To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes.

H.R. 944 - To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes; S. 4330 - Specialty Physicians Advancing Rural Care Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1667/S. 610, Dr. Lorna Breene Health Care Provider Protection Act Issue: Support the authorization of funds to prevent mental and behavioral health conditions for health care professionals. H.R. 944, Expanding Access to Specialty Care in Rural Areas Issue: Support providing student loan forgiveness to specialty medicine physicians who serve in rural communities. H.R. 3021, Coronavirus Provider Protection Act Issue: Support COVID-19 related liability protections for health care providers during public health emergency. P.L. 116-260, Consolidated Appropriations Act of 2021, No Surprises Act Issue: Support Congressional efforts to ensure that the regulatory implementation of the No Surprises Act matches congressional intent. S. 3799,PREVENT Pandemics Act Issue: To prepare for, and respond to, existing viruses, emerging new threats, and pandemics. S. 3658, REDI Act Issue: This bill allows borrowers in medical or dental internships or residency programs to defer student loan payments until the completion of their programs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1667/S. 610, Dr. Lorna Breene Health Care Provider Protection Act Issue: Support the authorization of funds to prevent mental and behavioral health conditions for health care professionals. H.R. 944, Expanding Access to Specialty Care in Rural Areas Issue: Support providing student loan forgiveness to specialty medicine physicians who serve in rural communities. H.R. 3021, Coronavirus Provider Protection Act Issue: Support COVID-19 related liability protections for health care providers during public health emergency. P.L. 116-260, Consolidated Appropriations Act of 2021, No Surprises Act Issue: Support Congressional efforts to ensure that the regulatory implementation of the No Surprises Act matches congressional intent. S. 3799,PREVENT Pandemics Act Issue: To prepare for, and respond to, existing viruses, emerging new threats, and pandemics. S. 3658, REDI Act Issue: This bill allows borrowers in medical or dental internships or residency programs to defer student loan payments until the completion of their programs.

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

S. 4330, Specialty Physicians Advancing Rural Care (SPARC) Act, all provisions H.R. 2954, Securing a Strong Retirement (SECURE 2.0) Act of 2022, all provisions H.R. 2917, Retirement Parity for Student Loans Act of 2021, all provisions S. 1443, Retirement Parity for Student Loans Act, all provisions H.R. 5602, Bolstering Infectious Outbreaks (BIO) Preparedness Workforce Act of 2021, all provisions S. 3244, Bolstering Infectious Outbreaks (BIO) Preparedness Workforce Act of 2021, all provisions H.R. 4122, Resident Education Deferred Interest (REDI) Act, all provisions S. 3685, Resident Education Deferred Interest (REDI) Act, all provisions S. 924, Rural America Health Corps Act, all provisions H.R. 4521, America COMPETES Act of 2022, provisions relating to Doctoral STEM Programs H.R. 944, To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes, all provisions H. Res. 784, Expressing the sense of the House of Representatives that the United States recognizes the mounting personal and financial burden of diet-related disease in the United States and calls on medical schools, graduate medical education programs, and other health professional training programs to provide meaningful physician and health professional education on nutrition and diet, all provisions H.R. 6397, Medical Student Education Authorization Act of 2022, all provisions S. 3497, Medical Student Education Authorization Act of 2022, all provisions H.R. 7383, Improving Access to Health Care in Rural and Underserved Areas Act, all provisions S. 201, Improving Access to Health Care in Rural and Underserved Areas Act, all provisions H.R. 7539, Indian Health Service Health Professions Tax Fairness Act of 2022, provisions relating to student loan repayment S. 2874, Indian Health Service Health Professions Tax Fairness Act of 2021, provisions relating to student loan repayment Enhancing American Retirement Now (EARN) Act, provisions relating to student loan repayment Frontline workers/student loan forgiveness Student Loan Forgiveness Foreign Medical School Accountability Act draft Osteopathic residency program discrimination

H.R. 944 - To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes; S. 4330 - Specialty Physicians Advancing Rural Care Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

United Spinal Association supports HR 2168 / S 3193 Expanded Telehealth Access Act. United Spinal Association supports HR 3932 / S 2076 The Pioneering Antimicrobial Subscriptions to End Up surging Resistance (PASTEUR) Act. United Spinal Association/VetsFirst supports The Advanced Safe Testing at Residence Telehealth (A-START) Act of 2021. Increase Funding for Spinal Cord Injury Model Systems - House/Senate. Discussed the need for SCIMS increased funding and next steps with Director Anjali Forber-Pratt, Dir., NIDILRR. United Spinal Association raised concerns: regarding accessibility of COVID-19 tests; MA and Part D programs, notice of benefit and payment parameters; support CMS access to dental surgical services, support the DMEPOS Relief Act (H.R. 6641); share concerns re the CMS ACA Exchange Rule; support the Health Data Use and Privacy Commission Act (S. 3620); shared concerns with CMS regarding access to DME in times of public health emergency. United Spinal advocacy and policy staff participated in a meeting with representatives from the CDC, CMS, and ACL urging the CDC to issue guidance on census reduction of nursing homes and other institutional settings as an infection control measure. United Spinal supported comments as part of the Disability and Rehabilitation Research Coalition on the draft Strategic Plan for the NIH Chief Officer for Scientific Workforce Diversity (COSWD). Support significant investment into home and community-based services and supports. Met with House and Senate in support of improvements in health equity (Ways and Means Committee Subcommittee on Health United States House of Representatives; testimony); SUPPORT EQUITABLE REFORMS TO THE MEDICARE PHYSICIAN FEE SCHEDULE; SUPPORT H.R. 944 TO ADDRESS SPECIALTY MEDICINE PHYSICIAN SHORTAGES IN RURAL AREAS; SUPPORT H.R. 2256/S. 834 TO INCREASE THE NUMBER OF GME RESIDENCY SLOTS; SUPPORT H.R. 2903/S. 1512; SUPPORT H.R. 5030/S.2706 TO IMPROVE DIVERSITY IN CLINICAL TRIALS TO PERMANENTLY EXPAND TELEHEALTH SERVICES

S. 924, Rural America Health Corps Act, all provision H.R. 5602, Bolstering Infectious Outbreaks (BIO) Preparedness Workforce Act of 2021, all provisions S. 3244, Bolstering Infectious Outbreaks (BIO) Preparedness Workforce Act of 2021, all provisions H.R. 4122, Resident Education Deferred Interest (REDI) Act, all provisions S. 3658, Resident Education Deferred Interest (REDI) Act, all provisions H.R. 2917, Retirement Parity for Student Loans Act of 2021, all provisions S. 1443, Retirement Parity for Student Loans Act of 2021, all provisions H.R. 2954, Securing a Strong Retirement Act of 2022, provisions relating to student loans H.R. 944, To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes, all provisions H. Res. 784, Expressing the sense of the House of Representatives that the United States recognizes the mounting personal and financial burden of diet-related disease in the United States and calls on medical schools, graduate medical education programs, and other health professional training programs to provide meaningful physician and health professional education on nutrition and diet, all provisions H.R. 6397, Medical Student Education Authorization Act of 2022, all provisions S. 3497, Medical Student Education Authorization Act of 2022, all provisions Foreign Medical School Accountability Act/draft Student loan forgiveness for frontline workers Osteopathic residency/discrimination issues United States Medical Licensing Examination

Client expense: $6,520,000 · Firm income: Not reported

H.R. 944 - To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 944 - To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES

H.R. 1667/S. 610, Dr. Lorna Breene Health Care Provider Protection Act Issue: Support the authorization of funds to prevent mental and behavioral health conditions for health care professionals. H.R. 944, Expanding Access to Specialty Care in Rural Areas Issue: Support providing student loan forgiveness to specialty medicine physicians who serve in rural communities. H.R. 3021, Coronavirus Provider Protection Act Issue: Support COVID-19 related liability protections for health care providers during public health emergency. P.L. 116-260, Consolidated Appropriations Act of 2021, No Surprises Act Issue: Support Congressional efforts to ensure that the regulatory implementation of the No Surprises Act matches congressional intent. S. 3799,PREVENT Pandemics Act Issue: To prepare for, and respond to, existing viruses, emerging new threats, and pandemics. S. 3658, REDI Act Issue: This bill allows borrowers in medical or dental internships or residency programs to defer student loan payments until the completion of their programs.

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

Specialty physician workforce legislation (HR 944) and Veterans Prostate Cancer Treatment and Research Act (HR 4880 and S. 2720)

Client expense: Not reported · Firm income: Not reported

H.R. 4122, Resident Education Deferred Interest (REDI) Act, all provisions H.R. 944, To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes, all provisions H.R. 5376, Build Back Better Act, provisions relating to pathways to practice H Res. 784, Expressing the sense of the House of Representatives that the United States recognizes the mounting personal and financial burden of diet-related disease in the United States and calls on medical schools, graduate medical education programs, and other health professional training programs to provide meaningful physician and health professional education on nutrition and diet, all provisions H.R. 2917, Retirement Parity for Student Loans Act of 2021, all provisions S. 1443, Retirement Parity for Student Loans Act of 2021, all provisions H.R. 2954, Securing a Strong Retirement Act of 2021, all provisions S. 54, Strengthening Americas Health Care Readiness Act, all provisions S. 924, Rural America Health Corps Act, all provisions H.R. 5602, Bolstering Infectious Outbreaks (BIO) Preparedness Workforce Act of 2021, all provisions S. 3244, Bolstering Infectious Outbreaks (BIO) Preparedness Workforce Act of 2021, all provisions H.R. 1384, Doctors of Community (DOC) Act, all provisions S. 1958, Doctors of Community (DOC) Act, all provisions Medical Student Education Authorization Act Student loan forgiveness for front line workers Physician workforce/GME Osteopathic residency match Rural residency programs Public service loan forgiveness

Client expense: $4,770,000 · Firm income: Not reported

H.R. 1667/S. 610, Dr. Lorna Breene Health Care Provider Protection Act Issue: Support the authorization of funds to prevent mental and behavioral health conditions for health care professionals. H.R. 944, Expanding Access to Specialty Care in Rural Areas Issue: Support providing student loan forgiveness to specialty medicine physicians who serve in rural communities. H.R. 3021, Coronavirus Provider Protection Act Issue: Support COVID-19 related liability protections for health care providers during public health emergency. P.L. 116-260, Consolidated Appropriations Act of 2021, No Surprises Act Issue: Support Congressional efforts to ensure that the regulatory implementation of the No Surprises Act matches congressional intent.

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

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

H.R. 944 - To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES

H.R. 3352, Midwives for MOMS Act of 2021, all provisions H.R. 4122, Resident Education Deferred Interest (REDI) Act, all provisions H.R. 944, To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes, all provisions H.R. 2225, National Science Foundation for the Future Act, all provisions H.R. 2954, Securing a Strong Retirement Act of 2021, provisions relating to student loans H.R. 2917, Retirement Parity for Student Loans Act of 2021, all provisions S. 1443, Retirement Parity for Student Loans Act, all provisions H.R. 3671, Doctors of Community (DOC) Act, all provisions S. 1958, Doctors of Community (DOC) Act, all provisions H.R. 2130, Rural America Health Corps Act, all provisions S. 924, Rural America Health Corps Act, all provisions H.R. 2418, Student Loan Forgiveness for Frontline Health Workers Act, all provisions Physician workforce/Graduate Medical Education (GME)

Client expense: $3,490,000 · Firm income: Not reported

H.R. 944 - To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes.

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

H.R. 1667/S. 610, Dr. Lorna Breene Health Care Provider Protection Act Issue: Support the authorization of funds to prevent mental and behavioral health conditions for health care professionals. H.R. 944, Expanding Access to Specialty Care in Rural Areas Issue: Support providing student loan forgiveness to specialty medicine physicians who serve in rural communities. H.R. 3021, Coronavirus Provider Protection Act Issue: Support COVID-19 related liability protections for health care providers during public health emergency. P.L. 116-260, Consolidated Appropriations Act of 2021, No Surprises Act Issue: Support Congressional efforts to ensure that the regulatory implementation of the No Surprises Act matches congressional intent.

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

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

H.R. 2917, Retirement Parity for Student Loans Act of 2021, all provisions S. 1443, Retirement Parity for Student Loans Act of 2021, all provisions S. 54, Strengthening Americas Health Care Readiness Act, all provisions H.R. 3671, To amend the Public Health Service Act to reauthorize the program of payments to teaching health centers that operate graduate medical education programs, all provisions S. 1958, Doctors of Community (DOC) Act, all provisions H.R. 3352, Midwives for Maximizing Optimal Maternity Services Act of 2021, all provisions H.R. 4122, To amend the Higher Education Act of 1965 to provide for interest-free deferment on student loans for borrowers serving in a medical or dental internship or residency program, all provisions H.R. 944, To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes, all provisions S. 924, Rural America Health Corps Act, all provisions H.R. 2418, Student Loan Forgiveness for Frontline Health Workers Act, all provisions Front line workers/student loan forgiveness Provider workforce shortage Graduate Medical Education Public Service Loan Forgiveness Program

Client expense: $4,220,000 · Firm income: Not reported

H.R. 1667/S. 610, Dr. Lorna Breene Health Care Provider Protection Act Issue: Support the authorization of funds to prevent mental and behavioral health conditions for health care professionals. H.R. 944, Expanding Access to Specialty Care in Rural Areas Issue: Support providing student loan forgiveness to specialty medicine physicians who serve in rural communities. H.R. 3021, Coronavirus Provider Protection Act Issue: Support COVID-19 related liability protections for health care providers during public health emergency. P.L. 116-260, Consolidated Appropriations Act of 2021, No Surprises Act Issue: Support Congressional efforts to ensure that the regulatory implementation of the No Surprises Act matches congressional intent.

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

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

H.R. 944 - To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes.

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

H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act H.R. 379, Improving Social Determinants of Health Act H.R. 708, Temporary Reciprocity to Ensure Access to Treatment Act H.R.944 - To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes. H.R. 959, Black Maternal Health Momnibus Act H.R. 1874, Expand Navigators Resources for Outreach, Learning & Longevity Act H.R. 1878, State Healthcare Premium Reduction Act H.R. 1896, State Allowance for a Variety of Exchanges Act H.R. 2166, Ensuring Parity in Medicare Advantage for Audio Only Telehealth Act H.R. 2759, Pharmacy and Medically Underserved Areas Enhancement Act H.R. 2807, PREVENT DIABETES ACT H.R. 3321, Credit for Caring Act H.R. 3788, Protecting American Innovation Act H.R. 4131, Better Care Better Jobs Act S. 150, Ensuring Parity in Medicare Advantage for Audio Only Telehealth Act S. 346, Black Maternal Health Momnibus Act S. 509, Leveraging Integrated Networks in Communities to Address Social Needs Act S. 674, Public Health Infrastructure Saves Lives Act S. 1024, Healthcare Workforce Resilience Act S. 1362, Pharmacy and Medically Underserved Areas Enhancement Act S. 1704, Telehealth Expansion Act S. 1770, Credit for Caring Act S. 2210, Better Care Better Jobs Act

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

H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act H.R. 379, Improving Social Determinants of Health Act H.R. 708, Temporary Reciprocity to Ensure Access to Treatment Act H.R.944 - To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes. H.R. 959, Black Maternal Health Momnibus Act H.R. 1874, Expand Navigators Resources for Outreach, Learning & Longevity Act H.R. 1878, State Healthcare Premium Reduction Act H.R. 1896, State Allowance for a Variety of Exchanges Act H.R. 2166, Ensuring Parity in Medicare Advantage for Audio Only Telehealth Act H.R. 2759, Pharmacy and Medically Underserved Areas Enhancement Act H.R. 2807, PREVENT DIABETES ACT H.R. 3321, Credit for Caring Act H.R. 3788, Protecting American Innovation Act H.R. 4131, Better Care Better Jobs Act S. 150, Ensuring Parity in Medicare Advantage for Audio Only Telehealth Act S. 346, Black Maternal Health Momnibus Act S. 509, Leveraging Integrated Networks in Communities to Address Social Needs Act S. 674, Public Health Infrastructure Saves Lives Act S. 1024, Healthcare Workforce Resilience Act S. 1362, Pharmacy and Medically Underserved Areas Enhancement Act S. 1704, Telehealth Expansion Act S. 1770, Credit for Caring Act S. 2210, Better Care Better Jobs Act

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

S. 464, the Safe Step Act: To amend the Employee Retirement Income Security Act of 1974 to require health insurers to provide an exceptions process for any medication step therapy protocol S. 610, Dr. Lorna Breen Health Care Provider Protection Act: To address behavioral health and well-being among health care professionals. H.R.66, Comprehensive Access to Robust Insurance Now Guaranteed for Kids Act: To permanently extend the Children's Health Insurance Program H.R. 944: To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians H.R. 1268, Building COVID-19 Vaccine Confidence Act of 2021: To require the Secretary of Health and Human Services to award targeted grants to disseminate information regarding the safety and efficacy of COVID-19 vaccines H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act: To address behavioral health and well-being among health care professionals. H.R. 2163, the Safe Step Act: To amend the Employee Retirement Income Security Act of 1974 to require health insurers to provide an exceptions process for any medication step therapy protocol No Bill: Medical liability protections for health care volunteers in a federally declared disaster area No Bill: Medical liability protections for health care providers for COVID-19-related services

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

S. 464, the Safe Step Act: To amend the Employee Retirement Income Security Act of 1974 to require health insurers to provide an exceptions process for any medication step therapy protocol S. 610, Dr. Lorna Breen Health Care Provider Protection Act: To address behavioral health and well-being among health care professionals. H.R.66, Comprehensive Access to Robust Insurance Now Guaranteed for Kids Act: To permanently extend the Children's Health Insurance Program H.R. 944: To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians H.R. 1268, Building COVID-19 Vaccine Confidence Act of 2021: To require the Secretary of Health and Human Services to award targeted grants to disseminate information regarding the safety and efficacy of COVID-19 vaccines H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act: To address behavioral health and well-being among health care professionals. H.R. 2163, the Safe Step Act: To amend the Employee Retirement Income Security Act of 1974 to require health insurers to provide an exceptions process for any medication step therapy protocol No Bill: Medical liability protections for health care volunteers in a federally declared disaster area No Bill: Medical liability protections for health care providers for COVID-19-related services

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

Support of H.R. 1667 and S. 610 "Dr. Lorna Breen Health Care Provider Protection Act" Helps reduce and prevent mental and behavioral health conditions for health care professionals. Support of H.R. 944 to provide student loan forgiveness for those practicing in rural areas.

Client expense: $63,506 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE