Ensuring Medicaid Continuity for Children in Foster Care Act of 2021

S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2689 and H.R. 5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). H.R.1201 - Increasing Behavioral Health Treatment Act - Repeals restrictions that generally prohibit federal payment under Medicaid for services provided in institutions for mental diseases (IMDs) for individuals under the age of 65. (Currently, states may receive payment for such services through certain mechanisms, such as through a Medicaid demonstration waiver.) FY2025 Appropriations Process

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2689 and H.R. 5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). H.R.1201 - Increasing Behavioral Health Treatment Act - Repeals restrictions that generally prohibit federal payment under Medicaid for services provided in institutions for mental diseases (IMDs) for individuals under the age of 65. (Currently, states may receive payment for such services through certain mechanisms, such as through a Medicaid demonstration waiver.) FY2025 Appropriations Process

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2689 and H.R. 5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). H.R.1201 - Increasing Behavioral Health Treatment Act - Repeals restrictions that generally prohibit federal payment under Medicaid for services provided in institutions for mental diseases (IMDs) for individuals under the age of 65. (Currently, states may receive payment for such services through certain mechanisms, such as through a Medicaid demonstration waiver.) FY2025 Appropriations Process

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.

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

S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.

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

S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). S. 1351 - Stop Institutional Child Abuse Act - Establishes an interagency federal work group on youth residential programs to improve the dissemination and implementation of data and best practices regarding the health and safety, care, treatment, and appropriate placement of youth in youth residential programs.

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

S.2689 - H.R.5414 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY23 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Sudden Unexpected Infant Death and Sudden Death in Childhood, Vaccine Injury Compensation Program, VACCINES Act, Antimicrobial Resistance, Maternal and Child Health, School Based Health Centers COVID-19 Supplemental Appropriations H.R.482 / S.350 - Newborn Screening Saves Lives Reauthorization Act FY23 National Defense Authorization Act and Halting Reductions to Military Medical Personnel Defense Health Agency - Autism Care Demonstration H.R.5551 - Improving the Health of Children Act H.R.2347 / S.2691 - Strengthening the Vaccines for Children Program Act of 2021 Childrens Literacy Initiative on Military Bases (CLIMB) Act of 2022 - H.R. 8208 Advancing FASD Research, Services and Prevention Act - S. 2238 / H.R. 4151 Banning Electronic Stimulation Devices - FDA User Fee Bills (H.R. 7667/S. 4348) MIECHV - The Jackie Walorski Maternal and Child Home Visiting Reauthorization Act (H.R. 8876) SSI Savings Penalty Elimination Act (S. 4102) Data on Interactions and Accountability for Law Enforcement with Individuals with Disabilities Act (S. 5107) Augmentative and Alternative Communication Centers to Establish National Training Act (S.2) Equitable Community Access to Pharmacist Services Act (H.R. 7213) Banning electric shock devices Kids Online Safety Act (S. 3663) Children and Teens Online Privacy Protection Act (S. 3663) Privacy and design protections for children and adolescents online Rulemaking Petition on Engagement Optimizing Digital Design Practices Used on Minors Pediatric Subspecialty Loan Repayment Program Implementation (Health Resources and Services Administration) Pediatric Research Priorities at Advanced Research Projects Agency for Health Tobacco Policy Priorities (Flavored products, premarket review, product perception studies) FY 2023 Appropriations for Centers for Disease Control and Prevention Office on Smoking and Health Mainstreaming Addiction Treatment Act (H.R. 1384/S. 445) FY 2023 Funding for National Institutes of Health Accuracy of Pulse Oximetry in Children of Color Gun Violence Prevention Research Funding Child passenger safety (H.R. 5736) Appropriations for the Indian Health Service Maternal, Infant, and Early Childhood Home Visiting Program (including Jackie Walorski MIECHV Reauthorization Act of 2022 (H.R. 8876)) Infant sleep product safety (S. 1259, H.R. 3182) Lead exposure prevention Food safety Paid family and medical leave Regulation of high-powered magnet sets Climate change, Inflation Reduction Act Vehicle Emissions Standards Button battery ingestions (H.R. 5313, S. 3278) Early childhood education Access to genetic sequencing Child product safety and injury prevention Furniture tip-overs (S. 441, H.R. 1314) Child Abuse Prevention and Treatment Act reauthorization, CAPTA Reauthorization Act of 2021 CAPTA Plans of safe care grants Family First Prevention Services Act implementation (House, Senate, ACF) Issues related to the COVID-19 pandemic and providing supports for the child welfare community (House, Senate, and ACF) CAPTA Fatalities Prevention and Response (House, Senate, and HHS) Title IV-B Reauthorization Ensuring Medicaid continuity for Children in Foster Care Act (S. 2689/H.R. 5414) Congregate care reform Mental health supports for foster youth/former foster youth Indian Child Welfare Act & Title IV-B (H.R. 8954) Mercury and Air Toxics Standards, ozone and particulate matter NAAQS, EPA greenhouse gas regulation Appropriations - global child and youth-focused global health subaccounts at USAID (Vulnerable Children, Maternal and Child Health, Nutrition) Global Child Thrive Act Implementation Strengthening Efforts to End Violence Against Children Act Reach Every Mother and Child Act International Children with Disabilities Protection Act Standards in ORR Custody Licensure of ORR Shelters Public Charge Child Nutrition Reauthorization/WIC SNAP Mental Health for Children H.R. 6, DREAM Act Medical Nutrition Equity Act Donor Human Milk Lift the Bar Act CARE for Families Act HR 3107 WIC Act Breastfeeding Peer Counseling Program Public Health Preparedness and Response Research for Pregnant and Lactating Women Funding for Pediatric Device Consortia Funding for Emergency Medical Services for Children Program Funding for HRSA Pediatric Mental Health Care Access Program PUMP Act DEMAND Act Dietary Guidelines Child Poverty Coronavirus Response Legislation Child Poverty Reduction Act Suicide Prevention Child Nutrition Waivers School Meal Standards WIC Food Packages Universal School Meals Equality Act Mental Health Services for Students Act Youth Mental Health and Suicide Prevention Act Child Tax Credit Supporting Childrens Mental Health Care Access Act Infant Formula Shortage White House Conference on Hunger, Nutrition, and Health Mental Health Reform Reauthorization Act Restoring Hope for Mental Health and Well-Being Act Gender Affirming Care Safety of Pediatricians and Childrens Hospitals Emergency Vacating of Aircraft Cabin (EVAC) Act Same Day Billing Restrictions in Mental Health Senate Finance Committee Mental Health Discussion Drafts 12-Month Continuous Eligibility for Children in Medicaid/CHIP Easy Enrollment in Health Care Act of 2021 (Senate) Accelerating Kids Access to Care Act (H.R. 3089/S. 1544) Connect for Health Act of 2021 Medicaid Payment Parity H.R. 2347, Strengthening the Vaccines for Children Program Act HR 1025, the Kids Access to Primary Care Act S. 1833 The Ensuring Access to Primary Care for Women and Children Act of 2021 Medicaid Maintenance of Effort (MOE) Protections Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act (H.R.66) H.R. 1791 Childrens Health Insurance Program Permanency (CHIPP) Act Stabilize Medicaid and CHIP Coverage Act (H.R. 1738) Permanent CHIP Funding Extension Permanent Extension of Express Lane Eligibility Option Medicaid Reentry Act Medicaid Funding for the Territories HR 3089/S 1544 The Accelerating KidsAccess to Care Act (AKACA) Expanding Medicaid HCBS Services for Children Access to Care in Medicaid/CHIP Maternal Health H.R. 4996 Helping Moms Act H.R.4995 - Maternal Health Quality Improvement Act of 2020 Postpartum Medicaid Extension and Maternal Health Improvements Closing the Medicaid Coverage Gap Adult Medicaid Vaccine Access Increased Funding for Childrens Hospitals Graduate Medical Education COVID-19 Response (House, Senate, HHS, CMS) Medicaid/CHIP Eligibility Redeterminations post PHE Medicaid Unwinding Payment for COVID-19 Vaccine Counseling Coding Changes for COVID-19 Counseling Payment

Public Law 117-328, Consolidated Appropriations Act, FY2023, Foster Family Skills Training H.R.8295/S.4659, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, FY2023, Foster Family Skills Training Monitor the following: H.R.5414/S.2689, Ensuring Medicaid Continuity for Children in Foster Care Act of 2021, Title IV-E Foster care related issues Public Law 117-103, Consolidated Appropriations Act, FY2022, Foster Care related issues H.R.5661, Continued State Flexibility To Assist Older Foster Youth Act, Title IV-E Foster care related issues H.R.4502, The National Adoption and Foster Care Homes Study Act, Title IV-E Foster care related issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor the following: H.R.5414/S.2689, Ensuring Medicaid Continuity for Children in Foster Care Act of 2021, Title IV-E Foster care related issues Public Law 117-103, Consolidated Appropriations Act, FY2022, Foster Care related issues H.R.5661, Continued State Flexibility To Assist Older Foster Youth Act, Title IV Foster Care related issues H.R.4502, The National Adoption and Foster Care Homes Study Act, Title Foster Care related issues Temporary Assistance for Needy Families (TANF) Child care issues, generally Public Law 117-169, Inflation Reduction Act, Human services

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

H.R. 2903/S. 1512, The CONNECT for Health Act and H.R. 1332/S. 368, The Telehealth Modernization Act, as they relate to telehealth. H.R. 2455, The Resetting the Impact (TRIA) Act, as it relates to payments for post-acute care providers. S. 2021/H.R. 3806, The SAFE Hospitals Act of 2021, as it relates to Medicaid disproportionate share hospital payments. S. 2689/H.R. 5414, Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 and issues related to the Medicaid institutions for mental diseases exclusion. H.R. 2256/S. 834, The Resident Physician Shortage Reduction Act of 2021. H.R. 4407/S. 1568, Technical Reset to Advance the Instruction of Nurses (TRAIN) Act. S. 2069/H.R. 4323, Excellence in Mental Health Addiction Treatment Act. Monitored H.R.432, Mental Health Access Improvement Act. Issues involving mandatory COVID vaccines for health care providers. Issues related to Medicare sequestration. Issues related to the Hospital Inpatient Prospective Payment System (IPPS) rule for Fiscal Year 2023. H.R. 7053 / S. 3792, Hospital Inpatient Services Modernization Act and issues related to Acute Hospital Care at Home program. H.R. 2617 (P.L. 117-328), the Consolidated Appropriations Act of 2023, as it relates to Medicare Dependent Hospitals, Low Volume Hospital Payments, telehealth flexibilities, the Acute Hospital Care at Home program, and graduate medical education residency positions. Issues related to Medicaid payments for safety net providers.

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

General children's health issues and Medicaid Improved access through Medicaid for youth in foster care to a child welfare specialty plan Interaction between certain group homes and the Institutions for Mental Disease (IMD) exclusion -- advocated for exemption for certain group homes (Qualified Residential Treatment Programs) QRTPs from the IMD exclusion HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 Monitored and gave input on Senate Finance Committee efforts to improve access to mental and behavioral health services -- advocated for inclusion of a Medicaid specialty plan for children and youth in foster care.

Client expense: Not reported · Firm income: $24,000

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

General federal child welfare policy Legislation to improve access for foster youth to obtain a driver's license Proposal to help facilitate access to a child welfare specialty plan for health purposes Monitored and gave input on Senate Finance Committee efforts to improve mental and behavioral health access to children and youth -- advocated for inclusion of a Medicaid specialty plan for children and youth in foster care. Lobbied in support of HR 7932/S. 5052 -- participated in public events and coalitions in support of the legislation General implementation of the Family First Prevention Services Act (FFPSA) Bills -- HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 HR 7932/S. 5051 The Foster Youth and Driving Act H.R. 6657 -- Protecting Sibling Relationships in Foster Care Act of 2022

Client expense: Not reported · Firm income: $24,000

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Child welfare issues in general Implementation of the Family First Prevention Services Act -- included in PL 115-123; in general and specifically referring to the interaction between certain foster care placements and Medicaid law. Reauthorization of Title IV-B of the Social Security Act -- met with Congressional staff and relayed recommendations compiled by LACo Dept of Children and Family Services to Congressional offices Monitored the reauthorization of the Child Abuse Prevention and Treatment Act (CAPTA)-- Monitored the Senate Finance Committee Request for Information on Mental and Behavioral Health Monitored CMS guidance on Medicaid 1115 Waiver specifically serious mental illness/serious emotional disturbance (SMI/SED) and the implications for foster care groups home and interaction with the Institutions for Mental Disease exemption - advocated for legislation to address the issue. Researched and engaged Congressional staff on issues associated with the issuance of Social Security cards to children and youth in foster care. Advocated for an administrative resolution of the issue. Monitored action on the Maternal Infant and Early Childhood Home Visiting Program (MIECHV) Provided Congressional staff analysis and technical assistance on education stability and kinship navigation services Advocated in support of efforts to eliminate the AFDC income eligibility for foster care Bills -- HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 HR 5856 -- 21st Century Children and Families Act HR 4299 - Foster Care Stabilization Act S. 1927/HR 485 CAPTA Reauthorization H.R. 8177 - Access to Foster Care to 21 Act H.R. 5856 -- Children's Safe Welcome Act of 2022 H.R. 8954 -- Strengthening Tribal Families Act of 2022 H.R. 8876 The Jackie Walorski Maternal and Child Home Visiting Reauthorization H.R. 9549 -- Fostering Secure Family Partnership Act Advocated on County child welfare priorities for inclusion in the end of year Omnibus spending bill -- P.L. 117-328

Monitored and gave input relative to Congressional action on Mental and Behavioral health issues. Monitored and provided analysis of Institutions of Mental Disease (IMD) in general and the interaction between IMDs and certain congregate care facilities (Qualified Residential Treatment Programs) in specific. Advocated for federal and/on administrative relief -- specifically exempting QRTPs from the IMD exclusion. Bills -- S. 2689/HR 5414 -- Ensuring Medicaid Continuity for Children in Foster Care Act of 2021

Client expense: Not reported · Firm income: $36,000

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

FY23 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Sudden Unexpected Infant Death and Sudden Death in Childhood, Vaccine Injury Compensation Program, VACCINES Act, Antimicrobial Resistance, Maternal and Child Health, School Based Health Centers Child passenger safety (H.R. 5736) Appropriations for the Indian Health Service Maternal, Infant, and Early Childhood Home Visiting Program (including Jackie Walorski MIECHV Reauthorization Act of 2022 (H.R. 8876)) Infant sleep product safety (S. 1259, H.R. 3182) Lead exposure prevention Food safety Paid family and medical leave Climate Change Reduction Act Button battery ingestions (H.R. 5313, S. 3278) Early Childhood education Child product safety and injury prevention Furniture tip-overs (S. 441, H.R. 1314) Child Abuse Prevention and Treatment Act reauthorization, CAPTA Reauthorization Act of 2021 CAPTA Plans of safe care grants Family First Prevention Services Act implementation Issues related to the COVID-19 pandemic and providing supports for the child welfare community CAPTA Fatalities Prevention and Response Title IV-B Reauthorization Ensuring Medicaid continuity for Children in Foster Care Act (S. 2689/H.R. 5414) Congregate care reform Mental health supports for foster youth/former foster youth Indian Child Welfare Act & Title IV-B (H.R. 8954) Regulation of high-powered magnet sets Vehicle emissions standards Access to genetic sequencing 12-Month Continuous Eligibility for Children in Medicaid/CHIP Easy Enrollment in Health Care Act of 2021 Provider Relief Fund Reporting Requirements Accelerating Kids Access to Care Act (H.R. 3089/S. 1544) Connect for Health Act of 2021 Medicaid Payment Parity Standards in CBP Custody Standards in ICE Family Detention Standards in ORR Custody Licensure of ORR Shelters Emergency Intake Sites Public Charge Child Nutrition Reauthorization/WIC SNAP Mental Health for Children H.R. 6, DREAM Act Family Separation and Detention Medical Nutrition Equity Act Lift the Bar Act Donor Human Milk CARE for Families Act HR 3107 WIC Act Keep Families Together Act Breastfeeding Peer Counseling Program Public Health Preparedness and Response Research for Pregnant and Lactating Women Funding for Pediatric Device Consortia Funding for Emergency Medical Services for Children Program Funding for HRSA Pediatric Mental Health Care Access Program PUMP Act DEMAND Act Dietary Guidelines Child Poverty Coronavirus Response Legislation Asylum Child Poverty Reduction Act Suicide Prevention Child Nutrition Waivers Universal School Meals Equality Act Mental Health Services for Students Act Youth Mental Health and Suicide Prevention Act Child Tax Credit Comprehensive Mental Health in Schools Pilot Program Supporting Childrens Mental Health Care Access Act Protect Infants from Formula Shortages Act Infant Formula Shortage White House Conference on Hunger, Nutrition, and Health Restoring Hope for Mental Health and Well-Being Act Mental Health Reform Reauthorization Act Safety of Pediatricians and Childrens Hospitals Gender Affirming Care FY23 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Sudden Unexpected Infant Death and Sudden Death in Childhood, Vaccine Injury Compensation Program, VACCINES Act, Antimicrobial Resistance, Maternal and Child Health, School Based Health Centers COVID-19 Supplemental Appropriations H.R.482 / S.350 - Newborn Screening Saves Lives Reauthorization Act H.R.5551 - Improving the Health of Children Act H.R.2347 / S.2691 - Strengthening the Vaccines for Children Program Act of 2021 Childrens Literacy Initiative on Military Bases (CLIMB) Act of 2022 - H.R. 8208 Advancing FASD Research, Services and Prevention Act - S. 2238 / H.R. 4151 Banning Electronic Stimulation Devices - FDA User Fee Bills (H.R. 7667/S. 4348) Defense Health Agency - Autism Care Demonstration SSI Savings Penalty Elimination Act (S. 4102) FY23 National Defense Authorization Act and Halting Reductions to Military Medical Personnel Kids Online Safety Act (S. 3663) Children and Teens Online Privacy Protection Act (S. 1628) Pediatric Subspecialty Loan Repayment Program Implementation Eunice Kennedy Shriver National Institute of Child Health and Human Development FY 2023 Funding Census Bureau FY 2023 Funding Accelerating Kids Access to Care Act (H.R. 3089/S. 1544) Conrad State 30 and Physician Access Reauthorization Act (H.R. 3541/S. 1810) Clinical Trial Coverage Act (H.R. 8546) American Data Privacy and Protection Act (H.R. 8152) Department of Health and Human Services Office of Adolescent Health Fiscal Year (FY) 2023 Funding Medical Marijuana and Cannabidiol Research Expansion Act (H.R. 8454) Mainstreaming Addiction Treatment Act (H.R. 1384/S. 445) E-Cigarette and Tobacco Product Regulation (FDA) FY 2024 Funding for Adolescent Sexual and Reproductive Health Programs (White House Office of Management and Budget) Strengthening Efforts to End Violence Against Children Act International Children with Disabilities Protection Act Reach Every Mother and Child Act Appropriations - global child and youth-focused global health subaccounts at USAID (Vulnerable Children, Maternal and Child Health, Nutrition) Global Child Thrive Act Implementation

H.R. 2903/S. 1512, The CONNECT for Health Act and H.R. 1332/S. 368, The Telehealth Modernization Act, as they relate to telehealth. H.R. 2455, The Resetting the Impact (TRIA) Act, as it relates to payments for post-acute care providers. S. 2021/H.R. 3806, The SAFE Hospitals Act of 2021, as it relates to Medicaid disproportionate share hospital payments. S. 2689/H.R. 5414, Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 and issues related to the Medicaid institutions for mental diseases exclusion. H.R. 2256/S. 834, The Resident Physician Shortage Reduction Act of 2021. H.R. 4407/S. 1568, Technical Reset to Advance the Instruction of Nurses (TRAIN) Act. H.R. 5376, the Build Back Better Act, as it relates to Uncompensated Care Pools and Disproportionated Share Hospital Payments. S. 2069/H.R. 4323, Excellence in Mental Health Addiction Treatment Act. Monitored H.R.432, Mental Health Access Improvement Act. Issues involving mandatory COVID vaccines for health care providers. Issues related to Medicare sequester relief. Issues related to the extension of telehealth flexibilities. Issues related to the Hospital Inpatient Prospective Payment System (IPPS) proposed rule for Fiscal Year 2023. S. 2938, Bipartisan Safer Communities Act, as it relates to certified community behavioral health centers.

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

H.R. 2903/S. 1512, The CONNECT for Health Act and H.R. 1332/S. 368, The Telehealth Modernization Act, as they relate to telehealth. H.R. 2455, The Resetting the Impact (TRIA) Act, as it relates to payments for post-acute care providers. S. 2021/H.R. 3806, The SAFE Hospitals Act of 2021, as it relates to Medicaid disproportionate share hospital payments. S. 2689/H.R. 5414, Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 and issues related to the Medicaid institutions for mental diseases exclusion. H.R. 2256/S. 834, The Resident Physician Shortage Reduction Act of 2021. H.R. 4407/S. 1568, Technical Reset to Advance the Instruction of Nurses (TRAIN) Act. H.R. 5376 (P.L. 117-169), the Inflation Reduction Act, as it relates to Uncompensated Care Pools and Disproportionated Share Hospital Payments. S. 2069/H.R. 4323, Excellence in Mental Health Addiction Treatment Act. Monitored H.R.432, Mental Health Access Improvement Act. Issues involving mandatory COVID vaccines for health care providers. Issues related to Medicare sequester relief. Issues related to the extension of telehealth flexibilities. Issues related to the Hospital Inpatient Prospective Payment System (IPPS) proposed rule for Fiscal Year 2023. H.R. 7053 / S. 3792, Hospital Inpatient Services Modernization Act and issues related to hospital at home program. H.R. 6833, Making Continuing Appropriations for FY 2023 and for other purposes, and issues related to Medicare Dependent Hospitals and Low Volume Hospital Payments.

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

Monitor the following: H.R.5414/S.2689, Ensuring Medicaid Continuity for Children in Foster Care Act of 2021, Title IV-E Foster care related issues Public Law 117-103, Consolidated Appropriations Act, FY2022, Foster Care related issues H.R.5661, Continued State Flexibility To Assist Older Foster Youth Act, Title IV Foster Care related issues H.R.4502, The National Adoption and Foster Care Homes Study Act, Title Foster Care related issues Temporary Assistance for Needy Families (TANF) Child care issues, generally Public Law 117-169, Inflation Reduction Act, Human services

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

Monitor the following: H.R.8295/S.4659, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, FY2023, Child Safety reporting system; and Foster Family Skills Training H.R.5414/S.2689, Ensuring Medicaid Continuity for Children in Foster Care Act of 2021, Title IV-E Foster care related issues Public Law 117-103, Consolidated Appropriations Act, FY2022, Foster Care related issues H.R.5661, Continued State Flexibility To Assist Older Foster Youth Act, Title IV-E Foster care related issues H.R.4502, The National Adoption and Foster Care Homes Study Act, Title IV-E Foster care related issues

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

General children's health issues and Medicaid Improved access through Medicaid for youth in foster care to a child welfare specialty plan Interaction between certain group homes and the Institutions for Mental Disease (IMD) exemption HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 Monitored and gave input on Senate Finance Committee efforts to improve access to mental and behavioral health servies

Client expense: Not reported · Firm income: $24,000

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

General federal child welfare policy Legislation to improve access for foster youth to obtain a driver's license Proposal to help facilitate access to a child welfare specialty plan for health purposes Monitored and gave input on Senate Finance Committee efforts to improve mental and behavioral health access to children and youth Lobbied in support of HR 7932/S. 5052 -- participated in public events and coalitions in support of the legislation General implementation of the Family First Prevention Services Act (FFPSA) Bills -- HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 HR 7932/S. 5051 The Foster Youth and Driving Act H.R. 6657 -- Protecting Sibling Relationships in Foster Care Act of 2022

Client expense: Not reported · Firm income: $24,000

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Child welfare issues in general Implementation of the Family First Prevention Services Act -- included in PL 115-123; in general and specifically referring to the interaction between certain foster care placements and Medicaid law. Reauthorization of Title IV-B of the Social Security Act -- met with and relayed recommendations compiled by LACo Dept of Children and Family Services to Congressional offices Monitored the reauthorization of the Child Abuse Prevention and Treatment Act (CAPTA)-- Monitored the Senate Finance Committee Request for Information on Mental and Behavioral Health Monitored CMS guidance on Medicaid 1115 Waiver specifically serious mental illness/serious emotional disturbance (SMI/SED) and the implications for foster care groups home and interaction with the Institutions for Mental Disease exemption - advocated for legislation to address the issue. Researched and engaged Congressional staff on issues associated with the issuance of Social Security cards to children and youth in foster care. Advocated for an administrative resolution of the issue. Monitored action on the Maternal Infant and Early Childhood Home Visiting Program (MIECHV) Provided Congressional staff analysis and technical assistance on education stability and kinship navigation services Bills -- HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 HR 5856 -- 21st Century Children and Families Act HR 4299 - Foster Care Stabilization Act S. 1927/HR 485 CAPTA Reauthorization H.R. 8177 - Access to Foster Care to 21 Act H.R. 5856 -- Children's Safe Welcome Act of 2022 H.R. 8954 -- Strengthening Tribal Families Act of 2022 H.R. 8876 The Jackie Walorski Maternal and Child Home Visiting Reauthorization

Client expense: Not reported · Firm income: $36,000

12-Month Continuous Eligibility for Children in Medicaid/CHIP Easy Enrollment in Health Care Act of 2021 Provider Relief Fund Reporting Requirements Accelerating Kids Access to Care Act (H.R. 3089/S. 1544) Connect for Health Act of 2021 Medicaid Payment Parity Coronavirus Medicaid Response Act (S. 4108) H.R. 2347, Strengthening the Vaccines for Children Program Act HR 1025, the Kids Access to Primary Care Act S. 1833 The Ensuring Access to Primary Care for Women and Children Act of 2021 Medicaid Maintenance of Effort (MOE) Protections Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act (H.R.66) H.R. 1791 Childrens Health Insurance Program Permanency (CHIPP) Act Stabilize Medicaid and CHIP Coverage Act (H.R. 1738) Permanent CHIP Funding Extension Permanent Extension of Express Lane Eligibility Option Pediatrics Home and Community-Based Services (HCBS) in Medicaid Medicaid Reentry Act Accelerating Kids Access to Care Act Expanding Medicaid HCBS Services for Children Access to Care in Medicaid/CHIP Maternal Health H.R. 4996 Helping Moms Act H.R.4995 - Maternal Health Quality Improvement Act of 2020 Postpartum Medicaid Extension and Maternal Health Improvements Closing the Medicaid Coverage Gap Adult Medicaid Vaccine Access Increased Funding for Childrens Hospitals Graduate Medical Education COVID-19 Response Medicaid/CHIP Eligibility Redeterminations post PHE Build Back Better Act Payment for COVID-19 Vaccine Counseling Coding Changes for COVID-19 Counseling Payment Standards in CBP Custody Standards in ICE Family Detention Standards in ORR Custody Licensure of ORR Shelters Emergency Intake Sites Public Charge Child Nutrition Reauthorization/WIC SNAP Mental Health for Children H.R. 6, DREAM Act Family Separation and Detention Medical Nutrition Equity Act Build Back Better Act Lift the Bar Act CARE for Families Act HR 3107 WIC Act Keep Families Together Act Breastfeeding Peer Counseling Program Public Health Preparedness and Response Research for Pregnant and Lactating Women Funding for Pediatric Device Consortia Funding for Emergency Medical Services for Children Program Funding for HRSA Pediatric Mental Health Care Access Program PUMP Act DEMAND Act Dietary Guidelines Child Poverty Coronavirus Response Legislation Asylum Child Poverty Reduction Act Suicide Prevention CBP Medical Services Contract Child Nutrition Waivers School Meal Standards Universal School Meals Equality Act Mental Health Services for Students Act Medicaid Bump Act Youth Mental Health and Suicide Prevention Act Child Tax Credit Comprehensive Mental Health in Schools Pilot Program Supporting Childrens Mental Health Care Access Act Protect Infants from Formula Shortages Act Infant Formula Shortage White House Conference on Hunger, Nutrition, and Health Mental Health Reform Reauthorization Act Restoring Hope for Mental Health and Well-Being Act FY23 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Sudden Unexpected Infant Death and Sudden Death in Childhood, Vaccine Injury Compensation Program, VACCINES Act, Antimicrobial Resistance, Maternal and Child Health, School Based Health Centers COVID-19 Supplemental Appropriations H.R.482 / S.350 - Newborn Screening Saves Lives Reauthorization Act FY23 National Defense Authorization Act and Halting Reductions to Military Medical Personnel Defense Health Agency - Autism Care Demonstration H.R.6783 - Autism Family Caregiver Act H.R.5551 - Improving the Health of Children Act H.R.5561 / S.4052 - Early Hearing Detection and Intervention Act of 2021 H.R.2347 / S.2691 - Strengthening the Vaccines for Children Program Act of 2021 Childrens Literacy Initiative on Military Bases (CLIMB) Act of 2022 - H.R. 8208 Advancing FASD Research, Services and Prevention Act - S. 2238 / H.R. 4151 Home and Community Based Services - Reconciliation Bill Banning Electronic Stimulation Devices - FDA User Fee Bills (H.R. 7667/S. 4348) Womens Health Protection Act (H.R. 3755/S. 1975) Kids Online Safety Act (S. 3663) Children and Teens Online Privacy Protection Act (S. 1628) Kids PRIVCY Act (H.R. 4801) KIDS Act (H.R. 5439/S. 2918) American Data Privacy and Protection Act (H.R. 8152) Pediatric Subspecialty Loan Repayment Program Implementation Regulation of Menthol Cigarettes and Flavored Cigars Premarket Tobacco Product Application Process for E-Cigarettes Sickle Cell Disease Comprehensive Care Act (H.R. 6216/S. 3389) FY 2023 Funding for HHS Office of Adolescent Health FY 2023 Funding for Pediatric Subspecialty Loan Repayment Program FY 2023 Funding for Eunice Kennedy Shriver National Institute of Child Health and Human Development Appropriations - global child and youth-focused global health subaccounts at USAID (Vulnerable Children, Maternal and Child Health, Nutrition) and CDC Global Immunization Division Global Child Thrive Act Implementation Strengthening Efforts to End Violence Against Children Act Reach Every Mother and Child Act Gun violence prevention research funding Child passenger safety (H.R. 5736) Appropriations for the Indian Health Service Maternal, Infant, and Early Childhood Home Visiting Program Infant sleep product safety (S. 1259, H.R. 3182) Lead exposure prevention Food safety Paid family and medical leave Regulation of high-powered magnet sets Climate change Vehicle emissions standards Button battery ingestions (H.R. 5313, S. 3278) Early childhood education Access to genetic sequencing Child product safety and injury prevention Furniture tip-over prevention Child Abuse Prevention and Treatment Act reauthorization, CAPTA Reauthorization Act of 2021 CAPTA Plans of safe care grants Family First Prevention Services Act implementation Issues related to the COVID-19 pandemic and providing supports for the child welfare community CAPTA Fatalities Prevention and Response Title IV-B Reauthorization Ensuring Medicaid continuity for Children in Foster Care Act (S. 2689/H.R. 5414) Congregate care reform Mental health supports for foster youth/former foster youth

H.R. 2903/S. 1512, The CONNECT for Health Act and H.R. 1332/S. 368, The Telehealth Modernization Act, as they relate to telehealth. H.R. 2455, The Resetting the Impact (TRIA) Act, as it relates to payments for post-acute care providers. S. 2021/H.R. 3806, The SAFE Hospitals Act of 2021, as it relates to Medicaid disproportionate share hospital payments. S. 2689/H.R. 5414, Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 and issues related to the Medicaid institutions for mental diseases exclusion. H.R. 2256/S. 834, The Resident Physician Shortage Reduction Act of 2021. H.R. 4407/S. 1568, Technical Reset to Advance the Instruction of Nurses (TRAIN) Act. H.R. 5376, the Build Back Better Act, as it relates to Uncompensated Care Pools and Disproportionated Share Hospital Payments. S. 2069/H.R. 4323, Excellence in Mental Health Addiction Treatment Act. Monitored H.R.432, Mental Health Access Improvement Act. Issues involving mandatory COVID vaccines for health care providers. Issues related to Medicare sequester relief. Issues related to the extension of telehealth flexibilities. Issues related to the Hospital Inpatient Prospective Payment System (IPPS) proposed rule for Fiscal Year 2023. S. 2938, Bipartisan Safer Communities Act, as it relates to certified community behavioral health centers.

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

Monitor the following: H.R.5414/S.2689, Ensuring Medicaid Continuity for Children in Foster Care Act of 2021, Title IV-E Foster care related issues Public Law 117-103, Consolidated Appropriations Act, FY2022, Foster Care related issues H.R.5661, Continued State Flexibility To Assist Older Foster Youth Act, Title IV Foster Care related issues H.R.4502, The National Adoption and Foster Care Homes Study Act, Title Foster Care related issues Temporary Assistance for Needy Families (TANF) Child care issues, generally H.R.5376, Build Back Better Act, Human services

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

Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, FY2023, Child Safety reporting system; and Foster Family Skills Training Monitor the following: H.R.5414/S.2689, Ensuring Medicaid Continuity for Children in Foster Care Act of 2021, Title IV-E Foster care related issues Public Law 117-103, Consolidated Appropriations Act, FY2022, Foster Care related issues H.R.5661, Continued State Flexibility To Assist Older Foster Youth Act, Title IV-E Foster care related issues H.R.4502, The National Adoption and Foster Care Homes Study Act, Title IV-E Foster care related issues

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

Government targets: HOUSE OF REPRESENTATIVES

General children's health issues and Medicaid Improved access through Medicaid for youth in foster care to a child welfare specialty plan Interaction between certain group homes and the Institutions for Mental Disease (IMD) exemption HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 Monitored and gave input on Senate Finance Committee efforts to improve access to mental and behavioral health servies

Client expense: Not reported · Firm income: $24,000

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

A General federal child welfare policy Access for foster youth to obtain a driver's license Proposal to help facilitate access to a child welfare specialty plan for health purposes General implementation of the Family First Prevention Services Act (FFPSA) HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 HR 7932 The Foster Youth and Driving Act Monitored and gave input on Senate Finance Committee efforts to improve mental and behavioral health access to children and youth Lobbied in support of HR 7932 -- participated in public events in support of the legislation

Client expense: Not reported · Firm income: $24,000

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Child welfare issues in general Implementation of the Family First Prevention Services Act -- included in PL 115-123; in general and specifically referring to the interaction between certain foster care placements and Medicaid law. Reauthorization of Title IV-B of the Social Security Act -- relayed recommendations compiled by LACo Dept of Children and Family Services to Congressional offices Monitored the reauthorization of the Child Abuse Prevention and Treatment Act (CAPTA)-- Monitored the Senate Finance Committee Request for Information on Mental and Behavioral Health Monitored CMS guidance on Medicaid 1115 Waiver specifically serious mental illness/serious emotional disturbance (SMI/SED) and the implications for foster care groups home and interaction with the Institutions for Mental Disease exemption Researched and engaged Congressional staff on issues associated with the issuance of Social Security cards to children and youth in foster care. Bills -- HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 HR 1658 - To Amend the Child Abuse Prevention and Treatment Act to promote a high-quality workforce in the child welfare system HR 5856 -- 21st Century Children and Families Act S. 503 PARENTS Act of 2021 HR 4299 - Foster Care Stabilization Act S. 1927/HR 485 CAPTA Reauthorization H.R. 8177 - Access to Foster Care to 21 Act

Client expense: Not reported · Firm income: $36,000

American Rescue Plan Act of 2021 (H.R. 1319), all provisions related to relief to address the continued impact of COVID-19. Mainstreaming Addiction Treatment Act (S. 445/H.R. 1384), all provisions related to removing the waiver requirement for health care providers to prescribe buprenorphine for opioid use disorder. Improving Access to Remote Behavioral Health Treatment Act of 2019, all provisions related to amending regulations for the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 and allowing community mental health centers to register to practice telemedicine. Medication Access and Training Expansion Act (H.R. 2067), all provisions related to requiring physicians and other prescribers of controlled substances to complete training on treating and managing patients with substance use disorders. CONNECT for Health Act of 2021 (H.R. 2903/S. 1512), all provisions related to expanding access to telehealth services. Telemental Health Care Access Act of 2021 (S. 2061), all provisions related to ensuring coverage of mental health services furnished through telehealth. HELP Act of 2021 (S. 1570), all provisions related to the accessibility and coordination of 211 services and 988 services. Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act (H.R. 708/S. 168), all provisions related to temporary authorization of in-person and telehealth services. Behavioral Health Crisis Services Expansion Act (S. 1902), all provisions related to empowering communities to establish a continuum of care for individuals experiencing a behavioral health crisis. Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 (H.R. 5414/S. 2689), all provisions related to ensuring children in foster care who are placed in a qualified residential treatment program are eligible for Medicaid. Preventing Overdoses and Saving Lives Act of 2021 (H.R. 5442), all provisions related to authorizing grants to develop strategic response plans with respect to the opioid crisis, and to require practitioners prescribing an opioid for certain patients to also prescribe an opioid overdose reversal drug. Coronavirus Mental Health and Addiction Assistance Act of 2021 (H.R. 593/S. 135), all provisions related to providing grants to entities that provide mental health and substance use disorder programs during the COVID-19 pandemic. Mental Health Services for Students Act of 2021 (H.R. 721/S. 1841), all provisions related to school-based mental health services. Stopping the Mental Health Pandemic Act (H.R. 7080/S. 4059), all provisions related to grants to support behavioral health treatment and services during the COVID-19 pandemic. Emergency Support for Substance Use Disorders Act (S. 4058), all provisions related to grants for harm reduction activities during the COVID-19 pandemic. Elementary and Secondary School Counseling Act (H.R. 6214/S. 3356), all provisions related to awarding grants to increase access to school-based, mental health services. Campus Prevention and Recovery Services for Students Act of 2019 (H.R. 3591), all provisions related to expanding the illicit drug and alcohol abuse prevention program to include campus efforts to prevent substance misuse. Opioid Treatment Access Act of 2022 (H.R. 6279), all provisions related to authorizing a study on certain exemptions for treatment of opioid use disorder through opioid treatment programs. 9-8-8 Implementation Act of 2022 (H.R. 7116), all provisions related to providing for improvements in the implementation of the National Suicide Prevention Lifeline, and for other purposes. 9-8-8 and Parity Assistance Act of 2022 (H.R.7232), all provisions related to providing for improvements in the implementation of the National Suicide Prevention Lifeline, and for other purposes. Into the Light for MMH and SUD Act of 2022 (H.R. 7073), all provisions related to reauthorizing a grant program for screening, assessment, and treatment services for maternal mental health and substance use disorders, and for other purposes. Anna Westin Legacy Act (H.R. 7249/S. 3686), all provisions related to providing education and training on eating disorders for health care providers and communities, and for other purposes. Behavioral Health Information Technology Act, (H.R.7427), all provisions related to CMI testing of incentive payments for behavioral health providers and certain other providers for adoption and use of certified electronic health record technology, and for other purposes Safe Step Act (H.R. 2163/S. 464), all provisions related to creating an exception for medication step-therapy. Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act (S. 586), all provisions related to establishing separate payments for certain non-opioid treatments under the Medicare prospective payment system for hospital outpatient department services and the payment system for ambulatory surgical center services Food and Drug Administration Safety and Landmark Advancements Act of 2022 (S.4348), all provisions related to addressing substance use disorders and the safe disposal of opioids. Telemental Health Access to Care Act (S.2061/H.R. 4058), all provisions related to intended to increase access to tele-mental health care and telehealth. Stop Pills That Kill Act (S.4151), all provisions related to penalizing the manufacture and/or facilitation of manufacturing counterfeit pills that contain fentanyl, an analogue of fentanyl, or a counterfeit substance. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666), all provisions related to reauthorizations, expansions, and modifications of programs, grants, and activities that focus on mental and behavioral health.

12-Month Continuous Eligibility for Children in Medicaid/CHIP Easy Enrollment in Health Care Act of 2021 Provider Relief Fund Reporting Requirements Accelerating Kids Access to Care Act (H.R. 3089/S. 1544) Connect for Health Act of 2021 Medicaid Payment Parity Coronavirus Medicaid Response Act (S. 4108) H.R. 2347, Strengthening the Vaccines for Children Program Act HR 1025, the Kids Access to Primary Care Act S. 1833 The Ensuring Access to Primary Care for Women and Children Act of 2021 Medicaid Maintenance of Effort (MOE) Protections Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act (H.R.66) H.R. 1791 Childrens Health Insurance Program Permanency (CHIPP) Act Stabilize Medicaid and CHIP Coverage Act (H.R. 1738) Permanent CHIP Funding Extension Permanent Extension of Express Lane Eligibility Option Pediatrics Home and Community-Based Services (HCBS) in Medicaid Medicaid Reentry Act Accelerating Kids Access to Care Act Expanding Medicaid HCBS Services for Children Access to Care in Medicaid/CHIP Maternal Health H.R. 4996 Helping Moms Act H.R.4995 - Maternal Health Quality Improvement Act of 2020 Postpartum Medicaid Extension and Maternal Health Improvements Closing the Medicaid Coverage Gap Increased Funding for Childrens Hospitals Graduate Medical Education Allow for the home and other secure locations as originating (patient) and distant (provider) sites in telehealth Waive telehealth cost-sharing for patients in telehealth Pay for telehealth care visits at parity with that of in-person visits Allow telehealth care for both new and established patients Including Preventive Medicine Service Codes to be Eligible for Telehealth Increased Access To Broadband to Expand Telehealth Services Financial Relief to Medicaid Providers Financial Relief for Pediatricians Provider Relief Fund COVID-19 Response Medicaid/CHIP Eligibility Redeterminations post PHE Build Back Better Act Payment for COVID-19 Vaccine Counseling Coding Changes for COVID-19 Counseling Payment Standards in CBP Custody Standards in ICE Family Detention Standards in ORR Custody Licensure of ORR Shelters Emergency Intake Sites Public Charge Child Nutrition Reauthorization/WIC SNAP Mental Health for Children H.R. 6, DREAM Act Family Separation and Detention Medical Nutrition Equity Act Build Back Better Act Lift the Bar Act CARE for Families Act HR 3107 WIC Act Keep Families Together Act Breastfeeding Peer Counseling Program Public Health Preparedness and Response Research for Pregnant and Lactating Women Funding for Pediatric Device Consortia Funding for Emergency Medical Services for Children Program Funding for HRSA Pediatric Mental Health Care Access Program PUMP Act DEMAND Act Dietary Guidelines Child Poverty Coronavirus Response Legislation Asylum Child Poverty Reduction Act Suicide Prevention Dr Lorna Breen Health Care Provider Protection Act S. 4349 CBP Medical Services Contract Child Nutrition Waivers School Meal Standards Universal School Meals Eviction Moratorium Equality Act Mental Health Services for Students Act Medicaid Bump Act Youth Mental Health and Suicide Prevention Act Child Tax Credit Comprehensive Mental Health in Schools Pilot Program Supporting Childrens Mental Health Care Access Act Gun violence prevention research funding Child passenger safety (H.R. 5736) Appropriations for the Indian Health Service Maternal, Infant, and Early Childhood Home Visiting Program Infant sleep product safety (S. 1259, H.R. 3182) Lead exposure prevention Food safety Paid family and medical leave Regulation of high-powered magnet sets Climate change Vehicle emissions standards Button battery ingestions (H.R. 5313, S. 3278) Early childhood education Access to genetic sequencing Child product safety and injury prevention Furniture tip-over prevention Child Abuse Prevention and Treatment Act reauthorization, CAPTA Reauthorization Act of 2021 CAPTA Plans of safe care grants Family First Prevention Services Act implementation Issues related to the COVID-19 pandemic and providing supports for the child welfare community CAPTA Fatalities Prevention and Response Title IV-B Reauthorization Ensuring Medicaid continuity for Children in Foster Care Act (S. 2689/H.R. 5414) Congregate care reform Mental health supports for foster youth/former foster youth FY22 Labor, Health and Human Services, and Education Appropriations Bill FY23 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Sudden Unexpected Infant Death and Sudden Death in Childhood, Vaccine Injury Compensation Program, VACCINES Act H.R.482 / S.350 - Newborn Screening Saves Lives Reauthorization Act FY23 National Defense Authorization Act and Halting Reductions to Military Medical Personnel Defense Health Agency - Autism Care Demonstration H.R.6783 - Autism Family Caregiver Act H.R.5551 - Improving the Health of Children Act H.R.5561 / S.4052 - Early Hearing Detection and Intervention Act of 2021 H.R.2347 / S.2691 - Strengthening the Vaccines for Children Program Act of 2021 H.R.6532 - Funding Early Childhood is the Right IDEA Comments on HHS Draft Vaccines Federal Implementation Plan 2021-2025 Comments on Office of Science and Technology Policy Request for Information on Strengthening Community Health Through Technology Comments on ONC Request for Information on Electronic Prior Authorization Pediatric Subspecialty Loan Repayment Program (PSLRP) Funding Adolescent Health Tobacco Regulation (Premarket Tobacco Product Application Process, Flavored Tobacco, Synthetic Nicotine) Kids PRIVCY Act (H.R. 4801) KIDS Act (H.R. 5439/S. 2918) Kids Online Safety Act (S. 3663) Children and Teens Online Privacy Protection Act (S. 1628) Best Pharmaceuticals for Children Act/Pediatric Research Equity Act Pediatric Medical Devices Safety and Improvement Act Marijuana research and policy Eunice Kennedy Shriver National Institute of Child Health and Human Development Funding Appropriations - global child and youth-focused global health subaccounts (Vulnerable Children, Maternal and Child Health, Nutrition, WASH) Global Child Thrive Act Implementation Strengthening Efforts to End Violence Against Children Act of 2021 (not yet introduced) Reach Every Mother and Child Act of 2021 (S. 1451)

H.R.5414/S.2689, Ensuring Medicaid Continuity for Children in Foster Care Act of 2021, Title IV-E Foster care related issues Public Law 117-103, Consolidated Appropriations Act, FY2022, Foster Care related issues Monitor the following: H.R.5661, Continued State Flexibility To Assist Older Foster Youth Act, Title IV Foster Care related issues H.R.4502, The National Adoption and Foster Care Homes Study Act, Title Foster Care related issues Temporary Assistance for Needy Families (TANF) Child care issues, generally H.R.5376, Build Back Better Act, Human services

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.5414/S.2689, Ensuring Medicaid Continuity for Children in Foster Care Act of 2021, Title IV-E Foster care related issues Public Law 117-103, Consolidated Appropriations Act, FY2022, Foster Care related issues Monitor H.R.5661, Continued State Flexibility To Assist Older Foster Youth Act, Title IV-E Foster care related issues Monitor H.R.4502, The National Adoption and Foster Care Homes Study Act, Title IV-E Foster care related issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2903/S. 1512, The CONNECT for Health Act and H.R. 1332/S. 368, The Telehealth Modernization Act, as they relate to telehealth. H.R. 2455, The Resetting the Impact (TRIA) Act, as it relates to payments for post-acute care providers. S. 2021/H.R. 3806, The SAFE Hospitals Act of 2021, as it relates to Medicaid disproportionate share hospital payments. S. 2689/H.R. 5414, Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 and issues related to the Medicaid institutions for mental diseases exclusion. H.R. 2256/S. 834, The Resident Physician Shortage Reduction Act of 2021. H.R. 4407/S. 1568, Technical Reset to Advance the Instruction of Nurses (TRAIN) Act. H.R. 5376, the Build Back Better Act, as it relates to Uncompensated Care Pools and Disproportionated Share Hospital Payments. Monitored H.R. 4323, Excellence in Mental Health Addiction Treatment Act. Monitored H.R.432, Mental Health Access Improvement Act. Issues involving mandatory COVID vaccines for health care providers. H.R. 2471, Consolidated Appropriations Act, 2022, issues related to Medicare sequester relief. H.R. 2471, Consolidated Appropriations Act, 2022, as it relates to the extension of telehealth flexibilities.

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

American Rescue Plan Act of 2021 (H.R. 1319), all provisions related to relief to address the continued impact of COVID-19. Mainstreaming Addiction Treatment Act (S. 445/H.R. 1384), all provisions related to removing the waiver requirement for health care providers to prescribe buprenorphine for opioid use disorder. Improving Access to Remote Behavioral Health Treatment Act of 2019, all provisions related to amending regulations for the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 and allowing community mental health centers to register to practice telemedicine. Medication Access and Training Expansion (MATE) Act (H.R. 2067), all provisions related to requiring physicians and other prescribers of controlled substances to complete training on treating and managing patients with substance use disorders. Comprehensive Addiction and Recovery Act (CARA) 3.0 Act of 2021 (H.R. 4341/S. 987), all provisions related to providing support with respect to the prevention of, treatment for, and recovery from, substance use disorder. CONNECT for Health Act of 2021 (H.R. 2903/S. 1512), all provisions related to expanding access to telehealth services. Telemental Health Care Access Act of 2021 (S. 2061), all provisions related to ensuring coverage of mental health services furnished through telehealth. HELP Act of 2021 (S. 1570), all provisions related to the accessibility and coordination of 211 services and 988 services. Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act (H.R. 708/S. 168), all provisions related to temporary authorization of in-person and telehealth services. Behavioral Health Crisis Services Expansion Act (S. 1902), all provisions related to empowering communities to establish a continuum of care for individuals experiencing a behavioral health crisis. Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 (H.R. 5414/S. 2689), all provisions related to ensuring children in foster care who are placed in a qualified residential treatment program are eligible for Medicaid. Preventing Overdoses and Saving Lives Act of 2021 (H.R. 5442), all provisions related to authorizing grants to develop strategic response plans with respect to the opioid crisis, and to require practitioners prescribing an opioid for certain patients to also prescribe an opioid overdose reversal drug. Coronavirus Mental Health and Addiction Assistance Act of 2021 (H.R. 593/S. 135), all provisions related to providing grants to entities that provide mental health and substance use disorder programs during the COVID-19 pandemic. Mental Health Services for Students Act of 2021 (H.R. 721/S. 1841), all provisions related to school-based mental health services. Stopping the Mental Health Pandemic Act (H.R. 7080/S. 4059), all provisions related to grants to support behavioral health treatment and services during the COVID-19 pandemic. Emergency Support for Substance Use Disorders Act (S. 4058), all provisions related to grants for harm reduction activities during the COVID-19 pandemic. Elementary and Secondary School Counseling Act (H.R. 6214/S. 3356), all provisions related to awarding grants to increase access to school-based, mental health services. Campus Prevention and Recovery Services for Students Act of 2019 (H.R. 3591), all provisions related to expanding the illicit drug and alcohol abuse prevention program to include campus efforts to prevent substance misuse. Opioid Treatment Access Act of 2022 (H.R. 6279), all provisions related to authorizing a study on certain exemptions for treatment of opioid use disorder through opioid treatment programs. 9-8-8 Implementation Act of 2022 (H.R. 7116), all provisions related to providing for improvements in the implementation of the National Suicide Prevention Lifeline, and for other purposes. 9-8-8 and Parity Assistance Act of 2022 (H.R.7232), all provisions related to providing for improvements in the implementation of the National Suicide Prevention Lifeline, and for other purposes. Into the Light for MMH and SUD Act of 2022 (H.R. 7073), all provisions related to reauthorizing a grant program for screening, assessment, and treatment services for maternal mental health and substance use disorders, and for other purposes. Anna Westin Legacy Act (H.R. 7249/S. 3686), all provisions related to providing education and training on eating disorders for health care providers and communities, and for other purposes. Community Behavioral Health Staff Retention Grants, all provisions related to authorizing grants to eligible community behavioral health facilities for the purpose of helping such providers retain clinical behavioral health workers.

General children's health issues and Medicaid Improved access through Medicaid for youth in foster care to a child welfare specialty plan Interaction between certain group homes and the Institutions for Mental Disease (IMD) exemption HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 Monitored President's FY 2023 Budget Monitored and gave input on Senate Finance Committee efforts to improve access to mental and behavioral health servies

Client expense: Not reported · Firm income: $24,000

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

General children's health issues and Medicaid Improved access through Medicaid for youth in foster care to a child welfare specialty plan Interaction between certain group homes and the Institutions for Mental Disease (IMD) exemption HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 Monitored President's FY 2023 Budget Monitored and gave input on Senate Finance Committee efforts to improve access to mental and behavioral health servies

Client expense: Not reported · Firm income: $24,000

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Child welfare issues in general Implementation of the Family First Prevention Services Act -- included in PL 115-123; in general and specifically referring to the interaction between certain foster care placements and Medicaid law. Reauthorization of Title IV-B of the Social Security Act HR 2611 - Increasing Behavioral Health Treatment Act S. 2689/HR 5414 Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 HR 5661/S. 3078 - Continued State Flexibility to Assist Older Foster Youth Act HR 1658 - To Amend the Child Abuse Prevention and Treatment Act to promote a high-quality workforce in the child welfare system S. 1496 Child Welfare Workforce Support Act HR 1558 - Child Poverty Reduction Act of 2021 S. 2638 - Family Strengthening Infrastructure Act HR 5856 -- 21st Century Children and Families Act S. 503 PARENTS Act of 2021 HR 4299 - Foster Care Stabilization Act S. 1927/HR 485 CAPTA Reauthorization S. 1848/HR 3488 - John Lewis Every Child Deserves a Family Act HR 3083 - Foster Youth Mentor Act Monitored the reauthorization of the Child Abuse Prevention and Treatment Act (CAPTA)-- Monitored the Senate Finance Committee Request for Information on Mental and Behavioral Health Monitored CMS guidance on Medicaid 1115 Waiver specifically serious mental illness/serious emotional disturbance (SMI/SED) and the implications for foster care groups home and interaction with the Institutions for Mental Disease exemption Also monitored the release of the President's FY 2023 Budget

Client expense: Not reported · Firm income: $36,000

12-Month Continuous Eligibility for Children in Medicaid/CHIP Easy Enrollment in Health Care Act of 2021 Provider Relief Fund Reporting Requirements Accelerating Kids Access to Care Act (H.R. 3089/S. 1544) Connect for Health Act of 2021 Medicaid Payment Parity Coronavirus Medicaid Response Act (S. 4108) H.R. 2347, Strengthening the Vaccines for Children Program Act HR 1025, the Kids Access to Primary Care Act S. 1833 The Ensuring Access to Primary Care for Women and Children Act of 2021 Medicaid Maintenance of Effort (MOE) Protections Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act (H.R.66) H.R. 1791 Childrens Health Insurance Program Permanency (CHIPP) Act Stabilize Medicaid and CHIP Coverage Act (H.R. 1738) Permanent CHIP Funding Extension Permanent Extension of Express Lane Eligibility Option Pediatrics Home and Community-Based Services (HCBS) in Medicaid Medicaid Reentry Act Accelerating Kids Access to Care Act Expanding Medicaid HCBS Services for Children Maternal Health H.R. 4996 Helping Moms Act H.R.4995 - Maternal Health Quality Improvement Act of 2020 Postpartum Medicaid Extension and Maternal Health Improvements Closing the Medicaid Coverage Gap Increased Funding for Childrens Hospitals Graduate Medical Education Allow for the home and other secure locations as originating (patient) and distant (provider) sites in telehealth Waive telehealth cost-sharing for patients in telehealth Pay for telehealth care visits at parity with that of in-person visits Allow telehealth care for both new and established patients Including Preventive Medicine Service Codes to be Eligible for Telehealth Increased Access To Broadband to Expand Telehealth Services Financial Relief to Medicaid Providers Financial Relief for Pediatricians Provider Relief Fund COVID-19 Response Medicaid/CHIP Eligibility Redeterminations post PHE Build Back Better Act Payment for COVID-19 Vaccine Counseling Coding Changes for COVID-19 Counseling Payment Standards in CBP Custody Standards in ICE Family Detention Standards in ORR Custody Licensure of ORR Shelters Emergency Intake Sites Public Charge Child Nutrition Reauthorization/WIC SNAP Mental Health for Children H.R. 6, DREAM Act Family Separation and Detention Medical Nutrition Equity Act Build Back Better Act Lift the Bar Act CARE for Families Act HR 3107 WIC Act Keep Families Together Act Breastfeeding Peer Counseling Program Public Health Preparedness and Response Research for Pregnant and Lactating Women Funding for Pediatric Device Consortia Funding for Emergency Medical Services for Children Program HRSA Pediatric Mental Health Care Access Program PUMP Act Dietary Guidelines Child Poverty Coronavirus Response Legislation Asylum Child Poverty Reduction Act Suicide Prevention Dr Lorna Breen Health Care Provider Protection Act S. 4349 CBP Medical Services Contract Child Nutrition Waivers School Meal Standards Universal School Meals Eviction Moratorium Equality Act Mental Health Services for Students Act Medicaid Bump Act Youth Mental Health and Suicide Prevention Act Child Tax Credit Comprehensive Mental Health in Schools Pilot Program Pediatric Subspecialty Loan Repayment Program Fiscal Year (FY) 2022 Appropriations Regulation of E-Cigarettes (premarket review) Kids PRIVCY Act (H.R. 4801) KIDS Act (H.R. 5439/S. 2918) Adolescent Health Federal cannabis regulation Primary Care Physician Reentry Act Gun violence prevention research funding Child passenger safety (H.R. 5736) Appropriations for the Indian Health Service Maternal, Infant, and Early Childhood Home Visiting Program funding Infant sleep product safety (S. 1259, H.R. 3182) Lead exposure prevention Food safety Paid family and medical leave, Build Back Better Act Climate change Vehicle emissions standards Button battery ingestions (H.R. 5313, S. 3278) Early childhood education Blood lead reference values Access to genetic sequencing Child product safety and injury prevention Federal Indian Boarding School Program (S. 2907, H.R. 5444) Furniture tip-overs (S. 441, H.R. 1314) Child Abuse Prevention and Treatment Act reauthorization, CAPTA Reauthorization Act of 2021 CAPTA Plans of safe care grants Family First Prevention Services Act implementation Issues related to the COVID-19 pandemic and providing supports for the child welfare community CAPTA Fatalities Prevention and Response Title IV-B Reauthorization Ensuring Medicaid continuity for Children in Foster Care Act (S. 2689/H.R. 5414) Congregate care reform Mental health supports for foster youth/former foster youth Appropriations - global child and youth-focused global health subaccounts (Vulnerable Children, Maternal and Child Health, Nutrition, WASH) Global Child Thrive Act Implementation Global Child Thrive Act Implementation Strengthening Efforts to End Violence Against Children Act of 2021 (not yet introduced) Reach Every Mother and Child Act of 2021 (S. 1451) FY22 National Defense Authorization Act: Stopping Proposals to Reduce Military Medical Personnel Billets Improvements to the Supplemental Security Income Program, including in the Build Back Better Act Immunizations: Strengthening the Vaccines for Children Program Act (H.R. 2347 / S. 2691), Authorization of a Pediatric COVID-19 Vaccine, and Promoting Pediatric Vaccination Against COVID-19 Newborn Screening Saves Lives Reauthorization Act (H.R. 482 / S. 350) FY22 Labor, Health and Human Services, and Education Appropriations Individuals with Disabilities Education Act (IDEA) Full Funding Act (S. 3213 / H.R. 5984) Stillbirth Health Improvement and Education (SHINE) for Autumn Act of 2021(H.R. 5487) Interim Final Rule Implementing Head Start Vaccine and Universal Masking Requirements Payment for Vaccine Counseling in Medicaid and CHIP Early Hearing Detection and Intervention Act of 2021 (H.R. 5561) Improving the Health of Children Act (H.R. 5551) Immunization infrastructure Modernization Act of 2021 (H.R. 550) Interagency Autism Coordinating Committee 2021-2022 Strategic Plan Comments Inclusion of the NURSE Act in the Build Back Better Act (S. 1602 / H.R. 3166)