Medical Foods and Formulas Access Act of 2025

Health Information Technology Health workforce shortage issues, Title VII and Title VIII of the Public Health Service Act, nursing, graduate nursing education, nursing-managed health clinics Health wellness and prevention programs Research tobacco, e-cigarettes and flavorings University Center for Excellence in Developmental Disabilities (UCEDD) Leadership Education in Neurodevelopmental Disabilities (LEND) program Rural Communities Opioid Response Program Rural Centers of Excellence H.R. 3178/S. 4771, Save Healthcare Workers Act (SAVE Act) Fetal Alcohol Syndrome Disorders H.R. 5684, Medical Foods and Formulas Access Act of 2025 Emergency Medical Services for Children (EMSC) program H.R. 2483, FASD Respect Act Hospital price transparency

Client expense: $90,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2027 federal funding for DoD peer-reviewed medical research and the National Institutes of Health; Improvements in FDA rare disease New Drug Application review process; H.R. 5684 / S. 3304 - Medical Foods and Formulas Access Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2027 Funding for medical research at the NIH and CDC FY 2027 Appropriations - DoD Congressionally Directed Medical Research Program S 864/ HR 6423 Help Ensure Lower Patient Copays Act S 526 Pharmacy Benefit Manager Transparency Act HR 5509/ S 2903: Safe Step Act S 3304 / HR 5684 Medical Foods and Formula Access Act CMS - Interoperability Standards and Prior Authorization for Drugs proposed rule CMS - RFI on step therapy in Medicare CMS - Reimbursement for infused biosimilars CMS - Medicare Competitive bidding for ostomy supplies CMS - Medicaid work requirements FDA - Approvals for pediatric IBD medications HHS - FY 2027 NBPP OMB - Proposed rule on Federal grantmaking

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

No Bill No. - Reducing Medically Unnecessary Delays in Care Act No Bill No. - Global Health Empowerment and Rights (Global HER) Act No Bill No. - WHO withdrawal No Bill No. - Chronic Disease Flexible Coverage Act No Bill No. - Rural Physician Workforce Production Act No Bill No. - Bringing Low-Cost Options and Competition While Keeping Incentives for New Generics (BLOCKING) Act No Bill No. - Protecting Patients from Deceptive Drug Ads Online Act No Bill No. - Protect Health Savings Account Act No Bill No. - HHS reorganization No Bill No. - Workforce Mobility Act No Bill No. - Health Care Workforce Expansion Act No Bill No. - TRUTH in Labeling Act No Bill No. - NIH Clinical Trial Integrity Act No Bill No. - Modernizing Opioid Treatment Access Act 2.0 NO Bill NO. - Follow the Science Act (H.R. 8765) - Prioritizing Primary Care Act (H.R. 21/S.6) - Born-Alive Abortion Survivors Protection Act (H.R. 1061) - Protecting Sensitive Locations Act (S. 229) - Drug Price Transparency for Consumers (DTC) Act (H.R. 777) - Closing the College Hunger Gap Act (H.R. 957) - Parity Enforcement Act (H.R. 846/S.589) - Stop Anti-Abortion Disinformation (SAD) Act (H.R. 929/S.266) - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (H.R. 1670/S. 797) - Family Building FEHB Fairness Act (S. 1538) - Rural Seniors Act (H.R. 999/S. 422) - Right to Contraception Act (H.R. 2818/S. 1447) - Early Childhood Nutrition Improvement Act (H.R. 2559/S. 1420) - Child Care Nutrition Enhancement Act (H.R. 2495/S. 1971) - Nutrition Counseling Aiding Recovery for Eating Disorders (CARE) Act (H.R. 2483) - SUPPORT for Patients and Communities Reauthorization Act (H.R. 2762/S. 1394) - Expanding Access to Family Planning Act (H.R. 2717/S. 1320) - Servicewoman and Veterans Menopause Research Act (H.R. 1) - One Big Beautiful Bill Act (H.R. 1026/s. 1719) - Improving Seniors' Timely Access to Care Act (H.R. 3757) - Supporting Healthy Mothers and Infants Act (S. 5469) - SHINE for Autumn Act (S. 1562/H.R. 1197) - PREEMIE Reauthorization Act (H.R. 3670) - IHS Provider Expansion Act (S. 2072) - MORE Savings Act (S. 2169) - Rural Hospital Cybersecurity Act (S. 1847/H.R. 3672) - Supporting Healthy Moms and Babies Act (H.R. 3885) - TEAMS Act (H.R. 3942) - Keeping Obstetrics Local Act (H.R. 4837) - Written Informed Consent Act (H.R. 3013) - Vaccine Transportation Act (H.R. 6468) - Rural Residency Planning and Development Act of 2025 (H.R. 6760) - Protecting Access to Affordable Coverage Act (H.R. 5461/S.2211) - Special Diabetes Program Reauthorization Act (H.R. 5684) - Medical Foods and Formulas Access Act (H.R. 7064) - AI in Healthcare Efficiency and Study Act (S. 4027/H.R. 6248) - Healthy Competition for Better Care Act (S. 3842) - 21st Century WIC Act (H.R. 5488) - Special Diabetes Program for Indians Reauthorization Act (S. 3274/H.R. 6242) - Healthy Maternity and Obstetric Medicine (MOM) Act (H.R. 5360) - AI Warnings and Resources for Education (AWARE) Act (H.R. 6353) - Algorithmic Choice and Transparency Act (H.R. 6292) - Don't Sell Kid's Data Act (S. 3618/H.R. 6259) - No Fentanyl on Social Media Act (H.R. 6498) - Safeguarding Adolescents from Exploitative (SAFE) Bots Act (H.R. 6290) - Safe Social Media Act (H.R. 7227/S.3698) - Mental Health and Making Access More Affordable (MAMA) Act (H.R. 7444) - Protecting Rural Telehealth Access Act (H.R. 9257) - Primary and Behavioral Health Care Access Act (S. 4927) - Rural Hospital Emergency Room Guarantee Act (H.R. 7267/ S. 3706) - Produce Prescription for Veterans Act (H.R. 3747) - Accelerating Access to Dementia and Alzheimer's Provider Training Act (H.R. 8390) - National Food as Medicine Program Act of 2026 (H.R. 8245) - Strengthening the Vaccine for Children Program Act of 2026 (H.R. 7973) - Momnibus Act (H.R. 1254/S.380) - Rural Obstetrics Readiness Act (H.R. 9257) - Primary and Behavioral Health Care Access Act (H.R. 10210) - Doctors Not AI Act (S. 5236) - Improving CARE for Youth Act (H.R. 6994) - Mental Health TALK SAFE Act

Support the Medical Foods and Formulas Access Act (H.R. 5684, S.3304) Support the Prior Authorization Reform for Autoimmune and Blood Disorders Act (H.R. 9192) which applies to ERISA / self-funded plans. Requires health plans to honor prior authorization for autoimmune and blood disorder treatments for a 12-month period.

Client expense: Not reported · Firm income: $25,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Protect Access to Medical Nutrition Therapy (MNT Act) Ensure Patient Access to Medical Foods (Medical Foods & Formulas Access Act - H.R.5684) Strengthen Food Is Medicine (FIM) Framework (Medically Tailored Home-Delivered Meals Program Pilot Act - S.2834/H.R. 5439)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare reimbursement. Monitor federal and legislative activity related to drug pricing. Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act (HR 929 / S 266) Medicare Patient Access and Practice Stabilization Act (HR 879/ S.1640) Reducing Medically Unnecessary Delays in Care Act (HR 2433) Resident Education Deferred Interest (REDI) Act (HR 2028 / S 942) Help Ensure Lower Patient (HELP) Copays Act (S. 864) Patients Before Middlemen Act (S. 882) PBM Transparency Act (S. 526) Prescription Pricing for the People Act (S. 527) Conrad State 30 and Physician Access Reauthorization Act (HR 1585 / S 709) Resident Physician Shortage Reduction Act (HR.3890/S. 2439) Improving Seniors Timely Access to Care Act (S. 1816/HR. 3514) One Big Beautiful Bill Act (HR. 1) Safe Step Act (HR 5509/S. 668) Patient Access to Autoimmune Treatment, PAAT, Act (HR. 5467) Protecting Patient Access to Cancer and Complex Therapies Act (HR 4299) PBM Reform Act of 2025 (HR 4317) Workforce Mobility Act (S.2031) Specialty Physicians Advancing Rural Care, SPARC, Act (H.R 4681/S. 1380) Connect for Health Act of 2025 (HR 2406/S. 1261) Telehealth Modernization Act (HR 5081/S 2709) House Concurrent Res. 14 establishing congressional budget for FY2025 Department of Labor, HHS, and Education Appropriations Act (S. 2587) Department of Defense Appropriations Act (HR 4016/S. 2572) Seniors Deserve SMARTER Care Act (HR 5940) A bill to require private plans to provide for e-prior auth for drugs (S. 4349) Patient Access to Higher Quality Health Care Act (HR 4002) Biosimilar Red Tape Elimination Act (HR 5526/S. 1954) Medical Foods and Formulas Access Act (HR 5684) Physician Led and Rural Access to Quality Care Act (HR 2191/S. 1390) Claims Data Act, H.R. 4331 Rural Residency Planning and development Act of 2025, H.R. 6468 To exempt H-1B health care workers from the restriction under the Presidential Proclamation entitled "Restriction on Entry of Certain Nonimmigrant Workers", and for other purposes, H.R. 7961 Provider Reimbursement Stability Act, H.R. 8163 PBM Fiduciary Accountability, Integrity, and Reform (FAIR) Act, S.3549 Chronic Care Management Act of 2026ﾠHR 8261 Prior Authorization Reform for Autoimmune & Blood Disorders ActﾠHR 9192 Patient Access to Autoimmune Treatments ActﾠHR 5467

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare reimbursement. Monitor federal and legislative activity related to drug pricing. Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act (HR 929 / S 266) Medicare Patient Access and Practice Stabilization Act (HR 879/ S.1640) Reducing Medically Unnecessary Delays in Care Act (HR 2433) Resident Education Deferred Interest (REDI) Act (HR 2028 / S 942) Help Ensure Lower Patient (HELP) Copays Act (S. 864) Patients Before Middlemen Act (S. 882) PBM Transparency Act (S. 526) Prescription Pricing for the People Act (S. 527) Conrad State 30 and Physician Access Reauthorization Act (HR 1585 / S 709) Resident Physician Shortage Reduction Act (HR.3890/S. 2439) Improving Seniors Timely Access to Care Act (S. 1816/HR. 3514) One Big Beautiful Bill Act (HR. 1) Safe Step Act (HR 5509/S. 668) Patient Access to Autoimmune Treatment, PAAT, Act (HR. 5467) Protecting Patient Access to Cancer and Complex Therapies Act (HR 4299) PBM Reform Act of 2025 (HR 4317) Workforce Mobility Act (S.2031) Specialty Physicians Advancing Rural Care, SPARC, Act (H.R 4681/S. 1380) Connect for Health Act of 2025 (HR 2406/S. 1261) Telehealth Modernization Act (HR 5081/S 2709) House Concurrent Res. 14 establishing congressional budget for FY2025 Department of Labor, HHS, and Education Appropriations Act (S. 2587) Department of Defense Appropriations Act (HR 4016/S. 2572) Seniors Deserve SMARTER Care Act (HR 5940) A bill to require private plans to provide for e-prior auth for drugs (S. 4349) Patient Access to Higher Quality Health Care Act (HR 4002) Biosimilar Red Tape Elimination Act (HR 5526/S. 1954) Medical Foods and Formulas Access Act (HR 5684) Physician Led and Rural Access to Quality Care Act (HR 2191/S. 1390) Claims Data Act, H.R. 4331 Rural Residency Planning and development Act of 2025, H.R. 6468 To exempt H-1B health care workers from the restriction under the Presidential Proclamation entitled "Restriction on Entry of Certain Nonimmigrant Workers", and for other purposes, H.R. 7961 Provider Reimbursement Stability Act, H.R. 8163 PBM Fiduciary Accountability, Integrity, and Reform (FAIR) Act, S.3549 Chronic Care Management Act of 2026ﾠHR 8261 Prior Authorization Reform for Autoimmune & Blood Disorders ActﾠHR 9192 Patient Access to Autoimmune Treatments ActﾠHR 5467

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare reimbursement. Monitor federal and legislative activity related to drug pricing. Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act (HR 929 / S 266) Medicare Patient Access and Practice Stabilization Act (HR 879/ S.1640) Reducing Medically Unnecessary Delays in Care Act (HR 2433) Resident Education Deferred Interest (REDI) Act (HR 2028 / S 942) Help Ensure Lower Patient (HELP) Copays Act (S. 864) Patients Before Middlemen Act (S. 882) PBM Transparency Act (S. 526) Prescription Pricing for the People Act (S. 527) Conrad State 30 and Physician Access Reauthorization Act (HR 1585 / S 709) Resident Physician Shortage Reduction Act (HR.3890/S. 2439) Improving Seniors Timely Access to Care Act (S. 1816/HR. 3514) One Big Beautiful Bill Act (HR. 1) Safe Step Act (HR 5509/S. 668) Patient Access to Autoimmune Treatment, PAAT, Act (HR. 5467) Protecting Patient Access to Cancer and Complex Therapies Act (HR 4299) PBM Reform Act of 2025 (HR 4317) Workforce Mobility Act (S.2031) Specialty Physicians Advancing Rural Care, SPARC, Act (H.R 4681/S. 1380) Connect for Health Act of 2025 (HR 2406/S. 1261) Telehealth Modernization Act (HR 5081/S 2709) House Concurrent Res. 14 establishing congressional budget for FY2025 Department of Labor, HHS, and Education Appropriations Act (S. 2587) Department of Defense Appropriations Act (HR 4016/S. 2572) Seniors Deserve SMARTER Care Act (HR 5940) A bill to require private plans to provide for e-prior auth for drugs (S. 4349) Patient Access to Higher Quality Health Care Act (HR 4002) Biosimilar Red Tape Elimination Act (HR 5526/S. 1954) Medical Foods and Formulas Access Act (HR 5684) Physician Led and Rural Access to Quality Care Act (HR 2191/S. 1390) Claims Data Act, H.R. 4331 Rural Residency Planning and development Act of 2025, H.R. 6468 To exempt H-1B health care workers from the restriction under the Presidential Proclamation entitled "Restriction on Entry of Certain Nonimmigrant Workers", and for other purposes, H.R. 7961 Provider Reimbursement Stability Act, H.R. 8163 PBM Fiduciary Accountability, Integrity, and Reform (FAIR) Act, S.3549 Chronic Care Management Act of 2026ﾠHR 8261 Prior Authorization Reform for Autoimmune & Blood Disorders ActﾠHR 9192 Patient Access to Autoimmune Treatments ActﾠHR 5467

Health Information Technology Health workforce shortage issues, Title VII and Title VIII of the Public Health Service Act, nursing, graduate nursing education, nursing-managed health clinics Health wellness and prevention programs Research tobacco, e-cigarettes and flavorings University Center for Excellence in Developmental Disabilities (UCEDD) Leadership Education in Neurodevelopmental Disabilities (LEND) program Rural Communities Opioid Response Program Rural Centers of Excellence H.R. 3178/S. 4771, Save Healthcare Workers Act (SAVE Act) Fetal Alcohol Syndrome Disorders H.R. 5684, Medical Foods and Formulas Access Act of 2025 Emergency Medical Services for Children (EMSC) program

Client expense: $220,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2027 federal funding for DoD peer-reviewed medical research and the National Institutes of Health; Improvements in FDA rare disease New Drug Application review process; H.R. 5684 / S. 3304 - Medical Foods and Formulas Access Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

No Bill No. - Reducing Medically Unnecessary Delays in Care Act No Bill No. - Global Health Empowerment and Rights (Global HER) Act No Bill No. - WHO withdrawal No Bill No. - Chronic Disease Flexible Coverage Act No Bill No. - Rural Physician Workforce Production Act No Bill No. - Bringing Low-Cost Options and Competition While Keeping Incentives for New Generics (BLOCKING) Act No Bill No. - Protecting Patients from Deceptive Drug Ads Online Act No Bill No. - Protect Health Savings Account Act No Bill No. - HHS reorganization No Bill No. - Workforce Mobility Act No Bill No. - Health Care Workforce Expansion Act No Bill No. - TRUTH in Labeling Act No Bill No. - NIH Clinical Trial Integrity Act No Bill No. - Modernizing Opioid Treatment Access Act 2.0 NO Bill NO. - Follow the Science Act (H.R. 8765) - Prioritizing Primary Care Act (H.R. 21/S.6) - Born-Alive Abortion Survivors Protection Act (H.R. 1061) - Protecting Sensitive Locations Act (S. 229) - Drug Price Transparency for Consumers (DTC) Act (H.R. 777) - Closing the College Hunger Gap Act (H.R. 957) - Parity Enforcement Act (H.R. 846/S.589) - Stop Anti-Abortion Disinformation (SAD) Act (H.R. 929/S.266) - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (H.R. 1670/S. 797) - Family Building FEHB Fairness Act (S. 1538) - Rural Seniors Act (H.R. 999/S. 422) - Right to Contraception Act (H.R. 2818/S. 1447) - Early Childhood Nutrition Improvement Act (H.R. 2559/S. 1420) - Child Care Nutrition Enhancement Act (H.R. 2495/S. 1971) - Nutrition Counseling Aiding Recovery for Eating Disorders (CARE) Act (H.R. 2483) - SUPPORT for Patients and Communities Reauthorization Act (H.R. 2762/S. 1394) - Expanding Access to Family Planning Act (H.R. 2717/S. 1320) - Servicewoman and Veterans Menopause Research Act (H.R. 1) - One Big Beautiful Bill Act (H.R. 1026/s. 1719) - Improving Seniors' Timely Access to Care Act (H.R. 3757) - Supporting Healthy Mothers and Infants Act (S. 5469) - SHINE for Autumn Act (S. 1562/H.R. 1197) - PREEMIE Reauthorization Act (H.R. 3670) - IHS Provider Expansion Act (S. 2072) - MORE Savings Act (S. 2169) - Rural Hospital Cybersecurity Act (S. 1847/H.R. 3672) - Supporting Healthy Moms and Babies Act (H.R. 3885) - TEAMS Act (H.R. 3942) - Keeping Obstetrics Local Act (H.R. 4837) - Written Informed Consent Act (H.R. 3013) - Vaccine Transportation Act (H.R. 6468) - Rural Residency Planning and Development Act of 2025 (H.R. 6760) - Protecting Access to Affordable Coverage Act (H.R. 5461/S.2211) - Special Diabetes Program Reauthorization Act (H.R. 5684) - Medical Foods and Formulas Access Act (H.R. 7064) - AI in Healthcare Efficiency and Study Act (S. 4027/H.R. 6248) - Healthy Competition for Better Care Act (S. 3842) - 21st Century WIC Act (H.R. 5488) - Special Diabetes Program for Indians Reauthorization Act (S. 3274/H.R. 6242) - Healthy Maternity and Obstetric Medicine (MOM) Act (H.R. 5360) - AI Warnings and Resources for Education (AWARE) Act (H.R. 6353) - Algorithmic Choice and Transparency Act (H.R. 6292) - Don't Sell Kid's Data Act (S. 3618/H.R. 6259) - No Fentanyl on Social Media Act (H.R. 6498) - Safeguarding Adolescents from Exploitative (SAFE) Bots Act (H.R. 6290) - Safe Social Media Act (H.R. 7227/S.3698) - Mental Health and Making Access More Affordable (MAMA) Act (H.R. 7444) - Protecting Rural Telehealth Access Act (H.R. 9257) - Primary and Behavioral Health Care Access Act (S. 4927) - Rural Hospital Emergency Room Guarantee Act (H.R. 7267/ S. 3706) - Produce Prescription for Veterans Act (H.R. 3747) - Accelerating Access to Dementia and Alzheimer's Provider Training Act (H.R. 8390) - National Food as Medicine Program Act of 2026 (H.R. 8245) - Strengthening the Vaccine for Children Program Act of 2026 (H.R. 7973) - Momnibus Act

FY 2027 Funding for medical research at the NIH and CDC FY 2027 Appropriations - DoD Congressionally Directed Medical Research Program S 864/ HR 6423 Help Ensure Lower Patient Copays Act S 526 Pharmacy Benefit Manager Transparency Act HR 5509/ S 2903: Safe Step Act S 3304 / HR 5684 Medical Foods and Formula Access Act CMS - Interoperability Standards and Prior Authorization for Drugs proposed rule CMS - RFI on step therapy in Medicare CMS - Reimbursement for infused biosimilars CMS - Medicare Competitive bidding for ostomy supplies FDA - Approvals for pediatric IBD medications HHS - FY 2027 NBPP

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE

Support the Medical Foods and Formulas Access Act (H.R. 5684, S.3304) Pediatric indications for biologic products to treat inflammatory bowel disease

Client expense: Not reported · Firm income: $25,500

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Advocacy on health care issues relating to genetics and genetic testing, including H.R.4709, the Newborn Screening Saves Lives Reauthorization Act of 2025; H.R. 6208, Access to Genetic Counselor Services Act; H.R. 5684/S 3304, Medical Foods and Formulas Access Act; H.R. 7118, Genomic Answers for Childrens Health Act; and H.R. 2471, Right Dose Right Now Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare reimbursement. Monitor federal and legislative activity related to drug pricing. Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act (HR 929 / S 266) Medicare Patient Access and Practice Stabilization Act (HR 879/ S.1640) Reducing Medically Unnecessary Delays in Care Act (HR 2433) Resident Education Deferred Interest (REDI) Act (HR 2028 / S 942) Help Ensure Lower Patient (HELP) Copays Act (S. 864) Patients Before Middlemen Act (S. 882) PBM Transparency Act (S. 526) Prescription Pricing for the People Act (S. 527) Conrad State 30 and Physician Access Reauthorization Act (HR 1585 / S 709) Resident Physician Shortage Reduction Act (HR.3890/S. 2439) Improving Seniors Timely Access to Care Act (S. 1816/HR. 3514) One Big Beautiful Bill Act (HR. 1) Safe Step Act (HR 5509/S. 668) Patient Access to Autoimmune Treatment, PAAT, Act (HR. 5467) Protecting Patient Access to Cancer and Complex Therapies Act (HR 4299) PBM Reform Act of 2025 (HR 4317) Workforce Mobility Act (S.2031) Specialty Physicians Advancing Rural Care, SPARC, Act (H.R 4681/S. 1380) Connect for Health Act of 2025 (HR 2406/S. 1261) Telehealth Modernization Act (HR 5081/S 2709) House Concurrent Res. 14 establishing congressional budget for FY2025 Department of Labor, HHS, and Education Appropriations Act (S. 2587) Department of Defense Appropriations Act (HR 4016/S. 2572) Seniors Deserve SMARTER Care Act (HR 5940) A bill to require private plans to provide for e-prior auth for drugs (S. 4349) Patient Access to Higher Quality Health Care Act (HR 4002) Biosimilar Red Tape Elimination Act (HR 5526/S. 1954) Medical Foods and Formulas Access Act (HR 5684) Physician Led and Rural Access to Quality Care Act (HR 2191/S. 1390) Claims Data Act, H.R. 4331 Rural Residency Planning and development Act of 2025, H.R. 6468 To exempt H-1B health care workers from the restriction under the Presidential Proclamation entitled "Restriction on Entry of Certain Nonimmigrant Workers", and for other purposes, H.R. 7961 Provider Reimbursement Stability Act, H.R. 8163 PBM Fiduciary Accountability, Integrity, and Reform (FAIR) Act, S.3549

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare reimbursement. Monitor federal and legislative activity related to drug pricing. Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act (HR 929 / S 266) Medicare Patient Access and Practice Stabilization Act (HR 879/ S.1640) Reducing Medically Unnecessary Delays in Care Act (HR 2433) Resident Education Deferred Interest (REDI) Act (HR 2028 / S 942) Help Ensure Lower Patient (HELP) Copays Act (S. 864) Patients Before Middlemen Act (S. 882) PBM Transparency Act (S. 526) Prescription Pricing for the People Act (S. 527) Conrad State 30 and Physician Access Reauthorization Act (HR 1585 / S 709) Resident Physician Shortage Reduction Act (HR.3890/S. 2439) Improving Seniors Timely Access to Care Act (S. 1816/HR. 3514) One Big Beautiful Bill Act (HR. 1) Safe Step Act (HR 5509/S. 668) Patient Access to Autoimmune Treatment, PAAT, Act (HR. 5467) Protecting Patient Access to Cancer and Complex Therapies Act (HR 4299) PBM Reform Act of 2025 (HR 4317) Workforce Mobility Act (S.2031) Specialty Physicians Advancing Rural Care, SPARC, Act (H.R 4681/S. 1380) Connect for Health Act of 2025 (HR 2406/S. 1261) Telehealth Modernization Act (HR 5081/S 2709) House Concurrent Res. 14 establishing congressional budget for FY2025 Department of Labor, HHS, and Education Appropriations Act (S. 2587) Department of Defense Appropriations Act (HR 4016/S. 2572) Seniors Deserve SMARTER Care Act (HR 5940) A bill to require private plans to provide for e-prior auth for drugs (S. 4349) Patient Access to Higher Quality Health Care Act (HR 4002) Biosimilar Red Tape Elimination Act (HR 5526/S. 1954) Medical Foods and Formulas Access Act (HR 5684) Physician Led and Rural Access to Quality Care Act (HR 2191/S. 1390) Claims Data Act, H.R. 4331 Rural Residency Planning and development Act of 2025, H.R. 6468 To exempt H-1B health care workers from the restriction under the Presidential Proclamation entitled "Restriction on Entry of Certain Nonimmigrant Workers", and for other purposes, H.R. 7961 Provider Reimbursement Stability Act, H.R. 8163 PBM Fiduciary Accountability, Integrity, and Reform (FAIR) Act, S.3549

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare reimbursement. Monitor federal and legislative activity related to drug pricing. Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act (HR 929 / S 266) Medicare Patient Access and Practice Stabilization Act (HR 879/ S.1640) Reducing Medically Unnecessary Delays in Care Act (HR 2433) Resident Education Deferred Interest (REDI) Act (HR 2028 / S 942) Help Ensure Lower Patient (HELP) Copays Act (S. 864) Patients Before Middlemen Act (S. 882) PBM Transparency Act (S. 526) Prescription Pricing for the People Act (S. 527) Conrad State 30 and Physician Access Reauthorization Act (HR 1585 / S 709) Resident Physician Shortage Reduction Act (HR.3890/S. 2439) Improving Seniors Timely Access to Care Act (S. 1816/HR. 3514) One Big Beautiful Bill Act (HR. 1) Safe Step Act (HR 5509/S. 668) Patient Access to Autoimmune Treatment, PAAT, Act (HR. 5467) Protecting Patient Access to Cancer and Complex Therapies Act (HR 4299) PBM Reform Act of 2025 (HR 4317) Workforce Mobility Act (S.2031) Specialty Physicians Advancing Rural Care, SPARC, Act (H.R 4681/S. 1380) Connect for Health Act of 2025 (HR 2406/S. 1261) Telehealth Modernization Act (HR 5081/S 2709) House Concurrent Res. 14 establishing congressional budget for FY2025 Department of Labor, HHS, and Education Appropriations Act (S. 2587) Department of Defense Appropriations Act (HR 4016/S. 2572) Seniors Deserve SMARTER Care Act (HR 5940) A bill to require private plans to provide for e-prior auth for drugs (S. 4349) Patient Access to Higher Quality Health Care Act (HR 4002) Biosimilar Red Tape Elimination Act (HR 5526/S. 1954) Medical Foods and Formulas Access Act (HR 5684) Physician Led and Rural Access to Quality Care Act (HR 2191/S. 1390) Claims Data Act, H.R. 4331 Rural Residency Planning and development Act of 2025, H.R. 6468 To exempt H-1B health care workers from the restriction under the Presidential Proclamation entitled "Restriction on Entry of Certain Nonimmigrant Workers", and for other purposes, H.R. 7961 Provider Reimbursement Stability Act, H.R. 8163 PBM Fiduciary Accountability, Integrity, and Reform (FAIR) Act, S.3549

Protect Access to Medical Nutrition Therapy (MNT Act) Ensure Patient Access to Medical Foods (Medical Foods & Formulas Access Act - H.R.5684) Strengthen Food Is Medicine (FIM) Framework (Medically Tailored Home-Delivered Meals Program Pilot Act - S.2834/H.R. 5439)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Information Technology Health workforce shortage issues, Title VII and Title VIII of the Public Health Service Act, nursing, graduate nursing education, nursing-managed health clinics Health wellness and prevention programs Research tobacco, e-cigarettes and flavorings University Center for Excellence in Developmental Disabilities (UCEDD) Leadership Education in Neurodevelopmental Disabilities (LEND) program Rural Communities Opioid Response Program Rural Centers of Excellence H.R. 3178/S. 4771, Save Healthcare Workers Act (SAVE Act) Fetal Alcohol Syndrome Disorders H.R. 5684, Medical Foods and Formulas Access Act of 2025 Emergency Medical Services for Children (EMSC) program

Client expense: $130,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2027 federal funding for DoD peer-reviewed medical research and the National Institutes of Health; Improvements in FDA rare disease New Drug Application review process; H.R. 5684 / S. 3304 - Medical Foods and Formulas Access Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

No Bill No. - Reducing Medically Unnecessary Delays in Care Act No Bill No. - Global Health Empowerment and Rights (Global HER) Act No Bill No. - WHO withdrawal No Bill No. - Chronic Disease Flexible Coverage Act No Bill No. - Rural Physician Workforce Production Act No Bill No. - Bringing Low-Cost Options and Competition While Keeping Incentives for New Generics (BLOCKING) Act No Bill No. - Protecting Patients from Deceptive Drug Ads Online Act No Bill No. - Protect Health Savings Account Act No Bill No. - HHS reorganization No Bill No. - Workforce Mobility Act No Bill No. - Health Care Workforce Expansion Act No Bill No. - TRUTH in Labeling Act No Bill No. - NIH Clinical Trial Integrity Act (H.R. 21/S.6) - Born-Alive Abortion Survivors Protection Act (H.R. 1061) - Protecting Sensitive Locations Act (S. 229) - Drug Price Transparency for Consumers (DTC) Act (H.R. 777) - Closing the College Hunger Gap Act (H.R. 957) - Parity Enforcement Act (H.R. 846/S.589) - Stop Anti-Abortion Disinformation (SAD) Act (H.R. 929/S.266) - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (H.R. 1670/S. 797) - Family Building FEHB Fairness Act (S. 1538) - Rural Seniors Act (H.R. 999/S. 422) - Right to Contraception Act (H.R. 2818/S. 1447) - Early Childhood Nutrition Improvement Act (H.R. 2559/S. 1420) - Child Care Nutrition Enhancement Act (H.R. 2495/S. 1971) - Nutrition Counseling Aiding Recovery for Eating Disorders (CARE) Act (H.R. 2483) - SUPPORT for Patients and Communities Reauthorization Act (H.R. 2762/S. 1394) - Expanding Access to Family Planning Act (H.R. 2717/S. 1320) - Servicewoman and Veterans Menopause Research Act (H.R. 1) - One Big Beautiful Bill Act (H.R. 1026/s. 1719) - Improving Seniors' Timely Access to Care Act (H.R. 3757) - Supporting Healthy Mothers and Infants Act (S. 5469) - SHINE for Autumn Act (S. 1562/H.R. 1197) - PREEMIE Reauthorization Act (H.R. 3670) - IHS Provider Expansion Act (S. 2072) - MORE Savings Act (S. 2169) - Rural Hospital Cybersecurity Act (S. 1847/H.R. 3672) - Supporting Healthy Moms and Babies Act (H.R. 3885) - TEAMS Act (H.R. 3942) - Keeping Obstetrics Local Act (H.R. 4837) - Written Informed Consent Act (H.R. 3013) - Vaccine Transportation Act (H.R. 6468) - Rural Residency Planning and Development Act of 2025 (H.R. 6760) - Protecting Access to Affordable Coverage Act (H.R. 5461/S.2211) - Special Diabetes Program Reauthorization Act (H.R. 5684) - Medical Foods and Formulas Access Act (H.R. 7064) - AI in Healthcare Efficiency and Study Act (S. 4027/H.R. 6248) - Healthy Competition for Better Care Act (S. 3842) - 21st Century WIC Act (H.R. 5488) - Special Diabetes Program for Indians Reauthorization Act (S. 3274/H.R. 6242) - Healthy Maternity and Obstetric Medicine (MOM) Act (H.R. 5360) - AI Warnings and Resources for Education (AWARE) Act (H.R. 6353) - Algorithmic Choice and Transparency Act (H.R. 6292) - Don't Sell Kid's Data Act (S. 3618/H.R. 6259) - No Fentanyl on Social Media Act (H.R. 6498) - Safeguarding Adolescents from Exploitative (SAFE) Bots Act (H.R. 6290) - Safe Social Media Act (H.R. 7227/S.3698) - Mental Health and Making Access More Affordable (MAMA) Act (H.R. 7444) - Protecting Rural Telehealth Access Act

Support the Medical Foods and Formulas Access Act (H.R. 5684, S.3304) Support the Cure Hepatitis C Act (S. 1941) Pediatric indications for biologic products to treat inflammatory bowel disease

Client expense: Not reported · Firm income: $25,500

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare reimbursement. Monitor federal and legislative activity related to drug pricing. Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act (HR 929 / S 266) Medicare Patient Access and Practice Stabilization Act (HR 879/ S.1640) Reducing Medically Unnecessary Delays in Care Act (HR 2433) Resident Education Deferred Interest (REDI) Act (HR 2028 / S 942) Help Ensure Lower Patient (HELP) Copays Act (S. 864) Patients Before Middlemen Act (S. 882) PBM Transparency Act (S. 526) Prescription Pricing for the People Act (S. 527) Conrad State 30 and Physician Access Reauthorization Act (HR 1585 / S 709) Resident Physician Shortage Reduction Act (HR.3890/S. 2439) Improving Seniors Timely Access to Care Act (S. 1816/HR. 3514) One Big Beautiful Bill Act (HR. 1) Safe Step Act (HR 5509/S. 668) Patient Access to Autoimmune Treatment, PAAT, Act (HR. 5467) Protecting Patient Access to Cancer and Complex Therapies Act (HR 4299) PBM Reform Act of 2025 (HR 4317) Workforce Mobility Act (S.2031) Specialty Physicians Advancing Rural Care, SPARC, Act (H.R 4681/S. 1380) Connect for Health Act of 2025 (HR 2406/S. 1261) Telehealth Modernization Act (HR 5081/S 2709) House Concurrent Res. 14 establishing congressional budget for FY2025 Department of Labor, HHS, and Education Appropriations Act (S. 2587) Department of Defense Appropriations Act (HR 4016/S. 2572) Seniors Deserve SMARTER Care Act (HR 5940) A bill to require private plans to provide for e-prior auth for drugs (S. 4349) Patient Access to Higher Quality Health Care Act (HR 4002) Biosimilar Red Tape Elimination Act (HR 5526/S. 1954) Medical Foods and Formulas Access Act (HR 5684) Physician Led and Rural Access to Quality Care Act (HR 2191/S. 1390)

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare reimbursement. Monitor federal and legislative activity related to drug pricing. Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act (HR 929 / S 266) Medicare Patient Access and Practice Stabilization Act (HR 879/ S.1640) Reducing Medically Unnecessary Delays in Care Act (HR 2433) Resident Education Deferred Interest (REDI) Act (HR 2028 / S 942) Help Ensure Lower Patient (HELP) Copays Act (S. 864) Patients Before Middlemen Act (S. 882) PBM Transparency Act (S. 526) Prescription Pricing for the People Act (S. 527) Conrad State 30 and Physician Access Reauthorization Act (HR 1585 / S 709) Resident Physician Shortage Reduction Act (HR.3890/S. 2439) Improving Seniors Timely Access to Care Act (S. 1816/HR. 3514) One Big Beautiful Bill Act (HR. 1) Safe Step Act (HR 5509/S. 668) Patient Access to Autoimmune Treatment, PAAT, Act (HR. 5467) Protecting Patient Access to Cancer and Complex Therapies Act (HR 4299) PBM Reform Act of 2025 (HR 4317) Workforce Mobility Act (S.2031) Specialty Physicians Advancing Rural Care, SPARC, Act (H.R 4681/S. 1380) Connect for Health Act of 2025 (HR 2406/S. 1261) Telehealth Modernization Act (HR 5081/S 2709) House Concurrent Res. 14 establishing congressional budget for FY2025 Department of Labor, HHS, and Education Appropriations Act (S. 2587) Department of Defense Appropriations Act (HR 4016/S. 2572) Seniors Deserve SMARTER Care Act (HR 5940) A bill to require private plans to provide for e-prior auth for drugs (S. 4349) Patient Access to Higher Quality Health Care Act (HR 4002) Biosimilar Red Tape Elimination Act (HR 5526/S. 1954) Medical Foods and Formulas Access Act (HR 5684) Physician Led and Rural Access to Quality Care Act (HR 2191/S. 1390)

Monitor federal issues and legislation associated with health care policy. Monitor federal and legislative activity related to Medicare reimbursement. Monitor federal and legislative activity related to drug pricing. Dr. Lorna Breen Healthcare Provider Protection Reauthorization Act (HR 929 / S 266) Medicare Patient Access and Practice Stabilization Act (HR 879/ S.1640) Reducing Medically Unnecessary Delays in Care Act (HR 2433) Resident Education Deferred Interest (REDI) Act (HR 2028 / S 942) Help Ensure Lower Patient (HELP) Copays Act (S. 864) Patients Before Middlemen Act (S. 882) PBM Transparency Act (S. 526) Prescription Pricing for the People Act (S. 527) Conrad State 30 and Physician Access Reauthorization Act (HR 1585 / S 709) Resident Physician Shortage Reduction Act (HR.3890/S. 2439) Improving Seniors Timely Access to Care Act (S. 1816/HR. 3514) One Big Beautiful Bill Act (HR. 1) Safe Step Act (HR 5509/S. 668) Patient Access to Autoimmune Treatment, PAAT, Act (HR. 5467) Protecting Patient Access to Cancer and Complex Therapies Act (HR 4299) PBM Reform Act of 2025 (HR 4317) Workforce Mobility Act (S.2031) Specialty Physicians Advancing Rural Care, SPARC, Act (H.R 4681/S. 1380) Connect for Health Act of 2025 (HR 2406/S. 1261) Telehealth Modernization Act (HR 5081/S 2709) House Concurrent Res. 14 establishing congressional budget for FY2025 Department of Labor, HHS, and Education Appropriations Act (S. 2587) Department of Defense Appropriations Act (HR 4016/S. 2572) Seniors Deserve SMARTER Care Act (HR 5940) A bill to require private plans to provide for e-prior auth for drugs (S. 4349) Patient Access to Higher Quality Health Care Act (HR 4002) Biosimilar Red Tape Elimination Act (HR 5526/S. 1954) Medical Foods and Formulas Access Act (HR 5684) Physician Led and Rural Access to Quality Care Act (HR 2191/S. 1390)

Protect Access to Medical Nutrition Therapy (MNT Act) Ensure Patient Access to Medical Foods (Medical Foods & Formulas Access Act - H.R.5684) Strengthen Food Is Medicine (FIM) Framework (Medically Tailored Home-Delivered Meals Program Pilot Act - S.2834/H.R. 5439)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support the Medical Foods and Formulas Access Act (H.R. 5684) Support the Cure Hepatitis C Act (S. 1941) Support Colorados Medicaid State Plan Amendment to allow dispensing fees for the preparation and dispensing of parenteral nutrition as approved by the Colorado General Assembly and signed into law [SB 25-084].

Client expense: Not reported · Firm income: $25,500

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Protect Access to Medical Nutrition Therapy (MNT Act) Ensure Patient Access to Medical Foods (Medical Foods & Formulas Access Act - H.R.5684) Strengthen Food Is Medicine (FIM) Framework (Medically Tailored Home-Delivered Meals Program Pilot Act - S.2834/H.R. 5439)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE