GRAPE Act

H.R.292 - To amend the Federal Crop Insurance Act to require the Federal Crop Insurance Corporation to carry out research and development regarding a policy to insure table, wine, and juice grapes against losses due to a freeze event, and for other purposes. H.R.550 - To require the Government Accountability Office to conduct a study regarding insurance coverage for damages from wildfires, and for other purposes. H.R.643 - To eliminate the Federal Insurance Office of the Department of the Treasury, and for other purposes. H.R.827 - To ensure the availability and affordability of homeowners' insurance coverage for catastrophic events. H.R.1481 - To amend the Internal Revenue Code of 1986 to establish a system for the taxation of catastrophic risk transfer companies to ensure sufficient capital to cover catastrophic insurance losses, and for other purposes. H.R.2123 - To amend the National Flood Insurance Act of 1968 to reauthorize the National Flood Insurance Program. S.586 - A bill to amend the Internal Revenue Code of 1986 to provide an advance refundable credit to offset certain flood insurance premiums, and for other purposes. S.824 - A bill to reauthorize the National Flood Insurance Program. H.R.2547 - To amend the Internal Revenue Code of 1986 to exclude debt held by certain insurance companies from capital assets and to extend capital loss carryovers for such companies from 5 years to 10 years. H.R.2567 - To amend the Internal Revenue Code of 1986 to provide special rules for purposes of determining if financial guaranty insurance companies are qualifying insurance corporations under the passive foreign investment company rules. H.R.2822 - To extend the National Flood Insurance Program through December 31, 2026. H.R.3437 - To prohibit the Federal Insurance Office of the Department of the Treasury and other financial regulators from collecting data directly from an insurance company. H.R.3664 - To prohibit private passenger automobile insurers from using certain income proxies to determine insurance rates and eligibility. H.R.3800 - To amend the National Flood Insurance Act of 1968 to prohibit the deferral of the issuance of letters of map revision based on the placement of fill or conditional letters of map revision based on the placement of fill, and for other purposes. H.R.2774 - To amend section 5 of the Flood Control Act of 1941 to impose a deadline for initiating the repair or restoration of project under such section, and for other purposes. H.R.3300 - To amend the Federal Water Pollution Control Act to clarify that a permit is not required under the National Pollutant Discharge Elimination System for a discharge resulting from the aerial application of certain products used for fire control and suppression, and for other purposes. S.1271 - A bill to amend the Federal Agriculture Improvement and Reform Act of 1996 with respect to transitioning producers from the noninsured crop assistance program to the whole farm revenue insurance plan. S.2053 - A bill to ensure that Write Your Own companies can sell private flood insurance products that compete with National Flood Insurance Program products. S.2054 - A bill to allow National Flood Insurance Program policyholders who leave the program to purchase a private insurance flood policy to return to the National Flood Insurance Program without penalty, and for other purposes. S.1437 - A bill to require the Administrator of the National Aeronautics and Space Administration to establish a program to identify, evaluate, acquire, and disseminate commercial Earth remote sensing data and imagery in order to satisfy the scientific, operational, and educational requirements of the Administration, and for other purposes. H.R.5574 - To extend the National Flood Insurance Program through November 21, 2025. H.R.5577 - NFIP Extension Act of 2026 H.R.5607 - Flood Insurance Transparency Act of 2025 H.R.5608 - To ensure that Write Your Own companies can sell private flood insurance products that compete with National Flood Insurance Program products. H.R.5500 - To make administrative reforms to the National Flood Insurance Program to increase fairness and accuracy and protect the taxpayer from program fraud and abuse, and for other purposes. H.R.5503 - To require the Federal Emergency Management Agency to establish a Territorial Disaster Recovery Program to continuously identify, monitor, and address factors and capability gaps that hinder the execution and completion of recovery activities relating to major disasters by eligible entities located in the territories of the United States. H.R.5504 - To amend the Internal Revenue Code of 1986 to allow for a credit against tax for certain flood insurance expenses. H.R.5229 - To provide for improvements to National Flood Insurance Program rate maps, and for other purposes. H.R.4735 - Business of Insurance Regulatory Reform Act of 2025 H.R.4504 - To require the Secretary of the Treasury to establish a catastrophic property loss reinsurance program, and for other purposes. S.2931 - A bill to reauthorize the National Flood Insurance Program. S.2946 - A bill to reauthorize the National Flood Insurance Program. S.2349 - A bill to require the Secretary of the Treasury to establish a catastrophic property loss reinsurance program, and for other purposes. S.2419 - Business of Insurance Regulatory Reform Act of 2025 H.R.5697 - To adjust the effective date of any adjustment based on Consumer Price Index to rail passenger liability cap that occurs during calendar year 2026. H.R.5848 - NFIP Retroactive Renewal and Reauthorization Act H.R.5961 - To increase the availability of flood insurance for agricultural structures, and for other purposes. H.R.5990 - To require the Secretary of Housing and Urban Development to establish a pilot program to provide grants to implementing organizations to administer a whole-home repairs program for eligible homeowners and eligible landlords, and for other purposes. H.R.6086 - To provide for funding from the Aviation Insurance Revolving Fund to continue certain Federal Aviation Administration activities in the event of a Government shutdown, and for other purposes. H.R.6155 - Federal Carjacking Enforcement Act H.R.6256 - To amend the Homeowner Flood Insurance Affordability Act of 2014 to address ecosystem restoration projects, and for other purposes. H.R.6274 - To establish a Natural Disaster Risk Reinsurance Program, and for other purposes. H.R.6560 - To amend the National Flood Insurance Act of 1968 to provide for the automatic contingent extension of the National Flood Insurance Program, and for other purposes. H.R.6620 - To amend the National Flood Insurance Act of 1968 to allow for the consideration of private flood insurance for the purposes of applying continuous coverage requirements, and for other purposes. H.R.7130 - McCarran-Ferguson Restoration Act H.R.7246 - To establish the Climate Financial Risk Committee and Climate Financial Risk Advisory Committee on the Financial Stability Oversight Council. H.R.7355 - To provide for the disclosure and sharing of certain policy and claims information under the National Flood Insurance Program, and for other purposes. H.R.7462 - To amend the Federal Crop Insurance Act to direct the Secretary of Agriculture to use certain data sets when determining eligibility related to indemnity payments under the Hurricane Insurance Protection-Wind Index endorsement, and for other purposes. H.R.7862 - To amend the National Flood Insurance Act of 1968 to limit the application of the Endangered Species Act with respect to certain actions under the national flood insurance program, and for other purposes. S.3711 - A bill to establish the Climate Financial Risk Committee and Climate Financial Risk Advisory Committee on the Financial Stability Oversight Council. S.3843 - A bill to amend the Federal Crop Insurance Act to direct the Federal Crop Insurance Corporation to conduct research and development on frost or cold weather insurance, and for other purposes. S.4088 - A bill to amend the Federal Crop Insurance Act to improve education and risk management assistance, and for other purposes. S.4215 - A bill to amend the Federal Crop Insurance Act to reduce Federal spending on crop insurance, and for other purposes.

Client expense: $506,440 · Firm income: Not reported

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

Graduate Medical Education Certified Anesthesiologist Assistants Anesthesia workforce shortages HR 3890, Resident Physician Shortage Reduction Act of 2025: residency positions S.709, Conrad State 30 and Physician Access Reauthorization Act: Foreign physician immigration status S. 1380, Specialty Physicians Advancing Rural Care (SPARC) Act: physician shortages in rural areas HR 2028; Resident Education Deferred Interest Act (REDI Act): Student loan relief Anesthesia Research Funding Scope of Practice Merit-based Incentive Payment System, MIPS, MIPS Value Pathway Quality Payment Program, QPP Alternative Payment Model, APM QCDR - Qualified Clinical Data Registry Evaluation and Monitoring codes & cuts Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Brain health CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services Conditions of Participation - Anesthesia services, opt-outs, supervision CMS: Federal Independent Dispute Resolution (IDR) Process, Batching H.R.27, HALT Fentanyl Act: fentanyl scheduling and registration requirements H.R. 1227/S.475, Alternatives to PAIN Act of 2025: access to non-opioid pain management options Pain Medicine Prescription Drug Abuse CDC Opioid Prescribing Guideline H.R. 3595, Safe Prescribing Through Reporting Act of 2025: disclosure of certain records relating to substance use disorder medications to State prescription drug monitoring programs Drug shortages DEA Scheduling Propofol FDA Safe Use Initiative FDA Operating Room Fires FDA Opioids FDA Network of Experts FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) USP - US Pharmacopeia Compounding NIH Interagency Pain Research Coordinating Committee NIH: Funding, Indirect Costs, Indirect Grants, Overhead Agency for Healthcare Research and Quality (AHRQ) funding Long COVID research 21st Century Cures Initiative Out of Network/Out of Network Payment Network Adequacy Pre-authorization; prior authorization Insurance reform, shared savings, insurer accountability Affordable Care Act reform efforts Provider Nondiscrimination Change Healthcare, Change Healthcare data breach HR 292 Lorna Breen Reauthorization H.R. 3178, SAVE Healthcare Workers Act: To protect hospital personnel from violence, and for other purposes Maternal Mortality/Maternal Care Deserts Blood management 42 CFR Part 2, Confidentiality of Substance Use Disorder Patient Records: appropriate access to patient information essential for providing whole-person care S. 2759/H.R. 5283, the Healthcare Workforce Resilience Act, Exemption for Physicians from New H-1B Visa Policy and $100,000 Fee Medical journal fees No Surprises Act (NSA) - H.R.4710 / S. 2420, the No Surprises Enforcement Act H.R. 3164, the Ensuring Community Access to Pharmacist Services Act Advance Premium Tax Credits (APTCs) Federal regulation of commercial health insurance companies One Big Beautiful Bill (OBBB) Commercial payer/payment

Graduate Medical Education Certified Anesthesiologist Assistants Anesthesia workforce shortages HR 3890, Resident Physician Shortage Reduction Act of 2025: residency positions S.709, Conrad State 30 and Physician Access Reauthorization Act: Foreign physician immigration status S. 1380, Specialty Physicians Advancing Rural Care (SPARC) Act: physician shortages in rural areas HR 2028; Resident Education Deferred Interest Act (REDI Act): Student loan relief Anesthesia Research Funding Scope of Practice Merit-based Incentive Payment System, MIPS, MIPS Value Pathway Quality Payment Program, QPP Alternative Payment Model, APM QCDR - Qualified Clinical Data Registry Evaluation and Monitoring codes & cuts Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Brain health CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services Conditions of Participation - Anesthesia services, opt-outs, supervision CMS: Federal Independent Dispute Resolution (IDR) Process, Batching H.R.27, HALT Fentanyl Act: fentanyl scheduling and registration requirements H.R. 1227/S.475, Alternatives to PAIN Act of 2025: access to non-opioid pain management options Pain Medicine Prescription Drug Abuse CDC Opioid Prescribing Guideline H.R. 3595, Safe Prescribing Through Reporting Act of 2025: disclosure of certain records relating to substance use disorder medications to State prescription drug monitoring programs Drug shortages DEA Scheduling Propofol FDA Safe Use Initiative FDA Operating Room Fires FDA Opioids FDA Network of Experts FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) USP - US Pharmacopeia Compounding NIH Interagency Pain Research Coordinating Committee NIH: Funding, Indirect Costs, Indirect Grants, Overhead Agency for Healthcare Research and Quality (AHRQ) funding Long COVID research 21st Century Cures Initiative Out of Network/Out of Network Payment Network Adequacy Pre-authorization; prior authorization Insurance reform, shared savings, insurer accountability Affordable Care Act reform efforts Provider Nondiscrimination Change Healthcare, Change Healthcare data breach HR 292 Lorna Breen Reauthorization H.R. 3178, SAVE Healthcare Workers Act: To protect hospital personnel from violence, and for other purposes Maternal Mortality/Maternal Care Deserts Blood management 42 CFR Part 2, Confidentiality of Substance Use Disorder Patient Records: appropriate access to patient information essential for providing whole-person care S. 2759/H.R. 5283, the Healthcare Workforce Resilience Act, Exemption for Physicians from New H-1B Visa Policy and $100,000 Fee Medical journal fees No Surprises Act (NSA) - H.R.4710 / S. 2420, the No Surprises Enforcement Act H.R. 3164, the Ensuring Community Access to Pharmacist Services Act Advance Premium Tax Credits (APTCs) Federal regulation of commercial health insurance companies One Big Beautiful Bill (OBBB) Commercial payer/payment

H.R.292 - To amend the Federal Crop Insurance Act to require the Federal Crop Insurance Corporation to carry out research and development regarding a policy to insure table, wine, and juice grapes against losses due to a freeze event, and for other purposes. H.R.550 - To require the Government Accountability Office to conduct a study regarding insurance coverage for damages from wildfires, and for other purposes. H.R.643 - To eliminate the Federal Insurance Office of the Department of the Treasury, and for other purposes. H.R.827 - To ensure the availability and affordability of homeowners' insurance coverage for catastrophic events. H.R.1481 - To amend the Internal Revenue Code of 1986 to establish a system for the taxation of catastrophic risk transfer companies to ensure sufficient capital to cover catastrophic insurance losses, and for other purposes. H.R.2123 - To amend the National Flood Insurance Act of 1968 to reauthorize the National Flood Insurance Program. S.586 - A bill to amend the Internal Revenue Code of 1986 to provide an advance refundable credit to offset certain flood insurance premiums, and for other purposes. S.824 - A bill to reauthorize the National Flood Insurance Program. H.R.2547 - To amend the Internal Revenue Code of 1986 to exclude debt held by certain insurance companies from capital assets and to extend capital loss carryovers for such companies from 5 years to 10 years. H.R.2567 - To amend the Internal Revenue Code of 1986 to provide special rules for purposes of determining if financial guaranty insurance companies are qualifying insurance corporations under the passive foreign investment company rules. H.R.2822 - To extend the National Flood Insurance Program through December 31, 2026. H.R.3437 - To prohibit the Federal Insurance Office of the Department of the Treasury and other financial regulators from collecting data directly from an insurance company. H.R.3664 - To prohibit private passenger automobile insurers from using certain income proxies to determine insurance rates and eligibility. H.R.3800 - To amend the National Flood Insurance Act of 1968 to prohibit the deferral of the issuance of letters of map revision based on the placement of fill or conditional letters of map revision based on the placement of fill, and for other purposes. H.R.2774 - To amend section 5 of the Flood Control Act of 1941 to impose a deadline for initiating the repair or restoration of project under such section, and for other purposes. H.R.3300 - To amend the Federal Water Pollution Control Act to clarify that a permit is not required under the National Pollutant Discharge Elimination System for a discharge resulting from the aerial application of certain products used for fire control and suppression, and for other purposes. S.1271 - A bill to amend the Federal Agriculture Improvement and Reform Act of 1996 with respect to transitioning producers from the noninsured crop assistance program to the whole farm revenue insurance plan. S.2053 - A bill to ensure that Write Your Own companies can sell private flood insurance products that compete with National Flood Insurance Program products. S.2054 - A bill to allow National Flood Insurance Program policyholders who leave the program to purchase a private insurance flood policy to return to the National Flood Insurance Program without penalty, and for other purposes. S.1437 - A bill to require the Administrator of the National Aeronautics and Space Administration to establish a program to identify, evaluate, acquire, and disseminate commercial Earth remote sensing data and imagery in order to satisfy the scientific, operational, and educational requirements of the Administration, and for other purposes. H.R.5574 - To extend the National Flood Insurance Program through November 21, 2025. H.R.5577 - NFIP Extension Act of 2026 H.R.5607 - Flood Insurance Transparency Act of 2025 H.R.5608 - To ensure that Write Your Own companies can sell private flood insurance products that compete with National Flood Insurance Program products. H.R.5500 - To make administrative reforms to the National Flood Insurance Program to increase fairness and accuracy and protect the taxpayer from program fraud and abuse, and for other purposes. H.R.5503 - To require the Federal Emergency Management Agency to establish a Territorial Disaster Recovery Program to continuously identify, monitor, and address factors and capability gaps that hinder the execution and completion of recovery activities relating to major disasters by eligible entities located in the territories of the United States. H.R.5504 - To amend the Internal Revenue Code of 1986 to allow for a credit against tax for certain flood insurance expenses. H.R.5229 - To provide for improvements to National Flood Insurance Program rate maps, and for other purposes. H.R.4735 - Business of Insurance Regulatory Reform Act of 2025 H.R.4504 - To require the Secretary of the Treasury to establish a catastrophic property loss reinsurance program, and for other purposes. S.2931 - A bill to reauthorize the National Flood Insurance Program. S.2946 - A bill to reauthorize the National Flood Insurance Program. S.2349 - A bill to require the Secretary of the Treasury to establish a catastrophic property loss reinsurance program, and for other purposes. S.2419 - Business of Insurance Regulatory Reform Act of 2025 H.R.5697 - To adjust the effective date of any adjustment based on Consumer Price Index to rail passenger liability cap that occurs during calendar year 2026. H.R.5848 - NFIP Retroactive Renewal and Reauthorization Act H.R.5961 - To increase the availability of flood insurance for agricultural structures, and for other purposes. H.R.5990 - To require the Secretary of Housing and Urban Development to establish a pilot program to provide grants to implementing organizations to administer a whole-home repairs program for eligible homeowners and eligible landlords, and for other purposes. H.R.6086 - To provide for funding from the Aviation Insurance Revolving Fund to continue certain Federal Aviation Administration activities in the event of a Government shutdown, and for other purposes. H.R.6155 - Federal Carjacking Enforcement Act H.R.6256 - To amend the Homeowner Flood Insurance Affordability Act of 2014 to address ecosystem restoration projects, and for other purposes. H.R.6274 - To establish a Natural Disaster Risk Reinsurance Program, and for other purposes. H.R.6560 - To amend the National Flood Insurance Act of 1968 to provide for the automatic contingent extension of the National Flood Insurance Program, and for other purposes. H.R.6620 - To amend the National Flood Insurance Act of 1968 to allow for the consideration of private flood insurance for the purposes of applying continuous coverage requirements, and for other purposes.

H.R.292 - To amend the Federal Crop Insurance Act to require the Federal Crop Insurance Corporation to carry out research and development regarding a policy to insure table, wine, and juice grapes against losses due to a freeze event, and for other purposes. H.R.550 - To require the Government Accountability Office to conduct a study regarding insurance coverage for damages from wildfires, and for other purposes. H.R.643 - To eliminate the Federal Insurance Office of the Department of the Treasury, and for other purposes. H.R.827 - To ensure the availability and affordability of homeowners' insurance coverage for catastrophic events. H.R.1481 - To amend the Internal Revenue Code of 1986 to establish a system for the taxation of catastrophic risk transfer companies to ensure sufficient capital to cover catastrophic insurance losses, and for other purposes. H.R.2123 - To amend the National Flood Insurance Act of 1968 to reauthorize the National Flood Insurance Program. S.586 - A bill to amend the Internal Revenue Code of 1986 to provide an advance refundable credit to offset certain flood insurance premiums, and for other purposes. S.824 - A bill to reauthorize the National Flood Insurance Program. H.R.2547 - To amend the Internal Revenue Code of 1986 to exclude debt held by certain insurance companies from capital assets and to extend capital loss carryovers for such companies from 5 years to 10 years. H.R.2567 - To amend the Internal Revenue Code of 1986 to provide special rules for purposes of determining if financial guaranty insurance companies are qualifying insurance corporations under the passive foreign investment company rules. H.R.2822 - To extend the National Flood Insurance Program through December 31, 2026. H.R.3437 - To prohibit the Federal Insurance Office of the Department of the Treasury and other financial regulators from collecting data directly from an insurance company. H.R.3664 - To prohibit private passenger automobile insurers from using certain income proxies to determine insurance rates and eligibility. H.R.3800 - To amend the National Flood Insurance Act of 1968 to prohibit the deferral of the issuance of letters of map revision based on the placement of fill or conditional letters of map revision based on the placement of fill, and for other purposes. H.R.2774 - To amend section 5 of the Flood Control Act of 1941 to impose a deadline for initiating the repair or restoration of project under such section, and for other purposes. H.R.3300 - To amend the Federal Water Pollution Control Act to clarify that a permit is not required under the National Pollutant Discharge Elimination System for a discharge resulting from the aerial application of certain products used for fire control and suppression, and for other purposes. S.1271 - A bill to amend the Federal Agriculture Improvement and Reform Act of 1996 with respect to transitioning producers from the noninsured crop assistance program to the whole farm revenue insurance plan. S.2053 - A bill to ensure that Write Your Own companies can sell private flood insurance products that compete with National Flood Insurance Program products. S.2054 - A bill to allow National Flood Insurance Program policyholders who leave the program to purchase a private insurance flood policy to return to the National Flood Insurance Program without penalty, and for other purposes. S.1437 - A bill to require the Administrator of the National Aeronautics and Space Administration to establish a program to identify, evaluate, acquire, and disseminate commercial Earth remote sensing data and imagery in order to satisfy the scientific, operational, and educational requirements of the Administration, and for other purposes. H.R.5574 - To extend the National Flood Insurance Program through November 21, 2025. H.R.5577 - NFIP Extension Act of 2026 H.R.5607 - Flood Insurance Transparency Act of 2025 H.R.5608 - To ensure that Write Your Own companies can sell private flood insurance products that compete with National Flood Insurance Program products. H.R.5500 - To make administrative reforms to the National Flood Insurance Program to increase fairness and accuracy and protect the taxpayer from program fraud and abuse, and for other purposes. H.R.5503 - To require the Federal Emergency Management Agency to establish a Territorial Disaster Recovery Program to continuously identify, monitor, and address factors and capability gaps that hinder the execution and completion of recovery activities relating to major disasters by eligible entities located in the territories of the United States. H.R.5504 - To amend the Internal Revenue Code of 1986 to allow for a credit against tax for certain flood insurance expenses. H.R.5229 - To provide for improvements to National Flood Insurance Program rate maps, and for other purposes. H.R.4735 - Business of Insurance Regulatory Reform Act of 2025 H.R.4504 - To require the Secretary of the Treasury to establish a catastrophic property loss reinsurance program, and for other purposes. S.2931 - A bill to reauthorize the National Flood Insurance Program. S.2946 - A bill to reauthorize the National Flood Insurance Program. S.2349 - A bill to require the Secretary of the Treasury to establish a catastrophic property loss reinsurance program, and for other purposes. S.2419 - Business of Insurance Regulatory Reform Act of 2025

Graduate Medical Education Certified Anesthesiologist Assistants Anesthesia workforce shortages HR 3890, Resident Physician Shortage Reduction Act of 2025: residency positions S.709, Conrad State 30 and Physician Access Reauthorization Act: Foreign physician immigration status S. 1380, Specialty Physicians Advancing Rural Care (SPARC) Act: physician shortages in rural areas HR 2028; Resident Education Deferred Interest Act (REDI Act): Student loan relief Anesthesia Research Funding Scope of Practice Merit-based Incentive Payment System, MIPS, MIPS Value Pathway Quality Payment Program, QPP Alternative Payment Model, APM QCDR - Qualified Clinical Data Registry Evaluation and Monitoring codes & cuts Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Brain health CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services Conditions of Participation - Anesthesia services, opt-outs, supervision CMS: Federal Independent Dispute Resolution (IDR) Process, Batching H.R.27, HALT Fentanyl Act: fentanyl scheduling and registration requirements H.R. 1227/S.475, Alternatives to PAIN Act of 2025: access to non-opioid pain management options Pain Medicine Prescription Drug Abuse CDC Opioid Prescribing Guideline H.R. 3595, Safe Prescribing Through Reporting Act of 2025: disclosure of certain records relating to substance use disorder medications to State prescription drug monitoring programs Drug shortages DEA Scheduling Propofol FDA Safe Use Initiative FDA Operating Room Fires FDA Opioids FDA Network of Experts FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) USP - US Pharmacopeia Compounding NIH Interagency Pain Research Coordinating Committee NIH: Funding, Indirect Costs, Indirect Grants, Overhead Agency for Healthcare Research and Quality (AHRQ) funding Long COVID research 21st Century Cures Initiative Out of Network/Out of Network Payment Network Adequacy Pre-authorization; prior authorization Insurance reform, shared savings, insurer accountability Affordable Care Act reform efforts Provider Nondiscrimination Change Healthcare, Change Healthcare data breach HR 292 Lorna Breen Reauthorization H.R. 3178, SAVE Healthcare Workers Act: To protect hospital personnel from violence, and for other purposes Maternal Mortality/Maternal Care Deserts Blood management 42 CFR Part 2, Confidentiality of Substance Use Disorder Patient Records: appropriate access to patient information essential for providing whole-person care S. 2759/H.R. 5283, the Healthcare Workforce Resilience Act, Exemption for Physicians from New H-1B Visa Policy and $100,000 Fee Medical journal fees No Surprises Act (NSA) - H.R.4710 / S. 2420, the No Surprises Enforcement Act H.R. 3164, the Ensuring Community Access to Pharmacist Services Act Advance Premium Tax Credits (APTCs) Federal regulation of commercial health insurance companies One Big Beautiful Bill (OBBB)

H.R.292 - To amend the Federal Crop Insurance Act to require the Federal Crop Insurance Corporation to carry out research and development regarding a policy to insure table, wine, and juice grapes against losses due to a freeze event, and for other purposes. H.R.550 - To require the Government Accountability Office to conduct a study regarding insurance coverage for damages from wildfires, and for other purposes. H.R.643 - To eliminate the Federal Insurance Office of the Department of the Treasury, and for other purposes. H.R.827 - To ensure the availability and affordability of homeowners' insurance coverage for catastrophic events. H.R.1481 - To amend the Internal Revenue Code of 1986 to establish a system for the taxation of catastrophic risk transfer companies to ensure sufficient capital to cover catastrophic insurance losses, and for other purposes. H.R.2123 - To amend the National Flood Insurance Act of 1968 to reauthorize the National Flood Insurance Program. S.586 - A bill to amend the Internal Revenue Code of 1986 to provide an advance refundable credit to offset certain flood insurance premiums, and for other purposes. S.824 - A bill to reauthorize the National Flood Insurance Program. H.R.2547 - To amend the Internal Revenue Code of 1986 to exclude debt held by certain insurance companies from capital assets and to extend capital loss carryovers for such companies from 5 years to 10 years. H.R.2567 - To amend the Internal Revenue Code of 1986 to provide special rules for purposes of determining if financial guaranty insurance companies are qualifying insurance corporations under the passive foreign investment company rules. H.R.2822 - To extend the National Flood Insurance Program through December 31, 2026. H.R.3437 - To prohibit the Federal Insurance Office of the Department of the Treasury and other financial regulators from collecting data directly from an insurance company. H.R.3664 - To prohibit private passenger automobile insurers from using certain income proxies to determine insurance rates and eligibility. H.R.3800 - To amend the National Flood Insurance Act of 1968 to prohibit the deferral of the issuance of letters of map revision based on the placement of fill or conditional letters of map revision based on the placement of fill, and for other purposes. H.R.2774 - To amend section 5 of the Flood Control Act of 1941 to impose a deadline for initiating the repair or restoration of project under such section, and for other purposes. H.R.3300 - To amend the Federal Water Pollution Control Act to clarify that a permit is not required under the National Pollutant Discharge Elimination System for a discharge resulting from the aerial application of certain products used for fire control and suppression, and for other purposes. S.1271 - A bill to amend the Federal Agriculture Improvement and Reform Act of 1996 with respect to transitioning producers from the noninsured crop assistance program to the whole farm revenue insurance plan. S.2053 - A bill to ensure that Write Your Own companies can sell private flood insurance products that compete with National Flood Insurance Program products. S.2054 - A bill to allow National Flood Insurance Program policyholders who leave the program to purchase a private insurance flood policy to return to the National Flood Insurance Program without penalty, and for other purposes. S.1437 - A bill to require the Administrator of the National Aeronautics and Space Administration to establish a program to identify, evaluate, acquire, and disseminate commercial Earth remote sensing data and imagery in order to satisfy the scientific, operational, and educational requirements of the Administration, and for other purposes.