SAVE Act

Practice Support/Grants to Practice Foreign physician immigration status Medical liability S. 705, Specialty Physicians Advancing Rural Care (SPARC) Act: physician shortages in rural areas Public Law No. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act (PAHPRA): preparedness for public health H.R. 467, HALT Act: scheduling of fentanyl-related substances H.R. 7259, Medical Controlled Substances Transportation Act of 2022: to enable physicians to more easily transport controlled substances safely and legally across state lines H.R. 133, the Consolidated Appropriations Act, 2021: No Surprises Act, surprise medical billing H.R. 2630, Extending Temporary Emergency Scheduling of Fentanyl Analogues Act: Opioids H.R. 3502, Protecting People From Surprise Medical Bills Act: Surprise Medical Bills S. 445, Mainstreaming Addiction Treatment Act of 2021: Opioids H.R. 4387, Maternal Health Quality Improvement Act of 2021: Maternal health H.R. 1565, Saving Lives, Saving Costs S. 1475, Saving Lives, Saving Costs S. 610, Dr. Lorna Breen Health Care Provider Protection Act: Physician wellness H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act: Physician wellness S. 987, CARA 3.0 Act of 2021: Opioids H.R. 3259, NOPAIN Act: Opioids S. 586, NOPAIN Act: Opioids S. 1292, Non-Opioid Directive Act: Opioids H.R. 7961, SAVE Act: To protect hospital personnel from violence, and for other purposes. H.R.833, Save America's Rural Hospitals: rural pass through H.R.1492, Medical Controlled Substances Transportation Act of 2017: medical controlled substances transportation FY 2021 LHHS Appropriations: Fiscal Year 2021 Appropriations for Subcommittee on Labor, Health and Human Services Pre-authorization; prior authorization Affordable Care Act reform efforts 42 CFR Part 2, Confidentiality of Substance Use Disorder Patient Records: appropriate access to patient information essential for providing whole-person care Resident Education Deferred Interest Act (REDI Act): Student loan relief Student Loan Forgiveness for Frontline Health Workers Act: Student loan relief H.R. 842, Protecting the Right to Organize Act of 2021: PRO Act, labor protections 21st Century Cures Initiative H.R. 4369, National Centers of Excellence in Continuous Pharmaceutical Manufacturing Act: Drug shortages DEA Scheduling Propofol Comparative Effectiveness Research - PCORI HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management FTC Letters to States re: Interventional Pain Medicine & Advanced Practice Nurses & Competition in Healthcare Anesthesia Research Funding (Pediatric and others) Scope of Practice FDA Operating Room Fires Naloxone FDA Opioids Ketamine use by law enforcement Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee USP - US Pharmacopeia National Pain Strategy Nondiscrimination Compounding FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) Agency for Healthcare Research and Quality (AHRQ) funding Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Brain health Certified Anesthesiologist Assistants Blood management Funding for physician practices impacted by the cancellation of elective surgeries, unique role of anesthesiologists in responding to COVID-19 pandemic, medical liability, scope of Practice (waiver of federal supervision requirement under the Emergency Declaration), insurance moratorium; COVID Update Memorandum 4/21/20 Long COVID research Anesthesia workforce shortages CDC Opioid Prescribing Guideline 2023 Labor/HHS/Education appropriations bill Defense Health Agency anesthesia policy

Client expense: $330,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Practice Support/Grants to Practice Foreign physician immigration status Medical liability S. 4330, Specialty Physicians Advancing Rural Care (SPARC) Act: physician shortages in rural areas Public Law No. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act (PAHPRA): preparedness for public health emergencies H.R. 7259, Medical Controlled Substances Transportation Act of 2022: to enable physicians to more easily transport controlled substances safely and legally across state lines H.R. 133, the Consolidated Appropriations Act, 2021: No Surprises Act, surprise medical billing H.R. 2630, Extending Temporary Emergency Scheduling of Fentanyl Analogues Act: Opioids H.R. 3502, Protecting People From Surprise Medical Bills Act: Surprise Medical Bills S. 445, Mainstreaming Addiction Treatment Act of 2021: Opioids H.R. 4387, Maternal Health Quality Improvement Act of 2021: Maternal health H.R. 1565, Saving Lives, Saving Costs S. 1475, Saving Lives, Saving Costs S. 610, Dr. Lorna Breen Health Care Provider Protection Act: Physician wellness H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act: Physician wellness S. 987, CARA 3.0 Act of 2021: Opioids H.R. 3259, NOPAIN Act: Opioids S. 586, NOPAIN Act: Opioids S. 1292, Non-Opioid Directive Act: Opioids H.R. 7961, SAVE Act: To protect hospital personnel from violence, and for other purposes. H.R.833, Save America's Rural Hospitals: rural pass through H.R.1492, Medical Controlled Substances Transportation Act of 2017: medical controlled substances transportation FY 2021 LHHS Appropriations: Fiscal Year 2021 Appropriations for Subcommittee on Labor, Health and Human Services Pre-authorization; prior authorization Affordable Care Act reform efforts 42 CFR Part 2, Confidentiality of Substance Use Disorder Patient Records: appropriate access to patient information essential for providing whole-person care Resident Education Deferred Interest Act (REDI Act): Student loan relief Student Loan Forgiveness for Frontline Health Workers Act: Student loan relief H.R. 842, Protecting the Right to Organize Act of 2021: PRO Act, labor protections 21st Century Cures Initiative H.R. 4369, National Centers of Excellence in Continuous Pharmaceutical Manufacturing Act: Drug shortages DEA Scheduling Propofol Comparative Effectiveness Research - PCORI HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management FTC Letters to States re: Interventional Pain Medicine & Advanced Practice Nurses & Competition in Healthcare Anesthesia Research Funding (Pediatric and others) Scope of Practice FDA Operating Room Fires Naloxone FDA Opioids Ketamine use by law enforcement Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee USP - US Pharmacopeia National Pain Strategy Nondiscrimination Compounding FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) Agency for Healthcare Research and Quality (AHRQ) funding Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Brain health Certified Anesthesiologist Assistants Blood management Funding for physician practices impacted by the cancellation of elective surgeries, unique role of anesthesiologists in responding to COVID-19 pandemic, medical liability, scope of Practice (waiver of federal supervision requirement under the Emergency Declaration), insurance moratorium; COVID Update Memorandum 4/21/20 Long COVID research Anesthesia workforce shortages CDC Opioid Prescribing Guideline 2023 Labor/HHS/Education appropriations bill

Client expense: $370,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Support legislation to protect healthcare workers from threats, harassment and violence. H.R. 7961 the Safety From Violence for Healthcare Employees (SAVE) Act

Client expense: $326,542 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Fentanyl Analogues Scheduling Extension H.R. 7961-Safety From Violence for Healthcare Employees Act S.4858-Cooper Davis Act

Client expense: $515,937 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2145/S 926 Survivors' Access to Supportive Care Act; HR 1324/S 467 Effective Suicide Screening and Assessment in the Emergency Department Act; various bills responding to the COVID-19 pandemic; HR 851/S 246 Future Advancement of Academic Nursing Act; HR 3635/ S 1974 Strengthening America's Strategic National Stockpile Act; S.1220/H.R. 2568 US Cadet Nurse Corps Service Recognition Act; Prevent BLEEDing Act S.4269/H.R. 7850; Safety from Violence for Healthcare Employees Act H.R 7961; Improving Trauma Systems and Emergency Care Act H.R. 8163/ S. 3566; Workplace Violence Regulations from OSHA

Client expense: $14,500 · Firm income: Not reported

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

Health and Human Services Appropriations - In support of funding for the National Institutes of Health, Area Health Education Centers Program, and Health Resources and Services Administration Title VII programs. In support of funding for Regional Response Health Collaboration Program. In support of Community Project Funding request for Health Resources and Services Administration's Maternal and Child Health Services. Re: FY23 Omnibus: In opposition to cuts to health programs; in support of temporary per diem due to inability to discharge patients to post-acute facilities due to staffing shortages; In support of funding graduate medical education positions; In support of permanent expansion of telehealth services and hospital-at-home program. In support of extension for 340B program and opposition to proposal to reduce Medicare Part B payments for drugs acquired through 340B program. In support of protection of 340B eligibility in future supplemental funding bills. In support of S.1988/H.R.4918, the Protecting Rural Telehealth Access Act. In support of S.368/H.R.1332, the Telehealth Modernization Act. In support of reauthorization of Medicare Rural Hospital Flexibility program. In support of H.R.7961, the Safety from Violence for Healthcare Employees Act. In support of S.4352, the Travel Nursing Agency Transparency Study Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Congressional outreach and monitoring regarding the following: -Healthcare and hospital workforce appropriations, generally; -Provider relief funding; -H.R.2617, Consolidated Appropriations Act, 2023; -H.R. 8295 / S. 4659, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023; -FEMA funding in H.R.8257 / S. 4678, Department of Homeland Security Appropriations Act, 2023; -Medicare Sequestration; -Rural Health funding; -Health Care staffing issues; -1115 Waiver issues; -PACE Model of Care; -Low-volume Adjustment and Medicare Dependent Hospital Programs; -Telehealth services -340B Drug Discount Program & HRSA/CMS policies -H.R. 7961, Safety From Violence for Healthcare Employees Act; -H.R. 8188 / S. 4449, Saving Access to Laboratory Services Act.

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

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

Congressional outreach and monitoring regarding the following: -Healthcare and hospital workforce appropriations, generally; -Provider relief funding; -H.R.2617, Consolidated Appropriations Act, 2023; -H.R. 8295 / S. 4659, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023; -FEMA funding in H.R.8257 / S. 4678, Department of Homeland Security Appropriations Act, 2023; -Medicare Sequestration; -Rural Health funding; -Health Care staffing issues; -1115 Waiver issues; -PACE Model of Care; -Low-volume Adjustment and Medicare Dependent Hospital Programs; -Telehealth services -340B Drug Discount Program & HRSA/CMS policies -H.R. 7961, Safety From Violence for Healthcare Employees Act; -H.R. 8188 / S. 4449, Saving Access to Laboratory Services Act.

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

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

H.R. 7961 - Safety from Violence for Healthcare Employees (SAVE) Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Healthcare Supply Chain - Highlighted the important role played by hospital group purchasing organizations in promoting resiliency and value in healthcare purchasing. Engaged to support policies to ensure greater transparency and mitigate or limit shortages of prescription drugs. Supported policies that would expedite critical cargo, including cargo necessary for medical care, during a public health emergency or disaster. Advocated for greater transparency in the health care supply chain for drugs and medical devices. Supported updating language related to the Unapproved Drugs Initiative, and incorporating the PASTUER Act (S.2076) and the PATCH Act (H.R. 7084) in omnibus legislation (H.R. 2617). Telehealth - Supported efforts to make telehealth flexibilities offered during COVID-19 Public Health Emergency permanent. Supported CONNECT for Health Act (H.R. 2617 S. 1512/H.R. 2903) and the Extending Telehealth Beyond COVID-19 Act (H.R. 4040). Encouraged reimbursement parity for certain telehealth services and support for audio-only telehealth services. Health Care Workforce - Urged passage of the Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act (H.R. 708; S. 168); The Health Care Workforce Resilience Act (S. 1024/H.R. 2255). Urged administration to examine practices of health care staffing agencies and supported passage of the Travel Nursing Agency Transparency Study Act (S. 4352). Supported passage of the Safety from Violence for Healthcare Employees Act (H.R. 7961). Prepare for and Respond to Existing Viruses, Emerging New Threats, and (PREVENT) Pandemics Act (S. 3799; H.R 2617) - monitored PREVENT Pandemics Act and supported inclusion of provisions to improve supply chain transparency, enhance cybersecurity of medical devices and extend shelf life of prescription drugs in omnibus legislation. 340B Drug Pricing Program - Urged HHS to enforce guidance that would allow 340B Covered Entities to utilize contract pharmacies. Social Determinants of Health and Health Equity - Shared insights and offered suggestions to CMS regarding health equity measurement, indices and data collection. Supported the Social Determinants Accelerator Act (H.R. 2503; S. 3039); The LINC to Address Social Needs Act (S. 509). Supported passage of Opioid Treatment Access Act (S. 3629/H.R. 6279). Supported passage of Drug Shortages Shelf Life Extension Act (S. 3493). Supported passage of the Biologics Competition Act (H.R. 8877).

Client expense: $250,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Q4 Lobbying Report (October 1-December 31) HCR Provider Relief Fund Deadline Extension Act (S. 2493/H.R. 4735) Infrastructure Investment and Jobs Act Build Back Better Act (H.R. 5376) Dr. Lorna Breen Health Care Provider Protection Act (HR 1667) Provider Relief Fund Improvement Act (H.R. 5963 / S. 3611) Public Service Loan Forgiveness program/physician federal loan forgiveness Healthcare Workforce Resilience Act of 2021 Black Maternal Health Momnibus Act of 2021 (S. 346/H.R. 959) Regulatory relief in light of coronavirus Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program, including S. 773/H.R. 3203 Resident Physician Shortage Act (S. 834/H.R. 2256) No Surprises Act regulations Public Health Emergency designation Blood shortages PREVENT Pandemics Act (S. 3799) CMS Region IX re: Guidance on California State Bill 311 The Compassionate Access to Medical Cannabis Act Meeting with OMB re: Physician Loan Forgiveness CMS Regional Office re: Admission, Discharge, and Transfer Patient Event Notification Conditions of Participation (42 CFR 482.24(d), 482.61(f), and 485.638(d)) Food and Drug Amendments of 2022 (H.R. 7667) Improving Seniors Timely Access to Care Act (H.R. 1587/S. 3018) Safety from Violence for Healthcare Employees (SAVE) Act (H.R. 7961) Bipartisan Safer Communities Act (S. 2938) Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666) Saving Access to Laboratory Services Act (SALSA Act) (H.R. 8188/S.4449) Assistance for Rural Community Hospitals (ARCH) Act (H.R. 8747) Meetings with FEMA re: COVID-19 related reimbursement Train More Doctors Act of 2022 (H.R. 9156) H.R. 2617 2023 Omnibus MMM Accelerated and Advance Payment Program repayment flexibility (H.R. 1349, The COVID-19 Hospital and Health Provider Loan Conversion Act of 2021) Graduate Medical Education (GME) funding (Resident Physician Shortage Reduction Act of 2021 (S. 834/H.R. 2256) Telehealth flexibilities and payment (TREAT Act - S. 168/H.R. 708; Telehealth Modernization Act -S. 368/H.R. 1332) Hospital Inpatient Services Modernization Act (H.R. 7053) Annual Prospective Payment System Rules Organ acquisition payment policies Clinical lab fee schedule BUD FY2022 Appropriations bills Consolidated Appropriations Act of 2022 (HR 2471) - omnibus Further Additional Extending Government Funding Act, HR 6617 Nursing and allied health workforce funding FY 2023 budget request Submitted Comments Subject: CMS-9900-NC, Request for Information; Advanced Explanation of Benefits and Good Faith Estimate for Covered Individuals, Federal Register (Vol. 87, No. 179), September 16, 2022 Request for Information on Healthcare Access, Provider Experience, Health Equity, and PHE Flexibilities, November 4, 2022

Client expense: $370,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, Social Security Administration (SSA)

H.R. 3364 Countering Americas Adversaries Through Sanctions Act H.R. 4373/S. 3075, Department of State, Foreign Operations, and Related Programs Appropriations Act, 2022 H.R. 4616, Adjustable Interest Rate (LIBOR) Act 2021 H.R. 5544, To authorize the extension of nondiscriminatory treatment (normal trade relations treatment) to the products of Kazakhstan H.R. 7185, Federal Contracting for Peace and Security Act H.R. 7900/S. 4543, National Defense Authorization Act for Fiscal Year 2023 H.R. 7961, Additional Ukraine Supplemental Appropriations Act, 2022 H.R. 8282/S. 4662, Department of State, Foreign Operations, and Related Programs Appropriations Act, 2023 Notice, Department of State; Request for Stakeholder Input on Options for Combating InternationalDeforestation Associated With Commodities (87 Fed. Reg. 63,142-63,145, October 18, 2022) Various issues related to vaccine diplomacy; U.S. Chile Tax Treaty, Convention for the Avoidance of Double Taxation and the Prevention Of Fiscal Evasion With Respect to Taxes on Income and Capital; implementation of the Trade-Related Aspects of Intellectual Property Rights (TRIPS) Agreement; reform of the World Trade Organization; Canada's Digital Services Tax Act; Commercial Service Office in Bangladesh; Extraterritorial Application of Sec. 49 German Income Tax Act; supply chain and the defense industrial base;

Client expense: $20,990,000 · Firm income: Not reported

Government targets: Bureau of Industry and Security (BIS), Commerce, Dept of (DOC), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Natl Security Council (NSC), SENATE, State, Dept of (DOS)

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

Issue: Support policies to close the Medicaid coverage gap, including through ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. Issue: Support programs and funds for safety-net providers. Educate Congress about the impact of Section 203 of the Consolidated Appropriations Act, 2021 and its changes to the Medicaid DSH cap calculation methodology on academic medical centers. P.L. 117-328, Consolidated Appropriations Act, 2023 Division FF Issue: Support increased Medicare funding for graduate medical education, including 200 new Medicare-supported GME slots included in the Consolidated Appropriations Act, 2023. H.R. 2256 / S. 834, Resident Physician Shortage Reduction Act of 2021 H.R. 5376, Build Back Better Act Issue: Support increased Medicare funding for graduate medical education S. 1438 Opioid Workforce Act H.R. 3441 Substance Use Disorder Workforce Act Issue: Support targeted Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs S.1893 / H.R. 8508, Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals Issue: Provide feedback to CMS on its proposed distribution of the 1,000 new GME slots authorized be the Consolidated Appropriations Act, 2021 as described in the 2022 Inpatient Prospective Payment System (IPPS) proposed rule. Support CMS adopting alternative 2 with modifications to allow for more than 1.0 FTE per hospital. Support policy to ensure each qualifying hospital that applies for CAA, 2021 GME positions would receive at least 1 (or a fraction of 1) of the positions before any qualifying hospital receives more than 1 of such positions Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital, physician, and provider cuts. H.R. 8850, Fair Access In Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives H.R.3173 / S.3018, Improving Seniors Timely Access to Care Act Issue: Protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs. Draft Medicare Part D benefit re-design legislation Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Educate Congress and policymakers on the financial challenges facing teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Support expansion of Medicaid and CHIP coverage during the postpartum period. S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 315, Medicare Sequester COVID Moratorium Act S. 748, Medicare Sequester Relief Act H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes. Issue: Support extension of Medicare sequester moratorium. P.L. 117-328, Consolidated Appropriations Act, 2023 Issue: Support clearing the PAYGO scorecard to avoid another Medicare sequester due to the use of reconciliation to pass the American Rescue Plan Act. Issue: Oppose use of extended Medicare sequester and repurposing of unused Provider Relief Fund. P.L. 117-328, Consolidated Appropriations Act, 2023 Division FF H.R.8800, Supporting Medicare Providers Act of 2022 Issue: Support a 4.42% increase in the Medicare physician fee schedule that Congress provided in the Consolidated Appropriations Act, 2021 to avoid payment cuts due to budget neutrality requirements. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support making permanent the interim final rule that allows hospitals that unknowingly trigger their Medicare GME caps and per resident amounts to not have that happen and instead retain the ability to build a new resident cap / PRA so long as the cap / PRA is not above a minimum amount. Issue: Oppose aspects of CMS hospital price transparency rule. Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Oppose finalizing proposed rule for Medicare Coverage of Innovative Technology (MCIT) and definition of reasonable and necessary. Issue: Oppose enforcement of linking Medicare Conditions of Participation (CoP) compliance with requiring that hospitals report 38 COVID-19 related measures. Issue: Support continuation of the 3-Day Skilled Nursing Facility (SNF) Stay waiver after the conclusion of the COVID-19 public health emergency. Issue: Oppose policy of incorporating revenue distinctions into the Medicare Shared Savings Program. P.L. 117-328, Consolidated Appropriations Act, 2023 Division FF Issue: Support permanent extension of Medicare telehealth waivers, including removing patient location restrictions and rural site requirements, allowing payment for audio-only services, and reimbursing providers for telehealth services as services delivered in-person. Support 2 year or permanent extension of the waivers. P.L. 117-328, Consolidated Appropriations Act, 2023 Division FF H.R. 7053 / S. 3792, Hospital Inpatient Services Modernization Act Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support permanent extension of current Covid telehealth flexibilities HR 1332, the Telehealth Modernization Act Issue: Support efforts to expand patient access to telehealth HR 1397, the Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP Issue: Support efforts to improve access to childrens mental health care H.R. 4040 Advancing Telehealth Beyond COVID-19 Act of 2021 Issue: Support extension of COVID-19 telehealth waivers for two years beyond the end of the COVID-19 public health emergency. H.R. 7961 - Safety from Violence for Healthcare Employees Act (SAVE Act)Issue: Support funding for hospital-based violence intervention programs and community violence interventions Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support expanded Medicare reimbursement for integrated behavioral health Medicare payment codes. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S. 2061 Telemental Health Care Access Act Issue: Support policy to remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create IME payments for outpatient services while remaining budget neutral. Issue: Support efforts to reverse cuts in Medicare OPPS reimbursements to hospitals for drugs acquired under the 340B program. H.R. 4547, Value in Health Care Act Issue: Support changes to alternative payment models (APMs) to increase participation in value-based health programs and promote quality care and improved health outcomes. P.L. 117-328, Consolidated Appropriations Act, 2023 Issue: Support extension of alternative payment model (APM) bonus. H.R. 3746, Accountable Care in Rural America Act Issue: Support improving the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location. H.R. 4970, Rural Medical Residency Expansion Act of 2021 Issue: Support providing funds for rural teaching hospitals to expand their residency programs. Issue: Support efforts to investigate nurse-staffing agencies conduct during the COVID-19 pandemic.

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

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

H.R.2617, Consolidated Appropriations Act, 2023, provisions related to health care services H.R.4128/S.2209, the VALID Act, issues related to regulation of laboratory developed tests at academic clinical labs H.R.7961, the Safety from Violence for Healthcare Employees (SAVE) Act of 2022 Legislative proposals to improve access to behavioral health and pediatric behavioral health services Issues related to the expansion of telehealth services. Issues related to the regulation of clinical decision support tools. Issues related to national preparedness for future pandemic threats. Transplant issues related to reforms of the OPTN and OPO performance.

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

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

Urged Congress to provide $35 million for the U.S. Centers for Disease Control and Prevention (CDC) and $25 million for the National Institutes of Health (NIH) to conduct public health research into firearm morbidity and mortality prevention and encourage Congress to explore opportunities for building out and further supporting this research at all other appropriate agencies, to ensure that federally funded research can explore the full scope of this public health issue. Urged Congress to act quickly to address the issue of gun violence in the wake of the recent mass shootings and proposed several measures to help curb gun violence, including banning assault weapons and high-capacity ammunition and requiring extensive background checks for the sale of all firearms. (H.R. 7961) - Safety from Violence for Healthcare Employees (SAVE) Act - Expressed support for the Safety from Violence for Healthcare Employees Act. This legislation provides federal protections for health care workers who experience violence and intimation in their workplace settings.

Client expense: $228,746 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support legislation to protect healthcare workers from threats, harassment and violence. H.R. 7961 the Safety From Violence for Healthcare Employees (SAVE) Act

Client expense: $326,542 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 432 and S 828 To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare. HR 708 and S 168 To provide temporary licensing reciprocity for telehealth and interstate health care treatment. HR 1384 and S 445 Loosens restrictions on doctors prescribing buprenorphine for addiction treatment. HR 2503 To direct the HHS Secretary to establish an interagency council on social determinants of health. S 660 Improves access to tele-mental health during the length of the COVID-19 PHE. S 674 To support public health infrastructure (funding up to $4.5 billion). HR 2255/S. 1024 To recapture unused immigrant visas and allocate them to doctors and nurses to help in the fight against COVID-19. HR 2903/S. 1512 Comprehensive bill to expand telehealth access and make permanent telehealth flexibilities available during COVID-19 pandemic. HR 3203/S. 773 To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program. S. 1162 To expand access to Programs of All-Inclusive Care for the Elderly (PACE). HR 4118 To authorize the HHS Secretary to invest in community-based violence reduction initiatives. S. 2257 To reduce drug and device shortages and costs. HR 5801 To apply additional payments, discounts, and other financial assistance towards the cost-sharing requirements of health insurance plans. Health care workforce shortage concerns. S. 3626 To improve access to the Program of All-Inclusive Care for the Elderly (PACE) HR 7236 To expand the availability of mental, emotional, and behavioral health services under the Medicaid program HR 7353 To treat telehealth services as excepted benefits HR 7961 To protect hospital personnel from violence S 4352 To require a study on the effects of travel nurse agencies on the health industry during the COVID-19 pandemic S 3189 To provide a pathway to health careers through health profession opportunity grants HR 7666 Reauthorizes, expands, and modifies programs, grants, and activities that focus on mental and behavioral health

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R.4390 - PROTECT 340B Act of 2021 H.R.5963/S. 3611 - Provider Relief Fund Improvement Act H.R.7961 - SAVE Act HR 8576/S.4352 - Travel Nursing Agency Transparency Study Act Issues related to essential hospital designation Issues related to health equity Issues related to improving the provision of mental health care in the United States Issues related to reauthorizing the Hill-Burton program and allocating additional resources to essential hospitals Issues related to the 340B Drug Pricing program and contract pharmacies Issues related to the COVID-19 public health emergency Issues related to the health care workforce

Client expense: $490,000 · Firm income: Not reported

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

340 B; Telehealth; Maternal Health; Declaration of Public Health Emergency; Health Care Workforce; Health disparities; Social Determinants of Health; Health Disparities and Health Equity; H.Res.909 - Healthcare Worker Safety; H.R. 7961 - Safety From Violence for Healthcare Employees Act; Healthcare worker safety; Consolidation in healthcare; Healthcare workforce.

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

340B Drug Pricing Program; Chronic disease management; Digital health; Maternal health; Telehealth/telemedicine; COVID-19 response; Health Disparities/Health Inequities; Social Determinants of Health; Health Equity; H.Res.909 - Violence against healthcare workers; Healthcare workforce; Broadband access; Mental Health; Provider economic support; H.R.1384/S.445 - Mainstreaming Addiction Treatment Act of 2021; H.R.7961 - SAVE Act.

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

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

Health and Human Services Appropriations - In support of funding for the National Institutes of Health, Area Health Education Centers Program, and Health Resources and Services Administration Title VII programs. In support of funding for Regional Response Health Collaboration Program. In support of Community Project Funding request for Health Resources and Services Administration's Maternal and Child Health Services. Re: FY23 Omnibus: In opposition to cuts to health programs; in support of temporary per diem due to inability to discharge patients to post-acute facilities due to staffing shortages; In support of funding graduate medical education positions; In support of permanent expansion of telehealth services and hospital-at-home program. In support of extension for 340B program and opposition to proposal to reduce Medicare Part B payments for drugs acquired through 340B program. In support of protection of 340B eligibility in future supplemental funding bills. In support of S.1988/H.R.4918, the Protecting Rural Telehealth Access Act. In support of S.368/H.R.1332, the Telehealth Modernization Act. In support of reauthorization of Medicare Rural Hospital Flexibility program. In support of H.R.7961, the Safety from Violence for Healthcare Employees Act. In support of S.4352, the Travel Nursing Agency Transparency Study Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Practice Support/Grants to Practice Foreign physician immigration status Medical liability H.R. 7259, Medical Controlled Substances Transportation Act of 2022: to enable physicians to more easily transport controlled substances safely and legally across state lines H.R. 133, the Consolidated Appropriations Act, 2021: No Surprises Act, surprise medical billing H.R. 2630, Extending Temporary Emergency Scheduling of Fentanyl Analogues Act: Opioids H.R. 3502, Protecting People From Surprise Medical Bills Act: Surprise Medical Bills S. 445, Mainstreaming Addiction Treatment Act of 2021: Opioids H.R. 4387, Maternal Health Quality Improvement Act of 2021: Maternal health H.R. 1565, Saving Lives, Saving Costs S. 1475, Saving Lives, Saving Costs S. 610, Dr. Lorna Breen Health Care Provider Protection Act: Physician wellness H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act: Physician wellness S. 987, CARA 3.0 Act of 2021: Opioids H.R. 3259, NOPAIN Act: Opioids S. 586, NOPAIN Act: Opioids S. 1292, Non-Opioid Directive Act: Opioids H.R. 7961, SAVE Act: To protect hospital personnel from violence, and for other purposes. FY 2021 LHHS Appropriations: Fiscal Year 2021 Appropriations for Subcommittee on Labor, Health and Human Services Pre-authorization; prior authorization Affordable Care Act reform efforts Medical Controlled Substances Transportation 42 CFR Part 2, Confidentiality of Substance Use Disorder Patient Records: appropriate access to patient information essential for providing whole-person care Resident Education Deferred Interest Act (REDI Act): Student loan relief Student Loan Forgiveness for Frontline Health Workers Act: Student loan relief H.R. 842, Protecting the Right to Organize Act of 2021: PRO Act, labor protections 21st Century Cures Initiative H.R. 4369, National Centers of Excellence in Continuous Pharmaceutical Manufacturing Act: Drug shortages DEA Scheduling Propofol Comparative Effectiveness Research - PCORI HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management FTC Letters to States re: Interventional Pain Medicine & Advanced Practice Nurses & Competition in Healthcare Anesthesia Research Funding (Pediatric and others) Scope of Practice FDA Operating Room Fires Naloxone FDA Opioids Ketamine use by law enforcement Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee USP - US Pharmacopeia National Pain Strategy Nondiscrimination Compounding FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) Agency for Healthcare Research and Quality (AHRQ) funding Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Brain health Certified Anesthesiologist Assistants Blood management Funding for physician practices impacted by the cancellation of elective surgeries, unique role of anesthesiologists in responding to COVID-19 pandemic, medical liability, scope of Practice (waiver of federal supervision requirement under the Emergency Declaration), insurance moratorium; COVID Update Memorandum 4/21/20 Long COVID research Anesthesia workforce shortages CDC Opioid Prescribing Guideline

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Monitor and support legislation for expanded telehealth services post-public health emergency including the Advancing Telehealth Beyond COVID-19 Act of 2021 (H.R. 4040), PREVENT Pandemics Act (S. 3799), Safety From Violence for Healthcare Employees Act (SAVE) Act (H.R. 7961).

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

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, SENATE

Stopping Doctors Shortages Act (S.311), work to ensure eligibility of Texas physicians to the Public Service Loan Forgiveness Program. Conrad State 30 and Physician Access Reauthorization Act (S. 1810/H.R. 3541), allows international physicians trained in the United States to stay in country if they practice in underserved areas. Safety from Violence for Healthcare Employees, SAVE Act (HR 7961), establish legal penalties for assaulting or intimidating hospital employees.

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

Public Health and Social Services Emergency Fund Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program, including S. 773/H.R. 3203 Resident Physician Shortage Act (S. 834/H.R. 2256) OSHA rule on COVID-19 Healthcare Workplace Safety No Surprises Act regulations Rural health care innovation (PA Rural Health Model and Community Health Access and Rural Transformation Model (CHART) Public Health Emergency designation COVID Data Reporting H.R.7961 - the SAVE Act Restoring Hope for Mental Health and Well-being Act Infrastructure Investment and Jobs Act Dr. Lorna Breen Health Care Provider Protection Act (HR 1667) Provider Relief Fund Improvement Act (H.R. 5963 / S. 3611) Public Service Loan Forgiveness program/physician federal loan forgiveness Healthcare Workforce Resilience Act of 2021 Black Maternal Health Momnibus Act of 2021 (S. 346/H.R. 959) Conrad State 30 & Physician Access Act Regulatory relief in light of coronavirus Vaccine mandate policy Healthcare Cybersecurity Act (S.3904) - collaboration between the CISA and HHS H. Res. 909 condemning violence against health care workers PREVENT Pandemics Act (S. 3799) Bipartisan Safer Communities Act (S. 2938) Health Care Capacity for Pediatric Mental Health Act Kids Mental Health Improvement Act Continuing Systems of Care for Children Act, Strengthen Kids Mental Health Now Act Cost of Mental Illness Act Community Health Center Mental Health Screening Act Greater Mental Health Access Act National Defense Authorization Act Travel Nursing Agency Transparency Study Act Assistance for Rural Community Hospitals (ARCH) Act (H.R. 8747) Train More Doctors Act of 2022 (H.R. 9156) H.R. 2617 2023 Omnibus

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

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

Consolidated Appropriations Act, 2023 (Pub. L. 117-328); Area Wage Index for Post-Acute Providers; Medicare Sequestration; PAYGO Sequestration; Preserving Access to Home Health Act (H.R. 8581/S. 4605); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); Building Americas Health Care Workforce Act (H.R. 7744); Supporting Medicare Providers Act (H.R. 8800); Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Safety from Violence for Healthcare Employees Act (H.R. 7961); Advancing Telehealth Beyond COVID-19 Act (H.R. 4040); ALTO Reauthorization Act (H.R. 4846/S. 2538); Value in Health Care Act (H.R. 4587); Mental Health Justice Act of 2022 (H.R. 8542/S. 515); Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program (CMS-4201-P); Programs; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (CMS-0057-P); Hospital IPPS and ASC Rule (CMS-1773-FC); CY 2023 Physician Fee Schedule (CMS-1770-F); CY 2023 Home Health PPS (CMS-1766-F); Implementing Certain Provisions of the CSA 2021 (CMS-4199-F); Hospital IPPS Rule (CMS-1771-F).

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

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

TRAIN Act (S. 1568/H.R. 4407) to stop cuts to nursing and allied health programs Safety from Violence for Healthcare Employees (SAVE) Act (H.R. 7961) to protect healthcare workers. Sequestration relief Rural hospital policies (Rural Health Clinic payment - H.R. 1868; Rural Hospital Closure Relief Act H.R. 1639/S.644; Rural and Underserved Small Hospital Protection Act/RUSH Act (H.R. 1885); Rural America Health Corps Act (S. 924/H.R. 2130); Rural America Health Corps Act S.54); Rural Hospital Support Act (S. 4009) and the Assistance for Rural Community Hospitals (ARCH) Act (H.R. 8747) to extend the MDH and LVA programs) Hospital Inpatient Services Modernization Act (S. 3792/H.R. 7053) Value in Health Care Act (H.R. 4587) Graduate Medical Education (GME) funding (Resident Physician Shortage Reduction Act of 2021 S. 834/H.R. 2256); Opioid Workforce Act S. 1438/ Substance Use Disorder Workforce Act H.R. 3441 Telehealth flexibilities and payment (Telehealth Extension Act - H.R. 6202; TREAT Act - S. 168/H.R. 708; Telehealth Modernization Act - S. 368/H.R. 1332; TREATS Act - S. 340; CONNECT for Health Act S. 1512/H.R. 2903; Ensuring Parity in MA and PACE for Audio-Only Telehealth Act S. 150/H.R. 2166) Resetting the Impact (TRIA) Act of 2021 H.R. 2455 Technical Reset to Advance the Instruction of Nurses (TRAIN) Act Value in Healthcare Act (H.R. 4587) Improving Seniors Timely Access to Care Act (S. 3018/H.R. 3173) Annual Prospective Payment System Rules

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

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

H.R. 2471 Consolidated Appropriations Act of 2022, all provisions related to hospital and health care related payments and policies, including telehealth, Maternal Health and hospital eligibility for the 340B drug discount program, and funds to support biomedical research, education and workforce development. H.R. 7053 Hospital Inpatient Services Modernization Act, all provisions S. 3792 Hospital Inpatient Services Modernization Act, all provisions H.R. 4587 Value in Health Care Act of 2021, all provisions S. 801 Connected MOM Act, all provisions Review and Completion of Provider Relief Fund Phase Four COVID-19 Payments to Hospitals Review and Completion of FEMA COVID-19 Related Payments to Hospitals Development of U.S. Facilities to Manufacture Personal Protective Equipment and Other Medical Supplies. H.R. 5376 Build Back Better Act. All provisions related to Medicare, Medicaid, Affordable Care Act, hospitals and health care workforce support and development. H.R. 3684 Infrastructure Investment and Jobs Act. All provisions. H.R. 7961 Safety from Violence for Health Employees Act of 2022, All Provision Remote Patient Monitoring of Expectant Mothers - Expanded Medicaid Coverage/Demonstration Consolidated Appropriations Act, 2023 P.L. 117-328. All provisions related to Medicare, Medicaid, Biomedical Education and Research.

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

Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE, White House Office

H.R. 5487 - Value in Health Care Act of 2021 S. 2652 / H.R. 5067 - Preserving Patient Access to Home Infusion Act S.308 / H.R.1436 - PPE in America Act S.1260 - United States Innovation and Competition Act of 2021 S. 936 / H.R. 5502 - INFORM Consumers Act S. 2648 - Rural ACO Improvement Act S. 1574 / H.R.5632 - Long-Term Care Pharmacy Definition Act S. 834 / H.R. 2256 - Resident Physician Shortage Reduction Act of 2021 H.R.3173 / S 3018 - Improving Seniors Timely Access to Care Act of 2021 H.R. 3746 - Accountable Care in Rural America Act H.R. 959 / S. 364 - Black Maternal Health Momnibus Act of 2021 H.R. 4387 / S. 1675 - Maternal Health Quality Improvement Act of 2021 S. 168 / H.R. 708 - Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act S. 150 - Ensuring Parity in MA for Audio Only-Telehealth Act S. 3146 - The Protecting Patients from Counterfeit Medical Devices Act S. 3799 - The PREVENT Pandemics Act H.R. 6520 - The Medical and Health Stockpile Accountability Act of 2022, automated data collection infrastructure for healthcare supply chain S. 3416 - The Protecting Patients from Counterfeit Medical Devices Act S. 3493 - Drug Shortages Shelf Life Extension Act H.R. 4521 - America COMPETES Act of 2022 S.610 - Protecting Medicare and American Farmers from Sequester Cuts Act H.R.3684 - Infrastructure Investment and Jobs Act H.R. 4735 / S. 2493 - The Provider Relief Extension Act H.R. 3589 - Better Way for Providers To Repay Act of 2021 H.R. 3203 / S. 773 - To allow hospitals that were participating in or applied for the 340B drug discount program before the public health emergency to temporarily maintain eligibility H.R. 7961 - Safety from Violence for Healthcare Employees (SAVE) Act H.R. 7410 - The American Made Medicine Act H.R. 7053/S. 3792 - Hospital Inpatient Services Modernization Act H.R. 8747 - Assistance for Rural Community Hospitals (ARCH) Act H.R. 8800 - Supporting Medicare Providers Act of 2022 H.R. 4040 - Advancing Telehealth Beyond COVID-19 Act FY 2022 Omnibus Appropriations Bill S. 5249 - Preserving Patient Access to Value-Based Care Act 340B Drug Discount Program eligbility Incentivize Domestic Manufacturing Hospital Infrastructure Support FDA User Fee Reauthorization Bills Healthcare workforce (Graduate medical education , health professional training programs, recruitment and retension incentives) Medicare provider payment cuts (Medicare sequestration cuts, physician fee schedule 3.75% reduction due to evaluation & management code increases/budget neturality adjustment, Pay-as-You-Go reductions due to American Rescue Plan) Climate change healthcare impact HHS FY 2023 appropriations - Removal of a ban on using federal funds for implementing a unique patient identification system (Section 510) and fuding for Childrens Hospitals Graduate Medical Education (CHGME) Program ACO Assignment Bill NQF/Quality Measurement funding authorization Preparing for the next pandemic and supply chain resiliency

Client expense: $240,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Any COVID-19 stimulus bill(s), package(s), or provision(s) impacting hospitals and health systems, including but not limited to: Additional money and reporting requirements for the Provider Relief Fund; Support for front-line caregivers; Maintaining health benefits for individuals and families and increasing coverage options for the uninsured; Expansion of resources for testing, tracing, and vaccine development; and Expansion of resources for vaccine rollout and administration. Any requirement(s) for hospitals to collect and report infectious disease data. Any bill(s) or provision(s) regarding CMSs hospital transparency rule requiring hospitals to publicly disclose negotiated rates with commercial health plans. Any provision(s) on the CMS hospital inpatient and outpatient prospective payment system/ ambulatory surgical center proposed rule reducing payment rates received by hospitals. Any bill(s) or provision(s) addressing surprise medical billing rule which are harmful to patients and hospitals/health systems. Any bill(s) or provision(s) enabling or making it easier for providers to use telemedicine to increase access for patients. Any provision(s) expanding telehealth services and access. Any issue(s) related to Medicare pass-through funding and other payment technicalities in relation to colleges of nursing and allied health professions. Any bill(s) or provision(s) addressing Medicaid Disproportionate Share Hospital (DSH) cuts, namely having to do with a delay in cuts. Any bill(s) or provision(s) addressing access to mental health care for patients and teammates. RESTORING HOPE FOR MENTAL HEALTH AND WELL-BEING ACT (H.R. 7666). THE BIPARTISAN SAFER COMMUNITIES ACT (S. 2938). Any bill(s) or provision(s) addressing access to rural health care for patients. H.R. 315, S. 748, or any other bill(s) or provision(s) addressing the elimination of Medicare sequester cuts during the COVID-19 public health emergency. Any bill(s) or provision(s) addressing the expansion of Medicaid and increasing the level of Federal matching assistance for states that choose to expand Medicaid coverage. Any bill(s) or provision(s) relating to appropriations funding for the Atrium Health/Wake Forest Baptist Innovation Quarter, The Pearl, and Innovation Corridor. Any bill(s) or provision(s) relating to funding/appropriations for the Atrium Health/Wake Forest Baptist School of Medicine. Any bill(s) or provision(s) related to workforce and continued support for healthcare workers. S.1024 - HEALTHCARE WORKFORCE RESILIENCE ACT; S 834: RESIDENT PHYSICIAN SHORTAGE REDUCTION ACT OF 2021; S. 1024: HEALTHCARE WORKFORCE RESILIENCE ACT. THE SAFETY FROM VIOLENCE FOR HEALTHCARE EMPLOYEES (SAVE) Act (H.R. 7961). Any bill(s) or provision(s) advocating for The Advanced Research Projects Agency for Health (ARPA-H) to be located in North Carolina. Any bill(s) or provision(s) related to laboratory developed tests. S.2209. VALID Act Any bill(s) or provision(s) related to funding for the Wake Forest Institute of Regenerative Medicine (WFIRM). Any bill related to the ending or extension of hospital at home waivers. HR 7053/S. 3792. Hospital @ Home. HR 7667. Prescription Drug User Fee Authorization Any bill(s) or provision(s) related to maternal health and access to care. Any issue(s) related to approval of DPP waivers in Georgia.

Client expense: $68,735 · Firm income: Not reported

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

Any COVID-19 stimulus bill(s), package(s), or provision(s) impacting hospitals and health systems, including but not limited to: Additional money and reporting requirements for the Provider Relief Fund; Support for front-line caregivers; Maintaining health benefits for individuals and families and increasing coverage options for the uninsured; Expansion of resources for testing, tracing, and vaccine development; and Expansion of resources for vaccine rollout and administration. Any bill(s) or provision(s) addressing access to mental health care for patients and teammates. RESTORING HOPE FOR MENTAL HEALTH AND WELL-BEING ACT (H.R. 7666). THE BIPARTISAN SAFER COMMUNITIES ACT (S. 2938). Any bill(s) or provision(s) related to workforce and continued support for healthcare workers. S.1024 - HEALTHCARE WORKFORCE RESILIENCE ACT; S 834: RESIDENT PHYSICIAN SHORTAGE REDUCTION ACT OF 2021; S. 1024: HEALTHCARE WORKFORCE RESILIENCE ACT. THE SAFETY FROM VIOLENCE FOR HEALTHCARE EMPLOYEES (SAVE) Act (H.R. 7961).

Client expense: $68,735 · Firm income: Not reported

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

General issues related to hospitals and healthcare in COVID-19 response efforts, including OSHA workplace protections, and general issues related to violence against hospital personnel, including H.R. 7961, the SAVE Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Consolidated Appropriations Act, 2023 (Pub. L. 117-328); Area Wage Index for Post-Acute Providers; Medicare Sequestration; PAYGO Sequestration; Preserving Access to Home Health Act (H.R. 8581/S. 4605); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); Building Americas Health Care Workforce Act (H.R. 7744); Supporting Medicare Providers Act (H.R. 8800); Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Safety from Violence for Healthcare Employees Act (H.R. 7961); Advancing Telehealth Beyond COVID-19 Act (H.R. 4040); ALTO Reauthorization Act (H.R. 4846/S. 2538); Value in Health Care Act (H.R. 4587); Mental Health Justice Act of 2022 (H.R. 8542/S. 515); Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program (CMS-4201-P); Programs; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (CMS-0057-P); Hospital IPPS and ASC Rule (CMS-1773-FC); CY 2023 Physician Fee Schedule (CMS-1770-F); CY 2023 Home Health PPS (CMS-1766-F); Implementing Certain Provisions of the CSA 2021 (CMS-4199-F); Hospital IPPS Rule (CMS-1771-F).

Client expense: Not reported · Firm income: Not reported

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

Consolidated Appropriations Act, 2023 (Pub. L. 117-328); Area Wage Index for Post-Acute Providers; Medicare Sequestration; PAYGO Sequestration; Preserving Access to Home Health Act (H.R. 8581/S. 4605); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); Building Americas Health Care Workforce Act (H.R. 7744); Supporting Medicare Providers Act (H.R. 8800); Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Safety from Violence for Healthcare Employees Act (H.R. 7961); Advancing Telehealth Beyond COVID-19 Act (H.R. 4040); ALTO Reauthorization Act (H.R. 4846/S. 2538); Value in Health Care Act (H.R. 4587); Mental Health Justice Act of 2022 (H.R. 8542/S. 515); Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program (CMS-4201-P); Programs; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (CMS-0057-P); Hospital IPPS and ASC Rule (CMS-1773-FC); CY 2023 Physician Fee Schedule (CMS-1770-F); CY 2023 Home Health PPS (CMS-1766-F); Implementing Certain Provisions of the CSA 2021 (CMS-4199-F); Hospital IPPS Rule (CMS-1771-F).

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

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

Consolidated Appropriations Act, 2023 (Pub. L. 117-328); Area Wage Index for Post-Acute Providers; Medicare Sequestration; PAYGO Sequestration; Preserving Access to Home Health Act (H.R. 8581/S. 4605); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); Building Americas Health Care Workforce Act (H.R. 7744); Supporting Medicare Providers Act (H.R. 8800); Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Safety from Violence for Healthcare Employees Act (H.R. 7961); Advancing Telehealth Beyond COVID-19 Act (H.R. 4040); ALTO Reauthorization Act (H.R. 4846/S. 2538); Value in Health Care Act (H.R. 4587); Mental Health Justice Act of 2022 (H.R. 8542/S. 515); Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program (CMS-4201-P); Programs; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (CMS-0057-P); Hospital IPPS and ASC Rule (CMS-1773-FC); CY 2023 Physician Fee Schedule (CMS-1770-F); CY 2023 Home Health PPS (CMS-1766-F); Implementing Certain Provisions of the CSA 2021 (CMS-4199-F); Hospital IPPS Rule (CMS-1771-F).

Client expense: Not reported · Firm income: Not reported

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

Consolidated Appropriations Act, 2023 (Pub. L. 117-328); Area Wage Index for Post-Acute Providers; Medicare Sequestration; PAYGO Sequestration; Preserving Access to Home Health Act (H.R. 8581/S. 4605); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); Building Americas Health Care Workforce Act (H.R. 7744); Supporting Medicare Providers Act (H.R. 8800); Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Safety from Violence for Healthcare Employees Act (H.R. 7961); Advancing Telehealth Beyond COVID-19 Act (H.R. 4040); ALTO Reauthorization Act (H.R. 4846/S. 2538); Value in Health Care Act (H.R. 4587); Mental Health Justice Act of 2022 (H.R. 8542/S. 515); Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program (CMS-4201-P); Programs; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (CMS-0057-P); Hospital IPPS and ASC Rule (CMS-1773-FC); CY 2023 Physician Fee Schedule (CMS-1770-F); CY 2023 Home Health PPS (CMS-1766-F); Implementing Certain Provisions of the CSA 2021 (CMS-4199-F); Hospital IPPS Rule (CMS-1771-F).

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

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

Consolidated Appropriations Act, 2023 (Pub. L. 117-328); Area Wage Index for Post-Acute Providers; Medicare Sequestration; PAYGO Sequestration; Preserving Access to Home Health Act (H.R. 8581/S. 4605); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); Building Americas Health Care Workforce Act (H.R. 7744); Supporting Medicare Providers Act (H.R. 8800); Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Safety from Violence for Healthcare Employees Act (H.R. 7961); Advancing Telehealth Beyond COVID-19 Act (H.R. 4040); ALTO Reauthorization Act (H.R. 4846/S. 2538); Value in Health Care Act (H.R. 4587); Mental Health Justice Act of 2022 (H.R. 8542/S. 515); Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program (CMS-4201-P); Programs; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (CMS-0057-P); Hospital IPPS and ASC Rule (CMS-1773-FC); CY 2023 Physician Fee Schedule (CMS-1770-F); CY 2023 Home Health PPS (CMS-1766-F); Implementing Certain Provisions of the CSA 2021 (CMS-4199-F); Hospital IPPS Rule (CMS-1771-F).

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

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

Consolidated Appropriations Act, 2023 (Pub. L. 117-328); Area Wage Index for Post-Acute Providers; Medicare Sequestration; PAYGO Sequestration; Preserving Access to Home Health Act (H.R. 8581/S. 4605); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); Building Americas Health Care Workforce Act (H.R. 7744); Supporting Medicare Providers Act (H.R. 8800); Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Safety from Violence for Healthcare Employees Act (H.R. 7961); Advancing Telehealth Beyond COVID-19 Act (H.R. 4040); ALTO Reauthorization Act (H.R. 4846/S. 2538); Value in Health Care Act (H.R. 4587); Mental Health Justice Act of 2022 (H.R. 8542/S. 515); Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program (CMS-4201-P); Programs; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (CMS-0057-P); Hospital IPPS and ASC Rule (CMS-1773-FC); CY 2023 Physician Fee Schedule (CMS-1770-F); CY 2023 Home Health PPS (CMS-1766-F); Implementing Certain Provisions of the CSA 2021 (CMS-4199-F); Hospital IPPS Rule (CMS-1771-F).

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

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

Consolidated Appropriations Act, 2023 (Pub. L. 117-328); Area Wage Index for Post-Acute Providers; Medicare Sequestration; PAYGO Sequestration; Preserving Access to Home Health Act (H.R. 8581/S. 4605); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); Building Americas Health Care Workforce Act (H.R. 7744); Supporting Medicare Providers Act (H.R. 8800); Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Safety from Violence for Healthcare Employees Act (H.R. 7961); Advancing Telehealth Beyond COVID-19 Act (H.R. 4040); ALTO Reauthorization Act (H.R. 4846/S. 2538); Value in Health Care Act (H.R. 4587); Mental Health Justice Act of 2022 (H.R. 8542/S. 515); Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program (CMS-4201-P); Programs; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (CMS-0057-P); Hospital IPPS and ASC Rule (CMS-1773-FC); CY 2023 Physician Fee Schedule (CMS-1770-F); CY 2023 Home Health PPS (CMS-1766-F); Implementing Certain Provisions of the CSA 2021 (CMS-4199-F); Hospital IPPS Rule (CMS-1771-F).

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

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

H.R. 7961-Safety From Violence for Healthcare Employees Act

Client expense: $447,388 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES

Public Health Emergency Extension; HRSA Provider Relief Fund Phase 4; Medicare Area Wage Index - New Brunswick-Lakewood CBSA (CMS-1752-F); Surprise Billing - Qualified Payment Amount, Good Faith Estimates (CMS-9908-IFC)/No Surprises Act (P. L. 116-260); Site-neutral payment/BBA 2015 Sec. 603 (P.L. 114-74); CY 2023 Home Health Prospective Payment System Rate Update (CMS-1766-P); FY 2023 Hospital Inpatient Prospective Payment System (CMS-1771-P); FY 2023 SNF Prospective Payment System (CMS-1765-P); Radiation Oncology (RO) Model (CMS-5527-P2); FY 2023 IRF Prospective Payment System (CMS-1767-P); FY 2023 Inpatient Psychiatric Facilities Prospective Payment System (CMS-1769-P); FY 2023 Hospice Wage Index (CMS-1773-P); Bipartisan Safer Communities Act (P.L. 117-159); FY 2023 Appropriations - Labor-HHS; Safety from Violence for Healthcare Employees (SAVE) Act of 2022 (H.R. 7961); ALTO Reauthorization Act (H.R. 4846/S. 2538); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); PREVENT Pandemics Act (S. 3799); Health Care Providers Safety Act of 2022 (H.R. 7814/S. 4268); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Travel Nursing Agency Transparency Study Act (S. 4352); Medicare Sequestration.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Public Health Emergency Extension; Medicare Area Wage Index - New Brunswick-Lakewood CBSA (CMS-1752-F); FY 2023 SNF Prospective Payment System (CMS-1765-P); Radiation Oncology (RO) Model (CMS-5527-P2); FY 2023 IRF Prospective Payment System (CMS-1767-P); FY 2023 Inpatient Psychiatric Facilities Prospective Payment System (CMS-1769-P); FY 2023 Hospice Wage Index (CMS-1773-P); Bipartisan Safer Communities Act (P.L. 117-159); FY 2023 Appropriations - Labor-HHS; Safety from Violence for Healthcare Employees (SAVE) Act of 2022 (H.R. 7961); ALTO Reauthorization Act (H.R. 4846/S. 2538); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); PREVENT Pandemics Act (S. 3799); Health Care Providers Safety Act of 2022 (H.R. 7814/S. 4268); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Travel Nursing Agency Transparency Study Act (S. 4352); Medicare Sequestration.

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

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

Public Health Emergency Extension; Medicare Area Wage Index - New Brunswick-Lakewood CBSA (CMS-1752-F); FY 2023 SNF Prospective Payment System (CMS-1765-P); Radiation Oncology (RO) Model (CMS-5527-P2); FY 2023 IRF Prospective Payment System (CMS-1767-P); FY 2023 Inpatient Psychiatric Facilities Prospective Payment System (CMS-1769-P); FY 2023 Hospice Wage Index (CMS-1773-P); Bipartisan Safer Communities Act (P.L. 117-159); FY 2023 Appropriations - Labor-HHS; Safety from Violence for Healthcare Employees (SAVE) Act of 2022 (H.R. 7961); ALTO Reauthorization Act (H.R. 4846/S. 2538); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); PREVENT Pandemics Act (S. 3799); Health Care Providers Safety Act of 2022 (H.R. 7814/S. 4268); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Travel Nursing Agency Transparency Study Act (S. 4352); Medicare Sequestration.

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

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

HR 432 and S 828 To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare. HR 708 and S 168 To provide temporary licensing reciprocity for telehealth and interstate health care treatment. HR 1384 and S 445 Loosens restrictions on doctors prescribing buprenorphine for addiction treatment. HR 2503 To direct the HHS Secretary to establish an interagency council on social determinants of health. S 660 Improves access to tele-mental health during the length of the COVID-19 PHE. S 674 To support public health infrastructure (funding up to $4.5 billion). HR 2255/S. 1024 To recapture unused immigrant visas and allocate them to doctors and nurses to help in the fight against COVID-19. HR 2903/S. 1512 Comprehensive bill to expand telehealth access and make permanent telehealth flexibilities available during COVID-19 pandemic. HR 3203/S. 773 To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program. S. 1162 To expand access to Programs of All-Inclusive Care for the Elderly (PACE). HR 4118 To authorize the HHS Secretary to invest in community-based violence reduction initiatives. S. 2257 To reduce drug and device shortages and costs. HR 5801 To apply additional payments, discounts, and other financial assistance towards the cost-sharing requirements of health insurance plans. Health care workforce shortage concerns. S. 3626 To improve access to the Program of All-Inclusive Care for the Elderly (PACE) HR 7236 To expand the availability of mental, emotional, and behavioral health services under the Medicaid program HR 7353 To treat telehealth services as excepted benefits HR 7961 To protect hospital personnel from violence S 4352 To require a study on the effects of travel nurse agencies on the health industry during the COVID-19 pandemic S 3189 To provide a pathway to health careers through health profession opportunity grants HR 7666 Reauthorizes, expands, and modifies programs, grants, and activities that focus on mental and behavioral health

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE