Hospice Recertification Flexibility Act

Telehealth Expansion Act (H.R. 1650 / S. 763) Permanent Telehealth from Home Act (H.R. 1407) Audio-Only Telehealth Services Act (H.R. 1899) Expanded Provider Access Act (H.R. 1614) TREATS Act (H.R. 1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Monitor Prescription Digital Therapeutics policy. H.R.6994 - To amend the Controlled Substances Act to modify requirements relating to the prescription of controlled substances by means of the Internet, and for other purposes. Education regarding DEA's final telemedicine rule. Education about asynchronous telemedicine and letters of medical necessity in the FSA/HSA space.

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

Government targets: Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Economic Council (NEC), Office of Natl Drug Control Policy (NDCP), SENATE, Treasury, Dept of, White House Office

Telehealth Expansion Act (H.R. 1650 / S. 763) Permanent Telehealth from Home Act (H.R. 1407) Audio-Only Telehealth Services Act (H.R. 1899) Expanded Provider Access Act (H.R. 1614) TREATS Act (H.R. 1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Monitor Prescription Digital Therapeutics policy. H.R.6994 - To amend the Controlled Substances Act to modify requirements relating to the prescription of controlled substances by means of the Internet, and for other purposes. Education regarding DEA's final telemedicine rule.

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

Government targets: Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Monitored the Hospice Special Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Proposed Rule.

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

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

Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Monitored the Hospice Special Focus Program. Issues regarding program integrity. National Moratorium on Hospice and Home Health Agency Enrollment. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice and Wage Index Payment Rate Proposed Rule.

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

Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. National Moratorium on Hospice and Home Health Enrollment. Monitored The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Monitored H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to implementation of Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026. H.R. 8883, Protecting Seniors and Stopping Fraudsters Act. FY'27 Hospice Wage Index and Payment Rate Proposed Rule.

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

Telehealth Expansion Act (H.R. 1650 / S. 763) Permanent Telehealth from Home Act (H.R. 1407) Audio-Only Telehealth Services Act (H.R. 1899) Expanded Provider Access Act (H.R. 1614) TREATS Act (H.R. 1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Monitor Prescription Digital Therapeutics policy. H.R.6994 - To amend the Controlled Substances Act to modify requirements relating to the prescription of controlled substances by means of the Internet, and for other purposes.

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

Government targets: Drug Enforcement Administration (DEA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

ATA Action - Federal Legislative Priorities (119th Congress) As of Q4 2025, ATA Action continues to support and lobby for a broad portfolio of bipartisan legislation aimed at making telehealth and digital health a permanent, integrated part of care delivery in the U.S. healthcare system. Below is a summary of the legislation we are actively engaging on: 🔹 Top Legislative Priorities Telehealth Expansion Act (H.R. 1650 / S. 763) Sponsors: Rep. Arrington (R-TX), Rep. Susie Lee (D-NV), Sen. Daines (R-MT), Sen. Cortez Masto (D-NV) → Makes permanent the ability to offer pre-deductible telehealth services under high-deductible health plans linked to HSAs. Permanent Telehealth from Home Act (H.R. 1407) Sponsors: Rep. Buchanan (R-FL), Rep. Max Miller (R-OH), Rep. Mike Thompson (D-CA) → Eliminates originating site and geographic restrictions for Medicare telehealth services permanently. Audio-Only Telehealth Services Act (H.R. 1899) Sponsors: Rep. Feenstra (R-IA), Rep. Pappas (D-NH) → Makes permanent coverage of audio-only services in Medicare. Expanded Provider Access Act (H.R. 1614) Sponsors: Rep. Kelly (R-PA), Rep. Mike Thompson (D-CA) → Permits therapists, audiologists, and speech-language pathologists to deliver telehealth services permanently. TREATS Act (H.R. 1627) Sponsors: Rep. Norcross (D-NJ), Rep. Fitzpatrick (R-PA) → Permanently waives the in-person requirement for prescribing controlled substances (Schedules III-IV) via telehealth for substance use and opioid use disorders. 🔹 Additional Supported Legislation PREVENT DIABETES Act (H.R. 1523) Sponsors: Rep. DeGette (D-CO), Rep. Bilirakis (R-FL) → Expands Medicare Diabetes Prevention Program to include virtual suppliers. Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Sponsors: Rep. Joyce (R-PA), Rep. Peters (D-CA), Sen. Blackburn (R-TN), Sen. Klobuchar (D-MN) → Makes permanent the option to provide cardiopulmonary rehab services at home via telehealth. Hospice Recertification Flexibility Act (H.R. 1720) Sponsors: Rep. Carol Miller (R-WV), Rep. Jared Golden (D-ME) → Allows hospice recertification visits via telehealth beyond 180 days. Rural Telehealth and Education Enhancement Act (H.R. 290) Sponsors: Rep. Langworthy (R-NY), Rep. Pingree (D-ME) → Reauthorizes USDAs Distance Learning and Telemedicine grant program through FY2030. ATA Action is actively advocating for these bills through direct engagement with congressional offices, testimony, coalition coordination, and public policy campaigns. This legislative portfolio reflects our commitment to securing permanent access to telehealth and integrating next-generation digital tools across care settings nationwide.

Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.

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

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

Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. Monitored the Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025;H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026,as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966,Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.

Client expense: $205,000 · Firm income: Not reported

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

Legislation to improve care at the end of life, including the Hospice Recertification Flexibility Act (H.R. 1720); Expanding Access to Palliative Care Act (S. 1935); Hospice Inpatient Modernization Act: H.R. 4313 / S. 2237; PCHETA (S. 2287/H.R.4425); Improving Access to Advance Care Planning Act (S.2865)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to improve care at the end of life, including the Hospice Recertification Flexibility Act (H.R. 1720); Expanding Access to Palliative Care Act (S. 1935); Hospice Inpatient Modernization Act: H.R. 4313 / S. 2237; PCHETA (S. 2287/H.R.4425); Improving Access to Advance Care Planning Act (S.2865)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. Monitored the Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders. S. 4118 / H.R. 7966, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act of 2026.

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

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

ATA Action - Federal Legislative Priorities (119th Congress) As of Q4 2025, ATA Action continues to support and lobby for a broad portfolio of bipartisan legislation aimed at making telehealth and digital health a permanent, integrated part of care delivery in the U.S. healthcare system. Below is a summary of the legislation we are actively engaging on: 🔹 Top Legislative Priorities Telehealth Expansion Act (H.R. 1650 / S. 763) Sponsors: Rep. Arrington (R-TX), Rep. Susie Lee (D-NV), Sen. Daines (R-MT), Sen. Cortez Masto (D-NV) → Makes permanent the ability to offer pre-deductible telehealth services under high-deductible health plans linked to HSAs. Permanent Telehealth from Home Act (H.R. 1407) Sponsors: Rep. Buchanan (R-FL), Rep. Max Miller (R-OH), Rep. Mike Thompson (D-CA) → Eliminates originating site and geographic restrictions for Medicare telehealth services permanently. Audio-Only Telehealth Services Act (H.R. 1899) Sponsors: Rep. Feenstra (R-IA), Rep. Pappas (D-NH) → Makes permanent coverage of audio-only services in Medicare. Expanded Provider Access Act (H.R. 1614) Sponsors: Rep. Kelly (R-PA), Rep. Mike Thompson (D-CA) → Permits therapists, audiologists, and speech-language pathologists to deliver telehealth services permanently. TREATS Act (H.R. 1627) Sponsors: Rep. Norcross (D-NJ), Rep. Fitzpatrick (R-PA) → Permanently waives the in-person requirement for prescribing controlled substances (Schedules III-IV) via telehealth for substance use and opioid use disorders. 🔹 Additional Supported Legislation PREVENT DIABETES Act (H.R. 1523) Sponsors: Rep. DeGette (D-CO), Rep. Bilirakis (R-FL) → Expands Medicare Diabetes Prevention Program to include virtual suppliers. Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Sponsors: Rep. Joyce (R-PA), Rep. Peters (D-CA), Sen. Blackburn (R-TN), Sen. Klobuchar (D-MN) → Makes permanent the option to provide cardiopulmonary rehab services at home via telehealth. Hospice Recertification Flexibility Act (H.R. 1720) Sponsors: Rep. Carol Miller (R-WV), Rep. Jared Golden (D-ME) → Allows hospice recertification visits via telehealth beyond 180 days. Rural Telehealth and Education Enhancement Act (H.R. 290) Sponsors: Rep. Langworthy (R-NY), Rep. Pingree (D-ME) → Reauthorizes USDAs Distance Learning and Telemedicine grant program through FY2030. ATA Action is actively advocating for these bills through direct engagement with congressional offices, testimony, coalition coordination, and public policy campaigns. This legislative portfolio reflects our commitment to securing permanent access to telehealth and integrating next-generation digital tools across care settings nationwide.

Telehealth Expansion Act (H.R. 1650 / S. 763) Permanent Telehealth from Home Act (H.R. 1407) Audio-Only Telehealth Services Act (H.R. 1899) Expanded Provider Access Act (H.R. 1614) TREATS Act (H.R. 1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Monitor Prescription Digital Therapeutics policy. H.R.6994 - To amend the Controlled Substances Act to modify requirements relating to the prescription of controlled substances by means of the Internet, and for other purposes.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

Legislation to improve care at the end of life, including the Hospice Recertification Flexibility Act (H.R. 1720) and cuts to hospice and other end-of-life care in H.R. 1 Expanding Access to Palliative Care Act: S. 1935 Hospice Inpatient Modernization Act: H.R. 4313 / S. 2237 PCHETA: yet to be introduced in 119th Congress Improving Access to Advance Care Planning Act (S.2865)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to improve care at the end of life, including the Hospice Recertification Flexibility Act (H.R. 1720) and cuts to hospice and other end-of-life care in H.R. 1 Expanding Access to Palliative Care Act: S. 1935 Hospice Inpatient Modernization Act: H.R. 4313 / S. 2237 PCHETA: yet to be introduced in 119th Congress Improving Access to Advance Care Planning Act (S.2865)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. The Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R.5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders.

Client expense: $205,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. The Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders.

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

Telehealth Expansion Act (H.R. 1650 / S. 763) Permanent Telehealth from Home Act (H.R. 1407) Audio-Only Telehealth Services Act (H.R. 1899) Expanded Provider Access Act (H.R. 1614) TREATS Act (H.R. 1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Monitor Prescription Digital Therapeutics policy. H.R.6994 - To amend the Controlled Substances Act to modify requirements relating to the prescription of controlled substances by means of the Internet, and for other purposes.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

ATA Action - Federal Legislative Priorities (119th Congress) As of Q3 2025, ATA Action continues to support and lobby for a broad portfolio of bipartisan legislation aimed at making telehealth and digital health a permanent, integrated part of care delivery in the U.S. healthcare system. Below is a summary of the legislation we are actively engaging on: 🔹 Top Legislative Priorities Telehealth Expansion Act (H.R. 1650 / S. 763) Sponsors: Rep. Arrington (R-TX), Rep. Susie Lee (D-NV), Sen. Daines (R-MT), Sen. Cortez Masto (D-NV) → Makes permanent the ability to offer pre-deductible telehealth services under high-deductible health plans linked to HSAs. Permanent Telehealth from Home Act (H.R. 1407) Sponsors: Rep. Buchanan (R-FL), Rep. Max Miller (R-OH), Rep. Mike Thompson (D-CA) → Eliminates originating site and geographic restrictions for Medicare telehealth services permanently. Audio-Only Telehealth Services Act (H.R. 1899) Sponsors: Rep. Feenstra (R-IA), Rep. Pappas (D-NH) → Makes permanent coverage of audio-only services in Medicare. Expanded Provider Access Act (H.R. 1614) Sponsors: Rep. Kelly (R-PA), Rep. Mike Thompson (D-CA) → Permits therapists, audiologists, and speech-language pathologists to deliver telehealth services permanently. TREATS Act (H.R. 1627) Sponsors: Rep. Norcross (D-NJ), Rep. Fitzpatrick (R-PA) → Permanently waives the in-person requirement for prescribing controlled substances (Schedules III-IV) via telehealth for substance use and opioid use disorders. 🔹 Additional Supported Legislation PREVENT DIABETES Act (H.R. 1523) Sponsors: Rep. DeGette (D-CO), Rep. Bilirakis (R-FL) → Expands Medicare Diabetes Prevention Program to include virtual suppliers. Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Sponsors: Rep. Joyce (R-PA), Rep. Peters (D-CA), Sen. Blackburn (R-TN), Sen. Klobuchar (D-MN) → Makes permanent the option to provide cardiopulmonary rehab services at home via telehealth. Hospice Recertification Flexibility Act (H.R. 1720) Sponsors: Rep. Carol Miller (R-WV), Rep. Jared Golden (D-ME) → Allows hospice recertification visits via telehealth beyond 180 days. Rural Telehealth and Education Enhancement Act (H.R. 290) Sponsors: Rep. Langworthy (R-NY), Rep. Pingree (D-ME) → Reauthorizes USDAs Distance Learning and Telemedicine grant program through FY2030. ATA Action is actively advocating for these bills through direct engagement with congressional offices, testimony, coalition coordination, and public policy campaigns. This legislative portfolio reflects our commitment to securing permanent access to telehealth and integrating next-generation digital tools across care settings nationwide.

Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. The Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R.5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Policies related to implementation of the Hospice Outcomes and Patient Evaluation (HOPE) assessment tool.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to improve care at the end of life, including the Hospice Recertification Flexibility Act (H.R. 1720) and cuts to hospice and other end-of-life care in H.R. 1 Expanding Access to Palliative Care Act: S. 1935 Hospice Inpatient Modernization Act: H.R. 4313 / S. 2237 PCHETA: yet to be introduced in 119th Congress

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to improve care at the end of life, including the Hospice Recertification Flexibility Act (H.R. 1720) and cuts to hospice and other end-of-life care in H.R. 1 Expanding Access to Palliative Care Act: S. 1935 Hospice Inpatient Modernization Act: H.R. 4313 / S. 2237 PCHETA: yet to be introduced in 119th Congress

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. The Hospice Special Focus Program. Issues regarding program integrity. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Issues regarding telehealth and hospice care. S.1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. S. 1935, Expanding Access to Palliative Care Act. Policies related to implementation of the Hospice Outcomes and Patient Evaluation (HOPE) assessment tool.

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

ATA Action - Federal Legislative Priorities (119th Congress) As of Q3 2025, ATA Action continues to support and lobby for a broad portfolio of bipartisan legislation aimed at making telehealth and digital health a permanent, integrated part of care delivery in the U.S. healthcare system. Below is a summary of the legislation we are actively engaging on: 🔹 Top Legislative Priorities Telehealth Expansion Act (H.R. 1650 / S. 763) Sponsors: Rep. Arrington (R-TX), Rep. Susie Lee (D-NV), Sen. Daines (R-MT), Sen. Cortez Masto (D-NV) → Makes permanent the ability to offer pre-deductible telehealth services under high-deductible health plans linked to HSAs. Permanent Telehealth from Home Act (H.R. 1407) Sponsors: Rep. Buchanan (R-FL), Rep. Max Miller (R-OH), Rep. Mike Thompson (D-CA) → Eliminates originating site and geographic restrictions for Medicare telehealth services permanently. Audio-Only Telehealth Services Act (H.R. 1899) Sponsors: Rep. Feenstra (R-IA), Rep. Pappas (D-NH) → Makes permanent coverage of audio-only services in Medicare. Expanded Provider Access Act (H.R. 1614) Sponsors: Rep. Kelly (R-PA), Rep. Mike Thompson (D-CA) → Permits therapists, audiologists, and speech-language pathologists to deliver telehealth services permanently. TREATS Act (H.R. 1627) Sponsors: Rep. Norcross (D-NJ), Rep. Fitzpatrick (R-PA) → Permanently waives the in-person requirement for prescribing controlled substances (Schedules III-IV) via telehealth for substance use and opioid use disorders. 🔹 Additional Supported Legislation PREVENT DIABETES Act (H.R. 1523) Sponsors: Rep. DeGette (D-CO), Rep. Bilirakis (R-FL) → Expands Medicare Diabetes Prevention Program to include virtual suppliers. Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Sponsors: Rep. Joyce (R-PA), Rep. Peters (D-CA), Sen. Blackburn (R-TN), Sen. Klobuchar (D-MN) → Makes permanent the option to provide cardiopulmonary rehab services at home via telehealth. Hospice Recertification Flexibility Act (H.R. 1720) Sponsors: Rep. Carol Miller (R-WV), Rep. Jared Golden (D-ME) → Allows hospice recertification visits via telehealth beyond 180 days. Rural Telehealth and Education Enhancement Act (H.R. 290) Sponsors: Rep. Langworthy (R-NY), Rep. Pingree (D-ME) → Reauthorizes USDAs Distance Learning and Telemedicine grant program through FY2030. ATA Action is actively advocating for these bills through direct engagement with congressional offices, testimony, coalition coordination, and public policy campaigns. This legislative portfolio reflects our commitment to securing permanent access to telehealth and integrating next-generation digital tools across care settings nationwide.

Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program as it relates to hospice services. Medicare Advantage and the hospice benefit. Issues regarding program integrity. The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. Issues regarding telehealth and hospice care. S. 1261, CONNECT for Health Act of 2025; H.R. 5081 / S. 2709, Telehealth Modernization Act. Policies related to implementation of the Hospice Outcomes and Patient Evaluation (HOPE) assessment tool. S. 1935, Expanding Access to Palliative Care Act.

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

Telehealth Expansion Act (H.R. 1650 / S. 763) Permanent Telehealth from Home Act (H.R. 1407) Audio-Only Telehealth Services Act (H.R. 1899) Expanded Provider Access Act (H.R. 1614) TREATS Act (H.R. 1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Inclusion of HDHP first dollar coverage in the reconciliation legislation H.R.1 - One Big Beautiful Bill Act

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), SENATE, White House Office

ATA Action - Federal Legislative Priorities (119th Congress) As of Q2 2025, ATA Action continues to support and lobby for a broad portfolio of bipartisan legislation aimed at making telehealth and digital health a permanent, integrated part of care delivery in the U.S. healthcare system. Below is a summary of the legislation we are actively engaging on: 🔹 Top Legislative Priorities Telehealth Expansion Act (H.R. 1650 / S. 763) Sponsors: Rep. Arrington (R-TX), Rep. Susie Lee (D-NV), Sen. Daines (R-MT), Sen. Cortez Masto (D-NV) → Makes permanent the ability to offer pre-deductible telehealth services under high-deductible health plans linked to HSAs. Permanent Telehealth from Home Act (H.R. 1407) Sponsors: Rep. Buchanan (R-FL), Rep. Max Miller (R-OH), Rep. Mike Thompson (D-CA) → Eliminates originating site and geographic restrictions for Medicare telehealth services permanently. Audio-Only Telehealth Services Act (H.R. 1899) Sponsors: Rep. Feenstra (R-IA), Rep. Pappas (D-NH) → Makes permanent coverage of audio-only services in Medicare. Expanded Provider Access Act (H.R. 1614) Sponsors: Rep. Kelly (R-PA), Rep. Mike Thompson (D-CA) → Permits therapists, audiologists, and speech-language pathologists to deliver telehealth services permanently. TREATS Act (H.R. 1627) Sponsors: Rep. Norcross (D-NJ), Rep. Fitzpatrick (R-PA) → Permanently waives the in-person requirement for prescribing controlled substances (Schedules III-IV) via telehealth for substance use and opioid use disorders. 🔹 Additional Supported Legislation PREVENT DIABETES Act (H.R. 1523) Sponsors: Rep. DeGette (D-CO), Rep. Bilirakis (R-FL) → Expands Medicare Diabetes Prevention Program to include virtual suppliers. Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Sponsors: Rep. Joyce (R-PA), Rep. Peters (D-CA), Sen. Blackburn (R-TN), Sen. Klobuchar (D-MN) → Makes permanent the option to provide cardiopulmonary rehab services at home via telehealth. Hospice Recertification Flexibility Act (H.R. 1720) Sponsors: Rep. Carol Miller (R-WV), Rep. Jared Golden (D-ME) → Allows hospice recertification visits via telehealth beyond 180 days. Rural Telehealth and Education Enhancement Act (H.R. 290) Sponsors: Rep. Langworthy (R-NY), Rep. Pingree (D-ME) → Reauthorizes USDAs Distance Learning and Telemedicine grant program through FY2030. ATA Action is actively advocating for these bills through direct engagement with congressional offices, testimony, coalition coordination, and public policy campaigns. This legislative portfolio reflects our commitment to securing permanent access to telehealth and integrating next-generation digital tools across care settings nationwide.

Legislation to improve care at the end of life, including the Hospice Recertification Flexibility Act (H.R. 1720) and cuts to hospice and other end-of-life care in H.R. 1

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to improve care at the end of life, including the Hospice Recertification Flexibility Act (H.R. 1720) and cuts to hospice and other end-of-life care in H.R. 1

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to hospice, specifically: - Hospice benefit and payment H.R. 2437 - End-of-life Access to Supportive and Essential care Act of 2025 S. 1935 - Expanding Access to Palliative Care Act S. 1936 - Improving Access to Transfusion Care for Hospice Patients Act of 2025 - Hospice audit burdens and regulatory relief Policies related to implementation of the Hospice Outcomes and Patient Evaluation (HOPE) assessment tool - Pediatric Hospice and Palliative Care - Medicare Advantage H.R. 3467 - To amend title XVIII to reform the Medicare Advantage program (as it relates to hospice carve-in) - Program Integrity - Hospice Special Focus Program - Telehealth flexibilities: S. 1261 - CONNECT for Health Act of 2025 H.R. 1720 - Hospice Recertification Flexibility Act H.R. 1968 (P.L. 119-4) - Full-Year Continuing Appropriations and Extension Act, 2025 - Hospice and palliative care workforce - Veterans access and use of hospice and VA burial benefits Implementation of the Dole Act Issues related to home health, specifically: - Extending Telehealth Flexibilities - Home Health benefit and payment - Patient-Driven Groupings Model Isses related to home care, specifically: - Caregiving relief H.R. 2036/S. 925 - Credit for Caring Act of 2025 H.R. 2304 - Ensuring Access to Affordable and Quality Home Care for Seniors Act (restoration of the Companion Exemption)

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

Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. The Hospice Special Focus Program. Issues regarding program integrity. Issues regarding telehealth and hospice care. Issues related to regulatory relief. H.R.1720, Hospice Recertification Flexibility Act. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program. S.1261, CONNECT for Health Act of 2025.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues concerning access to and reimbursement for the Medicare Hospice benefit. H.R. 3467, to amend Title XVIII to reform the Medicare Advantage program. Medicare Advantage and the hospice benefit. Issues regarding program integrity. Issues regarding telehealth and hospice care. The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1720, Hospice Recertification Flexibility Act. S.1261, CONNECT for Health Act of 2025.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Telehealth Expansion Act (H.R. 1650 / S. 763) Permanent Telehealth from Home Act (H.R. 1407) Audio-Only Telehealth Services Act (H.R. 1899) Expanded Provider Access Act (H.R. 1614) TREATS Act (H.R. 1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290) Inclusion of HDHP first dollar coverage in the reconciliation legislation

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), SENATE, White House Office

Legislation to improve care at the end of life, including the Hospice Recertification Flexibility Act (H.R. 1720) and the FY25 Continuing Appropriations and Extensions Act, 2025 (H.R. 1968).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to improve care at the end of life, including the Hospice Recertification Flexibility Act (H.R. 1720) and the FY25 Continuing Appropriations and Extensions Act, 2025 (H.R. 1968).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to hospice, specifically: - Hospice benefit and payment - Hospice audit burdens and regulatory relief - Pediatric Hospice and Palliative Care - Medicare Advantage - Program Integrity - Hospice Special Focus Program - Telehealth flexibilities: H.R. 1720 - Hospice Recertification Flexibility Act H.R. 1968 (P.L. 119-4) - Full-Year Continuing Appropriations and Extension Act, 2025 - Hospice and palliative care workforce - Veterans access and use of hospice and VA burial benefits Implementation of the Dole Act Issues related to home health, specifically: - Home Health benefit and payment - Patient-Driven Groupings Model Isses related to home care, specifically: - Caregiving relief H.R. 2036/S. 925 - Credit for Caring Act of 2025 H.R. 2304 - Ensuring Access to Affordable and Quality Home Care for Seniors Act (restoration of the Companion Exemption)

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

Issues concerning access to and reimbursement for the Medicare Hospice benefit. Medicare Advantage and the hospice benefit. Issues regarding program integrity. Issues regarding telehealth and hospice care. The Hospice Special Focus Program. Issues related to regulatory relief and audit burden. H.R. 1968 (P.L. 119-4), Full-Year Continuing Appropriations and Extensions Act, 2025, as it relates to hospice face to face telehealth recertification. H.R. 1720, Hospice Recertification Flexibility Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Telehealth Expansion Act (H.R. 1650 / S. 763) Permanent Telehealth from Home Act (H.R. 1407) Audio-Only Telehealth Services Act (H.R. 1899) Expanded Provider Access Act (H.R. 1614) TREATS Act (H.R. 1627) PREVENT DIABETES Act (H.R. 1523) Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Hospice Recertification Flexibility Act (H.R. 1720) Rural Telehealth and Education Enhancement Act (H.R. 290)

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), SENATE, White House Office

ATA Action - Federal Legislative Priorities (119th Congress) As of Q1 2025, ATA Action continues to support and lobby for a broad portfolio of bipartisan legislation aimed at making telehealth and digital health a permanent, integrated part of care delivery in the U.S. healthcare system. Below is a summary of the legislation we are actively engaging on: 🔹 Top Legislative Priorities Telehealth Expansion Act (H.R. 1650 / S. 763) Sponsors: Rep. Arrington (R-TX), Rep. Susie Lee (D-NV), Sen. Daines (R-MT), Sen. Cortez Masto (D-NV) → Makes permanent the ability to offer pre-deductible telehealth services under high-deductible health plans linked to HSAs. Permanent Telehealth from Home Act (H.R. 1407) Sponsors: Rep. Buchanan (R-FL), Rep. Max Miller (R-OH), Rep. Mike Thompson (D-CA) → Eliminates originating site and geographic restrictions for Medicare telehealth services permanently. Audio-Only Telehealth Services Act (H.R. 1899) Sponsors: Rep. Feenstra (R-IA), Rep. Pappas (D-NH) → Makes permanent coverage of audio-only services in Medicare. Expanded Provider Access Act (H.R. 1614) Sponsors: Rep. Kelly (R-PA), Rep. Mike Thompson (D-CA) → Permits therapists, audiologists, and speech-language pathologists to deliver telehealth services permanently. TREATS Act (H.R. 1627) Sponsors: Rep. Norcross (D-NJ), Rep. Fitzpatrick (R-PA) → Permanently waives the in-person requirement for prescribing controlled substances (Schedules III-IV) via telehealth for substance use and opioid use disorders. 🔹 Additional Supported Legislation PREVENT DIABETES Act (H.R. 1523) Sponsors: Rep. DeGette (D-CO), Rep. Bilirakis (R-FL) → Expands Medicare Diabetes Prevention Program to include virtual suppliers. Sustainable Cardiopulmonary Rehabilitation in the Home Act (H.R. 783 / S. 248) Sponsors: Rep. Joyce (R-PA), Rep. Peters (D-CA), Sen. Blackburn (R-TN), Sen. Klobuchar (D-MN) → Makes permanent the option to provide cardiopulmonary rehab services at home via telehealth. Hospice Recertification Flexibility Act (H.R. 1720) Sponsors: Rep. Carol Miller (R-WV), Rep. Jared Golden (D-ME) → Allows hospice recertification visits via telehealth beyond 180 days. Rural Telehealth and Education Enhancement Act (H.R. 290) Sponsors: Rep. Langworthy (R-NY), Rep. Pingree (D-ME) → Reauthorizes USDAs Distance Learning and Telemedicine grant program through FY2030. ATA Action is actively advocating for these bills through direct engagement with congressional offices, testimony, coalition coordination, and public policy campaigns. This legislative portfolio reflects our commitment to securing permanent access to telehealth and integrating next-generation digital tools across care settings nationwide.