Maximizing Efficiency and Improving Access to Providers at the Department of Veterans Affairs Act

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2. Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3. Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4. Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5. Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6. Implementation of the Drug Quality and Security Act of 2013 (Public Law 113-54) 7. Implementation of Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 8. Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 9. Implementation of Every Student Succeeds Act (Public Law 114-95) 10. Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 11. FY 2018 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 1771/H.R. 3358) 12. FY 2018 Departments of Agriculture, Rural Development, Food and Drug Administration and Related Agencies Appropriations (S. 1603/H.R. 3268) 13. Consolidated Appropriations Act 2018 (Public Law 115-141) 14. Midnight Rules Relief Act (S.34/H.R. 21) 15. Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 16. Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 17. Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 18. Regulatory Integrity Act (H.R. 1004) 19. OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 20. A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 21. American Health Care Act (H.R. 1628/H.Res. 228) 22. Ozone Standards Implementation Act (S. 263/H.R. 806) 23. Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 24. Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 25. Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 26. Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 27. Preventing Antibiotic Resistance Act (S. 629) 28. Better Care Reconciliation Act (H.R. 1628) and related amendments 29. Public Health Emergency Response Act (S. 196) 30. Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 31. Consolidated Appropriations Act, 2017 (Public Law 115-31) 32. Treat and Reduce Obesity Act (S. 830/H.R. 1953) 33. Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 34. Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 35. Tobacco Tax Equity Act (S. 1837) 36. Healthy Kids Act (S. 1821/H.R. 3921) 37. Implementation of the Drug Quality and Security Act (P.S. 113-54) 38. Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 39. Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 40. Lead-Safe Housing for Kids Act (S. 1845) 41. Supporting Working Moms Act (S. 2122/H.R. 3255) 42. Championing Healthy Kids Act (H.R. 3922) 43. Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 44. An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 45. Tax Cuts and Jobs Act (Public Law 115-97) 46. Pandemic and All-Hazards Preparedness Advancing Innovation Act (S. 2852/H.R. 6378/H.R. 7328) 47. Vaccine Access Improvement Act (H.R. 4993) 48. Relief from New Source Performance Standards Act (H.R. 453) 49. Strategies to Address Antimicrobial Resistance (S. 2469) 50. Opioid Quota Reform Act (S. 2535) 51. Hospital Preparedness Program Reauthorization Act (H.R. 4776) 52. Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 53. Health Equity and Accountability Act (H.R. 5942) 54. Opioid Crisis Response Act of 2018 (S. 2680) 55. Agriculture and Nutrition Act (H.R. 2) 56. Agriculture Improvement Act (S. 3042) 57. SECURE Act (H.R. 5998) 58. FY 2019 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 3158) 59. FY 2019 Departments of the Interior, Environment, and Related Agencies Appropriations Act (H.R. 6147/S. 3073) 60. FY 2019 Departments of Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations (H.R. 5961/ S. 2976) 61. Trauma-Informed Care for Children and Families Act (S. 774) 62. SUPPORT for Patients and Communities Act (H.R. 6) 63. Centers for Disease Control Emergency Response Act (S. 3161) 64. LABEL Opioids Act (S. 3428) 65. Relief from New Source Performance Standards Act (S. 1857) 66. Outdoors for All Act (S. 3499) 67. The MOMMA Act (H.R. 5977) 68. The WIC Act (not yet introduced) 69. Preventing Maternal Deaths Act (H.R. 1318) 70. Medicare Access to Vaccines Equity Act (note yet introduced) 71. The Support Act (H.R. 6) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, Education, USDA, DHS, FEMA, and SAMHSA.

Client expense: $28,207 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT)

raising awareness about the role and benefits of medical scribes, and opportunities to achieve efficiency in the healthcare system by using scribes. promoting scribes as an efficiency tool for the Veterans Health Administration (HR 1848 - the Veterans Affairs Medical Scribe Pilot Act of 2017; S 113 - Maximizing Efficiency and Improving Access to Providers at the Department of Veterans Affairs Act). S. 2193 - Caring for our Veterans Act proposed changes to the FY2019 physician fee schedule that are designed to reduce paperwork burden

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

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

SCONRES 12 HR 1900 HR 1875 S 804 HR 1848 S 798 HR 1802 S 784 HR 1783 HR 1797 HR 1790 HR 1799 HR 1771 S 758 HR 1798 HR 1749 HR 1712 S 712 HR 1685 S 700 HR 1690 S 699 HR 1681 HRES 214 HR 1662 HR 1618 HR 1564 HR 1545 HR 1509 HR 1507 HR 1508 HR 1505 HR 1506 HR 1472 HR 1445 S 585 HR 1405 HR 1390 HR 1383 HR 1379 HR 1391 HR 1367 HR 1359 HR 1331 HR 1328 HR 1329 HR 1279 S 473 HR 1251 HR 1254 HR 1259 HR 1216 HR 1206 HR 1212 HR 1152 HR 1104 HR 1162 HR 1168 S 423 S 410 S 422 HR 1131 HR 1133 HR 1112 HR 1063 HR 1066 HR 1064 HR 1100 HR 1032 S 369 HR 1058 HR 1052 HR 1007 HR 1005 HR 996 HR 980 S 336 HCONRES 22 HR 927 HR 925 HR 974 HR 907 HR 906 HR 971 S 324 HR 918 S 315 HR 877 HR 897 HR 888 HR 874 S 319 HR 856 S 283 HR 814 HR 815 HR 809 HR 758 S 242 HR 703 HR 632 HR 645 S 233 HR 611 HR 609 S 152 HR 578 HR 512 HR 467 S 114 HR 476 S 111 S 113 S 115 HRES 46 S 112 HR 457 HR 411 S 86 HR 388 HR 418 S 75 HR 369 HR 333 HR 334 HR 337 S 57 HR 303 HR 299 S 35 S 24 HR 245 HR 282 S 23 HR 293 HR 91 HR 42 HR 28 HR 43 HR 107 HR 27 HR 103 HR 67 HR 104 HR 93 HR 154 HR 95 HR 90 HR 92 HR 102 HR 106 HR 101 HR 105 S 12 S 1836 HR 3781 HR 3754 HR 3752 S 1789 HR 3720 S 1775 HR 3705 HR 3696 HR 3680 HR 3666 HR 3657 HR 3656 HR 3642 HR 3634 HR 3640 HR 3605 HR 3562 HR 3558 HR 3557 HR 3561 HR 3492 S 1661 HR 3459 HR 3497 HR 3429 S 1635 S 1619 HR 3368 HR 3372 HR 3370 HCONRES 70 HRES 462 S 1611 HR 3335 S 1596 S 1598 HR 3308 HR 3272 HR 3262 S 1550 HR 3218 S 1566 HR 3195 HR 3194 HR 3197 HRES 436 HR 3185 HR 3177 S 1526 HR 3169 HR 3165 HR 3122 HR 3130 HR 3158 S 1473 SRES 205 HR 3095 S 1467 S 1449 HR 3054 HR 12 HR 3042 HR 3018 HR 3028 S 1424 HRES 391 HR 2920 S 1356 HR 2891 S 1325 HR 2839 S 1319 HR 2837 S 1330 HR 2838 HR 2827 HR 2772 HR 2787 HR 2785 HR 2758 HR 2694 HR 2738 HR 2733 S 1277 HR 2708 HR 2736 HR 2737 HR 2703 HR 2707 S 1279 S 1261 HR 2652 HR 2716 S 1266 HR 2692 HR 2744 HR 2699 HR 2698 HR 2648 HR 2631 HR 2634 HR 2625 S 1218 HR 2601 S 1209 S 1192 S 1198 HR 2555 HR 2549 S 1179 HR 2517 S 1163 S 1153 HR 2506 HR 2478 S 1161 HR 2452 HR 2409 S 1094 S 1111 S 1098 HR 2421 HR 2419 S 1072 HR 2312 S 1024 HR 2322 S 1014 S 1015 HR 2311 HR 2307 HR 2327 HR 2288 HCONRES 52 HR 2257 HR 2251 HR 2225 HR 2210 S 970 HR 2198 HR 2147 S 946 HR 2123 S 925 S 933 HR 2108 HR 2103 HR 2100 HR 2099 S 899 S 903 HR 1972 HR 1993 HR 1989 HR 2006 HRES 258 HR 1998 HR 1994 HR 2037 HR 1977 HR 1943 S 844 HR 1910 HR 1954 HR 1956 S 833 HR 1942 HR 6637 HR 6572 S 3130 HR 6161 HRES 950 HR 6027 HR 5047 HR 4366 HR 4338 HR 4173 HR 5538 HR 5397 S 2622 HR 5301 S 2541 HR 5215 S 2485 HR 5152 HR 5044 HRES 737 HR 4958 HR 4910 HR 4843 S 2304 S 2294 HR 4727 HR 4642 HR 4632 HR 4565 HR 4380 HR 4339 HR 4335 HR 4321 HR 4320 HR 4357 HR 4312 S 2105 S 2038 HR 4146 HR 4149 S 2433 HR 4360 HR 1844 HR 4687 HR 4533 HR 3946 S 3235 HR 4451 S 2768 HR 4835 S 2807 S 1952 S 1936 HR 4016 HR 3874 S 2906 HR 4242 HR 4369 S 2357 HR 6539 HR 6581 HR 5683 HR 6582 HR 5693 HR 5671 HR 5649 HR 4450 HR 5452 HR 4871 S 2884 HR 6151 HR 4362 HR 4059 HR 6101 HR 4716 HR 4783 S 2372 HR 5921 S 2719 HR 6419 HR 6234 HR 4728 HR 5986 S 3241 HR 3832 HR 4457 HR 5314 HR 5864 HR 3819 HRES 809 HR 4132 HR 5246 HR 4243 HR 5966 HR 6398 HR 6066 HR 4106 S 3089 S 1990 HR 4898 HR 6418 S 2288 HR 4113 HR 4245 HR 6285 HR 5830 HR 5674 HR 5095 HR 3933 HR 4099 HR 4653 HRES 613 S 2473 HRES 611 HR 4635 HR 3865 HR 5866 HRES 1025 HR 3940 HR 3949 S 2821 HR 5938 HR 5500 HR 5486 HR 6566 HR 4055 HR 4830 HR 4852 HR 4793 S 2548 S 2565 SRES 551 S 2748 HR 5644 HR 5882 S 2402 S 1871 S 2356 HR 5920 S 1873 HR 5781 HR 4670 HR 4346 HRES 590 S 1881 HR 4328 S 1951

SCONRES 12 HR 1900 HR 1875 S 804 HR 1848 S 798 HR 1802 S 784 HR 1783 HR 1797 HR 1790 HR 1799 HR 1771 S 758 HR 1798 HR 1749 HR 1712 S 712 HR 1685 S 700 HR 1690 S 699 HR 1681 HRES 214 HR 1662 HR 1618 HR 1564 HR 1545 HR 1509 HR 1507 HR 1508 HR 1505 HR 1506 HR 1472 HR 1445 S 585 HR 1405 HR 1390 HR 1383 HR 1379 HR 1391 HR 1367 HR 1359 HR 1331 HR 1328 HR 1329 HR 1279 S 473 HR 1251 HR 1254 HR 1259 HR 1216 HR 1206 HR 1212 HR 1152 HR 1104 HR 1162 HR 1168 S 423 S 410 S 422 HR 1131 HR 1133 HR 1112 HR 1063 HR 1066 HR 1064 HR 1100 HR 1032 S 369 HR 1058 HR 1052 HR 1007 HR 1005 HR 996 HR 980 S 336 HCONRES 22 HR 927 HR 925 HR 974 HR 907 HR 906 HR 971 S 324 HR 918 S 315 HR 877 HR 897 HR 888 HR 874 S 319 HR 856 S 283 HR 814 HR 815 HR 809 HR 758 S 242 HR 703 HR 632 HR 645 S 233 HR 611 HR 609 S 152 HR 578 HR 512 HR 467 S 114 HR 476 S 111 S 113 S 115 HRES 46 S 112 HR 457 HR 411 S 86 HR 388 HR 418 S 75 HR 369 HR 333 HR 334 HR 337 S 57 HR 303 HR 299 S 35 S 24 HR 245 HR 282 S 23 HR 293 HR 91 HR 42 HR 28 HR 43 HR 107 HR 27 HR 103 HR 67 HR 104 HR 93 HR 154 HR 95 HR 90 HR 92 HR 102 HR 106 HR 101 HR 105 S 12 S 1836 HR 3781 HR 3754 HR 3752 S 1789 HR 3720 S 1775 HR 3705 HR 3696 HR 3680 HR 3666 HR 3657 HR 3656 HR 3642 HR 3634 HR 3640 HR 3605 HR 3562 HR 3558 HR 3557 HR 3561 HR 3492 S 1661 HR 3459 HR 3497 HR 3429 S 1635 S 1619 HR 3368 HR 3372 HR 3370 HCONRES 70 HRES 462 S 1611 HR 3335 S 1596 S 1598 HR 3308 HR 3272 HR 3262 S 1550 HR 3218 S 1566 HR 3195 HR 3194 HR 3197 HRES 436 HR 3185 HR 3177 S 1526 HR 3169 HR 3165 HR 3122 HR 3130 HR 3158 S 1473 SRES 205 HR 3095 S 1467 S 1449 HR 3054 HR 12 HR 3042 HR 3018 HR 3028 S 1424 HRES 391 HR 2920 S 1356 HR 2891 S 1325 HR 2839 S 1319 HR 2837 S 1330 HR 2838 HR 2827 HR 2772 HR 2787 HR 2785 HR 2758 HR 2694 HR 2738 HR 2733 S 1277 HR 2708 HR 2736 HR 2737 HR 2703 HR 2707 S 1279 S 1261 HR 2652 HR 2716 S 1266 HR 2692 HR 2744 HR 2699 HR 2698 HR 2648 HR 2631 HR 2634 HR 2625 S 1218 HR 2601 S 1209 S 1192 S 1198 HR 2555 HR 2549 S 1179 HR 2517 S 1163 S 1153 HR 2506 HR 2478 S 1161 HR 2452 HR 2409 S 1094 S 1111 S 1098 HR 2421 HR 2419 S 1072 HR 2312 S 1024 HR 2322 S 1014 S 1015 HR 2311 HR 2307 HR 2327 HR 2288 HCONRES 52 HR 2257 HR 2251 HR 2225 HR 2210 S 970 HR 2198 HR 2147 S 946 HR 2123 S 925 S 933 HR 2108 HR 2103 HR 2100 HR 2099 S 899 S 903 HR 1972 HR 1993 HR 1989 HR 2006 HRES 258 HR 1998 HR 1994 HR 2037 HR 1977 HR 1943 S 844 HR 1910 HR 1954 HR 1956 S 833 HR 1942 HR 6637 HR 6572 S 3130 HR 6161 HRES 950 HR 6027 HR 5047 HR 4366 HR 4338 HR 4173 HR 5538 HR 5397 S 2622 HR 5301 S 2541 HR 5215 S 2485 HR 5152 HR 5044 HRES 737 HR 4958 HR 4910 HR 4843 S 2304 S 2294 HR 4727 HR 4642 HR 4632 HR 4565 HR 4380 HR 4339 HR 4335 HR 4321 HR 4320 HR 4357 HR 4312 S 2105 S 2038 HR 4146 HR 4149 S 2433 HR 4360 HR 1844 HR 4687 HR 4533 HR 3946 S 3235 HR 4451 S 2768 HR 4835 S 2807 S 1952 S 1936 HR 4016 HR 3874 S 2906 HR 4242 HR 4369 S 2357 HR 6539 HR 6581 HR 5683 HR 6582 HR 5693 HR 5671 HR 5649 HR 4450 HR 5452 HR 4871 S 2884 HR 6151 HR 4362 HR 4059 HR 6101 HR 4716 HR 4783 S 2372 HR 5921 S 2719 HR 6419 HR 6234 HR 4728 HR 5986 S 3241 HR 3832 HR 4457 HR 5314 HR 5864 HR 3819 HRES 809 HR 4132 HR 5246 HR 4243 HR 5966 HR 6398 HR 6066 HR 4106 S 3089 S 1990 HR 4898 HR 6418 S 2288 HR 4113 HR 4245 HR 6285 HR 5830 HR 5674 HR 5095 HR 3933 HR 4099 HR 4653 HRES 613 S 2473 HRES 611 HR 4635 HR 3865 HR 5866 HRES 1025 HR 3940 HR 3949 S 2821 HR 5938 HR 5500 HR 5486 HR 6566 HR 4055 HR 4830 HR 4852 HR 4793 S 2548 S 2565 SRES 551 S 2748 HR 5644 HR 5882 S 2402 S 1871 S 2356 HR 5920 S 1873 HR 5781 HR 4670 HR 4346 HRES 590 S 1881 HR 4328 S 1951

SCONRES 12 HR 1900 HR 1875 S 804 HR 1848 S 798 HR 1802 S 784 HR 1783 HR 1797 HR 1790 HR 1799 HR 1771 S 758 HR 1798 HR 1749 HR 1712 S 712 HR 1685 S 700 HR 1690 S 699 HR 1681 HRES 214 HR 1662 HR 1618 HR 1564 HR 1545 HR 1509 HR 1507 HR 1508 HR 1505 HR 1506 HR 1472 HR 1445 S 585 HR 1405 HR 1390 HR 1383 HR 1379 HR 1391 HR 1367 HR 1359 HR 1331 HR 1328 HR 1329 HR 1279 S 473 HR 1251 HR 1254 HR 1259 HR 1216 HR 1206 HR 1212 HR 1152 HR 1104 HR 1162 HR 1168 S 423 S 410 S 422 HR 1131 HR 1133 HR 1112 HR 1063 HR 1066 HR 1064 HR 1100 HR 1032 S 369 HR 1058 HR 1052 HR 1007 HR 1005 HR 996 HR 980 S 336 HCONRES 22 HR 927 HR 925 HR 974 HR 907 HR 906 HR 971 S 324 HR 918 S 315 HR 877 HR 897 HR 888 HR 874 S 319 HR 856 S 283 HR 814 HR 815 HR 809 HR 758 S 242 HR 703 HR 632 HR 645 S 233 HR 611 HR 609 S 152 HR 578 HR 512 HR 467 S 114 HR 476 S 111 S 113 S 115 HRES 46 S 112 HR 457 HR 411 S 86 HR 388 HR 418 S 75 HR 369 HR 333 HR 334 HR 337 S 57 HR 303 HR 299 S 35 S 24 HR 245 HR 282 S 23 HR 293 HR 91 HR 42 HR 28 HR 43 HR 107 HR 27 HR 103 HR 67 HR 104 HR 93 HR 154 HR 95 HR 90 HR 92 HR 102 HR 106 HR 101 HR 105 S 12 S 1836 HR 3781 HR 3754 HR 3752 S 1789 HR 3720 S 1775 HR 3705 HR 3696 HR 3680 HR 3666 HR 3657 HR 3656 HR 3642 HR 3634 HR 3640 HR 3605 HR 3562 HR 3558 HR 3557 HR 3561 HR 3492 S 1661 HR 3459 HR 3497 HR 3429 S 1635 S 1619 HR 3368 HR 3372 HR 3370 HCONRES 70 HRES 462 S 1611 HR 3335 S 1596 S 1598 HR 3308 HR 3272 HR 3262 S 1550 HR 3218 S 1566 HR 3195 HR 3194 HR 3197 HRES 436 HR 3185 HR 3177 S 1526 HR 3169 HR 3165 HR 3122 HR 3130 HR 3158 S 1473 SRES 205 HR 3095 S 1467 S 1449 HR 3054 HR 12 HR 3042 HR 3018 HR 3028 S 1424 HRES 391 HR 2920 S 1356 HR 2891 S 1325 HR 2839 S 1319 HR 2837 S 1330 HR 2838 HR 2827 HR 2772 HR 2787 HR 2785 HR 2758 HR 2694 HR 2738 HR 2733 S 1277 HR 2708 HR 2736 HR 2737 HR 2703 HR 2707 S 1279 S 1261 HR 2652 HR 2716 S 1266 HR 2692 HR 2744 HR 2699 HR 2698 HR 2648 HR 2631 HR 2634 HR 2625 S 1218 HR 2601 S 1209 S 1192 S 1198 HR 2555 HR 2549 S 1179 HR 2517 S 1163 S 1153 HR 2506 HR 2478 S 1161 HR 2452 HR 2409 S 1094 S 1111 S 1098 HR 2421 HR 2419 S 1072 HR 2312 S 1024 HR 2322 S 1014 S 1015 HR 2311 HR 2307 HR 2327 HR 2288 HCONRES 52 HR 2257 HR 2251 HR 2225 HR 2210 S 970 HR 2198 HR 2147 S 946 HR 2123 S 925 S 933 HR 2108 HR 2103 HR 2100 HR 2099 S 899 S 903 HR 1972 HR 1993 HR 1989 HR 2006 HRES 258 HR 1998 HR 1994 HR 2037 HR 1977 HR 1943 S 844 HR 1910 HR 1954 HR 1956 S 833 HR 1942 HR 6637 HR 6572 S 3130 HR 6161 HRES 950 HR 6027 HR 5047 HR 4366 HR 4338 HR 4173 HR 5538 HR 5397 S 2622 HR 5301 S 2541 HR 5215 S 2485 HR 5152 HR 5044 HRES 737 HR 4958 HR 4910 HR 4843 S 2304 S 2294 HR 4727 HR 4642 HR 4632 HR 4565 HR 4380 HR 4339 HR 4335 HR 4321 HR 4320 HR 4357 HR 4312 S 2105 S 2038 HR 4146 HR 4149 S 2433 HR 4360 HR 1844 HR 4687 HR 4533 HR 3946 S 3235 HR 4451 S 2768 HR 4835 S 2807 S 1952 S 1936 HR 4016 HR 3874 S 2906 HR 4242 HR 4369 S 2357 HR 6539 HR 6581 HR 5683 HR 6582 HR 5693 HR 5671 HR 5649 HR 4450 HR 5452 HR 4871 S 2884 HR 6151 HR 4362 HR 4059 HR 6101 HR 4716 HR 4783 S 2372 HR 5921 S 2719 HR 6419 HR 6234 HR 4728 HR 5986 S 3241 HR 3832 HR 4457 HR 5314 HR 5864 HR 3819 HRES 809 HR 4132 HR 5246 HR 4243 HR 5966 HR 6398 HR 6066 HR 4106 S 3089 S 1990 HR 4898 HR 6418 S 2288 HR 4113 HR 4245 HR 6285 HR 5830 HR 5674 HR 5095 HR 3933 HR 4099 HR 4653 HRES 613 S 2473 HRES 611 HR 4635 HR 3865 HR 5866 HRES 1025 HR 3940 HR 3949 S 2821 HR 5938 HR 5500 HR 5486 HR 6566 HR 4055 HR 4830 HR 4852 HR 4793 S 2548 S 2565 SRES 551 S 2748 HR 5644 HR 5882 S 2402 S 1871 S 2356 HR 5920 S 1873 HR 5781 HR 4670 HR 4346 HRES 590 S 1881 HR 4328 S 1951

