Land and Water Conservation Fund Water Amendments Act of 2025

Amputation Reduction and Compassion Act (no bill number) Accelerating Kids Access to Care Act of 2025 (H.R.1509/S. 752) Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025 (S. 717/H.R. 6894) Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act(H.R. 1261/S. 4206) Telehealth Modernization Act (H.R. 5081/S. 2709) CONNECT For Health Act (H.R. 4206/S. 1261) Medically Tailored Home-Delivered Meals Program Pilot Act (H.R. 5439/S. 2834) Medicaid Interim Final Rule

Client expense: $400,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, Medicaid home care (paid family caregiving & self-directed care), Give Kids a Chance Act (H.R.1261/ S.932- FDA Pediatric Priority Review Voucher Program), DOD Congressionally Directed Medical Research Program & Peer-Reviewed Medical Research Program, Local Coverage Determination related to seat elevation in Group 2 standard power wheelchairs, Labor-Health and Human Services, and Education Appropriations bill, Family Caregiver Awareness, Resources, and Education (CARE) Partnerships Act, Pediatric Palliative Care Homes, National Institute on Disability, Independent Living, and Rehabilitation Research funding, Seat Elevation in Group 2 Non-Complex Power Wheelchairs, Coverage of Standing Systems in Group 3 Power Wheelchair, Competitive Bidding for Tracheostomy, Ostomy and Urological Supplies; FDA Rare Disease Patient Listening Session, Coverage of Respiratory Assist Devices (RADs) and Home Mechanical Ventilators (HMVs), Accelerating Kids Access to Care Act (H.R. 1509/S. 752, National Institutes of Health grant management process & funding; Medicaid home and community-based services, Public Law 119-21 Medicaid Community Engagement Requirements - disability and medically frail definition; Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 5343), Veterans STAND Act (H.R. 6835), Veterans SPORTS Act (S. 3138) Consolidated Appropriations Act of 2026 (P.L. 119-75)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

H.R.7567 - Farm, Food, and National Security Act of 2026 H.R.7618 - American Battlefield Protection Program Amendments Act of 2026 S.3524 - American Battlefield Protection Program Amendments Act of 2025 S.2708 - Appalachian Trail Centennial Act H.R.5134 - Appalachian Trail Centennial Act H.R. 2786 - Resilient Coasts and Estuaries Act of 2025 S. 1547 - America the Beautiful Act H.R. 5036 - To remove the limitation imposed as a result of receiving funding under the Land and Water Conservation Fund on the conversion of Northeast Sedgwick County Park in Sedgwick County, Kansas, to a use other than public outdoor recreation. H.R. 1 - One Big Beautiful Bill Act H.R.841 - To amend title 54, United States Code, to prohibit the acquisition of land, water, or an interest in land or water from a private landowner using amounts made available under the Land and Water Conservation Fund. H.R.1261 - Land and Water Conservation Fund Water Amendments Act of 2025 H.R.105 - Increasing Public Access to Recreation Act S.1050 - Forest Conservation Easement Program Act of 2025 H.R.9602 - Forest Legacy Management Flexibility Act S. 2566 - Forest Legacy Management Flexibility Act H.R.6492 - EXPLORE Act H.R. 1957 - Great American Outdoors Act

Client expense: $110,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), SENATE

Amputation Reduction and Compassion Act (no bill number) Accelerating Kids Access to Care Act of 2025 (H.R.1509/S. 752) Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025 (S. 717/H.R. 6894) Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act(H.R. 1261/S. 4206) Telehealth Modernization Act (H.R. 5081/S. 2709) CONNECT For Health Act (H.R. 4206/S. 1261)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation regarding FDA regulation of combination products H.R. 1261/ S. 3302 Mikaela Naylon Give Kids a Chance Act Bill

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, Give Kids a Chance Act (H.R.1261/ S.932- FDA Pediatric Priority Review Voucher Program), DOD Congressionally Directed Medical Research Program & Peer-Reviewed Medical Research Program, Labor-Health and Human Services, and Education Appropriations bill, Family Caregiver Awareness, Resources, and Education (CARE) Partnerships Act, Pediatric Palliative Care Homes, National Institute on Disability, Independent Living, and Rehabilitation Research funding, Seat Elevation in Group 2 Non-Complex Power Wheelchairs, Coverage of Standing Systems in Group 3 Power Wheelchair, Competitive Bidding for Tracheostomy, Ostomy and Urological Supplies; FDA Rare Disease Patient Listening Session, Coverage of Respiratory Assist Devices (RADs) and Home Mechanical Ventilators (HMVs), Accelerating Kids Access to Care Act (H.R. 1509/S. 752, National Institutes of Health funding; Medicaid home and community-based services, Public Law 119-21 Medicaid Community Engagement Requirements - disability and medically frail definition; Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 5343), Veterans STAND Act (H.R. 6835), Veterans SPORTS Act (S. 3138) Consolidated Appropriations Act of 2026 (P.L. 119-75)

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

Amputation Reduction and Compassion Act (no bill number) Accelerating Kids Access to Care Act of 2025 (H.R.1509/S. 752) Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025 (S. 717/H.R. 6894) Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act(H.R. 1261/S. 4206) Telehealth Modernization Act (H.R. 5081/S. 2709) CONNECT For Health Act (H.R. 4206/S. 1261)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2708 - Appalachian Trail Centennial Act H.R.5134 - Appalachian Trail Centennial Act H.R. 2786 - Resilient Coasts and Estuaries Act of 2025 S. 1547 - America the Beautiful Act H.R. 5036 - To remove the limitation imposed as a result of receiving funding under the Land and Water Conservation Fund on the conversion of Northeast Sedgwick County Park in Sedgwick County, Kansas, to a use other than public outdoor recreation. S. 2566 - Forest Legacy Management Flexibility Act H.R. 1 - One Big Beautiful Bill Act H.Con.Res.14 - Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034. S.Con.Res.7 - An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034. H.R.841 - To amend title 54, United States Code, to prohibit the acquisition of land, water, or an interest in land or water from a private landowner using amounts made available under the Land and Water Conservation Fund. H.R.1261 - Land and Water Conservation Fund Water Amendments Act of 2025 H.R.105 - Increasing Public Access to Recreation Act S.1050 - Forest Conservation Easement Program Act of 2025 H.R.9602 - Forest Legacy Management Flexibility Act H.R.6492 - EXPLORE Act H.R. 1065 - Outdoors for All Act S. 448 - Outdoors for All Act H.R. 1957 - Great American Outdoors Act H.R. 3684 - Infrastructure Investment and Jobs Act H.R.5376 - Inflation Reduction Act of 2022

Client expense: $85,000 · Firm income: Not reported

Legislation regarding FDA regulation of combination products H.R. 1261/ S. 3302 Mikaela Naylon Give Kids a Chance Act Bill

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, Give Kids a Chance Act (H.R.1261/ S.932- FDA Pediatric Priority Review Voucher Program), H.R. 1, DOD Peer-Reviewed Medical Research Program, Labor-Health and Human Services, and Education Appropriations bill, Family Caregiver Awareness, Resources, and Education (CARE) Partnerships Act, Pediatric Palliative Care Homes, Advisory Committee on Heritable Disorders in Newborns and Children, National Institute on Disability, Independent Living, and Rehabilitation Research funding, Coverage of Standing Systems in Group 3 Power Wheelchair, Competitive Bidding for Tracheostomy, Ostomy and Urological Supplies; FDA Rare Disease Patient Listening Session, Coverage of Respiratory Assist Devices (RADs) and Home Mechanical Ventilators (HMVs), Accelerating Kids Access to Care Act (H.R. 1509/S. 752, National Institutes of Health funding; Medicaid home and community-based services, Public Law 119-21 Medicaid Community Engagement Requirements - disability and medically frail definition

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

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

H.R. 2786 - Resilient Coasts and Estuaries Act of 2025 S. 1547 - America the Beautiful Act H.R. 5036 - To remove the limitation imposed as a result of receiving funding under the Land and Water Conservation Fund on the conversion of Northeast Sedgwick County Park in Sedgwick County, Kansas, to a use other than public outdoor recreation. S. 2566 - Forest Legacy Management Flexibility Act H.R. 1 - One Big Beautiful Bill Act H.Con.Res.14 - Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034. S.Con.Res.7 - An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034. H.R.841 - To amend title 54, United States Code, to prohibit the acquisition of land, water, or an interest in land or water from a private landowner using amounts made available under the Land and Water Conservation Fund. H.R.1261 - Land and Water Conservation Fund Water Amendments Act of 2025 H.R.105 - Increasing Public Access to Recreation Act S.1050 - Forest Conservation Easement Program Act of 2025 H.R.9602 - Forest Legacy Management Flexibility Act H.R.6492 - EXPLORE Act H.R. 1065 - Outdoors for All Act S. 448 - Outdoors for All Act H.R. 1957 - Great American Outdoors Act H.R. 3684 - Infrastructure Investment and Jobs Act H.R.5376 - Inflation Reduction Act of 2022

Client expense: $125,000 · Firm income: Not reported

Amputation Reduction and Compassion Act (no bill number) Accelerating Kids Access to Care Act of 2025 (H.R.1509/S. 752) Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025 (S. 717) Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act(H.R. 1261/S. 4206) Telehealth Modernization Act (H.R. 5081/S. 2709) CONNECT For Health Act (H.R. 4206/S. 1261)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, Give Kids a Chance Act (H.R.1261/ S.932- FDA Pediatric Priority Review Voucher Program), H.R. 1, DOD Peer-Reviewed Medical Research Program, Labor-Health and Human Services, and Education Appropriations bill, Family Caregiver Awareness, Resources, and Education (CARE) Partnerships Act, Pediatric Palliative Care Homes, Advisory Committee on Heritable Disorders in Newborns and Children, National Institute on Disability, Independent Living, and Rehabilitation Research funding, Coverage of Standing Systems in Group 3 Power Wheelchair, Competitive Bidding for Tracheostomy, Ostomy and Urological Supplies; FDA Rare Disease Patient Listening Session, Coverage of Respiratory Assist Devices (RADs) and Home Mechanical Ventilators (HMVs), Accelerating Kids Access to Care Act (H.R. 1509/S. 752, National Institutes of Health funding

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

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

H.R. 1 - One Big Beautiful Bill Act H.Con.Res.14 - Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034. S.Con.Res.7 - An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034. H.R.841 - To amend title 54, United States Code, to prohibit the acquisition of land, water, or an interest in land or water from a private landowner using amounts made available under the Land and Water Conservation Fund. H.R.1261 - Land and Water Conservation Fund Water Amendments Act of 2025 H.R.105 - Increasing Public Access to Recreation Act S.1050 - Forest Conservation Easement Program Act of 2025 H.R.9602 - Forest Legacy Management Flexibility Act H.R.6492 - EXPLORE Act H.R. 1065 - Outdoors for All Act S. 448 - Outdoors for All Act H.R. 1957 - Great American Outdoors Act H.R. 3684 - Infrastructure Investment and Jobs Act H.R.5376 - Inflation Reduction Act of 2022

Client expense: $130,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), SENATE

Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, Give Kids a Chance Act (H.R.1261/ S.932- FDA Pediatric Priority Review Voucher Program), H.R. 1, DOD Peer-Reviewed Medical Research Program, Labor-Health and Human Services, and Education Appropriations bill, Family Caregiver Awareness, Resources, and Education (CARE) Partnerships Act, Pediatric Palliative Care Homes, Advisory Committee on Heritable Disorders in Newborns and Children, National Institute on Disability, Independent Living, and Rehabilitation Research funding, Coverage of Standing Systems in Group 3 Power Wheelchairs, Coverage of Respiratory Assist Devices (RADs) and Home Mechanical Ventilators (HMVs), FDA Rare Disease Patient Listening Session, National Institutes of Health funding

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

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

H.Con.Res.14 - Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034. S.Con.Res.7 - An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034. H.R.841 - To amend title 54, United States Code, to prohibit the acquisition of land, water, or an interest in land or water from a private landowner using amounts made available under the Land and Water Conservation Fund. H.R.1261 - Land and Water Conservation Fund Water Amendments Act of 2025 H.R.105 - Increasing Public Access to Recreation Act S.1050 - A bill to amend the Food Security Act of 1985 to require the Secretary of Agriculture to establish a Forest Conservation Easement Program, and for other purposes. H.R.9602 - Forest Legacy Management Flexibility Act H.R.6492 - EXPLORE Act H.R. 1065 - Outdoors for All Act S. 448 - Outdoors for All Act H.R. 1957 - Great American Outdoors Act H.R. 3684 - Infrastructure Investment and Jobs Act H.R.5376 - Inflation Reduction Act of 2022

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

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), SENATE

Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, Give Kids a Chance Act (H.R.1261/ S.932- FDA Pediatric Priority Review Voucher Program), DOD Peer-Reviewed Medical Research Program, Labor-Health and Human Services, and Education Appropriations bill, Family Caregiver Awareness, Resources, and Education (CARE) Partnerships Act, Pediatric Palliative Care Homes, National Institutes of Health funding

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

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