Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R. 10445, the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; H.R. 4552/S. 2465, Transportation, Housing and Urban Development, and Related Agencies Act, 2026; H.R. 4121/S. 2256, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Act, 2026; H.R. 4553, Energy and Water Development and Related Agencies Act, 2026; H.R. 5166, Financial Services and General Government Act, 2026; H.R. 4754/S. 2431, Department of Interior, Environment, and Related Agencies Act, 2026; H.R. 3944, Military Construction, Veterans Affairs, and Related Agencies Act, 2026; H.R. 4249/S. 2257, Legislative Branch Appropriations Act, 2026; H.R. 5342/S.2354, Commerce, Justice, Science, and Related Agencies Act, 2026; H.R. 5304/S. 2587, Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; H.R. 4213, Department of Homeland Security Act, 2026; H.R. 4016/S. 2572, Department of Defense Act, 2026; Energy R&D funding; LIHEAP Issues generally; Disaster supplemental funding general

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2486, S. 1214 - Heating and Cooling Relief Act; H.R. 5371 - Continuing Appropriations and Extensions Act, 2026; H.R. 1968 - Full Year Continuing Appropriations and Extensions Act, 2025; H.R. 10445 - the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; H. Con. Res.14 - Establishing the congressional budget for the United States Government for Fiscal year 2025; H.R. 5304, S. 2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations: Provisions related to the Low Income Home Energy Assistance Program (LIHEAP). H.R. 4553 - Energy and Water Development and Related Agencies Appropriations: Issues related to Department of Energy funding programs, Research and development for natural gas technologies.

Client expense: $620,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2486/S. 1214 - Heating and Cooling Relief Act; H.R. 1968 - Full Year Continuing Appropriations and Extensions Act, 2025; H.R. 10445 - the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; H.Con.Res.14 - Establishing the congressional budget for the United States Government for Fiscal year 2025; Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations: Provisions related to the Low Income Home Energy Assistance Program (LIHEAP). Energy and Water Development and Related Agencies Appropriations: Issues related to Department of Energy funding programs, Research and development for natural gas technologies. Department of Homeland Security Appropriations: Issues related to Cybersecurity and Infrastructure Security Agency, and the Federal Emergency Management Agency (FEMA). Issues related to delay of implementation for Energy Independence and Security Act Section 433.

Client expense: $750,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025; H.R. 10445, the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; H.R. 4552/S. 2465, Transportation, Housing and Urban Development, and Related Agencies Act, 2026; H.R. 5371- Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Extension Act, 2026; H.R. 4553, Energy and Water Development and Related Agencies Act, 2026; H.R. 4754/S. 2431, Department of Interior, Environment, and Related Agencies Act, 2026; H.R. 5342/S.2354, Commerce, Justice, Science, and Related Agencies Act, 2026; H.R. 5304/S. 2587, Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; H.R. 4213, Department of Homeland Security Act, 2026; H.R. 4016/S. 2572, Department of Defense Act, 2026; Energy R&D funding; LIHEAP Issues generally.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R.2486/S.1214 Heating and Cooling Relief Act; H.R. 5371, Continuing Appropriations and Extensions Act, 2026, H.R. 10445- the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; H.R. 9028, Transportation, Housing and Urban Development, and Related Agencies Act, 2025; H.R. 8997, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Act, 2025; H.R. 8997, Energy and Water Development and Related Agencies Act, 2025; H.R. 8773, Financial Services and General Government Act, 2025; H.R. 8998, Department of Interior, Environment, and Related Agencies Act, 2025; H.R. 8580, Military Construction, Veterans Affairs, and Related Agencies Act, 2025; H.R. 8772, Legislative Branch Appropriations Act, 2025; H.R. 9026, Commerce, Justice, Science, and Related Agencies Act, 2025; H.R. 9029, Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2025; H.R. 8752, Department of Homeland Security Act, 2025; H.R. 8774, Department of Defense Act, 2025; H.R. 9494, Continuing Appropriations and Other Matters Act, 2025; H.R. 4121/S. 2256, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Act, 2026; H.R. 4553, Energy and Water Development and Related Agencies Act, 2026; H.R. 5166, Financial Services and General Government Act, 2026; H.R. 4754/S. 2431, Department of Interior, Environment, and Related Agencies Act, 2026; H.R. 3944, Military Construction, Veterans Affairs, and Related Agencies Act, 2026; H.R. 4249/S. 2257, Legislative Branch Appropriations Act, 2026; H.R. 5342/S.2354, Commerce, Justice, Science, and Related Agencies Act, 2026; H.R. 5304/S. 2587, Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; H.R. 4213, Department of Homeland Security Act, 2026; H.R. 4016/S. 2572, Department of Defense Act, 2026; Energy R&D funding; LIHEAP Issues generally; Disaster supplemental funding general. FY25 Labor-HHS Appropriations; Draft appropriations language regarding the beneficial use of coal combustion residuals. Appropriations language supporting delay of implementation for Energy Independence and Security Act Section 433 H.R. 4552/S. 2465, Transportation, Housing and Urban Development, and Related Agencies Act, 2026;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 10445- the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, provisions related to energy program funding; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025, provisions related to energy program funding; H.R. 4016/S. 2572, Department of Defense Act, 2026, provisions related to cybersecurity; H.R. 4213, Department of Homeland Security Act, 2026, provisions related to critical infrastructure protection; H.R. 4553, Energy and Water Development and Related Agencies Act, 2026, provisions related to energy program funding; H.R. 4754/S. 2431, Department of Interior, Environment, and Related Agencies Act, 2026, provisions related to funding of permitting agencies; Energy R&D funding; Infrastructure Investment and Jobs Act (P.L. 117-58), implementation of funding electric transmission programs.

Client expense: $170,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Provisions on Low Income Home Energy Assistance funding in the following 2025 appropriations legislation: Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; H.R.1968 Full-Year Continuing Appropriations and Extensions Act, 2025; H.R. 5371 - Continuing Appropriations and Extensions Act, 2026. Provisions relating to agency resources and staffing in the following 2025 appropriations legislation: H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025; H.R. 10445 The Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; Transportation, Housing and Urban Development, and Related Agencies Act, 2026; Energy and Water Development and Related Agencies Act, 2026; Department of Interior, Environment, and Related Agencies Act, 2026.

Client expense: $500,000 · Firm income: Not reported

Government targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

S. 891, The Bipartisan Health Care Act, provisions related to PBM regulation H.R. 10445 (118th Congress), Further Consolidating Appropriations and Disaster Relief Supplemental Appropriations Act, Division E, Healthcare, provisions regulating pharmacy benefit managers H.R. 2214, The DRUG Act -provisions related to PBM compensation H.R. 5378 (118th Congress), Lower Cost, More Transparency Act S. 526 Pharmacy Benefit Manger Transparency Act of 2025 -provisions related to transparency and pharmacy and PBM compensation S, 1339 PBM Reform Act (118th Congress) provisions related to PBM compensation S. 2305/H.R. 5526 The Biosimilar Red Tape Elimination Act-- To improve the requirements for making a determination of interchangeability of a biological product and its reference product. Education on real time benefits checks for prescriptions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 891, The Bipartisan Health Care Act, provisions related to PBM regulation S. 891, The Bipartisan Health Care Act, provisions related to PBM regulation H.R. 10445 (118th Congress), Further Consolidating Appropriations and Disaster Relief Supplemental Appropriations Act, Division E, Healthcare, provisions regulating pharmacy benefit managers H.R. 5378 (118th Congress), Lower Cost, More Transparency Act H.R. 4317, PBM Reform Act of 2025 legislation on PBM reform in Medicare and pharmacy access standards S. 3159/H.R. 5031 Preserving Patient Access to Long Term Care Pharmacies Act provision designed to ensure continued access to essential medications and pharmacy services for seniors in long- term care facilities by establishing a temporary supply fee for pharmacies. H.R. 9096 Pharmacists Fight Back Act legislation to establish pharmacy payment, transparency requirements and reimbursement by pharmacy benefits managers in federal programs S.3345 - PBM Price Transparency and Accountability Act -provisions reforming PBM practices in Medicare in Medicaid including delinking, a ban on Medicaid spread pricing, transparency and audit rights H.R. 6703, the Lower Health Care Premiums for All Americans Act -provisions addressing PBM practices in Medicare and Medicaid

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

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

H.R.5371 - Making continuing appropriations and extensions for fiscal year 2026, and for other purposes. H.Con.Res.14 - Establishing the congressional budget for the United States Government for Fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034. Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R. 10445, the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; H.R. 4552/S. 2465, Transportation, Housing and Urban Development, and Related Agencies Act, 2026; H.R. 4121/S. 2256, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Act, 2026; H.R. 4553, Energy and Water Development and Related Agencies Act, 2026; H.R. 5166, Financial Services and General Government Act, 2026; H.R. 4754/S. 2431, Department of Interior, Environment, and Related Agencies Act, 2026; H.R. 3944, Military Construction, Veterans Affairs, and Related Agencies Act, 2026; H.R. 4249/S. 2257, Legislative Branch Appropriations Act, 2026; H.R. 5342/S.2354, Commerce, Justice, Science, and Related Agencies Act, 2026; H.R. 5304/S. 2587, Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; H.R. 4213, Department of Homeland Security Act, 2026; H.R. 4016/S. 2572, Department of Defense Act, 2026; Energy R&D funding; LIHEAP Issues generally; Disaster supplemental funding general

Client expense: $410,000 · Firm income: Not reported

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

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R. 10445, the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; H.R. 4552/S. 2465, Transportation, Housing and Urban Development, and Related Agencies Act, 2026; H.R. 4121/S. 2256, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Act, 2026; H.R. 4553, Energy and Water Development and Related Agencies Act, 2026; H.R. 5166, Financial Services and General Government Act, 2026; H.R. 4754/S. 2431, Department of Interior, Environment, and Related Agencies Act, 2026; H.R. 3944, Military Construction, Veterans Affairs, and Related Agencies Act, 2026; H.R. 4249/S. 2257, Legislative Branch Appropriations Act, 2026; H.R. 5342/S.2354, Commerce, Justice, Science, and Related Agencies Act, 2026; H.R. 5304/S. 2587, Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; H.R. 4213, Department of Homeland Security Act, 2026; H.R. 4016/S. 2572, Department of Defense Act, 2026; Energy R&D funding; LIHEAP Issues generally; Disaster supplemental funding general

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R. 10445, the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; H.R. 4552/S. 2465, Transportation, Housing and Urban Development, and Related Agencies Act, 2026; H.R. 4121/S. 2256, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Act, 2026; H.R. 4553, Energy and Water Development and Related Agencies Act, 2026; H.R. 5166, Financial Services and General Government Act, 2026; H.R. 4754/S. 2431, Department of Interior, Environment, and Related Agencies Act, 2026; H.R. 3944, Military Construction, Veterans Affairs, and Related Agencies Act, 2026; H.R. 4249/S. 2257, Legislative Branch Appropriations Act, 2026; H.R. 5342/S.2354, Commerce, Justice, Science, and Related Agencies Act, 2026; H.R. 5304/S. 2587, Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; H.R. 4213, Department of Homeland Security Act, 2026; H.R. 4016/S. 2572, Department of Defense Act, 2026; Energy R&D funding; LIHEAP Issues generally; Disaster supplemental funding general

Client expense: $1,953,804 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Provisions on Low Income Home Energy Assistance funding in the following 2025 appropriations legislation: Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; H.R.1968 Full-Year Continuing Appropriations and Extensions Act, 2025. Provisions relating to agency resources and staffing in the following 2025 appropriations legislation: H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025; H.R. 10445 The Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; Transportation, Housing and Urban Development, and Related Agencies Act, 2026; Energy and Water Development and Related Agencies Act, 2026; Department of Interior, Environment, and Related Agencies Act, 2026.

Client expense: $110,000 · Firm income: Not reported

Government targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

Lynch, Kenneth Infrastructure Investment and Jobs Act; Energy R&D funding; LIHEAP Issues generally; ONeill, Daniel Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R. 10445, the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; H.R. 4553, Energy and Water Development and Related Agencies Act, 2026; H.R. 4754/S. 2431, Department of Interior, Environment, and Related Agencies Act, 2026; H.R. 5342/S.2354, Commerce, Justice, Science, and Related Agencies Act, 2026; H.R. 5304/S. 2587, Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; H.R. 4213, Department of Homeland Security Act, 2026; H.R. 4016/S. 2572, Department of Defense Act, 2026; Energy R&D funding; LIHEAP Issues generally; Disaster supplemental funding general

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2486, S. 1214 - Heating and Cooling Relief Act; H.R. 5371 - Continuing Appropriations and Extensions Act, 2026; H.R. 1968 - Full Year Continuing Appropriations and Extensions Act, 2025; H.R. 10445 - the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; H. Con. Res.14 - Establishing the congressional budget for the United States Government for Fiscal year 2025; H.R. 5304, S. 2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations: Provisions related to the Low Income Home Energy Assistance Program (LIHEAP). H.R. 4553 - Energy and Water Development and Related Agencies Appropriations: Issues related to Department of Energy funding programs, Research and development for natural gas technologies.

Client expense: $590,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025, provisions related to energy program funding; H.R. 10445- the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, provisions related to energy program funding; H.R. 4553, Energy and Water Development and Related Agencies Act, 2026, provisions related to energy program funding; H.R. 4754/S. 2431, Department of Interior, Environment, and Related Agencies Act, 2026, provisions related to funding of permitting agencies; H.R. 4213, Department of Homeland Security Act, 2026, provisions related to critical infrastructure protection; H.R. 4016/S. 2572, Department of Defense Act, 2026, provisions related to cybersecurity; Energy R&D funding; Infrastructure Investment and Jobs Act (P.L. 117-58), implementation of funding electric transmission programs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R. 10445, the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; H.R. 4552/S. 2465, Transportation, Housing and Urban Development, and Related Agencies Act, 2026; H.R. 4553, Energy and Water Development and Related Agencies Act, 2026; H.R. 4754/S. 2431, Department of Interior, Environment, and Related Agencies Act, 2026; H.R. 5304/S. 2587, Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; Energy R&D funding; LIHEAP Issues generally; Disaster supplemental funding general H.R.5371 - Continuing Appropriations and Extensions Act, 2026 - Keeps government running/funding programs like LIHEAP. Also includes an anomaly to extend authorization for CISA. H.R.2486/S.1214 Heating and Cooling Relief Act - Low Income Home Energy Assistance Program (LIHEAP) alteration legislation. FY25 Energy, Water & Related Agencies Appropriations Legislation FY25 Labor-HHS Appropriations Legislation - Support fully authorized regular LIHEAP funding at $5.1 Billion

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R.2486/S.1214 Heating and Cooling Relief Act; H.R. 5371, Continuing Appropriations and Extensions Act, 2026, H.R. 10445- the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; H.R. 9028, Transportation, Housing and Urban Development, and Related Agencies Act, 2025; H.R. 8997, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Act, 2025; H.R. 8997, Energy and Water Development and Related Agencies Act, 2025; H.R. 8773, Financial Services and General Government Act, 2025; H.R. 8998, Department of Interior, Environment, and Related Agencies Act, 2025; H.R. 8580, Military Construction, Veterans Affairs, and Related Agencies Act, 2025; H.R. 8772, Legislative Branch Appropriations Act, 2025; H.R. 9026, Commerce, Justice, Science, and Related Agencies Act, 2025; H.R. 9029, Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2025; H.R. 8752, Department of Homeland Security Act, 2025; H.R. 8774, Department of Defense Act, 2025; H.R. 9494, Continuing Appropriations and Other Matters Act, 2025; H.R. 4121/S. 2256, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Act, 2026; H.R. 4553, Energy and Water Development and Related Agencies Act, 2026; H.R. 5166, Financial Services and General Government Act, 2026; H.R. 4754/S. 2431, Department of Interior, Environment, and Related Agencies Act, 2026; H.R. 3944, Military Construction, Veterans Affairs, and Related Agencies Act, 2026; H.R. 4249/S. 2257, Legislative Branch Appropriations Act, 2026; H.R. 5342/S.2354, Commerce, Justice, Science, and Related Agencies Act, 2026; H.R. 5304/S. 2587, Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; H.R. 4213, Department of Homeland Security Act, 2026; H.R. 4016/S. 2572, Department of Defense Act, 2026; Energy R&D funding; LIHEAP Issues generally; Disaster supplemental funding general. FY25 Labor-HHS Appropriations; Draft appropriations language regarding the beneficial use of coal combustion residuals. Appropriations language supporting delay of implementation for Energy Independence and Security Act Section 433

