Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act

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)

VA Community Care Program   Licensure   Funding for VA Office of Dentistry  Authority of VA Assistant Under Secretary for Health for Dentistry   VA Expiring Authorities Act  VETCARE Act   Amendment to the National Defense Authorization Act that Would Require a VA Dental Clinic in Each State  H.R. 9146, Ensuring Continuity of Care in Veterans Health Act  H.R.8371/ S. 141, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act  H.R. 3838/S. 2296, National Defense Authorization Act VETSmile Dental Pilot Program, Licensing, VA Community Care Program, funding for the VA Office of Dentistry, Authority of Assistant Under Secretary for Health for Dentistry  

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

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

VA: VETSmile Pilot Program VA Community Care Program VA: Licensure Funding for VA Office of Dentistry Authority of VA Assistant Under Secretary for Health for Dentistry VA Expiring Authorities Act VETCARE Act Amendment to the National Defense Authorization Act that Would Require a VA Dental Clinic in Each State H.R. 9146, Ensuring Continuity of Care in Veterans Health Act H.R.8371/ S. 141, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act

Client expense: $1,660,000 · Firm income: Not reported

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

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

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

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

S. 141 / H.R. 8371, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act.

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

Government targets: SENATE

H.R.8371 - Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act; Advocated in favor of the implementation of the provisions of the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, and further for the inclusion of a requirement that Veterans facing life-threatening substance use disorder (SUD) and other critical mental health are admitted within 48 hours of being assessed at a VA facility.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.8371 - Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act; Advocated in favor of the implementation of the provisions of the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, and further for the inclusion of a requirement that Veterans facing life-threatening substance use disorder (SUD) and other critical mental health are admitted within 48 hours of being assessed at a VA facility.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

VETSmile Pilot Program Community Care Program Licensure Funding for VA Office of Dentistry Authority of VA Assistant Under Secretary for Health for Dentistry VA Expiring Authorities Act VETCARE Act Amendment to the National Defense Authorization Act that Would Require a VA Dental Clinic in Each State H.R. 9146, Ensuring Continuity of Care in Veterans Health Act S. 141/H.R.8371, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act VETSmile Dental Pilot Program, Licensing, VA Community Care Program, funding for the VA Office of Dentistry, Authority of Assistant Under Secretary for Health for Dentistry

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

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

S. 344: Major Richard Star Act H.R. 1282: Major Richard Star Act H.R. 8371: Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act H.R. 8545: Camp Lejeune Justice Act of 2024 VA Dental Insurance Program Arlington National Cemetery - Caisson Support Congressional Outreach to Veteran Service Organizations VA Education and Training Benefits VA Life Insurance National Medal of Honor Highway TRICARE and LEQEMBI VA Pharmacy VA and Toxic Exposures Caregiver Support Improvements VA Community Health Care

Client expense: $475,175 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Defense Commissary Agency, Defense Department Field Activities, Defense Finance & Accounting Service (DFAS), Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), Federal Reserve System, Government Accountability Office (GAO), Government Printing Office (GPO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Guard, Natl Oceanic & Atmospheric Administration (NOAA), Navy, Dept of, Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Secretary of Defense, Office of the Vice President of the United States, President of the U.S., SENATE, Treasury, Dept of, U.S. Coast Guard (USCG), U.S. Marines, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service, Vice President of the U.S., White House Office

Issues related to non-emergency medical transportation (NEMT) for veterans; H.R. 3848 - Housing Our Military Veterans Effectively (HOME) Act; H.R. 8371 - Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act.

Client expense: $290,000 · Firm income: Not reported

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

S. 10, VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 H.R. 3347, Protect Lifesaving Anesthesia Care for Veterans Act of 2023, all provisions S. 2070, Protect Lifesaving Anesthesia Care for Veterans Act of 2023, all provisions H.R. 8371, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, all provisions VA Supremacy Act Graduate Medical Education (GME) funding

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA)

H.R. 8371: Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act The Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025 Met with various congressional offices, including members of the House Committee on Veterans Affairs and its health subcommittee, to advocate for the inclusion of language following ASAM (American Society of Addiction Medicine) guidelines for placement, continued stay, transfer, or discharge of patients with addiction and co-occurring conditions. Additionally, advocated for the inclusion of a requirement to asses high suicide risk veterans presenting to VHA hospitals and affiliated facilities within 72 hours, followed by admitting the veteran to the appropriate level of care within 48-hours, whether at a VA facility or community care facility if deemed necessary.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 8371: Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act The Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025 Met with various congressional offices, including members of the House Committee on Veterans Affairs and its health subcommittee, to advocate for the inclusion of language following ASAM (American Society of Addiction Medicine) guidelines for placement, continued stay, transfer, or discharge of patients with addiction and co-occurring conditions. Additionally, advocated for the inclusion of a requirement to asses high suicide risk veterans presenting to VHA hospitals and affiliated facilities within 72 hours, followed by admitting the veteran to the appropriate level of care within 48-hours, whether in a VA facility or a community care facility.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 344: Major Richard Star Act H.R. 1282: Major Richard Star Act H.R. 8371: Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act H.R. 8545: Camp Lejeune Justice Act of 2024 VA Dental Insurance Program Arlington National Cemetery - Caisson Support Congressional Outreach to Veteran Service Organizations VA Education and Training Benefits VA Life Insurance National Medal of Honor Highway TRICARE and LEQEMBI VA Pharmacy VA and Toxic Exposures Former Servicemembers and "Don't Ask Don't Tell" Caregiver Support Improvements VA Community Health Care

Client expense: $475,175 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Defense Commissary Agency, Defense Department Field Activities, Defense Finance & Accounting Service (DFAS), Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), Federal Reserve System, Government Accountability Office (GAO), Government Printing Office (GPO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Guard, Natl Oceanic & Atmospheric Administration (NOAA), Navy, Dept of, Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Secretary of Defense, Office of the Vice President of the United States, President of the U.S., SENATE, Treasury, Dept of, U.S. Coast Guard (USCG), U.S. Marines, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service, Vice President of the U.S., White House Office

S. 10: VA CLINICIAN APPRECIATION, RECRUITMENT, EDUCATION, EXPANSION, AND RETENTION SUPPORT (CAREERS) ACT - To improve the workforce of the Department of Veterans Affairs, and for other purposes. H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act - This bill will make certain improvements in the laws administered by the Secretary of Veterans Affairs, and for other purposes.

Client expense: $720,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR.104 - Vet Health; HR.104 - Vet Caregiver; HR.105 - Vet Mental Health; HR.196 - Vet Claims; HR.226 - Vet Health; HR.492 - Vet Mental Health; HR.491 - Homeless Vet; HR.502 - Vet Ed; HR.523 - Homeless Vet; HR. 522 - VA Benefit; S.10 - Vet Health; HR.234 - VA Benefit; HR.236 - Vet Mental Health; S.106 - VA Outreach; S.112 - Dependent Benefits; S.216 - Vet Caregiver; S.302 - Toxic Exposure; HR. 1093 - Vet Benefit; S.280 - Vet Claims; HR.841 - Dependent Benefit; HR. 746 - Vet Benefit; S.263 - Vet Benefit; HR.733 - Vet Mental Health; HR.645 - Vet Homelessness; HR.592 - EHRM; HR.2413 - Vet Health; HR.2447 - Toxic Exposure; HR.2414 - Dependent Benefit; HR.2410 - Vet Health; S.1590 - Vet Health; HR.3192 - Toxic Exposure; HR.3176 - Vet Health; HR.3186 - Vet Homelessness; S.1954 - Vet Health; HR.4190 - Vet Death Benefit; HR.4150 - Vet Health; HR.3651 - Survivor Benefit;HR4249 - Toxic Exposure; S2130 - Toxic Exposure; S2183 - Toxic Exposure; HR4424 - Vet Health; HR440 - Mental Health; HR4401 - Vet Benefits; HR4461 - Vet Benefits; HR4518 - Vet Caregiver; HR4566 - Toxic Exposure; S2067 - Mental Health; S2078 - Toxic Exposure, S2084 - Toxic Exposure; S3284 - Vet Health Care; HR6225 - Vet Benefit; HR6355 - Veteran Benefit; HR6373 - Vet Health; S3290 - Vet Benefit; S3295 - Veteran Administration; HR5891 - Veteran Claims; HR5890 - Veteran Claims; HR1530 - Veteran Claims; HR6193 - Vet Home Loan;HR8545 - Veterans Benefit; HR8371 - Veterans Healthcare;

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

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

Lobbied in support of HR 6538, the VA Correct Compensation Act, which would allow for certain healthcare providers at the Department of Veterans Affairs (VA) to grieve errors in their compensation. Lobbied in opposition to HR 8371, the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. Lobbied to increase the number of and compensation of federal railroad inspectors at the Federal Railroad Administration. Lobbied in support of nominations to the U.S. Federal Labor Relations Authority. Lobbied in opposition to a provision in the FY25 CJS appropriations bill that would undermine the use of official time, federal office space and dues deductions for federal employee unions. Lobbied in support of HR 1322, the Law Enforcement Equity Act, which seeks to provide all federal law enforcement with enhanced retirement benefits.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied in support of HR 6538, the VA Correct Compensation Act, which would allow for certain healthcare providers at the Department of Veterans Affairs (VA) to grieve errors in their compensation. Lobbied in opposition to HR 8371, the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

Lobbying in support of improved health care and benefits service for post-9/11 wounded, ill, and injured veterans including: H.R. 7365 (the VETS Safe Travel Act) to provide TSA PreCheck to certain disabled veterans; H.R. 1282, S. 344 (the Major Richard Star Act) to provide concurrent receipt to military medical retirees with combat-related injuries; H.R. 8371 (the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act) to expand care and benefits for veterans, including changes to access standards for Residential Rehabilitation Treatment Programs; H.R. 6492 (the EXPLORE Act) to promote outdoor trail accessibility and outdoor employment opportunities for veterans and Service members; and H.R. 5785 (the Servicemembers and Veterans Empowerment and Support (SAVES) Act) to improve military sexual trauma disability claim processing at VA.

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

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

H.R. 1767, a bill to restore veteran education benefits in certain circumstances. H.R. ___, legislation to restore and recoup GI Bill benefits H.R. 8661, legislation to modify 38 USC 3691A re call to duty H.R. 8371, vets year end package H.R. 8672, legislation re overpayments H.R. 7896, the VETS Opportunity Act H.R.7323 Montgomery GI Bill Selected Reserves Tuition Fairness Act of 2024

Client expense: $68,867 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

VA: VETSmile Pilot Program VA Community Care Program VA: Licensure Funding for VA Office of Dentistry Authority of VA Assistant Under Secretary for Health for Dentistry VA Expiring Authorities Act H.R. 2410, VETCARE Act Amendment to the National Defense Authorization Act that Would Require a VA Dental Clinic in Each State H.R. 9146, Ensuring Continuity of Care in Veterans Health Act S. 141/H.R.8371, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act

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

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

Implementation of entry-level driver training final rules (81 FR 88732, CFR Part 380, 383, 384), H.R. 2830/S. 656/H.R. 8371/H.R. 5914: Veteran Improvement Commercial Driver License Act of 2023 (118th Congress; Expanded CDL training opportunities for Veterans) H.R. 3013: LICENSE Act of 2023 (118th Congress; Address skills testing delays by reducing administrative barriers to CDL) H.R. 1477/S. 722: Freedom to Invest in Tomorrow's Workforce Act (118th Congress; Allow 529 College Savings Plans to be used for CDL training) H.R. 471: SHIP IT Act (118th Congress; Allow for separate WIOA grant for entry-level truck driver training) H.R. 2450: Strengthening Supply Chains Through Truck Driver Incentives Act of 2023 (118th Congress - Income tax credits for truck drivers) H.R. 793: JOBS Act of 2023 (118th Congress - Increased eligibility for Pell Grants for short-term training programs) S. 161: JOBS Act of 2023 (118th Congress - Increased eligibility for Pell Grants for short-term training programs). H.R. 4738: Trucking Workforce Improvement Act (118th Congress - Repeal FMCSA Entry-Level Driver Training Standards) H.R. 6655, A Stronger Workforce for America Act (118th Congress - Reauthorize the WIOA program) Section 422 of Title IV of the Consolidated Appropriations Act, 2024 - Changes to the Safe Driver Apprenticeship Pilot Program (118th Congress) H.R. 1440/S. 694 - Modern, Clean, and Safe Trucks Act of 2023 (118th Congress - Eliminate Federal Excise Tax on Trucking Equipment) S.1034/H.R. 2367 - Truck Parking Safety Improvement Act (118th Congress - Increase access to safe truck parking) Commercial Motor Vehicle Operator Safety Training (CMVOST) Grant Program (Operated by the Federal Motor Carrier Safety Administration); 49 CFR 383.95 -- Restrictions Generally: Improved funding for the Workforce Innovation Opportunity Act, Implementation of rules governing the FMCSA Drug and Alcohol Clearinghouse, Implementation of third-party examiners rules for CDL skills testing, Training Provider Eligibility for Veterans Affairs GI/Education Benefits

Client expense: Not reported · Firm income: Not reported

Government targets: Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Veteran Benefits for Technical Education: Discussion of eligibility of veterans' benefits for lineman education programs in power delivery, natural gas, and telecommunications, including provisions of the Veterans Education Assistance and Improvement Act(H.R. 3874, H.R. 8371, S. 141).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Veteran Benefits for Technical Education: Discussion of eligibility of veterans' benefits for lineman education programs in power delivery, natural gas, and telecommunications, including provisions of the Veterans Education Assistance and Improvement Act (H.R. 3874, H.R. 8371, S. 141).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

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

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

S. 10, VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act, all provisions H.R. 3347, Protect Lifesaving Anesthesia Care for Veterans Act of 2023, all provisions S. 2070, Protect Lifesaving Anesthesia Care for Veterans Act of 2023, all provisions H.R. 7214, Improving Access to Maternal Health for Military and Dependent Moms Act of 2024, all provisions S. 3722, Improving Access to Maternal Health for Military and Dependent Moms Act of 2024, all provisions H.R. 8371, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, all provisions S. 141, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, all provisions Reserve Health Readiness Program/Licensure portability VA Supremacy project Maternal mortality

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1639 / S. 853 - VA Zero Suicide Demonstration Project Act H.R. 3011 - Servicemembers Mental Health Improvement Act H.R. 8371 - Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act S. 10 - VA CAREERS Act S. 1315 - Veterans HEALTH Act of 2023 S. 1545 - Veterans Health Care Freedom Act H.R. 5247 - Expedited Hiring for VA Trained Psychiatrists Act of 2023 H.R. 3303 / S. 2026 - Maternal Health for Veterans Act S. 4929 - Lethal Means Safe Storage for Veteran Suicide Prevention H.R. 9324 - Protecting Veteran Access to Telemedicine Services Act of 2024

Client expense: $269,642 · Firm income: Not reported

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

H.R.8371, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act H.R.234/S.1330, Geralds Law Act H.R.41, VA Same-Day Scheduling Act of 2023

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act - provisions related to veterans education

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied in support of H.R. 8371 - the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act

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

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

Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act (S. 141, H.R. 8371)

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

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Education Policy and training for transitioning services members; VET TEC program development; FY25 National Defense Authorization Act; DoDEA; H.R. 8371 - Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to non-emergency medical transportation (NEMT) for veterans; H.R. 3848 - Housing Our Military Veterans Effectively (HOME) Act; H.R. 8371 - Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act.

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

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

H.R.1530/S.2513 - Veterans Benefits Improvement Act (issues related to C&P exams); H.R.5938 - Veterans Exam Expansion Act of 2023 (issues related to license portability for contract medical examiners); H.R.9742 - Extend authorities relating to the Department of Veterans Affairs (issues related to license portability for contract medical examiners); H.R. 4461 - Modernization of VA Disability Benefits Questionnaires Act (issues related to IT Systems Related to Contract Disability Examiners); H.R. 8371/S.141 - Senator Elizabeth Dole 21st Century Veterans Health and Benefits Improvement Act (issues related to IT Systems Related to Contract Disability Examiners); H.R.2809/S.1125 - EHR Reset Act (issues related to Federal Electronic Healthcare records, rescue health readiness, and suicide prevention).

Client expense: $1,150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. S. 495 / H.R. 1815 - Expanding Veterans Options for Long Term Care Act 2. H.R. 8371 - the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act - Subtitle B, Section 127, Provisions of the Expanding Veterans Options for Long Term Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

S. 1315 - Veterans' Health Empowerment, Access, Leadership, and Transparency for our Heroes (HEALTH) Act of 2023 Title 38 VA psychology workforce shortages VA prescribing privileges for psychologists Community Care Psychedelic assisted therapy Gun Violence Suicide Prevention S.10 - VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 SVAC Chairman Tester Draft VA Community Care Legislation H.R. 3811/ S. 3546, the Veterans Mental and Behavioral Health Quality of Care Act S. 928 - Not Just A Number Act H.R.9819, Saving Our Veterans Lives Act H.R. 8371, the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. H.R. 9468, Veterans Benefits Continuity and Accountability Supplemental Appropriations Act H.R. 9438, No Wrong Door for Veterans Act H.R. 9146, Ensuring Continuity in Veterans Health Act H.R. 9427, Veterans Mental Health Access Act H.R. 6330, Veterans Sentinel Act Improvements to VA Research Waivers H.R. 3676, Veteran Health Care Freedom Act H.R. 10267 Complete the Mission Act of 2024 H.R. 5287, Veteran Access to Direct Primary Care Act H.R. 214 Veterans True Choice Act of 2023 H.R. 9924, What Works for Preventing Veteran Suicide Act Supporting Medical Students and VA Workforce Act (Draft)

Client expense: $350,000 · Firm income: Not reported

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

VA budget: Lobbied for Congress to provide funding to plug a $15 billion budget shortfall for FY 2024 and FY 2025. Veterans Benefits Administration: Lobbied for changes to and oversight of Veterans Benefits Administration's (VBA) employee performance standards. Lobbied for increased oversight and changes to performance standards for Legal Administrative Assistants in the VBA National Call Centers. Lobbied for comprehensive changes to internal VBA processes for claims, including changes to the VBA National Work Queue. Lobbied to require the VA to include VA employee input when making changes to the claims process, employee performance standards, and training for claims processors. Lobbied on the processing of complex claims within the Veterans Benefits Administration, including how it relates to Military Sexual Trauma, Traumatic Brain Injury, and catastrophic injury claims. Lobbied on the specialization of claims processing for highly complex cases. Lobbied to prevent compassion fatigue for certain claims processors. Lobbied for reforms to the VBA National Work Queue. Lobbied for oversight and improvements into VBA employee training. Lobbied on VBAs use of Performance Improvement Plans. Board of Veterans Appeals: Lobbied for the introduction and in support of H.R. 9046, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act including the re-instatement of GS-14 career ladder position and the career path to a journeyman GS-15 position. Lobbied for the re-instatement of experience requirements for Board of Veterans Appeals Members (Veterans Law Judgements). Lobbied in support of and for changes to H.R. 1378, the Veterans Appeals Backlog Improvement Act. Lobbied for additional oversight at the Board of Veterans Appeals. Lobbied for additional training for Board of Veterans Appeals Attorneys. Lobbied in support of ANS to H.R. 1530, the Veterans Benefits Improvement Act of 2023. C&P Exams: Lobbied against contracting out of Compensation and Pension (C&P) Exams and bringing those exams back into the VA. Lobbied to keep all specialty C&P Exams including but not limited to Traumatic Brain Injury (TBI), Post Traumatic Stress Disorder (PTSD), Military Sexual Trauma (MST), veterans who served as Prisoners of War (POWs), veterans who suffered catastrophic injuries, and veterans who are currently eligible to pursue toxic exposure claims. Lobbied for the VA to utilize more internal C&P Providers by hiring more staff and returning staff to C&P positions who had previously been reassigned. Lobbied to keep Integrated Disability Evaluation System (IDES) Exams within the VA. Lobbied for the continued oversight of contract C&P Exams. Lobbied to make C&P Exams available in every VA Medical Center. Lobbied to make sure the VA is in compliance with Section 2002 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020. Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied for technical changes to S. 3979, to make permanent and codify the pilot program for use of contract physicians for disability examinations, and for other purposes. Collective Bargaining Rights: Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied in support of H.R. 6538, the VA Correct Compensation Act of 2023 and for its introduction in the Senate. Lobbied in support of S. 4046/H.R. 9855, the "VA Employee Fairness Act. Lobbied in support of and for changes to S. 2679, the Leadership, Engagement, Accountability, and Development (LEAD) Act of 2023. Lobbied in opposition to H.R. 4278 / S.2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support of and for changes to H.R. 6531, the TRAIN VA Employees Act. HR modernization: Lobbied to address problems created by VA reorganization of its human resources processes including centralization and implementation of new information technology systems, and practices and policies related to filling and posting unfilled positions. Lobbied to have Congress require the VA to return the HR functions back to VA facilities and to appropriate funding for it. VA Compensation: Lobbied in support of H.R. 7127/S. 3688, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the "Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. VA Infrastructure: Lobbied for restriction on VA's authority to close or reduce services at rural healthcare facilities in the 2024 and 2025 VA Military Construction appropriations bill. VA Quality: Lobbied to amend H.R. 6330, the Veterans Sentinel Act to include data collection and analysis for suicides that happen when veterans are served at non-VA facilities. Privatization: Lobbied against continued increased spending on community care at the expense of VA's own staffing and infrastructure. Lobbied against an amendment to H.R. 8580, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 forcing VA to apply the same access standards for Mental Health Residential Rehabilitation Treatment Program (MH RRTP) as for primary care, specialty care, and non-institutional extended care services. Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would codify Trump-Era access standards responsible for rapid privatization of the VA, prohibit VA from modifying access standards to allow telehealth to satisfy these access standards and require VA to meet strict timeframes evaluating high-risk veterans for referral to residential treatment and rehabilitative programs without providing any additional funding to staff these new obligations. Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would require VA to meet 72-hour evaluation timeframe for evaluating high-risk veterans for residential treatment centers without providing adequate funding or putting equivalent credentialing and quality requirements on private programs. Lobbied against a proposal to create a pilot program under which the Secretary would contract out to fill vacancies at a medical facility with non-department health care providers. Lobbied against a provision in H.R. 9438, the No Wrong Door for Veterans Act, reduces the wait time for VA mental health care from the current 20 day to just 3 days. Lobbied in opposition to H.R. 9146, Ensuring Continuity in Veterans Health Act, which would require the Secretary to include continuity of care as one of the criteria used to determine when private care would be in the best medical interest (BMI) of a veteran undermining VAs ability to decide when returning a veteran to the VA is the in the best interest of the veteran. Lobbied against the Veterans Mental Health Access Act, which would create a parallel private mental health program that supplants VAs direct care system rather than supplement it when veterans cannot reasonably access VA care. Lobbied in opposition to H.R. 3520, the Veteran Care Improvement Act of 2023, H.R. 1315, the Health Act and S. 2649, Making Community Care Work for Veterans Act. Lobbied in opposition to H.R. 3146, the Veterans Health Care Freedom Act, which would codify community care access standards that create a bias toward referral to community care over VA's own healthcare. Lobbied for oversight of new VA private contracting program, the Integrated Critical Staffing Program. Lobbied for oversight of VA staffing reductions. Lobbied against potential closure or privatization of services at VA Medical Centers in Philadelphia and Coatesville, PA. Testimony, Statements for the Record, and Letters. Lobbied for better information on scheduling and appointment times for both in-house VA and private care. Lobbied for more information about the costs of VA care. Lobbied against VA raising the ceiling for payment to third party private, Community Care contractors. Lobbied against prohibiting public health care programs from using QALYs to determine price. Lobbied in opposition to H.R. 485, the Protecting Health Care for All Patients Act, and urge that it be defeated on the House floor. H.R. 485 would increase already high healthcare costs for the Federal Employees Health Benefits Program (FEHBP), which covers the vast majority of AFGE members and their families. In additional to FEHBP, the bill would prohibit Medicaid, Medicare Advantage (MA) plans, Medicare Part D Plans (PDPs), the VA, and the Defense Health Agency from using Quality Adjusted Life Years (QALYs) - a measure that ascertains the value of a drug - to make decisions about a drugs price. Medicare already prohibits the use of QALYs in ways that discriminate against the elderly (such as by valuing the extension of life of an older person as less than extending the life of a younger person). Lobbied against amendments to H.R. 8070, the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 that would: 1) codify Trump-Era access standards responsible for rapid privatization of the VA, prohibits VA from modifying access standards to allow telehealth to satisfy these access standards and requires VA to meet strict timeframes evaluating high-risk veterans for referral to residential treatment and rehabilitative programs without providing any additional funding to staff these new obligations and 2) require VA to meet 72-hour evaluation timeframe for evaluating high-risk veterans for residential treatment centers without providing adequate funding or putting equivalent credentialing and quality requirements on private programs. Lobbied against Amendment to H.R. 8580, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 forcing VA to apply the same access standards for Mental Health Residential Rehabilitation Treatment Program (MH RRTP) as for primary care, specialty care, and non-institutional extended care services that would not apply to private RRTP facilities, promoting privatization. Lobbied against provisions in H.R. 8371, the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act that would allow decisions between a veteran and a doctor to remain final without VA authorization and provisions that would require strict timeframes for placement of high-risk veterans in mental health treatment programs for VA programs but not private programs. Lobbied in support of final passage of S. 141, the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. Statements and Correspondence: Testified before the House Veterans Affairs Subcommittee on Health on December 17, 2024 legislative hearing. Specific Legislation: Lobbied in support of H.R. 6538, the "VA Correct Compensation Act of 2023." Lobbied in support of S. 4046/H.R. 9855, the VA Employee Fairness Act. Lobbied in support of H.R. 536/S. 124, the "FAIR Act" to raise pay for federal employees at the VA. Lobbied in support of H.R. 866/S. 3194, the "Equal COLA Act" to protect VA employees in FERS. Lobbied in support of H.R. 82/S. 597, the "Social Security Fairness Act" to protect VA employees affected by the Windfall Elimination Provision (WEP) and the Government Pension Offset (GPO). Lobbied in support of H.R. 543, the "VA CPE Modernization Act." Lobbied in support of H.R. 1322 the "Law Enforcement Officers Equity Act" and S. 1658, the Law Enforcement Officers Parity Act" as it pertains to VA Police Officers. Lobbied in support of and for changes to H.R. 1378, the "Veterans' Appeals Backlog Improvement Act." Lobbied for changes to S. 10 the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023." Lobbied for changes to S. 10, the "VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support" (CAREERS) Act related to market pay, performance pay, cost of living adjustments, licensure, and certification reimbursement, covid leave flexibility, and recruitment and retention at VA community living centers. Also lobbied for specific changes to the bill related to the inclusion of VA Police Pensions, Continuing Professional Education Benefits, and Collective Bargaining Rights for Title 38 Employees. Lobbied to renew a defunded corpsmen and medic vocational education and training program Grow Our Own. Lobbied in support of H.R. 4906 "Protecting VA Employees Act" to repeal parts of the VA Accountability Act. Lobbied for oversight of the "Honoring Our PACT Act." Lobbied in opposition to H.R. 4278 / S. 2158, the "Restore Department of Veterans Affairs Accountability Act." Lobbied in support of and for changes to H.R. 6531, the TRAIN VA Employees Act. Lobbied in support and for changes to S. 2679, the VA LEAD Act of 2023. Lobbied in opposition H.R. 3520, the Veteran Care Improvement Act of 2023. Lobbied in opposition to S. 2649, the Making Community Care Work for Veterans Act. Lobbied in opposition to S. 1315, the HEALTH Act. Lobbied in opposition to H.R. 485, the Protecting Health Care for All Patients Act. Lobbied for changes to H.R. 1089, the "VA Medical Center Facility Transparency Act." Lobbied in support of H.R. 1530, the "Veterans Benefits Improvement Act of 2023." Lobbied in support of H.R. 3504, the "VA Medical Center Security Report Act." Lobbied in support of, S. 1951, the "Department of Veterans Affairs Income Eligibility Standardization Act," which would eliminate subcategories of priority for enrollment to make more veterans eligible for enrollment in VA health care. Lobbied in support of the, S. 1954, the "Improving Whole Health for Veterans with Chronic Conditions Act," which would create a pilot to provide dental benefits to veterans with diabetes and ischemic heart disease. Lobbied in opposition to S. 1545, "Veterans Health Care Freedom Act," which would set up a pilot program to allow veterans to choose community providers at their preference without the need for referral by the VA. Lobbied in opposition to H.R. 754, Modernizing Veterans' Health Care Eligibility Act, which establishes the Commission on Eligibility (staffed with bipartisan congressional and presidential appointees) to examine veterans' eligibility for health care from the VA. Lobbied in opposition to H.R. 41, VA Same-Day Scheduling Act of 2023, which requires the VA to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the appointment must be scheduled on that same call. Lobbied in support of S. 1113, the "Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act," which would set minimum nurse‐ patient staffing requirements for public and private health care systems, including YA and Department of Defense medical facilities. Lobbied in support of H.R. 542, the "Elizabeth Dole Home-and Community-Based Services for Veterans and Caregivers Act." Lobbied in support of S. 2718, the Medical Disability Exam Improvement Act of 2023. Lobbied in opposition to H.R. 3176, Veterans Health Care Freedom Act, which creates a three-year pilot program allowing veterans to obtain hospital care, medical services, psychological services, and extended care bypassing VA authorization and the need to meet access standards. Lobbied in opposition to H.R.5287, the Veterans Access to Direct Primary Care Act, would establish Health Savings Accounts (HSAs) funded by the VA that veterans could use for private healthcare. Veterans electing these HSAs would be completely barred from accessing VA healthcare services. Lobbied in opposition to the Complete the Mission Act (No bill number). This proposal codifies the Community Care access standards, modifies 38 USC 1703(d)(2) to make veteran preference to go to a private provider a criterion for what constitutes best medical interest and creates a pilot three-year pilot program in at least five locations where veterans could access outpatient mental health and substance use services. AFGE opposes this provision as it would circumvent VAs ability to coordinate care and is unsustainable for the VA in the long term. Lobbied to preserve changes to H.R. 3738, a bill To amend title 38, United States Code, to establish in the Department of Veterans Affairs the Veterans Economic Opportunity and Transition Administration, and for other purposes. Lobbied for technical changes to S. 3979, to make permanent and codify the pilot program for use of contract physicians for disability examinations, and for other purposes. Lobbied in support of and for changes to H.R. 7765, the VA Security Screening Pilot Program Act Lobbied for the introduction and support of the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act. Lobbied for changes to H.R. 7793 the Veterans Appeals Operations Expansion Act of 2024; Lobbied for changes to H.R. 7917, the Veterans Appeals Efficiency Act of 2024; Lobbied for changes to H.R. 7919, the Veterans Claims Quality Improvement Act of 2024. Lobbied or changes to H.R. 7883, the Toxic Exposures Examination Improvement Act Lobbied in opposition to H.R. 7734 the Personnel Integrity in Veterans Affairs Act of 2024 Lobbied in support of H.R. 9046, the Board of Veterans Appeals Attorney Retention and Backlog Reduction Act Lobbied in support of H.R. 2971, the Veterans Claims Education Act of 2023 Lobbied for changes to H.R. 8874, the Modernizing All Veterans and Survivors Claims Processing Act Lobbied in support of and for changes to H.R. 8879, the Improving VA Training for Military Sexual Trauma Claims Act Lobbied for changes to H.R. 8881, the Rural Veterans Improved Access to Benefits Act of 2024. Lobbied for passage of H.R. 9747, the Continuing Appropriations and Extensions Act, 2025 to continue to fund the federal government through December 20, 2024. Lobbied in support of final passage of S. 141, the Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. Lobbied against expanding use of Schedule F for VA employees.

Client expense: $570,000 · Firm income: Not reported

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

S.495, The Expanding Veterans Options for Long Term Care Act, To establish a pilot program to allow Veterans to access assisted living care services; H.R.1815, The Expanding Veterans Options for Long Term Care Act, To establish a pilot program to allow Veterans to access assisted living care services; S.1298, The Supporting Our Direct Care Workforce and Family Caregivers Act, to support recruitment, training, and retention of direct care workers; S.1448, The Grandfamily Housing Act, to provide grants to owners of intergenerational dwelling units; HR.3153, The Grandfamily Housing Act, to provide grants to owners of intergenerational dwelling units; S.722, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.1477, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.4520, Reignite Hope Act of 2023, to provide tax credits for critical workers in assisted living communities in opportunity zones; S.2112, SEE Care Compare Act, to make the Care Compare internet website and its data more accessible by individuals using search engines; S.3254, Lowering Costs for Caregivers Act of 2023, to allow health savings accounts and flexible spending accounts to be used on medical expenses for individuals' parents; H.R.6835, Care Across Generations Act, to establish grants for long-term care facilities to co-locate or partner with childcare centers for intergenerational activities; H.R.6833, Improve and Enhance the Work Opportunity Tax Credit Act, to update the WOTC, increase the credit percentages and add additional credits for employers; S.2584, Supporting Our Seniors Act, to establish a National Advisory Commission on long-term care services on service delivery, financing, workforce adequacy, and other issues; H.R.7605, SENIOR Act of 2024, to provide a cost reduction program for low-income seniors to access assisted living and workforce development programs to meet caregiving needs; S.4503, Corporate Crimes Against Health Care Act, to exclude assisted living from entities subject to act addressing private equity issues in health care; H.R.8371, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, to establish a pilot program to allow Veterans to access assisted living care services; H.R.7784, Start Applying Labor Transparency (SALT) Act, to increase transparency for workers by requiring unions to register salts and their actions with the Department of Labor; H.R.6655, A Stronger Workforce for America Act, to reauthorize the Workforce Innovation and Opportunity Act and extend opportunities for senior living workforce development; S.4120, Long-Term Care Workforce Support Act, to increase workforce development programs and opportunities for senior living and mitigate any duplicity within existing federal/state programs; H.R.7994, Long-Term Care Workforce Support Act, to increase workforce development programs and opportunities for senior living and mitigate any duplicity within existing federal/state programs; S.1332, Recognizing the Role of Direct Support Professionals Act, to establish a separate category within the Standard Occupational Classification system for direct support professionals for data reporting purposes; H.R.2941, Recognizing the Role of Direct Support Professionals Act, to establish a separate category within the Standard Occupational Classification system for direct support professionals for data reporting purposes; H.R.8915, Education and Workforce Freedom Act, to extend eligibility for education savings accounts for career development; S.4804, Health Over Wealth Actto distinguish assisted living as separate from the definition of a health care entity subject to the requirements; H.R.9156, Health Over Wealth Act, to distinguish assisted living as separate from the definition of a health care entity subject to the requirements; S. 4503, Corporate Crimes Against Health Care Act, to distinguish assisted living from the oversight of health care settings subject to criminal, civil, and financial sanctions; H.R. 8371, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, to establish a pilot program to allow Veterans to access assisted living care services; S. 141, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, to establish a pilot program to allow Veterans to access assisted living care services.

Client expense: $40,000 · 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), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

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

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

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

Issues related to veterans access and use of hospice. Issues related to VA burial benefits. Gerald's Law Act (H.R. 234/S. 1330). Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act (H.R. 8371 and S.141).

Client expense: $300,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE