Find It Early Act

Monitor and engage on legislative and administrative action related to health care policy. Monitor and engage on legislative and administrative action related to womens health issues. Monitor and engage on legislative and administrative action related to over-the-counter consumer care products. Monitor and engage on legislative and administrative action related to dietary supplements. Monitor and engage on legislative and administrative action related to servicing of medical device equipment. Monitor and engage on legislative and administrative action related to FDA monograph reform and user fees. Monitor and engage on legislative and administrative action related to the switch of prescription medications to over-the-counter medications. Monitor and engage on legislative and administrative action related to drug pricing, including rulemakings at HHS. Monitor and engage on legislative and administrative action related to 340B drug discount program. Monitor and engage on legislative and administrative action related to drug supply chain issues, including pharmacy benefit manager reform. Monitor and engage on legislative and administrative action related to copay assistance. Monitor and engage on legislative and administrative action related to the Supplemental Nutrition Assistance Program (SNAP). Monitor and engage on legislative and administrative action related to long-acting reversable contraception usage. Monitor and engage on legislative and administrative action related to access to treatments for kidney patients. Monitor and engage on legislative and administrative action related to broader insurance coverage of supplemental imaging procedures for women with dense breast tissue. Monitor and engage on legislative and administrative action related to phenylephrine. Monitor and engage on legislative and administrative action related to e-labeling. Monitor and engage on legislative and administrative action related to DEA-determined pseudoephedrine quotas. H.R. 3086, Find It Early Act. H.R. 3433, Give Kids a Chance Act of 2023. H.R. 7384, A bill to amend the Federal Food, Drug, and Cosmetic Act to extend the authority of the Secretary of HHS to issue priority review vouchers to encourage treatments for rare pediatric diseases. H.R. 10545, American Relief Act, 2025, including pharmacy benefit manager reform. S. 4583, Creating Hope Reauthorization Act of 2024.

Client expense: $2,010,000 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, U.S. Trade Representative (USTR)

HR 1199/S 1544, Facilitating Innovative Nuclear Diagnostics Act of 2023, all provisions. S 866, American Innovation and Jobs Act, all provisions. HR 2673, American Innovation and R&D Competitiveness Act of 2023, all provisions. HR 3851/S 2464, Access to Breast Cancer Diagnosis Act of 2023, all provisions. HR 3086, Find It Early Act, all provisions. HR 1526/S 765, Reducing Hereditary Cancer Act, all provisions. HR 3305/S 1606, Black Maternal Health Momnibus Act, all provisions. HR 6395, Recognizing the Importance of Critical Minerals in Healthcare Act of 2023, all provisions. HR 8816, American Medical Innovation and Investment Act of 2024, all provisions. S 4638, National Defense Authorization Act for Fiscal Year 2025, provisions related to government contracting. Issues impacting artificial intelligence. Issues impacting corporate taxation. Issues impacting funding for health care including government research. Issues impacting health care and public health. Issues impacting manufacturing. Issues impacting medical device and health care cybersecurity. Issues impacting medical device regulation. Issues impacting medical insurance coverage. Issues impacting medical research. Issues impacting Medicare coverage and reimbursement for medical technology and health care services. Issues impacting servicing and repair of medical devices. Issues impacting wireless spectrum. Issues impacting international trade and supply chains. Issues impacting Veterans health.

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

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

Access to Breast Cancer Diagnosis (ABCD) Act (H.R.3851/S. 2464) Safe Step Act (H.R.2630/S. 652) Implementation of the Affordable Care Act HELP Copays Act (H.R.830/S.1375) Cancer survivorship issues Issues related to prescription drug affordability for patients Administrative actions necessary to reduce out-of-pocket costs for medical-necessary diagnostic breast imaging Congressional action to reduce out-of-pocket costs for medically necessary diagnostic breast imaging Find It Early Act (H.R.3086/S.5141) Policies related to coverage of preventive services with no cost-sharing Polices regarding White House Cancer Moonshot implementation Policies related to copay accumulator and maximizer adjustors Policies related to the extension of enhanced advanced premium tax credits Healthcare Affordability Act of 2024 (H.R. 9774 / S. 5194) H.R. 1692 - Health Care Affordability Act of 2023; S. 8 - Improving Health Insurance Affordability Act of 2023 Letter to tri-agencies (Department of Health and Human Services, Treasury, Labor) re Enhancing Coverage of Preventive Services Under the Affordable Care Act Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2026; and Basic Health Program (CMS-9888-P) House Ways and Means Committee Request for Information - Tax Priorities Protect patients from substandard and junk insurance products

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), Office of Science & Technology Policy (OSTP), SENATE, Treasury, Dept of, White House Office

Metastatic Breast Cancer Access to Care Act (S. 663 / HR 549) Medicare coverage policy for breast cancer treatments and services Telehealth Policies related to funding, state incentives, and federal efforts for Medicaid expansion Issues related to 1115 and 1332 of the Social Security Act; policies related to work requirements, reinsurance and block grants in Medicaid Policies related to Medicare coverage for pharmacy services Medicare coverage policy for drugs and drug pricing H.R.3086/S.5141 - Find It Early Act; a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals Medicaid unwinding, the process for redetermination of Medicaid eligibility Medicare Drug Pricing Negotiation implementation Preserving and expanding access to Medicaid Community Health Worker Access Act which is a bill to amend titles XVIII and XIX of the Social Security Act to increase access to community health workers under the Medicare and Medicaid programs (S. 3892)

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

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

Support reform of Medicare physician reimbursement (H.R. 2474); support alternative payment models for radiology; support Find It Early Act (H.R. 3086); support continuation of appropriate use program under Section 218(b) of the Preserving Access to Medicare Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Appropriations; H.R.3086; S.1995

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to health coverage for additional breast screenings for certain individuals at greater risk for breast cancer, H.R.3086/S.5141, Find It Early Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act H.R.9001 - Physician Led and Rural Access to Quality Care Act S. 4847 - Advancing Medical Readiness Act of 2024 H.R. 10073 - Medicare Patient Access and Practice Stabilization Act Scope of Practice Expansion Episodes of Care/Transforming Episode Accountability Model (TEAM) Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

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

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act H.R.9001 - Physician Led and Rural Access to Quality Care Act S. 4847 - Advancing Medical Readiness Act of 2024 H.R. 10073 - Medicare Patient Access and Practice Stabilization Act Scope of Practice Expansion Episodes of Care/Transforming Episode Accountability Model (TEAM) Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

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

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act H.R.9001 - Physician Led and Rural Access to Quality Care Act S. 4847 - Advancing Medical Readiness Act of 2024 H.R. 10073 - Medicare Patient Access and Practice Stabilization Act Scope of Practice Expansion Episodes of Care/Transforming Episode Accountability Model (TEAM) Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

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

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act H.R.9001 - Physician Led and Rural Access to Quality Care Act S. 4847 - Advancing Medical Readiness Act of 2024 H.R. 10073 - Medicare Patient Access and Practice Stabilization Act Scope of Practice Expansion Episodes of Care/Transforming Episode Accountability Model (TEAM) Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

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

National Alzheimer's Project Act, HR 619, S. 133, P.L. 118-92; Alzheimer's Accountability and Investment Act, HR 620, S. 134, P.L.118-93; BOLD Act, Building Our Largest Dementia Infrastructure for Alzheimer's Reauthorization Act, H.R. 7218, P.L. 118-142; Find It Early Act, H.R. 3086, S. 5141

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to coverage of molecular breast imaging (MBI), including under the Find It Early Act (H.R. 3086/S. 5141, 118th Congress).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support Federal Firefighter Cancer Detection and Prevention Act of 2023 (HR 2852) Support Barbosa Act (S 302) Support with modifications Verifying Accurate Leading-edge IVCT Development Act of 2023 (HR 4128) Support Find It Early Act (HR 3086) Support military colorectal cancer screening parity

Client expense: $460,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support Medicare Multi-Cancer Early Detection Screening Coverage Act (HR 2407/ S 2085) Support Reducing Hereditary Cancer Act (HR 1526/S 765) Support Finn Sawyer Access to Cancer Testing Act (HR 1780/S 642) Support Equitable Community Access to Pharmacist Services Act (HR 1770) Support Find It Early Act (HR 3086) Support Access to Genetic Counselor Services Act HR 3876/S. 2323

Client expense: $460,000 · Firm income: Not reported

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

Support Medicare Multi-Cancer Early Detection Screening Coverage Act (HR 2407/ S 2085) Support Reducing Hereditary Cancer Act (HR 1526/S 765) Support Finn Sawyer Access to Cancer Testing Act (HR 1780/S 642) Support Equitable Community Access to Pharmacist Services Act (HR 1770) Support Find It Early Act (HR 3086) Support Access to Genetic Counselor Services Act HR 3876/S. 2323

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

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

Support Federal Firefighter Cancer Detection and Prevention Act of 2023 (HR 2852) Support Barbosa Act (S 302) Support with modifications Verifying Accurate Leading-edge IVCT Development Act of 2023 (HR 4128) Support Find It Early Act (HR 3086) Support military colorectal cancer screening parity

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1526/S. 765 -Reducing Hereditary Cancer Act of 2023; bill provides for Medicare coverage of germline mutation testing for individuals with a personal or family history of a hereditary cancer gene mutation or suspected history of hereditary cancer, as well as for associated coverage of risk-reducing surgeries and screenings H.R. 1780/S. 642 - Finn Sawyer Access to Cancer Testing Act; bill provides for coverage of certain cancer diagnostic and laboratory tests under Medicare, Medicaid, and the Children's Health Insurance Program (CHIP). Specifically, the bill provides for coverage of microarray analysis, DNA and RNA sequencing, whole-exome sequencing, and other next-generation sequencing for individuals diagnosed with cancer. H.R. 2407/S. 2085 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act; 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. H.R. 3086 - Find It Early Act; a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals at greater risk for breast cancer. H.R. 4189/S. 2016 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023; a bill to amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. H.R. 3876/S .2323 - Access to Genetic Counselor Services Act of 2023; This bill provides for coverage under Medicare of genetic counseling services that are furnished by genetic counselors. Covered services include those services, as well as incidental services and supplies, that would otherwise be covered under Medicare if provided by a physician. H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act - a bill to establish an electronic prior authorization standard to streamline approvals, reduce the amount of time a health plan is allowed to consider a prior authorization request, require MA plans to report on their use of prior authorization and the rate of approvals and denials, and encourage MA plans to adopt policies that adhere to evidence-based guidelines. H.R. 1770/S. 2477 - Equitable Community Access to Pharmacist Services Act ; would ensure Medicare beneficiaries receive prompt care and services from pharmacists to prevent, diagnose, and treat common infectious diseases. S. 3892 - Community Health Worker Access Act; a bill to amend titles XVIII and XIX of the Social Security Act to increase access to community health workers under the Medicare and Medicaid programs. Women's Health and Cancer Rights Act (WHCRA) - a federal law that provides protections to patients who choose to have breast reconstruction in connection with a mastectomy. Medicare coverage policy for breast cancer treatments and services Proposed waivers under Sections 1115 and 1332 of the Social Security Act; policies related to work requirements, reinsurance and block grants in Medicaid Medicaid unwinding and the process for redetermination of Medicaid eligibility Policies related to the imposition of work requirements within the Medicaid program Policies related to PBM reform Policies related to the implementation of the Inflation Reduction Act Comments in response to Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities (CMS-1809-P, RIN 0938-AV35)

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

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

H.R. 2851/ S. 2464 - Access to Breast Cancer Diagnosis Act of 2023; bill 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 H.R. 6301/ S. 2039 - Cancer Drug Parity Act; a bill to amend the Employee Retirement Income Security Act of 1974 to require a group health plan (or health insurance coverage offered in connection with such a plan) to provide for cost-sharing for oral anticancer drugs on terms no less favorable than the cost-sharing provided for anticancer medications administered by a health care provider. H.R. 830/S. 1375 -Help Ensure Lower Patient (HELP) Copays Act; 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. H.R. 2630/S. 652 -Safe Step Act; bill to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes H.R. 3086 - Find It Early Act; a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals at greater risk for breast cancer. H.R. 4189/S. 2016 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023; a bill to amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. H.R. 824 - Telehealth Benefit Expansion for Workers Act of 2023; bill expanding exception for stand-alone telehealth benefits plans from certain requirements that generally apply to private health insurance plans under the Patient Protection and Affordable Care Act; under the bill employers may offer stand-alone telehealth benefits to all employees including those who are eligible for enrollment in their employers group health plan H.R. 2868 - Association Health Plans Act; a bill to amend the Employee Retirement Income Security Act of 1974 to clarify the treatment of certain association health plans as employers, and for other purposes S.4767 - Insurance Fraud Accountability Act; a bill to amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes H.J. Res. 181- Congressional Review Act resolution to stop Biden-Harris rule limiting access to Association Health Plans (AHPs) S. 8 - Improving Health Insurance Affordability Act of 2023; a bill to expand the eligibility of taxpayers for the refundable tax credit for coverage under a qualified health plan and increases cost-sharing subsidies under the Patient Protection and Affordable Care Act H.R. 1692 - Health Care Affordability Act of 2023; a bill to revise the tax credit for health care premium assistance to expand the eligibility of low-income taxpayers for such credit and reduce the cost of health care premiums H.R. 9774/ S. 5194 - Health Care Affordability Act; a bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan Administration actions necessary to reduce out-of-pocket costs for medically necessary diagnostic and supplemental breast imaging Implementation of the Affordable Care Act and coverage of preventive services with no cost-sharing Issues related to regulation of short-term limited duration plans Issues related to prescription drug affordability for patients Policies regarding White House Cancer Moonshot implementation Policies related to copay accumulator and adjustor programs Comments related to the 2026 Notice on Benefit and Payment Parameters

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Consumer Financial Protection Bureau (CFPB), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Treasury, Dept of, White House Office

Monitor and engage on legislative and administrative action related to health care policy. Monitor and engage on legislative and administrative action related to womens health issues. Monitor and engage on legislative and administrative action related to over-the-counter consumer care products. Monitor and engage on legislative and administrative action related to dietary supplements. Monitor and engage on legislative and administrative action related to servicing of medical device equipment. Monitor and engage on legislative and administrative action related to FDA monograph reform and user fees. Monitor and engage on legislative and administrative action related to the switch of prescription medications to over-the-counter medications. Monitor and engage on legislative and administrative action related to drug pricing, including rulemakings at HHS. Monitor and engage on legislative and administrative action related to 340B drug discount program. Monitor and engage on legislative and administrative action related to drug supply chain issues, including pharmacy benefit manager reform. Monitor and engage on legislative and administrative action related to copay assistance. Monitor and engage on legislative and administrative action related to the Supplemental Nutrition Assistance Program (SNAP). Monitor and engage on legislative and administrative action related to long-acting reversable contraception usage. Monitor and engage on legislative and administrative action related to access to treatments for kidney patients. Monitor and engage on legislative and administrative action related to broader insurance coverage of supplemental imaging procedures for women with dense breast tissue. Monitor and engage on legislative and administrative action related to phenylephrine. Monitor and engage on legislative and administrative action related to e-labeling. Monitor and engage on legislative and administrative action related to DEA-determined pseudoephedrine quotas. H.R. 3086, Find It Early Act. H.R. 3433, Give Kids a Chance Act of 2023. H.R. 7384, A bill to amend the Federal Food, Drug, and Cosmetic Act to extend the authority of the Secretary of HHS to issue priority review vouchers to encourage treatments for rare pediatric diseases. S. 4583, Creating Hope Reauthorization Act of 2024.

Client expense: $2,080,000 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, U.S. Trade Representative (USTR)

HR 1199/S 1544, Facilitating Innovative Nuclear Diagnostics Act of 2023, all provisions. S 866, American Innovation and Jobs Act, all provisions. HR 2673, American Innovation and R&D Competitiveness Act of 2023, all provisions. HR 3851/S 2464, Access to Breast Cancer Diagnosis Act of 2023, all provisions. HR 3086, Find It Early Act, all provisions. HR 1526/S 765, Reducing Hereditary Cancer Act, all provisions. HR 3305/S 1606, Black Maternal Health Momnibus Act, all provisions. HR 6395, Recognizing the Importance of Critical Minerals in Healthcare Act of 2023, all provisions. HR 8816, American Medical Innovation and Investment Act of 2024, all provisions. HR 8070, Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025, provisions related to government contracting. S 4638, National Defense Authorization Act for Fiscal Year 2025, provisions related to government contracting. Issues impacting artificial intelligence. Issues impacting corporate taxation. Issues impacting funding for health care including government research. Issues impacting health care and public health. Issues impacting manufacturing. Issues impacting medical device and health care cybersecurity. Issues impacting medical device regulation. Issues impacting medical insurance coverage. Issues impacting medical research. Issues impacting Medicare coverage and reimbursement for medical technology and health care services. Issues impacting servicing and repair of medical devices. Issues impacting wireless spectrum. Issues impacting international trade and supply chains. Issues impacting Veterans health.

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

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

Metastatic Breast Cancer Access to Care Act (S. 663 / HR 549) Medicare coverage policy for breast cancer treatments and services Telehealth Policies related to funding, state incentives, and federal efforts for Medicaid expansion Issues related to 1115 and 1332 of the Social Security Act; policies related to work requirements, reinsurance and block grants in Medicaid Policies related to Medicare coverage for pharmacy services Medicare coverage policy for drugs and drug pricing H.R.3086/S.5141 - Find It Early Act; a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals Medicaid unwinding, the process for redetermination of Medicaid eligibility Medicare Drug Pricing Negotiation implementation Preserving and expanding access to Medicaid Policy related to medical billing for breast reconstruction surgery called DIEP flap, a type of natural tissue breast reconstruction that uses non-breast tissue to replace breast tissue Community Health Worker Access Act which is a bill to amend titles XVIII and XIX of the Social Security Act to increase access to community health workers under the Medicare and Medicaid programs (S. 3892) Policy related to medical billing for breast reconstruction surgery called DIEP flap, a type of natural tissue breast reconstruction that uses non-breast tissue to replace breast tissue Comments in response to CY 2025 Medicare Physician Fee Schedule Comments in response to CY 2025 Medicare HOPPS proposed rule

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

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

Access to Breast Cancer Diagnosis (ABCD) Act (H.R.3851/S. 2464) Safe Step Act (H.R.2630/S. 652) Implementation of the Affordable Care Act HELP Copays Act (H.R.830/S.1375) Cancer survivorship issues Issues related to prescription drug affordability for patients Administrative actions necessary to reduce out-of-pocket costs for medical-necessary diagnostic breast imaging Congressional action to reduce out-of-pocket costs for medically necessary diagnostic breast imaging Find It Early Act (H.R.3086/S.5141); a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals Policies related to coverage of preventive services with no cost-sharing Polices regarding White House Cancer Moonshot implementation Policies related to copay accumulator and maximizer adjustors H.J. Res. 181, Congressional Review Act resolution to stop the Biden-Harris rule limiting access to Association Health Plans (AHPs) Policies related to the extension of enhanced advanced premium tax credits Healthcare Affordability Act of 2024 (H.R. 9774 / S. 5194) H.R. 1692 - Health Care Affordability Act of 2023; a bill to revise the tax credit for health care premium assistance to expand the eligibility of low-income taxpayers for such credit and reduce the cost of health care premiums S. 8 - Improving Health Insurance Affordability Act of 2023; a bill to expand the eligibility of taxpayers for the refundable tax credit for coverage under a qualified health plan and increases cost-sharing subsidies under the Patient Protection and Affordable Care Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), Office of Science & Technology Policy (OSTP), SENATE, Treasury, Dept of, White House Office

Issues related to coverage of molecular breast imaging (MBI), including under the Find It Early Act (H.R. 3086/S. 5141).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act H.R.9001 - Physician Led and Rural Access to Quality Care Act Episodes of Care/Transforming Episode Accountability Model (TEAM) Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

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

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act H.R.9001 - Physician Led and Rural Access to Quality Care Act Episodes of Care/Transforming Episode Accountability Model (TEAM) Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

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

Support reform of Medicare physician reimbursement (H.R. 2474); support alternative payment models for radiology; support Find It Early Act (H.R. 3086); support continuation of appropriate use program under Section 218(b) of the Preserving Access to Medicare Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Appropriations; H.R.3086; S.1995

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2851/ S. 2464 - Access to Breast Cancer Diagnosis Act of 2023; bill 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 H.R. 6301/ S. 2039 - Cancer Drug Parity Act; a bill to amend the Employee Retirement Income Security Act of 1974 to require a group health plan (or health insurance coverage offered in connection with such a plan) to provide for cost-sharing for oral anticancer drugs on terms no less favorable than the cost-sharing provided for anticancer medications administered by a health care provider. H.R. 830/S. 1375 -Help Ensure Lower Patient (HELP) Copays Act; 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. H.R. 2630/S. 652 -Safe Step Act; bill to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes H.R. 3086 - Find It Early Act; a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals at greater risk for breast cancer. H.R. 4189/S. 2016 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023; a bill to amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. H.R. 824 - Telehealth Benefit Expansion for Workers Act of 2023; bill expanding exception for stand-alone telehealth benefits plans from certain requirements that generally apply to private health insurance plans under the Patient Protection and Affordable Care Act; under the bill employers may offer stand-alone telehealth benefits to all employees including those who are eligible for enrollment in their employers group health plan H.R. 2868 - Association Health Plans Act; a bill to amend the Employee Retirement Income Security Act of 1974 to clarify the treatment of certain association health plans as employers, and for other purposes Administration actions necessary to reduce out-of-pocket costs for medically necessary diagnostic and supplemental breast imaging Implementation of the Affordable Care Act and coverage of preventive services with no cost-sharing Issues related to regulation of short-term limited duration plans Issues related to prescription drug affordability for patients Policies regarding White House Cancer Moonshot implementation Policies related to copay accumulator and adjustor programs Comments in response to House Education & Workforce RFI on Employee Retirement Income Security Act (ERISA) Comments related to the 2026 Notice on Benefit and Payment Parameters Efforts to introduce the Broker Accountability Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Consumer Financial Protection Bureau (CFPB), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Treasury, Dept of, White House Office

H.R. 1526/S. 765 -Reducing Hereditary Cancer Act of 2023; bill provides for Medicare coverage of germline mutation testing for individuals with a personal or family history of a hereditary cancer gene mutation or suspected history of hereditary cancer, as well as for associated coverage of risk-reducing surgeries and screenings H.R. 1780/S. 642 - Finn Sawyer Access to Cancer Testing Act; bill provides for coverage of certain cancer diagnostic and laboratory tests under Medicare, Medicaid, and the Children's Health Insurance Program (CHIP). Specifically, the bill provides for coverage of microarray analysis, DNA and RNA sequencing, whole-exome sequencing, and other next-generation sequencing for individuals diagnosed with cancer. H.R. 2407/S. 2085 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act; 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. H.R. 3086 - Find It Early Act; a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals at greater risk for breast cancer. H.R. 4189/S. 2016 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023; a bill to amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. H.R. 3876/S .2323 - Access to Genetic Counselor Services Act of 2023; This bill provides for coverage under Medicare of genetic counseling services that are furnished by genetic counselors. Covered services include those services, as well as incidental services and supplies, that would otherwise be covered under Medicare if provided by a physician. H.R.8702/S.4532 - Improving Seniors Timely Access to Care Act - a bill to establish an electronic prior authorization standard to streamline approvals, reduce the amount of time a health plan is allowed to consider a prior authorization request, require MA plans to report on their use of prior authorization and the rate of approvals and denials, and encourage MA plans to adopt policies that adhere to evidence-based guidelines. H.R. 1770/S. 2477 - Equitable Community Access to Pharmacist Services Act ; would ensure Medicare beneficiaries receive prompt care and services from pharmacists to prevent, diagnose, and treat common infectious diseases. S. 3892 - Community Health Worker Access Act; a bill to amend titles XVIII and XIX of the Social Security Act to increase access to community health workers under the Medicare and Medicaid programs. Women's Health and Cancer Rights Act (WHCRA) - a federal law that provides protections to patients who choose to have breast reconstruction in connection with a mastectomy. Medicare coverage policy for breast cancer treatments and services Proposed waivers under Sections 1115 and 1332 of the Social Security Act; policies related to work requirements, reinsurance and block grants in Medicaid Medicaid unwinding and the process for redetermination of Medicaid eligibility Policies related to the imposition of work requirements within the Medicaid program Policies related to PBM reform Policies related to the implementation of the Inflation Reduction Act Comments in response to RFI: Medicare Program: Request for Information on Medicare Advantage Data (CMS-4207-NC)

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

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

Monitor and engage on legislative and administrative action related to health care policy. Monitor and engage on legislative and administrative action related to womens health issues. Monitor and engage on legislative and administrative action related to over-the-counter consumer care products. Monitor and engage on legislative and administrative action related to dietary supplements. Monitor and engage on legislative and administrative action related to servicing of medical device equipment. Monitor and engage on legislative and administrative action related to FDA monograph reform and user fees. Monitor and engage on legislative and administrative action related to the switch of prescription medications to over-the-counter medications. Monitor and engage on legislative and administrative action related to drug pricing, including rulemakings at HHS. Monitor and engage on legislative and administrative action related to 340B drug discount program. Monitor and engage on legislative and administrative action related to drug supply chain issues, including pharmacy benefit manager reform. Monitor and engage on legislative and administrative action related to copay assistance. Monitor and engage on legislative and administrative action related to the Supplemental Nutrition Assistance Program (SNAP). Monitor and engage on legislative and administrative action related to long-acting reversable contraception usage. Monitor and engage on legislative and administrative action related to access to treatments for kidney patients. Monitor and engage on legislative and administrative action related to broader insurance coverage of supplemental imaging procedures for women with dense breast tissue. Monitor and engage on legislative and administrative action related to phenylephrine. Monitor and engage on legislative and administrative action related to e-labeling. Monitor and engage on legislative and administrative action related to DEA-determined pseudoephedrine quotas. H.R. 3086, Find It Early Act. H.R. 7384, A bill to amend the Federal Food, Drug, and Cosmetic Act to extend the authority of the Secretary of HHS to issue priority review vouchers to encourage treatments for rare pediatric diseases. S. 4583, A bill to amend the Federal Food, Drug, and Cosmetic Act to extend the authority of the Secretary of HHS to issue priority review vouchers to encourage treatments for rare pediatric diseases.

Client expense: $2,150,000 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, U.S. Trade Representative (USTR)

Access to Breast Cancer Diagnosis (ABCD) Act (H.R.3851/S. 2464) Cancer Drug Parity Act (S. 2039) Telehealth Benefit Expansion for Workers Act (H.R. 824) Association Health Plans Act (H.R. 2868) Safe Step Act (H.R.2630/S. 652) Implementation of the Affordable Care Act Policies related to insurance coverage and COVID-19 HELP Copays Act (H.R.830/S.1375) Cancer survivorship issues Issues related to prescription drug affordability for patients Administrative actions necessary to reduce out-of-pocket costs for medical-necessary diagnostic breast imaging Congressional action to reduce out-of-pocket costs for medically necessary diagnostic breast imaging Issues related to regulation of short-term limited duration plans Implementation of the No Surprises Act, including comments on proposed rule re: Federal Independent Dispute Resolution Operations Find It Early Act (H.R.3086); a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals Policies related to coverage of preventive services with no cost-sharing Polices regarding White House Cancer Moonshot implementation Policies related to copay accumulator adjustors Letter to Committee on Education and the Workforce Request for Information on Employer-Sponsored Insurance and Employee Retirement Income Security Act (ERISA)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), Office of Science & Technology Policy (OSTP), SENATE, Treasury, Dept of, White House Office

Monitor and engage on legislative and administrative action related to health care policy. Monitor and engage on legislative and administrative action related to womens health issues. Monitor and engage on legislative and administrative action related to over-the-counter consumer care products. Monitor and engage on legislative and administrative action related to dietary supplements. Monitor and engage on legislative and administrative action related to servicing of medical device equipment. Monitor and engage on legislative and administrative action related to FDA monograph reform and user fees. Monitor and engage on legislative and administrative action related to the switch of prescription medications to over-the-counter medications. Monitor and engage on legislative and administrative action related to drug pricing, including rulemakings at HHS. Monitor and engage on legislative and administrative action related to 340B drug discount program. Monitor and engage on legislative and administrative action related to drug supply chain issues, including pharmacy benefit manager reform. Monitor and engage on legislative and administrative action related to copay assistance. Monitor and engage on legislative and administrative action related to the Supplemental Nutrition Assistance Program (SNAP). Monitor and engage on legislative and administrative action related to long-acting reversable contraception usage. Monitor and engage on legislative and administrative action related to access to treatments for kidney patients. Monitor and engage on legislative and administrative action related to broader insurance coverage of supplemental imaging procedures for women with dense breast tissue. Monitor and engage on legislative and administrative action related to phenylephrine. Monitor and engage on legislative and administrative action related to e-labeling. Monitor and engage on legislative and administrative action related to DEA-determined pseudoephedrine quotas. H.R. 3086, Find It Early Act. H.R. 7384, A bill to amend the Federal Food, Drug, and Cosmetic Act to extend the authority of the Secretary of HHS to issue priority review vouchers to encourage treatments for rare pediatric diseases. S. 4583, A bill to amend the Federal Food, Drug, and Cosmetic Act to extend the authority of the Secretary of HHS to issue priority review vouchers to encourage treatments for rare pediatric diseases.

Client expense: $2,140,000 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, U.S. Trade Representative (USTR)

HR 1199/S 1544, Facilitating Innovative Nuclear Diagnostics Act of 2023, all provisions. S 866, American Innovation and Jobs Act, all provisions. HR 2673, American Innovation and R&D Competitiveness Act of 2023, all provisions. HR 3851/S 2464, Access to Breast Cancer Diagnosis Act of 2023, all provisions. HR 3086, Find It Early Act, all provisions. HR 1526/S 765, Reducing Hereditary Cancer Act, all provisions. HR 3305/S 1606, Black Maternal Health Momnibus Act, all provisions. HR 6395, Recognizing the Importance of Critical Minerals in Healthcare Act of 2023, all provisions. HR 8816, American Medical Innovation and Investment Act of 2024, all provisions. Issues impacting artificial intelligence. Issues impacting corporate taxation. Issues impacting funding for health care including government research. Issues impacting health care and public health. Issues impacting manufacturing. Issues impacting medical device and health care cybersecurity. Issues impacting medical device regulation. Issues impacting medical insurance coverage. Issues impacting medical research. Issues impacting Medicare coverage and reimbursement for medical technology and health care services. Issues impacting servicing and repair of medical devices. Issues impacting wireless spectrum. Issues impacting international trade and supply chains. Issues impacting Veterans health.

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

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

Issues related to health coverage for additional breast screenings for certain individuals at greater risk for breast cancer, H.R.3086, Find It Early Act.

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

Government targets: HOUSE OF REPRESENTATIVES

Abortion access (general); Access to mifepristone (general); Contraception (general); Maternal mortality and morbidity (general); H.R. 1117, Advancing Safe Medications for Moms and Babies Act; Obstetric and gynecologic care in rural and underserved areas (general); impact of closures of ob-gyn units in rural hospitals on patient access to care and maternal morbidity and mortality; Impact of abortion restrictions on patient outcomes and the ob-gyn workforce (general); H.R. 3305/S. 1606, Black Maternal Health Momnibus Act; H.R. 1202/S. 704, Resident Education Deferred Interest (REDI) Act; H.R. 2389/S. 1302, Resident Physician Shortage Reduction Act of 2023; H.R. 2569, Doctors of Community (DOC) Act; Teaching Health Center Graduate Medication Education (general); H.R. 3838/S. 2415, Preventing Maternal Deaths Reauthorization Act of 2023; H.R. 3226/S. 1573, PREEMIE Reauthorization Act of 2023; Inclusion of pregnant and lactating individuals in research (general); Telemedicine (general); H.R. 5012/S. 2647, SHINE for Autumn Act; H.R. 4581/S. 2231, Maternal and Child Health Stillbirth Prevention Act; H.R. 7056/S. 3612, Access to Family Building Act; H.R. 7153/S. 3679, Dr. Lorna Breen Health Care Provider Protection Act; S.___, Supporting Healthy Moms and Babies Act; S. 712/H.R. 8532, Connected MOM Act; S. 4079/H.R. 8383, Rural Obstetrics Readiness Act; H.R.___, PRAMS for Dads Act; S. 4223, Access to Birth Control Act; H.Res.1248, National Menstrual Health Awareness Month Resolution; Diversity, Equity, and Inclusion in medicine (general); H.R 8715, NEST Act; S.___, Keep Obstetrics Local Act; H.R. 7855, Rural Residency Planning and Development Act; H.R.___, Diane Powis Ovarian Cancer Testing Access Act; H.R. 8247, Uterine Fibroids Intervention and Gynecological Health Treatment Act (UFIGHT); H.R. 4933/S. 462, Mental Health Professionals Workforce Shortage Loan Repayment Act; H.R. 7432, Sickle Cell Disease Comprehensive Care Act of 2024; S. 4445, Right to IVF Act; Implementation of P.L. 117-328, Pregnant Workers Fairness Act; H.R. 834/S. 230, Rural Physician Workforce Production Act; Rural Residency Planning and Development Program (general); National Health Service Corps (general); H.R. 3523/S. 1710, Perinatal Workforce Act; H.R. 3086, Find it Early Act; H.R. 8796/S. 4619, Stop Comstock Act; Health Insurance Portability and Accountability Act (general); Patient-physician relationship (general); Menopause research, training, and education (general); Alliance for Innovation on Maternal Health; Residency programs in obstetrics and gynecology (general); Abortion training in obstetrics and gynecology residency programs (general); Obstetrician-gynecologist workforce (general); Reproductive health data privacy (general); Substance use disorder during pregnancy (general); Physician burnout (general); Maternal mental health (general); Artificial intelligence in health care (general); Coverage for infertility (general); Protections for in vitro fertilization (general); Restrictions on menthol cigarettes and flavored cigars (general); Nicotine limits in cigarettes (general); White House Initiative on Womens Health Research (general); Pediatric Subspecialty Loan Repayment Program; Over-the-counter contraception (general); HPV vaccination (general); Cancer Moonshot Initiative; Remote patient monitoring (general); Fertility preservation services for sickle cell patients treated with cell and gene therapies; Prenatal screening (general);Prenatal supplements (general); Crisis pregnancy centers (general); Care for pregnant and postpartum incarcerated individuals (general); Congenital syphilis (general); Gun violence as a public health issue (general); Obstetric hemorrhage managements at the Indian Health Service (general); H.Res. 1180, Recognizing the importance of diversity, equity, and inclusion efforts in medical education.

Client expense: $350,000 · Firm income: Not reported

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

Appropriations; H.R.3086; S.1995

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues pertaining to the utility and role of nuclear medicine as it relates to the goals of the White House's Cancer Moonshot. Additionally, issues related to coverage of molecular breast imaging (MBI), including under the Find It Early Act (H.R. 3086).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

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

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

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

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

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

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act H.R. 2427 - Strengthening Medicare for Patients and Providers Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

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

Support reform of Medicare physician reimbursement (H.R. 2474); support alternative payment models for radiology; support Find It Early Act (H.R. 3086); support continuation of appropriate use program under Section 218(b) of the Preserving Access to Medicare Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2851/S. 2464 - Access to Breast Cancer Diagnosis Act of 2023; bill 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 H.R. 6301/S. 2039 - Cancer Drug Parity Act; a bill to amend the Employee Retirement Income Security Act of 1974 to require a group health plan (or health insurance coverage offered in connection with such a plan) to provide for cost-sharing for oral anticancer drugs on terms no less favorable than the cost-sharing provided for anticancer medications administered by a health care provider. H.R. 830/S. 1375 -Help Ensure Lower Patient (HELP) Copays Act; 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. H.R. 2630/S. 652 -Safe Step Act; bill to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes H.R. 3086 - Find It Early Act; a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals at greater risk for breast cancer. H.R. 4189/S. 2016 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023; a bill to amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. H.R. 824 - Telehealth Benefit Expansion for Workers Act of 2023; bill expanding exception for stand-alone telehealth benefits plans from certain requirements that generally apply to private health insurance plans under the Patient Protection and Affordable Care Act; under the bill employers may offer stand-alone telehealth benefits to all employees including those who are eligible for enrollment in their employers group health plan H.R. 2868 - Association Health Plans Act; a bill to amend the Employee Retirement Income Security Act of 1974 to clarify the treatment of certain association health plans as employers, and for other purposes Comments regarding US District Court Decision on 2021 Notice on Benefit and Payment Parameters Implementation of the No Surprises Act including comments on proposed rule re: Federal Independent Dispute Resolution Operations Comments related to the 2025 Notice on Benefit and Payment Parameters (CMS-9895-P) Comments in response to House Education & Workforce RFI on Employee Retirement Income Security Act (ERISA) Administration actions necessary to reduce out-of-pocket costs for medically necessary diagnostic and supplemental breast imaging Administrative actions necessary to reduce out-of-pocket costs for medically-necessary diagnostic breast imaging Implementation of the Affordable Care Act and coverage of preventive services with no cost-sharing Issues related to regulation of short-term limited duration plans Issues related to prescription drug affordability for patients Policies regarding White House Cancer Moonshot implementation Policies related to copay accumulator and adjustor programs

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Personnel Management (OPM), Office of Science & Technology Policy (OSTP), SENATE, Treasury, Dept of, White House Office

H.R. 549/S. 663 -Metastatic Breast Cancer Access to Care Act; a bill to exempt individuals with metastatic breast cancer from certain waiting periods for disability insurance benefits under the Old-Age, Survivors, and Disability Insurance program and related Medicare coverage H.R. 1526/S. 765 -Reducing Hereditary Cancer Act of 2023; bill provides for Medicare coverage of germline mutation testing for individuals with a personal or family history of a hereditary cancer gene mutation or suspected history of hereditary cancer, as well as for associated coverage of risk-reducing surgeries and screenings H.R. 1780/S. 642 - Finn Sawyer Access to Cancer Testing Act; bill provides for coverage of certain cancer diagnostic and laboratory tests under Medicare, Medicaid, and the Children's Health Insurance Program (CHIP). Specifically, the bill provides for coverage of microarray analysis, DNA and RNA sequencing, whole-exome sequencing, and other next-generation sequencing for individuals diagnosed with cancer. H.R. 2407/S. 2085 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act; 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. H.R. 3086 - Find It Early Act; a bill to provide for health coverage with no cost-sharing for additional breast screenings for certain individuals at greater risk for breast cancer. H.R. 4189/S. 2016 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023; a bill to amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. H.R. 1770/S. 2477 - Equitable Community Access to Pharmacist Services Act ; would ensure Medicare beneficiaries receive prompt care and services from pharmacists to prevent, diagnose, and treat common infectious diseases. S. 3892 - Community Health Worker Access Act; a bill to amend titles XVIII and XIX of the Social Security Act to increase access to community health workers under the Medicare and Medicaid programs. H.R. 3876/S .2323 - Access to Genetic Counselor Services Act of 2023; This bill provides for coverage under Medicare of genetic counseling services that are furnished by genetic counselors. Covered services include those services, as well as incidental services and supplies, that would otherwise be covered under Medicare if provided by a physician. Comments Related to OIG Solicitation New and Modified Safe Harbors and Special Fraud Alerts OIG-1123-N, 88 Fed. Reg. 84116 requesting permission for sponsors of clinical trials targeting cancer or other life-threatening diseases or conditions to cover certain indirect costs incurred by clinical trial participants. Comments Related to CMS Enforcement of State Compliance with Reporting and Federal Medicaid Renewal Requirements Under Section 1902(t) of the Social Security Act (CMS-2447-IFC) Comments related to processes for assessing compliance with Mental Health Parity and Addition Equity in Medicaid and CHIP Comments related to Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies Comments RE: Medicare Prescription Payment Plan: Draft Part Two Guidance on Select Topics, Implementation of Section 1860D-2 of the Social Security Act for 2025 Medicare coverage policy for breast cancer treatments and services Proposed waivers under Sections 1115 and 1332 of the Social Security Act; policies related to work requirements, reinsurance and block grants in Medicaid Medicaid unwinding and the process for redetermination of Medicaid eligibility Policies related to the imposition of work requirements within the Medicaid program Policies related to PBM reform Policy related to medical billing for breast reconstruction surgery called DIEP flap, a type of natural tissue breast reconstruction that uses non-breast tissue to replace breast tissue Policies related to the implementation of the Inflation Reduction Act Policies related to the implementation of the Lymphedema Treatment Act

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

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