Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023

Site-neutral payment policy proposals, including the Lower Costs, More Transparency Act (H.R. 5378) and the Bipartisan Primary Care and Health Workforce Act (S. 2840) Healthcare workforce shortage Healthcare Workforce Resilience Act (H.R. 6205/ S. 3211) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 111/H.R. 2530) Resident Physician Shortage Reduction Act of 2023 (H.R. 2389/ S. 1302) Payment reductions to the Medicaid DSH program

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

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

Site-neutral payment policy proposals, including the Lower Costs, More Transparency Act (H.R. 5378) and the Bipartisan Primary Care and Health Workforce Act (S. 2840) Healthcare workforce shortage Healthcare Workforce Resilience Act (H.R. 6205/ S. 3211) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 111/H.R. 2530) Resident Physician Shortage Reduction Act of 2023 (H.R. 2389/ S. 1302) Payment reductions to the Medicaid DSH program

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

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

340B Drug Pricing Program (H.R. 3290) Rural health care innovation (PA Rural Health Model) SAVE Act (H.R. 2584) Healthcare Workforce Behavioral health Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S.1113, H.R.2530) CHGME Nursing and allied health education (NAHE) program Medical and Nurse Licensure Compact Health care consolidation, mergers and acquisitions Accelerating Kids Access to Care Act (H.R. 4758, S.2372)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4804 Support for the Health Over Wealth Act, sponsored by Senator Ed Markey S.5333 Support for Stop Wall Street Looting Act, sponsored by Senator Elizabeth Warren S.567 Support for Richard L. Trumka Protecting the Right to Organize Act H.R.20 Richard L. Trumka Protecting the Right to Organize Act H.R.2530 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.9855 Support for VA Employee Fairness Act Expressed concerns with use and expansion of artificial intelligence and other untested digital technologies at the hospital bedside. Expressed concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Support for Medicare for All Oppose an extension of the Acute Hospital Care at Home program through CMS Support for updating and strengthening infection prevention and control guidance for pathogens that transmit through the air to reflect the updated science, based on the WHOs new global technical consultation report released on April 18, 2024. Urged the OSHA Infectious Disease Standard & CDC's HICPAC draft infection control guidance both strengthen protections for workers. Urge CDC to reject HICPACs draft Isolation precautions guidance updates following the meetings on November 14 and 15, 2024. Letter to CDC Cohen regarding our concerns for the process and content of the Centers for Disease Controls (CDC) updates to foundational infection control guidance for health care settings, including lack of instructions for how the public could submit written comments ahead of August 2024 meeting.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA), White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4804 Support for the Health Over Wealth Act, sponsored by Senator Ed Markey S.5333 Support for Stop Wall Street Looting Act, sponsored by Senator Elizabeth Warren S.567 Support for Richard L. Trumka Protecting the Right to Organize Act H.R.20 Richard L. Trumka Protecting the Right to Organize Act H.R.2530 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.9855 Support for VA Employee Fairness Act Expressed concerns with use and expansion of artificial intelligence and other untested digital technologies at the hospital bedside. Expressed concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Support for Medicare for All Oppose an extension of the Acute Hospital Care at Home program through CMS Support for updating and strengthening infection prevention and control guidance for pathogens that transmit through the air to reflect the updated science, based on the WHOs new global technical consultation report released on April 18, 2024. Urged the OSHA Infectious Disease Standard & CDC's HICPAC draft infection control guidance both strengthen protections for workers. Urge CDC to reject HICPACs draft Isolation precautions guidance updates following the meetings on November 14 and 15, 2024. Letter to CDC Cohen regarding our concerns for the process and content of the Centers for Disease Controls (CDC) updates to foundational infection control guidance for health care settings, including lack of instructions for how the public could submit written comments ahead of August 2024 meeting.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4804 Support for the Health Over Wealth Act, sponsored by Senator Ed Markey S.5333 Support for Stop Wall Street Looting Act, sponsored by Senator Elizabeth Warren S.567 Support for Richard L. Trumka Protecting the Right to Organize Act H.R.20 Richard L. Trumka Protecting the Right to Organize Act H.R.2530 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.9855 Support for VA Employee Fairness Act Expressed concerns with use and expansion of artificial intelligence and other untested digital technologies at the hospital bedside. Expressed concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Support for Medicare for All Oppose an extension of the Acute Hospital Care at Home program through CMS Support for updating and strengthening infection prevention and control guidance for pathogens that transmit through the air to reflect the updated science, based on the WHOs new global technical consultation report released on April 18, 2024. Urged the OSHA Infectious Disease Standard & CDC's HICPAC draft infection control guidance both strengthen protections for workers. Urge CDC to reject HICPACs draft Isolation precautions guidance updates following the meetings on November 14 and 15, 2024. Letter to CDC Cohen regarding our concerns for the process and content of the Centers for Disease Controls (CDC) updates to foundational infection control guidance for health care settings, including lack of instructions for how the public could submit written comments ahead of August 2024 meeting.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Veterans Affairs, Dept of (VA), White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4804 Support for the Health Over Wealth Act, sponsored by Senator Ed Markey S.5333 Support for Stop Wall Street Looting Act, sponsored by Senator Elizabeth Warren S.567 Support for Richard L. Trumka Protecting the Right to Organize Act H.R.20 Richard L. Trumka Protecting the Right to Organize Act H.R.2530 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.9855 Support for VA Employee Fairness Act Expressed concerns with use and expansion of artificial intelligence and other untested digital technologies at the hospital bedside. Expressed concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Support for Medicare for All Oppose an extension of the Acute Hospital Care at Home program through CMS Support for updating and strengthening infection prevention and control guidance for pathogens that transmit through the air to reflect the updated science, based on the WHOs new global technical consultation report released on April 18, 2024. Urged the OSHA Infectious Disease Standard & CDC's HICPAC draft infection control guidance both strengthen protections for workers. Urge CDC to reject HICPACs draft Isolation precautions guidance updates following the meetings on November 14 and 15, 2024. Letter to CDC Cohen regarding our concerns for the process and content of the Centers for Disease Controls (CDC) updates to foundational infection control guidance for health care settings, including lack of instructions for how the public could submit written comments ahead of August 2024 meeting.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA)

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4804 Support for the Health Over Wealth Act, sponsored by Senator Ed Markey S.5333 Support for Stop Wall Street Looting Act, sponsored by Senator Elizabeth Warren S.567 Support for Richard L. Trumka Protecting the Right to Organize Act H.R.20 Richard L. Trumka Protecting the Right to Organize Act H.R.2530 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.9855 Support for VA Employee Fairness Act Expressed concerns with use and expansion of artificial intelligence and other untested digital technologies at the hospital bedside. Expressed concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Support for Medicare for All Oppose an extension of the Acute Hospital Care at Home program through CMS Support for updating and strengthening infection prevention and control guidance for pathogens that transmit through the air to reflect the updated science, based on the WHOs new global technical consultation report released on April 18, 2024. Urged the OSHA Infectious Disease Standard & CDC's HICPAC draft infection control guidance both strengthen protections for workers. Urge CDC to reject HICPACs draft Isolation precautions guidance updates following the meetings on November 14 and 15, 2024. Letter to CDC Cohen regarding our concerns for the process and content of the Centers for Disease Controls (CDC) updates to foundational infection control guidance for health care settings, including lack of instructions for how the public could submit written comments ahead of August 2024 meeting.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.J.Res. 98: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Labor Relations Board relating to "Standard for Determining Joint Employer Status". H.J.Res. 116: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Employee or Independent Contractor Classification Under the Fair Labor Standards Act". H.J.Res. 132: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Defense, the General Services Administration, and the National Aeronautics and Space Administration relating to the "Federal Acquisition Regulation: Use of Project Labor Agreements for Federal Construction Projects". H.J.Res. 134: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Improving Protections for Workers in Temporary Agricultural Employment in the United States". H.R. 11: Freedom to Vote Act H.R. 20: Richard L. Trumka Protecting the Right to Organize Act of 2023 H.R. 174: No Federal Funding for Teachers Unions Act H.R. 547: Better Care Better Jobs Act H.R. 720: Davis-Bacon Repeal Act H.R. 721: Union Integrity Act H.R. 762: Building Resilient Supply Chains Act H.R. 798: Protecting Americas Meatpacking Workers Act of 2023 H.R. 805: Industrial Agriculture Accountability Act of 2023 H.R. 953: Child Care for Every Community Act H.R. 1118: DISCLOSE Act of 2023 H.R. 1200: National Right-to-Work Act H.R. 1209: FOCA Act H.R. 2530: Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023 H.R. 2700: Employee Rights Act H.R. 2851: National Apprenticeship Act of 2023 H.R. 3400: Small Businesses before Bureaucrats Act H.R. 3539: Public Safety Employer-Employee Cooperation Act H.R. 3854: Manufacturing Partnership Improvement Act H.R. 4319: Farm Workforce Modernization Act of 2023 H.R. 4320: Truth in Employment Act of 2023 H.R. 4559: Food Worker Pay Standards Act H.R. 4595: National Education Association Charter Repeal Act H.R. 4689: FASTER Act of 2023 H.R. 4948: College Athlete Economic Freedom Act H.R. 4963: Tax Fairness for Workers Act H.R. 4967: To amend the Internal Revenue Code of 1986 to allow for deductions for the performance of certain services by a taxpayer, and for other purposes. H.R. 4971: Paycheck Protection Act H.R. 4978: Agricultural Worker Justice Act H.R. 4990: Reclaiming the Solar Supply Chain Act of 2023 H.R. 5314: Freedom From Union Violence Act of 2023 H.R. 5351: Nationwide Right to Unionize Act H.R. 5428: No Tax Breaks for Union Busting (NTBUB) Act H.R. 5456: No Tax Breaks for Union Busting (NTBUB) Act H.R. 5502: FABRIC Act H.R. 5563: Schedules That Work Act H.R. 5572: Civilian Climate Corps for Jobs and Justice Act H.R. 5735: Union Auto Workers Job Protection Act H.R. 5760: Climate Resilience Workforce Act H.R. 5784: Green New Deal for Public Schools Act of 2023 H.R. 6270: State-Based Universal Health Care Act of 2023 H.R. 6569: EFFECTIVE Food Procurement Act H.R. 6616: College Athlete Right to Organize Act H.R. 6747: Clean Electricity and Transmission Acceleration Act of 2023 H.R. 7135: GHOST Act H.R. 7692: Taxpayer-Funded Union Time Transparency Act H.R. 7748: Scratch Cooked Meals for Students Act H.R. 7782: Green New Deal for Public Housing Act H.R. 7784: SALT Act H.R. 8253: BUILD GREEN Infrastructure and Jobs Act H.R. 8367: Union Transparency and Accountability Act H.R. 8370: Rights for the TSA Workforce Act of 2024 H.R. 8426: Public Service Freedom to Negotiate Act of 2024 H.R. 8518: Responsibility in Federal Contracting Act H.R. 8573: Union Members Right to Know Act H.R. 9191: No Union Time on the Taxpayer's Dime Act H.R. 9302: Worker Enfranchisement Act H.Res. 702: Recognizing the duty of the Federal Government to protect the rights of restaurant workers. S. 1: Freedom to Vote Act S. 100: Better Care Better Jobs Act S. 270: Protecting Americas Meatpacking Workers Act of 2023 S. 272: Industrial Agriculture Accountability Act of 2023 S. 388: Child Care for Every Community Act S. 512: DISCLOSE Act of 2023 S. 532: National Right-to-Work Act S. 537: FOCA Act S. 567: Richard L. Trumka Protecting the Right to Organize Act of 2023 S. 737: No Tax Breaks for Union Busting (NTBUB) Act S. 738: Tax Fairness for Workers Act S. 1113: Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023 S. 1201: Employee Rights Act S. 1643: Reclaiming the Solar Supply Chain Act of 2023 S. 1804: FASTER Act of 2023 S. 2122: National Apprenticeship Act of 2023 S. 2148: LIFT Act S. 2344: Freedom to Vote Act S. 2554: College Athlete Economic Freedom Act S. 2601: Agricultural Worker Justice Act S. 2724: Nationwide Right To Unionize Act S. 2817: FABRIC Act S. 2838: Civilian Climate Corps for Jobs and Justice Act S. 2851: Schedules That Work Act S. 2988: Green New Deal for Public Schools Act of 2023 S. 3226: Offshore Wind Jobs and Opportunity Act S. 3390: EFFECTIVE Food Procurement Act S. 3415: College Athlete Right to Organize Act S. 3682: GHOST Act S. 3955: Taxpayer-Funded Union Time Transparency Act S. 4012: Green New Deal for Public Housing Act S. 4046: Department of Veterans Affairs Employee Fairness Act of 2024 S. 4226: Cannabis Administration and Opportunity Act S. 4277: BUILD GREEN Infrastructure and Jobs Act S. 4334: Rights for the TSA Workforce Act of 2024 S. 4363: Public Service Freedom to Negotiate Act of 2024 S. 4709: Protecting American Jobs Act S. 4868: No Union Time on the Taxpayer's Dime Act S.Res. 285: A resolution to provide for the approval of final regulations relating to Federal service labor-management relations that are applicable to the Senate and the employees of the Senate, and that were issued by the Office of Compliance, now known as the Office of Congressional Workplace Rights, on August 19, 1996, and for other purposes.

Client expense: $348,012 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE

Monitored discussions pertaining to proposed Department of Labor rule on overtime Monitored S 1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Monitored HR 2530 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Monitored Federal Trade Commission proposed rule prohibiting noncompete clauses Monitored HR 20 Richard L. Trumka Protecting the Right to Organize Act of 2023

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

Support for elimination of Medicaid Disproportionate Share Hospital cuts Support for bolstering Medicare Graduate Medical Education program including the Resident Physician Shortage Reduction Act of 2023 (H.R.2389) Support for continuing key flexibilities beyond COVID-19 pandemic including telehealth policies and the hospitals at home program, and Substance Use Disorder Workforce Act (H.R. 7050) Support for Improving Seniors Timely Access to Care Act Support for bolstering healthcare workforce including the Healthcare Workforce Resilience Act Support for H.R. 9351 Opposition to proposals to cut providers including Medicare site-neutral payment reductions and policies to restrict the 340B drug pricing program Opposition to site-neutral cuts included in Lower Cost More Transparency Act and Bipartisan Primary Care and Health Workforce Act Opposition to Sec. 404 in Telehealth Modernization Act as marked up by Energy and Commerce Opposition to H.R. 2530, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Support for H.R. 2534: Preserving Rules Ordered for the Entities Covered Through (PROTECT) 340B Act Support for: H.R. 7635: 340B Pharmaceutical Access to Invest in Essential, Needed Treatments and Support (PATIENTS) Act Opposition to H.R. 8574: 340B Affording Care for Communities and Ensuring a Strong Safety-Net Act (340B Access Act) Support for Healthcare in Your Language Bill Support for Nadler, Beatty, Williams Urge CMS to Issue Guidance on Informed Consent Requirements for Drug Testing of Pregnant Patients Opposition to proposals to implement National Provider Identifiers at Hospital Outpatient Departments

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

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program (H.R. 3290) Rural health care innovation (PA Rural Health Model) Public Health Emergency designation SAVE Act (H.R. 2584) Fairness for Rural Teaching Hospitals Act (H.R.2433) Public Service Loan Forgiveness program/physician federal loan forgiveness Healthcare Workforce Behavioral health PATIENT Act of 2023 (H.R.3561) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S.1113, H.R.2530) CHGME Youth behavioral health Electronic health records Pandemic and All-Hazards Preparedness Reauthorization Act Nursing and allied health education (NAHE) program Bipartisan Primary Care and Health Workforce Act (S.2840) Transparent PRICE Act (H.R.3281) Save Americas Rural Hospitals Act (H.R.833) Supporting Safety Net Hospitals Act (H.R.2665) Patient Access to Higher Quality Care Act (H.R.977/S.470) FEMA Covid-19 reimbursement Health Care Price Transparency Act (H.R.4822) Providers and Payers Compete Act (H.R.3284) Lower Costs, More Transparency Act (H.R.5378) Health Care Prices Revealed and Information to Consumers Explained Transparency Act (S.3548) Medical and Nurse Licensure Compact Health care consolidation, mergers and acquisitions Accelerating Kids Access to Care Act (H.R. 4758, S.2372)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Extension of COVID-19 public health emergency waivers Nurse staffing shortages Removing barriers to care (H.R.2713/S.2418) I CAN Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act (S.3860/H.R.7546) Nurse Overtime and Patient Safety Act (H.R.2530 / S.1113) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Issues surrounding Medicare Part B reform Issues surrounding CMS Long Term Care staffing final rule (H.J. Res. 139) Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S.J. Res. 91) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S. 2016/H.R. 4189) CONNECT for Health Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act H.R.3227 - Ensuring Seniors Access to Quality Care Act H.R.468 - Building Americas Health Care Workforce Act (S.5236) Keeping Obstetrics Local Act S.4338 - Pay PCPs Act of 2024 Issues surrounding Medicare reimbursement (H.R. 8702/S. 4532) Improving Seniors Timely Access to Care Act of 2024 (H.R.10445) Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 (H.R.10545) American Relief Act, 2025 (H.R.10515) American Relief Act, 2025 Issues surrounding surgical smoke

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

issues relating to hospitals and healthcare H.R.1129 To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital; S.468 Hospital Transparency Compliance Enforcement Act; H.R.990,S 407 SAFE Hospitals Act of 2023; H.R.1565 Critical Access Hospital Relief Act of 2023; H.R.2530 & S1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act; H.R.977-S.470 Patient Access to Higher Quality Health Care Act of 2023; H.R.1475 Hospital Adoption Education Act of 2023; H.R.410 Health Care PRICE Transparency Act; H.R.3417 FAIR Act; HR 2859 Holding Nonprofit Hospitals Accountable Act; H.R.5007, S2657 GREEN Hospitals Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4804 Support for the Health Over Wealth Act, sponsored by Senator Ed Markey S.5333 Support for Stop Wall Street Looting Act, sponsored by Senator Elizabeth Warren S.567 Support for Richard L. Trumka Protecting the Right to Organize Act H.R.20 Richard L. Trumka Protecting the Right to Organize Act H.R.2530 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.9855 Support for VA Employee Fairness Act Expressed concerns with use and expansion of artificial intelligence and other untested digital technologies at the hospital bedside. Expressed concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Support for Medicare for All Oppose an extension of the Acute Hospital Care at Home program through CMS Support for updating and strengthening infection prevention and control guidance for pathogens that transmit through the air to reflect the updated science, based on the WHOs new global technical consultation report released on April 18, 2024. Urged the OSHA Infectious Disease Standard & CDC's HICPAC draft infection control guidance both strengthen protections for workers. Urge CDC to reject HICPACs draft Isolation precautions guidance updates following the meetings on November 14 and 15, 2024. Letter to CDC Cohen regarding our concerns for the process and content of the Centers for Disease Controls (CDC) updates to foundational infection control guidance for health care settings, including lack of instructions for how the public could submit written comments ahead of August 2024 meeting.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4804 Support for the Health Over Wealth Act, sponsored by Senator Ed Markey S.5333 Support for Stop Wall Street Looting Act, sponsored by Senator Elizabeth Warren S.567 Support for Richard L. Trumka Protecting the Right to Organize Act H.R.20 Richard L. Trumka Protecting the Right to Organize Act H.R.2530 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.9855 Support for VA Employee Fairness Act Expressed concerns with use and expansion of artificial intelligence and other untested digital technologies at the hospital bedside. Expressed concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Support for Medicare for All Oppose an extension of the Acute Hospital Care at Home program through CMS Support for updating and strengthening infection prevention and control guidance for pathogens that transmit through the air to reflect the updated science, based on the WHOs new global technical consultation report released on April 18, 2024. Urged the OSHA Infectious Disease Standard & CDC's HICPAC draft infection control guidance both strengthen protections for workers. Urge CDC to reject HICPACs draft Isolation precautions guidance updates following the meetings on November 14 and 15, 2024. Letter to CDC Cohen regarding our concerns for the process and content of the Centers for Disease Controls (CDC) updates to foundational infection control guidance for health care settings, including lack of instructions for how the public could submit written comments ahead of August 2024 meeting.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA), White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4804 Support for the Health Over Wealth Act, sponsored by Senator Ed Markey S.5333 Support for Stop Wall Street Looting Act, sponsored by Senator Elizabeth Warren S.567 Support for Richard L. Trumka Protecting the Right to Organize Act H.R.20 Richard L. Trumka Protecting the Right to Organize Act H.R.2530 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.9855 Support for VA Employee Fairness Act Expressed concerns with use and expansion of artificial intelligence and other untested digital technologies at the hospital bedside. Expressed concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Support for Medicare for All Oppose an extension of the Acute Hospital Care at Home program through CMS Support for updating and strengthening infection prevention and control guidance for pathogens that transmit through the air to reflect the updated science, based on the WHOs new global technical consultation report released on April 18, 2024. Urged the OSHA Infectious Disease Standard & CDC's HICPAC draft infection control guidance both strengthen protections for workers. Urge CDC to reject HICPACs draft Isolation precautions guidance updates following the meetings on November 14 and 15, 2024. Letter to CDC Cohen regarding our concerns for the process and content of the Centers for Disease Controls (CDC) updates to foundational infection control guidance for health care settings, including lack of instructions for how the public could submit written comments ahead of August 2024 meeting.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Veterans Affairs, Dept of (VA), White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4804 Support for the Health Over Wealth Act, sponsored by Senator Ed Markey S.5333 Support for Stop Wall Street Looting Act, sponsored by Senator Elizabeth Warren S.567 Support for Richard L. Trumka Protecting the Right to Organize Act H.R.20 Richard L. Trumka Protecting the Right to Organize Act H.R.2530 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.9855 Support for VA Employee Fairness Act Expressed concerns with use and expansion of artificial intelligence and other untested digital technologies at the hospital bedside. Expressed concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Support for Medicare for All Oppose an extension of the Acute Hospital Care at Home program through CMS Support for updating and strengthening infection prevention and control guidance for pathogens that transmit through the air to reflect the updated science, based on the WHOs new global technical consultation report released on April 18, 2024. Urged the OSHA Infectious Disease Standard & CDC's HICPAC draft infection control guidance both strengthen protections for workers. Urge CDC to reject HICPACs draft Isolation precautions guidance updates following the meetings on November 14 and 15, 2024. Letter to CDC Cohen regarding our concerns for the process and content of the Centers for Disease Controls (CDC) updates to foundational infection control guidance for health care settings, including lack of instructions for how the public could submit written comments ahead of August 2024 meeting.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA), White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.1176 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act S.4046 Support for VA Employee Fairness Act S.4804 Support for the Health Over Wealth Act, sponsored by Senator Ed Markey S.5333 Support for Stop Wall Street Looting Act, sponsored by Senator Elizabeth Warren S.567 Support for Richard L. Trumka Protecting the Right to Organize Act H.R.20 Richard L. Trumka Protecting the Right to Organize Act H.R.2530 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.2663 Support for The Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.9855 Support for VA Employee Fairness Act Expressed concerns with use and expansion of artificial intelligence and other untested digital technologies at the hospital bedside. Expressed concerns about VA Privatization via the Community Care program and the hiring freeze affecting patient care. Support for Medicare for All Oppose an extension of the Acute Hospital Care at Home program through CMS Support for updating and strengthening infection prevention and control guidance for pathogens that transmit through the air to reflect the updated science, based on the WHOs new global technical consultation report released on April 18, 2024. Urged the OSHA Infectious Disease Standard & CDC's HICPAC draft infection control guidance both strengthen protections for workers. Urge CDC to reject HICPACs draft Isolation precautions guidance updates following the meetings on November 14 and 15, 2024. Letter to CDC Cohen regarding our concerns for the process and content of the Centers for Disease Controls (CDC) updates to foundational infection control guidance for health care settings, including lack of instructions for how the public could submit written comments ahead of August 2024 meeting.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA)

Extension of COVID-19 public health emergency waivers Nurse staffing shortages Removing barriers to care (H.R.2713/S.2418) I CAN Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act (S.3860/H.R.7546) Nurse Overtime and Patient Safety Act (H.R.2530 / S.1113) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Issues surrounding Medicare Part B reform Issues surrounding CMS Long Term Care staffing final rule (H.J. Res. 139) Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S.J. Res. 91) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S. 2016/H.R. 4189) CONNECT for Health Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act H.R.3227 - Ensuring Seniors Access to Quality Care Act H.R.468 - Building Americas Health Care Workforce Act (S.5236) Keeping Obstetrics Local Act S.4338 - Pay PCPs Act of 2024 Issues surrounding Medicare reimbursement Issues surrounding surgical smoke (H.R. 8702/S. 4532) Improving Seniors Timely Access to Care Act of 2024 (H.R.10445) Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 (H.R.10545) American Relief Act, 2025 (H.R.10515) American Relief Act, 2025

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

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 10000, HR 1001, HR 10012, HR 1003, HR 10038, HR 10106, HR 10142, HR 10148, HR 10153, HR 10369, HR 10381, 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 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 9052, HR 9057, HR 9094, HR 9107, 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 9511, HR 9525, HR 9575, HR 9583, HR 9643, HR 9773, HR 9788, HR 9806, HR 9819, HR 9854, HR 984, HR 9924, HR 9930, HR 9934, HR 9948, HR 9996, 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 4750, S 4879, S 4922, S 4929, S 495, S 498, S 4997, S 5035, S 5138, S 5141, S 5210, S 528, S 5301, S 531, S 5325, S 592, S 622, S 656, S 665, S 680, S 740, S 748, S 774, S 777, S 853, S 897, S 928

Client expense: $141,405 · Firm income: Not reported

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

1. S. 1113,Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023, entire bill 2. H.R. 2530,Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023, entire bill 3. S. 1139, Lower Drug Costs for Families Act, entire bill 4. Proposals to address food security and health for older Americans 5. H.R. 3093, Affordable Pricing for Taxpayer Funded Prescription Drugs Act, entire bill 6. Proposals to preserve the ability of single and multiemployer health plans to offer uniform benefits 7. Proposals to amend the Public Health Service Act to establish an Office of Drug Manufacturing 8. S. 3109,Alleviating Barriers for Caregivers Act, entire bill 9. H.R. 485, Protecting Health Care for All Patients Act of 2023, entire bill 10. Federal guidance regarding "march in" rights for prescription drugs 11. H.R. 8848, Affordable and Safe Prescription Drug Importation Act, entire bill 12. Private equity ownership and management of hospitals

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

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

1. S. 1113,Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023, entire bill 2. H.R. 2530,Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023, entire bill 3. S. 1139, Lower Drug Costs for Families Act, entire bill 4. Proposals to address food security and health for older Americans 5. H.R. 3093, Affordable Pricing for Taxpayer Funded Prescription Drugs Act, entire bill 6. Proposals to preserve the ability of single and multiemployer health plans to offer uniform benefits 7. Proposals to amend the Public Health Service Act to establish an Office of Drug Manufacturing 8. S. 3109,Alleviating Barriers for Caregivers Act, entire bill 9. H.R. 485, Protecting Health Care for All Patients Act of 2023, entire bill 10. Federal guidance regarding "march in" rights for prescription drugs 11. H.R. 8848, Affordable and Safe Prescription Drug Importation Act, entire bill 12. Private equity ownership and management of hospitals

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

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

H.J.Res. 98: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Labor Relations Board relating to "Standard for Determining Joint Employer Status". H.J.Res. 116: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Employee or Independent Contractor Classification Under the Fair Labor Standards Act". H.J.Res. 132: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Defense, the General Services Administration, and the National Aeronautics and Space Administration relating to the "Federal Acquisition Regulation: Use of Project Labor Agreements for Federal Construction Projects". H.J.Res. 134: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Labor relating to "Improving Protections for Workers in Temporary Agricultural Employment in the United States". H.R. 11: Freedom to Vote Act H.R. 20: Richard L. Trumka Protecting the Right to Organize Act of 2023 H.R. 174: No Federal Funding for Teachers Unions Act H.R. 547: Better Care Better Jobs Act H.R. 720: Davis-Bacon Repeal Act H.R. 721: Union Integrity Act H.R. 762: Building Resilient Supply Chains Act H.R. 798: Protecting Americas Meatpacking Workers Act of 2023 H.R. 805: Industrial Agriculture Accountability Act of 2023 H.R. 953: Child Care for Every Community Act H.R. 1118: DISCLOSE Act of 2023 H.R. 1200: National Right-to-Work Act H.R. 1209: FOCA Act H.R. 2530: Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023 H.R. 2700: Employee Rights Act H.R. 2851: National Apprenticeship Act of 2023 H.R. 3400: Small Businesses before Bureaucrats Act H.R. 3539: Public Safety Employer-Employee Cooperation Act H.R. 3854: Manufacturing Partnership Improvement Act H.R. 4319: Farm Workforce Modernization Act of 2023 H.R. 4320: Truth in Employment Act of 2023 H.R. 4559: Food Worker Pay Standards Act H.R. 4595: National Education Association Charter Repeal Act H.R. 4689: FASTER Act of 2023 H.R. 4948: College Athlete Economic Freedom Act H.R. 4963: Tax Fairness for Workers Act H.R. 4967: To amend the Internal Revenue Code of 1986 to allow for deductions for the performance of certain services by a taxpayer, and for other purposes. H.R. 4971: Paycheck Protection Act H.R. 4978: Agricultural Worker Justice Act H.R. 4990: Reclaiming the Solar Supply Chain Act of 2023 H.R. 5314: Freedom From Union Violence Act of 2023 H.R. 5351: Nationwide Right to Unionize Act H.R. 5428: No Tax Breaks for Union Busting (NTBUB) Act H.R. 5456: No Tax Breaks for Union Busting (NTBUB) Act H.R. 5502: FABRIC Act H.R. 5563: Schedules That Work Act H.R. 5572: Civilian Climate Corps for Jobs and Justice Act H.R. 5735: Union Auto Workers Job Protection Act H.R. 5760: Climate Resilience Workforce Act H.R. 5784: Green New Deal for Public Schools Act of 2023 H.R. 6270: State-Based Universal Health Care Act of 2023 H.R. 6569: EFFECTIVE Food Procurement Act H.R. 6616: College Athlete Right to Organize Act H.R. 6747: Clean Electricity and Transmission Acceleration Act of 2023 H.R. 7135: GHOST Act H.R. 7692: Taxpayer-Funded Union Time Transparency Act H.R. 7748: Scratch Cooked Meals for Students Act H.R. 7782: Green New Deal for Public Housing Act H.R. 7784: SALT Act H.R. 8253: BUILD GREEN Infrastructure and Jobs Act H.R. 8367: Union Transparency and Accountability Act H.R. 8370: Rights for the TSA Workforce Act of 2024 H.R. 8426: Public Service Freedom to Negotiate Act of 2024 H.R. 8518: Responsibility in Federal Contracting Act H.R. 8573: Union Members Right to Know Act H.R. 9191: No Union Time on the Taxpayer's Dime Act H.R. 9302: Worker Enfranchisement Act H.Res. 702: Recognizing the duty of the Federal Government to protect the rights of restaurant workers. S. 1: Freedom to Vote Act S. 100: Better Care Better Jobs Act S. 270: Protecting Americas Meatpacking Workers Act of 2023 S. 272: Industrial Agriculture Accountability Act of 2023 S. 388: Child Care for Every Community Act S. 512: DISCLOSE Act of 2023 S. 532: National Right-to-Work Act S. 537: FOCA Act S. 567: Richard L. Trumka Protecting the Right to Organize Act of 2023 S. 737: No Tax Breaks for Union Busting (NTBUB) Act S. 738: Tax Fairness for Workers Act S. 1113: Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023 S. 1201: Employee Rights Act S. 1643: Reclaiming the Solar Supply Chain Act of 2023 S. 1804: FASTER Act of 2023 S. 2122: National Apprenticeship Act of 2023 S. 2148: LIFT Act S. 2344: Freedom to Vote Act S. 2554: College Athlete Economic Freedom Act S. 2601: Agricultural Worker Justice Act S. 2724: Nationwide Right To Unionize Act S. 2817: FABRIC Act S. 2838: Civilian Climate Corps for Jobs and Justice Act S. 2851: Schedules That Work Act S. 2988: Green New Deal for Public Schools Act of 2023 S. 3226: Offshore Wind Jobs and Opportunity Act S. 3390: EFFECTIVE Food Procurement Act S. 3415: College Athlete Right to Organize Act S. 3682: GHOST Act S. 3955: Taxpayer-Funded Union Time Transparency Act S. 4012: Green New Deal for Public Housing Act S. 4046: Department of Veterans Affairs Employee Fairness Act of 2024 S. 4226: Cannabis Administration and Opportunity Act S. 4277: BUILD GREEN Infrastructure and Jobs Act S. 4334: Rights for the TSA Workforce Act of 2024 S. 4363: Public Service Freedom to Negotiate Act of 2024 S. 4709: Protecting American Jobs Act S. 4868: No Union Time on the Taxpayer's Dime Act S.Res. 285: A resolution to provide for the approval of final regulations relating to Federal service labor-management relations that are applicable to the Senate and the employees of the Senate, and that were issued by the Office of Compliance, now known as the Office of Congressional Workplace Rights, on August 19, 1996, and for other purposes.

Client expense: $169,473 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE

Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program (H.R. 3290) Rural health care innovation (PA Rural Health Model) Public Health Emergency designation SAVE Act (H.R. 2584) Fairness for Rural Teaching Hospitals Act (H.R.2433) Public Service Loan Forgiveness program/physician federal loan forgiveness Healthcare Workforce Behavioral health PATIENT Act of 2023 (H.R.3561) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S.1113, H.R.2530) CHGME Youth behavioral health Electronic health records Pandemic and All-Hazards Preparedness Reauthorization Act Nursing and allied health education (NAHE) program Bipartisan Primary Care and Health Workforce Act (S.2840) Transparent PRICE Act (H.R.3281) Save Americas Rural Hospitals Act (H.R.833) Supporting Safety Net Hospitals Act (H.R.2665) Patient Access to Higher Quality Care Act (H.R.977/S.470) FEMA Covid-19 reimbursement Health Care Price Transparency Act (H.R.4822) Providers and Payers Compete Act (H.R.3284) Lower Costs, More Transparency Act (H.R.5378) Health Care Prices Revealed and Information to Consumers Explained Transparency Act (S.3548) Medical and Nurse Licensure Compact Health care consolidation, mergers and acquisitions Accelerating Kids Access to Care Act (H.R. 4758, S.2372)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for elimination of Medicaid Disproportionate Share Hospital cuts Support for bolstering Medicare Graduate Medical Education program including the Resident Physician Shortage Reduction Act of 2023 (H.R.2389) Support for continuing key flexibilities beyond COVID-19 pandemic including telehealth policies and the hospitals at home program, and SubstanceUse Disorder Workforce Act (H.R. 7050) Support for Improving Seniors Timely Access to Care Act Support for bolstering healthcare workforce including the Healthcare Workforce Resilience Act Support for H.R. 9351 Opposition to proposals to cut providers including Medicare site-neutral payment reductions and policies to restrict the 340B drug pricing program Opposition to site-neutral cuts included in Lower Cost More Transparency Act and Bipartisan Primary Care and Health Workforce Act Opposition to Sec. 404 in Telehealth Modernization Act as marked up by Energy and Commerce Opposition to H.R. 2530, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Support for H.R. 2534: Preserving Rules Ordered for the Entities Covered Through (PROTECT) 340B Act Support for: H.R. 7635: 340B Pharmaceutical Access to Invest in Essential, Needed Treatments and Support (PATIENTS) Act Opposition to H.R. 8574: 340B Affording Care for Communities and Ensuring a Strong Safety-Net Act (340B Access Act)

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

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Monitored discussions pertaining to proposed Department of Labor rule on overtime Monitored S 1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Monitored HR 2530 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Monitored Federal Trade Commission proposed rule prohibiting noncompete clauses Monitored HR 20 Richard L. Trumka Protecting the Right to Organize Act of 2023

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

Extension of COVID-19 public health emergency waivers Nurse staffing shortages Removing barriers to care (H.R.2713/S.2418) I CAN Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act (S.3860/H.R.7546) Nurse Overtime and Patient Safety Act (H.R.2530 / S.1113) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Issues surrounding Medicare Part B reform Issues surrounding CMS Long Term Care staffing final rule (H.J. Res. 139) Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S.J. Res. 91) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S. 2016/H.R. 4189) CONNECT for Health Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act H.R.3227 - Ensuring Seniors Access to Quality Care Act H.R.468 - Building Americas Health Care Workforce Act (S.5236) Keeping Obstetrics Local Act S.4338 - Pay PCPs Act of 2024

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.4804 Support for the Health Over Wealth Act S.4046 Support for VA Employee Fairness Act H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.9855 Support for VA Employee Fairness Act Support for Medicare for All Advocate for Medical Debt Reform Express VA Privatization concerns via the Community Care program and the hiring freeze affecting patient care. Express concerns with use and expansion of artificial intelligence and other untested technologies at the hospital bedside. Oppose CRA Anti-Worker Resolutions (GOP resolutions to oppose Biden nursing home rule) Express concerns with proposed changes to the Affordable and Safe Prescription Drug Importation Act. Express concerns of the impact that abortion restrictions have had on the healthcare workforce. Oppose HICPAC/CDC infection control draft guidelines and call for inclusion of labor in working group. Express support for and encourage improvements to the Biden administrations rule to establish staffing standards for nursing homes. Support for and spread awareness of FTCs Non-compete rule and its effect on TRAPs affecting RNs Support OSHA notice of proposed rulemaking for health injury prevention in outdoor and indoor work settings. Urge OSHA to ensure that the latest available scientific research regarding infectious disease transmission and prevention is relied upon in OSHAs Infectious Diseases Rulemaking impacting health care workers. Urge HHS to use authority to establish a national safe staffing mandate and ensure that the updates to infection control guidance by HICPAC/CDC protects health care workers. Urge HHS under the future Harris administration to take a variety of policy actions to abide by the precautionary principle and develop a strong government regulatory framework for artificial intelligence. Urge HHS under the future Harris administration to take a variety of policy actions to support nurses, including supporting legislation to move expeditiously toward a single-payer system, like Medicare for All, staffing ratio legislation to ensure that hospitals and nursing homes have adequate staffing, including advancement of mandatory minimum nurse-to-patient ratios, and more.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Veterans Affairs, Dept of (VA), White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.4804 Support for the Health Over Wealth Act S.4046 Support for VA Employee Fairness Act H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.9855 Support for VA Employee Fairness Act Support for Medicare for All Advocate for Medical Debt Reform Express VA Privatization concerns via the Community Care program and the hiring freeze affecting patient care. Express concerns with use and expansion of artificial intelligence and other untested technologies at the hospital bedside. Oppose CRA Anti-Worker Resolutions (GOP resolutions to oppose Biden nursing home rule) Express concerns with proposed changes to the Affordable and Safe Prescription Drug Importation Act. Express concerns of the impact that abortion restrictions have had on the healthcare workforce. Oppose HICPAC/CDC infection control draft guidelines and call for inclusion of labor in working group. Express support for and encourage improvements to the Biden administrations rule to establish staffing standards for nursing homes. Support for and spread awareness of FTCs Non-compete rule and its effect on TRAPs affecting RNs Support OSHA notice of proposed rulemaking for health injury prevention in outdoor and indoor work settings. Urge OSHA to ensure that the latest available scientific research regarding infectious disease transmission and prevention is relied upon in OSHAs Infectious Diseases Rulemaking impacting health care workers. Urge HHS to use authority to establish a national safe staffing mandate and ensure that the updates to infection control guidance by HICPAC/CDC protects health care workers. Urge HHS under the future Harris administration to take a variety of policy actions to abide by the precautionary principle and develop a strong government regulatory framework for artificial intelligence. Urge HHS under the future Harris administration to take a variety of policy actions to support nurses, including supporting legislation to move expeditiously toward a single-payer system, like Medicare for All, staffing ratio legislation to ensure that hospitals and nursing homes have adequate staffing, including advancement of mandatory minimum nurse-to-patient ratios, and more.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.4804 Support for the Health Over Wealth Act S.4046 Support for VA Employee Fairness Act H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.9855 Support for VA Employee Fairness Act Support for Medicare for All Advocate for Medical Debt Reform Express VA Privatization concerns via the Community Care program and the hiring freeze affecting patient care. Express concerns with use and expansion of artificial intelligence and other untested technologies at the hospital bedside. Oppose CRA Anti-Worker Resolutions (GOP resolutions to oppose Biden nursing home rule) Express concerns with proposed changes to the Affordable and Safe Prescription Drug Importation Act. Express concerns of the impact that abortion restrictions have had on the healthcare workforce. Oppose HICPAC/CDC infection control draft guidelines and call for inclusion of labor in working group. Express support for and encourage improvements to the Biden administrations rule to establish staffing standards for nursing homes. Support for and spread awareness of FTCs Non-compete rule and its effect on TRAPs affecting RNs Support OSHA notice of proposed rulemaking for health injury prevention in outdoor and indoor work settings. Urge OSHA to ensure that the latest available scientific research regarding infectious disease transmission and prevention is relied upon in OSHAs Infectious Diseases Rulemaking impacting health care workers. Urge HHS to use authority to establish a national safe staffing mandate and ensure that the updates to infection control guidance by HICPAC/CDC protects health care workers. Urge HHS under the future Harris administration to take a variety of policy actions to abide by the precautionary principle and develop a strong government regulatory framework for artificial intelligence. Urge HHS under the future Harris administration to take a variety of policy actions to support nurses, including supporting legislation to move expeditiously toward a single-payer system, like Medicare for All, staffing ratio legislation to ensure that hospitals and nursing homes have adequate staffing, including advancement of mandatory minimum nurse-to-patient ratios, and more.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA), White House Office

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.4804 Support for the Health Over Wealth Act S.4046 Support for VA Employee Fairness Act H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.9855 Support for VA Employee Fairness Act Support for Medicare for All Advocate for Medical Debt Reform Express VA Privatization concerns via the Community Care program and the hiring freeze affecting patient care. Express concerns with use and expansion of artificial intelligence and other untested technologies at the hospital bedside. Oppose CRA Anti-Worker Resolutions (GOP resolutions to oppose Biden nursing home rule) Express concerns with proposed changes to the Affordable and Safe Prescription Drug Importation Act. Express concerns of the impact that abortion restrictions have had on the healthcare workforce. Oppose HICPAC/CDC infection control draft guidelines and call for inclusion of labor in working group. Express support for and encourage improvements to the Biden administrations rule to establish staffing standards for nursing homes. Support for and spread awareness of FTCs Non-compete rule and its effect on TRAPs affecting RNs Support OSHA notice of proposed rulemaking for health injury prevention in outdoor and indoor work settings. Urge OSHA to ensure that the latest available scientific research regarding infectious disease transmission and prevention is relied upon in OSHAs Infectious Diseases Rulemaking impacting health care workers. Urge HHS to use authority to establish a national safe staffing mandate and ensure that the updates to infection control guidance by HICPAC/CDC protects health care workers. Urge HHS under the future Harris administration to take a variety of policy actions to abide by the precautionary principle and develop a strong government regulatory framework for artificial intelligence. Urge HHS under the future Harris administration to take a variety of policy actions to support nurses, including supporting legislation to move expeditiously toward a single-payer system, like Medicare for All, staffing ratio legislation to ensure that hospitals and nursing homes have adequate staffing, including advancement of mandatory minimum nurse-to-patient ratios, and more.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA)

S.1113 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act S.4804 Support for the Health Over Wealth Act S.4046 Support for VA Employee Fairness Act H.R.2530 Support Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act H.R.9855 Support for VA Employee Fairness Act Express VA Privatization concerns via the Community Care program and the hiring freeze affecting patient care. Express concerns with use and expansion of artificial intelligence and other untested technologies at the hospital bedside. Oppose CRA Anti-Worker Resolutions (GOP resolutions to oppose Biden nursing home rule) Express concerns with proposed changes to the Affordable and Safe Prescription Drug Importation Act. Express concerns of the impact that abortion restrictions have had on the healthcare workforce. Oppose HICPAC/CDC infection control draft guidelines and call for inclusion of labor in working group. Express support for and encourage improvements to the Biden administrations rule to establish staffing standards for nursing homes. Support for and spread awareness of FTCs Non-compete rule and its effect on TRAPs affecting RNs Support OSHA notice of proposed rulemaking for health injury prevention in outdoor and indoor work settings. Urge OSHA to ensure that the latest available scientific research regarding infectious disease transmission and prevention is relied upon in OSHAs Infectious Diseases Rulemaking impacting health care workers. Urge HHS to use authority to establish a national safe staffing mandate and ensure that the updates to infection control guidance by HICPAC/CDC protects health care workers. Urge HHS under the future Harris administration to take a variety of policy actions to abide by the precautionary principle and develop a strong government regulatory framework for artificial intelligence. Urge HHS under the future Harris administration to take a variety of policy actions to support nurses, including supporting legislation to move expeditiously toward a single-payer system, like Medicare for All, staffing ratio legislation to ensure that hospitals and nursing homes have adequate staffing, including advancement of mandatory minimum nurse-to-patient ratios, and more.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA), White House Office

Extension of COVID-19 public health emergency waivers Nurse staffing shortages Removing barriers to care (H.R.2713/S.2418) I CAN Act (S.1586/H.R.3623) Educating Future Nurses Act (S.1869) SITE Act (S.3860/H.R.7546) Nurse Overtime and Patient Safety Act (H.R.2530 / S.1113) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (H.R. 7513) Protecting Americas Seniors Access to Care Act Issues surrounding Medicare Part B reform Issues surrounding CMS Long Term Care staffing final rule (H.J. Res. 139) Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S.J. Res. 91) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting". (S. 2016/H.R. 4189) CONNECT for Health Act (H.R.2583/S.3481) Increasing Access to Quality Cardiac Rehabilitation Care Act H.R.3227 - Ensuring Seniors Access to Quality Care Act H.R.468 - Building Americas Health Care Workforce Act (S.5236) Keeping Obstetrics Local Act S.4338 - Pay PCPs Act of 2024

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

issues relating to hospitals and healthcare H.R.1129 To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital; S.468 Hospital Transparency Compliance Enforcement Act; H.R.990,S 407 SAFE Hospitals Act of 2023; H.R.1565 Critical Access Hospital Relief Act of 2023; H.R.2530 & S1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act; H.R.977-S.470 Patient Access to Higher Quality Health Care Act of 2023; H.R.1475 Hospital Adoption Education Act of 2023; H.R.410 Health Care PRICE Transparency Act; H.R.3417 FAIR Act; HR 2859 Holding Nonprofit Hospitals Accountable Act; H.R.5007, S2657 GREEN Hospitals Act.

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

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 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

Client expense: $141,405 · Firm income: Not reported

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

Support for elimination of Medicaid Disproportionate Share Hospital cuts Support for bolstering Medicare Graduate Medical Education program including the Resident Physician Shortage Reduction Act of 2023 (H.R.2389) Support for continuing key flexibilities beyond COVID-19 pandemic including telehealth policies and the hospitals at home program, and Substance Use Disorder Workforce Act (H.R. 7050) Support for Improving Seniors Timely Access to Care Act Support for bolstering healthcare workforce including the Healthcare Workforce Resilience Act Opposition to proposals to cut providers including Medicare site-neutral payment reductions and policies to restrict the 340B drug pricing program Opposition to duplicative regulatory requirements for lab developed tests in H.R. 2369, VALID Act Opposition to site-neutral cuts included in Lower Cost More Transparency Act and Bipartisan Primary Care and Health Workforce Act Opposition to H.R. 2530, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act

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

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Support for elimination of Medicaid Disproportionate Share Hospital cuts Support for increased flexibility and expansion of eligible expenses eligible for reimbursement under COVID-19 FEMA Public Assistance program Support for bolstering Medicare Graduate Medical Education program including the Resident Physician Shortage Reduction Act of 2023 (H.R.2389) Support for Assistance for Rural Community Hospitals Act (H.R. 6430) and making permanent the Medicare Dependent Hospital and enhanced Low-Volume PaymentAdjustment Support for amending Medicaid DSH Cap policy established in Section 203 of CAA of 2021 Support for continuing key flexibilities beyond COVID-19 pandemic including telehealth policies and the hospitals at home program, and Substance Use Disorder Workforce Act (H.R. 7050) Support for Improving Seniors Timely Access to Care Act Support for bolstering healthcare workforce including the Healthcare Workforce Resilience Act Opposition to proposals to cut providers including Medicare site-neutral payment reductions and policies to restrict the 340B drug pricing program Support for extenders in H.R.4366 - Consolidated Appropriations Act, 2024 Support for H.R. 2377, the Saving Access to Laboratory Services Act (SALSA) Opposition to duplicative regulatory requirements for lab developed tests in H.R. 2369, VALID Act Opposition to site-neutral cuts included in Lower Cost More Transparency Act and Bipartisan Primary Care and Health Workforce Act Opposition to H.R. 2530, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act

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

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 11: Freedom to Vote Act, all provisions. H.R. 174: No Federal Funding for Teachers Unions Act, all provisions. H.R. 20: Richard L. Trumka Protecting the Right to Organize Act of 2023, all provisions. H.R. 547: Better Care Better Jobs Act, all provisions. H.R. 720: Davis-Bacon Repeal Act, all provisions. H.R. 721: Union Integrity Act, all provisions. H.R. 762: Building Resilient Supply Chains Act, all provisions. H.R. 798: Protecting Americas Meatpacking Workers Act of 2023, all provisions. H.R. 805: Industrial Agriculture Accountability Act of 2023, all provisions. H.R. 953: Child Care for Every Community Act, all provisions. H.R. 1118: DISCLOSE Act of 2023, all provisions. H.R. 1200: National Right-to-Work Act, all provisions. H.R. 1209: FOCA Act, all provisions. H.R. 2530: Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023, all provisions. H.R. 2700: Employee Rights Act, all provisions. H.R. 2851: National Apprenticeship Act of 2023, all provisions. H.R. 3400: Small Businesses before Bureaucrats Act, all provisions. H.R. 3539: Public Safety Employer-Employee Cooperation Act, all provisions. H.R. 3854: Manufacturing Partnership Improvement Act, all provisions. H.R. 4319: Farm Workforce Modernization Act of 2023, all provisions. H.R. 4320: Truth in Employment Act of 2023, all provisions. H.R. 4559: Food Worker Pay Standards Act, all provisions. H.R. 4595: National Education Association Charter Repeal Act, all provisions. H.R. 4689: FASTER Act of 2023, all provisions. H.R. 4948: College Athlete Economic Freedom Act, all provisions. H.R. 4963: Tax Fairness for Workers Act, all provisions. H.R. 4967: To amend the Internal Revenue Code of 1986 to allow for deductions for the performance of certain services by a taxpayer, and for other purposes., all provisions. H.R. 4971: Paycheck Protection Act, all provisions. H.R. 4978: Agricultural Worker Justice Act, all provisions. H.R. 4990: Reclaiming the Solar Supply Chain Act of 2023, all provisions. H.R. 5314: Freedom From Union Violence Act of 2023, all provisions. H.R. 5351: Nationwide Right to Unionize Act, all provisions. H.R. 5428: No Tax Breaks for Union Busting (NTBUB) Act, all provisions. H.R. 5456: No Tax Breaks for Union Busting (NTBUB) Act, all provisions. H.R. 5502: FABRIC Act, all provisions. H.R. 5563: Schedules That Work Act, all provisions. H.R. 5572: Civilian Climate Corps for Jobs and Justice Act, all provisions. H.R. 5735: Union Auto Workers Job Protection Act, all provisions. H.R. 5760: Climate Resilience Workforce Act, all provisions. H.R. 5784: Green New Deal for Public Schools Act of 2023, all provisions. H.R. 6270: State-Based Universal Health Care Act of 2023, all provisions. H.R. 6569: EFFECTIVE Food Procurement Act, all provisions. H.R. 6616: College Athlete Right to Organize Act, all provisions. H.R. 6747: Clean Electricity and Transmission Acceleration Act of 2023, all provisions. H.R. 7135: GHOST Act, all provisions. H.R. 7692: Taxpayer-Funded Union Time Transparency Act, all provisions. H.R. 7784: Start Applying Labor Transparency Act, all provisions. H.R. 8426: Public Service Freedom to Negotiate Act of 2024, all provisions. H.R. 8518: Responsibility in Federal Contracting Act, all provisions. H.Res. 702: Recognizing the duty of the Federal Government to protect the rights of restaurant workers. H.J.Res. 98: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Labor Relations Board relating to "Standard for Determining Joint Employer Status". H.J.Res. 116: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of the Labor relating to "Employee or Independent Contractor Classification Under the Fair Labor Standards Act". S. 1: Freedom to Vote Act, all provisions. S. 100: Better Care Better Jobs Act, all provisions. S. 270: Protecting Americas Meatpacking Workers Act of 2023, all provisions. S. 272: Industrial Agriculture Accountability Act of 2023, all provisions. S. 388: Child Care for Every Community Act, all provisions. S. 512: DISCLOSE Act of 2023, all provisions. S. 532: National Right-to-Work Act, all provisions. S. 537: FOCA Act, all provisions. S. 567: Richard L. Trumka Protecting the Right to Organize Act of 2023, all provisions. S. 737: No Tax Breaks for Union Busting (NTBUB) Act, all provisions. S. 738: Tax Fairness for Workers Act, all provisions. S. 1113: Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023, all provisions. S. 1201: Employee Rights Act, all provisions. S. 1643: Reclaiming the Solar Supply Chain Act of 2023, all provisions. S. 1804: FASTER Act of 2023, all provisions. S. 2122: National Apprenticeship Act of 2023, all provisions. S. 2148: LIFT Act, all provisions. S. 2344: Freedom to Vote Act, all provisions. S. 2554: College Athlete Economic Freedom Act, all provisions. S. 2601: Agricultural Worker Justice Act, all provisions. S. 2724: Nationwide Right To Unionize Act, all provisions. S. 2817: FABRIC Act, all provisions. S. 2838: Civilian Climate Corps for Jobs and Justice Act, all provisions. S. 2851: Schedules That Work Act, all provisions. S. 2988: Green New Deal for Public Schools Act of 2023, all provisions. S. 3226: Offshore Wind Jobs and Opportunity Act, all provisions. S. 3390: EFFECTIVE Food Procurement Act, all provisions. S. 3415: College Athlete Right to Organize Act, all provisions. S. 3682: GHOST Act, all provisions. S. 3955: Taxpayer-Funded Union Time Transparency Act, all provisions. S. 4363: Public Service Freedom to Negotiate Act of 2024, all provisions. S.Res. 285: A resolution to provide for the approval of final regulations relating to Federal service labor-management relations that are applicable to the Senate and the employees of the Senate, and that were issued by the Office of Compliance, now known. Nomination of Lauren McFerran to the National Labor Relations Board

Client expense: $447,425 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE

Support Workplace Violence Prevention for Health Care & Social Workers Act H.R. 2663/ S. 1176 Support Long-term Care Workforce Support Act H.R. 7994/ S. 4120 Support Nursing Standards for Hospital Patient Safety and Quality Care Act H.R. 2530/ S. 1113 Support Protecting America's Seniors' Access to Care Act H.R. 7986 CRA of Minimum Staffing Standards for Long-Term Care Facilities S.J. Res 91/ H.J. Res 139

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for elimination of Medicaid Disproportionate Share Hospital cuts Support for increased flexibility and expansion of eligible expenses eligible for reimbursement under COVID-19 FEMA Public Assistance program Support for bolstering Medicare Graduate Medical Education program including the Resident Physician Shortage Reduction Act of 2023 (H.R.2389) Support for Assistance for Rural Community Hospitals Act (H.R. 6430) and making permanent the Medicare Dependent Hospital and enhanced Low-Volume PaymentAdjustment Support for amending Medicaid DSH Cap policy established in Section 203 of CAA of 2021 Support for continuing key flexibilities beyond COVID-19 pandemic including telehealth policies and the hospitals at home program, and Substance Use Disorder Workforce Act (H.R. 7050) Support for Improving Seniors Timely Access to Care Act Support for bolstering healthcare workforce including the Healthcare Workforce Resilience Act Opposition to proposals to cut providers including Medicare site-neutral payment reductions and policies to restrict the 340B drug pricing program Support for extenders in H.R.4366 - Consolidated Appropriations Act, 2024 Support for H.R. 2377, the Saving Access to Laboratory Services Act (SALSA) Opposition to duplicative regulatory requirements for lab developed tests in H.R. 2369, VALID Act Opposition to site-neutral cuts included in Lower Cost More Transparency Act and Bipartisan Primary Care and Health Workforce Act Opposition to H.R. 2530, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act

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

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Support for elimination of Medicaid Disproportionate Share Hospital cuts Support for bolstering Medicare Graduate Medical Education program including the Resident Physician Shortage Reduction Act of 2023 (H.R.2389) Support for continuing key flexibilities beyond COVID-19 pandemic including telehealth policies and the hospitals at home program, and Substance Use Disorder Workforce Act (H.R. 7050) Support for Improving Seniors Timely Access to Care Act Support for bolstering healthcare workforce including the Healthcare Workforce Resilience Act Opposition to proposals to cut providers including Medicare site-neutral payment reductions and policies to restrict the 340B drug pricing program Opposition to duplicative regulatory requirements for lab developed tests in H.R. 2369, VALID Act Opposition to site-neutral cuts included in Lower Cost More Transparency Act and Bipartisan Primary Care and Health Workforce Act Opposition to H.R. 2530, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act

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

Government targets: Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Monitored discussions pertaining to proposed Department of Labor rule on overtime Monitored S 1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Monitored HR 2530 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act Monitored Federal Trade Commission proposed rule prohibiting noncompete clauses Monitored HR 20 Richard L. Trumka Protecting the Right to Organize Act of 2023

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

1. S. 1113,Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023, entire bill 2. H.R. 2530,Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023, entire bill 3. S. 1139, Lower Drug Costs for Families Act, entire bill 4. Proposals to address food security and health for older Americans 5. H.R. 3093, Affordable Pricing for Taxpayer Funded Prescription Drugs Act, entire bill 6. Proposals to preserve the ability of single and multiemployer health plans to offer uniform benefits 7. Proposals to amend the Public Health Service Act to establish an Office of Drug Manufacturing 8. S. 3109,Alleviating Barriers for Caregivers Act, entire bill 9. H.R. 485, Protecting Health Care for All Patients Act of 2023, entire bill 10. Federal guidance regarding "march in" rights for prescription drugs 11. H.R. 8848, Affordable and Safe Prescription Drug Importation Act, entire bill

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

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