PC–CARE Act

Access to Care Inflation Reduction Act (IRA). ACS CAN actively monitors implementation of the Inflation Reduction Acts Medicare Drug Price negotiation provisions to ensure cancer patients have access to costly prescription drugs. ACS CAN also supports the Medicare Prescription Payment Plan, which allows Part D enrollees to spread their out-of-pocket costs over the plan year. Enhanced Advanced Premium Tax Credits, H.R. 9774, Improving Health Insurance Affordability Act of 2023, S.5194. House and Senate bills would permanently extend the enhanced advanced premium tax credits. Retaining Access and Restoring Exclusivity (RARE) Act H.R.7383. This bill specifies that the seven-year market exclusivity period for drugs for rare diseases or conditions (i.e., orphan drug exclusivity period) prohibits the approval of the same drug for the same approved use or indication with respect to the disease or condition. Help CoPays Act S.1375; Help Ensure Lower Patient Copays Act, H.R.830. This bill requires health insurance plans to apply certain payments made by, or on behalf of, a plan enrollee toward a plan's cost-sharing requirements. Specifically, plans must apply third-party payments, financial assistance, discounts, product vouchers, and other reductions in out-of-pocket expenses toward the requirements. Safe Step Act, S.652, H.R. 2630. This bill requires a group health plan to establish an exception to medication step-therapy protocol in specified cases. A medication step-therapy protocol establishes a specific sequence in which prescription drugs are covered by a group health plan or a health insurance issuer. Creating Opportunities Now for Necessary and Effective Technologies (CONNECT) for Health Act of 2023 H.R.4189, S.2016. This bill expands coverage of telehealth services under Medicare. Telehealth Modernization Act of 2924, H.R. 7623. Modifies requirements relating to coverage of telehealth services under Medicare. Permanently expands telehealth flexibilities first authorized during the public health emergency. The Preserving Telehealth, Hospital, and Ambulance Access Act, H.R. 8261. This bill allows employers to offer stand-alone telehealth benefits to all employees. This includes employees who are eligible for enrollment in their employer's group health plan. Equitable Community Access to Pharmacist Services Act, H.R.1770, S.2477. This bill expands Medicare coverage to permanently include services provided by a pharmacist, including incidental services and supplies, related to testing, vaccines, and treatment for COVID-19, influenza, and certain other illnesses. This bill also requires drug manufacturers to report on the suppliers of ingredients used in their products. Drug Shortage Prevention Act, H.R. 3008. This bill requires drug manufacturers to notify the Food and Drug Administration (FDA) if there is an increased demand for certain critical essential medicines that may result in a shortage. Protecting Americans from Unsafe Drugs Act of 2023, H.R. 2500. This bill expands the authority of the Secretary of the Department of Health and Human Services (HHS) to order the recall of controlled substances to cover all drugs. Ensuring Access to Lifesaving Drugs Act of 2023, H.R. 3793. This bill allows the Food and Drug Administration (FDA) to obtain additional information from manufacturers of life-saving drugs in order to assess and potentially modify the drug's expiration date. (The bill defines life-saving drug as a medical countermeasure or a drug that is in short supply and that is life-supporting, life-sustaining, or intended to be used to prevent or treat a debilitating disease or condition in humans or animals.) Specifically, the FDA may order a manufacturer of a life-saving drug to submit data and other information from any stage of the drug's development in order to assess the drug's stability and the longest supported expiration date. If such information is not readily available, the FDA may order the manufacturer to conduct additional studies. The FDA may require changes to the drug's label accordingly. Manufacturers that fail to comply are subject to civil penalties. Medical Device Shortage Reduction Act of 2023, H.R. 3807. This bill expands the scope of required notifications about medical device shortages beyond public health emergencies. Protecting PAHPA Action of 2023, H.R. 4697. ACS CAN is lobbying on all provisions related to drug shortages. This bill extends through FY2028 and modifies various programs and activities that support public health preparedness and response. The bill also addresses matters concerning shortages of drugs and medical devices and recalls of drugs. Essential Medicines Strategic Stockpile Act of 2023, H.R. 405. This bill requires the Department of Health and Human Services (HHS) to create a pilot program to test the effectiveness of acquiring, maintaining, managing, and distributing a stockpile of generic drugs at risk of shortage. Alan Reinstein Ban Asbestos Now Act of 2023, H.R. 2402, S. 1069. This bill prohibits the manufacture, process, use, and distribution in commerce of commercial asbestos or any mixture or article containing commercial asbestos. RAPID Reserve Act, S. 2510. This bill improves supply chain resiliency for critical drug products with vulnerable supply chains and ensure that reserves of critical drugs and active pharmaceutical ingredients are maintained to prevent supply disruptions in the event of drug shortages or public health emergencies. Rolling Active Pharmaceutical Ingredient and Drug Reserve Act, H.R.6802. A bill to improve supply chain resiliency for critical drug products with vulnerable supply chains and ensure that reserves of critical drugs and active pharmaceutical ingredients are maintained to prevent supply disruptions in the event of drug shortages or public health emergencies Senate Finance Committee Drug Shortage Proposal. This draft legislation would address the ongoing drug shortage crisis. Access to Breast Cancer Diagnosis Act of 2023, H.R.3851, S.2464. To amend title XXVII of the Public Health Service Act to prohibit group health plans and health insurance issuers offering group or individual health insurance coverage from imposing cost-sharing requirements with respect to diagnostic and supplemental breast examinations. Health Disparities Nancy Gardner Sewell Multi-Cancer Early Detection Act, H.R. 2407. This bill allows for Medicare coverage and payment for multi-cancer early detection screening tests that are approved by the Food and Drug Administration and that are used to screen for cancer across many cancer types, if the Centers for Medicare & Medicaid Services determines such coverage is appropriate. Medicare Multi-Cancer Early Detection Screening Coverage (MCED) Act, S.2085. Legislation to improve access to new and innovative cancer screenings for Medicare beneficiaries by creating a pathway to allow Medicare to initiate coverage of multi-cancer tests following FDA approval if a clinical benefit is shown. Screening for Communities to Receive Early and Equitable Needed Services (SCREENS for Cancer) Act, S.1840, H.R.3916. Reauthorization of the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) for fiscal years 2024 through 2028 to provide the program greater flexibility in providing access to lifesaving screening, diagnostic, and treatment services and continue its innovative work aimed to reduce disparities and advance health equity in breast and cervical cancer. Prostate-Specific Antigen Screening for High-Risk Insured Men (PSA Screening for HIM) Act, S.2821, H.R.1826. Legislation to remove cost sharing of PSA testing for those at the highest risk of being diagnosed with prostate cancer. Lung Cancer Screening and Prevention Act, H.R.6693. To amend title XVIII of the Social Security Act to authorize the coverage of additional lung cancer screening tests under the Medicare program. Health Equity and Accountability Act (HEAA), H.R. 9161, S. 4773. Legislation to eliminate racial and ethnic health disparities. We actively advocate for provisions (HEAA), which focuses on health inequalities, societal injustices, and their intersection with immigration status, age, disability, sex, gender, sexual orientation, and socioeconomic status. Increased Funding for the National Institute for Minority Health and Health Disparities. Reducing disparities in the use of recommended preventive services targeting three leading causes of death in the United States - cancer, heart disease, and diabetes. Cancer Drug Parity Act of 2023, S.2039, H.R.6301. Level the playing field for cancer patients by ensuring that the cost-sharing for oral anticancer drugs is on par with intravenous chemotherapy, thereby removing a significant financial obstacle to effective treatment. Henrietta Lacks Enhancing Cancer Research Act of 2019 Report. Request for Congress to urge the Government Accountability Office (GAO) to revisit the Henrietta Lacks Enhancing Cancer Research Act of 2019 report, with respect to promoting diverse participation in cancer clinical trials and addressing fully the request for insight into either implementation challenges for current federal activities or recommendations for additional activities and policy changes related to clinical trial diversity. Data Equity. Legislative and regulatory funding to support the collection of detailed demographic data toward reducing disparities in cancer prevention, detection, and treatment. Childhood Cancer Childhood Cancer Survivorship, Treatment, Access, and Research Reauthorization Act of 2022 (STAR) Act. Continued implementation and funding of the Childhood Cancer STAR Act to promote the development of new, safer therapies for children with cancer. Our appropriations request includes $30 million for the Childhood Cancer STAR Act and $50 million for the Childhood Cancer Data Initiative. Gabriella Miller Kids First Research Act 2.0, H.R. 623, S. 1523. This bill reauthorizes through FY2028 a pediatric disease research initiative within the National Institutes of Health (NIH) and requires the NIH to coordinate pediatric research activities to avoid duplicative efforts. Additionally, the Department of Health and Human Services must report to Congress about research funded through the initiative. Promoting Resources to Expand Vaccination, Education and New Treatments for HPV Cancers (PREVENT) Act, H.R.3633. Legislation that would help prevent cancer and save lives by raising awareness about HPV and HPV-related cancers through a national campaign to educate providers, parents, and the public about the life-saving HPV vaccine. It would also boost resources for a federal initiative to provide access to timely cervical cancer screening and diagnostic services for uninsured and underserved individuals. Accelerating Kids Access to Care Act, S.2372, H.R.4758. Legislation that alleviates these burdens for families and providers by facilitating coordination across state lines and clarifying the process by which state Medicaid programs can cover specialized treatment regardless of where the child lives and where their care is received. Creating Hope Reauthorization Act of 2024, H.R. 7384. This bill extends until FY2029 a Food and Drug Administration program that awards priority review vouchers to manufacturers of drugs that treat rare pediatric diseases. (A priority review voucher entitles the voucher holder to priority review of a single human drug application.) Quality of Life Palliative Care Palliative Care and Hospice Education and Training Act (PCHETA), S.2243. Legislation to facilitate access to palliative care and coordinated care management. Palliative Care Research Funding. Funding to focus and expand national research programs in palliative care at the National Institutes of Health. Specifically, ACS CAN is working to ensure the U.S. Congress, for the first time, appropriates specific money for palliative care research, upon enactment of the FY2024 LHHS Appropriations bill. Patient Navigation for People with Cancer. Legislation and policies to increase access to patient navigation for people with cancer, prioritizing policies that create sustainable funding to ensure access to patient navigation services across the cancer continuum. Patient Navigation Assistance Act, H.R. 9446. This bill would require state Medicaid programs to provide patient navigation services for enrollees. Cancer Survivorship Comprehensive Cancer Survivorship Act (CCSA), S.2213, H.R.4363. ACS CAN supports legislation that sets new standards for survivorship from diagnosis to end of life, ensuring the best and most seamless experience for survivors, and their families and caregivers throughout the journey. CCSA will address gaps in survivorship care and develop needed standards to improve the overall patient-centered quality of care and navigation needs that cancer survivors and their families experience. Federal Health Care Programs Increased Funding Levels for Cancer Research and Prevention. Ensure continued progress in the fight against cancer at the National Institutes of Health (NIH), the National Cancer Institute (NCI), the Advanced Research Projects Agency for Health (ARPA-H), and the Centers for Disease Control and Preventions (CDC) cancer programs. CDC Cancer Programs, the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) Regulatory issues related to healthy food and dietary guidelines PC CARE Act, H.R.1315. This bill establishes a committee to develop, implement, and periodically revise a plan to coordinate federal activities and programs concerning prostate cancer, including those related to research, screening, diagnosis, and treatment. Women and Lung Cancer Research and Preventive Services Act of 2023, H.R.4534, S.2245. This bill requires the Department of Health and Human Services to conduct an interagency review of the status of women and lung cancer. Department of Defense Appropriations Act, 2024 H.R.4365, S.2587. DOD Congressionally Directed Medical Research Program. Cancer Alan Reinstein Ban Asbestos Act, H.R.2402, S.1069. This bill generally prohibits the manufacture, process, use, and distribution in commerce of commercial asbestos or any mixture or article containing commercial asbestos. The President may, on application, grant exemptions from the prohibition in situations where it is necessary to protect national security interests. Nutrition Medical Nutrition Act H.R.6407, S.3297. A bill to amend title XVIII of the Social Security Act to expand the availability of medical nutrition therapy services under the Medicare program Farm, Food, and National Security Act of 2024, H.R.8467. To provide for the reform and continuation of agricultural and other programs of the Department of Agriculture through fiscal year 2029, and for other purposes. Rural Prosperity and Food Security Act. To provide for the reform and continuation of agricultural and other programs of the Department of Agriculture through fiscal year 2029, and for other purposes. Clinical Trials Clinical Trial Modernization Act, H.R. 8412. Increase diversity in clinical trials and make it easier for all persons with cancer to participate by reducing barriers to enrollment. Barriers may include ancillary (non-medical) costs, such as transportation and lodging, and remote access to trials, particularly for people who are underrepresented, including certain racial and ethnic groups, older adults, rural residents, and those with limited incomes. NIH Clinical Trial Diversity Act, S.1701, H.R.3503. Legislation to increase the diversity of participants in all National Institutes of Health (NIH)-funded trials. Harley Jacobsen Clinical Trial Participant Income Exemption Act, H.R.7090, H.R. 7418. Legislation to amend the Internal Revenue Code of 1986 to exclude from gross income certain compensation to clinical trial participants.

Client expense: $1,650,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

VA budget: Lobbied for Congress to provide funding to plug a $15 billion budget shortfall for FY 2024 and FY 2025. Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied on the specialization of claims processing for highly complex cases. Lobbied for reforms to the VBA National Work Queue. Lobbied for oversight and improvements into VBA employee training. Lobbied on VBAs use of Performance Improvement Plans. Board of Veterans Appeals: Lobbied for the introduction and in support of H.R. 9046, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act including the re-instatement of GS-14 career ladder position and the career path to a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R. 1378, the Veterans Appeals Backlog Improvement Act. Lobbied for additional oversight at the Board of Veterans Appeals. Lobbied for additional training for Board of Veterans Appeals Attorneys. Lobbied in support of ANS to H.R. 1530, the Veterans Benefits Improvement Act of 2023. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TBI), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied for technical changes to S. 3979, to make permanent and codify the pilot program for use of contract physicians for disability examinations, and for other purposes. Collective Bargaining Rights: Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied in support of H.R. 6538, the VA Correct Compensation Act of 2023 and for its introduction in the Senate. Lobbied in support of S. 4046/H.R. 9855, the "VA Employee Fairness Act. Lobbied in support of and for changes to S. 2679, the Leadership, Engagement, Accountability, and Development (LEAD) Act of 2023. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support of and for changes to H.R. 6531, the TRAIN VA Employees Act. HR modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 7127/S. 3688, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 and 2025 VA Military Construction appropriations bill. VA Quality: Lobbied to amend H.R. 6330, the Veterans Sentinel Act to include data collection and analysis for suicides that happen when veterans are served at non-VA facilities. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied against an amendment to H.R. 8580, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 forcing VA to apply the same access standards for Mental Health Residential Rehabilitation Treatment Program (MH RRTP) as for primary care, specialty care, and non-institutional extended care services. Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would codify Trump-Era access standards responsible for rapid privatization of the VA, prohibit VA from modifying access standards to allow telehealth to satisfy these access standards and require VA to meet strict timeframes evaluating high-risk veterans for referral to residential treatment and rehabilitative programs without providing any additional funding to staff these new obligations. Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would require VA to meet 72-hour evaluation timeframe for evaluating high-risk veterans for residential treatment centers without providing adequate funding or putting equivalent credentialing and quality requirements on private programs. Lobbied against a proposal to create a pilot program under which the Secretary would contract out to fill vacancies at a medical facility with non-department health care providers. Lobbied against a provision in H.R. 9438, the No Wrong Door for Veterans Act, reduces the wait time for VA mental health care from the current 20 day to just 3 days. Lobbied in opposition to H.R. 9146, Ensuring Continuity in Veterans Health Act, which would require the Secretary to include continuity of care as one of the criteria used to determine when private care would be in the best medical interest (BMI) of a veteran undermining VAs ability to decide when returning a veteran to the VA is the in the best interest of the veteran. Lobbied against the Veterans Mental Health Access Act, which would create a parallel private mental health program that supplants VAs direct care system rather than supplement it when veterans cannot reasonably access VA care. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act, which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied for oversight of new VA private contracting program, the Integrated Critical Staffing Program. Lobbied for oversight of VA staffing reductions. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters. Lobbied for better information on scheduling and appointment times for both in-house VA and private care. Lobbied for more information about the costs of VA care. Lobbied against VA raising the ceiling for payment to third party private, Community Care contractors. Lobbied against prohibiting public health care programs from using QALYs to determine price. Lobbied in opposition to H.R. 485, the Protecting Health Care for All Patients Act, and urge that it be defeated on the House floor. H.R. 485 would increase already high healthcare costs for the Federal Employees Health Benefits Program (FEHBP), which covers the vast majority of AFGE members and their families. In additional to FEHBP, the bill would prohibit Medicaid, Medicare Advantage (MA) plans, Medicare Part D Plans (PDPs), the VA, and the Defense Health Agency from using Quality Adjusted Life Years (QALYs) - a measure that ascertains the value of a drug - to make decisions about a drugs price. Medicare already prohibits the use of QALYs in ways that discriminate against the elderly (such as by valuing the extension of life of an older person as less than extending the life of a younger person). Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would: 1) codify Trump-Era access standards responsible for rapid privatization of the VA, prohibits VA from modifying access standards to allow telehealth to satisfy these access standards and requires VA to meet strict timeframes evaluating high-risk veterans for referral to residential treatment and rehabilitative programs without providing any additional funding to staff these new obligations and 2) require VA to meet 72-hour evaluation timeframe for evaluating high-risk veterans for residential treatment centers without providing adequate funding or putting equivalent credentialing and quality requirements on private programs. Lobbied against Amendment to H.R. 8580, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 forcing VA to apply the same access standards for Mental Health Residential Rehabilitation Treatment Program (MH RRTP) as for primary care, specialty care, and non-institutional extended care services that would not apply to private RRTP facilities, promoting privatization. Lobbied against provisions in H.R. 8371, the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act that would allow decisions between a veteran and a doctor to remain final without VA authorization and provisions that would require strict timeframes for placement of high-risk veterans in mental health treatment programs for VA programs but not private programs. Statements and Correspondence: Submitted a statement for the record for a September 11, 2024 House Veterans Affairs Committee, Health Subcommittee legislative hearing. Submitted a statement for the record for a September 18, 2024 House Veterans Affairs Subcommittee on Disability Assistance and Memorial Affairs hearing titled Examining VAs Challenges with Ensuring Quality Contracted Disability Compensation Examinations. Testified before the House Veterans Affairs Subcommittee on Disability Assistance and Memorial Affairs at a July 23, 2024 hearing on Is the Veterans Benefits Administration Properly Processing and Deciding Veterans Claims? Testified before the House Veterans Affairs Subcommittee on Disability Assistance and Memorial Affairs at a July 10, 2024, hearing on Pending Legislation. Specific Legislation: Lobbied in support of H.R. 6538, the "VA Correct Compensation Act of 2023." Lobbied in support of S. 4046/H.R. 9855, the VA Employee Fairness Act. Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure, and certification reimbursement, covid leave flexibility, and recruitment and retention at VA community living centers. Also lobbied for specific changes to the bill related to the inclusion of VA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S. 2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support of and for changes to H.R. 6531, the TRAIN VA Employees Act. Lobbied in support and for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied in opposition to S. 2649, the Making Community Care Work for Veterans Act. Lobbied in opposition to S. 1315, the HEALTH Act. Lobbied in opposition to H.R. 485, the Protecting Health Care for All Patients Act. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Act, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse‐ patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied to preserve changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for technical changes to S. 3979, to make permanent and codify the pilot program for use of contract physicians for disability examinations, and for other purposes. Lobbied in support of and for changes to H.R. 7765, the VA Security Screening Pilot Program Act Lobbied for the introduction and support of the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied for changes to H.R. 7793 the Veterans Appeals Operations Expansion Act of 2024; Lobbied for changes to H.R. 7917, the Veterans Appeals Efficiency Act of 2024; Lobbied for changes to H.R. 7919, the Veterans Claims Quality Improvement Act of 2024. Lobbied or changes to H.R. 7883, the Toxic Exposures Examination Improvement Act Lobbied in opposition to H.R. 7734 the Personnel Integrity in Veterans Affairs Act of 2024 Lobbied in support of H.R. 9046, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act Lobbied in support of H.R. 2971, the Veterans Claims Education Act of 2023 Lobbied for changes to H.R. 8874, the Modernizing All Veterans and Survivors Claims Processing Act Lobbied in support of and for changes to H.R. 8879, the Improving VA Training for Military Sexual Trauma Claims Act Lobbied for changes to H.R. 8881, the Rural Veterans Improved Access to Benefits Act of 2024. Lobbied for passage of H.R. 9747, the Continuing Appropriations and Extensions Act, 2025 to continue to fund the federal government through December 20, 2024.

H.R. 1315 Prostate Cancer Community Access, Research, and Education Act to coordinate prostate cancer research efforts H.R. 1826/S. 2821 Prostate Specific Antigen Screening for High-risk Insured Men Act to eliminate cost sharing for prostate cancer screening Prostate cancer activities at the Centers for Disease Control and Prevention

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

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

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 1001, HR 1003, HR 104, HR 1078, HR 1083, HR 1089, HR 1139, HR 1144, HR 1166, HR 1169, HR 1179, HR 1182, HR 1191, HR 1226, HR 1278, HR 1282, HR 1311, HR 1315, HR 1329, HR 1378, HR 1402, HR 1529, HR 1530, HR 1554, HR 1606, HR 1609, HR 1616, HR 1639, HR 1659, HR 1669, HR 1753, HR 1767, HR 1774, HR 1786, HR 1799, HR 1815, HR 196, HR 228, HR 232, HR 234, HR 236, HR 2410, HR 2413, HR 2414, HR 2441, HR 2447, HR 2469, HR 2472, HR 2499, HR 251, HR 2518, HR 2525, HR 2526, HR 2530, HR 2543, HR 2733, HR 2768, HR 2809, HR 2818, HR 2830, HR 2846, HR 2896, HR 2911, HR 2932, HR 2971, HR 3023, HR 303, HR 3040, HR 3075, HR 3084, HR 3110, HR 3128, HR 3157, HR 3186, HR 3192, HR 3214, HR 3225, HR 3303, HR 3326, HR 333, HR 3363, HR 3368, HR 3450, HR 3489, HR 3499, HR 3504, HR 3511, HR 3581, HR 3584, HR 3600, HR 3601, HR 3603, HR 3644, HR 3648, HR 3649, HR 3651, HR 3676, HR 3677, HR 3698, HR 3718, HR 3720, HR 3722, HR 3738, HR 3790, HR 3811, HR 3816, HR 3848, HR 3870, HR 3874, HR 3895, HR 3898, HR 3933, HR 394, HR 395, HR 3956, HR 3981, HR 4016, HR 4047, HR 4060, HR 4061, HR 41, HR 411, HR 4150, HR 4155, HR 4157, HR 4171, HR 4190, HR 4225, HR 4249, HR 4262, HR 4264, HR 4278, HR 4325, HR 4400, HR 4401, HR 4424, HR 4461, HR 4518, HR 4566, HR 4569, HR 4670, HR 4886, HR 4906, HR 491, HR 492, HR 4921, HR 5002, HR 5014, HR 5147, HR 5153, HR 516, HR 522, HR 523, HR 5247, HR 5259, HR 5365, HR 5377, HR 5416, HR 542, HR 543, HR 544, HR 5470, HR 5492, HR 5530, HR 5559, HR 5610, HR 5633, HR 5697, HR 5702, HR 5785, HR 5794, HR 5870, HR 5890, HR 5891, HR 5904, HR 5914, HR 592, HR 5938, HR 5956, HR 6023, HR 6179, HR 6197, HR 6225, HR 6294, HR 6300, HR 6315, HR 6324, HR 6330, HR 6331, HR 6333, HR 6338, HR 6340, HR 6345, HR 6360, HR 6361, HR 6362, HR 6373, HR 6374, HR 6380, HR 645, HR 6452, HR 6492, HR 6507, HR 6524, HR 6531, HR 6538, HR 6551, HR 6656, HR 6800, HR 6833, HR 6873, HR 6874, HR 6916, HR 693, HR 6949, HR 6995, HR 7097, HR 7136, HR 7150, HR 728, HR 7323, HR 733, HR 7347, HR 7365, HR 7401, HR 7434, HR 746, HR 7480, HR 7490, HR 7504, HR 7514, HR 7543, HR 7596, HR 7613, HR 7643, HR 7653, HR 7654, HR 7657, HR 7703, HR 7732, HR 7773, HR 7777, HR 7793, HR 7816, HR 7860, HR 7884, HR 7895, HR 7896, HR 7917, HR 7919, HR 7920, HR 7971, HR 8009, HR 8009, HR 8017, HR 8025, HR 8048, HR 808, HR 8136, HR 8165, HR 8167, HR 8168, HR 8223, HR 8312, HR 8340, HR 8347, HR 8371, HR 8381, HR 8418, HR 8442, HR 8454, HR 8481, HR 8511, HR 8514, HR 854, HR 8560, HR 8562, HR 8567, HR 8580, HR 8592, HR 8627, HR 8646, HR 8661, HR 885, HR 8851, HR 8874, HR 8879, HR 8880, HR 8881, HR 8896, HR 894, HR 9029, HR 903, HR 9050, HR 9057, HR 9094, HR 9146, HR 9161, HR 9179, HR 9276, HR 9324, HR 9328, HR 9404, HR 9415, HR 9449, HR 9468, HR 9478, HR 9484, HR 9510, HR 9525, HR 9575, HR 9819, HR 984, HR 9924, S 10, S 1028, S 1037, S 106, S 1090, S 1113, S 1119, S 1125, S 1172, S 1266, S 1267, S 1299, S 1309, S 1314, S 132, S 1330, S 1360, S 141, S 1436, S 1469, S 1515, S 1590, S 1612, S 1635, S 1678, S 1739, S 1792, S 1828, S 185, S 1877, S 1910, S 1954, S 1972, S 1975, S 1994, S 2014, S 2026, S 2083, S 2084, S 2146, S 216, S 2174, S 2181, S 2183, S 2212, S 2256, S 2259, S 2263, S 2276, S 2294, S 2315, S 24, S 2422, S 2431, S 2465, S 2503, S 2513, S 2516, S 263, S 2679, S 2745, S 2757, S 2778, S 2795, S 280, S 2801, S 2803, S 2863, S 2888, S 291, S 296, S 2975, S 30, S 302, S 3126, S 3243, S 3256, S 326, S 3274, S 3282, S 3284, S 3288, S 3290, S 3295, S 3341, S 3352, S 344, S 3452, S 3466, S 350, S 3524, S 3526, S 3546, S 3560, S 3598, S 3614, S 3636, S 3728, S 3746, S 3751, S 3768, S 38, S 3834, S 3841, S 3873, S 3885, S 3886, S 3911, S 3958, S 3970, S 3979, S 4009, S 4047, S 4061, S 4074, S 4109, S 4111, S 414, S 42, S 4226, S 4246, S 4284, S 4357, S 4372, S 4396, S 4423, S 4445, S 449, S 4556, S 4748, S 4879, S 4922, S 4929, S 495, S 498, S 4997, S 5035, S 5141, S 5210, S 528, S 531, S 592, S 622, S 656, S 665, S 680, S 740, S 748, S 774, S 777, S 853, S 897, S 928

Access to Care Inflation Reduction Act (IRA). ACS CAN actively monitors implementation of the Inflation Reduction Acts Medicare Drug Price negotiation provisions to ensure cancer patients have access to costly prescription drugs. ACS CAN also supports the Medicare Prescription Payment Plan, which allows Part D enrollees to spread their out-of-pocket costs over the plan year. Enhanced Advanced Premium Tax Credits, H.R. 1692, Improving Health Insurance Affordability Act of 2023, S.8. House and Senate bills would permanently extend the enhanced advanced premium tax credits. Retaining Access and Restoring Exclusivity (RARE) Act H.R.7383. This bill specifies that the seven-year market exclusivity period for drugs for rare diseases or conditions (i.e., orphan drug exclusivity period) prohibits the approval of the same drug for the same approved use or indication with respect to the disease or condition. Help CoPays Act S.1375; Help Ensure Lower Patient Copays Act, H.R.830. This bill requires health insurance plans to apply certain payments made by, or on behalf of, a plan enrollee toward a plan's cost-sharing requirements. Specifically, plans must apply third-party payments, financial assistance, discounts, product vouchers, and other reductions in out-of-pocket expenses toward the requirements. Safe Step Act, S.652. This bill requires a group health plan to establish an exception to medication step-therapy protocol in specified cases. A medication step-therapy protocol establishes a specific sequence in which prescription drugs are covered by a group health plan or a health insurance issuer. Creating Opportunities Now for Necessary and Effective Technologies (CONNECT) for Health Act of 2023 H.R.4189, S.2016. This bill expands coverage of telehealth services under Medicare. Telehealth Modernization Act of 2924, H.R. 7623. Modifies requirements relating to coverage of telehealth services under Medicare. Permanently expands telehealth flexibilities first authorized during the public health emergency. The Preserving Telehealth, Hospital, and Ambulance Access Act, H.R. 8261. This bill allows employers to offer stand-alone telehealth benefits to all employees. This includes employees who are eligible for enrollment in their employer's group health plan. Equitable Community Access to Pharmacist Services Act, H.R.1770, S.2477. This bill expands Medicare coverage to permanently include services provided by a pharmacist, including incidental services and supplies, related to testing, vaccines, and treatment for COVID-19, influenza, and certain other illnesses. This bill also requires drug manufacturers to report on the suppliers of ingredients used in their products. Drug Shortage Prevention Act, H.R. 3008, Protecting PAHPA Act of 2023 H.R.4697. This bill requires drug manufacturers to notify the Food and Drug Administration (FDA) if there is an increased demand for certain critical essential medicines that may result in a shortage. Protecting Americans from Unsafe Drugs Act of 2023, H.R. 2500, Protecting PAHPA Act of 2023, H.R.4697. This bill expands the authority of the Secretary of the Department of Health and Human Services (HHS) to order the recall of controlled substances to cover all drugs. Ensuring Access to Lifesaving Drugs Act of 2023, H.R. 3793, Protecting PAHPA Act of 2023, H.R.4697. This bill allows the Food and Drug Administration (FDA) to obtain additional information from manufacturers of life-saving drugs in order to assess and potentially modify the drug's expiration date. (The bill defines life-saving drug as a medical countermeasure or a drug that is in short supply and that is life-supporting, life-sustaining, or intended to be used to prevent or treat a debilitating disease or condition in humans or animals.) Specifically, the FDA may order a manufacturer of a life-saving drug to submit data and other information from any stage of the drug's development in order to assess the drug's stability and the longest supported expiration date. If such information is not readily available, the FDA may order the manufacturer to conduct additional studies. The FDA may require changes to the drug's label accordingly. Manufacturers that fail to comply are subject to civil penalties. Medical Device Shortage Reduction Act of 2023, H.R. 3807, Protecting PAHPA Act of 2023 H.R.4697. This bill expands the scope of required notifications about medical device shortages beyond public health emergencies. Essential Medicines Strategic Stockpile Act of 2023, H.R. 405. This bill requires the Department of Health and Human Services (HHS) to create a pilot program to test the effectiveness of acquiring, maintaining, managing, and distributing a stockpile of generic drugs at risk of shortage. Alan Reinstein Ban Asbestos Now Act of 2023, H.R. 2402, S. 1069. This bill prohibits the manufacture, process, use, and distribution in commerce of commercial asbestos or any mixture or article containing commercial asbestos. RAPID Reserve Act, S. 2510. This bill improves supply chain resiliency for critical drug products with vulnerable supply chains and ensure that reserves of critical drugs and active pharmaceutical ingredients are maintained to prevent supply disruptions in the event of drug shortages or public health emergencies. Rolling Active Pharmaceutical Ingredient and Drug Reserve Act, H.R.6802. A bill to improve supply chain resiliency for critical drug products with vulnerable supply chains and ensure that reserves of critical drugs and active pharmaceutical ingredients are maintained to prevent supply disruptions in the event of drug shortages or public health emergencies Senate Finance Committee Drug Shortage Proposal Access to Breast Cancer Diagnosis Act of 2023, H.R.3851, S.2464. To amend title XXVII of the Public Health Service Act to prohibit group health plans and health insurance issuers offering group or individual health insurance coverage from imposing cost-sharing requirements with respect to diagnostic and supplemental breast examinations. Health Disparities Nancy Gardner Sewell Multi-Cancer Early Detection Act, H.R. 2407. This bill allows for Medicare coverage and payment for multi-cancer early detection screening tests that are approved by the Food and Drug Administration and that are used to screen for cancer across many cancer types, if the Centers for Medicare & Medicaid Services determines such coverage is appropriate. Medicare Multi-Cancer Early Detection Screening Coverage (MCED) Act, S.2085. Legislation to improve access to new and innovative cancer screenings for Medicare beneficiaries by creating a pathway to allow Medicare to initiate coverage of multi-cancer tests following FDA approval if a clinical benefit is shown. Screening for Communities to Receive Early and Equitable Needed Services (SCREENS for Cancer) Act, S.1840, H.R.3916. Reauthorization of the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) for fiscal years 2024 through 2028 to provide the program greater flexibility in providing access to lifesaving screening, diagnostic, and treatment services and continue its innovative work aimed to reduce disparities and advance health equity in breast and cervical cancer. Prostate-Specific Antigen Screening for High-Risk Insured Men (PSA Screening for HIM) Act, S.2821, H.R.1826. Legislation to remove cost sharing of PSA testing for those at the highest risk of being diagnosed with prostate cancer. Lung Cancer Screening and Prevention Act, H.R.6693. To amend title XVIII of the Social Security Act to authorize the coverage of additional lung cancer screening tests under the Medicare program. Health Equity and Accountability Act (HEAA). Legislation to eliminate racial and ethnic health disparities. We actively advocate for provisions (HEAA), which focuses on health inequalities, societal injustices, and their intersection with immigration status, age, disability, sex, gender, sexual orientation, and socioeconomic status. Increased Funding for the National Institute for Minority Health and Health Disparities. Reducing disparities in the use of recommended preventive services targeting three leading causes of death in the United States - cancer, heart disease, and diabetes. Cancer Drug Parity Act of 2023, S.2039, H.R.6301. Level the playing field for cancer patients by ensuring that the cost-sharing for oral anticancer drugs is on par with intravenous chemotherapy, thereby removing a significant financial obstacle to effective treatment. Henrietta Lacks Enhancing Cancer Research Act of 2019 Report. Request for Congress to urge the Government Accountability Office (GAO) to revisit the Henrietta Lacks Enhancing Cancer Research Act of 2019 report, with respect to promoting diverse participation in cancer clinical trials and addressing fully the request for insight into either implementation challenges for current federal activities or recommendations for additional activities and policy changes related to clinical trial diversity. Data Equity. Legislative and regulatory funding to support the collection of detailed demographic data toward reducing disparities in cancer prevention, detection, and treatment. Childhood Cancer Childhood Cancer Survivorship, Treatment, Access, and Research Reauthorization Act of 2022 (STAR) Act. Continued implementation and funding of the Childhood Cancer STAR Act to promote the development of new, safer therapies for children with cancer. Our appropriations request includes $30 million for the Childhood Cancer STAR Act and $50 million for the Childhood Cancer Data Initiative. Gabriella Miller Kids First Research Act 2.0, H.R. 623, S. 1523. This bill reauthorizes through FY2028 a pediatric disease research initiative within the National Institutes of Health (NIH) and requires the NIH to coordinate pediatric research activities to avoid duplicative efforts. Additionally, the Department of Health and Human Services must report to Congress about research funded through the initiative. Promoting Resources to Expand Vaccination, Education and New Treatments for HPV Cancers (PREVENT) Act, H.R.3633. Legislation that would help prevent cancer and save lives by raising awareness about HPV and HPV-related cancers through a national campaign to educate providers, parents, and the public about the life-saving HPV vaccine. It would also boost resources for a federal initiative to provide access to timely cervical cancer screening and diagnostic services for uninsured and underserved individuals. Accelerating Kids Access to Care Act, S.2372, H.R.4758. Legislation that alleviates these burdens for families and providers by facilitating coordination across state lines and clarifying the process by which state Medicaid programs can cover specialized treatment regardless of where the child lives and where their care is received. Creating Hope Reauthorization Act of 2024, H.R. 7384. This bill extends until FY2029 a Food and Drug Administration program that awards priority review vouchers to manufacturers of drugs that treat rare pediatric diseases. (A priority review voucher entitles the voucher holder to priority review of a single human drug application.) Quality of Life Palliative Care Palliative Care and Hospice Education and Training Act (PCHETA), S.2243. Legislation to facilitate access to palliative care and coordinated care management. Palliative Care Research Funding. Funding to focus and expand national research programs in palliative care at the National Institutes of Health. Specifically, ACS CAN is working to ensure the U.S. Congress, for the first time, appropriates specific money for palliative care research, upon enactment of the FY2024 LHHS Appropriations bill. Patient Navigation for People with Cancer. Legislation and policies to increase access to patient navigation for people with cancer, prioritizing policies that create sustainable funding to ensure access to patient navigation services across the cancer continuum. Cancer Survivorship Comprehensive Cancer Survivorship Act (CCSA), S.2213,H.R.4363. ACS CAN supports legislation that sets new standards for survivorship from diagnosis to end of life, ensuring the best and most seamless experience for survivors, and their families and caregivers throughout the journey. CCSA will address gaps in survivorship care and develop needed standards to improve the overall patient-centered quality of care and navigation needs that cancer survivors and their families experience. Federal Health Care Programs Increased Funding Levels for Cancer Research and Prevention. Ensure continued progress in the fight against cancer at the National Institutes of Health (NIH), the National Cancer Institute (NCI), the Advanced Research Projects Agency for Health (ARPA-H), and the Centers for Disease Control and Preventions (CDC) cancer programs. CDC Cancer Programs, the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) Regulatory issues related to healthy food and dietary guidelines PC CARE Act, H.R.1315. This bill establishes a committee to develop, implement, and periodically revise a plan to coordinate federal activities and programs concerning prostate cancer, including those related to research, screening, diagnosis, and treatment. Women and Lung Cancer Research and Preventive Services Act of 2023, H.R.4534, S.2245. This bill requires the Department of Health and Human Services to conduct an interagency review of the status of women and lung cancer. Department of Defense Appropriations Act, 2024 H.R.4365, S.2587. DOD Congressionally Directed Medical Research Program. Cancer Alan Reinstein Ban Asbestos Act, H.R.2402, S.1069. This bill generally prohibits the manufacture, process, use, and distribution in commerce of commercial asbestos or any mixture or article containing commercial asbestos. The President may, on application, grant exemptions from the prohibition in situations where it is necessary to protect national security interests. Nutrition Medical Nutrition Act H.R.6407, S.3297. A bill to amend title XVIII of the Social Security Act to expand the availability of medical nutrition therapy services under the Medicare program Farm, Food, and National Security Act of 2024, H.R.8467. To provide for the reform and continuation of agricultural and other programs of the Department of Agriculture through fiscal year 2029, and for other purposes. Rural Prosperity and Food Security Act. To provide for the reform and continuation of agricultural and other programs of the Department of Agriculture through fiscal year 2029, and for other purposes. Clinical Trials Clinical Trial Modernization Act, H.R. 8412. Increase diversity in clinical trials and make it easier for all persons with cancer to participate by reducing barriers to enrollment. Barriers may include ancillary (non-medical) costs, such as transportation and lodging, and remote access to trials, particularly for people who are underrepresented, including certain racial and ethnic groups, older adults, rural residents, and those with limited incomes. NIH Clinical Trial Diversity Act, S.1701, H.R.3503. Legislation to increase the diversity of participants in all National Institutes of Health (NIH)-funded trials. Harley Jacobsen Clinical Trial Participant Income Exemption Act, H.R.7090, H.R. 7418. Legislation to amend the Internal Revenue Code of 1986 to exclude from gross income certain compensation to clinical trial participants.

Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied for the specialization of claims processing for highly complex cases. Lobbied to preserve language in H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for reforms to the VBA National Work Queue. Board of Veterans Appeals: Lobbied for reimbursement for Bar Membership dues for attorneys working at the Board of Veterans' Appeals. Lobbied for the re-instatement of GS-14 career ladder position. Lobbied for the creation of a journeyman GS-15 position. Lobbied for the re- instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R. 1378, the Veterans Appeals Backlog Improvement Act. Lobbied for additional oversight at the Board of Veterans Appeals. Lobbied for additional training for Board of Veterans Appeals Attorneys. Lobbied in support of ANS to H.R. 1530, the Veterans Benefits Improvement Act of 2023. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TBI), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied for technical changes to S. 3979, to make permanent and codify the pilot program for use of contract physicians for disability examinations, and for other purposes. Collective Bargaining Rights: Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied in support of H.R. 6538, the VA Correct Compensation Act of 2023 and for its introduction in the Senate. Lobbied in support of S. 4046 of "VA Employee Fairness Act, and for its reintroduction in the House of Representatives. Lobbied in support of and for changes to S. 2679, the Leadership, Engagement, Accountability, and Development (LEAD) Act of 2023. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support of and for changes to H.R. 6531, the TRAIN VA Employees Act. Lobbied in support of and for changes to H.R. 7765, the VA Security Screening Pilot Program Act VA HR Modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 7127/S. 3688, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 and 2025 VA Military Construction appropriations bill. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act, which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied for oversight of new VA private contracting program, the Integrated Critical Staffing Program. Lobbied for oversight of VA staffing reductions. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters. Lobbied for better information on scheduling and appointment times for both in-house VA and private care. Lobbied for more information about the costs of VA care. Lobbied against VA raising the ceiling for payment to third party private, Community Care contractors. Lobbied against prohibiting public health care programs from using QALYs to determine price. Lobbied in opposition to H.R. 485, the Protecting Health Care for All Patients Act, and urge that it be defeated on the House floor. H.R. 485 would increase already high healthcare costs for the Federal Employees Health Benefits Program (FEHBP), which covers the vast majority of AFGE members and their families. In additional to FEHBP, the bill would prohibit Medicaid, Medicare Advantage (MA) plans, Medicare Part D Plans (PDPs), the VA, and the Defense Health Agency from using Quality Adjusted Life Years (QALYs) - a measure that ascertains the value of a drug - to make decisions about a drugs price. Medicare already prohibits the use of QALYs in ways that discriminate against the elderly (such as by valuing the extension of life of an older person as less than extending the life of a younger person). Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would: 1) codify Trump-Era access standards responsible for rapid privatization of the VA, prohibits VA from modifying access standards to allow telehealth to satisfy these access standards and requires VA to meet strict timeframes evaluating high-risk veterans for referral to residential treatment and rehabilitative programs without providing any additional funding to staff these new obligations and 2) require VA to meet 72-hour evaluation timeframe for evaluating high-risk veterans for residential treatment centers without providing adequate funding or putting equivalent credentialing and quality requirements on private programs. Lobbied against Amendment to H.R. 8580, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 forcing VA to apply the same access standards for Mental Health Residential Rehabilitation Treatment Program (MH RRTP) as for primary care, specialty care, and non-institutional extended care services that would not apply to private RRTP facilities, promoting privatization. Lobbied against provisions In H.R. 8371, the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act that would allow decisions between a veteran and a doctor to remain final without VA authorization and provisions that would require strict timeframes for placement of high-risk veterans in mental health treatment programs for VA programs but not private programs. Statements and Correspondence: Sente a letter to the House Veterans Affairs Subcommittee on Disability Assistance and Memorial Affairs for an April 16, 2024 subcommittee markup. Sent a letter to the House Veterans Affairs Committee for a May 1, 2024 full committee markup. Testified before the House Veterans Affairs Subcommittee on Oversight and Investigations on May 16 at a hearing titled Ensuring VA's Security: How Can Congress Best Support VA's Law Enforcement? Testified before the House Veterans Affairs Committee on June 13, 2024 at hearing titled A Call to Action: Meeting the Needs of the Spinal Cord Injury and Disorders (SCI/D) Veteran Community. Testified before the House Veterans Affairs Subcommittee on Disability Assistance and Memorial Affairs at a hearing titled Examining Shortcomings with VAs National Work Queue Veterans Benefits Claims Management System. Specific Legislation: Lobbied in support of H.R. 6538, the "VA Correct Compensation Act of 2023." Lobbied in support of S. 4046, the VA Employee Fairness Act. Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure, and certification reimbursement, covid leave flexibility, and recruitment and retention at VA community living centers. Also lobbied for specific changes to the bill related to the inclusion of VA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support of and for changes to H.R. 6531, the TRAIN VA Employees Act. Lobbied in support and for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied in opposition to S. 2649, the Making Community Care Work for Veterans Act. Lobbied in opposition to S. 1315, the HEALTH Act. Lobbied in opposition to H.R. 485, the Protecting Health Care for All Patients Act. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Ace, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse‐ patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied to preserve changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for technical changes to S. 3979, to make permanent and codify the pilot program for use of contract physicians for disability examinations, and for other purposes. Lobbied in support of and for changes to H.R. 7765, the VA Security Screening Pilot Program Act Lobbied for the introduction and support of the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied for changes to H.R. 7793 the Veterans Appeals Operations Expansion Act of 2024; Lobbied for changes to H.R. 7917, the Veterans Appeals Efficiency Act of 2024; Lobbied for changes to H.R. 7919, the Veterans Claims Quality Improvement Act of 2024. Lobbied or changes to H.R. 7883, the Toxic Exposures Examination Improvement Act Lobbied in opposition to H.R. 7734 the Personnel Integrity in Veterans Affairs Act of 2024

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 1001, HR 1003, HR 104, HR 1078, HR 1083, HR 1089, HR 1139, HR 1144, HR 1166, HR 1169, HR 1179, HR 1182, HR 1191, HR 1226, HR 1278, HR 1282, HR 1311, HR 1315, HR 1329, HR 1378, HR 1402, HR 1529, HR 1530, HR 1554, HR 1606, HR 1609, HR 1616, HR 1639, HR 1659, HR 1669, HR 1753, HR 1767, HR 1774, HR 1786, HR 1799, HR 1815, HR 196, HR 228, HR 232, HR 234, HR 236, HR 2410, HR 2413, HR 2414, HR 2441, HR 2447, HR 2469, HR 2472, HR 2499, HR 251, HR 2518, HR 2525, HR 2526, HR 2530, HR 2543, HR 2733, HR 2768, HR 2809, HR 2818, HR 2830, HR 2846, HR 2896, HR 2911, HR 2932, HR 2971, HR 3023, HR 303, HR 3040, HR 3075, HR 3084, HR 3110, HR 3128, HR 3157, HR 3186, HR 3192, HR 3214, HR 3225, HR 3303, HR 3326, HR 333, HR 3363, HR 3368, HR 3450, HR 3489, HR 3499, HR 3504, HR 3511, HR 3581, HR 3584, HR 3600, HR 3601, HR 3603, HR 3644, HR 3648, HR 3649, HR 3651, HR 3676, HR 3677, HR 3698, HR 3718, HR 3720, HR 3722, HR 3738, HR 3790, HR 3811, HR 3816, HR 3848, HR 3870, HR 3874, HR 3895, HR 3898, HR 3933, HR 394, HR 395, HR 3956, HR 3981, HR 4016, HR 4047, HR 4060, HR 4061, HR 41, HR 411, HR 4150, HR 4155, HR 4157, HR 4171, HR 4190, HR 4225, HR 4249, HR 4262, HR 4264, HR 4278, HR 4325, HR 4400, HR 4401, HR 4424, HR 4461, HR 4518, HR 4566, HR 4569, HR 4670, HR 4886, HR 4906, HR 491, HR 492, HR 4921, HR 5002, HR 5014, HR 5147, HR 5153, HR 516, HR 522, HR 523, HR 5247, HR 5259, HR 5365, HR 5377, HR 5416, HR 542, HR 543, HR 544, HR 5470, HR 5492, HR 5530, HR 5559, HR 5610, HR 5633, HR 5697, HR 5702, HR 5785, HR 5794, HR 5870, HR 5890, HR 5891, HR 5904, HR 5914, HR 592, HR 5938, HR 5956, HR 6023, HR 6179, HR 6197, HR 6225, HR 6291, HR 6294, HR 6300, HR 6315, HR 6324, HR 6330, HR 6331, HR 6333, HR 6338, HR 6340, HR 6345, HR 6360, HR 6361, HR 6362, HR 6373, HR 6374, HR 6380, HR 645, HR 6452, HR 6492, HR 6507, HR 6524, HR 6531, HR 6538, HR 6551, HR 6656, HR 6800, HR 6833, HR 6873, HR 6874, HR 6916, HR 693, HR 6949, HR 6995, HR 7136, HR 7150, HR 728, HR 7323, HR 733, HR 7347, HR 7365, HR 7401, HR 7434, HR 746, HR 7480, HR 7490, HR 7504, HR 7514, HR 7543, HR 7596, HR 7613, HR 7643, HR 7653, HR 7654, HR 7657, HR 7703, HR 7732, HR 7773, HR 7777, HR 7793, HR 7816, HR 7860, HR 7884, HR 7895, HR 7917, HR 7919, HR 7920, HR 8009, HR 8017, HR 8009, HR 8017, HR 8025, HR 8048, HR 808, HR 815, HR 8165, HR 8167, HR 8168, HR 8223, HR 8312, HR 8340, HR 8347, HR 8371, HR 8418, HR 8454, HR 8481, HR 8511, HR 854, HR 8560, HR 8580, HR 8592, HR 8627, HR 8646, HR 8661, HR 885, HR 8879, HR 8880, HR 8881, HR 894, HR 903, HR 984, S 10, S 1028, S 1037, S 106, S 1090, S 1113, S 1119, S 1125, S 1172, S 1266, S 1267, S 1299, S 1309, S 1314, S 132, S 1330, S 1360, S 141, S 1436, S 1469, S 1515, S 1590, S 1612, S 1635, S 1678, S 1739, S 1792, S 1828, S 185, S 1877, S 1910, S 1954, S 1972, S 1975, S 1994, S 2014, S 2026, S 2083, S 2084, S 2146, S 216, S 2174, S 2181, S 2183, S 2212, S 2256, S 2259, S 2263, S 2276, S 2294, S 2315, S 24, S 2422, S 2431, S 2465, S 2503, S 2513, S 2516, S 263, S 2679, S 2745, S 2757, S 2778, S 2795, S 280, S 2801, S 2803, S 2863, S 2888, S 291, S 296, S 2975, S 30, S 3015, S 302, S 3126, S 3243, S 3256, S 326, S 3274, S 3282, S 3284, S 3288, S 3290, S 3295, S 3341, S 3352, S 344, S 3452, S 3466, S 350, S 3524, S 3526, S 3546, S 3560, S 3598, S 3614, S 3636, S 3728, S 3746, S 3751, S 3768, S 38, S 3834, S 3841, S 3873, S 3885, S 3886, S 3911, S 3970, S 3958, S 3979, S 4009, S 4047, S 4074, S 4109, S 4111, S 414, S 42, S 4226, S 4246, S 4357, S 4396, S 4445, S 449, S 4556, S 495, S 498, S 528, S 531, S 547, S 592, S 622, S 656, S 665, S 680, S 740, S 748, S 774, S 777, S 853, S 897, S 928

H.R. 1315 Prostate Cancer Community Access, Research, and Education Act to coordinate prostate cancer research efforts H.R. 1826/S. 2821 Prostate Specific Antigen Screening for High-risk Insured Men Act to eliminate cost sharing for prostate cancer screening

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1315 Prostate Cancer Community Access, Research, and Education Act to coordinate prostate cancer research efforts H.R. 1826/S. 2821 Prostate Specific Antigen Screening for High-risk Insured Men Act to eliminate cost sharing for prostate cancer screening

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied for the specialization of claims processing for highly complex cases. Lobbied to preserve language in H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for reforms to the VBA National Work Queue. Board of Veterans Appeals: Lobbied for reimbursement for Bar Membership dues for attorneys working at the Board of Veterans' Appeals. Lobbied for the re-instatement of GS-14 career ladder position. Lobbied for the creation of a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R.1378, the Veterans Appeals Backlog Improvement Act. Lobbied for additional oversight at the Board of Veterans Appeals. Lobbied for additional training for Board of Veterans Appeals Attorneys. Lobbied in support of ANS to H.R. 1530, the Veterans Benefits Improvement Act of 2023. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TBI), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied for technical changes to S. 3979, to make permanent and codify the pilot program for use of contract physicians for disability examinations, and for other purposes. Collective Bargaining Rights: Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied in support of H.R. 6538, the VA Correct Compensation Act of 2023 and for its introduction in the Senate. Lobbied in support S. 4046 of "VA Employee Fairness Act, and for its reintroduction in the House of Representatives. Lobbied in support of and for changes to S. 2679, the Leadership, Engagement, Accountability, and Development (LEAD) Act of 2023. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support of and for changes to H.R. 6531, the TRAIN VA Employees Act. Lobbied in support of and for changes to H.R. 7765, the VA Security Screening Pilot Program Act VA HR Modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 7127/S. 3688, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 VA Military Construction appropriations bill. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act, which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied for oversight of new VA private contracting program, the Integrated Critical Staffing Program. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters. Lobbied for better information on scheduling and appointment times for both in-house VA and private care. Lobbied for more information about the costs of VA care. Lobbied against VA raising the ceiling for payment to third party private, Community Care contractors. Lobbied against prohibiting public health care programs from using QALYs to determine price. Lobbied in opposition to H.R. 485, the Protecting Health Care for All Patients Act, and urge that it be defeated on the House floor. H.R. 485 would increase already high healthcare costs for the Federal Employees Health Benefits Program (FEHBP), which covers the vast majority of AFGE members and their families. In additional to FEHBP, the bill would prohibit Medicaid, Medicare Advantage (MA) plans, Medicare Part D Plans (PDPs), the VA, and the Defense Health Agency from using Quality Adjusted Life Years (QALYs) - a measure that ascertains the value of a drug - to make decisions about a drugs price. Medicare already prohibits the use of QALYs in ways that discriminate against the elderly (such as by valuing the extension of life of an older person as less than extending the life of a younger person). Statements and Correspondence: Testified at a March 21, 2024, House Veterans Affairs Subcommittee on Oversight and Investigations Subcommittee Hearing on Pending Legislation Specific Legislation: Lobbied in support of H.R. 6538, the "VA Correct Compensation Act of 2023." Lobbied in support of S. 4046, the VA Employee Fairness Act. Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure, and certification reimbursement, covid leave flexibility, and recruitment and retention at YA community living centers. Also lobbied for specific changes to the bill related to the inclusion of VA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support of and for changes to H.R. 6531, the TRAIN VA Employees Act. Lobbied in support and for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied in opposition to S. 2649, the Making Community Care Work for Veterans Act. Lobbied in opposition to S. 1315, the HEALTH Act. Lobbied in opposition to H.R. 485, the Protecting Health Care for All Patients Act. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Ace, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse‐ patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied to preserve changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for technical changes to S. 3979, to make permanent and codify the pilot program for use of contract physicians for disability examinations, and for other purposes. Lobbied in support of and for changes to H.R. 7765, the VA Security Screening Pilot Program Act

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 1001, HR 1003, HR 104, HR 1078, HR 1083, HR 1089, HR 1139, HR 1144, HR 1166, HR 1169, HR 1179, HR 1182, HR 1191, HR 1226, HR 1278, HR 1282, HR 1311, HR 1315, HR 1329, HR 1378, HR 1402, HR 1529, HR 1530, HR 1554, HR 1606, HR 1609, HR 1616, HR 1639, HR 1659, HR 1669, HR 1753, HR 1767, HR 1774, HR 1786, HR 1799, HR 1815, HR 196, HR 228, HR 232, HR 234, HR 236, HR 2410, HR 2413, HR 2414, HR 2441, HR 2447, HR 2469, HR 2472, HR 2499, HR 251, HR 2518, HR 2525, HR 2526, HR 2530, HR 2543, HR 2733, HR 2768, HR 2809, HR 2818, HR 2830, HR 2846, HR 2896, HR 2932, HR 2971, HR 3023, HR 303, HR 3040, HR 3075, HR 3084, HR 3110, HR 3128, HR 3157, HR 3186, HR 3192, HR 3214, HR 3225, HR 3303, HR 3326, HR 333, HR 3363, HR 3368, HR 3450, HR 3489, HR 3499, HR 3504, HR 3511, HR 3581, HR 3584, HR 3600, HR 3601, HR 3603, HR 3644, HR 3648, HR 3649, HR 3651, HR 3676, HR 3677, HR 3698, HR 3718, HR 3720, HR 3722, HR 3738, HR 3790, HR 3811, HR 3816, HR 3848, HR 3870, HR 3895, HR 2898, HR 3933, HR 394, HR 395, HR 3956, HR 3981, HR 4016, HR 4047, HR 4060, HR 4061, HR 41, HR 411, HR 4150, HR 4155, HR 4157, HR 4171, HR 4190, HR 4225, HR 4249, HR 4262, HR 4264, HR 4278, HR 4325, HR 4400, HR 4401, HR 4424, HR 4461, HR 4518, HR 4566, HR 4569, HR 4670, HR 4886, HR 4906, HR 491, HR 492, HR 4921, HR 5002, HR 5014, HR 5147, HR 5153, HR 516, HR 522, HR 523, HR 5247, HR 5259, HR 5365, HR 5377, HR 5416, HR 542, HR 543, HR 544, HR 5470, HR 5492, HR 5530, HR 5559, HR 5610, HR 5633, HR 5697, HR 5702, HR 5785, HR 5794, HR 5870, HR 5904, HR 5914, HR 592, HR 5938, HR 5956, HR 6023, HR 6197, HR 6225, HR 6291, HR 6294, HR 6300, HR 6315, HR 6324, HR 6330, HR 6331, HR 6333, HR 6338, HR 6340, HR 6345, HR 6360, HR 6361, HR 6362, HR 6373, HR 6374, HR 6380, HR 645, HR 6452, HR 6524, HR 6531, HR 6538, HR 6551, HR 6656, HR 6800, HR 6874, HR 6916, HR 693, HR 6949, HR 6995, HR 7136, HR 7150, HR 728, HR 733, HR 7347, HR 7401, HR 7434, HR 746, HR 7480, HR 7504, HR 7514, HR 7543, HR 7596, HR 7613, HR 7643, HR 7653, HR 7654, HR 7657, HR 7703, HR 7732, HR 7777, HR 7793, HR 7816, HR 808, HR 815, HR 854, HR 885, HR 894, HR 903, HR 984, S 10, S 1028, S 1037, S 106, S 1090, S 1113, S 1119, S 1125, S 1172, S 1266, S 1267, S 1299, S 1309, S 1314, S 132, S 1330, S 1360, S 141, S 1436, S 1469, S 1515, S 1590, S 1612, S 1635, S 1678, S 1739, S 1792, S 1828, S 185, S 1877, S 1910, S 1954, S 1972, S 1975, S 1994, S 2014, S 2026, S 2083, S 2084, S 2146, S 216, S 2174, S 2181, S 2183, S 2212, S 2256, S 2259, S 2263, S 2276, S 2294, S 2315, S 24, S 2422, S 2431, S 2465, S 2503, S 2513, S 2516, S 263, S 2679, S 2745, S 2757, S 2778, S 2795, S 280, S 2801, S 2803, S 2863, S 2888, S 291, S 296, S 2975, S 30, S 302, S 3126, S 3256, S 326, S 3274, S 3282, S 3284, S 3288, S 3290, S 3295, S 3341, S 3352, S 3452, S 344, S 3452, S 3466, S 350, S 3524, S 3526, S 3546, S 3560, S 3598, S 3614, S 3636, S 3728, S 3746, S 3751, S 3768, S 38, S 3834, S 3841, S 3873, S 3885, S 3886, S 3958, S 3979, S 4009, S 4047, S 4074, S 414, S 42, S 449, S 495, S 498, S 528, S 531, S 547, S 592, S 622, S 656, S 665, S 680, S 740, S 748, S 774, S 777, S 853, S 897, S 928

Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied for the specialization of claims processing for highly complex cases. Lobbied for changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Board of Veterans Appeals: Lobbied for reimbursement for Bar Membership dues for attorneys working at the Board of Veterans' Appeals. Lobbied for the re-instatement ofGS-14 career ladder position. Lobbied for the creation of a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R.1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for additional oversight at the Board of Veterans' Appeals. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TB!), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Collective Bargaining Rights: Lobbied for the reintroduction of the "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for the reintroduction of the "VA Employee Fairness Act." Lobbied to amend 38 USC 7422. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." VA HR Modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. (pending reintroduction) the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 VA Military Construction appropriations bill. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act. , which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters: Statements and Correspondence: Sent letter to the House Veterans Affairs Committee Subcommittee on Oversight and Investigations for its July 12, 2023, legislative hearing. Sent letter to the House Veterans Affairs Committee Subcommittee on Health for its July 18, 2023 markup. Sent letter to the House Veterans Affairs Committee Subcommittee on Oversight and Investigations for its July 19, 2023, markup. Sent a joint union letter to the House Veterans Affairs Committee for its July 26, 2023, markup. Submitted a Statement for the Record to the Senate Veterans Affairs Committee July 26, 2023 hearing titled Implementing the PACT Act: One Year Later. Submitted a Statement for the Record to the House Veterans Affairs Committee Subcommittee on Disability Assistance and Memorial Affairs Subcommittee July 26, 2023 hearing titled VA Disability Exams: Are Veterans Receiving Quality Services? Specific Legislation: Lobbied for reintroduction of the "VA Employee Fairness Act." Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. (pending reintroduction) "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure and certification reimbursement, covid leave flexibility, and recruitment and retention at YA community living centers. Also lobbied for specific changes to the bill related to the inclusion of YA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied for the reintroduction of the "Protecting VA Employees Act" to amend parts of the "VA Accountability and Whistleblower Protection Act." Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Ace, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied for changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for a clean appropriations bill or CR covering these issues that does not cut federal pay or benefits.

Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied for the specialization of claims processing for highly complex cases. Lobbied for changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Board of Veterans Appeals: Lobbied for reimbursement for Bar Membership dues for attorneys working at the Board of Veterans' Appeals. Lobbied for the re-instatement ofGS-14 career ladder position. Lobbied for the creation of a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R.1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for additional oversight at the Board of Veterans' Appeals. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TB!), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Collective Bargaining Rights: Lobbied for the reintroduction of the "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for the reintroduction of the "VA Employee Fairness Act." Lobbied to amend 38 USC 7422. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." VA HR Modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. (pending reintroduction) the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 VA Military Construction appropriations bill. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act. , which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters: Statements and Correspondence: Sent letter to the House Veterans Affairs Committee Subcommittee on Oversight and Investigations for its July 12, 2023, legislative hearing. Sent letter to the House Veterans Affairs Committee Subcommittee on Health for its July 18, 2023 markup. Sent letter to the House Veterans Affairs Committee Subcommittee on Oversight and Investigations for its July 19, 2023, markup. Sent a joint union letter to the House Veterans Affairs Committee for its July 26, 2023, markup. Submitted a Statement for the Record to the Senate Veterans Affairs Committee July 26, 2023 hearing titled Implementing the PACT Act: One Year Later. Submitted a Statement for the Record to the House Veterans Affairs Committee Subcommittee on Disability Assistance and Memorial Affairs Subcommittee July 26, 2023 hearing titled VA Disability Exams: Are Veterans Receiving Quality Services? Specific Legislation: Lobbied for reintroduction of the "VA Employee Fairness Act." Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. (pending reintroduction) "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure and certification reimbursement, covid leave flexibility, and recruitment and retention at YA community living centers. Also lobbied for specific changes to the bill related to the inclusion of YA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied for the reintroduction of the "Protecting VA Employees Act" to amend parts of the "VA Accountability and Whistleblower Protection Act." Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Ace, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied for changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for a clean appropriations bill or CR covering these issues that does not cut federal pay or benefits.

Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied for the specialization of claims processing for highly complex cases. Lobbied for changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Board of Veterans Appeals: Lobbied for reimbursement for Bar Membership dues for attorneys working at the Board of Veterans' Appeals. Lobbied for the re-instatement ofGS-14 career ladder position. Lobbied for the creation of a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R.1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for additional oversight at the Board of Veterans' Appeals. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TB!), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Collective Bargaining Rights: Lobbied for the reintroduction of the "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for the reintroduction of the "VA Employee Fairness Act." Lobbied to amend 38 USC 7422. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." VA HR Modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. (pending reintroduction) the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 VA Military Construction appropriations bill. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act. , which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters: Statements and Correspondence: Sent letter to the House Veterans Affairs Committee Subcommittee on Oversight and Investigations for its July 12, 2023, legislative hearing. Sent letter to the House Veterans Affairs Committee Subcommittee on Health for its July 18, 2023 markup. Sent letter to the House Veterans Affairs Committee Subcommittee on Oversight and Investigations for its July 19, 2023, markup. Sent a joint union letter to the House Veterans Affairs Committee for its July 26, 2023, markup. Submitted a Statement for the Record to the Senate Veterans Affairs Committee July 26, 2023 hearing titled Implementing the PACT Act: One Year Later. Submitted a Statement for the Record to the House Veterans Affairs Committee Subcommittee on Disability Assistance and Memorial Affairs Subcommittee July 26, 2023 hearing titled VA Disability Exams: Are Veterans Receiving Quality Services? Specific Legislation: Lobbied for reintroduction of the "VA Employee Fairness Act." Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. (pending reintroduction) "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure and certification reimbursement, covid leave flexibility, and recruitment and retention at YA community living centers. Also lobbied for specific changes to the bill related to the inclusion of YA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied for the reintroduction of the "Protecting VA Employees Act" to amend parts of the "VA Accountability and Whistleblower Protection Act." Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Ace, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied for changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for a clean appropriations bill or CR covering these issues that does not cut federal pay or benefits.

Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied for the specialization of claims processing for highly complex cases. Lobbied to preserve language in H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Board of Veterans Appeals: Lobbied for reimbursement for Bar Membership dues for attorneys working at the Board of Veterans' Appeals. Lobbied for the re-instatement of GS-14 career ladder position. Lobbied for the creation of a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R.1378, the Veterans Appeals Backlog Improvement Act. Lobbied for additional oversight at the Board of Veterans Appeals. Lobbied for additional training for Board of Veterans Appeals Attorneys. Lobbied in support of ANS to H.R. 1530, the Veterans Benefits Improvement Act of 2023. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TB!), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Collective Bargaining Rights: Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for the introduction of H.R. 6538, the VA Correct Compensation Act of 2023. Lobbied for the introduction of "VA Employee Fairness Act" subsequent to the passage of the VA Correct Compensation Act of 2023. Lobbied in support of and for changes to S. 2679, the Leadership, Engagement, Accountability, and Development (LEAD) Act of 2023. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." VA HR Modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 VA Military Construction appropriations bill. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act., which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied for oversight of new VA private contracting program, the Integrated Critical Staffing Program. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters. Lobbied for better information on scheduling and appointment times for both in-house VA and private care. Lobbied for more information about the costs of VA care. Statements and Correspondence: Provided a Statement for the Record for a October 25, 2023 Senate Veterans Affairs Committee Hearing titled VA Accountability and Transparency: A Cornerstone of Quality Care and Benefits for Veterans. Testified at a November 29, 2023, House Veterans Affairs Committee on Disability Assistance and Memorial Affairs Subcommittee titled Examining the VA Appeals Process: Ensuring High-Quality Decision-Making for Veterans Claims on Appeal. Specific Legislation: Lobbied in support of H.R. 6538, the "VA Correct Compensation Act of 2023." Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure, and certification reimbursement, covid leave flexibility, and recruitment and retention at YA community living centers. Also lobbied for specific changes to the bill related to the inclusion of YA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support and for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied in opposition to S. 2649, the Making Community Care Work for Veterans Act. Lobbied in opposition to S. 1315, the HEALTH Act. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Ace, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied to preserve changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes.

Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied for the specialization of claims processing for highly complex cases. Lobbied to preserve language in H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Board of Veterans Appeals: Lobbied for reimbursement for Bar Membership dues for attorneys working at the Board of Veterans' Appeals. Lobbied for the re-instatement of GS-14 career ladder position. Lobbied for the creation of a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R.1378, the Veterans Appeals Backlog Improvement Act. Lobbied for additional oversight at the Board of Veterans Appeals. Lobbied for additional training for Board of Veterans Appeals Attorneys. Lobbied in support of ANS to H.R. 1530, the Veterans Benefits Improvement Act of 2023. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TB!), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Collective Bargaining Rights: Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for the introduction of H.R. 6538, the VA Correct Compensation Act of 2023. Lobbied for the introduction of "VA Employee Fairness Act" subsequent to the passage of the VA Correct Compensation Act of 2023. Lobbied in support of and for changes to S. 2679, the Leadership, Engagement, Accountability, and Development (LEAD) Act of 2023. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." VA HR Modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 VA Military Construction appropriations bill. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act., which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied for oversight of new VA private contracting program, the Integrated Critical Staffing Program. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters. Lobbied for better information on scheduling and appointment times for both in-house VA and private care. Lobbied for more information about the costs of VA care. Statements and Correspondence: Provided a Statement for the Record for a October 25, 2023 Senate Veterans Affairs Committee Hearing titled VA Accountability and Transparency: A Cornerstone of Quality Care and Benefits for Veterans. Testified at a November 29, 2023, House Veterans Affairs Committee on Disability Assistance and Memorial Affairs Subcommittee titled Examining the VA Appeals Process: Ensuring High-Quality Decision-Making for Veterans Claims on Appeal. Specific Legislation: Lobbied in support of H.R. 6538, the "VA Correct Compensation Act of 2023." Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure, and certification reimbursement, covid leave flexibility, and recruitment and retention at YA community living centers. Also lobbied for specific changes to the bill related to the inclusion of YA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support and for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied in opposition to S. 2649, the Making Community Care Work for Veterans Act. Lobbied in opposition to S. 1315, the HEALTH Act. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Ace, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied to preserve changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes.

H.R. 1315 Prostate Cancer Community Access, Research, and Education Act to coordinate prostate cancer research efforts H.R. 1826/S. 2821 Prostate Specific Antigen Screening for High-risk Insured Men Act to eliminate cost sharing for prostate cancer screening

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 1001, HR 1003, HR 104, HR 1078, HR 1083, HR 1089, HR 1139, HR 1144, HR 1166, HR 1169, HR 1179, HR 1182, HR 1191, HR 1226, HR 1278, HR 1282, HR 1311, HR 1315, HR 1329, HR 1378, HR 1402, HR 1529, HR 1530, HR 1554, HR 1606, HR 1609, HR 1616, HR 1639, HR 1659, HR 1669, HR 1753, HR 1767, HR 1774, HR 1786, HR 1799, HR 1815, HR 196, HR 228, HR 232, HR 234, HR 236, HR 2410, HR 2413, HR 2414, HR 2441, HR 2447, HR 2469, HR 2472, HR 2499, HR 251, HR 2518, HR 2525, HR 2526, HR 2530, HR 2543, HR 2733, HR 2768, HR 2809, HR 2818, HR 2830, HR 2846, HR 2896, HR 2932, HR 2971, HR 3023, HR 303, HR 3040, HR 3084, HR 3110, HR 3128, HR 3157, HR 3186, HR 3192, HR 3214, HR 3225, HR 3303, HR 3326, HR 333, HR 3363, HR 3368, HR 3450, HR 3489, HR 3499, HR 3504, HR 3511, HR 3581, HR 3584, HR 3600, HR 3601, HR 3603, HR 3644, HR 3648, HR 3649, HR 3651, HR 3676, HR 3677, HR 3698, HR 3718, HR 3720, HR 3722, HR 3738, HR 3790, HR 3811, HR 3848, HR 3870, HR 3895, HR 2898, HR 3933, HR 394, HR 395, HR 3956, HR 3981, HR 4016, HR 4047, HR 4060, HR 4061, HR 41, HR 411, HR 4150, HR 4155, HR 4157, HR 4171, HR 4190, HR 4225, HR 4249, HR 4262, HR 4278, HR 4325, HR 4400, HR 4401, HR 4424, HR 4461, HR 4518, HR 4566, HR 4569, HR 4670, HR 4886, HR 4906, HR 491, HR 492, HR 4921, HR 5002, HR 5014, HR 5147, HR 5153, HR 516, HR 522, HR 523, HR 5247, HR 5259, HR 5365, HR 5377, HR 5416, HR 542, HR 543, HR 544, HR 5470, HR 5492, HR 5530, HR 5559, HR 5610, HR 5633, HR 5697, HR 5702, HR 5785, HR 5794, HR 5870, HR 5904, HR 5914, HR 592, HR 5938, HR 5956, HR 6023, HR 6291, HR 6294, HR 6315, HR 6324, HR 6330, HR 6331, HR 6333, HR 6338, HR 6340, HR 6345, HR 6360, HR 6361, HR 6362, HR 6373, HR 6380, HR 645, HR 6531, HR 6538, HR 6551, HR 6656, HR 6800, HR 6874, HR 693, HR 728, HR 733, HR 746, HR 808, HR 815, HR 854, HR 885, HR 894, HR 903, HR 984, S 10, S 1028, S 1037, S 106, S 1090, S 1113, S 1119, S 1125, S 1172, S 1266, S 1267, S 1309, S 1314, S 132, S 1330, S 1360, S 141, S 1436, S 1469, S 1515, S 1590, S 1612, S 1635, S 1678, S 1739, S 1792, S 1828, S 185, S 1877, S 1910, S 1954, S 1972, S 1975, S 1994, S 2014, S 2026, S 2083, S 2146, S 216, S 2174, S 2181, S 2183, S 2212, S 2256, S 2259, S 2263, S 2276, S 2294, S 2315, S 24, S 2422, S 2431, S 2465, S 2503, S 2513, S 2516, S 263, S 2679, S 2745, S 2757, S 2778, S 2795, S 280, S 2801, S 2803, S 2863, S 2888, S 291, S 296, S 2975, S 30, S 302, S 3256, S 326, S 3274, S 3282, S 3290, S 3295, S 3341, S 3352, S 3452, S 344, S 3466, S 350, S 3524, S 3526, S 3546, S 38, S 414, S 42, S 449, S 495, S 498, S 528, S 531, S 547, S 592, S 622, S 656, S 665, S 680, S 740, S 748, S 774, S 777, S 853, S 897, S 928

H.R. 1315 Prostate Cancer Community Access, Research, and Education Act to coordinate prostate cancer research efforts H.R. 1826/S. 2821 Prostate Specific Antigen Screening for High-risk Insured Men Act to eliminate cost sharing for prostate cancer screening

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied for the specialization of claims processing for highly complex cases. Lobbied for changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Board of Veterans Appeals: Lobbied for reimbursement for Bar Membership dues for attorneys working at the Board of Veterans' Appeals. Lobbied for the re-instatement ofGS-14 career ladder position. Lobbied for the creation of a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R.1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for additional oversight at the Board of Veterans' Appeals. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TB!), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Collective Bargaining Rights: Lobbied for the reintroduction of the "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for the reintroduction of the "VA Employee Fairness Act." Lobbied to amend 38 USC 7422. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." VA HR Modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. (pending reintroduction) the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 VA Military Construction appropriations bill. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act. , which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters: Statements and Correspondence: Sent letter to the House Veterans Affairs Committee Subcommittee on Oversight and Investigations for its July 12, 2023, legislative hearing. Sent letter to the House Veterans Affairs Committee Subcommittee on Health for its July 18, 2023 markup. Sent letter to the House Veterans Affairs Committee Subcommittee on Oversight and Investigations for its July 19, 2023, markup. Sent a joint union letter to the House Veterans Affairs Committee for its July 26, 2023, markup. Submitted a Statement for the Record to the Senate Veterans Affairs Committee July 26, 2023 hearing titled Implementing the PACT Act: One Year Later. Submitted a Statement for the Record to the House Veterans Affairs Committee Subcommittee on Disability Assistance and Memorial Affairs Subcommittee July 26, 2023 hearing titled VA Disability Exams: Are Veterans Receiving Quality Services? Specific Legislation: Lobbied for reintroduction of the "VA Employee Fairness Act." Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. (pending reintroduction) "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure and certification reimbursement, covid leave flexibility, and recruitment and retention at YA community living centers. Also lobbied for specific changes to the bill related to the inclusion of YA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied for the reintroduction of the "Protecting VA Employees Act" to amend parts of the "VA Accountability and Whistleblower Protection Act." Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Ace, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied for changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for a clean appropriations bill or CR covering these issues that does not cut federal pay or benefits.

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: H.Res. 535, H.Res. 612, H.Res. 674, H.Res. 720, H.Res. 740 H.J. Res. 33, HR 1001, HR 1003, HR 104, HR 1078, HR 1083, HR 1089, HR 1097, HR 1139, HR 1144, HR 1166, HR 1169, HR 1179, HR 1182, HR 1188, HR 1191, HR 1226, HR 1266, HR 1277, HR 1278, HR 1282, HR 1311, HR 1315, HR 1329, HR 1378, HR 1402, HR 1529, HR 1530, HR 1554, HR 1606, HR 1609, HR 1616, HR 1639, HR 1655, HR 1659, HR 1669, HR 1708, HR 1753, HR 1767, HR 1774, HR 1786, HR 1799, HR 1815, HR 1822, HR 1948, HR 1950, HR 196, HR 226, HR 228, HR 232, HR 234, HR 236, HR 2398, HR 2410, HR 2413, HR 2414, HR 2431, HR 2441, HR 2469, HR 2472, HR 2499, HR 251, HR 2518, HR 2525, HR 2526, HR 2543, HR 2733, HR 2768, HR 2809, HR 2828, HR 2830, HR 2846, HR 2896, HR 2932, HR 2971, HR 3023, HR 303, HR 3040, HR 3084, HR 3110, HR 3128, HR 3157, HR 3186, HR 3192, HR 3214, HR 3225, HR 3303, HR 3326, HR 333, HR 3363, HR 3368, HR 3450, HR 3489, HR 3499, HR 3504, HR 3511, HR 3581, HR 3584, HR 3600, HR 3601, HR 3644, HR 3648, HR 3649, HR 3651, HR 3676, HR 3677, HR 3698, HR 3718, HR 3720, HR 3722, HR 3751, HR 3790, HR 3811, HR 3848, HR 3870, HR 3895, HR 394, HR 395, HR 4047, HR 41, HR 411, HR 4150, HR 4157, HR 4249, HR 4262, R 4325, HR 4566, HR 4569, HR 4634, HR 4670, HR 4886, HR 4906, HR 491, HR 492, HR 4921, HR 4944, HR 5002, HR 5014, HR 5147, HR 5153, HR 516, HR 5197, HR 522, HR 523, HR 5247, HR 5259, HR 5287, HR 5365, HR 5367, HR 5377, HR 5416, HR 542, HR 5425, HR 543, HR 544, HR 5470, HR 5492, HR 5530, HR 5559, HR 5610, HR 5633, HR 5682, HR 5697, HR 5702, HR 5794, HR 5860, HR 5870, HR 5904, HR 592, HR 602, HR 608, HR 626, HR 645, HR 693, HR 716, HR 728, HR 733, HR 746, HR 754, HR 768, HR 808, HR 815, HR 854, HR 885, HR 894, HR 903, HR 984, S 10, S 1028, S 1037, S 1040, S 106, S 1090, S 1096, S 1100, S 1119, S 1125, S 1172, S 1266, S 1309, S 1314, S 132, S 1330, S 1360, S 141, S 1436, S 1469, S 1515, S 1590, S 1612, S 1635, S 1678, S 1792, S 1828, S 185, S 1951, S 1954, S 1975, S 1994, S 2014, S 2026, S 216, S 2294, S 2315, S 2386, S 24, S 2422, S 2431, S 2465, S 2503, S 2513, S 2516, S 263, S 2679, S 2718, S 2720, S 2745, S 2757, S 2778, S 2795, S 280, S 2801, S 2803, S 2854, S 2863, S 2873, S 291, S 296, S 2975, S 30, S 302, S 326, S 330, S 344, S 350, S 38, S 414, S 42, S 449, S 495, S 498, S 528, S 531, S 547, S 592, S 596, S 609, S 622, S 633, S 656, S 665, S 680, S 725, S 740, S 748, S 774, S 777, S 853, S 897, S 928, S.J. Res. 17, S.Res. 208, S.Res. 264, S.Res. 335, S.Res. 348, S. Res. 365, S. Res. 405

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: H.Res. 535, H.J. Res. 33, HR 1001, HR 1003, HR 104, HR 1078, HR 1083, HR 1089, HR 1097, HR 1139, HR 1144, HR 1166, HR 1169, HR 1179, HR 1182, HR 1188, HR 1191, HR 1226, HR 1266, HR 1277, HR 1278, HR 1282, HR 1311, HR 1315, HR 1329, HR 1378, HR 1402, HR 1529, HR 1530, HR 1554, HR 1606, HR 1609, HR 1616, HR 1639, HR 1655, HR 1659, HR 1669, HR 1708, HR 1753, HR 1767, HR 1774, HR 1786, HR 1799, HR 1815, HR 1822, HR 1948, HR 1950, HR 196, HR 226, HR 228, HR 232, HR 234, HR 236, HR 2398, HR 2410, HR 2413, HR 2414, HR 2431, HR 2441, HR 2469, HR 2472, HR 2499, HR 251, HR 2518, HR 2525, HR 2526, HR 2543, HR 2733, HR 2768, HR 2809, HR 2828, HR 2830, HR 2846, HR 2896, HR 2932, HR 2971, HR 3023, HR 303, HR 3040, HR 3084, HR 3110, HR 3128, HR 3157, HR 3186, HR 3192, HR 3214, HR 3225, HR 3303, HR 3326, HR 333, HR 3363, HR 3368, HR 3450, HR 3489, HR 3499, HR 3504, HR 3511, HR 3581, HR 3584, HR 3600, HR 3601, HR 3644, HR 3648, HR 3649, HR 3651, HR 3676, HR 3677, HR 3698, HR 3718, HR 3720, HR 3722, HR 3751, HR 3790, HR 3811, HR 3848, HR 3870, HR 3895, HR 394, HR 395, HR 4047, HR 41, HR 411, HR 4150, HR 4157, HR 4249, HR 4262, HR 4325, HR 4566, HR 491, HR 492, HR 516, HR 522, HR 523, HR 542, HR 543, HR 544, HR 592, HR 602, HR 608, HR 626, HR 645, HR 693, HR 716, HR 728, HR 733, HR 746, HR 754, HR 768, HR 808, HR 815, HR 854, HR 885, HR 894, HR 903, HR 984, S 10, S 1028, S 1037, S 1040, S 106, S 1090, S 1096, S 1100, S 1119, S 1125, S 1172, S 1266, S 1309, S 1314, S 132, S 1330, S 1360, S 141, S 1436, S 1469, S 1515, S 1590, S 1612, S 1635, S 1678, S 1792, S 1828, S 185, S 1951, S 1954, S 1975, S 1994, S 2014, S 2026, S 216, S 2294, S 24, S 263, S 280, S 291, S 296, S 30, S 302, S 326, S 330, S 344, S 350, S 38, S 414, S 42, S 449, S 495, S 498, S 528, S 531, S 547, S 592, S 596, S 609, S 622, S 633, S 656, S 665, S 680, S 725, S 740, S 748, S 774, S 777, S 853, S 897, S 928, S.J. Res. 17, S.Res. 208, S.Res. 264

H.R. 1315 Prostate Cancer Community Access, Research, and Education Act to coordinate prostate cancer research efforts H.R. 1826 Prostate Specific Antigen Screening for High-risk Insured Men Act to eliminate cost sharing for prostate cancer screening

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1315 Prostate Cancer Community Access, Research, and Education Act to coordinate prostate cancer research efforts

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE