HCBS Relief Act of 2023

Medicaid home and community-based services, continuation of HCBS services following the public health emergency, Medicaid unwinding, healthcare access and coverage, including to patient preferred treatment, assistive technology devices, accessible diagnostic equipment, and durable medical equipment, such as power wheelchairs and power wheelchair features such as seat elevators and standing systems, intermittent catheter coding, HCBS Access Act (H.R. 1493, S. 762), HCBS Relief Act (S. 3118, H.R. 6296), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Recognizing the Role of Direct Support Professionals Act (S.1332), Stop Unfair Medicaid Recoveries Act (H.R. 7573), Long-term Care Workforce Support Act ((S.4120/H.R.7994), Creating Hope Reauthorization Act (H.R.7384/ S. 4583); Think Differently Database Act (H.R.670/ S. 4174); Ensuring Access to Medicaid Buy-In Programs Act (H.R.8107 / S. 5070)

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

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

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

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

Medicaid home and community-based services, continuation of HCBS services following the public health emergency, Medicaid unwinding, healthcare access and coverage, including to patient preferred treatment, assistive technology devices, accessible diagnostic equipment, and durable medical equipment, such as power wheelchairs and power wheelchair features such as seat elevators and standing systems, intermittent catheter coding, HCBS Access Act (H.R. 1493, S. 762), HCBS Relief Act (S. 3118, H.R. 6296), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Recognizing the Role of Direct Support Professionals Act (S.1332), Stop Unfair Medicaid Recoveries Act (H.R. 7573), Long-term Care Workforce Support Act ((S.4120/H.R.7994), Creating Hope Reauthorization Act (H.R.7384/ S. 4583); Think Differently Database Act (H.R.670/ S. 4174)

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

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

Support for the Recognizing the Role of Direct Support Professionals Act (S. 1332 / H.R. 2941), to urge the Office of Management and Budget to revise the Standard Occupational Classification system to establish a separate code for direct support professionals. Support for HCBS Relief Act (S. 3118/ H.R. 6296), which would authorize increased federal match for states for Medicaid Home and Community-Based Services. Support for the Disability Community Act (H.R. 7267), which would provide increased funding for Medicaid intellectual and developmental disability services to offset costs of compliance with regulations, including the DOL proposed overtime rule. Advocated for better coordination between HHS and DOL for recognition of the impact of regulatory changes including the Overtime Rule on the cost of services for providers and the need for updated state reimbursement rates. Advocated for increased funding and reimbursement rates in response to CMS' proposed HCBS access rule. Long-Term Care Workforce Act (S.4120/H.R. 7794), which would provide support to direct care workers through grants, and an increased federal match for states. Think Differently Database Act (S. 4174/H.R. 670), requires the Department of Health and Human Services (HHS) to establish an online clearinghouse of resources and other information for individuals with an intellectual disability (and their caregivers and families) that is searchable by zip code

Client expense: Not reported · Firm income: Not reported

Meeting with House and Senate Offices in support of the Better Care, Better Jobs Act (S 100/HR 547), HCBS Access Act (S 762/H.R.1493), and HCBS Relief Act (S. 3118/H.R. 6296). Nursing Home Minimum Staffing Regulation.

Client expense: $240,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

United Spinal Association supports: Better Care Better Jobs Act (H.R. 547/S. 100), the HCBS Access Act (H.R. 1493/S. 762), the HCBS Relief Act (H.R. 6296/S. 3118). United Spinal raised the need to introduce federal legislation to address wheelchair repair reform, and legislation or report language to improve spinal cord injury rehabilitation outcomes. Follow up contacts with members of Congress on United Spinals Virtual Advocacy Day included recommendations for our members to advocate for the following policy issues with their members of Congress: Increase funding for SCI Model Systems. United Spinal policy staff advocated for Senators and Representatives to sign onto respective Dear Colleague letters for funding supporting increased funding for the Model Systems program and the Model Systems Knowledge Translational Center (MSKTC), funded by the National Institute on Disability, Independent Living, Rehabilitation Research (NIDILRR) at the U.S. Department of Health and Human Services and housed under the Administration for Community Living (ACL) in the FY 2025 Labor, Health and Human Services, Education Appropriations. The letter was addressed to the bipartisan leadership of the Senate Labor HHS Education Subcommittee on Appropriations. The letter read in part: The Model Systems program provides the entirety of the rehabilitation process from emergency services at the time of an injury through a persons return to full participation in the community for people with spinal cord injury (SCI), traumatic brain injury (TBI), and burn injury. The Model Systems program has not seen an increase in funding since 2006. Advocate for support of a House Dear Colleague letter as well for increaed funding for Spinal Cord Injury Model Systems. Continued raising support for FY2025 report language to direct the Centers for Medicare and Medicaid Services (CMS) to add and/or in the community to CMS policy for mobility assistive equipment and add and/or in the community to Social Security Act 1861 (n) which states that durable medical equipment including wheelchairs be used in the patients home only and support Medicare coverage for standing systems in power wheelchairs to facilitate increased options for independent and community living for all wheelchair users. As a member of the Disability and Rehabilitation Research Coalition, United Spinal, along with numerous other disability organizations, signed on to a letter of thanks to Anjali Forber-Pratt, Ph.D. director, National Institute on Disability, Independent Living, and Rehabilitation Research for the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) 2024-2028 Long Range Plan. United Spinal helped draft a United Spinal letter of interest for an Administration for Community Living grant: Disability and Rehabilitation Research Projects (DRRP) Program: Enhancing the Accessibility of Air Travel. As a member of the Disability & Rehabilitation on Research Coalition (DRRC), United Spinal, along with numerous other disability organizations, signed on to a letter to Chiquita Brooks-LaSure, Administrator, Centers for Medicare and Medicaid Services to provide comments in response to the request for information on Research Data Request and Access Policy Changes. As a member of the Consortium for Constituents with Disabilities Technology and Telecommunications Task Force, United Spinal, along with numerous other disability organizations sent a letter to the bipartisan leadership of the Senate and House Labor, Health and Human Services and Education Appropriations Committees in support for the inclusion of $42 million in the Fiscal Year (FY) 2025 Senate Labor, Health and Human Services and Education Appropriations (LHHS) bill for the Assistive Technology (AT) Act Programs. United Spinal supports H.R 1691 - Ensuring Patient Access to Critical Breakthrough Products Act. Wrote letters with CMS and met with CMS to talk about the need for Medicare coverage of transanal irrigation. Wrote letter to CMS DME MACS regarding needed reform in ostomy supplies coverage under Medicare. Health equity issues - Met with CMS, NIH, ACL and the White House at the Danish Embassy discussing the challenges of health equity concerns in the medical supplies sector. As part of the Coalition to Preserve Rehabilitation, United Spinal signed onto the FY2025 in-patient rehab proposed rule and the RFI on Medicare Advantage data. As part of the ITEM Coalition, United Spinal also submitted a letter to CMS in support of standing systems (power wheelchairs) and another letter in support of coding reform for catheters. United Spinal also signed on to a letter to President Biden, with multiple care support groups, in support of the creation of an Office for Caregiver Health.

Support for the Recognizing the Role of Direct Support Professionals Act (S. 1332 / H.R. 2941), to urge the Office of Management and Budget to revise the Standard Occupational Classification system to establish a separate code for direct support professionals. Support for HCBS Relief Act (S. 3118/ H.R. 6296), which would authorize increased federal match for states for Medicaid Home and Community-Based Services. Support for the Disability Community Act (H.R. 7267), which would provide increased funding for Medicaid intellectual and developmental disability services to offset costs of compliance with regulations, including the DOL proposed overtime rule. Advocated for better coordination between HHS and DOL for recognition of the impact of regulatory changes including the Overtime Rule on the cost of services for providers and the need for updated state reimbursement rates. Advocated for increased funding and reimbursement rates in response to CMS' proposed HCBS access rule. Long-Term Care Workforce Act (S.4120/H.R. 7794), which would provide support to direct care workers through grants, and an increased federal match for states.

Client expense: Not reported · Firm income: Not reported

Medicaid home and community-based services, continuation of HCBS services following the public health emergency, Medicaid unwinding, healthcare access and coverage, including to patient preferred treatment, assistive technology devices, accessible diagnostic equipment, and durable medical equipment, such as power wheelchairs and power wheelchair features such as seat elevators and standing systems, intermittent catheter coding, HCBS Access Act (H.R. 1493, S. 762), HCBS Relief Act (S. 3118, H.R. 6296), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Recognizing the Role of Direct Support Professionals Act (S.1332), Stop Unfair Medicaid Recoveries Act (H.R. 7573), Long-term Care Workforce Support Act ((S.4120/H.R.7994), Creating Hope Reauthorization Act (H.R.7384/ S. 4583)

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

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

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

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

H.R. 6296/ S. 3118 - HCBS Relief Act. I requested all of New Jersey's Representatives and Senators support this piece of legislation. H.R. 1638/ S. 838 - Improving Mental Health Access Act. I requested all of New Jersey's Representatives and Senators support this piece of legislation. DOL Proposed Rulemaking on Overtime Exemptions (RIN: 1235-AA39). I requested all of New Jersey's Representatives and Senators provide extra funding to help with the added costs of providing higher wages. CMS Proposed Rulemaking on Ensuring Access to Medicaid Services (0938-AU68). I requested all of New Jersey's Representatives and Senators provide extra funding to help with the added costs of providing higher wages.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HCBS Settings rule implementation Funding for the Direct Care Workforce and addressing worker shortages H.R. 547/S. 100 Better Care Better Jobs Act S. 762/H.R. 1493 the HCBS Access Act Expanding Medicare benefits S. 3118/HR 6296 The HCBS Relief Act

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

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

Support for the Recognizing the Role of Direct Support Professionals Act (S. 1332 / H.R. 2941), to urge the Office of Management and Budget to revise the Standard Occupational Classification system to establish a separate code for direct support professionals. Support for HCBS Relief Act (S. 3118/ H.R. 6296), which would authorize increased federal match for states for Medicaid Home and Community-Based Services. Support for the Disability Community Act (H.R. 7267), which would provide increased funding for Medicaid intellectual and developmental disability services to offset costs of compliance with regulations, including the DOL proposed overtime rule. Advocated for better coordination between HHS and DOL for recognition of the impact of regulatory changes on the cost of services for providers and the need for updated state reimbursement rates. Advocated for increased funding and reimbursement rates in response to CMS' proposed HCBS access rule.

Client expense: Not reported · Firm income: Not reported

H.R. 2670/S.2226, National Defense Authorization Act for Fiscal Year 2024, provisions related to study of TRICARE Autism Care Demonstration program and study on service by neurodivergent individuals in the Department of Defense H.R. 2965/S.1333, Autism Family Caregivers Act of 2023, all provisions H.R. 3380, HEADs UP Act of 2023, all provisions H.R. 4259, Think Differently about Education Act of 2023, all provisions H.R. 4365/S.2587, Department of Defense Appropriations Act, 2024, provisions related to the congressionally directed medical research autism research program H.R. 5408/S.2767, SSI Savings Penalty Elimination Act, all provisions H.R. 5893, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024, provisions related to funding for Kevin and Avontes Law H.R. 5894, Making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2024, and for other purposes, provisions related to funding autism research and services at the National Institutes of Health, Centers for Disease Control and Prevention, Health Resources and Services Administration; assistive technology programs and special education at the Department of Education H.R. 6296/S.3113, HCBS Relief Act of 2023, all provisions H.R. 6468, Ban Water Beads Act, all provisions H.R. 7055, Eliminating the Marriage Penalty in SSI Act, all provisions H.R. 7165/S.3702, Credit for Caring Act of 2024, all provisions H.R. 7213, Autism CARES Act of 2024, all provisions S.2321, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024, provisions related to funding for the Kevin and Avontes Law program S.2624, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024, provisions related to funding autism research and services at the National Institutes of Health, Centers for Disease Control and Prevention, Health Resources and Services Administration; assistive technology programs and special education at the Department of Education Implementation of P.L. 117-263, provision related to reauthorization of the Missing Americans Alert Program Implementation of P.L. 117-328, Consolidated Appropriations Act, 2023, provisions related to funding for mental health research at the National Institute of Mental Health, autism and aging research at the National Institute on Aging, and funding for the Autism and Developmental Disabilities Monitoring Network Implementation of P.L. 117-328, Consolidated Appropriations Act, 2023, section 3306 A Senate bill not yet introduced to amend the Public Health Service Act to enhance activities of the National Institutes of Health with respect to research on autism spectrum disorder and enhance programs relating to autism, and for other purposes

Medicaid home and community-based services, continuation of HCBS services following the public health emergency, Medicaid unwinding, healthcare access and coverage, including to patient preferred treatment, assistive technology devices, and durable medical equipment, such as power wheelchairs and power wheelchair features such as seat elevators and standing systems, HCBS Access Act (H.R. 1493, S. 762), HCBS Relief Act (S. 3118, H.R. 6296), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Recognizing the Role of Direct Support Professionals Act (S.1332), Stop Unfair Medicaid Recoveries Act (H.R. 7573), Long-term Care Workforce Support Act

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

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

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

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

HCBS Settings rule implementation Funding for the Direct Care Workforce and addressing worker shortages H.R. 547/S. 100 Better Care Better Jobs Act S. 762/H.R. 1493 the HCBS Access Act Expanding Medicare benefits S. 3118/HR 6296 The HCBS Relief Act

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

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

H.R. 2670/S.2226, National Defense Authorization Act for Fiscal Year 2024, provisions related to study of TRICARE Autism Care Demonstration program and study on service by neurodivergent individuals in the Department of Defense H.R. 2965/S.1333, Autism Family Caregivers Act of 2023, all provisions H.R. 3380, HEADs UP Act of 2023, all provisions H.R. 3963/S.1377, Visitable Inclusive Tax Credits for Accessible Living (VITAL) Act, all provisions H.R. 4259, Think Differently about Education Act of 2023, all provisions H.R. 4365/S.2587, Department of Defense Appropriations Act, 2024, provisions related to the congressionally directed medical research autism research program H.R. 5408/S.2767, SSI Savings Penalty Elimination Act, all provisions H.R. 5893, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024, provisions related to funding for Kevin and Avontes Law H.R. 5894, Making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2024, and for other purposes, provisions related to funding autism research and services at the National Institutes of Health, Centers for Disease Control and Prevention, Health Resources and Services Administration; assistive technology programs and special education at the Department of Education H.R. 6296/S.3113, HCBS Relief Act of 2023, all provisions S.2321, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024, provisions related to funding for the Kevin and Avontes Law program S.2624, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024, provisions related to funding autism research and services at the National Institutes of Health, Centers for Disease Control and Prevention, Health Resources and Services Administration; assistive technology programs and special education at the Department of Education S.3109, ABC Act, all provisions Implementation of P.L. 117-263, provision related to reauthorization of the Missing Americans Alert Program Implementation of P.L. 117-328, Consolidated Appropriations Act, 2023, provisions related to funding for mental health research at the National Institute of Mental Health, autism and aging research at the National Institute on Aging, and funding for the Autism and Developmental Disabilities Monitoring Network A bill not yet introduced to amend the Public Health Service Act to enhance activities of the National Institutes of Health with respect to research on autism spectrum disorder and enhance programs relating to autism, and for other purposes A bill not yet introduced to address food insecurity among autistic individuals and their families

Support for the Recognizing the Role of Direct Support Professionals Act (S. 1332 and H.R. 2941), to urge the Office of Management and Budget to revise the Standard Occupational Classification system to establish a separate code for direct support professionals. Support for HCBS Relief Act (S. 3118/ H.R. 6296), which would authorize increased federal match for states for Medicaid Home and Community-Based Services. Support for legislation to provide increased funding for Medicaid intellectual and developmental disability services to offset costs of compliance with regulations, including the DOL proposed overtime rule. Advocated for better coordination between HHS and DOL for recognition of the impact of regulatory changes on the cost of services for providers and the need for updated state reimbursement rates. Advocated for increased funding and reimbursement rates in response to CMS' proposed HCBS access rule.

Client expense: Not reported · Firm income: Not reported

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

Medicaid home and community-based services, continuation of HCBS services following the public health emergency, healthcare access and coverage, including to patient preferred treatment, assistive technology devices, and durable medical equipment, such as power wheelchairs and power wheelchair features such as seat elevators and standing systems, HCBS Access Act (H.R. 1493, S. 762), HCBS Relief Act (S. 3118, H.R. 6296), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Recognizing the Role of Direct Support Professionals Act (S.1332)

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

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

Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, newborn screening, coverage of rare disease treatments and care, HCBS Access Act (H.R. 1493, S. 762), BENEFIT Act (H.R. 1092, S. 526), Safe Step Act (S. 652, H.R. 2630), Protecting Health Care for All Patients Act of 2023 (H.R. 485), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), HCBS Relief Act (S. 3118, H.R. 6296); Recognizing the Role of Direct Support Professionals Act (S. 1332), Medicaid unwinding protections for people with SMA and other disabilities, direct care workforce shortage, healthcare discrimination (i.e., quality adjusted life years), Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691); healthcare utilization protocols (i.e., prior authorization and step therapy), Patient Protection and Affordable Care Act (111-148), Inflation Reduction Act (P.L. 117-169)

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

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