Reentry Act of 2025

Lobbying Issues Description: Budget and appropriations for public health, disease and injury prevention, including obesity and related diseases; pandemics and emerging infectious diseases; physical activity; public health preparedness; nutrition programs; environmental health; health equity; community-based public health interventions; public health infrastructure and workforce; maternal health; substance misuse/behavioral health issues; vaccines and immunizations; antimicrobial resistance; public health data modernization; global health. Specific Legislation: 1.Preventing Adverse Childhood Experiences Act (Not yet introduced) 2.Mental Health Services for Students Act (H.R.5557) 3.Helping Kids Cope Act (Not yet introduced) 4.Advancing Student Services in Schools Today Act (S.2050) 5.Pursuing Equity in Mental Health Act (H.R.2904/S.1448) 6.RISE from Trauma Act (S.3461/H.R.6625) 7.Better Mental Health Care for Americans Act (Not yet introduced) 8.Reentry Act (H.R. 2586) 9.FY 2027 Labor, HHS, Education and Related Agencies Appropriations 10.FY 2027 Agriculture, Rural Development and Drug Administration Appropriations, provisions related to nutrition 11.Farm, Food, and National Security Act of 2026 12.Improving Social Determinants of Health Act (Not yet introduced) 13.The UNDERSTAND Act (Not yet introduced) 14.The TRUTH in Labeling Act (Not yet introduced) 15.Child Nutrition Reauthorization 16.Promoting Physical Activity for Americans Act (H.R. 6121) 17.Momnibus Act (H.R.7973) 18.Older Americans Act Reauthorization (S.2120) 19.Protecting the Health of Americas Older Adults Act (Not yet introduced) 20.Pandemic and All-Hazards Preparedness Act Reauthorization (Not yet introduced) 21.Public Health Infrastructure Saves Lives Act (Not yet introduced) 22.The Support for Patients and Communities Reauthorization Act (H.R. 2483/S.2121) 23.The PEER Support Act (H.R.2741/S.1329) 24.The Connecting Our Medical Providers with Links to Expand Tailored and Effective (COMPLETE) Care Act (S.931/ H.R.2509) 25.The 9-8-8 Implementation Act (H.R10280) 26.Local 988 Response Act (Not yet introduced) 27.Lead-Safe Housing for Kids Act (S. 5455) 28.The Kid PROOF Act (H.R.6396) 29.EARLY Minds Act (S.779/H.R.1735) 30.Campus Prevention and Recovery Services for Students Act (H.R.7019) 31.Stabilization to Prevent (STOP) Suicide Act (H.R.8124) 32.Womens Heart Health Expansion Act of 2026 (S.3944) 33.Childhood Diabetes Reduction Act (Not yet introduced) 34.Raising Awareness for Youth Suicide Prevention (RAYS) Act (H.R.7092/S.4061) 35.Campus Lifeline Act of 2026 (H.R.8657) 36.Improving Mental Health Access for Students Act (S.1924/H.R.3624) 37.9-8-8 CONNECT Act (H.R.8122) 38.Improving Non-medical Drivers of Health Act (Not yet introduced) 39.Alzheimers Screening and Prevention Act (H.R.6130) 40.Tech to Save Moms Act (S. 958/H.R. 8317) 41.BUILD America 250 Act (H.R.8870)/Surface transportation reauthorization 42.Extreme Heat Congressional Advisory Commission Act(H.R.9301) 43.Pioneering Antimicrobial Subscriptions to End Upsurging Resistance (PASTEUR) Act (HR 7252/S. 4875) 44.FY 2028 Labor, HHS, Education, and Related Agencies Appropriations 45.Barriers to Suicide Act (S.5558/H.R.3505) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, White House Domestic Policy Council, HHS, CDC, FDA, USDA, OMB, HRSA, SAMHSA, and Federal Communications Commission (FCC).

Client expense: $41,651 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

GHAI Overdose Initiative (under healthcare issue code): Legislation: FY 27 Appropriations bills H.R. 5629- To provide that the final rule of the Department of Health and Human Services titled "Medications for the Treatment of Opioid Use Disorder", except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect. H.R. 5630- To amend the Public Health Service Act to require additional information in State plans for Substance Use Prevention, Treatment, and Recovery Services block grants. H.R. 2741 - PEER Support Act S.2948 - WORK to Save Lives Act S. 3522 - No Red Tape Act H.R. 2741/ S. 1329 - Providing Empathetic and Effective Recovery (PEER) Support Act H.R. 2586 - Reentry Act H.R. 1510/ S. 1720 - Due Process Continuity of Care Act S. 5425 - Addiction Grants Modernization Act H.R. 9790/S.4941 - Modernizing Opioid Treatment Access Act 2.0 Issues: Medicaid prior authorization requirements Access to addiction treatment services Overdose prevention Racial disparities in overdose deaths Federal grant funding for addiction treatment services and harm reduction interventions Financing (grants) for behavioral health care services and programs Medicaid and Medicare coverage for addiction treatment services Medicaid funding and federal guidance related to harm reduction Medicaid-supported services during incarceration Congressional naloxone training Women in recovery Substance use disorder workforce expansion CDC Injury Prevention Center programs and funding Methadone access Agencies Visited: US House of Representatives US Senate

Client expense: $270,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1510/S.1720: Due Process Continuity of Care Act extends Medicaid to those in custody pending charges H.R. 1392: Improving Mental Healthcare in the Re-Entry System Act of 2025 creates grants for mental health screenings and referrals. Support for expanding reentry services for those leaving or about to leave incarceration, including the use of 1115 waivers -- H.R. 2502: Law Enforcement Training for Mental Health Crisis Response Act of 2025 funds behavioral health crisis response training for law enforcement and corrections officers. H.R. 2586: Reentry Act of 2025 allows Medicaid coverage for inmates 30 days before their release. H.R. 2879: Prison Staffing Reform Act of 2025 requires a comprehensive review and strategic plan to address understaffing in the Bureau of Prisons. H.R. 3312: SERVICE Act of 2025 establishes a pilot program to create veterans response teams within law enforcement agencies. H.R. 3372: Law Enforcement Scenario-Based Training for Safety and De-Escalation Act of 2025 establishes a scenario-based training curriculum for law enforcement. H.R. 3621: Public Safety and Mental Health Reporting Act mandates annual federal data collection and public reporting on law enforcement interactions with people with mental illness. H.R. 3658: 911 Community Crisis Responders Act of 2025 establishes a federal grant program to support unarmed, community-based crisis response teams for nonviolent 911 calls. S. 1843: Second Chance Reauthorization Act of 2025 reauthorizes and expands funding for reentry, substance abuse treatment, education, and support programs for formerly incarcerated individuals. S. 1897: A bill to amend the Omnibus Crime Control and Safe Streets Act of 1968 to establish the Adverse Childhood Experiences Response Team grant program, and for other purposes. S. 768: Invest to Protect Act of 2025 establishes a grant program to support local law enforcement agencies with training, mental health resources, and recruitment. S. 825: Fighting Post-Traumatic Stress Disorder Act of 2025 creates a program for providing PTSD treatment to public safety officers. S. 2248: Juvenile Justice and Delinquency Prevention Reauthorization Act reauthorize key delinquency prevention programs and bolster federal protections for incarcerated minors. H.R. 4024: Filling Public Safety Vacancies Act provides a boost to the federal grant program that provides funding to departments for recruitment and hiring. S.2532 Safe Response Act expands and updates first responder training programs H.R. 5725: Mental Health Crisis Response Act establishes a grant program to help implement health centered alternation to law enforcement for mental health emergencies H.R. 6002 Supporting Blue Envelope Program Act: Establish a grant program to support Blue Envelope programs for Autism Awareness S.2532 Safe Response Act expands and updates first responder training programs to address a wider range of drug related emergencies and increases funding. H.R. 6548: DHS Suicide Prevention and Resiliency for Law Enforcement Act creates a mental health and suicide prevention program for DHS law enforcement personnel. H.R. 7309: Reentry Resource Guide Act of 2026 creates a pilot program to help states develop digital guides connecting formerly incarcerated individuals with essential reentry resources. H.R. 7447: Community Risk Training and Response Act of 2026 establishes a grants for risk protection orders and crisis intervention programs. ___ H.R. 2668: DART Act of 2025 und and support diversion and rehabilitation programs through the Edward Byrne Memorial Justice Assistance Grant Program H.R. 2711: Invest to Protect Act of 2025 a grant program to support small local law enforcement agencies with training, mental health resources, and recruitment H.R. 8493: Peer Support for Our First Responders Act of 2026 working group to review and recommend best practices for peer-to-peer behavioral health programs for law enforcement officers and first responders H.R. 8690: Pregnant Women in Custody Act sets national standards to protect the health, rights, and dignity of pregnant and postpartum women in custody H.R. 8776: Officer Wellness and Peer Support Act of 2026 mandates a report on strategies to reduce mental health stigma and improve access to confidential mental health resources for law enforcement officers H.R.8976: Women in Criminal Justice Reform Act proposes sweeping, gender-responsive reforms across the criminal justice system S. 4514: Corrections Officer Blake Schwarz Suicide Prevention Act of 2026 program to provide mental health screenings, referrals, and support for corrections officers S.4819: Lifeline for First Responders Act grant program to support the mental health and wellness of first responders __ H.R. 8548: One Stop Shop Community Reentry Program Act of 2026 establishes a grant program to support community-based nonprofit organizations in creating and operating one-stop reentry centers. H.R. 8886: SMART Community Policing Act enhances community policing by focusing on mental health care and community safety. H.R. 9669: FACT Pilot Program Act establishes a grant program and evaluation to expand and assess forensic assertive community treatment teams. S. 4575: SMART Community Policing Act expand the authorized uses of Community Oriented Policing Services (COPS) funds. S. 5109: Training Rural Law Enforcement Officers Act of 2026 enables rural and small law enforcement agencies to access federally funded training through accredited nonprofits. S. 5543: STRONGER Act reauthorizes and updates federal support for residential substance use disorder treatment in correctional settings.

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

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

H.R. 5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217 - Rural Behavioral Health Improvement Act of 2025 H.R. 3684 - Save Americas Rural Hospitals Act S. 1941 - Cure Hepatitis C Act of 2025 H.R. 5081/S. 2709 - Telehealth Modernization Act H.R. 3108/S. 1535 - Rural Patient Monitoring Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199/S. 3934 - Medical Nutrition Therapy Act of 2025 H.R. 2509/S. 931 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 2586 - Reentry Act of 2025 H.R. 842/S. 339 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 683/H.R. 7324 - More Behavioral Health Providers Act S. 1261/H.R. 4206 - CONNECT for Health Act of 2025 H.R. 2172/S. 1058 - Preserving Patient Access to Home Infusion Act H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] H.R. 1227/S. 475 - the Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 2531/S. 1232 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 7787 - Mental Health Workforce Act H.R. 7106 - Enhancing Skilled Nursing Facilities Act H.R. 7973/S. 5283 - Momnibus Act H.R. 8163 - the Provider Reimbursement Stability Act H.R. 9693/S. 5672 - Patients First Act of 2026 Hospice certification and recertification Skilled nursing facility admitting examination and assessment requirements Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs Medicaid reform Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Public health and nursing workforce infrastructure Telehealth, remote patient monitoring and other forms of health technology Primary care payment reform Documentation of medical records Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic

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

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

H.R. 5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217 - Rural Behavioral Health Improvement Act of 2025 H.R. 3684 - Save Americas Rural Hospitals Act S. 1941 - Cure Hepatitis C Act of 2025 H.R. 5081/S. 2709 - Telehealth Modernization Act S. 1599/H.R. 6394 - Midwives for Maximizing Optimal Maternity Services (MOMS) Act S. 131/H.R. 392 - Providing Real-world Education and Clinical Experience by Precepting Tomorrows (PRECEPT) Nurses Act H.R. 4564 - Dillons Law H.R. 3108/S. 1535 - Rural Patient Monitoring Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199/S. 3934 - Medical Nutrition Therapy Act of 2025 H.R. 2509/S. 931 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 2586 - Reentry Act of 2025 H.R. 929/S. 266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 842/S. 339 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 683/H.R. 7324 - More Behavioral Health Providers Act S. 3435/H.R. 6607 - Future Advancement of Academic Nursing (FAAN) Act H.R. 1627 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 2319/S. 1157 - the Women and Lung Cancer Research and Preventive Services Act of 2025 S. 1261/H.R. 4206 - CONNECT for Health Act for 2025 H.R. 2172/S. 1058 - Preserving Patient Access to Home Infusion Act S. 1874/H.R. 3593 - Title VIII Nursing Workforce Reauthorization Act of 2025 H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] H.R. 1227/S. 475 - the Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act (Restore Act) H.Res. 389/S.Res. 206 - Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2025. S. 1482/H.R. 4407 - National Nursing Workforce Center Act of 2025 H.R. 2531/S. 1232 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1300 - Prostate-Specific Antigen (PSA) Screening for High-risk Insured Men (HIM) Act H.R. 7106 - Enhancing Skilled Nursing Facilities Act H.R. 5629 - To provide that the final rule of the Department of Health and Human Services titled "Medications for the Treatment of Opioid Use Disorder", except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect. H.R. 7787 - Mental Health Workforce Act S. 4186/H.R. 8089 - Perinatal Workforce Act H.R. 7973/S. 5283 - Momnibus Act S. 3707/H.R. 7279 - Nurse Faculty Shortage Reduction Act. H.R. 7602 - State of Men's Health Act H.Res. 1264/S.Res. 709 - Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2026. H.R. 8163 - the Provider Reimbursement Stability Act H.R. 8261 - Chronic Care Management Improvement Act S. 5269 - Pay PCPs Act of 2026 H.R. 10410 - Educating Future Nurses Act H.R. 4464 - Preventive Health Savings Act Affordability of health insurance coverage Tobacco prevention Hospice certification and recertification Immunization policies H.R. 9257/S. 4754 - Primary and Behavioral Health Care Access Act Skilled nursing facility admitting examination and assessment requirements Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Health plan coverage and program requirements, including provider non-discrimination, network adequacy and prior authorization Nursing faculty and workforce shortage Nursing education Include nurses, APRNs, and nursing students in all national public health plans Rural health care issues, including rural workforce and reimbursement Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs Medicaid reform Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Public health and nursing workforce infrastructure Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Site specific restrictions on providers under DEA controlled substances policy Telehealth, remote patient monitoring and other forms of health technology Primary care payment reform Documentation of medical records

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

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

Regulation regarding opioids, regulation of fentanyl and methadone access related issues H.R.9790/S.4941, Modernizing Opioid Treatment Access Act, Entirety H.R.5629, To provide that the final rule of the Department of Health and Human Services titled "Medications for the Treatment of Opioid Use Disorder", except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect, Entirety Monitor the following: H.R.9260, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027, Proposed consolidation of block grants and SAMSHA S.3522, No Red Tape For Addiction Treatment Act, Entirety H.R.2586, Reentry Act of 2025, Entirety Substance Use Disorder, Medicaid Coverage for MATs Medication-Assisted Treatment (MAT) delivery related issues Substance Use Disorders, Training related issues Telehealth for providing Medication-Assisted Treatment (MAT) Public Law 119-75, Consolidated Appropriations Act, 2026, Division B - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026, Proposed consolidation of block grants and SAMSHA S.4941, A bill to expand access to methadone through alternative care models using pharmacies, Entirety

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.9790/S.4941, Modernizing Opioid Treatment Access Act, Entirety Monitor the following: H.R.2586, Reentry Act of 2025, Entirety Substance Use Disorder, Medicaid Coverage for MATs Medication-Assisted Treatment (MAT) delivery related issues Substance Use Disorders, Training related issues Telehealth for providing Medication-Assisted Treatment (MAT) Public Law 119-75, Consolidated Appropriations Act, 2026, Division B - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026, Proposed consolidation of block grants and SAMSHA S.4941, A bill to expand access to methadone through alternative care models using pharmacies, Entirety

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Federal policy relating to substance use prevention and treatment, including: Reentry Act (H.R. 2586 / draft Senate bill); Due Process Continuity of Care Act (S. 1720 / H.R. 1510); PEER Support Act (S. 1329 / H.R. 2741); No Red Tape For Addiction Treatment Act (S. 3522); WORK To Save Lives Act (S. 3812 / H.R. 7479). FY2027 Labor HHS Appropriations bill (H.R. 9260, no Senate bill), provisions relating to substance use prevention and treatment funding and policy.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 929/S.266 - Lorna Breen Health Care Provider Protection Reauthorization H.R. 593 - Strengthening Pathways to Health Professions Act H.R. 1153 - Rural America Health Corps Act H.R. 1227/S.475 - Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 1735/S.779 - EARLY Minds Act H.R. 1448 - PEER for Mental Health Act H.R. 1909/S.2621 - Preventing Maternal Deaths Reauthorization Act of 2025 H.R. 957 - Parity Enforcement Act H.R. 2509/S.931 - COMPLETE Care Act H.R. 4206/S.1261 - CONNECT for Health Act H.R. 2586 - Reentry Act of 2025 H.R. 3884/S.2011 - Telemental Health Care Access Act of 2025 H.R. 4619 - Medicare Mental Health Inpatient Equity Act S. 1062 - Suicide Prevention Act H.R. 912 - 9-8-8 Lifeline Cybersecurity Act H.R. 2483/S.2121 - SUPPORT for Patients and Communities Reauthorization Act of 2025 H.R. 3655 - STAR Plus Scholarship Act H.R. 3885/S.3989 - Community TEAMS Act H.R. 3164 - Ensuring Community Access to Pharmacist Services (ECAPS) Act H.R. 4681/S. 1379 - Specialty Physicians Advancing Rural Care (SPARC) Act Conversations with Congressional offices on Teaching Health Center Graduate Medical Education (THCGME) H.R.3505/S.5558 - Barriers to Suicide Act H.R. 5434/S. 2826 - 988 LGBTQ+ Youth Access Act H.R.5509 /S.2903 - Safe Step Act H.R. 5557 - Mental Health Services for Students Act H.R. 3514/S.1816 - Improving Seniors Timely Access to Care Act S. 3064 - Relief of Chronic Pain Act H.R.6672 - Mental Health Professionals Workforce Shortage Loan Repayment Act Conversations regarding mental health parity enforcement Communication with Congressional offices on SAMHSA grant terminations Input on Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) modernization Communication with Congressional offices on ghost networks H.R.7092 - RAYS Act Support of funding for gun violence prevention research at CDC, NIH and NIJ. S.4076 - Removing Medicare Mental Health Inpatient Limitations Act of 2026 Letter supporting funding for Maternal Mental Health and Substance Use Disorder Programs (MMHSUD) and National Maternal Mental Health Hotline. H.R. 5629 - To provide that the final rule of the Department of Health and Human Services titled Medications for the Treatment of Opioid Use Disorder except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect H.R. 7994 - The HERO Act H.R. 8124 - STOP Suicide Act H.R. 8201 - Expanding Community Access to Health Services Act Letter expressing concerns over H.R. 5629 and H.R. 5630 H.R. 9044 - Minority Fellowship Program Reauthorization Act of 2026 H.R. 8163 - Provider Reimbursement Stability Act H.R.8961 - Student Suicide Prevention Awareness Act H.Res.1329 - Expressing support for the designation of May 2026 as Mental Health Awareness Month H.R.8989 - Evidence-Based Youth Suicide Prevention Act of 2026 H.R.8122/ S.4640 - 9-8-8 Connect Act H.R.8811/S.4552 - Moms Matter Act H.R.9257 - Primary and Behavioral Health Care Access Act H.R.8487/S.3401 - Ensuring Excellence in Mental Health Act H.R. 9948 - Addictive Design Act H.R. 9551 - Mental Health Parity Enforcement and Funding Act H.R. 9693 - Patients First Act S.4916 - Aging with Artificial Intelligence Act of 2026 H.R.9538 - Residential Recovery for Seniors Act H.R.10216 - Public Transit Mental Health Awareness Act H.R. 8657 - Campus Lifeline Act H.R. 10349 - Emergency Responders Mental Health Training (EMT) Act H.R. 10210 - Doctors Not AI Act H.R. 8693/S.3062 - GUARD Act H.R.10280 - 9-8-8 Implementation Act of 2026 Letter supporting Project AWARE funding Letter urging prior authorization and step therapy reform National Health Service Corps extension Community Health Center funding extension H.R. 1 implementation impacts on Medicaid Conversation regarding vaccine recommendations and public health Response to HRSA RFI on the Safe Administration of Psychedelic Therapies

Client expense: $144,050 · Firm income: Not reported

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

H.R. 8487/S.3402 - Ensuring Excellence in Mental Health Act; H.R. 1510/S. 1720 - The Due Process Continuity of Care Act; H.R. 2741/S. 1329 - The Providing Empathetic and Effective Recovery (PEER) Support Act, H.R. 2586 -Reentry Act of 2025; H.R. 8081/S. 4202 - Mental Health Access and Provider Supports Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HCR: Federal policy relating to substance use prevention and treatment, including: Reentry Act (H.R. 2586 / draft Senate bill); Due Process Continuity of Care Act (S. 1720 / H.R. 1510); PEER Support Act (S. 1329 / H.R. 2741); No Red Tape For Addiction Treatment Act (S. 3522); WORK To Save Lives Act (S. 3812 / H.R. 7479). H.R.7148 - Consolidated Appropriations Act, 2026, provisions relating to substance use prevention and treatment funding and policy. H.R.5629 - To provide that the final rule of the Department of Health and Human Services titled "Medications for the Treatment of Opioid Use Disorder", except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect. H.R.5630 - To amend the Public Health Service Act to require additional information in State plans for Substance Use Prevention, Treatment, and Recovery Services block grants. FY2027 Labor HHS Appropriations bill (no bill), provisions relating to substance use prevention and treatment funding and policy. (HR9260)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Prison Reform; Implementation of Federal Prison Oversight Act; (H.R.5883/S.3077) Safer Supervision Act of 2025; Implementation of First Step Act; (H.R.3552,S.1843) Second Chance Reauthorization Act of 2025; (S.Res.668;H.Res. 1173) Second Chance Month Bicameral Resolutions; (H.R.2586)Reentry Act of 2025; (H.R.2718,S.1322) Family Notification of Death, Injury, or Illness in Custody Act of 2025; (H.R. 59) Mens Rea Reform Act of 2025; (H.R. 2159/S. 3868) Count the Crimes to Cut Act of 2025; PREA funding; (H.R.5109) TWICE Act, BOP ID Act (H.R.5152); PREA; (H.R.7765) Fair Future Act; Restore Act of 2025 (H.R.5223); Safer Detention Act (S.3485); First Step Implementation Act of 2025 (S.3482); (S.4500;H.R.8746) VICTIM Act)

Client expense: Not reported · Firm income: $33,000

Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE, White House Office

Issues related to the oversight of the Federal Bureau of Prisons; community supervision and reentry; reauthorization of the Second Chance Act; support for second chance initiatives and prisoner reentry; efforts to secure grant funding for law enforcement to investigate violent crime and homicides; engagement with the White House Office of Faith; S. 1843 / H.R. 3552 - Second Chance Reauthorization Act of 2025; S. 1322 / H.R. 2718 -Family Notification of Death, Injury, or Illness in Custody Act of 2025; H.R. 2586-Reentry Act of 2025; H.R. 2159-Count the Crimes to Cut Act of 2025; H.R. 59-Mens Rea Reform Act of2025; H.R. 5242; HR 5152, BOP Release Card ID Act of 2025; HR 5109 - TWICE Act; HR 5883/S.3077- Safer Supervision Ac; HR 6003 - Justice Involved Veterans Support Act; S. 3485 Safer Detention Act; S. 3482 First Step Implementation Act; HR 7765 Fair Future Act; and Second Chance Month Resolutions for both House and Senate.

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

Government targets: Bureau of Prisons (BOP), HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Office of Faith-Based & Community Initiatives, SENATE

Reentry Act of 2025 (H.R. 2586), all provisions related to allowing Medicaid coverage for eligible incarcerated individuals to be re-established up to 30 days before their release from jail or prison. Due Process Continuity of Care Act (H.R. 1510/S.1720), all provisions related to amending the Medicaid Inmate Exclusion Policy to allow incarcerated individuals to sustain their Medicaid coverage prior to a conviction.

Client expense: $140,923 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

NETWORK supports The Reentry Support Act (HR 2586) which would allow for Medicaid payment of medical services furnished to an incarcerated individual during the 30-day period preceding the individual's release. NETWORK strongly supports the Second Chance Reauthorization Act of 2025 (S.1843 / H.R.3552) and seeks reauthorize of these grant programs through FY2030. Funding is critical for reentry programs that help formerly incarcerated individuals successfully transition back into their communities.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Creation of a Medicare graduate nursing education program Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Medicare and Medicaid policies related to telehealth services Medicaid eligibility expansion and state options Medicaid waiver application procedures Implementation of provisions of the One Big, Beautiful Bill Act (PL 119-21), including the Rural Health Transformation Program Inclusion of nurse practitioners in the bonus program for clinicians practicing in primary care Health Professional Shortage Areas (HPSAs) H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 2531/S. 1232, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2586, Reentry Act of 2025 H.R. 4619, Medicare Mental Health Inpatient Equity Act of 2025 H.R. 4773/S. 3350, ACO Assignment Improvement Act of 2025 H.R. 4849/S. 2556, Protecting Health Care and Lowering Costs Act H.R. 5081/S. 2709, Telehealth Modernization Act H.R. 5199, Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217, Rural Behavioral Health Improvement Act of 2025 H.R. 6199/S. 3934, Medical Nutrition Therapy Act of 2025 H.R. 7106, Enhancing Skilled Nursing Facilities Act H.R. 7787, Mental Health Workforce Act H.R. 7973, Momnibus Act S. 717/H.R. 6894, Increasing Access to Quality Cardiac Rehabilitation Care Act S. 1261/H.R. 4206, CONNECT for Health Act of 2025 S. 2954, Health Care Workforce Expansion Act of 2025

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

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Creation of a Medicare graduate nursing education program Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Medicare and Medicaid policies related to telehealth services Medicaid eligibility expansion and state options Medicaid waiver application procedures Protection and improvement of Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit Implementation of provisions of the One Big, Beautiful Bill Act (PL 119-21), including the Rural Health Transformation Program Inclusion of nurse practitioners in the bonus program for clinicians practicing in primary care Health Professional Shortage Areas (HPSAs) H.R. 498, Do No Harm in Medicaid Act H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 2172/S. 1058, Preserving Patient Access to Home Infusion Act H.R. 2531/S. 1232, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2586, Reentry Act of 2025 H.R. 3108/S. 1535, Rural Patient Monitoring Access Act H.R. 3684, Save Americas Rural Hospitals Act H.R. 4619, Medicare Mental Health Inpatient Equity Act of 2025 H.R. 4773/S. 3350, ACO Assignment Improvement Act of 2025 H.R. 4849/S. 2556, Protecting Health Care and Lowering Costs Act H.R. 5081/S. 2709, Telehealth Modernization Act H.R. 5199, Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217, Rural Behavioral Health Improvement Act of 2025 H.R. 6199/S. 3934, Medical Nutrition Therapy Act of 2025 H.R. 7106, Enhancing Skilled Nursing Facilities Act H.R. 7787, Mental Health Workforce Act H.R. 7973, Momnibus Act S. 683/H.R. 7324, More Behavioral Health Providers Act S. 717/H.R. 6894, Increasing Access to Quality Cardiac Rehabilitation Care Act S. 1261/H.R. 4206, CONNECT for Health Act of 2025 S. 1816/H.R. 3514, Improving Seniors Timely Access to Care Act S. 2954, Health Care Workforce Expansion Act of 2025

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

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

GHAI Overdose Initiative (under healthcare issue code): Legislation: FY 27 Appropriations bills Modernizing Opioid Treatment Access Act S. 1165/H. R. 2586, Reentry Act H.R. 5629 Issues:  Medicaid prior authorization requirements Access to medications for opioid use disorder Overdose prevention Racial disparities in overdose deaths Financing (grants) for behavioral health care services and programs FY 2027 National Drug Control Policy Medicaid funding and federal guidance related to harm reduction Agencies Visited:  Centers for Disease Control and Prevention US House of Representatives  US Senate Substance Abuse and Mental Health Services Administration

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Draft, Medicare Compare Website (no bill number) - Rep. Guthrie, Brett - improvements to CMS' Medicare compare website H.R. 1 - One Big Beautiful Bill Act - Rep. Arrington, Jodey - Medicaid eligibility and state financing, Marketplace coverage and enrollment, Health Savings Account expansion, Pharmacy Benefit Manager financing and regulation H.R. 497 - Medicaid Third Party Liability Act - Rep. Crenshaw, Dan - Medicaid liable third-party exceptions H.R. 538 - Critical Access Hospital Relief Act - Rep. Smith, Adrian - Medicare physician certification requirement H.R. 584 - No Medicaid for Illegal Immigrants Act - Rep. Kiley, Kevin - Medicaid eligibility requirements H.R. 608 - COVER Now Act - Rep. Doggett, Lloyd - Medicaid expansion demo H.R. 610 - Close the Medigap Act - Rep. Doggett, Lloyd - Medigap plan reform H.R. 879 - Medicare Patient Access and Practice Stabilization Act - Rep. Murphy, Gregory - Medicare physician reimbursement H.R. 936 - Medicaid Improvement and State Flexibility Act - Rep. Green, Mark - Medicaid demonstration programs H.R. 1019 - Medicaid Program Improvement Act - Rep. Miller-Meeks, Mariannette - Medicaid management care reporting H.R. 1059 - Jobs and Opportunities for Medicaid Act - Rep. Crenshaw, Dan - Medicaid eligibility requirements H.R. 1162 - Medicaid Primary Care Improvement Act - Rep. Crenshaw, Dan - Medicaid direct primary care arrangements H.R. 1191 - Supporting Access to Rural Community Hospitals Act - Rep. Flood, Mike - Medicare critical access hospitals definition H.R. 1195 - Protect Medicaid Act - Rep. Hudson, Richard - Medicaid eligibility requirements H.R. 1279 - To amend title XIX of the Social Security Act to establish a community engagement requirement for certain individuals under the Medicaid program. - Rep. Bean, Aaron - Medicaid eligibility requirements H.R. 1403 - LIVE Beneficiaries Act - Rep. Bilirakis, Gus - Medicaid registration audits H.R. 1598 - Ensuring Access to Medicaid Buy-in Programs Act - Rep. Ciscomani, Juan - Medicaid eligibility requirements H.R. 1683 - Protecting Rural Seniors' Access to Care Act - Rep. Fischbach, Michelle - Minimum nursing home staffing H.R. 1775 - Second Chances for Rural Hospitals Act - Rep. Arrington, Jodey -Definition of rural emergency hospitals H.R. 1805 - ARCH Act - Rep. Miller, Carol - Extend Medicare-dependent and low-value hospitals payments H.R. 1924 - Securing Access to Care for Seniors in Critical Condition Act - Rep. Hern, Kevin - Medicare site-neutral payments for LTC hospitals H.R. 2045 - Medicare Dental, Vision, and Hearing Benefit Act - Rep. Doggett, Lloyd - Medicare dental, vision, and hearing coverage H.R. 2263 - Telehealth Coverage Act - Rep. Khanna, Ro - Telehealth flexibilities in Medicare H.R. 2309 - Medicare and Medicaid Fraud Prevention Act - Rep. Peters, Scott - provider screening for Federal programs H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act - Rep. Green, Mark - Medicare Advantage prior authorization H.R. 2533 - EASE Act - Rep. Arrington, Jodey - CMS model for virtual technology H.R. 2586 - Reentry Act - Rep. Tonko, Paul - Medicaid coverage for incarcerated population H.R. 2590 - Mental and Physical Health Care Comorbidities Act - Rep. Boyle, Brendan - CMS demonstration to treat comorbidities H.R. 2610 - Protecting Options for Seniors Act - Rep. Tenney, Claudia - MA wage index reclassification H.R. 3023 - Preventing Hospital Overbilling of Medicare Act - Rep. Spartz, Victoria - Site-neutral payment reform H.R. 3069 - Medicare for All Act - Rep. Jayapal, Pramila - New national health insurance program H.R. 3222 - SMART Health Care Act - Rep. Spartz, Victoria - MA risk adjustment H.R. 3263 - PATCH Act - Rep. Tokuda, Jill - Medicare geographic practice cost indices H.R. 3321 - Ending Medicaid Discrimination Against the Most Vulnerable Act - Rep. Roy, Chip - Enhance FMAP phase out H.R. 3415 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Rep. Schakowsky, Janice - Nurse staffing ratio requirements H.R. 3467 - To amend title XVIII to reform the Medicare Advantage program - Rep. Schweikert, David - MA reforms H.R. 3808 - Expanding Seniors Access to Mental Health Services Act - Rep. Fitzpatrick, Brian - Medicare mental health services H.R. 4093 - Apples to Apples Comparison Act - Rep. Bean, Aaron - Medicare and Medicare Advantage spending reports H.R. 4139 - Cutting Copays Act - Rep. McGarvey, Morgan - Medicare cost-sharing for generic drugs H.R. 4277 - Rural Emergency Hospital Financial Stability Act - Rep. Davis, Donald - Medicaid treatment of rural emergency hospitals H.R. 4313 - Hospital Inpatient Services Modernization Act - Rep. Buchanan, Vern - Acute hospital care at home waiver H.R. 4559 - Prompt and Fair Pay Act - Rep. Doggett, Lloyd - Payment parity for MA and FFS; MA reimbursement requirements H.R. 4641 - Keep Kids Covered Act - Rep. Castor, Kathy - Continuous eligibility for children in Medicaid/CHIP H.R. 4807 - Protect Our Hospitals Act - Rep. Landsman, Greg - Medicaid provider tax repeal H.R. 5243 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. - Rep. McClellan, Jennifer - MA supplemental benefits data reporting H.R. 5281 - REAL Health Providers Act - Rep. Panetta, Jimmy - MA provider directory requirements H.R. 5584 - Medicaid Third Party Liability Act - Rep. Burgess, Michael - Impact of Third Party Liability on MCOs H.R. 6109 - To amend title XVIII of the Social Security Act to establish certain requirements with respect to rates of reversed prior authorization coverage determinations under Medicare Advantage plans. - Rep. Pocan, Mark - prior authorization under Medicare Advantage H.R. 6110 - To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage. - Rep. Pocan, Mark - reconsider denials under Medicare Advantage H.R. 6111 - To amend title XVIII of the Social Security Act to require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under such plan. - Rep. Pocan, Mark - advertise rates of prior authorization denials under Medicare Advantage H.R. 6112 - To amend title XVIII of the Social Security Act to establish certain requirements with respect to the average monthly cost to provide coverage to an enrollee under Medicare Advantage plans. - Rep. Pocan, Mark - require monthly coverage cost to enrollees under Medicare Advantage H.R. 6113 - To amend title XVIII of the Social Security Act to impose limitations on contracts with Medicare Advantage organizations offering multiple Medicare Advantage plans under the Medicare program. - Rep. Pocan, Mark - limit multiple Medicare Advantage plans H.R. 6114 - To prohibit funds made available to the Department of Health and Human Services by previous Appropriations Acts from being used for any activity that makes Medicare Advantage the default under the Medicare program. - Rep. Pocan, Mark - prohibit Medicare Advantage from becoming the default H.R. 6254 - Medicaid Staffing Flexibility and Protection Act of 2025 - Rep. Carter, Earl - extend eligibility determinations and redeterminations for Medicaid H.R. 6361 - Ban AI Denials in Medicare Act - Rep. Landsman, Greg - limit WISeR model H.R. 6951 - Stop Unfair Medicaid Recoveries Act - Rep. Schakowsky, Janice - State Medicaid cost recoupment H.R. 6974 - Improving MA SNP Act of 2026 - Rep. Arrington, Jodey - MA SNP beneficiary approval H.R. 7189 - PrEP Access Act - Rep. Pocan, Mark - HIV prevention services under Medicare H.R. 7409 - Defend Rural Health Act - Rep. Taylor, Dave - Medicare definition of rural hospital H.R. 7727 - Sustaining Rural Healthcare Act - Rep. Alford, Mark - Medicare CAH designation H.R. 7778 - Medicaid PNA Modernization Act - Rep. Subramanyam, Suhas - Medicaid minimum monthly personal needs allowance H.R. 7803 - Save Medicare Act - Rep. Pocan, Mark - Renames Medicare Advantage H.R. 7871 - MVP Act - Rep. Guthrie, Brett - Value-based purchasing arrangements in Medicaid H.R. 8375 - Medicare Advantage Improvement Act - Rep. Joyce, John - MA programmatic reforms H.R. 8377 - Stop Deadly Denials Act - Rep. Khanna, Ro - MA prior authorization prohibition H.R. 8875 - Improving Home Dialysis Act - Rep. Miller, Carol - Home dialysis coverage under Medicare S. 523 - Protect Medicaid Act - Sen. Cassidy, Bill - Medicaid eligibility requirements S. 678 - LIVE Beneficiaries Act - Sen. Scott, Rick - Medicaid enrollment audits S. 717 - Increasing Access to Quality Cardiac Rehabilitation Care Act - Sen. Capito, Shelley Moore - Expanding cardiac care coverage in Medicare S. 750 - Protecting Rural Seniors' Access to Care Act - Sen. Fischer, Deb - Medicaid nursing home staff requirements S. 752 - Accelerating Kids' Access to Care Act - Sen. Grassley, Chuck - Out-of-state provider access for Medicaid S. 939 - Medicare Dental, Hearing, and Vision Expansion Act - Sen. Sanders, Bernard - Medicare coverage requirements S. 1082 - Safeguarding Medicaid Act - Sen. Barrasso, John - Medicaid enrollee asset verification S. 1105 - No UPCODE Act - Sen. Cassidy, Bill - MA risk adjustment S. 1264 - Mental and Physical Health Care Comorbidities Act - Sen. Bennet, Michael - CMS demonstration to treat comorbidities S. 1399 - Health Tech Investment Act - Sen. Rounds, Mike - Medicare coverage for algorithm-based services S. 1506 - Medicare for All Act - Sen. Sanders, Bernard - New national health insurance program S. 1624 - PATCH Act - Sen. Schatz, Brian - Medicare geographic practice cost indices S. 1629 - Same Care, Lower Cost Act - Sen. Kennedy, John - Medicare site-neutral payment reform S. 1637 - MVP Act - Sen. Mullin, Markwayne - Medicaid value-based purchasing agreements S. 1709 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Sen. Padilla, Alex - Nurse staffing ratio requirements S. 1816 - Improving Seniors' Timely Access to Care Act - Sen. Marshall, Roger - MA prior authorization S. 1903 - A bill to prohibit changes to Medicare and Medicaid in reconciliation - Sen. Reed, Jack - Medicare and Medicaid safeguards against reconciliation cuts S. 2237 - Hospital Inpatient Services Modernization Act - Sen. Scott, Tim - Acute hospital care at home waiver S. 2279 - Protect Medicaid and Rural Hospitals Act - Sen. Hawley, Josh - Medicaid provider tax and State directed payments S. 2289 - Healthy Moms and Babies Act - Sen. Grassley, Chuck - Medicaid/CHIP maternal health coverage improvements S. 2496 - Keep Kids Covered Act - Sen. Bennet, Michael - Continuous eligibility for children in Medicaid/CHIP S. 2497 - Fair Billing Act - Sen. Hassan, Maggie - Medicare site-neutral transparency and identification requirements S. 2556 - Protecting Healthcare and Lowering Costs Act - Sen. Schumer, Charles - repeal of Medicaid provisions in the One Big Beautiful Bill Act S. 2793 - Ensuring Access to Essential Providers Act - Sen. Cassidy, Bill - Essential community provider coverage requirements for MA S. 3642 - WALZ Act - Sen. Marshall, Roger - Medicaid payment investigation and audits S. 3690 - Ensuring Access to Medicaid Buy-in Programs - Sen. Blackburn, Marsha - Medicaid eligibility parameters S. 3727 - Putting an N to Learing about Fraud Act - Sen. Ernst, Joni - Federal program fraud prevention S. 3729 - PBM Reporting Transparency Act - Sen. Warner, Mark - MedPAC reports on PBMs S. 3750 - REAL Health Providers Act - Sen. Bennet, Michael - MA provider directory accuracy S. 3762 - Prior Authorization Relief Act - Sen. Whitehouse, Sheldon - MA prior authorization restrictions S. 3848 - Apples to Apples Comparison Act - Sen. Scott, Tim - Medicare and Medicare Advantage spending reports S. 3886 - Nurses Belong in Nursing Homes Act - Sen. Wyden, Ron - Nursing home staffing hours S. 4384 - Medicare Advantage Improvement Act - Sen. Marshall, Roger - MA programmatic reforms Issues related to mental health and Medicare; Medicare and Medicaid funding; Medicaid expansion; State innovation waivers; Medicaid and CHIP; Medicaid FMAP; Medicare Supplement Coverage; Medicare Transparency in Coverage; Waste Fraud and Abuse; Medicaid Access Final Rule; Medicaid Redeterminations; Medicaid rate actuarial soundness; value of Medicaid Managed Care; value of Medicare Advantage; Medicare Advantage Health Risk Assessment and chart reviews; Medicare Advantage supplemental benefits and Social Determinants of health; CBO estimates of MA and FFS costs; coverage of weight loss drugs; Inflation Reduction Act implementation; Medicare Advantage Rate Notice; Part D Payment Issues; Part D VBID Issues; RADV; MA payment issues; Part D issues; prior authorization; MA prompt pay; agent/broker issues; MA reporting requirements; MA provider networks and network adequacy; implementation of the One Big Beautiful Bill Act; Medicaid provider taxes; Medicaid community engagement requirements; and VA's community care program.

Client expense: $3,010,000 · Firm income: Not reported

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

Lobbying Issues Description: Budget and appropriations for public health, disease and injury prevention, including obesity and related diseases; pandemics and emerging infectious diseases; physical activity; public health preparedness; nutrition programs; environmental health; health equity; community-based public health interventions; public health infrastructure and workforce; maternal health; substance misuse/behavioral health issues; vaccines and immunizations; antimicrobial resistance; public health data modernization; global health. Specific Legislation: 1.Preventing Adverse Childhood Experiences Act (Not yet introduced) 2.Mental Health Services for Students Act (H.R.5557) 3.Helping Kids Cope Act (Not yet introduced) 4.Advancing Student Services in Schools Today Act (S.2050) 5.Pursuing Equity in Mental Health Act (H.R.2904/S.1448) 6.RISE from Trauma Act (S.3461/H.R.6625) 7.Better Mental Health Care for Americans Act (Not yet introduced) 8.Reentry Act (H.R. 2586) 9.FY 2027 Labor, HHS, Education and Related Agencies Appropriations 10.FY 2027 Agriculture, Rural Development and Drug Administration Appropriations, provisions related to nutrition 11.Farm, Food, and National Security Act of 2026 12.Improving Social Determinants of Health Act (Not yet introduced) 13.The UNDERSTAND Act (Not yet introduced) 14.The TRUTH in Labeling Act (Not yet introduced) 15.Child Nutrition Reauthorization 16.Promoting Physical Activity for Americans Act (H.R. 6121) 17.Momnibus Act (H.R.7973) 18.Older Americans Act Reauthorization (S.2120) 19.Protecting the Health of Americas Older Adults Act (Not yet introduced) 20.Pandemic and All-Hazards Preparedness Act Reauthorization (Not yet introduced) 21.Public Health Infrastructure Saves Lives Act (Not yet introduced) 22.The Support for Patients and Communities Reauthorization Act (H.R. 2483/S.2121) 23.The PEER Support Act (H.R.2741/S.1329) 24.The Connecting Our Medical Providers with Links to Expand Tailored and Effective (COMPLETE) Care Act (S.931/ H.R.2509) 25.The 9-8-8 Implementation Act (Not yet introduced) 26.Local 988 Response Act (Not yet introduced) 27.Lead-Safe Housing for Kids Act (Not yet introduced) 28.The Kid PROOF Act (H.R.6396) 29.EARLY Minds Act (S.779/H.R.1735) 30.Campus Prevention and Recovery Services for Students Act (H.R.7019) 31.Stabilization to Prevent (STOP) Suicide Act (H.R.8124) 32.Womens Heart Health Expansion Act of 2026 (S.3944) 33.Childhood Diabetes Reduction Act (Not yet introduced) 34.Raising Awareness for Youth Suicide Prevention (RAYS) Act (H.R.7092/S.4061) 35.Campus Lifeline Act of 2026 (H.R.8657) 36.Improving Mental Health Access for Students Act (S.1924/H.R.3624) 37.9-8-8 CONNECT Act (H.R.8122) 38.Improving Non-medical Drivers of Health Act (Not yet introduced) 39.Alzheimers Screening and Prevention Act (H.R.6130) 40.Tech to Save Moms Act (S. 958/H.R. 8317) 41.BUILD America 250 Act (H.R.8870)/Surface transportation reauthorization House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, White House Domestic Policy Council, HHS, CDC, FDA, USDA, OMB, HRSA, SAMHSA, and Federal Communications Commission (FCC).

Client expense: $41,945 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

NETWORK supports The Reentry Support Act (HR 2586) which would allow for Medicaid payment of medical services furnished to an incarcerated individual during the 30-day period preceding the individual's release. NETWORK strongly supports the Second Chance Reauthorization Act of 2025 (S.1843 / H.R.3552) and seeks reauthorize of these grant programs through FY2030. Funding is critical for reentry programs that help formerly incarcerated individuals successfully transition back into their communities.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Federal policy relating to substance use prevention and treatment, including: Reentry Act (H.R. 2586 / draft Senate bill); Due Process Continuity of Care Act (S. 1720 / H.R. 1510); PEER Support Act (S. 1329 / H.R. 2741); No Red Tape For Addiction Treatment Act (S. 3522); WORK To Save Lives Act (S. 3812 / H.R. 7479). FY2027 Labor HHS Appropriations bill (H.R. 9260, no Senate bill), provisions relating to substance use prevention and treatment funding and policy.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1510/S.1720: Due Process Continuity of Care Act extends Medicaid to those in custody pending charges H.R. 1392: Improving Mental Healthcare in the Re-Entry System Act of 2025 creates grants for mental health screenings and referrals. Support for expanding reentry services for those leaving or about to leave incarceration, including the use of 1115 waivers -- H.R. 2502: Law Enforcement Training for Mental Health Crisis Response Act of 2025 funds behavioral health crisis response training for law enforcement and corrections officers. H.R. 2586: Reentry Act of 2025 allows Medicaid coverage for inmates 30 days before their release. H.R. 2879: Prison Staffing Reform Act of 2025 requires a comprehensive review and strategic plan to address understaffing in the Bureau of Prisons. H.R. 3312: SERVICE Act of 2025 establishes a pilot program to create veterans response teams within law enforcement agencies. H.R. 3372: Law Enforcement Scenario-Based Training for Safety and De-Escalation Act of 2025 establishes a scenario-based training curriculum for law enforcement. H.R. 3621: Public Safety and Mental Health Reporting Act mandates annual federal data collection and public reporting on law enforcement interactions with people with mental illness. H.R. 3658: 911 Community Crisis Responders Act of 2025 establishes a federal grant program to support unarmed, community-based crisis response teams for nonviolent 911 calls. S. 1843: Second Chance Reauthorization Act of 2025 reauthorizes and expands funding for reentry, substance abuse treatment, education, and support programs for formerly incarcerated individuals. S. 1897: A bill to amend the Omnibus Crime Control and Safe Streets Act of 1968 to establish the Adverse Childhood Experiences Response Team grant program, and for other purposes. S. 768: Invest to Protect Act of 2025 establishes a grant program to support local law enforcement agencies with training, mental health resources, and recruitment. S. 825: Fighting Post-Traumatic Stress Disorder Act of 2025 creates a program for providing PTSD treatment to public safety officers. S. 2248: Juvenile Justice and Delinquency Prevention Reauthorization Act reauthorize key delinquency prevention programs and bolster federal protections for incarcerated minors. H.R. 4024: Filling Public Safety Vacancies Act provides a boost to the federal grant program that provides funding to departments for recruitment and hiring. S.2532 Safe Response Act expands and updates first responder training programs H.R. 5725: Mental Health Crisis Response Act establishes a grant program to help implement health centered alternation to law enforcement for mental health emergencies H.R. 6002 Supporting Blue Envelope Program Act: Establish a grant program to support Blue Envelope programs for Autism Awareness S.2532 Safe Response Act expands and updates first responder training programs to address a wider range of drug related emergencies and increases funding. H.R. 6548: DHS Suicide Prevention and Resiliency for Law Enforcement Act creates a mental health and suicide prevention program for DHS law enforcement personnel. H.R. 7309: Reentry Resource Guide Act of 2026 creates a pilot program to help states develop digital guides connecting formerly incarcerated individuals with essential reentry resources. H.R. 7447: Community Risk Training and Response Act of 2026 establishes a grants for risk protection orders and crisis intervention programs. ___ H.R. 2668: DART Act of 2025 und and support diversion and rehabilitation programs through the Edward Byrne Memorial Justice Assistance Grant Program H.R. 2711: Invest to Protect Act of 2025 a grant program to support small local law enforcement agencies with training, mental health resources, and recruitment H.R. 8493: Peer Support for Our First Responders Act of 2026 working group to review and recommend best practices for peer-to-peer behavioral health programs for law enforcement officers and first responders H.R. 8690: Pregnant Women in Custody Act sets national standards to protect the health, rights, and dignity of pregnant and postpartum women in custody H.R. 8776: Officer Wellness and Peer Support Act of 2026 mandates a report on strategies to reduce mental health stigma and improve access to confidential mental health resources for law enforcement officers H.R.8976: Women in Criminal Justice Reform Act proposes sweeping, gender-responsive reforms across the criminal justice system S. 4514: Corrections Officer Blake Schwarz Suicide Prevention Act of 2026 program to provide mental health screenings, referrals, and support for corrections officers S.4819: Lifeline for First Responders Act grant program to support the mental health and wellness of first responders

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

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

GHAI Overdose Initiative (under healthcare issue code): Legislation: FY 27 Appropriations bills Modernizing Opioid Treatment Access Act S. 1165/H. R. 2586, Reentry Act H.R. 5629 Issues:  Medicaid prior authorization requirements Access to medications for opioid use disorder Overdose prevention Racial disparities in overdose deaths Financing (grants) for behavioral health care services and programs FY 2027 National Drug Control Policy Medicaid funding and federal guidance related to harm reduction Agencies Visited:  Centers for Disease Control and Prevention US House of Representatives  US Senate Substance Abuse and Mental Health Services Administration

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

GHAI Overdose Initiative (under healthcare issue code): Legislation: FY 27 Appropriations bills Modernizing Opioid Treatment Access Act S. 1165/H. R. 2586, Reentry Act H.R. 5629 Issues:  Medicaid prior authorization requirements Access to medications for opioid use disorder Overdose prevention Racial disparities in overdose deaths Financing (grants) for behavioral health care services and programs FY 2027 National Drug Control Policy Medicaid funding and federal guidance related to harm reduction Agencies Visited:  Centers for Disease Control and Prevention US House of Representatives  US Senate Substance Abuse and Mental Health Services Administration

Client expense: $284,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

H.R. 5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217 - Rural Behavioral Health Improvement Act of 2025 H.R. 3684 - Save Americas Rural Hospitals Act S. 1941 - Cure Hepatitis C Act of 2025 H.R. 5081/S. 2709 - Telehealth Modernization Act S. 1599/H.R. 6394 - Midwives for Maximizing Optimal Maternity Services (MOMS) Act S. 131/H.R. 392 - Providing Real-world Education and Clinical Experience by Precepting Tomorrows (PRECEPT) Nurses Act H.R. 4564 - Dillons Law H.R. 3108/S. 1535 - Rural Patient Monitoring Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199/S. 3934 - Medical Nutrition Therapy Act of 2025 H.R. 2509/S. 931 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 2586 - Reentry Act of 2025 H.R. 929/S. 266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act H.R. 842/S. 339 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 683/H.R. 7324 - More Behavioral Health Providers Act S. 3435/H.R. 6607 - Future Advancement of Academic Nursing (FAAN) Act H.R. 1627 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 2319/S. 1157 - the Women and Lung Cancer Research and Preventive Services Act of 2025 S. 1261/H.R. 4206 - CONNECT for Health Act for 2025 H.R. 2172/S. 1058 - Preserving Patient Access to Home Infusion Act S. 1874/H.R. 3593 - Title VIII Nursing Workforce Reauthorization Act of 2025 H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] H.R. 1227/S. 475 - the Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act (Restore Act) H.Res. 389/S.Res. 206 - Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2025. S. 1482/H.R. 4407 - National Nursing Workforce Center Act of 2025 H.R. 2531/S. 1232 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 1300 - Prostate-Specific Antigen (PSA) Screening for High-risk Insured Men (HIM) Act H.R. 7106 - Enhancing Skilled Nursing Facilities Act H.R. 5629 - To provide that the final rule of the Department of Health and Human Services titled "Medications for the Treatment of Opioid Use Disorder", except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect. H.R. 7787 - Mental Health Workforce Act S. 4186/H.R. 8089 - Perinatal Workforce Act H.R. 7973 - Momnibus Act S. 3707/H.R. 7279 - Nurse Faculty Shortage Reduction Act. H.R. 7602 - State of Men's Health Act H.Res. 1264/S.Res. 709 - Supporting the goals and ideals of National Nurses Week, to be observed from May 6 through May 12, 2026. H.R. 8163 - the Provider Reimbursement Stability Act H.R. 8261 - Chronic Care Management Improvement Act Affordability of health insurance coverage Tobacco prevention Hospice certification and recertification Immunization policies H.R. 9257/S. 4754 - Primary and Behavioral Health Care Access Act Skilled nursing facility admitting examination and assessment requirements Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Health plan coverage and program requirements, including provider non-discrimination, network adequacy and prior authorization Nursing faculty and workforce shortage Nursing education Include nurses, APRNs, and nursing students in all national public health plans Rural health care issues, including rural workforce and reimbursement Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs Medicaid reform Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Public health and nursing workforce infrastructure Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic Use of telehealth to prescribe controlled substances under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 [Public Law No: 110-425] Site specific restrictions on providers under DEA controlled substances policy Telehealth, remote patient monitoring and other forms of health technology Primary care payment reform Documentation of medical records

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

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

H.R. 5199 - Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217 - Rural Behavioral Health Improvement Act of 2025 H.R. 3684 - Save Americas Rural Hospitals Act S. 1941 - Cure Hepatitis C Act of 2025 H.R. 5081/S. 2709 - Telehealth Modernization Act H.R. 3108/S. 1535 - Rural Patient Monitoring Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199/S. 3934 - Medical Nutrition Therapy Act of 2025 H.R. 2509/S. 931 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care (COMPLETE Care) Act H.R. 2586 - Reentry Act of 2025 H.R. 842/S. 339 - the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act S. 683/H.R. 7324 - More Behavioral Health Providers Act S. 1261/H.R. 4206 - CONNECT for Health Act of 2025 H.R. 2172/S. 1058 - Preserving Patient Access to Home Infusion Act H.R. 1 - One Big Beautiful Bill Act [P.L. No. 119-21] H.R. 1227/S. 475 - the Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 2531/S. 1232 - Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 7787 - Mental Health Workforce Act H.R. 7106 - Enhancing Skilled Nursing Facilities Act H.R. 7973 - Momnibus Act H.R. 8163 - the Provider Reimbursement Stability Act Hospice certification and recertification Skilled nursing facility admitting examination and assessment requirements Reducing regulatory burdens, including those relating to Medicare Conditions of Participation Medicare provider reimbursement Inclusion of NPs in the HPSA bonus program for clinicians practicing in primary care HPSAs Medicaid reform Issues related to Medicare Part B reform Issues related to enhancing access to care at home in rural and underserved communities Public health and nursing workforce infrastructure Telehealth, remote patient monitoring and other forms of health technology Primary care payment reform Documentation of medical records Medication-Assisted Treatment (MATs) Issues relating to the mental and substance use disorder workforce Opioid epidemic

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

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

H.R. 929/S.266 - Lorna Breen Health Care Provider Protection Reauthorization H.R. 593 - Strengthening Pathways to Health Professions Act H.R. 879/S.1640 - Medicare Patient Access and Practice Stabilization Act H.R. 1153 - Rural America Health Corps Act H.R. 1227/S.475 - Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act H.R. 1735/S.779 - EARLY Minds Act H.R. 1448 - PEER for Mental Health Act H.R. 1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act H.R. 1909/S.2621 - Preventing Maternal Deaths Reauthorization Act of 2025 H.R. 957 - Parity Enforcement Act H.R. 2509/S.931 - COMPLETE Care Act H.R. 4206/S.1261 - CONNECT for Health Act H.R. 1305 - Improving Measurements for Loneliness and Isolation Act H.R. 1902 - Helping Emergency Responders Overcome (HERO) Act H.R. 2223 - Building Capacity for Care Act H.R. 2586 - Reentry Act of 2025 H.R. 3884/S.2011 - Telemental Health Care Access Act of 2025 H.R. 3266/S.1673 - Mental Health Infrastructure Improvement Act of 2025 H.R. 4619 - Medicare Mental Health Inpatient Equity Act S. 1062 - Suicide Prevention Act H.R. 912 - 9-8-8 Lifeline Cybersecurity Act H.R. 2587 - Youth Mental Health Research Act H.R. 2483/S.2121 - SUPPORT for Patients and Communities Reauthorization Act of 2025 H.R. 2630 - Youth Suicide Prevention Research Act H.R. 3655 - STAR Plus Scholarship Act H.R. 3890/S. 2439 - Resident Physician Shortage Reduction Act of 2025 H.R. 3885/S.3989 - Community TEAMS Act H.R. 1867 - To amend title XVIII of the Social Security Act to remove in-person requirements under Medicare for mental health services furnished through telehealth and telecommunications technology H.R. 3164 - Ensuring Community Access to Pharmacist Services (ECAPS) Act H.R. 4681/S. 1379 - Specialty Physicians Advancing Rural Care (SPARC) Act H.R. 4723/S. 2446 - Mental Health for Latinos Act Conversations with Congressional offices on Teaching Health Center Graduate Medical Education (THCGME) H.R.3505 - Barriers to Suicide Act H.R.6249 - Addressing Addiction After Disasters Act H.R.7394/S.3783 - Mental Health Career Promotion Act H.R. 5074 - Protecting Young Minds Online Act H.R. 5434/S. 2826 - 988 LGBTQ+ Youth Access Act H.R.5509 /S.2903 - Safe Step Act H.R. 5557 - Mental Health Services for Students Act H.R.1197 - PREEMIE Reauthorization Act of 2025 H.R. 3514/S.1816 - Improving Seniors Timely Access to Care Act H.Res.792 - Youth Mental Health Day and Suicide Prevention Day Resolution H.R.5725 - Mental Health Crisis Response Act of 2025 H.R.5706 - Mental Health Emergency Responder Act S. 3064 - Relief of Chronic Pain Act H.R. 6226 - Latino Youth Mental Health Empowerment Act H.R. 5482 - Prevent Youth Suicide Act H.R.6672 - Mental Health Professionals Workforce Shortage Loan Repayment Act Letter to Letter to Department of Labor, Department of Health and Human Services, and Department of Treasury regarding mental health parity enforcement H.R. 3492 - Protect Children's Innocence Act H.R. 498 - Do No Harm in Medicaid Act H.R. 6817/ S. 1056 - Home-Based Telemental Health Care Act Communication with Congressional offices on SAMHSA grant terminations Input on Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) modernization Communication with Congressional offices on ghost networks S. 3486 - Expand the Behavioral Health Workforce Now Act H.R.7324/S. 683 - More Behavioral Health Providers Act H.R. 786/S. 1460 - Preserving Patient Access to Accountable Care Act H.R. 4331 - Access to Claims Data Act H.R.5281 - REAL Health Providers Act H.R.7875 - Providing Opportunities for Individuals in Need of Treatment and Support (POINTS) Act Letter to Congress on Agency for Healthcare Research and Quality (AHRQ) funding H.R. 6396 - Kid PROOF Act H.R. 6468 - Rural Residency Planning and Development Act of 2025 H.R. 8234 - Save Money, Save Lives Act H.R.7092 - RAYS Act H.R.7787 - Mental Health Workforce Act Letter in support of funding for gun violence prevention research at CDC, NIH and NIJ. S.4076 - Removing Medicare Mental Health Inpatient Limitations Act of 2026 Letter supporting funding for Maternal Mental Health and Substance Use Disorder Programs (MMHSUD) and National Maternal Mental Health Hotline. H.R. 5629 - To provide that the final rule of the Department of Health and Human Services titled Medications for the Treatment of Opioid Use Disorder except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect H.R. 7994 - The HERO Act H.R. 8124 - STOP Suicide Act S.1924 / H.R.3624 - Improving Mental Health Access for Students Act H.R.8261 - Chronic Care Management Act Letter in support of funding for the Pediatric Mental Health Care Access program H.R. 8201 - Expanding Community Access to Health Services Act Letter supporting increased funding for Childrens Hospital Graduate Medical Education Letter expressing concerns over H.R. 5629 and H.R. 5630 S. 1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 S. 4110 - EMPOWER for Health Act H.R. 9044 - Minority Fellowship Program Reauthorization Act of 2026 H.R. 8163 - Provider Reimbursement Stability Act H.R.8961 - Student Suicide Prevention Awareness Act H.Res.1329 - Expressing support for the designation of May 2026 as Mental Health Awareness Month H.R.8989 - Evidence-Based Youth Suicide Prevention Act of 2026 H.R.8122/ S.4640 - 9-8-8 Connect Act H.R.8811/S.4552 - Moms Matter Act H.R.9257 - Primary and Behavioral Health Care Access Act H.R.8487/S.3401 - Ensuring Excellence in Mental Health Act Joint letter to SAMHSA regarding the planned removal of SAMHSAs buprenorphine practitioner locator and pharmacy locator.

Client expense: $137,391 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of

H.R. 8487/S.3402 - Ensuring Excellence in Mental Health Act; H.R. 1510/S. 1720 - The Due Process Continuity of Care Act; H.R. 2741/S. 1329 - The Providing Empathetic and Effective Recovery (PEER) Support Act, H.R. 2586 -Reentry Act of 2025; H.R. 8081/S. 4202 - Mental Health Access and Provider Supports Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Modernizing Opioid Treatment Access Act, Entirety Monitor the following: H.R.2586, Reentry Act of 2025, Entirety Substance Use Disorder, Medicaid Coverage for MATs Medication-Assisted Treatment (MAT) delivery related issues Substance Use Disorders, Training related issues Telehealth for providing Medication-Assisted Treatment (MAT) Public Law 119-75, Consolidated Appropriations Act, 2026, Division B - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026, Proposed consolidation of block grants and SAMSHA S.4941, A bill to expand access to methadone through alternative care models using pharmacies, Entirety

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Regulation regarding opioids, regulation of fentanyl and methadone access related issues Modernizing Opioid Treatment Access Act, Entirety Monitor the following: H.R.9260, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027, Proposed consolidation of block grants and SAMSHA S.3522, No Red Tape For Addiction Treatment Act, Entirety H.R.5629, To provide that the final rule of the Department of Health and Human Services titled "Medications for the Treatment of Opioid Use Disorder", except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect, Entirety H.R.2586, Reentry Act of 2025, Entirety Substance Use Disorder, Medicaid Coverage for MATs Medication-Assisted Treatment (MAT) delivery related issues Substance Use Disorders, Training related issues Telehealth for providing Medication-Assisted Treatment (MAT) Public Law 119-75, Consolidated Appropriations Act, 2026, Division B - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026, Proposed consolidation of block grants and SAMSHA S.4941, A bill to expand access to methadone through alternative care models using pharmacies, Entirety

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Prison Reform; Implementation of Federal Prison Oversight Act; (H.R.5883/S.3077) Safer Supervision Act of 2025; Implementation of First Step Act; (H.R.3552,S.1843) Second Chance Reauthorization Act of 2025; (S.Res.668;H.Res. 1173) Second Chance Month Bicameral Resolutions; (H.R.2586)Reentry Act of 2025; (H.R.2718,S.1322) Family Notification of Death, Injury, or Illness in Custody Act of 2025; (H.R. 59) Mens Rea Reform Act of 2025; (H.R. 2159/S. 3868) Count the Crimes to Cut Act of 2025; PREA funding; (H.R.5109) TWICE Act, BOP ID Act (H.R.5152); PREA; (H.R.7765) Fair Future Act; Restore Act of 2025 (H.R.5223); Safer Detention Act (S.3485); First Step Implementation Act of 2025 (S.3482); (S.4500;H.R.8746) VICTIM Act)

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

Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE, White House Office

Issues related to the oversight of the Federal Bureau of Prisons; community supervision and reentry; reauthorization of the Second Chance Act; support for second chance initiatives and prisoner reentry; efforts to secure grant funding for law enforcement to investigate violent crime and homicides; engagement with the White House Office of Faith; S. 1843 / H.R. 3552 - Second Chance Reauthorization Act of 2025; S. 1322 / H.R. 2718 -Family Notification of Death, Injury, or Illness in Custody Act of 2025; H.R. 2586-Reentry Act of 2025; H.R. 2159-Count the Crimes to Cut Act of 2025; H.R. 59-Mens Rea Reform Act of2025; H.R. 5242; HR 5152, BOP Release Card ID Act of 2025; HR 5109 - TWICE Act; HR 5883/S.3077- Safer Supervision Ac; HR 6003 - Justice Involved Veterans Support Act; S. 3485 Safer Detention Act; S. 3482 First Step Implementation Act; HR 7765 Fair Future Act; and Second Chance Month Resolutions for both House and Senate.

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

Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), SENATE

HCR: Federal policy relating to substance use prevention and treatment, including: Reentry Act (H.R. 2586 / draft Senate bill); Due Process Continuity of Care Act (S. 1720 / H.R. 1510); PEER Support Act (S. 1329 / H.R. 2741); No Red Tape For Addiction Treatment Act (S. 3522); WORK To Save Lives Act (S. 3812 / H.R. 7479). H.R.7148 - Consolidated Appropriations Act, 2026, provisions relating to substance use prevention and treatment funding and policy. H.R.5629 - To provide that the final rule of the Department of Health and Human Services titled "Medications for the Treatment of Opioid Use Disorder", except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect. H.R.5630 - To amend the Public Health Service Act to require additional information in State plans for Substance Use Prevention, Treatment, and Recovery Services block grants. FY2027 Labor HHS Appropriations bill (no bill), provisions relating to substance use prevention and treatment funding and policy. (HR9260)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Reentry Act of 2025 (H.R. 2586), all provisions related to allowing Medicaid coverage for eligible incarcerated individuals to be re-established up to 30 days before their release from jail or prison. Due Process Continuity of Care Act (H.R. 1510), all provisions related to amending the Medicaid Inmate Exclusion Policy to allow incarcerated individuals to sustain their Medicaid coverage prior to a conviction.

Client expense: $150,555 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2586, HR 1510 (Federal Prison Oversight Act) Private Prison Information Act Color of Law Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

HR 2586, HR 1510 (Federal Prison Oversight Act) Private Prison Information Act Color of Law Act

Client expense: $55,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

NETWORK supports The Reentry Support Act (HR 2586) which would allow for Medicaid payment of medical services furnished to an incarcerated individual during the 30-day period preceding the individual's release.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

NETWORK supports The Reentry Support Act (HR 2586) which would allow for Medicaid payment of medical services furnished to an incarcerated individual during the 30-day period preceding the individual's release.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Creation of a Medicare graduate nursing education program Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Medicare and Medicaid policies related to telehealth services Medicaid eligibility expansion and state options Medicaid waiver application procedures Implementation of provisions of the One Big, Beautiful Bill Act (PL 119-21), including the Rural Health Transformation Program Inclusion of nurse practitioners in the bonus program for clinicians practicing in primary care Health Professional Shortage Areas (HPSAs) H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 2531/S. 1232, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2586, Reentry Act of 2025 H.R. 4619, Medicare Mental Health Inpatient Equity Act of 2025 H.R. 4773/S. 3350, ACO Assignment Improvement Act of 2025 H.R. 4849/S. 2556, Protecting Health Care and Lowering Costs Act H.R. 5081/S. 2709, Telehealth Modernization Act H.R. 5199, Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217, Rural Behavioral Health Improvement Act of 2025 H.R. 6199/S. 3934, Medical Nutrition Therapy Act of 2025 H.R. 7106, Enhancing Skilled Nursing Facilities Act H.R. 7787, Mental Health Workforce Act H.R. 7973, Momnibus Act S. 717/H.R. 6894, Increasing Access to Quality Cardiac Rehabilitation Care Act S. 1261/H.R. 4206, CONNECT for Health Act of 2025 S. 2954, Health Care Workforce Expansion Act of 2025

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

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Creation of a Medicare graduate nursing education program Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Medicare and Medicaid policies related to telehealth services Medicaid eligibility expansion and state options Medicaid waiver application procedures Protection and improvement of Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit Implementation of provisions of the One Big, Beautiful Bill Act (PL 119-21), including the Rural Health Transformation Program Inclusion of nurse practitioners in the bonus program for clinicians practicing in primary care Health Professional Shortage Areas (HPSAs) H.R. 498, Do No Harm in Medicaid Act H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 2172/S. 1058, Preserving Patient Access to Home Infusion Act H.R. 2531/S. 1232, Workplace Violence Prevention for Health Care and Social Service Workers Act H.R. 2586, Reentry Act of 2025 H.R. 3108/S. 1535, Rural Patient Monitoring Access Act H.R. 3684, Save Americas Rural Hospitals Act H.R. 4231/S. 1973, Treat and Reduce Obesity Act H.R. 4619, Medicare Mental Health Inpatient Equity Act of 2025 H.R. 4773/S. 3350, ACO Assignment Improvement Act of 2025 H.R. 4849/S. 2556, Protecting Health Care and Lowering Costs Act H.R. 5081/S. 2709, Telehealth Modernization Act H.R. 5199, Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 H.R. 5217, Rural Behavioral Health Improvement Act of 2025 H.R. 6199/S. 3934, Medical Nutrition Therapy Act of 2025 H.R. 7106, Enhancing Skilled Nursing Facilities Act H.R. 7787, Mental Health Workforce Act H.R. 7973, Momnibus Act S. 683/H.R. 7324, More Behavioral Health Providers Act S. 717/H.R. 6894, Increasing Access to Quality Cardiac Rehabilitation Care Act S. 1261/H.R. 4206, CONNECT for Health Act of 2025 S. 1816/H.R. 3514, Improving Seniors Timely Access to Care Act S. 1941, Cure Hepatitis C Act of 2025 S. 2954, Health Care Workforce Expansion Act of 2025

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

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

Lobbying Issues Description: Budget and appropriations for public health, disease and injury prevention, including obesity and related diseases; pandemics and emerging infectious diseases; physical activity; public health preparedness; nutrition programs; environmental health; health equity; community-based public health interventions; public health infrastructure and workforce; maternal health; substance misuse/behavioral health issues; vaccines and immunizations; antimicrobial resistance; public health data modernization. Specific Legislation: 1.Preventing Adverse Childhood Experiences Act (Not yet introduced) 2.Mental Health Services for Students Act (H.R.5557) 3.Helping Kids Cope Act (Not yet introduced) 4.Advancing Student Services in Schools Today Act (S.2050) 5.Pursuing Equity in Mental Health Act (H.R.2904/S.1448) 6.RISE from Trauma Act (S.3461/H.R.6625) 7.Better Mental Health Care for Americans Act (Not yet introduced) 8.Reentry Act (H.R. 2586) 9.FY 2027 Labor, HHS, Education and Related Agencies Appropriations 10.FY 2027 Agriculture, Rural Development and Drug Administration Appropriations, provisions related to nutrition 11.FY 2026 Labor, HHS, Education and Related Agencies Appropriations 12.Farm, Food, and National Security Act of 2026 13.Improving Social Determinants of Health Act (Not yet introduced) 14.The UNDERSTAND Act (Not yet introduced) 15.The TRUTH in Labeling Act (Not yet introduced) 16.Child Nutrition Reauthorization 17.Promoting Physical Activity for Americans Act (H.R. 6121) 18.Momnibus Act (H.R.7973) 19.Older Americans Act Reauthorization (S.2120) 20.Protecting the Health of Americas Older Adults Act (Not yet introduced) 21.Pandemic and All-Hazards Preparedness Act Reauthorization (Not yet introduced) 22.Public Health Infrastructure Saves Lives Act (Not yet introduced) 23.The Support for Patients and Communities Reauthorization Act (H.R. 2483/S.2121) 24.The PEER Support Act (H.R.2741/S.1329) 25.The Connecting Our Medical Providers with Links to Expand Tailored and Effective (COMPLETE) Care Act (S.931/ H.R.2509) 26.The 9-8-8 Implementation Act (Not yet introduced) 27.Local 988 Response Act (Not yet introduced) 28.Lead-Safe Housing for Kids Act (Not yet introduced) 29.The Kid PROOF Act (H.R.6396) 30.EARLY Minds Act (S.779/H.R.1735) 31.Campus Prevention and Recovery Services for Students Act (H.R.7019) 32.Stabilization to Prevent (STOP) Suicide Act (H.R.8124) 33.FY 2026 Interior, Environment and Related Agencies Appropriations, provisions related to environment 34.FY 2026 Agriculture, Rural Development, and Drug Administration, provisions related to nutrition 35.Womens Heart Health Expansion Act of 2026 (S.3944) 36.Childhood Diabetes Reduction Act (Not yet introduced) 37.Raising Awareness for Youth Suicide Prevention (RAYS) Act (H.R.7092) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, White House Domestic Policy Council, HHS, CDC, FDA, USDA, OMB, HRSA, SAMHSA, and Federal Communications Commission (FCC).

Client expense: $42,259 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

GHAI Overdose Initiative (under healthcare issue code): Legislation: FY 26 Appropriations bills Modernizing Opioid Treatment Access Act PEER Support Act H.R. 5420 - Workplace Overdose Reversal Kits to Save Lives Act S.3522 - No Red Tape For Addiction Treatment Act S. 1165/H. R. 2586, Reentry Act S. 1720/H.R. 1510, Due Process Continuity of Care Act S. 2697, Due Process Continuity of Care Act SUPPORT for Patients and Communities Reauthorization Act Issues:  Medicaid prior authorization requirements Access to medications for opioid use disorder Overdose prevention Racial disparities in overdose deaths Financing (grants) for behavioral health care services and programs Agencies Visited:  Centers for Disease Control and Prevention US House of Representatives  US Senate

Client expense: $430,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, SENATE

Draft, Medicare Compare Website (no bill number) - Rep. Guthrie, Brett - improvements to CMS Medicare compare website H.R. 1 - One Big Beautiful Bill Act - Rep. Arrington, Jodey - Medicaid eligibility and state financing, Marketplace coverage and enrollment, Health Savings Account expansion, Pharmacy Benefit Manager financing and regulation H.R. 497 - Medicaid Third Party Liability Act - Rep. Crenshaw, Dan - Medicaid liable third-party exceptions H.R. 538 - Critical Access Hospital Relief Act - Rep. Smith, Adrian - Medicare physician certification requirement H.R. 584 - No Medicaid for Illegal Immigrants Act - Rep. Kiley, Kevin - Medicaid eligibility requirements H.R. 608 - COVER Now Act - Rep. Doggett, Lloyd - Medicaid expansion demo H.R. 610 - Close the Medigap Act - Rep. Doggett, Lloyd - Medigap plan reform H.R. 879 - Medicare Patient Access and Practice Stabilization Act - Rep. Murphy, Gregory - Medicare physician reimbursement H.R. 936 - Medicaid Improvement and State Flexibility Act - Rep. Green, Mark - Medicaid demonstration programs H.R. 1019 - Medicaid Program Improvement Act - Rep. Miller-Meeks, Mariannette - Medicaid management care reporting H.R. 1059 - Jobs and Opportunities for Medicaid Act - Rep. Crenshaw, Dan - Medicaid eligibility requirements H.R. 1162 - Medicaid Primary Care Improvement Act - Rep. Crenshaw, Dan - Medicaid direct primary care arrangements H.R. 1191 - Supporting Access to Rural Community Hospitals Act - Rep. Flood, Mike - Medicare critical access hospitals definition H.R. 1195 - Protect Medicaid Act - Rep. Hudson, Richard - Medicaid eligibility requirements H.R. 1279 - To amend title XIX of the Social Security Act to establish a community engagement requirement for certain individuals under the Medicaid program. - Rep. Bean, Aaron - Medicaid eligibility requirements H.R. 1403 - LIVE Beneficiaries Act - Rep. Bilirakis, Gus - Medicaid registration audits H.R. 1598 - Ensuring Access to Medicaid Buy-in Programs Act - Rep. Ciscomani, Juan - Medicaid eligibility requirements H.R. 1683 - Protecting Rural Seniors Access to Care Act - Rep. Fischbach, Michelle - Minimum nursing home staffing H.R. 1775 - Second Chances for Rural Hospitals Act - Rep. Arrington, Jodey -Definition of rural emergency hospitals H.R. 1805 - ARCH Act - Rep. Miller, Carol - Extend Medicare-dependent and low-value hospitals payments H.R. 1924 - Securing Access to Care for Seniors in Critical Condition Act - Rep. Hern, Kevin - Medicare site-neutral payments for LTC hospitals H.R. 2045 - Medicare Dental, Vision, and Hearing Benefit Act - Rep. Doggett, Lloyd - Medicare dental, vision, and hearing coverage H.R. 2263 - Telehealth Coverage Act - Rep. Khanna, Ro - Telehealth flexibilities in Medicare H.R. 2309 - Medicare and Medicaid Fraud Prevention Act - Rep. Peters, Scott - provider screening for Federal programs H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act - Rep. Green, Mark - Medicare Advantage prior authorization H.R. 2533 - EASE Act - Rep. Arrington, Jodey - CMS model for virtual technology H.R. 2586 - Reentry Act - Rep. Tonko, Paul - Medicaid coverage for incarcerated population H.R. 2590 - Mental and Physical Health Care Comorbidities Act - Rep. Boyle, Brendan - CMS demonstration to treat comorbidities H.R. 2610 - Protecting Options for Seniors Act - Rep. Tenney, Claudia - MA wage index reclassification H.R. 3023 - Preventing Hospital Overbilling of Medicare Act - Rep. Spartz, Victoria - Site-neutral payment reform H.R. 3069 - Medicare for All Act - Rep. Jayapal, Pramila - New national health insurance program H.R. 3222 - SMART Health Care Act - Rep. Spartz, Victoria - MA risk adjustment H.R. 3263 - PATCH Act - Rep. Tokuda, Jill - Medicare geographic practice cost indices H.R. 3321 - Ending Medicaid Discrimination Against the Most Vulnerable Act - Rep. Roy, Chip - Enhance FMAP phase out H.R. 3415 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Rep. Schakowsky, Janice - Nurse staffing ratio requirements H.R. 3467 - To amend title XVIII to reform the Medicare Advantage program - Rep. Schweikert, David - MA reforms H.R. 3808 - Expanding Seniors Access to Mental Health Services Act - Rep. Fitzpatrick, Brian - Medicare mental health services H.R. 4093 - Apples to Apples Comparison Act - Rep. Bean, Aaron - Medicare and Medicare Advantage spending reports H.R. 4139 - Cutting Copays Act - Rep. McGarvey, Morgan - Medicare cost-sharing for generic drugs H.R. 4277 - Rural Emergency Hospital Financial Stability Act - Rep. Davis, Donald - Medicaid treatment of rural emergency hospitals H.R. 4313 - Hospital Inpatient Services Modernization Act - Rep. Buchanan, Vern - Acute hospital care at home waiver H.R. 4559 - Prompt and Fair Pay Act - Rep. Doggett, Lloyd - Payment parity for MA and FFS; MA reimbursement requirements H.R. 4641 - Keep Kids Covered Act - Rep. Castor, Kathy - Continuous eligibility for children in Medicaid/CHIP H.R. 4807 - Protect Our Hospitals Act - Rep. Landsman, Greg - Medicaid provider tax repeal H.R. 5243 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. - Rep. McClellan, Jennifer - MA supplemental benefits data reporting H.R. 5281 - REAL Health Providers Act - Rep. Panetta, Jimmy - MA provider directory requirements H.R. 5584 - Medicaid Third Party Liability Act - Rep. Burgess, Michael - Impact of Third Party Liability on MCOs H.R. 6109 - To amend title XVIII of the Social Security Act to establish certain requirements with respect to rates of reversed prior authorization coverage determinations under Medicare Advantage plans. - Rep. Pocan, Mark -prior authorization under Medicare Advantage H.R. 6110 -To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage. - Rep. Pocan, Mark - reconsider denials under Medicare Advantage H.R. 6111 - To amend title XVIII of the Social Security Act to require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under such plan. - Rep. Pocan, Mark - advertise rates of prior authorization denials under Medicare Advantage H.R. 6112 - To amend title XVIII of the Social Security Act to establish certain requirements with respect to the average monthly cost to provide coverage to an enrollee under Medicare Advantage plans. - Rep. Pocan, Mark - require monthly coverage cost to enrollees under Medicare Advantage H.R. 6113 - To amend title XVIII of the Social Security Act to impose limitations on contracts with Medicare Advantage organizations offering multiple Medicare Advantage plans under the Medicare program. - Rep. Pocan, Mark - limit multiple Medicare Advantage plans H.R. 6114 - To prohibit funds made available to the Department of Health and Human Services by previous Appropriations Acts from being used for any activity that makes Medicare Advantage the default under the Medicare program. - Rep. Pocan, Mark - prohibit Medicare Advantage from becoming the default H.R. 6254 - Medicaid Staffing Flexibility and Protection Act of 2025 - Rep. Carter, Earl - extend eligibility determinations and redeterminations for Medicaid H.R. 6361 - Ban AI Denials in Medicare Act - Rep. Landsman, Greg - limit WISeR model H.R. 6951 - Stop Unfair Medicaid Recoveries Act - Rep. Schakowsky, Janice - State Medicaid cost recoupment H.R. 6974 - Improving MA SNP Act of 2026 - Rep. Arrington, Jodey - MA SNP beneficiary approval H.R. 7189 - PrEP Access Act - Rep. Pocan, Mark - HIV prevention services under Medicare H.R. 7409 - Defend Rural Health Act - Rep. Taylor, Dave - Medicare definition of rural hospital H.R. 7727 - Sustaining Rural Healthcare Act - Rep. Alford, Mark - Medicare CAH designation H.R. 7778 - Medicaid PNA Modernization Act - Rep. Subramanyam, Suhas - Medicaid minimum monthly personal needs allowance H.R. 7803 - Save Medicare Act - Rep. Pocan, Mark - Renames Medicare Advantage H.R. 7871 - MVP Act - Rep. Guthrie, Brett - Value-based purchasing arrangements in Medicaid S. 523 - Protect Medicaid Act - Sen. Cassidy, Bill - Medicaid eligibility requirements S. 678 - LIVE Beneficiaries Act - Sen. Scott, Rick - Medicaid enrollment audits S. 717 - Increasing Access to Quality Cardiac Rehabilitation Care Act - Sen. Capito, Shelley Moore - Expanding cardiac care coverage in Medicare S. 750 - Protecting Rural Seniors Access to Care Act - Sen. Fischer, Deb - Medicaid nursing home staff requirements S. 752 - Accelerating Kids Access to Care Act - Sen. Grassley, Chuck - Out-of-state provider access for Medicaid S. 939 - Medicare Dental, Hearing, and Vision Expansion Act - Sen. Sanders, Bernard - Medicare coverage requirements S. 1082 - Safeguarding Medicaid Act - Sen. Barrasso, John - Medicaid enrollee asset verification S. 1105 - No UPCODE Act - Sen. Cassidy, Bill - MA risk adjustment S. 1264 - Mental and Physical Health Care Comorbidities Act - Sen. Bennet, Michael - CMS demonstration to treat comorbidities S. 1399 - Health Tech Investment Act - Sen. Rounds, Mike - Medicare coverage for algorithm-based services S. 1506 - Medicare for All Act - Sen. Sanders, Bernard - New national health insurance program S. 1624 - PATCH Act - Sen. Schatz, Brian - Medicare geographic practice cost indices S. 1629 - Same Care, Lower Cost Act - Sen. Kennedy, John - Medicare site-neutral payment reform S. 1637 - MVP Act - Sen. Mullin, Markwayne - Medicaid value-based purchasing agreements S. 1709 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Sen. Padilla, Alex - Nurse staffing ratio requirements S. 1816 - Improving Seniors Timely Access to Care Act - Sen. Marshall, Roger - MA prior authorization S. 1903 - A bill to prohibit changes to Medicare and Medicaid in reconciliation - Sen. Reed, Jack - Medicare and Medicaid safeguards against reconciliation cuts S. 2237 - Hospital Inpatient Services Modernization Act - Sen. Scott, Tim - Acute hospital care at home waiver S. 2279 - Protect Medicaid and Rural Hospitals Act - Sen. Hawley, Josh - Medicaid provider tax and State directed payments S. 2289 - Healthy Moms and Babies Act - Sen. Grassley, Chuck - Medicaid/CHIP maternal health coverage improvements S. 2496 - Keep Kids Covered Act - Sen. Bennet, Michael - Continuous eligibility for children in Medicaid/CHIP S. 2497 - Fair Billing Act - Sen. Hassan, Maggie - Medicare site-neutral transparency and identification requirements S. 2556 - Protecting Healthcare and Lowering Costs Act - Sen. Schumer, Charles - repeal of Medicaid provisions in the One Big Beautiful Bill Act S. 2793 - Ensuring Access to Essential Providers Act - Sen. Cassidy, Bill - Essential community provider coverage requirements for MA S. 3642 - WALZ Act - Sen. Marshall, Roger - Medicaid payment investigation and audits S. 3690 - Ensuring Access to Medicaid Buy-in Programs - Sen. Blackburn, Marsha - Medicaid eligibility parameters S. 3727 - Putting an N to Learing about Fraud Act - Sen. Ernst, Joni - Federal program fraud prevention S. 3729 - PBM Reporting Transparency Act - Sen. Warner, Mark - MedPAC reports on PBMs S. 3750 - REAL Health Providers Act - Sen. Bennet, Michael - MA provider directory accuracy S. 3762 - Prior Authorization Relief Act - Sen. Whitehouse, Sheldon - MA prior authorization restrictions S. 3848 - Apples to Apples Comparison Act - Sen. Scott, Tim - Medicare and Medicare Advantage spending reports S. 3886 - Nurses Belong in Nursing Homes Act - Sen. Wyden, Ron - Nursing home staffing hours Issues related to mental health and Medicare; Medicare and Medicaid funding; Medicaid expansion; State innovation waivers; Medicaid and CHIP; Medicaid FMAP; Medicare Supplement Coverage; Medicare Transparency in Coverage; Medicaid Access Final Rule; Medicaid Redeterminations; Medicaid rate actuarial soundness; value of Medicaid Managed Care; value of Medicare Advantage; Medicare Advantage Health Risk Assessment and chart reviews; Medicare Advantage supplemental benefits and Social Determinants of health; CBO estimates of MA and FFS costs; coverage of weight loss drugs; Inflation Reduction Act implementation; Medicare Advantage Rate Notice; Part D Payment Issues; Part D VBID Issues; RADV; MA payment issues; Part D issues; prior authorization; MA prompt pay; agent/broker issues; implementation of the One Big Beautiful Bill Act; provider taxes; Medicaid community engagement requirements; and VAs community care program.

Client expense: $5,320,000 · Firm income: Not reported

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

S.3402 - Ensuring Excellence in Mental Health Act; H.R. 1510/S. 1720 - The Due Process Continuity of Care Act; H.R. 2741/S. 1329 - The Providing Empathetic and Effective Recovery (PEER) Support Act, H.R. 2586 -Reentry Act of 2025.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE