Elizabeth Dole Home Care Act of 2023

NAPA Reauthorization Act (P.L. 118-92) Alzheimers Accountability and Investment Act (P.L. 118-93) Comprehensive Care for Alzheimers Act (S. 626 / H.R. 1637 118th Congress) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Reauthorization Act (P.L. 118-142) Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (H.R. 3747) Elizabeth Dole Home Care Act, (S. 141 / H.R. 542 118th Congress) The Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act (H.R. 8371 118th Congress) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10 118th Congress) Access to Innovative Treatments Act of 2023 (H.R. 2408 118th Congress) Mandating Exclusive Review of Individual Treatments (MERIT) Act of 2023 (H.R. 133 118th Congress) Elder Justice Reauthorization and Modernization Act of 2023 (S. 1198/H.R. 2718 118th Congress) Expanding Veterans Options for Long-Term Care Act (S. 495/H.R.1815 118th Congress) Palliative Care and Hospice Education and Training Act of 2023 (S. 2243 118th Congress) Facilitating Innovative Nuclear Diagnostics (FIND) Act of 2023 (S. 1544/H.R. 1199 118th Congress) Supporting Our Seniors Act (S. 2584 118th Congress) Alleviating Barriers for Caregiving Act (S. 3109 118th Congress) Credit for Caring Act of 2025 (S. 925/H.R. 2036) Lifespan Respite Care Reauthorization Act of 2024 (S. 4325/H.R. 6160) to amend the Public Health Service Act to reauthorize a lifespan respite care program Lifespan Respite Care Reauthorization Act of 2025 (S.830/H.R.2560) DeOndra Dixon INvestigation of Co-occurring Conditions across the Lifespan to Understand Down Syndrome (INCLUDE) Project Act of 2025 (H.R. 3491/S. 1838) Paid Family and Medical Leave Tax Credit Extension Act (S. 3680 118th Congress) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 400/H.R. 996) CONNECT for Health Act of 2025 (S. 2016/H.R. 4189 118th Congress; S. 1261) PACE Part D Choice Act (S. 1703/H.R. 3549 118th Congress) Improving Seniors' Access to Timely Care Act (S. 4532/H.R. 8702 118th Congress) to amend Title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act (H.R. 9233) Better Empowerment Now to Enhance Framework and Improve Treatments Act of 2023 (BENEFIT) Act (S. 526/H.R. 1092) Essential Caregivers Act of 2024 (S. 4280/H.R. 8331, 118th Congress) Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691, 118th Congress) Linking Seniors to Needed Legal Services Act (H.R. 8588, 118th Congress) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1029) Catching Up Family Caregivers Act (S. 5149 / H.R. 9764, 118th Congress) Improving Retirement Security for Family Caregivers Act (S. 5148 / H.R. 9765, 118th Congress) Charitable Act (S. 317/H.R. 801) Health Tech Investment Act (S.1399) One Big Beautiful Bill Act (H.R. 1) Older Americans Act Reauthorization Act of 2025 (S. 2120) Other matters related to disaster preparedness and older adults, public health emergencies, public health preparedness and response, telehealth, health disparities, and older Americans/people with disabilities in all phases of emergencies Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta-amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices other matters related to rural health other matters related to veterans' health other matters related to Tricare Other matters related to research Other matters related to biomarkers including blood based tests and cerebral spinal fluid (CSF) Other matters related to public health Other matters related to elder justice Other matters related to Medicaid Other matters related to the National Plan to Address Alzheimer's Disease and the NAPA Advisory Council Other matters related to nonprofit infrastructure and operations Other matters related to the Alzheimer's Screening and Prevention (ASAP) Act Other matters related to the National Plan to Address Alzheimer's Disease and the NAPA Advisory Council Other matters related to nonprofit infrastructure and operations Other matters related to the Alzheimer's Screening and Prevention (ASAP) Act Other matters related to brain health, risk reduction, and the U.S. POINTER study and results

Client expense: $1,090,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Justice, Dept of (DOJ), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

NAPA Reauthorization Act (P.L. 118-92) Alzheimers Accountability and Investment Act (P.L. 118-93) Comprehensive Care for Alzheimers Act (S. 626 / H.R. 1637 118th Congress) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Reauthorization Act (P.L. 118-142) Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (H.R. 3747) Elizabeth Dole Home Care Act, (S. 141 / H.R. 542 118th Congress) The Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act (H.R. 8371 118th Congress) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10 118th Congress) Access to Innovative Treatments Act of 2023 (H.R. 2408 118th Congress) Mandating Exclusive Review of Individual Treatments (MERIT) Act of 2023 (H.R. 133 118th Congress) Elder Justice Reauthorization and Modernization Act of 2023 (S. 1198/H.R. 2718 118th Congress) Expanding Veterans Options for Long-Term Care Act (S. 495/H.R.1815 118th Congress) Palliative Care and Hospice Education and Training Act of 2023 (S. 2243 118th Congress) Facilitating Innovative Nuclear Diagnostics (FIND) Act of 2023 (S. 1544/H.R. 1199 118th Congress) Supporting Our Seniors Act (S. 2584 118th Congress) Alleviating Barriers for Caregiving Act (S. 3109 118th Congress) Credit for Caring Act (S. 925/H.R. 2036) Lifespan Respite Care Reauthorization Act (S. 4325/H.R. 6160) to amend the Public Health Service Act to reauthorize a lifespan respite care program Lifespan Respite Care Reauthorization Act (S.830/H.R.2560) DeOndra Dixon INvestigation of Co-occurring Conditions across the Lifespan to Understand Down Syndrome (INCLUDE) Project Act of 2025 (H.R. 3491/S. 1838) Paid Family and Medical Leave Tax Credit Extension Act (S. 3680 118th Congress) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 400/H.R. 996) CONNECT for Health Act (S. 2016/H.R. 4189 118th Congress; S. 1261 119th Congress) PACE Part D Choice Act (S. 1703/H.R. 3549 118th Congress) Improving Seniors' Access to Timely Care Act (S. 4532/H.R. 8702 118th Congress) to amend Title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act (H.R. 9233) Better Empowerment Now to Enhance Framework and Improve Treatments Act of 2023 (BENEFIT) Act (S. 526/H.R. 1092) Essential Caregivers Act of 2024 (S. 4280/H.R. 8331) Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691) Linking Seniors to Needed Legal Services Act (H.R. 8588) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1029) Catching Up Family Caregivers Act (S. 5149 / H.R. 9764) Improving Retirement Security for Family Caregivers Act (S. 5148 / H.R. 9765) Charitable Act (S. 317/H.R. 801) Health Tech Investment Act (S.1399) One Big Beautiful Bill Act (H.R. 1) Older Americans Act Reauthorization Act (S. 2120) Other matters related to disaster preparedness and older adults, public health emergencies, public health preparedness and response, telehealth, health disparities, and older Americans/people with disabilities in all phases of emergencies Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta-amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices other matters related to rural health other matters related to veterans' health other matters related to Tricare Other matters related to research Other matters related to biomarkers including blood based tests and cerebral spinal fluid (CSF) Other matters related to public health Other matters related to elder justice Other matters related to Medicaid Other matters related to the National Plan to Address Alzheimer's Disease and the NAPA Advisory Council Other matters related to nonprofit infrastructure and operations Other matters related to the Alzheimer's Screening and Prevention (ASAP) Act

Client expense: $1,790,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Justice, Dept of (DOJ), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

NAPA Reauthorization Act (S. 133 / H.R. 619 - P.L. 118-92) Alzheimers Accountability and Investment Act (S. 134 / H.R. 620 - P.L. 118-93) Comprehensive Care for Alzheimers Act (S. 626 / H.R. 1637) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Infrastructure for Alzheimer's Reauthorization Act of 2024 (S. 3775/ H.R. 7218 - P.L. 118-142) Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (S. 4276/H.R. 7688) Elizabeth Dole Home Care Act, of 2023 (S. 141 / H.R. 542) Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act (H.R. 8371) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10) Access to Innovative Treatments Act of 2023 (H.R. 2408) Mandating Exclusive Review of Individual Treatments (MERIT) Act (H.R. 133) Elder Justice Reauthorization and Modernization Act of 2023 (S. 1198/H.R. 2718) Expanding Veterans Options for Long-Term Care Act (S. 495/H.R.1815) Palliative Care and Hospice Education and Training Act (S. 2243) Facilitating Innovative Nuclear Diagnostics (FIND) Act of 2023 (S. 1544/H.R. 1199) Supporting Our Seniors Act (S. 2584) Alleviating Barriers for Caregiving Act (S. 3109) Credit for Caring Act of 2024 (S. 3702/H.R. 7165) Credit for Caring Act of 2025 (S. 925/H.R. 2036) Lifespan Respite Care Reauthorization Act of 2024 (S. 4325/H.R. 6160) Lifespan Respite Care Reauthorization Act of 2025 (S.830/H.R.2560) DeOndra Dixon INvestigation of Co-occurring Conditions across the Lifespan to Understand Down Syndrome (INCLUDE) Project Act of 2024 (H.R. 7406) Paid Family and Medical Leave Tax Credit Extension Act (S. 3680) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 400/H.R. 996) CONNECT for Health Act of 2023 (S. 2016/H.R. 4189) PACE Part D Choice Act of 2023 (S. 1703/H.R. 3549) Improving Seniors' Access to Timely Care Act of 2024 (S. 4532/H.R. 8702) Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act of 2024 (H.R. 9233) Better Empowerment Now to Enhance Framework and Improve Treatments Act of 2023 (BENEFIT)(S. 526/H.R. 1092) Essential Caregivers Act of 2024 (S. 4280/H.R. 8331) Ensuring Patient Access to Critical Breakthrough Products Act of 2024 (H.R. 1691) Linking Seniors to Needed Legal Services Act of 2024 (H.R. 8588) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1029) Catching Up Family Caregivers Act of 2024 (S. 5149 / H.R. 9764) Improving Retirement Security for Family Caregivers Act of 2024 (S. 5148 / H.R. 9765) Charitable Act (S. 317/H.R. 801) Other matters related to disaster preparedness and older adults, public health emergencies, public health preparedness and response, telehealth, health disparities, and older Americans/people with disabilities in all phases of emergencies Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta-amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices Other matters related to rural health Other matters related to veterans' health Other matters related to Tricare Other matters related to research Other matters related to biomarkers including blood based tests and cerebral spinal fluid (CSF) Other matters related to public health

Client expense: $530,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

Linking Seniors to Needed Legal Services Act (H.R. 8588) Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (S. 4276/H.R. 7688) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1029) Improving Seniors' Access to Timely Care Act (S. 4532/H.R. 8702) to amend Title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act (H.R. 9233) Better Empowerment Now to Enhance Framework and Improve Treatments Act of 2023 (BENEFIT) Act (S. 526/H.R. 1092) Essential Caregivers Act of 2024 (S. 4280/H.R. 8331) Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691) PACE Part D Choice Act of 2023 (S. 1703/H.R. 3549) Credit for Caring Act of 2024 (S. 3702/H.R. 7165) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 3680) CONNECT for Health Act of 2023 (S. 2016 / H.R. 4189) Lifespan Respite Care Reauthorization Act (H.R. 6160) to amend the Public Health Service Act to reauthorize a lifespan respite care program DeOndra Dixon Investigation of Co-occurring Conditions across the Lifespan to Understand Down Syndrome (INCLUDE) Project Act of 2024 (H.R. 7406) NAPA Reauthorization Act (S. 133/H.R. 619/P.L. 118-92) Alzheimers Accountability and Investment Act (S. 134/H.R. 620/P.L. 118-93) Comprehensive Care for Alzheimers Act (S. 626/H.R. 1637) Elizabeth Dole Home Care Act of 2023 (S. 141/H.R. 542) Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act (H.R. 8371) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10) Mandating Exclusive Review of Individual Treatments (MERIT) Act (H.R. 133) Access to Innovative Treatments Act of 2023 (H.R. 2408) Elder Justice Reauthorization and Modernization Act of 2023 (H.R. 2718/S. 1198) Expanding Veterans Options for Long Term Care Act (H.R.1815/S. 495) Palliative Care and Hospice Education and Training Act (S.2243) Facilitating Innovative Nuclear Diagnostics Act of 2023 (H.R. 1199/S. 1544) Supporting Our Seniors Act (S. 2584) Alleviating Barriers for Caregiving Act (S. 3109) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Reauthorization Act (P.L.118-142) Catching Up Family Caregivers Act (S. 5149 / H.R. 9764) Improving Retirement Security for Family Caregivers Act (S. 5148 / H.R. 9765) Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimers Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices other matters related to rural health other matters related to veterans health other matters related to Tricare Other matters related to research Other matters related to biomarkers including blood based tests and cerebral spinal fluid (csf)

Client expense: $480,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

S. 3702/H.R. 7165, the Credit for Caring Act. S. 3109/H.R. 8018, the Alleviating Barriers for Caregivers Ac.t S. 3766/H.R. 7274, the Connecting Caregivers to Medicare Act. S. 3254/H.R 7222, the Lowering Costs for Caregivers Act. No bill number. Discussed paid leave for family caregivers. S. 3680/ H.R. 8860, the Paid Family and Medical Leave Tax Credit Extension and Enhancement Act. No bill number. Discussed family caregiving. S. 4776, the Older Americans Act Reauthorization Act of 2024. No bill number. Discussed respite care. No bill number. Discussed care at home. No bill number. Discussed Medicare Caregiver Training Services and Medicare Physician Fee Schedule Final Rule. H.R. 8467, the Farm, Food, and National Security Act of 2024. S.5335, the Rural Prosperity and Food Security Act of 2024. No bill number. Discussed military and veteran caregivers. S. 141/H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. S. 495/H.R. 1815, the Expanding Veterans Options for Long Term Care Act. H.R. 542, the Elizabeth Dole Home and Community-Based Services for Veterans and Caregivers Act. H.R. 3581, the Caregiver Outreach and Program Enhancement (COPE) Act. No bill number. Discussed Nursing Home Staffing Standard.

Client expense: $5,580,000 · 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

S. 141/H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. S. 495/H.R. 1815, the Expanding Veterans Options for Long Term Care Act. H.R. 542, the Elizabeth Dole Home and Community-Based Services for Veterans and Caregivers Act. H.R. 3581, the Caregiver Outreach and Program Enhancement (COPE) Act. No bill number. Discussed military and veteran caregivers. H.R. 8108, the Care for Military Kids. S. 4556/H.R. 9179, the SAFE STEPS for Veterans Act.

Client expense: $5,580,000 · Firm income: Not reported

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; S. 1315, HEALTH Act of 2023; Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; CMS Proposed Rule (CMS-2442-P), Ensuring Access to Medicaid Services; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165); S. 2513 Veterans Improvement Act of 2025

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

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; CMS Proposed Rule (CMS-2442-P), Ensuring Access to Medicaid Services; Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Justice for ALS Veterans Act (H.R 3790 / S. 1590) -- All Provisions, including those extending Dependency and Indemnity Compensation payments to surviving spouses of veterans who die from ALS, regardless of how long a veteran had ALS prior to death. Elizabeth Dole Home Care Act of 2023 (H.R. 542 / S.141) - would raise the cap on the Veterans Administrations payments for home care from 65% to 100% and would expand VA home care programs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Expanding access to home and community-based geriatric services. S. 141/H.R. 542 - Elizabeth Dole Home Care Act of 2023. H.R. 8371 - the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to private duty nursing. H.R.542/S.141: Elizabeth Dole Home Care Act.

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

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

Advanced Practice Nursing full practice authority in the Veterans Health Administration S. 141/H.R. 542 - Elizabeth Dole Home Care Act H.R. 3428/S. 1633 - the United States Cadet Nurse Corps Service Recognition Act of 2023 H.R. 3347/S. 2070 - the Protect Lifesaving Anesthesia Care for Veterans Act

Client expense: $470,000 · Firm income: Not reported

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

H.R. 41, the VA Same-Day Scheduling Act of 2023 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 366, the Korean American VALOR Act H.R. 542, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 H.R. 543, the VA CPE Modernization Act H.R. 544, the Veterans Infertility Treatment Act of 2023 H.R. 592, the Department of Veterans Affairs Electronic Health Record Modernization Improvement Act H.R. 808, the Veterans Patient Advocacy Act H.R. 894, the Equal Access to Contraception for Veterans Act H.R. 1001, the Military and Veteran Caregiver Student Loan Relief Act of 2023 H.R. 1003, the VA Medicinal Cannabis Research Act of 2023 H.R. 1083, the Caring for Survivors Act H.R. 1089, the VA Medical Center Transparency Act H.R. 1139, the GUARD VA Benefits Act H.R. 1191, the Correcting Guams History in the PACT Act H.R. 1226, the Wounded Warrior Access Act H.R. 1255, the Sgt. Isaac Woodard, Jr. and Sgt. Joseph H. Maddox GI Bill Restoration Act of 2023 H.R. 1278, the DRIVE Act H.R. 1282, the Richard Star Act H.R. 1529, the Veterans Compensation Cost-of-Living Adjustment Act of 2023 H.R. 1554, the INVEST Act H.R. 1606, the Veterans Entrepreneurship Training Act of 2023 H.R. 1658, the Manage VA Act H.R. 1659, the Department of Veterans Affairs IT Modernization Improvement Act H.R. 1753, the JAX Act H.R. 1815, the Expanding Veterans Options for Long Term Care Act H.R. 4190, the Resorting Benefits to Defrauded Veterans Act H.R. 2410, the VET CARE Act of 2023 H.R. 2413, the Dental Care for Veterans Act H.R. 2414, the CHAMPVA Childrens Care Protection Act of 2023 H.R. 2431, the Veterans Equal Access Act H.R. 2441, the Servicemembers and Veterans Empowerment and Support Act of 2023 H.R. 2499, the VA Supply Chain Management System Authorization Act H.R. 2768, the PFC Joseph P. Dwyer Peer Support Program Act H.R. 2818, the Autonomy for Disabled Veterans Act H.R. 2830, the Veteran Improvement Commercial Driver License Act of 2023 H.R. 2971, the Veterans Claims Education Act of 2023 H.R. 3077, the Green Star Families Act H.R. 3225, the BUILD for Veterans Act H.R. 3303, the Maternal Health for Veterans Act H.R. 3584, the Veterans Care Act H.R. 3600, the VA Work-Study Improvement Act H.R. 3601, the Student Veteran Work Study Modernization Act H.R. 3644, the Act for Veterans Act H.R. 3649, the Veterans National Traumatic Brain Injury Treatment Act H.R. 3651, the Love Lives On Act H.R. 3698, the Feed Hungry Veterans H.R. 3738, the Veterans Education, Transition, and Opportunity Prioritization Plan (VET OPP) Act of 2023 H.R. 3790, the Justice for ALS Veterans Act H.R. 3948, the Care for COFA Veterans Act H.R. 3981, the Isakson-Roe Education Oversight Expansion Act H.R. 3956, the Veterans Protection from Fraud Act H.R. 4016, the Veteran Fraud Reimbursement Act H.R. 4047, the Autonomy for All Disabled Veterans Act H.R. 4278, the Restore Department of Veterans Affairs Accountability Act H.R. 4249, the Veterans Exposed to Toxic PFAS Act (VET PFAS Act) H.R. 4262, the CHAMPVA Online Act H.R. 4334, the Healthcare Equality and Rights for Our Heroes Act H.R. 4424, the Vietnam Veterans Liver Fluke Cancer Study Act H.R. 4566, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility (PRESUME) Act H.R. 5247, the Expedited Hiring for VA Trained Psychiatrists Act of 2023 H.R. 5492, the Veteran Families Health Services Act of 2023 H.R. 5530, the VA Emergency Transportation Access Act H.R. 5559, the Protecting Veteran Claim Options Act H.R. 5610, the Commission on Equity and Reconciliation in the Uniformed Services Act H.R. 5787, the Veterans HSA Access Act of 2023 H.R. 5794, the VA Peer Review Neutrality Act H.R. 5870, the Veteran Appeals Transparency Act of 2023 H.R. 5890, the Review Every Veterans Claim Act of 2023 H.R. 5891, the Veteran Appeals Decision Clarity Act H.R. 6291, the Have You Served Act H.R. 6315, the VA Billing Accountability Act H.R. 6324, the FY24 VA Major Medical Facility Authorization Act H.R. 6330, the Veterans Sentinel Act H.R. 6331, the DOULA for VA Act of 2023 H.R. 6333, the Veterans Emergency Care Reimbursement Act of 2023 H.R. 6342, the Military and Veterans in Parks (MVP) Act H.R. 6373, the Veterans Spinal Trauma Access to New Devices (STAND) Act H.R. 6492, the EXPLORE Act H.R. 6538, the VA Correct Compensation Act of 2023 H.R. 6551, the HEAL Act H.R. 6951, the College Cost Reduction Act of 2023 H.R 7100, the Prioritizing Veterans Survivors Act H.R 7150, the Survivor Benefits Delivery Improvement Act of 2024 H.R. 7342, the Veterans Accessibility Advisory Committee Act of 2024 H.R. 7347 H.R. 7361, the Flowers for Fallen Heroes Act of 2024 H.R. 7434, the BEST for Vets Act of 2024 H.R. 7480, the Disabled Veteran Housing Support Act H.R. 7653, the VERY Act H.R. 7654, the Rural Veterans Transportation to Care Act H.R. 7738, the Toxic Exposure Fund Improvement Act of 2024 H.R. 7777, the Veterans Compensation Cost of Living Adjustment Act H.R. 7793, the Veterans Appeals Options Expansion Act of 2024 H.R. 7816, the Clear Communication for Veterans Claims Act H.R. 7919, the Veterans Claims Quality Improvement Act of 2024 H.R. 8168, the Wounded Warrior Workforce Enhancement Act H.R. 8340, the Housing Unhoused Disabled Veterans Act H.R. 8347, the Improving Menopause Care for Veterans Act of 2024 H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act H.R. 8481, the Emergency Community Care Notification Time Adjustment Act of 2024 H.R. 8568, the Informing VETS Act of 2023 H.R. 8592, the Warriors to Workforce Act H.R. 8646, the Modernizing the Veterans On-Campus Experience Act of 2024 H.R. 8792, the Flowers for Fallen Heroes Act of 2024 H.R. 8879, the Improving VA Training for Military Sexual Trauma Claims Act H.R. 9179, the Safe STEPS For Veterans Act of 2024 H.R. 9399, the Coordinating Care for Senior Veterans and Wounded Warriors Act H.R. 9449, the Veterans Suicide Prevention and Care Enhancement Act of 2024 H.R. 9804, the Loved Ones Internment Act H.R. 9806, the Improving Veterans Experience Act of 2024 H.R. 9924, the What Works for Preventing Veteran Suicide Act H.R. 10,012 H.R. 10,137 H.R. 10,138 H.R. 10,267, the Complete the Mission Act of 2024 H.R. 10,381, the Supporting Medical Students and VA Workforce Act H.R. 10,536 H. RES. 851, the Expressing the support of the House of Representatives for the naming of new or undedicated facilities of the Department of Veterans Affairs after women veterans and minority veterans in order to reflect the diversity of all who have served in the Armed Forces of the United States House Resolution, to recognize the patriotism and contributions of veterans service organizations House Resolution, to establish a National Veterans Suicide Prevention Day House Draft, the VA Caregiver Transparency Act House Draft, to provide caregivers with access to Space-A travel House Draft, the Veterans Burial Benefits Awareness Act House Draft, the VR&E Terminology Update Act of 2024 House Draft, the Medical Disability Examination Improvement Act House Draft, the Every Veteran Housed Act House Draft, to direct the Secretary of Veterans Affairs to automatically pay dependency and indemnity compensation to a survivor of a veteran with a service-connected mental disorder who dies by suicide. House Draft, to repeal the requirement that veterans disability compensation be reduced by separation pay received by a veteran from the Armed Forces, and for other purposes. House Draft, the INNOVATE Act S.10, the VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 S. 30, the Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act S. 38, the Veteran Entrepreneurship Training Act of 2023 S. 42, the Build, Utilize, Invest, Learn and Deliver (BUILD) for Veterans Act of 2023 S. 141, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act S. 296, the Preventing Crimes Against Veterans Act of 2023 S. 326, the VA Medicinal Cannabis Research Act of 2023 S. 344, the Richard Star Act S. 414, the Caring for Survivors Act S. 449, the Veterans Patient Advocacy Act S. 495, the Expanding Veterans Options for Long Term Care Act S. 592, the DRIVE Act S. 656, the Veteran Improvement Commercial Driver License Act of 2023 S. 622, the Helping Heroes Act S. 740, the GUARD VA Benefits Act of 2023 S. 777, the Veterans' COLA Act of 2023 S. 853, the VA Zero Suicide Demonstration Project Act of 2023 S. 928, the Not Just a Number Act S. 1028, the Servicemembers and Veterans Empowerment and Support Act of 2023 S. 1037, the Department of Veterans Affairs EHRM Standardization and Accountability Act S. 1119, the CHAMPVA Children's Care Protection Act of 2023 S. 1125, the EHR Program RESET Act of 2023 S. 1172, the Removing Extraneous Loopholes Insuring Every Veteran Emergency (RELIEVE) Act S. 1266, the Love Lives On Act of 2023 S. 1299, the Fairness for Servicemembers and their Families Act of 2023 S. 1315, the Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 S. 1436, the Critical Health Access Resource and Grant Extensions (CHARGE) Act of 2023 S. 1515, the Retired Pay Restoration Act S. 1545, the Veterans Health Care Freedom Act S. 1590, the Justice for ALS Veterans Act S. 1612, the Reimburse Veterans for Domiciliary Act S. 1745, the Protecting Veteran Community Care Act S. 1792, the Veteran Caregiver Application and Appeals Reform Act of 2023 (CARE Act of 2023) S. 1828, the Veterans Homecare Choice Act S. 1910, the Ensuring VetSuccess on Campus Act of 2023 S. 1951, the Veterans Affairs Income Eligibility Standardization Act S. 1954, the Improving Whole Health for Veterans with Chronic Conditions Act S. 2014 S. 2067, the Service Dogs Assisting Veterans Act (SAVES Act) S. 2158, the Restore Department of Veterans Affairs Accountability Act S. 2174, the Department of Veterans Affairs Minor Construction Threshold Adjustment Act of 2023 S. 2181, the Keeping Military Families Together Act S. 2259, the LINC VA Act S. 2263, the Rural Vital Emergency Transportation Services (VETS) Act S. 2276, the Welcome Home Veterans Act of 2023 S. 2503, the Veterans Protection from Fraud Act S. 2516, the Veterans Accessibility Act of 2023 S. 2679, the LEAD Act of 2023 S. 2718, the Medical Disability Exam Improvement Act of 2023 S. 2745, the Veterans Affairs Peer Review Neutrality Act of 2023 S. 2757, the VA Emergency Transportation Access Act S. 2778, the VETS Business Act of 2023 S. 2801, the Veteran Families Health Services Act of 2023 S. 2863, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 2873, the Veterans Affairs Opportunity for Women-Owned Small Businesses Act of 2023 S. 2888, the TAP Promotion Act S. 3118, the Eliminating Racial Disparities in Claims Processing Act of 2023 S. 3126, the Mark Our Place Act S. 3256, the Improving Veterans Experience Act of 2023 S. 3284, the Veterans Emergency Care Reimbursement Act of 2023 S. 3290, the Autonomy for Disabled Veterans Act S. 3295, the Increasing Access to Military Service Records Act of 2023 S. 3452, the Fred Hamilton Veterans Lost Records Act S. 3567, the Veterans Affairs Centennial and Heritage Act of 2024 S. 3598, the SCHEDULES Act of 2024 S. 3728, the Veterans Housing Stability Act of 2024 S. 3746, the Gold Star and Surviving Spouse Career Services Act S. 3751, the Rural Veterans Transportation to Care Act S. 3873, the Guard and Reserve GI Bill parity Act of 2024 S. 3886, the WAIVER Act S. 3911, the Isakson-Roe Education Oversight Expansion Act S. 3958, the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act S. 3979 S. 4009, the Veterans STAND Act S. 4047, the Veterans COLA Act of 2024 S. 4074, the Veterans Transition to Trucking Act of 2024 S. 4100, the Honoring Veterans Legacies and Burial Benefits Enhancement Act S. 4198, the Veterans Cemetery Access Act S. 4437, the Coordinating Care for Senior Veterans and Wounded Warriors Act S. 4556, the Safe STEPS for Veterans Act of 2024 S. 4645, the Servicemember Student Loan Affordability Act of 2024 S. 4787, the Flowers for Fallen Heroes Act of 2024 S. 4992, the VA Transportation Program Act of 2024 S. 5035 S. 5074 S. 5210, the Building Resources and Access for Veterans Mental Health Engagement (BRAVE) Act of 2024 S. 5624, Improving Veteran Access to Care Act S. Res. 238, National Service Dog Day S. Res. 405, the National Veterans Suicide Prevention Day Senate Draft, the Mental Health Administration and Delivery Act Senate Draft, the Elizabeth Dole Veterans Programs Improvement Act Senate Draft, the Veterans Mental Health and Behavioral Quality of Care Act Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, and P.L. 117-333 Discussions: Accessibility of VA Long Term Care Centers for SCI/D patients Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: VA Dental Program Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA Grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement Discussions: Adequacy of VA Special Monthly Compensation Discussions: Modifying the VALife program for catastrophically disabled veterans Discussions: Improving VA Dependency and Indemnity Compensation for ALS surviving spouses Discussions: Increasing VA health care staffing Discussions: Wheelchair repair

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

General education on the importance of the Department of Defense medical research programs for military service personnel and Veterans living with Parkinson's disease. H.R.8774/ S.4921: FY25 Defense Appropriations bills to support increased funding for DOD Congressionally Directed Medical Research Programs Parkinson's Research Program. H.R.542/S.141 - The Elizabeth Dole Home Care Act: Increases access to home care and caregiver programs provided by the Department of Veterans Affairs (VA) and seeks to address VA home health workforce shortages. Inclusion of Parkinson's disease and PD-related diseases as presumptive conditions when military Veterans are exposed to associated toxins. H.R.8580 / S.4677 - FY25 Military Construction, Veterans Affairs and Related Agencies Appropriations bill: Supports increased funding for the VA's Parkinson's Disease Research, Education and Clinical Center as part of Neurology Centers of Excellence. General education regarding the importance of the Department of Defense medical research programs for military service personnel and Veterans living with Parkinson's disease.

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

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

Implementation of the Honoring Our PACT Act (Public Law No: 117-168) Implementation of the Deborah Sampson Act (included within Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020 Public Law No: 116-315), and women veterans policy Afghan Allies Protection Act (H.R. 3808/S. 1786) Support of Additional Special Immigrant Visas included within Fiscal Year 2024 State, Foreign Operations, and Related Programs Appropriations Act Equal Access to Contraception for Veterans Act (H.R. 894) Access to Contraception for Servicemembers and Dependents Act (S. 1527) Elizabeth Dole Home Care Act (H.R. 542/S. 141) Servicemembers and Veterans Empowerment and Support Act of 2023 (H.R. 2441/S. 1028) The GI Bill Restoration Act (S. 3257/H.R. 1255) Opposition to the 90/10 roll back provision included within College Cost Reduction Act (H.R. 6951) Marijuana Safe Harbor Act (H.R. 2682) Voting Overseas Treated Equally for Servicemembers (VOTES) Act (H.R. 6242) Guard and Reserve GI Bill Parity Act (H.R. 1836) Women Involuntary Separated Earnings Remittance Act (WISER Act) (H.R. 9725) Loved Ones Internment Act (H.R. 9804) Burn Pit Elimination Act (H.R. 9171/S. 4627) Servicemember Quality of Life Improvement and National Defense Authorization Act for FY25 (H.R. 8070) National Defense Authorization Act for FY25 (S. 4638) Retroactive language in Sec. 549L(b) of S. 4638 of the FY25 NDAA addressing issues with Marine Corps Excess Leave Program Law Improving Access to Prenatal Care for Military Families Act (S. 5330) Alternatives to PAIN Act (H.R. 7142/S. 3832)

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

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

VA budget: Lobbied for Congress to provide funding to plug a $15 billion budget shortfall for FY 2024 and FY 2025. Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied on the specialization of claims processing for highly complex cases. Lobbied 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)

House and Senate versions of the Fiscal Year (FY) 2025 Military Construction, Veterans Affairs, and Related Agencies Appropriations Bill. Recommended Congress pass the Military Construction and Veterans Affairs Appropriations bills as soon as possible. Advocated for Army Warfighting, Delivering Ready Combat Formations, Strengthening the Profession, and Continuous Transformation, as requested in the Armys Budget Request. Recommended additional funding for Military Construction appropriations to support Army Warfighting, Delivering Ready Combat Formations, Strengthening the Profession, and Continuous Transformation priorities. Advocated for full funding for veterans care, veterans benefits, and proper implementation of the PACT Act. H.R. 1282/S. 344, Major Richard Star Act. Recommended Congress pass this legislation. H.R. 3545, Ritchie Boys Congressional Gold Medal Act. Recommended Congress pass this legislation. S. 141/H.R. 542 Elizabeth Dole Home Care Act Recommended Congress pass this legislation. S. 622, Helping Heroes Act. Recommended Congress pass this legislation. S. 815/H.R. 1572, Hello Girls Congressional Gold Medal Act. Recommended Congress pass this legislation.

Client expense: $96,273 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Elizabeth Dole Home Care Act, S. 141, HR 542; Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, S. 141, P.L. 118-210

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 10000, HR 1001, HR 10012, HR 1003, HR 10038, HR 10106, HR 10142, HR 10148, HR 10153, HR 10369, HR 10381, HR 104, HR 1078, HR 1083, HR 1089, HR 1139, HR 1144, HR 1166, HR 1169, HR 1179, HR 1182, HR 1191, HR 1226, HR 1278, HR 1282, HR 1311, HR 1315, HR 1329, HR 1378, HR 1402, HR 1529, HR 1530, HR 1554, HR 1606, HR 1609, HR 1616, HR 1639, HR 1659, HR 1669, HR 1753, HR 1767, HR 1774, HR 1786, HR 1799, HR 1815, HR 196, HR 228, HR 232, HR 234, HR 236, HR 2410, HR 2413, HR 2414, HR 2441, HR 2447, HR 2469, HR 2472, HR 2499, HR 251, HR 2518, HR 2525, HR 2526, HR 2530, HR 2543, HR 2733, HR 2768, HR 2809, HR 2818, HR 2830, HR 2846, HR 2896, HR 2911, HR 2932, HR 2971, HR 3023, HR 303, HR 3040, HR 3075, HR 3084, HR 3110, HR 3128, HR 3157, HR 3186, HR 3192, HR 3214, HR 3225, HR 3303, HR 3326, HR 333, HR 3363, HR 3368, HR 3450, HR 3489, HR 3499, HR 3504, HR 3511, HR 3581, HR 3584, HR 3600, HR 3601, HR 3603, HR 3644, HR 3648, HR 3649, HR 3651, HR 3676, HR 3677, HR 3698, HR 3718, HR 3720, HR 3722, HR 3738, HR 3790, HR 3811, HR 3816, HR 3848, HR 3870, HR 3874, HR 3895, HR 3898, HR 3933, HR 394, HR 395, HR 3956, HR 3981, HR 4016, HR 4047, HR 4060, HR 4061, HR 41, HR 411, HR 4150, HR 4155, HR 4157, HR 4171, HR 4190, HR 4225, HR 4249, HR 4262, HR 4264, HR 4278, HR 4325, HR 4400, HR 4401, HR 4424, HR 4461, HR 4518, HR 4566, HR 4569, HR 4670, HR 4886, HR 4906, HR 491, HR 492, HR 4921, HR 5002, HR 5014, HR 5147, HR 5153, HR 516, HR 522, HR 523, HR 5247, HR 5259, HR 5365, HR 5377, HR 5416, HR 542, HR 543, HR 544, HR 5470, HR 5492, HR 5530, HR 5559, HR 5610, HR 5633, HR 5697, HR 5702, HR 5785, HR 5794, HR 5870, HR 5890, HR 5891, HR 5904, HR 5914, HR 592, HR 5938, HR 5956, HR 6023, HR 6179, HR 6197, HR 6225, HR 6294, HR 6300, HR 6315, HR 6324, HR 6330, HR 6331, HR 6333, HR 6338, HR 6340, HR 6345, HR 6360, HR 6361, HR 6362, HR 6373, HR 6374, HR 6380, HR 645, HR 6452, HR 6492, HR 6507, HR 6524, HR 6531, HR 6538, HR 6551, HR 6656, HR 6800, HR 6833, HR 6873, HR 6874, HR 6916, HR 693, HR 6949, HR 6995, HR 7097, HR 7136, HR 7150, HR 728, HR 7323, HR 733, HR 7347, HR 7365, HR 7401, HR 7434, HR 746, HR 7480, HR 7490, HR 7504, HR 7514, HR 7543, HR 7596, HR 7613, HR 7643, HR 7653, HR 7654, HR 7657, HR 7703, HR 7732, HR 7773, HR 7777, HR 7793, HR 7816, HR 7860, HR 7884, HR 7895, HR 7896, HR 7917, HR 7919, HR 7920, HR 7971, HR 8009, HR 8017, HR 8025, HR 8048, HR 808, HR 8136, HR 8165, HR 8167, HR 8168, HR 8223, HR 8312, HR 8340, HR 8347, HR 8371, HR 8381, HR 8418, HR 8442, HR 8454, HR 8481, HR 8511, HR 8514, HR 854, HR 8560, HR 8562, HR 8567, HR 8580, HR 8592, HR 8627, HR 8646, HR 8661, HR 885, HR 8851, HR 8874, HR 8879, HR 8880, HR 8881, HR 8896, HR 894, HR 9029, HR 903, HR 9050, HR 9052, HR 9057, HR 9094, HR 9107, HR 9146, HR 9161, HR 9179, HR 9276, HR 9324, HR 9328, HR 9404, HR 9415, HR 9449, HR 9468, HR 9478, HR 9484, HR 9510, HR 9511, HR 9525, HR 9575, HR 9583, HR 9643, HR 9773, HR 9788, HR 9806, HR 9819, HR 9854, HR 984, HR 9924, HR 9930, HR 9934, HR 9948, HR 9996, S 10, S 1028, S 1037, S 106, S 1090, S 1113, S 1119, S 1125, S 1172, S 1266, S 1267, S 1299, S 1309, S 1314, S 132, S 1330, S 1360, S 141, S 1436, S 1469, S 1515, S 1590, S 1612, S 1635, S 1678, S 1739, S 1792, S 1828, S 185, S 1877, S 1910, S 1954, S 1972, S 1975, S 1994, S 2014, S 2026, S 2083, S 2084, S 2146, S 216, S 2174, S 2181, S 2183, S 2212, S 2256, S 2259, S 2263, S 2276, S 2294, S 2315, S 24, S 2422, S 2431, S 2465, S 2503, S 2513, S 2516, S 263, S 2679, S 2745, S 2757, S 2778, S 2795, S 280, S 2801, S 2803, S 2863, S 2888, S 291, S 296, S 2975, S 30, S 302, S 3126, S 3243, S 3256, S 326, S 3274, S 3282, S 3284, S 3288, S 3290, S 3295, S 3341, S 3352, S 344, S 3452, S 3466, S 350, S 3524, S 3526, S 3546, S 3560, S 3598, S 3614, S 3636, S 3728, S 3746, S 3751, S 3768, S 38, S 3834, S 3841, S 3873, S 3885, S 3886, S 3911, S 3958, S 3970, S 3979, S 4009, S 4047, S 4061, S 4074, S 4109, S 4111, S 414, S 42, S 4226, S 4246, S 4284, S 4357, S 4372, S 4396, S 4423, S 4445, S 449, S 4556, S 4748, S 4750, S 4879, S 4922, S 4929, S 495, S 498, S 4997, S 5035, S 5138, S 5141, S 5210, S 528, S 5301, S 531, S 5325, S 592, S 622, S 656, S 665, S 680, S 740, S 748, S 774, S 777, S 853, S 897, S 928

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

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

Linking Seniors to Needed Legal Services Act (H.R. 8588) Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (S. 4276/H.R. 7688) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1029) Improving Seniors' Access to Timely Care Act (S. 4532/H.R. 8702) to amend Title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act (H.R. 9233) Better Empowerment Now to Enhance Framework and Improve Treatments Act of 2023 (BENEFIT) Act (S. 526/H.R. 1092) Essential Caregivers Act of 2024 (S. 4280/H.R. 8331) Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691) PACE Part D Choice Act of 2023 (S. 1703/H.R. 3549) Credit for Caring Act of 2024 (S. 3702/H.R. 7165) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 3680) CONNECT for Health Act of 2023 (S. 2016 / H.R. 4189) Lifespan Respite Care Reauthorization Act (H.R. 6160) to amend the Public Health Service Act to reauthorize a lifespan respite care program DeOndra Dixon Investigation of Co-occurring Conditions across the Lifespan to Understand Down Syndrome (INCLUDE) Project Act of 2024 (H.R. 7406) NAPA Reauthorization Act (S. 133/H.R. 619/P.L. 118-92) Alzheimers Accountability and Investment Act (S. 134/H.R. 620/P.L. 118-93) Comprehensive Care for Alzheimers Act (S. 626/H.R. 1637) Elizabeth Dole Home Care Act of 2023 (S. 141/H.R. 542) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10) Mandating Exclusive Review of Individual Treatments (MERIT) Act (H.R. 133) Access to Innovative Treatments Act of 2023 (H.R. 2408) Elder Justice Reauthorization and Modernization Act of 2023 (H.R. 2718/S. 1198) Expanding Veterans Options for Long Term Care Act (H.R.1815/S. 495) Palliative Care and Hospice Education and Training Act (S.2243) Facilitating Innovative Nuclear Diagnostics Act of 2023 (H.R. 1199/S. 1544) Supporting Our Seniors Act (S. 2584) Alleviating Barriers for Caregiving Act (S. 3109) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Reauthorization Act (S. 3775/ H.R. 7218) Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimers Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices other matters related to rural health other matters related to veterans health other matters related to Tricare Other matters related to research Other matters related to biomarkers including blood based tests and cerebral spinal fluid (csf)

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; S. 1315, HEALTH Act of 2023; Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; CMS Proposed Rule (CMS-2442-P), Ensuring Access to Medicaid Services; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; CMS Proposed Rule (CMS-2442-P), Ensuring Access to Medicaid Services; Develop and execute a government relations strategy relating to legislative and regulatory home care issues. S. 762, HCBS Access Act; S. 100, Better Care Better Jobs Act; H.R. 547, Better Care Better Jobs Act; Tax credits for long term care expenses; H.R. 1795, Homecare for Seniors Act; S. 141, Elizabeth Dole Home Care Act; H.R. 542 Elizabeth Dole Home Care Act; Veteran Care Improvement Act of 2023 (H.R. 3520); Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 (S.1315); Credit for Caring Act of 2024 (S.3702; H.R. 7165)

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

S. 4556/H.R. 9179, the SAFE STEPS for Veterans Act. H.R. 542, the Elizabeth Dole Home and Community-Based Services for Veterans and Caregivers Act. S. 495/H.R. 1815, the Expanding Veterans Options for Long Term Care Act. H.R. 3581, the Caregiver Outreach and Program Enhancement (COPE) Act. H.R. 2818, the Autonomy for Disabled Veterans Act. H.R. 3956, the Veterans Protection from Fraud Act. S. 3109/H.R. 8018, the Alleviating Barriers for Caregivers Act. S. 3702/H.R. 7165, the Credit for Caring Act. S. 3254/H.R. 7222, the Lowering Costs for Caregivers Act. S. 3766/H.R. 7274, the Connecting Caregivers to Medicare Act. No bill number. Discussed veterans and military veteran caregivers. H.R. 8108, the Care for Military Kids Act. No bill number. Discussed VA Caregiver Support Programs.

Client expense: $4,820,000 · Firm income: Not reported

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

S. 3109/H.R. 8018, the Alleviating Barriers for Caregivers Act. S. 3766/H.R. 7274, Connecting Caregivers to Medicare Act. S. 3254/H.R 7222, the Lowering Costs for Caregivers Act. H.R. 7165/S. 3702, the Credit for Caring Act. S.3680/ H.R. 8860, the Paid Family and Medical Leave Tax Credit Extension and Enhancement Act. No bill number. Discussed paid leave for family caregivers. S.4776, the Older Americans Act Reauthorization Act. S. 5023, the Stand Strong Falls Prevention Act. S. 4556/H.R. 9179, the SAFE STEPS for Veterans Act. H.Con.Res.129 - Supporting the designation of "National Fall Prevention Awareness Week". No bill number. Discussed Strategic Framework for a National Plan on Aging. No bill number. Discussed Proposed Fiscal Year 2025 Home Health Prospective Payment System Rate Update. S.1190, the Direct Support Worker Training Reimbursement Act of 2023. S.1196, the Mollie Baldwin Upskilling of Personal and Home Care Aides Act of 2023. S.1192, the CADSAW Act of 2023. No bill number. Discussed Older Americans Act programs. No bill number. Discussed family caregiving priorities and Older Americans Act reauthorization. S. 4765, the Respect Parents Childcare Choices Act. H.R. 9803, the Hospice Care Act. No bill number. Discussed GUIDE Model. No bill number. Discussed National Strategy to Support Family Caregivers. No bill number. Discussed Medicare and Medicaid and family caregivers. H.R. 542, the Elizabeth Dole Home and Community-Based Services for Veterans and Caregivers Act. H.R. 3581, Caregiver Outreach and Program Enhancement (COPE) Act. H.R. 6160, To reauthorize a lifespan respite care program. S. 4325, the Lifespan Respite Care Reauthorization Act. No bill number. Discussed Medicare Physician Fee Schedule for calendar year 2025. No bill number. Discussed Medicare Hospital Outpatient Prospective Payment System for calendar year 2025. S.3697/H.R.7623, the Telehealth Modernization Act. No bill number. Discussed military and veteran caregivers and VA Caregiver Support Programs.

Client expense: $4,820,000 · Firm income: Not reported

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

Elizabeth Dole Home Care Act, S. 141, HR 542

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advanced Practice Nursing full practice authority in the Veterans Health Administration S. 141/H.R. 542 - Elizabeth Dole Home Care Act H.R. 3428/S.1633 - the United States Cadet Nurse Corps Service Recognition Act of 2023 H.R. 3347/S. 2070 - the Protect Lifesaving Anesthesia Care for Veterans Act

Client expense: $360,000 · Firm income: Not reported

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

Expanding access to home and community-based geriatric services. S. 141/H.R. 542 - Elizabeth Dole Home Care Act of 2023. H.R. 8371 - the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General education on the importance of the Department of Defense medical research programs for military service personnel and Veterans living with Parkinson's disease. H.R.8774/ S.4921: FY25 Defense Appropriations bills to support increased funding for DOD Congressionally Directed Medical Research Programs Parkinson's Research Program. H.R.542/S.141 - The Elizabeth Dole Home Care Act: Increases access to home care and caregiver programs provided by the Department of Veterans Affairs (VA) and seeks to address VA home health workforce shortages. Inclusion of Parkinson's disease and PD-related diseases as presumptive conditions when military Veterans are exposed to associated toxins. H.R.8580 / S.4677 - FY25 Military Construction, Veterans Affairs and Related Agencies Appropriations bill: Supports increased funding for the VA's Parkinson's Disease Research, Education and Clinical Center as part of Neurology Centers of Excellence. General education regarding the importance of the Department of Defense medical research programs for military service personnel and Veterans living with Parkinson's disease.

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

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

Justice for ALS Veterans Act (H.R 3790 / S. 1590) -- All Provisions, including those extending Dependency and Indemnity Compensation payments to surviving spouses of veterans who die from ALS, regardless of how long a veteran had ALS prior to death. Elizabeth Dole Home Care Act of 2023 (H.R. 542 / S.141) - would raise the cap on the Veterans Administrations payments for home care from 65% to 100% and would expand VA home care programs.

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)

Issues related to private duty nursing. H.R.542/S.141: Elizabeth Dole Home Care Act.

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

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

H.R. 41, the VA Same-Day Scheduling Act of 2023 H.R. 303, the Retired Pay Restoration Act H.R. 333, the Disabled Veterans Tax Termination Act H.R. 366, the Korean American VALOR Act H.R. 542, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 H.R. 543, the VA CPE Modernization Act H.R. 544, the Veterans Infertility Treatment Act of 2023 H.R. 592, the Department of Veterans Affairs Electronic Health Record Modernization Improvement Act H.R. 808, the Veterans Patient Advocacy Act H.R. 894, the Equal Access to Contraception for Veterans Act H.R. 1001, the Military and Veteran Caregiver Student Loan Relief Act of 2023 H.R. 1003, the VA Medicinal Cannabis Research Act of 2023 H.R. 1083, the Caring for Survivors Act H.R. 1089, the VA Medical Center Transparency Act H.R. 1139, the GUARD VA Benefits Act H.R. 1191, the Correcting Guams History in the PACT Act H.R. 1226, the Wounded Warrior Access Act H.R. 1255, the Sgt. Isaac Woodard, Jr. and Sgt. Joseph H. Maddox GI Bill Restoration Act of 2023 H.R. 1278, the DRIVE Act H.R. 1282, the Richard Star Act H.R. 1529, the Veterans Compensation Cost-of-Living Adjustment Act of 2023 H.R. 1554, the INVEST Act H.R. 1606, the Veterans Entrepreneurship Training Act of 2023 H.R. 1658, the Manage VA Act H.R. 1659, the Department of Veterans Affairs IT Modernization Improvement Act H.R. 1753, the JAX Act H.R. 1815, the Expanding Veterans Options for Long Term Care Act H.R. 4190, the Resorting Benefits to Defrauded Veterans Act H.R. 2410, the VET CARE Act of 2023 H.R. 2413, the Dental Care for Veterans Act H.R. 2414, the CHAMPVA Childrens Care Protection Act of 2023 H.R. 2431, the Veterans Equal Access Act H.R. 2441, the Servicemembers and Veterans Empowerment and Support Act of 2023 H.R. 2499, the VA Supply Chain Management System Authorization Act H.R. 2768, the PFC Joseph P. Dwyer Peer Support Program Act H.R. 2818, the Autonomy for Disabled Veterans Act H.R. 2830, the Veteran Improvement Commercial Driver License Act of 2023 H.R. 2971, the Veterans Claims Education Act of 2023 H.R. 3077, the Green Star Families Act H.R. 3225, the BUILD for Veterans Act H.R. 3303, the Maternal Health for Veterans Act H.R. 3584, the Veterans Care Act H.R. 3600, the VA Work-Study Improvement Act H.R. 3601, the Student Veteran Work Study Modernization Act H.R. 3644, the Act for Veterans Act H.R. 3649, the Veterans National Traumatic Brain Injury Treatment Act H.R. 3651, the Love Lives On Act H.R. 3698, the Feed Hungry Veterans H.R. 3738, the Veterans Education, Transition, and Opportunity Prioritization Plan (VET OPP) Act of 2023 H.R. 3790, the Justice for ALS Veterans Act H.R. 3948, the Care for COFA Veterans Act H.R. 3981, the Isakson-Roe Education Oversight Expansion Act H.R. 3956, the Veterans Protection from Fraud Act H.R. 4016, the Veteran Fraud Reimbursement Act H.R. 4047, the Autonomy for All Disabled Veterans Act H.R. 4278, the Restore Department of Veterans Affairs Accountability Act H.R. 4249, the Veterans Exposed to Toxic PFAS Act (VET PFAS Act) H.R. 4262, the CHAMPVA Online Act H.R. 4334, the Healthcare Equality and Rights for Our Heroes Act H.R. 4424, the Vietnam Veterans Liver Fluke Cancer Study Act H.R. 4566, the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility (PRESUME) Act H.R. 5247, the Expedited Hiring for VA Trained Psychiatrists Act of 2023 H.R. 5492, the Veteran Families Health Services Act of 2023 H.R. 5530, the VA Emergency Transportation Access Act H.R. 5559, the Protecting Veteran Claim Options Act H.R. 5610, the Commission on Equity and Reconciliation in the Uniformed Services Act H.R. 5787, the Veterans HSA Access Act of 2023 H.R. 5794, the VA Peer Review Neutrality Act H.R. 5870, the Veteran Appeals Transparency Act of 2023 H.R. 5890, the Review Every Veterans Claim Act of 2023 H.R. 5891, the Veteran Appeals Decision Clarity Act H.R. 6291, the Have You Served Act H.R. 6315, the VA Billing Accountability Act H.R. 6324, the FY24 VA Major Medical Facility Authorization Act H.R. 6330, the Veterans Sentinel Act H.R. 6331, the DOULA for VA Act of 2023 H.R. 6333, the Veterans Emergency Care Reimbursement Act of 2023 H.R. 6342, the Military and Veterans in Parks (MVP) Act H.R. 6373, the Veterans Spinal Trauma Access to New Devices (STAND) Act H.R. 6492, the EXPLORE Act H.R. 6538, the VA Correct Compensation Act of 2023 H.R. 6551, the HEAL Act H.R. 6951, the College Cost Reduction Act of 2023 H.R 7100, the Prioritizing Veterans Survivors Act H.R 7150, the Survivor Benefits Delivery Improvement Act of 2024 H.R. 7342, the Veterans Accessibility Advisory Committee Act of 2024 H.R. 7347 H.R. 7361, the Flowers for Fallen Heroes Act of 2024 H.R. 7434, the BEST for Vets Act of 2024 H.R. 7654, the Rural Veterans Transportation to Care Act H.R. 7738, the Toxic Exposure Fund Improvement Act of 2024 H.R. 7777, the Veterans Compensation Cost of Living Adjustment Act H.R. 7793, the Veterans Appeals Options Expansion Act of 2024 H.R. 7816, the Clear Communication for Veterans Claims Act H.R. 7919, the Veterans Claims Quality Improvement Act of 2024 H.R. 8168, the Wounded Warrior Workforce Enhancement Act H.R. 8340, the Housing Unhoused Disabled Veterans Act H.R. 8347, the Improving Menopause Care for Veterans Act of 2024 H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act H.R. 8568, the Informing VETS Act of 2023 H.R. 8592, the Warriors to Workforce Act H.R. 8646, the Modernizing the Veterans On-Campus Experience Act of 2024 H.R. 8792, the Flowers for Fallen Heroes Act of 2024 H.R. 8879, the Improving VA Training for Military Sexual Trauma Claims Act H.R. 9179, the Safe STEPS For Veterans Act of 2024 H.R. 9399, the Coordinating Care for Senior Veterans and Wounded Warriors Act H.R. 9449, the Veterans Suicide Prevention and Care Enhancement Act of 2024 H.R. 9804, the Loved Ones Internment Act H.R. 9806, the Improving Veterans Experience Act of 2024 H. RES. 851, the Expressing the support of the House of Representatives for the naming of new or undedicated facilities of the Department of Veterans Affairs after women veterans and minority veterans in order to reflect the diversity of all who have served in the Armed Forces of the United States House Resolution, to recognize the patriotism and contributions of veterans service organizations House Resolution, to establish a National Veterans Suicide Prevention Day House Draft, the VA Caregiver Transparency Act House Draft, to provide caregivers with access to Space-A travel House Draft, the Veterans Burial Benefits Awareness Act House Draft, the VR&E Terminology Update Act of 2024 House Draft, the Medical Disability Examination Improvement Act House Draft, the Every Veteran Housed Act S.10, the VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 S. 30, the Fiscal Year 2023 Veterans Affairs Major Medical Facility Authorization Act S. 38, the Veteran Entrepreneurship Training Act of 2023 S. 42, the Build, Utilize, Invest, Learn and Deliver (BUILD) for Veterans Act of 2023 S. 141, the Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act of 2023 S. 296, the Preventing Crimes Against Veterans Act of 2023 S. 326, the VA Medicinal Cannabis Research Act of 2023 S. 344, the Richard Star Act S. 414, the Caring for Survivors Act S. 449, the Veterans Patient Advocacy Act S. 495, the Expanding Veterans Options for Long Term Care Act S. 592, the DRIVE Act S. 656, the Veteran Improvement Commercial Driver License Act of 2023 S. 622, the Helping Heroes Act S. 740, the GUARD VA Benefits Act of 2023 S. 777, the Veterans' COLA Act of 2023 S. 853, the VA Zero Suicide Demonstration Project Act of 2023 S. 928, the Not Just a Number Act S. 1028, the Servicemembers and Veterans Empowerment and Support Act of 2023 S. 1037, the Department of Veterans Affairs EHRM Standardization and Accountability Act S. 1119, the CHAMPVA Children's Care Protection Act of 2023 S. 1125, the EHR Program RESET Act of 2023 S. 1172, the Removing Extraneous Loopholes Insuring Every Veteran Emergency (RELIEVE) Act S. 1266, the Love Lives On Act of 2023 S. 1299, the Fairness for Servicemembers and their Families Act of 2023 S. 1315, the Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 S. 1436, the Critical Health Access Resource and Grant Extensions (CHARGE) Act of 2023 S. 1515, the Retired Pay Restoration Act S. 1545, the Veterans Health Care Freedom Act S. 1590, the Justice for ALS Veterans Act S. 1612, the Reimburse Veterans for Domiciliary Act S. 1745, the Protecting Veteran Community Care Act S. 1792, the Veteran Caregiver Application and Appeals Reform Act of 2023 (CARE Act of 2023) S. 1828, the Veterans Homecare Choice Act S. 1910, the Ensuring VetSuccess on Campus Act of 2023 S. 1951, the Veterans Affairs Income Eligibility Standardization Act S. 1954, the Improving Whole Health for Veterans with Chronic Conditions Act S. 2014 S. 2067, the Service Dogs Assisting Veterans Act (SAVES Act) S. 2158, the Restore Department of Veterans Affairs Accountability Act S. 2174, the Department of Veterans Affairs Minor Construction Threshold Adjustment Act of 2023 S. 2181, the Keeping Military Families Together Act S. 2259, the LINC VA Act S. 2263, the Rural Vital Emergency Transportation Services (VETS) Act S. 2276, the Welcome Home Veterans Act of 2023 S. 2503, the Veterans Protection from Fraud Act S. 2516, the Veterans Accessibility Act of 2023 S. 2679, the LEAD Act of 2023 S. 2718, the Medical Disability Exam Improvement Act of 2023 S. 2745, the Veterans Affairs Peer Review Neutrality Act of 2023 S. 2757, the VA Emergency Transportation Access Act S. 2778, the VETS Business Act of 2023 S. 2801, the Veteran Families Health Services Act of 2023 S. 2863, the Commission on Equity and Reconciliation in the Uniformed Services Act S. 2873, the Veterans Affairs Opportunity for Women-Owned Small Businesses Act of 2023 S. 2888, the TAP Promotion Act S. 3118, the Eliminating Racial Disparities in Claims Processing Act of 2023 S. 3126, the Mark Our Place Act S. 3256, the Improving Veterans Experience Act of 2023 S. 3284, the Veterans Emergency Care Reimbursement Act of 2023 S. 3290, the Autonomy for Disabled Veterans Act S. 3295, the Increasing Access to Military Service Records Act of 2023 S. 3452, the Fred Hamilton Veterans Lost Records Act S. 3567, the Veterans Affairs Centennial and Heritage Act of 2024 S. 3728, the Veterans Housing Stability Act of 2024 S. 3746, the Gold Star and Surviving Spouse Career Services Act S. 3751, the Rural Veterans Transportation to Care Act S. 3873, the Guard and Reserve GI Bill parity Act of 2024 S. 3886, the WAIVER Act S. 3958, the Molly R. Loomis Research for Descendants of Toxic Exposed Veterans Act S. 3979 S. 4009, the Veterans STAND Act S. 4047, the Veterans COLA Act of 2024 S. 4074, the Veterans Transition to Trucking Act of 2024 S. 4100, the Honoring Veterans Legacies and Burial Benefits Enhancement Act S. 4198, the Veterans Cemetery Access Act S. 4437, the Coordinating Care for Senior Veterans and Wounded Warriors Act S. 4556, the Safe STEPS for Veterans Act of 2024 S. 4645, the Servicemember Student Loan Affordability Act of 2024 S. 4787, the Flowers for Fallen Heroes Act of 2024 S. 4992, the VA Transportation Program Act of 2024 S. 5210, the Building Resources and Access for Veterans Mental Health Engagement (BRAVE) Act of 2024 S. Res. 238, National Service Dog Day S. Res. 405, the National Veterans Suicide Prevention Day Senate Draft, the Mental Health Administration and Delivery Act Senate Draft, the Elizabeth Dole Veterans Programs Improvement Act Senate Draft, the Veterans Education Oversight Expansion Act Senate Draft, to expand and modify the VA grant program to provide innovative transportation options to veterans in highly rural areas Senate Draft, the VA SCHEDULES Act Senate Draft, the Veterans Mental Health and Behavioral Quality of Care Act Senate Draft, to establish an external provider scheduling program to assist the VA in scheduling appointments for care and services under the Veterans Community Care Program, and for other purposes Implementation of P.L. 113-146, P.L. 115-41, P.L. 115-48, P.L. 115-55, P.L. 115-182, P.L. 116-171, P.L. 116-123, P.L. 116-154, P.L. 116-214, P.L. 116-315, P.L. 117-135, P.L. 117-168, P.L. 117-328, and P.L. 117-333 Discussions: Accessibility of VA Long Term Care Centers for SCI/D patients Discussions: VAs SCI-related construction projects Discussions: VAs Program of Comprehensive Assistance for Family Caregivers Discussions: Reducing veterans and servicemembers suicide rates Discussions: Improving VA transparency Discussions: Improving the VA claims process to include compensation and pension examinations Discussions: Predatory claims companies Discussions: VA Dental Program Discussions: VA infrastructure funding and reforms Discussions: VA QALY Metrics Discussions: Improving VAs Bowel and Bladder program Discussions: Improving VAs HISA Grant program Discussions: Status of VAs Electronic Health Record Modernization Discussions: Improving access to beneficiary travel reimbursement Discussions: Adequacy of VA Special Monthly Compensation Discussions: Modifying the VALife program for catastrophically disabled veterans Discussions: Improving VA Dependency and Indemnity Compensation for ALS surviving spouses Discussions: Increasing VA health care staffing

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

Implementation of the Honoring Our PACT Act (Public Law No: 117-168) Implementation of the Deborah Sampson Act (included within Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020 Public Law No: 116-315), and women veterans policy Afghan Allies Protection Act (H.R. 3808/S. 1786) Support of Additional Special Immigrant Visas included within Fiscal Year 2024 State, Foreign Operations, and Related Programs Appropriations Act Equal Access to Contraception for Veterans Act (H.R. 894) Access to Contraception for Servicemembers and Dependents Act (S. 1527) Elizabeth Dole Home Care Act (H.R. 542/S. 141) Servicemembers and Veterans Empowerment and Support Act of 2023 (H.R. 2441/S. 1028) The GI Bill Restoration Act (S. 3257/H.R. 1255) Opposition to the 90/10 roll back provision included within College Cost Reduction Act (H.R. 6951) Marijuana Safe Harbor Act (H.R. 2682) Voting Overseas Treated Equally for Servicemembers (VOTES) Act (H.R. 6242) Guard and Reserve GI Bill Parity Act (H.R. 1836) Women Involuntary Separated Earnings Remittance Act (WISER Act) (H.R. 9725) Loved Ones Internment Act (H.R. 9804) Burn Pit Elimination Act (H.R. 9171/S. 4627) Servicemember Quality of Life Improvement and National Defense Authorization Act for FY25 (H.R. 8070) National Defense Authorization Act for FY25 (S. 4638)

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

Government targets: Defense, Dept of (DOD), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

House and Senate versions of the Fiscal Year (FY) 2025 Military Construction, Veterans Affairs, and Related Agencies Appropriations Bill. Recommended Congress pass the Military Construction and Veterans Affairs Appropriations bills as soon as possible. Advocated for Army Warfighting, Delivering Ready Combat Formations, Strengthening the Profession, and Continuous Transformation, as requested in the Armys Budget Request. Recommended additional funding for Military Construction appropriations to support Army Warfighting, Delivering Ready Combat Formations, Strengthening the Profession, and Continuous Transformation priorities. Advocated for full funding for veterans care, veterans benefits, and proper implementation of the PACT Act. H.R. 1282/S. 344, Major Richard Star Act. Recommended Congress pass this legislation. H.R. 3545, Ritchie Boys Congressional Gold Medal Act. Recommended Congress pass this legislation. S. 141/H.R. 542 Elizabeth Dole Home Care Act Recommended Congress pass this legislation. S. 622, Helping Heroes Act. Recommended Congress pass this legislation. S. 815/H.R. 1572, Hello Girls Congressional Gold Medal Act. Recommended Congress pass this legislation. S.2825/H.R. 1015, Dust Off Crews of the Vietnam War Congressional Gold Medal Act Recommended Congress pass this legislation.

Client expense: $81,673 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

disability exams; HR 8881; S 3979; HR 9468; HR 542

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

clinical image exchange, HR 8580; S 4677; HR 542

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Dialysis services, HR 8580; S 4677; HR 9494; HR 9747; HR 542

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Discussion around improving the prior authorization process for treatments and drugs under Medicare, Medicare Advantage, and private insurance. CONNECT for Health Act of 2023(H.R.4189/S.2016) - provisions related to permanent telehealth services in Medicare and interstate telehealth services. 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. Elizabeth Dole Home Care Act of 2023 (H.R. 542 / S.141) - would raise the cap on the Veterans Administrations payments for home care from 65% to 100% and would expand VA home care 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. H.R. 7274/S. 3766 - Connecting Caregivers to Medicare Act of 2024 - All provisions. H.R. 1691, Ensuring Patient Access to Critical Breakthrough Products Act - All provisions

Client expense: $25,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbying in support of improved health care and benefits service for post-9/11 wounded, ill, and injured veterans including: S. 4009 (the Veterans STAND Act) to increase mobility care for paralyzed veterans; S. 4437 (the Coordinating Care for Senior Veterans and Wounded Warriors Act) to improve care coordination for veterans using VA and Medicare health care; H.R. 8312 (the Combat Veterans Pre-Enrollment Act) to allow early VA healthcare enrollment for certain Service members; H.R. 7777 (the Veterans COLA Act) to make cost-of-living adjustments to veteran disability compensation; S. 3751, H.R. 7504 (the Rural Veterans Transportation Care Act) to increase grants for health care transportation services; H.R. 7342 (the Veterans Accessibility Advisory Committee Act) to establish an advisory committee on federal disability legal compliance at VA and provide related recommendations; H.R. 1282, S. 344 (the Major Richard Star Act) to provide concurrent receipt to military medical retirees with combat-related injuries; H.R. 8025, S.4109 (the Blast Overpressure Safety Act) to define roles and make other improvements to Department of Defense brain injury care and prevention; H.R. 8371 (the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act) to expand care and benefits for veterans, including changes to access standards for Residential Rehabilitation Treatment Programs; H.R. 8652 (the Veterans Border Patrol Training Act) to employ more veterans in border security positions; H.R. 1786 (the GROW Act) to employ more veterans in outdoor jobs on federal lands; H.R. 5785 (the Edith Nourse Rogers STEM Scholarship Improvement Act) to expand eligibility for VA STEM scholarship program; S. 2026 (the Maternal Health for Veterans Act) to increase maternal health support at VA; H.R. 7596 (the Servicewomen and Veterans Menopause Research Act) to expand support and research for aging women veterans and Service members; H.R. 5785 (the Servicemembers and Veterans Empowerment and Support (SAVES) Act) to improve military sexual trauma disability claim processing at VA; H.R. 542 (the Elizabeth Dole Home Care Act of 2023) to provide better coordination of and access to VA long term care programs for disabled veterans; H.R. 5530 (the VA Emergency Transportation Access Act) to ensure competitive contract rates for air ambulance transportation; and S.495 (the Expanding Veteran Options for Long Term Care Act) to allow VA to cover assisted living facility costs for veterans entitled to nursing home care.

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

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

Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (S. 4276/H.R. 7688) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1029) Improving Seniors' Access to Timely Care Act (S. 4532/H.R. 8702) to amend Title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans PACE Part D Choice Act of 2023 (S. 1703/H.R. 3549) Credit for Caring Act of 2024 (S. 3702/H.R. 7165) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 3680) CONNECT for Health Act of 2023 (S. 2016 / H.R. 4189) Lifespan Respite Care Reauthorization Act (H.R. 6160) to amend the Public Health Service Act to reauthorize a lifespan respite care program DeOndra Dixon Investigation of Co-occurring Conditions across the Lifespan to Understand Down Syndrome (INCLUDE) Project Act of 2024 (H.R. 7406) NAPA Reauthorization Act (S. 133/H.R. 619) Alzheimers Accountability and Investment Act (S. 134/H.R. 620) Comprehensive Care for Alzheimers Act (S. 626/H.R. 1637) Elizabeth Dole Home Care Act of 2023 (S. 141/H.R. 542) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10) Mandating Exclusive Review of Individual Treatments (MERIT) Act (H.R. 133) Access to Innovative Treatments Act of 2023 (H.R. 2408) Elder Justice Reauthorization and Modernization Act of 2023 (H.R. 2718/S. 1198) Expanding Veterans Options for Long Term Care Act (H.R.1815/S. 495) Palliative Care and Hospice Education and Training Act (S.2243) Facilitating Innovative Nuclear Diagnostics Act of 2023 (H.R. 1199/S. 1544) Supporting Our Seniors Act (S. 2584) Alleviating Barriers for Caregiving Act (S. 3109) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Reauthorization Act (S. 3775/ H.R. 7218) Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimers Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices other matters related to rural health other matters related to veterans health other matters related to Tricare

Client expense: $2,033,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA)