Do No Harm in Medicaid Act

LEGISLATION: S. 1748-Kids Online Safety Act-Issues Lobbied: Free Speech, Privacy, Civil Rights and Liberties. S. 3663-Kids Online Safety Act-Issues Lobbied: Free Speech, Kids Online Safety, Civil Rights and Liberties. S. 9-Protection of Women and Girls in Sports Act-Issues Lobbied: LGBTQ Rights. S. 894-Do No Harm Act-Issues Lobbied: Religious Liberty. S. 128-SAVE Act-Issues Lobbied: Voting Rights. S. 1503-Equality Act-Issues Lobbied: LGBTQ Rights, Trans Rights. S. 1957-No Place for LGBTQ+ Hate Act-Issues Lobbied: LGBTQ Rights, Trans Rights. S. 2150-Womens Health Protection Act of 2025-Issues Lobbied: Reproductive Rights. S. 2212-VISIBLE Act-Issues Lobbied: Federal Policing Reform. S. 2523-John R. Lewis Voting Rights Advancement Act of 2025-Issues Lobbied: Voting Rights. S. 2149-Health Equity and Access under the Law for Immigrant Families Act of 2025-Issues Lobbied: Reproductive Rights, Immigrants Rights. S. 3077-Safer Supervision Act of 2025-Issues Lobbied: Federal Supervision, Re-Entry. S. 3206-Transgender Health Care Access Act-Issues Lobbied: LGBTQ Rights. S.Res. 604-A resolution recognizing that it is the duty of the Federal Government to develop and implement a Transgender Bill of Rights to protect and codify the rights of transgender and nonbinary people under the law and ensure their access to medical care, shelter, safety, and economic security-Issues Lobbied: LGBTQ Rights. S. 3186-Constitutional Accountability Act-Issues Lobbied: Federal Law Enforcement Accountability, Policing Reform, Civil Liberties, Criminal Justice Reform. S. 3674-SCAM Act-Issues Lobbied: Immigration. S. 3803-Right to Redress Act-Issues Lobbied: Policing Reform. S .545-Combating Illicit Xylazine Act-Issues Lobbied: Drug Sentencing, Mass Incarceration. S. 1572-Federal Carjacking Enforcement Act-Issues Lobbied: Sentencing, Mass Incarceration. S. 51-Washington, D.C. Admission Act- Issues Lobbied: Voting Rights. S. 3187-Bivens Act of 2025-Issues Lobbied: Civil Liberties, Criminal Justice Reform. S. 4814-To require the Secretary of Homeland Security to designate Haiti for temporary protected status-Issues Lobbied: Extension of temporary protected status for Haiti. S. 2468-Renewing Immigration Provisions of the Immigration Act of 1929-Issues Lobbied: Pathway to citizenship for Dreamers, temporary protected status holders and other immigrants who lived in the U.S. for at least 7 years. S. 4438-Promoting Access to Broadband Act of 2026-Issues Lobbied: Broadband Access. S. 4407-CHATBOT Act-Issues Lobbied: Free Speech. S. 1367-NO FAKES Act of 2025-Issues Lobbied: Free Speech. S. 4784-An original bill to authorize appropriations for fiscal year 2027 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes-Issues Lobbied: Womens Rights, Criminal Justice. S. 1404-Combating Organized Retail Crime Act-Issues Lobbied: Criminal Justice, Surveillance, Immigration. S. 2-Secure America Act-Issues Lobbied: Immigration, Border Enforcement. S. 1318-Foreign Intelligence Accountability Act-Issues Lobbied: Section 702, Surveillance. S. 3234-Government Surveillance Reform Act of 2023-Issues Lobbied: Section 702. S. 3961-SAFE Act-Issues Lobbied: Section 702. S. 2377-EACH Act of 2025-Issues Lobbied: Reproductive Rights. S. 951-Stop Comstock Act-Issues Lobbied: Reproductive Rights. S. 4879-Let Doctors Provide Reproductive Health Care Act-Issues Lobbied: Reproductive Rights. S. 4701-Freedom to Travel for Health Care Act of 2026-Issues Lobbied: Reproductive Rights. S.Res. 732-A resolution expressing the sense of the Senate that over 25 years of real-world evidence and hundreds of peer-reviewed studies proving that mifepristone is safe and effective should be respected, and law and policy governing access to lifesaving, time-sensitive medication abortion care in the United States should be equitable, transparent, and based on the best available peer-reviewed evidence-based science-Issues Lobbied: Reproductive Rights. S. 2256-Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2026-Issues Lobbied: Reproductive Rights. S. 3054-Kayla Hamilton Act-Issues Lobbied: Immigration. S. 1071-National Defense Authorization Act for Fiscal Year 2026-Issues Lobbied: Citizenship. S. 3076-Nitazene Control Act-Issues Lobbied: Drug Policy. S.J.Res. 99-A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by U.S. Citizenship and Immigration Services relating to Removal of the Automatic Extension of Employment Authorization Documents-Issues Lobbied: Immigration. S. 4369-Absentee and Mail Voter Protection Act-Issues Lobbied: Voting Rights. S. 1383-Safeguard American Voter Eligibility Act / SAVE America Act-Issues Lobbied: Voting Rights, Trans Rights. S.Amdt. 5779 to S.Amdt.5453 to S.2- Secure America Act-Issues Lobbied: Voting Rights, Trans Rights. S.Amdt. 5804 to S.Amdt. 5453 to S.2-Secure America Act-Issues Lobbied: Voting Rights, Trans Rights. H.R. 14-John R. Lewis Voting Rights Advancement Act of 2025-Issues Lobbied: Voting Rights. H.R. 12-Womens Health Protection Act of 2025-Issues Lobbied: Reproductive Rights. H.R. 28-Protection of Women and Girls in Sports Act of 2025-Issues Lobbied: LGBTQ Rights. H.R. 2487-Transgender Health Care Access Act-Issues Lobbied: LGBTQ Rights. H.R. 1954-Do No Harm Act-Issues Lobbied: Religious Liberty. H.R. 22-SAVE Act-Issues Lobbied: Voting Rights. H.R. 15-Equality Act-Issues Lobbied: LGBTQ Rights, Trans Rights. H.R. 3492-Protect Childrens Innocence Act-Issues Lobbied: LGBTQ Rights. H.R. 3708-No Place for LGBTQ+ Hate Act-Issues Lobbied: LGBTQ Rights, Trans Rights. H.R. 5068-MORE Act-Issues Lobbied: Marijuana Decriminalization. H.R. 5507-Hidden Foster Care Transparency Act-Issues Lobbied: Womens Rights. H.R. 498-Do No Harm in Medicaid Act-Issues Lobbied: LGBTQ Rights. H.R. 4611-EACH Act of 2025-Issues Lobbied: Reproductive Rights. H.R. 6091-Bivens Act of 2025-Issues Lobbied: Policing Reform, Federal Law Enforcement Accountability, Civil Liberties, Justice, Criminal Justice Reform. H.R. 4250-PRESS Act-Issues Lobbied: First Amendment. H.R. 7661-Stop the Sexualization of Children Act-Issues Lobbied: LGBTQ Rights, Free Speech. H.R. 7651-Chloe Cole Act of 2026-Issues Lobbied: LGBTQ Rights. H.R. 1028-Protection of Women in Olympic and Amateur Sports Act of 2026-Issues Lobbied: LGBTQ Rights, Trans Rights. H.R. 2616-PROTECT Kids Act-Issues Lobbied: LGBTQ Rights, Free Speech, Trans Rights. H.R. 2617-Say No to Indoctrination Act-Issues Lobbied: LGBTQ Rights, Free Speech. H.Res. 1058-Recognizing that it is the duty of the Federal Government to develop and implement a Transgender Bill of Rights to protect and codify the rights of transgender and nonbinary people under the law and ensure their access to medical care, shelter, safety, and economic security-Issues Lobbied: LGBTQ Rights. H.Res. 965-Providing for consideration of the bill (H.R. 1689) to require the Secretary of Homeland Security to designate Haiti for temporary protected status-Issues Lobbied: Immigration. H.R. 7147-Homeland Security and Further Additional Continuing Appropriations Act, 2026-Issues Lobbied: Immigration, Federal Funding for ICE and Border Patrol. H.Con.Res. 38-Directing the President pursuant to section 5(c) of the War Powers Resolution to remove United States Armed Forces from unauthorized hostilities in the Islamic Republic of Iran-Issues Lobbied: War Authority. H.R. 7148-Consolidated Appropriations Act, 2026-Issues Lobbied: Federal Funding for ICE and Border Patrol. H.R. 2029-Stop Comstock Act-Issues Lobbied: Reproductive Rights. H.R. 2853-Combating Organized Retail Crime Act of 2025-Issues Lobbied: Sentencing, Mass Incarceration, Criminal Justice, Surveillance. H.R. 1266-Combating Illicit Xylazine Act-Issues Lobbied: Drug Sentencing, Mass Incarceration. H.R. 7247-Prison Libraries Act of 2026-Issues Lobbied: Prison Reform. H.R. 8175-To amend title 10, United States Code, and the National Defense Authorization Act for Fiscal Year 1994, to codify and clarify gender neutral standards for members of certain Armed Forces, and for other purposes-Issues Lobbied: Womens Rights, Women in Combat. H.R. 51-Washington, D.C. Admission Act-Issues Lobbied: Voting Rights. H.R. 6092-Constitutional Accountability Act-Issues Lobbied: Civil Liberties, Criminal Justice Reform. H.R. 1689-To require the Secretary of Homeland Security to designate Haiti for temporary protected status-Issues Lobbied: Extension of temporary protected status for Haiti, Immigration. H.R. 4696-Renewing Immigration Provisions of the Immigration Act of 1929-Issues Lobbied: Pathway to citizenship for Dreamers, temporary protected status holders and other immigrants who lived in the U.S. for at least 7 years. H.R. 8469-Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2027, and for other purposes-Issues Lobbied: LGBTQ Rights, Racial Justice, Criminal Law Reform, Civil Liberties. H.R. 8646-Agriculture, Rural Development, Food and Drug Administration, and Related Agency Appropriations Act, 2027-Issues Lobbied: LGBTQ Rights, Trans Rights, Reproductive Rights. H.R. 8595-National Security, Department of State, and Related Programs Appropriations Act, 2027-Issues Lobbied: Immigrants Rights, LGBTQ Rights, Racial Justice, Reproductive Freedom, Reproductive Rights, Free Speech, Immigration, Civil Liberties. H.R. 1329-Smithsonian American Womens History Museum Act-Issues Lobbied: LGBTQ Rights, Trans Rights. H.R. 8720-Campaign Finance Transparency Act-Issues Lobbied: Elections, Free Speech. H.R. 8239-SACRED Act-Issues Lobbied: Free Speech. H.R. 775-KIDS Act-Issues Lobbied: Free Speech, Privacy. H.R. 8800-National Defense Authorization Act for Fiscal Year 2027-Issues Lobbied: Womens Rights, Immigration, Civil Liberties, Reproductive Rights, Criminal Justice. H.R. 1041-Veterans 2nd Amendment Protection Act-Issues Lobbied: Disability Rights. H.R. 9125-Sectoral AI Governance Act of 2026-Issues Lobbied: Artificial Intelligence. H.R. 6371-No Robot Bosses Act-Issues Lobbied: Artificial Intelligence. H.R. 9402-Stop Spying Bosses Act-Issues Lobbied: Surveillance, Privacy. H.R. 2-Secure the Border Act of 2023-Issues Lobbied: Immigration. H.R. 6570-Protect Liberty and End Warrantless Surveillance Act-Issues Lobbied: Section 702. H.R. 6262-Government Surveillance Reform Act of 2023-Issues Lobbied: Section 702. H.R. 8035-To amend the FISA Amendments Act of 2008 to extend the authorities of title VII of the Foreign Intelligence Surveillance Act of 1978 through October 20, 2027, and for other purposes-Issues Lobbied: Section 702, Surveillance. H.R. 9260-Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027-Issues Lobbied: Civil Liberties, Reproductive Rights. H.R. 4104-Health Equity and Access under the Law for Immigrant Families Act of 2025-Issues Lobbied: Reproductive Rights, Immigrants Rights. H.R. 9432-LIFT the BAR Act-Issues Lobbied: Reproductive Rights, Immigrants Rights. H.Res. 1285-Expressing the sense of the House of Representatives that over 25 years of real-world evidence and hundreds of peer-reviewed studies proving that mifepristone is safe and effective should be respected, and law and policy governing access to lifesaving, time-sensitive medication abortion care in the United States should be equitable, transparent, and based on the best available peer-reviewed evidence-based science-Issues Lobbied: Reproductive Rights. H.R. 9495-Department of Defense Appropriations Act, 2027-Issues Lobbied: Reproductive Rights. H.R. 9022-Energy and Water Development and Related Agencies Appropriations Act, 2027-Issues Lobbied: Reproductive Rights. H.R. 9171-Department of the Interior, Environment, and Related Agencies Appropriations Act, 2027-Issues Lobbied: Reproductive Rights. H.R. 8365-Monitor Accountability Act-Issues Lobbied: Criminal Justice Reform, Policing, Prisons. H.R. 6890-PROTECT Immigration Act of 2025-Issues Lobbied: Immigration Enforcement. H.R. 1589-American Dream and Promise Act of 2025-Issues Lobbied: Citizenship. H.R. 4393-DIGNIDAD (Dignity) Act of 2025-Issues Lobbied: Citizenship. H.R. 1511-Renewing Immigration Provisions of the Immigration Act of 1929-Issues Lobbied: Citizenship. H.R. 6155-Federal Carjacking Enforcement Act-Issues Lobbied: Sentencing, Mass Incarceration. H.R. 5415-Nitazene Control Act of 2025-Issues Lobbied: Drug Policy. H.R. 7970-STOP Nitazenes Act-Issues Lobbied: Drug Policy. H.R. 9306-Hands Off Elections Act of 2026-Issues Lobbied: Voting Rights, Election Safeguarding. H.R. 8825-Democracy Without Intimidation Act-Issues Lobbied: Voting Rights, Election Safeguarding. H. Res. 1398-Providing for consideration of the bill (H.R. 8800) to authorize appropriations for fiscal year 2027 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes; providing for consideration of the bill (H.R. 8595) making appropriations for national security, Department of State, and related programs for the fiscal year ending September 30, 2027, and for other purposes; providing for consideration of the bill (H.R. 8884) to amend title II of the Social Security Act to reauthorize demonstration authority for the disability insurance program; providing for consideration of the resolution (H. Res. 1383) commemorating the one-year anniversary of the enactment of the Working Families Tax Cuts; and for other purposes-Issues Lobbied: Voting Rights, Trans Rights. LEGISLATION WITH NO BILL NUMBER AND APPOINTMENTS: Additional legislation not yet introduced - Legislation relating to defining antisemitism in education programs - First Amendment protections; Draft legislation on artificial intelligence and implementation of EO on artificial intelligence - free speech, privacy, nondiscrimination; Oversight over counterterrorism policy and practices - torture, detention, drones, war authority, Guantanamo Bay; Section 702 - civil liberties and national security; Cannabis Administration and Opportunity Act - marijuana decriminalization; Section 230 of Communications Decency Act proposals - free speech, internet integrity; Continued funding for Affordable Connectivity Act - ensuring continued funding for broadband subsidy; DC Statehood; Civil liberties; Free speech; Reproductive rights; Jawboning; Freedom to Vote Act; Legal authority related to military strikes/Venezuela/boats - presidential action and concurrent resolutions, use of lethal force; FCC commissioner pressuring private companies in violation of First Amendment; Iran war funding; Transgender rights; End Racial and Religious Profiling Act - policing reform; JAWBONE Act; Potential legislation to protect mifepristone; Federal interference in elections; Native American Voting Rights Act; Appropriations for FY27 spending - civil rights and civil liberties; Legislation authorizing IRS to sanction nonprofit organizations based on allegations related to material support for terrorism; Immigration detention conditions and oversight asks; Equal access to housing in HUD programs revisions; LGBTQ rights; Southern Poverty Law Center indictment - abuse of power; Pentagon press policy; Right to Record Act; Press Freedom; SAFE Training for OBGYNs Act; Freedom to Travel for Health Care Act; Potential abortion codification bill; Potential bill re safeguards for re-imposing REMS requirements on mifepristone; Great American AI Act; Proposed legislation related to abortion rights and access; Proposed legislation to protect access to medication abortion; Proposed legislation to protect access to gender affirming healthcare; Amendment to the NDAA - womens rights; Immigration detention oversight; Election safeguarding - voting rights; Structural democracy reform; Transportation for Reentry Act - criminal justice, re-entry reform; Congressional Accountability Act - immigration; Orlins Law - immigration; Letter to Congress urging protection of Medicaid - disability rights; Updating workplace harassment laws to protect congressional staff - womens rights; Guardianship legislation - disability rights; Resolution on Callais decision and response - voting rights; House oversight over private, state, and local school officials - nondiscrimination, academic freedom. AGENCIES: Agency - Homeland Security - Issues Lobbied: Immigration detention conditions and oversight asks, H.R. 1689 & S. 4814: To require the Secretary of Homeland Security to designate Haiti for temporary protected status, extension of temporary protected status for Haiti, H.R. 4696 & S. 2468: Renewing Immigration Provisions of the Immigration Act of 1929, pathway to citizenship for Dreamers, temporary protected status holders and other immigrants who lived in the U.S. for at least 7 years, Agency - Education - Issues Lobbied: Legislation relating to defining antisemitism in education programs, First Amendment protections. Agency - Department of Health and Human Services - Issues Lobbied: Civil Rights and Conscience Complaint and Health Information Privacy, Security, and Breach Notification Complaint (OMB Control Number 0945-002), LGBTQ Rights, Immigrants Rights, Racial Justice. Agency - Federal Communications Commission - Issues Lobbied: FCC commissioner pressuring private companies in violation of First Amendment, JAWBONE Act. Agency - Executive Office of the President - Issues Lobbied: FCC commissioner pressuring private companies in violation of First Amendment, Iran War supplemental appropriations, War powers resolution legislation related to war against Iran, War authority. Agency - Department of Housing and Urban Development - Issues Lobbied: Equal Access to Housing in HUD Programs Revisions 2026-08244 (91 FR 22779), LGBTQ Rights.

Client expense: $670,000 · Firm income: Not reported

Government targets: Education, Dept of, Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), SENATE

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

Ending Discrimination Against Gay and Bisexual Blood and Tissue Donors Funding for HIV/AIDS Education, Prevention, and Research Funding for and Education Regarding Comprehensive Sexual Health Education Implementation of Section 1557 Nondiscrimination regulations Implementation and Protection of the Patient Protection and Affordable Care Act Labor, HHS, and Education Appropriations PrEP Insurance Coverage Title X Family Planning Funding Access to Gender Affirming Care Employment Benefits Conversion Therapy H.R. 2197: No 340B Savings for Transgender Care Act H.R. 2107: To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs, and for other purposes. S. 312: Jamie Reed Protecting Our Kids from Child Abuse Act H.R. 742: PROTECTS Act of 2025 H.R. 653; S. 209: Protecting Minors from Medical Malpractice Act of 2025 H.R. 498: Do No Harm in Medicaid Act H.R. 2487; S. 3206: Transgender Healthcare Access Act S. 422 Right to Contraception Act H.R. 2387: No Harm Act H.R. 3757: Pride in Mental Health Act of 2025 S. 2035: Protect IVF Act H.R. 3811: The Elder Pride Protection Act of 2025 H.R. 3688: Protecting Children from Experimentation Act of 2025 S. 1774: Protecting Minors in Federal Health Plans Act H.R. 3527; S. 1910: Real Education for Healthy Youth H.R. 5434; S. 2826: 988 LGBTQ+ Youth Access Act of 2025 H.R. 5390; S. 2823: FAMILY Act H.R. 4648; S. 2408: Access to Fertility Treatment and Care Act H.R. 3492: Protect Childrens Innocence Act H.R. 5483; S. 2907: Chloe Cole Act H.R. 4953: Gender-Affirming Child Abuse Prevention Act H.R. 4618: Jamie Reed Protecting Our Kid from Child Abuse Act S.2907 A bill to prohibit health care professionals, hospitals, or clinics from participating in the chemical or surgical mutilation of a child and to provide a private right of action for children and the parents of children whose healthy body parts have been damaged by medical professionals practicing chemical and genital mutilation H.R. 5592 Childhood Genital Mutilation Prevention Act H.R. 600; S. 774: WHO is Accountable Act H.R. 4151: Ruthie and Connie LGBTQI Elder Americans Act of 2025 H.R. 6703: Lower Healthcare Premiums for All Americans Act H.R. 3386: Health Care Freedom for Patients Act of 2025 H.R. 6372; S. 3327: D.C. Shield Law Repeal Act S. 3011: Prohibiting Abortion & Transgender Procedures on Exchanges Act S. 3385: Lower Health Care Costs Act H.R. 7420: Stop Gender Trafficking of Minors Act H.R. 7853; S. 3990: PrEP Access and Coverage Act of 2026 H.R. 7148, the Consolidated Appropriations Act, 2026 H.R. 6876: Protecting Children from Foreign Muttilation Act H.R. 9260: Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2027 H.R. 8573; S. 4426: STOP Act H.R. 8952; S. 4625: Elder Pride Act of 2026 H.R. 7531; S. 3869 Healthy Families Act H.R. 7385: PrEP Assistance Program Act H.R. 12: Womens Health Protection Act H.Res. 445: Supporting the goals and ideals of the month of May as Sex Ed For All Month: Equity and Access for All. H.R. 6512: Putting Patients First Healthcare Freedom Act

Client expense: $223,727 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA), White House Office

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

Do No Harm in Medicaid Act (HR 498); Chloe Cole Act (HR 5483/S 2907); Protect Children's Innocence Act (H.R. 3492)

Client expense: $15,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 879, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S. 1640, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S, 891, Bipartisan Health Care Act, all provisions H.R. 786, Preserving Patient Access to Accountable Care Act, all provisions S. 1460, Preserving Patient Access to Accountable Care Act, all provisions H.R. 539, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions S. 106, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions H.R. 1317, Improving Care and Access to Nurses (I CAN) Act, all provisions H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions S. 1390, Physician Led and Rural Access to Quality Care Act, all provisions S. 665, Fatal Overdose Reduction Act of 2025, all provisions H.R, 4977, Connected MOM Act, all provisions S. 141, Connected MOM Act, all provisions H.R. 3514, Improving Seniors Timely Access to Care Act of 2025, all provisions S. 1816, Improving Seniors Timely Access to Care Act of 2025, all provisions S. 1105, No UPCODE Act, all provisions H.R. 5081, Telehealth Modernization Act, all provisions S. 2709, Telehealth Modernization Act, all provisions H.R. 2483, SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions H.R. 1, One Big Beautiful Bill Act, provisions related to Medicare payment reform, Medicaid reforms, Alternative Payment Models (APMs) H.R. 6160, Strengthening Medicare for Patients and Providers Act, all provisions H.R. 7520, Efficiency Adjustment Delay Act, all provisions H.R. 7148, Consolidated Appropriations Act, 2026, provisions related to APM bonus extension/incentive payments/qualifying provider revenue thresholds freeze H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions related to APMs H.R. 8163, To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program, all provisions H.R. 2120, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions S. 1031, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions H.R. 483, Health Care Efficiency Through Flexibility Act, all provisions H.R. 5347, Health Care Efficiency Through Flexibility Act, all provisions H.R. 8129, To amend title XVIII of the Social Security Act to establish a full risk ACO program, all provisions H.R. 1614, To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, all provisions H.R. 3108, Rural Patient Monitoring (RPM) Access Act, all provisions S. 1535, Rural Patient Monitoring (RPM) Access Act, all provisions H.R. 3164, Ensuring Community Access to Pharmacist Services Act, all provisions H.R. 2725, Affordable Housing Credit Improvement Act of 2025, all provisions H.R. 2757, Medicare Audiology Access Improvement Act of 2025, all provisions S. 1996, Medicare Audiology Access Improvement Act of 2025, all provisions H.R. 3878, RNs for Rural Health Act of 2025, all provisions H.R. 5199, Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions H.R. 2433, Reducing Medically Unnecessary Delays in Care Act of 2025, all provisions H.R. 5467, Patient Access to Autoimmune Treatments (PAAT) Act, all provisions H.R. 5940, Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery (SMARTER) Care Act of 2025, all provisions S. 3480, Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery (SMARTER) Care Act of 2025, all provisions H.R. 4002, Patient Access to Higher Quality Health Care Act of 2025, all provisions H.R. 3022, Restoring Rights of Physicians to Own Hospitals Act, all provisions S. 1399, Health Tech Investment Act, all provisions S. 3386, Health Care Freedom for Patients Act of 2025, provisions related to the ACA H.R. 498, Do No Harm in Medicaid Act, all provisions H.R. 4710, No Surprises Act Enforcement Act, all provisions S. 2420, No Surprises Act Enforcement Act, all provisions S. 1692, Radiology Outpatient Ordering Transmission (ROOT) Act, provisions related to imaging appropriate use criteria H.R. 5737, Radiology Outpatient Ordering Transmission (ROOT) Act, provisions related to imaging appropriate use criteria H.R. 3164, Equitable Community Access to Pharmacist Services Act, all provisions S. 2426, Equitable Community Access to Pharmacist Services Act, all provisions S. 3934, Medical Nutrition Therapy Act of 2026, all provisions H.R. 4206, CONNECT for Health Act of 2025, all provisions No Fees for EFTs Act, all provisions Drafts/Chronic Care Management Improvement Act Drafts/Access to Genetic Counselor Services Act Drafts/GOLD CARD Act Drafts/Medicare Advantage Improvement Act Draft/Value in Health Care Act Draft/Medicare Budget Neutrality and MIPS reform Draft/MACRA/MIPS program reform Medicare program: Medicare Economic Index (MEI)/inflationary updates Medicare program: Medicare physician payment/budget neutrality Medicare program: Merit-based Incentive Payment System (MIPS)/reforms and penalties Medicare program: MIPS Value Pathways (MVPs) reform Medicare program: MIPS quality and cost measures Medicare program: G2211 Inherent Complexity Code Medicare program: Alternative Payment Models (APMs) Medicare program: ACO (Accountable Care Organization) REACH Model Medicare program: Long-term Enhanced ACO Design (LEAD) Model Medicare program: ACO/APM flexibilities Medicare program: Prior authorization Medicare program: Wasteful and Inappropriate Service Reduction (WISeR) and Ambulatory Specialty Model Medicare program: Site Neutral Payment Medicare program: AI chatbots/Medicare Advantage preventive screens Medicare program: Coding Medicare program: MEI Update Medicare program: AI services/payment Medicare program: Indirect practice expense Medicare program: Telehealth and Digital Health Medicare program: Medicare Advantage provider networks/physician experience Medicare program: Shared Savings Program Medicare program: Medicare Diabetes Prevention Program Medicare program: Data-Driven Performance Payment System Medicare program: Promoting Interoperability (PI) Program Medicare program: Quality Payment Program Medicare program: Certified electronic health record and PI Medicare program: Advanced APM reporting Medicare program: Public Health Reporting and Data Exchange Medicare program: Provider directories Medicare program: Digital quality measures Medicare program: Aligned Networks and interoperability Medicare program: Health Information Technology/physician burdens Medicare program: Data privacy/cybersecurity Medicare program: Review Choice Demonstration (RCD)/Inpatient Rehabilitation Facility (IRF) Medicare program: Organ transplantation access Medicare program: Prior authorization/Medical billing transition Medicare program: Traditional Medicare/Medicare Advantage enrollment difficulties Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/broad reform Medicare and Medicaid programs: MACRA/physician burdens Medicare and Medicaid programs: Telehealth Medicare and Medicaid programs: Center for Medicare and Medicaid Innovation (CMMI) reforms Medicare and Medicaid programs: CMMI reform/Physician AI use Medicare and Medicaid programs: High-cost disposable supplies/billing codes Medicaid program: Gender affirming care Medicaid program: Work requirements, per capita caps, provider taxes, FMAP changes Medicaid program: Community engagement/medical frailty exemption

Client expense: $7,970,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Medicare Payment Advisory Commission (MedPAC), SENATE

H.R. 879, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S. 1640, Medicare Patient Access and Practice Stabilization Act of 2025, all provisions S, 891, Bipartisan Health Care Act, all provisions H.R. 786, Preserving Patient Access to Accountable Care Act, all provisions S. 1460, Preserving Patient Access to Accountable Care Act, all provisions H.R. 539, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions S. 106, Chiropractic Medicare Coverage Modernization Act of 2025, all provisions H.R. 1317, Improving Care and Access to Nurses (I CAN) Act, all provisions H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions S. 1390, Physician Led and Rural Access to Quality Care Act, all provisions S. 665, Fatal Overdose Reduction Act of 2025, all provisions H.R, 4977, Connected MOM Act, all provisions S. 141, Connected MOM Act, all provisions H.R. 3514, Improving Seniors Timely Access to Care Act of 2025, all provisions S. 1816, Improving Seniors Timely Access to Care Act of 2025, all provisions S. 1105, No UPCODE Act, all provisions H.R. 5081, Telehealth Modernization Act, all provisions S. 2709, Telehealth Modernization Act, all provisions H.R. 2483, SUPPORT for Patients and Communities Reauthorization Act of 2025, all provisions H.R. 1, One Big Beautiful Bill Act, provisions related to Medicare payment reform, Medicaid reforms, Alternative Payment Models (APMs) H.R. 6160, Strengthening Medicare for Patients and Providers Act, all provisions H.R. 7520, Efficiency Adjustment Delay Act, all provisions H.R. 7148, Consolidated Appropriations Act, 2026, provisions related to APM bonus extension/incentive payments/qualifying provider revenue thresholds freeze H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 2025, provisions related to APMs H.R. 8163, To amend title XVIII of the Social Security Act to ensure stability for provider payments under the Medicare program, all provisions H.R. 2120, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions S. 1031, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2025, all provisions H.R. 483, Health Care Efficiency Through Flexibility Act, all provisions H.R. 5347, Health Care Efficiency Through Flexibility Act, all provisions H.R. 8129, To amend title XVIII of the Social Security Act to establish a full risk ACO program, all provisions H.R. 1614, To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, all provisions H.R. 3108, Rural Patient Monitoring (RPM) Access Act, all provisions S. 1535, Rural Patient Monitoring (RPM) Access Act, all provisions H.R. 3164, Ensuring Community Access to Pharmacist Services Act, all provisions H.R. 2725, Affordable Housing Credit Improvement Act of 2025, all provisions H.R. 2757, Medicare Audiology Access Improvement Act of 2025, all provisions S. 1996, Medicare Audiology Access Improvement Act of 2025, all provisions H.R. 3878, RNs for Rural Health Act of 2025, all provisions H.R. 5199, Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025, all provisions H.R. 2433, Reducing Medically Unnecessary Delays in Care Act of 2025, all provisions H.R. 5467, Patient Access to Autoimmune Treatments (PAAT) Act, all provisions H.R. 5940, Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery (SMARTER) Care Act of 2025, all provisions S. 3480, Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery (SMARTER) Care Act of 2025, all provisions H.R. 4002, Patient Access to Higher Quality Health Care Act of 2025, all provisions H.R. 3022, Restoring Rights of Physicians to Own Hospitals Act, all provisions S. 1399, Health Tech Investment Act, all provisions S. 3386, Health Care Freedom for Patients Act of 2025, provisions related to the ACA H.R. 498, Do No Harm in Medicaid Act, all provisions H.R. 4710, No Surprises Act Enforcement Act, all provisions S. 2420, No Surprises Act Enforcement Act, all provisions S. 1692, Radiology Outpatient Ordering Transmission (ROOT) Act, provisions related to imaging appropriate use criteria H.R. 5737, Radiology Outpatient Ordering Transmission (ROOT) Act, provisions related to imaging appropriate use criteria H.R. 3164, Equitable Community Access to Pharmacist Services Act, all provisions S. 2426, Equitable Community Access to Pharmacist Services Act, all provisions S. 3934, Medical Nutrition Therapy Act of 2026, all provisions H.R. 4206, CONNECT for Health Act of 2025, all provisions No Fees for EFTs Act, all provisions Drafts/Chronic Care Management Improvement Act Drafts/Access to Genetic Counselor Services Act Drafts/GOLD CARD Act Drafts/Medicare Advantage Improvement Act Draft/Value in Health Care Act Draft/Medicare Budget Neutrality and MIPS reform Draft/MACRA/MIPS program reform Medicare program: Medicare Economic Index (MEI)/inflationary updates Medicare program: Medicare physician payment/budget neutrality Medicare program: Merit-based Incentive Payment System (MIPS)/reforms and penalties Medicare program: MIPS Value Pathways (MVPs) reform Medicare program: MIPS quality and cost measures Medicare program: G2211 Inherent Complexity Code Medicare program: Alternative Payment Models (APMs) Medicare program: ACO (Accountable Care Organization) REACH Model Medicare program: Long-term Enhanced ACO Design (LEAD) Model Medicare program: ACO/APM flexibilities Medicare program: Prior authorization Medicare program: Wasteful and Inappropriate Service Reduction (WISeR) and Ambulatory Specialty Model Medicare program: Site Neutral Payment Medicare program: AI chatbots/Medicare Advantage preventive screens Medicare program: Coding Medicare program: MEI Update Medicare program: AI services/payment Medicare program: Indirect practice expense Medicare program: Telehealth and Digital Health Medicare program: Medicare Advantage provider networks/physician experience Medicare program: Shared Savings Program Medicare program: Medicare Diabetes Prevention Program Medicare program: Data-Driven Performance Payment System Medicare program: Promoting Interoperability (PI) Program Medicare program: Quality Payment Program Medicare program: Certified electronic health record and PI Medicare program: Advanced APM reporting Medicare program: Public Health Reporting and Data Exchange Medicare program: Provider directories Medicare program: Digital quality measures Medicare program: Aligned Networks and interoperability Medicare program: Health Information Technology/physician burdens Medicare program: Data privacy/cybersecurity Medicare program: Review Choice Demonstration (RCD)/Inpatient Rehabilitation Facility (IRF) Medicare program: Organ transplantation access Medicare program: Prior authorization/Medical billing transition Medicare program: Traditional Medicare/Medicare Advantage enrollment difficulties Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/broad reform Medicare and Medicaid programs: MACRA/physician burdens Medicare and Medicaid programs: Telehealth Medicare and Medicaid programs: Center for Medicare and Medicaid Innovation (CMMI) reforms Medicare and Medicaid programs: CMMI reform/Physician AI use Medicare and Medicaid programs: High-cost disposable supplies/billing codes Medicaid program: Gender affirming care Medicaid program: Work requirements, per capita caps, provider taxes, FMAP changes Medicaid program: Community engagement/medical frailty exemption

Client expense: $7,970,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Medicare Payment Advisory Commission (MedPAC), SENATE

H.R.1096 - HOPE and Mental Wellbeing Act of 2025 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 Mental Health Matters Act 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 Letters to Congress to extend the enhanced premium tax credits 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 Response to HHS proposed rule on nondiscrimination on the basis of disability 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

Client expense: $205,809 · Firm income: Not reported

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

LEGISLATION: S. 1748-Kids Online Safety Act-Issues Lobbied: Free Speech, Privacy, Civil Rights and Liberties. S. 3663-Kids Online Safety Act-Issues Lobbied: Free Speech, Kids Online Safety, Civil Rights and Liberties. S. 9-Protection of Women and Girls in Sports Act-Issues Lobbied: LGBTQ Rights. S. 894-Do No Harm Act-Issues Lobbied: Religious Liberty. S. 128-SAVE Act-Issues Lobbied: Voting Rights. S. 1503-Equality Act-Issues Lobbied: LGBTQ Rights. S. 2164-Algorithmic Accountability Act of 2025-Issues Lobbied: Algorithmic Justice. S. 1957-No Place for LGBTQ+ Hate Act-Issues Lobbied: LGBTQ Rights. S. 1829-STOP CSAM Act of 2025-Issues Lobbied: Free Speech, Privacy. S. 2150-Womens Health Protection Act of 2025-Issues Lobbied: Reproductive Rights. S. 2296-National Defense Authorization Act for Fiscal Year 2026-Issues Lobbied: Artificial Intelligence. S. 2212-VISIBLE Act-Issues Lobbied: Federal Policing Reform. S. 2523-John R. Lewis Voting Rights Advancement Act of 2025-Issues Lobbied: Voting Rights. S.3386-Health Care Freedom for Patients Act of 2025-Issues Lobbied: Reproductive Rights. S. 2316-Cooper Davis and Devin Norring Act-Issues Lobbied: Free Speech, Privacy. S. 836-Children and Teens Online Privacy Protection Act-Issues Lobbied: Privacy. S. 3495-Artificial Intelligence Scam Prevention Act-Issues Lobbied: Artificial Intelligence. S. 1691-Traveler Privacy Protection Act of 2025-Issues Lobbied: Privacy. S. 278-Kids Off Social Media Act-Issues Lobbied: Free Speech, Privacy. S. 3308-Artificial Intelligence Civil Rights Act of 2025-Issues Lobbied: Algorithmic Justice. S. 2149-Health Equity and Access under the Law for Immigrant Families Act of 2025-Issues Lobbied: Reproductive Rights, Immigration. S. 3077-Safer Supervision Act of 2025-Issues Lobbied: Federal Supervision, Re-Entry. S. 3206-Transgender Health Care Access Act-Issues Lobbied: LGBTQ Rights. S.Res. 604-A resolution recognizing that it is the duty of the Federal Government to develop and implement a Transgender Bill of Rights to protect and codify the rights of transgender and nonbinary people under the law and ensure their access to medical care, shelter, safety, and economic security-Issues Lobbied: LGBTQ Rights. S. 3702-Dignity for Detained Immigrants Act-Issues Lobbied: Immigration Detention. S. 3893-SAFE Act-Issues Lobbied: Section 702. S. 4082-Government Surveillance Reform Act of 2026-Issues Lobbied: Section 702. S. 1809-Drone Espionage Act-Issues Lobbied: Espionage Act issues. S. 3752-SAVE America Act-Issues Lobbied: Voting Rights, Transgender Rights. S.J.Res. 103-A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Veterans Affairs relating to "Reproductive Health Services"-Issues Lobbied: Abuse of Power, Reproductive Freedom. S. 3186-Constitutional Accountability Act-Issues Lobbied: Federal Law Enforcement Accountability, Policing Reform. S. 3674-SCAM Act-Issues Lobbied: Immigration. S. 3699-FOCUS Act-Issues Lobbied: Body Cam Legislation, Civil Liberties. S. 3805-End Sanctuary Cities Act of 2026-Issues Lobbied: Attacks on State and Local Governments. S. 558-Antisemitism Awareness Act of 2025-Issues Lobbied: Free Speech. S. 4199-Youth AI Privacy Act-Issues Lobbied: Free Speech. S. 3803-Right to Redress Act-Issues Lobbied: Policing Reform. S. 4143-Fair Wages for Incarcerated Workers Act of 2026-Issues Lobbied: Prison Reform. S .545-Combating Illicit Xylazine Act-Issues Lobbied: Drug Sentencing, Mass Incarceration. S. 1572-Federal Carjacking Enforcement Act-Issues Lobbied: Sentencing, Mass Incarceration. S. 3869-Healthy Families Act-Issues Lobbied: Womens Rights. S. 4081-Fair Wages for Home Care Workers Act-Issues Lobbied: Womens Rights. S. 51-Washington, D.C. Admission Act- Issues Lobbied: Voting Rights. H.R. 14-John R. Lewis Voting Rights Advancement Act of 2025-Issues Lobbied: Voting Rights. H.R. 12-Womens Health Protection Act of 2025-Issues Lobbied: Reproductive Rights. H.R. 28-Protection of Women and Girls in Sports Act of 2025-Issues Lobbied: LGBTQ Rights. H.R. 2487-Transgender Health Care Access Act-Issues Lobbied: LGBTQ Rights. H.R. 1954-Do No Harm Act-Issues Lobbied: Religious Liberty. H.R. 22-SAVE Act-Issues Lobbied: Voting Rights. H.R. 1-One Big Beautiful Bill Act-Issues Lobbied: Algorithmic Justice (Reconciliation Package/AI moratorium). H.R. 15-Equality Act-Issues Lobbied: LGBTQ Rights. H.R. 3492-Protect Childrens Innocence Act-Issues Lobbied: LGBTQ Rights. H.R. 3708-No Place for LGBTQ+ Hate Act-Issues Lobbied: LGBTQ Rights. H.R. 5068-MORE Act-Issues Lobbied: Marijuana Decriminalization. H.R. 59-Mens Rea Reform Act of 2025-Issues Lobbied: Sentencing Reform. H.R. 4889-To prohibit States from carrying out more than one Congressional redistricting after a decennial census and apportionment-Issues Lobbied: Voting Rights. H.R. 4358-Anti-Rigging Act of 2025-Issues Lobbied: Voting Rights. H.R. 5507-Hidden Foster Care Transparency Act-Issues Lobbied: Womens Rights. H.R. 498-Do No Harm in Medicaid Act-Issues Lobbied: LGBTQ Rights. H.R. 4518-Cooper Davis and Devin Norring Act-Issues Lobbied: Free Speech, Privacy. H.R. 3921-STOP CSAM Act of 2025-Issues Lobbied: Free Speech, Privacy. H.R. 6291-Children and Teens Online Privacy Protection Act-Issues Lobbied: Privacy. H.R. 2683-Remote Access Security Act-Issues Lobbied: Privacy. H.R. 4831-ENFORCE Act-Issues Lobbied: Privacy. H.R. 6397-Dignity for Detained Immigrants Act-Issues Lobbied: Immigration Detention. H.R. 4611-EACH Act of 2025-Issues Lobbied: Reproductive Rights. H.R. 6091-Bivens Act of 2025-Issues Lobbied: Policing Reform, Federal Law Enforcement Accountability. H.R. 4250-PRESS Act-Issues Lobbied: First Amendment. H.R. 7661-Stop the Sexualization of Children Act-Issues Lobbied: LGBTQ Rights, Free Speech. H.R. 7651-Chloe Cole Act of 2026-Issues Lobbied: LGBTQ Rights. H.R. 1028-Protection of Women in Olympic and Amateur Sports Act of 2026-Issues Lobbied: LGBTQ Rights. H.R. 2616-PROTECT Kids Act-Issues Lobbied: LGBTQ Rights. H.R. 2617-Say No to Indoctrination Act-Issues Lobbied: LGBTQ Rights, Free Speech. H.Res. 1058-Recognizing that it is the duty of the Federal Government to develop and implement a Transgender Bill of Rights to protect and codify the rights of transgender and nonbinary people under the law and ensure their access to medical care, shelter, safety, and economic security-Issues Lobbied: LGBTQ Rights. H.Res. 965-Providing for consideration of the bill (H.R. 1689) to require the Secretary of Homeland Security to designate Haiti for temporary protected status-Issues Lobbied: Temporary Protected Status. H.R. 7816-Protect Liberty and End Warrantless Surveillance Act of 2026-Issues Lobbied: Section 702. H.R. 7901-To implement reforms relating to foreign intelligence surveillance authorities, and for other purposes-Issues Lobbied: Section 702. H.R. 4076-Insurrection Act of 2025-Issues Lobbied: Insurrection Act reform. H.R. 7147-Further Additional Continuing Appropriations Act-Issues Lobbied: Immigration, Abuse of Power, ICE and Border Patrol Accountability, Election Interference. H.Con.Res. 38-Directing the President pursuant to section 5(c) of the War Powers Resolution to remove United States Armed Forces from unauthorized hostilities in the Islamic Republic of Iran-Issues Lobbied: Surveillance, War Authority. H.R. 7296-SAVE America Act-Issues Lobbied: Voting Rights, Transgender Rights. H.R. 1958-Deporting Fraudsters Act of 2026-Issues Lobbied: Immigration. H.R. 7744-Department of Homeland Security Appropriations Act, 2026-Issues Lobbied: Immigration. H.R. 7423-No Sanctuary Cities Act of 2026-Issues Lobbied: Attacks on State and Local Governments. H.R. 7148-Consolidated Appropriations Act, 2026-Issues Lobbied: Immigration. H.R. 7161-No Private Bounty Hunters for Immigration Enforcement Act-Issues Lobbied: Immigration. H.R. 7709-Full-Body Restraint Prohibition Act-Issues Lobbied: Immigration. H.R. 7930-Daniel Ellsberg Press Freedom and Whistleblower Protection Act of 2026-Issues Lobbied: Press Freedom. H.R. 7691-Fight Book Bans Act- Issues Lobbied: Free Speech. H.R. 1007-Antisemitism Awareness Act of 2025-Issues Lobbied: Free Speech. H.R. 3149-App Store Accountability Act-Issues Lobbied: Free Speech, Privacy. H.R. 6453-ADA 30 Days to Comply Act-Issues Lobbied: Disability Rights. H.R. 2029-Stop Comstock Act-Issues Lobbied: Reproductive Rights. H.R. 5973-Stop Excessive Force in Immigration Act-Issues Lobbied: Federal Policing Reform; H.R .7125-Stop Body Camera Paywalls Act-Issues Lobbied: Policing Reform. H.R. 2853-Combating Organized Retail Crime Act of 2025-Issues Lobbied: Sentencing, Mass Incarceration. H.R. 1266-Combating Illicit Xylazine Act-Issues Lobbied: Drug Sentencing, Mass Incarceration. H.R. 7247-Prison Libraries Act of 2026-Issues Lobbied: Prison Reform. H.R. 8175-To amend title 10, United States Code, and the National Defense Authorization Act for Fiscal Year 1994, to codify and clarify gender neutral standards for members of certain Armed Forces, and for other purposes-Issues Lobbies: Womens Rights, Women in Combat. H.R. 7531-Healthy Families Act-Issues Lobbied: Womens Rights. H.R. 7856-Fair Housing for Survivors Act of 2026-Issues Lobbied: Womens Rights. H.R. 7917-Fair Wages for Home Care Workers Act-Issues Lobbied: Womens Rights. H.R. 7300-Make Elections Great Again Act-Issues Lobbied: Voting Rights. H.R. 7621-Stop ICE Election Militarization Act-Issues Lobbied: Election Interference. H.R. 51-Washington, D.C. Admission Act-Issues Lobbied: Voting Rights. LEGISLATION WITH NO BILL NUMBER AND APPOINTMENTS: Additional legislation not yet introduced - Patenting of genes and gene research legislation; Legislation relating to defining antisemitism in education programs - First Amendment protections; Draft legislation on artificial intelligence and implementation of EO on artificial intelligence - free speech, privacy, nondiscrimination; Oversight over counterterrorism policy and practices - torture, detention, drones, war authority, Guantanamo Bay; Section 702 - civil liberties and national security; Car privacy; General age verification and privacy; Mental Health Justice Act - community safety; Cannabis Administration and Opportunity Act - marijuana decriminalization; Section 230 of Communications Decency Act proposals - free speech, internet integrity, content moderation; Amendments to the Privacy Act of 1974; TSA use of facial recognition technology; DHS data consolidation; FCC First Amendment violations - free speech; Protest Rights; Continued funding for Affordable Connectivity Act - ensuring continued funding for broadband subsidy; DC Statehood; Civil liberties; Free speech; Algorithmic justice; Reproductive rights; FY26 Federal Funding; Administration First Amendment violations; Kinetic impact weapons regulation; Privacy Act of 1974 reforms; Federal consumer privacy framework; Federal AI use case inventories; Jawboning; Future abortion codification legislation; Womens rights; Disability rights; Fourth Amendment is Not For Sale Act - prohibiting data purchases by law enforcement and intelligence agencies; Immigration detention - advising on oversight; Accountability for ICE/federal immigration agency violations - prospective bills; Freedom to Vote Act; Administration attacks on Head Start; Legal authority related to military strikes/Venezuela/boats - presidential action and concurrent resolutions, use of lethal force; FCC commissioner pressuring private companies in violation of First Amendment; Use of AI in hiring, healthcare, and other protected areas; Department of Governmental Efficiency; Immigration; DHS Funding; Artificial intelligence; FISA reauthorization; Iran war funding; Transgender rights; Abuse of Power; End Racial and Religious Profiling Act - federal law enforcement accountability, policing reform; Election safeguarding issues; Childrens Dignity and Due Process Act; Right to seek redress; ICE and Border Patrol accountability legislation and oversight hearings; ICE and Border Patrol abuses in Minneapolis and elsewhere; JAWBONE Act; Daniel Ellsberg Whistleblower Protection Act; Pipeline Safety Authorization Act of 2026 - protest rights, free speech; Youth AI Privacy Act; Press Freedom; Prison book bans; Safeguard American Voter Eligibility (SAVE) Act - LGBTQ rights; WARRIOR Act - womens rights; BE HEARD in the Workplace Act - womens rights; Appropriations funding for health care and home and community based services - disability rights; VA Care Protection Act - disability rights; Hyde Amendment; Potential legislation to protect mifepristone; Sharia-Free America hearing - religious liberty; Legislative proposal on reproductive rights and access; Resolution regarding FDAs restrictions on medication abortion; Legislation on funding for training for abortion care providers; Uphold Privacy Act - reproductive rights, data privacy; Women in combat; Discussions about fraud funding freezes - womens rights; Veterans Care Protection Act; Prohibition on DHS interference with elections; Election interference; Democracy Without Intimidation Act; Native American Voting Rights Act; Appropriations for FY26 spending - civil right and civil liberties; Legislation authorizing IRS to sanction nonprofit organizations based on allegations related to material support for terrorism. AGENCIES: Agency - Homeland Security - Issues Lobbied: Dignity for Detained Immigrants Act, temporary protected status, general immigration detention oversight, nomination of Markwayne Mullin to be DHS Secretary, ICE abuses, DHS oversight. Agency - Office of Science and Technology Policy - Issues Lobbied: Use of AI in hiring, healthcare, and other protected areas, algorithmic justice. Agency - Labor - Issues Lobbied: Use of AI in hiring, healthcare, and other protected areas, algorithmic justice. Agency - U.S. Trade Representative - Issues Lobbied: U.S. commitments at WTO, open internet. Agency - Education - Issues Lobbied: Legislation relating to defining antisemitism in education programs, First Amendment protections. Agency - NIST - Issues Lobbied: Use of AI in hiring, healthcare, and other protected areas, algorithmic justice, supply chains and digital trade. Agency - Office of the Director of National Intelligence - Issues Lobbied: Section 702 of Foreign Intelligence Surveillance Act, related legislation and hearings, civil liberties and national security issues. Agency - Department of Health and Human Services - Issues Lobbied: NIH data sharing platform, privacy, disability rights, abortion access for unaccompanied minors in ORR custody, access to mifepristone. Agency - Federal Communications Commission - Issues Lobbied: First Amendment violations, FCC commissioner pressuring private companies in violation of First Amendment. Agency - Department of Justice - Issues Lobbied: Executive Order 14168, Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government, prison conditions, PREA, Executive Order 14164: Restoring the Death Penalty and Protecting Public Safety - state opt in for certification, state lethal injection protocols covered by the EO. Agency - Executive Office of the President - Issues Lobbied: FCC commissioner pressuring private companies in violation of First Amendment, Iran War supplemental appropriations. Agency - Office of Management and Budget - Issues Lobbied: Executive Order 14168, Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government, prison conditions, PREA. Agency - Equal Employment Opportunity Commission - Issues Lobbied: Letter opposing EEOC rescission of voting rules.

Client expense: $720,000 · Firm income: Not reported

Government targets: Director of National Intelligence (ODNI), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institute of Standards & Technology (NIST), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, U.S. Trade Representative (USTR)

Support the Medicare for All Act (HR 3069/S 1506) Support the Restoring Essential Health Care Act (HR 4796/S 2524) Protecting Health Care and Lowering Costs Act (HR 4849/S 2556) Support Veteran Families Health Services Act (S 2534) Oppose the Do No Harm in Medicaid Act (HR 498) Supported extension of the Affordable Care Act Premium Tax Credits

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Ending Discrimination Against Gay and Bisexual Blood and Tissue Donors Funding for HIV/AIDS Education, Prevention, and Research Funding for and Education Regarding Comprehensive Sexual Health Education Implementation of Section 1557 Nondiscrimination regulations Implementation and Protection of the Patient Protection and Affordable Care Act Labor, HHS, and Education Appropriations PrEP Insurance Coverage Title X Family Planning Funding Access to Gender Affirming Care Employment Benefits Conversion Therapy H.R. 2197: No 340B Savings for Transgender Care Act H.R. 2107: To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs, and for other purposes. S. 312: Jamie Reed Protecting Our Kids from Child Abuse Act H.R. 742: PROTECTS Act of 2025 H.R. 653; S. 209: Protecting Minors from Medical Malpractice Act of 2025 H.R. 498: Do No Harm in Medicaid Act H.R. 2487; S. 3206: Transgender Healthcare Access Act S. 422 Right to Contraception Act H.R. 2387: No Harm Act H.R. 3757: Pride in Mental Health Act of 2025 S. 2035: Protect IVF Act H.R. 3811: The Elder Pride Protection Act of 2025 H.R. 3688: Protecting Children from Experimentation Act of 2025 S. 1774: Protecting Minors in Federal Health Plans Act H.R. 3527; S. 1910: Real Education for Healthy Youth H.R. 5434; S. 2826: 988 LGBTQ+ Youth Access Act of 2025 H.R. 5390; S. 2823: FAMILY Act H.R. 4648; S. 2408: Access to Fertility Treatment and Care Act H.R. 3492: Protect Childrens Innocence Act H.R. 5483; S. 2907: Chloe Cole Act H.R. 4953: Gender-Affirming Child Abuse Prevention Act H.R. 4618: Jamie Reed Protecting Our Kid from Child Abuse Act S.2907 A bill to prohibit health care professionals, hospitals, or clinics from participating in the chemical or surgical mutilation of a child and to provide a private right of action for children and the parents of children whose healthy body parts have been damaged by medical professionals practicing chemical and genital mutilation H.R. 5592 Childhood Genital Mutilation Prevention Act H.R. 600; S. 774: WHO is Accountable Act H.R. 4151: Ruthie and Connie LGBTQI Elder Americans Act of 2025 H.R. 6703: Lower Healthcare Premiums for All Americans Act H.R. 3386: Health Care Freedom for Patients Act of 2025 H.R. 6372; S. 3327: D.C. Shield Law Repeal Act S. 3011: Prohibiting Abortion & Transgender Procedures on Exchanges Act S. 3385: Lower Health Care Costs Act H.R. 7420: Stop Gender Trafficking of Minors Act H.R. 7853; S. 3990: PrEP Access and Coverage Act of 2026 H.R. 7148, the Consolidated Appropriations Act, 2026 H.R. 6876: Protecting Children from Foreign Muttilation Act

Client expense: $174,259 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA), White House Office

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

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

Government targets: Administration for Children & Families (ACF), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Consumer Product Safety Commission (CPSC), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Indian Health Service, Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of the Comptroller of the Currency (OCC), SENATE, Social Security Administration (SSA), State, Dept of (DOS), U.S. Agency for International Development (USAID)

HR 498- Do No Harm in Medicaid Act funding for Disproportionate Share Hospitals Medicare sequestration

Client expense: $700,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies relating to: Potential changes in authorizations for nurse education, workforce, and research programs as a result of workforce reductions and reorganization of agencies and programs within the Department of Health and Human Services Policies related to the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices, child vaccine recommendations and schedule, the Vaccines For Children Program, and the Vaccine Injury Compensation Fund Cancellation of federal nursing workforce grants Adoption of recommendations of the National Academy of Medicine report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Mental health services and violence prevention Implementation of provisions of the One Big, Beautiful Bill Act (PL 119-21) Reintroduction of the Nurse Faculty Shortage Reduction Act H.R. 498, Do No Harm in Medicaid Act H.R. 1197/S. 1562, PREEMIE Reauthorization Act H.R. 1735/S. 779, Early Action and Responsiveness Lifts Youth Minds (EARLY Minds) Act H.R. 1909/S. 2621, Preventing Maternal Deaths Act H.R. 2223, Building Capacity for Care Act H.R. 2483/S. 2121, SUPPORT for Patients and Communities Reauthorization Act of 2025 H.R. 3492, Protect Childrens Innocence Act H.R. 3684, Save Americas Rural Hospitals Act of 2025 H.R. 3701, Family Vaccine Protection Act H.R. 3884/S. 2011, Telemental Health Care Access Act H.R. 4231/S. 1973, Treat and Reduce Obesity Act H.R. 4262, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act H.R. 4709, Newborn Screening Saves Lives Reauthorization Act of 2025 H.R. 5145, Bipartisan Premium Tax Credit Extension Act H.R. 5434/S. 2826, 988 LGBTQ+ Youth Access Act of 2025 H.R. 6561, Prevent HPV Cancers Act of 2025 H.R. 6703, Lower Health Care Premiums for All Americans Act S. 222, Whole Milk for Healthy Kids Act of 2025 S. 266/H.R. 929, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. 278, Kids Off Social Media Act S. 705, Innovations in Pediatric Drugs Act S. 836/H.R. 6291, Children and Teens Online Privacy Protection Act S. 891, Bipartisan Health Care Act S. 1261, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2025 S. 1482, National Nursing Workforce Center Act of 2025 S. 1599, Midwives for Maximizing Optimal Maternity Services (MOMS) Act of 2025 S. 1748/H.R. 6484, Kids Online Safety Act S. 1874/H.R. 3593, Title VIII Nursing Workforce Reauthorization Act of 2025 S. 2857/H.R. 5448, Protecting Free Vaccines Act S. 2954, Health Care Workforce Expansion Act of 2025 S. 3435/H.R. 6607, Future Advancement of Academic Nursing (FAAN) Act S.J. Res. 82, Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Office of the Secretary of the Department of Health and Human Services relating to Policy on Adhering to the Text of the Administrative Procedure Act

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), SENATE

Oppose HR 3492, Protect Children's Innocence Act Oppose HR 498, Do No Harm in Medicaid Act Oppose efforts to block access to gender-affirming care

Client expense: $170,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Thomas Bell, of Virginia, to be Inspector General, Department of Health and Human Services (PN 55-7) Brian Christine, of Alabama, to be an Assistant Secretary of Health and Human Services, vice Rachel Leland Levine, resigned. (PN 55-14) Michael Stuart, of West Virginia, to be General Counsel of the Department of Health and Human Services, vice Samuel R. Bagenstos, resigned. (PN25-52) Health Care Freedom for Patients Act of 2025 (S. 3386) Lower Health Care Costs Act (S. 3385) Lower Health Care Premiums for All Americans Act (H.R. 6703) Protect Childrens Innocence Act (H.R. 3492) Do No Harm in Medicaid Act (H.R. 498) Breaking the Gridlock Act (H.R.1834) Affordable Care Act (ACA) tax credits extension proposals CommonGround for Affordable Health Care Act (H.R.6575) Rep. Ansari reproductive health package (not yet introduced) Endometriosis CARE Act (H.R. 6682) Health Information Privacy Reform Act (S. 3097) SUSTAIN 340B Act (not introduced)

Client expense: $94,048 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Thomas Bell, of Virginia, to be Inspector General, Department of Health and Human Services (PN 55-7) Brian Christine, of Alabama, to be an Assistant Secretary of Health and Human Services, vice Rachel Leland Levine, resigned. (PN 55-14) Michael Stuart, of West Virginia, to be General Counsel of the Department of Health and Human Services, vice Samuel R. Bagenstos, resigned. (PN25-52) Health Care Freedom for Patients Act of 2025 (S. 3386) Lower Health Care Costs Act (S. 3385) Lower Health Care Premiums for All Americans Act (H.R. 6703) Protect Childrens Innocence Act (H.R. 3492) Do No Harm in Medicaid Act (H.R. 498) Breaking the Gridlock Act (H.R.1834) Affordable Care Act (ACA) tax credits extension proposals

Client expense: $7,513 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1007/S.558 - Antisemitism Awareness Act of 2025. Transgender/LGBTQ issues. H.R.498 - Do No Harm in Medicaid Act. H.R.3492 - Protect Childrens Innocence Act. S.1071 - National Defense Authorization Act for Fiscal Year 2026.

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Closing the Contraception Coverage Gap Act (S.5445) (Senate) Advocacy against Protect Childrens Innocence Act (H.R .3492) and Do No Harm in Medicaid Act (H.R. 498) (bills related to health care for transgender youth) (House) Advocacy in support of the Closing the Contraceptive Coverage Gap Act (Senate) Advocacy in support of S.J.Res.82, the Congressional Review Act (CRA) resolution of disapproval of the rescission of the Richardson Waiver (Senate) Disease Intervention through Nutrition Education Act - bill review (Senate) Convenient Care for Caregivers Act - bill review (Senate) Advocacy in support of the extension of Enhanced Premium Tax Credits (Senate) Shut down work - attempting to undo cuts to Medicaid, ACA marketplace coverage and other healthcare coverage - materials and coalition strategy (Senate)

Client expense: $85,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 498 "Do No Harm in Medicaid Act," all provisions. S 222 / HR 649 "Whole Milk for Healthy Kids Act," all provisions. S 2875 "Custom Health Option and Individual Care Expense (CHOICE) Act," all provisions. S 3385 "Lower Health Care Costs Act," all provisions. S 3418 "COMPETE Act," all provisions. S 3238 "Conscience Protections for Medical Residents Act," all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Do No Harm in Medicaid Act (HR 498); Chloe Cole Act (HR 5483/S 2907); Protect Children's Innocence Act (H.R. 3492)

Client expense: $15,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support the Medicare for All Act (HR 3069/S 1506) Support the Restoring Essential Health Care Act (HR 4796/S 2524) Protecting Health Care and Lowering Costs Act (HR 4849/S 2556) Support Veteran Families Health Services Act (S 2534) Oppose the Do No Harm in Medicaid Act (HR 498) Supported extension of the Affordable Care Act Premium Tax Credits

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 21/S. 6 - Born-Alive Abortion Survivors Protection Act H.R.1096 - HOPE and Mental Wellbeing Act of 2025 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 Mental Health Matters Act H.R. 4619 - Medicare Mental Health Inpatient Equity Act Letter to Congress in support of the Prevention and Public Health Fund Letter to Congress to extend telehealth flexibilities Letter to Congress for funding for public health research into firearm morbidity and mortality prevention at CDC, NIH and NIJ. Letter to Congress on Agency for Healthcare Research and Quality (AHRQ) funding Letter to Congress on funding for FDAs Neurology Drug Program in FY26 Letter to Congress on funding for the BRAIN Initiative in FY26 Letter to Congress regarding school-based Medicaid programs Letters to Congress in support of Medicaid Letter to NIH regarding indirect cost caps for NIH grants Letter to HHS in response to the draft Make American Healthy Again Commission Assessment. 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. 539/S. 106 - Chiropractic Medicare Coverage Modernization Act of 2025 H.R. 2630 - Youth Suicide Prevention Research Act H.R. 3655 - STAR Plus Scholarship Act Letter to Congress in support of NIH neuroscience research Letter to Congress to protect federal funding of maternal health programs Letter to Congress supporting the Pediatric Mental Health Care Access (PMHCA) program Letter to Congress in support of funding for the Children's Hospital Graduate Medical Education (CHGME) program Letter to Congress in support of school mental health workforce grants Communication with Congressional offices on CCBHC funding Letter to Congress to include report language in FY26 appropriations for the 988 Suicide and Crisis Lifeline and Garrett Lee Smith Youth Suicide Prevention Campus Grants Letter to Congress concerning funding for 988 lifeline LGBTQ+ youth specialized services H.R. 3890/S. 2439 - Resident Physician Shortage Reduction Act of 2025 H.R. 3885 - Community TEAMS Act H.R. 3658 - 911 Community Crisis Responders Act H.R. 4745/S. 2410 - Medicaid Bump Act H.R. 3758 - Workers' Disability Benefits Parity Act H.R. 4744/S. 2445 - Community Mental Wellness and Resilience 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 4641 - Keep Kids Covered Act Letter opposing H.R. 3164 - Ensuring Community Access to Pharmacist Services (ECAPS) Act Letter to Congress to support the integrity of the United States Preventive Services Task Force (USPSTF) Letter in response to FDA panel review of SSRIs and pregnancy Letter to HHS in response to proposed change to its interpretation of federal public benefit to include 13 additional programs as restricted Federal public benefits Letter to SAMHSA regarding reports on the redirection of FY25 funds 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. 5454/S.2879 - Medicare Advantage Prompt Pay Act Letters to Congress to extend the enhanced premium tax credits H.R.6249 - Addressing Addiction After Disasters Act Mental Health Emergency Needs in Disasters (MEND) Act 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.5553 - CTE Student Mental Health and Wellness 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 Draft legislation on expedited FDA approval pathways for addiction therapeutics Mental Health Emergency Package: Youth Mental Health Day and Suicide Prevention Day Resolution, Mental Health Crisis Response Act, and 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 Letters and a presentation to the FDA digital health advisory panel regarding generative AI enabled mental health medical devices

Client expense: $391,974 · Firm income: Not reported

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

Ending Discrimination Against Gay and Bisexual Blood and Tissue Donors Funding for HIV/AIDS Education, Prevention, and Research Funding for and Education Regarding Comprehensive Sexual Health Education Implementation of Section 1557 Nondiscrimination regulations Implementation and Protection of the Patient Protection and Affordable Care Act Labor, HHS, and Education Appropriations PrEP Insurance Coverage Title X Family Planning Funding Access to Gender Affirming Care Employment Benefits Conversion Therapy H.R. 2197: No 340B Savings for Transgender Care Act H.R. 2107: To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs, and for other purposes. S. 312: Jamie Reed Protecting Our Kids from Child Abuse Act H.R. 742: PROTECTS Act of 2025 H.R. 653; S. 209: Protecting Minors from Medical Malpractice Act of 2025 H.R. 498: Do No Harm in Medicaid Act H.R. 2487: To improve access to evidence-based, lifesaving health care for transgender people, and for other purposes. S. 422 Right to Contraception Act H.R. 2387: No Harm Act H.R. 3757: Pride in Mental Health Act of 2025 S. 2035: Protect IVF Act H.R. 3811: The Elder Pride Protection Act of 2025 H.R. 3688: Protecting Children from Experimentation Act of 2025 S. 1774: Protecting Minors in Federal Health Plans Act H.R. 3527; S. 1910: Real Education for Healthy Youth H.R. 5434; S. 2826: 988 LGBTQ+ Youth Access Act of 2025 H.R. 5390; S. 2823: FAMILY Act H.R. 4648; S. 2408: Access to Fertility Treatment and Care Act H.R. 3492: Protect Childrens Innocence Act H.R. 5483: Chloe Cole Act H.R. 4953: Gender-Affirming Child Abuse Prevention Act H.R. 4618: Jamie Reed Protecting Our Kid from Child Abuse Act S.2907 A bill to prohibit health care professionals, hospitals, or clinics from participating in the chemical or surgical mutilation of a child and to provide a private right of action for children and the parents of children whose healthy body parts have been damaged by medical professionals practicing chemical and genital mutilation H.R. 5592 Childhood Genital Mutilation Prevention Act H.R. 600; S. 774: WHO is Accountable Act H.R. 4151: Ruthie and Connie LGBTQI Elder Americans Act of 2025 H.R. 6703: Lower Healthcare Premiums for All Americans Act H.R. 3386: Health Care Freedom for Patients Act of 2025 H.R. 6372; S. 3327: D.C. Shield Law Repeal Act S. 3011: Prohibiting Abortion & Transgender Procedures on Exchanges Act S. 3385: Lower Health Care Costs Act

Client expense: $216,181 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 498- Do No Harm in Medicaid Act funding for Disproportionate Share Hospitals Medicare sequestration

Client expense: $690,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

LEGISLATION: S. 1748-Kids Online Safety Act-Issues Lobbied: Free Speech, Privacy, Civil Rights and Liberties. S. 3663-Kids Online Safety Act-Issues Lobbied: Free Speech, Privacy. S. 9-Protection of Women and Girls in Sports Act of 2025-Issues Lobbied: LGBTQ Rights. S. 894-Do No Harm Act-Issues Lobbied: Religious Liberty. S. 128-SAVE Act-Issues Lobbied: Voting Rights. S. 1503-Equality Act-Issues Lobbied: LGBTQ Rights. S. 2164-Algorithmic Accountability Act of 2025-Issues Lobbied: Algorithmic Justice. S. 1957-No Place for LGBTQ+ Hate Act-Issues Lobbied: LGBTQ Rights. S. 1829-STOP CSAM Act of 2025-Issues Lobbied: Free Speech, Privacy. S. 2150-Womens Health Protection Act of 2025-Issues Lobbied: Reproductive Rights. S. 2296-National Defense Authorization Act for Fiscal Year 2026-Issues Lobbied: LGBTQ Rights, Death Penalty, Immigration, Law Enforcement, National Security, Intelligence Authorization Act, ECSP Fix, Defense Authorization Bill, DETERRENCE Act, New Death Penalty Provision in the US Military Code, Federal Sentencing, Civil Rights and Liberties. S. 2212-VISIBLE Act-Issues Lobbied: Immigration, Federal Policing Reform. S. 188-Free Speech Protection Act-Issues Lobbied: Free Speech. S. 2523-John R. Lewis Voting Rights Advancement Act of 2025-Issues Lobbied: Voting Rights. S. 2902-Hidden Foster Care Transparency Act-Issues Lobbied: Womens Rights. S. 1071-National Defense Authorization Act for Fiscal Year 2026-Issues Lobbied: LGBTQ Rights, Immigrants Rights, Racial Justice, Privacy & Technology, Crime Related Amendments, Trans Justice, Systemic Equality, Reproductive Rights. S.3386-Health Care Freedom for Patients Act of 2025-Issues Lobbied: LGBTQ Rights, Reproductive Rights, Immigrants Rights. S. 2198-Military in Law Enforcement Accountability Act-Issues Lobbied: Domestic Deployment of the Military, Law Enforcement, National Security, Immigration, Abuse of Power. S. 2316-Cooper Davis and Devin Norring Act-Issues Lobbied: Free Speech, Privacy. S. 836-Children and Teens Online Privacy Protection Act-Issues Lobbied: Privacy. S. 3495-Artificial Intelligence Scam Prevention Act-Issues Lobbied: Artificial Intelligence. S. 1691-Traveler Privacy Protection Act of 2025-Issues Lobbied: Privacy. S. 278-Kids Off Social Media Act-Issues Lobbied: Free Speech, Privacy. S. 3308-Artificial Intelligence Civil Rights Act of 2025-Issues Lobbied: Algorithmic Justice. S. 3167-No Troops in Our Streets Act of 2025-Issues Lobbied: Law Enforcement Deployment. S. 2975-PIPELINE Safety Act of 2025-Issues Lobbied: Pipeline Harassment. S. 2803-SUN Act-Issues Lobbied: Law Enforcement, National Security. S. 3326-Temporary Immigration Judge Integrity Act-Issues Lobbied: Immigration. S. 3396-Domestic Workers Bill of Rights Act-Issues Lobbied: Immigration, Womens Rights. S. 2070-Insurrection Act of 2025-Issues Lobbied: Civil Rights and Liberties. S. 2149-Health Equity and Access under the Law for Immigrant Families Act of 2025-Issues Lobbied: Reproductive Rights, Immigration. S. 3077-Safer Supervision Act of 2025-Issues Lobbied: Federal Supervision, Re-Entry. S. 3385-Lower Health Care Costs Act-Issues Lobbied: Disability Rights. S. 3448-Keeping All Students Safe Act-Issues Lobbied: Disability Rights. H.R. 14-John R. Lewis Voting Rights Advancement Act of 2025-Issues Lobbied: Voting Rights. H.R. 12-Womens Health Protection Act of 2025-Issues Lobbied: Reproductive Rights. H.R. 28-Protection of Women and Girls in Sports Act of 2025-Issues Lobbied: LGBTQ Rights. H.R. 2487-Transgender Health Care Access Act-Issues Lobbied: LGBTQ Rights. H.R. 1954-Do No Harm Act-Issues Lobbied: Religious Liberty. H.R. 22-SAVE Act-Issues Lobbied: Voting Rights. H.R. 1-One Big Beautiful Bill Act-Issues Lobbied: Algorithmic Justice (Reconciliation Package/AI moratorium), Letter to Senate Aging Committee for hearing on HCBS and impact of H.R. 1. H.R. 15-Equality Act-Issues Lobbied: LGBTQ Rights. H.R. 3492-Protect Childrens Innocence Act-Issues Lobbied: LGBTQ Rights, Trans Justice. H.R. 3944-Military Construction, Veterans Affairs, and Related Agencies Appropriations Act-Issues Lobbied: Civil Rights and Liberties. H.R. 3708-No Place for LGBTQ+ Hate Act-Issues Lobbied: LGBTQ Rights. H.R. 4121-Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2026-Issues Lobbied: Reproductive Rights. H.R. 151-Equal Representation Act-Issues Lobbied: Census. H.R. 3838-Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026-Issues Lobbied: LGBTQ Rights, Civil Rights and Liberties. H.R. 4016-Department of Defense Appropriations Act-Issues Lobbied: Reproductive Rights, Diversity Equity and Inclusion. H.R. 3486-Stop Illegal Entry Act of 2025-Issues Lobbied: Mandatory Minimums, Sentencing Reform, Mass Incarceration. H.R. 5304-Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026-Issues Lobbied: Reproductive Rights, Disability Rights, Healthcare Access, Civil Rights and Liberties. H.R. 1880-Broadcast Freedom and Independence Act of 2025-Issues Lobbied: Free Speech. H.R. 5371-Continuing Appropriations and Extensions Act, 2026-Issues Lobbied: Government Funding, Impoundments, Government Shutdown. H.R. 4922-D.C. Criminal Reforms to Immediately Make Everyone Safe Act of 2025-Issues Lobbied: Criminal Justice, Criminal Penalties. H.R. 5143-District of Columbia Policing Protection Act of 2025-Issues Lobbied: Criminal Justice. H.R. 5125-District of Columbia Judicial Nominations Reform Act of 2025-Issues Lobbied: Criminal Justice. H.R. 5140-To lower the age at which a minor may be tried as an adult for certain criminal offenses in the District of Columbia to 14 years of age Act-Issues Lobbied: Criminal Justice. H.R. 5068-MORE Act-Issues Lobbied: Marijuana Decriminalization. H.R. 59-Mens Rea Reform Act of 2025-Issues Lobbied: Sentencing Reform. H.R. 4371-Kayla Hamilton Act-Issues Lobbied: Immigration, Child Immigrants. H.R. 5342-Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026-Issues Lobbied: Criminal Legal Reform. H.R. 4553-Energy and Water Development and Related Agencies Appropriations Act, 2026-Issues Lobbied: Civil Rights and Liberties. H.R. 5166-Financial Services and General Government Appropriations Act, 2026-Issues Lobbied: DC Home Rule. H.R. 4213-Department of Homeland Security Appropriations Act, 2026-Issues Lobbied: Immigration. H.R. 4889-To prohibit States from carrying out more than one Congressional redistricting after a decennial census and apportionment-Issues Lobbied: Voting Rights. H.R. 4358-Anti-Rigging Act of 2025-Issues Lobbied: Voting Rights. H.R. 5507-Hidden Foster Care Transparency Act-Issues Lobbied: Womens Rights. H.R. 498-Do No Harm in Medicaid Act-Issues Lobbied: LGBTQ Rights, Trans Justice. H.R. 5604-National Guard Proper Use Act-Issues Lobbied: Domestic Deployment of the Military, Law Enforcement, National Security, Immigration. H.R. 4518-Cooper Davis and Devin Norring Act-Issues Lobbied: Free Speech, Privacy. H.R. 3921-STOP CSAM Act of 2025-Issues Lobbied: Free Speech, Privacy. H.R. 6291-Children and Teens Online Privacy Protection Act-Issues Lobbied: Privacy. H.R. 2683-Remote Access Security Act-Issues Lobbied: Privacy. H.R. 4831-ENFORCE Act-Issues Lobbied: Privacy. H.R. 5214-District of Columbia Cash Bail Reform Act of 2025-Issues Lobbied: Bail in DC. H.R. 780-Alexandras Law Act of 2025-Issues Lobbied: Admonition for Fentanyl Sales. H.R. 4998-SUN Act-Issues Lobbied: Law Enforcement, National Security. H.R. 6397-Dignity for Detained Immigrants Act-Issues Lobbied: Immigration Detention. H.R. 2870-Working Families Flexibility Act of 2025-Issues Lobbied: Womens Rights. H.R. 6521-Immigration Court Due Process Protection Act of 2025-Issues Lobbied: Immigration. H.R. 4611-EACH Act of 2025-Issues Lobbied: Reproductive Rights. H.R. 6703-Lower Health Care Premiums for All Americans Act-Issues Lobbied: Reproductive Rights. H.R. 6091-Bivens Act of 2025-Issues Lobbied: Policing Reform, Cause of Action for Victims, Abuse of Power. H.R. 6617-Keeping All Students Safe Act-Issues Lobbied: Disability Rights. H.R. 2918-Fair Housing for Survivors Act of 2023-Issues Lobbied: Womens Rights. H.R. 3971-Domestic Workers Bill of Rights Act-Issues Lobbied: Womens Rights. H.R. 4250-PRESS Act-Issues Lobbied: First Amendment. LEGISLATION WITH NO BILL NUMBER AND APPOINTMENTS: Additional legislation not yet introduced - Patenting of genes and gene research legislation; Legislation relating to defining antisemitism in education programs - First Amendment protections; Draft legislation on artificial intelligence and implementation of EO on artificial intelligence - free speech, privacy, nondiscrimination; Oversight over counterterrorism policy and practices - torture, detention, drones, war authority, Guantanamo Bay; Section 702 reauthorization - civil liberties and national security; Car privacy; General age verification and privacy; Mental Health Justice Act - community safety; Cannabis Administration and Opportunity Act - marijuana decriminalization; Section 230 of Communications Decency Act proposals - free speech, internet integrity; Amendments to the Privacy Act of 1974; TSA use of facial recognition technology; DHS data consolidation; FCC First Amendment violations - free speech; Censorship; Protest Rights; Domestic deployment of the military; Continued funding for Affordable Connectivity Act - ensuring continued funding for broadband subsidy; DC Statehood; Civil liberties; Free speech; Algorithmic justice; Reproductive rights; FY26 Federal Funding; ICE detainment of students for protesting - free speech; Administration First Amendment violations; Immigration enforcement oversight; ICE Use of Force Act - federal policing reform; Removing body worn camera paywall - policing reform; Kinetic impact weapons regulation; New death penalty provision in the US military code; Privacy Act of 1974 reforms; Federal consumer privacy framework; Federal AI use case inventories; Law Enforcement Deployment; National Security; Jawboning; No Political Enemies Act; Bivens remedy; Free speech on campus; Federal Domestic Workers Bill of Rights; Aging in place hearing; Future abortion codification legislation; Womens rights; Disability rights; Appropriations - LGBTQ rights, reproductive rights; Stop Terror-Financing and Tax Penalties on American Hostages Act - nonprofits tax status and material support for terrorism; Fourth Amendment is Not For Sale Act - prohibiting data purchases by law enforcement and intelligence agencies; Legislative proposal on reproductive rights and access; Immigration detention - advising on oversight; Accountability for ICE/federal immigration agency violations - prospective bills; PROTECT Immigration Act - state and local involvement in immigration; Third country removal accountability; Immigrant children warrant bill; Criminal legal reform; Response to potential invocation of Insurrection Act; Freedom to Vote Act; Voter challenge legislation; Automatic Voter Registration Act; Administration attacks on Head Start; Fair Wages for Home Care Workers Act; Legal authority related to military strikes/Venezuela/boats - presidential action and concurrent resolutions, use of lethal force; FCC commissioner pressuring private companies in violation of First Amendment; Continuing Resolutions for FY26 - Protecting existing nondiscrimination provisions. AGENCIES: Agency - Homeland Security - Issues Lobbied: Federal artificial intelligence use case inventories, algorithmic justice, Dignity for Detained Immigrants Act, immigration detention conditions, MOC access to detention facilities, temporary protected status, travel ban. Agency - Office of Science and Technology Policy - Issues Lobbied: Use of AI in hiring, healthcare, and other protected areas, algorithmic justice. Agency - Labor - Issues Lobbied: Use of AI in hiring, healthcare, and other protected areas, algorithmic justice. Agency - U.S. Trade Representative - Issues Lobbied: U.S. commitments at WTO, open internet. Agency - National Security Council - National Security memo on uses of AI, privacy. Agency - Education - Issues Lobbied: Legislation relating to defining antisemitism in education programs, First Amendment protections, statement opposing breakup of Department of Education, disability rights. Agency - NIST - Issues Lobbied: Use of AI in hiring, healthcare, and other protected areas, algorithmic justice, supply chains and digital trade. Agency - Office of the Director of National Intelligence - Issues Lobbied: Section 702 of Foreign Intelligence Surveillance Act, related legislation and hearings, civil liberties and national security issues. Agency - Department of Health and Human Services - Issues Lobbied: NIH data sharing platform, privacy, Executive Order 12866-HHS/CMS proposed rules, LGBTQ Rights. Agency - Federal Communications Commission - Issues Lobbied: First Amendment violations, FCC commissioner pressuring private companies in violation of First Amendment. Agency - Department of Justice - Issues Lobbied: Executive Order 12866-DOJ/BOP PREA proposed rule, LGBTQ Rights, Executive Order 14168, Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government, federal prisons. Agency - Executive Office of the President - Issues Lobbied: FCC commissioner pressuring private companies in violation of First Amendment, privacy. Agency - Department of State - Issues Lobbied: Travel ban. Agency - Office of Management and Budget - Issues Lobbied: Executive Order 14168, Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government, federal prisons.

Client expense: $520,000 · Firm income: Not reported

Government targets: Director of National Intelligence (ODNI), Education, Dept of, Executive Office of the President (EOP), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institute of Standards & Technology (NIST), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR)

S 977/HR 2202, End Taxpayer Funding of Gender Experimentation Act; HR 498, Do No Harm in Medicaid Act

Client expense: $15,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Ending Discrimination Against Gay and Bisexual Blood and Tissue Donors Funding for HIV/AIDS Education, Prevention, and Research Funding for and Education Regarding Comprehensive Sexual Health Education Implementation of Section 1557 Nondiscrimination regulations Implementation and Protection of the Patient Protection and Affordable Care Act Labor, HHS, and Education Appropriations PrEP Insurance Coverage Title X Family Planning Funding Access to Gender Affirming Care Employment Benefits Conversion Therapy H.R. 2197: No 340B Savings for Transgender Care Act H.R. 2107: To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs, and for other purposes. S. 312: Jamie Reed Protecting Our Kids from Child Abuse Act H.R. 742: PROTECTS Act of 2025 H.R. 653; S. 209: Protecting Minors from Medical Malpractice Act of 2025 H.R. 498: Do No Harm in Medicaid Act H.R. 2487: To improve access to evidence-based, lifesaving health care for transgender people, and for other purposes. S. 422 Right to Contraception Act H.R. 2387: No Harm Act H.R. 3757: Pride in Mental Health Act of 2025 S. 2035: Protect IVF Act H.R. 3811: The Elder Pride Protection Act of 2025 H.R. 3688: Protecting Children from Experimentation Act of 2025 S. 1774: Protecting Minors in Federal Health Plans Act H.R. 3527; S. 1910: Real Education for Healthy Youth H.R. 5434; S. 2826: 988 LGBTQ+ Youth Access Act of 2025 H.R. 5390; S. 2823: FAMILY Act H.R. 4648; S. 2408: Access to Fertility Treatment and Care Act H.R. 3492: Protect Childrens Innocence Act H.R. 5483: Chloe Cole Act H.R. 4953: Gender-Affirming Child Abuse Prevention Act H.R. 4618: Jamie Reed Protecting Our Kid from Child Abuse Act S.2907 A bill to prohibit health care professionals, hospitals, or clinics from participating in the chemical or surgical mutilation of a child and to provide a private right of action for children and the parents of children whose healthy body parts have been damaged by medical professionals practicing chemical and genital mutilation H.R. 5592 Childhood Genital Mutilation Prevention Act H.R. 600; S. 774: WHO is Accountable Act H.R. 4151: Ruthie and Connie LGBTQI Elder Americans Act of 2025

Client expense: $155,588 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA), White House Office

S 977/HR 2202, End Taxpayer Funding of Gender Experimentation Act; HR 498, Do No Harm in Medicaid Act

Client expense: $15,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Ending Discrimination Against Gay and Bisexual Blood and Tissue Donors Funding for HIV/AIDS Education, Prevention, and Research Funding for and Education Regarding Comprehensive Sexual Health Education Implementation of Section 1557 Nondiscrimination regulations Implementation and Protection of the Patient Protection and Affordable Care Act Labor, HHS, and Education Appropriations PrEP Insurance Coverage Title X Family Planning Funding Access to Gender Affirming Care Employment Benefits Conversion Therapy H.R. 2197: No 340B Savings for Transgender Care Act H.R. 2107: To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs, and for other purposes. S. 312: Jamie Reed Protecting Our Kids from Child Abuse Act H.R. 742: PROTECTS Act of 2025 H.R. 653; S. 209: Protecting Minors from Medical Malpractice Act of 2025 H.R. 498: Do No Harm in Medicaid Act H.R. 2487: To improve access to evidence-based, lifesaving health care for transgender people, and for other purposes. S. 422 Right to Contraception Act H.R. 2387: No Harm Act H.R. 3757: Pride in Mental Health Act of 2025 S. 2035: Protect IVF Act H.R. 3811: The Elder Pride Protection Act of 2025 H.R. 3688: Protecting Children from Experimentation Act of 2025 S. 1774: Protecting Minors in Federal Health Plans Act H.R. 3527; S. 1910: Real Education for Healthy Youth

Client expense: $203,964 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA), White House Office

S 9, the Protection of Women and Girls in Sports Act; S 977/HR 2202, End Taxpayer Funding of Gender Experimentation Act; HR 498, Do No Harm in Medicaid Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Ending Discrimination Against Gay and Bisexual Blood and Tissue Donors Funding for HIV/AIDS Education, Prevention, and Research Funding for and Education Regarding Comprehensive Sexual Health Education Implementation of Section 1557 Nondiscrimination regulations Implementation and Protection of the Patient Protection and Affordable Care Act Labor, HHS, and Education Appropriations PrEP Insurance Coverage Title X Family Planning Funding Access to Gender Affirming Care Employment Benefits Conversion Therapy H.R. 2197: No 340B Savings for Transgender Care Act H.R. 2107: To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs, and for other purposes. S. 312: Jamie Reed Protecting Our Kids from Child Abuse Act H.R. 742: PROTECTS Act of 2025 H.R. 653; S. 209: Protecting Minors from Medical Malpractice Act of 2025 H.R. 498: Do No Harm in Medicaid Act H.R. 2487: To improve access to evidence-based, lifesaving health care for transgender people, and for other purposes. S. 422 Right to Contraception Act

Client expense: $193,906 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA), White House Office