Protecting Health Care for All Patients Act of 2023

H.R. 2706/S.1183, The Charlotte Woodward Organ Transplant Discrimination Prevention Act, related to prohibiting discrimination on the basis of mental or physical disability in cases of anatomical gifts and organ transplants H.R. 1263 / S.533, the Transformation to Competitive Integrated Employment Act, related to assisting employers providing employment under special certificates issued under section 14(c) of the Fair Labor Standards Act of 1938 in transforming their business and program models to models that support individuals with disabilities through competitive integrated employment, to phase out the use of such special certificates, and for other purposes. H.R. 485, the Protecting Health Care for All Patients Act of 2023 - To amend title XI of the Social Security Act to prohibit the use of quality-adjusted life years and similar measures in coverage and payment determinations under Federal health care programs. H.R.5408 / S.2767 - SSI Savings Penalty Elimination Act - would update SSIs asset limits ensure disabled and elderly Americans are able to prepare themselves for a financial emergency without putting the benefits they rely on to live at risk. The SSI Savings Penalty Elimination Act would raise caps to $10,000 for individuals and $20,000 for married couples, and index them to inflation moving forward. H.R.3308 - HEADs UP Act of 2023 - This bill authorizes the Department of Health and Human Services (HHS) to award grants to support health centers that provide services for individuals with developmental disabilities, including dental care. Grant recipients must provide specialized treatment to individuals with developmental disabilities as necessary. The bill also provides statutory authority for HHS to designate individuals with developmental disabilities as health-professional shortage population groups for the purposes of the National Health Service Corps (NHSC). The NHSC provides scholarships and student loan repayment awards to eligible providers who agree to work with designated populations or in areas that face shortages of primary care, dental care, and mental health care providers. H.R.3111 - Words Matter Act of 2023 - This bill removes outdated terminology in specified statutes by replacing references to mentally retarded and mental retardation with intellectual disability. Implementation of the Fair Labor Standards Act of 1938 (P.L. 75-718); Implementation of the Individuals with Disabilities Education Act (P.L. 89-110); Implementation of the National Alzheimers Project Act (P.L. 107-279); and Implementation of the Social Security Amendments of 1965 (Public Law 89-97), as amended.

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

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

H.R. 485 - Protecting Health Care For All Patients Act of 2023 - Rep. McMorris Rodgers, Cathy - federal programs using prices based on quality-adjusted life years H.R. 824 - Telehealth Benefit Expansion for Workers Act of 2023 - Rep. Walberg, Tim - telehealth and ERISA amendments H.R. 830 - HELP Copays Act - Rep. Carter, Earl - health insurers responsibility for payments made by or on behalf of a plan enrollee toward a plans cost-sharing requirements H.R. 1488 - Affordable Insulin Now Act of 2023 - Rep. Craig, Angie - cost-sharing for insulin products H.R. 2666 - MVP Act - Rep. Guthrie, Brett - value-based purchasing arrangements under Medicaid program and reforms to price reporting H.R. 2691 - Transparent Price Act - Rep. McMorris Rodgers, Cathy - health insurer price transparency H.R. 2813 - Self-Insurance Protection Act - Rep. Good, Bob - ERISA amendments H.R. 2868 - Association Health Plans Act - Rep. Walberg, Tim - ERISA amendments H.R. 3305 - Black Maternal Health Momnibus Act - Rep. Underwood, Lauren - maternal health including in Medicaid and CHIP H.R. 3561 - PATIENT Act - Rep. McMorris Rodgers, Cathy - PBM transparency, PBM contract design, health insurance transparency, hospital transparency H.R. 3799 - Custom Health Option and Individual Care Expense Arrangement Act- Rep. Hern, Kevin - health reimbursement arrangements H.R. 7623 - Telehealth Modernization Act of 2024- Rep. Carter, Buddy - including requirements for Part D plan contracts with PBMs including transparency and delinking provisions H.R. 7858 - Telehealth Enhancement for Mental Health Act of 2024 - Rep. James, John - Medicare, behavioral health, telehealth H.R. 9572 - Enhanced Enforcement of Health Coverage Act - Rep. Murphy, Gregory - increased penalties of surprise billing violations H.R. 10445 - Further Continuing Appropriations and Disaster Relief Supplement Appropriations Act, 2025 - Rep. Cole, Tom - to fund the federal government through March 14, 2025 as well as extension of several health care policies S. 3393 - SUPPORT for Patients and Communities Reauthorization Act. - Sen. Sanders, Bernie - SUD treatment S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 - Sen. Wyden, Ron - mental health, telehealth, health workforce S. 3612 - Access to Family Building Act- Sen. Duckworth, Tammy- right to access reproductive technology (ex. IVF) S. 3805 - A bill to amend title XI of the Social Security Act to prohibit health plans from imposing fees on health care providers for electronic funds transfers and health care payment and remittance advice transactions, and for other purposes. - Sen. Cassidy, Bill - SSA, healthcare, electronic funds, payments, remittance S. 4357 - Comprehensive Dental Reform Act of 2024- Sen. Sanders, Bernie - promotes access to oral health care S. 4358 - Preventing and Treating Substance Use Disorders Among Older Adults Act- Sen. Casey, Robert - SAMHSA grant program for SUDs S. 4554 - Reproductive Freedom for Women Act- Sen. Murray, Patty - protecting abortion and reproductive rights Issues related to broadband and public health infrastructure; mental health and telehealth; behavioral health; rural health; substance use disorder treatments; Health Savings Accounts; provider directories; artificial intelligence and privacy; insurance industry response to and support for providers regarding the Change Healthcare cyberattack and broader cyber security issues; ACA Marketplace; and Mental Health Parity Proposed Rule.

Client expense: $2,610,000 · Firm income: Not reported

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

Issues related to lung disease treatment, prevention and research; Issues related to public health; Issues related asthma, COPD, influenza, lung cancer, pneumonia, pulmonary fibrosis, tuberculosis and other lung diseases; Issues related to tobacco cessation; Issues related to the Affordable Care Act; Issues related to the Childrens Health Insurance Program; Issues related to Medicaid; Issues related to ERISA; Issues related to COVID-19 Response; Issues related to vaccines; Issues related to infrastructure; Issues related to supplemental oxygen; Issues related to the implementation of the No Surprises Act; Issues related to Medicare sequestration; Issues related to Cancer Moonshot; Issues related to short-term limited duration plans; Issues related to Healthy Future Taskforce; Issues related to regulatory reform; Issues relating to FY25 appropriations; Issues relating to the Presidents FY26 budget; HR 277 REINS Act; S 184 REINS Act; HR 1075 Medicaid Work Requirements Act; S. 1063 A bill to amend title XIX of the Social Security Act to implement a minimum work requirement for able-bodied adults enrolled in State Medicaid programs; HR 1551 Jobs and Opportunities for Medicaid Act; H.R. 2583 Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023; H.R. 1114 Long COVID RECOVERY NOW Act; H.R. 1692 Health Care Affordability Act of 2023; HR 3073 Community Mental Wellness and Resilience Act; S 1452 Community Mental Wellness and Resilience Act; HR 2811 Limit Save Grow Act; HR 442 Regulatory Accountability Act; S 1615 Regulatory Accountability Act;; HR 288 Separation of Powers Restoration Act of 2023; S 1411, Prove It Act of 2023; S 1995 Public Health Infrastructure Saves Lives Act; HR 824 Telehealth Benefit Expansion for Workers Act of 2023; HR 4286 Increasing Access to Lung Cancer Screening Act; HR 2813 The Self-Insurance Protec􀆟on Act; HR 3799 CHOICE Arrangement Act; HR 2868 Association Health Plans Act; S 2213 Comprehensive Cancer Survivorship Act; HR 4363 Comprehensive Cancer Survivorship Act; S. 2016 CONNECT for Health Act of 2023; HR 4189 CONNECT for Health Act of 2023;; HR 5749 Family Asthma Act; HR 4286 Increasing Access to Lung Cancer Screening Act; HR 890 The Guidance Out of Darkness Act; S 791 The Guidance Out of Darkness Act; S 2245 Women and Lung Cancer Research and Preventive Services Act; HR 4534 Women and Lung Cancer Research and Preventive Services Act; S 2333 Pandemic and All Hazards Preparedness and Response Act; HR 4420 Pandemic and All-Hazards Preparedness and Response Act; S 1489 National Task Force on the COVID-19 Pandemic Act;; HR 6302 Health Share Transparency Act; HR 357 Ensuring Accountability in Agency Rulemaking;; S3821 Supplemental Oxygen Access Reform (SOAR) Act; HR7829 Supplemental Oxygen Access Reform (SOAR) Act; HR 485 Protecting Health Care for All Patients Act of 2023; HR 7867 Renewing Efficiency in Government by Budgeting Act; HR 115 Midnight Rules Relief Act, HR 1602, Health Care Affordability Act of 2023; S. 8 Improving Health Insurance Affordability Act of 2023; HR 9029 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations Act, 2025; H.R. 8774 Department of Defense Appropriations Act 2025; S. 4942 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025; S 4921 Department of Defense Appropriations Act 2025; HR 890 Guidance out of Regulatory Darkness Act; H.R. 9774, Health Care Affordability Act of 2024; S. 5194 Health Care Affordability Act of 2024; S. 652 Safe Step Act; HR 2630 Safe Step Act; HR 10515, American Relief Act, 2025; HR 10545, American Relief Act, 2025

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

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

Issues related to lung disease treatment, prevention and research; Issues related to public health; Issues related to tobacco cessation; Issues related to health inequities; Issues related to Medicaid waivers; Issues related to the Affordable Care Act; Issues related to supplemental oxygen; Issues related to access to healthcare; Issues related to COVID-19 Response; Issues related to Medicaid; Issues related to infrastructure; Issues related to health equity; Issues related to the implementation of the No Surprises Act; Issues related to Medicaid; Issues relating to the Presidents FY25 budget; Issues related to regulatory reform; Issues relating to FY25 appropriations; Issues relating to the Presidents FY26 budget; HR 1075 Medicaid Work Requirements Act; S. 1063 A bill to amend title XIX of the Social Security Act to implement a minimum work requirement for able-bodied adults enrolled in State Medicaid programs; HR 1551 Jobs and Opportunities for Medicaid Act; H.R. 2583 Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023; H.R. 1114 Long COVID RECOVERY NOW Act; H.R. 833 Stop the Wait Act; S 2085 Medicare Multi-Cancer Early Detection Screening Coverage Act; H.R. 2407 Nancy Garner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act; HR 2811 Limit Save Grow Act; HR 442 Regulatory Accountability Act; S 1615 Regulatory Accountability Act;; HR 288 Separation of Powers Restoration Act of 2023; HR 4286 Increasing Access to Lung Cancer Screening Act; S. 2016 CONNECT for Health Act of 2023; HR 4189 CONNECT for Health Act of 2023;; HR 890 The Guidance Out of Darkness Act; S 791 The Guidance Out of Darkness Act; HR 357 Ensuring Accountability in Agency Rulemaking; HR 6693 Lung Cancer Screening and Prevention Act;; S3821 Supplemental Oxygen Access Reform (SOAR) Act; HR7829 Supplemental Oxygen Access Reform (SOAR) Act; HR 485 Protecting Health Care for All Patients Act of 2023; HR 7867 Renewing Efficiency in Government by Budgeting Act; HR 115 Midnight Rules Relief Act; HR 1602, Health Care Affordability Act of 2023; S. 8 Improving Health Insurance Affordability Act of 2023; HR 9029 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations Act, 2025; S. 4942 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025; HR 890 Guidance out of Regulatory Darkness Act; H.R. 9774, Health Care Affordability Act of 2024; S. 5194, Health Care Affordability Act of 2024; HR 10515, American Relief Act, 2025; HR 10545, American Relief Act, 2025

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

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

S 4724, HR 9101- 9/11 Responder and Survivor Health Funding Correction Act of 2024 HR 5378- Lower Costs, More Transparency Act HR 4895- Lowering Drug Costs for American Families Act HR 5796- Protecting Rural Seniors Access to Care Act HR 7513- Protecting America's Seniors Access to Care Act HR 485- Protecting Care for All Patients Care Act S 3679- Lorna Breen Health Care Provider Protection Reauthorization Act HJ Res 139, SJ Res 91- CRA to rescind nursing home staff rule HR 468, HR 9067- Building America's Health Care Workforce Act HR 3227- Ensuring Seniors' Access to Quality Care Act HJ Res 181- CRA to rescind the Association Health Plan Rule S 4671- Capping Prescription Costs Act S 4804, HR 9156- Health Over Wealth Act HR 9581- STAR Act

Client expense: $670,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.652 - Safe Step Act (Murkowski/Hassan), support passage H.R. 830 - HELP Copays Act, support passage S.935- Fair Accountability and Innovative Research Drug Pricing Act of 2023, support passage H.R. 485, Protecting Health Care For All Patients Act, oppose passage as currently written S.127, the Pharmacy Benefit Manager Transparency Act, support passage Urged HELP and House Energy and Commerce Committee to hold roundtables and advance proposals that address workforce issues within the healthcare community. S. 2333 - Pandemic and All-Hazards Preparedness and Response Act, support passage H.R. 824, Telehealth Benefit Expansion for Workers Act of 2023, oppose passage H.R. 4421, Preparing for All Hazards and Pathogens Reauthorization Act, monitor legislation H.R. 4420, Preparedness and Response Reauthorization Act, monitor legislation Committee Draft -The Primary Care and Health Workforce Expansion Act, support passage S. 1339, the Pharmacy Benefit Manager Reform Act, support passage S.127, the PBM Transparency Act of 2023, support passage S.113, The Prescription Pricing for the People Act of 2023, support passage S.2052, Protect Patient Access to Pharmacies Act H.R. 1692, Health Care Affordability Act of 2023 H.R. 3561, the PATIENT Act of 2023, support passage H.R. 3284, Providers and Payers Compete Act, support passage H.R. 4507, Transparency in Coverage Act, support passage H.R. 4508, Hidden Fee Disclosure Act, support passage H.R. 2816, PBM Sunshine and Accountability Act, support passage S.79- Interagency Patent Coordination and Improvement Act of 2023, support passage S. 142- Preserve Access to Affordable Generics and Biosimilars Act, support passage S.148- Stop STALLING Act, support passage S.150- Affordable Prescriptions for Patients Act of 2023, support passage S.775-Increasing Transparency in Generic Drug Applications Act, monitoring S.1067-Ensuring Timely Access to Generics Act of 2023, support passage S. 2780 Medication Affordability and Patent Integrity Ac H.R. 4189, the CONNECT for Health Act, support passage H.R. 1843, the Telehealth Expansion Act, support passage H.R. 8018, the Alleviating Barriers for Caregivers Act, support passage S. 3109, the Alleviating Barriers for Caregivers Act, support passage H.R.6302, the Health Share Transparency Act of 2023 H.R.7623, the Telehealth Modernization Act of 2024

Client expense: $51,247 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R.485, Protecting Health Care for All Patients Act H.R.5378, Lowering Costs, More Transparency Act H.R.6283/S.1542, DRUG Act H.R.1385/S.1424, DOC Access Act H.R.5608, ACCESS Act H.R.5539/S.3131, ORPHAN Cures Act H.R. 3433, Give Kids a Chance Act of 2024 H.R. 7623, Telehealth Modernization Act of 2024 S. 2780, Medication Affordability and Patent Integrity Act S. 4583, Creating Hope Reauthorization Act of 2024

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Discussions around improving access, coverage, and prior authorization for treatments and drugs under Medicare, Medicare Advantage, and private insurance. Seniors Timely Access to Care (S.4532 / H.R. 8702) - CONNECT for Health Act of 2023 (H.R.4189/S.2016) - provisions related to permanent telehealth services in Medicare and interstate telehealth services. Telehealth Modernization Act (H.R. 7623 / S. 3967) - All Provisions. Protecting Health Care for All Patients Act of 2023 (H.R. 485) - provisions to ban the usage of quality adjusted life years in public insurance programs. HELP Copays Act (H.R.830 / S.1375) -- Provisions related to health insurance plans requirement to apply payments made by or on behalf of plan enrollees toward a plan's cost-sharing requirements, i.e. a ban on copay-accumulator adjust programs. BENEFIT Act of 2023 (H.R.1092/S.526) - Provisions related to increases in patient and advocate role in FDA benefit-risk framework for drug approval through leveraging patient experience, PFDD, and related data. Connecting Caregivers to Medicare Act of 2024 (H.R. 7274/S. 3766) - All provisions. Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691) - All provisions HEALTHY BRAINS Act (H.R. 9233) - All Provisions relating to creating a research grant program to study environmental toxin exposure, its impact on the development of neurodegenerative diseases like ALS, and developing strategies to prevent, treat, and slow the progression of neurodegenerative diseases. Seniors Timely Access to Care (S.4532 / H.R. 8702) - All provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 485, the Protecting Health Care for All Patients Act of 2023 H.R. 8328/S. 4283, the Alternatives to Guardianship Act S. 1298, the Supporting the Direct Care Workforce and Family Caregivers Act S. 3612, the Access to Family Building Act S. 4735, the Financial Services Improving Noble and Necessary Caregiving Experience (FINANCE) Act S. 4736, the Respite Care and Resources for Everyone (CARE) Act

Client expense: $87,752 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 462 Mental Health Professionals Workforce Shortage Loan Repayment Act: increasing the mental health workforce HR 1423 911 Community Crisis Responders Act- Increasing the number of unarmed mental health crisis response teams S 853 & HR 1639 VA Zero Suicide Demonstration Project Act of 2023: Resources to end veteran suicide S. 923 Better Mental Health Care for Americans Act- Enforcing and Strengthening the Mental Health Parity Law S. 652 & H.R.2630 Safe Step Act -Creates an exception to medication step-therapy protocol HR 1201 Increasing Behavioral Health Treatment Act: ending the IMD exclusion HR 498 988 Lifeline Cybersecurity Responsibility Act: protecting the 9-8-8 Suicide & Crisis Lifeline from cybersecurity threats HR 3011 To Establish a taskforce at the DOD on Mental Health: To help promote the mental health of service members. S. 923 Better Mental Health Care for Americans Act: Provisions to enforce mental health parity, end ghost networks, and improve mental health care. H.R. 3432 & S.3651 Telemental Health Care Access Act: Making it easier for individuals to access telemental health services. HR 3548 S 1700 Pursuing Equity in Mental Health Care Act: Providing mental health resources to historically underserved communities HR 3850 The Pride in Mental Health Care Act: Mental health resources for LGBTQI+ youth HR 824: the Telehealth Benefit Expansion for Workers Act of 2023: Expands telehealth options for certain workers without the protections of the ACA. HR 4531 & S. 3393 The Support for Patients and Communities Reauthorization Act: Reauthorization of numerous SUD & MH programs from the original SUPPORT Act. HR 2412 Helping Kids Cope Act: Increasing access to pediatric behavioral health service at children's hospitals S 1452 HR 3073 Community Mental Wellness and Resilience Act: Provides technical and financial support for community resilience program Stating our support for the Office of Recovery at the Substance Abuse and Mental Health Services Administration (SAMHSA) S. 24444 H.R. 4830: The Attain Mental Health Act: To create an online dashboards to list available mental health grants H.R. 4851: The 988 Implementation Act: To increase resources for 988 and mental health crisis response H.R. 5804: Mental Health Infrastructure Improvement Act: Loan guarantees for the construction or renovation of pediatric or adult mental health treatment facilities H.R. 485 Protecting Health Care for all Patients Act: prohibits a health care programs from using prices that are based on quality-adjusted life years S. 1378 Complete Care Act: Incentivizes primary care providers to include behavioral health providers in their practice S.1769/H.R.3805: Kids Health Act of 2023: Promoting the whole child health model H.R.6663/S.3364 Kid Proof Act: Preventing youth suicide and overdoses * S. 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023: Reauthorization of existing Mental Health and SUD programs S.3453 - Peer-to-Peer Mental Health Support Act: Enhancing Peer support services in our nation's schools H.R.5594 - Enhancing the Community Health Workforce Act: Using community health workers to enhance mental health. S. 2733 & H.R. 7212 PEER Support Act- addresses the behavioral health workforce shortages through support for peer support specialists H.R. 7069 Peer Support for Firefighters Act: To increase mental health resources to firefighters H.R. 7140 Mental Health Transparency Act: To require the disclose of percentage of in-network participation for certain provider types H.R. 7924 To amend the Higher Education Act of 1965 to support graduate programs in mental and behavioral health professions at minority-serving institutions and for other purposes: To help increase the diversity of the mental health workforce. H.R. 7153 & S.3679 Dr. Lorna Breen Health Care Act: To provide mental health resources for health care providers H.R. 6982 & S.3579: The Gambling Addiction, Recovery, Investment, and Treatment (GRIT) Act: Federal funds to research gambling addiction and treatment H.R. 4880 PACE Act: the ability to waive sovereign immunity in certain circumstances where jurisdictions prohibit monetary bail H.R. 6928 Connect Act: grants to certain crisis centers for providing follow-up care to individuals who receive suicide prevention and crisis intervention services. H.R. 8377 Youth Suicide Prevention Research Act: Research to decrease youth suicide H.R. 8375 Strengthening our Pediatric Mental Health Workforce: Using Medicaid and CHIP to increase pediatric mental and behavioral health opportunities H.R. 8376 Latino Youth Mental Health Empowerment Act: Awareness campaign regarding Latino youth mental health H.Res 385/S.Res 205: Supporting the designation of May 10, 2023, as "National Asian American, Native Hawaiian, and Pacific Islander Mental Health Day: Raising MH awareness in AANHPI communities H.R. 7808 Early Minds Act: Supporting funding for early interventions and prevention mental health services. H.R. 8680 To authorize the Secretary of Health and Human Services, acting through the Assistant Secretary for Mental Health and Substance Use, to award grants to train community mental wellness workers: To increase the mental health workforce S. 5112 Crisis Care Access Act: Payment for crisis stabilization services S. 4812 Strengthen Supourt for Youth Act: Funding for research on youth mental health S.4835/H.R.9133 The Primary and Behavioral Health Care Access Act: Access to mental health care without cost sharing. H.R.3432/S.3651 The Telemental Health Care Access Act: Ensuring Coverage of telemental health H.R.9422 The Recovery Act: Increase substance use disorder access to care in Medicaid H.R. 9581: STAR Plus Scholarship Act: Increasing the Mental Health Workforce H.R. 9577 Stop Suicide Act: Increase mental health stabilization services H.R. 9796 CHIERS Act: Transportation services for those with SUD S.5182 UNDERSTAND Health Act: Data on social determents of health Support for the Centers for Medicare and Medicaid to strengthen maternal health care proposals in the CY 25 hospital outpatient prospective payment system proposed rule. Support for the Centers for Medicare and Medicaid to finalize CY 25 Medicare outpatient prospective payment system proposals rule to improve access to Medicare for people on parole, probation, and other status groups Support for CMS to cover digital Mental health treatment the CY 2025 Physician fee schedule proposed rule Support for the final rule to strengthen the mental health parity enforcement provisions of the federal Mental Health and Addiction Equity Act. H.R. 10047 Closing the Substance Use Care Gap: Increase community resources for those dealing with substance use disorder H.R. 3838/S.2415 Preventing Maternal Death Reauthorization Act: Additional resources to prevent maternal mortality H.R. 8543/ S.2933 Ensuring Excellence in Mental Health Act: Additional supourt and permanent re-authorization of certified community behavioral health clinics H.R. 9577: The Stabilization to Prevent (STOP) Suicide Act: Additional resources for community suicide prevention programs H.R. 10419: To Amend Title XVIII of the Social Security Act to establish a Medicare demonstration program related to crisis response services: Additional resources for community crisis response Expressed support to the Food and Drug Administration to allow patients to opt out of Clozapine Risk Evaluation and Mitigation Strategy (REMS) programs after the conclusion of the initial high-risk period

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), President of the U.S., SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

H.R. 485 Protecting Health Care of all patients Act: prohibiting the use of quality-adjusted life years in federal health care programs

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

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

VA budget: Lobbied for Congress to provide funding to plug a $15 billion budget shortfall for FY 2024 and FY 2025. Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied on the specialization of claims processing for highly complex cases. Lobbied to prevent compassion fatigue for certain claims processors. Lobbied for reforms to the VBA National Work Queue. Lobbied for oversight and improvements into VBA employee training. Lobbied on VBAs use of Performance Improvement Plans. Board of Veterans Appeals: Lobbied for the introduction and in support of H.R. 9046, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act including the re-instatement of GS-14 career ladder position and the career path to a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R. 1378, the Veterans Appeals Backlog Improvement Act. Lobbied for additional oversight at the Board of Veterans Appeals. Lobbied for additional training for Board of Veterans Appeals Attorneys. Lobbied in support of ANS to H.R. 1530, the Veterans Benefits Improvement Act of 2023. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TBI), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied for technical changes to S. 3979, to make permanent and codify the pilot program for use of contract physicians for disability examinations, and for other purposes. Collective Bargaining Rights: Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied in support of H.R. 6538, the VA Correct Compensation Act of 2023 and for its introduction in the Senate. Lobbied in support of S. 4046/H.R. 9855, the "VA Employee Fairness Act. Lobbied in support of and for changes to S. 2679, the Leadership, Engagement, Accountability, and Development (LEAD) Act of 2023. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support of and for changes to H.R. 6531, the TRAIN VA Employees Act. HR modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 7127/S. 3688, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 and 2025 VA Military Construction appropriations bill. VA Quality: Lobbied to amend H.R. 6330, the Veterans Sentinel Act to include data collection and analysis for suicides that happen when veterans are served at non-VA facilities. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied against an amendment to H.R. 8580, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 forcing VA to apply the same access standards for Mental Health Residential Rehabilitation Treatment Program (MH RRTP) as for primary care, specialty care, and non-institutional extended care services. Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would codify Trump-Era access standards responsible for rapid privatization of the VA, prohibit VA from modifying access standards to allow telehealth to satisfy these access standards and require VA to meet strict timeframes evaluating high-risk veterans for referral to residential treatment and rehabilitative programs without providing any additional funding to staff these new obligations. Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would require VA to meet 72-hour evaluation timeframe for evaluating high-risk veterans for residential treatment centers without providing adequate funding or putting equivalent credentialing and quality requirements on private programs. Lobbied against a proposal to create a pilot program under which the Secretary would contract out to fill vacancies at a medical facility with non-department health care providers. Lobbied against a provision in H.R. 9438, the No Wrong Door for Veterans Act, reduces the wait time for VA mental health care from the current 20 day to just 3 days. Lobbied in opposition to H.R. 9146, Ensuring Continuity in Veterans Health Act, which would require the Secretary to include continuity of care as one of the criteria used to determine when private care would be in the best medical interest (BMI) of a veteran undermining VAs ability to decide when returning a veteran to the VA is the in the best interest of the veteran. Lobbied against the Veterans Mental Health Access Act, which would create a parallel private mental health program that supplants VAs direct care system rather than supplement it when veterans cannot reasonably access VA care. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act, which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied for oversight of new VA private contracting program, the Integrated Critical Staffing Program. Lobbied for oversight of VA staffing reductions. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters. Lobbied for better information on scheduling and appointment times for both in-house VA and private care. Lobbied for more information about the costs of VA care. Lobbied against VA raising the ceiling for payment to third party private, Community Care contractors. Lobbied against prohibiting public health care programs from using QALYs to determine price. Lobbied in opposition to H.R. 485, the Protecting Health Care for All Patients Act, and urge that it be defeated on the House floor. H.R. 485 would increase already high healthcare costs for the Federal Employees Health Benefits Program (FEHBP), which covers the vast majority of AFGE members and their families. In additional to FEHBP, the bill would prohibit Medicaid, Medicare Advantage (MA) plans, Medicare Part D Plans (PDPs), the VA, and the Defense Health Agency from using Quality Adjusted Life Years (QALYs) - a measure that ascertains the value of a drug - to make decisions about a drugs price. Medicare already prohibits the use of QALYs in ways that discriminate against the elderly (such as by valuing the extension of life of an older person as less than extending the life of a younger person). Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would: 1) codify Trump-Era access standards responsible for rapid privatization of the VA, prohibits VA from modifying access standards to allow telehealth to satisfy these access standards and requires VA to meet strict timeframes evaluating high-risk veterans for referral to residential treatment and rehabilitative programs without providing any additional funding to staff these new obligations and 2) require VA to meet 72-hour evaluation timeframe for evaluating high-risk veterans for residential treatment centers without providing adequate funding or putting equivalent credentialing and quality requirements on private programs. Lobbied against Amendment to H.R. 8580, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 forcing VA to apply the same access standards for Mental Health Residential Rehabilitation Treatment Program (MH RRTP) as for primary care, specialty care, and non-institutional extended care services that would not apply to private RRTP facilities, promoting privatization. Lobbied against provisions in H.R. 8371, the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act that would allow decisions between a veteran and a doctor to remain final without VA authorization and provisions that would require strict timeframes for placement of high-risk veterans in mental health treatment programs for VA programs but not private programs. Lobbied in support of final passage of S. 141, the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. Statements and Correspondence: Testified before the House Veterans Affairs Subcommittee on Health on December 17, 2024 legislative hearing. Specific Legislation: Lobbied in support of H.R. 6538, the "VA Correct Compensation Act of 2023." Lobbied in support of S. 4046/H.R. 9855, the VA Employee Fairness Act. Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure, and certification reimbursement, covid leave flexibility, and recruitment and retention at VA community living centers. Also lobbied for specific changes to the bill related to the inclusion of VA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S. 2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support of and for changes to H.R. 6531, the TRAIN VA Employees Act. Lobbied in support and for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied in opposition to S. 2649, the Making Community Care Work for Veterans Act. Lobbied in opposition to S. 1315, the HEALTH Act. Lobbied in opposition to H.R. 485, the Protecting Health Care for All Patients Act. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Act, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse‐ patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied in opposition to H.R. 3176, Veterans Health Care Freedom Act, which creates a three-year pilot program allowing veterans to obtain hospital care, medical services, psychological services, and extended care bypassing VA authorization and the need to meet access standards. Lobbied in opposition to H.R.5287, the Veterans Access to Direct Primary Care Act, would establish Health Savings Accounts (HSAs) funded by the VA that veterans could use for private healthcare. Veterans electing these HSAs would be completely barred from accessing VA healthcare services. Lobbied in opposition to the Complete the Mission Act (No bill number). This proposal codifies the Community Care access standards, modifies 38 USC 1703(d)(2) to make veteran preference to go to a private provider a criterion for what constitutes best medical interest and creates a pilot three-year pilot program in at least five locations where veterans could access outpatient mental health and substance use services. AFGE opposes this provision as it would circumvent VAs ability to coordinate care and is unsustainable for the VA in the long term. Lobbied to preserve changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for technical changes to S. 3979, to make permanent and codify the pilot program for use of contract physicians for disability examinations, and for other purposes. Lobbied in support of and for changes to H.R. 7765, the VA Security Screening Pilot Program Act Lobbied for the introduction and support of the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied for changes to H.R. 7793 the Veterans Appeals Operations Expansion Act of 2024; Lobbied for changes to H.R. 7917, the Veterans Appeals Efficiency Act of 2024; Lobbied for changes to H.R. 7919, the Veterans Claims Quality Improvement Act of 2024. Lobbied or changes to H.R. 7883, the Toxic Exposures Examination Improvement Act Lobbied in opposition to H.R. 7734 the Personnel Integrity in Veterans Affairs Act of 2024 Lobbied in support of H.R. 9046, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act Lobbied in support of H.R. 2971, the Veterans Claims Education Act of 2023 Lobbied for changes to H.R. 8874, the Modernizing All Veterans and Survivors Claims Processing Act Lobbied in support of and for changes to H.R. 8879, the Improving VA Training for Military Sexual Trauma Claims Act Lobbied for changes to H.R. 8881, the Rural Veterans Improved Access to Benefits Act of 2024. Lobbied for passage of H.R. 9747, the Continuing Appropriations and Extensions Act, 2025 to continue to fund the federal government through December 20, 2024. Lobbied in support of final passage of S. 141, the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. Lobbied against expanding use of Schedule F for VA employees.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Legislation and regulation regarding pharmaceutical pricing, coverage and care; retail and inpatient pharmacy operations and the role of pharmacy benefit managers. S.2140 - Patent Eligibility Restoration Act of 2023 H.R. 2679, the PBM Accountability Act H.R.3285 - To establish patient protections with respect to highly rebated drugs S. 1067, the Ensuring Timely Access to Generics Act of 2023 S. 1114, the Expanding Access to Low-Cost Generics Act of 2023 S.1269 - INSULIN Act of 2023 S. 1909 Pharmacy DIR Reform to Reduce Senior Drug Costs Act S. 1967 The Patients Before Middlemen Act (the PBM Act) S. 1339 The Pharmacy Benefit Managers Reform Act S. 127, the Pharmacy Benefit Manager Transparency Act of 2023 H.R. 485, the Protecting Health Care for All Patients Act of 2023 S. 2780 & H.R. 5429 - Medication Affordability and Patent Integrity Act S. 2305 - Biosimilar Red Tape Elimination Act S.150 & H.R. 9070 - Affordable Prescriptions for Patients Act of 2023 S. 5503 and H.R. 10362 - The Patients Before Monopolies Act

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

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

H.R.485 - Protecting Health Care for All Patients Act of 2023 IRA implementation, patient engagement, alternative payment models

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L.118-42 - Consolidated Appropriations Act, 2024, Division A Title II, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024 Issue: Support funding for the VA medical and prosthetic research program. Support allocation of resources to VA to address funding shortfall. P.L.118-5 - Fiscal Responsibility Act of 2023 Issue: Oppose cuts to discretionary spending. Issue: Ensure robust non-defense discretionary spending levels and for the Labor HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. P.L. 118-158 American Relief Act 2025 S.4942 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 H.R.9029 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 FY 2025 Presidents Budget Request on Health and Human Services Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Support funding for Health Resources and Services Administration (HRSA) Title VII and VIII workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, advanced molecular detection, outbreak forecasting, and climate and health, and gun violence prevention research. Support ongoing investment in public health infrastructure. Support funding for maternal health. Support expansion of CDC-supported genomic sequencing. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support funding for telehealth resource centers. Support funding for the National Health Service Corps (NHSC) and Teaching Health Centers Graduate Medical Education (THCGME). S.4942/ H.R. 9029 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 H.R.8771/ S. 4797 Department of State, Foreign Operations, and Related Programs Appropriations Act, 2025 Issue: Oppose efforts to limit certain types of medical research. H.R.9026 - House FY 2025 Commerce and Justice, Science, and Related Agencies Spending Bill S.4795 Commerce, Justice, Science, and Related Agencies Appropriations Act, 2025 Issue: Support funding for the National Science Foundation. FY 2025 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8580 FY 2025 Military Construction, Veterans Affairs (VA), and Related Agencies Appropriations Act S.4677 Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. Support allocation of resources to VA to address funding shortfall. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. H.R.485 - Protecting Health Care for All Patients Act of 2023 Issue: Preserve funding for the Prevention and Public Health Fund. S.2840 - Bipartisan Primary Care and Health Workforce Act Issue: Oppose cuts to the Prevention and Public Health Fund. Support workforce investments and extension of National Health Service Corps funding. Oppose policies restricting insurance contracting terms and limiting the collection of facility fees. Issue: Prevent rescissions of COVID relief funding. Issue: Support restoration and continuation of funding for the 21st Century Cures Act. P.L.118-83 - Continuing Appropriations and Extensions Act, 2025 Issue: Support continuing resolution. H.R. 10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 P.L. 118-158 American Relief Act, 2025 Issue: Urge congress to finalize FY2025 funding and maintain government operations and programs.

Client expense: $632,324 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, Veterans Affairs, Dept of (VA), White House Office

Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, newborn screening, newborn screening funding, coverage of rare disease treatments, care, and devices, including intermittent catheter (IC) coding, HCBS Access Act (H.R. 1493, S. 762), BENEFIT Act (H.R. 1092, S. 526), Safe Step Act (S. 652, H.R. 2630), Protecting Health Care for All Patients Act of 2023 (H.R. 485), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Long-Term Care Workforce Support Act (S.4120/H.R.7994); HCBS Relief Act (S. 3118, H.R. 6296); Recognizing the Role of Direct Support Professionals Act (S. 1332), Medicaid unwinding protections for people with SMA and other disabilities, direct care workforce shortage, healthcare discrimination (i.e., quality adjusted life years), Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691); Creating Hope Reauthorization Act (H.R.7384/ S. 4583) - FDA priority review voucher program, healthcare utilization protocols (i.e., prior authorization and step therapy), Patient Protection and Affordable Care Act (111-148), Inflation Reduction Act (P.L. 117-169), Supporting accessible medical diagnostic equipment, Charlotte Woodward Organ Transplant Discrimination Prevention Act (H.R. 2706/S. 1183), Lifespan Respite Reauthorization Act (H.R. 6160), Stop Unfair Medicaid Recoveries Act (H.R. 7573), accessible medical diagnostic equipment, durable medical equipment, intermittent catheter coding, FDA Rare Disease Center of Excellence, Think Differently Database Act (H.R.670/ S. 4174), Accelerating Kids Access to Care Act ((H.R.4758/S.2372); Ensuring Access to Medicaid Buy-In Programs Act (H.R.8107/ S.5070); Defense Health Research Programs (Congressionally Directed Medical Research Programs)

Client expense: $75,000 · Firm income: Not reported

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

Price controls proposals regarding pharmaceuticals or other medical goods or services, including direct government price-setting, reduced reimbursement rates, and restrictions on beneficiary choice and plan or provider competition in government health programs or private insurance plans H.R. 485 (Protecting Health Care for All Patients Act) S. 1246/S. 1264 (Strengthening Medicare and Reducing Taxpayer (SMART) Prices Act) Senate HELP Committees 2023 Reauthorization of the Pandemic and All-Hazards Preparedness Act, Sec. 601, BARDA reasonable pricing requirements, and Sec. 602, CDC reasonable pricing requirements, other contemplated "reasonable pricing price controls and patent prize schemes Repeal of Inflation Reduction Act (IRA), Sec. 5000D, drug price controls product price negotiation and 95% inflation penalty and IRA implementation S. 2305 (Biosimilar Red Tape Elimination Act) S. 2780 (Medication Affordability and Patent Integrity Act) S. 2973 (Modernizing and Ensuring PBM Accountability Act) S. 3430 (Mental Health, Lower-Cost Drug and Extenders Package)

Client expense: Not reported · Firm income: $7,600

Government targets: HOUSE OF REPRESENTATIVES, 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

Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, newborn screening, newborn screening funding, coverage of rare disease treatments, care, and devices, including intermittent catheter (IC) coding, HCBS Access Act (H.R. 1493, S. 762), BENEFIT Act (H.R. 1092, S. 526), Safe Step Act (S. 652, H.R. 2630), Protecting Health Care for All Patients Act of 2023 (H.R. 485), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Long-Term Care Workforce Support Act (S.4120/H.R.7994); HCBS Relief Act (S. 3118, H.R. 6296); Recognizing the Role of Direct Support Professionals Act (S. 1332), Medicaid unwinding protections for people with SMA and other disabilities, direct care workforce shortage, healthcare discrimination (i.e., quality adjusted life years), Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691); Creating Hope Reauthorization Act (H.R.7384/ S. 4583), healthcare utilization protocols (i.e., prior authorization and step therapy), Patient Protection and Affordable Care Act (111-148), Inflation Reduction Act (P.L. 117-169), Supporting accessible medical diagnostic equipment, Charlotte Woodward Organ Transplant Discrimination Prevention Act (H.R. 2706/S. 1183), Lifespan Respite Reauthorization Act (H.R. 6160), Stop Unfair Medicaid Recoveries Act (H.R. 7573), accessible medical diagnostic equipment, durable medical equipment, intermittent catheter coding, FDA Rare Disease Center of Excellence, Think Differently Database Act (H.R.670/ S. 4174), Accelerating Kids Access to Care Act ((H.R.4758/S.2372)

Client expense: $75,000 · Firm income: Not reported

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

H.R. 2706/S.1183, The Charlotte Woodward Organ Transplant Discrimination Prevention Act, related to prohibiting discrimination on the basis of mental or physical disability in cases of anatomical gifts and organ transplants H.R. 1263 / S.533, the Transformation to Competitive Integrated Employment Act, related to assisting employers providing employment under special certificates issued under section 14(c) of the Fair Labor Standards Act of 1938 in transforming their business and program models to models that support individuals with disabilities through competitive integrated employment, to phase out the use of such special certificates, and for other purposes. H.R. 619 / S.133, the NAPA Reauthorization Act - related to extending the National Alzheimers Project Act. H.R. 485, the Protecting Health Care for All Patients Act of 2023 - To amend title XI of the Social Security Act to prohibit the use of quality-adjusted life years and similar measures in coverage and payment determinations under Federal health care programs. H.R.5408 / S.2767 - SSI Savings Penalty Elimination Act - would update SSIs asset limits ensure disabled and elderly Americans are able to prepare themselves for a financial emergency without putting the benefits they rely on to live at risk. The SSI Savings Penalty Elimination Act would raise caps to $10,000 for individuals and $20,000 for married couples, and index them to inflation moving forward. H.R.3308 - HEADs UP Act of 2023 - This bill authorizes the Department of Health and Human Services (HHS) to award grants to support health centers that provide services for individuals with developmental disabilities, including dental care. Grant recipients must provide specialized treatment to individuals with developmental disabilities as necessary. The bill also provides statutory authority for HHS to designate individuals with developmental disabilities as health-professional shortage population groups for the purposes of the National Health Service Corps (NHSC). The NHSC provides scholarships and student loan repayment awards to eligible providers who agree to work with designated populations or in areas that face shortages of primary care, dental care, and mental health care providers. H.R.3111 - Words Matter Act of 2023 - This bill removes outdated terminology in specified statutes by replacing references to mentally retarded and mental retardation with intellectual disability. Implementation of the Fair Labor Standards Act of 1938 (P.L. 75-718); Implementation of the Individuals with Disabilities Education Act (P.L. 89-110); Implementation of the National Alzheimers Project Act (P.L. 107-279); and Implementation of the Social Security Amendments of 1965 (Public Law 89-97), as amended.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, 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.R. 485 Protecting Health Care for All Patients Act of 2023 -H.R.3008 - Drug Shortage Prevention Act of 2023 -Rollout of 2024 Covid-19 vaccines -HR 2630, the Safe Step Act -H.R.8816 - American Medical Innovation and Investment Act of 2024 -Pharmacy benefit manager reform

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 485 - Protecting Health Care For All Patients Act of 2023 - Rep. McMorris Rodgers, Cathy - federal programs using prices based on quality-adjusted life years H.R. 824 - Telehealth Benefit Expansion for Workers Act of 2023 - Rep. Walberg, Tim - telehealth and ERISA amendments H.R. 830 - HELP Copays Act - Rep. Carter, Earl - health insurers responsibility for payments made by or on behalf of a plan enrollee toward a plans cost-sharing requirements H.R. 1488 - Affordable Insulin Now Act of 2023 - Rep. Craig, Angie - cost-sharing for insulin products H.R. 2666 - MVP Act - Rep. Guthrie, Brett - value-based purchasing arrangements under Medicaid program and reforms to price reporting H.R. 2691 - Transparent Price Act - Rep. McMorris Rodgers, Cathy - health insurer price transparency H.R. 2813 - Self-Insurance Protection Act - Rep. Good, Bob - ERISA amendments H.R. 2868 - Association Health Plans Act - Rep. Walberg, Tim - ERISA amendments H.R. 2872 - Further Additional Continuing Appropriations and Other Extensions Act, 2024 - Rep. Graves, Garret - extends FY24 funding and program authorities through March 8, 2024 H.R. 2882 - Further Consolidated Appropriations Act, 2024 - Rep. Ciscomani, Juan - provides annual funding through September 30, 2024, for the Departments of Labor, Health and Human Services, and Education, and Related Agencies H.R. 3305 - Black Maternal Health Momnibus Act - Rep. Underwood, Lauren - maternal health including in Medicaid and CHIP H.R. 3561 - PATIENT Act - Rep. McMorris Rodgers, Cathy - PBM transparency, PBM contract design, health insurance transparency, hospital transparency H.R. 3799 - Custom Health Option and Individual Care Expense Arrangement Act- Rep. Hern, Kevin - health reimbursement arrangements H.R. 3801 - Employer Reporting Improvement Act - Rep. Smith, Adrian - ACA reporting requirements H.R. 6956 - Opioid Settlement Accountability Act - Rep. Kaptur, Marcy - funding for opioid prevention and treatment services, training, equipment, and social support services H.R. 6960 - Emergency Medical Services for Children Reauthorization Act of 2024 - Rep. Carter, Earl L. Buddy - funding for emergency medical services for children program H.R. 7513 - Protecting Americas Seniors Access to Care Act - Rep. Fischbach, Michelle - regarding minimum staffing for nursing facilities H.R. 7623 - Telehealth Modernization Act of 2024- Rep. Carter, Buddy - including requirements for Part D plan contracts with PBMs including transparency and delinking provisions H.R. 7858 - Telehealth Enhancement for Mental Health Act of 2024 - Rep. James, John - Medicare, behavioral health, telehealth H.R. 7899 - To direct the Attorney General, in consultation with the Secretary of Health and Human Services, to promulgate the final regulations relating to special registration for telemedicine. - Rep. Ezell, Mike - telehealth H.R. 7907 - Welcome Back to the Health Care Workforce Act - Rep. Krishnamoorthi, Raja- grants/funding, health care workforce H.R. 7929 - Nursing Home Workforce Support and Expansion Act of 2024 - Rep. Horsford, Steven - grants/funding, health care workforce H.R. 7994 - Long-Term Care Workforce Support Act - Rep. Dingell, Debbie - health care workforce H.R. 8444 - Mental Health in Schools Act - Rep. Napolitano, Grace - grant to promote mental health S. 1606 - A bill to end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. - Sen. Booker, Cory - maternal mortality S. 3393 - SUPPORT for Patients and Communities Reauthorization Act. - Sen. Sanders, Bernie - SUD treatment S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 - Sen. Wyden, Ron - mental health, telehealth, health workforce S. 3612 - Access to Family Building Act- Sen. Duckworth, Tammy- right to access reproductive technology (ex. IVF) S. 3756 - At HOME Services Act of 2024- Sen. Rubio, Marco- pilot program for outpatient observation, acute care at home S. 3775 - BOLD Infrastructure for Alzheimers Reauthorization Act of 2024- Sen. Collins, Susan - healthcare infrastructure, Alzheimers S. 3805 - A bill to amend title XI of the Social Security Act to prohibit health plans from imposing fees on health care providers for electronic funds transfers and health care payment and remittance advice transactions, and for other purposes. - Sen. Cassidy, Bill - SSA, healthcare, electronic funds, payments, remittance S. 3847 - Improving Social Determinants of Health Act of 2024- Sen. Smith, Tina- CDC authorization S. 4088 - Welcome Back to the Health Care Workforce Act - Sen. Kaine, Tim - grants/funding, health care workforce S. 4120 - Long-Term Care Workforce Support Act - Sen. Casey, Robert P., Jr. - health care workforce S. 4195 - Childhood Diabetes Reduction Act of 2024 - Sen. Sanders, Bernie - nutrition labeling S. 4357 - Comprehensive Dental Reform Act of 2024- Sen. Sanders, Bernie - promotes access to oral health care S. 4358 - Preventing and Treating Substance Use Disorders Among Older Adults Act- Sen. Casey, Robert - SAMHSA grant program for SUDs S. 4554 - Reproductive Freedom for Women Act- Sen. Murray, Patty - protecting abortion and reproductive rights Issues related to broadband and public health infrastructure; mental health and telehealth; behavioral health; rural health; substance use disorder treatments; Health Savings Accounts; provider directories; artificial intelligence and privacy; insurance industry response to and support for providers regarding the Change Healthcare cyberattack and broader cyber security issues; ACA Marketplace; and Mental Health Parity Proposed Rule.

Client expense: $2,560,000 · Firm income: Not reported

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

H.R. 133: MERIT Act H.R. 485: Protecting Health Care for All Patients Act of 2023 - To amend title XI of the Social Security Act to prohibit the use of quality-adjusted life years and similar measures in coverage and payment determinations under Federal health care programs H.R. 2666: Medicaid VBPs for Patients Act or MVP Act H.R. 3421: Medicare for All Act H.R. 8261: Preserving Telehealth, Hospital, and Ambulance Access Act S. 1450: Cutting Medicare Prescription Drug Prices in Half Act Inflation Reduction Act of 2022 (P.L. 117-169) Part D redesign and policy issues including non-interference and rebates policy issues Part B policy issues Drug cost and pricing policy issues Rebate policy issues Value-based purchasing arrangements policy issues Anti-Kickback Statute policy issues Center for Medicare and Medicaid Innovation (CMMI) and model policy issues CMMI Cell and Gene Therapy Access Model Medicaid rebates and waiver policy issues CMS IPAY Guidance on the Medicare Drug Price Negotiation Program IPAY 2026 and Maximum Fair Prices policy issues CMS Guidance on Medicare Part B and D Inflation Rebates Medicaid Drug Rebate Program Proposed rule (CMS-2434-P) Medicaid Drug Rebate Program Final rule (CMS-2434-F)

Client expense: $1,540,000 · Firm income: Not reported

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

S.2140 - Patent Eligibility Restoration Act of 2023 H.R. 2679, the PBM Accountability Act H.R.3285 - To establish patient protections with respect to highly rebated drugs S. 1067, the Ensuring Timely Access to Generics Act of 2023 S. 1114, the Expanding Access to Low-Cost Generics Act of 2023 S.1269 - INSULIN Act of 2023 S. 1909 Pharmacy DIR Reform to Reduce Senior Drug Costs Act S. 1967 The Patients Before Middlemen Act (the PBM Act) S. 1339 The Pharmacy Benefit Managers Reform Act Legislation and regulation regarding pharmaceutical pricing, coverage and care; retail and inpatient pharmacy operations and the role of pharmacy benefit managers. S. 127, the Pharmacy Benefit Manager Transparency Act of 2023 H.R. 485, the Protecting Health Care for All Patients Act of 2023

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

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

-HR 5378 - Lower Costs More Transparency Act, Provisions related to pharmacy benefit manager and health plan transparency -HR 7513 - Protecting America's Seniors' Access to Care Act -HR 485 - Protecting Health Care for All Patients Act -HR 468 - Building America's Health Care Workforce Act -HR 3227 - Ensuring Seniors' Access to Quality Care Act -S 4381 - The Right to Contraception Act -HR 4367/S 2625 - FAMILY Act -HJ Res. 139/SJ Res. 91 - 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" -HR 8114 - o prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services -HR 4818 - Treat and Reduce Obesity Act (Provisions related to Medicare coverage of anti-obesity medications and intensive behavioral therapy)

Client expense: $560,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 133: MERIT Act H.R. 485: Protecting Health Care for All Patients Act of 2023 - To amend title XI of the Social Security Act to prohibit the use of quality-adjusted life years and similar measures in coverage and payment determinations under Federal health care programs H.R. 2666: Medicaid VBPs for Patients Act or MVP Act H.R. 3421: Medicare for All Act H.R. 8261: Preserving Telehealth, Hospital, and Ambulance Access Act S. 1450: Cutting Medicare Prescription Drug Prices in Half Act Inflation Reduction Act of 2022 (P.L. 117-169) Part D redesign and policy issues including non-interference and rebates policy issues Part B policy issues Drug cost and pricing policy issues Rebate policy issues Insulin policy issues Value-based purchasing arrangements policy issues Anti-Kickback Statute policy issues Center for Medicare and Medicaid Innovation (CMMI) and model policy issues CMMI Cell and Gene Therapy Access Model Medicaid rebates and waiver policy issues CMS IPAY Guidance on the Medicare Drug Price Negotiation Program IPAY 2026 and Maximum Fair Prices policy issues CMS Guidance on Medicare Part B and D Inflation Rebates Medicaid Drug Rebate Program Proposed rule (CMS-2434-P) Medicaid Drug Rebate Program Final rule (CMS-2434-F)

Client expense: $6,880,000 · Firm income: Not reported

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

P.L.118-42 - Consolidated Appropriations Act, 2024, Division A Title II, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024 Issue: Support funding for the VA medical and prosthetic research program. Support allocation of resources to VA to address funding shortfall. P.L.118-5 - Fiscal Responsibility Act of 2023 Issue: Oppose cuts to discretionary spending. Issue: Ensure robust non-defense discretionary spending levels and for the Labor HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. S.4942 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 H.R.9029 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 FY 2025 Presidents Budget Request on Health and Human Services Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Support funding for Health Resources and Services Administration (HRSA) Title VII and VIII workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, advanced molecular detection, outbreak forecasting, and climate and health, and gun violence prevention research. Support ongoing investment in public health infrastructure. Support funding for maternal health. Support expansion of CDC-supported genomic sequencing. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support funding for telehealth resource centers. H.R.9026 - House FY 2025 Commerce and Justice, Science, and Related Agencies Spending Bill S. 4795 Commerce, Justice, Science, and Related Agencies Appropriations Act, 2025 Issue: Support funding for the National Science Foundation. FY 2025 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8580 FY 2025 Military Construction, Veterans Affairs (VA), and Related Agencies Appropriations Act S.4677 Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. Support allocation of resources to VA to address funding shortfall. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. H.R.485 - Protecting Health Care for All Patients Act of 2023 Issue: Preserve funding for the Prevention and Public Health Fund. S.2840 - Bipartisan Primary Care and Health Workforce Act Issue: Oppose cuts to the Prevention and Public Health Fund. Support workforce investments and extension of National Health Service Corps funding. Oppose policies restricting insurance contracting terms and limiting the collection of facility fees. Issue: Prevent rescissions of COVID relief funding. Issue: Support restoration and continuation of funding for the 21st Century Cures Act. P.L.118-83 - Continuing Appropriations and Extensions Act, 2025 Issue: Support continuing resolution.

Client expense: $617,103 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, Veterans Affairs, Dept of (VA), White House Office

P.L.118-42 - Consolidated Appropriations Act, 2024, Division A Title II, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024 Issue: Support funding for the VA medical and prosthetic research program. Support allocation of resources to VA to address funding shortfall. P.L.118-5 - Fiscal Responsibility Act of 2023 Issue: Oppose cuts to discretionary spending. Issue: Ensure robust non-defense discretionary spending levels and for the Labor HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. S.4942 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 H.R.9029 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 FY 2025 Presidents Budget Request on Health and Human Services Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Support funding for Health Resources and Services Administration (HRSA) Title VII and VIII workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, advanced molecular detection, outbreak forecasting, and climate and health, and gun violence prevention research. Support ongoing investment in public health infrastructure. Support funding for maternal health. Support expansion of CDC-supported genomic sequencing. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support funding for telehealth resource centers. H.R.9026 - House FY 2025 Commerce and Justice, Science, and Related Agencies Spending Bill S. 4795 Commerce, Justice, Science, and Related Agencies Appropriations Act, 2025 Issue: Support funding for the National Science Foundation. FY 2025 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8580 FY 2025 Military Construction, Veterans Affairs (VA), and Related Agencies Appropriations Act S.4677 Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. Support allocation of resources to VA to address funding shortfall. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. H.R.485 - Protecting Health Care for All Patients Act of 2023 Issue: Preserve funding for the Prevention and Public Health Fund. S.2840 - Bipartisan Primary Care and Health Workforce Act Issue: Oppose cuts to the Prevention and Public Health Fund. Support workforce investments and extension of National Health Service Corps funding. Oppose policies restricting insurance contracting terms and limiting the collection of facility fees. Issue: Prevent rescissions of COVID relief funding. Issue: Support restoration and continuation of funding for the 21st Century Cures Act. P.L.118-83 - Continuing Appropriations and Extensions Act, 2025 Issue: Support continuing resolution.

Client expense: $617,103 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R.485, Protecting Health Care for All Patients Act H.R.5378, Lowering Costs, More Transparency Act H.R.6283/S.1542, DRUG Act H.R.1385/S.1424, DOC Access Act H.R.5608, ACCESS Act H.R.5539/S.3131, ORPHAN Cures Act H.R. 3433, Give Kids a Chance Act of 2024 H.R. 7623, Telehealth Modernization Act of 2024 S. 2780, Medication Affordability and Patent Integrity Act S. 4583, Creating Hope Reauthorization Act of 2024

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 4724, HR 9101- 9/11 Responder and Survivor Health Funding Correction Act of 2024 HR 5378- Lower Costs, More Transparency Act HR 4895- Lowering Drug Costs for American Families HR 5796- Protecting Rural Seniors Access to Care Act HR 7513- Protecting America's Seniors Access to Care Act HR 485- Protecting Health Care for All Patients Act S 3679- Lorna Breen Health Care Provider Protection Reauthorization Act HJ Res 139, SJ Res 91- CRA to rescind nursing home staffing rule HR 468, HR 9067- Building America's Health Care Workforce Act HR 3227- Ensuring Seniors' Access to Quality Care Act HJ Res 181- CRA to rescind the Association Health Plan Rule S 4671- Capping Prescription Costs Act S 4804, HR 9156- Health Over Wealth Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Discussions around improving access, coverage, and prior authorization for treatments and drugs under Medicare, Medicare Advantage, and private insurance. Seniors Timely Access to Care (S.4532 / H.R. 8702) - CONNECT for Health Act of 2023 (H.R.4189/S.2016) - provisions related to permanent telehealth services in Medicare and interstate telehealth services. Telehealth Modernization Act (H.R. 7623 / S. 3967) - All Provisions. Protecting Health Care for All Patients Act of 2023 (H.R. 485) - provisions to ban the usage of quality adjusted life years in public insurance programs. HELP Copays Act (H.R.830 / S.1375) -- Provisions related to health insurance plans requirement to apply payments made by or on behalf of plan enrollees toward a plan's cost-sharing requirements, i.e. a ban on copay-accumulator adjust programs. BENEFIT Act of 2023 (H.R.1092/S.526) - Provisions related to increases in patient and advocate role in FDA benefit-risk framework for drug approval through leveraging patient experience, PFDD, and related data. Connecting Caregivers to Medicare Act of 2024 (H.R. 7274/S. 3766) - All provisions. Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691) - All provisions HEALTHY BRAINS Act (H.R. 9233) - All Provisions relating to creating a research grant program to study environmental toxin exposure, its impact on the development of neurodegenerative diseases like ALS, and developing strategies to prevent, treat, and slow the progression of neurodegenerative diseases.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

H.R.485 - Protecting Health Care for All Patients Act of 2023 IRA implementation, patient engagement, alternative payment models

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 485, the Protecting Health Care for All Patients Act of 2023 H.R. 8328/S. 4283, the Alternatives to Guardianship Act S. 1298, the Supporting the Direct Care Workforce and Family Caregivers Act S. 3612, the Access to Family Building Act S. 4735, the Financial Services Improving Noble and Necessary Caregiving Experience (FINANCE) Act S. 4736, the Respite Care and Resources for Everyone (CARE) Act

Client expense: $86,378 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.652 - Safe Step Act (Murkowski/Hassan), support passage H.R. 830 - HELP Copays Act, support passage S.935- Fair Accountability and Innovative Research Drug Pricing Act of 2023, support passage H.R. 485, Protecting Health Care For All Patients Act, oppose passage as currently written S.127, the Pharmacy Benefit Manager Transparency Act, support passage Urged HELP and House Energy and Commerce Committee to hold roundtables and advance proposals that address workforce issues within the healthcare community. S. 2333 - Pandemic and All-Hazards Preparedness and Response Act, support passage H.R. 824, Telehealth Benefit Expansion for Workers Act of 2023, oppose passage H.R. 4421, Preparing for All Hazards and Pathogens Reauthorization Act, monitor legislation H.R. 4420, Preparedness and Response Reauthorization Act, monitor legislation Committee Draft -The Primary Care and Health Workforce Expansion Act, support passage S. 1339, the Pharmacy Benefit Manager Reform Act, support passage S.127, the PBM Transparency Act of 2023, support passage S.113, The Prescription Pricing for the People Act of 2023, support passage S.2052, Protect Patient Access to Pharmacies Act H.R. 1692, Health Care Affordability Act of 2023 H.R. 3561, the PATIENT Act of 2023, support passage H.R. 3284, Providers and Payers Compete Act, support passage H.R. 4507, Transparency in Coverage Act, support passage H.R. 4508, Hidden Fee Disclosure Act, support passage H.R. 2816, PBM Sunshine and Accountability Act, support passage S.79- Interagency Patent Coordination and Improvement Act of 2023, support passage S. 142- Preserve Access to Affordable Generics and Biosimilars Act, support passage S.148- Stop STALLING Act, support passage S.150- Affordable Prescriptions for Patients Act of 2023, support passage S.775-Increasing Transparency in Generic Drug Applications Act, monitoring S.1067-Ensuring Timely Access to Generics Act of 2023, support passage S. 2780 Medication Affordability and Patent Integrity Ac H.R. 4189, the CONNECT for Health Act, support passage H.R. 1843, the Telehealth Expansion Act, support passage H.R. 8018, the Alleviating Barriers for Caregivers Act, support passage S. 3109, the Alleviating Barriers for Caregivers Act, support passage H.R.6302, the Health Share Transparency Act of 2023 H.R.7623, the Telehealth Modernization Act of 2024

Client expense: $60,810 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S 462 Mental Health Professionals Workforce Shortage Loan Repayment Act: increasing the mental health workforce HR 1423 911 Community Crisis Responders Act- Increasing the number of unarmed mental health crisis response teams S 853 & HR 1639 VA Zero Suicide Demonstration Project Act of 2023: Resources to end veteran suicide S. 923 Better Mental Health Care for Americans Act- Enforcing and Strengthening the Mental Health Parity Law S. 652 & H.R.2630 Safe Step Act -Creates an exception to medication step-therapy protocol HR 1201 Increasing Behavioral Health Treatment Act: ending the IMD exclusion HR 498 988 Lifeline Cybersecurity Responsibility Act: protecting the 9-8-8 Suicide & Crisis Lifeline from cybersecurity threats HR 3011 To Establish a taskforce at the DOD on Mental Health: To help promote the mental health of service members. S. 923 Better Mental Health Care for Americans Act: Provisions to enforce mental health parity, end ghost networks, and improve mental health care. H.R. 3432 & S.3651 Telemental Health Care Access Act: Making it easier for individuals to access telemental health services. HR 3548 S 1700 Pursuing Equity in Mental Health Care Act: Providing mental health resources to historically underserved communities HR 3850 The Pride in Mental Health Care Act: Mental health resources for LGBTQI+ youth HR 824: the Telehealth Benefit Expansion for Workers Act of 2023: Expands telehealth options for certain workers without the protections of the ACA. HR 4531 & S. 3393 The Support for Patients and Communities Reauthorization Act: Reauthorization of numerous SUD & MH programs from the original SUPPORT Act. HR 2412 Helping Kids Cope Act: Increasing access to pediatric behavioral health service at children's hospitals S 1452 HR 3073 Community Mental Wellness and Resilience Act: Provides technical and financial support for community resilience program Stating our support for the Office of Recovery at the Substance Abuse and Mental Health Services Administration (SAMHSA) S. 24444 H.R. 4830: The Attain Mental Health Act: To create an online dashboards to list available mental health grants H.R. 4851: The 988 Implementation Act: To increase resources for 988 and mental health crisis response H.R. 5804: Mental Health Infrastructure Improvement Act: Loan guarantees for the construction or renovation of pediatric or adult mental health treatment facilities H.R. 485 Protecting Health Care for all Patients Act: prohibits a health care programs from using prices that are based on quality-adjusted life years S. 1378 Complete Care Act: Incentivizes primary care providers to include behavioral health providers in their practice S.1769/H.R.3805: Kids Health Act of 2023: Promoting the whole child health model H.R.6663/S.3364 Kid Proof Act: Preventing youth suicide and overdoses * S. 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023: Reauthorization of existing Mental Health and SUD programs S.3453 - Peer-to-Peer Mental Health Support Act: Enhancing Peer support services in our nation's schools H.R.5594 - Enhancing the Community Health Workforce Act: Using community health workers to enhance mental health. S. 2733 & H.R. 7212 PEER Support Act- addresses the behavioral health workforce shortages through support for peer support specialists H.R. 7069 Peer Support for Firefighters Act: To increase mental health resources to firefighters H.R. 7140 Mental Health Transparency Act: To require the disclose of percentage of in-network participation for certain provider types H.R. 7924 To amend the Higher Education Act of 1965 to support graduate programs in mental and behavioral health professions at minority-serving institutions and for other purposes: To help increase the diversity of the mental health workforce. H.R. 7153 & S.3679 Dr. Lorna Breen Health Care Act: To provide mental health resources for health care providers H.R. 6982 & S.3579: The Gambling Addiction, Recovery, Investment, and Treatment (GRIT) Act: Federal funds to research gambling addiction and treatment H.R. 4880 PACE Act: the ability to waive sovereign immunity in certain circumstances where jurisdictions prohibit monetary bail H.R. 6928 Connect Act: grants to certain crisis centers for providing follow-up care to individuals who receive suicide prevention and crisis intervention services. H.R. 8377 Youth Suicide Prevention Research Act: Research to decrease youth suicide H.R. 8375 Strengthening our Pediatric Mental Health Workforce: Using Medicaid and CHIP to increase pediatric mental and behavioral health opportunities H.R. 8376 Latino Youth Mental Health Empowerment Act: Awareness campaign regarding Latino youth mental health H.Res 385/S.Res 205: Supporting the designation of May 10, 2023, as "National Asian American, Native Hawaiian, and Pacific Islander Mental Health Day: Raising MH awareness in AANHPI communities H.R. 7808 Early Minds Act: Supporting funding for early interventions and prevention mental health services. H.R. 8680 To authorize the Secretary of Health and Human Services, acting through the Assistant Secretary for Mental Health and Substance Use, to award grants to train community mental wellness workers: To increase the mental health workforce S. 5112 Crisis Care Access Act: Payment for crisis stabilization services S. 4812 Strengthen Supourt for Youth Act: Funding for research on youth mental health S.4835/H.R.9133 The Primary and Behavioral Health Care Access Act: Access to mental health care without cost sharing. H.R.3432/S.3651 The Telemental Health Care Access Act: ensuring coverage of telemental health H.R.9422 The Recovery Act: Increase substance use disorder access to care in Medicaid H.R. 9581: STAR Plus Scholarship Act: Increasing the mental health workforce H.R. 9577 Stop Suicide Act: Increase mental health stabilization services H.R. 9796 CHIERS Act: Transportation services for those with SUD S.5182 UNDERSTAND Health Act: Data on social determents of health Support for the Centers for Medicare and Medicaid to strengthen maternal health care proposals in the CY 25 hospital outpatient prospective payment system proposed rule. Support for the Centers for Medicare and Medicaid to finalize CY 25 Medicare outpatient prospective payment system proposals rule to improve access to Medicare for people on parole, probation, and other status groups Support for CMS to cover digital Mental health treatment the CY 2025 Physician fee schedule proposed rule Support for the final rule to strengthen the mental health parity enforcement provisions of the federal Mental Health and Addiction Equity Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), President of the U.S., SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

H.R. 485 Protecting Health Care of all patients Act: prohibiting the use of quality-adjusted life years in federal health care programs

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

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

Issues related to lung disease treatment, prevention and research; Issues related to public health; Issues related to tobacco cessation; Issues related to health inequities; Issues related to Medicaid waivers; Issues related to the Affordable Care Act; Issues related to supplemental oxygen; Issues related to access to healthcare; Issues related to COVID-19 Response; Issues related to Medicaid; Issues related to infrastructure; Issues related to health equity; Issues related to the implementation of the No Surprises Act; Issues related to Medicaid; Issues relating to the Presidents FY25 budget; Issues related to regulatory reform; Issues relating to FY25 appropriations; Issues relating to the Presidents FY26 budget; HR 1075 Medicaid Work Requirements Act; S. 1063 A bill to amend title XIX of the Social Security Act to implement a minimum work requirement for able-bodied adults enrolled in State Medicaid programs; HR 1551 Jobs and Opportunities for Medicaid Act; H.R. 2583 Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023; H.R. 1114 Long COVID RECOVERY NOW Act; H.R. 833 Stop the Wait Act; S 2085 Medicare Multi-Cancer Early Detection Screening Coverage Act; H.R. 2407 Nancy Garner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act; HR 2811 Limit Save Grow Act; HR 442 Regulatory Accountability Act; S 1615 Regulatory Accountability Act;; HR 288 Separation of Powers Restoration Act of 2023; HR 4286 Increasing Access to Lung Cancer Screening Act; S. 2016 CONNECT for Health Act of 2023; HR 4189 CONNECT for Health Act of 2023;; HR 890 The Guidance Out of Darkness Act; S 791 The Guidance Out of Darkness Act; HR 357 Ensuring Accountability in Agency Rulemaking; HR 6693 Lung Cancer Screening and Prevention Act;; S3821 Supplemental Oxygen Access Reform (SOAR) Act; HR7829 Supplemental Oxygen Access Reform (SOAR) Act; HR 485 Protecting Health Care for All Patients Act of 2023; HR 7867 Renewing Efficiency in Government by Budgeting Act; HR 115 Midnight Rules Relief Act; HR 1602, Health Care Affordability Act of 2023; S. 8 Improving Health Insurance Affordability Act of 2023; HR 9029 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations Act, 2025; S. 4942 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025; HR 890 Guidance out of Regulatory Darkness Act; HR 9747 Continuing Appropriations and Extensions Act, 2025; HR 9494 Continuing Appropriations and Other Matters Act 2025; H.R. 9774, Health Care Affordability Act of 2024; S. 5194, Health Care Affordability Act of 2024

Client expense: $180,000 · Firm income: Not reported

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

Issues related to lung disease treatment, prevention and research; Issues related to public health; Issues related asthma, COPD, influenza, lung cancer, pneumonia, pulmonary fibrosis, tuberculosis and other lung diseases; Issues related to tobacco cessation; Issues related to the Affordable Care Act; Issues related to the Childrens Health Insurance Program; Issues related to Medicaid; Issues related to ERISA; Issues related to COVID-19 Response; Issues related to vaccines; Issues related to infrastructure; Issues related to supplemental oxygen; Issues related to the implementation of the No Surprises Act; Issues related to Medicare sequestration; Issues related to Cancer Moonshot; Issues related to short-term limited duration plans; Issues related to Healthy Future Taskforce; Issues related to regulatory reform; Issues relating to FY25 appropriations; Issues relating to the Presidents FY26 budget; HR 277 REINS Act; S 184 REINS Act; HR 1075 Medicaid Work Requirements Act; S. 1063 A bill to amend title XIX of the Social Security Act to implement a minimum work requirement for able-bodied adults enrolled in State Medicaid programs; HR 1551 Jobs and Opportunities for Medicaid Act; H.R. 2583 Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023; H.R. 1114 Long COVID RECOVERY NOW Act; H.R. 1692 Health Care Affordability Act of 2023; HR 3073 Community Mental Wellness and Resilience Act; S 1452 Community Mental Wellness and Resilience Act; HR 2811 Limit Save Grow Act; HR 442 Regulatory Accountability Act; S 1615 Regulatory Accountability Act;; HR 288 Separation of Powers Restoration Act of 2023; S 1411, Prove It Act of 2023; S 1995 Public Health Infrastructure Saves Lives Act; HR 824 Telehealth Benefit Expansion for Workers Act of 2023; HR 4286 Increasing Access to Lung Cancer Screening Act; HR 2813 The Self-Insurance Protec􀆟on Act; HR 3799 CHOICE Arrangement Act; HR 2868 Association Health Plans Act; S 2213 Comprehensive Cancer Survivorship Act; HR 4363 Comprehensive Cancer Survivorship Act; S. 2016 CONNECT for Health Act of 2023; HR 4189 CONNECT for Health Act of 2023;; HR 5749 Family Asthma Act; HR 4286 Increasing Access to Lung Cancer Screening Act; HR 890 The Guidance Out of Darkness Act; S 791 The Guidance Out of Darkness Act; S 2245 Women and Lung Cancer Research and Preventive Services Act; HR 4534 Women and Lung Cancer Research and Preventive Services Act; S 2333 Pandemic and All Hazards Preparedness and Response Act; HR 4420 Pandemic and All-Hazards Preparedness and Response Act; S 1489 National Task Force on the COVID-19 Pandemic Act;; HR 6302 Health Share Transparency Act; HR 357 Ensuring Accountability in Agency Rulemaking;; S3821 Supplemental Oxygen Access Reform (SOAR) Act; HR7829 Supplemental Oxygen Access Reform (SOAR) Act; HR 485 Protecting Health Care for All Patients Act of 2023; HR 7867 Renewing Efficiency in Government by Budgeting Act; HR 115 Midnight Rules Relief Act, HR 1602, Health Care Affordability Act of 2023; S. 8 Improving Health Insurance Affordability Act of 2023; HR 9029 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations Act, 2025; H.R. 8774 Department of Defense Appropriations Act 2025; S. 4942 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025; S 4921 Department of Defense Appropriations Act 2025; HR 890 Guidance out of Regulatory Darkness Act; HR 9747 Continuing Appropriations and Extensions Act, 2025; HR 9494 Continuing Appropriations and Other Matters Act 2025; H.R. 9774, Health Care Affordability Act of 2024; S. 5194 Health Care Affordability Act of 2024; S. 652 Safe Step Act; HR 2630 Safe Step Act

Client expense: $180,000 · Firm income: Not reported

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

Price controls proposals regarding pharmaceuticals or other medical goods or services, including direct government price-setting, reduced reimbursement rates, and restrictions on beneficiary choice and plan or provider competition in government health programs or private insurance plans H.R. 485 (Protecting Health Care for All Patients Act) S. 1246/S. 1264 (Strengthening Medicare and Reducing Taxpayer (SMART) Prices Act) Senate HELP Committees 2023 Reauthorization of the Pandemic and All-Hazards Preparedness Act, Sec. 601, BARDA reasonable pricing requirements, and Sec. 602, CDC reasonable pricing requirements, other contemplated "reasonable pricing price controls and patent prize schemes Repeal of Inflation Reduction Act (IRA), Sec. 5000D, drug price controls product price negotiation and 95% inflation penalty and IRA implementation S. 2305 (Biosimilar Red Tape Elimination Act) S. 2780 (Medication Affordability and Patent Integrity Act)

Client expense: Not reported · Firm income: $53,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Price controls proposals regarding pharmaceuticals or other medical goods or services, including direct government price-setting, reduced reimbursement rates, and restrictions on beneficiary choice and plan or provider competition in government health programs or private insurance plans H.R. 485 (Protecting Health Care for All Patients Act) S. 1246/S. 1264 (Strengthening Medicare and Reducing Taxpayer (SMART) Prices Act) Senate HELP Committees 2023 Reauthorization of the Pandemic and All-Hazards Preparedness Act, Sec. 601, BARDA reasonable pricing requirements, and Sec. 602, CDC reasonable pricing requirements, other contemplated "reasonable pricing price controls and patent prize schemes Repeal of Inflation Reduction Act (IRA), Sec. 5000D, drug price controls product price negotiation and 95% inflation penalty and IRA implementation S. 2305 (Biosimilar Red Tape Elimination Act) S. 2780 (Medication Affordability and Patent Integrity Act)

Client expense: Not reported · Firm income: $53,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2706/S.1183, The Charlotte Woodward Organ Transplant Discrimination Prevention Act, related to prohibiting discrimination on the basis of mental or physical disability in cases of anatomical gifts and organ transplants H.R. 1263 / S.533, the Transformation to Competitive Integrated Employment Act, related to assisting employers providing employment under special certificates issued under section 14(c) of the Fair Labor Standards Act of 1938 in transforming their business and program models to models that support individuals with disabilities through competitive integrated employment, to phase out the use of such special certificates, and for other purposes. H.R. 619 / S.133, the NAPA Reauthorization Act - related to extending the National Alzheimers Project Act. H.R. 485, the Protecting Health Care for All Patients Act of 2023 - To amend title XI of the Social Security Act to prohibit the use of quality-adjusted life years and similar measures in coverage and payment determinations under Federal health care programs. H.R.5408 / S.2767 - SSI Savings Penalty Elimination Act - would update SSIs asset limits ensure disabled and elderly Americans are able to prepare themselves for a financial emergency without putting the benefits they rely on to live at risk. The SSI Savings Penalty Elimination Act would raise caps to $10,000 for individuals and $20,000 for married couples, and index them to inflation moving forward. H.R.3308 - HEADs UP Act of 2023 - This bill authorizes the Department of Health and Human Services (HHS) to award grants to support health centers that provide services for individuals with developmental disabilities, including dental care. Grant recipients must provide specialized treatment to individuals with developmental disabilities as necessary. The bill also provides statutory authority for HHS to designate individuals with developmental disabilities as health-professional shortage population groups for the purposes of the National Health Service Corps (NHSC). The NHSC provides scholarships and student loan repayment awards to eligible providers who agree to work with designated populations or in areas that face shortages of primary care, dental care, and mental health care providers. H.R.3111 - Words Matter Act of 2023 - This bill removes outdated terminology in specified statutes by replacing references to mentally retarded and mental retardation with intellectual disability. Implementation of the Fair Labor Standards Act of 1938 (P.L. 75-718); Implementation of the Individuals with Disabilities Education Act (P.L. 89-110); Implementation of the National Alzheimers Project Act (P.L. 107-279); and Implementation of the Social Security Amendments of 1965 (Public Law 89-97), as amended.

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

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

H.R. 2706/S.1183, The Charlotte Woodward Organ Transplant Discrimination Prevention Act, related to prohibiting discrimination on the basis of mental or physical disability in cases of anatomical gifts and organ transplants H.R. 1263 / S.533, the Transformation to Competitive Integrated Employment Act, related to assisting employers providing employment under special certificates issued under section 14(c) of the Fair Labor Standards Act of 1938 in transforming their business and program models to models that support individuals with disabilities through competitive integrated employment, to phase out the use of such special certificates, and for other purposes. H.R. 619 / S.133, the NAPA Reauthorization Act - related to extending the National Alzheimers Project Act. H.R. 485, the Protecting Health Care for All Patients Act of 2023 - To amend title XI of the Social Security Act to prohibit the use of quality-adjusted life years and similar measures in coverage and payment determinations under Federal health care programs. H.R.5408 / S.2767 - SSI Savings Penalty Elimination Act - would update SSIs asset limits ensure disabled and elderly Americans are able to prepare themselves for a financial emergency without putting the benefits they rely on to live at risk. The SSI Savings Penalty Elimination Act would raise caps to $10,000 for individuals and $20,000 for married couples, and index them to inflation moving forward. H.R.3308 - HEADs UP Act of 2023 - This bill authorizes the Department of Health and Human Services (HHS) to award grants to support health centers that provide services for individuals with developmental disabilities, including dental care. Grant recipients must provide specialized treatment to individuals with developmental disabilities as necessary. The bill also provides statutory authority for HHS to designate individuals with developmental disabilities as health-professional shortage population groups for the purposes of the National Health Service Corps (NHSC). The NHSC provides scholarships and student loan repayment awards to eligible providers who agree to work with designated populations or in areas that face shortages of primary care, dental care, and mental health care providers. H.R.3111 - Words Matter Act of 2023 - This bill removes outdated terminology in specified statutes by replacing references to mentally retarded and mental retardation with intellectual disability. Implementation of the Fair Labor Standards Act of 1938 (P.L. 75-718); Implementation of the Individuals with Disabilities Education Act (P.L. 89-110); Implementation of the National Alzheimers Project Act (P.L. 107-279); and Implementation of the Social Security Amendments of 1965 (Public Law 89-97), as amended.

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

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