SHARE Act of 2026

Health care workforce expansion policy and improving outcomes in rural and health professional shortage areas S. 266/H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization S. 1101/H.R. 2332, the States Handling Access to Reciprocity for Employment (SHARE) Act S. 2954, Healthcare Workforce Expansion Act of 2025 S. 4370, the Primary Care Team Education Centers Act S. 4110/H.R.4262, the EMPOWER for Health Act

Client expense: $210,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), HOUSE OF REPRESENTATIVES, Indian Health Service, Labor, Dept of (DOL), SENATE

S.1874/H.R.3593 - Title VIII Nursing Workforce Reauthorization Act of 2025 S.3435/H.R.6607 - Future Advancement of Academic Nursing (FAAN) Act S.3707/H.R.7279 - Nurse Faculty Shortage Reduction Act of 2026 S.3296/H.R.3170 - Improving Access to Workers Compensation for Injured Federal Workers Act S.1482/H.R.4407 - National Nursing Workforce Center Act of 2025 S.1101/H.R.2332 - States Handling Access to Reciprocity for Employment (SHARE) Act S.5283/H.R.7973 - Momnibus Act Support for health care programs Impacts of federal grant cancellations Support for nursing workforce safety measures, maternal health, veterans health, mental health, rural health, and public health Nursing education, workforce, research, and public health needs Support for nurse scientists and researchers, and national biomedical research Addressing health care nursing workforce shortage and supporting nursing education pathways, clinical education, and academic progression Impact of guidance on federal financial assistance

Client expense: $90,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Natl Institutes of Health (NIH), SENATE

S.1261/H.R. 4206 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act; H.R. 2332/S.1101 States Handling Access to Reciprocity for Employment (SHARE) Act; H.R. 1407 Permanent Telehealth from Home Act; S. 763/H.R.1650 Telehealth Expansion Act of 2025; H.R. 2902 SPEAK Act of 2025; H.R. 1899 Audio-Only Telehealth Access Act of 2025; H.R. 2263 Telehealth Coverage Act of 2025; H.R. 1867 Behavioral Health Accessibility Act; Telehealth Modernization Act; S. 1248/H.R. 2533 EASE Act; H.R 1. One Big Beautiful Bill Act; S.2011/H.R. 3884 Telemental Health Care Access Act of 2025; H.R. 3419 Reauthorization of telehealth network and telehealth resource centers grant programs; S.1535/H.R. 3108 Rural Patient Monitoring (RPM) Access Act; H.R. 4313/S. 2237 Hospital Inpatient Services Modernization Act; H.R. 1614 Expanded Telehealth Access Act; H.R. 1627 Telehealth Response for E-prescribing Addiction Therapy Services Act; H.R.8261 Chronic Care Management Improvement Act of 2026

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S.1261/H.R. 4206 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act; H.R. 2332/S.1101 States Handling Access to Reciprocity for Employment (SHARE) Act; H.R. 1407 Permanent Telehealth from Home Act; S. 763/H.R.1650 Telehealth Expansion Act of 2025; H.R. 2902 SPEAK Act of 2025; H.R. 1899 Audio-Only Telehealth Access Act of 2025; H.R. 2263 Telehealth Coverage Act of 2025; H.R. 1867 Behavioral Health Accessibility Act; Telehealth Modernization Act; S. 1248/H.R. 2533 EASE Act; H.R 1. One Big Beautiful Bill Act; S.2011/H.R. 3884 Telemental Health Care Access Act of 2025; H.R. 3419 Reauthorization of telehealth network and telehealth resource centers grant programs; S.1535/H.R. 3108 Rural Patient Monitoring (RPM) Access Act; H.R. 4313/S. 2237 Hospital Inpatient Services Modernization Act; H.R. 1614 Expanded Telehealth Access Act; H.R. 1627 Telehealth Response for E-prescribing Addiction Therapy Services Act; H.R.8261 Chronic Care Management Improvement Act of 2026

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S.1101/H.R. 2332, the SHARE Act; 340B program policy issues; Rural healthcare policies; Issues pertaining to FEMA reimbursement; Extension of expiring health policies; Policies to support collaboration with Department of Veterans Affairs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4122/S. 2167 - Health Care for Energy Workers Act H.R. 3170/S. 3296 - The Improving Access to Workers Compensation for Injured Federal Workers Act H.R. 2332/S. 1101 - States Handling Access to Reciprocity for Employment (SHARE) Act. Provider neutral language in federal forms, documents and surveys

Client expense: $390,000 · Firm income: Not reported

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

SHARE Act (S.1101, H.R 2332) Title VIII Reauthorization (H.R. 3593, S. 1874) *all provisions of bill Department of Education RISE (Reimagining and Improving Student Education) rulemaking Title IV regulations, as it relates to nursing as a professional degree FY 2027 Labor Health and Human Services Appropriations bill; Funding for Title VIII Nursing Workforce Development Programs and the National Institute of Nursing Research; and House language restricting Title IV federal student aid programs from being administered in a manner that does not designate advanced nursing programs as professional degree programs. Nursing is a Professional Degree Act (H.R. 8691/ S. 4568) Professional Student Degree Act (H.R. 6718) Nurse Faculty Shortage Reduction Act of 2026 (S.3707/H.R.7279) Future Advancement of Academic Nursing (FAAN) Act (S.3435/H.R.6607) Improving Care and Access to Nurses (I CAN) Act (S.575/H.R.1317) Improving Access to Workers Compensation for Injured Federal Workers Act of 2025 (S.3296/H.R.3170) National Nursing Workforce Center Act of 2025 (S.1482/H.R.4407)

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

H.R.2332/S.1101, States Handling Access to Reciprocity for Employment (SHARE) Act. Appropriations for Provider Bridge licensure portability program. AI in Health Care.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Various issues related to elimination of the Department of Education and the Presidential Executive Order titled Improving Education Outcomes by Empowering Parents, States, and Communities, including IDEA, federal protections, and workforce issues. Various issues related to administrative burden on school-based providers Various issues related to the Higher Education Act, specifically related to student loans, loan forgiveness, and accreditation Issues related to funding of the Individuals with Disabilities Education Act (IDEA), including the IDEA Full Funding Act (H.R. 2598/S. 1277) Issues related to IDEA statute and regulations Issues related to school-based Medicaid services Various issues related to shortages of specialized instructional support personnel Issues related to funding in Fiscal Year 2026 for programs administered by the Department of Education Issues related to higher education and college affordability, including student loans Issues related to pediatric audiology workforce shortages, including recognition of pediatric audiology under federal pediatric specialty loan repayment programs H.R. 2332/S. 1101, States Handling Access to Reciprocity for Employment Act H.R. 1151/S. 756, the Freedom To Invest in Tomorrow's Workforce Act H.R.1968 - Full-Year Continuing Appropriations and Extensions Act, 2025 Strengthening Efforts for Relief and Vital Incentives for Community Service and Engagement (SERVICE) Act (H.R. 2829) H.R. 6574, the Loan Equity for Advanced Professionals Act H.R. 6677/S. 4039, the Professional Degree Access Restoration Act H.R. 6718, to amend the definition of professional degree in the Higher Education Act of 1965. H.R. 6739, to amend the Higher Education Act of 1965 to expand the definition of professional degree. H.J. Res 189/S.J. Res. 196, providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Education relating to "Reimagining and Improving Student Education-Federal Student Loan Program Final Regulations" H.R. 6862, the Protecting Health Care Workforce Pipelines Act H.R. 7148, the Consolidated Appropriations Act, 2026 H.R. 10232/S. 5046, a bill to prohibit the transfer of certain offices and functions of the Department of Education to other Federal agencies H.R. 433, the Department of Education Protection Act H.R.6500, the Continuing Appropriations and Extensions Act, 2027 Office of Management and Budget proposed Regulation for Federal Financial Assistance

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

H. Res 1519 - Supporting the Designation of September 17, 2026 as National Physician Suicide Awareness Day to Raise Awareness of, and promote a national discussion about, physician suicide and to reduce the stigma of mental health conditions, and for other purposes. H. Res. 1528 - Recognizing Suicide as a serious public health problem and expressing support for the designation of September 2026 as National Physician Suicide Prevention Month, as well as September 10, 2026 as World Suicide Prevention Day. H.R. 1 - One Big Beautiful Bill Act, provisions relating to artificial intelligence (AI), provisions related to changes in medicaid regarding "Release the Pressure" hypertension control campaign H.R. 1254 - Rural Obstetrics Readiness Act, all provisions H.R. 2314 - Fair Access In Residency (FAIR) Act, all provisions H.R. 3492 - Protect Children's Innocence Act, all provisions H.R. 9390 - Prices on the Wall Act, all provisions H.R. 9395 - Transparency in Medicare Advantage Steering Act, all provisions H.R. 9645 - Health Care Price Certainty for All Americans Act, all provisions H.R. 9693 - The Patients First Act of 2026 - all provisions H.R.10444 - The Stop Corporate Takeovers of Physicians Act, all provisions H.R.1520 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions H.R.2191 - Physician Led and Rural Access to Quality Care Act, all provisions H.R.2332 - SHARE Act of 2025, all provisions H.R.2483 - SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions H.R.2850 - Youth Sports Facilities Act of 2025, all provisions H.R.3022 - Restoring Rights of Physicians to Own Hospitals Act, all provisions H.R.3164 - Ensuring Community Access to Pharmacist Services Act, all provisions H.R.3170 - Improving Access to Workers Compensation for Injured Federal Workers Act of 2025, all provisions H.R.4583 - Living Donor Protection Act of 2025, all provisions H.R.4710 - No Surprises Act Enforcement Act, all provisions H.R.5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions H.R.5861 - Legacy Act of 2025, all provisions H.R.628 - Honor Our Living Donors Act, all provisions H.R.7023 - Affordable CHOICE Act, all provisions H.R.7868 - Expanding Support for Living Donors Act of 2026, all provisions H.R.7884 - Healthcare is Human Act of 2026, all provisions H.R.8794 - FED UP with Bleeding Disorders Act of 2026, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R.929 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions H.R.9393 - Lower Costs, More Transparency Act of 2026, all provisions H.R.9396 - Prior Authorization Accountability Act, all provisions S. 380 - Rural Obstetrics Readiness Act, all provisions S.1390 - Physician Led and Rural Access to Quality Care Act, all provisions S.1419 - Youth Sports Facilities Act of 2025, all provisions S.1552 - Living Donor Protection Act of 2025, all provisions S.1782 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S.2355 - Patients Deserve Price Tags Act, all provisions S.2420 - No Surprises Act Enforcement Act, all provisions S.2426 - Equitable Community Access to Pharmacist Services , all provisions S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions S.3097 - Health Information Privacy Reform Act, all provisions S.3315 - Health Care Cybersecurity and Resiliency Act of 2026, all provisions S.3599 - Affordable CHOICE Act, all provisions S.3907 - Health Information Privacy Reform Act, all provisions S.5419 - The Stop Corporate Takeovers of Physicians Act, all provisions S.5496 - Health for the Commonwealth through Affordability Reform and Expansion Health Care (CARE) Act, all provisions "Legitimate Medical Purpose" definition under the Controlled Substance Act "Still at Risk" wristband initiative Jeanette Acosta Invest in Women's Health Act Comment Letter: [ACF-2026-0595] Reducing Federal Burden for Head Start Programs Comment Letter: [CMS-2026-1255-0001] Medicare and Medicaid Programs: Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, etc. Comment Letter: [REG-118484-25; CMS-9879-P; RIN 0938-AV94; RIN 1210-AC40; RIN 1545-BS02] Excepted Fertility Benefits Comment Letter: Request for Information (RFI) on Health Coverage that Works for Everyone Comment Letter: [2120-AM18] Improving Emergency Medical Kit Efficacy and Flexibility in Commercial Airline Operations Draft: Health Infrastructure Security and Accountability Act Draft: Noncompete clauses in physician contracts Matters related to AI use in prior authorization Matters related to Alternative Payment Model bonuses/incentive payments and freezing the qualifying provider revenue thresholds Matters related to Data privacy, cybersecurity, and AI Matters related to Health care consolidation Matters related to the Health Insurance Portability and Accountability Act (HIPAA) and electronic records Matters related to Maternal health and hypertensive disorder during pregnancy Matters related to Medical devices Matters related to Nutrition Matters related to the Office of the National Coordinator for Health Information Technology (ONC) improving electronic health record certification; implementation of 21st Century Cures Act provisions; digital health policies, and reduction of technology burden on physicians entering into the Quality Payment Program Matters related to Payment for AI services within health care Matters related to the Public Health effects of opioid medications Matters related to Unbundling of Maternity Care of Current Procedural Terminology (CPT) Codes Matters related to the United States Preventive Services Task Force (USPSTF) Matters related to Vaccines/ACIP Matters related to ACA benefits and payments Matters related to high-resolution anoscopy services Matters related to peptides Matters related to physician prescribing of antibiotics Matters related to reproductive health Matters related to the Authorization of ENDS Products Age Verification

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

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

Medicare reimbursement and incident-to billing, Medicare hospice restrictions, telehealth, transparency, healthcare competition, coverage and access to mental health and primary care services, Improving Access to Workers Compensation for Injured Federal Workers Act (HR 3170, S. 3296), the Promoting Access to Diabetic Shoes Act (HR 1616, S. 1805), the Increasing Access to Quality Cardiac Rehabilitation Care Act (HR 6894/S. 717), the ACO Assignment Act (HR4773/S. 3350), the Improving Care and Access to Nurses Act (S. 575, HR 1317), Professional Student Degree Act (HR 6718), Enhancing Skilled Nursing Facilities Act (HR 7106) Medical Nutrition Therapy Act (HR 6199/S. 3934), SHARE Act (HR 2332/ S. 1101), Create More Behavioral Health Providers Act (S. 683), the Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act (HR 5199), the CONNECT for Health Act, extending Medicare telehealth policies (S. 1261, HR 4206), telehealth prescribing, implementation of healthcare related provisions of budget reconciliation (HR 1), ACA enhanced subsidies, student loan degree classification for PAs, HPSP Improvement Act of 2025 (HR 3767), and Honor Our Promise to Veterans Act (S. 3466), Take Care of Americas Veterans Act (HR 9237), and federal regulation of telehealth prescribing of controlled substances.

Client expense: $160,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Justice, Dept of (DOJ), Nuclear Regulatory Commission (NRC), SENATE

H.R. 2332/S.1101 - States Handling Access to Reciprocity for Employment Act

Client expense: $312,662 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1517/S.2225 - Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Protecting Student Athletes from Concussions Act 1115 Waivers Student and Student Athlete Opioid Misuse Prevention Act Personal Health Investment Today Act Promoting Physical Activity for Americans Act Establishment of an Office of Falls Prevention in the Administration on Aging H.R. 2332/S.1101 - States Handling Access to Reciprocity for Employment (SHARE) Act H.R. 4074 - Optimizing Postpartum Outcomes Act Expanded Telehealth Access Act - reintroduction H.R. 5621 - Physical Therapist Workforce and Patient Access Act Strengthening Medicare for Patients and Providers Act - reintroduction IDEA Act Medicare Payment Reform H.R. 1711/S. 2612 - Stopping Addiction and Falls for the Elderly (SAFE) Act H.R. 5081/S. 2709 - Telehealth Modernization Act H.R. 935 - Health Care Workforce Innovation Act H.R. 1614 - to expand eligible practitioners to furnish telehealth services S. 668/H.R. 3183 - SAFE Steps for Veterans Act H.R. 879 - Medicare Patient Access and Practice Stabilization Act H.R. 1 - One Big Beautiful Bill Act (Medicare provider payment section) H.R. 4204 - Medicare Patient Choice Act S.1816/H.R. 3514 - Improving Seniors' Timely Access to Care Act H.R. 8386 - the RECOVER Act (Repeal of Multiple Procedure Payment Reduction Policy) H.R. 6160 - Strengthening Medicare for Patients and Providers Act H.R. 8163/S. 5180 - Provider Reimbursement Stability Act H.R. 9693/S. 5672 - Patients First Act

Client expense: $312,662 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), White House Office

H.R. 2213/S. 988, Medical Supply Chain Resilience Act H.R. 2332/S. 1101, States Handling Access to Reciprocity for Employment Act H.R. 3521/S. 4440, Clinical Trial Modernization Act H.R. 4464/S. 3204, Preventive Health Savings Act S. 2120, Older Americans Act Reauthorization Act Regulatory Advocacy U.S Department of Health and Human Services, Centers for Medicare & Medicaid Services Medicaid Program; Community Engagement Requirement for Certain Individuals Interim Final Rule with Comment Period (CMS-2454-IFC) U.S Department of Health and Human Services, Centers for Medicare & Medicaid Services Medicare and Medicaid Programs; CY 2027 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program (CMS-1848-P) U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health Comments on Proposed Healthy People 2030 Objective: Social Determinants of Health-NEW-03 U.S. Department of Labor, Employee Benefits Security Administration, Office of Health Plan Standards and Compliance Assistance Electronic Disclosure by Group Health Plans Under ERISA Proposed Rule (RIN 1210-AC35)

Client expense: $150,000 · 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), SENATE

Living Donor Protection Act (H.R. 4583 / S. 1552); FY 2027 appropriations funding for nursing workforce development programs and National Institute of Nursing Research; FY 2027 funding kidney disease research at NIDDK at NIH; Funding for AHRQ at HHS in FY 2027; Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 2531 / S. 1232); Restore Protections for Dialysis Patients Act (H.R. 2199 / S. 1173); Organ Donation Referral Improvement Act (H.R. 330); The Improving Care & Access to Nurses Act (H.R. 1316 / S. 575); Providing Real-world Education and Clinical Experience by Precepting Tomorrow's Nurses Act (H.R. 392 / S. 131); Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (H.R.929 / S.266); Living Donor FMLA Protection Act (H.R. 4582); Improving Access to Home Dialysis Act; Future Advancement of Academic Nursing Act (H.R. 6607 / S. 3435); Title VIII Reauthorization Act (H.R. 3593 / S. 1874); Kidney Care Protection Act (H.R. 6214 / S. 2730); Nursing is a Professional Degree Act (H.R. 8691 / S. 4568); Share Act (H.R. 2332); Promoting Access to Diabetic Shoes Act (H.R. 1616).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2332 and S 1101, States Handling Access to Reciprocity for Employment (SHARE) Act, goal to streamline the process of interstate licensure for healthcare professionals by allowing state licensing authorities to access FBI criminal history record information for background checks. Additional issues include opioid misuse and diversion, telemedicine, artificial intelligence in healthcare, and access to care. Appropriations funding for Provider Bridge, an advanced emergency preparedness and response tool designed to rapidly facilitate mobilizing physicians, nurses, and other health professionals to places in need during natural disasters and public health emergencies.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

SHARE Act (S.1101, H.R 2332), specifically related to nursing-related interstate licensure compacts Title VIII Reauthorization (H.R. 3593, S. 1874) *all provisions of bill Department of Education RISE (Reimagining and Improving Student Education) rulemaking Title IV regulations, as it relates to nursing as a professional degree FY 2027 Labor Health and Human Services Appropriations bill; Funding for Title VIII Nursing Workforce Development Programs and the National Institute of Nursing Research Nursing is a Professional Degree Act (H.R. 8691/ S. 4568) Professional Student Degree Act (H.R. 6718) FY2027 Financial Services and General Government Appropriations bill; Interstate License Portability and Health Care Competition in Telehealth Nurse Faculty Shortage Reduction Act of 2026 (S.3707/H.R.7279) Future Advancement of Academic Nursing (FAAN) Act (S.3435/H.R.6607) Providing Real-World Education and Clinical Experience by Precepting Tomorrows (PRECEPT) Nurses Act (S.131/H.R.392) Nurse Corps Tax Parity Act of 2025 (S.1548/H.R.3145) Improving Care and Access to Nurses (I CAN) Act (S.575/H.R.1317) Improving Access to Workers Compensation for Injured Federal Workers Act of 2025 (S.3296/H.R.3170) National Nursing Workforce Center Act of 2025 (S.1482/H.R.4407) Midwives for MOMS Act (S.1599/H.R.6394) Momnibus Act (H.R.7973) United States Cadet Nurse Corps Service Recognition Act of 2025 (S.3329/H.R.6203)

Client expense: $160,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health care workforce expansion policy and improving outcomes in rural and health professional shortage areas S. 266/H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization S. 1101/H.R. 2332, the States Handling Access to Reciprocity for Employment (SHARE) Act S. 2954, Healthcare Workforce Expansion Act of 2025 S. 4370, the Primary Care Team Education Centers Act

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

Government targets: Bureau of Citizenship & Immigration Services (BCIS), HOUSE OF REPRESENTATIVES, Indian Health Service, Labor, Dept of (DOL), SENATE

H.R. 2332 States Handling Access to Reciprocity for Employment Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies related to: Workplace safety and violence prevention for nurse, advanced practice registered nurses, and other health care professionals Implementation of 42 USC 300gg-5(a) regarding provider non-discrimination by health plans H.R. 2332/S. 1101, States Handling Access to Reciprocity for Employment (SHARE) Act of 2025 H.R. 2531/S. 1232, Workplace Violence Prevention for Health Care and Social Services Workers Act H.R. 3170/S. 3296, Improving Access to Workers Compensation for Injured Federal Workers Act H.R. 4122/S. 2167, Health Care for Energy Workers Act of 2025

Client expense: Not reported · Firm income: $29,067

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE

Legislation and policies related to: Workplace safety and violence prevention for nurse, advanced practice registered nurses, and other health care professionals Implementation of 42 USC 300gg-5(a) regarding provider non-discrimination by health plans H.R. 2332/S. 1101, States Handling Access to Reciprocity for Employment (SHARE) Act of 2025 H.R. 2531/S. 1232, Workplace Violence Prevention for Health Care and Social Services Workers Act H.R. 3170/S. 3296, Improving Access to Workers Compensation for Injured Federal Workers Act H.R. 4122/S. 2167, Health Care for Energy Workers Act of 2025

Client expense: Not reported · Firm income: $24,000

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE

Support Medicaid program and oppose cuts to benefits. Support reversal of cuts to Medicaid and the ACA in the OBBBA. Support the Protecting Free Vaccines Act. Support the Family Vaccine Protection Act. Support legislation to extend the enhanced ACA premium tax credits. Support H.R. 8400, the Early Detection of Vision Impairments for Children Act. Support the Nursing is a Professional Degree Act (S.4568/H.R.8691). Support the States Handling Access to Reciprocity for Employment (SHARE) Act (S.1101/H.R.2332).

Client expense: $23,219 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Vice President of the U.S., White House Office

Occupational licensing issues; American Workforce Policy; Health IT; H.R.2332/S.1101 - SHARE Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1261/H.R. 4206 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act; H.R. 2332/S.1101 States Handling Access to Reciprocity for Employment (SHARE) Act; H.R. 1407 Permanent Telehealth from Home Act; S. 763/H.R.1650 Telehealth Expansion Act of 2025; H.R. 2902 SPEAK Act of 2025; H.R. 1899 Audio-Only Telehealth Access Act of 2025; H.R. 2263 Telehealth Coverage Act of 2025; H.R. 1867 Behavioral Health Accessibility Act; Telehealth Modernization Act; S. 1248/H.R. 2533 EASE Act; H.R 1. One Big Beautiful Bill Act; S.2011/H.R. 3884 Telemental Health Care Access Act of 2025; H.R. 3419 Reauthorization of telehealth network and telehealth resource centers grant programs; S.1535/H.R. 3108 Rural Patient Monitoring (RPM) Access Act; H.R. 4313/S. 2237 Hospital Inpatient Services Modernization Act; H.R. 1614 Expanded Telehealth Access Act; H.R. 1627 Telehealth Response for E-prescribing Addiction Therapy Services Act; H.R.8261 Chronic Care Management Improvement Act of 2026

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S.1261/H.R. 4206 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act; H.R. 2332/S.1101 States Handling Access to Reciprocity for Employment (SHARE) Act; H.R. 1407 Permanent Telehealth from Home Act; S. 763/H.R.1650 Telehealth Expansion Act of 2025; H.R. 2902 SPEAK Act of 2025; H.R. 1899 Audio-Only Telehealth Access Act of 2025; H.R. 2263 Telehealth Coverage Act of 2025; H.R. 1867 Behavioral Health Accessibility Act; Telehealth Modernization Act; S. 1248/H.R. 2533 EASE Act; H.R 1. One Big Beautiful Bill Act; S.2011/H.R. 3884 Telemental Health Care Access Act of 2025; H.R. 3419 Reauthorization of telehealth network and telehealth resource centers grant programs; S.1535/H.R. 3108 Rural Patient Monitoring (RPM) Access Act; H.R. 4313/S. 2237 Hospital Inpatient Services Modernization Act; H.R. 1614 Expanded Telehealth Access Act; H.R. 1627 Telehealth Response for E-prescribing Addiction Therapy Services Act; H.R.8261 Chronic Care Management Improvement Act of 2026

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 4122/S. 2167 - Health Care for Energy Workers Act H.R. 3170/S. 3296 - The Improving Access to Workers Compensation for Injured Federal Workers Act H.R. 2332/S. 1101 - States Handling Access to Reciprocity for Employment (SHARE) Act. Provider neutral language in federal forms, documents and surveys

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

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

H.R.2332/S.1101, States Handling Access to Reciprocity for Employment (SHARE) Act. Appropriations for Provider Bridge licensure portability program.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2332 - SHARE Act of 2025, all provisions H.R.3164 - Ensuring Community Access to Pharmacist Services Act, all provisions S.2426 - Equitable Community Access to Pharmacist Services , all provisions H.R.5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions H.R.3022 - Restoring Rights of Physicians to Own Hospitals Act, all provisions S.1390 - Physician Led and Rural Access to Quality Care Act, all provisions H.R.2191 - Physician Led and Rural Access to Quality Care Act, all provisions H.R.2483 - SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions H.R.4710 - No Surprises Act Enforcement Act, all provisions S.2420 - No Surprises Act Enforcement Act, all provisions H.R.3170 - Improving Access to Workers Compensation for Injured Federal Workers Act of 2025, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R.9396 - Prior Authorization Accountability Act, all provisions H.R.7884 - Healthcare is Human 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.1520 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S.1782 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions H.R.5861 - Legacy Act of 2025, all provisions H.R.9393 - Lower Costs, More Transparency Act of 2026, all provisions H.R.6100 - Health ACCESS Act, all provisions S.1140 - Health ACCESS Act, all provisions H.R.6121 - Promoting Physical Activity for Americans Act, all provisions H.R.8794 - FED UP with Bleeding Disorders Act of 2026, all provisions S.3599 - Affordable CHOICE Act, all provisions H.R.7023 - Affordable CHOICE Act, all provisions H.R.8201 - 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, 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.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 2024, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R.4541 - EARLY Act Reauthorization of 2025, all provisions H.R.8209 - To amend the Public Health Service Act to reauthorize the school-based health centers grant program, all provisions H.R.6994 - Mental Health TALK SAFE Act of 2026, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R. 1 - One Big Beautiful Bill Act, provisions relating to artificial intelligence (AI) Comment Letter: Request for Information (RFI): Inviting Comments and Suggestions on a Framework for the NIH-Wide Strategic Plan for Fiscal Years 2027-2031 Comment Letter: [RIN 0945-AA00] Proposed Rulemaking (NPRM) to modify the Standards for the Privacy of Individually Identifiable Health Information (Privacy Rule) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act) Draft: To amend title XI of the Social Security Act to require mandatory reporting with respect to certain health-related ownership information Payment for AI services within health care AI use in prior authorization Data privacy, cybersecurity, and AI AI services/payment Health Insurance Portability and Accountability Act (HIPAA) and electronic records Maternal health and hypertensive disorder during pregnancy Unbundling of Maternity Care of Current Procedural Terminology (CPT) Codes Alternative Payment Model bonuses/incentive payments and freezing the qualifying provider revenue thresholds Health care consolidation ICD-11 Implementation United States Preventative Services Task Force (USPSTF) Office of the National Coordinator for Health Information Technology (ONC) improving electronic health record certification; implementation of 21st Century Cures Act provisions; digital health policies, and reduction of technology burden on physicians entering into the Quality Payment Program Maintenance of public health data Licensure portability Private practice and the results of the 2024 AMA physician practice benchmark survey Vaccines/ACIP Nutrition

Client expense: $5,130,000 · Firm income: Not reported

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

H.R.2332 - SHARE Act of 2025, all provisions H.R.3164 - Ensuring Community Access to Pharmacist Services Act, all provisions S.2426 - Equitable Community Access to Pharmacist Services , all provisions H.R.5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions H.R.3022 - Restoring Rights of Physicians to Own Hospitals Act, all provisions S.1390 - Physician Led and Rural Access to Quality Care Act, all provisions H.R.2191 - Physician Led and Rural Access to Quality Care Act, all provisions H.R.2483 - SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions H.R.4710 - No Surprises Act Enforcement Act, all provisions S.2420 - No Surprises Act Enforcement Act, all provisions H.R.3170 - Improving Access to Workers Compensation for Injured Federal Workers Act of 2025, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R.9396 - Prior Authorization Accountability Act, all provisions H.R.7884 - Healthcare is Human 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.1520 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions S.1782 - Charlotte Woodward Organ Transplant Discrimination Prevention Act, all provisions H.R.5861 - Legacy Act of 2025, all provisions H.R.9393 - Lower Costs, More Transparency Act of 2026, all provisions H.R.6100 - Health ACCESS Act, all provisions S.1140 - Health ACCESS Act, all provisions H.R.6121 - Promoting Physical Activity for Americans Act, all provisions H.R.8794 - FED UP with Bleeding Disorders Act of 2026, all provisions S.3599 - Affordable CHOICE Act, all provisions H.R.7023 - Affordable CHOICE Act, all provisions H.R.8201 - 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, 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.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 2024, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R.4541 - EARLY Act Reauthorization of 2025, all provisions H.R.8209 - To amend the Public Health Service Act to reauthorize the school-based health centers grant program, all provisions H.R.6994 - Mental Health TALK SAFE Act of 2026, all provisions H.R.9192 - Prior Authorization Reform for Autoimmune and Blood Disorders Act, all provisions H.R. 1 - One Big Beautiful Bill Act, provisions relating to artificial intelligence (AI) Comment Letter: Request for Information (RFI): Inviting Comments and Suggestions on a Framework for the NIH-Wide Strategic Plan for Fiscal Years 2027-2031 Comment Letter: [RIN 0945-AA00] Proposed Rulemaking (NPRM) to modify the Standards for the Privacy of Individually Identifiable Health Information (Privacy Rule) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act) Draft: To amend title XI of the Social Security Act to require mandatory reporting with respect to certain health-related ownership information Payment for AI services within health care AI use in prior authorization Data privacy, cybersecurity, and AI AI services/payment Health Insurance Portability and Accountability Act (HIPAA) and electronic records Maternal health and hypertensive disorder during pregnancy Unbundling of Maternity Care of Current Procedural Terminology (CPT) Codes Alternative Payment Model bonuses/incentive payments and freezing the qualifying provider revenue thresholds Health care consolidation ICD-11 Implementation United States Preventative Services Task Force (USPSTF) Office of the National Coordinator for Health Information Technology (ONC) improving electronic health record certification; implementation of 21st Century Cures Act provisions; digital health policies, and reduction of technology burden on physicians entering into the Quality Payment Program Maintenance of public health data Licensure portability Private practice and the results of the 2024 AMA physician practice benchmark survey Vaccines/ACIP Nutrition

Client expense: $513,000 · Firm income: Not reported

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

S.1101/H.R. 2332, the SHARE Act; 340B program policy issues; Rural healthcare policies; Issues pertaining to FEMA reimbursement; Extension of expiring health policies; Concerns around negotiated rulemaking changes to professional degrees and impact on nursing programs; Policies to support collaboration with Department of Veterans Affairs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement and incident-to billing, Medicare hospice restrictions, telehealth, transparency, healthcare competition, coverage and access to mental health and primary care services, Improving Access to Workers Compensation for Injured Federal Workers Act (HR 3170, S. 3296), the Promoting Access to Diabetic Shoes Act (HR 1616, S. 1805), the Increasing Access to Quality Cardiac Rehabilitation Care Act (HR 6894/S. 717), the ACO Assignment Act (HR4773/S. 3350), the Improving Care and Access to Nurses Act (S. 575, HR 1317), Professional Student Degree Act (HR 6718), Enhancing Skilled Nursing Facilities Act (HR 7106) Medical Nutrition Therapy Act (HR 6199/S. 3934), SHARE Act (HR 2332/ S. 1101), Create More Behavioral Health Providers Act (S. 683), the Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act (HR 5199), the CONNECT for Health Act, extending Medicare telehealth policies (S. 1261), implementation of healthcare related provisions of budget reconciliation (HR 1), ACA enhanced subsidies, student loan degree classification for PAs, HPSP Improvement Act of 2025 (HR 3767), and Honor Our Promise to Veterans Act (S. 3466), Take Care of Americas Veterans Act (HR 9237), and federal government recognition of PAs prescribing controlled substances.

Client expense: $160,000 · Firm income: Not reported

Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

SHARE Act (S.1101, H.R 2332), specifically related to nursing-related interstate licensure compacts Title VIII Reauthorization (H.R. 3593, S. 1874) *all provisions of bill Department of Education RISE (Reimagining and Improving Student Education) rulemaking Title IV regulations, as it relates to nursing as a professional degree FY 2027 Labor Health and Human Services Appropriations bill; Funding for Title VIII Nursing Workforce Development Programs and the National Institute of Nursing Research Nursing is a Professional Degree Act (H.R. 8691/ S. 4568) Professional Student Degree Act (H.R. 6718) FY2027 Financial Services and General Government Appropriations bill; Interstate License Portability and Health Care Competition in Telehealth

Client expense: $160,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2332 SHARE Act HR 3178/S 1600 SAVE Healthcare Workers Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1874/H.R.3593 - Title VIII Nursing Workforce Reauthorization Act of 2025 S.3435/H.R.6607 - Future Advancement of Academic Nursing (FAAN) Act S.3707/H.R.7279 - Nurse Faculty Shortage Reduction Act of 2026 S.3296/H.R.3170 - Improving Access to Workers Compensation for Injured Federal Workers Act S.575/H.R.1317 - Improving Care and Access to Nurses (I CAN) Act S.1599/H.R.6394 - Midwives for Maximizing Optimal Maternity Service (MOMS) Act S.1482/H.R.4407 - National Nursing Workforce Center Act of 2025 S.1101/H.R.2332 - States Handling Access to Reciprocity for Employment (SHARE) Act S.4754/H.R.9257 - Primary and Behavioral Health Care Access Act of 2026 S.4110/H.R.4262 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act S.Res.709/H.Res.1264 - A resolution supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2026 S.2954 - Health Care Workforce Expansion Act H.R.7973 - Momnibus Act Support for health care programs Impacts of federal grant cancellations Support for nursing workforce safety measures, maternal health, veterans health, mental health, and public health Nursing education, workforce, research, and public health needs Support for nurse scientists and researchers, and national biomedical research Issues surrounding federal agency restructuring Addressing health care nursing workforce shortage and supporting nursing education pathways, clinical education, and academic progression Impact of guidance on federal financial assistance

Client expense: $90,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

Various issues related to elimination of the Department of Education and the Presidential Executive Order titled Improving Education Outcomes by Empowering Parents, States, and Communities, including IDEA, federal protections, and workforce issues. Various issues related to administrative burden on school-based providers Various issues related to the Higher Education Act, specifically related to student loans, loan forgiveness, and accreditation Issues related to funding of the Individuals with Disabilities Education Act (IDEA), including the IDEA Full Funding Act (H.R. 2598/S. 1277) Issues related to IDEA statute and regulations Issues related to school-based Medicaid services Various issues related to shortages of specialized instructional support personnel Issues related to funding in Fiscal Year 2026 for programs administered by the Department of Education Issues related to higher education and college affordability, including student loans Issues related to pediatric audiology workforce shortages, including recognition of pediatric audiology under federal pediatric specialty loan repayment programs H.R. 2332/S. 1101, States Handling Access to Reciprocity for Employment Act H.R. 1151/S. 756, the Freedom To Invest in Tomorrow's Workforce Act H.R.1968 - Full-Year Continuing Appropriations and Extensions Act, 2025 Strengthening Efforts for Relief and Vital Incentives for Community Service and Engagement (SERVICE) Act (H.R. 2829) H.R. 6574, the Loan Equity for Advanced Professionals Act H.R. 6677/S. 4039, the Professional Degree Access Restoration Act H.R. 6718, to amend the definition of professional degree in the Higher Education Act of 1965. H.R. 6739, to amend the Higher Education Act of 1965 to expand the definition of professional degree. H.R. 6862, the Protecting Health Care Workforce Pipelines Act H.R. 7148, the Consolidated Appropriations Act, 2026

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

H.R. 2213/S. 988, Medical Supply Chain Resilience Act H.R. 2332/S. 1101, States Handling Access to Reciprocity for Employment Act H.R. 8413, Securing and Establishing Consumer Uniform Rights and Enforcement over Data Act H.R. 8659/S. 4568, Nursing is a Professional Degree Act S. 3097, Health Information Privacy Reform Act S.Amdt. 5159, To reduce the price of prescription drugs in the United States by more than 50 percent by adopting Most Favored Nation drug pricing so that the American people pay no more for prescription drugs than Europeans or Canadian Regulatory Advocacy U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services Request for Information Related to Comprehensive Regulations to Uncover Suspicious Healthcare (CMS-6098-NC) U.S Department of Health and Human Services, Centers for Medicare & Medicaid Services Interoperability Standards and Prior Authorization for Drugs Proposed Rule (CMS-0062-P) U.S. Department of Health and Human Services Vaccine Injury Compensation Program (VICP) U.S. Department of Commerce, National Institute for Standards and Technology AI-Driven Cybersecurity Risk and Secure & AI-Ready America Action Plan The White House Executive Order 14409: Promoting Advanced Artificial Intelligence Innovation and Security

Client expense: $200,000 · 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), SENATE

HR 2332 and S 1101, States Handling Access to Reciprocity for Employment (SHARE) Act, goal to streamline the process of interstate licensure for healthcare professionals by allowing state licensing authorities to access FBI criminal history record information for background checks. Additional issues include opioid misuse and diversion, telemedicine, artificial intelligence in healthcare, and access to care. Appropriations funding for Provider Bridge, an advanced emergency preparedness and response tool designed to rapidly facilitate mobilizing physicians, nurses, and other health professionals to places in need during natural disasters and public health emergencies.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

H.R. 1517/S.2225 - Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Protecting Student Athletes from Concussions Act 1115 Waivers Student and Student Athlete Opioid Misuse Prevention Act Personal Health Investment Today Act Promoting Physical Activity for Americans Act Establishment of an Office of Falls Prevention in the Administration on Aging H.R. 2332/S.1101 - States Handling Access to Reciprocity for Employment (SHARE) Act H.R. 4074 - Optimizing Postpartum Outcomes Act Expanded Telehealth Access Act - reintroduction H.R. 5621 - Physical Therapist Workforce and Patient Access Act Strengthening Medicare for Patients and Providers Act - reintroduction IDEA Act Medicare Payment Reform H.R. 1711/S. 2612 - Stopping Addiction and Falls for the Elderly (SAFE) Act H.R. 5081/S. 2709 - Telehealth Modernization Act H.R. 935 - Health Care Workforce Innovation Act H.R. 1614 - to expand eligible practitioners to furnish telehealth services S. 668/H.R. 3183 - SAFE Steps for Veterans Act H.R. 879 - Medicare Patient Access and Practice Stabilization Act H.R. 1 - One Big Beautiful Bill Act (Medicare provider payment section) H.R. 4204 - Medicare Patient Choice Act S.1816/H.R. 3514 - Improving Seniors' Timely Access to Care Act H.R. 8386 - the RECOVER Act (Repeal of Multiple Procedure Payment Reduction Policy) H.R. 6160 - Strengthening Medicare for Patients and Providers Act

Client expense: $312,662 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), White House Office

H.R. 2332/S.1101 - States Handling Access to Reciprocity for Employment Act

Client expense: $312,662 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1101/H.R.2332 State Handling Access to Reciprocity for Employment (SHARE) Act - support passage H.R.3655 STAR Plus Scholarship Act - support passage No bill number - Asking for potential carve out of schools from Medicaid referral requirement No bill number - Support for the inclusion of report language to expand youth awareness of 988 Lifeline and prioritize peer-led suicide prevention on campuses in the FY26 LHHS Appropriations No bill number - Support $20M for Lifespan Respite and increased funding for National and Native American Family Caregiver Support Programs in FY26 LHHS appropriations H.R. 926 - Support inclusion of language similar to H.R.4037/S.2847, the Occupational Therapy Mental Health Parity Act in report language

Client expense: $189,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

No bill number - Request for the inclusion of H.R.2332/S.1101, the SHARE Act, in the National Defense Authorization Act

Client expense: $189,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1101/H.R.2332 State Handling Access to Reciprocity for Employment Act (SHARE Act) - support passage

Client expense: $189,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health care workforce expansion policy and improving outcomes in rural and health professional shortage areas S. 266/H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization S. 1101/H.R. 2332, the States Handling Access to Reciprocity for Employment (SHARE) Act S. 2954, Healthcare Workforce Expansion Act of 2025 DOL-Employee or Independent Contractor Status Under the Fair Labor Standards Act, Family and Medical Leave Act, and Migrant and Seasonal Agricultural Worker Protection Act (91 FR 9932)

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

Government targets: Bureau of Citizenship & Immigration Services (BCIS), HOUSE OF REPRESENTATIVES, Indian Health Service, Labor, Dept of (DOL), SENATE

HR 2332 SHARE Act HR 3178/S 1600 SAVE Healthcare Workers Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE