Securing the Border for Public Health Act of 2023

NAPA Reauthorization Act (P.L. 118-92) Alzheimers Accountability and Investment Act (P.L. 118-93) Comprehensive Care for Alzheimers Act (S. 626/H.R. 1637 118th Congress) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Reauthorization Act (P.L. 118-142) Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (H.R. 3747 / S. 4036) The Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act (P.L. 118-210) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10 118th Congress) Access to Innovative Treatments Act of 2026 (H.R. 9418) Mandating Exclusive Review of Individual Treatments (MERIT) Act of 2023 (H.R. 133 118th Congress) Elder Justice Reauthorization and Modernization Act of 2026 (H.R. 8060) Expanding Veterans Options for Long-Term Care Act (S. 495/H.R.1815 118th Congress) Palliative Care and Hospice Education and Training Act of 2023 (S. 2287/H.R. 4425) Facilitating Innovative Nuclear Diagnostics (FIND) Act of 2023 (S. 1544/H.R. 1199 118th Congress) Supporting Our Seniors Act (S. 2762) Alleviating Barriers for Caregiving Act (S. 1227/H.R. 2491) Credit for Caring Act (S. 925/H.R. 2036) Lifespan Respite Care Reauthorization Act (S.830/H.R.2560) DeOndra Dixon INCLUDE Project Act of 2025 (H.R. 3491/S. 1838) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 400/H.R. 996) Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act (S. 1261/H.R. 4206) PACE Part D Choice Act (S. 1703/H.R. 3549 118th Congress) Improving Seniors' Access to Timely Care Act of 2025 (S. 1816/H.R. 3514) Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research and Innovation in Neurological Science (HEALTHY BRAINS) Act (H.R. 7779) Better Empowerment Now to Enhance Framework and Improve Treatments (BENEFIT) Act of 2023(S. 526/H.R. 1092) Essential Caregivers Act (H.R. 6766) Ensuring Patient Access to Critical Breakthrough Products Act (S. 1717/H.R. 5343) The Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act (S.2761/H.R.5269) Linking Seniors to Needed Legal Services Act (H.R. 6728) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1013) Catching Up Family Caregivers Act of 2026 (S. 4291/H.R. 8273) Improving Retirement Security for Family Caregivers Act of 2026 (S. 4291 /H.R. 8273) Charitable Act (S. 317/H.R. 801) Alzheimers Law Enforcement Education Act of 2025 (H.R. 3389) Health Tech Investment Act (S.1399) One Big Beautiful Bill Act (H.R. 1) Older Americans Act Reauthorization Act of 2025 (S. 2120) Lowering Costs for Caregivers Act of 2025 (S. 1565/H.R. 138) Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act (S. 2761 / H.R. 5269) Enhanced Alerts for Missing Loved Ones with Disabilities Act of 2026 (S. 4670/H.R. 9118) Alzheimers Screening and Prevention Act (H.R. 6130/S. 3267) Other matters related to disaster preparedness and older adults, public health emergencies, public health preparedness and response, telehealth, health disparities, and older Americans/people with disabilities in all phases of emergencies Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta-amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices Other matters related to rural health Other matters related to veterans' health and traumatic brain injury (TBI) Other matters related to Tricare Other matters related to research Other matters related to biomarkers including blood-based tests and cerebral spinal fluid (CSF) Other matters related to public health Other matters related to elder justice, abuse and neglect Other matters related to Medicaid Other matters related to nonprofit infrastructure and operations Other matters related to the National Plan to Address Alzheimer's Disease and the NAPA Advisory Council Other matters related to the Alzheimer's Screening and Prevention (ASAP) Act Other matters related to the reauthorization of the Alzheimers semipostal stamp Other matters related to brain health, risk reduction, and the U.S. POINTER study and results Other matters related to biomarker disclosure and discrimination (Office of Civil Rights at HHS) Other matters related to long-term care

Client expense: $1,800,000 · Firm income: Not reported

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

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

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

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

Housing Availability and Affordability Conversations with the Senate Finance Committee and House Ways and Means Committee on tax credits to increase the affordable housing supply Communications with the House and Senate about housing supply and construction HR3507 - Yes In My Backyard Act HR6199 - Build More Housing Near Transit Act HR____ - Promote Affordable Housing Near Transit Act S.657 - Neighborhood Homes Investment Act S1668 - Yes In My Backyard Act S____ - Housing Supply and Affordability Act Discussions with the Senate about the discussion draft of the Renewing Opportunity in the American Dream (ROAD) to Housing Act S1557 - Affordable Housing Credit Improvement Act HR1321 - More Homes on the Market Act S4944 - Access to Homeownership Act S3117 - HOUSES Act of 2023 S3871 - Whole Homes Repairs Act of 2024 S3910 - Yes in God's Backyard Act Fair Housing Discussions with the House of Representatives and the Senate about reintroducing the HOME Investment Partnerships Act. Section 8 Housing Choice Voucher Program S.32 - Choice in Affordable Housing Act of 2023 Discussions with Senate offices about the Choice in Affordable Housing Act of 2023. FHA Loan Program Discussions with the House of Representatives and the Senate about the FHA Loan Program. Communication with the Federal Housing Administration urging policy actions to unlock a portion of inventory for buyers with FHA-insured loans. Loan Level Pricing Adjustments (LLPAs) HR3564 - Middle Class Borrower Protection Act of 2023 Discussions with the House of Representatives and the Senate about LLPAs. Converting Commercial Real Estate to Housing Conversations with the House and Senate about tax incentives for converting commercial real estate to affordable housing. Conversations with the House of Representatives about the Revitalizing Downtowns and Main Streets Act HR9002. Rental Housing HR1087 - The DEPOSIT Act Communications with the House of Representatives, the Senate, the White House, and the Federal Housing Finance Agency (FHFA) about rental housing issues, including rent control, eviction laws, and the GSEs participation in the multifamily rental housing space. HR801 - Respect State Housing Laws Act VA Programs HR4335 - To amend the National Housing Act to include information regarding VA home loans in the Informed Consumer Choice Disclosure required to be provided to prospective FHA borrowers. Discussions with the House of Representatives and the Senate about the VA Home Loan Guaranty Program. S3068 - The VA Home Loan Awareness Act HR___ - VA Housing Loan Forever Act HR8647 - To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to take certain actions to prevent or resolve a default of a housing loan guaranteed by the Secretary, and for other purposes. Heirs Property HR8127 - Heirs Estate Inheritance Resolution and Succession Act of 2024 HR8117 - Heirs Empowerment and Inheritance Rights Act of 2024 Communications with the Department of Veterans Affairs (VA) about the VA Guaranteed Home Loan Program asking the VA to revise its policies pertaining to fees veterans cannot pay when using their VA home loan benefit. Communications with the House and Senate urging them to pass appropriations to ensure continuity of VA housing programs. Rural Housing Programs Discussions with Senate offices about the USDA Rural Housing Service. Conversations with the Department of Housing and Urban Development (HUD) on the Housing Choice Voucher program (Section 8), fair housing, single and multifamily housing, the FHA Loan Program, rental housing issues, counseling, housing choice vouchers, HOME program, tenant protections. Discussions with the Consumer Financial Protection Bureau (CFPB) regarding tenant screening practices in rental housing, appraisal management companies (AMCs) appraisal independence. Conversations with the White House on rental housing issues, the Blueprint for a Tenants Bill of Rights, housing supply regulation, YIMBY (Yes in my backyard) Act and independent contractor issues. Communications with the Federal Trade Commission (FTC) about tenant screening practices in rental housing. Communications with the Federal Housing Finance Agency (FHFA) about condominium rules, LLPAs, appraisal issues, and rental housing issues. Communications with FHFA regarding its request for input on Federal Home Loan bank Core Mission Activities and Mission Achievement including that Federal Home Loan Banks were created and receive subsidies intended to help finance home purchases, there should be a minimum requirement for entrance into the system based on support for housing, there should be ongoing requirement to support housing for existing members, and there should be an expanded requirement to foster affordable housing. Communications with the House of Representatives regarding HUD programs, VA housing, and heirs property, the VA Home Loan Reform Act, the Congressional Real Estate Caucus, the Revitalizing Downtowns and Main Street Act, funding on housing programs for Fiscal Year 2025, Affordable Housing Credit Improvement Act to expand low income housing tax credit, More Homes on the Market Act to increase the tax exclusion of gain from the sale of a principal residence, Neighborhood Homes Investment Act to attract private investment in building and rehabbing owner occupied business, and housing supply and innovation framework. Communications the Senate on reducing regulation barriers to housing, the S.3755 Respect State Housing Laws Act, and Access to Homeownership Act to require multifamily borrowers with federally backed multifamily mortgage loans to submit positive rental payments to certain consumer reporting agencies, and housing supply and innovation framework. Comment letter in response to the Federal Housing Administration's draft mortgagee letter updating their 203(k)-renovation loan program. Communications with the Department of Housing and Urban Development, Office of the Comptroller of the Currency, Federal Housing Finance Administration, National Credit Union Administration, Federal Deposit Insurance Corporation, Federal Reserve Board, Consumer Financial Protection Bureau advocating for solutions to increase diversity, reduce bias, and maintain the public trust in the appraisal industry. Communications with the White House, Federal Communications Commission, Federal Trade Commission, National Economic Council, Department of Housing and Urban Development, Department of Agriculture in response to the Biden Administrations Fact Sheet on boosting housing supply highlighting the importance of not disincentivizing housing providers from participating in the rental housing market through over-regulation and in response to the Biden Administrations Fact Sheet on junk fees highlighting that fees in the rental housing industry are already regulated and serve an important function in providing safe and quality rental housing to renters. Communications with the White House, Senate, and House of Representatives on the rent cap proposal. Communications with the White House on housing supply, tax, real estate agency compensation, and homeownership incentives.

Client expense: $22,840,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Consumer Financial Protection Bureau (CFPB), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Housing Finance Agency (FHFA), Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Natl Credit Union Administration (NCUA), Natl Economic Council (NEC), Office of the Comptroller of the Currency (OCC), SENATE, Veterans Affairs, Dept of (VA), White House Office