Lowering Costs for Caregivers Act of 2025

- Access to Lifetime Income Investment/Distribution Options on Retirement Plan Menus - Access to Workplace Retirement Plans o Automatic IRA Act of 2025 (H.R. 6722) - Retirement Income Education - Providing parity for investment options in 403(b) plans o Retirement Fairness for Charities and Educational Institutions Act (H.R.1013, S. 424); o INVEST Act of 2025 (H.R. 3383) - Helping Young Americans Save for Retirement Act (H.R. 4718, S. 1707) - Auto Reenroll Act (S. 1831, H.R. 6729) - Independent Retirement Fairness Act (S. 2217) - Retirement Simplification and Clarity Act of 2025 (H.R. 6324, S. 5156) - Retirement Investment in Small Employers (RISE) Act (S. 1840, H.R. 8837) - Lowering Costs for Caregivers Act. (S. 1565, H.R. 138)

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

Issues related to employer provided benefits such as HSAs, FSAs, HRAs, ICHRAs, DCFSAs and commuter benefits. H.R. 548, The HSA Modernization Act of 2025. H.R. 138, The Lowering Costs for Caregivers Act of 2025. H.R. 3799, The Choice Arrangement Act. H.R. 1421, The Improving Child Care for Working Families Act. H.R. 5463 - Choice Arrangement Act of 2025. S. 2875 - CHOICE Act. H.R. 6703 - Lower Healthcare Premiums for All Americans Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

Enhanced tax credits for caregiving & EITC for older workers. H.R. 2036/S. 925 - Credit for Caring Act of 2025. H.R. 138/S. 1565 - Lowering Costs for Caregivers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Engaging members to identify opportunities across programs and policies to expand support for caregivers, including federal paid leave. H.R.2036/S.925 - Credit for Caring Act of 2025. H.R.138/S.1565 - Lowering Costs for Caregivers Act of 2025. Track Implementation of H.R. 1 [Public Law No. 119-21].

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to tax advantaged savings vehicles for health expenses One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSAs for All Act - H.R. 7681 The Chronic Disease Flexible Coverage Act - H.R. 919 Lowering Cost for Caregivers Act of 2025 - H.R. 138 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSA Modernization Act- H.R. 548 Lowering Health Care Costs for Americans Act - S.3389 Hard Working Seniors Act - HR 10072

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

Issues related to tax advantaged savings vehicles for health expenses One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSAs for All Act - H.R. 7681 The Chronic Disease Flexible Coverage Act - H.R. 919 Lowering Cost for Caregivers Act of 2025 - H.R. 138 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSA Modernization Act- H.R. 548 Lowering Health Care Costs for Americans Act - S.3389 Hard Working Seniors Act - HR 10072

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

H.R.1151, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; S.756, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.1812, 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.1177, Improve and Enhance the Work Opportunity Tax Credit Act, to update the WOTC, increase the credit percentages and add additional credits for employers; S.492, Improve and Enhance the Work Opportunity Tax Credit Act, to update the WOTC, increase the credit percentages and add additional credits for employers; S.473, Social Engagement and Network Initiatives for Older Relief (SENIOR) Act, to promote senior socialization and combat isolation; H.R.2036, Credit for Caring Act, to establish a tax credit for family caregivers of up to $5,000 to help offset long-term care expenses; S.925, Credit for Caring Act, to establish a tax credit for family caregivers of up to $5,000 to help offset long-term care expenses; S.852, Protecting the Right to Organize (PRO) Act, to prevent legislation that would exacerbate workforce challenges among senior living providers; H.R.2036, Protecting the Right to Organize (PRO) Act, to prevent legislation that would exacerbate workforce challenges among senior living providers; H.R.2572, Start Applying Labor Transparency (SALT) Act, to increase transparency by requiring unions to register salts with the Department of Labor (DOL); H.R.3000, Caring for Seniors Act, to increase affordability of assisted living and invest in workforce development programs; H.R.1, One Big Beautiful Bill Act, to establish tax-savings programs to help seniors afford long-term care and to promote workforce development programs; H.R.138, Lowering Costs for Caregivers Act, to allow health savings accounts and flexible spending accounts to be used by adult children on medical expenses for their parents; S.1565, Lowering Costs for Caregivers Act, to allow health savings accounts and flexible spending accounts to be used by adult children on medical expenses for their parents; S.2762, Supporting Our Seniors Act, to establish a National Advisory Commission on long-term care services for seniors and individuals in need of support for activities of daily living; S.2120, Older Americans Act Reauthorization Act, to reauthorize the Older Americans Act and support programs to address social isolation and loneliness; H.R.5031, Preserving Patient Access to Long-Term Care Pharmacies Act, to establish a temporary fee for LTC pharmacies to mitigate impacts of the Medicare Part D drug negotiation program; S.2699, Geriatrics Workforce Improvement Act, to reauthorize the Geriatrics Workforce Enhancement Program and Geriatrics Academic Career Awards; H.R.4393, Dignity for Immigrants while Guarding our Nation to Ignite and Deliver the American Dream Act, to promote comprehensive immigration reform to help support the foreign-born workforce needed across long-term care and other sectors; H.R.6231, Improve and Enhance the Work Opportunity Tax Credit Act, to extend and modernize the Work Opportunity Tax Credit to address workforce shortages; S.3265, Improve and Enhance the Work Opportunity Tax Credit Act, to extend and modernize the Work Opportunity Tax Credit to address workforce shortages; S.3159, Preserving Patient Access to Long-Term Care Pharmacies Act, to establish a temporary fee for LTC pharmacies to mitigate impacts of the Medicare Part D drug negotiation program; H.R.5494, Essential Workers for Economic Advancement Act, to create a new H-2C nonimmigrant visa program for positions have gone unfilled in essential industries, such as health care and long-term care; H.R. 664421st Century ROAD to Housing Act, to clarify provisions that could threaten the viability of existing seniors housing units; S. 2651, 21st Century ROAD to Housing Act, to clarify provisions that could threaten the viability of existing seniors housing units; H.R. 5408, Faster Labor Contracts Actto promote voluntary agreements, worker choice, and free enterprise, and prevent mandatory arbitration in the private sector; S. 844, Faster Labor Contracts Act, to promote voluntary agreements, worker choice, and free enterprise, and prevent mandatory arbitration in the private sector; H.R. 1689, TPS Extension Act, to designate Haiti for temporary protected status through April 2029; S. 4386, ADVICE Act, to allow states and apprenticeship sponsors to collect and analyze key data on wages, retention, and completion rates; S. 4409, START Act, to accelerate the registration process for new apprenticeship programs; H. Res. 1299, 21st Century ROAD to Housing Act, to clarify provisions that could threaten the viability of existing seniors housing units; H.R. 8662, Assisted Living Affordability, Choice, Community, Empowerment, Savings and Support Act (ACCESS Act), to address concerns that would reduce access to senior housing and impose federal regulatory oversight; S. 4479, Assisted Living Affordability, Choice, Community, Empowerment, Savings and Support Act (ACCESS Act), to address concerns that would reduce access to senior housing and impose federal regulatory oversight; S. 2120, Older Americans Act Reauthorization Act, to reauthorize key senior legislation, including a new White House Conference on Aging, multigenerational engagement activities, and initiatives addressing social isolation.

Client expense: $45,000 · 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), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

-Alzheimer's Screening & Prevention Act (ASAP) H.R. 6130/ S. 3267 -Lowering Costs for Caregivers Act (S. 1565/H.R. 138) -Federal vaccine messaging -Impacts of IRA on Older Americans -National Institutes of Health advance funding of multi-year research grants -Clinical Trials Modernization Act H.R.3251/S 4440 -Patient Access to Cancer and Complex Therapies Act H.R. 4299 -Diabetes Foot Health and Modernization Access Act H.R. 7905 -Oppose PBM Kickbacks H.R. 7895 -Oppose Codification of MFN Drug Pricing Proposals (no bill) -End Coverage with Evidence Development for Alzheimer's medications and Trans Catheter Aortic Valve Replacement -Update CMS Long stay antipsychotic Quality measure -Update FDA Antipsychotic black box warning -Funding for NIH (HR 9260) -PASTEUR Act (HR 7352/S 4975) -Biosimilar Access and Affordability Act (HR10628/S5571) -CMS Fixed Dose Combination Therapies proposed policy -OMB Proposed Uniform Guidance on Federal Grantmaking (HR 6500) -Alzheimer's Early Detection Act (HR 9823) -CMS reporting requirements for Medicare Prescription Payment Program (HR 9260) -CMS Trans Catheter Aortic Valve Replacement NCD proposal

Client expense: $65,000 · Firm income: Not reported

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

Tax policy related to financial support for family caregivers and individuals with chronic conditions, including advocacy to reduce out-of-pocket costs and improve affordability of care. The Lowering Costs for Caregivers Act (S. 1565 / H.R. 138), including advocacy related to expanding the use of tax-advantaged health accounts (including HSAs, FSAs, and HRAs) to cover medical expenses for family caregivers and improving affordability of care. The Credit for Caring Act of 2025 (S. 925 / H.R. 2036), including advocacy related to providing a nonrefundable tax credit to offset caregiving expenses for working family caregivers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General Parkinsons disease information, including disease burden, symptoms, health coverage, health care costs, environmental risk factors, and access to care for underserved communities. Implementation of the Dr. Emmanuel Bilirakis and Honorable Jennifer Wexton National Plan to End Parkinsons Act (Public Law No. 118-66), including advocacy related to the development and execution of the National Parkinsons Project (NPP), interagency coordination, advisory council establishment, reporting requirements, and congressional oversight, as well as appropriations to support implementation activities. Federal funding for Parkinsons disease and neurodegenerative disease research at the National Institutes of Health (NIH), including advocacy for increased appropriations across NIH institutes (including the National Institute of Neurological Disorders and Stroke (NINDS) and National Institute on Aging (NIA)) and support for related congressional appropriations requests and communications. National Institute of Neurological Disorders and Stroke (NINDS) Morris K. Udall Centers of Excellence for Parkinsons Disease Research, including advocacy in appropriations to re-establish and expand Udall Centers, related report language, and coordination with the National Parkinsons Project. Advanced Research Projects Agency for Health (ARPA-H) and neurodegenerative disease research, including advocacy for report language directing prioritization of high-risk, high-reward research on Parkinsons disease and related neurodegenerative conditions. Alzheimers Disease and Alzheimers Disease-Related Dementias (AD/ADRD) research, including advocacy for report language to expand funding eligibility to Parkinsons disease and related dementias and support research on the intersection of Parkinsons disease and dementia. Centers for Disease Control and Prevention (CDC) National Neurological Conditions Surveillance System (NNCSS), including advocacy for continued appropriations to support data collection and surveillance of Parkinsons disease and related conditions. Department of Health and Human Services (HHS) coordination on environmental risk factors and neurodegenerative disease prevention, including advocacy for report language and funding to support interagency coordination and research on toxic exposures and Parkinsons disease and related conditions. The Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act (H.R. 7779), including advocacy for cosponsorship and provisions supporting research on environmental risk factors and toxic exposures linked to neurodegenerative diseases. Environmental risk factors and Parkinsons disease, including advocacy related to pesticide exposure and paraquat, and support for Environmental Protection Agency (EPA) action to reassess and restrict or ban paraquat due to links to Parkinsons disease. The Paraquat Prevention Act (H.R. 9357): This legislation would direct EPA to cancel all registrations for the herbicide paraquat, revoke food-residue tolerances, prohibit the sale and use of existing stocks, and permanently bar re-registration, citing evidence linking paraquat exposure to an increased risk of Parkinsons disease. The Alzheimers Screening and Prevention (ASAP) Act (H.R. 6130 / S. 3267), including advocacy related to early detection of Alzheimers disease and related dementias and access to diagnostic tools. The Lowering Costs for Caregivers Act (S. 1565 / H.R. 138), including advocacy related to expanding the use of tax-advantaged health accounts (including HSAs, FSAs, and HRAs) to cover medical expenses for family caregivers and improving affordability of care. The Essential Caregivers Act of 2025 (H.R. 6766 / S. 3492), including advocacy related to ensuring access for designated essential caregivers in health care facilities during periods of restricted visitation under Medicare and Medicaid. The Essential Caregivers Act of 2026 (H.R. 9641), including advocacy related to ensuring access for designated essential caregivers in health care facilities during periods of restricted visitation under Medicare and Medicaid.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

H.R.4484/S.2356, ADAPT Act H.Res.697, Supporting September as National Suicide Prevention Month Budget Reconciliation bill Alleviating Barriers for Caregivers Act Response to FDA proposed industry guidance on AI-enabled device Budget Reconciliation H. R. 912/S. 1007, 9-8-8 Lifeline Cybersecurity Responsibility Act H.R. 929/S. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 957, Parity Enforcement Act of 2025 H.R 2509/ S. 931, COMPLETE Care Act H.R. 2630, Youth Suicide Prevention Research Act H.R. 3266/ S. 1673, Mental Health Infrastructure Improvement Act H.R.3505/ S. 5558, Barriers to Suicide Act of 2025 H.R. 3624/S.1924, Improving Mental Health Access for Students Act H.R. 5178 /S. 721 Sickle Cell Disease Comprehensive Care Act H.R 4619/S.4076, Medicare Mental Health Inpatient Equity Act H.R. 4744, Community Mental Wellness and Resilience Act of 2025 H.R. 4745/ S.2410, The Medicaid Bump Act H.R. 5145, Bipartisan Premium Tax Credit Extension Act H.R. 5482, Prevent Youth Suicide Act H.R.5629, Medications for the Treatment of Opioid Use Disorder H.R.5630, to Require Additional Information in State Plans for SUPTRS Block Grant H.R. 5706, Mental Health Emergency Responder Act H.R. 6396, Kid PROOF Act of 2025 H.R. 6601, CARE for First Responders Act S.683/H.R.7324, More Behavioral Health Providers Act of 2025 S. 1062, Suicide Prevention Act H.R. 2904/S. 1448 Pursuing Equity in Mental Health Act Rural Behavioral Health Improvement Act (H.R. 5217) Therapeutic Fraud Prevention Act (H.R. 3243 / S. 1663) H.R. 12/S. 2150 Womens Health Protection Act of 2025 S.2826/H.R.5434, 988 LGBTQ+ Youth Access Act S. 3431, Improving Measurements for Loneliness and Isolation Act of 2025 Black women and girls mental health Senior Chatbot Protection Act (S. 5117) Docs Not AI Act (TBD)H.R 2587/S.1266 - Youth Mental Health Research Act Coalition Letter to Protect LGBTQ+ dedicated line to 988 S.2826/H.R.5434, 988 LGBTQ+ Youth Access Act H.R. 138 / S. 1565 Lowering Costs for Caregivers Act H.R.7092/S.4061, Raising Awareness for Youth Suicide Prevention Act (RAYS) Act H.R. 7875, Providing Opportunities for Individuals in Need of Treatment and Support Act (POINTS Act) H.R. 7985 CHATBOT Act H.R.8122/ S.4640, 9-8-8 Connect Act H.R.8124, Stabilization to Prevent (STOP) Suicide Act H.R.8201, Require FQHCs to Provide Behavioral and Mental Health and Substance Use Disorder Services H.R.8487/S.3402, Ensuring Excellence in Mental Health Act H.R.9257/S.4754, The Primary and Behavioral Health Care Access Act H.R.9389, Nutrition Education and Chronic Disease Prevention in Community Health Centers Act of 2026 H.R.9551, Mental Health Parity Enforcement and Funding Act H.R. 9693, the Patients First Act of 2026 H.R. 9790/S. 4941, Modernizing Opioid Treatment Access Act 2.0 (MOTAA 2.0) H.R. 9990/S. 5120, Increasing Mental Health Options (IMHO) Act H.R.10280, 9-8-8 Implementation Act of 2026 S.4076/H.R.4619, To End the 190-day Lifetime Limit on Inpatient Psychiatric Care Under Medicare S.5269, Pay PCPs Act of 2026 Access to evidence-based behavioral treatments for substance use disorders Psychedelic Therapies - Training and Policy CMS ACCESS Model FDA Digital Therapeutics CDC Youth Mental Health

Client expense: $520,000 · Firm income: Not reported

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

H.R. 2036, S. 925 Credit for Caring Act H.R. 1151/S. 756 Freedom to Invest in Tomorrows Workforce Act Preservation of tax exemption for associations and charitable organizations in budget reconciliation H.R. 5145, Bipartisan Premium Tax Credit Extension Act Health care tax credits S. 1565/H.R. 138 Lowering Costs for Caregivers Act of 2025

Client expense: $520,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Financial Services and General Government Appropriations Bill: HR 8495 CONNECT for Health Act: HR 4206 / S 1261 Alzheimers Screening and Prevention Act of 2025: HR 6130 / S 3267 Credit for Caring Act of 2025: HR 2036 / S 925 Lowering Costs for Caregivers Act: HR 138 / S 1565 Geralds Law Act: HR 7199 Bringing Oversight to Washington and Safety to Every Resident Act: HR 1089 / S 440 (oppose) Palliative Care and Hospice Education and Training Act: HR 4425 / S 2287 Hospice CARE Act of 2026: HR 7966 / S 4118 Expanding Access to Palliative Care Act: S 1935 Legacy Act of 2025: HR 5861 MAP for Care Act: HR 6721 / S 3473 DC Home Rule Act amendment (the bill has no title; it would block DC from permitting medical aid in dying): HR 7196 Patient Access to End of Life Care Act: no number yet (pending introduction) Compassionate Care Act: no number yet (pending introduction) Health Equity and Accountability Act: no number yet (pending introduction) VA CAREERS Act: no number yet (pending introduction)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-Alzheimer's Screening & Prevention Act (ASAP) H.R. 6130/ S. 3267 -Lowering Costs for Caregivers Act (S. 1565/H.R. 138) -Federal vaccine messaging -Impacts of IRA on Older Americans -National Institutes of Health advance funding of multi-year research grants -Clinical Trials Modernization Act H.R.7905 -Patient Access to Cancer and Complex Therapies Act H.R. 4299 -Diabetes Foot Health and Modernization Access Act H.R. 7905 -Oppose PBM Kickbacks H.R. 7895 -Oppose Codification of MFN Drug Pricing Proposals (no bill) -End Coverage with Evidence Development for Alzheimer's medications and Trans Catheter Aortic Valve Replacement

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

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

Issues related to tax advantaged savings vehicles for health expenses One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSAs for All Act - H.R. 7681 The Chronic Disease Flexible Coverage Act - H.R. 919 Lowering Cost for Caregivers Act of 2025 - H.R. 138 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSA Modernization Act- H.R. 548 Lowering Health Care Costs for Americans Act - S.3389

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Issues related to tax advantaged savings vehicles for health expenses One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSAs for All Act - H.R. 7681 The Chronic Disease Flexible Coverage Act - H.R. 919 Lowering Cost for Caregivers Act of 2025 - H.R. 138 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSA Modernization Act- H.R. 548 Lowering Health Care Costs for Americans Act - S.3389

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Parkinson's health issues including research, care, data, costs, and accessibility of treatments. Parkinson's related programs at the Department of Health and Human Services, Food and Drug Administration, National Institutes of Health, Centers for Disease Control and Prevention. Implementation of the Dr. Emmanuel Bilirakis and Honorable Jennifer Wexton National Plan to End Parkinsons Act (Public Law No: 118-66). H.R.9233, the Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act S.1565 | H.R.138, the Lowering Costs for Caregivers Act S.3607 | H.R.6280, the Access to Genetic Counselor Services Act of 2026

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2036/S. 925 - Credit for Caring Act of 2025 - All provisions. H.R. 138/S.1565 - Lowering Costs for Caregivers Act - All provisions Clinical Trial Tax Credit (Draft legislation) - All provisions. H.R. 2320 - Mobility Means Freedom Tax Credit Act - All provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1151, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; S.756, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.1812, 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.1177, Improve and Enhance the Work Opportunity Tax Credit Act, to update the WOTC, increase the credit percentages and add additional credits for employers; S.492, Improve and Enhance the Work Opportunity Tax Credit Act, to update the WOTC, increase the credit percentages and add additional credits for employers; S.473, Social Engagement and Network Initiatives for Older Relief (SENIOR) Act, to promote senior socialization and combat isolation; H.R.2036, Credit for Caring Act, to establish a tax credit for family caregivers of up to $5,000 to help offset long-term care expenses; S.925, Credit for Caring Act, to establish a tax credit for family caregivers of up to $5,000 to help offset long-term care expenses; S.852, Protecting the Right to Organize (PRO) Act, to prevent legislation that would exacerbate workforce challenges among senior living providers; H.R.2036, Protecting the Right to Organize (PRO) Act, to prevent legislation that would exacerbate workforce challenges among senior living providers; H.R.2572, Start Applying Labor Transparency (SALT) Act, to increase transparency by requiring unions to register salts with the Department of Labor (DOL); H.R.3000, Caring for Seniors Act, to increase affordability of assisted living and invest in workforce development programs; H.R.1, One Big Beautiful Bill Act, to establish tax-savings programs to help seniors afford long-term care and to promote workforce development programs; H.R.138, Lowering Costs for Caregivers Act, to allow health savings accounts and flexible spending accounts to be used by adult children on medical expenses for their parents; S.1565, Lowering Costs for Caregivers Act, to allow health savings accounts and flexible spending accounts to be used by adult children on medical expenses for their parents; S.2762, Supporting Our Seniors Act, to establish a National Advisory Commission on long-term care services for seniors and individuals in need of support for activities of daily living; S.2120, Older Americans Act Reauthorization Act, to reauthorize the Older Americans Act and support programs to address social isolation and loneliness; H.R.5031, Preserving Patient Access to Long-Term Care Pharmacies Act, to establish a temporary fee for LTC pharmacies to mitigate impacts of the Medicare Part D drug negotiation program; S.2699, Geriatrics Workforce Improvement Act, to reauthorize the Geriatrics Workforce Enhancement Program and Geriatrics Academic Career Awards; H.R.4393, Dignity for Immigrants while Guarding our Nation to Ignite and Deliver the American Dream Act, to promote comprehensive immigration reform to help support the foreign-born workforce needed across long-term care and other sectors; H.R.6231, Improve and Enhance the Work Opportunity Tax Credit Act, to extend and modernize the Work Opportunity Tax Credit to address workforce shortages; S.3265, Improve and Enhance the Work Opportunity Tax Credit Act, to extend and modernize the Work Opportunity Tax Credit to address workforce shortages; S.3159, Preserving Patient Access to Long-Term Care Pharmacies Act, to establish a temporary fee for LTC pharmacies to mitigate impacts of the Medicare Part D drug negotiation program; H.R.5494, Essential Workers for Economic Advancement Act, to create a new H-2C nonimmigrant visa program for positions have gone unfilled in essential industries, such as health care and long-term care; H.R. 664421st Century ROAD to Housing Act, to clarify provisions that could threaten the viability of existing seniors housing units; S. 2651, 21st Century ROAD to Housing Act, to clarify provisions that could threaten the viability of existing seniors housing units; H.R. 5408, Faster Labor Contracts Actto promote voluntary agreements, worker choice, and free enterprise, and prevent mandatory arbitration in the private sector; S. 844, Faster Labor Contracts Act, to promote voluntary agreements, worker choice, and free enterprise, and prevent mandatory arbitration in the private sector; H.R. 1689, TPS Extension Act, to designate Haiti for temporary protected status through April 2029; S. 4386, ADVICE Act, to allow states and apprenticeship sponsors to collect and analyze key data on wages, retention, and completion rates; S. 4409, START Act, to accelerate the registration process for new apprenticeship programs; H. Res. 1299, 21st Century ROAD to Housing Act, to clarify provisions that could threaten the viability of existing seniors housing units; H.R. 8662, Assisted Living Affordability, Choice, Community, Empowerment, Savings and Support Act (ACCESS Act), to address concerns that would reduce access to senior housing and impose federal regulatory oversight; S. 4479, Assisted Living Affordability, Choice, Community, Empowerment, Savings and Support Act (ACCESS Act), to address concerns that would reduce access to senior housing and impose federal regulatory oversight.

Client expense: $45,000 · 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), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. Tax issues relating to home care services and care Lowering Costs for Caregivers Act of 2025 (H.R. 138)

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

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. Tax issues relating to home care services and care Lowering Costs for Caregivers Act of 2025 (H.R. 138)

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. Tax issues relating to home care services and care Lowering Costs for Caregivers Act of 2025 (H.R. 138); Ensuring Access to Affordable and Quality Home Care for Seniors and People with Disabilities Act (H.R. 2304); Credit for Caring Act of 2025 (S. 925; H.R. 2036); Lowering Costs for Caregivers Act (H.R. 138); S. 1920, the Continuous Skilled Nursing Quality Improvement Act; H.R. 6592, the Continuous Skilled Nursing Quality Improvement Act; S. 156 Lowering Costs for Caregivers Act

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

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

Issues related to employer provided benefits such as HSAs, FSAs, HRAs, ICHRAs, DCFSAs and commuter benefits. H.R. 548, The HSA Modernization Act of 2025. H.R. 138, The Lowering Costs for Caregivers Act of 2025. H.R. 3799, The Choice Arrangement Act. H.R. 1421, The Improving Child Care for Working Families Act. H.R. 5463 - Choice Arrangement Act of 2025. S. 2875 - CHOICE Act. H.R. 6703 - Lower Healthcare Premiums for All Americans Act.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Enhanced tax credits for caregiving & EITC for older workers. H.R. 2036/S. 925 - Credit for Caring Act of 2025. H.R. 138/S. 1565 - Lowering Costs for Caregivers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Tax policy related to financial support for family caregivers and individuals with chronic conditions, including advocacy to reduce out-of-pocket costs and improve affordability of care. The Lowering Costs for Caregivers Act (S. 1565 / H.R. 138), including advocacy related to expanding the use of tax-advantaged health accounts (including HSAs, FSAs, and HRAs) to cover medical expenses for family caregivers and improving affordability of care. The Credit for Caring Act of 2025 (S. 925 / H.R. 2036), including advocacy related to providing a nonrefundable tax credit to offset caregiving expenses for working family caregivers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General Parkinsons disease information, including disease burden, symptoms, health coverage, health care costs, environmental risk factors, and access to care for underserved communities. Implementation of the Dr. Emmanuel Bilirakis and Honorable Jennifer Wexton National Plan to End Parkinsons Act (Public Law No. 118-66), including advocacy related to the development and execution of the National Parkinsons Project (NPP), interagency coordination, advisory council establishment, reporting requirements, and congressional oversight, as well as appropriations to support implementation activities. Federal funding for Parkinsons disease and neurodegenerative disease research at the National Institutes of Health (NIH), including advocacy for increased appropriations across NIH institutes (including the National Institute of Neurological Disorders and Stroke (NINDS) and National Institute on Aging (NIA)) and support for related congressional appropriations requests and communications. National Institute of Neurological Disorders and Stroke (NINDS) Morris K. Udall Centers of Excellence for Parkinsons Disease Research, including advocacy in appropriations to re-establish and expand Udall Centers, related report language, and coordination with the National Parkinsons Project. Advanced Research Projects Agency for Health (ARPA-H) and neurodegenerative disease research, including advocacy for report language directing prioritization of high-risk, high-reward research on Parkinsons disease and related neurodegenerative conditions. Alzheimers Disease and Alzheimers Disease-Related Dementias (AD/ADRD) research, including advocacy for report language to expand funding eligibility to Parkinsons disease and related dementias and support research on the intersection of Parkinsons disease and dementia. Centers for Disease Control and Prevention (CDC) National Neurological Conditions Surveillance System (NNCSS), including advocacy for continued appropriations to support data collection and surveillance of Parkinsons disease and related conditions. Department of Health and Human Services (HHS) coordination on environmental risk factors and neurodegenerative disease prevention, including advocacy for report language and funding to support interagency coordination and research on toxic exposures and Parkinsons disease and related conditions. The Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act (H.R. 7779), including advocacy for cosponsorship and provisions supporting research on environmental risk factors and toxic exposures linked to neurodegenerative diseases. Environmental risk factors and Parkinsons disease, including advocacy related to pesticide exposure and paraquat, and support for Environmental Protection Agency (EPA) action to reassess and restrict or ban paraquat due to links to Parkinsons disease. The Paraquat Prevention Act (H.R. 9357): This legislation would direct EPA to cancel all registrations for the herbicide paraquat, revoke food-residue tolerances, prohibit the sale and use of existing stocks, and permanently bar re-registration, citing evidence linking paraquat exposure to an increased risk of Parkinsons disease. H.Amdt.196: An amendment to the 2026 Farm Bill (H.R. 7567, the Farm, Food, and National Security Act of 2026) that removed three pesticide-related provisions. The amendment eliminated language that would have: (1) limited certain lawsuits against pesticide manufacturers by making it more difficult to bring failure-to-warn claims based on health risks not included on EPA-approved labels; (2) restricted state and local governments from adopting pesticide requirements that exceed federal standards; and (3) modified environmental permitting and oversight requirements for pesticide use, including provisions affecting implementation of the Clean Water Act and other environmental laws. The Alzheimers Screening and Prevention (ASAP) Act (H.R. 6130 / S. 3267), including advocacy related to early detection of Alzheimers disease and related dementias and access to diagnostic tools. The Lowering Costs for Caregivers Act (S. 1565 / H.R. 138), including advocacy related to expanding the use of tax-advantaged health accounts (including HSAs, FSAs, and HRAs) to cover medical expenses for family caregivers and improving affordability of care. The Essential Caregivers Act of 2025 (H.R. 6766 / S. 3492), including advocacy related to ensuring access for designated essential caregivers in health care facilities during periods of restricted visitation under Medicare and Medicaid.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

-Alzheimer's Screening & Prevention Act (ASAP) H.R. 6130/ S. 3267 -Lowering Costs for Caregivers Act (S. 1565/H.R. 138) -Federal vaccine messaging -Impacts of IRA on Older Americans -National Institutes of Health advance funding of multi-year research grants -Clinical Trials Modernization Act H.R.7905 -Patient Access to Cancer and Complex Therapies Act H.R. 4299 -Diabetes Foot Health and Modernization Access Act H.R. 7905 -Oppose PBM Kickbacks H.R. 7895 -Oppose Codification of MFN Drug Pricing Proposals (no bill) -End Coverage with Evidence Development for Alzheimer's medications and Trans Catheter Aortic Valve Replacement

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

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

-Alzheimer's Screening & Prevention Act (ASAP) H.R. 6130/ S. 3267 -Lowering Costs for Caregivers Act (S. 1565/H.R. 138) -Federal vaccine messaging -Impacts of IRA on Older Americans -National Institutes of Health advance funding of multi-year research grants -Clinical Trials Modernization Act H.R.7905 -Patient Access to Cancer and Complex Therapies Act H.R. 4299 -Diabetes Foot Health and Modernization Access Act H.R. 7905 -Oppose PBM Kickbacks H.R. 7895 -Oppose Codification of MFN Drug Pricing Proposals (no bill) -Message support for Rare Disease Clinical Trials Improvements

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 2036, S. 925 Credit for Caring Act H.R. 1151/S. 756 Freedom to Invest in Tomorrows Workforce Act Preservation of tax exemption for associations and charitable organizations in budget reconciliation H.R. 5145, Bipartisan Premium Tax Credit Extension Act Health care tax credits S. 1565/H.R. 138 Lowering Costs for Caregivers Act of 2025

Client expense: $340,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.4484/S.2356, ADAPT Act H.Res.697, Supporting September as National Suicide Prevention Month Budget Reconciliation bill H.R. 1246 Investing in Rural America Act Alleviating Barriers for Caregivers Act Response to FDA proposed industry guidance on AI-enabled device Budget Reconciliation H. R. 912/S. 1007, 9-8-8 Lifeline Cybersecurity Responsibility Act H.R. 929/S. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 957, Parity Enforcement Act of 2025 H.R 2509/ S. 931, COMPLETE Care Act H.R. 2630, Youth Suicide Prevention Research Act H.R. 3266/ S. 1673, Mental Health Infrastructure Improvement Act H.R.3505, Barriers to Suicide Act of 2025 H.R. 3624/S.1924, Improving Mental Health Access for Students Act H.R. 5178 /S. 721 Sickle Cell Disease Comprehensive Care Act H.R 4619/S.4076, Medicare Mental Health Inpatient Equity Act H.R. 4744, Community Mental Wellness and Resilience Act of 2025 H.R. 4745/ S.2410, The Medicaid Bump Act H.R. 5145, Bipartisan Premium Tax Credit Extension Act H.R. 5482, Prevent Youth Suicide Act H.R.5629, Medications for the Treatment of Opioid Use Disorder H.R.5630, to Require Additional Information in State Plans for SUPTRS Block Grant H.R. 5706, Mental Health Emergency Responder Act H.R. 6396, Kid PROOF Act of 2025 H.R. 6601, CARE for First Responders Act S. 1062, Suicide Prevention Act Reintroduction of Pursuing Equity in Mental Health Act Rural Behavioral Health Improvement Act (H.R. 5217) Therapeutic Fraud Prevention Act (H.R. 3243 / S. 1663) H.R. 12/S. 2150 Womens Health Protection Act of 2025 S.2826/H.R.5434, 988 LGBTQ+ Youth Access Act S. 3431, Improving Measurements for Loneliness and Isolation Act of 2025 Black women and girls mental health Forthcoming legislation concerning transparency in AI chatbot products H.R. 4206 /S. 1261, CONNECT for Health Act Status of enhanced ACA subsidies and impact on rural communities H.R 2587/S.1266 - Youth Mental Health Research Act Coalition Letter to Protect LGBTQ+ dedicated line to 988 S.2826/H.R.5434, 988 LGBTQ+ Youth Access Act H.R. 138 / S. 1565 Lowering Costs for Caregivers Act H.R.7092/S.4061, Raising Awareness for Youth Suicide Prevention Act (RAYS) Act H.R. 7875, Providing Opportunities for Individuals in Need of Treatment and Support Act (POINTS Act) H.R. 7985 CHATBOT Act H.R.8124, Stabilization to Prevent (STOP) Suicide Act H.R.8201, Require FQHCs to Provide Behavioral and Mental Health and Substance Use Disorder Services H.R.9257/S.4754, The Primary and Behavioral Health Care Access Act H.R.9389, Nutrition Education and Chronic Disease Prevention in Community Health Centers Act of 2026 S.4076/H.R.4619, To End the 190-day Lifetime Limit on Inpatient Psychiatric Care Under Medicare SAMHSAs Reorganization Access to evidence-based behavioral treatments for substance use disorders Implementation of Rural Health Improvement Fund Federal Trade Commission's Request for Public Comment (RFI) regarding Gender-Affirming Care for minors Response to CMS proposed rule on Inpatient Psychiatric Facilities

Client expense: $340,000 · Firm income: Not reported

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

- Joined a letter from the American Academy of Pediatrics (AAP) and the Infectious Diseases Society of America (IDSA) to Congress, calling for immediate oversight/investigation of the changes to the childhood vaccination schedule. The letter highlights how the changed status of a number of vaccinations makes their coverage under insurance an open question mark, discouraging vaccination, and therefore threatens herd immunity for disabled students, people with cancer and organ transplants), and individuals with other risk factors who rely on high rates of vaccination for protection. - Joined a letter from the Health Task Force of the Consortium of Constituents with Disabilities to HHS in response to a Request for Information on "accelerating the adoption and use of AI as part of clinical care." The letter raised concerns and cautions specific to how AI's use in health care services can impact on disabled people. - Joined a coalition letter led by Caring Across Generations (CAG), the Center for Law and Social Policy (CLASP), and others to Congress opposing attacks on, and funding cuts for, basic needs programs like Medicaid and SNAP, and the communities who rely on these programs. - Joined a letter led by the National Partnership for Women and Families, opposing the Supporting Pregnant and Parenting Women and Families Act (HR 6945), a bill that codifies the ability for states to apply TANF (Temporary Assistance for Needy Families) dollars to funding anti-abortion centers, also known as crisis pregnancy centers (CPCs). - Joined a letter led by the American Association of Retired People (AARP) to Congress urging support for the inclusion of the bipartisan Lowering Costs for Caregivers Act (S. 1565/H.R. 138) in in any relevant legislation advanced in the 119th Congress.

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Alleviating Barriers for Caregivers (House and Senate), S. 1227/H.R. 2491. Reauthorization of C.W. Bill Young Cell Transplantation Program (House and Senate), H.R. 5160/S. 4109. Accelerating Kids Access to Care Act (House and Senate), S. 752/H.R. 1509. Credit for Caring Act (House and Senate), S. 925/H.R. 2036. Sickle Cell Disease Comprehensive Care Act (House and Senate), H.R. 5178/S. 721. Lowering Costs for Caregives Act (House and Senate), S. 1565/H.R. 138.

Client expense: $320,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to tax advantaged savings vehicles for health expenses One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSAs for All Act - H.R. 7681 The Chronic Disease Flexible Coverage Act - H.R. 919 Lowering Cost for Caregivers Act of 2025 - H.R. 138 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSA Modernization Act- H.R. 548 Lowering Health Care Costs for Americans Act - S.3389

Client expense: $740,000 · Firm income: Not reported

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

Issues related to tax advantaged savings vehicles for health expenses One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSAs for All Act - H.R. 7681 The Chronic Disease Flexible Coverage Act - H.R. 919 Lowering Cost for Caregivers Act of 2025 - H.R. 138 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSA Modernization Act- H.R. 548 Lowering Health Care Costs for Americans Act - S.3389

Client expense: $740,000 · Firm income: Not reported

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

-Alzheimer's Screening & Prevention Act (ASAP) H.R. 6130/ S. 3267 -Lowering Costs for Caregivers Act (S. 1565/H.R. 138) -Federal vaccine messaging -Impacts of IRA on Older Americans -National Institutes of Health advance funding of multi-year research grants

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R.1151, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; S.756, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.1812, 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.1177, Improve and Enhance the Work Opportunity Tax Credit Act, to update the WOTC, increase the credit percentages and add additional credits for employers; S.492, Improve and Enhance the Work Opportunity Tax Credit Act, to update the WOTC, increase the credit percentages and add additional credits for employers; S.473, Social Engagement and Network Initiatives for Older Relief (SENIOR) Act, to promote senior socialization and combat isolation; H.R.2036, Credit for Caring Act, to establish a tax credit for family caregivers of up to $5,000 to help offset long-term care expenses; S.925, Credit for Caring Act, to establish a tax credit for family caregivers of up to $5,000 to help offset long-term care expenses; S.852, Protecting the Right to Organize (PRO) Act, to prevent legislation that would exacerbate workforce challenges among senior living providers; H.R.2036, Protecting the Right to Organize (PRO) Act, to prevent legislation that would exacerbate workforce challenges among senior living providers; H.R.2572, Start Applying Labor Transparency (SALT) Act, to increase transparency by requiring unions to register salts with the Department of Labor (DOL); H.R.3000, Caring for Seniors Act, to increase affordability of assisted living and invest in workforce development programs; H.R.1, One Big Beautiful Bill Act, to establish tax-savings programs to help seniors afford long-term care and to promote workforce development programs; H.R.138, Lowering Costs for Caregivers Act, to allow health savings accounts and flexible spending accounts to be used by adult children on medical expenses for their parents; S.1565, Lowering Costs for Caregivers Act, to allow health savings accounts and flexible spending accounts to be used by adult children on medical expenses for their parents; S.2762, Supporting Our Seniors Act, to establish a National Advisory Commission on long-term care services for seniors and individuals in need of support for activities of daily living; S.2120, Older Americans Act Reauthorization Act, to reauthorize the Older Americans Act and support programs to address social isolation and loneliness; H.R.5031, Preserving Patient Access to Long-Term Care Pharmacies Act, to establish a temporary fee for LTC pharmacies to mitigate impacts of the Medicare Part D drug negotiation program; S.2699, Geriatrics Workforce Improvement Act, to reauthorize the Geriatrics Workforce Enhancement Program and Geriatrics Academic Career Awards; H.R.4393, Dignity for Immigrants while Guarding our Nation to Ignite and Deliver the American Dream Act, to promote comprehensive immigration reform to help support the foreign-born workforce needed across long-term care and other sectors; H.R.6231, Improve and Enhance the Work Opportunity Tax Credit Act, to extend and modernize the Work Opportunity Tax Credit to address workforce shortages; S.3265, Improve and Enhance the Work Opportunity Tax Credit Act, to extend and modernize the Work Opportunity Tax Credit to address workforce shortages; S.3159, Preserving Patient Access to Long-Term Care Pharmacies Act, to establish a temporary fee for LTC pharmacies to mitigate impacts of the Medicare Part D drug negotiation program; H.R.5494, Essential Workers for Economic Advancement Act, to create a new H-2C nonimmigrant visa program for positions have gone unfilled in essential industries, such as health care and long-term care; H.R. 664421st Century ROAD to Housing Act, to clarify provisions that could threaten the viability of existing seniors housing units; S. 2651, 21st Century ROAD to Housing Act, to clarify provisions that could threaten the viability of existing seniors housing units; H.R. 5408, Faster Labor Contracts Actto promote voluntary agreements, worker choice, and free enterprise, and prevent mandatory arbitration in the private sector; S. 844, Faster Labor Contracts Act, to promote voluntary agreements, worker choice, and free enterprise, and prevent mandatory arbitration in the private sector.

Client expense: $75,000 · 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), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

S. 925/H.R. 2036, the Credit for Caring Act. S. 1565/H.R. 138, the Lowering Costs for Caregivers Act. Public Law 119-21, the One, Big, Beautiful Bill Act. S. 1831, Auto Reenroll Act. S. 1840, the Retirement Investment in Small Employers Act. S. 1773/ H.R. 3469, the Tax Relief for Victims of Crimes, Scams, and Disasters Act. H.R. 2972, the EITC for Older Workers Act. H.R. 1340, the More Homes on the Market Act. HR. 1130, the Bonus Tax Relief for Americas Seniors Act. No bill number. Discussed paper tax refund checks. No bill number. Discussed advance premium tax credit for Marketplace health plans. No bill number. Discussed family caregiver tax credit bill. No bill number. Discussed health savings accounts. No bill number. Discussed tax policy. No bill number. Discussed retirement policy.

Client expense: $3,830,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE

S. 925/H.R. 2036, Credit for Caring Act. S. 1565/H.R. 138, Lowering Costs for Caregivers Act. S. 3439/H.R. 6735, Connecting Caregivers to Medicare Act. S. 1227/H.R. 2491, Alleviating Barriers for Caregivers Act. P.L. 119-21, One Big Beautiful Bill Act. S. 830/H.R. 2560, the Lifespan Respite Care Reauthorization Act. H.R. 3089, the More Paid Leave for More Americans Act. H.R. 8100, the Safe Staffing Saves Lives Act. S. 3886, the Nurses Belong in Nursing Homes Act. H.R. 6766/S. 3492, the Essential Caregivers Act of 2025. H.R. 7966/S. 4118, the Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act S.2120, the Older Americans Act Reauthorization Act of 2025. H.R. 5575, the Firefighters Assisting Seniors to Emergency Response (FASTER) Act of 2025. H.R. 7567, the Farm, Food, and National Security Act of 2026. HR 1538, the Delivering for Rural Seniors Act of 2025. H.R. 1782, the Supporting all Healthy Options when Purchasing Produce (SHOPP) Act of 2025. S. 2237/H.R. 4313, the Hospital Inpatient Services Modernization Act. No bill number. Discussed paid leave for family caregivers. No bill number. Discussed support for family caregivers. No bill number. Discussed minimum staffing standards for long-term care facilities. No bill number. Discussed the Senior Hunger Prevention Act. No bill number. Discussed Nursing Home staffing standards, safety, and quality. No bill number. Discussed Nursing home transparency and ownership requirements. No bill number. Discussed SNAP, TEFAP, OAA nutrition programs, senior nutrition and food security. No bill number. Discussed home health, hospice, and long-term care. No bill number. Discussed falls prevention. No bill number. Discussed social isolation. No bill number. Discussed family caregiver exemption from Medicaid community engagement requirements and Data Strategy for Family Caregiver Verification. No bill number. Discussed fraud in Medicare and Medicaid, long-term services and supports, and home and community-based services. No bill number. Discussed research and data on family caregivers. No bill number. Discussed Medicare Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH). No bill number Discussed the direct care workforce. No bill number. Discussed family caregiver exemption from Medicaid community engagement requirements. No bill number. Discussed falls prevention. No bill number. Discussed health at home. No bill number. Discussed the National Strategy to Support Family Caregivers. No bill number. Discussed the Older Americans Act reauthorization. No bill number. Discussed Medicaid HCBS waivers. No bill number. Discussed the health care workforce. No bill number. Discussed end-of-life. No bill number. Discussed Assisting Caregivers Today (ACT) Caucus. No bill number. Discussed long-term care affordability. No bill number. Discussed long-term care.

Client expense: $3,830,000 · 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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. Tax issues relating to home care services and care Lowering Costs for Caregivers Act of 2025 (H.R. 138)

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

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

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. Tax issues relating to home care services and care Lowering Costs for Caregivers Act of 2025 (H.R. 138)

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Develop and execute a government relations strategy relating to legislative and regulatory home care issues. Tax issues relating to home care services and care Lowering Costs for Caregivers Act of 2025 (H.R. 138); Ensuring Access to Affordable and Quality Home Care for Seniors and People with Disabilities Act (H.R. 2304); Credit for Caring Act of 2025 (S. 925; H.R. 2036); Lowering Costs for Caregivers Act (H.R. 138); S. 1920, the Continuous Skilled Nursing Quality Improvement Act; H.R. 6592, the Continuous Skilled Nursing Quality Improvement Act; S. 156 Lowering Costs for Caregivers Act

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

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

H.R. 2036, S. 925 Credit for Caring Act H.R. 1151/S. 756 Freedom to Invest in Tomorrows Workforce Act Preservation of tax exemption for associations and charitable organizations in budget reconciliation H.R. 5145, Bipartisan Premium Tax Credit Extension Act Health care tax credits S. 1565/H.R. 138 Lowering Costs for Caregivers Act of 2025

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.4484/S.2356, ADAPT Act H.Res.697, Supporting September as National Suicide Prevention Month Budget Reconciliation bill H.R. 1246 Investing in Rural America Act Alleviating Barriers for Caregivers Act Response to FDA proposed industry guidance on AI-enabled device Budget Reconciliation H. R. 912/S. 1007, 9-8-8 Lifeline Cybersecurity Responsibility Act H.R. 929/S. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 957, Parity Enforcement Act of 2025 H.R 2509/ S. 931, COMPLETE Care Act H.R. 2630, Youth Suicide Prevention Research Act H.R. 3266/ S. 1673, Mental Health Infrastructure Improvement Act H.R.3505, Barriers to Suicide Act of 2025 H.R 4619, Medicare Mental Health Inpatient Equity Act H.R. 4744, Community Mental Wellness and Resilience Act of 2025 H.R. 4745/ S.2410, The Medicaid Bump Act H.R. 5145, Bipartisan Premium Tax Credit Extension Act H.R. 5482, Prevent Youth Suicide Act H.R. 5706, Mental Health Emergency Responder Act H.R. 6601, CARE for First Responders Act S. 1062, Suicide Prevention Act Reintroduction of Pursuing Equity in Mental Health Act H.R.3757, Pride in Mental Health Act Rural Behavioral Health Improvement Act (H.R. 5217) Therapeutic Fraud Prevention Act (H.R. 3243 / S. 1663) H.R. 12/S. 2150 Womens Health Protection Act of 2025 S.2826/H.R.5434, 988 LGBTQ+ Youth Access Act S. 3461/H.R. 6625, RISE from Trauma Act S. 3431, Improving Measurements for Loneliness and Isolation Act of 2025 Forthcoming legislation concerning AI-powered chatbots marketed as licensed professionals CONNECT for Health Act (H.R. 4206 / S. 1261) Status of enhanced ACA subsidies and impact on rural communities H.R 2587/S.1266 - Youth Mental Health Research Act Coalition Letter to Protect LGBTQ+ dedicated line to 988 S.2826/H.R.5434, 988 LGBTQ+ Youth Access Act H.R. 138 / S. 1565 Lowering Costs for Caregivers Act H.R.7092/S.4061, Raising Awareness for Youth Suicide Prevention Act (RAYS) Act H.R. 7875, Providing Opportunities for Individuals in Need of Treatment and Support Act (POINTS Act) H.R. 7985 CHATBOT Act H.R.8124, Stabilization to Prevent (STOP) Suicide Act S.4076/H.R.4619, To End the 190-day Lifetime Limit on Inpatient Psychiatric Care Under Medicare SAMHSAs Reorganization Access to evidence-based behavioral treatments for substance use disorders Implementation of Rural Health Improvement Fund Federal Trade Commission's Request for Public Comment (RFI) regarding Gender-Affirming Care for minors

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

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

Issues related to employer provided benefits such as HSAs, FSAs, HRAs, ICHRAs, DCFSAs and commuter benefits. H.R. 548, The HSA Modernization Act of 2025. H.R. 138, The Lowering Costs for Caregivers Act of 2025. H.R. 3799, The Choice Arrangement Act. H.R. 1421, The Improving Child Care for Working Families Act. H.R. 5463 - Choice Arrangement Act of 2025. S. 2875 - CHOICE Act. H.R. 6703 - Lower Healthcare Premiums for All Americans Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE