HCBS Worker Protection Act of 2025

Meetings with minority staff of House Ways and Means, House Energy and Commerce, Senate Finance Committees and health staff for Rep. Hakeem Jeffries and Sen. Chuck Schumer in opposition to H.R. 2199/S. 4750, the Restore Protections for Dialysis Patients Act. Also assisted, escorted and advocated with SEIU Members organized with United Healthcare Workers West in opposition to this legislation during their advocacy fly in on November 18th and 19th where they spoke to House and Senate Members. Follow up Meetings and advocacy email to all Senate Dems in support of Union endorsement of a Senate Resolution and CRA legislation introduced by Senators Wyden, Markey, King in support of expressing the sense of the Senate that the Secretary of Health and Human Services should withdraw a proposed reduction in public notice and comment opportunities; and subsequent conversations with Senate Offices urging their co-sponsorship of CRA resolution of disapproval to reverse the Richard Waiver. Consultation with staff of Rep. Debbie Dingell, and supported introduction of H.R. 5228, HCBS Workers Protection Act of 2025 and revisions as they draft HCBS Access Act in 119th Congress. Lobbying for an extension of the ACA premium tax credits in H.R. 1834 and additional vehicles.

Client expense: $255,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3492- Protect Children's Innocence Act Addressing Rising Health Care Costs S 2954- Health Care Workforce Expansion Act HR 6166- Lowering Drug Costs for American Families Act Robert F. Kennedy Jr. Nomination for HHS, oppose Dr. Mehmet Oz for CMS Administration, oppose S 46, HR 247- Health Care Affordability Act of 2025 S 750, HR 1683- Protecting America's Seniors Access to Care Act HR 2528- Association Health Care Plans Act HR 3415, S 1709- Nurse Staffing Standards for Hospital Patient Safety HR 5145- Bipartisan Premium Tax Credit Extension Act S 2824- Bill to extend ACA tax credits (2 years) HR 4849, S 2556- Protecting Health Care and Lowering Costs Act of 2025 HR 5228- HCBS Worker Protect Act HR 6703- Lower Health Care Premiums for All Americans Act S 3385- Lower Health Care Costs Act HR 3971, S 3396- Domestic Worker Bill of Rights SJ Res 82, HJ Res 25- Richardson Waiver Congressional Review Act House discharge No. 10- Jeffries ACA discharge petition

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

Meetings with minority staff of House Ways and Means, House Energy and Commerce, Senate Finance Committees and health staff for Rep. Hakeem Jeffries and Sen. Chuck Schumer in opposition to H.R. 2199/S. 4750, the Restore Protections for Dialysis Patients Act. Also assisted, escorted and advocated with SEIU Members organized with United Healthcare Workers West in opposition to this legislation during their advocacy fly in on November 18th and 19th where they spoke to House and Senate Members. Follow up Meetings and advocacy email to all Senate Dems in support of Union endorsement of a Senate Resolution and CRA legislation introduced by Senators Wyden, Markey, King in support of expressing the sense of the Senate that the Secretary of Health and Human Services should withdraw a proposed reduction in public notice and comment opportunities; and subsequent conversations with Senate Offices urging their co-sponsorship of CRA resolution of disapproval to reverse the Richard Waiver. Consultation with staff of Rep. Debbie Dingell, and supported introduction of H.R. 5228, HCBS Workers Protection Act of 2025 and revisions as they draft HCBS Access Act in 119th Congress. Lobbying for an extension of the ACA premium tax credits in H.R. 1834 and additional vehicles.

Client expense: $215,000 · Firm income: Not reported

HR 3492- Protect Children's Innocence Act Addressing Rising Health Care Costs S 2954- Health Care Workforce Expansion Act HR 6166- Lowering Drug Costs for American Families Act Robert F. Kennedy Jr. Nomination for HHS, oppose Dr. Mehmet Oz for CMS Administration, oppose S 46, HR 247- Health Care Affordability Act of 2025 S 750, HR 1683- Protecting America's Seniors Access to Care Act HR 2528- Association Health Care Plans Act HR 3415, S 1709- Nurse Staffing Standards for Hospital Patient Safety HR 5145- Bipartisan Premium Tax Credit Extension Act S 2824- Bill to extend ACA tax credits (2 years) HR 4849, S 2556- Protecting Health Care and Lowering Costs Act of 2025 HR 5228- HCBS Worker Protect Act HR 6703- Lower Health Care Premiums for All Americans Act S 3385- Lower Health Care Costs Act HR 3971, S 3396- Domestic Worker Bill of Rights SJ Res 82, HJ Res 25- Richardson Waiver Congressional Review Act House discharge No. 10- Jeffries ACA discharge petition

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

Meetings with minority staff of House Ways and Means, House Energy and Commerce, Senate Finance Committees and health staff for Rep. Hakeem Jeffries and Sen. Chuck Schumer in opposition to H.R. 2199/S. 4750, the Restore Protections for Dialysis Patients Act. SEIU also sent a note to all Members in the House and Senate in strong opposition to this legislation. Follow up Meeting on Union endorsement of a Senate Resolution introduced by Senators Wyden, Markey, King in support of expressing the sense of the Senate that the Secretary of Health and Human Services should withdraw a proposed reduction in public notice and comment opportunities; and subsequent conversations with Senate Offices urging their cosponsorship of CRA resolution of disapproval to reverse the Richard Waiver. Met with staff of Rep. Debbie Dingell, and supported introduction of H.R. 5228, HCBS Workers Protection Act of 2025. Meeting with House and Senate Dem Offices expressing concerns about HHS Reorganization and RFKs Jr. Leadership of HHS. Introduction Meeting with Minority Staff of Senate Committee on Aging and Health and Labor Staff for Senator Gillibrand. SEIU had no specific request during this meeting, and recapped our past work with the Committee in previous Congresses. Meetings and SEIUs endorsement of a Congressional Review (CRA) Act bill to repeal the ACA Marketplace Integrity and Affordability Final Rule introduced by Rep. Sykes (D-OH) and Senator Warner (D-VA). Consultation with Senate HELP Senior Health Policy Advisor Michaela Brown on introduction of Sen. Sanders Health Care Workforce Expansion Act.

Client expense: $223,000 · Firm income: Not reported

Meetings with minority staff of House Ways and Means, House Energy and Commerce, Senate Finance Committees and health staff for Rep. Hakeem Jeffries and Sen. Chuck Schumer in opposition to H.R. 2199/S. 4750, the Restore Protections for Dialysis Patients Act. SEIU also sent a note to all Members in the House and Senate in strong opposition to this legislation. Follow up Meeting on Union endorsement of a Senate Resolution introduced by Senators Wyden, Markey, King in support of expressing the sense of the Senate that the Secretary of Health and Human Services should withdraw a proposed reduction in public notice and comment opportunities; and subsequent conversations with Senate Offices urging their cosponsorship of CRA resolution of disapproval to reverse the Richard Waiver. Met with staff of Rep. Debbie Dingell, and supported introduction of H.R. 5228, HCBS Workers Protection Act of 2025. Meeting with House and Senate Dem Offices expressing concerns about HHS Reorganization and RFKs Jr. Leadership of HHS. Introduction Meeting with Minority Staff of Senate Committee on Aging and Health and Labor Staff for Senator Gillibrand. SEIU had no specific request during this meeting, and recapped our past work with the Committee in previous Congresses. Meetings and SEIUs endorsement of a Congressional Review (CRA) Act bill to repeal the ACA Marketplace Integrity and Affordability Final Rule introduced by Rep. Sykes (D-OH) and Senator Warner (D-VA). Consultation with Senate HELP Senior Health Policy Advisor Michaela Brown on introduction of Sen. Sanders Health Care Workforce Expansion Act.

Client expense: $210,000 · Firm income: Not reported

S 911, HR 1236- Chief Herbert Proffitt Act Medicaid- Funding, Eligibility Robert F. Kennedy Jr. Nomination for HHS/ oppose Dr. Mehmet Oz for CMS Administration/ oppose S 46, HR 247- Health Care Affordability Act of 2026 S 750, HR 1683- Protecting America's Seniors Access to Care Act HR 3415, S 1709- Nurse Staffing Standards for Hospital Patient Safety HR 5145- Bipartisan Premium Tax Credit Expansion Act S 2824- Bill to extend ACA tax credits (2 years) HR 4849, S 2556- Protecting Health Care and Lowering Costs Act of 2025 HR 5228- HCBS Worker Protection Act S 2954- Health Care Workforce Expansion Act HR 2528- Association Health Care Plans Act

Client expense: $750,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1, the One Big Beautiful Bill Act of 2025. S. 1227/H.R. 2491, the Alleviating Barriers for Caregivers Act of 2025. S. 3766, the Connecting Caregivers to Medicare Act of 2025. H.R. 3665, the Medicare Economic Security Solutions Act of 2025. H.R. 4619, the Medicare Mental Health Inpatient Equity Act of 2025. S. 1996/H.R. 2757, the Medicare Audiology Access Improvement Act of 2025. S. 1105, the No Unreasonable Payments, Coding, or Diagnoses for the Elderly Act (No UPCODE Act of 2025). S. 1816, the Improving Seniors Timely Access to Care Act of 2025. S. 1261/H.R.4206, the CONNECT for Health Act of 2025. S. 2237/H.R. 4313, the Hospital Inpatient Services Modernization Act of 2025. H.R. 5228, the HCBS Worker Protection Act of 2025. H.R. 3954, the Improving Access to Medicare Coverage Act of 2025. No bill number. Discussed prior authorization in Medicare. No bill number. Discussed consumer protections and deceptive marketing in Medicare Advantage. No bill number. Discussed digital health technology and telehealth. No bill number. Discussed network adequacy and provider access issues in Medicare Advantage. No bill number. Discussed the proposed Medicare Physician Fee Schedule for calendar year 2026. No bill number. Discussed Long-term care ombudsman program. No bill number. Discussed the proposed Medicare Hospital Outpatient Prospective Payment System for calendar year 2026. No bill number. Discussed Medicaid work requirements. No bill number. Discussed Medicaid retroactive coverage. No bill number. Discussed Medicaid cost-sharing. No bill number. Discussed Medicaid redeterminations. No bill number. Discussed nursing home staffing and quality. No bill number. Discussed long-term care, home health, hospice, and post-acute care. No bill number. Discussed Essential Caregivers Act. No bill number. Discussed 2026 Medicare Home Health Prospective Payment System (HH PPS). No bill number. Discussed family caregivers and Medicaid. No bill number. Discussed Acute Hospital Care at Home waiver.