DOC Access Act of 2025

H.R. 1521, the DOC Access Act of 2025; FY27 Appropriations Bill; H.R. 9393, the Lower Costs, More Transparency Act of 2026.

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

Government targets: HOUSE OF REPRESENTATIVES

Issues: ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Cyber Attack/ Cyber Security; Community Health + Maternal Health; Hospital Billing; Anti-tiering, Anti-steering; Artificial Intelligence; Individual Market Reforms and eAPTC Extension; Healthcare Affordability Bills: S.4027 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Sen. Husted, Jon [R-OH] H.R.6248 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Marshall, Roger [R-KS] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9397 - Premium Transparency Act To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information. Sponsor: Rep. Pfluger, August [R-TX-11] H.R.9117 - Clear Healthcare Expense Cost Knowledge Act (CHECK Act) To promote the availability of certain healthcare information, and for other purposes. Sponsor: Rep. Langworthy, Nicholas A. [R-NY-23] H.R.9390 - Prices on the Wall Act of 2026 To amend title XXVII of the Public Health Service Act to require certain facilities to post prices on the walls. Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R. 8209 - School Based-Health Centers Reauthorization Act To amend the Public Health Service Act to reauthorize the school-based health centers grant program. Sponsor: Rep. Tonko, Paul [D-NY-20] H.R.9389 - Nutrition Education and Chronic Disease Prevention in Community Health Centers Act of 2026 To amend the Public Health Service Act to authorize funding for nutrition education and chronic disease prevention at federally qualified health centers, and for other purposes. Sponsor: Rep. Harshbarger, Diana [R-TN-1] H.R. 8201 - Expanding Community Access to Health Services Act To amend Public Health Service Act to require community health centers to provide behavioral and mental health and substance use disorder services, and for other purposes. Sponsor: Rep. Lee, Susie [D-NV-3] S.380 - Rural Obstetrics Readiness Act To improve obstetric emergency care. Sponsor: Sen. Hassan, Margaret Wood [D-NH] H.R.1254 - Rural Obstetrics Readiness Act To improve obstetric emergency care. Sponsor: Rep. Kelly, Robin L. [D-IL-2] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] H.R.1521 - DOC Access Act of 2025 To amend title XXVII of the Public Health Service Act to improve health care coverage under vision and dental plans, and for other purposes. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] S.3097 - Health Information Privacy Reform Act To provide additional protections with respect to health information, and for other purposes. Sponsor: Sen. Cassidy, Bill [R-LA] S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2026 To amend the Public Health Service Act to reauthorize certain nursing workforce development programs, and for other purposes. Sponsor: Sen. Merkley, Jeff [D-OR] S.2301 - Improving Care in Rural America Reauthorization Act of 2025 To reauthorize certain programs regarding rural health care. Sponsor: Sen. Scott, Tim [R-SC]

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Cyber Attack/ Cyber Security; Community Health + Maternal Health; Hospital Billing; Anti-tiering, Anti-steering; Artificial Intelligence; Individual Market Reforms and eAPTC Extension; Healthcare Affordability S.4027 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Sen. Husted, Jon [R-OH] H.R.6248 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Marshall, Roger [R-KS] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9397 - Premium Transparency Act To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information. Sponsor: Rep. Pfluger, August [R-TX-11] H.R.9117 - Clear Healthcare Expense Cost Knowledge Act (CHECK Act) To promote the availability of certain healthcare information, and for other purposes. Sponsor: Rep. Langworthy, Nicholas A. [R-NY-23] H.R.9390 - Prices on the Wall Act of 2026 To amend title XXVII of the Public Health Service Act to require certain facilities to post prices on the walls. Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R. 8209 - School Based-Health Centers Reauthorization Act To amend the Public Health Service Act to reauthorize the school-based health centers grant program. Sponsor: Rep. Tonko, Paul [D-NY-20] H.R.9389 - Nutrition Education and Chronic Disease Prevention in Community Health Centers Act of 2026 To amend the Public Health Service Act to authorize funding for nutrition education and chronic disease prevention at federally qualified health centers, and for other purposes. Sponsor: Rep. Harshbarger, Diana [R-TN-1] H.R. 8201 - Expanding Community Access to Health Services Act To amend Public Health Service Act to require community health centers to provide behavioral and mental health and substance use disorder services, and for other purposes. Sponsor: Rep. Lee, Susie [D-NV-3] S.380 - Rural Obstetrics Readiness Act To improve obstetric emergency care. Sponsor: Sen. Hassan, Margaret Wood [D-NH] H.R.1254 - Rural Obstetrics Readiness Act To improve obstetric emergency care. Sponsor: Rep. Kelly, Robin L. [D-IL-2] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] H.R.1521 - DOC Access Act of 2025 To amend title XXVII of the Public Health Service Act to improve health care coverage under vision and dental plans, and for other purposes. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] S.3097 - Health Information Privacy Reform Act To provide additional protections with respect to health information, and for other purposes. Sponsor: Sen. Cassidy, Bill [R-LA] S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2026 To amend the Public Health Service Act to reauthorize certain nursing workforce development programs, and for other purposes. Sponsor: Sen. Merkley, Jeff [D-OR] S.2301 - Improving Care in Rural America Reauthorization Act of 2025 To reauthorize certain programs regarding rural health care. Sponsor: Sen. Scott, Tim [R-SC]

Client expense: $1,240,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

Discussions regarding vertical integration and provider autonomy P.L. 119-21, One Big Beautiful Bill Act; provisions relating to health care H.R. 1521, the DOC Access Act of 2025 (all sections of full text)(support) Discussing pertaining to eligibility of oral health services as qualified expenses through HSAs and FSAs Discussions pertaining to improving access to oral health to underserved and vulnerable populations Discussions pertaining to the expansion of dental coverage across federal health programs Discussions pertaining to access to dental benefits under Medicaid Discussions involving supplemental benefits in Medicare Advantage Discussions involving fluoride in drinking water Monitored executive branch nominations to federal agencies and commissions Monitored discussions involving proposed legislation to address health workforce shortages

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1397/S. 1164 - Increasing Access to Dental Insurance Act; H.R. 1521: Dental and Optometric Care (DOC) Access Act; S. 5089 Medicare Dental Benefit Act of 2026; S. 891: Bipartisan Health Care Act; S. 2084: Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2025; H.R. 9833/S. 5088: Ensuring Kids Have Access to Medically Necessary Dental Care Act; H.R. 3277/S. 1677: Ensuring Lasting Smiles Act; H.R. 3069/S. 1506: Medicare for All Act; H.R. 2045/S. 939: Medicare Dental, Hearing, and Vision Expansion Act of 2025; H.R. 2041: Hidden Fee Disclosure Act of 2025; H.R. 1768: Lower Costs for Everyday Americans Act; H.R. 1219: Oral Health Products Inclusion Act; H.R. 1160: Health Care Provider Shortage Minimization Act of 2025; H.R. 935: Health Care Workforce Innovation Act of 2025; H.R. 210: Dental Care for Veterans Act; H.R. 9831 Medicaid Dental Benefit Act of 2026; H.R. 4556 Protect Our TEETH Act; H.R. 2001: Action for Dental Health Act; Issues pertaining to the Affordable Care Act (ACA) Enhanced Subsidies (no specific bills); Issues pertaining to Adult Dental Essential Health Benefits (EHB) (no specific bills); Issues pertaining to Medicare (no specific bills); Issues pertaining to Medicaid (no specific bills); Issues pertaining to Letter to Issuers (no specific bills); Issues pertaining to ERISA (no specific bills).

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

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

The IBEW lobbied on provider payment and surprise medical bills issues raised by the No Surprises Enforcement Act (S. 2420 and H.R. 4710) The IBEW lobbied on ERISA preemption issues and other issues raised in the Patients Deserve Price Tags Act (S. 2355), the Health Care Price Certainty for All Act (H.R. 9645), as well as DOC Access Act (H.R. 1521), dealing with payment structures for optometrists and dentists.

Client expense: $200,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R 1521 Dental and Optometric Care Access Act S. 1716, the Vision Lab Choice Act Vision Care and Vision Care Plan Related Issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to promoting affordability and access to dental health care. S.1164/H.R.1397 - Increasing Access to Dental Insurance Act. H.R.1521 - DOC Access Act of 2025. Affordable Care Act (ACA) enhanced premium tax credits.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to electronic disclosure and H.R. 1521, the "DOC Access Act"

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

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

H.R. 1521 - DOC Access Act of 2025; H.R. 7931 - the IDA Act of 2026

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Retirement Security 1.H.R.1013, S.424 Retirement Fairness for Charities and Educational Institutions Act of 2025: Allows 403(b) retirement plans to invest in Collective Investment Trust or Separate Accounts Insurance Products to establish investment parity with other defined contribution plans, like 401(k)s. 2.H.R.2023, S.988 Womens Retirement Protection Act (WRPA): This legislation imposes spousal consent requirements on nearly all distributions from defined contribution plans. The bill also seeks to enhance financial literacy through grants to community-based organizations and offers grants to such organizations to help low-income women and survivors of domestic abuse obtain qualified domestic relations orders. 3.H.R.2067, S.928 Protecting Americans Retirement Savings Act (PARSA): This bill prohibits ERISA-covered retirement plans from making new investments in companies controlled by or based in countries considered to be foreign adversaries. Foreign adversaries include China, Iran, North Korea, and Russia. The bill also requires fiduciaries to disclose continuing investments in such entities and sanctioned firms. 4.H.R.2089 Generating Retirement Ownership through Long-Term Holding (GROWTH): The legislation provides that reinvested mutual fund dividends are not subject to capital gains taxation until the investor sells his or her shares. 5.H.R.2163 No Penalties for Victims of Fraud Act: The bill ensures that victims of retirement account fraud are not subject to the 10% additional income tax on early retirement plan distributions. 6.H.R.2544, S.1222 Financial Freedom Act of 2025: The legislation prohibits the Secretary of Labor from restricting the investments available in self-directed 401(k) brokerage windows. The bill also prohibits the DOL from preventing a fiduciary from selecting, any particular type of investment alternative, provided that a fiduciary provides the participant or beneficiary an opportunity to choose, from a broad range of investment alternatives, nor can the DOL require that any particular type of investment be either favored or disfavored, other than on the basis of the investments risk-return characteristics. 7.H.R.2696, S.1526 Retirement Savings for Americans Act (RSAA): This legislation establishes a federally run American Worker Retirement Plan for private-sector workers that do not have access to a workplace-based retirement plan. The bill also includes an enhanced federal matching contribution that only applies to lower income workers that participate in the federal plan. 8.H.R.2748 First Time Homeowner Savings Plan Act: This legislation increases the amount first-time homebuyers could pull from their retirement savings from the $10,000 set in the 1990s to $25,000 (indexed to inflation) without the 10% additional income tax on early retirement plan distributions to use as a down payment on their home. 9.H.R.2869 EBSA Investigations Transparency Act: This legislation requires the Department of Labors Employee Benefits Security Administration (EBSA) to submit annual reports to Congress on the status of its open employee plan audits and to explain why any audits open for more than 36 months have not been closed. 10.H.R.2958 Balance the Scales Act: This legislation requires the Department of Labors Employee Benefits Security Administration (EBSA) to report annually to Congress about its use of common interest agreements. 11.H.R.2988 Protecting Prudent Investment of Retirement Savings Act: This legislation amends ERISA to specify that a retirement plan fiduciary shall be considered acting solely in the interest of participants only if: 1) the investment does not subordinate the interest of participants in their retirement income or financial benefits under the plan to other objectives, including ESG objectives and 2) the fiduciary does not sacrifice investment returns or take on additional investment risks to promote goals unrelated to the plan. 12.H.R.3526, S.2867 Uplifting First-Time Homebuyers Act of 2025: This legislation allows individuals to take an early distribution out of an IRA of up to $50,000 for a qualified first-time home purchase without the 10% additional income tax penalty. Current rules only allow up to a $10,000 early distribution without penalty. 13.S.2003 Strengthening Benefits Plans Act of 2025: This legislation permits surplus assets in a retiree health account to be used for other benefits, like active employee health benefits. The legislation also permits surplus assets in a defined benefit plan to be used to provide contributions to the employers defined contribution plan without terminating the defined benefit plan. 14.S.2210 Unlocking Benefits for Independent Workers Act: This legislation establishes a safe harbor under federal law for companies that would like to voluntarily provide independent workers with any benefit or protection commonly provided to full-time employees, such as retirement and health care benefits. 15.S.2217 Independent Retirement Fairness Act: This legislation relaxes the audit rules for pooled employer plans (PEPs) and allows companies to enroll their independent workers in PEPs and simplified employer pensions (SEPs) IRAs without triggering employee classification. 16.H.R.4548, S.2365 Small Nonprofit Retirement Security Act of 2025: This legislation makes the credit for small employer pension plan startup costs and the retirement auto-enrollment credit available to tax-exempt eligible small employers. 17.H.R.4718, S.1707 Helping Young Americans Save for Retirement Act: This legislation lowers the required minimum participation age in ERISA-covered retirement plans from age 21 to age 18. 18.H.R.5325 Unclaimed Retirement Rescue Plan: This legislation directs the Department of Labor (DOL) to issue a regulation that would permit retirement plan fiduciaries to transfer unclaimed retirement distributions to State unclaimed property programs. 19.H.R.5748 Retirement Investment Choice Act: This legislation codifies Executive Order 14330 relating to democratizing access to alternative assets for 401(k) investors. 20.S.3083 Providing Complete Information to Retirement Investors Act: This legislation adds a new notice requirement to participants investing through brokerage windows in 401(k) plans to explain that the investments in a brokerage window have not been prudently selected and are not monitored by a plan fiduciary. 21.S.3086 Restoring Integrity in Fiduciary Duty Act: This legislation limits fiduciary consideration of nonpecuniary factors for investments. The bill further states that ERISA fiduciaries must also make decisions regarding the exercise of shareholder rights and proxy voting based on pecuniary factors. 22.H.R.5887 Saving for the Future Act: This legislation establishes a hybrid emergency savings and 401(k)-type government-run program called the Federal Universal Personal Savings Investment Program and creates UP Retirement Accounts for every full-time and part-time worker not covered by an active defined benefit pension plan. The legislation also requires employers to make a minimum employer contribution to the workers retirement account. 23.H.R.6084 ERISA Litigation Reform Act: This legislation amends the pleading standard under ERISA Section 502 for certain claims to put the burden on the plaintiff to plausibly allege and prove that an ERISA prohibitive transaction occurred that is not exempt under ERISA section 408(b)(2). 24.H.R.6324, S.5156 Retirement Simplification and Clarity Act: This legislation would: (1) permit an in-service plan distribution to an individual retirement annuity on or after attainment of age 50; and (2) include a specific reference to an individual retirement annuity as a rollover option under a simplified 402(f) safe harbor notice. 25.H.R.6417, S.3333 Emergency Savings Enhancement Act of 2025: This legislation would double the maximum balance limit for Pension-Linked Emergency Savings Accounts (PLESAs) from $2,500 to $5,000 and allows Highly Compensated Employees (HCEs) to participate. 26.H.R.6450, S.3352 Retirement Rollover Flexibility Act: This legislation would permit rollover contributions from Roth IRAs to designated Roth accounts in qualified retirement plans, like 401(k)s. 27.H.R.6722 Automatic IRA Act of 2025: The legislation would require employers with more than 10 employees that do not sponsor a retirement plan to automatically enroll their employees in IRAs (automatic IRAs) or other automatic contribution plans or arrangements, like 401(k) plans. The legislation also requires 401(k) plans with over 100 participants plans must permit participants to elect to receive at least 50 percent of their vested account balance in the form of lifetime income. This requirement does not apply to participants with balances below $200,000. 28.H.R.6729, S.1831 Auto Reenroll Act of 2025: This legislation amends the qualified automatic contribution arrangement (QACA) safe harbor in the tax code for 401(k) plans to allow for automatic periodic reenrollment into the plan. 29.H.R.7185 Home Savings Act: This legislation permits penalty-free withdrawals from a 401(k) account for up to five years when the funds are used for a down payment or closing costs on a primary residence. The legislation also allows an individual to make a penalty-free 401(k) withdrawal and gift those funds to a relative, exempt from gift tax, provided the relative uses the money for a down payment or closing costs on a primary residence. 30.H.R.7362, S.4953 5500 Filing Simplification Act: This legislation extends the Form 5500 filing deadline to October 15 (for calendar year retirement plans), thus eliminating the need for an extension. 31.H.R.7556, S.2335 Pensions for All Act: This legislation requires every employer to provide to their employees a retirement program with benefits equivalent to the Federal Employees Retirement System (FERS) or to elect for their employees to participate in FERS. 32.H.R.8273, S.4291 Catching Up Family Caregivers Act of 2026: This legislation allows full-time family caregivers to qualify for up to five additional years of retirement plan catch-up contributions. Catch-up contributions currently allow individuals over age 50 to contribute above the standard annual retirement plan contribution limit, with even higher limits available for those ages 60 to 63. 33.H.R.8274, S.4292 Improving Retirement for Family Caregivers Act of 2026: Current law limits Roth IRA contributions to the lesser of $7,000 or total annual income. This legislation eliminates the annual income requirement for family caregivers, thus allowing them to contribute to a Roth IRA even if they do not have any income. 34.H.R.8313 Trump Accounts for All Generations Act: The One Big Beautiful Bill Act (OBBBA) enacted last year created the Trump Account, which is a new individual tax-preferred savings vehicle for children, with a $1,000 government seed contribution for every child born in the United States from 2025 to 2029. This legislation makes the $1,000 government contribution for children permanent and indexes the $1,000 contribution amount to inflation beginning in 2029. 35.H.R.8314 OPTIONS Act: The legislation allows employees to allocate employer contributions among various pre-tax benefits, including retirement accounts, health savings accounts, health reimbursement accounts, and educational assistance programs. 36.S.4360 Investigation Status and Governance for Honest Transparency (INSIGHT) Act: This legislation requires the Employee Benefits Security Administration (EBSA) to submit annual reports to Congress on the status of its open employee plan audits and to explain why any audits open for more than 36 months have not been closed. And it also requires the Department of Labor to formalize and disclose situations in which it is providing adverse assistance which means assistance to plaintiffs lawyers suing ERISA benefit plan sponsors and fiduciaries. 37.H.R.8783, S.4511 Charity Parity Act: Current law allows retirement savers to exclude up to $111,000 in annual gross income to make qualified charitable distributions (QCDs), but only if the funds are donated directly from an IRA. This tax break excludes distributions from employer-sponsored retirement plans like 401(k)s and 403(b)s. So, under current law, individuals must first roll assets into an IRA to make a QCD. The Charity Parity Act would permit direct QCDs from employer-sponsored retirement plans. 38.H.R.8837, S.1840 Retirement Investment in Small Employers (RISE) Act: This legislation raises the floor for the existing $250 per-employee tax credit available to small businesses to create retirement plans, ensuring that all small businesses can receive a tax credit of at least $2,500. The House version of the legislation allows the service provider to claim the tax credit as payment for services that would ordinarily be charged to the employer for starting the plan. 39.H.R.9813, S.5040 A bill to amend the Internal Revenue Code of 1986 to impose limitations on high-income taxpayers with large retirement account balances: This legislation that would prohibit further contributions to a Roth or traditional IRA if the total of an individuals IRA and defined contribution plan vested account balances exceeds $10 million for the prior year. The limit on contributions would only apply to married single taxpayers with modified adjusted gross income (MAGI) over $400,000 for the prior year ($425,000 for heads of households, $450,000 for joint filers). 40.H.R.10039, S.5204 SMART Savings Act of 2026: This legislation amends the Internal Revenue Code to exempt individual retirement accounts (IRAs) from the Department of Labors prohibited transaction rules. Although IRAs are generally not ERISA plans, they remain subject to DOL-administered prohibited transaction rules because Congress incorporated those rules into the Internal Revenue Code. 41.S.5507 Savers Match Enhancement Act of 2026: The bill makes the existing Savers Match more generous in the following ways. The bill doubles the matching rate from 50 percent to 100 percent, so that the government matches retirement plan contributions dollar for dollar up to $2,000 per year (now indexed to inflation). The bill also increases the amount of people eligible for the match with an income phase-out range beginning at $85,000 to $115,000 for a joint return ($42,500 to $57,500 for single and $63,750 to $86,250 for head of household). Savers Match contributions would now have after-tax Roth treatment, so the contributions and earnings would not be taxed upon distribution but also not be taxable to the saver in the year of contribution unlike normal Roth contributions. 42.S.5550 529 Retirement Enhancement Act of 2026: The bill eliminates the $35,000 lifetime cap on rollovers from 529 education savings accounts to Roth IRAs. 43.H.R.10641 Employee and Retiree Access to Justice Act of 2026: The bill amends ERISA Section 502 to deem pre-dispute and post-dispute forced arbitration clauses, class action waivers, and representation waivers unenforceable. 44.H.R.10702 Workers Retirement Savings Protection Act of 2026: The bill creates a new statutory definition of an investment advice fiduciary under Section 3(21) of the Employee Retirement Income Security Act (ERISA). 45.H.R.10703 Protecting Workers Benefits Act of 2026: The bill amends ERISA Section 502 to allow individuals to bring a legal action as assignees on behalf of their plan and get a cut of any settlement or award, similar to whistleblower actions under the False Claims Act. 46.General Account Product Corrections Act: This proposed legislation clarifies fiduciary responsibilities for life insurance companies as it relates to investments in their general accounts. Income Security S. 2415 and H.R. 7107, the Long-Term Care Affordability Act: Would allow for tax free distributions from retirement accounts to fund LTC contracts. H.R. 133, Both provisions are in the larger bill. S. 5017 - More Paid Leave for Americans Act. Issue: paid family and medical leave H.R. 3089 - Paid Family Leave Public Partnerships Act. Issue: paid family and medical leave H.R. 3090 - Interstate Paid Leave Action Network Act (I-PLAN Act). Issue: paid family and medical leave H.R. 1521 - Dentist and Optometric Care Access Act of 2025 or the DOC Access Act of 2025. Issue: dental and vision insurance H.R.1185 - FAMILY Act. Issue: paid family and medical leave proposal would offer paid leave benefits via a payroll tax for birth or adoption of a child or caring for a sick family member. H.R.1940 - New Parents Act of 2019. Issue: paid family and medical leave H.R.2163 - To amend the Internal Revenue Code of 1986 to allow for tax-advantaged distributions from health savings accounts during family or medical leave, and for other purposes. Issue: paid family and medical leave S.463 - FAMILY Act. Issue: paid family and medical leave- paid family and medical leave proposal would offer paid leave benefits via a payroll tax for birth or adoption of a child or caring for a sick family member S.920 - New Parents Act of 2019. Issue: paid family and medical leave Discussion draft - CRADLE Act. Issue: paid family and medical leave - allows for a deferment of retirement benefits for paid leave benefits. Proposed FY 2020 Budget proposal on paid family and medical leave. Issue: paid family and medical leave H.R. 2694 - Pregnant Workers Fairness Act. Issue: paid family and medical leave. Concurrent Resolution on the Budget, FY2022, S.Con.Res.14. The budget resolution calls for the $3.5 trillion in long-term investments to be fully offset by a combination of new tax revenues, health care savings, and long-term economic growth. In addition, the agreement would prohibit new taxes on families making less than $400,000 per year, and on small businesses and family farms. Issue: Medicare/Dental (Expanding Medicare to include dental, vision, hearing benefits and lowering the eligibility age). H.R. 5376- Build Back Better Act This bill provides funding, establishes programs, and otherwise modifies provisions relating to a broad array of areas, including education, labor, child-care, health care, taxes, immigration, and the environment. Excepted Benefits on Supplemental Benefits-proposed tri-agency rule through HHS, Treasury and Labor. S.3680 - Paid Family and Medical Leave Tax Credit Extension and Enhancement Act Diversity and Inclusion H.R. 5084 - Improving Corporate Governance Through Diversity Act. Issue: diversity and inclusion. H.R. 5360 - Closing the Racial Wealth Gap Act. Issue: diversity and inclusion. H.R. 281 - Ensuring Diverse Leadership Act. Issue: diversity and inclusion. H.R. 7946 and S. 4464 - Federal Reserve Racial and Economic Equity Act. Issue: diversity and inclusion.

Client expense: $1,002,681 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1521 - The DOC Access Act, all provisions H.R.1201 - Doctors in our Borders Act, all provisions H.R.1585 - Conrad State 30 and Physician Access Reauthorization Act, all provisions H.R.5283 - Healthcare Workforce Resilience Act, all provisions H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act, all provisions S.2650 - DOCTORS Act, all provisions S.2759 - Healthcare Workforce Resilience Act, all provisions S.4637 - Conrad 30 Physician Workforce Optimization Act, all provisions S.709 - Conrad State 30 and Physician Access Reauthorization Act, all provisions Comment Letter: [USCIS-2026-0298] Fee for Certain H-1B Petitions Alternative pathways to citizenship for foreign international medical graduates Matters related to filing fees for physician H-1B visa holders Matters related to J-1 visa processing for physicians Matters related to Proclamation 10998/Physician exemption Matters related to regulatory changes to duration of status for J-1 physicians. Matters related to exempting physicians from new H1-B visa fees Regulatory changes to processing physician H-1B visas including processing visas for physicians from presidentially banned countries

Client expense: $4,540,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS)

H.R. 1521, Dentist and Optometric Care (DOC) Access Act of 2025.

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

Government targets: HOUSE OF REPRESENTATIVES

Monitor issues related to vision care plans, including H.R.1521, the DOC Access Act of 2025, and S.1716, the Vision Lab Choice Act of 2025. Educate policymakers on consumer choice and competition in the vision market.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Patient Protection and Affordable Care Act (Implementation). ISSUE: General issues related to dental benefits. Health Care Education Reconciliation Act (Implementation). ISSUE: General issues related to dental benefits. H.R. 1397, S.1164- Increasing Access to Dental Insurance Act H.R. 1521, - DOC Access Act - Issues related to dental and vision insurance. H.R. 9393, Lower Costs, More Transparency Act of 2026; Issue: Vision insurance benefits Advanced Premium Tax Credits

Client expense: $510,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Introduction to EssilorLuxottica; Med-tech innovations; Issues related to Myopia education; Labor, Health and Human Services appropriations; H.R.1521 - DOC Access Act; S.1716 - Vision Lab Choice Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1164 & H.R.1397-Increaseing Access to Dental Insurance Act; H.R.7931-Improving Dental Administration Act of 2026; H.R. 1521-Dental and Optometric Care Access Act of 2025.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Advantage supplemental dental benefits, including benefit transparency, encounter data, marketing, beneficiary understanding of coverage, alignment of advertised benefits with actual coverage, consumer protections, surprise billing, provider directory accuracy, and oversight of dental benefit administration. CMS Notice of Benefit and Payment Parameters for 2027 and CMS RFI on the essential health benefits framework and typical employer standard, including pediatric oral health EHB, adult dental coverage, stand-alone dental plans, riders, carve-outs, and state flexibility.t H.R. 1521, Dental and Optometric Care (DOC) Access Act S. 1677/H.R. 3277, Ensuring Lasting Smiles Act (ELSA) S. 1164/H.R. 1397, Increasing Access to Dental Insurance Act H.R. 7931, Improving Dental Administration Act ERISA preemption and dental benefit plan accountability, including noncovered services, network leasing, assignment of benefits, virtual credit cards, prior authorization, retroactive denials, downcoding, prompt payment, and application of state dental insurance reforms to self-funded plans. H.R. 5582, Patients Deserve Price Tags Act H.R. 9177, Clear Healthcare Expense Cost Knowledge Act of 2026 H.R. 9397, Premium Transparency Act H.R. 9396, Prior Authorization Accountability Act

Client expense: $1,100,000 · Firm income: Not reported

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

HR1521 HR 4282

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislative and administrative outreach and monitoring regarding Continuing Resolution (CR); H.R. 1521, the DOC Access Act of 2025; H.R. 4282, the Contact Lens Prescription Verification Modernization Act; FY27 Appropriations Bill; H.R. 9393, the Lower Costs, More Transparency Act of 2026.

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

Government targets: HOUSE OF REPRESENTATIVES

H.R 1521 Dental and Optometric Care Access Act S. 1716, the Vision Lab Choice Act Vision Care and Vision Care Plan Related Issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation related to optometric care access, including H.R.1521 - DOC Access Act of 2025, all provisions related to optometric care.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L. 119-21, One Big Beautiful Bill Act; provisions relating to health care H.R. 1521, the DOC Access Act of 2025 (all sections of full text)(support) Discussing pertaining to eligibility of oral health services as qualified expenses through HSAs and FSAs Discussions pertaining to improving access to oral health to underserved and vulnerable populations Discussions pertaining to the expansion of dental coverage across federal health programs Discussions pertaining to access to dental benefits under Medicaid Discussions involving supplemental benefits in Medicare Advantage Discussions involving fluoride in drinking water Monitored executive branch nominations to federal agencies and commissions Monitored discussions involving proposed legislation to address health workforce shortages

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1397/S. 1164 - Increasing Access to Dental Insurance Act; H.R. 1521/S. 1424: Dental and Optometric Care (DOC) Access Act; Issues pertaining to the Affordable Care Act (ACA) Enhanced Subsidies (no specific bills); Issues pertaining to Adult Dental Essential Health Benefits (EHB) (no specific bills); Issues pertaining to Medicare Advantage (no specific bills); Issues pertaining to Notice of Benefit and Payment Parameters (NBPP) (no specific bills); Issues pertaining to Letter to Issuers (no specific bills).

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

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

Issues related to providing E-delivery of documents for ERISA health and welfare benefit products; the Voluntary Excepted and Supplemental Benefits Protection Act (bill not yet introduced); H.R. 1521, Doc Access Act of 2025, all provisions; S.1716, Vision Lab Choice Act of 2025, all provisions.

Client expense: $370,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1521: (DOC Access Act of 2025) This bill will improve health care coverage under vision and dental plans. HR 2483: SUPPORT for Patients and Communities Reauthorization Act of 2025. This bill seeks to modify various grants, programs and activities that address substance use and misuse as well as modify provisions related to scheduling of controlled substances. The bill will also make a requirement that Medicaid programs cover medication-assisted treatments for individuals with substance use disorders permanent. S. 1716: Vision Lab Choice Act of 2025. This bill will improve coverage under vision plans.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1521, DOC Access Act of 2025 S. 1716, Vision Lab Choice Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to promoting affordability and access to dental health care. S.1164/H.R.1397 - Increasing Access to Dental Insurance Act. H.R.1521 - DOC Access Act of 2025. Affordable Care Act (ACA) enhanced premium tax credits.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1521 - DOC Access Act of 2025; H.R. 7931 - the IDA Act of 2026

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor issues related to vision care plans, including H.R.1521 - DOC Access Act of 2025, and S.1716 - Vision Lab Choice Act of 2025. Educate policymakers on consumer choice and competition in the vision market.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Patient Protection and Affordable Care Act (Implementation). ISSUE: General issues related to dental benefits. Health Care Education Reconciliation Act (Implementation). ISSUE: General issues related to dental benefits. H.R. 1397, S.1164- Increasing Access to Dental Insurance Act H.R. 1521, - DOC Access Act - Issues related to dental and vision insurance. H.R. 9393, Lower Costs, More Transparency Act of 2026; Issue: Vision insurance benefits Advanced Premium Tax Credits

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Introduction to EssilorLuxottica; Med-tech innovations; Issues related to Myopia education; Labor, Health and Human Services appropriations; Tariffs; US-Mexico-Canada Trade Agreement; H.R.1521 - DOC Access Act; S.1716 - Vision Lab Choice Act.

Client expense: $180,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE

Medicare Advantage supplemental dental benefits, including benefit transparency, marketing and beneficiary understanding of coverage, alignment of advertised benefits with actual coverage, consumer protections, and related concerns with surprise billing and provider directory accuracy. CMS Notice of Benefit and Payment Parameters for 2027, including proposed policy affecting states ability to include routine adult dental services as an essential health benefit H.R. 1521, Dental and Optometric Care (DOC) Access Act S. 1677/H.R. 3277, Ensuring Lasting Smiles Act (ELSA) S. 1164/H.R. 1397, Increasing Access to Dental Insurance Act H.R. 7931, Improving Dental Administration Act

Client expense: $243,780 · Firm income: Not reported

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

HR1521 HR 4282

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R 1521 Dental and Optometric Care Access Act S. 1716, the Vision Lab Choice Act Vision Care and Vision Care Plan Related Issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Paid Leave, Supplemental Benefits, Dental Insurance, Medicaid, Medicare Advantage Issue E-Delivery for ERISA Health and Welfare Benefit Plans Issue Medical Stop-Loss H.R.1521 Dental and Optometric Care Access (DOC Access) Act H.R.1397/S.1164 Increasing Access to Dental Insurance Act H.R.2571 Self-Insurance Protection Act H.R.3089 More Paid Leave for More Americans Act H.R.3758 Workers Disability Benefits Parity Act of 2025 Issue Paid Family and Medical Leave Paid Leave, Supplemental Benefits, Dental Insurance, Medicaid, Medicare Advantage P.L.119-60 National Defense Authorization Act for Fiscal Year 2026 -- Holding Foreign Insiders Accountable Act H.R.3089 More Paid Leave for More Americans Act Draft Voluntary Excepted Supplemental Benefits Protection Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC)

H.R. 1521 - DOC Access Act of 2025; H.R. 7931 - the IDA Act of 2026

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1397/S. 1164 - Increasing Access to Dental Insurance Act; H.R. 1521/S. 1424: Dental and Optometric Care (DOC) Access Act; Issues pertaining to the Affordable Care Act (ACA) Enhanced Subsidies (no specific bills); Issues pertaining to Adult Dental Essential Health Benefits (EHB) (no specific bills); Issues pertaining to Medicare Advantage (no specific bills); Issues pertaining to Notice of Benefit and Payment Parameters (NBPP) (no specific bills); Issues pertaining to Letter to Issuers (no specific bills).

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

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

HR 1521: (DOC Access Act of 2025) This bill will improve health care coverage under vision and dental plans. HR 2483: SUPPORT for Patients and Communities Reauthorization Act of 2025. This bill seeks to modify various grants, programs and activities that address substance use and misuse as well as modify provisions related to scheduling of controlled substances. The bill will also make a requirement that Medicaid programs cover medication-assisted treatments for individuals with substance use disorders permanent. S. 1716: Vision Lab Choice Act of 2025. This bill will improve coverage under vision plans.

Client expense: $719,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2332, States Handling Access to Reciprocity for Employment (SHARE) Act of 2025, all provisions H.R. 1521, Dental and Optometric Care (DOC) Access Act of 2025, all provisions H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S. 526, Pharmacy Benefit Manager Transparency Act of 2025, all provisions S. 1767, Physician and Patient Safety Act, all provisions H.R. 2767, Bolstering Research And Innovation Now (BRAIN) Act, all provisions S. 1330, Bolstering Research And Innovation Now (BRAIN) Act, all provisions H.R. 1520, Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S. 1782, Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S. 3315, Health Care Cybersecurity and Resiliency Act of 2026, all provisions S. 3097, Health Information Privacy Reform Act, all provisions H.R. 4583, Living Donor Protection Act of 2025, all provisions S. 1552, Living Donor Protection Act of 2025, all provisions H.R. 2850, Youth Sports Facilities Act of 2025, all provisions S. 1419, Youth Sports Facilities Act of 2025, all provisions S. 1701, Strategic Teams for Organized Response Mobilization (STORM) Act, all provisions H.R. 4849, Protecting Health Care and Lowering Costs Act of 2025, all provisions H.R. 247, Health Care Affordability Act of 2025, all provisions H.R. 5145, Bipartisan Premium Tax Credit Extension Act, all provisions S. 2882, Continuing Appropriations and Extensions and Other Matters Act, 2026, provisions relating to ACA premium tax credits S. 3385, Lower Health Care Costs Act, provisions related to the ACA and premium tax credits H.R. 6703, Lower Health Care Premiums for All Americans Act, all provisions H.R. 3492, Protect Childrens Innocence Act, all provisions H.R. 5861, Legacy Act of 2025, provisions related to advanced medical directives S. 3315, Health Care Cybersecurity and Resiliency Act of 2026, all provisions H.R. 7868, Expanding Support for Living Donors Act of 2026, all provisions H.R. 628, Honor Our Living Donors Act, all provisions H.R. 1, One Big Beautiful Bill Act, provisions relating to artificial intelligence (AI) H.R. 1909, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions S. 2621, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions S. 3204, Preventive Health Savings Act, all provisions H.R. 7602, State of Mens Health Act, all provisions H.R. 4710, No Surprises Act Enforcement Act, all provisions S. 2420, No Surprises Act Enforcement Act, all provisions H.R. 6294, Childhood Diabetes Reduction Act of 2025, all provisions H.R. 4206, CONNECT for Health Act of 2025, all provisions H.R. 3170, Improving Access to Workers Compensation for Injured Federal Workers Act, all provisions Joint resolution of Disapproval on CMS reg Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability (Effort to repeal a regulation under the Congressional Review Act) Drafts/The Republic Unifying Meritocratic Performance Advancing Machine Intelligence by Eliminating Regulatory Interstate Chaos Across American Industry Act (TRUMP AMERICA AI) Act Draft/Enhanced Premium Tax Credits extension Drug shortages Gender affirming care Dental plans/The Employee Retirement Income Security Act of 1974 (ERISA) Prior authorization Licensure portability Artificial Intelligence (AI) services/payment AI use in prior authorization Womens health issues Health Insurance Portability and Accountability Act (HIPAA) Pharmacy Benefits Managers AI Deepfake/legislative framework Mental health chatbots/regulatory guardrails Cybersecurity/small physician practices Fuel economy standards/proposed rollback Postpartum hypertension Vaccines Nutrition Menopause education Insurance plans/downcoding Out-of-Network physician payment cut

Client expense: $7,970,000 · Firm income: Not reported

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

H.R. 2332, States Handling Access to Reciprocity for Employment (SHARE) Act of 2025, all provisions H.R. 1521, Dental and Optometric Care (DOC) Access Act of 2025, all provisions H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S. 526, Pharmacy Benefit Manager Transparency Act of 2025, all provisions S. 1767, Physician and Patient Safety Act, all provisions H.R. 2767, Bolstering Research And Innovation Now (BRAIN) Act, all provisions S. 1330, Bolstering Research And Innovation Now (BRAIN) Act, all provisions H.R. 1520, Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S. 1782, Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S. 3315, Health Care Cybersecurity and Resiliency Act of 2026, all provisions S. 3097, Health Information Privacy Reform Act, all provisions H.R. 4583, Living Donor Protection Act of 2025, all provisions S. 1552, Living Donor Protection Act of 2025, all provisions H.R. 2850, Youth Sports Facilities Act of 2025, all provisions S. 1419, Youth Sports Facilities Act of 2025, all provisions S. 1701, Strategic Teams for Organized Response Mobilization (STORM) Act, all provisions H.R. 4849, Protecting Health Care and Lowering Costs Act of 2025, all provisions H.R. 247, Health Care Affordability Act of 2025, all provisions H.R. 5145, Bipartisan Premium Tax Credit Extension Act, all provisions S. 2882, Continuing Appropriations and Extensions and Other Matters Act, 2026, provisions relating to ACA premium tax credits S. 3385, Lower Health Care Costs Act, provisions related to the ACA and premium tax credits H.R. 6703, Lower Health Care Premiums for All Americans Act, all provisions H.R. 3492, Protect Childrens Innocence Act, all provisions H.R. 5861, Legacy Act of 2025, provisions related to advanced medical directives S. 3315, Health Care Cybersecurity and Resiliency Act of 2026, all provisions H.R. 7868, Expanding Support for Living Donors Act of 2026, all provisions H.R. 628, Honor Our Living Donors Act, all provisions H.R. 1, One Big Beautiful Bill Act, provisions relating to artificial intelligence (AI) H.R. 1909, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions S. 2621, Preventing Maternal Deaths Reauthorization Act of 2025, all provisions S. 3204, Preventive Health Savings Act, all provisions H.R. 7602, State of Mens Health Act, all provisions H.R. 4710, No Surprises Act Enforcement Act, all provisions S. 2420, No Surprises Act Enforcement Act, all provisions H.R. 6294, Childhood Diabetes Reduction Act of 2025, all provisions H.R. 4206, CONNECT for Health Act of 2025, all provisions H.R. 3170, Improving Access to Workers Compensation for Injured Federal Workers Act, all provisions Joint resolution of Disapproval on CMS reg Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability (Effort to repeal a regulation under the Congressional Review Act) Drafts/The Republic Unifying Meritocratic Performance Advancing Machine Intelligence by Eliminating Regulatory Interstate Chaos Across American Industry Act (TRUMP AMERICA AI) Act Draft/Enhanced Premium Tax Credits extension Drug shortages Gender affirming care Dental plans/The Employee Retirement Income Security Act of 1974 (ERISA) Prior authorization Licensure portability Artificial Intelligence (AI) services/payment AI use in prior authorization Womens health issues Health Insurance Portability and Accountability Act (HIPAA) Pharmacy Benefits Managers AI Deepfake/legislative framework Mental health chatbots/regulatory guardrails Cybersecurity/small physician practices Fuel economy standards/proposed rollback Postpartum hypertension Vaccines Nutrition Menopause education Insurance plans/downcoding Out-of-Network physician payment cut

Client expense: $7,970,000 · Firm income: Not reported

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

Support for the Dental and Optometric Care (DOC) Access Act (HR 1521), which would prohibit dental and vision plans from capping fees on non-covered services Support for the Improving Dental Administration Act (HR 7931), which would apply state dental insurance laws to ERISA dental plans operating in that state. Support for reintroduction of the Ensuring Lasting Smiles Act (S 1677/HR 3277), which would require health insurers to cover treatment, including dental, for patients with congenital craniofacial anomalies.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1521, DOC Access Act of 2025 S. 1716, Vision Lab Choice Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Patient Protection and Affordable Care Act (Implementation). ISSUE: General issues related to dental benefits. Health Care Education Reconciliation Act (Implementation). ISSUE: General issues related to dental benefits. H.R. 1397, S.1164- Increasing Access to Dental Insurance Act H.R. 1521, - DOC Access Act - Issues related to dental and vision insurance. Advanced Premium Tax Credits

Client expense: $510,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE