Costs Now, monitor legislation S.151- "COVID HCBS Relief Act of 2021"- support passage H.R. 4131- "To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, and for other purposes."- support passage H.R. 2455 - The Resetting the IMPACT Act (TRIA) of 2021." - support passage H.R. 1319- The American Rescue Plan Act of 2021, support passage H.R. 2815, BIOSIM Act, support passage H.R. 2855, the STAR Rating for Biosimilars Act, support passage H.R. 2846- Ensuring Access to Lower-Cost Medicines for Seniors Act of 021 - support passage S.2210/H.R. 4131- Better Care Better Jobs Act - support passage S.2315- Medicaid Saves Lives Act, support passage S.2327- Seniors Prescription Drug Relief Act- support passage S.2562-Choose Home Care Act of 2021- support passage S.2612- Prevent Interruptions in Physical Therapy Act of 2021- support passage S. 2694- Nursing Home Improvement and Accountability Act of 2021 - support passage H.R. 5011- Choose Medicare Act, support passage H.R. 5099- Lowering Medicare Premiums and Prescription Drug Costs Act, support passage H.R. 5165 - Improving Medicare Coverage Act - support passage H.R. 5237 - "To amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes." - monitor for position determination H.R. 5260 - Reduced Costs and Continued Cures Act - monitor for position determination H.R. 5536 - SMART Act - support passage H.R. 5514 Choose Home Care Act of 2021, support passage Senate Reconciliation/Senate Finance prescription drug pricing package - supporting provisions that allow Medicare to negotiate for a specific amount of drugs, implement a $2,000 out-of-pocket cap on drug costs in Medicare Part D and a smoothing mechanism so that people in Medicare can spread their costs over the course of the year, and limit drug price increases by implementing rebates if prescription drug prices rise faster than inflation.

Client expense: $42,877 · Firm income: Not reported

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

Advocacy on Medicaid, increased federal funding and expansion of coverage, Long Term Care/Home and Community Based Services including Workforce issues and payment rates, hospital funding, nursing home reform, prescription drugs, ACA - Better Care, Better Jobs Act (S.2210/HR 4131); H.R. 5376 - Build Back Better Act, H.R. 5169/S.2694

Client expense: $535,348 · Firm income: Not reported

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

1. H.R. 748 - Coronavirus Aid, Relief, and Economic Security Act (CARES Act) - provider relief fund provisions 2. The American Jobs Plan - HCBS enhancements as part of infrastructure 3. S. 2210 / H.R. 4131 - Better Care Better Jobs Act - HCBS enhancements as part of infrastructure

Client expense: $75,000 · Firm income: Not reported

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

Promotion of home and community based services (HCBS) funding (S. 2210, H.R. 4131 and H.R. 1880)

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

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

Medicare home health payment policy. Oppose home health and hospice payment cuts and co-pays. Home health rural add-on payment adjustment. Home Health Review Choice Demonstration Program. Hospice payment policy. CMMI VBID Medicare Advantage Carve-in proposal. H.R. 2898/S. 1399, Homecare for Seniors Act. Medicaid payment and eligibility policy. Medicaid Money Follows the Person program. Medicaid protections against spousal impoverishments. Administration for Community Living falls prevention program. H.R. 3371/S. 1309, Home Health Emergency Access to Telehealth Act. Hospice Face to Face Telehealth recertification. Patient Choice and Quality Care Act (draft legislation). Federal response to coronavirus pandemic, including: regulatory relief, PPE, testing, telehealth, Medicaid reimbursement, and homebound status. S. 2214, PROTECTS Act. Medicaid HCBS FMAP increase. HCBS Access Act (draft legislation). Additional funding for Provider Relief Fund. COVID-19 vaccine funding, administration, and distribution to the homebound. Increased minimum wage legislative proposals. H.R. 2903/S. 1512, CONNECT for Health Act of 2021. H.R. 3321/S. 1670, Credit for Caring Act of 2021. H.R. 3689/S. 234, Americans Giving Care to Elders (AGE) Act of 2021. COVID-19 Public Health Emergency/testing of hospice patients. H.R. 2565, Expanding Access to Palliative Care Act. H.R. 5514/S. 2562, Choose Home Care Act of 2021. H.R. 5376, Build Back Better Act. H.R. 4131/S.2210, Better Care Better Jobs Act. S. 2566, Improving Access to Transfusion Care for Hospice Patients Act of 2021. Draft legislation to remove advance care planning co-payments. Health information technology funding and standards for long-term post-acuter care providers. COVID-19 vaccine mandate. Palliative dialysis payment policy in Medicare hospice. H.R. 6698, Stop Unfair Medicaid Recoveries Act of 2022. H.R. 7053/S. 3792, Hospital Inpatient Services Modernization Act. Medicare Sequestration Moratoria. Hospice concurrent care policy. Community-based palliative care in CMMI alternative payment model demonstrations. H.R. 3173/S. 3018, Improving Seniors' Timely Access to Care Act.

Client expense: $220,000 · 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.1319, American Rescue Plan Act of 2021, To secure provider relief for assisted living and other senior congregate care communities; H.R.1799, PPP Extension Act of 2021, To extend the deadline for application of paycheck protection program loans for eligible senior living providers; H.R.842, Protecting the Right to Organize Act of 2021, To prevent legislation that would exacerbate workforce challenges among senior living providers; S.420, Protecting the Right to Organize Act of 2021, To prevent legislation that would exacerbate workforce challenges among senior living providers; H.R.1848, Leading Infrastructure for Tomorrow's America Act, To advance measures that will target national investments in the infrastructure needs of long-term care facilities; H.R.331, the Nurses CARE Act, to extend temporary nurse aide authorizations and meet care needs of seniors; H.R.4131, the Better Care Betters Jobs Act, to support investments in long-term care services specifically for home and community based services; S.2210, the Better Care Betters Jobs Act, to support investments in long-term care services specifically for home and community based services; H.R.5376, the Build Back Better Act, to support investments in long-term care services and workforce development; H.R.5823, the Pandemic Risk Insurance Act, to provide federal reinsurance for pandemic related losses and ensure availability of coverage related to pandemics; H.R.5963, he Provider Relief Fund Improvement Act, to release all available provider relief funds to reimburse expenses and losses attributed to COVID-19; H.R.6161, the Employee Retention Tax Credit Reinstatement Act, to restore eligibility for senior living providers to claim the tax credit that was ended prematurely, and help with workforce challenges; H.R.6530, the SENIOR Act of 2022, to provide targeted financial relief for senior living providers and workforce development grants to address staffing shortages; S.2415, the Long-Term Care Affordability Act, to provide additional tax-preferred savings options for Americans to plan for their long-term care needs; H.R.7107, the Long-Term Care Affordability Act, to provide additional tax-preferred savings options for Americans to plan for their long-term care needs; S.3799, PREVENT Pandemics Act, to plan for and better prepare for future pandemics and the impact on senior living operators; S.3611, the Provider Relief Fund Improvement Act, to release all available provider relief funds to reimburse expenses and losses attributed to COVID-19; S.4169, the Expanding Veterans Options for Long Term Care Act, to establish a pilot program to allow Veterans to access assisted living care services; H.R.447, the National Apprenticeship Act of 2021, to provide the DOL's Office of Apprenticeships statutory authority to address workforce shortages; H.R.3807, The Restaurant Revitalization Fund Replenishment Act of 2021, to provide supplemental relief for certain businesses impacted by COVID-19.

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

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

H.R. 525/S. 151, the COVID HCBS Relief Act of 2021 H.R. 1880, to amend the Deficit Reduction Act of 2005 to make permanent the Money Follows the Person Rebalancing Demonstration H.R. 2594, the Colorectal Cancer Payment Fairness Act H.R. 2999, the Direct CARE Opportunity Act H.R.4131, to amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, and for other purposes H.R. 2356/S. 2363, the Better Wound Care at Home Act H.R. 4937/S. 2646, the Disaster Relief Medicaid Act H.R. 6698, the Stop Unfair Medicaid Recoveries Act S. 1476, the SENIOR CARE Act S. 2210, the Better Care Better Jobs Act S. 2344, the Supporting Our Direct Care Workforce and Family Caregivers Act Discussions on interaction between Medicare Part B and Tricare for medically retired veterans

Client expense: $85,594 · Firm income: Not reported

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

1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding Medicare Part D coverage gap assistance, preventive care services, and dual eligible Medicare and Medicare beneficiaries 2. Proposals to create a premium support or voucher program under Medicare 3. Proposals to "means test" Medicare premiums and benefits 4. Proposals to change federal and state Medicaid cost sharing 5. Proposals to raise the Medicare eligibility age 6. Proposals regarding prescription drug costs for low income Medicare beneficiaries 7. Expansion of Medicare benefits to include hearing, vision, and dental benefits 8. Medicare Observation Status Regulations 9. Proposals to streamline Medicare enrollment during the COVID-19 pandemic 10. Proposals to permit Medicare prescription drug pricing negotiations 10. S. 245, States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021, entire bill 11. H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, entire bill 12. S. 782, Nursing Home Reform Modernization Act of 2021, entire bill 13. H.R. 4131, To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, entire bill 14. Demonstration projects for expanding home and community based services under Medicare and Medicaid 15. H.R. 4311, Medicare Dental, Vision, and Hearing Act of 2021, entire bill 16. H.R. 4811, Medicare Negotiation and Competitive Licensing Act of 2021, entire bill 17. H.R. 5260, Reduced Costs and Continued Cures Act, entire bill 18. H.R. 1676, Jack Reynolds Memory Medigap Expansion Act, entire bill 19. Proposals to adjust 2022 Medicare Part B premiums 20. H.R. 3650, Improving Access to Medicare Coverage Act of 2021, entire bill 21. Medicare Direct Contracting Entity (DCE)program 22. Medicare ACO Realizing Equity, Access, and Community Health (REACH) program 23. H.R. 6698, Stop Unfair Medicaid Recoveries Act of 2022, entire bill 24. Medicare regulations under the No Surprises Act 25. Proposals to cap insulin costs under Medicare

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

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

HR 4131 Better Care Better Jobs Act (all sctions of full text)(support) S 2210 Better Care Better Jobs Act (all sections of full text)(support) HR 5632 Long-Term Care Pharmacy Definition Act of 2021 (all sections of full text)(support) S 1574 Long-Term Care Pharmacy Definition Act of 2021 (all sections of full text)(support) S 3314 Supporting Medicare Providers Act of 2021 (all sections of full text) HR 6020 Supporting Medicare Providers Act of 2021 (all sections of full text) Discussions involving Medicare sequestration Discussions involving PAYGO S 2562 Choose Home Care Act of 2021 (all sections of full text) HR 5514 Choose Home Care Act of 2021 (all sections of full text) Monitored discussions involving Medicare prescription drug proposals Monitored discussions involving home health hospitals Monitored discussions involving hospice proposals

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid home and community-based services (HCBS); healthcare access, including to patient-preferred treatment, assistive technology devices and durable medical equipment; Better Care Better Jobs Act (H.R. 4131/ S. 2210);

Client expense: $45,000 · Firm income: Not reported

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

Medicaid home and community based services (HCBS); orphan & rare disease issues, including Orphan Drug Tax Credit; coverage restrictions; Better Care Better Jobs Act (H.R. 4131/S. 2210); 21st Century Cures Act (P.L. 114-255); Safe Step Act (H.R. 2163/ S. 464); Cures 2.0 (H.R. 6000); BENEFIT Act (H.R. 4472; S. 373); NIH research

Client expense: $45,000 · Firm income: Not reported

Government targets: 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), SENATE

Considerations for Medicare reimbursement of physician evaluation and management services involving primary and cognitive care and domiciliary sites of service. Better Care Better Jobs Act (H.R. 4131/S. 2210).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1: For the People Act of 2021, all provisions. H.R. 308: Secure and Fair Elections for Workers Act, all provisions. H.R. 447: National Apprenticeship Act of 2021, all provisions. H.R. 594: WORKER Act, all provisions. H.R. 842: Protecting the Right to Organize Act of 2021, all provisions. H.R. 848: GREEN Act of 2021, all provisions. H.R. 903: Rights for the TSA Workforce Act of 2021, all provisions. H.R. 998: Offshore Wind Jobs and Opportunity Act, all provisions. H.R. 1087: Shareholder Political Transparency Act of 2021, all provisions. H.R. 1275: National Right-to-Work Act, all provisions. H.R. 1284: FOCA Act, all provisions. H.R. 1319: American Rescue Plan Act of 2021, all provisions. H.R. 1334: DISCLOSE Act of 2021, all provisions. H.R. 1352: Water Affordability, Transparency, Equity, and Reliability Act of 2021, all provisions. H.R. 1537: Farm Workforce Modernization Act of 2021, all provisions. H.R. 1603: Farm Workforce Modernization Act of 2021, all provisions. H.R. 1902: Do Your Job Act of 2021, all provisions. H.R. 1948: VA Employee Fairness Act of 2021, all provisions. H.R. 2063: Protecting American Jobs Act, all provisions. H.R. 2403: To amend the Labor Management Relations Act to prohibit neutrality agreements, and for other purposes., all provisions. H.R. 2404: Cesar Chavez Commemorative Coin Act, all provisions. H.R. 2415: Orphaned Well Cleanup and Jobs Act of 2021, all provisions. H.R. 249: Protecting Federal Workers Act, all provisions. H.R. 2549: Tax Fairness for Workers Act, all provisions. H.R. 2586: Fire Fighters and EMS Employer-Employee Cooperation Act, all provisions. H.R. 2640: Union Member Protection Act, all provisions. H.R. 2644: Green New Deals for Cities Act of 2021, all provisions. H.R. 2664: Green New Deal for Public Housing Act, all provisions. H.R. 2670: The Civilian Climate Corps for Jobs and Justice Act, all provisions. H.R. 2919: THRIVE Act, all provisions. H.R. 2984: Investing in American Workers Act, all provisions. H.R. 3185: Save Local Business Act, all provisions. H.R. 3225: Public Safety Employer-Employee Cooperation Act, all provisions. H.R. 3473: Build Local, Hire Local Act, all provisions. H.R. 3640: Union Transparency and Accountability Act, all provisions. H.R. 3895: College Athlete Right to Organize Act, all provisions. H.R. 4131: Better Care Better Jobs Act, all provisions. H.R. 4442: Green New Deal for Public Schools Act of 2021, all provisions. H.R. 4497: Housing is Infrastructure Act of 2021, all provisions. H.R. 4502: 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 an, all provisions. H.R. 4839: Tribal Labor Sovereignty Act of 2021, all provisions. H.R. 4872: Zero-Emission Homes Act of 2021, all provisions. H.R. 5019: Creative Economy Revitalization Act, all provisions. H.R. 5020: Get Toxic Substances Out of Schools Act of 2021, all provisions. H.R. 5171: Freedom From Union Violence Act of 2021, all provisions. H.R. 5178: Truth in Employment Act of 2021, all provisions. H.R. 5332: Reclaiming the Solar Supply Chain Act of 2021, all provisions. H.R. 5495: Building Resilient Supply Chains Act, all provisions. H.R. 5727: Public Service Freedom to Negotiate Act of 2021, all provisions. H.R. 5896: Jobs for a Carbon Free Transportation System Act, all provisions. H.R. 6478: Supply Chain Resiliency Act, all provisions. H.R. 6492: Climate Resilience Workforce Act, all provisions. H.R. 6579: Teamwork for Employees and Managers Act of 2022, all provisions. H.R. 6608: Scratch Cooked Meals for Students Act, all provisions. H.R. 6662: EVs for All Act, all provisions. H.R. 6670: Schedules That Work Act, all provisions. H.R. 6699: Part-Time Worker Bill of Rights Act, all provisions. H.R. 6952: RAISE Act, all provisions. H.R. 7101: Prohibiting Anticompetitive Mergers Act of 2022, all provisions. H.R. 7111: Employee Privacy Protection Act, all provisions. H.R. 7194: Employee Rights Act, all provisions. H.R. 7309: Workforce Innovation and Opportunity Act of 2022, all provisions. H.R. 7388: Offshore Wind American Manufacturing Act of 2022, all provisions. H.R. 7390: Expanding Labor Representation in the Workforce System Act, all provisions. H.R. 7439: Energy Security and Independence Act of 2022, all provisions. H.R. 7510: National Education Association Charter Repeal Act, all provisions. H.R. 7543: Union Auto Workers Job Protection Act, all provisions. H.R. 8046: Cesar E. Chavez and the Farmworker Movement National Historical Park Act, all provisions. H.Res. 104: Recognizing the duty of the Federal Government to implement an agenda to Transform, Heal, and Renew by Investing in a Vibrant Economy ("THRIVE")., all provisions. S. 1: For the People Act of 2021, all provisions. S. 283: National Climate Bank Act, all provisions. S. 403: FOCA Act, all provisions. S. 406: National Right-to-Work Act, all provisions. S. 420: Protecting the Right to Organize Act of 2021, all provisions. S. 443: DISCLOSE Act of 2021, all provisions. S. 771: Department of Veterans Affairs Employee Fairness Act of 2021, all provisions. S. 805: Davis-Bacon Repeal Act, all provisions. S. 882: Protecting American Jobs Act, all provisions. S. 938: Climate Emergency Act of 2021, all provisions. S. 1218: Green New Deal for Public Housing Act, all provisions. S. 1244: Civilian Climate Corps for Jobs and Justice Act, all provisions. S. 1525: THRIVE Act, all provisions. S. 1636: Save Local Business Act, all provisions. S. 1827: Build Local, Hire Local Act, all provisions. S. 1856: Rights for the TSA Workforce Act of 2021, all provisions. S. 1929: College Athlete Right To Organize Act, all provisions. S. 2093: For the People Act of 2021, all provisions. S. 2104: Global Labor Support Act of 2021, all provisions. S. 2118: Clean Energy for America Act, all provisions. S. 2178: Fire Fighters and EMS Employer-Employee Cooperation Act, all provisions. S. 2210: Better Care Better Jobs Act, all provisions. S. 2671: DISCLOSE Act of 2021, all provisions. S. 2747: Freedom to Vote Act, all provisions. S. 2858: Creative Economy Revitalization Act, all provisions. S. 3208: Supply Chain Resiliency Act, all provisions. S. 3285: Protecting Americas Meatpacking Workers Act of 2021, all provisions. S. 3418: Comprehensive Addiction Resources Emergency Act of 2021, all provisions. S. 3464: National Right-to-Work Act, all provisions. S. 3585: Teamwork for Employees and Managers Act of 2022, all provisions. S. 3641: Part-Time Worker Bill of Rights Act, all provisions. S. 3642: Schedules That Work Act, all provisions. S. 3847: Prohibiting Anticompetitive Mergers Act of 2022, all provisions. S. 3889: Employee Rights Act, all provisions. S. 4013: Energy Security and Independence Act of 2022, all provisions. S. 4139: HEATR Act, all provisions. S. 4144: ICEE HOT Act of 2022, all provisions. S. 4192: No Tax Breaks for Union Busting (NTBUB) Act, all provisions. S. 1157: Tax Fairness for Workers Act, all provisions. S. 4213: FABRIC Act, all provisions. S. 4329: Reclaiming the Solar Supply Chain Act of 2022, all provisions. S.Res. 43: A resolution recognizing the duty of the Federal Government to implement an agenda to Transform, Heal, and Renew by Investing in a Vibrant Economy ("THRIVE")., all provisions. Letter to President Biden opposing Executive Order 14063

Client expense: $290,000 · Firm income: Not reported

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

Build Back Better Act - HR 5376 Support for programs during COVID-19 pandemic HR 1319, HR 4131 Better Care, Better Jobs Act, HR 5169/S.26994

Client expense: $375,513 · Firm income: Not reported

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

Medicare home health payment policy. Oppose home health and hospice payment cuts and co-pays. Home health rural add-on payment adjustment. Home Health Review Choice Demonstration Program. Hospice payment policy. CMMI VBID Medicare Advantage Carve-in proposal. Palliative Care and Hospice Education and Training Act (draft legislation). H.R. 2898/S. 1399, Homecare for Seniors Act. Medicaid payment and eligibility policy. Medicaid Money Follows the Person program. Medicaid protections against spousal impoverishments. Administration for Community Living falls prevention program. H.R. 3371/S. 1309, Home Health Emergency Access to Telehealth Act. Hospice Face to Face Telehealth recertification. Patient Choice and Quality Care Act (draft legislation). Federal response to coronavirus pandemic, including: regulatory relief, PPE, testing, telehealth, Medicaid reimbursement, and homebound status. S. 2214, PROTECTS Act. Medicaid HCBS FMAP increase. HCBS Access Act (draft legislation). Additional funding for Provider Relief Fund. COVID-19 vaccine funding, administration, and distribution to the homebound. Increased minimum wage legislative proposals. H.R. 2903/S. 1512, CONNECT for Health Act of 2021. H.R. 3321/S. 1670, Credit for Caring Act of 2021. H.R. 3689/S. 234, Americans Giving Care to Elders (AGE) Act of 2021. COVID-19 Public Health Emergency/testing of hospice patients. H.R. 2565, Expanding Access to Palliative Care Act. H.R. 5514/S. 2562, Choose Home Care Act of 2021. H.R. 5376, Build Back Better Act. H.R. 4131/S.2210, Better Care Better Jobs Act. S. 2566, Improving Access to Transfusion Care for Hospice Patients Act of 2021. Draft legislation addressing Medicare Advantage coverage at end of life. Health information technology funding and standards for long-term post-acuter care providers. COVID-19 vaccine mandate. Palliative dialysis payment policy in Medicare hospice. H.R. 4952, ChiPACC Act of 2021. H.R. 6000, Cures 2.0 Act. Long-term care health information technology modernization proposals. H.R. 6698, Stop Unfair Medicaid Recoveries Act of 2022. H.R. 7053/S. 3792, Hospital Inpatient Services Modernization Act. Medicare Sequestration Moratoria. H.R. 7053/S. 3792, Hospital Inpatient Services Modernization Act.

Client expense: $210,000 · Firm income: Not reported

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

No bill Number: Funding for IDEA Part D - support increased funding. HR 4131/S 2210 - Better Care Better Jobs Act: Support expansion of home and community based services including inclusion of occupational therapy as a required service and protection of the habilitation benefit. S 176 - Ensuring Understanding of COVID-19 to Protect Public Health Act: Support passage. No bill number: Inclusion of report language in FY23 Labor-HS appropriations bill allowing occupational therapy doctoral programs to participate in the Behavioral Health Workforce Education Training (BHWET) programs

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE