Puyallup Tribe of Indians Land Into Trust Confirmation Act of 2023

Issue: Inform Congress and the Administration regarding the value of international medical graduates (IMGs), as a quarter of the US physician workforce, particularly in underserved communities and primary care specialties. Address legislation that would marginalize IMGs. Issue: Educate policymakers regarding ECFMG certification as a baseline for physician licensure; inform the development of additional licensing models. Issue: Inform reauthorization of HRSA physician well-being programs. S.266, H.R.929 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Explore the establishment of programs that help IMGs navigate the U.S. medical residency and licensure process, including legislation to create a HRSA grant program. draft Welcome Back to the Health Care Workforce Act Issue: Inform graduate medical education (GME) policy. draft bipartisan Senate Medicare GME proposal draft Resident Physician Shortage Reduction Act of 2023

Client expense: $100,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE

Support for the reintroduction of the following drug and supply bills from the 118th Congress: The RAPID Reserve Act, which aimed to address drug shortages by awarding federal contracts to American-based manufacturers of generic drugs to encourage domestic production of these critical medications as well as incentivize them to increase their reserves in preparation for possible future public health threats or supply chain challenges and ramp up their production capacity if necessary to proactively prevent shortages. The Mapping Americas Pharmaceutical Supply or MAPS Act, which sought to establish a comprehensive database to track the entire pharmaceutical supply chain. The Drug Shortages Prevention Act, which would have required manufacturers to notify the FDA of heightened demand for crucial medicines that could lead to shortages. The Drug Shortages Prevention and Quality Improvement Act, which aimed to implement reimbursement models to incentivize the production of generic injectables and extend expiration dates for lifesaving medications. Support for legislation to reauthorize the Dr. Lorna Breen Health Care Provider Protection Act (H.R. 929/S. 266), which provides funding for programs that support mental healthcare for healthcare providers. Ask the EPA to appeal a US District Four ruling in Food & Water Watch v EPA regarding water fluoridation.

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

Government targets: Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE

Land into trust bill, S. 382, H.R. 929 APHIS Tribal Consultation Policy

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

Government targets: Agriculture, Dept of (USDA), Bureau of Indian Affairs (BIA), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, White House Office