Lifespan Respite Care Reauthorization Act of 2025

H.R. 1 - One Big Beautiful Bill Act (implementation) H.R. 1509 - Accelerating Kids' Access to Care Act of 2025 H.R. 2036 - Credit for Caring Act of 2025 H.R. 2079 - Insurance Fraud Accountability Act H.R. 2320 - Mobility Means Freedom Tax Credit Act H.R. 2560 - Lifespan Respite Care Reauthorization Act of 2025 H.R. 3417 - Websites and Software Applications Accessibility Act of 2025 H.R. 3514 - Improving Seniors' Timely Access to Care Act of 2025 H.R. 3907 - ENROLL Act of 2025 H.R.4317 - PBM Reform Act of 2025 H.R.5081 - Telehealth Modernization Act H.R. 5940, the Seniors Deserve Streamlined Medical Approvals for Timely, Efficient, Recovery (SMARTER) Care Act of 2025 H.R.6183 - To amend the Internal Revenue Code of 1986 to reform certain rules related to health savings accounts. H.R.6837 - To amend the Employee Retirement Income Security Act of 1974 to ensure that pharmacy benefit managers are considered fiduciaries, and for other purposes. H.R. 8270: Every Dollar Counts Act of 2026 S. 752 - Accelerating Kids' Access to Care Act S. 830 - Lifespan Respite Care Reauthorization Act of 2025 S. 925 - Credit for Caring Act of 2025 S. 976 - Insurance Fraud Accountability Act S. 1816 - Improving Seniors' Timely Access to Care Act of 2025 S. 2024 - ENROLL Act of 2025 S. 3549 - PBM FAIR Act S. 3386 - Health Care Freedom for Patients Act of 2025 Submitted comments to Department of Labor on its proposed rule: Improving Transparency Into Pharmacy Benefit Manager Fee Disclosure. Submitted comments to the Food and Drug Administration (FDA) on the Impacts of Patient-Focused Drug Development Meetings. The comments emphasized the meetings are of critical importance for capturing meaningful, disease-specific patient input at scale.

Client expense: $66,189 · Firm income: Not reported

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

H.R. 7336/S.3763 - ALS Better Care Act - All provisions. H.R. 6423/S. 864 - HELP Copays Act -- Provisions related to health insurance plans requirement to apply payments made by or on behalf of plan enrollees toward a plan's cost-sharing requirements, i.e. a ban on copay-accumulator adjust programs. H.R. 4206 / S. 1261 - CONNECT for Health Act - Provisions related to permanent telehealth services in Medicare and interstate telehealth services. H.R. 2491 / S. 1227 - Alleviating Barriers for Caregivers (ABC) Act - All provisions. H.R. 2560 / S.830 - Lifespan Respite Care Reauthorization Act - All provisions H.R. 3514 / S. 1816 - Improving Seniors Timely Access to Care Act of 2025 All provisions relating to prior authorization usage under Medicare Advantage Plans. H.R. 6280/S. 3607- Genetic Counselor Services Act - All provisions H.R.2172/S.1058 - Preserving Patient Access to Home Infusion Act - All Provisions H.R.8375/S.4284 - Medicare Advantage Improvement Act of 2026 - Provisions related to expedited care authorizations, increased transparency and oversight, align coverage criteria with traditional Medicare, and strengthen beneficiary protections, in Medicare Advantage plans. H.R.8500 - Timely Access to Coverage Decisions Act of 2026 - All Provisions

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

H.R. 8205/S.4472 - Accelerating Access to Critical Therapies for ALS Reauthorization Act of 2026 - All provisions. H.R. 7779 - HEALTHY BRAINS Act - All Provisions H.R. 3864 - Protecting Health Care for All Patients Act of 2025 All provisions related to the banning of use of the quality-adjusted Life year valuation metric in coverage and payment determinations under federal health care programs. H.Res.449/S.Res 266 - Supports the designation of ALS Awareness Month - All Provisions. H.R.2560/S.830 - Lifespan Respite Care Reauthorization Act of 2025 - Provisions relating to amending the Public Health Service Act to extend funding for respite care through 2030 and broadening the definition of 'family caregiver' to include all unpaid individuals.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY26 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Vaccine Injury Compensation Program, Antimicrobial Resistance, Maternal and Child Health, Newborn Screening Saves Lives Reauthorization Act Strengthening the Vaccines for Children Program Act FY26 National Defense Authorization Act IDEA Full Funding Act (H.R.2598) PREEMIE Reauthorization Act (H.R. 1197) Preventing Maternal Deaths Reauthorization Act of 2025 (H.R.1909) Artificial Intelligence TRICARE Autism Maternal mental health/perinatal mental health Vaccines Lifespan Respite Care Reauthorization Act (S.830/H.R.2560) FASD Respect Act (S. 139) Family Vaccine Protection Act (H.R.3701) VACCINE Act HEADS UP Act (H.R.3409) Protecting Free Vaccines Act PREVENT HPV Cancers Act (H.R. 6561) Vaccine Transportation Access Act Innovation in Pediatric Drugs Act (S.705) & Policies to Strengthen Pediatric Research Equity Act Best Pharmaceuticals for Children Act Pediatric Research Equity Act Prescription Drug User Fee Amendments Pediatric Trials Network Artificial Intelligence Global Child Thrive Reauthorization Act Fiscal Year 2027 Appropriations bills (Labor HHS and SFOPS/NSRP) Protecting Sensitive Locations Act (H.R.5166 / S.455) Early Childhood Development programming Family Detention / DHS policies Unaccompanied Children's Program / Office of Refugee Resettlement PAHPA reauthorization Visas for International Medical Graduates Child passenger safety Appropriations for the Indian Health Service Appropriations for Environmental Programs (including EPA) Maternal, Infant, and Early Childhood Home Visiting Program & Implementation Infant sleep product safety Lead exposure prevention Food safety Paid family and medical leave Regulation of high-powered magnet sets Vehicle emissions standards Button battery ingestions Early childhood education (including Head Start, Childcare) Child product safety and injury prevention, including drowning prevention Child Abuse Prevention and Treatment Act (CAPTA) Family First Prevention Services Act implementation Title IV-B Congregate care reform Mental health supports for foster youth/former foster youth Mercury and Air Toxics Standards, ozone and particulate matter NAAQS, EPA greenhouse gas regulation, Endangerment Finding QRTP/IMDs Firearm Injury and Violence Prevention (Including Research Funding; Background Checks; Safe/Secure Storage) Childcare Funding & Resources Native American Child Health Water Beads Vaccines Fluoride Child Welfare & Medicaid, Social Services Block Grant (SSBG), Temporary Assistance for Needy Families (TANF), and Supplemental Nutrition Assistance Program (SNAP) Housing Prematurity Research Expansion and Education for Mothers who Deliver Infants Early (PREEMIE) Reauthorization Act Funding Newborn Screening Saves Lives Reauthorization Act (H.R. 4709) Donor Milk, Access to Donor Milk Act Title V Maternal and Child Health (MCH) Services Block Grant SSI Savings Penalty Elimination Act (S.1234/H.R.2590) Supplemental Security Income Equality Act (H.R. 2540) Autonomous Vehicles Pregnancy Risk Assessment Monitoring System (PRAMS) Data Collection Project Toxic Substances Control Act (TSCA) & Potential Changes Family Resource Centers Medicaid Payment Parity (including H.R. 1433 / S. 760 - Kids Access to Primary Care Act) Access to Care in Medicaid/CHIP Medicaid/CHIP federal funding Accelerating Kids Access to Care Act (H.R. 1509 / S. 752) H.R. 4641 - Keep Kids Covered Act S. 2287/H.R. 4425 - Palliative Care and Hospice Education and Training Act (PCHETA) Telehealth - Medicare telehealth extension, CONNECT for Health Act (S. 1261) One Big Beautiful Bill Act (H.R. 1) Hospital at Home Program Vaccines for Children Program Children and Teens Online Privacy Protection Act (H.R. 6291/S. 836) Kids Online Safety Act (H.R. 6484/S.1748) Artificial Intelligence and Child Health Legislation to Protect Young People Online Pediatric Specialty Loan Repayment Program Funding and Program Implementation EMPOWER for Health Act Tobacco Product Regulation/Enforcement Resources to Prevent Youth Vaping Act (S. 4257) Funding for Tobacco Control Programs Biomedical Research Funding (NIH, NICHD, AHRQ, etc.) LGBTQ Health Funding for Health Workforce Programs Funding for WIC SNAP/Farm Bill Mental Health for Children MODERN WIC Act/21st Century WIC Act Breastfeeding Peer Counseling Program Funding for HRSA Pediatric Mental Health Care Access Program Donor Milk Dietary Guidelines Suicide Prevention School Meal Standards WIC Food Packages Whole Milk Supporting Childrens Mental Health Care Access Nutrition Infant Formula Medicaid Immigration Child Welfare Vaccines Healthcare Workforce

H.R. 1 - One Big Beautiful Bill Act H.R. 1509 - Accelerating Kids' Access to Care Act of 2025 H.R. 2036 - Credit for Caring Act of 2025 H.R. 2079 - Insurance Fraud Accountability Act H.R. 2320 - Mobility Means Freedom Tax Credit Act H.R. 2560 - Lifespan Respite Care Reauthorization Act of 2025 H.R. 3417 - Websites and Software Applications Accessibility Act of 2025 H.R. 3514 - Improving Seniors' Timely Access to Care Act of 2025 H.R. 3907 - ENROLL Act of 2025 H.R.4317 - PBM Reform Act of 2025 H.R.5081 - Telehealth Modernization Act H.R. 5940, the Seniors Deserve Streamlined Medical Approvals for Timely, Efficient, Recovery (SMARTER) Care Act of 2025 H.R.6183 - To amend the Internal Revenue Code of 1986 to reform certain rules related to health savings accounts. H.R.6837 - To amend the Employee Retirement Income Security Act of 1974 to ensure that pharmacy benefit managers are considered fiduciaries, and for other purposes. S. 752 - Accelerating Kids' Access to Care Act S. 830 - Lifespan Respite Care Reauthorization Act of 2025 S. 925 - Credit for Caring Act of 2025 S. 976 - Insurance Fraud Accountability Act S. 1816 - Improving Seniors' Timely Access to Care Act of 2025 S. 2024 - ENROLL Act of 2025 S. 3549 - PBM FAIR Act S. 3386 - Health Care Freedom for Patients Act of 2025 Joined a coalition comment letter in response to the HHS Notice of Benefit and Payment Parameters for 2027 proposed rule. These comments focused on key proposals related to enrollees in need of, the essential health benefit (EHB) category of rehabilitation and habilitation services and devices.

Client expense: $77,400 · Firm income: Not reported

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

H.R. 7336/S.3763 - ALS Better Care Act - All provisions. H.R. 6423/S. 864 - HELP Copays Act -- Provisions related to health insurance plans requirement to apply payments made by or on behalf of plan enrollees toward a plan's cost-sharing requirements, i.e. a ban on copay-accumulator adjust programs. H.R. 4206 / S. 1261 - CONNECT for Health Act - Provisions related to permanent telehealth services in Medicare and interstate telehealth services. H.R. 2491 / S. 1227 - Alleviating Barriers for Caregivers (ABC) Act - All provisions. H.R. 2560 / S.830 - Lifespan Respite Care Reauthorization Act - All provisions H.R. 3514 / S. 1816 - Improving Seniors Timely Access to Care Act of 2025 All provisions relating to prior authorization usage under Medicare Advantage Plans. H.R. 6280/S. 3607- Genetic Counselor Services Act - All provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ALS Better Care Act (Draft legislation) - Discussion around re introduction and provisions related to supplemental payment to designated ALS clinics that provide multidisciplinary services to people living with ALS. HELP Copays Act (S.864) -- Provisions related to health insurance plans requirement to apply payments made by or on behalf of plan enrollees toward a plan's cost-sharing requirements, i.e. a ban on copay-accumulator adjust programs. CONNECT for Health Act (S.1261) - provisions related to permanent telehealth services in Medicare and interstate telehealth services. Alleviating Barriers for Caregivers (ABC) Act (H.R.2491) - All provisions. Lifespan Respite Care Reauthorization Act (H.R. 2560/S.830) - all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY26 Labor, Health and Human Services, and Education Appropriations Bill: - Pediatric Subspecialty Loan Repayment Program - Firearm Injury and Mortality Prevention Research - Pediatric Mental Health Care Access Program - Emergency Medical Services for Children - National Center for Birth Defects and Developmental Disabilities - Global Immunization - Vaccine Injury Compensation Program - Antimicrobial Resistance - Maternal and Child Health Newborn Screening Saves Lives Reauthorization Act Strengthening the Vaccines for Children Program Act FY26 National Defense Authorization Act IDEA Full Funding Act (H.R.2598) PREEMIE Reauthorization Act (H.R.1197) Preventing Maternal Deaths Reauthorization Act of 2025 (H.R.1909) Artificial Intelligence TRICARE Autism Maternal mental health/perinatal mental health Vaccines Lifespan Respite Care Reauthorization Act (S.830/H.R.2560) FASD Respect Act (S.139) Family Vaccine Protection Act (H.R.3701) VACCINE Act HEADS UP Act (H.R.3409) Protecting Free Vaccines Act PREVENT HPV Cancers Act (H.R.6561) Vaccine Transportation Access Act MDUFA VI Reauthorization Innovation in Pediatric Drugs Act (S.705) & Policies to Strengthen Pediatric Research Equity Act Best Pharmaceuticals for Children Act Pediatric Research Equity Act Prescription Drug User Fee Amendments Pediatric IBD Drug Development Health Information Privacy Reform Act (S.3097) Child passenger safety Appropriations for the Indian Health Service Appropriations for Environmental Programs (including EPA) Maternal, Infant, and Early Childhood Home Visiting Program & Implementation Infant sleep product safety Lead exposure prevention Food safety Paid family and medical leave Regulation of high-powered magnet sets Vehicle emissions standards Button battery ingestions Early childhood education (including Head Start, Childcare) Child product safety and injury prevention, including drowning prevention Child Abuse Prevention and Treatment Act (CAPTA) Family First Prevention Services Act implementation Title IV-B Congregate care reform Mental health supports for foster youth/former foster youth Mercury and Air Toxics Standards, ozone and particulate matter NAAQS, EPA greenhouse gas regulation, Endangerment Finding QRTP/IMDs Firearm Injury and Violence Prevention (Including Research Funding; Background Checks; Safe/Secure Storage) Childcare Funding & Resources Native American Child Health Water Beads Vaccines Fluoride Child Welfare & Medicaid, Social Services Block Grant (SSBG), Temporary Assistance for Needy Families (TANF), and Supplemental Nutrition Assistance Program (SNAP) Housing Prematurity Research Expansion and Education for Mothers who Deliver Infants Early (PREEMIE) Reauthorization Act of 2025 (S.1562/H.R.1197) Newborn Screening Saves Lives Reauthorization Act (H.R.4709) Donor Milk Title V Maternal and Child Health (MCH) Services Block Grant SSI Savings Penalty Elimination Act (S.1234/H.R.2590) Supplemental Security Income Equality Act (H.R.2540) Autonomous Vehicles Pregnancy Risk Assessment Monitoring System (PRAMS) Data Collection Project Toxic Substances Control Act (TSCA) & Potential Changes Medicaid Payment Parity (including H.R.1433 / S.760 - Kids Access to Primary Care Act) Access to Care in Medicaid/CHIP Medicaid/CHIP federal funding Accelerating Kids Access to Care Act (H.R.1509 / S.752) H.R.4641 - Keep Kids Covered Act S.2287/H.R.4425 - Palliative Care and Hospice Education and Training Act (PCHETA) Telehealth - Medicare telehealth extension, CONNECT for Health Act (S.1261) One Big Beautiful Bill Act (H.R.1) Proposed Rulemaking: Medicaid Program; Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children (CMS-2451-P) and Medicare and Medicaid Programs; Hospital Condition of Participation: Prohibiting Sex-Rejecting Procedures for Children (CMS-3481-P) Children and Teens Online Privacy Protection Act (H.R.6291/S.836) Kids Online Safety Act (H.R.6484/S.1748) Artificial Intelligence and Child Health Legislation to Protect Young People Online Pediatric Specialty Loan Repayment Program Funding and Program Implementation EMPOWER for Health Act Regulation/Enforcement of Tobacco Products - Tobacco TRACE Act (H.R.6845) - STOP Illicit Vaping Act (H.R.6844/S.3569) Funding for Tobacco Control Programs Biomedical Research Funding (NIH, NICHD, AHRQ) LGBTQ Health Care Financing and Access - H.R.3492 - H.R.498 LGBTQ Health Care Financing and Access - Medicare and Medicaid Programs; Hospital Condition of Participation: Prohibiting Sex-Rejecting Procedures for Children (CMS-3481-P) - Medicaid Program; Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children (CMS-2451-P) Global Child Thrive Reauthorization Act Notice of Proposed Rulemaking DHS Docket No. USCIS-2025-0304 The Department of State Reauthorization Act Protecting Sensitive Locations Act (H.R.5166 / S.455) Federal HIV Guidelines Family Detention / DHS policies Unaccompanied Children's Program / Office of Refugee Resettlement Child Nutrition Reauthorization/WIC SNAP/Farm Bill Mental Health for Children Medical Foods and Formulas Access Act WIC Act MODERN WIC Act Breastfeeding Peer Counseling Program Mental Health Services for Students Act of 2025 (H.R.5557) School Meals Expansion Funding for HRSA Pediatric Mental Health Care Access Program Funding for WIC Donor Milk Dietary Guidelines

NAPA Reauthorization Act (S. 133 / H.R. 619 - P.L. 118-92) Alzheimers Accountability and Investment Act (S. 134 / H.R. 620 - P.L. 118-93) Comprehensive Care for Alzheimers Act (S. 626 / H.R. 1637) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Infrastructure for Alzheimer's Reauthorization Act of 2024 (S. 3775/ H.R. 7218 - P.L. 118-142) Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (S. 4276/H.R. 7688) Elizabeth Dole Home Care Act, of 2023 (S. 141 / H.R. 542) Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act (H.R. 8371) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10) Access to Innovative Treatments Act of 2023 (H.R. 2408) Mandating Exclusive Review of Individual Treatments (MERIT) Act (H.R. 133) Elder Justice Reauthorization and Modernization Act of 2023 (S. 1198/H.R. 2718) Expanding Veterans Options for Long-Term Care Act (S. 495/H.R.1815) Palliative Care and Hospice Education and Training Act (S. 2243) Facilitating Innovative Nuclear Diagnostics (FIND) Act of 2023 (S. 1544/H.R. 1199) Supporting Our Seniors Act (S. 2584) Alleviating Barriers for Caregiving Act (S. 3109) Credit for Caring Act of 2024 (S. 3702/H.R. 7165) Credit for Caring Act of 2025 (S. 925/H.R. 2036) Lifespan Respite Care Reauthorization Act of 2024 (S. 4325/H.R. 6160) Lifespan Respite Care Reauthorization Act of 2025 (S.830/H.R.2560) DeOndra Dixon INvestigation of Co-occurring Conditions across the Lifespan to Understand Down Syndrome (INCLUDE) Project Act of 2024 (H.R. 7406) Paid Family and Medical Leave Tax Credit Extension Act (S. 3680) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 400/H.R. 996) CONNECT for Health Act of 2023 (S. 2016/H.R. 4189) PACE Part D Choice Act of 2023 (S. 1703/H.R. 3549) Improving Seniors' Access to Timely Care Act of 2024 (S. 4532/H.R. 8702) Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act of 2024 (H.R. 9233) Better Empowerment Now to Enhance Framework and Improve Treatments Act of 2023 (BENEFIT)(S. 526/H.R. 1092) Essential Caregivers Act of 2024 (S. 4280/H.R. 8331) Ensuring Patient Access to Critical Breakthrough Products Act of 2024 (H.R. 1691) Linking Seniors to Needed Legal Services Act of 2024 (H.R. 8588) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1029) Catching Up Family Caregivers Act of 2024 (S. 5149 / H.R. 9764) Improving Retirement Security for Family Caregivers Act of 2024 (S. 5148 / H.R. 9765) Charitable Act (S. 317/H.R. 801) Other matters related to disaster preparedness and older adults, public health emergencies, public health preparedness and response, telehealth, health disparities, and older Americans/people with disabilities in all phases of emergencies Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta-amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices Other matters related to rural health Other matters related to veterans' health Other matters related to Tricare Other matters related to research Other matters related to biomarkers including blood based tests and cerebral spinal fluid (CSF) Other matters related to public health

ALS Better Care Act (No Bill Number)- Discussion around re introduction and provisions related to supplemental payment to designated ALS clinics that provide multidisciplinary services to people living with ALS. H.R. 6423/S. 864 - HELP Copays Act -- Provisions related to health insurance plans requirement to apply payments made by or on behalf of plan enrollees toward a plan's cost-sharing requirements, i.e. a ban on copay-accumulator adjust programs. H.R. 4206 / S. 1261 - CONNECT for Health Act - provisions related to permanent telehealth services in Medicare and interstate telehealth services. H.R. 2491 / S. 1227 - Alleviating Barriers for Caregivers (ABC) Act - All provisions. H.R. 2560 / S.830 - Lifespan Respite Care Reauthorization Act - all provisions H.R. 3514 / S. 1816 - Improving Seniors Timely Access to Care Act of 2025 All provisions relating to prior authorization usage under Medicare Advantage Plans. H.R. 6280/S. 3607 - Genetic Counselor Services Act - All provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1 - One Big Beautiful Bill Act S. 752 - Accelerating Kids' Access to Care Act S. 830 - Lifespan Respite Care Reauthorization Act of 2025 S. 925 - Credit for Caring Act of 2025 S. 976 - Insurance Fraud Accountability Act H.R. 1509 - Accelerating Kids' Access to Care Act of 2025 S. 1816 - Improving Seniors' Timely Access to Care Act of 2025 S. 2024 - ENROLL Act of 2025 H.R. 2036 - Credit for Caring Act of 2025 H.R. 2079 - Insurance Fraud Accountability Act H.R. 2320 - Mobility Means Freedom Tax Credit Act H.R. 2560 - Lifespan Respite Care Reauthorization Act of 2025 H.R. 3417 - Websites and Software Applications Accessibility Act of 2025 H.R. 3514 - Improving Seniors' Timely Access to Care Act of 2025 H.R. 3907 - ENROLL Act of 2025 H.R.4317 - PBM Reform Act of 2025 Worked with coalition partners to advocate for the renewal of Enhanced Premium Tax Credits (eAPTCs). Met with various Members of Congress to explain the importance of these credits for their constituents.

Client expense: $74,347 · Firm income: Not reported

Child passenger safety Appropriations for the Indian Health Service Appropriations for Environmental Programs (including EPA) Maternal, Infant, and Early Childhood Home Visiting Program & Implementation Infant sleep product safety Lead exposure prevention Food safety Paid family and medical leave Regulation of high-powered magnet sets Climate change, Inflation Reduction Act Implementation Vehicle emissions standards Button battery ingestions Early childhood education (including Head Start, Childcare) Child product safety and injury prevention, including drowning prevention Child Abuse Prevention and Treatment Act (CAPTA) Family First Prevention Services Act implementation Title IV-B Congregate care reform Mental health supports for foster youth/former foster youth Mercury and Air Toxics Standards, ozone and particulate matter NAAQS, EPA greenhouse gas regulation QRTP/IMDs Firearm Violence Prevention (Including Research Funding; Background Checks; Safe/Secure Storage) Childcare Funding & Resources Native American Child Health Water Beads Vaccines Fluoride Child Welfare & Medicaid, Social Services Block Grant (SSBG), Temporary Assistance for Needy Families (TANF), and Supplemental Nutrition Assistance Program (SNAP) Housing Prematurity Research Expansion and Education for Mothers who Deliver Infants Early (PREEMIE) Reauthorization Act of 2025 (S. 1562/H.R. 1197) Newborn Screening Saves Lives Reauthorization Act (H.R. 4709) Donor Milk Title V Maternal and Child Health (MCH) Services Block Grant SSI Savings Penalty Elimination Act (S.1234/H.R.2590) Supplemental Security Income Equality Act (H.R. 2540) Medicaid Payment Parity (including H.R. 1433 / S. 760 - Kids Access to Primary Care Act) Access to Care in Medicaid/CHIP Medicaid/CHIP federal funding Accelerating Kids Access to Care Act (H.R. 1509 / S. 752) H.R. 4641 - Keep Kids Covered Act S. 2287/H.R. 4425 - Palliative Care and Hospice Education and Training Act (PCHETA) Telehealth - Medicare telehealth extension, CONNECT for Health Act (S. 1261) One Big Beautiful Bill Act (H.R. 1) FY26 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Vaccine Injury Compensation Program, Antimicrobial Resistance, Maternal and Child Health, Newborn Screening Saves Lives Reauthorization Act Strengthening the Vaccines for Children Program Act FY26 National Defense Authorization Act IDEA Full Funding Act (H.R.2598) PREEMIE Reauthorization Act (H.R. 1197) Preventing Maternal Deaths Reauthorization Act of 2025 (H.R.1909) Artificial Intelligence TRICARE Maternal mental health/perinatal mental health Vaccines Lifespan Respite Care Reauthorization Act (S.830/H.R.2560) Early Detection of Vision Impairments for Children (EDVI) Act FASD Respect Act (S. 139) Family Vaccine Protection Act (H.R.3701) VACCINE Act HEADS UP Act (H.R.3409) Protecting Free Vaccines Act PREVENT HPV Cancers Act MDUFA VI Reauthorization Innovation in Pediatric Drugs Act Best Pharmaceuticals for Children Act Pediatric Research Equity Act Federal Food, Drug, and Cosmetic (FD&C) Act, Section 505G(c) Children and Teens Online Privacy Protection Act (S. 836) Legislation to Protect Young People Online Pediatric Specialty Loan Repayment Program Funding and Program Implementation Regulation/Enforcement of Tobacco Products National Institutes of Health Research Funding LGBTQ Health Federal Student Loan Programs FY26 SFOPS Appropriations - International Affairs Budget, USAID Operating Expenses, Maternal and Child Health (including Gavi, the Vaccine Alliance), Vulnerable Children, IDA, MRA, UNICEF, PEPFAR (including 10% set aside for Orphans and Vulnerable Children) FY26 LHHS Appropriations - CDC Global Immunization; Emergency Medical Services for Children (EMSC) program; provisions related to Unaccompanied Children The Department of State Reauthorization Act Protecting Sensitive Locations Act (H.R.5166 / S.455) Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media [DHS docket number ICEB-2025-0001] Restriction on Entry of Certain Nonimmigrant Workers [Proclamation] NIH Federal HIV Guidelines Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA); Interpretation of Federal Public Benefit (HHS Docket No. 0991-ZA57) Family Detention / DHS policies Child Nutrition Reauthorization/WIC SNAP/Farm Bill Mental Health for Children Medical Nutrition Equity Act WIC Act MODERN WIC Act Breastfeeding Peer Counseling Program Research for Pregnant and Lactating Women Advancing Safe Medications for Moms and Babies Act Funding for HRSA Pediatric Mental Health Care Access Program Funding for WIC Donor Milk Dietary Guidelines Suicide Prevention School Meal Standards WIC Food Packages Universal School Meals Early Childhood Nutrition Improvement Act/CACFP Youth Mental Health and Suicide Prevention Supporting Childrens Mental Health Care Access Same Day Billing Restrictions in Mental Health Prevention and Early Intervention Set-Aside in Mental Health Block Grant Improving Mental Health and Wellness in Schools School Meals Expansion Mental Health Parity Sarah Katz Caffeine Safety Act Whole Milk 988 LGBTQ+ Youth Access Youth Sports Facilities Act (S. 1419) Mental Health Services for Students Act of 2025 (H.R. 5557)

H.R. 1 - One Big Beautiful Bill Act S. 752 - Accelerating Kids' Access to Care Act S. 830 - Lifespan Respite Care Reauthorization Act of 2025 S. 925 - Credit for Caring Act of 2025 S. 976 - Insurance Fraud Accountability Act H.R. 1509 - Accelerating Kids' Access to Care Act of 2025 S. 1816 - Improving Seniors' Timely Access to Care Act of 2025 S. 2024 - ENROLL Act of 2025 H.R. 2036 - Credit for Caring Act of 2025 H.R. 2079 - Insurance Fraud Accountability Act H.R. 2320 - Mobility Means Freedom Tax Credit Act H.R. 2560 - Lifespan Respite Care Reauthorization Act of 2025 H.R. 3417 - Websites and Software Applications Accessibility Act of 2025 H.R. 3514 - Improving Seniors' Timely Access to Care Act of 2025 H.R. 3907 - ENROLL Act of 2025 H.R.4317 - PBM Reform Act of 2025 Worked with coalition partners to advocate for the renewal of Enhanced Premium Tax Credits (eAPTCs). Met with various Members of Congress to explain the importance of these credits for their constituents.

Client expense: $65,896 · Firm income: Not reported

H.R. 1 - One Big Beautiful Bill Act, provisions related to Medicaid H.R. 869/S.343, Keep Our PACT Act, all provisions H.R. 1436/S.627, ENABLE Act, all provisions H.R. 1520, CharlotteWoodwardOrgan Transplant Discrimination Prevention Act, all provisions H.R. 1570/S.745, EmpoweringFamiliesin Special Education Act, all provisions H.R. 1621, Entrepreneurs with Disabilities Reporting Act of 2025, all provisions H.R. 1634, ThinkDIFFERENTLY About Disability Employment Act, all provisions H.R. 1757/S.73, EMPSA Act, all provisions H.R. 2036/S. 925, CreditforCaring Act of 2025, all provisions H.R. 2491/S.1227, ABC Act, all provisions H.R. 2540/S.1234, SSI Savings Penalty Elimination Act, all provisions H.R. 2560/S.830, Lifespan Respite Care Reauthorization Act of 2025, all provisions H.R. 2598/S.1277, IDEA Full Funding Act, all provisions H.R. 3049, HEADs UP Act of 2025, all provisions H.R. 3939, RISE Act, all provisions H.R. 4086, Autism Family Caregivers Act, all provisions H.R. 4644/S.2459, ABLE Employment Flexibility Act, all provisions H.R.4016, Department of Defense Appropriations Act, 2026, provisions related to funding for the congressionally directed medical research autism research program H.R. 5304, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026, provisions related to funding autism research and services at the National Institutes of Health, Centers for Disease Control and Prevention, Health Resources and Services Administration; assistive technology programs and special education at the Department of Education H.R. 5342, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026, provisions related to funding for the Kevin and Avonte's Law Program H.R. 5476/S. 2330, Preparing and Retaining All (PARA) Educators Act, all provisions S. 2354, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026, provisions related to funding for the Kevin and Avonte's Law Program S. 2572, Department of Defense Appropriations Act, 2026, provisions related to funding for the congressionally directed medical research autism research program S. 2587, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026, provisions related to funding autism research and services at the National Institutes of Health, Centers for Disease Control and Prevention, Health Resources and Services Administration; assistive technology programs and special education at the Department of Education Implementation of Public Law 118-80, Autism CARES Act of 2024, all provisions Implementation of Public Law 119-21, One Big Beautiful Bill Act, provisions related to Medicaid A bill not yet introduced to enhance incentives to create accessible and inclusive workplaces A bill not yet introduced to increase housing opportunities for people with disabilities A bill not yet introduced in the Senate to enhance skills related to family caregivers and developmental disabilities A bill not yet introduced related to public safety for people with autism and other developmental disabilities

ALS Better Care Act (No Bill Number)- Discussion around re introduction and provisions related to supplemental payment to designated ALS clinics that provide multidisciplinary services to people living with ALS. S. 864 - HELP Copays Act -- Provisions related to health insurance plans requirement to apply payments made by or on behalf of plan enrollees toward a plan's cost-sharing requirements, i.e. a ban on copay-accumulator adjust programs. H.R. 4206 / S. 1261 - CONNECT for Health Act - provisions related to permanent telehealth services in Medicare and interstate telehealth services. H.R. 2491 / S. 1227 - Alleviating Barriers for Caregivers (ABC) Act - All provisions. H.R. 2560 / S.830 - Lifespan Respite Care Reauthorization Act - all provisions H.R. 3514 / S. 1816 - Improving Seniors Timely Access to Care Act of 2025 All provisions relating to prior authorization usage under Medicare Advantage Plans. Genetic Counselor Services Act (no bill number) - All provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2036/S.925 - Credit for Caring Act of 2025 H.R. 138, the Lowering Costs for Caregivers Act. H.R. 2491, the Alleviating Barriers for Caregivers Act. No bill number. Discussed the Connecting Caregivers to Medicare Act. H.R. 1305 - Improving Measurements for Loneliness and Isolation Act. H. Con. Res. 14/S. Con. Res. 7, the Budget Reconciliation Resolution. H.R. 1171 - Stopping Addiction and Falls for the Elderly (SAFE) Act. H.R. 996/ S. 400, the Paid Family and Medical Leave Tax Credit Extension and Enhancement Act of 2025. H.R. 2560/ S. 830, the Lifespan Respite Care Reauthorization Act of 2025. No bill number. Discussed legislation to amend the Public Health Service Act to reauthorize a lifespan respite care program. No bill number. Discussed access to home and community-based services, long-term services and supports, and post-acute care. No bill number. Discussed nursing home staffing and quality. No bill number. Discussed programs within Older Americans Act. No bill number. Discussed falls prevention. No bill number. Discussed the Essential Caregivers Act. No bill number. Discussed nutrition and SNAP changes. No bill number. Discussed Older Americans Act Reauthorization Act of 2024 No bill number. Discussed Americans Giving Care to Elders Act. H.R. 10445, the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act of 2025 No bill number. Discussed Medicaid and family caregivers. No bill number. Discussed respite care. No bill number. Discussed Family Caregiver Awareness, Resources, and Education (CARE) Partnerships Act. P.L. 118-210, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. No bill number. Discussed the Expanding Veterans Options for Long Term Care Act. No bill number. Discussed the Caregiver Outreach and Program Enhancement (COPE) Act. No bill number. Discussed the Home Accessibility Tax Credit Act.

ALS Better Care Act (Draft legislation) - Discussion around re introduction and provisions related to supplemental payment to designated ALS clinics that provide multidisciplinary services to people living with ALS. HELP Copays Act (S.864) -- Provisions related to health insurance plans requirement to apply payments made by or on behalf of plan enrollees toward a plan's cost-sharing requirements, i.e. a ban on copay-accumulator adjust programs. CONNECT for Health Act (S.1261) - provisions related to permanent telehealth services in Medicare and interstate telehealth services. Alleviating Barriers for Caregivers (ABC) Act (H.R.2491) - All provisions. Lifespan Respite Care Reauthorization Act (H.R. 2560/S.830) - all provisions H.R. 3514 / S. 1816 - Improving Seniors Timely Access to Care Act of 2025 All provisions relating to prior authorization usage under Medicare Advantage Plans.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Child passenger safety - CPSC; Appropriations for the Indian Health Service - IHS; Appropriations for Environmental Programs (including EPA) - EPA, CDC; Maternal, Infant, and Early Childhood Home Visiting Program & Implementation - HRSA, CMS, HHS, ACF; Infant sleep product safety - CPSC; Lead exposure prevention - EPA, CDC, HUD, FDA; Food safety - FDA, EPA, CDC; Paid family and medical leave; Regulation of high-powered magnet sets - CPSC; Climate change, Inflation Reduction Act Implementation - EPA; Vehicle emissions standards - EPA; Button battery ingestions - CPSC; Early childhood education - HHS; Child product safety and injury prevention, including drowning prevention - CPSC; Child Abuse Prevention and Treatment Act (CAPTA) - HHS, ACF; Family First Prevention Services Act implementation - HHS, ACF; Title IV-B - HHS, ACF; Congregate care reform - HHS, ACF; Mental health supports for foster youth/former foster youth - HHS, ACF; Mercury and Air Toxics Standards, ozone and particulate matter NAAQS, EPA greenhouse gas regulation - EPA; QRTP/IMDs - HHS, ACF; Firearm Violence Prevention (Including Research Funding; Background Checks; Safe/Secure Storage) -CDC; NIH; Childcare Funding & Resources - HHS, OCC; Native American Child Health - DOI; HHS, HIS; Water Beads - CPSC; Vaccines - HHS, CDC; Fluoride - EPA; Child Welfare & Medicaid, Social Services Block Grant (SSBG), Temporary Assistance for Needy Families (TANF), and Supplemental Nutrition Assistance Program (SNAP) - HHS Medicaid Payment Parity (including H.R. 1433 / S. 760 - Kids Access to Primary Care Act) - HHS/CMS; Access to Care in Medicaid/CHIP - HHS; Medicaid/CHIP federal funding - HHS; Accelerating Kids Access to Care Act (H.R. 1509 / S. 752) - HHS; Vaccines for Children program improvements - HHS/CMS, CDC; Telehealth - Medicare telehealth extension, CONNECT for Health Act (S. 1261) - HHS, DEA; Budget Reconciliation (H.R. 1) FY26 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Vaccine Injury Compensation Program, Antimicrobial Resistance, Maternal and Child Health; Newborn Screening Saves Lives Reauthorization Act; Strengthening the Vaccines for Children Program Act; FY26 National Defense Authorization Act; SSI Savings Penalty Elimination Act (S.1234/H.R.2590); Supplemental Security Income Equality Act (H.R. 2540); IDEA Full Funding Act (H.R.2598); PREEMIE Reauthorization Act (H.R. 1197); Supplemental Security Income/Social Security - Social Security Administration; Preventing Maternal Deaths Reauthorization Act of 2025 (H.R.1909); Artificial Intelligence; TRICARE; Maternal mental health/perinatal mental health; Vaccines; Lifespan Respite Care Reauthorization Act (S.830/H.R.2560); Early Detection of Vision Impairments for Children (EDVI) Act; FASD Respect Act (S. 139); Family Vaccine Protection Act (H.R.3701); VACCINE Act; Youth Sports Facilities Act (S.1419/H.R.2850); HEADS UP Act (H.R.3409) Children and Teens Online Privacy Protection Act (S. 836); Legislation to Protect Young People Online; Pediatric Specialty Loan Repayment Program Funding and Program Implementation - Health Resources and Services Administration; FY26 Appropriations - NIH Environmental influences on Child Health Outcomes (ECHO) Program; Regulation of Tobacco Products - Department of Health and Human Services, FDA Center for Tobacco Products; Funding for Public Health Tobacco Programs; Reentry Act (H.R. 2586); National Institutes of Health & AHRQ Research Funding; LGBTQ Health; Federal Student Loan Programs; Federal Funding for Family Planning Clinics; Childrens Hospitals GME FY26 Funding; FY26 Funding for Federal Statistical Agencies FY26 SFOPS Appropriations - International Affairs Budget, USAID Operating Expenses, Maternal and Child Health (including Gavi, the Vaccine Alliance), Vulnerable Children, IDA, MRA, UNICEF, PEPFAR (including 10% set aside for Orphans and Vulnerable Children); FY26 LHHS Appropriations - CDC Global Immunization; Emergency Medical Services for Children (EMSC) program; The Department of State Reauthorization Act; Integration of USAID into the State Department - USAID / Department of State; Executive Order: Reevaluating and Realigning United States Foreign Aid; Protecting Sensitive Locations Act (H.R.5166 / S.455); Rescissions Act of 2025 (H.R. 4) Standards in ORR Custody - ORR, HHS; Licensure of ORR Shelters - ORR, HHS; Public Charge; Child Nutrition Reauthorization/WIC - USDA; SNAP/Farm Bill - USDA; Mental Health for Children - HRSA; DREAM Act; Medical Nutrition Equity Act; Lift the Bar Act; PAHPA Reauthorization; CARE for Families Act; WIC Act; MODERN WIC Act

H.R. 1 - One Big Beautiful Bill Act S. 752 - Accelerating Kids' Access to Care Act S. 830 - Lifespan Respite Care Reauthorization Act of 2025 S. 925 - Credit for Caring Act of 2025 S. 976 - Insurance Fraud Accountability Act H.R. 1509 - Accelerating Kids' Access to Care Act of 2025 S. 1816 - Improving Seniors' Timely Access to Care Act of 2025 S. 2024 - ENROLL Act of 2025 H.R. 2036 - Credit for Caring Act of 2025 H.R. 2079 - Insurance Fraud Accountability Act H.R. 2320 - Mobility Means Freedom Tax Credit Act H.R. 2560 - Lifespan Respite Care Reauthorization Act of 2025 H.R. 3417 - Websites and Software Applications Accessibility Act of 2025 H.R. 3514 - Improving Seniors' Timely Access to Care Act of 2025 H.R. 3907 - ENROLL Act of 2025

Client expense: $70,656 · Firm income: Not reported

H.R. 1, the One Big Beautiful Bill Act. S. 925/H.R. 2036, the Credit for Caring Act. S. 1565/H.R. 138, Lowering Costs for Caregivers Act . S.2120, the Older Americans Act Reauthorization Act of 2025. H.R. 996/ S. 400, the Paid Family and Medical Leave Tax Credit Extension and Enhancement Act of 2025. H.R. 3089, the More Paid Leave for More Americans Act. H.R. 2560, the Lifespan Respite Care Reauthorization Act of 2025. No bill number. Discussed CMS Hospice Proposed Rule. No bill number. Discussed nursing home staffing and quality. No bill number. Discussed long-term care, home health, hospice, and post-acute care. No bill number. Discussed Older Americans Act programs and reauthorization. No bill number. Discussed HHS and ACL reorganization. No bill number. Discussed Farm Bill and Nutrition Assistance programs. No bill number. Discussed Essential Caregivers Act. No bill number. Discussed guardianship. No bill number. Discussed caregiving youth. No bill number. Discussed National Strategy to Support Family Caregivers. No bill number. Discussed elder abuse and elder justice issues. No Bill Number. Discussed family caregiver exemptions from Medicaid work requirements. No bill number. Discussed the Caregiver Outreach and Program Enhancement (COPE) Act. No bill number. Discussed advance directives and provider accountability. No bill number. Discussed Medicaid and family caregivers. H.R. 1171, the Stopping Addiction and Falls for the Elderly (SAFE) Act. No bill number. Discussed falls prevention. No bill number. Discussed hybrid long-term care and life insurance policies.

Client expense: $5,120,000 · Firm income: Not reported

Child passenger safety; Appropriations for the Indian Health Service - HIS; Appropriations for Environmental Programs (including EPA) - EPA; Maternal, Infant, and Early Childhood Home Visiting Program & Implementation - HRSA, CMS, HHS, ACF; Infant sleep product safety - CPSC; Lead exposure prevention - EPA, CDC, HUD, FDA; Food safety - FDA, EPA, CDC; Paid family and medical leave; Regulation of high-powered magnet sets - CPSC; Climate change, Inflation Reduction Act Implementation - EPA; Vehicle emissions standards - EPA, NHTSA; Button battery ingestions - CPSC; Early childhood education - HHS; Child product safety and injury prevention - CPSC; Child Abuse Prevention and Treatment Act (CAPTA) - HHS, ACF& ASPE; Family First Prevention Services Act implementation - HHS, ACF; Title IV-B - HHS, ACF; Congregate care reform - HHS, ACF; Mental health supports for foster youth/former foster youth - HHS, ACF; Mercury and Air Toxics Standards, ozone and particulate matter NAAQS, EPA greenhouse gas regulation - EPA; QRTP/IMDs - HHS, ACF; Firearm Violence Prevention (Including Research Funding; Background Checks) - WH Domestic Policy Council; WH Office of Gun Violence Prevention; CDC; NIH; DOJ; Childcare Funding & Resources - HHS, OCC; Native American Child Health - DOI; EPA, HHS, HIS; Water Beads - CPSC; Vaccines - HHS; Fluoride; Child Welfare & Medicaid, Social Services Block Grant (SSBG), Temporary Assistance for Needy Families (TANF), and Supplemental Nutrition Assistance Program (SNAP) Children and Teens Online Privacy Protection Act (S. 836); Legislation to Protect Young People Online; Pediatric Specialty Loan Repayment Program Funding and Program Implementation - Health Resources and Services Administration; Regulation of Tobacco Products - Department of Health and Human Services; Funding for Public Health Tobacco Programs; End Tobacco Loopholes Act (H.R. 1798/S. 819); Innovation in Pediatric Drugs Act; Reentry Act (H.R. 2586); Early Detection of Vision Impairments for Children Act (H.R. 2527); Protecting Patients from Deceptive Drug Ads Act (S. 652); National Institutes of Health & AHRQ Research Funding; H.R. 21/S. 6; Accelerating Kids Access to Care Act (H.R. 1509/S. 752); REINS Act (H.R. 142) FY26 Labor, Health and Human Services, and Education Appropriations Bill: Pediatric Subspecialty Loan Repayment Program, Firearm Injury and Mortality Prevention Research, Pediatric Mental Health Care Access Program, Emergency Medical Services for Children, National Center for Birth Defects and Developmental Disabilities, Global Immunization, Vaccine Injury Compensation Program, Antimicrobial Resistance, Maternal and Child Health; Newborn Screening Saves Lives Reauthorization Act; Strengthening the Vaccines for Children Program Act; FY26 National Defense Authorization Act; SSI Savings Penalty Elimination Act (/H.R.2590); Supplemental Security Income Equality Act (H.R. 2540); IDEA Full Funding Act (H.R.2598); PREEMIE Reauthorization Act (H.R. 1197); Supplemental Security Income/Social Security - Social Security Administration; Preventing Maternal Deaths Reauthorization Act of 2025 (H.R.1909); Artificial Intelligence; TRICARE; Medicaid; Maternal mental health/perinatal mental health; Vaccines; Lifespan Respite Care Reauthorization Act (S.830/H.R.2560); Early Detection of Vision Impairments for Children (EDVI) Act; FASD Respect Act (S. 139) FY26 SFOPS Appropriations - International Affairs Budget, USAID Operating Expenses, Maternal and Child Health, Vulnerable Children, IDA, MRA, UNICEF, PEPFAR; Executive Order: Reevaluating and Realigning United States Foreign Aid; PEPFAR Reauthorization Standards in ORR Custody - ORR, HHS; Licensure of ORR Shelters - ORR, HHS; Public Charge; Child Nutrition Reauthorization/WIC - USDA; SNAP/Farm Bill -USDA; Mental Health for Children - HRSA; DREAM Act; Medical Nutrition Equity Act; Lift the Bar Act; PAHPA Reauthorization; CARE for Families Act; WIC Act; MODERN WIC Act; Breastfeeding Peer Counseling Program - USDA; Public Health Preparedness and Response- ASPR; National Advisory Committee on Children and Disasters - ASPR; Research for Pregnant and Lactating Women -FDA, HHS, NIH; Advancing Safe Medications for Moms and Babies Act; Funding for Pediatric Device Consortia; Funding for Emergency Medical Services for Children Program; Funding for HRSA Pediatric Mental Health Care Access Program; Funding for WIC - OMB, USDA; Donor Milk; Dietary Guidelines - USDA, HHS; Child Poverty; Suicide Prevention - SAMHSA; School Meal Standards - USDA; WIC Food Packages -USDA; Universal School Meals - USDA, White House; Early Childhood Nutrition Improvement Act/CACFP; Unaccompanied Children; Equality Act; Youth Mental Health and Suicide Prevention; Child Tax Credit; Supporting Childrens Mental Health Care Access; Gender Affirming Care - HHS; Safety of Pediatricians and Childrens Hospitals - DOJ, HHS; Same Day Billing Restrictions in Mental Health; FAA Reauthorization/ Emergency Medical Kits; Drug Shortage Prevention Act; Prevention and Early Intervention Set-Aside in Mental Health Block Grant; Child Poverty Reduction; Improving Mental Health and Wellness in Schools; Therapeutic Fraud Prevention Act; School Meals Expansion; Innovation in Pediatric Drugs Act; Mental Health Parity - HHS, CMS; Sarah Katz Caffeine Safety Act; Protecting Sensitive Locations Act (H.R. 1061/S. 455) - HHS, DHS; Whole Milk - HHS Medicaid Payment Parity (including H.R. 1433 / S. 760 - Kids Access to Primary Care Act) - HHS/CMS; Access to Care in Medicaid/CHIP - HHS; Medicaid/CHIP federal funding - HHS; Accelerating Kids Access to Care Act (H.R. 1509 / S. 752); Vaccines for Children program improvements - HHS/CMS, CDC; Telehealth - DEA tele-prescribing, Medicare telehealth extension, CONNECT for Health Act (S. 1261) - HHS, DEA

NAPA Reauthorization Act (S. 133 / H.R. 619 - P.L. 118-92) Alzheimers Accountability and Investment Act (S. 134 / H.R. 620 - P.L. 118-93) Comprehensive Care for Alzheimers Act (S. 626 / H.R. 1637) Reauthorization of the BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) BOLD Infrastructure for Alzheimer's Reauthorization Act of 2024 (S. 3775/ H.R. 7218 - P.L. 118-142) Accelerating Access to Dementia & Alzheimers Provider Training (AADAPT) Act (S. 4276/H.R. 7688) Elizabeth Dole Home Care Act, of 2023 (S. 141 / H.R. 542) Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act (H.R. 8371) VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 (S. 10) Access to Innovative Treatments Act of 2023 (H.R. 2408) Mandating Exclusive Review of Individual Treatments (MERIT) Act (H.R. 133) Elder Justice Reauthorization and Modernization Act of 2023 (S. 1198/H.R. 2718) Expanding Veterans Options for Long-Term Care Act (S. 495/H.R.1815) Palliative Care and Hospice Education and Training Act (S. 2243) Facilitating Innovative Nuclear Diagnostics (FIND) Act of 2023 (S. 1544/H.R. 1199) Supporting Our Seniors Act (S. 2584) Alleviating Barriers for Caregiving Act (S. 3109) Credit for Caring Act of 2024 (S. 3702/H.R. 7165) Credit for Caring Act of 2025 (S. 925/H.R. 2036) Lifespan Respite Care Reauthorization Act of 2024 (S. 4325/H.R. 6160) Lifespan Respite Care Reauthorization Act of 2025 (S.830/H.R.2560) DeOndra Dixon INvestigation of Co-occurring Conditions across the Lifespan to Understand Down Syndrome (INCLUDE) Project Act of 2024 (H.R. 7406) Paid Family and Medical Leave Tax Credit Extension Act (S. 3680) Paid Family and Medical Leave Tax Credit Extension and Enhancement Act (S. 400/H.R. 996) CONNECT for Health Act of 2023 (S. 2016/H.R. 4189) PACE Part D Choice Act of 2023 (S. 1703/H.R. 3549) Improving Seniors' Access to Timely Care Act of 2024 (S. 4532/H.R. 8702) Harmonizing Environmental Analyses and Launching Therapeutic Hubs to Yield Bolstered Research And Innovation in Neurological Science (HEALTHY BRAINS) Act of 2024 (H.R. 9233) Better Empowerment Now to Enhance Framework and Improve Treatments Act of 2023 (BENEFIT)(S. 526/H.R. 1092) Essential Caregivers Act of 2024 (S. 4280/H.R. 8331) Ensuring Patient Access to Critical Breakthrough Products Act of 2024 (H.R. 1691) Linking Seniors to Needed Legal Services Act of 2024 (H.R. 8588) Amending the Rules of the House of Representatives to establish a Permanent Select Committee on Aging (H. Res. 1029) Catching Up Family Caregivers Act of 2024 (S. 5149 / H.R. 9764) Improving Retirement Security for Family Caregivers Act of 2024 (S. 5148 / H.R. 9765) Charitable Act (S. 317/H.R. 801) Other matters related to disaster preparedness and older adults, public health emergencies, public health preparedness and response, telehealth, health disparities, and older Americans/people with disabilities in all phases of emergencies Other matters related to Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer's Disease Other matters related to care payment models, including the GUIDE model Other matters related to Medicare care planning code 99483 Other matters related to health care workforce shortages Other matters related to home- and community-based services Other matters related to disaster preparedness and older adults Other matters related to Social Security Other matters related to technology-enabled collaborative learning and capacity-building models (Project ECHO) Other matters related to beta-amyloid PET scans Other matters related to selected diagnoses and services rendered under ICD-10 Other matters related to caregiving Other matters related to medical devices Other matters related to rural health Other matters related to veterans' health Other matters related to Tricare Other matters related to research Other matters related to biomarkers including blood based tests and cerebral spinal fluid (CSF) Other matters related to public health

S. 925 - Credit for Caring Act of 2025 H.R. 2036 - Credit for Caring Act of 2025 H.R. 2320 - The Mobility Means Freedom Tax Credit Act S. 830 - Lifespan Respite Care Reauthorization Act of 2025 H.R. 2560 - Lifespan Respite Care Reauthorization Act of 2025 H.R.1968 - Full-Year Continuing Appropriations and Extensions Act, 2025 H.Con.Res.14 - Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034. Commented and proposed recommendations on FDA's Considerations for the Use of Artificial Intelligence to Support Regulatory Decision-Making for Drug and Biological Products as well as FDA's Artificial Intelligence-Enabled Device Software Functions.

Client expense: $83,979 · Firm income: Not reported

ALS Better Care Act (Draft legislation) - Discussion around re introduction and provisions related to supplemental payment to designated ALS clinics that provide multidisciplinary services to people living with ALS. HELP Copays Act (S.864) -- Provisions related to health insurance plans requirement to apply payments made by or on behalf of plan enrollees toward a plan's cost-sharing requirements, i.e. a ban on copay-accumulator adjust programs. CONNECT for Health Act (S.1261) - provisions related to permanent telehealth services in Medicare and interstate telehealth services. Alleviating Barriers for Caregivers (ABC) Act (H.R.2491) - All provisions. Lifespan Respite Care Reauthorization Act (H.R. 2560/S.830) - all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2036/S.925 - Credit for Caring Act of 2025 H.R. 138, the Lowering Costs for Caregivers Act. H.R. 2491, the Alleviating Barriers for Caregivers Act. No bill number. Discussed the Connecting Caregivers to Medicare Act. H.R. 1305 - Improving Measurements for Loneliness and Isolation Act. H. Con. Res. 14/S. Con. Res. 7, the Budget Reconciliation Resolution. H.R. 1171 - Stopping Addiction and Falls for the Elderly (SAFE) Act. H.R. 996/ S. 400, the Paid Family and Medical Leave Tax Credit Extension and Enhancement Act of 2025. H.R. 2560/ S. 830, the Lifespan Respite Care Reauthorization Act of 2025. No bill number. Discussed legislation to amend the Public Health Service Act to reauthorize a lifespan respite care program. No bill number. Discussed access to home and community-based services, long-term services and supports, and post-acute care. No bill number. Discussed nursing home staffing and quality. No bill number. Discussed programs within Older Americans Act. No bill number. Discussed falls prevention. No bill number. Discussed the Essential Caregivers Act. No bill number. Discussed nutrition and SNAP changes. No bill number. Discussed Older Americans Act Reauthorization Act of 2024 No bill number. Discussed Americans Giving Care to Elders Act. H.R. 10445, the Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act of 2025 No bill number. Discussed Medicaid and family caregivers. No bill number. Discussed respite care. No bill number. Discussed Family Caregiver Awareness, Resources, and Education (CARE) Partnerships Act. P.L. 118-210, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. No bill number. Discussed the Expanding Veterans Options for Long Term Care Act. No bill number. Discussed the Caregiver Outreach and Program Enhancement (COPE) Act. No bill number. Discussed the Home Accessibility Tax Credit Act.

Funding for long-term supports and services workforce Expanding access to health care. Supporting a comprehensive approach to health equity and accountability H.R.1520 - Charlotte Woodward Organ Transplant Discrimination Prevention Act H.R. 6160- To amend the Public Health Service Act to reauthorize a lifespan respite care program S. 1227/H.R. 2491 Alleviating Barriers for Caregivers Act (ABC) S. 1398 FASD Respect Act S. 830/ H.R. 2560- Lifespan Respite Care Reauthorization Act

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

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

CMS Coverage of Seat Elevation and standing feature at CMS for power wheelchairs Coding changes to intermittent catheters at CMS Alleviating Barriers to Care Act HR8018/S3109 S1234 SSI Savings Penalty Elimination Act, HR2560/S830 Lifespan Respite Care Reauthorization Act of 2025

Client expense: $23,003 · Firm income: Not reported

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