Occupational Therapy Mental Health Parity Act.

Issues related to telehealth services, H.R. 1614- To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program. H.R. 2013- Medicare Home Health Accessibility Act. CONNECT for Health Act of 2025 (H.R. 4206/S. 1261) H.R. 4037/S. 2847- Occupational Therapy Mental Health Parity Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1096: HOPE and Mental Wellbeing Act of 2025 mandates coverage of three annual primary care visits without cost-sharing under Medicare and Medicaid. H.R. 1867: Removes in-person requirements for mental health services under Medicare. H.R. 1598: Ensuring Access to Medicaid Buy-in Programs Act lifts the age cap for Medicaid buy-in programs for those with disabilities who choose to work S. 752/H.R. 1509: Accelerating Kids Access to Care Act expands Medicaid enrollment across state lines. S. 683: More Behavioral Health Providers Act of 2025 creates workforce incentives under Medicare. H.R. 2540: SSI Savings Penalty Elimination Act updates resource limits for SSI income eligibility. Reject cuts to Medicaid and other mental health and or substance use disorder programs in the reconciliation process. Support for state waivers for federal financial participation for services furnished to Medicaid members during short-term stays for acute care in psychiatric hospitals or residential treatment facilities that qualify as institutions for mental disease. -- H.R. 1: One Big Beautiful Bill Act reauthorizes and reforms major federal programs including Medicaid. H.R. 2590: Mental and Physical Health Care Comorbidities Act of 2025 establishes a Medicare demonstration program to promote collaborative treatment of mental and physical health comorbidities. S. 1264/H.R. 3320: Strengthening Medicaid for Serious Mental Illness Act increases federal Medicaid funding for states providing intensive community-based services for adults with serious mental illness. H.R. 4022: Increasing Behavioral Health Treatment Act removes the Medicaid exclusion for mental health services in institutions for mental diseases for patients under 65. S. 2011/H.R. 3884: Telemental Health Care Access Act removes the statutory requirement that Medicare beneficiaries be seen in-person within six months of being treated for mental and behavioral health services through telehealth. S. 2024/H.R. 3907: Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act strengthens and expands the navigator program by increasing funding, broadening duties, and ensuring nonprofit participation. H.R. 2495: Nutrition CARE Act of 2025 provides Medicare coverage for medical nutrition therapy for individuals with eating disorders. H.R. 2263: Telehealth Coverage Act of 2025: permanently expands telehealth services under Medicare H.R. 3384 Telemental Health Care Access Act: Expands Medicaid to include both mental and behavioral health services provided by telehealth. H.R. 4037/S.2847: Occupational Therapy Mental Health parity Act: Clarifies that Medicare covers occupational therapy for mental health and substance use disorders HR 4619 Medicare Mental Health Impatient Equity Act of 2025: Removes the 190-day lifetime limit on Medicare coverage on inpatient Psychiatric hospital services. HR 5462: Michelle Alyssa Go Act: Would expand Medicaid coverage for mental health and substance use disorder treatment by increasing the facility size limit from 16 to 36 beds. S. 2401/H.R. 4745: Medicaid Bump Act: Increase federal Medicaid funds for certain mental health services S. 1797 Expanding Seniors Access to Mental Health Services Act: expands Medicaid coverage and reimbursement for clinical social workers to provide mental health services S.2050 ASSIST Act: Increases federal Medicaid funding for school-based behavioral health services S.2069/HR 4028: Stabilize Medicaid and CHIP Coverage Act: mandates 12-month continuous enrollment for all individuals in Medicaid and CHIP S.2037/H.R.4313 Hospital Inpatient Services Modernization Act: Extends Medicare's acute hospital care at home waiver flexibilities S.2709/ H.R.5081: Telehealth Modernization Act: Extends and expands Medicare telehealth flexibilities S.3300/H.R.6408: ANCHOR Act of 2025 allows states to expand Medicaid coverage to low income, uninsured individuals with serious mental illness or substance use disorders S.3486 Expand the Behavioral Health Workforce Now Act: Requires federal guidance to help states strengthen the behavioral health workforce in Medicaid and CHIP S. 3522 No Red Tape for Addiction Treatment Act: Requires State Medicaid programs to cover at least one formulation of each medication for opioid use disorder without prior Authorization H.R. 6096 NEST Act funds and distributes essential newborn supply kits to mothers. S.1816/ H.R. 3514: Improving Seniors' Timely Access to Care Act: Streamlining prior authorization to increase timely access to care. Support for the extension of the enhanced advance premium tax credits (eAPTC) Support for an extension or permanent authorization of telehealth/telemental health flexibilities Support for continued access to Medicaid Ensuring that new community engagement requirements do not lead to individuals being unfairly removed from Medicaid. H.R. 7535: Second Chance Mental Health Access Act of 2026 requires Medicaid to cover 12 annual mental health telehealth visits for individuals transitioning from incarceration to home confinement. H.R. 5662: Improving Access to Institutional Mental Health Care Act removes the Medicaid exclusion for coverage of services provided to patients in mental health institutions. H.R. 6296: Advancing Access to Telehealth Act makes several telehealth flexibilities permanent under Medicare. H.R. 6727: Repealing the IMD Exclusion Act removes the Medicaid exclusion for mental health and substance use disorder treatment in institutions for mental diseases. H.R. 7324: More Behavioral Health Providers Act of 2026 expands Medicare bonus payments to a wider range of behavioral health practitioners. S. 2709: Telehealth Modernization Act extends and expands Medicare telehealth flexibilities. S. 3521/H.R. 6841: PEERS Act of 2025 expands Medicare to cover peer support services for mental health and substance use recovery. S. 3690: Ensuring Access to Medicaid Buy-in Programs Act of 2026 removes the age limit for working adults with disabilities to qualify for Medicaid buy-in programs. S. 3750: REAL Health Providers Act requires Medicare Advantage plans to maintain accurate provider directories. S. 4076: Removing Medicare Mental Health Inpatient Limitations Act of 2026 removes the 190-day lifetime limit on Medicare coverage for inpatient psychiatric hospital services. S. 4202: Mental Health Access and Provider Support Act of 2026 increases Medicare reimbursement rates for certain mental health providers. ___ H.R. 3514: Improving Seniors Timely Access to Care Act of 2025 requires Medicare Advantage plans to implement electronic prior authorization, increase transparency, protect enrollees, and adhere to new response timeframes H.R. 5944: Restoring Inpatient Mental Health Access Act of 2025 allows federal Medicaid funding for inpatient mental health services in institutions for mental diseases H.R. 8081: Mental Health Access and Provider Support Act of 2026 increases Medicare reimbursement rates for certain mental health providers H.R. 8487: Ensuring Excellence in Mental Health Act expands and standardizes Certified Community Behavioral Health Clinics under Medicaid and Medicare H.R.8261: Chronic Care Management Improvement Act of 2026 eliminates all cost-sharing for chronic care management services under Medicare Part B S. 4481: IMPACT to Save Moms Act demonstration project for states to test innovative Medicaid and CHIP payment models for maternity care

Issues related to telehealth services, H.R. 1614- To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program. H.R. 2013- Medicare Home Health Accessibility Act. CONNECT for Health Act of 2025 (H.R. 4206/S. 1261) H.R. 4037/S. 2847- Occupational Therapy Mental Health Parity Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

No bill number - Continued funding for NIH and NIDILRR No bill number - Mental Health Service Professionals Demonstration Grant funding No bill number - Advocating for support of the occupational therapy workforce No bill number - Advocating for mention of occupational therapy in mental health grants No bill number - Support for Lifespan Respite and increased funding for National and Native American Family Caregiver Support Programs in FY26 LHHS appropriations H.R. 926 - Support inclusion of language similar to H.R.4037/S.2847, the Occupational Therapy Mental Health Parity Act in report language

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.879 Medicare Patient Access and Practice Stabilization Act - support passage No bill number - Support an annual inflationary update or an increase for 2025 and 2026 to the Medicare Physician Fee Schedule No bill number - Support introduction and passage of the Provider Reimbursement Stability Act No bill number - Support a resumption and extension of telehealth waivers under Medicare after the January 31, 2026 expiration. H.R.2013 Medicare Home Health Accessibility Act - support passage and introduction of similar bill in Senate H.R.1614, therapy telehealth act - support passage S.1261/H.R.4206 CONNECT for Health Act - advocate for provision to establish OTs as permanent Medicare telehealth providers No bill number - Asking for potential carve out of schools from Medicaid referral requirement S.2847/H.R.4037 Occupational Therapy Mental Health Parity Act - support passage H.R. 926 - Support inclusion of language similar to H.R.4037/S.2847, the Occupational Therapy Mental Health Parity Act in report language H.R.4204 Medicare Patient Choice Act - support passage S.2329/H.R.4475 Medicare Orthotics and Prosthetics Patient-Centered Care Act - support passage S.2830 WELL Seniors Act - support passage S.2709/H.R.5081 Telehealth Modernization Act - support passage H.R.4559 Prompt and Fair Pay Act - support passage H.R.1171/S.2612 Stopping Addiction and Falls for the Elderly (SAFE) Act - support passage H.R. 8386 Removing Excessive Cuts to Outpatient and Vital Essential Rehabilitation (RECOVER) Act - support passage No bill number - Support legislation to make occupational therapy, physical therapy and speech language pathology a mandatory Medicaid benefit.

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

Issues related to the 2026 Medicare Physician Fee Schedule Proposed Rule (CMS-1832-P). Issues related to telehealth services, H.R. 1614- To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program. H.R. 2013- Medicare Home Health Accessibility Act. CONNECT for Health Act of 2025 (H.R. 4206/S. 1261) H.R. 4037/S. 2847- Occupational Therapy Mental Health Parity Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

LEAP Act (H.R. 6574) OBBBA (H.R 1) SAFE Act, H.R. 1171; Occupational Therapy Mental Health Parity Act, H.R. 4037 Expand Practitioners Eligible to Furnish Telehealth Services Under Medicare, H.R. 1614; Optimizing Postpartum Outcomes Act, H.R. 4074 Enhanced ACA premium tax credits (eAPTCs) extension H.R. 4104/S.2149: Health Equity and Access under the Law for Immigrant Families Act Medicaid Primary Care Improvement Act H.R.1162 H.R.5448 - Protecting Free Vaccines Act (Pediatric Infectious Diseases Fellow) PATIENT DATA Act; Improving health data interoperability Title VIII DCL Funding Request

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

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

Medicare Advantage, Medicare Provider ID & 35 Mile Rule; Site Neutral Payments & 250 Yard Radius; Value-Based Payments Issues Delays in implementation of provisions in OBBBA (H.R.1) - Occupational Therapy Mental Health Parity Act, H.R. 4037 - Expand Practitioners Eligible to Furnish Telehealth Services Under Medicare, - H.R. 1614; Optimizing Postpartum Outcomes Act, H.R. 4074 - H.R. 4104/S.2149: Health Equity and Access under the Law for Immigrant Families Act - H.R.1162 ; Medicaid Primary Care Improvement Act

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

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

H.R. 1096: HOPE and Mental Wellbeing Act of 2025 mandates coverage of three annual primary care visits without cost-sharing under Medicare and Medicaid. H.R. 1867: Removes in-person requirements for mental health services under Medicare. H.R. 1598: Ensuring Access to Medicaid Buy-in Programs Act lifts the age cap for Medicaid buy-in programs for those with disabilities who choose to work S. 752/H.R. 1509: Accelerating Kids Access to Care Act expands Medicaid enrollment across state lines. S. 683: More Behavioral Health Providers Act of 2025 creates workforce incentives under Medicare. H.R. 2540: SSI Savings Penalty Elimination Act updates resource limits for SSI income eligibility. Reject cuts to Medicaid and other mental health and or substance use disorder programs in the reconciliation process. Support for state waivers for federal financial participation for services furnished to Medicaid members during short-term stays for acute care in psychiatric hospitals or residential treatment facilities that qualify as institutions for mental disease. -- H.R. 1: One Big Beautiful Bill Act reauthorizes and reforms major federal programs including Medicaid. H.R. 2590: Mental and Physical Health Care Comorbidities Act of 2025 establishes a Medicare demonstration program to promote collaborative treatment of mental and physical health comorbidities. S. 1264/H.R. 3320: Strengthening Medicaid for Serious Mental Illness Act increases federal Medicaid funding for states providing intensive community-based services for adults with serious mental illness. H.R. 4022: Increasing Behavioral Health Treatment Act removes the Medicaid exclusion for mental health services in institutions for mental diseases for patients under 65. S. 2011/H.R. 3884: Telemental Health Care Access Act removes the statutory requirement that Medicare beneficiaries be seen in-person within six months of being treated for mental and behavioral health services through telehealth. S. 2024/H.R. 3907: Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act strengthens and expands the navigator program by increasing funding, broadening duties, and ensuring nonprofit participation. H.R. 2495: Nutrition CARE Act of 2025 provides Medicare coverage for medical nutrition therapy for individuals with eating disorders. H.R. 2263: Telehealth Coverage Act of 2025: permanently expands telehealth services under Medicare H.R. 3384 Telemental Health Care Access Act: Expands Medicaid to include both mental and behavioral health services provided by telehealth. H.R. 4037/S.2847: Occupational Therapy Mental Health parity Act: Clarifies that Medicare covers occupational therapy for mental health and substance use disorders HR 4619 Medicare Mental Health Impatient Equity Act of 2025: Removes the 190-day lifetime limit on Medicare coverage on inpatient Psychiatric hospital services. HR 5462: Michelle Alyssa Go Act: Would expand Medicaid coverage for mental health and substance use disorder treatment by increasing the facility size limit from 16 to 36 beds. S. 2401/H.R. 4745: Medicaid Bump Act: Increase federal Medicaid funds for certain mental health services S. 1797 Expanding Seniors Access to Mental Health Services Act: expands Medicaid coverage and reimbursement for clinical social workers to provide mental health services S.2050 ASSIST Act: Increases federal Medicaid funding for school-based behavioral health services S.2069/HR 4028: Stabilize Medicaid and CHIP Coverage Act: mandates 12-month continuous enrollment for all individuals in Medicaid and CHIP S.2037/H.R.4313 Hospital Inpatient Services Modernization Act: Extends Medicare's acute hospital care at home waiver flexibilities S.2709/ H.R.5081: Telehealth Modernization Act: Extends and expands Medicare telehealth flexibilities S.3300/H.R.6408: ANCHOR Act of 2025 allows states to expand Medicaid coverage to low income, uninsured individuals with serious mental illness or substance use disorders S.3486 Expand the Behavioral Health Workforce Now Act: Requires federal guidance to help states strengthen the behavioral health workforce in Medicaid and CHIP S. 3522 No Red Tape for Addiction Treatment Act: Requires State Medicaid programs to cover at least one formulation of each medication for opioid use disorder without prior Authorization H.R. 6096 NEST Act funds and distributes essential newborn supply kits to mothers. S.1816/ H.R. 3514: Improving Seniors' Timely Access to Care Act: Streamlining prior authorization to increase timely access to care. Support for the extension of the enhanced advance premium tax credits (eAPTC) Support for an extension or permanent authorization of telehealth/telemental health flexibilities Support for continued access to Medicaid Ensuring that new community engagement requirements do not lead to individuals being unfairly removed from Medicaid. H.R. 7535: Second Chance Mental Health Access Act of 2026 requires Medicaid to cover 12 annual mental health telehealth visits for individuals transitioning from incarceration to home confinement. H.R. 5662: Improving Access to Institutional Mental Health Care Act removes the Medicaid exclusion for coverage of services provided to patients in mental health institutions. H.R. 6296: Advancing Access to Telehealth Act makes several telehealth flexibilities permanent under Medicare. H.R. 6727: Repealing the IMD Exclusion Act removes the Medicaid exclusion for mental health and substance use disorder treatment in institutions for mental diseases. H.R. 7324: More Behavioral Health Providers Act of 2026 expands Medicare bonus payments to a wider range of behavioral health practitioners. S. 2709: Telehealth Modernization Act extends and expands Medicare telehealth flexibilities. S. 3521/H.R. 6841: PEERS Act of 2025 expands Medicare to cover peer support services for mental health and substance use recovery. S. 3690: Ensuring Access to Medicaid Buy-in Programs Act of 2026 removes the age limit for working adults with disabilities to qualify for Medicaid buy-in programs. S. 3750: REAL Health Providers Act requires Medicare Advantage plans to maintain accurate provider directories. S. 4076: Removing Medicare Mental Health Inpatient Limitations Act of 2026 removes the 190-day lifetime limit on Medicare coverage for inpatient psychiatric hospital services. S. 4202: Mental Health Access and Provider Support Act of 2026 increases Medicare reimbursement rates for certain mental health providers.

No bill number - Continued funding for NIH and NIDILRR No bill number - Mental Health Service Professionals Demonstration Grant funding No bill number - Advocating for support of the occupational therapy workforce No bill number - Advocating for mention of occupational therapy in mental health grants No bill number - Support for Lifespan Respite and increased funding for National and Native American Family Caregiver Support Programs in FY26 LHHS appropriations No bill number - Request for appropriations report language similar to the language in H.R.4037/S.2847, the Occupational Therapy Mental Health Parity Act No bill number - Advocating for changes to graduate student loan definitions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.879 Medicare Patient Access and Practice Stabilization Act - support passage No bill number - Support an annual inflationary update or an increase for 2025 and 2026 to the Medicare Physician Fee Schedule No bill number - Support introduction and passage of the Provider Reimbursement Stability Act No bill number - Support a resumption and extension of telehealth waivers under Medicare after the January 31, 2026 expiration. H.R.2013 Medicare Home Health Accessibility Act - support passage and introduction of similar bill in Senate H.R.1614, therapy telehealth act - support passage S.1261/H.R.4206 CONNECT for Health Act - advocate for provision to establish OTs as permanent Medicare telehealth providers No bill number - Asking for potential carve out of schools from Medicaid referral requirement S.2847/H.R.4037 Occupational Therapy Mental Health Parity Act - support passage H.R.4204 Medicare Patient Choice Act - support passage S.2329/H.R.4475 Medicare Orthotics and Prosthetics Patient-Centered Care Act - support passage S.2830 WELL Seniors Act - support passage S.2709/H.R.5081 Telehealth Modernization Act - support passage H.R.4559 Prompt and Fair Pay Act - support passage H.R.1171/S.2612 Stopping Addiction and Falls for the Elderly (SAFE) Act - support passage No bill number - Support legislation to repeal the Medicare Multiple Procedure Payment Reduction applied to therapy services. No bill number - Support legislation to make occupational therapy, physical therapy and speech language pathology a mandatory Medicaid benefit.

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

H.R. 1096: HOPE and Mental Wellbeing Act of 2025 mandates coverage of three annual primary care visits without cost-sharing under Medicare and Medicaid. H.R. 1867: Removes in-person requirements for mental health services under Medicare. H.R. 1598: Ensuring Access to Medicaid Buy-in Programs Act lifts the age cap for Medicaid buy-in programs for those with disabilities who choose to work S. 752/H.R. 1509: Accelerating Kids Access to Care Act expands Medicaid enrollment across state lines. S. 683: More Behavioral Health Providers Act of 2025 creates workforce incentives under Medicare. H.R. 2540: SSI Savings Penalty Elimination Act updates resource limits for SSI income eligibility. Reject cuts to Medicaid and other mental health and or substance use disorder programs in the reconciliation process. Support for state waivers for federal financial participation for services furnished to Medicaid members during short-term stays for acute care in psychiatric hospitals or residential treatment facilities that qualify as institutions for mental disease. -- H.R. 1: One Big Beautiful Bill Act reauthorizes and reforms major federal programs including Medicaid. H.R. 2590: Mental and Physical Health Care Comorbidities Act of 2025 establishes a Medicare demonstration program to promote collaborative treatment of mental and physical health comorbidities. S. 1264/H.R. 3320: Strengthening Medicaid for Serious Mental Illness Act increases federal Medicaid funding for states providing intensive community-based services for adults with serious mental illness. H.R. 4022: Increasing Behavioral Health Treatment Act removes the Medicaid exclusion for mental health services in institutions for mental diseases for patients under 65. S. 2011/H.R. 3884: Telemental Health Care Access Act removes the statutory requirement that Medicare beneficiaries be seen in-person within six months of being treated for mental and behavioral health services through telehealth. S. 2024/H.R. 3907: Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act strengthens and expands the navigator program by increasing funding, broadening duties, and ensuring nonprofit participation. H.R. 2495: Nutrition CARE Act of 2025 provides Medicare coverage for medical nutrition therapy for individuals with eating disorders. H.R. 2263: Telehealth Coverage Act of 2025: permanently expands telehealth services under Medicare H.R. 3384 Telemental Health Care Access Act: Expands Medicaid to include both mental and behavioral health services provided by telehealth. H.R. 4037/S.2847: Occupational Therapy Mental Health parity Act: Clarifies that Medicare covers occupational therapy for mental health and substance use disorders HR 4619 Medicare Mental Health Impatient Equity Act of 2025: Removes the 190-day lifetime limit on Medicare coverage on inpatient Psychiatric hospital services. HR 5462: Michelle Alyssa Go Act: Would expand Medicaid coverage for mental health and substance use disorder treatment by increasing the facility size limit from 16 to 36 beds. S. 2401/H.R. 4745: Medicaid Bump Act: Increase federal Medicaid funds for certain mental health services S. 1797 Expanding Seniors Access to Mental Health Services Act: expands Medicaid coverage and reimbursement for clinical social workers to provide mental health services S.2050 ASSIST Act: Increases federal Medicaid funding for school-based behavioral health services S.2069/HR 4028: Stabilize Medicaid and CHIP Coverage Act: mandates 12-month continuous enrollment for all individuals in Medicaid and CHIP S.2037/H.R.4313 Hospital Inpatient Services Modernization Act: Extends Medicare's acute hospital care at home waiver flexibilities S.2709/ H.R.5081: Telehealth Modernization Act: Extends and expands Medicare telehealth flexibilities S.3300/H.R.6408: ANCHOR Act of 2025 allows states to expand Medicaid coverage to low income, uninsured individuals with serious mental illness or substance use disorders S.3486 Expand the Behavioral Health Workforce Now Act: Requires federal guidance to help states strengthen the behavioral health workforce in Medicaid and CHIP S. 3522 No Red Tape for Addiction Treatment Act: Requires State Medicaid programs to cover at least one formulation of each medication for opioid use disorder without prior Authorization H.R. 6096 NEST Act funds and distributes essential newborn supply kits to mothers. S.1816/ H.R. 3514: Improving Seniors' Timely Access to Care Act: Streamlining prior authorization to increase timely access to care. Support for the extension of the enhanced advance premium tax credits (eAPTC) Support for an extension or permanent authorization of telehealth/telemental health flexibilities Support for continued access to Medicaid Ensuring that new community engagement requirements do not lead to individuals being unfairly removed from Medicaid.

HR 3505 "Barriers to Suicide Act," all provisions. HR 2587 / S 1266 "Youth Mental Health Research Act," all provisions. S 1062"Suicide Prevention Act," all provisions. HR 2904 / S 1448 "Pursuing Equity in Mental Health Act," all provisions. S 3364 / HR 6663 "Kid Proof Act of 2023," all provisions. Issues pertaining to general education, advocacy, and research related to youth mental health, and suicide prevention. S 779 / HR 1735 "EARLY Minds Act," all provisions. HR 1987 / S 929 "Saving Our Veterans Lives Act of 2025," all provisions. HR 2483 / S 2121 SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions. HR 5434 / S 2826 "988 LGBTQ+ Youth Access Act of 2025," all provisions. HR 4037 / S 2847 "Occupational Therapy Mental Health Parity Act," all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

H.R.879 Medicare Patient Access and Practice Stabilization Act - support passage No bill number - Support an annual inflationary update or an increase for 2025 and 2026 to the Medicare Physician Fee Schedule No bill number - Support introduction and passage of the Provider Reimbursement Stability Act No bill number - Support a resumption and extension of telehealth waivers under Medicare after the September 30, 2025 expiration. H.R.1171 Stopping Addiction and Falls for the Elderly Act (SAFE Act) - support passage H.R.2013 Medicare Home Health Accessibility Act - support passage and introduction of similar bill in Senate H.R.1614, therapy telehealth act - support passage S.1261/H.R.4206 CONNECT for Health Act - advocate for provision to establish OTs as permanent Medicare telehealth providers No bill number - Asking for potential carve out of schools from Medicaid referral requirement S.2847/H.R.4037 Occupational Therapy Mental Health Parity Act - support passage H.R.4204 Medicare Patient Choice Act - support passage S.2329/H.R.4475 Medicare Orthotics and Prosthetics Patient-Centered Care Act - support passage S.2830 WELL Seniors Act - support passage S.2709/H.R.5081 Telehealth Modernization Act - support passage H.R.4559 Prompt and Fair Pay Act - support passage H.R.1171/S.2612 Stopping Addiction and Falls for the Elderly (SAFE) Act - support passage No bill number - Support legislation to repeal the Medicare Multiple Procedure Payment Reduction applied to therapy services. No bill number - Support legislation to make occupational therapy, physical therapy and speech language pathology a mandatory Medicaid benefit.

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

Increasing access to mental health and substance use treatment, including via telehealth; Mental health & substance use disorder workforce; Federal funding for mental health and substance use programs, research and training; Medicare telehealth flexibilities; Extend federal flexibilities for teleprescribing of controlled substances; H.R. 2483, Reauthorization of Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act; H.R. 2509/S. 931, Connecting Our Medical Providers with Links to Expand Tailored and Effective (COMPLETE) Care Act; Transparency and streamline utilization management protocols including prior authorization and step therapy (H.R. 8702/S. 4532); Preventing and reducing suicide; Medicare Part B coverage of pharmacist provided patient care services; Occupational Therapy Mental Health Parity Act (H.R. 4037/S. 2847).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.879 Medicare Patient Access and Practice Stabilization Act - support passage No bill number: Support an annual inflationary update or an increase for 2025 and 2026 to the Medicare Physician Fee Schedule No bill number: Support an extension of telehealth waivers under Medicare after the September 30, 2025 expiration, including in Continuing Resolutions. H.Con.Res.14 and H.R.1- ask Congress to limit cuts to state funding for Medicaid and limit burden when applying eligibility checks and requirements H.R.1171 Stopping Addiction and Falls for the Elderly Act (SAFE Act) - support passage H.R.2013 Medicare Home Health Accessibility Act - support passage and introduction of similar bill in Senate H.R.1614, therapy telehealth act - support passage S.1261 CONNECT for Health Act - advocate for provision to establish OTs as permanent Medicare telehealth providers No bill number: Asking for potential carve out of schools from Medicaid referral requirement S.2847/H.R.4037 Occupational Therapy Mental Health Parity Act - support passage H.R.4204 Medicare Patient Choice Act - support passage S.2329/H.R.4475 Medicare Orthotics and Prosthetics Patient-Centered Care Act - support passage S.2830 WELL Seniors Act - support passage S.2709/H.R.5081 Telehealth Modernization Act - support passage

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

H.R. 1096: HOPE and Mental Wellbeing Act of 2025 mandates coverage of three annual primary care visits without cost-sharing under Medicare and Medicaid. H.R. 1867: Removes in-person requirements for mental health services under Medicare. H.R. 1598: Ensuring Access to Medicaid Buy-in Programs Act lifts the age cap for Medicaid buy-in programs for those with disabilities who choose to work S. 752/H.R. 1509: Accelerating Kids Access to Care Act expands Medicaid enrollment across state lines. S. 683: More Behavioral Health Providers Act of 2025 creates workforce incentives under Medicare. H.R. 2540: SSI Savings Penalty Elimination Act updates resource limits for SSI income eligibility. Reject cuts to Medicaid and other mental health and or substance use disorder programs in the reconciliation process. Support for state waivers for federal financial participation for services furnished to Medicaid members during short-term stays for acute care in psychiatric hospitals or residential treatment facilities that qualify as institutions for mental disease. -- H.R. 1: One Big Beautiful Bill Act reauthorizes and reforms major federal programs including Medicaid. H.R. 2590: Mental and Physical Health Care Comorbidities Act of 2025 establishes a Medicare demonstration program to promote collaborative treatment of mental and physical health comorbidities. S. 1264/H.R. 3320: Strengthening Medicaid for Serious Mental Illness Act increases federal Medicaid funding for states providing intensive community-based services for adults with serious mental illness. H.R. 4022: Increasing Behavioral Health Treatment Act removes the Medicaid exclusion for mental health services in institutions for mental diseases for patients under 65. S. 2011/H.R. 3884: Telemental Health Care Access Act removes the statutory requirement that Medicare beneficiaries be seen in-person within six months of being treated for mental and behavioral health services through telehealth. S. 2024/H.R. 3907: Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act strengthens and expands the navigator program by increasing funding, broadening duties, and ensuring nonprofit participation. H.R. 2495: Nutrition CARE Act of 2025 provides Medicare coverage for medical nutrition therapy for individuals with eating disorders. H.R. 2263: Telehealth Coverage Act of 2025: permanently expands telehealth services under Medicare H.R. 3384 Telemental Health Care Access Act: Expands Medicaid to include both mental and behavioral health services provided by telehealth. H.R. 4037: Occupational Therapy Mental Health parity Act: Clarifies that Medicare covers occupational therapy for mental health and substance use disorders HR 4619 Medicare Mental Health Impatient Equity Act of 2025: Removes the 190-day lifetime limit on Medicare coverage on inpatient Psychiatric hospital services. HR 5462: Michelle Alyssa Go Act: Would expand Medicaid coverage for mental health and substance use disorder treatment by increasing the facility size limit from 16 to 36 beds. S. 2401/H.R. 4745: Medicaid Bump Act: Increase federal Medicaid funds for certain mental health services S. 1797 Expanding Seniors Access to Mental Health Services Act: expands Medicaid coverage and reimbursement for clinical social workers to provide mental health services

H.R.879 Medicare Patient Access and Practice Stabilization Act - support passage No bill number: Support an annual inflationary update or an increase for 2025 and 2026 to the Medicare Physician Fee Schedule No bill number: Support an extension of telehealth waivers under Medicare after the September 30, 2025 expiration, including in Continuing Resolutions. H.Con.Res.14 and H.R.1- ask Congress to limit cuts to state funding for Medicaid and limit burden when applying eligibility checks and requirements H.R.1171 Stopping Addiction and Falls for the Elderly Act (SAFE Act) - support passage H.R.2013 Medicare Home Health Accessibility Act - support passage and introduction of similar bill in Senate H.R.1614, therapy telehealth act - support passage S.1261 CONNECT for Health Act - advocate for provision to establish OTs as permanent Medicare telehealth providers No bill number: Asking for potential carve out of schools from Medicaid referral requirement S.2847/H.R.4037 Occupational Therapy Mental Health Parity Act - support passage H.R.4204 Medicare Patient Choice Act - support passage S.2329/H.R.4475 Medicare Orthotics and Prosthetics Patient-Centered Care Act - support passage S.2830 WELL Seniors Act - support passage S.2709/H.R.5081 Telehealth Modernization Act - support passage

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

H.R. 879 Medicare Patient Access and Practice Stabilization Act - support passage No bill number: Support an annual inflationary update or an increase for 2025 and 2026 to the Medicare Physician Fee Schedule No bill number: Support an extension of telehealth waivers under Medicare after the September 30, 2025 expiration H.Con.Res. 14 and H.R. 1- ask Congress to limit cuts to state funding for Medicaid and limit burden when applying eligibility checks and requirements H.R. 1171 Stopping Addiction and Falls for the Elderly Act (SAFE Act) - support passage H.R. 2013 Medicare Home Health Accessibility Act - support passage and introduction of similar bill in Senate H.R. 1614, therapy telehealth act - Support passage S.1261 CONNECT for Health Act - advocate for provision to establish OTs as permanent Medicare telehealth providers No bill number: Asking for potential carve out of schools from Medicaid referral requirement H.R. 1171 Safe Act - Support passage H.R.4037 Occupational Therapy Mental Health Parity Act - Support passage H.R.4204 Medicare Patient Choice Act - Support passage

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