Maternal Health Accountability Act of 2017

HCR - Health Issues HR 1318 Preventing Maternal Deaths Act S 1112, the Maternal Health Accountability Act HR 959/S S 1109 Title VIII Nursing Workforce Reauthorization HR 947 FAMILY Act S 3029 PREEMIE Reauthorization Act of 2018 Letter to USDA Dietary Guidelines Advisory Committee Nominations Center for Nutrition Policy and Promotion: Nomination of Dr. J. Thomas Brenna, PhD Letter to OMB concerning the proposed Title X rule. S 3776 MOMMAs Act

Client expense: Not reported · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, U.S. Trade Representative (USTR)

Preventing Maternal Deaths Act (HR 1318), Maternal Health Accountability Act (S. 1112), pre-term birth, maternal mental health, Quality Care for Moms and Babies Act (S. 2367/HR 5457), Improving Access to Maternity Care Act (S. 783, HR 315); PREEMIE Reauthorization (S. 3029/HR 6085); MOMMA's Act (HR 5977); Ending Maternal Mortality Act (HR 5761); pregnancy research.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of funding for the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies related to health insurance market stabilization Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention Human and child trafficking H.R. 315/S. 783 - Improving Access to Maternity Care Act H.R. 767/S. 256 - Stop, Observe, Ask, and Respond (SOAR) to Health and Wellness Act of 2017 H.R. 772/S. 261 - Common Sense Nutrition Disclosure Act H.R. 959/S. 1109 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R. 1168 - United States Cadet Nurse Corps Equity Act H.R. 1174/S. 1497 - Fairness For Breastfeeding Mothers Act of 2017 H.R. 1215 - Protecting Access to Care Act of 2017 H.R. 1318 - Preventing Maternal Deaths Act of 2017 H.R. 1865 - Allow States and Victims to Fight Online Sex Trafficking Act of 2017 H.R. 2742/S. 1257 - Modernizing the Interstate Placement of Children in Foster Care Act H.R. 2824 - Increasing Opportunity through Evidence-Based Home Visiting Act H.R. 2857 - Supporting Families in Substance Abuse Treatment Act H.R. 2834 - Partnership Grants to Strengthen Families Affected by Parental Substance Abuse Act H.R. 2866 - Reducing Barriers for Relative Foster Parents Act H.R. 2847 - Improving Services for Older Youth in Foster Care Act H.R. 3192 - CHIP Mental Health Parity Act H.R. 3291 - Alleviating Adverse Childhood Experiences (ACES) Act H.R. 3387 - Drinking Water System Improvement Act of 2017 H.R. 3525 - Home Visiting Works Act of 2017 H.R. 3728 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) Act of 2017 H.R. 3921 - Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act H.R. 3922 - Continuing Community Health And Medical Professional Programs to Improve Our Nation, Increase National Gains, and Help Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (CHAMPIONING HEALTHY KIDS) Act of 2017 H.R. 3928 - Truth in Healthcare Marketing Act of 2017 H.R. 4695 - Bipartisan Market Stabilization and Innovation Act of 2017 H.R. 4978/S. 2410 - Chronic Disease Management Act of 2018 H.R. 4998 - Health Insurance for Former Foster Youth Act H.R. 5385/S. 2597 - Childrens Hospital GME Support Reauthorization Act of 2018 H.R. 5425/S. 2647 - Food Labeling Modernization Act of 2018 H.R. 5977 - Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act H.R. 6199 - Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 H.R. 6560 - ChiPACC Act of 2018 H.R. 7141 - Workplace Violence Prevention for Health Care and Social Service Workers Act S. 761/H.R. 1933 - Health Care Options Act of 2017 S. 920 - National Clinical Care Commission Act S. 1016/H.R. 2556 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2017 S. 1028 - Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act S. 1091/H.R. 3105 - Supporting Grandparents Raising Grandchildren Act S. 1112 - Maternal Health Accountability Act of 2017 S. 1268 - Child Protection and Family Support Act of 2017 S. 1377 - Reaching Underserved Rural Areas to Lead on Telehealth Act S. 1441/H.R. 3059 - Community Health Center and Primary Care Workforce Expansion Act of 2017 S. 1522/H.R. 3186 - Every Kid Outdoors Act S. 1630/H.R. 3381 - Child Poverty Reduction Act of 2017 S. 1693 - Stop Enabling Sex Traffickers Act of 2017 S. 1827 - Keeping Kids Insurance Dependable and Secure (KIDS) Act S. 1829 - Strong Families Act of 2017 S. 2415 - Accelerating Kids Access to Care Act S. 2582 - Consumer Health Insurance Protection Act of 2018 S. 2852/H.R. 3678 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 S. 3029 - Prematurity Research Expansion and Education for Mothers who deliver Infants Early (PREEMIE) Reauthorization Act of 2018 S. 3074 - Focus on Children Act S. 3075 - Childrens Budget Act S. 3319 - Stopping Appealing Flavors in E-Cigarettes (SAFE) for Kids Act S. 3388 - Ensuring Coverage for Patients with Pre-Existing Conditions Act S. 3482/H.R. 6748 - Emergency Medical Services for Children Program Reauthorization Act of 2018 S. 3685 - Nursing Where It's Needed (Nurse WIN) Act S. 3729 - United States Cadet Nurse Corps Service Recognition Act of 2018 S. J. Res. 63 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Secretary of the Treasury, Secretary of Labor, and Secretary of Health and Human Services relating to Short-Term, Limited Duration Insurance

Client expense: Not reported · Firm income: $23,450

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Maternal and child health aspects of the All of Us Research Program, National Children's Study (ECHO), Zika preparedness, tobacco control, opioids legislation and neonatal abstinence syndrome (NAS), antibiotic resistance, environmental health, vaccination, newborn screening, Healthy Start, maternal mental health, HR 1318 - Preventing Maternal Deaths Act of 2017 and other maternal mortality prevention bills, S 1112- Maternal Health Accountability Act of 2017, and HR 6085/S 3029- the PREEMIE Reauthorization Act.

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Postal Regulatory Commission, SENATE, Treasury, Dept of, U.S. Postal Service (USPS)

H.R. 7/S. 184, No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2017; H.R. 695, Department of Defense Appropriations Act (Continuing Resolution); H.R. 6805, Pregnant Women in Custody Act; H.R. 1318/S. 1112, Preventing Maternal Deaths Act; Mexico City and UNFPA Policies; Bioethics - embryos, fetal tissue; Abortion Funding; Funding for Abortion Providers; Conscience Protections; Abortion Drugs; Title X Program.

Client expense: $150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, State, Dept of (DOS), White House Office

H.R. 2918, Patients First Act of 2017; H.R. 644/S. 301, Conscience Protection Act of 2017; H.R. 695, Department of Defense Appropriations Act (Continuing Resolution); H.R. 6805, Pregnant Women in Custody Act; H.R. 1318/S. 1112, Preventing Maternal Deaths Act; Abortion Funding; Funding for Abortion Providers; Conscience Protections; Abortion Drugs; Title X Program.

Client expense: $150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, State, Dept of (DOS), White House Office

Access to Contraception for Women Servicemembers and Dependents Act (H.R. 2180) Health Equity and Accountability Act of 2018 (H.R. 5942/S. 3660) A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Secretary of the Treasury, Secretary of Labor, and Secretary of Health and Human Services relating to "Short-Term, Limited Duration Insurance". (S.J. Res 63) 21st Century Women's Act (Not Yet Introduced) ENROLL Act (H.R. 7102) Preventing Maternal Deaths Act of 2017 (H.R. 1318) Maternal Health Accountability Act (S. 1112) Right Rebate Act of 2018 (S. 3702) IMPROVE Act (H.R. 7217) Improving Access to Maternity Care Act (H.R. 315) Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905)

Client expense: $57,905 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Appropriations for the Title V Maternal and Child Health Services Block Grant. Legislation to combat maternal mortality and improve maternal health, including the Maternal Health Accountability Act (S.1112) and the Preventing Maternal Deaths Act (H.R.1318). Programs and policies that impact maternal and child health.

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

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

H.R. 6, Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act, all provisions H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018, all provisions H.R. 6082, Overdose Prevention and Patient Safety Act, provisions relating to 42 CFR Part 2/Privacy S. 2700, Comprehensive Addiction Resources Emergency Act of 2018, provisions relating to workforce training and funding H.R. 1375, Prescriber Support Act of 2017, all provisions S. 2456, CARA 2.0 Act of 2018, all provisions S. 1803, Marijuana Effective Drug Studies (MEDS) Act of 2017, all provisions H.R. 1318, Preventing Maternal Deaths Act of 2018, all provisions S. 1112, Maternal Health Accountability Act of 2017, all provisions 21st Century Cures Act implementation Gun violence prevention and research Firearm purchase background checks Pharmacy benefits manager (PBM) Drug pricing/shortages/prior authorization burdens Cybersecurity Electronic health records (EHR) certification Software as a medical device (SaMD) Opioid abuse Medical price transparency 42 CFR Part 2/Substance abuse confidentiality regulations Administrative burden and simplification Health Savings Accounts - Prescription requirement for over-the-counter medications In-office compounding Telehealth Family and Medical Leave Act (FMLA)/family relationship Medically underserved population/persons with intellectual and developmental disabilities Buprenorphine/hospital inpatients Dietary Guidelines National Practitioner Data Bank National Biodefense strategy

Client expense: $4,740,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Natl Drug Control Policy (NDCP), SENATE, U.S. Customs & Border Protection, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Child Abuse Prevention and Treatment Act; Children's Health Insurance Reauthorization; Maternal, Infant and Early Childhood Home Visiting Program, S. 1829; Bipartisan Budget Act, P.L. 115-123; and Omnibus Appropriations, P.L. 115-141; Maternal Health Accountability Act S. 1112 and Preventing Maternal Deaths Act H.R. 1318.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Office on Violence Against Women, SENATE

For activity pertaining to abortion-related components of reconciliation legislation, see BUD (Budget/Appropriations) page. For activity pertaining to other health-care reform ("Obamacare replacement") legislation, see HCR (Health Issues) page. Contacts in support of the Dismemberment Abortion Ban Act (H.R. 1192, Smith), to prohibit a physician from knowingly performing a dismemberment abortion. Contacts in support of the Prenatal Nondiscrimination Act or PRENDA (H.R. 4660, S. 2326), to prohibit discrimination against the unborn on the basis of sex or race. Contacts in support of Born-Alive Abortion Survivors Protection Act (H.R. 4712, S. 220), to require any health care practitioner who is present when a child is born alive following an abortion or attempted abortion to exercise the same degree of care as reasonably provided to any other child born alive at the same gestational age, and ensure that such child is immediately admitted to a hospital, including a letter to the House dated January 16, 2018, and a letter to the House on Rule resolution H. Res. 694 dated January 17, 2018. (The House passed the bill on January 17, 2018.) Contacts in support of the No Taxpayer Funding for Abortion Act (H.R. 7, S. 184), including letter to House dated January 19, 2017, to codify government-wide policy against funding abortion (passed House January 24, 2017). Contacts in support of Child Interstate Abortion Notification Act (CIANA)(H.R.692, S. 224), to require an abortionist to notify a parent before performing an abortion on a minor from a different state, with certain exceptions. Contacts in support of the Conscience Protection Act (H.R. 644, S. 301), to enhance federal remedies for health-care providers who face government-based discrimination for non-participation in abortion. Contacts in support of Women's Public Health and Safety Act (H.R. 656), to allow a state to exclude certain abortion providers from participation in the state's Medicaid program. Consultations regarding various bills intended to tighten federal limitations on trafficking in tissue from induced abortions (including H.R. 524, H.R. 1203, H.R. 1895, and other draft bills not introduced); no specific legislation endorsed during this quarter. Contacts in support of agency action limiting the use of tissue from aborted babies to the extent permitted by law. Contacts in support of The Protecting the Dignity of Unborn Children Act (H.R. 718), to make it a federal crime to dispose of non-cremated "fetal remains" (from abortions) in a landfill or navigable waterway. Contacts in response to inquiries regarding the Heartbeat Bill (H.R.490) to prohibit abortions if a fetal heartbeat is detectable; no position taken this quarter. Contacts in opposition to "Women's Health Protection Act" (H.R. 1322, S. 510), a proposed federal statute to invalidate virtually all state and federal regulations pertaining to abortion. Contacts in opposition to "EACH Woman Act" (H.R. 771), a bill to mandate coverage of abortion without limitation in Medicaid, Medicare, CHIP, and other federally funded health insurance program, to nullify the laws in effect in about half of the states that restrict coverage of abortion in health plans sold on the Obamacare exchanges, and to nullify all other state laws or policies that "inhibit insurance coverage of abortion by private health plans." Contacts in support of the Patients First Act (H.R. 2918) to require the federal National Institutes of Health to intensify research on types of stem-cell research that do not involve harming human embryos. Responses to inquiries regarding "Life at Conception Act" (H.R. 681, S. 231); nonsupport due to lack of clarity and erroneous legal premises. Contracts regarding abortion-pill reversal and informed consent requirements. Legislation not introduced. Contacts regarding the Maternal Health Accountability Act (S. 1112 and H.R. 1318), related to reporting factors, contract grantee criteria, and potential issues surrounding recommending expansion of abortion access. No position taken this quarter. Contacts in support of a letter requesting that HHS issue new Title X regulations to bar grantees from co-locating with abortion clinics or referring clients for abortions. Contacts regarding the Protecting Health and Wellness of Babies and Pregnant Women in Custody Act (H.R. 6085) as related to potential issues regarding abortion. No position taken this quarter.   Contacts regarding the Quality Care for Moms and Babies Act (S.2637/H.R.5457) as related to potential issues regarding abortion. No position taken this quarter. Supported veto and sustaining of veto of any bill that weakens any existing pro-life policy.  

Client expense: $80,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Child Abuse Prevention and Treatment Act; Children's Health Insurance Reauthorization; Maternal, Infant and Early Childhood Home Visiting Program, S. 1829; Bipartisan Budget Act, P.L. 115-123; and Omnibus Appropriations, P.L. 115-141; Maternal Health Accountability Act S. 1112 and Preventing Maternal Deaths Act H.R. 1318.

Client expense: Not reported · Firm income: $5,000

Government targets: HOUSE OF REPRESENTATIVES, Office on Violence Against Women, SENATE

H.R. 906 (Furthering Asbestos Claims Transparency Act); amends title 11 of the United States Code to require the public disclosure by trusts established under section 524(g) of such title, of quarterly reports that contain detailed information regarding the receipt and disposition of claims for injuries based on exposure to asbestos. H.R. 1563 (Mary Jo Lawyer Spano Mesothelioma Patient Registry Act of 2017); amends the Public Health Service Act to provide for the establishment of a mesothelioma patient registry. H.R. 575 (Cosmetic Modernization Amendments of 2017); amends the Federal Food, Drug, and Cosmetic Act to establish new procedures and requirements for the registration of cosmetic manufacturing establishments, the submission of cosmetic and ingredient statements, and the reporting of serious cosmetic adverse events. S. 1113 (Personal Care Products Safety Act); amends the Federal Food, Drug, and Cosmetic Act to ensure the safety of cosmetics. H.R. 832 (Arbitration Transparency Act); amends title 9 of the United States Code to require that arbitration proceedings in certain disputes involving consumer financial products and services be open to the public. S. 542 (Safety Over Arbitration Act of 2017); amends title 9, United States Code, with respect to arbitration where the claim or controversy alleges facts relevant to a hazard to public health or safety. S. 552/H.R. 1414 (Justice for Victims of Fraud Act); amends the Truth in Lending Act and the Electronic Fund Transfer Act to provide justice to victims of fraud. S. 550/H.R. 1396 (Restoring Statutory Rights Act); invalidates arbitration agreements between parties in certain commercial contracts or transactions if they require arbitration of a claim for damages or injunctive relief brought by an individual or small business arising from the alleged violation of a federal or state statute, the U.S. Constitution, or a state constitution. S. 646/H.R. 2631 (Justice for Servicemembers and Veterans Act); amends title 38, United States Code, to improve the enforcement of employment and reemployment rights of members of the uniformed services, to amend the Servicemembers Civil Relief Act to improve the protection of members of the uniformed services. S. 647 (Mandatory Arbitration Transparency Act); amends title 9, United States Code, with respect to arbitration. S. 537/H.R. 1374 (Arbitration Fairness Act); prohibits mandatory, pre-dispute arbitration in employment, consumer, antitrust, or civil rights disputes. S. 2203/H.R. 4734/H.R. 4570 (Ending Forced Arbitration of Sexual Harassment Act of 2017); prohibits a pre-dispute arbitration agreement from being valid or enforceable if it requires arbitration of a sex discrimination dispute. H.R. 3857 (PASS Act of 2017); amend the Securities Exchange Act of 1934 to lower standards of conduct for brokers and dealers that are in the best interest of their retail customers. S. 534/H.R. 1973 (Protecting Young Victims from Sexual Abuse Act of 2017); prevents the sexual abuse of minors and amateur athletes by requiring the prompt reporting of sexual abuse to law enforcement authorities S. 2564, (PROTECT Asbestos Victims Act of 2018); restricts claims against asbestos trusts and provides for criminal penalties for fraudulent claims. S. 1112, (Maternal Health Accountability Act of 2017); retricts the use of information reviewed by the maternal mortality review committee. Infomration is considered confidential and not subject to dioscvery at a civil trial. S. 2852 (Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018); regarding immunity provisions, and additional variations of the bill including: H.R. 7328 (Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018) and H.R. 6378 (Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018). H.R. 6022/ S. 3019 (Accurate Labels Act); regarding the broad preemption of state and local labeling laws for consumer products. H.R. 6903 (Safe Cosmetics and Personal Care Products Act of 2018); amends current law to ensure the safety of cosmetics and personal care products. H.R. 919 (Blitz Gas Can bill). H.R. 3850 (Made in America Act of 2017); directs the FTC to establish labels that may be used as a voluntary means of indicating to consumers the extent to which products are of US origin; more specifically about the FTC enforcement authority. General issues pertaining to Asbestos Bankruptcy Trusts. Cosmetic Regulation and Safety and realted preemption issues in Murray Alexander draft bill. General lobbying with regard to the Education Departments borrower defenses rule. General lobbying with regard to warranties of Energy Star-rated products and ability of consumers to bring a class action against manufacturers of Energy Star-rated products. General lobbying with regard to pesticide regulations. General lobbying with regard to amending Telephone Consumer Protection Act liability. General lobbying with regard to attorney advertising issues. General lobbying with regard to asbestos exposure and related health and environmental issues. General lobbying with regard to liability issues related to regulation of cosmetics products. General lobbying with regard to TSCA implementation. General lobbying with regard to asbestos in talc and talc generally. General lobbying with regard to nursing home arbitration. General lobbying with regard to issues relating to PFOA.

Client expense: $1,300,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC)

H.R. 1318 and S. 1112, End Maternal Deaths Act - enacted into law, Dec. 21, 2018 H. 5965 and S. 2960, Fair Access to Fertility Treatment Act Proposal to include funding for fertility benefits for Dept. of Veterans Affairs through Senate VA MilCon Appropriations Bill

Client expense: $14,100 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

S. 3014 Rural Physician Workforce Production Act of 2018: Seek co-sponsors to amend title XVIII of the Social Security Act to support rural residency training funding. HR 2 - Farm Bill: Advocating for SNAP funding, nutrition assistance, and other relevant priorities. HR 6 - Support for patients and communities Act: Supported HR 6, the comprehensive opioids bill. HR 1318/ S. 1112: Preventing Maternal Deaths Act: Seek co-sponsors on legislation to amend title XVII of the Social Security Act to support rural residency training funding. HR 2553: Know the Lowest Price Act: Supported legislation to prohibit pharmacy contact gag rules. HR 5858 - Primary Care Patient Protection Act: Seek co-sponsors for legislation to require coverage without a deductible of certain primary care services by high deductible health plans. H.R. 6310; H.R. 6317 - Direct Primary Care: Supported testimony to the promoting legislation to allow Americans with HSAs to use their accounts to pay for DPC arrangements. No Bill No.- Congressional Primary Care Caucus: Urge members to join the Primary Care Caucus to achieve the triple aim in healthcare; Increase membership in the bipartisan caucus to increase awareness of primary care value. No Bill No. - Administrative simplification: Promote reduced administrative burden on family physicians of prior authorization, EMR. No Bill No.- National Health Service Corps: Medical Student Debt Relief and Rural and Underserved area access to Family Physicians. No Bill No. - Patient Centered Outcomes Research Institute: Patient Centered, primary care research, AHRQ funding. No Bill No. - Social Determinants of Health: Advancing Health Equity by addressing SDOH. No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Health professions training grants for family medicine. No Bill No. - Rural Health: Eliminate disparities to access to quality care for rural populations. No Bill No. - AHRQ National Guidelines Clearinghouse: Closure of the NGC. No Bill No. - CPC+ reports: Timing, usefulness of reports. No Bill No. - MSSP/ACO proposed rule: Changes to accountable care organizations. No Bill No. - RFI on the EHR reporting period: Usefulness of EHR. No Bill No. - Medicare fraud and abuse:CMS fraud and abuse programs. No Bill No. - Physician focused payment model process: How the PTAC process is working. No Bill No. - Social risk factors in Medicare Programs: How SoDH should be reported. No Bill No. - Drug pricing transparency: Support for drug transparency. No Bill No. - State waivers granted through HHS: How state waivers should support primary care. No Bill No. - Medicare Part C/D changes: Telehealth benefits. No Bill No. - Medicare 2019 payments: E/M payment changes in 2019 and beyond. No Bill No. - Administrative Burden: Shared the AAFP's principles. No Bill No. - Teaching Health Center Graduate Medical Education Program Reauthorization: Meeting with staff to discuss THCGME reauthorization. No Bill No. - Advanced Primary Care Alternative Payment Model: seek co-signors on letter to HHS on APC-APM model. No Bill No. - Administrative Burden: Advocate for end to E/M documentation guidelines, AUC, etc. in WM Red Tape Initiative.

Client expense: $1,334,107 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Title X Family Planning Program Teen Pregnancy Prevention Program H.R. 1318, The Preventing Maternal Deaths Act of 2018 S. 1112 The Maternal Health Accountability Act of 2017

Client expense: $10,458 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1112 Maternal Health Accountability Act S. 2070 Kevin and Avontes Law S. 2680 Opioid Crisis Response Act S. 3029/H.R. 6085 PREEMIE Reauthorization Act S. 3660 Health Equity & Accountability Act H.R. 6 Support for Patients and Communities Act H.R. 1318 Preventing Maternal Deaths Act H.R. 5102 Substance Use Disorder Workforce Loan Repayment Act FY2019 Defense Appropriations FY2019 Veterans Appropriations

Client expense: $120,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

General information on infant and child nutrition,Preventing Maternal Deaths Act (HR. 1318/S.1112), Birth to 24 months dietary guidelines, World Health Organization, and Codex.

Client expense: Not reported · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 1318 Preventing Maternal Death Act; S.1112 Maternal Health Accountability Act.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, SENATE

Health Insurance Coverage (general); Health Disparities (general); Breastfeeding (general); Assisted Reproductive Technology (general); Smoking Cessation (general); Substance Use Disorder (general); Gynecologic Cancer (general); Gynecologic Devices (general); Reproductive Health (general); Intimate Partner Violence (general); Gun Violence (general); Immunization (general); Breast Cancer (general); E-Cigarettes (general); Medical Liability Reform (general); Health IT (general); Patient-Physician Relationship (general); Conscience Refusals (general); Child Welfare (general); Prematurity (general); Maternal Mortality and Morbidity (general); Graduate Medical Education (general); Contraception (general); National Health Service Corps (general); Abortion (general); Hyde Amendment (General); Indian Health (general); Teaching Health Centers (general); Teen Pregnancy Prevention Program (general); Personal Responsibility Education Program (general); Research in Pregnant and Breastfeeding Women (general); Health Care Reform (general); Title X (general); Womens Preventive Services (general); H.R. 5457/S. 2637, Quality Care for Moms and Babies Act; H.R. 1318/S 1112, Preventing Maternal Deaths Act/Maternal Health Accountability Act; H.R. 5977/S. 3776, MOMMAs Act; H.R.5761, Ending Maternal Mortality Act of 2018; S. 3392, MOMs Act; S. 3363, Maternal CARE Act; S.3494, MOMMIES Act; S. 3568, Rural MOMS Act; H.R. 1876/S. 781, Good Samaritan Health Professionals Act; S.2852/H.R. 6378 Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018; S. 783, Improving Access to Maternity Care Act; H.R. 3602/S. 1653, Real Education for Healthy Youth Act; H.R. 6085/S. 3029, the PREEMIE Reauthorization Act; H.R. 4993/S.3253, Vaccine Access Improvement Act of 2018; P.L. 115-271, SUPPORT for Patients and Communities Act; H.R. 6805, Pregnant Women in Custody Act; S. 756, First Step Act; S. 2960 Access to Infertility Treatment and Care Act; H.J.Res. 140/S.J.Res. 63, Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Department of the Treasury, Department of Labor, and the Department of Health and Human Services relating to Short-Term, Limited Duration Insurance; Implementation of P.L. 114-91, Protecting Our Infants Act; Implementation of P.L. 114-198, Comprehensive Addiction and Recovery Act; Implementation of P.L. 114-255, 21st Century Cures Act; H.R. 6545, Violence Against Women Reauthorization Act.

Client expense: $202,071 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Indian Health Service, Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA), White House Office

H.R. 906 (Furthering Asbestos Claims Transparency Act); amends title 11 of the United States Code to require the public disclosure by trusts established under section 524(g) of such title, of quarterly reports that contain detailed information regarding the receipt and disposition of claims for injuries based on exposure to asbestos. H.R. 1563 (Mary Jo Lawyer Spano Mesothelioma Patient Registry Act of 2017); amends the Public Health Service Act to provide for the establishment of a mesothelioma patient registry. H.R. 575 (Cosmetic Modernization Amendments of 2017); amends the Federal Food, Drug, and Cosmetic Act to establish new procedures and requirements for the registration of cosmetic manufacturing establishments, the submission of cosmetic and ingredient statements, and the reporting of serious cosmetic adverse events. S. 1113 (Personal Care Products Safety Act); amends the Federal Food, Drug, and Cosmetic Act to ensure the safety of cosmetics. H.R. 832 (Arbitration Transparency Act); amends title 9 of the United States Code to require that arbitration proceedings in certain disputes involving consumer financial products and services be open to the public. S. 542 (Safety Over Arbitration Act of 2017); amends title 9, United States Code, with respect to arbitration where the claim or controversy alleges facts relevant to a hazard to public health or safety. S. 552/H.R. 1414 (Justice for Victims of Fraud Act); amends the Truth in Lending Act and the Electronic Fund Transfer Act to provide justice to victims of fraud. S. 550/H.R. 1396 (Restoring Statutory Rights Act); invalidates arbitration agreements between parties in certain commercial contracts or transactions if they require arbitration of a claim for damages or injunctive relief brought by an individual or small business arising from the alleged violation of a federal or state statute, the U.S. Constitution, or a state constitution. S. 646/H.R. 2631 (Justice for Servicemembers and Veterans Act); amends title 38, United States Code, to improve the enforcement of employment and reemployment rights of members of the uniformed services, to amend the Servicemembers Civil Relief Act to improve the protection of members of the uniformed services. S. 647 (Mandatory Arbitration Transparency Act); amends title 9, United States Code, with respect to arbitration. S. 537/H.R. 1374 (Arbitration Fairness Act); prohibits mandatory, pre-dispute arbitration in employment, consumer, antitrust, or civil rights disputes. S. 2203/H.R. 4734/H.R. 4570 (Ending Forced Arbitration of Sexual Harassment Act of 2017); prohibits a pre-dispute arbitration agreement from being valid or enforceable if it requires arbitration of a sex discrimination dispute. H.R. 3857 (PASS Act of 2017); amend the Securities Exchange Act of 1934 to lower standards of conduct for brokers and dealers that are in the best interest of their retail customers. S. 534/H.R. 1973 (Protecting Young Victims from Sexual Abuse Act of 2017); prevents the sexual abuse of minors and amateur athletes by requiring the prompt reporting of sexual abuse to law enforcement authorities S. 2564, (PROTECT Asbestos Victims Act of 2018); restricts claims against asbestos trusts and provides for criminal penalties for fraudulent claims. S. 1112, (Maternal Health Accountability Act of 2017); retricts the use of information reviewed by the maternal mortality review committee. Infomration is considered confidential and not subject to dioscvery at a civil trial. S. 2852 (Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018); regarding immunity provisions. H.R. 6022/ S. 3019 (Accurate Labels Act); regarding the broad preemption of state and local labeling laws for consumer products. Cosmetic Regulation and Safety and realted preemption issues in Murray Alexander draft bill. General lobbying with regard to the Education Departments borrower defenses rule. General lobbying with regard to warranties of Energy Star-rated products and ability of consumers to bring a class action against manufacturers of Energy Star-rated products. General lobbying with regard to pesticide regulations. General lobbying with regard to amending Telephone Consumer Protection Act liability. General lobbying with regard to attorney advertising issues. General lobbying with regard to asbestos exposure and related health and environmental issues. General lobbying with regard to liability issues related to regulation of cosmetics products. General lobbying with regard to TSCA implementation.

Client expense: $1,430,000 · Firm income: Not reported

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

Maternal and child health aspects of the All of Us Research Program, National Children's Study (ECHO), Zika preparedness, tobacco control, opioids legislation and neonatal abstinence syndrome (NAS), antibiotic resistance, environmental health, vaccination, newborn screening, Healthy Start, maternal mental health, HR 1318 - Preventing Maternal Deaths Act of 2017 and other maternal mortality prevention bills, S 1112- Maternal Health Accountability Act of 2017, and HR 6085/S 3029- the PREEMIE Reauthorization Act.

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Postal Regulatory Commission, SENATE, Treasury, Dept of, U.S. Postal Service (USPS)

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of funding for the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies related to health insurance market stabilization Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention Human and child trafficking H.R. 315/S. 783 - Improving Access to Maternity Care Act H.R. 767/S. 256 - Stop, Observe, Ask, and Respond (SOAR) to Health and Wellness Act of 2017 H.R. 772/S. 261 - Common Sense Nutrition Disclosure Act H.R. 959/S. 1109 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R. 1174/S. 1497 - Fairness For Breastfeeding Mothers Act of 2017 H.R. 1215 - Protecting Access to Care Act of 2017 H.R. 1318 - Preventing Maternal Deaths Act of 2017 H.R. 1865 - Allow States and Victims to Fight Online Sex Trafficking Act of 2017 H.R. 2742/S. 1257 - Modernizing the Interstate Placement of Children in Foster Care Act H.R. 2824 - Increasing Opportunity through Evidence-Based Home Visiting Act H.R. 2857 - Supporting Families in Substance Abuse Treatment Act H.R. 2834 - Partnership Grants to Strengthen Families Affected by Parental Substance Abuse Act H.R. 2866 - Reducing Barriers for Relative Foster Parents Act H.R. 2847 - Improving Services for Older Youth in Foster Care Act H.R. 3192 - CHIP Mental Health Parity Act H.R. 3291 - Alleviating Adverse Childhood Experiences (ACES) Act H.R. 3387 - Drinking Water System Improvement Act of 2017 H.R. 3525 - Home Visiting Works Act of 2017 H.R. 3728 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) Act of 2017 H.R. 3921 - Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act H.R. 3922 - Continuing Community Health And Medical Professional Programs to Improve Our Nation, Increase National Gains, and Help Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (CHAMPIONING HEALTHY KIDS) Act of 2017 H.R. 3928 - Truth in Healthcare Marketing Act of 2017 H.R. 4695 - Bipartisan Market Stabilization and Innovation Act of 2017 H.R. 4978/S. 2410 - Chronic Disease Management Act of 2018 H.R. 4998 - Health Insurance for Former Foster Youth Act H.R. 5385/S. 2597 - Childrens Hospital GME Support Reauthorization Act of 2018 H.R. 5425/S. 2647 - Food Labeling Modernization Act of 2018 H.R. 5977 - Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act H.R. 6199 - Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 H.R. 6560 - ChiPACC Act of 2018 S. 761/H.R. 1933 - Health Care Options Act of 2017 S. 920 - National Clinical Care Commission Act S. 1016/H.R. 2556 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2017 S. 1028 - Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act S. 1091/H.R. 3105 - Supporting Grandparents Raising Grandchildren Act S. 1112 - Maternal Health Accountability Act of 2017 S. 1268 - Child Protection and Family Support Act of 2017 S.1377 - Reaching Underserved Rural Areas to Lead on Telehealth Act S. 1441/H.R. 3059 - Community Health Center and Primary Care Workforce Expansion Act of 2017 S. 1693 - Stop Enabling Sex Traffickers Act of 2017 S. 1827 - Keeping Kids Insurance Dependable and Secure (KIDS) Act S. 1829 - Strong Families Act of 2017 S. 2415 - Accelerating Kids Access to Care Act S. 2852/H.R. 3678 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 S. 3029 - Prematurity Research Expansion and Education for Mothers who deliver Infants Early (PREEMIE) Reauthorization Act of 2018 S. 3319 - Stopping Appealing Flavors in E-Cigarettes (SAFE) for Kids Act S. 3388 - Ensuring Coverage for Patients with Pre-Existing Conditions Act S. J. Res. 63 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Secretary of the Treasury, Secretary of Labor, and Secretary of Health and Human Services relating to Short-Term, Limited Duration Insurance"

Client expense: Not reported · Firm income: $23,450

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Public health appropriations including the Title V MCH Block Grant, Prevention and Public Health Fund, and the Centers for Disease Control and Prevention. Legislation to combat maternal mortality, including the Maternal Health Accountability Act (S.1112) and the Preventing Maternal Deaths Act (H.R.1318). Appropriations and legislation related to surveillance of emerging public health threats to pregnant women, postpartum women, and infants, including the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 (H.R. 6378). Executive actions related to maternal and child health, including breastfeeding and the separation of children and parents.

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

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

H.R. 1203 Safe RESEARCH Act; H.R. 644/S. 301, Conscience Protection Act; H.R. 1318/S. 1112, Preventing Maternal Deaths Act; Conscience Protections; Abortion Funding; Funding for Abortion Providers; Title X Program; S. 1730/H.R. 2821, REACH Act; S. 3158, HHS and Edu Dept Funding; H.R. 5562, Protecting NAS Babies Act; H.R. 6805, Pregnant Women in Custody Act; H.R. 6157, FY 19 Appropriations for DOD, Labor/HHS/Education and Continuing Appropriations for all other agencies; H.R. 5961, FY 19 Agriculture, Financial and General Government, Interior, and Transportation/HUD; Comprehensive Data Collection; Enforcement of Regulations, Rules and Limitations on Abortion.

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, State, Dept of (DOS), White House Office

H.R. 1203 Safe RESEARCH Act; H.R. 1318/S. 1112, Preventing Maternal Deaths Act; H.R. 6157, FY 19 Appropriations for federal agencies; Mexico City and UNFPA Policies; Abortion Funding; Funding for Abortion Providers; Conscience Protections; Title X Program; Fetal Tissue Research regulation; Comprehensive Data Collection; Enforcement of Regulations, Rules and Limitations on Abortion.

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, State, Dept of (DOS), White House Office

HR 1318, S 1112; issues relating to maternal mortality legislation HR 5965, S2960, Access to Fertility Treatment and Care Act

Client expense: $24,255 · Firm income: Not reported

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

H.R. 906 (Furthering Asbestos Claims Transparency Act); amends title 11 of the United States Code to require the public disclosure by trusts established under section 524(g) of such title, of quarterly reports that contain detailed information regarding the receipt and disposition of claims for injuries based on exposure to asbestos. H.R. 1563 (Mary Jo Lawyer Spano Mesothelioma Patient Registry Act of 2017); amends the Public Health Service Act to provide for the establishment of a mesothelioma patient registry. H.R. 575 (Cosmetic Modernization Amendments of 2017); amends the Federal Food, Drug, and Cosmetic Act to establish new procedures and requirements for the registration of cosmetic manufacturing establishments, the submission of cosmetic and ingredient statements, and the reporting of serious cosmetic adverse events. S. 1113 (Personal Care Products Safety Act); amends the Federal Food, Drug, and Cosmetic Act to ensure the safety of cosmetics. H.R. 832 (Arbitration Transparency Act); amends title 9 of the United States Code to require that arbitration proceedings in certain disputes involving consumer financial products and services be open to the public. S. 542 (Safety Over Arbitration Act of 2017); amends title 9, United States Code, with respect to arbitration where the claim or controversy alleges facts relevant to a hazard to public health or safety. S. 552/H.R. 1414 (Justice for Victims of Fraud Act); amends the Truth in Lending Act and the Electronic Fund Transfer Act to provide justice to victims of fraud. S. 550/H.R. 1396 (Restoring Statutory Rights Act); invalidates arbitration agreements between parties in certain commercial contracts or transactions if they require arbitration of a claim for damages or injunctive relief brought by an individual or small business arising from the alleged violation of a federal or state statute, the U.S. Constitution, or a state constitution. S. 646/H.R. 2631 (Justice for Servicemembers and Veterans Act); amends title 38, United States Code, to improve the enforcement of employment and reemployment rights of members of the uniformed services, to amend the Servicemembers Civil Relief Act to improve the protection of members of the uniformed services. S. 647 (Mandatory Arbitration Transparency Act); amends title 9, United States Code, with respect to arbitration. S. 537/H.R. 1374 (Arbitration Fairness Act); prohibits mandatory, pre-dispute arbitration in employment, consumer, antitrust, or civil rights disputes. S. 2203/H.R. 4734/H.R. 4570 (Ending Forced Arbitration of Sexual Harassment Act of 2017); prohibits a pre-dispute arbitration agreement from being valid or enforceable if it requires arbitration of a sex discrimination dispute. H.R. 3857 (PASS Act of 2017); amend the Securities Exchange Act of 1934 to lower standards of conduct for brokers and dealers that are in the best interest of their retail customers. S. 534/H.R. 1973 (Protecting Young Victims from Sexual Abuse Act of 2017); prevents the sexual abuse of minors and amateur athletes by requiring the prompt reporting of sexual abuse to law enforcement authorities S. 2564, (PROTECT Asbestos Victims Act of 2018); restricts claims against asbestos trusts and provides for criminal penalties for fraudulent claims. S. 1112, (Maternal Health Accountability Act of 2017); retricts the use of information reviewed by the maternal mortality review committee. Infomration is considered confidential and not subject to dioscvery at a civil trial. S. 2852 (Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018); regarding immunity provisions. H.R. 6022/ S. 3019 (Accurate Labels Act); regarding the broad preemption of state and local labeling laws for consumer products. H.R. 6903 (Safe Cosmetics and Personal Care Products Act of 2018); amends current law to ensure the safety of cosmetics and personal care products. H.R. 919 (Blitz Gas Can bill). General issues pertaining to Asbestos Bankruptcy Trusts. Cosmetic Regulation and Safety and realted preemption issues in Murray Alexander draft bill. General lobbying with regard to the Education Departments borrower defenses rule. General lobbying with regard to warranties of Energy Star-rated products and ability of consumers to bring a class action against manufacturers of Energy Star-rated products. General lobbying with regard to pesticide regulations. General lobbying with regard to amending Telephone Consumer Protection Act liability. General lobbying with regard to attorney advertising issues. General lobbying with regard to asbestos exposure and related health and environmental issues. General lobbying with regard to liability issues related to regulation of cosmetics products. General lobbying with regard to TSCA implementation.

Client expense: $1,510,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Securities & Exchange Commission (SEC)

H.R. 1267, Personal Health Investment Today (PHIT) Act, all provisions H.R. 4240, Public Safety and Second Amendment Rights Protection Act of 2017, all provisions H.R. 6142, Reducing Drug Waste Act of 2018, all provisions H.R. 6301, Promoting High-Value Health Care Through Flexibility for High Deductible Health Plans Act of 2018, all provisions H.R. 6199, Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018, all provisions H.R. 6305, Bipartisan HSA Improvement Act of 2018, all provisions H.R. 6306, Health Care Security Act of 2018, all provisions H.R. 6313, Responsible Additions and Increases to Sustain Employee Health Benefits Act of 2018, all provisions H.R. 6314, Health Savings Act of 2018, all provisions H.R. 6317, Primary Care Enhancement Act of 2018, all provisions H.R. 6082, Overdose Prevention and Patient Safety Act, all provisions H.R. 6, Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act, all provisions S. 2680, Opioid Crisis Response Act of 2018, all provisions S. 3120, Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018, provisions relating to human services H.R. 6733, Know the Cost Act of 2018, all provisions S. 2554, Patient Right to Know Drug Prices Act, all provisions S. 2020, Cyber Shield Act of 2017, all provisions H.R. 394, Restoring Access to Medication Act of 2017, all provisions S. 85, Restoring Access to Medication Act of 2017, all provisions H.R. 1375, Prescriber Support Act of 2017, all provisions S. 1016, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2017, provisions relating to telehealth S. 2456, CARA 2.0 Act of 2018, all provisions H.R. 4825, Marijuana Effective Drug Studies (MEDS) Act of 2018, all provisions S. 1112, Maternal Health Accountability Act of 2017, all provisions Diagnostic Accuracy and Innovation Prescription Drug Pricing Affordable Care Act (ACA) risk-adjustment program 42 CFR Part 2/Substance abuse confidentiality regulations Software as a Medical Device (SaMD) SaMD Transparency Certificate-of-Need Reform Physician-Owned Hospitals Augmented Intelligence (AI) Cybersecurity ACA Navigator program funding cuts Electronic Health Records (EHR) EHR Vendor Reporting Program EHR Interoperability In-Office Compounding Opioids Consent2Share demonstration Prescription drug costs and pricing Substance use disorder Medical price transparency Administrative burdens and simplification Telehealth Laboratory developed tests (LDTs) Health Savings Accounts - Prescription requirement for over-the-counter medications Electronic prescribing of controlled substances Prescription Drug Monitoring Program (PDMP) Federal prescription limits Sunshine Act Regulation - Journal reprints and textbooks Direct-to-consumer (DTC) advertising - prescription drug price disclosure Biosimilar Regulations Generic Drug Regulations Pharmacy Benefit Managers (PBMs) Surprise billing

Client expense: $4,120,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), SENATE, Veterans Affairs, Dept of (VA), White House Office

General information on infant and child nutrition,Preventing Maternal Deaths Act (HR. 1318/S.1112), Friendly Airports for Mothers Act (S.1110, HR. 2375), Birth to 24 months dietary guidelines, World Health Organization.

Client expense: Not reported · Firm income: $8,000

Government targets: Agriculture, Dept of (USDA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

For activity pertaining to abortion-related components of reconciliation legislation, see BUD (Budget/Appropriations) page. For activity pertaining to other health-care reform ("Obamacare replacement") legislation, see HCR (Health Issues) page. Contacts in support of the Dismemberment Abortion Ban Act (H.R. 1192, Smith), to prohibit a physician from knowingly performing a dismemberment abortion. Contacts in support of the Prenatal Nondiscrimination Act or PRENDA (H.R. 4660, S. 2326), to prohibit discrimination against the unborn on the basis of sex or race. Contacts in support of Born-Alive Abortion Survivors Protection Act (H.R. 4712, S. 220), to require any health care practitioner who is present when a child is born alive following an abortion or attempted abortion to exercise the same degree of care as reasonably provided to any other child born alive at the same gestational age, and ensure that such child is immediately admitted to a hospital, including a letter to the House dated January 16, 2018, and a letter to the House on Rule resolution H. Res. 694 dated January 17, 2018. (The House passed the bill on January 17, 2018.) Contacts in support of the No Taxpayer Funding for Abortion Act (H.R. 7, S. 184), including letter to House dated January 19, 2017, to codify government-wide policy against funding abortion (passed House January 24, 2017). Contacts in support of Child Interstate Abortion Notification Act (CIANA)(H.R.692, S. 224), to require an abortionist to notify a parent before performing an abortion on a minor from a different state, with certain exceptions. Contacts in support of the Conscience Protection Act (H.R. 644, S. 301), to enhance federal remedies for health-care providers who face government-based discrimination for non-participation in abortion. Contacts in support of Women's Public Health and Safety Act (H.R. 656), to allow a state to exclude certain abortion providers from participation in the state's Medicaid program. Consultations regarding various bills intended to tighten federal limitations on trafficking in tissue from induced abortions (including H.R. 524, H.R. 1203, H.R. 1895, and other draft bills not introduced); no specific legislation endorsed during this quarter. Contacts in support of agency action limiting the use of tissue from aborted babies to the extent permitted by law. Contacts in support of The Protecting the Dignity of Unborn Children Act (H.R. 718), to make it a federal crime to dispose of non-cremated "fetal remains" (from abortions) in a landfill or navigable waterway. Contacts in response to inquiries regarding the Heartbeat Bill (H.R.490) to prohibit abortions if a fetal heartbeat is detectable; no position taken this quarter. Contacts in opposition to "Women's Health Protection Act" (H.R. 1322, S. 510), a proposed federal statute to invalidate virtually all state and federal regulations pertaining to abortion. Contacts in opposition to "EACH Woman Act" (H.R. 771), a bill to mandate coverage of abortion without limitation in Medicaid, Medicare, CHIP, and other federally funded health insurance program, to nullify the laws in effect in about half of the states that restrict coverage of abortion in health plans sold on the Obamacare exchanges, and to nullify all other state laws or policies that "inhibit insurance coverage of abortion by private health plans." Contacts in support of the Patients First Act (H.R. 2918) to require the federal National Institutes of Health to intensify research on types of stem-cell research that do not involve harming human embryos. Responses to inquiries regarding "Life at Conception Act" (H.R. 681, S. 231); nonsupport due to lack of clarity and erroneous legal premises. Contracts regarding abortion-pill reversal and informed consent requirements. Legislation not introduced. Contacts regarding the Maternal Health Accountability Act (S. 1112 and H.R. 1318), related to reporting factors, contract grantee criteria, and potential issues surrounding recommending expansion of abortion access. No position taken this quarter. Contacts in support of a letter requesting that HHS issue new Title X regulations to bar grantees from co-locating with abortion clinics or referring clients for abortions. Contacts regarding the Protecting Health and Wellness of Babies and Pregnant Women in Custody Act (H.R. 6085) as related to potential issues regarding abortion. No position taken this quarter.   Contacts regarding the Quality Care for Moms and Babies Act (S.2637/H.R.5457) as related to potential issues regarding abortion. No position taken this quarter.  

Client expense: $80,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Title X Family Planning Program - FY 2019 Appropriations (H.R. 6157) Teen Pregnancy Prevention Program - FY 2019 Appropriations (H.R. (6157) H.R. 1318, the Preventing Maternal Deaths Act S. 1112 the Maternal Health Accountability Act of 2017

Client expense: $10,415 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Preventing Maternal Deaths Act (HR 1318), Maternal Health Accountability Act (S. 1112), pre-term birth, maternal mental health, Quality Care for Moms and Babies Act (S. 2367/HR 5457), Improving Access to Maternity Care Act (S. 783, HR 315); PREEMIE Reauthorization (S. 3029/HR 6085); MOMMA's Act (HR 5977); Ending Maternal Mortality Act (HR 5761); pregnancy research.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

Health Insurance Coverage (general); Health Disparities (general); Breastfeeding (general); Assisted Reproductive Technology (general); Smoking Cessation (general); Substance Use Disorder (general); Gynecologic Cancer (general); Gynecologic Devices (general); Reproductive Health (general); Intimate Partner Violence (general); Gun Violence (general); Immunization (general); Breast Cancer (general); E-Cigarettes (general); Medical Liability Reform (general); Health IT (general); Patient-Physician Relationship (general); Conscience Refusals (general); Child Welfare (general); Prematurity (general); Health Disparities (general); Maternal Mortality and Morbidity (general); Graduate Medical Education (general); Lab Developed Tests (general); Contraception (general); Preeclampsia (general); Over the Counter Drugs (general); National Health Service Corps (general); Community Health Centers (general); Abortion (general); Hyde Amendment (General); Indian Health (general); Teaching Health Centers (general); Teen Pregnancy Prevention Program (general); Research in Pregnant and Breastfeeding Women (general); Healthy Start (general); Health Care Reform (general); Title X (general); Personal Responsibility Education Program (general); Womens Preventive Services (general); H.R. 5457/S. 2637, Quality Care for Moms and Babies Act; H.R. 1318/S 1112, Preventing Maternal Deaths Act/Maternal Health Accountability Act; H.R. 5977, MOMMAs Act; H.R.5761, Ending Maternal Mortality Act of 2018; S. 3392, MOMs Act; S. 3363, Maternal CARE Act; S.3494, MOMMIES Act; H.R. 1876/S. 781, Good Samaritan Health Professionals Act; S.2852/H.R. 6378 Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018; S. 783, Improving Access to Maternity Care Act; S.Res. 605, A resolution designating the first week in August as World Breastfeeding Week, and designating August as National Breastfeeding Month; H.R. 3602/S. 1653, Real Education for Healthy Youth Act; H.R. 421/S. 93, Allowing Greater Access to Safe and Effective Contraception Act; H.R. 6085/S. 3029, the PREEMIE Reauthorization Act; H.R. 3692, Addiction Treatment Access Improvement Act; S. 2680, Opioid Crisis Response Act; H.R. 5818/S. 2843, the Opioid Workforce Act of 2018; H.R. 2501/S. 1148, CRIB Act; H.R. 4993/ S.3253 - Vaccine Access Improvement Act of 2018; H.R. 6, SUPPORT for Patients and Communities Act; H.R. 6805, Pregnant Women in Custody Act; S. 2960 Access to Infertility Treatment and Care Act; H.J.Res. 140/S.J.Res. 63, Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Department of the Treasury, Department of Labor, and the Department of Health and Human Services relating to Short-Term, Limited Duration Insurance; Implementation of P.L. 114-91, Protecting Our Infants Act; Implementation of P.L. 114-198, Comprehensive Addiction and Recovery Act; Implementation of P.L. 114-255, 21st Century Cures Act; H.R. 6545/S.___, Violence Against Women Reauthorization Act.

Client expense: $190,590 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Indian Health Service, Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA), White House Office

Child Abuse Prevention and Treatment Act; Children's Health Insurance Reauthorization; Maternal, Infant and Early Childhood Home Visiting Program, S. 1829; Bipartisan Budget Act, P.L. 115-123; and Omnibus Appropriations, P.L. 115-141; Maternal Health Accountability Act S. 1112 and Preventing Maternal Deaths Act H.R. 1318.

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

Government targets: HOUSE OF REPRESENTATIVES, Office on Violence Against Women, SENATE

H.R. 1318 Preventing Maternal Death Act; S.1112 Maternal Health Accountability Act.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, SENATE

S. 1112 Maternal Health Accountability Act S. 1570/HR 3273 LGBT Inclusion Act S. 2070 Kevin and Avontes Law S. 2584/HR 5374 Student non-Discrimination ActS. 2680 Opioid Crisis Response Act S. 2680 Opioid Crisis Response Act S. 2754 Handle with Care Act S. 3029/H.R. 6085 PREEMIE Reauthorization Act H.R. 1 Tax Cuts and Jobs Act H.R. 6 Support for Patients and Communities Act H.R. 4684 Ensuring Access to Quality Sober Living Act H.R. 4733 Opioids and STOP Pain Initiative Act H.R. 5102 Substance Use Disorder Workforce Loan Repayment Act H.R. 5475 Health Equity and Accountability Act FY2019 Defense Appropriations FY2019 Veterans Appropriations Childrens Health Insurance Program (CHIP) reauthorization Bipartisan Health Care Stabilization Act VA Mission Act

Client expense: $160,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

S.783, Improving Access to Maternity Care Act H.R. 3692/S. 2317, Addiction Treatment Access and Improvement Act H.R. 1318/S. 1112, Preventing Maternal Deaths Act H.R. 6, The SUPPORT for Patients and Communities Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.783, Improving Access to Maternity Care Act H.R. 3692/S. 2317, Addiction Treatment Access and Improvement Act H.R. 1318/S. 1112, Preventing Maternal Deaths Act H.R. 6, The SUPPORT for Patients and Communities Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R 1318 Preventing Maternal Deaths Act of 2017 S. 1112 Maternal Health Accountability Act of 2017 H.R. 5965, S. 2960 The Access to Infertility Treatment and Care Act

Client expense: $24,255 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Supporting H.R.1318 - Preventing Maternal Deaths Act of 2017 Supporting S.1112 - Maternal Health Accountability Act of 2017 Supporting H.R.947 - Family and Medical Insurance Leave (FAMILY) Act Supporting S.337 - Family and Medical Insurance Leave (FAMILY) Act Suppporting H.R.3692 - Addiction Treatment Access Improvement Act of 2017 Supporting S.2317 - Addiction Treatment Access Improvement Act of 2018 Supporting S. 3029/H.R. 6085, the PREEMIE Reauthorization Act of 2018 Supporting HR 6 SUPPORT for Patients and Communities Act Concerning S.2680 Opioid Crisis Response Act of 2018. Supporting S.2658 Protecting Newborns from Opioids Act. The National Sample Survey of Registered Nurses. The nurse faculty shortage The focus of Title VIII grants on addressing the opioid epidemic.

Client expense: $6,590 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), President of the U.S., SENATE

H.R. 1203 Safe RESEARCH Act; H.R. 644, S. 301, Conscience Protection Act; H.R. 1318/S. 1112, Preventing Maternal Deaths Act; Conscience Protections; Abortion Funding; Funding for Abortion Providers; Title X Program; S. 1730/H.R. 2821, REACH Act; S. 3158, HHS and Edu Dept Funding; H.R. 5562, Protecting NAS Babies Act

Client expense: $200,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, State, Dept of (DOS), White House Office

A resolution supporting the goals, activities, and ideals of Prematurity Awareness Month (H. Res. 625/S. Res. 319) Maternal Health Accountability Act (H.R. 1318/S. 1112) Invest in Women's Health Act of 2017 (S. 689) Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act (S. 3120) CREATES Act (H.R. 2212/S. 974) MOMMA's Act (H.R. 5977) State-Based Universal Health Care Act (H.R. 6097) SUPPORT for Patients and Communities Act (H.R. 6) Jeanette Acosta Invest in Women's Health Act (H.R. 6315) Health Equity and Accountability Act (H.R. 5942) Women's Health Protection Act (H.R. 1322/S. 510) A resolution recognizing the importance of the goal of National Women's Health Week to empower adolescent girls and women of all ages to make informed choices about their sexual activity and effective steps to prevent against HIV (S. Res. 507)

Client expense: $421,508 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Public health appropriations including the Title V MCH Block Grant, Prevention and Public Health Fund, and the Centers for Disease Control and Prevention. Legislation to combat maternal mortality, including the Maternal Health Accountability Act (S.1112) and the Preventing Maternal Deaths Act (H.R.1318). Appropriations and legislation related to surveillance of emerging public health threats to pregnant women, postpartum women, and infants, including the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 (H.R. 6378). Executive actions related to maternal and child health, including breastfeeding and the separation of children and parents.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE