Stop Unfair Medicaid Recoveries Act

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

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

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

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

1. S. 762, The HCBS Access Act, entire bill 2. H.R. 1493, The HCBS Access Act, entire bill 3. S. 842, Medicare and Medicaid Dental, Vision and Hearing Benefit Act, entire bill 4. H.R. 33, Medicare and Medicaid Dental, Vision and Hearing Benefit Act, entire bill 5. Proposals regarding the treatment of eligible retirement plans in determining the eligibility of individuals for premium and cost-sharing subsidies under part D of the Medicare program 6. Medicare ACO Realizing Equity, Access, and Community Health (REACH) program 7. Proposals to reduce Medicaid funding 8. H.R. 3069, John Lewis Equality in Medicare and Medicaid Treatment (EMMT) Act, entire bill 9. S. 1296, John Lewis Equality in Medicare and Medicaid Treatment (EMMT) Act, entire bill 10. Implementation of provisions of the Inflation Reduction Act of 2022 regarding drug prices under the Medicare program 11. Proposals regarding revisions to Medicare rules regarding inpatient hospital stays 12. Proposed CMS rule: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting 13. H.R. 1638, Improving Access to Mental Health Act of 2023, entire bill 14. S. 838,Improving Access to Mental Health Act of 2023, entire bill 15. Proposals regarding the Medicare Low Income Subsidy program 16. H.R. 7513, Protecting Americas Seniors Access to Care Act, entire 17. S. 3410, Protecting Rural Seniors Access to Care Act, entire bill 18. H.R. 8106, To amend title XIX of the Social Security Act to increase transparency and expand coverage options with respect to home and community-based services under a Medicaid waiver, entire bill 19. H.R. 8107, Ensuring Access to Medicaid Buy-in Programs Act of 2024, entire bill 20. H.R. 8109, Money Follows the Person Permanency Act of 2024, entire bill 21. H.R. 8110, Protecting Married Seniors from Impoverishment Act of 2024, entire bill 22. H.R. 8018, Alleviating Barriers for Caregivers Act, entire bill 23. S. 3109, Alleviating Barriers for Caregivers Act, entire bill 24. H.R. 7573, Stop Unfair Medicaid Recoveries Act, entire bill 25. Proposals for $2 per month generic drug prescription co-pays under Medicare

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

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

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

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

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

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

Draft, Medicare Compare Website (no bill number) - Rep. Guthrie, Brett - improvements to CMS Medicare compare website H.R. 35 - Close the Medigap Act of 2023 - Rep. Doggett, Lloyd - Medigap policies H.R. 3746 - Fiscal Responsibility Act of 2023 - Rep. McHenry, Patrick - work requirements for federal programs H.R. 3875 - Expanded Telehealth Access Act - Rep. Sherrill, Mikie - Medicare payment for telehealth services H.R. 4411 - Medicare Advantage Integrity Act - Resident Commissioner Gonzalez-Colon, Jenniffer - disparity in MA benchmark rates H.R. 4818 - Treat and Reduce Obesity Act of 2023 - Rep. Wenstrup, Brad -Medicare Coverage of weight loss treatment H.R. 5526 - Seniors' Access to Critical Medications Act of 2023 - Rep. Harshbarger, Diana - exception for physician self-referral H.R. 5584 - Medicaid Third Party Liability Act - Rep. Burgess, Michael - amends Medicaid Third Party liability requirements H.R. 5746 - Addressing Whole Health in Medicare Advantage Act - Rep. Bilirakis, Gus - Medicare Advantage supplemental benefits H.R. 5854 - Medicare Advantage Consumer Protection and Transparency Act - Rep. Porter, Katie - Medicare Advantage organization reporting H.R. 6364 - Medicare Telehealth Privacy Act of 2023 - Rep. Balderson, Troy - Provider privacy provisions for telehealth under Medicare H.R. 6400 - To amend title XVIII of the Social Security Act to extend eligibility for certain payment increases for biosimilar biological products under the Medicare program - Rep. Cardenas, Tony - Medicare payment increase for biosimilars H.R. 6445 - Medicare Audiology Access Improvement Act of 2023 - Rep. Bilirakis, Gus - Medicare Audiology Coverage H.R. 7147 - Medicare Transaction Fraud Prevention Act - Rep. Schweikert, David - oversight of payments for medical equipment & clinical DLTs under Medicare H.R. 7148 - Medicare Home Health Accessibility Act - Rep. Smucker, Lloyd - occupational therapy eligibility for home health coverage under Medicare H.R. 7254 - Hearing Device Coverage Clarification Act - Rep. Fischbach, Michelle - excludes fully implanted active middle ear hearing devices from the hearing aid coverage exclusion under Medicare H.R. 7274 - Connecting Caregivers to Medicare Act of 2024 - Rep. Carey, Mike - outreach, education, and simplify information for family caregivers on Medicare benefits H.R. 7432 - Sickle Cell Disease Comprehensive Care Act - Rep. Burgess, Michael - enables State Medicaid programs to provide coordinated care through health home to individuals with sickle cell disease H.R. 7512 - Real-Time Benefit Tool Implementation Act - Rep. Arrington, Jodey - implementation of real-time benefit tools under part D of under Medicare H.R. 7573 - Stop Unfair Medicaid Recoveries Act - Rep. Schakowsky, Janice - Medicaid Estate Recovery Program H.R. 7619 - Expand the Behavioral Health Workforce Now Act - Rep. Neguse, Joe - education, training, recruitment, and retention of mental health and substance use disorder providers under Medicaid and CHIP H.R. 7623 - Telehealth Modernization Act of 2024 - Rep. Carter, Earl L. Buddy - makes certain telehealth flexibilities permanent under Medicare and adds requirements for Part D plan contracts with PBMs including reporting and delinking provisions H.R. 7856 - Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies Act (PREVENT DIABETES Act)- Rep. DeGette, Diana - Medicare, coverage, preventive care, chronic care H.R. 7863 - To require the Secretary of Health and Human Services to issue guidance on furnishing behavioral health services via telehealth to individuals with limited English proficiency under Medicare program. - Rep. Steel, Michelle - Medicare, behavioral health, telehealth, accessibility H.R. 7939 - Patient Access to Innovative New Technologies Act of 2024 - Rep. Carey, Mike - Medicare, quality, medical devices, coverage H.R. 7996 - Improving CARE for Youth Act - Rep. Dunn, Neal - allows for same-day billing for mental health services for youth Medicaid beneficiaries who are being seen for a primary care service H.R. 8018 - Alleviating Barriers for Caregivers Act- Rep. Cammack, Kat - review and simplify caregiver paperwork, CHIP, Medicare, Medicaid H.R. 8064 - Help Extend Auditory Relief Act of 2024- Rep. Cartwright, Matt - Medicare coverage of hearing aids H.R. 8075 - Improving Access to Home Dialysis Act of 2024- Rep. Miller, Carol - Medicare coverage of home dialysis H.R. 8115 - To amend title XIX of the Social Security Act to allow for the deferral or disallowance of portions of payments for certain managed care violations under Medicaid- Rep. Sarbanes, John - Medicaid managed care payment deferral H.R. 8261 - Preserving Telehealth, Hospital, and Ambulance Access Act- Rep. Schweikert, David - extend flexibilities and payment for Medicare H.R. 8702 - Improving Seniors Timely Access to Care Act - Rep. Mike Kelly - prior authorization, transparency, MA S. 838 - Improving Access to Mental Health Act - Sen. Stabenow, Debbie - mental health services in Medicare S. 948 - Healthy Moms and Babies Act - Sen. Grassley, Chuck - establishes programs and requirements to support maternal health services under Medicaid and CHIP S. 1002 - No UPCODE Act - Sen. Cassidy, Bill - modifies certain factors that are used to determine Medicare Advantage (MA) payments, particularly relating to health status and related data S. 2880 - Expanded Telehealth Access Act - Sen. Daines, Steve - Medicare payment for telehealth services S. 3573 - Medicare Advantage Supplemental Benefits Transparency Act- Sen. Warner, Mike - MA, data transparency, supplemental benefits S. 3578 - Protect Medicaid Act - Sen. Cassidy, Bill - prohibits federal payments under Medicaid for noncitizens, requires reporting to HHS of states that provide such health benefits S. 3630 - Medicare Transaction Fraud Prevention Act- Sen. Braun, Mike- pilot program for predictive risk-scoring algorithm, oversight, Medicare S. 3651 - Telemental Health Care Access Act of 2024- Sen. Cassidy, Bill - Medicare, mental health services, telehealth S. 3766 - Connecting Caregivers to Medicare Act of 2024- Sen. Tillis, Thomas - Medicare, outreach and education, caregivers S. 3882 - Helping States Integrate Medicare and Medicaid Act- Sen. Casey, Robert - dual eligibles, quality measures, access, enrollment S. 3934 - Increasing Access to Biosimilars Act of 2023- Sen. Cornyn, John - Medicare drug access S. 3950 - Delivering Unified Access to Lifesaving Services Act of 2024 - Sen. Cassidy, Bill - reforming Integrated Medicare/Medicaid Care Programs for Dually Eligible Individuals S. 4094 - PREVENT DIABETES Act - Sen. Scott, Tim - Medicare, coverage, preventive care, chronic care S. 4532 - Improving Seniors Timely Access to Care Act - Sen. Marshall, Roger - prior authorization, transparency, MA S. 4767 - Insurance Fraud Accountability Act - Sen. Wyden, Ron - reduces fraudulent enrollments in qualified health plans Issues related to mental health and Medicare; Medicare and Medicaid funding; Medicaid expansion; State innovation waivers; Medicaid and CHIP; Medicaid FMAP; Medicare Supplement Coverage; Medicare Transparency in Coverage; Medicaid Access Final Rule; Medicaid Redeterminations; Medicaid rate actuarial soundness; value of Medicaid Managed Care; Medicare Advantage Health Risk Assessment and chart reviews; Medicare Advantage supplemental benefits and Social Determinants of health; coverage of weight loss drugs; and Inflation Reduction Act implementation.

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

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

Home and Community-Based Services (HCBS); Guardianship; Medicaid; Social Security; PHE unwinding; H.R. 7573; Stop Unfair Medicaid Recoveries Act; H.R. 8019; Money Follows the Person Permanency Act of 2024; H.R. 8110, Protecting Married Seniors from Impoverishment Act of 2024.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-S. 652/H.R. 2630, Safe Step Act, support passage. -S. 1375/H.R. 830, HELP Copays Act, support passage. -S. 1339, PBM Reform Act, support patient-centric reforms including addition of the Safe Step Act and HELP Copays Act. -H.R. 2880, Protecting Patients Against PBM Abuses Act -Support preservation of Medicare Part Ds Six Protected Classes policy -H.R. 9774 /S. 5194, Reauthorization of the Advance Premium Tax Credits -Support patient-centric implementation of Medicare Part D out-of-pocket cap and the Medicare Prescription Payment Plan -Urge the federal government to collect better data on the disability community -Urge patient priorities like standardized health plans and network adequacy in the 2026 Notice of Benefit and Payment Parameters rule. -Support regulations to limit access to association health plans -Urge finalization of regulations important to patients and consumers with acute and chronic health conditions including the 1557 rule -Ensure any regulation of cannabis protects safe and legal access -Ensure continued access to needed healthcare via telehealth including prescribing of epilepsy medications that are controlled substances -Requests to join the Congressional Epilepsy Caucus. -H.R. 824, the Telehealth Benefit Expansion for Workers Act, oppose passage. -Support H.R. 670, S. 4174, Think Differently Database Act -Support S. 4325, the Lifespan Respite Care Program Reauthorization Act -Support the parity of coverage of mental health treatments -Support legislation and regulations that incentivize the development of rare disease treatments -Support regulations on the use of diversity action plans for clinical trials -Support legislation and regulations that help to advance health equity for people with epilepsy -S. 5065/H.R. 9635, Seizure Awareness and Preparedness Act, support passage -Support legislation and regulations that would ban the use of electric shock devices that apply a shock to a persons skin to reduce or cease self-injurious or aggressive behaviors -Supporting legislation and regulations that protect the current structure of the National Institutes of Health -Support legislation and regulations to keep insurance brokers accountable -Support H.R. 7573, Stop Medicaid Recovery Act -Support legislation and regulations on continuous eligibility in Medicaid -Support H.R. 4758/S.2372, Accelerating Kids Access to Care Act -Support legislation and regulations to streamline prior authorization processes -Support the creation of an Office of Caregiving at the Department of Health and Human Services -Comments on the next phase of 21st Century Cures -Comments on the Hospital Outpatient Prospective Payment System (OPPS) Proposed Rule -Support legislation and regulations to reduce the burden of medical debt -Support legislation and regulation on the responsible use of AI in healthcare

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

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

Medicare home health payment policy. Medicare hospice payment policy. Medicaid HCBS payment and eligibility policy. Hospice Face to Face Telehealth recertification. H.R. 4189/S. 2016, CONNECT for Health Act. Health information technology funding and standards for long-term post-acute care providers. Hospice Special Focus Program (SFP). Access to Home and Community-Based Services and Long-Term Care Pharmacy services. Medicare Limited Income Newly Eligible Transition (LINET) program. S. 3109, Alleviating Barriers for Caregivers (ABC) Act. Medicare low-income outreach and enrollment funding. H.R. 7148, Medicare Home Health Accessibility Act. H.R. 7165/S. 3702, Credit for Caring Act of 2024. H.R. 7573, Stop Unfair Medicaid Recoveries Act. S. 2243, Palliative Care and Hospice Education and Training Act. H.R. 8114, to prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services. H.R. 2941, Recognizing the Role of Direct Support Professionals Act. Draft legislation providing various reforms to the Medicare Hospice benefit. Hospice program integrity concerns. Controlled substances prescribing policy. Medicare hospice cost-savings research. H.R. 5159/S. 2137, Preserving Access to Home Health Act of 2023. CMS Proposed Medicaid Access Rule. S. 1845, Expanding Access to Palliative Care Act.

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

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

Draft, Broker Accountability Act (no bill number) - ACA Agent/Broker accountability H.R. 35 - Close the Medigap Act of 2023 - Rep. Doggett, Lloyd - Medigap policies H.R. 3746 - Fiscal Responsibility Act of 2023 - Rep. McHenry, Patrick - work requirements for federal programs H.R. 3875 - Expanded Telehealth Access Act - Rep. Sherrill, Mikie - Medicare payment for telehealth services H.R. 4411 - Medicare Advantage Integrity Act - Resident Commissioner Gonzalez-Colon, Jenniffer - disparity in MA benchmark rates H.R. 4818 - Treat and Reduce Obesity Act of 2023 - Rep. Wenstrup, Brad -Medicare Coverage of weight loss treatment H.R. 5526 - Seniors' Access to Critical Medications Act of 2023 - Rep. Harshbarger, Diana - exception for physician self-referral H.R. 5584 - Medicaid Third Party Liability Act - Rep. Burgess, Michael - amends Medicaid Third Party liability requirements H.R. 5746 - Addressing Whole Health in Medicare Advantage Act - Rep. Bilirakis, Gus - Medicare Advantage supplemental benefits H.R. 5854 - Medicare Advantage Consumer Protection and Transparency Act - Rep. Porter, Katie - Medicare Advantage organization reporting H.R. 6364 - Medicare Telehealth Privacy Act of 2023 - Rep. Balderson, Troy - Provider privacy provisions for telehealth under Medicare H.R. 6400 - To amend title XVIII of the Social Security Act to extend eligibility for certain payment increases for biosimilar biological products under the Medicare program - Rep. Cardenas, Tony - Medicare payment increase for biosimilars H.R. 6445 - Medicare Audiology Access Improvement Act of 2023 - Rep. Bilirakis, Gus - Medicare Audiology Coverage H.R. 7147 - Medicare Transaction Fraud Prevention Act - Rep. Schweikert, David - oversight of payments for medical equipment & clinical DLTs under Medicare H.R. 7148 - Medicare Home Health Accessibility Act - Rep. Smucker, Lloyd - occupational therapy eligibility for home health coverage under Medicare H.R. 7254 - Hearing Device Coverage Clarification Act - Rep. Fischbach, Michelle - excludes fully implanted active middle ear hearing devices from the hearing aid coverage exclusion under Medicare H.R. 7274 - Connecting Caregivers to Medicare Act of 2024 - Rep. Carey, Mike - outreach, education, and simplify information for family caregivers on Medicare benefits H.R. 7432 - Sickle Cell Disease Comprehensive Care Act - Rep. Burgess, Michael - enables State Medicaid programs to provide coordinated care through health home to individuals with sickle cell disease H.R. 7512 - Real-Time Benefit Tool Implementation Act - Rep. Arrington, Jodey - implementation of real-time benefit tools under part D of under Medicare H.R. 7573 - Stop Unfair Medicaid Recoveries Act - Rep. Schakowsky, Janice - Medicaid Estate Recovery Program H.R. 7619 - Expand the Behavioral Health Workforce Now Act - Rep. Neguse, Joe - education, training, recruitment, and retention of mental health and substance use disorder providers under Medicaid and CHIP H.R. 7623 - Telehealth Modernization Act of 2024 - Rep. Carter, Earl L. Buddy - makes certain telehealth flexibilities permanent under Medicare H.R. 7856 - Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies Act (PREVENT DIABETES Act)- Rep. DeGette, Diana - Medicare, coverage, preventive care, chronic care H.R. 7863 - To require the Secretary of Health and Human Services to issue guidance on furnishing behavioral health services via telehealth to individuals with limited English proficiency under Medicare program. - Rep. Steel, Michelle - Medicare, behavioral health, telehealth, accessibility H.R. 7939 - Patient Access to Innovative New Technologies Act of 2024 - Rep. Carey, Mike - Medicare, quality, medical devices, coverage H.R. 8018 - Alleviating Barriers for Caregivers Act- Rep. Cammack, Kat - review and simplify caregiver paperwork, CHIP, Medicare, Medicaid H.R. 8064 - Help Extend Auditory Relief Act of 2024- Rep. Cartwright, Matt - Medicare coverage of hearing aids H.R. 8075 - Improving Access to Home Dialysis Act of 2024- Rep. Miller, Carol - Medicare coverage of home dialysis H.R. 8115 - To amend title XIX of the Social Security Act to allow for the deferral or disallowance of portions of payments for certain managed care violations under Medicaid- Rep. Sarbanes, John - Medicaid managed care payment deferral H.R. 8261 - Preserving Telehealth, Hospital, and Ambulance Access Act- Rep. Schweikert, David - extend flexibilities and payment for Medicare H.R. 8702 - Improving Seniors Timely Access to Care Act - Rep. Mike Kelly - prior authorization, transparency, MA S. 838 - Improving Access to Mental Health Act - Sen. Stabenow, Debbie - mental health services in Medicare S. 2880 - Expanded Telehealth Access Act - Sen. Daines, Steve - Medicare payment for telehealth services S. 3573 - Medicare Advantage Supplemental Benefits Transparency Act- Sen. Warner, Mike - MA, data transparency, supplemental benefits S. 3578 - Protect Medicaid Act - Sen. Cassidy, Bill - prohibits federal payments under Medicaid for noncitizens, requires reporting to HHS of states that provide such health benefits S. 3630 - Medicare Transaction Fraud Prevention Act- Sen. Braun, Mike- pilot program for predictive risk-scoring algorithm, oversight, Medicare S. 3651 - Telemental Health Care Access Act of 2024- Sen. Cassidy, Bill - Medicare, mental health services, telehealth S. 3766 - Connecting Caregivers to Medicare Act of 2024- Sen. Tillis, Thomas - Medicare, outreach and education, caregivers S. 3882 - Helping States Integrate Medicare and Medicaid Act- Sen. Casey, Robert - dual eligibles, quality measures, access, enrollment S. 3934 - Increasing Access to Biosimilars Act of 2023- Sen. Cornyn, John - Medicare drug access S. 3950 - Delivering Unified Access to Lifesaving Services Act of 2024 - Sen. Cassidy, Bill - reforming Integrated Medicare/Medicaid Care Programs for Dually Eligible Individuals S. 4094 - PREVENT DIABETES Act - Sen. Scott, Tim - Medicare, coverage, preventive care, chronic care S. 4532 - Improving Seniors Timely Access to Care Act - Sen. Marshall, Roger - prior authorization, transparency, MA Issues related to mental health and Medicare; Medicare and Medicaid funding; Medicaid expansion; State innovation waivers; Medicaid and CHIP; Medicaid FMAP; Medicare Supplement Coverage; Medicaid Access Final Rule; Medicaid Redeterminations; value of Medicaid Managed Care; Medicare Advantage Health Risk Assessment; coverage of weight loss drugs; and Inflation Reduction Act implementation.

Client expense: $2,390,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, SENATE

Legislation: S.1409-Kids Online Safety Act-Issues Lobbied: Free speech, privacy, civil liberties, civil rights. S.1080-Cooper Davis Act-Issues Lobbied: Free speech, privacy. S.1199-Strengthening Transparency and Obligations to Protect Children Suffering from Abuse and Mistreatment Act of 2023-Issues Lobbied: Free speech, privacy. S.1291-Protecting Kids on Social Media Act-Issues Lobbied: Free speech, privacy. S.1939-FAA Reauthorization Act of 2024-Issues Lobbied: Privacy, womens rights. S.1418-Children and Teens Online Privacy Protection Act-Issues Lobbied: Privacy. S.2892-Algorithmic Accountability Act of 2023-Issues Lobbied: Algorithmic justice. S.5-Equality Act-Issues Lobbied: LGBTQ+ rights. S.4445-Right to IVF Act-Issues Lobbied: Reproductive rights. S.3565-Affordable Connectivity Program Extension Act of 2024-Issues Lobbied: Equitable access to broadband, broadband subsidies. S.2033-American Innovation and Choice Online Act-Issues Lobbied: Free speech. S.4-John R. Lewis Voting Rights Advancement Act of 2024-Issues Lobbied: Voting rights. S.1-Freedom to Vote Act-Issues Lobbied: Voting rights. S.441-American Opportunity Accounts Act-Issues Lobbied: Economic justice, baby bonds. S.1541-Martha Wright-Reed Just and Reasonable Communications Act of 2022-Issues Lobbied: Prison profiteering. S.1306-COPS Reauthorization Act of 2023-Issues Lobbied: Policing, policing reform, community safety, justice. S.516-Fair Wages for Incarcerated Workers Act of 2023-Issues Lobbied: Prison labor exploitation. S.518-Correctional Facilities Occupational Safety and Health Act of 2023-Issues Lobbied: Prison labor exploitation. S.508-Ensuring Work Opportunities in Correctional Facilities Act of 2023-Issues Lobbied: Prison labor exploitation. S.517-Combating Workplace Discrimination in Correctional Facilities Act of 2023-Issues Lobbied: Prison labor exploitation. S.4361-Border Act of 2024-Issues Lobbied: Immigration, asylum. S.4554-Reproductive Freedom for Women Act-Issues Lobbied: Reproductive rights. S.2770-Protect Elections from Deceptive AI Act-Issues Lobbied: Free speech. S.4207-Spectrum and National Security Act of 2024-Issues Lobbied: Equitable access to broadband. S.1677-Democracy Restoration Act of 2023-Issues Lobbied: Voting rights. S.4217-Next Step Home Act-Issues Lobbied: Voting rights. S.4213-Kids Off Social Media Act-Issues Lobbied: Free speech, privacy. S.4136-A bill to amend the Internal Revenue Code of 1986 to terminate the tax-exempt status of terrorist supporting organizations-Issues Lobbied: Nonprofit tax status, material support for terrorism. S.4443-Intelligence Authorization Act for Fiscal Year 2025-Issues Lobbied: Expansion of ECSP definition. S.3388-Mental Health Justice Act of 2023 -Issues Lobbied: Community safety, justice. S.140-Combatting Organized Retail Crime Act of 2023-Issues Lobbied: Sentencing reform, criminalization. S.738-Police Training and Independent Review Act of 2021-Issues Lobbied: Policing. S.4226-Cannabis Administration and Opportunity Act-Issues Lobbied: Marijuana decriminalization. S.1401-Federal Prison Oversight Act-Issues Lobbied: Prison conditions, oversight. S.993-Combatting Illicit Xylazine Act-Issues Lobbied: Drug policy reform. S.3522-Improving Law Enforcement Officer Safety and Wellness Through Data Act-Issues Lobbied: Policing reform. S.3548- CARES Act-Issues Lobbied: Sentencing reform, re-entry. H.R.2-Secure the Border Act of 2023-Issues Lobbied: Immigration, border policies, transit ban, credible fear standard, border expulsion authority, expedited removal, mandatory detention, parole. H.R.9027-Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2025-Issues Lobbied: Disability rights. H.R.15-Equality Act-Issues Lobbied: LGBTQ+ rights. H.R.5636-Protect Childrens Innocence Act-Issues Lobbied: LGBTQ+ rights. H.R.4734-MORE Act-Issues Lobbied: Marijuana decriminalization. H.R.815-Making emergency supplemental appropriations for the fiscal year ending September 30, 2024, and for other purposes-Issues Lobbied: Immigration, immigrant detention, interior enforcement, deportation, border enforcement, asylum, transit ban, credible fear standard, border expulsion authority, expedited removal, mandatory detention, parole. H.R.5798-Protecting Our Nations Capital Emergency Act of 2023-Issues Lobbied: Policing, policing reform, community safety, justice. H.R.1525-Fifth Amendment Integrity Restoration Act of 2023-Issues Lobbied: Policing, policing for profit. H.R.7521-Protecting Americans from Foreign Adversary Controlled Applications Act-Issues Lobbied: Free speech. H.R.6943-No Artificial Intelligence Fake Replicas and Unauthorized Duplications Act of 2024-Issues Lobbied: Free speech. H.R.6881-AI Foundation Model Transparency Act of 2023-Issues Lobbied: Algorithmic justice. H.R.6886-Transparent Automated Governance Act-Issues Lobbied: Algorithmic justice. H.R.7520-Protecting Americans Data from Foreign Adversaries Act of 2024-Issues Lobbied: Privacy. H.R.7534-Verifying Kids Online Privacy Act-Issues Lobbied: Privacy. H.R.1041-American Opportunity Accounts Act-Issues Lobbied: Economic justice, baby bonds. H.R.6451-Mental Health Justice Act of 2023-Issues Lobbied: Community safety, justice, mobile crisis response alternatives to policing. H.R.6985-BOP Release Card ID Act of 2024-Issues Lobbied: Re-entry. H.R.7530-D.C. Criminal Reforms to Immediately Make Everyone Safe Act of 2024-Issues Lobbied: Policing. H.R.3686-Stopping Harmful Image Exploitation and Limiting Distribution Act of 2023-Issues Lobbied: Policing, policing reform, community safety, justice. H.R.7187-Protection of Women in Olympic and Amateur Sports Act-Issues Lobbied: LGBTQ+ rights. H.R.7573-Stop Unfair Medicaid Recoveries Act-Issues Lobbied: Disability rights. H.R.4639-Fourth Amendment Is Not For Sale Act-Issues Lobbied: Privacy. H.R.8752-Department of Homeland Security Appropriations Act, 2025-Issues Lobbied: Immigration, asylum, border wall, reproductive rights, voting rights, anti-rider vote recommendations, LGBTQ+ rights, civil liberties, civil rights. H.R.8774-Department of Defense Appropriations Act, 2025-Issues Lobbied: Reproductive rights, voting rights, anti-rider vote recommendations, LGBTQ+ rights, civil liberties, civil rights. H.R.8771-Department of State, Foreign Operations, and Related Programs Appropriations Act, 2025-Issues Lobbied: Reproductive rights, voting rights, anti-rider vote recommendations, LGBTQ+ rights, civil liberties, civil rights. H.R.8070-Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025-Issues Lobbied: Reproductive rights, anti-rider vote recommendations, LGBTQ+ rights, religious liberty, immigration, civil liberties, civil rights. H.R.8580-Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025-Issues Lobbied: Reproductive rights, anti-rider vote recommendations, LGBTQ+ rights, civil liberties, civil rights. H.R.8772-Legislative Branch Appropriations Act, 2025-Issues Lobbied: Anti-rider vote recommendations, civil liberties, civil rights. H.R.8773-Financial Services and General Government Appropriations Act, 2025-Issues Lobbied: Reproductive rights, anti-rider vote recommendations, religious liberty, civil liberties, civil rights. H.R.8818-American Privacy Rights Act of 2024-Issues Lobbied: Reproductive rights, privacy. H.R.8038-21st Century Peace Through Strength Act-Issues Lobbied: Free speech, privacy. H.R.4250-Protect Reporters from Exploitative State Spying Act-Issues Lobbied: Free speech, journalists rights. H.R.4987-Democracy Restoration Act of 2023-Issues Lobbied: Voting rights. H.R.7890-Children and Teens Online Privacy Protection Act-Issues Lobbied: Privacy. H.R.8152-Remote Access Security Act-Issues Lobbied: Privacy. H.R.8315-Enhancing National Frameworks for Overseas Restriction of Critical Exports Act-Issues Lobbied: Privacy. H.R.7888-Reforming Intelligence and Securing America Act-Issues Lobbied: Section 702 reauthorization. H.R.6408-To amend the Internal Revenue Code of 1986 to terminate the tax-exempt status of terrorist supporting organizations-Issues Lobbied: Nonprofit tax status, material support for terrorism. H.R.8282-Illegitimate Court Counteraction Act-Issues Lobbied: ICC sanctions. H.R.9029-Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025-Issues Lobbied: Womens rights, hidden foster care data collection, alternatives to policing, re-entry. H.R.2952-Restoring Artistic Protection Act of 2023-Issues Lobbied: Criminalization of free speech, due process. H.R.5266-Interdiction of Fentanyl in Postal Mail at Federal Prisons Act-Issues Lobbied: Prison profiteering. H.R.6185-Bivens Act of 2021-Issues Lobbied: Policing reform. H.R.8525-George Floyd Justice in Policing Act of 2024-Issues Lobbied: Policing reform. H.R.743-Protect and Serve Act of 2023-Issues Lobbied: Policing reform. H.R.6929-Affordable Connectivity Program Extension Act of 2024-Issues Lobbied: Equitable access to broadband, broadband subsidies. H.R.8867-To amend the REAL ID Act of 2005 to allow States to determine whether to require licenses and other identification to list a gender or sex, and for other purposes-Issues Lobbied: LGBTQ+ rights. H.R.14-John R. Lewis Voting Rights Advancement Act of 2023-Issues Lobbied: Voting rights. H.R.8152-American Data Privacy and Protection Act-Issues Lobbied: Consumer privacy, civil rights. H.R.9026-Commerce, Justice, Science, and Related Agencies Appropriations Act, 2025-Issues Lobbied: Civil rights, use-of-force limitations, community-oriented policing. H.R.9028-Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2025-Issues Lobbied: Community investments, supportive services. H.R.2203-Homeland Security Improvement Act-Issues Lobbied: Family separation, immigration. H.R.3852-Border Zone Reasonableness Restoration Act-Issues Lobbied: Border policies, checkpoints. Legislation with No Bill Number: Communications Decency Act of 1996-Issues Lobbied: Section 230, free speech, maintaining Internet integrity. Stop Comstock Act-Issues Lobbied: Reproductive rights. Additional legislation not yet introduced-Creation of National Human Rights Institution, patenting of genes, gene research, free speech, speech on campuses, student surveillance, defining antisemitism in education programs, First Amendment protections, artificial intelligence, nondiscrimination issues relating to artificial intelligence, watchlists, immigration, immigration reform, abortion, reproductive freedom, reproductive rights, affirming and protecting the right to emergency care, TikTok ban, national security, privacy, affordable connectivity program, broadband subsidies, community safety and justice, hidden foster care data collection, womens rights, family policing, voting rights, democracy, surveillance, national security, terrorism oversight over counterterrorism policy and practices, torture, detention, drones, war authority, Guantanamo Bay, data privacy, consumer privacy. Agencies: Agency-Homeland Security-Issues Lobbied: Executive Order 14010-Creating a Comprehensive Regional Framework to Address the Causes of Migration, to Manage Migration Throughout North and Central America, and to Provide Safe and Orderly Processing of Asylum Seekers at the U.S. Border, Interim Final Rule 89 FR 48710-Securing the Border, asylum, border policies, asylum reform, restoration of asylum processing at southern border, complete termination of MPP, rebuilding a more humane asylum system, immigration, CBP policing policies and practices, migrant property dispossession, freedom of religious expression for migrants, immigrant detention, migrant deaths while in ICE detention, Office of Intelligence Analysis practices; Customs and Border Protection-Migrant property dispossession, freedom of religious expression for migrants. Agency-Justice-Issues Lobbied: Interim Final Rule 89 FR 48710-Securing the Border, asylum, border policies; Bureau of Justice Assistance-Pre-trial, re-entry; Office of Justice Programs-Policing reform, re-entry. Agency-EOP-Issues Lobbied: White House Office- Executive Order 14010-Creating a Comprehensive Regional Framework to Address the Causes of Migration, to Manage Migration Throughout North and Central America, and to Provide Safe and Orderly Processing of Asylum Seekers at the U.S. Border, asylum, asylum reform, restoration of asylum processing at southern border, complete termination of MPP, rebuilding a more humane asylum system, immigration, presidential proclamation to suspend and limit entry, executive order to provide relief to long-term undocumented immigrants, migrant deaths while in ICE detention, TikTok ban, national security, free speech, privacy, Kids Online Safety Act, civil liberties, civil rights, Affordable Connectivity Act, continued funding for broadband subsidies, oversight over counterterrorism policy and practices, torture, detention, drones, war authority, Guantanamo Bay, artificial intelligence, effects of AI on civil rights and civil liberties, speech, privacy, nondiscrimination, deep fakes, revenge porn, broadband, Affordable Connectivity Program Extension Act of 2024; Office of Faith-Based and Community Initiatives-Migrant property dispossession, freedom of religious expression for migrants; Office of Science and Technology Policy-Use of AI in hiring, healthcare, and other protected areas, algorithmic justice. Agency-FTC-Issues Lobbied: U.S. commitments to World Trade Organization, artificial intelligence, effects of AI on civil rights and civil liberties, speech, privacy, nondiscrimination. Agency-HHS-Issues Lobbied: Community safety and justice, hidden foster care data collection, womens rights, family policing, LGBTQ+ rights, privacy and technology, Draft USCDI, Version Five: U.S. Core Data for Interoperability, Section 1557 regulation. Agency-FCC-Issues Lobbied: Prison profiteering, Martha Wright-Reed Just and Reasonable Communications Act of 2022, continued funding for broadband subsidies, broadband, net neutrality, Affordable Connectivity Program Extension Act of 2024, digital discrimination. Agency-CMS-Issues Lobbied: Executive Order 14019-Promoting Access to Voting, voting rights. Agency-VA-Issues Lobbied: LGBTQ+ rights, comprehensive care for transgender veterans. Agency-Education-Issues Lobbied: LGBTQ+ rights, Title IX regulation, definition of antisemitism in education programs, First Amendment protections. Agency-HUD-Issues Lobbied: Womens rights, FR-6287-P-01: 30-Day Notification Requirement Prior to Termination of Lease for Nonpayment of Rent. Agency-Labor-Issues Lobbied: Use of AI in hiring, healthcare, and other protected areas, algorithmic justice, community safety and justice. Agency-NIST-Issues Lobbied: Use of AI in hiring, healthcare, and other protected areas, algorithmic justice. Agency-TSA-Issues Lobbied: LGBTQ+ rights, customer experience roadmap. Agency-FBI-Issues Lobbied: LGBTQ+ rights, FBI PSA on terrorist organizations during Pride Month. Agency-USCIS-Issues Lobbied: Language access for migrants in ICE detention. Agency-BOP-Issues Lobbied: Prison conditions, criminalization of free speech, BOP Docket No. BOP-1171-P Comments to Proposed Rule: Inmate Discipline Program: Disciplinary Segregation and Prohibited Act Code Changes. Agency-Census-Issues Lobbied: LGBTQ+ rights, privacy and technology, 89-FR-15119: Current Population Survey Basic Demographic Items.

Client expense: $410,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Bureau of Justice Assistance, Bureau of Prisons (BOP), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Communications Commission (FCC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institute of Standards & Technology (NIST), Office of Faith-Based & Community Initiatives, Office of Justice Program, Office of Science & Technology Policy (OSTP), SENATE, Transportation Security Administration (TSA), U.S. Customs & Border Protection, Veterans Affairs, Dept of (VA), White House Office

Medicare home health payment policy. Medicare hospice payment policy. Medicaid HCBS payment and eligibility policy. CMMI VBID Medicare Advantage Carve-in proposal. Hospice Face to Face Telehealth recertification. H.R. 4189/S. 2016, CONNECT for Health Act. H.R. 547/S. 100, Better Care Better Jobs Act. Health information technology funding and standards for long-term post-acute care providers. Hospice Special Focus Program (SFP). Access to Home and Community-Based Services and Long-Term Care Pharmacy services. Medicare Limited Income Newly Eligible Transition (LINET) program. S. 3109, Alleviating Barriers for Caregivers (ABC) Act. Medicare low-income outreach and enrollment funding. H.R. 7148, Medicare Home Health Accessibility Act. H.R. 7165/S. 3702, Credit for Caring Act of 2024. H.R. 7573, Stop Unfair Medicaid Recoveries Act. S. 2243, Palliative Care and Hospice Education and Training Act. H.R. 8114, to prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services. H.R. 2941, Recognizing the Role of Direct Support Professionals Act. Draft legislation providing various reforms to the Medicare Hospice benefit.

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

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

Home and Community-Based Services (HCBS); Guardianship; Medicaid; Social Security; PHE unwinding; H.R. 7573; Stop Unfair Medicaid Recoveries Act; H.R. 8019; Money Follows the Person Permanency Act of 2024; H.R. 8110, Protecting Married Seniors from Impoverishment Act of 2024.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Meetings, Letters, Press Conference and Briefings in House and Senate on CMS Nursing Home Staffing Rule, and sharing SEIU strong Opposition to HR 5796, H.R. 7513, S. 3410, H.J. Res. 139 and S.J. Res. 91 that would prohibit the rule. Meeting in House in Opposition to HR 6860, the Restore Protections for Dialysis Patients Act (RPDPA) Letter and meetings in Opposition to H.R. 8114, Legislation that would prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services. Letter and meetings with House Offices in Opposition to H.R. 3227, Ensuring Seniors Access to Quality Care Act. Letter in Support for H.R. 7573, the Stop Unfair Medicaid Recoveries Act which seeks to halt unfair Medicaid recovery practices, and H.R. 8106 which proposes to remove institutional care criteria for Home and Community-Based Services (HCBS) eligibility, improving access and equity within the long-term care system.

Client expense: $230,000 · Firm income: Not reported

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

No bill number. Discussed medically necessary dental coverage and oral health care in Medicare. No bill number. Discussed Medicare coverage for telehealth services. No bill number. Discussed workforce training, physician reimbursement, and Medicare provider access. No bill number. Discussed Improving Seniors Timely Access to Care Act of 2024. H.R. 2407, the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act. No bill number. Discussed Medicaid estate recovery. No bill number. Discussed Medicare Advantage data. H.R. 3549/ S. 1703, the PACE Part D Choice Act of 2023. No bill number. Discussed family caregivers and Medicare and Medicaid policy. No bill number. Discussed Medicare FY25 Skilled Nursing Facility Payment Proposed Rule. No bill number. Discussed Medicare FY25 Hospital Inpatient Payment Proposed Rule. No bill number. Discussed hospitals and a buffer of essential medicines. No bill number. Discussed Medicaid unwinding. H.R. 8114, To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services. No bill number. Discussed Care Executive Order. H.R. 8018, the Alleviating Barriers for Caregivers Act. S. 3109, Alleviating Barriers for Caregivers Act. S. 3766/H.R. 7274, Connecting Caregivers to Medicare Act. No bill number. Discussed Acute Hospital Care at Home waiver and family caregivers. No bill number. Discussed family caregivers, direct care workers, care at home, and in other settings. S. 4120/H.R. 7994, the Long-Term Care Workforce Support Act. H.R. 8094, to amend Title XIX of the Social Security Act to modify certain asset recovery rules. H.R. 7573, the Stop Unfair Medicaid Recoveries Act. No bill number. Discussed the Coordinating Care for Veterans and Wounded Warriors Act. No bill number. Discussed nursing home staffing standards. No bill number. Discussed Medicare home health and hospice benefits. No bill number. Discussed health care coverage expansion. H.R. 8331/S. 4280, the Essential Caregivers Act. H.R. 7442, Philippine Medicare Portability Study Act. H.R. 3227, the Ensuring Seniors Access to Quality Care Act. H.R. 8244, Ensuring Seniors Access to Quality Care Act. H.R.468, the Building Americas Health Care Workforce Act. HR 7513/S.3410, the Protecting Americas Seniors Access to Care Act. H.J.Res.139, Providing for Congressional disapproval of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting. S.J.Res.91, A joint resolution providing for congressional disapproval of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting" S.4137, the Improving Access to Medicare Coverage Act of 2024.

Client expense: $5,170,000 · 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. 652/H.R. 2630, Safe Step Act, support passage. -S. 1375/H.R. 830, HELP Copays Act, support passage. -S. 1339, PBM Reform Act, support patient-centric reforms including addition of the Safe Step Act and HELP Copays Act. -H.R. 2880, Protecting Patients Against PBM Abuses Act-Support preservation of Medicare Part Ds Six Protected Classes policy. -Protection of the Affordable Care Act and Reauthorization of the Advance Premium Tax Credits -Support patient-centric implementation of Medicare Part D out-of-pocket cap and the Medicare Prescription Payment Plan -Educate about Medicaid and CHIP unwinding to try and reduce coverage losses. -Urge the federal government to collect better data on the disability community -Urge patient priorities like standardized health plans and network adequacy in the 2026 Notice of Benefit and Payment Parameters rule. -Urge rescission of the 2018 Definition of Employer-Association Health Plans final rule (the 2018 AHP Rule). -Urge finalization of regulations important to patients and consumers with acute and chronic health conditions including the 504 rule, short-term limited duration rule and the 1557 rule. -ERISA RFI, comments to help ensure that people with serious acute and chronic health care conditions who are covered by employer-sponsored plans are protected and have coverage that meets their health care needs -Ensure any regulation of cannabis protects safe and legal access -Ensure continued access to needed healthcare via telehealth including prescribing of epilepsy medications that are controlled substances -Requests to join the Congressional Epilepsy Caucus. -H.R. 824, the Telehealth Benefit Expansion for Workers Act, oppose passage. -Support the parity of coverage of mental health treatments -Support legislation and regulations that incentivize the development of orphan drugs -Support legislation and regulations that help to advance health equity for people with epilepsy -Provide technical assistance on draft bill that would establish a federal grant and subgrant program to better support students with epilepsy in schools -Support legislation and regulations that would ban the use of electric shock devices that apply a shock to a persons skin to reduce or cease self-injurious or aggressive behaviors -Supporting legislation and regulations that protect the current structure of the National Institutes of Health -Supporting regulations to change the dates for the New Technology Add-On Payment -Support legislation to keep insurance brokers accountable -Support H.R. 7573, Stop Medicaid Recovery Act -Support H.R. 4758/S.2372, Accelerating Kids Access to Care Act -Support legislation and regulations to streamline prior authorization processes -Support the creation of an Office of Caregiving at the Department of Health and Human Services

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

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

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

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

H.R. 35 - Close the Medigap Act of 2023 - Rep. Doggett, Lloyd - Medigap policies H.R. 3746 - Fiscal Responsibility Act of 2023 - Rep. McHenry, Patrick - work requirements for federal programs H.R. 3875 - Expanded Telehealth Access Act - Rep. Sherrill, Mikie - Medicare payment for telehealth services H.R. 4411 - Medicare Advantage Integrity Act - Resident Commissioner Gonzalez-Colon, Jenniffer - disparity in MA benchmark rates H.R. 5526 - Seniors' Access to Critical Medications Act of 2023 - Rep. Harshbarger, Diana - exception for physician self-referral H.R. 5584 - Medicaid Third Party Liability Act - Rep. Burgess, Michael - amends Medicaid Third Party liability requirements H.R. 5746 - Addressing Whole Health in Medicare Advantage Act - Rep. Bilirakis, Gus - Medicare Advantage supplemental benefits H.R. 5854 - Medicare Advantage Consumer Protection and Transparency Act - Rep. Porter, Katie - Medicare Advantage organization reporting H.R. 6364 - Medicare Telehealth Privacy Act of 2023 - Rep. Balderson, Troy - Provider privacy provisions for telehealth under Medicare H.R. 6400 - To amend title XVIII of the Social Security Act to extend eligibility for certain payment increases for biosimilar biological products under the Medicare program - Rep. Cardenas, Tony - Medicare payment increase for biosimilars H.R. 6445 - Medicare Audiology Access Improvement Act of 2023 - Rep. Bilirakis, Gus - Medicare Audiology Coverage H.R. 7147 - Medicare Transaction Fraud Prevention Act - Rep. Schweikert, David - oversight of payments for medical equipment & clinical DLTs under Medicare H.R. 7274 - Connecting Caregivers to Medicare Act of 2024 - Rep. Carey, Mike - outreach, education, and simplify information for family caregivers on Medicare benefits H.R. 7432 - Sickle Cell Disease Comprehensive Care Act - Rep. Burgess, Michael - enables State Medicaid programs to provide coordinated care through health home to individuals with sickle cell disease H.R. 7512 - Real-Time Benefit Tool Implementation Act - Rep. Arrington, Jodey - implementation of real-time benefit tools under part D of under Medicare H.R. 7573 - Stop Unfair Medicaid Recoveries Act - Rep. Schakowsky, Janice - Medicaid Estate Recovery Program H.R. 7619 - Expand the Behavioral Health Workforce Now Act - Rep. Neguse, Joe - education, training, recruitment, and retention of mental health and substance use disorder providers under Medicaid and CHIP H.R. 7623 - Telehealth Modernization Act of 2024 - Rep. Carter, Earl L. - makes certain telehealth flexibilities permanent under Medicare S. 838 - Improving Access to Mental Health Act - Sen. Stabenow, Debbie - mental health services in Medicare S. 2880 - Expanded Telehealth Access Act - Sen. Daines, Steve - Medicare payment for telehealth services S. 3573- Medicare Advantage Supplemental Benefits Transparency Act- Sen. Warner, Mike - MA, data transparency, supplemental benefits S. 3578- Protect Medicaid Act - Sen. Cassidy, Bill - prohibits federal payments under Medicaid for noncitizens, requires reporting to HHS of states that provide such health benefits S. 3630- Medicare Transaction Fraud Prevention Act- Sen. Braun. Mike- pilot program for predictive risk-scoring algorithm, oversight, Medicare S. 3651- Telemental Health Care Access Act of 2024- Sen. Cassidy, Bill - Medicare, mental health services, telehealth S. 3766- Connecting Caregivers to Medicare Act of 2024- Sen. Tillis, Thomas - Medicare, outreach and education, caregivers S. 3882- Helping States Integrate Medicare and Medicaid Act- Sen. Casey, Robert - dual eligibles, quality measures, access, enrollment S. 3934- Increasing Access to Biosimilars Act of 2023- Sen. Cornyn, John - Medicare drug access S. 3950 - Delivering Unified Access to Lifesaving Services Act of 2024 - Sen. Cassidy, Bill - reforming Integrated Medicare/Medicaid Care Programs for Dually Eligible Individuals Issues related to mental health and Medicare; Medicare and Medicaid funding; Medicaid expansion; State innovation waivers; Medicaid and CHIP; Medicaid FMAP; issues related to Medicare Advantage payment, including Medicare Payment Advisory Commission analyses and the 2025 Advance Rate Notice for MA and Part D; MedPAC analysis of MA payments, MA CY 2025 rate notice; MA risk adjustment; prior authorization in Medicare and Medicaid; MA coverage in rural areas; and issues related to implementation of the Inflation Reduction Act, including reform of the Medicare Part D program. Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and risk adjustment data validation (RADV) audit issues including RADV regulation for MA; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); issues related to Medicare for All, Medicare buy-in, reduced Medicare eligibility age, and public option; issues relating to 2024 Rate Notice; issues related to the expiration of Medicaid continuous eligibility and transitions in coverage; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to expanded Medicare fee for service benefits (dental, hearing and vision); issues related to specialty infant formula; issues related to the Inflation Reduction Act implementation; contraceptive coverage and reproductive health; Medicare NCD relating to monoclonal antibodies for treatment of Alzheimers disease; issues related to Managed Long Term Services and Supports (MLTSS); issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to the end of the public health emergency, including the Medicaid unwinding; telehealth; issues related to the cost of insulin, including price, copays, rebates, and medical management tools; issues related to health equity; issues related to artificial intelligence; issues related to vaccination; issues related to audio-only telehealth; issues related to addressing the social determinants of health, including housing, transportation, nutrition, educational opportunities, and MA supplemental benefits; issues related to Medicaid presumptive eligibility and continuous eligibility; issues relating to Medicaid best price; in-home health risk assessments; Medicare Medical Loss Ratio issues; issues related to changes to prior authorization regulations or legislation, electronic documentation, and related issues; issues relating to sequestration under the Medicare Advantage and Part D programs; implications of physician fee schedule on MA; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); issues related to the international price index; issues related to child and maternal health; issues related to Medicaid supplemental and disproportionate share hospital (DSH) funding; issues related to Medicaid funding for territories; issues related to medical management; issues relating to MA supplemental benefits; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value based payment models; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; issues relating to MACRA, including implications for MA and Part D plans; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); issues relating to potential Medicare mental health parity requirements; Medicaid managed care regulations and policies, including the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues related to health homes for children with medically complex conditions; socioeconomic status impacts on star ratings related to MA and Part D programs; issues related to private equity ownership transparency; and other issues relating to health care reform implementation.

Client expense: $4,210,000 · Firm income: Not reported

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

Medicare home health payment policy. Medicare hospice payment policy. Medicaid HCBS payment and eligibility policy. CMMI VBID Medicare Advantage Carve-in proposal. Hospice Face to Face Telehealth recertification. H.R. 4189/S. 2016, CONNECT for Health Act. H.R. 547/S. 100, Better Care Better Jobs Act. Health information technology funding and standards for long-term post-acute care providers. Hospice program integrity concerns. Controlled substances prescribing policy. Medicare hospice cost-savings research. H.R. 5159/S. 2137, Preserving Access to Home Health Act of 2023. CMS Proposed Medicaid Access Rule. S. 1845, Expanding Access to Palliative Care. Hospice Special Focus Program (SFP). Access to Home and Community-Based Services and Long-Term Care Pharmacy services. Medicare Limited Income Newly Eligible Transition (LINET) program. S. 3109, Alleviating Barriers for Caregivers (ABC) Act. Medicare low-income outreach and enrollment funding. H.R. 7148, Medicare Home Health Accessibility Act. H.R. 7165/S. 3702, Credit for Caring Act of 2024. H.R. 7573, Stop Unfair Medicaid Recoveries Act.

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

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

Legislation: S.3663-Kids Online Safety Act-Issues Lobbied: Free speech, privacy, civil rights, civil liberties. S.1207-Eliminating Abusive and Rampant Neglect of Interactive Technologies Act of 2023 or the EARN IT Act of 2023-Issues Lobbied: Free speech, privacy. S.1080-Cooper Davis Act-Issues Lobbied: Free speech, privacy. S.1199-Strengthening Transparency and Obligations to Protect Children Suffering from Abuse and Mistreatment Act of 2023-Issues Lobbied: Free speech, privacy. S.1291-Protecting Kids on Social Media Act-Issues Lobbied: Free speech, privacy. S.1939-FAA Reauthorization Act of 2023-Issues Lobbied: Privacy, womens rights. S.1418-Children and Teens Online Privacy Protection Act-Issues Lobbied: Privacy. S.2892-Algorithmic Accountability Act of 2023-Issues Lobbied: Algorithmic justice. S.701-Womens Health Protection Act of 2023-Issues Lobbied: Reproductive freedom. S.5-Equality Act-Issues Lobbied: LGBTQ+ rights. S.2624-Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024-Issues Lobbied: LGBTQ+ rights. S.1999-Right to Contraception Act-Issues Lobbied: Reproductive freedom. S.3351-FISA Reform and Reauthorization Act of 2023-FISA Section 702 reauthorization. S.3234-Government Surveillance Reform Act of 2023-Issues Lobbied: FISA Section 702 reauthorization. S.3565-Affordable Connectivity Program Extension Act of 2024-Issues Lobbied: Equitable access to broadband. S.2033-American Innovation and Choice Online Act-Issues Lobbied: Free speech. S.4-John R. Lewis Voting Rights Advancement Act of 2024-Issues Lobbied: Voting rights. S.1-Freedom to Vote Act-Issues Lobbied: Voting rights, democracy. S.3361-Traveler Privacy Protection Act of 2023-Issues Lobbied: Privacy. S.441-American Opportunity Accounts Act-Issues Lobbied: Racial justice. S.3961-Security and Freedom Enhancement (SAFE) Act of 2024-Issues Lobbied: FISA Section 702 reauthorization. S.1541-Martha Wright-Reed Just and Reasonable Communications Act of 2022-Issues Lobbied: Prison profiteering. S.3409- End Solitary Confinement Act-Issues Lobbied: Solitary confinement. S.3900-Justice for Breonna Taylor Act-Issues Lobbied: Policing. S.2313-Driving for Opportunity Act of 2023-Issues Lobbied: Traffic decriminalization. S.1306-COPS Reauthorization Act 2023-Issues Lobbied: Policing. S.516-Fair Wages for Incarcerated Workers Act of 2023-Issues Lobbied: Prison labor exploitation. S.518-Correctional Facilities Occupational Safety and Health Act of 2023-Issues Lobbied: Prison labor exploitation. S.508-Ensuring Work Opportunities in Correctional Facilities Act of 2023-Issues Lobbied: Prison labor exploitation. S.517-Combating Workplace Discrimination in Correctional Facilities Act of 2023-Issues Lobbied: Prison labor exploitation. S.2646-HEAL for Immigrant Families Act of 2023-Issues Lobbied: Reproductive freedom. S.3196-Ensuring Medicaid Continuity for Children in Foster Care Act of 2023-Issues Lobbied: Disability rights. S.2625-Department of Homeland Security Appropriations Act, 2024-Issues Lobbied: Immigration, interior enforcement, removals, military neutralization. H.R.1325-Asylum Seeker Work Authorization Act of 2023-Issues Lobbied: Asylum, immigration, employment authorization for asylum seekers. H.R.4365-Department of Defense Appropriations Act, 2024-Issues Lobbied: LGBTQ+ rights. H.R.2-Secure the Border Act of 2023-Issues Lobbied: Immigration, border policies, transit ban, credible fear standard, border expulsion authority, expedited removal, mandatory detention, parole. H.R.4367-Department of Homeland Security Appropriations Act, 2024-Issues Lobbied: LGBTQ+ rights. H.R.4665-Department of State, Foreign Operations, and Related Programs Appropriations Act, 2024-Issues Lobbied: LGBTQ+ rights. H.R.4368-Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2024-Issues Lobbied: LGBTQ+ rights. H.R.12-Womens Health Protection Act of 2023-Issues Lobbied: Reproductive freedom. H.R.4366-Consolidated Appropriations Act, 2024-Issues Lobbied: LGBTQ+ rights, fentanyl provisions, immigration, racial justice, reproductive rights. H.R.15-Equality Act-Issues Lobbied: LGBTQ+ rights. H.R.1399-Protect Childrens Innocence Act-Issues Lobbied: LGBTQ+ rights. 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-Issues Lobbied: LGBTQ+ rights. H.R.5601-MORE Act-Issues Lobbied: Marijuana decriminalization. H.R.4394-Energy and Water Development and Related Agencies Appropriations Act, 2024-Issues Lobbied: LGBTQ+ rights. H.R.4664-Making appropriations for financial services and general government for the fiscal year ending September 30, 2024, and for other purposes-Issues Lobbied: LGBTQ+ rights. H.R.4821-Department of the Interior, Environment, and Related Agencies Appropriations Act, 2024-Issues Lobbied: LGBTQ+ rights. H.R.4820-Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2024-Issues Lobbied: LGBTQ+ rights. H.R.5893-Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024-Issues Lobbied: LGBTQ+ rights. H.R.6570-Protect Liberty and End Warrantless Surveillance Act of 2023-Issues Lobbied: FISA Section 702 reauthorization. H.R.4454-To amend the Foreign Intelligence Surveillance Act of 1978 to ensure that politically derived information is not used in an application to the Foreign Intelligence Surveillance Court for an order under title I or III of such Act-Issues Lobbied: FISA Section 702 reauthorization. H.R.6262-Government Surveillance Reform Act of 2023-Issues Lobbied: FISA Section 702 reauthorization. H.R.815-National Security and Border Act, 2024-Issues Lobbied: Immigration, immigrant detention, interior enforcement, deportation, border enforcement, asylum, transit ban, credible fear standard, border expulsion authority, expedited removal, mandatory detention, parole. H.R.5798-Protecting Our Nations Capital Emergency Act of 2023-Issues Lobbied: Policing. H.R.4972-End Solitary Confinement Act-Issues Lobbied: Solitary confinement. H.R.1525-Fifth Amendment Integrity Restoration Act of 2023-Issues Lobbied: Policing, civil asset forfeiture. H.R.7511-Laken Riley Act-Issues Lobbied: Border enforcement, immigration, detention. H.R.2882-Further Consolidated Appropriations Act, 2024-Issues Lobbied: Border enforcement, immigration, detention, fentanyl provisions, racial justice, LGBTQ+ rights, reproductive rights. H.Res.957-Denouncing the Biden administrations open-borders policies, condemning the national security and public safety crisis along the southwest border, and urging President Biden to end his administrations open-borders policies-Issues Lobbied: Border enforcement. H.R.7521-Protecting Americans from Foreign Adversary Controlled Applications Act-Issues Lobbied: Privacy. H.R.6592-Fight Book Bans Act-Issues Lobbied: Free speech. H.R.6943-No AI FRAUD Act-Issues Lobbied: Free speech, artificial intelligence. H.R.6881-AI Foundation Model Transparency Act of 2023-Issues Lobbied: Algorithmic justice. H.R.6886-Transparent Automated Governance Act-Issues Lobbied: Algorithmic justice. H.R.7520-Protecting Americans Data from Foreign Adversaries Act of 2024-Issues Lobbied: Privacy. H.R.7534-Verifying Kids Online Privacy Act-Issues Lobbied: Privacy. H.R.1041-American Opportunity Accounts Act-Issues Lobbied: Racial justice. H.R.6451-Mental Health Justice Act of 2023-Issues Lobbied: Federal appropriations. H.R.895-Combating Organized Retail Crime Act of 2023-Issues Lobbied: Combatting criminalization. H.R.6985-BOP Release Card ID Act of 2024-Issues Lobbied: Banking access for justice-impacted individuals. H.R.1062-EQUAL Act-Issues Lobbied: Sentencing reform. H.R.459-SAFER Health Act of 2023-Issues Lobbied: Combatting criminalization. H.R.7530-DC CRIMES Act-Issues Lobbied: Policing. H.R.3686-SHIELD Act of 2023-Issues Lobbied: Policing. H.R.7187-Protection of Women in Olympic and Amateur Sports Act-Issues Lobbied: LGBTQ+ rights. H.R.4364-Legislative Branch Appropriations Act, 2024-Issues Lobbied: LGBTQ+ rights. H.R.6918-Supporting Pregnant and Parenting Women and Families Act-Issues Lobbied: Reproductive freedom. H.R.6914-Pregnant Students Rights Act-Issues Lobbied: Reproductive freedom. H.R.4121-Right to Contraception Act-Issues Lobbied: Reproductive freedom. H.R.561-EACH Act of 2023-Issues Lobbied: Reproductive freedom. H.R.7573-Stop Unfair Medicaid Recoveries Act-Issues Lobbied: Disability rights. H.R.4734-MORE Act-Issues Lobbied: Marijuana decriminalization. Legislation with No Bill Number: Senate bill version-MORE Act-Issues Lobbied: Marijuana decriminalization. Communications Decency Act of 1996-Issues Lobbied: Section 230, free speech, maintaining Internet integrity. GUARD Act-Issues Lobbied: Freedom of speech, privacy. High School Voter Empowerment Act-Issues Lobbied: Voting rights. Next Step Home Act-Issues Lobbied: Voting rights. Environmental Health in Prisons Act-Issues Lobbied: Criminal justice reform, prison conditions. Reproductive Data Privacy and Protection Act-Issues Lobbied: Privacy, reproductive freedom. National Defense Authorization Act, 2025-Issues Lobbied: Immigration, military naturalizations, civil rights, civil liberties. Additional legislation not yet introduced-Creation of National Human Rights Institution, FISA Section 702 reauthorization, fiscal year 2025 appropriations, omnibus appropriations, consumer privacy, patenting of genes, gene research, net neutrality, broadband access, deep fakes, revenge porn, equity online, digital discrimination, elections funding, federal funding for elections, free speech, defining antisemitism in education programs, artificial intelligence, use of artificial intelligence in hiring and healthcare, algorithmic justice, watchlists, border enforcement, immigration, detention, CBP medical care and oversight, migrant property dispossession, freedom of religious expression for migrants, insular cases, self-determination of U.S. territories, criminal justice reform, clemency, community safety, prison conditions, prisoners rights for pregnant people, abortion, reproductive freedom, medication abortion, reproductive healthcare, TikTok ban, national security, free speech, privacy, foster care data collection, family policing, womens rights, civil rights, civil liberties. Agencies: Agency-Homeland Security-Issues Lobbied: Executive Order 14010-Creating a Comprehensive Regional Framework to Address the Causes of Migration, to Manage Migration Throughout North and Central America, and to Provide Safe and Orderly Processing of Asylum Seekers at the U.S. Border, asylum, asylum reform, restoration of asylum processing at southern border, complete termination of MPP, rebuilding a more humane asylum system, immigration, CBP policing policies and practices, migrant property dispossession, language access for migrants, CBP One mobile application, Office of Intelligence Analysis practices, clemency, Immigrant Military Members and Veterans Initiatives recipients, freedom of religious expression for migrants; Customs and Border Protection-Migrant property dispossession, freedom of religious expression for migrants; Immigration and Customs Enforcement-Immigrant detention, detention of Mauritanian asylum-seekers. Agency-Justice-Issues Lobbied: Clemency, sentencing reform, clemency for federal death row prisoners; Office of the Pardon Attorney-Clemency, Immigrant Military Members and Veterans Initiative recipients. Agency-EOP-Issues Lobbied: White House Office-Clemency, executive clemency, Proclamation 10467, clemency for federal death row prisoners, Executive Order 14010-Creating a Comprehensive Regional Framework to Address the Causes of Migration, to Manage Migration Throughout North and Central America, and to Provide Safe and Orderly Processing of Asylum Seekers at the U.S. Border, asylum, asylum reform, National Security and Border Act, protecting asylum and immigrant rights in funding negotiations, restoration of asylum processing at southern border, complete termination of MPP, rebuilding a more humane asylum system, temporary protected status, immigration, TikTok ban, national security, free speech, privacy, Kids Online Safety Act, civil liberties, civil rights, Affordable Connectivity Act, continued funding for broadband subsidies, oversight over counterterrorism policy and practices, torture, detention, drones, war authority, Guantanamo Bay, artificial intelligence, effects of AI on civil rights and civil liberties, speech, privacy, nondiscrimination, deep fakes, revenge porn, broadband, Affordable Connectivity Program Extension Act of 2024; Office of Faith-Based and Community Initiatives-migrant property dispossession, freedom of religious expression for migrants; Domestic Policy Counsel-Criminal justice reform; Office of Information and Regulatory Affairs-Pregnant Workers Fairness Act notice of proposed rulemaking. Agency-Office of the Vice President-Issues Lobbied: Clemency. Agency-FTC-Issues Lobbied: Artificial intelligence, effects of AI on civil rights and civil liberties, speech, privacy, nondiscrimination. Agency-HHS-Issues Lobbied: LGBTQ+ rights, Section 1557 regulation, electric shock therapy, disability rights. Agency-FCC-Issues Lobbied: Prison profiteering, continued funding for broadband subsidies, broadband, net neutrality, Affordable Connectivity Program Extension Act of 2024, digital discrimination, equity. Agency-CMS-Issues Lobbied: Executive Order 14019-Promoting Access to Voting, voting rights. Agency-Treasury-Issues Lobbied: Banking access for justice-impacted individuals. Agency-VA-Issues Lobbied: LGBTQ+ rights, comprehensive care for transgender veterans. Agency-Education-Issues Lobbied: LGBTQ+ rights, Title IX regulation, definition of antisemitism in education programs, First Amendment protections. Agency-HUD-Issues Lobbied: Womens rights, 30-Day notification requirement prior to termination of lease for nonpayment of rent notice of proposed rulemaking. Agency-FAA-Issues Lobbied: Flight crew pumping breast milk, womens rights, workplace discrimination.

Client expense: $490,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Office of Faith-Based & Community Initiatives, Office of the Vice President of the United States, SENATE, Treasury, Dept of, U.S. Customs & Border Protection, U.S. Immigration & Customs Enforcement (ICE), Veterans Affairs, Dept of (VA), White House Office

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

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