Client expense: $160,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R. 10445, the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; H.R. 4552/S. 2465, Transportation, Housing and Urban Development, and Related Agencies Act, 2026; H.R. 4121/S. 2256, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Act, 2026; H.R. 4553, Energy and Water Development and Related Agencies Act, 2026; H.R. 5166, Financial Services and General Government Act, 2026; H.R. 4754/S. 2431, Department of Interior, Environment, and Related Agencies Act, 2026; H.R. 3944, Military Construction, Veterans Affairs, and Related Agencies Act, 2026; H.R. 4249/S. 2257, Legislative Branch Appropriations Act, 2026; H.R. 5342/S.2354, Commerce, Justice, Science, and Related Agencies Act, 2026; H.R. 5304/S. 2587, Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; H.R. 4213, Department of Homeland Security Act, 2026; H.R. 4016/S. 2572, Department of Defense Act, 2026; Energy R&D funding; LIHEAP Issues generally; Disaster supplemental funding general.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025; H.R. 10445, the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; Energy R&D funding; LIHEAP Issues generally.

Client expense: $260,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 891, The Bipartisan Health Care Act, provisions related to PBM regulation H.R. 10445 (118th Congress), Further Consolidating Appropriations and Disaster Relief Supplemental Appropriations Act, Division E, Healthcare, provisions regulating pharmacy benefit managers H.R. 2214, The DRUG Act -provisions related to PBM compensation H.R. 5378 (118th Congress), Lower Cost, More Transparency Act S. 526 Pharmacy Benefit Manger Transparency Act of 2025 -provisions related to transparency and pharmacy and PBM compensation S, 1339 PBM Reform Act (118th Congress) provisions related to PBM compensation Draft legislation, Patients Before Middlemen regarding payor ownership of pharmacies General education on ERISA and PBMs

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 891, The Bipartisan Health Care Act, provisions related to PBM regulation S. 891, The Bipartisan Health Care Act, provisions related to PBM regulation H.R. 10445 (118th Congress), Further Consolidating Appropriations and Disaster Relief Supplemental Appropriations Act, Division E, Healthcare, provisions regulating pharmacy benefit managers H.R. 5378 (118th Congress), Lower Cost, More Transparency Act H.R. 4231 Treat and Reduce Obesity Act-provisions related to coverage of obesity medications in Medicare H.R. 4317, PBM Reform Act of 2025 legislation on PBM reform in Medicare and pharmacy access standards

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

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

H.R.1968 - Full-Year Continuing Appropriations and Extensions Act, 2025 H.R. 10445, Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 H. Con. Res. 14/S. Con. Res. 7, the Budget Reconciliation Resolution. No bill number. Discussed resources for state and local law enforcement. No bill number. Discussed improving fraud reporting systems. No bill number, Discussed funding for Social Security Administration. No bill number, Discussed funding for Older Americans Act and Related Programs. No bill number, Discussed funding for senior nutrition programs. No bill number. Discussed Medicaid, long-term care, and family caregivers.

Client expense: $6,630,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Social Security Administration (SSA), White House Office

H.R. 2036/S.925 - Credit for Caring Act of 2025 H.R. 138, the Lowering Costs for Caregivers Act. H.R. 2491, the Alleviating Barriers for Caregivers Act. No bill number. Discussed the Connecting Caregivers to Medicare Act. H.R. 1305 - Improving Measurements for Loneliness and Isolation Act. H. Con. Res. 14/S. Con. Res. 7, the Budget Reconciliation Resolution. H.R. 1171 - Stopping Addiction and Falls for the Elderly (SAFE) Act. H.R. 996/ S. 400, the Paid Family and Medical Leave Tax Credit Extension and Enhancement Act of 2025. H.R. 2560/ S. 830, the Lifespan Respite Care Reauthorization Act of 2025. No bill number. Discussed legislation to amend the Public Health Service Act to reauthorize a lifespan respite care program. No bill number. Discussed access to home and community-based services, long-term services and supports, and post-acute care. No bill number. Discussed nursing home staffing and quality. No bill number. Discussed programs within Older Americans Act. No bill number. Discussed falls prevention. No bill number. Discussed the Essential Caregivers Act. No bill number. Discussed nutrition and SNAP changes. No bill number. Discussed Older Americans Act Reauthorization Act of 2024 No bill number. Discussed Americans Giving Care to Elders Act. H.R. 10445, the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act of 2025 No bill number. Discussed Medicaid and family caregivers. No bill number. Discussed respite care. No bill number. Discussed Family Caregiver Awareness, Resources, and Education (CARE) Partnerships Act. P.L. 118-210, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. No bill number. Discussed the Expanding Veterans Options for Long Term Care Act. No bill number. Discussed the Caregiver Outreach and Program Enhancement (COPE) Act. No bill number. Discussed the Home Accessibility Tax Credit Act.

Client expense: $6,630,000 · Firm income: Not reported

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

H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025, provisions related to energy program funding; H.R. 10445- the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, provisions related to energy program funding; Energy and Water Development and Related Agencies Act, 2026, provisions related to energy program funding; Department of Interior, Environment, and Related Agencies Act, 2026, provisions related to funding of permitting agencies; Department of Homeland Security Act, 2026, provisions related to critical infrastructure protection; Department of Defense Act, 2026, provisions related to cybersecurity; Energy R&D funding; and Infrastructure Investment and Jobs Act (P.L. 117-58), implementation of funding electric transmission programs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Cyber Attack/ Cyber Security; Provider Directories; Health Equity + Maternal Health; Hospital Billing; Anti-tiering, Anti-steering; Health Equity; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence Bills: S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Sen. Braun, Mike [R-IN] H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R.2630 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Rep. Wenstrup, Brad R. [R-OH-2] S.652 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Sen. Murkowski, Lisa [R-AK] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.2483 - Support for Patients and Communities Reauthorization Act To reauthorize certain programs that provide for opioid use disorder prevention, treatment, and recovery, and for other purposes. Sponsor: Rep. Guthrie, Brett [R-KY-2] S.3393 - SUPPORT for Patients and Communities Reauthorization Act To reauthorize the SUPPORT for Patients and Communities Act, and for other purposes. Sponsor: Sen. Sanders, Bernard [I-VT] S.2016 - CONNECT for Health Act of 2023 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Sen. Schatz, Brian [D-HI] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R. 6033, SPEAK Act To require the Secretary of Health and Human Services to establish a task force to improve access to health care information technology for non-English speakers. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. Sponsor: Rep. Cole, Tom [R-OK-4] H.R. 1627 TREATS Act To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes. Sponsor: Rep. Norcross, Donald [D-NJ-1] H.R.1909 - Preventing Maternal Deaths Reauthorization Act of 2025 To amend the Public Health Service Act to reauthorize support for State-based maternal mortality review committees, to direct the Secretary of Health and Human Services to disseminate best practices on maternal mortality prevention to hospitals, State-based professional societies, and perinatal quality collaboratives, and for other purposes. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] H.R.1197 - PREEMIE Reauthorization Act of 2025 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. Sponsor: Rep. Kelly, Robin L. [D-IL-2] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. Sponsor: Rep. Joyce, John [R-PA-13] H.R.3312 - Moms Matter Act This bill establishes two grant programs to address maternal mental health conditions and substance use disorders, with a focus on demographic groups with elevated rates of maternal mortality and morbidity, maternal health disparities, and other adverse outcomes. Sponsor: Rep. Blunt Rochester, Lisa [D-DE-At Large] H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. Sponsor: Rep. Cole, Tom [R-OK-4] H.R.3029 - Primary Care Enhancement Act of 2023 To amend the Internal Revenue Code of 1986 to allow individuals with direct primary care service arrangements to remain eligible individuals for purposes of health savings accounts, and for other purposes. Sponsor: Rep. Smucker, Lloyd [R-PA-11] S.5535 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] S.1973 - Treat and Reduce Obesity Act of 2025 To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. Sponsor: Sen. Cassidy, Bill [R-LA] S.1004 - Pregnant and Postpartum Women Treatment Reauthorization Act To reauthorize the program to support residential treatment programs for pregnant and postpartum women, and for other purposes. Sponsor: Sen. Lujan, Ben Ray [D-NM] H.R.929 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, and for other purposes. Sponsor: Rep. Dingell, Debbie [D-MI-6] S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, and for other purposes. Sponsor: Sen. Kaine, Tim [D-VA] H.R.2571 - Self-Insurance Protection Act To amend the Employee Retirement Income Security Act of 1974 to exclude from the definition of health insurance coverage certain medical stop-loss insurance obtained by certain plan sponsors of group health plans, and for other purposes. Sponsor: Rep. Onder, Robert [R-MO-3]

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

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

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R. 10445- the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; Transportation, Housing and Urban Development, and Related Agencies Act, 2026; Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Act, 2026; Energy and Water Development and Related Agencies Act, 2026; Financial Services and General Government Act, 2026; Department of Interior, Environment, and Related Agencies Act, 2026; Military Construction, Veterans Affairs, and Related Agencies Act, 2026; Legislative Branch Appropriations Act, 2026; Commerce, Justice, Science, and Related Agencies Act, 2026; Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; Department of Homeland Security Act, 2026; Department of Defense Act, 2026; Energy R&D funding; LIHEAP Issues generally; Disaster supplemental funding general. House Energy and Water FY 2025 Senate Energy and Water FY 2025

Client expense: $535,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Cyber Attack/ Cyber Security; Provider Directories; Health Equity + Maternal Health; Hospital Billing; Anti-tiering, Anti-steering; Health Equity; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Sen. Braun, Mike [R-IN] H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R.2630 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Rep. Wenstrup, Brad R. [R-OH-2] S.652 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Sen. Murkowski, Lisa [R-AK] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.2483 - Support for Patients and Communities Reauthorization Act To reauthorize certain programs that provide for opioid use disorder prevention, treatment, and recovery, and for other purposes. Sponsor: Rep. Guthrie, Brett [R-KY-2] S.3393 - SUPPORT for Patients and Communities Reauthorization Act To reauthorize the SUPPORT for Patients and Communities Act, and for other purposes. Sponsor: Sen. Sanders, Bernard [I-VT] S.2016 - CONNECT for Health Act of 2023 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Sen. Schatz, Brian [D-HI] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R. 6033, SPEAK Act To require the Secretary of Health and Human Services to establish a task force to improve access to health care information technology for non-English speakers. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. Sponsor: Rep. Cole, Tom [R-OK-4] H.R. 1627 TREATS Act To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes. Sponsor: Rep. Norcross, Donald [D-NJ-1] H.R.1909 - Preventing Maternal Deaths Reauthorization Act of 2025 To amend the Public Health Service Act to reauthorize support for State-based maternal mortality review committees, to direct the Secretary of Health and Human Services to disseminate best practices on maternal mortality prevention to hospitals, State-based professional societies, and perinatal quality collaboratives, and for other purposes. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] H.R.1197 - PREEMIE Reauthorization Act of 2025 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. Sponsor: Rep. Kelly, Robin L. [D-IL-2] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. Sponsor: Rep. Joyce, John [R-PA-13] H.R.3312 - Moms Matter Act This bill establishes two grant programs to address maternal mental health conditions and substance use disorders, with a focus on demographic groups with elevated rates of maternal mortality and morbidity, maternal health disparities, and other adverse outcomes. Sponsor: Rep. Blunt Rochester, Lisa [D-DE-At Large] H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. Sponsor: Rep. Cole, Tom [R-OK-4] H.R.3029 - Primary Care Enhancement Act of 2023 To amend the Internal Revenue Code of 1986 to allow individuals with direct primary care service arrangements to remain eligible individuals for purposes of health savings accounts, and for other purposes. Sponsor: Rep. Smucker, Lloyd [R-PA-11] S.5535 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] S.1973 - Treat and Reduce Obesity Act of 2025 To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. Sponsor: Sen. Cassidy, Bill [R-LA] S.1004 - Pregnant and Postpartum Women Treatment Reauthorization Act To reauthorize the program to support residential treatment programs for pregnant and postpartum women, and for other purposes. Sponsor: Sen. Lujan, Ben Ray [D-NM] H.R.929 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, and for other purposes. Sponsor: Rep. Dingell, Debbie [D-MI-6] S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, and for other purposes. Sponsor: Sen. Kaine, Tim [D-VA] H.R.2571 - Self-Insurance Protection Act To amend the Employee Retirement Income Security Act of 1974 to exclude from the definition of health insurance coverage certain medical stop-loss insurance obtained by certain plan sponsors of group health plans, and for other purposes. Sponsor: Rep. Onder, Robert [R-MO-3]

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

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

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R. 10445- the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act

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

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

Provisions on Low Income Home Energy Assistance funding in the following 2025 appropriations legislation: Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; H.R.1968 Full-Year Continuing Appropriations and Extensions Act, 2025. Provisions relating to agency resources and staffing in the following 2025 appropriations legislation: H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025; H.R. 10445 The Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; Transportation, Housing and Urban Development, and Related Agencies Act, 2026; Energy and Water Development and Related Agencies Act, 2026; Department of Interior, Environment, and Related Agencies Act, 2026.

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

Government targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025; H.R. 10445- the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; Transportation, Housing and Urban Development, and Related Agencies Act, 2026; Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Act, 2026; Energy and Water Development and Related Agencies Act, 2026; Financial Services and General Government Act, 2026; Department of Interior, Environment, and Related Agencies Act, 2026; Military Construction, Veterans Affairs, and Related Agencies Act, 2026; Legislative Branch Appropriations Act, 2026; Commerce, Justice, Science, and Related Agencies Act, 2026; Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; Department of Homeland Security Act, 2026; Department of Defense Act, 2026; Energy R&D funding; LIHEAP Issues generally; Disaster supplemental funding general.

Client expense: $2,040,896 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Cyber Attack/ Cyber Security; Provider Directories; Health Equity + Maternal Health; Hospital Billing; Anti-tiering, Anti-steering; Health Equity; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Sen. Braun, Mike [R-IN] H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R.2630 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Rep. Wenstrup, Brad R. [R-OH-2] S.652 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Sen. Murkowski, Lisa [R-AK] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.2483 - Support for Patients and Communities Reauthorization Act To reauthorize certain programs that provide for opioid use disorder prevention, treatment, and recovery, and for other purposes. Sponsor: Rep. Guthrie, Brett [R-KY-2] S.3393 - SUPPORT for Patients and Communities Reauthorization Act To reauthorize the SUPPORT for Patients and Communities Act, and for other purposes. Sponsor: Sen. Sanders, Bernard [I-VT] S.2016 - CONNECT for Health Act of 2023 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Sen. Schatz, Brian [D-HI] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R. 6033, SPEAK Act To require the Secretary of Health and Human Services to establish a task force to improve access to health care information technology for non-English speakers. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. Sponsor: Rep. Cole, Tom [R-OK-4] H.R. 1627 TREATS Act To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes. Sponsor: Rep. Norcross, Donald [D-NJ-1] H.R.1909 - Preventing Maternal Deaths Reauthorization Act of 2025 To amend the Public Health Service Act to reauthorize support for State-based maternal mortality review committees, to direct the Secretary of Health and Human Services to disseminate best practices on maternal mortality prevention to hospitals, State-based professional societies, and perinatal quality collaboratives, and for other purposes. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] H.R.1197 - PREEMIE Reauthorization Act of 2025 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. Sponsor: Rep. Kelly, Robin L. [D-IL-2] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. Sponsor: Rep. Joyce, John [R-PA-13] H.R.3312 - Moms Matter Act This bill establishes two grant programs to address maternal mental health conditions and substance use disorders, with a focus on demographic groups with elevated rates of maternal mortality and morbidity, maternal health disparities, and other adverse outcomes. Sponsor: Rep. Blunt Rochester, Lisa [D-DE-At Large] H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. Sponsor: Rep. Cole, Tom [R-OK-4] H.R.3029 - Primary Care Enhancement Act of 2023 To amend the Internal Revenue Code of 1986 to allow individuals with direct primary care service arrangements to remain eligible individuals for purposes of health savings accounts, and for other purposes. Sponsor: Rep. Smucker, Lloyd [R-PA-11] S.5535 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] S.1973 - Treat and Reduce Obesity Act of 2025 To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. Sponsor: Sen. Cassidy, Bill [R-LA] S.1004 - Pregnant and Postpartum Women Treatment Reauthorization Act To reauthorize the program to support residential treatment programs for pregnant and postpartum women, and for other purposes. Sponsor: Sen. Lujan, Ben Ray [D-NM] H.R.929 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, and for other purposes. Sponsor: Rep. Dingell, Debbie [D-MI-6] S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, and for other purposes. Sponsor: Sen. Kaine, Tim [D-VA] H.R.2571 - Self-Insurance Protection Act To amend the Employee Retirement Income Security Act of 1974 to exclude from the definition of health insurance coverage certain medical stop-loss insurance obtained by certain plan sponsors of group health plans, and for other purposes. Sponsor: Rep. Onder, Robert [R-MO-3]

Client expense: $1,210,000 · Firm income: Not reported

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

H.R. 2486/S. 1214 - Heating and Cooling Relief Act; H.R. 1968 - Full Year Continuing Appropriations and Extensions Act, 2025; H.R. 10445 - the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; H.Con.Res.14 - Establishing the congressional budget for the United States Government for Fiscal year 2025; Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations: Provisions related to the Low Income Home Energy Assistance Program (LIHEAP). Energy and Water Development and Related Agencies Appropriations: Issues related to Department of Energy funding programs, Research and development for natural gas technologies. Department of Homeland Security Appropriations: Issues related to Cybersecurity and Infrastructure Security Agency, and the Federal Emergency Management Agency (FEMA). Issues related to delay of implementation for Energy Independence and Security Act Section 433.

Client expense: $720,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R. 10445- the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; Energy and Water Development and Related Agencies Act, 2026; Department of Interior, Environment, and Related Agencies Act, 2026; Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; Energy R&D funding; LIHEAP Issues generally; Disaster supplemental funding general.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R. 10445- the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; Transportation, Housing and Urban Development, and Related Agencies Act, 2026; Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Act, 2026; Energy and Water Development and Related Agencies Act, 2026; Financial Services and General Government Act, 2026; Department of Interior, Environment, and Related Agencies Act, 2026; Military Construction, Veterans Affairs, and Related Agencies Act, 2026; Legislative Branch Appropriations Act, 2026; Commerce, Justice, Science, and Related Agencies Act, 2026; Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; Department of Homeland Security Act, 2026; Department of Defense Act, 2026; Energy R&D funding; LIHEAP Issues generally; Disaster supplemental funding general.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025; H.R. 10445, the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; Energy R&D funding; LIHEAP Issues generally.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lynch Infrastructure Investment and Jobs Act; Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; Energy R&D funding; LIHEAP Issues generally; O'Neill Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R. 10445- the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; Energy R&D funding; LIHEAP Issues generally; Disaster supplemental funding general.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues: Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; ACA Fraud; Telehealth/ telehealth flexibilities; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Cyber Attack/ Cyber Security; Managed Care Organizations; Hospital Billing; Anti-tiering, Anti-steering; Health Equity; Program integrity in the individual marketplace; Federal Budget Process Bills: S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Sen. Braun, Mike [R-IN] H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R.2630 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Rep. Wenstrup, Brad R. [R-OH-2] S.652 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Sen. Murkowski, Lisa [R-AK] S. 1001 Telehealth Expansion Act of 2023 To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Sen. Daines, Steve [R-MT] H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] S.2016 - CONNECT for Health Act of 2023 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Sen. Schatz, Brian [D-HI] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R. 6033, SPEAK Act To require the Secretary of Health and Human Services to establish a task force to improve access to health care information technology for non-English speakers. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. Sponsor: Rep. Cole, Tom [R-OK-4] H.R. 5163 TREATS Act To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes. Sponsor: Rep. Trone, David J. [D-MD-6] S.3193 - TREATS Act To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes. Sponsor: Sen. Whitehouse, Sheldon [D-RI] S.891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. Sponsor: Sen. Wyden, Ron [D-OR] H.R.1909 - Preventing Maternal Deaths Reauthorization Act of 2025 To amend the Public Health Service Act to reauthorize support for State-based maternal mortality review committees, to direct the Secretary of Health and Human Services to disseminate best practices on maternal mortality prevention to hospitals, State-based professional societies, and perinatal quality collaboratives, and for other purposes. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. Sponsor: Rep. Joyce, John [R-PA-13] H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. Sponsor: Rep. Cole, Tom [R-OK-4] H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R.3029 - Primary Care Enhancement Act of 2023 To amend the Internal Revenue Code of 1986 to allow individuals with direct primary care service arrangements to remain eligible individuals for purposes of health savings accounts, and for other purposes. Sponsor: Rep. Smucker, Lloyd [R-PA-11]

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Discuss Medicare GME funding in CAA, 2021 and CAA, 2023 with Congressional staff and HHS staff. Discuss disaster relief funding and health and hospital provisions in CAA, 2024 (H.R. 4366); Further Consolidated Appropriations Act, 2024 (H.R. 2882), Further Continuing Appropriations and Disaster Relief Supplemental Act, 2025 (H.R. 10445); American Relief Act, 2025; Full-Year Continuing Appropriations and Extensions Act, 2025 (H.R. 1968). Support health extenders in H.R. 1968: extend COVID-19 Medicare-covered telehealth flexibilities, Acute Hospital Care at Home waiver, Medicaid DSH cut delay; discuss with Congressional staff and HHS staff.

Client expense: $570,000 · Firm income: Not reported

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

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R. 10445- the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; Transportation, Housing and Urban Development, and Related Agencies Act, 2026; Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Act, 2026; Energy and Water Development and Related Agencies Act, 2026; Financial Services and General Government Act, 2026; Department of Interior, Environment, and Related Agencies Act, 2026; Military Construction, Veterans Affairs, and Related Agencies Act, 2026; Legislative Branch Appropriations Act, 2026; Commerce, Justice, Science, and Related Agencies Act, 2026; Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2026; Department of Homeland Security Act, 2026; Department of Defense Act, 2026; Energy R&D funding; LIHEAP Issues generally; Disaster supplemental funding general.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R.2486/S.1214 Heating and Cooling Relief Act; H.R. 10445- the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; H.R. 9028, Transportation, Housing and Urban Development, and Related Agencies Act, 2025; H.R. 8997, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Act, 2025; H.R. 8997, Energy and Water Development and Related Agencies Act, 2025; H.R. 8773, Financial Services and General Government Act, 2025; H.R. 8998, Department of Interior, Environment, and Related Agencies Act, 2025; H.R. 8580, Military Construction, Veterans Affairs, and Related Agencies Act, 2025; H.R. 8772, Legislative Branch Appropriations Act, 2025; H.R. 9026, Commerce, Justice, Science, and Related Agencies Act, 2025; H.R. 9029, Departments of Labor, Health and Human Services, and Education, and Related Agencies Act, 2025; H.R. 8752, Department of Homeland Security Act, 2025; H.R. 8774, Department of Defense Act, 2025; H.R. 9494, Continuing Appropriations and Other Matters Act, 2025; Energy R&D funding; LIHEAP Issues generally; Disaster supplemental funding general. FY25 Labor-HHS Appropriations; Draft appropriations language regarding the beneficial use of coal combustion residuals. Appropriations language supporting delay of implementation for Energy Independence and Security Act Section 433

Client expense: $170,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025, provisions related to energy program funding; H.R. 10445- the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, provisions related to energy program funding; Energy and Water Development and Related Agencies Act, 2026, provisions related to energy program funding; Department of Interior, Environment, and Related Agencies Act, 2026, provisions related to funding of permitting agencies; Department of Homeland Security Act, 2026, provisions related to critical infrastructure protection; Department of Defense Act, 2026, provisions related to cybersecurity; Energy R&D funding; and Infrastructure Investment and Jobs Act (P.L. 117-58), implementation of funding electric transmission programs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2214: The DRUG Act, provisions related to PBM compensation. S.891: The Bipartisan Health Care Act, provisions related to PBM regulation. H.R.10445 (118th Congress): Further Consolidating Appropriations and Disaster Relief Supplemental Appropriations Act, Division E, Healthcare, provisions regulating pharmacy benefit managers. H.R.5378 (118th Congress): Lower Cost, More Transparency Act. S.526 Pharmacy Benefit Manger Transparency Act of 2025, provisions related to transparency and pharmacy and PBM compensation. S.1339 PBM Reform Act (118th Congress): provisions related to PBM compensation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.832: EPIC Act, provisions on eligibility for Medicare drug price negotiation. S.891: The Bipartisan Health Care Act, provisions related to PBM regulation. H.R.10445 (118th Congress): Further Consolidating Appropriations and Disaster Relief Supplemental Appropriations Act, Division E, Healthcare, provisions regulating pharmacy benefit managers. H.R.5378 (118th Congress): Lower Cost, More Transparency Act. H.R.1: The One Big Beautiful Bill (House version), provisions on PBM transparency, audit rights and payments.

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

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

Infrastructure Investment and Jobs Act; H.R. 1968, Full Year Continuing Appropriations and Extensions Act, 2025 H.R. 10445- the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act; H.R. 9494, Continuing Appropriations and Other Matters Act, 2025; Energy R&D funding;

Client expense: $420,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE