Doctors in our Borders Act

H.R. 4942, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 665, Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R. 6205, Healthcare Workforce Resilience Act, all provisions S. 3211, Healthcare Workforce Resilience Act, all provisions H.R. 4875, Doctors in our Borders Act, all provisions H.R. 6980, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act, all provisions S. 2719, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act, all provisions H.R. 7463, Extension of Continuing Appropriations and Other Matters Act, 2024, provisions relating to Conrad 30 program H. Res. 1102, Further Consolidated Appropriations Act, 2024, provisions relating to Conrad 30 extension Dual intent temporary visas

Client expense: $6,590,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR2389/S1302 - Resident Physician Shortage Reduction Act S2333 - Public Health Workforce Loan Repayment Act Health Workforce Resilience Act S665/HR 4942 Conrad 30 and Physician Access Reauthorization Act CLIA Waiver CURES 2.0 To prevent across-the-board direct spending cuts Cytotechnologist labor rates Remote digital telepathology S 1000/HR 2377 SALSA HR 977 - legislation that would repeal provisions prohibiting self-referrals to new or expanded POHs. HR 1202/S 704 - REDI Act HR2761/S 705 - SPARC Act HR 2764/S1229 - Green New Deal for Health HR 3248 - Diagnostic Lab Testing Transparency Act H.R. 3561, the Promoting Access to Treatments and Increasing Extremely Needed Transparency (PATIENT) Act of 2023 Student loan repayment for FPs HR 4527 - HEALTH DATA Act Primary Care and Health Workforce Expansion Act S 1994 Counting Veterans Cancer Act HR 4875 Doctors in our Borders Act HR 2474 - Strengthening Medicare for Patients and Providers Act Continuing Appropriations Act, 2024 and Other Extensions Act Further Continuing Appropriations and Other Extensions Act, 2024 HR 6683 - Preserving Seniors Access to Physicians Act of 2023 Gene Therapy Precision Medicine Answers for Kids Today Act S.3018/H.R.3173 the Improving Seniors Timely Access to Care Act of 2021 Dr. Lorna Breen Health Care Provider Protection Act PREVAIL HR 6371 - budget neutrality bill EDUCATE Act - Murphy DEI Bill HR 2369 - VALID Act FDA final rule on LDTs Pandemic All-Hazards Preparedness Act H.R.9747, the Continuing Appropriations and Extensions Act, 2025 S.2140/H.R. 9474, the Patent Eligibility Restoration Act of 2023 S.1451 / H.R. 3120 - Healthy Competition for Better Care Act H.R. 9572 - Enhanced Enforcement of Health Coverage Act H.R. 6025/S. 3211 - Healthcare Workforce Resilience Act Cures 2.1 H.R. 10073, Medicare patient Access and Practice Stabilization Act of 2024 S. 4935, Physician Fee Stabilization Act H.R. 5392, The Timely Access to Coverage Decisions Act of 2023 Medical Lab Personnel Shortage Relief Act H.R. 9572 Enhanced Enforcement of Health Coverage Act Sickle Cell Disease Comprehensive Care Act

Advocate for proposals to provide direct financial support to safety net hospitals with Congressional staff. Discuss opposition to Medicare site-neutral payment policies with Congressional staff. Educate Congressional staff on hospital price transparency federal rule (84 FR 65602). Oppose changes to NPIs for hospital outpatient departments (H.R. 7623, H.R. 4509, H.R. 7623 as amended, H.R. 4822). Meet with Congressional staff to discuss H.R. 5378, the Lower Costs, More Transparency Act of 2023, and comment on following proposals in bill: support for delay of Medicaid DSH cut, codification and expansion of Federal price transparency rule, oppose National Provider Identifier (NPI) requirements for hospital outpatient departments, oppose changes to 340B drug pricing program, support reauthorization of Community Health Centers, support reauthorization of National Health Service Corps, support reauthorization of Teaching Health Center Graduate Medical Education funding. Discuss hospital and health provisions in CAA, 2024 (H.R. 4366) with HHS staff and Congressional staff: support public health extenders and elimination of Medicaid DSH cut. Discuss support for the 340B Drug Pricing Program with Congressional staff and discuss certain changes: oppose 340B ACCESS Act (H.R. 7635), comment on SUSTAIN 340B Act discussion draft, support PATIENTS Act (H.R. 7635); oppose back-end rebate proposals. Discuss legislative proposals with Congressional staff to stabilize long-term care and post-acute care providers: establish a temporary per diem Medicare payment to ease capacity issues and address financial challenges from slow discharges (support); make permanent three-day hospital stay waiver (support) and other COVID-19 PHE regulatory flexibilities. Discuss Medicare Graduate Medical Education (GME) provisions in the Consolidated Appropriations Act (CAA), 2021 and CAA, 2023 with HHS staff. Discuss with Congressional staff support for Medicare GME expansion and changes to GME program: the Resident Physician Shortage Reduction Act, the Pathway to Practice Act of 2021, the Substance Use Disorder Workforce Act (H.R. 7050); additional GME slots in CAA, 2021 and CAA, 2023; Rural Residency Planning and Development Act (H.R. 7855); concerns on Rural Physician Workforce Preservation Act and opposition to modifications to ongoing slot distribution; Senate Finance Committee draft proposals to increase GME slots. Discuss with HHS staff and Congressional staff recommendations to address workforce shortages for nursing and ancillary health care workforce: faculty recruitment and retention, additional financial support for supervision and precepting students, Medicare payment for nursing and allied health, testing new workforce models, establishing incentives and early recruitment strategies, providing funding for clinical training site, and immigration reforms that expedite entry for foreign health care workers. Support passage of the Safety from Violence for Healthcare Employees (SAVE) Act (H.R. 2584/S.2768). Support revisions to Conrad 30 waiver program to increase the number of foreign physicians that may remain in the US after completing GME: S.665/H.R.4942, S.2719/H.R.6980, H.R. 4875. Discuss expiring COVID-19 Public Health Emergency Medicare flexibilities with Congressional staff and HHS staff and support legislative proposals to extend PHE telehealth flexibilities and Acute Hospital Care at Home Waiver: H.R. 7623. Oppose legislative proposals to impose financial penalties on hospitals relating to minimum cybersecurity standards (S.5218). Discuss legislative proposals to regulate the use of artificial intelligence in health care delivery with Congressional staff. Discuss FEMA COVID-19 Public Assistance payouts with Congressional staff. Support Improving Seniors Timely Access to Care Act (S. 4532/H.R. 8702). Discuss legislative proposals on consumer medical debt with Congressional staff. Outreach to HHS Assistant Secretary for Preparedness and Response urging certain regulatory flexibilities to alleviate IV fluid shortages.

H.R. 6980/S.2719 - Directing Our Countrys Transfer of Residency Slots (DOCTORS) Act Issue: Educate Congress on policies related to amending the Immigration and Nationality Act to provide for the reallocation of unused waivers of the foreign residency requirement for certain J visa holders. H.R.4942/S.665 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.4875 - Doctors in our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. H.R.6205/S.3211 - Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals. Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients.

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

H.R. 6980/S.2719 - Directing Our Countrys Transfer of Residency Slots (DOCTORS) Act Issue: Educate Congress on policies related to mending the Immigration and Nationality Act to provide for the reallocation of unused waivers of the foreign residency requirement for certain J visa holders. H.R.4942/S.665 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.4875 - Doctors in our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. H.R.6205/S.3211 - Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.

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

H.R. 6980/S.2719 - Directing Our Countrys Transfer of Residency Slots (DOCTORS) Act Issue: Educate Congress on policies related to mending the Immigration and Nationality Act to provide for the reallocation of unused waivers of the foreign residency requirement for certain J visa holders. H.R.4942/S.665 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.4875 - Doctors in our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. H.R.6205/S.3211 - Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.

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

H.R. 4942, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 665, Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R. 6205, Healthcare Workforce Resilience Act, all provisions S. 3211, Healthcare Workforce Resilience Act, all provisions H.R. 4875, Doctors in our Borders Act, all provisions H.R. 6980, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act, all provisions S. 2719, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act, all provisions H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024, provisions relating to dual intent residents H.R. 7463, Extension of Continuing Appropriations and Other Matters Act, 2024, provisions relating to Conrad 30 program H. Res. 1102, Further Consolidated Appropriations Act, 2024, provisions relating to Conrad 30 extension H.R. 9747, Continuing Appropriations and Extensions Act, 2025, provisions relating to continuing resolution through December 20

Client expense: $5,330,000 · Firm income: Not reported

Advocate for proposals to provide direct financial support to safety net hospitals with Congressional staff. Discuss support for the 340B Drug Pricing Program with Congressional staff and discuss certain changes: oppose 340B ACCESS Act (H.R. 7635), comment on SUSTAIN 340B Act discussion draft, support PATIENTS Act (H.R. 7635). Discuss legislative proposals with Congressional staff to stabilize long-term care and post-acute care providers: establish a temporary per diem Medicare payment to ease capacity issues and address financial challenges from slow discharges (support); make permanent three-day hospital stay waiver (support) and other COVID-19 PHE regulatory flexibilities. Discuss Medicare Graduate Medical Education (GME) provisions in the Consolidated Appropriations Act (CAA), 2021 and CAA, 2023 with HHS staff. Discuss with Congressional staff support for Medicare GME expansion: the Resident Physician Shortage Reduction Act, the Pathway to Practice Act of 2021, the Substance Use Disorder Workforce Act (H.R. 7050); additional GME slots in CAA, 2021 and CAA, 2023; Rural Residency Planning and Development Act (H.R. 7855). Oppose Rural Physician Workforce Preservation Act (H.R. 8235) and modifications to ongoing distribution of CAA, 2021 Section 126 GME slots. Discuss with HHS staff and Congressional staff recommendations to address workforce shortages for nursing and ancillary health care workforce with Congressional staff: faculty recruitment and retention, additional financial support for supervision and precepting students, Medicare payment for nursing and allied health, testing new workforce models, establishing incentives and early recruitment strategies, providing funding for clinical training site, and immigration reforms that expedite entry for foreign health care workers. Support passage of the Safety from Violence for Healthcare Employees (SAVE) Act (H.R. 2584/S.2768). Support revisions to Conrad 30 waiver program to increase the number of foreign physicians that may remain in the US after completing GME: S.665/H.R.4942, S.2719/H.R.6980, H.R. 4875. Meet with Congressional staff to discuss technical amendment to CAA, 2021, Section 131. Respond to Senate Finance Committee request for information on Medicare GME and offer recommendations. Discuss opposition to site-neutral payment policies with Congressional staff. Educate Congressional staff on hospital price transparency federal rule (84 FR 65602). Meet with Congressional staff to discuss H.R. 5378, the Lower Costs, More Transparency Act of 2023, and comment on following proposals in bill: support for delay of Medicaid DSH cut, codification and expansion of Federal price transparency rule, oppose National Provider Identifier (NPI) requirements for hospital outpatient departments, oppose changes to 340B drug pricing program, support reauthorization of Community Health Centers, support reauthorization of National Health Service Corps, support reauthorization of Teaching Health Center Graduate Medical Education funding. Oppose Medicare site-neutral cuts, Medicare sequester cuts, and NPI proposals in H.R. 4822. Oppose changes to NPIs for hospital outpatient departments (H.R. 7623, H.R. 4509, H.R. 7623 as amended). Comment on legislative proposals in S.2840, the Primary Care and Health Workforce Expansion Act: oppose eliminating facility fees, oppose requiring a separate identification number for off-campus hospital outpatient departments. Discuss S.3430, the Better Mental Health Care, Lower-Cost Drugs, and Extenders Act, with Congressional staff. Discuss hospital and health provisions in CAA, 2024 (H.R. 4366) with HHS staff. Discuss expiring COVID-19 Public Health Emergency Medicare flexibilities with Congressional staff and HHS staff and support legislative proposals to extend PHE telehealth flexibilities and Acute Hospital Care at Home Waiver: H.R. 7623. Support public health extenders and elimination of Medicaid DSH cut in CAA, 2024 (H.R. 4366). Meet with Congressional staff to discuss proposals for financial relief for hospitals affected by the Change Healthcare cyberattack. Oppose legislative proposals to impose financial penalties on hospitals relating to minimum cybersecurity standards (S.5218). Discuss legislative proposals to regulate the use of artificial intelligence in health care delivery with Congressional staff. Support S.5026, SEPSIS Act. Discuss FEMA COVID-19 Public Assistance payouts with Congressional staff. Discuss FDA final rule to regulate laboratory developed tests (89 FR 37286) with Congressional staff. Support passage of Improving Seniors Timely Access to Care Act (S. 4532/H.R. 8702). Discuss legislative proposals on consumer medical debt with Congressional staff. Discuss life safety building code requirements with HHS.

HR2389/S1302 - Resident Physician Shortage Reduction Act S2333 - Public Health Workforce Loan Repayment Act Health Workforce Resilience Act S665/HR 4942 Conrad 30 and Physician Access Reauthorization Act CLIA Waiver CURES 2.0 To prevent across-the-board direct spending cuts Cytotechnologist labor rates Remote digital telepathology S 1000/HR 2377 SALSA HR 977 - legislation that would repeal provisions prohibiting self-referrals to new or expanded POHs. HR 1202/S 704 - REDI Act HR2761/S 705 - SPARC Act HR 2764/S1229 - Green New Deal for Health HR 3248 - Diagnostic Lab Testing Transparency Act H.R. 3561, the Promoting Access to Treatments and Increasing Extremely Needed Transparency (PATIENT) Act of 2023 Student loan repayment for FPs HR 4527 - HEALTH DATA Act Primary Care and Health Workforce Expansion Act S 1994 Counting Veterans Cancer Act HR 4875 Doctors in our Borders Act HR 2474 - Strengthening Medicare for Patients and Providers Act Continuing Appropriations Act, 2024 and Other Extensions Act Further Continuing Appropriations and Other Extensions Act, 2024 HR 6683 - Preserving Seniors Access to Physicians Act of 2023 Gene Therapy Precision Medicine Answers for Kids Today Act S.3018/H.R.3173 the Improving Seniors Timely Access to Care Act of 2021 Dr. Lorna Breen Health Care Provider Protection Act PREVAIL HR 6371 - budget neutrality bill EDUCATE Act - Murphy DEI Bill HR 2369 - VALID Act FDA final rule on LDTs Pandemic All-Hazards Preparedness Act H.R.9747, the Continuing Appropriations and Extensions Act, 2025 S.2140/H.R. 9474, the Patent Eligibility Restoration Act of 2023 S.1451 / H.R. 3120 - Healthy Competition for Better Care Act H.R. 9572 - Enhanced Enforcement of Health Coverage Act H.R. 6025/S. 3211 - Healthcare Workforce Resilience Act

Client expense: $193,594 · Firm income: Not reported

HR2389/S1302 - Resident Physician Shortage Reduction Act S2333 - Public Health Workforce Loan Repayment Act Health Workforce Resilience Act S665/HR 4942 Conrad 30 and Physician Access Reauthorization Act CLIA Waiver PREVENT Pandemics Act CURES 2.0 To prevent across-the-board direct spending cuts Cytotechnologist labor rates Remote digital telepathology S 1000/HR 2377 SALSA S 2140 - Patient Eligibility Restoration Act HR 977 - legislation that would repeal provisions prohibiting self-referrals to new or expanded POHs. HR 1202/S 704 - REDI Act HR 2761 - SPARC act HR 2764/S1229 - Green New Deal for Health HR 3248 - Diagnostic Lab Testing Transparency Act H.R. 3561, the Promoting Access to Treatments and Increasing Extremely Needed Transparency (PATIENT) Act of 2023 Student loan repayment for FPs HR 4527 - HEALTH DATA Act Primary Care and Health Workforce Expansion Act S 1994 Counting Veterans Cancer Act HR 4875 Doctors in our Borders Act HR 2474 - Strengthening Medicare for Patients and Providers Act Continuing Appropriations Act, 2024 and Other Extensions Act Further Continuing Appropriations and Other Extensions Act, 2024 HR 6683 Gene Therapy Precision Medicine Answers for Kids Today Act S.3018/H.R.3173 the Improving Seniors Timely Access to Care Act of 2021 Dr. Lorna Breen Health Care Provider Protection Act PREVAIL HR 6371 - budget neutrality bill EDUCATE Act - Murphy DEI Bill

Client expense: $220,591 · Firm income: Not reported

H.R. 6980/S.2719 - Directing Our Countrys Transfer of Residency Slots (DOCTORS) Act, Issue: Educate Congress on policies related to mending the Immigration and Nationality Act to provide for the reallocation of unused waivers of the foreign residency requirement for certain J visa holders. H.R.4942/S.665 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.4875 - Doctors in our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3211 - Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.

Client expense: $742,323 · Firm income: Not reported

H.R. 4942, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 665, Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R. 6205, Healthcare Workforce Resilience Act, all provisions S. 3211, Healthcare Workforce Resilience Act, all provisions H.R. 4875, Doctors in our Borders Act, all provisions H.R. 6980, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act, all provisions S. 2719, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act, all provisions H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024, provisions related to resident dual intent H.R. 7463, Extension of Continuing Appropriations and Other Matters Act, 2024, provisions relating to Conrad 30 program H. Res. 1102, Further Consolidated Appropriations Act, 2024, provisions related to Conrad 30 program

Client expense: $5,120,000 · Firm income: Not reported

Advocate for proposals to provide direct financial support to safety net hospitals with Congressional staff. Discuss support for the 340B Drug Pricing Program with Congressional staff and oppose certain changes. Respond to Senate request for information on 340B Drug Pricing Program - SUSTAIN 340B Act discussion draft. Oppose 340B ACCESS Act (H.R. 7635). Discuss legislative proposals with Congressional staff to stabilize long-term care and post-acute care providers: establish a temporary per diem Medicare payment to ease capacity issues and address financial challenges from slow discharges (support); make permanent three-day hospital stay waiver (support) and other COVID-19 PHE regulatory flexibilities. Discuss Medicare Graduate Medical Education (GME) provisions in the Consolidated Appropriations Act (CAA), 2021 and CAA, 2023 with HHS staff. Discuss with Congressional staff support for Medicare GME expansion: the Resident Physician Shortage Reduction Act, the Pathway to Practice Act of 2021, the Substance Use Disorder Workforce Act; additional GME slots in CAA, 2021 and CAA, 2023. Support the Rural Residency Planning and Development Act (H.R. 7855) to provide grant funding for rural hospitals seeking to develop GME programs. Oppose Rural Physician Workforce Preservation Act (H.R. 8235) and modifications to ongoing distribution of CAA, 2021 Section 126 GME slots. Discuss with Congressional staff legislative recommendations to address workforce shortages for nursing and ancillary health care workforce with Congressional staff: faculty recruitment and retention, additional financial support for supervision and precepting students, Medicare payment for nursing and allied health, testing new workforce models, establishing incentives and early recruitment strategies, providing funding for clinical training site, and immigration reforms that expedite entry for foreign health care workers. Support passage of the Safety from Violence for Healthcare Employees (SAVE) Act to create legal penalties for individuals who assault or intimidate hospital employees. Support revisions to Conrad 30 waiver program to increase the number of foreign physicians that may remain in the US after completing GME: S.665/H.R.4942, S.2719/H.R.6980, H.R. 4875. Meet with Congressional staff to discuss technical amendment to CAA, 2021 Section 131. Respond to Senate Finance Committee request for information on Medicare GME and offer recommendations. Discuss federal support for nursing and allied health workforce with HHS staff. Discuss opposition to site-neutral payment policies with Congressional staff. Educate Congressional staff on hospital price transparency federal rule (84 FR 65602). Meet with Congressional staff to discuss H.R. 5378, the Lower Costs, More Transparency Act of 2023, and comment on following proposals in bill: support for delay of Medicaid DSH cut, codification and expansion of Federal price transparency rule, oppose National Provider Identifier requirements for hospital outpatient departments, oppose changes to 340B drug pricing program, support reauthorization of Community Health Centers, support reauthorization of National Health Service Corps, support reauthorization of Teaching Health Center Graduate Medical Education funding. Oppose Medicare site-neutral cuts, sequester cuts, and national provider identifier proposals in H.R. 4822, the Health Care Price Transparency Act of 2023. Oppose H.R. 4509 to require a separate unique health identifier for hospital outpatient departments. Oppose changes to national provider identifier requirements in H.R. 7623. Comment on legislative proposals in S.2840, the Primary Care and Health Workforce Expansion Act: oppose eliminating facility fees, oppose requiring a separate identification number for off-campus hospital outpatient departments. Discuss S.3430, the Better Mental Health Care, Lower-Cost Drugs, and Extenders Act, with Congressional staff. Discuss hospital and health provisions in CAA, 2024 (H.R. 4366) with HHS staff. Discuss telehealth issues with Congressional staff and support legislative proposals to extend PHE telehealth flexibilities. Support legislative proposals for additional extension of the Acute Hospital Care at Home waiver. Support public health extenders and elimination of Medicaid DSH cut in CAA, 2024 (H.R. 4366) and discuss with Congressional staff. Meet with Congressional staff to discuss proposals for financial relief for hospitals affected by the Change Healthcare cyberattack. Oppose legislative proposals to impose financial penalties on hospitals relating to minimum cybersecurity standards. Discuss legislative proposals to regulate the use of artificial intelligence in health care delivery with Congressional staff. Discuss federal legislative proposals for sepsis reporting with Congressional staff. Discuss Earned Income Tax Credit and opposition to ERTC proposal in the Tax Relief for American Families and Workers Act of 2024 with Congressional staff. Discuss FEMA COVID-19 Public Assistance payouts with Congressional staff. Discuss FDA final rule to regulate laboratory developed tests (89 FR 37286) with Congressional staff. Support passage of Improving Seniors Timely Access to Care Act (S. 4532/H.R. 8702).

HR2389/S1302 - Resident Physician Shortage Reduction Act S2333 - Public Health Workforce Loan Repayment Act Health Workforce Resilience Act S665/HR 4942 Conrad 30 and Physician Access Reauthorization Act CLIA Waiver CURES 2.0 To prevent across-the-board direct spending cuts Cytotechnologist labor rates Remote digital telepathology S 1000/HR 2377 SALSA HR 977 - legislation that would repeal provisions prohibiting self-referrals to new or expanded POHs. HR 1202/S 704 - REDI Act HR2761/S 705 - SPARC Act HR 2764/S1229 - Green New Deal for Health HR 3248 - Diagnostic Lab Testing Transparency Act H.R. 3561, the Promoting Access to Treatments and Increasing Extremely Needed Transparency (PATIENT) Act of 2023 Student loan repayment for FPs HR 4527 - HEALTH DATA Act Primary Care and Health Workforce Expansion Act S 1994 Counting Veterans Cancer Act HR 4875 Doctors in our Borders Act HR 2474 - Strengthening Medicare for Patients and Providers Act Continuing Appropriations Act, 2024 and Other Extensions Act Further Continuing Appropriations and Other Extensions Act, 2024 HR 6683 - Preserving Seniors Access to Physicians Act of 2023 Gene Therapy Precision Medicine Answers for Kids Today Act S.3018/H.R.3173 the Improving Seniors Timely Access to Care Act of 2021 Dr. Lorna Breen Health Care Provider Protection Act PREVAIL HR 6371 - budget neutrality bill EDUCATE Act - Murphy DEI Bill HR 2369 - VALID Act FDA final rule on LDTs Pandemic All-Hazards Preparedness Act

Client expense: $176,685 · Firm income: Not reported

H.R. 4708: H-2 Improvements to Relieve Employers Act - provisions related to extension of H-2A and H-2B visas. H.R. 3442: Protecting Children of Long-Term Visa Holders Act of 2023 (America's CHILDREN Act) - provisions related to creating a pathway for citizenship for dependents of visa holders. H.R. 6542: Immigration Visa Efficiency and Security Act of 2023 - provisions related to legal pathways for immigrants. H.R. 6391: Integrating New Technologies to Empower Law Enforcement at Our Borders Act (INTEL Act) - provisions related to funding new border security equipment. H.R. 4875: Doctors in our Borders Act - provisons related to physician shortage efforts. H.R. 5585: Agent Raul Gonzalez Officer Safety Act - provisions related to legality and feasibility of implementation, issues concerning double-jeopardy if the bill became law, and broader conversation on specificity on the necessity of the bill. Issues related to the introduction of the Border Act and emergency border authorities. Issues related to wait times and processing at border stations. Issues related to increasing funding to border patrol, border infrastructure, and screenings. Issues related to realigning the H-2B visa program to meet future business needs.

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

H.R. 5608: Affordable Care and Comprehensive Economic Support through Savings (ACCESS) Act - provisions related to Telehealth and HSA expansion. H.R. 6279: WEAR IT Act - provisions related to Issues related to stopping regulations that inhibit tech innovation H.R. 3129: Health Care Fairness for All Act - provisions related to healthcare fairness. S. 3598: SCHEDULES Act of 2024 - provisions related to increasing HSA access in Medicare Advantage. S. 2305: Biosimilar Red Tape Elimination Act - provisions related to increasing access to generic drugs. H.R. 977: Patient Access to Higher Quality Health Care Act of 2023 - provisions related to the Personal Option. S. 1158: Health Savings Act of 2023 - provisions related to supporting HSA expansion. H.R. 6033: SPEAK Act of 2023 - provisions related to language barriers and access to health care. H.R. 2739: Quantum Sandbox for Near-Term Applications Act of 2023 - provisions related to stopping regulations that inhibit tech innovation. H.R. 4875: Doctors in our Borders Act - provisons related to physician shortage efforts. H.R. 4189: CONNECT for Health Act of 2023 - provisions related to making telehealth permanent. H.R. 6980: DOCTORS Act - provisions related to the operation of the bill, importance of expanding the CONRAD 30 program, and allowing increased visa flexibility. H.R. 4942: Conrad State 30 and Physician Access Reauthorization Act - provisions related to reauthorizing the CONRAD 30 visa program for another 3 years and the importance of the program in service underserved rural and urban communities. Issues related to expansion of HSAs, direct primary care, and site neutrality Issues related to increasing access to HSA and universal HSA access. H.R. 5066: Tech to Save Moms Act - provisions related to telehealth as it relates to our health care POV and how telehealth benefits minority and rural communities. H.R. 5762: Health CARE Act of 2023 - provisions related to the aspects of the bill as it relates to its effect on minority communities and its benefits to people with limited English proficiency.

H.R. 4942, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 665, Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R. 6205, Healthcare Workforce Resilience Act, all provisions S. 3211, Healthcare Workforce Resilience Act, all provisions H.R. 4875, Doctors in our Borders Act, all provisions H.R. 6980, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act, all provisions S. 2719, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act, all provisions H.R. 5525, Continuing Appropriations and Border Security Enhancement Act, 2024, all provisions H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024, provisions relating to dual intent for residents H.R. 7463, Extension of Continuing Appropriations and Other Matters Act, 2024, provisions related to the Conrad 30 program H. Res. 1102, Further Consolidated Appropriations Act, 2024, provisions related to Conrad 30 Extension Immigrants/Barriers to Medicaid and CHIP

Client expense: $7,280,000 · Firm income: Not reported

H.R.4942/S.665 - Conrad State 30 and Physician Access Reauthorization Act H.R.4875 - Doctors in our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Issue: Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3211 - Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.

Client expense: $660,005 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR2389/S1302 - Resident Physician Shortage Reduction Act S2333 - Public Health Workforce Loan Repayment Act Health Workforce Resilience Act S665/HR 4942 Conrad 30 and Physician Access Reauthorization Act CLIA Waiver PREVENT Pandemics Act CURES 2.0 To prevent across-the-board direct spending cuts Cytotechnologist labor rates Remote digital telepathology S 1000/HR 2377 SALSA S 2140 - Patient Eligibility Restoration Act HR 977 - legislation that would repeal provisions prohibiting self-referrals to new or expanded POHs. HR 1202/S 704 - REDI Act HR 2761 - SPARC act HR 2764/S1229 - Green New Deal for Health HR 3248 - Diagnostic Lab Testing Transparency Act H.R. 3561, the Promoting Access to Treatments and Increasing Extremely Needed Transparency (PATIENT) Act of 2023 Student loan repayment for FPs HR 4527 - HEALTH DATA Act Primary Care and Health Workforce Expansion Act S 1994 Counting Veterans Cancer Act HR 4875 Doctors in our Borders Act HR 2474 - Strengthening Medicare for Patients and Providers Act Continuing Appropriations Act, 2024 and Other Extensions Act Further Continuing Appropriations and Other Extensions Act, 2024 HR 6683 Gene Therapy Precision Medicine Answers for Kids Today Act S.3018/H.R.3173 the Improving Seniors Timely Access to Care Act of 2021 Dr. Lorna Breen Health Care Provider Protection Act PREVAIL HR 6371 - budget neutrality bill EDUCATE Act - Murphy DEI Bill

Client expense: $220,591 · Firm income: Not reported

S.665/H.R.4942 - Conrad State 30 and Physician Access Reauthorization Act H.R.4875 - Doctors in our Borders Act Issue: Expansion of the Conrad 30 program and improvements to physician immigration. Issue: Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Draft Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.

Client expense: $641,145 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR2389/S1302 - Resident Physician Shortage Reduction Act S2333 - Public Health Workforce Loan Repayment Act Health Workforce Resilience Act S665/HR 4942 Conrad 30 and Physician Access Reauthorization Act CLIA Waiver PREVENT Pandemics Act CURES 2.0 To prevent across-the-board direct spending cuts Cytotechnologist labor rates Remote digital telepathology S 1000/HR 2377 SALSA S 2140 - Patient Eligibility Restoration Act HR 977 - legislation that would repeal provisions prohibiting self-referrals to new or expanded POHs. HR 1202/S 704 - REDI Act HR 2761 - SPARC act HR 2764/S1229 - Green New Deal for Health HR 3248 - Diagnostic Lab Testing Transparency Act H.R. 3561, the Promoting Access to Treatments and Increasing Extremely Needed Transparency (PATIENT) Act of 2023 Student loan repayment for FPs HR 4527 - HEALTH DATA Act Primary Care and Health Workforce Expansion Act S 1994 Counting Veterans Cancer Act HR 4875 Doctors in our Borders Act HR 2474 - Strengthening Medicare for Patients and Providers Act S.2140 - Patent Eligibility Restoration Act of 2023 Continuing Appropriations Act, 2024 and Other Extensions Act Further Continuing Appropriations and Other Extensions Act, 2024

Client expense: $150,705 · Firm income: Not reported

H.R. 4942, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 665, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 2719, DOCTORS Act, all provisions H.R. 6205, Healthcare Workforce Resilience Act, all provisions S. 3211, Healthcare Workforce Resilience Act, all provisions H.R. 4875, Doctors in our Borders Act, all provisions H.R. 5525, Continuing Appropriations and Border Security Enhancement Act, 2024, all provisions H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024, all provisions Dual intent resident visas

Client expense: $5,740,000 · Firm income: Not reported

S.665/H.R.4942 - Conrad State 30 and Physician Access Reauthorization Act H.R.4875 - Doctors in our Borders Act Issue: Expansion of the Conrad 30 program and improvements to physician immigration. Issue: Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3211 - Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.

Client expense: $492,940 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR2389/S1302 - Resident Physician Shortage Reduction Act S2333 - Public Health Workforce Loan Repayment Act Health Workforce Resilience Act S665/HR 4942 Conrad 30 and Physician Access Reauthorization Act CLIA Waiver PREVENT Pandemics Act CURES 2.0 To prevent across-the-board direct spending cuts Cytotechnologist labor rates Remote digital telepathology S 1000/HR 2377 SALSA S 2140 - Patient Eligibility Restoration Act HR 977 - legislation that would repeal provisions prohibiting self-referrals to new or expanded POHs. HR 1202/S 704 - REDI Act HR 2761 - SPARC act HR 2764/S1229 - Green New Deal for Health HR 3248 - Diagnostic Lab Testing Transparency Act H.R. 3561, the Promoting Access to Treatments and Increasing Extremely Needed Transparency (PATIENT) Act of 2023 Student loan repayment for FPs HR 4527 - HEALTH DATA Act Primary Care and Health Workforce Expansion Act S 1994 Counting Veterans Cancer Act HR 4875 Doctors in our Borders Act HR 2474 - Strengthening Medicare for Patients and Providers Act S.2140 - Patent Eligibility Restoration Act of 2023

Client expense: $141,488 · Firm income: Not reported

H.R. 4942, Conrad State 30 and Physician Access Reauthorization Act, all provisions S. 665, Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R. 4875, Doctors in our Borders Act, all provisions S. 2719, Directing Our Countrys Transfer Of Residency Slots (DOCTORS) Act, all provisions H.R. 5525, Continuing Appropriations and Border Security Enhancement Act, 2024, all provisions Healthcare Workforce Resilience Act/reintroduction Conrad 30 waiver

Client expense: $3,420,000 · Firm income: Not reported

H.R. 4708: H-2 Improvements to Relieve Employers (HIRE) Act - provisions related to deregulating the H-2A and H-2B visa process. H.R. 3442: Protecting Children of Long-Term Visa Holders Act of 2023 (America's CHILDREN Act) - provisions related to creating a pathway for citizenship for dependents of visa holders. S. 1667: Protecting Children of Long-Term Visa Holders Act of 2023 (America's CHILDREN Act) - provisions relating to creating a pathway for citizenship for dependents of visa holders. H.R. 4875: Doctors in our Borders Act - provisions relating to CONRAD 30. Issues relating to border security.

Client expense: $520,000 · Firm income: Not reported

S.665/H.R.4942 - Conrad State 30 and Physician Access Reauthorization Act H.R.4875 - Doctors in our Borders Act Issue: Expansion of the Conrad 30 program and improvements to physician immigration. Issue: Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Draft Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.

Client expense: $641,145 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE