Health Equity and Accountability Act of 2022

Resident Physician Shortage Reduction Act (H.R. 2256/S. 834) Healthcare Workforce Resilience Act (H.R. 2255/S. 1024) Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148) Hematology/oncology drug research and approval issues Implementation of the Food and Drug Administration Safety and Innovation Act (FDASIA) (P.L. 112-144) Clinical trials regulations and coverage Issues impacting coverage for hematologic diseases and conditions Issues related to CAR-T/cellular and gene therapies Issues impacting opioid access/use for patients with hematologic disease and disorders Issues impacting blood supply shortages/safety Issues related to convalescent plasma Issues related to health equity/disproportionate impact of COVID-19 on minority populations Issues related to diversity, equity, and inclusion (DEI) in hematology research, practice, and training Cures 2.0 Act (H.R. 6000) Implementation of No Surprises Act (P.L. 116-260) Cancer Patient Equity Act of 2021 (H.R.5377) HELP Copays Act (H.R. 5801) Cancer Drug Parity Act of 2021 (H.R. 4385 / S. 3080) Sickle cell disease/trait issues Sickle Cell Disease Comprehensive Care Act (H.R. 6216 / S.3389) Impact of climate change on health Resolution expressing support for healthcare personnel and condemning assaults on healthcare personnel as the U.S. healthcare system faces unprecedented staffing shortages and increased workplace-related stressors (H.Res. 909) Sickle Cell Care Expansion Act (H.R. 7177/S.4425) Women's Health Protection Act (S. 1975/ H.R. 3755/S. 4132) Newborn Screening Saves Lives Reauthorization Act (H.R. 482/S. 350) Prior authorization Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018) Health Equity and Accountability Act (H.R. 7585) Issues related to maternal health care and abortion access Verifying Accurate Leading-edge IVCT Development (VALID) Act (H.R. 4128/S. 2209) Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act (S. 4348) Affordability of employer coverage for family members/"family glitch Sickle Cell Disease Treatment Centers Act of 2022 (S. 4866/ H.R. 8855) Advancing Telehealth Beyond COVID Act (H.R. 4040) Resolution supporting the designation of September 2022 as "Sickle Cell Disease Awareness Month" (H.Res.1330/S.Res.868) Let Doctors Provide Reproductive Health Care Act (S. 4723/H.R. 8650) FY2023 Consolidated Appropriations Act (H.R. 2617)

Client expense: $30,000 · 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), Internal Revenue Service (IRS), Natl Institutes of Health (NIH), SENATE

Telehealth; COVID-19; Health Equity Issues; Mental Health Parity; Affordability; Telehealth; Coverage of COVID-19 Inflation Reduction Act; No Surprises Act; REL data; Covid transition/PHE; Pre-deductible/site restriction telehealth extension; parity enforcement and implementation; funding for mental health programs; provider directories; No Surprises Act; Qualifying Payment Amount; Section 204; H.R. 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 Sponsor: Rep. Frank Pallone (D-NJ-06) H.R. 7780 - Mental Health Matters Act To support the behavioral needs of students and youth, invest in the school-based behavioral health workforce, and ensure access to mental health and substance use disorder benefits. Sponsor: Rep. Mark DeSaulnier (D-CA-11) H.R. 7585 - Health Equity and Accountability Act of 2022 To improve the health of minority individuals, and for other purposes. Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 959 - Black Maternal Health Momnibus Act of 2021 To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. Sponsor: Rep. Lauren Underwood (D-IL-14) S. 346 - Black Maternal Health Momnibus Act of 2021 A bill to end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. Sponsor: Sen. Cory Booker (D-NJ) H.R. 959 - Black Maternal Health Momnibus Act of 2021 Sponsor: Rep. Lauren Underwood (D-IL-14) To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. H.R. 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 To amend the Public Health Service Act to reauthorize certain programs relating to mental health and substance use disorders, and for other purposes. Sponsor: Rep. Frank Pallone (D-NJ-06) H.R. 432 - Mental Health Access Improvement Act of 2021 To amend title XVIII of the Social Security Act to provide for the coverage of marriage and family therapist services and mental health counselor services under part B of the Medicare program, and for other purposes. Sponsor: Rep. Mike Thompson (D-CA-04) S. 828 - Mental Health Access Improvement Act of 2021 A bill to amend title XVIII of the Social Security Act to provide for the coverage of marriage and family therapist services and mental health counselor services under part B of the Medicare program, and for other purposes. Sponsor: Sen. John Barrasso (R-WY) H.R. 925 - Data to Save Moms Act To amend the Public Health Service Act (42 U.S.C. 201 et seq.) to authorize funding for maternal mortality review committees to promote representative community engagement, and for other purposes. Sponsor: Rep. Sharice Davids (D-KS-03) H.R. 8876 - Jackie Walorski Maternal and Child Home Visiting Reauthorization Act of 2022 Official Title: To reauthorize the Maternal, Infant, and Early Childhood Home Visiting program, and for other purposes. Sponsor: Rep. Danny Davis (D-IL-07) H.R. 3345 - Helping MOMS Act of 2021 To amend the American Rescue Plan Act of 2021 and title XIX of the Social Security Act to promote extended coverage of pregnant and postpartum women under the Medicaid program. Rep. Robin Kelly (D-IL-02)

Client expense: $1,370,000 · 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), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Draft Graduate Medical Education Reform Act Issue: Support increased funding for the National Health Service Corps, Teaching Health Center GME, and National Disaster Medical Service (NDMS) demonstration pilot. Support increased Medicare support for Graduate Medical Education/physician training. Issues: Educate Congress and the administration about the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support measures to expand access to mental health care and substance use disorder treatment, including funding for training on substance use disorders, pain management, and safe prescribing practices, enhance enforcement of mental health parity laws, increased financial support for integrated behavioral health models. Support the provision of additional Medicare-supported graduate medical education slots for psychiatry and psychiatry sub-specialties. P.L. 117-328, Consolidated Appropriations Act, 2023 Support the provision of 200 additional Medicare-supported graduate medical education (GME) positions. Support the extension of COVID-related telehealth flexibilities. Support elimination or delay of Statutory Pay-As-You-Go (PAYGO) Medicare sequester and eliminating or reducing scheduled cuts to the Physician Fee Schedule. Support one-year of continuous Medicaid coverage for children. Support extension of postpartum Medicaid and CHIP coverage for 12 months. H.R. 1384/ S.445, Mainstreaming Addiction Treatment (MAT) Act of 2021 P.L. 117-328, Consolidated Appropriations Act, 2023, Division FF Issue: Support suspension of waiver requirement for certain providers to prescribe buprenorphine. H.R. 2067, Medication Access and Training Expansion (MATE) Act of 2021 P.L. 117-328, Consolidated Appropriations Act, 2023, Division FF Issue: Oppose legislative mandates dictating medical education curriculum on pain management and addiction. H.R. 7236, Strengthen Kids Mental Health Now Act/ S. 2727 Investing in Kids Mental Health Now Act Issue: Support increasing Medicaid reimbursement rates for pediatric mental health services through a 100% federal match. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers to fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including restrictions on covered entities use of contract pharmacy to distribute covered drugs. H.R. 4390, Preserving Rules Ordered for the Entities Covered Through 340B Act of 2021 (PROTECT 340B Act) Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from discriminating against 340B covered entities. H.R. 3203/S. 773 Issue: Support policy to allow 340B DSH hospitals to remain eligible to participate in the program throughout the current public health emergency even if their DSH adjustment falls below the current threshold due to changes in payer mix as a result of the COVID-19 pandemic. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support increased interoperability and exchange of electronic health information and delayed enforcement of information blocking rule until comprehensive guidance is issued. Issue: Support the ongoing refinement of the two new mandatory alternative payment models, the Radiation Oncology Model and End-stage Renal Disease Treatment Choices Model, to better incentivize high-quality care for all patients. H.R. 4128/ S. 2209, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2021 S. 4348, Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act of 2022 P.L. 117-328, Consolidated Appropriations Act, 2023 Issue: Educate Congress on development of Laboratory Developed Tests at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing Food and Drug Administration regulation of the development of Laboratory Developed Tests at academic medical centers. S. 4348, Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act of 2022 H.R. 7667, Food and Drug Amendments of 2022 (FDA22) P.L. 117-328, Consolidated Appropriations Act, 2023 Issue: Support promotion of data sharing and clinical trials results reporting. Support increased clinical trials diversity. Issue: Development of Enhanced Primary Care Pilot Act proposal H.R. 2503 / S. 3039, Social Determinants Accelerator Act of 2021 Issue: Support grants to address social determinants of health H.R. 7585 / S. 4486, Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. Issue: Support incentives to encourage the inclusion of implicit bias training in medical education and residency training. Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. Issue: Support maternal health initiatives to expand coverage during the postpartum period and expand demonstration project grants. H.R. 959, Black Maternal Health Momnibus Act of 2021 S. 1695 / H.R. 4387, Maternal Health Quality Improvement Act S. 1491/ H.R. 769, Rural MOMs Act H.R. 4387, Maternal Health Quality Improvement Act of 2021 H.R. 925 / S. 347, Data to Save Moms Act Issue: Support legislative efforts to improve maternal health and reduce rates of maternal mortality, including the Momnibus. Support legislative initiatives to improve data collection to improve maternal health equity. P.L. 117-159, Bipartisan Safer Communities Act Issue: Support policies to promote firearm safety, universal background checks, violence prevention programs, extreme risk protection orders, child access safety laws, reinstating assault weapons ban, data infrastructure, hospital based and community violence intervention programs, and programs to address mental and behavioral health impact of gun violence. Issue: Support funding for Community Violence Interventions / Hospital Based Violence Intervention Programs P.L. 117-105, Dr. Lorna Breen Health Care Provider Protection Act Issue: Support grants directed at improving clinician burnout and well-being. Issue: Provide feedback on implementation of the Provider Relief Fund. Support extension for use of PRF funds. Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs, including delaying recoupment of MAAP loans. Issue: Support extension of public health emergency declaration. Issue: Provide feedback on COVID-19 and pandemic response. Provide feedback on monkeypox response including testing. S. 3799, PREVENT Pandemics Act P.L. 117-328, Consolidated Appropriations Act, 2023, Division FF Issue: Provide feedback on pandemic preparedness legislation, urge inclusion of provisions to support academic medical centers preparedness activities. Issue: Support establishment of regional pandemic response centers, stronger linkages between public health and academic medicine, and the role of medical students and academic medical centers in administering COVID vaccines. Issue: Support efforts of academic medical centers to respond to public health threats such as monkeypox and COVID-19. Urge establishment and implementation of robust national testing strategy; functional, redundant, and transparent supply chain; improved federal coordination; investments in public health and health care human and other resources; data modernization initiatives; and other actions to improve current and future pandemic response. H.R. 708, S. 168, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Issue: Support for a temporary uniform licensing standard for all practitioners in all states throughout the COVID-19 public health emergency S. 674 Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Support ensuring patients are put first, that conscience protections align with medical professionalism standards, and oppose interference in the patient-physician relationship. Issue: Support increased interoperability and exchange of electronic health information. Support delay of enforcement beyond April 2021. H.R. 6000, Cures 2.0 Act Issue: Provide feedback on provisions related to public health, patients and caregivers, FDA, CMS, and research, and ARPA-H. Issue: Promote strategies to strengthen the health, public health, and research workforces. H.R. 3671, Doctors of Community Act Issue: Discuss authorization of the Teaching Health Center Graduate Medical Education program. H.R. 8131, Increasing Competition for Medical Residency Act Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act. Issue: Provide feedback on proposed modifications to the HIPAA privacy rule. H.R. 5035 / S. 2982, Child Suicide Prevention and Lethal Means Safety Act Issue: Support legislation to provide grants to improve suicide prevention and lethal means safety. Issue: Inform Congress and Administration about medical education on caring for older adults, nutrition, climate change, stigma around addiction, reproductive health, and accelerated medical education training programs. Issue: Provide feedback on efforts of the academic medicine community to address climate change and decarbonization. Issue: Support efforts of teaching hospitals to promote patient safety and high-quality care. H.R. 7152/ S.3534, The Tracking Pathogens Act P.L. 117-328, Consolidated Appropriations Act, 2023, Division FF Issue: Support expansion of CDC activities related to genomic sequencing of pathogens. Issue: Support reignition of Cancer Moonshot. H.R. 7961, Safety from Violence for Healthcare Employees (SAVE) Act Issue: Support statutory protections against violence and intimidation for health care workers and provide grants for hospital programs aimed at preventing violence in health care settings. P.L. 117-263, James M. Inhofe National Defense Authorization Act for Fiscal Year 2023 Issue: Support a one year pause in military medical billet reductions in the Military Health System.

Client expense: $876,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Vice President of the U.S., White House Office

Telehealth; COVID-19; Health Equity Issues; Mental Health Parity; Affordability; Telehealth; Coverage of COVID-19 Inflation Reduction Act; No Surprises Act; REL data; Covid transition/PHE; Pre-deductible/site restriction telehealth extension; parity enforcement and implementation; funding for mental health programs; provider directories; No Surprises Act; Qualifying Payment Amount; Section 204; H.R. 7666 - Restoring Hope for Mental Health and Well-Being Act of2022 Sponsor: Rep. Frank Pallone (D-NJ-06) H.R. 7780 - Mental Health Matters Act To support the behavioral needs of students and youth, invest in the school-based behavioral health workforce, and ensure access to mental health and substance use disorder benefits. Sponsor: Rep. Mark DeSaulnier (D-CA-11) H.R. 7585 - Health Equity and Accountability Act of2022 To improve the health of minority individuals, and for other purposes. Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 959 - Black Maternal Health Momnibus Act of2021 To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. Sponsor: Rep. Lauren Underwood (D-IL-14) S. 346 - Black Maternal Health Momnibus Act of 2021 A bill to end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. Sponsor: Sen. Cory Booker (D-NJ) H.R. 959 - Black Maternal Health Momnibus Act of2021 Sponsor: Rep. Lauren Underwood (D-IL-14) To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. H.R. 7666 - Restoring Hope for Mental Health and Well-Being Act of2022 To amend the Public Health Service Act to reauthorize certain programs relating to mental health and substance use disorders, and for other purposes. Sponsor: Rep. Frank Pallone (D-NJ-06) H.R. 432 - Mental Health Access Improvement Act of2021 To amend title XVIII of the Social Security Act to provide for the coverage of marriage and family therapist services and mental health counselor services under part B of the Medicare program, and for other purposes. Sponsor: Rep. Mike Thompson (D-CA-04) S. 828 - Mental Health Access Improvement Act of 2021 A bill to amend title XVIII of the Social Security Act to provide for the coverage of marriage and family therapist services and mental health counselor services under part B of the Medicare program, and for other purposes. Sponsor: Sen. John Barrasso (R-WY) H.R. 925 - Data to Save Moms Act To amend the Public Health Service Act (42 U.S.C. 201 et seq.) to authorize funding for maternal mortality review committees to promote representative community engagement, and for other purposes. Sponsor: Rep. Sharice Davids (D-KS-03) H.R. 8876 - Jackie Walorski Maternal and Child Home Visiting Reauthorization Act of2022 Official Title: To reauthorize the Maternal, Infant, and Early Childhood Home Visiting program, and for other purposes. Sponsor: Rep. Danny Davis (D-IL-07) H.R. 3345 - Helping MOMS Act of 2021

Client expense: $246,110 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to coverage for anti-obesity agents under Medicare Part D. H.R.7585 - Health Equity and Accountability Act of 2022. H.R.1577/S.596 - Treat and Reduce Obesity Act of 2021.

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

Government targets: SENATE, White House Office

H.R.3407/S.411 MOMMAs Act - tobacco excise tax H.R.2786/S.1341 Tobacco Tax Equity Act - tobacco excise tax H.R.7585 Health Equity and Accountability Act - tobacco excise tax

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

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

Cybersecurity is Patient Safety, Policy Options in the Health Care Sector FY2023 Appropriations Telehealth Matters Community Clinic Workforce Development Access to Specialty Care Draft Policy Information Notice Cyber Incident Reporting for Critical Infrastructure Act of 2022 (CIRCIA) Streamlining Government Health Care Programs Agency Actions Regarding Mental Health and Substance Abuse HR 7585 - Health Equity and Accountability Act of 2022 Non-Discrimination in Health Care Programs and Activities

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

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

Telehealth; COVID-19; Health Equity Issues; Mental Health Parity; Affordability; Telehealth; Coverage ofCOVID-19 Inflation Reduction Act; No Surprises Act; REL data; Covid transition/PRE; Pre-deductible/site restriction telehealth extension; parity enforcement and implementation; funding or mental health programs; provider directories; No Surprises Act; Qualifying Payment Amount; Section 204; H.R. 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 Sponsor: Rep. Frank Pallone (D-NJ-06) H.R. 7780 - Mental Health Matters Act Sponsor: Rep. Mark DeSaulnier (D-CA-11) H.R. 7585 - Health Equity and Accountability Act of2022 To improve the health of minority individuals, and for other purposes. Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 959 - Black Maternal Health Momnibus Act of 2021 Sponsor: Rep. Lauren Underwood (D-IL-14) S. 346 - Black Maternal Health Momnibus Act of 2021 Sponsor: Sen. Cory Booker (D-NJ) H.R. 432 - Mental Health Access Improvement Act of2021 To amend title XVIII of the Social Security Act to provide for the coverage of marriage and family therapist services and mental health counselor services under part B of the Medicare program, and for other purposes. Sponsor: Rep. Mike Thompson (D-CA-04) S. 828 - Mental Health Access Improvement Act of 2021 A bill to amend title XVIII of the Social Security Act to provide for the coverage of marriage and family therapist services and mental health ounselor services under part B of the Medicare program, and for other purposes. Sponsor: Sen. John Barrasso (R-WY) H.R. 3345 - Helping MOMS Act of2021 To amend the American Rescue Plan Act of2021 and title XIX of the Social Security Act to promote extended coverage of pregnant and postpartum omen under the Medicaid program. ep. Robin Kelly (D-IL-02)

Client expense: $5,000 · Firm income: Not reported

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

Telehealth; COVID-19; Health Equity Issues; Mental Health Parity; Affordability; Coverage of COVID-19 Tests, Vaccines, and Treatments; Inflation Reduction Act; No Surprises Act; COVID-19 Transition; End of Public Health Emergency; Qualifying Payment Amount; Section 204 Reporting HR 432 (117th Congress), Mental Health Access Improvement Act of 2021, by Rep. Mike Thompson (D-CA). To amend title XVIII of the Social Security Act to provide for the coverage of marriage and family therapist services and mental health counselor services under part B of the Medicare program. HR 959 (117th Congress), Black Maternal Health Momnibus Act of 2021, by Rep. Lauren Underwood (D-IL). To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. HR 7585 (117th Congress), Health Equity and Accountability Act of 2022, by Rep. Robin Kelly (D-IL). To improve the health of minority individuals. HR 7666 (117th Congress), Restoring Hope for Mental Health and Well-Being Act of 2022, by Rep. Frank Pallone (D-NJ). Amends the Public Health Service Act to reauthorize certain programs relating to mental health and substance use disorders. HR 7740 (117th Congress), Employee and Retiree Access to Justice Act of 2022, by Rep. Mark DeSaulnier (D-CA). To amend the Employee Retirement Income Security Act of 1974 to provide that any mandatory pre-dispute or coerced post-dispute arbitration clause, class action waiver, representation waiver, or discretionary clause with respect to a plan is unenforceable, to prohibit any such clause or waiver from being included in a plan document or other agreement with plan participants, and for other purposes. HR 7767 (117th Congress), Strengthening Behavioral Health Benefits Act, by Rep. Joe Courtney (D-CT). To amend the Employee Retirement Income Security Act of 1974 to provide for the enforcement of mental health and substance abuse disorder parity requirements, and for other purposes. HR 7780 (117th Congress), Mental Health Matters Act, by Rep. Mark DeSaulnier (D-CA). To support the behavioral needs of students and youth, invest in the school-based behavioral health workforce, and ensure access to mental health and substance use disorder benefits. S 346 (117th Congress), Black Maternal Health Momnibus Act of 2021, by Sen. Cory Booker (D-NJ). A bill to end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. S 828 (117th Congress), Mental Health Access Improvement Act of 2021, by Sen. John Barrasso (R-WY). To amend title XVIII of the Social Security Act to provide for the coverage of marriage and family therapist services and mental health counselor services under part B of the Medicare program. S 4486 (117th Congress), Health Equity and Accountability Act of 2022, by Sen. Cory Booker (D-NJ). To improve the health of minority individuals.

Client expense: $160,000 · 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), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

Legislation to improve care at the end of life, including H.R.1378 - Do No Harm Act, H.R.1332 -Telehealth Modernization Act, H.R.366 - Protecting Access to Post-COVID-19 Telehealth Act of 2021, H.R.7585 - Health Equity and Accountability Act of 2022, and appropriations requests regarding veteran access to end-of-life care.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to improve care at the end of life, including H.R.1378 - Do No Harm Act, H.R.1332 -Telehealth Modernization Act, H.R.366 - Protecting Access to Post-COVID-19 Telehealth Act of 2021, H.R.7585 - Health Equity and Accountability Act of 2022, and appropriations requests regarding veteran access to end-of-life care.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical Nutrition Therapy Act of 2021 H.R. 3108/S. 1536 Treat and Reduce Obesity Act of 2021 H.R. 1577/S. 596 Nutrition CARE Act S. 584/H.R. 1551 Expanding Access to Diabetes Self-Management Training Act of 2021 S. 2203/H.R. 5804 Older Americans Act programs Indian Health Service Loan Repayment Program Indian Health Service Facility Equipment Modernization Indian Health Service Staff Housing Medically Tailored Meals Telehealth Maternal and Child Health Malnutrition Quality Measures American Rescue Plan Act of 2021 H.R. 1319 Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act (S. 1658/H.R. 3110) Pregnant Workers Fairness Act H.R. 1065 Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 H.R. 5370 Health Equity and Accountability Act H.R. 7585

Client expense: Not reported · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service

Medical Nutrition Therapy Act of 2021 H.R. 3108/S. 1536 Treat and Reduce Obesity Act of 2021 H.R. 1577/S. 596 Nutrition CARE Act S. 584/H.R. 1551 Expanding Access to Diabetes Self-Management Training Act of 2021 S. 2203/H.R. 5804 Medically Tailored Meals Telehealth Diabetes Prevention Program Maternal and Child Health/Medicaid Malnutrition Quality Measures Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 H.R. 5370 Health Equity and Accountability Act H.R. 7585

Client expense: Not reported · Firm income: Not reported

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

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 147, HR 239, HR 303, HR 333, HR 344, HR 584, HR 617, HR 637, HR 746, HR 789, HR 855, HR 914, HR 958, HR 1276, HR 1355, HR 1957, HR 2151, HR 2167, HR 2327, HR 2436, H. Res. 172, S 89, S 134, S 202, S 219, S 344, S 399, S 437, S 444, S 454, S 458, S 810, S 894, S 976, H.R. 2441, S. 1095, H.R. 2494, S. 1093, S. 1096, H.R. 2457, H.R. 2523, S. 1121, H.R. 2530, H.R. 2521, S. 1151, S. 1198, S. 1147, S. 1188, H.R. 2587, H.R. 2580, H.R. 2601, H.R. 2569, H.R. 2726, S. 1280, H.R. 2742, H.R. 2724, H.R. 2734, S. 1319, H.R. 2753, H.R. 2825, H.R. 2775, S. 1393, H.R. 2878, S. 1467, H.R. 2932, H.R. 2935, H.R. 2371, H.R. 2368, H.R. 2433, H.R. 2419, S. 1664, H.R. 3402, H.R. 3405, S. 1875, S. 1910, H.R. 2968, S.Res. 267, H.Res. 472, S. 2041, S. 2102, H.R. 3967, S. 2172, H.R. 3693, H.Res. 464, S. 1965, H.R. 1257, H.R. 1273, H.R. 1282, H.R. 1361, H.R. 1585, H.R. 1596, H.R. 1706, H.R. 1772, H.R. 185, H.R. 1972, H.R. 2093, H.R. 2127, H.R. 2190, H.R. 2268, H.R. 2269, H.R. 240, H.R. 2819, H.R. 2945, H.R. 2963, H.R. 3027, H.R. 3368, H.R. 3452, H.R. 3596, H.R. 3674, H.R. 3909, H.R. 3930, H.R. 4233, H.R. 430, H.R. 4382, H.R. 4400, H.R. 4571, H.R. 4627, H.R. 4633, H.R. 4731, H.R. 4732, H.R. 4769, H.R. 4794, H.R. 4845, H.R. 4880, H.R. 492, H.R. 5025, H.R. 5073, H.R. 5213, H.R. 5301, H.R. 5470, H.R. 912, H.R. 913, H.R. 983, H.Res. 49, S. 1031, S. 1039, S. 1779, S. 189, S. 1937, S. 2087, S. 2163, S. 2188, S. 2280, S. 2283, S. 2329, S. 2533, S. 2624, S. 2720, S. 2820, S. 372, S. 544, S. 565, S. 612, S. 657, S. 727, S. 731, S. 796, S. 887, S. 927, S. 94, S. 951, HR 1022, HR 2335, HR 2391, HR 2420, HR 2531, HR 2 H.R. 3950, the Veterans Medical Legal Partnerships Act, HR 2916, HR 3469, HR 3575, HR 3586, HR 4035, HR 4483, HR 4575, HR 4601, HR 4673, HR 4772, HR 5317, HR 5483, HR 5499, HR 5516, HR 5529, HR 5545, HR 5548, HR 5575, HR 5599, HR 5606, HR 5607, HR 5624, HR 5721, HR 5738, HR 5788, HR 5819, HR 5901, HR 5916, HR 5931, HR 5944, HR 5953, HR 5966, HR 6064, HR 6112, HR 6131, HR 6165, HR 6208, HR 6273, HR 6323, S 1096, S 1607, S 1881, S 1936, S 1944, S 2141, S 2386, S 2526, S 2761, S 2852, S 2924, S 3003, S 3017, S 3025, S 3094, S 3161, S 3163, S 3194, S 3247, S 3293, S 3323, S 3388, S 3397, S 3483, HR 1124, HR 1292, HR 1448, HR 165, HR 1656, HR 2372, HR 293, HR 3304, HR 3400, HR 3401, HR 3730, HR 3802, HR 3888, HR 3994, HR 4218, HR 4464, HR 4503, HR 4506, HR 4591, HR 4993, HR 5293, HR 5295, HR 5321, HR 5603, HR 5754, HR 5755, HR 5787, HR 5789, HR 5918, HR 5928, HR 6307, HR 6332, HR 6376, HR 6411, HR 6464, HR 6543, HR 6604, HR 6647, S 1151, S 1307, S 1468, S 2059, S 2195, S 2627, S 2692, S 3304, S 3541, S 3548, S 3820, S 3851, S 3854, HR 2789, HR 6527, HR 6659, HR 6677, HR 6682, HR 6684, HR 6774, HR 6810, HR 6823, HR 6849, HR 6961, HR 7089, HR 7153, HR 7158, HR 7176, HR 7186, HR 7188, HR 7227, HR 7232, HR 7243, HR 7256, HR 7272, HR 7277, HR 7299, HR 7315, HR 7316, HR 7335, HR 7337, HR 7369, HR 7375, HR 7414, HR 7431, HR 7470, HR 7508, HR 7524, HR 7556, HR 7585, HR 7589, HR 765, HR 7666, HR 7750, HR 7753, HR 7807, HR 7846, HR 8003, HR 8017, HR 8100, HR 876, HR 910, H.Res. 1093, H.Res. 1206, S 134, S 2786, S 3445, S 3726, S 3863, S 3994, S 4089, S 4141, S 4156, S 4169, S 4193, S 4223, S 4271, S 4276, S 4286, S 4308, S 4319, S 4441, S 4448, S 952, H.Con.Res. 98, HR 7116, HR 7436, HR 7885, HR 7939, HR 7968, HR 8169, HR 8198, HR 8260, HR 8313, HR 8386, HR 8398, HR 8430, HR 845, HR 8686, HR 8687, HR 8705, HR 8736, HR 8750, HR 8803, HR 8811, HR 8852, HR 8854, HR 8888, HR 8925, HR 9117, H.Res. 1030, H.Res. 1321, H.Res. 1379, S 1183, S 1564, S 2321, S 3341, S 3368, S 3373, S 3564, S 3606, S 4006, S 4458, S 4485, S 4545, S 4580, S 4601, S 4646, S 4700, S 4721, S 4766, S 4816, S 4829, S 4841, S 4842, S 4871, S 4922, S 5059, S 613, S.Res. 668, S.Res. 750, S.Res 754

Client expense: $183,150 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

Protect the current FSA/HSA list of products and support expanding the list of allowable products for FSA/HSA. Monitor FSA/HSA legislation. Support HR 373 - "To treat certain face coverings and disinfectants as medical expenses for purposes of certain Federal tax benefits." Lobby for legislation that would expand the definition of prevention for FSA/HSA. Support the inclusion of vitamins and supplements in FSA/HSAs - HR 5214 "To amend the Internal Revenue Code of 1986 to permit expenditures from health savings accounts, flexible spending arrangements, and health reimbursement arrangements for dietary supplements." S. 1654 - "A bill to amend the Internal Revenue Code of 1986 to include certain over-the-counter dietary supplement products as qualified medical expenses." HR 5747 - "To amend the Internal Revenue Code of 1986 to include certain over-the-counter dietary supplement products as qualified medical expenses." Support legislation that would make diapers FSA/HSA eligible including HR 7585, HR 259, S. 304 and infant diaper's -- HR 4902 and S. 3660.

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

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of

Protect the current FSA/HSA list of products and support expanding the list of allowable products for FSA/HSA. Monitor FSA/HSA legislation. Support HR 373 - "To treat certain face coverings and disinfectants as medical expenses for purposes of certain Federal tax benefits." Lobby for legislation that would expand the definition of prevention for FSA/HSA. Support the inclusion of vitamins and supplements in FSA/HSAs - HR 5214 "To amend the Internal Revenue Code of 1986 to permit expenditures from health savings accounts, flexible spending arrangements, and health reimbursement arrangements for dietary supplements." S. 1654 - "A bill to amend the Internal Revenue Code of 1986 to include certain over-the-counter dietary supplement products as qualified medical expenses." HR 5747 - "To amend the Internal Revenue Code of 1986 to include certain over-the-counter dietary supplement products as qualified medical expenses." Support legislation that would make diapers FSA/HSA eligible including HR 7585, HR 259, S. 304 and infant diaper's -- HR 4902 and S. 3660.

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

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of

Issues relating to access to care, health disparities, childhood cancer, quality of life and palliative care, cancer survivorship, federal health care programs, genetic information, cancer, nutrition, tanning beds, clinical trials, skin cancer, cannabis research, and wellness, including: The Inflation Reduction Act, HR 5376 - extension of expanded tax credits for ACA marketplaces; HR 1550, The Prevent HPV Cancers Act  S. 699, Women and Lung Cancer Research and Preventive Services Act of 2021 HR 623, Gabriella Miller Kids First Research Act 2.0 S. 4260, The Palliative Care and Hospice Education and Training Act Provider Training in Palliative Care Act, S 2890 Issues related to the possible introduction of the 21st Century Cures Act version 2.0 Regulations implementing the No Suprises Act Proposed Rule on Affordability of Employer Coverage for Family Members of Employees, REG-114339-21 Regulations related to short term limited duration health insurance plans (upcoming) OMB RFI on health equity - comments DICT RFI - Eshoo DICT Ancillary Costs legislation/Menendez, Scott, Smith, Young, Ruiz House/Senate Appropriations Committee FDA DICT report language Reducing Hereditary Cancer Act of 2021 - DWS, Slotkin, Miller-Meeks, and Davis Personal Care Products Safety Act - Feinstein, Collins H.R. 6638 - Reducing COVID-19 Disparities by Investing in Public Health Act of 2021 The VALID Act - DeGette, Bennet, Burr, Buschon DIVERSE Trials Act - H.R.5030/ S.2706 DEPICT Act, HR 6584 Give Kids a Chance Act, H.R. 6972 NIH Clinical Trials Diversity Act, HR 7845 HR 7667, Food and Drug Amendments Act Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act, S 4348 S. 4185, the Retaining Access and Restoring Exclusivity (RARE) Act Potential legislation on cancer survivorship being developed by Rep. Wasserman Schultz Health Equity and Accountability Act, HR 7585 Notice of Benefit and Payment Parameters, regulatory comments Regulatory issues related to healthy food and dietary guidelines

Client expense: $1,200,000 · 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), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

FY23 Congressional appropriations: -Increase NIH funds, including $632 million increase for NIDDK to support kidney research and prioritizing research to improve the diagnosis of kidney diseases and health equity interventions -Provide $25 million to KidneyX to continue development of an artificial kidney and other innovations innovative kidney therapeutics and technologies -Support CDC Chronic Kidney Disease Initiative at $15 million Other: -Enact the Living Donor Protection Act (HR1255 S377) -Enact the Restore Protections for Dialysis Patients Act (HR8594/S4750) -Enact the Jack Reyonlds Medigap Expansion Act (HR1676) -Enact the Improving Access to Home Dialysis Act of (HR5426) -Enact the Medical Nutrition Therapy Act (HR3108 S1536) -Enact the Health Equity and Accountability Act (HR7585) -Increase transparency and accountability in the US transplant system -Address Clinical Labor Cuts impacting vascular access in FY 23 Medicare Physician Fee Schedule

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

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

Issues relating to access to care, health disparities, childhood cancer, quality of life and palliative care, cancer survivorship, federal health care programs, genetic information, cancer, nutrition, tanning beds, clinical trials, skin cancer, cannabis research, and wellness, including: The Inflation Reduction Act, HR 5376 - extension of expanded tax credits for ACA marketplaces; HR 1550, The Prevent HPV Cancers Act  S. 699, Women and Lung Cancer Research and Preventive Services Act of 2021 HR 623, Gabriella Miller Kids First Research Act 2.0 S. 4260, The Palliative Care and Hospice Education and Training Act Provider Training in Palliative Care Act, S 2890 Issues related to the possible introduction of the 21st Century Cures Act version 2.0 Regulations implementing the No Suprises Act Proposed Rule on Affordability of Employer Coverage for Family Members of Employees, REG-114339-21 Regulations related to short term limited duration health insurance plans (upcoming) OMB RFI on health equity - comments DICT RFI - Eshoo DICT Ancillary Costs legislation/Menendez, Scott, Smith, Young, Ruiz House/Senate Appropriations Committee FDA DICT report language Reducing Hereditary Cancer Act of 2021 - DWS, Slotkin, Miller-Meeks, and Davis Personal Care Products Safety Act - Feinstein, Collins H.R. 6638 - Reducing COVID-19 Disparities by Investing in Public Health Act of 2021 The VALID Act - DeGette, Bennet, Burr, Buschon DIVERSE Trials Act - H.R.5030/ S.2706 DEPICT Act, HR 6584 Give Kids a Chance Act, H.R. 6972 NIH Clinical Trials Diversity Act, HR 7845 HR 7667, Food and Drug Amendments Act Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act, S 4348 S. 4185, the Retaining Access and Restoring Exclusivity (RARE) Act Potential legislation on cancer survivorship being developed by Rep. Wasserman Schultz Health Equity and Accountability Act, HR 7585 Notice of Benefit and Payment Parameters, regulatory comments Regulatory issues related to healthy food and dietary guidelines

Client expense: $1,200,000 · 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), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

Issues related to coverage for anti-obesity agents under Medicare Part D. H.R.7585 - Health Equity and Accountability Act of 2022. H.R.1577/S.596 - Treat and Reduce Obesity Act of 2021.

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

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

Real Education and Access for Healthy Youth Act (H.R. 3312 / S. 1689) Black Maternal Health Momnibus Act of 2021 (H.R. 959/S. 346) The Enhancing Questions to Understand Intentions for Pregnancy (EQUIP) Act (H.R. 8834) The Health Equity and Accountability Act (H.R. 7585)

Client expense: $24,750 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 8594/S. 4750, the Restore Protections for Dialysis Patients Act H.R. 7845/ the NIH Clinical Trial Diversity Act H.R. 1255/S. 377, the Living Donor Protection Act H.R. 1676, the Jack Reynold Medigap Expansion Act H.R. 526, Ensuring Coverage in Public Health Emergencies Act of 2021 Health disparities S. 1002, the Junk Plan Accountability and Disclosure Act of 2021 H.R. 4065/S. 1971, the Chronic Kidney Disease Improvement in Research and Treatment Act of 2021. H.R. 3893, the CARE for All Kidneys Act FY 2023, Labor-HHS-Education Appropriations Act H.R. 7585, the Health Equity and Accountability Act of 2022 (HEAA) H.R. 5801, the Help Ensure Lower Patient (HELP) Copays Act H.R. 7667, the Food and Drug Amendments of 2022 H.R. 7506, the New Era for Preventing End-Stage Kidney Disease Act of 2022 Medicare Program; Implementing Certain Provisions of the Consolidated Appropriations Act, 2021 and Other Revisions to Medicare Enrollment and Eligibility Rules Diversity Plans To Improve Enrollment of Participants From Underrepresented Racial and Ethnic Populations in Clinical Trials; Draft Guidance for Industry Request for Information on ways to strengthen and improve the Organ Procurement and Transplantation Network

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

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

Initiatives to increase, improve and facilitate organ donation and transplantation. S. 377 and H.R. 1255, the "Living Donor Protection Act," to prohibit discrimination in the issuing, pricing, and benefits level of life, disability or long-term care insurance for living organ donors. H.R. 7506, "The New Era of Preventing End Stage Renal Disease Act." Activities to address COVID-19 impact and needs of kidney patients and caregivers, including supply change disruptions; prioritization for access to vaccination for dialysis patients and kidney transplant recipients; and, priority access to specific COVID-19 prescriptions. Issued Position Statement on White House Conference on Hunger, Nutrition, and Health. Healthy People 2030. Activities regarding the HHS Advancing American Kidney Health Initiative. Initiatives to address ethnic, racial and social disparities in health care and in chronic kidney disease detection, prevention, management and care. Activities included H.R. 7585, the Health Equity and Accountability Act (HEAA). H.R. 5030/S.2706, DIVERSE Trials Act to address clinical trails participation barriers by underrepresented patient populations. H.R. 7667, PDUFA reauthorization (support for clinical trial diversity provisions). Expand access to telemedicine. Support for limits on insulin prices for consumers. Prescription drug pricing and access. Affordable Care Act access and utilization.

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

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Draft Graduate Medical Education Reform Act Issue: Support increased funding for the National Health Service Corps, Teaching Health Center GME, and National Disaster Medical Service (NDMS) demonstration pilot. Support increased Medicare support for Graduate Medical Education/physician training. Issues: Educate Congress and the administration about the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support measures to expand access to mental health care and substance use disorder treatment, including funding for training on substance use disorders, pain management, and safe prescribing practices, enhance enforcement of mental health parity laws, increased financial support for integrated behavioral health models, and the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). Support Senate Finance Committee proposal to provide 400 additional Medicare-supported graduate medical education slots for psychiatry and psychiatry sub-specialties. H.R. 1384/ S.445 Mainstreaming Addiction Treatment (MAT) Act of 2021 Issue: Support suspension of waiver requirement for certain providers to prescribe buprenorphine. H.R. 2067 Medication Access and Training Expansion Act of 2021 Issue: Oppose legislative mandates dictating medical education curriculum on pain management and addiction. H.R. 7236 Strengthen Kids Mental Health Now Act Issue: Support increasing Medicaid reimbursement rates for pediatric mental health services through a 100% federal match. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers to fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including not providing 340B discounts on covered drugs purchased at community pharmacies. H.R. 4390 Preserving Rules Ordered for the Entities Covered Through 340B Act of 2021 (PROTECT 340B Act) Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from discriminating against 340B covered entities. H.R. 3203/S. 773 Issue: Support policy to allow 340B DSH hospitals to remain eligible to participate in the program throughout the current public health emergency even if their DSH adjustment falls below the current threshold due to changes in payor mix as a result of the COVID-19 pandemic. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support increased interoperability and exchange of electronic health information and delayed enforcement of information blocking rule until comprehensive guidance is issued. Issue: Support the ongoing refinement of the two new mandatory alternative payment models, the Radiation Oncology Model and End-stage Renal Disease Treatment Choices Model, to better incentivize high-quality care for all patients. H.R. 4128/ S. 2209 Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2021 S. 4348, Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act of 2022 Issue: Educate Congress on development of Laboratory Developed Tests at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing Food and Drug Administration regulation of the development of Laboratory Developed Tests at academic medical centers. S. 4348, Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act of 2022 H.R. 7667, Food and Drug Amendments of 2022 (FDA22) Issue: Support promotion of data sharing and clinical trials results reporting. Support increased clinical trials diversity. Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. H.R. 2503 Social Determinants Accelerator Act of 2021 Issue: Support grants to address social determinants of health H.R. 7585 / S. 4486, Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. Issue: Support incentives to encourage the inclusion of implicit bias training in medical education and residency training. Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. Issue: Support maternal health initiatives to expand coverage for postpartum women and expand demonstration project grants. H.R. 959 Black Maternal Health Momnibus Act of 2021 S. 1695 / H.R. 4387 Maternal Health Quality Improvement Act S. 1491/ H.R. 769 Rural MOMs Act H.R. 4387 Maternal Health Quality Improvement Act of 2021 H.R. 5376, Build Back Better Act H.R. 925 / S. 347 Data to Save Moms Act Issue: Support legislative efforts to improve maternal health and reduce rates of maternal mortality, including the Momnibus. Support legislative initiatives to improve data collection to improve maternal health equity. P.L. 117-159, Bipartisan Safer Communities Act Issue: Support policies to promote firearm safety, universal background checks, violence prevention programs, extreme risk protection orders, child access safety laws, reinstating assault weapons ban, data infrastructure, hospital based and community violence intervention programs, and programs to address mental and behavioral health impact of gun violence. Issue: Support funding for Community Violence Interventions/ Hospital Based Violence Intervention Programs P.L. 117-105, Dr. Lorna Breen Health Care Provider Protection Act Issue: Support grants directed at improving clinician burnout and well-being. Issue: Provide feedback on implementation of the Provider Relief Fund. Support extension for use of PRF funds. Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs, including delaying recoupment of MAAP loans. Issue: Support extension of public health emergency declaration. Issue: Provide feedback on COVID-19 and pandemic response. Provide feedback on monkeypox response including testing. S. 3799, PREVENT Pandemics Act Issue: Provide feedback on pandemic preparedness legislation, urge inclusion of provisions to support academic medical centers preparedness activities. Issue: Support establishment of regional pandemic response centers, stronger linkages between public health and academic medicine, and the role of medical students and academic medical centers in administering COVID vaccines. H.R. 8131 Increasing Competition for Medical Residency Act Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Support efforts of academic medical centers to respond to public health threats such as monkeypox and COVID-19. Urge establishment and implementation of robust national testing strategy; functional, redundant, and transparent supply chain; improved federal coordination; investments in public health and health care human and other resources; data modernization initiatives; and other actions to improve current and future pandemic response. H.R. 708, S. 168, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Issue: Support for a temporary uniform licensing standard for all practitioners in all states throughout the COVID-19 public health emergency S. 674 Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Support ensuring patients are put first, that conscience protections align with medical professionalism standards, and oppose interference in the patient-physician relationship. Issue: Support increased interoperability and exchange of electronic health information. Support delay of enforcement beyond April 2021. H.R. 6000, Cures 2.0 Act Issue: Provide feedback on provisions related to public health, patients and caregivers, FDA, CMS, and research, and ARPA-H. Issue: Promote strategies to strengthen the health, public health, and research workforces. H.R. 3671, Doctors of Community Act Issue: Discuss authorization of the Teaching Health Center Graduate Medical Education program. Issue: Provide guidance on the implementation of the No Surprises Act. Issue: Provide feedback on proposed modifications to the HIPAA privacy rule. H.R. 5035, S. 2982 Child Suicide Prevention and Lethal Means Safety Act Issue: Support legislation to provide grants to improve suicide prevention and lethal means safety. Issue: Inform Congress and Administration about medical education on caring for older adults, nutrition, climate change, stigma around addiction, reproductive health, and accelerated medical education training programs. Issue: Provide feedback on efforts of the academic medicine community to address climate change and decarbonization. H.R. 7152/ S.3534, The Tracking Pathogens Act Issue: Support expansion of CDC activities related to genomic sequencing of pathogens. Issue: Support reignition of Cancer Moonshot. H.R. 7961 - Safety from Violence for Healthcare Employees (SAVE) Act Issue: Support statutory protections against violence and intimidation for healthcare workers and provide grants for hospital programs aimed at preventing violence in healthcare settings. Issue: Support a one-year pause in military medical billet reductions in the Military Health System.

Client expense: $912,077 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of the Vice President of the United States, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

HR.2256/S.834 - Resident Physician Shortage Reduction Act of 2021 HR2503 Social Determinants Accelerator Act HR. 379 - Improving Social Determinants of Health Act of 2021 S 3506 The Strengthening the Public Health Workforce Act HR 5376 Build Back Better Act HR 6578 Public Health Workforce Loan Repayment Act HR 6000 Cures 2.0 HR 1868 - to prevent across-the-board direct spending cuts and other purposes HR 1319 - American Rescue Plan Act Paul Coverdell Forensic Science Grant Program S1666 - VITAL Act of 2021 - Verified Innovation Testing in American Laboratories Act of 2021 The Health Workforce Resilience Act Conrad State 30 and Physician Access Reauthorization Act - J1 and H1B visas CLIA Waiver HR8337 - Continuing Appropriations Act, 2021 and Other Extensions Act HR7585 - Health Equity and Accountability Act of 2022 Patent Reform FDA Safety and Landmark Advancements (FDASLA) Act Right Drug Dose Now (Right) Act PREVENT Pandemics Act HR5602 - BIO Preparedness Workforce Act of 2021

Client expense: $145,277 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to improve care at the end of life, including H.R.1378 - Do No Harm Act, H.R.1332 -Telehealth Modernization Act, H.R.366 - Protecting Access to Post-COVID-19 Telehealth Act of 2021, H.R.7585 - Health Equity and Accountability Act of 2022, and appropriations requests regarding veteran access to end-of-life care.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to improve care at the end of life, including H.R.1378 - Do No Harm Act, H.R.1332 -Telehealth Modernization Act, H.R.366 - Protecting Access to Post-COVID-19 Telehealth Act of 2021, H.R.7585 - Health Equity and Accountability Act of 2022, and appropriations requests regarding veteran access to end-of-life care.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical Nutrition Therapy Act of 2021 H.R. 3108/S. 1536 Treat and Reduce Obesity Act of 2021 H.R. 1577/S. 596 Nutrition CARE Act S. 584/H.R. 1551 Expanding Access to Diabetes Self-Management Training Act of 2021 S. 2203/H.R. 5804 Older Americans Act programs Indian Health Service Loan Repayment Program Indian Health Service Facility Equipment Modernization Indian Health Service Staff Housing Medically Tailored Meals Telehealth Maternal and Child Health Malnutrition Quality Measures American Rescue Plan Act of 2021 H.R. 1319 Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act (S. 1658/H.R. 3110) Pregnant Workers Fairness Act H.R. 1065 Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 H.R. 5370 Health Equity and Accountability Act H.R. 7585

Client expense: Not reported · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service

Medical Nutrition Therapy Act of 2021 H.R. 3108/S. 1536 Treat and Reduce Obesity Act of 2021 H.R. 1577/S. 596 Nutrition CARE Act S. 584/H.R. 1551 Expanding Access to Diabetes Self-Management Training Act of 2021 S. 2203/H.R. 5804 Medically Tailored Meals Telehealth Diabetes Prevention Program Maternal and Child Health/Medicaid Malnutrition Quality Measures Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 H.R. 5370 Health Equity and Accountability Act H.R. 7585

Client expense: Not reported · Firm income: Not reported

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

Real Education and Access for Healthy Youth Act (H.R. 3312 / S. 1689) Black Maternal Health Momnibus Act of 2021 (H.R. 959/S. 346) The Enhancing Questions to Understand Intentions for Pregnancy (EQUIP) Act (H.R. 8834) The Health Equity and Accountability Act (H.R. 7585)

Client expense: $28,526 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbying Report: April 1 - June 30, 2022 (Action Fund) Federal (under tobacco issue code) Legislation: H.R. 8239 House FY 2023 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2023 appropriations for the Food and Drug Administration and regulation of tobacco products) H.R. 8295 House FY 2023 Appropriations for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (Lobbying activities related to FY 2023 appropriations for the Centers for Disease Control and Prevention) Senate FY 2023 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2022 appropriations for the Food and Drug Administration and regulation of tobacco products) Senate FY 2023 Appropriations for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (Lobbying activities related to FY 2023 appropriations for the Centers for Disease Control and Prevention) H.R. 2125/H.R. 2185 Quit Because of COVID-19 Act H.R. 7585 Health Equity and Accountability Act Issues FDA action to address synthetic nicotine FDA premarket review of e-cigarettes FDAs proposed rules on menthol cigarettes and flavored cigars Medicaid and tobacco cessation Reducing nicotine levels in cigarettes Tobacco cessation in general Tobaccos role in health disparities

Client expense: $340,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Sickle cell disease/trait issues Hematology/oncology treatment issues Hematology/oncology drug research and approval issues General hematology public health and research issues Emergency funding for COVID therapeutics Research Investment to Spark the Economy (RISE) Act (H.R. 869/S. 289) Open access policy for peer reviewed research journals Issues impacting blood supply shortages/safety Issues related to convalescent plasma Issues impacting delivery of bone marrow, peripheral blood, and cord blood Issues related to implementation of Coronavirus Aid, Relief, and Economic Security (CARES) Act (P.L. 116-136) Issues related to health equity/disproportionate impact of COVID-19 on minority populations COVID-19 vaccination policies/prioritization Clinical trials regulations and coverage Issues related to diversity, equity, and inclusion (DEI) in hematology research, practice, and training Cures 2.0 Act (H.R. 6000) Advanced Research Projects Agency for Health (ARPA-H) Diversifying Investigations Via Equitable Research Studies for Everyone (DIVERSE) Trials Act (S. 2706 / H.R. 5030) Meaningful Access to Federal Health Plan Claims Data Act (H.R. 5394) Health Equity and Accountability Act (H.R. 7585) Verifying Accurate Leading-edge IVCT Development (VALID) Act (H.R. 4128/S. 2209) Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act (S. 4348)

Client expense: $30,000 · 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), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), President of the U.S., SENATE

Resident Physician Shortage Reduction Act (H.R. 2256/S. 834) Healthcare Workforce Resilience Act (H.R. 2255/S. 1024) Implementation of the Patient Protection and Affordable Care Act (P.L. 111-148) Hematology/oncology drug research and approval issues Implementation of the Food and Drug Administration Safety and Innovation Act (FDASIA) (P.L. 112-144) Clinical trials regulations and coverage Issues impacting coverage for hematologic diseases and conditions Issues related to CAR-T/cellular and gene therapies Issues impacting opioid access/use for patients with hematologic disease and disorders Issues impacting blood supply shortages/safety Issues related to convalescent plasma Issues related to health equity/disproportionate impact of COVID-19 on minority populations Issues related to diversity, equity, and inclusion (DEI) in hematology research, practice, and training Cures 2.0 Act (H.R. 6000) Implementation of No Surprises Act (P.L. 116-260) Cancer Patient Equity Act of 2021 (H.R.5377) HELP Copays Act (H.R. 5801) Cancer Drug Parity Act of 2021 (H.R. 4385 / S. 3080) Sickle cell disease/trait issues Sickle Cell Disease Comprehensive Care Act (H.R. 6216 / S.3389) Impact of climate change on health Resolution expressing support for healthcare personnel and condemning assaults on healthcare personnel as the U.S. healthcare system faces unprecedented staffing shortages and increased workplace-related stressors (H.Res. 909) Sickle Cell Care Expansion Act (H.R. 7177/S.4425) Women's Health Protection Act (S. 1975/ H.R. 3755/S. 4132) Newborn Screening Saves Lives Reauthorization Act (H.R. 482/S. 350) Prior authorization Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018) Health Equity and Accountability Act (H.R. 7585) Issues related to maternal health care and abortion access Verifying Accurate Leading-edge IVCT Development (VALID) Act (H.R. 4128/S. 2209) Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act (S. 4348) Affordability of employer coverage for family members/"family glitch Sickle Cell Disease Treatment Centers Act of 2022 (S. 4866/ H.R. 8855) Advancing Telehealth Beyond COVID Act (H.R. 4040) Resolution supporting the designation of September 2022 as "Sickle Cell Disease Awareness Month" (H.Res.1330)

Client expense: $30,000 · 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), Internal Revenue Service (IRS), Natl Institutes of Health (NIH), SENATE

Protect the current FSA/HSA list of products and support expanding the list of allowable products for FSA/HSA. Monitor FSA/HSA legislation. Support HR 373 - "To treat certain face coverings and disinfectants as medical expenses for purposes of certain Federal tax benefits." Lobby for legislation that would expand the definition of prevention for FSA/HSA. Support the inclusion of vitamins and supplements in FSA/HSAs - HR 5214 "To amend the Internal Revenue Code of 1986 to permit expenditures from health savings accounts, flexible spending arrangements, and health reimbursement arrangements for dietary supplements." S. 1654 - "A bill to amend the Internal Revenue Code of 1986 to include certain over-the-counter dietary supplement products as qualified medical expenses." HR 5747 - "To amend the Internal Revenue Code of 1986 to include certain over-the-counter dietary supplement products as qualified medical expenses." Support legislation that would make diapers FSA/HSA eligible including HR 7585, HR 259, S. 304 and infant diaper's -- HR 4902 and S. 3660.

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

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of

Protect the current FSA/HSA list of products and support expanding the list of allowable products for FSA/HSA. Monitor FSA/HSA legislation. Support HR 373 - "To treat certain face coverings and disinfectants as medical expenses for purposes of certain Federal tax benefits." Lobby for legislation that would expand the definition of prevention for FSA/HSA. Support the inclusion of vitamins and supplements in FSA/HSAs - HR 5214 "To amend the Internal Revenue Code of 1986 to permit expenditures from health savings accounts, flexible spending arrangements, and health reimbursement arrangements for dietary supplements." S. 1654 - "A bill to amend the Internal Revenue Code of 1986 to include certain over-the-counter dietary supplement products as qualified medical expenses." HR 5747 - "To amend the Internal Revenue Code of 1986 to include certain over-the-counter dietary supplement products as qualified medical expenses." Support legislation that would make diapers FSA/HSA eligible including HR 7585, HR 259, S. 304 and infant diaper's -- HR 4902 and S. 3660.

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

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 147, HR 239, HR 303, HR 333, HR 344, HR 584, HR 617, HR 637, HR 746, HR 789, HR 855, HR 914, HR 958, HR 1276, HR 1355, HR 1957, HR 2151, HR 2167, HR 2327, HR 2436, H. Res. 172, S 89, S 134, S 202, S 219, S 344, S 399, S 437, S 444, S 454, S 458, S 810, S 894, S 976, H.R. 2441, S. 1095, H.R. 2494, S. 1093, S. 1096, H.R. 2457, H.R. 2523, S. 1121, H.R. 2530, H.R. 2521, S. 1151, S. 1198, S. 1147, S. 1188, H.R. 2587, H.R. 2580, H.R. 2601, H.R. 2569, H.R. 2726, S. 1280, H.R. 2742, H.R. 2724, H.R. 2734, S. 1319, H.R. 2753, H.R. 2825, H.R. 2775, S. 1393, H.R. 2878, S. 1467, H.R. 2932, H.R. 2935, H.R. 2371, H.R. 2368, H.R. 2433, H.R. 2419, S. 1664, H.R. 3402, H.R. 3405, S. 1875, S. 1910, H.R. 2968, S.Res. 267, H.Res. 472, S. 2041, S. 2102, H.R. 3967, S. 2172, H.R. 3693, H.Res. 464, S. 1965, H.R. 1257, H.R. 1273, H.R. 1282, H.R. 1361, H.R. 1585, H.R. 1596, H.R. 1706, H.R. 1772, H.R. 185, H.R. 1972, H.R. 2093, H.R. 2127, H.R. 2190, H.R. 2268, H.R. 2269, H.R. 240, H.R. 2819, H.R. 2945, H.R. 2963, H.R. 3027, H.R. 3368, H.R. 3452, H.R. 3596, H.R. 3674, H.R. 3909, H.R. 3930, H.R. 4233, H.R. 430, H.R. 4382, H.R. 4400, H.R. 4571, H.R. 4627, H.R. 4633, H.R. 4731, H.R. 4732, H.R. 4769, H.R. 4794, H.R. 4845, H.R. 4880, H.R. 492, H.R. 5025, H.R. 5073, H.R. 5213, H.R. 5301, H.R. 5470, H.R. 912, H.R. 913, H.R. 983, H.Res. 49, S. 1031, S. 1039, S. 1779, S. 189, S. 1937, S. 2087, S. 2163, S. 2188, S. 2280, S. 2283, S. 2329, S. 2533, S. 2624, S. 2720, S. 2820, S. 372, S. 544, S. 565, S. 612, S. 657, S. 727, S. 731, S. 796, S. 887, S. 927, S. 94, S. 951, HR 1022, HR 2335, HR 2391, HR 2420, HR 2531, HR 2 H.R. 3950, the Veterans Medical Legal Partnerships Act, HR 2916, HR 3469, HR 3575, HR 3586, HR 4035, HR 4483, HR 4575, HR 4601, HR 4673, HR 4772, HR 5317, HR 5483, HR 5499, HR 5516, HR 5529, HR 5545, HR 5548, HR 5575, HR 5599, HR 5606, HR 5607, HR 5624, HR 5721, HR 5738, HR 5788, HR 5819, HR 5901, HR 5916, HR 5931, HR 5944, HR 5953, HR 5966, HR 6064, HR 6112, HR 6131, HR 6165, HR 6208, HR 6273, HR 6323, S 1096, S 1607, S 1881, S 1936, S 1944, S 2141, S 2386, S 2526, S 2761, S 2852, S 2924, S 3003, S 3017, S 3025, S 3094, S 3161, S 3163, S 3194, S 3247, S 3293, S 3323, S 3388, S 3397, S 3483, HR 1124, HR 1292, HR 1448, HR 165, HR 1656, HR 2372, HR 293, HR 3304, HR 3400, HR 3401, HR 3730, HR 3802, HR 3888, HR 3994, HR 4218, HR 4464, HR 4503, HR 4506, HR 4591, HR 4993, HR 5293, HR 5295, HR 5321, HR 5603, HR 5754, HR 5755, HR 5787, HR 5789, HR 5918, HR 5928, HR 6307, HR 6332, HR 6376, HR 6411, HR 6464, HR 6543, HR 6604, HR 6647, S 1151, S 1307, S 1468, S 2059, S 2195, S 2627, S 2692, S 3304, S 3541, S 3548, S 3820, S 3851, S 3854, HR 2789, HR 6527, HR 6659, HR 6677, HR 6682, HR 6684, HR 6774, HR 6810, HR 6823, HR 6849, HR 6961, HR 7089, HR 7153, HR 7158, HR 7176, HR 7186, HR 7188, HR 7227, HR 7232, HR 7243, HR 7256, HR 7272, HR 7277, HR 7299, HR 7315, HR 7316, HR 7335, HR 7337, HR 7369, HR 7375, HR 7414, HR 7431, HR 7470, HR 7508, HR 7524, HR 7556, HR 7585, HR 7589, HR 765, HR 7666, HR 7750, HR 7753, HR 7807, HR 7846, HR 8003, HR 8017, HR 8100, HR 876, HR 910, H.Res. 1093, H.Res. 1206, S 134, S 2786, S 3445, S 3726, S 3863, S 3994, S 4089, S 4141, S 4156, S 4169, S 4193, S 4223, S 4271, S 4276, S 4286, S 4308, S 4319, S 4441, S 4448, S 952, H.Con.Res. 98, HR 7116, HR 7436, HR 7885, HR 7939, HR 7968, HR 8169, HR 8198, HR 8260, HR 8313, HR 8386, HR 8398, HR 8430, HR 845, HR 8686, HR 8687, HR 8705, HR 8736, HR 8750, HR 8803, HR 8811, HR 8852, HR 8854, HR 8888, HR 8925, HR 9117, H.Res. 1030, H.Res. 1321, H.Res. 1379, S 1183, S 1564, S 2321, S 3341, S 3368, S 3373, S 3564, S 3606, S 4006, S 4458, S 4485, S 4545, S 4580, S 4601, S 4646, S 4700, S 4721, S 4766, S 4816, S 4829, S 4841, S 4842, S 4871, S 4922, S 5059, S 613, S.Res. 668, S.Res. 750, S.Res 754

Client expense: $183,150 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

H.R.3407/S.411 MOMMAs Act - tobacco excise tax H.R.2786/S.1341 Tobacco Tax Equity Act - tobacco excise tax H.R.7585 Health Equity and Accountability Act - tobacco excise tax

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

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

Real Education and Access for Healthy Youth Act (H.R. 3312 / S. 1689) Black Maternal Health Momnibus Act of 2021 (H.R. 959/S. 346) The Enhancing Questions to Understand Intentions for Pregnancy (EQUIP) Act (no bill number yet) The Health Equity and Accountability Act (H.R. 7585)

Client expense: $28,526 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3407/S.411 MOMMAs Act - tobacco excise tax H.R.2786/S.1341 Tobacco Tax Equity Act - tobacco excise tax H.R.7585 Health Equity and Accountability Act - tobacco excise tax

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

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

Medical Nutrition Therapy Act of 2021 H.R. 3108/S. 1536 Treat and Reduce Obesity Act of 2021 H.R. 1577/S. 596 Nutrition CARE Act S. 584/H.R. 1551 Expanding Access to Diabetes Self-Management Training Act of 2021 S. 2203/H.R. 5804 Medically Tailored Meals Telehealth Diabetes Prevention Program Maternal and Child Health/Medicaid Malnutrition Quality Measures Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 H.R. 5370 Health Equity and Accountability Act H.R. 7585

Client expense: Not reported · Firm income: Not reported

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

Medical Nutrition Therapy Act of 2021 H.R. 3108/S. 1536 Treat and Reduce Obesity Act of 2021 H.R. 1577/S. 596 Nutrition CARE Act S. 584/H.R. 1551 Expanding Access to Diabetes Self-Management Training Act of 2021 S. 2203/H.R. 5804 Older Americans Act programs Indian Health Service Loan Repayment Program Indian Health Service Facility Equipment Modernization Indian Health Service Staff Housing Medically Tailored Meals Telehealth Maternal and Child Health Malnutrition Quality Measures American Rescue Plan Act of 2021 H.R. 1319 Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act (S. 1658/H.R. 3110) Pregnant Workers Fairness Act H.R. 1065 Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 2021 H.R. 5370 Health Equity and Accountability Act H.R. 7585

Client expense: Not reported · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service

H.R. 1255/S. 377, the Living Donor Protection Act H.R. 1676, the Jack Reynold Medigap Expansion Act H.R. 526, Ensuring Coverage in Public Health Emergencies Act of 2021 Health disparities S. 1002, the Junk Plan Accountability and Disclosure Act of 2021 H.R. 4065/S. 1971, the Chronic Kidney Disease Improvement in Research and Treatment Act of 2021. H.R. 3893, the CARE for All Kidneys Act FY 2023, Labor-HHS-Education Appropriations Act H.R. 7585, the Health Equity and Accountability Act of 2022 (HEAA) H.R. 5801, the Help Ensure Lower Patient (HELP) Copays Act H.R. 7845, NIH Clinical Trial Diversity Act of 2022 H.R. 7667, the Food and Drug Amendments of 2022 H.R. 7506, the New Era for Preventing End-Stage Kidney Disease Act of 2022 Medicare Program; Implementing Certain Provisions of the Consolidated Appropriations Act, 2021 and Other Revisions to Medicare Enrollment and Eligibility Rules Diversity Plans To Improve Enrollment of Participants From Underrepresented Racial and Ethnic Populations in Clinical Trials; Draft Guidance for Industry Request for Information on ways to strengthen and improve the Organ Procurement and Transplantation Network

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

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

Lobbying Report: April 1 - June 30, 2022 (Action Fund) Federal (under tobacco issue code) Legislation: H.R. 8239 House FY 2023 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2023 appropriations for the Food and Drug Administration and regulation of tobacco products) H.R. 8295 House FY 2023 Appropriations for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (Lobbying activities related to FY 2023 appropriations for the Centers for Disease Control and Prevention) Senate FY 2023 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2022 appropriations for the Food and Drug Administration and regulation of tobacco products) Senate FY 2023 Appropriations for the Departments of Labor, Health and Human Services, and Education, and Related Agencies (Lobbying activities related to FY 2023 appropriations for the Centers for Disease Control and Prevention) H.R. 2125/H.R. 2185 Quit Because of COVID-19 Act H.R. 7585 Health Equity and Accountability Act Issues FDA action to address synthetic nicotine FDA premarket review of e-cigarettes FDAs proposed rules on menthol cigarettes and flavored cigars Medicaid and tobacco cessation Reducing nicotine levels in cigarettes Tobacco cessation in general Tobaccos role in health disparities

Client expense: $340,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Draft Graduate Medical Education Reform Act Issue: Support increased funding for the National Health Service Corps, Teaching Health Center GME, and National Disaster Medical Service (NDMS) demonstration pilot. Support increased Medicare support for Graduate Medical Education/physician training. Issues: Educate Congress and the administration about the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support measures to expand access to mental health care and substance use disorder treatment, including funding for training on substance use disorders, pain management, and safe prescribing practices, enhance enforcement of mental health parity laws, increased financial support for integrated behavioral health models, and the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). H.R. 1384/ S.445 Mainstreaming Addiction Treatment (MAT) Act of 2021 Issue: Support suspension of waiver requirement for certain providers to prescribe buprenorphine. H.R. 2067 Medication Access and Training Expansion Act of 2021 Issue: Oppose legislative mandates dictating medical education curriculum on pain management and addiction. H.R. 7236 Strengthen Kids Mental Health Now Act Issue: Support increasing Medicaid reimbursement rates for pediatric mental health services through a 100% federal match. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including not providing 340B discounts on covered drugs purchased at community pharmacies. H.R. 4390 Preserving Rules Ordered for the Entities Covered Through 340B Act of 2021 (PROTECT 340B Act) Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from discriminating against 340B covered entities. H.R. 3203/S. 773 Issue: Support policy to allow 340B DSH hospitals to remain eligible to participate in the program throughout the current public health emergency even if their DSH adjustment falls below the current threshold due to changes in payor mix as a result of the COVID-19 pandemic. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support increased interoperability and exchange of electronic health information and delayed enforcement of information blocking rule until comprehensive guidance is issued. Issue: Support the ongoing refinement of the two new mandatory alternative payment models, the Radiation Oncology Model and End-stage Renal Disease Treatment Choices Model, to better incentivize high-quality care for all patients. H.R. 4128/ S. 2209 Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2021 S. 4348, Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act of 2022 Issue: Educate Congress on development of Laboratory Developed Tests at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care. Issue: Development of Enhanced Primary Care Pilot Act proposal H.R.7585, Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. H.R. 2503 Social Determinants Accelerator Act of 2021 Issue: Support grants to address social determinants of health Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. Issue: Support maternal health initiatives to expand coverage for postpartum women and expand demonstration project grants. H.R. 959 Black Maternal Health Momnibus Act of 2021 S. 1695 / H.R. 4387 Maternal Health Quality Improvement Act S. 1491/ H.R. 769 Rural MOMs Act H.R. 4387 Maternal Health Quality Improvement Act of 2021 H.R. 5376, Build Back Better Act H.R. 925 / S. 347 Data to Save Moms Act Issue: Support legislative efforts to improve maternal health and reduce rates of maternal mortality, including the Momnibus. Support legislative initiatives to improve data collection to improve maternal health equity. P.L. 117-159, Bipartisan Safer Communities Act Issue: Support policies to promote firearm safety, universal background checks, violence prevention programs, extreme risk protection orders, child access safety laws, reinstating assault weapons ban, data infrastructure, hospital based and community violence intervention programs, and programs to address mental and behavioral health impact of gun violence. Issue: Support funding for Community Violence Interventions/ Hospital Based Violence Intervention Programs P.L. 117-105, Dr. Lorna Breen Health Care Provider Protection Act Issue: Support grants directed at improving clinician burnout and well-being. Issue: Provide feedback on implementation of the Provider Relief Fund. Support extension for use of PRF funds. Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs, including delaying recoupment of MAAP loans. Issue: Support extension of public health emergency declaration. Issue: Provide feedback on COVID-19 and pandemic response. S. 3799, PREVENT Pandemics Act Issue: Provide feedback on pandemic preparedness legislation, urge inclusion of provisions to support academic medical centers preparedness activities. Issue: Support establishment of regional pandemic response centers, stronger linkages between public health and academic medicine, and the role of medical students and academic medical centers in administering COVID vaccines. Issue: Support efforts of academic medical centers to respond to public health threats such as monkeypox and COVID-19. Urge establishment and implementation of robust national testing strategy; functional, redundant, and transparent supply chain; improved federal coordination; investments in public health and health care human and other resources; data modernization initiatives; and other actions to improve current and future pandemic response. H.R. 708, S. 168, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Issue: Support for a temporary uniform licensing standard for all practitioners in all states throughout the COVID-19 public health emergency S. 674 Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Support ensuring patients are put first, that conscience protections align with medical professionalism standards, and oppose interference in the patient-physician relationship. Issue: Support increased interoperability and exchange of electronic health information. Support delay of enforcement beyond April 2021. S. 4348, Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act of 2022 H.R. 7667, Food and Drug Amendments of 2022 (FDA22) Issue: Support promotion of data sharing and clinical trials results reporting. Support increased clinical trials diversity. H.R. 6000, Cures 2.0 Act Issue: Provide feedback on provisions related to public health, patients and caregivers, FDA, CMS, and research, and ARPA-H. Issue: Promote strategies to strengthen the health, public health, and research workforces. H.R. 3671, Doctors of Community Act Issue: Discuss authorization of the Teaching Health Center Graduate Medical Education program. Issue: Provide guidance on the implementation of the No Surprises Act. Issue: Provide feedback on proposed modifications to the HIPAA privacy rule. H.R. 5035, S. 2982 Child Suicide Prevention and Lethal Means Safety Act Issue: Support legislation to provide grants to improve suicide prevention and lethal means safety. Issue: Inform Congress about medical education on caring for older adults, nutrition, climate change, and opportunities to accelerate training. Issue: Provide feedback on efforts of the academic medicine community to address climate change and decarbonization. H.R. 7152/ S.3534, The Tracking Pathogens Act Issue: Support expansion of CDC activities related to genomic sequencing of pathogens. Issue: Support reignition of Cancer Moonshot. Issue: Educate Congress on accelerated medical education programs. Issue: Educate Congress and the administration on AAMC member curriculum on climate change and nutrition.

Client expense: $1,090,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of the Vice President of the United States, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office