SCONRES 12 HR 1900 HR 1875 S 804 HR 1848 S 798 HR 1802 S 784 HR 1783 HR 1797 HR 1790 HR 1799 HR 1771 S 758 HR 1798 HR 1749 HR 1712 S 712 HR 1685 S 700 HR 1690 S 699 HR 1681 HRES 214 HR 1662 HR 1618 HR 1564 HR 1545 HR 1509 HR 1507 HR 1508 HR 1505 HR 1506 HR 1472 HR 1445 S 585 HR 1405 HR 1390 HR 1383 HR 1379 HR 1391 HR 1367 HR 1359 HR 1331 HR 1328 HR 1329 HR 1279 S 473 HR 1251 HR 1254 HR 1259 HR 1216 HR 1206 HR 1212 HR 1152 HR 1104 HR 1162 HR 1168 S 423 S 410 S 422 HR 1131 HR 1133 HR 1112 HR 1063 HR 1066 HR 1064 HR 1100 HR 1032 S 369 HR 1058 HR 1052 HR 1007 HR 1005 HR 996 HR 980 S 336 HCONRES 22 HR 927 HR 925 HR 974 HR 907 HR 906 HR 971 S 324 HR 918 S 315 HR 877 HR 897 HR 888 HR 874 S 319 HR 856 S 283 HR 814 HR 815 HR 809 HR 758 S 242 HR 703 HR 632 HR 645 S 233 HR 611 HR 609 S 152 HR 578 HR 512 HR 467 S 114 HR 476 S 111 S 113 S 115 HRES 46 S 112 HR 457 HR 411 S 86 HR 388 HR 418 S 75 HR 369 HR 333 HR 334 HR 337 S 57 HR 303 HR 299 S 35 S 24 HR 245 HR 282 S 23 HR 293 HR 91 HR 42 HR 28 HR 43 HR 107 HR 27 HR 103 HR 67 HR 104 HR 93 HR 154 HR 95 HR 90 HR 92 HR 102 HR 106 HR 101 HR 105 S 12 S 1836 HR 3781 HR 3754 HR 3752 S 1789 HR 3720 S 1775 HR 3705 HR 3696 HR 3680 HR 3666 HR 3657 HR 3656 HR 3642 HR 3634 HR 3640 HR 3605 HR 3562 HR 3558 HR 3557 HR 3561 HR 3492 S 1661 HR 3459 HR 3497 HR 3429 S 1635 S 1619 HR 3368 HR 3372 HR 3370 HCONRES 70 HRES 462 S 1611 HR 3335 S 1596 S 1598 HR 3308 HR 3272 HR 3262 S 1550 HR 3218 S 1566 HR 3195 HR 3194 HR 3197 HRES 436 HR 3185 HR 3177 S 1526 HR 3169 HR 3165 HR 3122 HR 3130 HR 3158 S 1473 SRES 205 HR 3095 S 1467 S 1449 HR 3054 HR 12 HR 3042 HR 3018 HR 3028 S 1424 HRES 391 HR 2920 S 1356 HR 2891 S 1325 HR 2839 S 1319 HR 2837 S 1330 HR 2838 HR 2827 HR 2772 HR 2787 HR 2785 HR 2758 HR 2694 HR 2738 HR 2733 S 1277 HR 2708 HR 2736 HR 2737 HR 2703 HR 2707 S 1279 S 1261 HR 2652 HR 2716 S 1266 HR 2692 HR 2744 HR 2699 HR 2698 HR 2648 HR 2631 HR 2634 HR 2625 S 1218 HR 2601 S 1209 S 1192 S 1198 HR 2555 HR 2549 S 1179 HR 2517 S 1163 S 1153 HR 2506 HR 2478 S 1161 HR 2452 HR 2409 S 1094 S 1111 S 1098 HR 2421 HR 2419 S 1072 HR 2312 S 1024 HR 2322 S 1014 S 1015 HR 2311 HR 2307 HR 2327 HR 2288 HCONRES 52 HR 2257 HR 2251 HR 2225 HR 2210 S 970 HR 2198 HR 2147 S 946 HR 2123 S 925 S 933 HR 2108 HR 2103 HR 2100 HR 2099 S 899 S 903 HR 1972 HR 1993 HR 1989 HR 2006 HRES 258 HR 1998 HR 1994 HR 2037 HR 1977 HR 1943 S 844 HR 1910 HR 1954 HR 1956 S 833 HR 1942 HR 6637 HR 6572 S 3130 HR 6161 HRES 950 HR 6027 HR 5047 HR 4366 HR 4338 HR 4173 HR 5538 HR 5397 S 2622 HR 5301 S 2541 HR 5215 S 2485 HR 5152 HR 5044 HRES 737 HR 4958 HR 4910 HR 4843 S 2304 S 2294 HR 4727 HR 4642 HR 4632 HR 4565 HR 4380 HR 4339 HR 4335 HR 4321 HR 4320 HR 4357 HR 4312 S 2105 S 2038 HR 4146 HR 4149 S 2433 HR 4360 HR 1844 HR 4687 HR 4533 HR 3946 S 3235 HR 4451 S 2768 HR 4835 S 2807 S 1952 S 1936 HR 4016 HR 3874 S 2906 HR 4242 HR 4369 S 2357 HR 6539 HR 6581 HR 5683 HR 6582 HR 5693 HR 5671 HR 5649 HR 4450 HR 5452 HR 4871 S 2884 HR 6151 HR 4362 HR 4059 HR 6101 HR 4716 HR 4783 S 2372 HR 5921 S 2719 HR 6419 HR 6234 HR 4728 HR 5986 S 3241 HR 3832 HR 4457 HR 5314 HR 5864 HR 3819 HRES 809 HR 4132 HR 5246 HR 4243 HR 5966 HR 6398 HR 6066 HR 4106 S 3089 S 1990 HR 4898 HR 6418 S 2288 HR 4113 HR 4245 HR 6285 HR 5830 HR 5674 HR 5095 HR 3933 HR 4099 HR 4653 HRES 613 S 2473 HRES 611 HR 4635 HR 3865 HR 5866 HRES 1025 HR 3940 HR 3949 S 2821 HR 5938 HR 5500 HR 5486 HR 6566 HR 4055 HR 4830 HR 4852 HR 4793 S 2548 S 2565 SRES 551 S 2748 HR 5644 HR 5882 S 2402 S 1871 S 2356 HR 5920 S 1873 HR 5781 HR 4670 HR 4346 HRES 590 S 1881 HR 4328 S 1951

SCONRES 12 HR 1900 HR 1875 S 804 HR 1848 S 798 HR 1802 S 784 HR 1783 HR 1797 HR 1790 HR 1799 HR 1771 S 758 HR 1798 HR 1749 HR 1712 S 712 HR 1685 S 700 HR 1690 S 699 HR 1681 HRES 214 HR 1662 HR 1618 HR 1564 HR 1545 HR 1509 HR 1507 HR 1508 HR 1505 HR 1506 HR 1472 HR 1445 S 585 HR 1405 HR 1390 HR 1383 HR 1379 HR 1391 HR 1367 HR 1359 HR 1331 HR 1328 HR 1329 HR 1279 S 473 HR 1251 HR 1254 HR 1259 HR 1216 HR 1206 HR 1212 HR 1152 HR 1104 HR 1162 HR 1168 S 423 S 410 S 422 HR 1131 HR 1133 HR 1112 HR 1063 HR 1066 HR 1064 HR 1100 HR 1032 S 369 HR 1058 HR 1052 HR 1007 HR 1005 HR 996 HR 980 S 336 HCONRES 22 HR 927 HR 925 HR 974 HR 907 HR 906 HR 971 S 324 HR 918 S 315 HR 877 HR 897 HR 888 HR 874 S 319 HR 856 S 283 HR 814 HR 815 HR 809 HR 758 S 242 HR 703 HR 632 HR 645 S 233 HR 611 HR 609 S 152 HR 578 HR 512 HR 467 S 114 HR 476 S 111 S 113 S 115 HRES 46 S 112 HR 457 HR 411 S 86 HR 388 HR 418 S 75 HR 369 HR 333 HR 334 HR 337 S 57 HR 303 HR 299 S 35 S 24 HR 245 HR 282 S 23 HR 293 HR 91 HR 42 HR 28 HR 43 HR 107 HR 27 HR 103 HR 67 HR 104 HR 93 HR 154 HR 95 HR 90 HR 92 HR 102 HR 106 HR 101 HR 105 S 12 S 1836 HR 3781 HR 3754 HR 3752 S 1789 HR 3720 S 1775 HR 3705 HR 3696 HR 3680 HR 3666 HR 3657 HR 3656 HR 3642 HR 3634 HR 3640 HR 3605 HR 3562 HR 3558 HR 3557 HR 3561 HR 3492 S 1661 HR 3459 HR 3497 HR 3429 S 1635 S 1619 HR 3368 HR 3372 HR 3370 HCONRES 70 HRES 462 S 1611 HR 3335 S 1596 S 1598 HR 3308 HR 3272 HR 3262 S 1550 HR 3218 S 1566 HR 3195 HR 3194 HR 3197 HRES 436 HR 3185 HR 3177 S 1526 HR 3169 HR 3165 HR 3122 HR 3130 HR 3158 S 1473 SRES 205 HR 3095 S 1467 S 1449 HR 3054 HR 12 HR 3042 HR 3018 HR 3028 S 1424 HRES 391 HR 2920 S 1356 HR 2891 S 1325 HR 2839 S 1319 HR 2837 S 1330 HR 2838 HR 2827 HR 2772 HR 2787 HR 2785 HR 2758 HR 2694 HR 2738 HR 2733 S 1277 HR 2708 HR 2736 HR 2737 HR 2703 HR 2707 S 1279 S 1261 HR 2652 HR 2716 S 1266 HR 2692 HR 2744 HR 2699 HR 2698 HR 2648 HR 2631 HR 2634 HR 2625 S 1218 HR 2601 S 1209 S 1192 S 1198 HR 2555 HR 2549 S 1179 HR 2517 S 1163 S 1153 HR 2506 HR 2478 S 1161 HR 2452 HR 2409 S 1094 S 1111 S 1098 HR 2421 HR 2419 S 1072 HR 2312 S 1024 HR 2322 S 1014 S 1015 HR 2311 HR 2307 HR 2327 HR 2288 HCONRES 52 HR 2257 HR 2251 HR 2225 HR 2210 S 970 HR 2198 HR 2147 S 946 HR 2123 S 925 S 933 HR 2108 HR 2103 HR 2100 HR 2099 S 899 S 903 HR 1972 HR 1993 HR 1989 HR 2006 HRES 258 HR 1998 HR 1994 HR 2037 HR 1977 HR 1943 S 844 HR 1910 HR 1954 HR 1956 S 833 HR 1942 HR 6637 HR 6572 S 3130 HR 6161 HRES 950 HR 6027 HR 5047 HR 4366 HR 4338 HR 4173 HR 5538 HR 5397 S 2622 HR 5301 S 2541 HR 5215 S 2485 HR 5152 HR 5044 HRES 737 HR 4958 HR 4910 HR 4843 S 2304 S 2294 HR 4727 HR 4642 HR 4632 HR 4565 HR 4380 HR 4339 HR 4335 HR 4321 HR 4320 HR 4357 HR 4312 S 2105 S 2038 HR 4146 HR 4149 S 2433 HR 4360 HR 1844 HR 4687 HR 4533 HR 3946 S 3235 HR 4451 S 2768 HR 4835 S 2807 S 1952 S 1936 HR 4016 HR 3874 S 2906 HR 4242 HR 4369 S 2357 HR 6539 HR 6581 HR 5683 HR 6582 HR 5693 HR 5671 HR 5649 HR 4450 HR 5452 HR 4871 S 2884 HR 6151 HR 4362 HR 4059 HR 6101 HR 4716 HR 4783 S 2372 HR 5921 S 2719 HR 6419 HR 6234 HR 4728 HR 5986 S 3241 HR 3832 HR 4457 HR 5314 HR 5864 HR 3819 HRES 809 HR 4132 HR 5246 HR 4243 HR 5966 HR 6398 HR 6066 HR 4106 S 3089 S 1990 HR 4898 HR 6418 S 2288 HR 4113 HR 4245 HR 6285 HR 5830 HR 5674 HR 5095 HR 3933 HR 4099 HR 4653 HRES 613 S 2473 HRES 611 HR 4635 HR 3865 HR 5866 HRES 1025 HR 3940 HR 3949 S 2821 HR 5938 HR 5500 HR 5486 HR 6566 HR 4055 HR 4830 HR 4852 HR 4793 S 2548 S 2565 SRES 551 S 2748 HR 5644 HR 5882 S 2402 S 1871 S 2356 HR 5920 S 1873 HR 5781 HR 4670 HR 4346 HRES 590 S 1881 HR 4328 S 1951

SCONRES 12 HR 1900 HR 1875 S 804 HR 1848 S 798 HR 1802 S 784 HR 1783 HR 1797 HR 1790 HR 1799 HR 1771 S 758 HR 1798 HR 1749 HR 1712 S 712 HR 1685 S 700 HR 1690 S 699 HR 1681 HRES 214 HR 1662 HR 1618 HR 1564 HR 1545 HR 1509 HR 1507 HR 1508 HR 1505 HR 1506 HR 1472 HR 1445 S 585 HR 1405 HR 1390 HR 1383 HR 1379 HR 1391 HR 1367 HR 1359 HR 1331 HR 1328 HR 1329 HR 1279 S 473 HR 1251 HR 1254 HR 1259 HR 1216 HR 1206 HR 1212 HR 1152 HR 1104 HR 1162 HR 1168 S 423 S 410 S 422 HR 1131 HR 1133 HR 1112 HR 1063 HR 1066 HR 1064 HR 1100 HR 1032 S 369 HR 1058 HR 1052 HR 1007 HR 1005 HR 996 HR 980 S 336 HCONRES 22 HR 927 HR 925 HR 974 HR 907 HR 906 HR 971 S 324 HR 918 S 315 HR 877 HR 897 HR 888 HR 874 S 319 HR 856 S 283 HR 814 HR 815 HR 809 HR 758 S 242 HR 703 HR 632 HR 645 S 233 HR 611 HR 609 S 152 HR 578 HR 512 HR 467 S 114 HR 476 S 111 S 113 S 115 HRES 46 S 112 HR 457 HR 411 S 86 HR 388 HR 418 S 75 HR 369 HR 333 HR 334 HR 337 S 57 HR 303 HR 299 S 35 S 24 HR 245 HR 282 S 23 HR 293 HR 91 HR 42 HR 28 HR 43 HR 107 HR 27 HR 103 HR 67 HR 104 HR 93 HR 154 HR 95 HR 90 HR 92 HR 102 HR 106 HR 101 HR 105 S 12 S 1836 HR 3781 HR 3754 HR 3752 S 1789 HR 3720 S 1775 HR 3705 HR 3696 HR 3680 HR 3666 HR 3657 HR 3656 HR 3642 HR 3634 HR 3640 HR 3605 HR 3562 HR 3558 HR 3557 HR 3561 HR 3492 S 1661 HR 3459 HR 3497 HR 3429 S 1635 S 1619 HR 3368 HR 3372 HR 3370 HCONRES 70 HRES 462 S 1611 HR 3335 S 1596 S 1598 HR 3308 HR 3272 HR 3262 S 1550 HR 3218 S 1566 HR 3195 HR 3194 HR 3197 HRES 436 HR 3185 HR 3177 S 1526 HR 3169 HR 3165 HR 3122 HR 3130 HR 3158 S 1473 SRES 205 HR 3095 S 1467 S 1449 HR 3054 HR 12 HR 3042 HR 3018 HR 3028 S 1424 HRES 391 HR 2920 S 1356 HR 2891 S 1325 HR 2839 S 1319 HR 2837 S 1330 HR 2838 HR 2827 HR 2772 HR 2787 HR 2785 HR 2758 HR 2694 HR 2738 HR 2733 S 1277 HR 2708 HR 2736 HR 2737 HR 2703 HR 2707 S 1279 S 1261 HR 2652 HR 2716 S 1266 HR 2692 HR 2744 HR 2699 HR 2698 HR 2648 HR 2631 HR 2634 HR 2625 S 1218 HR 2601 S 1209 S 1192 S 1198 HR 2555 HR 2549 S 1179 HR 2517 S 1163 S 1153 HR 2506 HR 2478 S 1161 HR 2452 HR 2409 S 1094 S 1111 S 1098 HR 2421 HR 2419 S 1072 HR 2312 S 1024 HR 2322 S 1014 S 1015 HR 2311 HR 2307 HR 2327 HR 2288 HCONRES 52 HR 2257 HR 2251 HR 2225 HR 2210 S 970 HR 2198 HR 2147 S 946 HR 2123 S 925 S 933 HR 2108 HR 2103 HR 2100 HR 2099 S 899 S 903 HR 1972 HR 1993 HR 1989 HR 2006 HRES 258 HR 1998 HR 1994 HR 2037 HR 1977 HR 1943 S 844 HR 1910 HR 1954 HR 1956 S 833 HR 1942 HR 6637 HR 6572 S 3130 HR 6161 HRES 950 HR 6027 HR 5047 HR 4366 HR 4338 HR 4173 HR 5538 HR 5397 S 2622 HR 5301 S 2541 HR 5215 S 2485 HR 5152 HR 5044 HRES 737 HR 4958 HR 4910 HR 4843 S 2304 S 2294 HR 4727 HR 4642 HR 4632 HR 4565 HR 4380 HR 4339 HR 4335 HR 4321 HR 4320 HR 4357 HR 4312 S 2105 S 2038 HR 4146 HR 4149 S 2433 HR 4360 HR 1844 HR 4687 HR 4533 HR 3946 S 3235 HR 4451 S 2768 HR 4835 S 2807 S 1952 S 1936 HR 4016 HR 3874 S 2906 HR 4242 HR 4369 S 2357 HR 6539 HR 6581 HR 5683 HR 6582 HR 5693 HR 5671 HR 5649 HR 4450 HR 5452 HR 4871 S 2884 HR 6151 HR 4362 HR 4059 HR 6101 HR 4716 HR 4783 S 2372 HR 5921 S 2719 HR 6419 HR 6234 HR 4728 HR 5986 S 3241 HR 3832 HR 4457 HR 5314 HR 5864 HR 3819 HRES 809 HR 4132 HR 5246 HR 4243 HR 5966 HR 6398 HR 6066 HR 4106 S 3089 S 1990 HR 4898 HR 6418 S 2288 HR 4113 HR 4245 HR 6285 HR 5830 HR 5674 HR 5095 HR 3933 HR 4099 HR 4653 HRES 613 S 2473 HRES 611 HR 4635 HR 3865 HR 5866 HRES 1025 HR 3940 HR 3949 S 2821 HR 5938 HR 5500 HR 5486 HR 6566 HR 4055 HR 4830 HR 4852 HR 4793 S 2548 S 2565 SRES 551 S 2748 HR 5644 HR 5882 S 2402 S 1871 S 2356 HR 5920 S 1873 HR 5781 HR 4670 HR 4346 HRES 590 S 1881 HR 4328 S 1951

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Implementation of the Drug Quality and Security Act of 2013 (Public Law 113-54) 7.Implementation of Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 8.Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 9.Implementation of Every Student Succeeds Act (Public Law 114-95) 10.Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 11.FY 2018 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 1771/H.R. 3358) 12.FY 2018 Departments of Agriculture, Rural Development, Food and Drug Administration and Related Agencies Appropriations (S. 1603/H.R. 3268) 13.Consolidated Appropriations Act 2018 (Public Law 115-141) 14.Midnight Rules Relief Act (S.34/H.R. 21) 15.Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 16.Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 17.Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 18.Regulatory Integrity Act (H.R. 1004) 19.OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 20.A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 21.American Health Care Act (H.R. 1628/H.Res. 228) 22.Ozone Standards Implementation Act (S. 263/H.R. 806) 23.Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 24.Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 25.Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 26.Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 27.Preventing Antibiotic Resistance Act (S. 629) 28.Better Care Reconciliation Act (H.R. 1628) and related amendments 29.Public Health Emergency Response Act (S. 196) 30.Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 31.Consolidated Appropriations Act, 2017 (Public Law 115-31) 32.Treat and Reduce Obesity Act (S. 830/H.R. 1953) 33.Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 34.Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 35.Tobacco Tax Equity Act (S. 1837) 36.Healthy Kids Act (S. 1821/H.R. 3921) 37.Implementation of the Drug Quality and Security Act (P.S. 113-54) 38.Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 39.Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 40.Lead-Safe Housing for Kids Act (S. 1845) 41.Supporting Working Moms Act (S. 2122/H.R. 3255) 42.Championing Healthy Kids Act (H.R. 3922) 43.Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 44.An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 45.Tax Cuts and Jobs Act (Public Law 115-97) 46.Pandemic and All-Hazards Preparedness Advancing Innovation Act (S. 2852/H.R. 6378) 47.Vaccine Access Improvement Act (H.R. 4993) 48.Relief from New Source Performance Standards Act (H.R. 453) 49.Strategies to Address Antimicrobial Resistance (S. 2469) 50.Opioid Quota Reform Act (S. 2535) 51.Hospital Preparedness Program Reauthorization Act (H.R. 4776) 52.Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 53.Health Equity and Accountability Act (H.R. 5942) 54.Opioid Crisis Response Act of 2018 (S. 2680) 55.Agriculture and Nutrition Act (H.R. 2) 56.Agriculture Improvement Act (S. 3042) 57.SECURE Act (H.R. 5998) 58.FY 2019 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 3158) 59.FY 2019 Departments of the Interior, Environment, and Related Agencies Appropriations Act (H.R. 6147/S. 3073) 60.FY 2019 Departments of Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations (H.R. 5961/ S. 2976) 61.Trauma-Informed Care for Children and Families Act (S. 774) 62.SUPPORT for Patients and Communities Act (H.R. 6) 63.Centers for Disease Control Emergency Response Act (S. 3161) 64.LABEL Opioids Act (S. 3428) 65.Relief from New Source Performance Standards Act (S. 1857) 66.Outdoors for All Act (S. 3499) 67.The MOMMA Act (H.R. 5977) 68.The WIC Act (not yet introduced) 69.Preventing Maternal Deaths Act (H.R. 1318) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, Education, USDA, DHS, FEMA, and SAMHSA.

raising awareness about the role and benefits of medical scribes, and opportunities to achieve efficiency in the healthcare system by using scribes. promoting scribes as an efficiency tool for the Veterans Health Administration (HR 1848 - the Veterans Affairs Medical Scribe Pilot Act of 2017; S 113 - Maximizing Efficiency and Improving Access to Providers at the Department of Veterans Affairs Act). S. 2193 - Caring for our Veterans Act proposed changes to the FY2019 physician fee schedule that are designed to reduce paperwork burden

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 90, HR 91, HR 92, HR 93, HR 95, HR 101, HR 102, HR 103, HR 299, HR 303, HR 457, HR 476, HR 632, HR 846, HR 907, HR 918, HR 927, HR 936, HR 1005, HR 1058, HR 1063, HR 1100, HR 1153, HR 1279, HR 1329, HR 1359, HR 1367, HR 1371, HR 1472, HR 1618, HR 1802, HR 1943, HR 1972, HR 2123, HR 2147, HR 2288, HR 2452, HR 2652, HR 3158, HR 3368, HR 3558, HR 3605, HR 3705, HR 3819, HR 4016, HR 4099, HR 4146, HR 4334, HR 4345, HR 4369, HR 4451, HR 4556, HR 4635, HR 4843, HR 4898, HR 4958, HR 5044, HR 5452, HR 5467, HR 5520, HR 5553, HR 5671, HR 5693, HR 5920, S 23, S 75, S 112, S 113, S 116, S 120, S 165, S 233, S 283, S 319, S 324, S 339, S 422, S 423, S 591, S 609, S 681, S 683, S 784, S 804, S 833, S 925, S 946, S 970, S 992, S 1024, S 1072, S 1111, S 1153, S 1161, S 1261, S 1325, S 1333, S 1473, S 1735, S 1759, S 1873, S 1972, S 1990, S 2038, S 2105, S 2131, S 2193, S 2239, S 2341, S 2356, S 2402, S 2565, S 2768, S 2796, S 2821, S 2884.

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

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 90, HR 91, HR 92, HR 93, HR 95, HR 101, HR 102, HR 103, HR 299, HR 303, HR 457, HR 476, HR 632, HR 846, HR 907, HR 918, HR 927, HR 936, HR 1005, HR 1058, HR 1063, HR 1100, HR 1153, HR 1279, HR 1329, HR 1359, HR 1367, HR 1371, HR 1472, HR 1618, HR 1802, HR 1943, HR 1972, HR 2123, HR 2147, HR 2288, HR 2452, HR 2652, HR 3158, HR 3368, HR 3558, HR 3605, HR 3705, HR 3819, HR 4016, HR 4099, HR 4146, HR 4334, HR 4345, HR 4369, HR 4451, HR 4556, HR 4635, HR 4843, HR 4898, HR 4958, HR 5044, HR 5452, HR 5467, HR 5553, HR 5671, HR 5920, S 23, S 75, S 112, S 113, S 116, S 120, S 165, S 233, S 283, S 319, S 324, S 339, S 422, S 423, S 591, S 609, S 681, S 683, S 784, S 804, S 833, S 925, S 946, S 970, S 992, S 1024, S 1072, S 1111, S 1153, S 1161, S 1261, S 1325, S 1333, S 1473, S 1735, S 1759, S 1873, S 1990, S 2038, S 2105, S 2131, S 2193, S 2239, S 2341, S 2356, S 2402, S 2565, S 2821, S 2884.

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

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Implementation of the Drug Quality and Security Act of 2013 (Public Law 113-54) 7.Implementation of Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 8.Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 9.Implementation of Every Student Succeeds Act (Public Law 114-95) 10.Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 11.FY 2018 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 1771/H.R. 3358) 12.FY 2018 Departments of Agriculture, Rural Development, Food and Drug Administration and Related Agencies Appropriations (S. 1603/H.R. 3268) 13.Consolidated Appropriations Act 2018 (Public Law 115-141) 14.Midnight Rules Relief Act (S.34/H.R. 21) 15.Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 16.Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 17.Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 18.Regulatory Integrity Act (H.R. 1004) 19.OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 20.A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 21.American Health Care Act (H.R. 1628/H.Res. 228) 22.Ozone Standards Implementation Act (S. 263/H.R. 806) 23.Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 24.Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 25.Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 26.Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 27.Preventing Antibiotic Resistance Act (S. 629) 28.Better Care Reconciliation Act (H.R. 1628) and related amendments 29.Public Health Emergency Response Act (S. 196) 30.Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 31.Consolidated Appropriations Act, 2017 (Public Law 115-31) 32.Treat and Reduce Obesity Act (S. 830/H.R. 1953) 33.Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 34.Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 35.Tobacco Tax Equity Act (S. 1837) 36.Healthy Kids Act (S. 1821/H.R. 3921) 37.Implementation of the Drug Quality and Security Act (P.S. 113-54) 38.Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 39.Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 40.Lead-Safe Housing for Kids Act (S. 1845) 41.Supporting Working Moms Act (S. 2122/H.R. 3255) 42.Championing Healthy Kids Act (H.R. 3922) 43.Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 44.An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 45.Tax Cuts and Jobs Act (Public Law 115-97) 46.Pandemic and All-Hazards Preparedness Advancing Innovation Act (S. 2852/H.R. 6783) 47.Vaccine Access Improvement Act (H.R. 4993) 48.Relief from New Source Performance Standards Act (H.R. 453) 49.Strategies to Address Antimicrobial Resistance (S. 2469) 50.Opioid Quota Reform Act (S. 2535) 51.Hospital Preparedness Program Reauthorization Act (H.R. 4776) 52.Relief from New Source Performance Standards Act (H.R. 453) 53.Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 54.Health Equity and Accountability Act (H.R. 5942) 55.Opioid Crisis Response Act of 2018 (S. 2680) 56.Agriculture and Nutrition Act (H.R. 2) 57.Agriculture Improvement Act (S. 3042) 58.SECURE Act (H.R. 5998) 59.FY 2019 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 3158) 60.FY 2019 Departments of the Interior, Environment, and Related Agencies Appropriations Act (H.R. 6147/S. 3073) 61.FY 2019 Departments of Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations (H.R. 5961/ S. 2976) 62.Trauma-Informed Care for Children and Families Act (S. 774) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, Education, USDA, DHS, FEMA, and SAMHSA.

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Implementation of the Drug Quality and Security Act of 2013 (Public Law 113-54) 7.Implementation of Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 8.Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 9.Implementation of Every Student Succeeds Act (Public Law 114-95) 10.Implementation of the Comprehensive Addiction and Recovery Act (Public Law 114-98) 11.FY 2018 Departments of Labor, Health, and Human Services, and Education and Related Agencies Appropriations (S. 1771/H.R. 3358) 12.FY 2018 Departments of Agriculture, Rural Development, Food, and Drug Administration and Related Agencies Appropriations (S. 1603/H.R. 3268) 13.Consolidated Appropriations Act 2018 (Public Law 115-141) 14.Midnight Rules Relief Act (S.34/H.R. 21) 15.Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 16.Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 17.Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 18.Regulatory Integrity Act (H.R. 1004) 19.OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 20.A concurrent resolution setting forth the congressional budget for the United States Government for the fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 21.American Health Care Act (H.R. 1628/H.Res. 228) 22.Ozone Standards Implementation Act (S. 263/H.R. 806) 23.Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 24.Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 25.Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 26.Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 27.Preventing Antibiotic Resistance Act (S. 629) 28.Better Care Reconciliation Act (H.R. 1628) and related amendments 29.Public Health Emergency Response Act (S. 196) 30.Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 31.Consolidated Appropriations Act, 2017 (Public Law 115-31) 32.Treat and Reduce Obesity Act (S. 830/H.R. 1953) 33.Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 34.Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 35.Tobacco Tax Equity Act (S. 1837) 36.Healthy Kids Act (S. 1821/H.R. 3921) 37.Implementation of the Drug Quality and Security Act (P.S. 113-54) 38.Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 39.Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 40.Lead-Safe Housing for Kids Act (S. 1845) 41.Supporting Working Moms Act (S. 2122/H.R. 3255) 42.Championing Healthy Kids Act (H.R. 3922) 43.Making further continuing appropriations for the fiscal year 2018, and for other purposes (Public Law 115-90) 44.An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 45.Tax Cuts and Jobs Act (Public Law 115-97) 46.Reauthorization of the Pandemic and All-Hazards Preparedness Act (not yet introduced) 47.Vaccine Access Improvement Act (H.R. 4993) 48.Relief from New Source Performance Standards Act (H.R. 453) 49.Strategies to Address Antimicrobial Resistance (S. 2469) 50.Opioid Quota Reform Act (S. 2535) 51.Hospital Preparedness Program Reauthorization Act (H.R. 4776) 52.Relief from New Source Performance Standards Act (H.R. 453) 53.Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 54.Health Equity and Accountability Act (not yet introduced) 55.Opioid Crisis Response Act of 2018 (not yet introduced) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, Education, USDA, DHS, FEMA, and SAMHSA.

raising awareness about the role and benefits of medical scribes, and opportunities to achieve efficiency in the healthcare system by using scribes. promoting scribes as an efficiency tool for the Veterans Health Administration (HR 1848 - the Veterans Affairs Medical Scribe Pilot Act of 2017; S 113 - Maximizing Efficiency and Improving Access to Providers at the Department of Veterans Affairs Act). S. 2193 - Caring for our Veterans Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied against HR 4242, House VA Committee proposal to establish a new permanent private care program to replace the Choice Program. Lobbied against HR 1848 and S 113, bills to authorize the use of contractors to perform medical scribe duties at the VA. Lobbing for HR 1461, a bill to severely limit the use of VA official time, allow union members to drop their dues at any time, and extend probation from 12 to 18 months. Lobbied against S 1477, Serve Veterans First Act of 2017, a bill to severely restrict VA official time based on wait times. Lobbied in support of S 1024/HR 2288, stand alone bills to implement a VA appeals reform plan. Lobbied for the introduction of HR 3459, the VA Staffing and Vacancies Transparency Act of 2017, providing for vacancy transparency at the VA. Lobbied for the introduction of S 1723, Strengthening Veterans Health Care Act of 2017, providing for more money for the VA to hire medical professionals. Lobbied against the Veterans Benefits Administration's decision to change standards for Veterans Service Representatives and potentially dismiss employees. Lobbied against the Board of Veterans' Appeals decision to change standards for attorneys and potentially dismiss employees. Lobbied against HR 4243, the "Veterans Affairs Asset and Infrastructure Review Act of 2017, as a real threat to the survival of the VA's health care system.

Client expense: $540,000 · Firm income: Not reported

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Implementation of the Drug Quality and Security Act of 2013 (Public Law 113-54) 7.Implementation of Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 8.Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 9.Implementation of Every Student Succeeds Act (Public Law 114-95) 10.Implementation of the Comprehensive Addiction and Recovery Act (Public Law 114-98) 11.FY 2018 Departments of Labor, Health, and Human Services, and Education and Related Agencies Appropriations (S. 1771/H.R. 3358) 12.FY 2018 Departments of Agriculture, Rural Development, Food, and Drug Administration and Related Agencies Appropriations (S. 1603/H.R. 3268) 13.Consolidated Appropriations Act 2018 (Public Law 115-141) 14.Midnight Rules Relief Act (S.34/H.R. 21) 15.Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 16.Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 17.Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 18.Regulatory Integrity Act (H.R. 1004) 19.OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 20.A concurrent resolution setting forth the congressional budget for the United States Government for the fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 21.American Health Care Act (H.R. 1628/H.Res. 228) 22.Ozone Standards Implementation Act (S. 263/H.R. 806) 23.Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 24.Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 25.Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 26.Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 27.Preventing Antibiotic Resistance Act (S. 629) 28.Better Care Reconciliation Act (H.R. 1628) and related amendments 29.Public Health Emergency Response Act (S. 196) 30.Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 31.Consolidated Appropriations Act, 2017 (Public Law 115-31) 32.Treat and Reduce Obesity Act (S. 830/H.R. 1953) 33.Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 34.Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 35.Tobacco Tax Equity Act (S. 1837) 36.Healthy Kids Act (S. 1821/H.R. 3921) 37.Implementation of the Drug Quality and Security Act (P.S. 113-54) 38.Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 39.Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 40.Lead-Safe Housing for Kids Act (S. 1845) 41.Supporting Working Moms Act (S. 2122/H.R. 3255) 42.Championing Healthy Kids Act (H.R. 3922) 43.Making further continuing appropriations for the fiscal year 2018, and for other purposes (Public Law 115-90) 44.An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115-96) 45.Tax Cuts and Jobs Act (Public Law 115-97) 46.Reauthorization of the Pandemic and All-Hazards Preparedness Act (not yet introduced) 47.Vaccine Access Improvement Act (H.R. 4993) 48.Relief from New Source Performance Standards Act (H.R. 453) 49.Strategies to Address Antimicrobial Resistance (S. 2469) 50.Opioid Quota Reform Act (S. 2535) 51.Hospital Preparedness Program Reauthorization Act (H.R. 4776) 52.Relief from New Source Performance Standards Act (H.R. 453) 53.Blocking Regulatory Interference from Closing Kilns Act (H.R. 1917) 54.Health Equity and Accountability Act (not yet introduced) 55.Opioid Crisis Response Act of 2018 (not yet introduced) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, Education, USDA, DHS, FEMA, and SAMHSA.

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 90, HR 91, HR 92, HR 93, HR 95, HR 101, HR 102, HR 103, HR 299, HR 303, HR 457, HR 476, HR 632, HR 846, HR 907, HR 918, HR 927, HR 1005, HR 1058, HR 1063, HR 1100, HR 1153, HR 1279, HR 1329, HR 1359, HR 1367, HR 1371, HR 1472, HR 1618, HR 1802, HR 1943, HR 2123, HR 2147, HR 2288, HR 2452, HR 2652, HR 3158, HR 3368, HR 3558, HR 3605, HR 3705, HR 3819, HR 4016, HR 4099, HR 4146, HR 4345, HR 4369, HR 4635, HR 4843, HR 4958, HR 5452, S 23, S 75, S 112, S 113, S 116, S 165, S 233, S 283, S 319, S 324, S 339, S 422, S 423, S 591, S 609, S 681, S 683, S 784, S 804, S 833, S 925, S 946, S 970, S 992, S 1024, S 1072, S 1111, S 1153, S 1161, S 1261, S 1325, S 1473, S 1735, S 1759, S 1990, S 2038, S 2105, S 2131, S 2193, S 2239, S 2341, S 2402, S 2565.

Client expense: $185,000 · Firm income: Not reported

raising awareness about the role and benefits of medical scribes, and opportunities to achieve efficiency in the healthcare system by using scribes. promoting scribes as an efficiency tool for the Veterans Health Administration (HR 1848 - the Veterans Affairs Medical Scribe Pilot Act of 2017; S 113 - Maximizing Efficiency and Improving Access to Providers at the Department of Veterans Affairs Act). S. 2193 - Caring for our Veterans Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied against HR 1259/S 493, a bill to strip collective bargaining rights and due process from every VA employee, including 120,000 veterans in the VA workforce. Lobbied against S 152/HR 611, a bill that would make severe cuts in VA due process rights, recoup bonuses and relocation expenses, and ties these to appeals reform. Lobbied against S 57, a bill that allows for arbitrary recoupment of VA bonuses and severely restricts expungement of VA personnel files. Lobbied against HR 27, a bill that severely restricts expungement of VA personnel files. Lobbied against HR 1848 and S 113, bills to authorize the use of contractors to perform medical scribe duties at the VA. Lobbied against HR 1461, a bill to severely limit the use of VA official time, allow union members to drop their dues at any time, and extend probation from 12 to 18 months. Lobbied against S 12, a bill to allow recoupment of pensions from VA medical professionals convicted of certain felonies. Lobbied for HR 696, a bill to exempt the entire VA workforce from the hiring freeze. Lobbied for S. 336/HR 980, bills to restore full collective bargaining rights to VA health care personnel appointed under Title 38. Lobbied for S. 426, a bill to increase education, training, and locality pay for VA physician assistants. Lobbied for S 712.HR 457, stand alone bills to implement a VA appeals reform plan.

Client expense: $446,000 · Firm income: Not reported

Lobbied against HR 1259/S 493, a bill to strip collective bargaining rights and due process from every VA employee, including 120,000 veterans in the VA workforce. Lobbied to improve unfavorable provisions in S 1094, the Department of VA Accountability and Whistleblower Protection Act of 2017, that would make severe cuts in VA due process rights, collective bargaining rights, and allow recoupment of pensions bonuses and relocation expenses. Lobbied against S 1094. Lobbied against HR 369, To eliminate Sunset of Veterans Choice Program, as originally drafted that would expand the Choice Program. Lobbied against HR 1848 and S 113, bills to authorize the use of contractors to perform medical scribe duties at the VA. Lobbied against HR 1461, a bill to severely limit the use of VA official time, allow union members to drop their dues at any time, and extend probation from 12 to 18 months. Lobbied against S 1477, Serve Veterans First Act of 2017, a bill to severely restrict VA official time based on wait times. Lobbied in support of S 1024/HR 2288, stand alone bills to implement a VA appeals reform plan.

Client expense: $477,000 · Firm income: Not reported

Lobbied against S 114, to extend the Veterans Choice Program without additional fund for VA. Lobbied against HR 1848 and S 113, bills to authorize the use of contractors to perform medical scribe duties at the VA. Lobbing for HR 1461, a bill to severely limit the use of VA official time, allow union members to drop their dues at any time, and extend probation from 12 to 18 months. Lobbied against S 1477, Serve Veterans First Act of 2017, a bill to severely restrict VA official time based on wait times. Lobbied in support of S 1024/HR 2288, stand alone bills to implement a VA appeals reform plan. Lobbied for the introduction of HR 3459, the VA Staffing and Vacancies Transparency Act of 2017, providing for vacancy transparency at the VA. Lobbied for the introduction of S 1723, Strengthening Veterans Health Care Act of 2017, providing for more money for the VA to hire medical professionals.

Client expense: $647,000 · Firm income: Not reported

Lobbied against HR 4242, House VA Committee proposal to establish a new permanent private care program to replace the Choice Program. Lobbied against HR 1848 and S 113, bills to authorize the use of contractors to perform medical scribe duties at the VA. Lobbing for HR 1461, a bill to severely limit the use of VA official time, allow union members to drop their dues at any time, and extend probation from 12 to 18 months. Lobbied against S 1477, Serve Veterans First Act of 2017, a bill to severely restrict VA official time based on wait times. Lobbied in support of S 1024/HR 2288, stand alone bills to implement a VA appeals reform plan. Lobbied for the introduction of HR 3459, the VA Staffing and Vacancies Transparency Act of 2017, providing for vacancy transparency at the VA. Lobbied for the introduction of S 1723, Strengthening Veterans Health Care Act of 2017, providing for more money for the VA to hire medical professionals. Lobbied against the Veterans Benefits Administration's decision to change standards for Veterans Service Representatives and potentially dismiss employees. Lobbied against the Board of Veterans' Appeals decision to change standards for attorneys and potentially dismiss employees. Lobbied against HR 4243, the "Veterans Affairs Asset and Infrastructure Review Act of 2017, as a real threat to the survival of the VA's health care system.

Client expense: $542,000 · Firm income: Not reported

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 90, HR 91, HR 92, HR 93, HR 95, HR 101, HR 102, HR 103, HR 299, HR 303, HR 457, HR 476, HR 632, HR 846, HR 907, HR 918, HR 927, HR 1005, HR 1058, HR 1063, HR 1100, HR 1153, HR 1279, HR 1329, HR 1359, HR 1367, HR 1371, HR 1472, HR 1618, HR 1802, HR 1943, HR 2147, HR 2288, HR 2452, HR 2652, HR 3158, HR 3368, S 23, S 75, S 112, S 113, S 116, S 165, S 233, S 283, S 319, S 324, S 339, S 422, S 423, S 591, S 609, S 681, S 683, S 784, S 804, S 833, S 946, S 970, S 992, S 1024, S 1111, S 1153, S 1161, S 1261, S 1325, S 1473, S 1735, S 1759.

Client expense: $185,000 · Firm income: Not reported

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 90, HR 91, HR 93, HR 95, HR 101, HR 102, HR 103, HR 303, HR 457, HR 476, HR 632, HR 846, HR 918, HR 927, HR 1005, HR 1058, HR 1100, HR 1279, HR 1329, HR 1359, HR 1367, HR 1371, HR 1472, HR 1618, HR 1802, S 75, S 113, S 165, S 233, S 283, S 319, S 324, S 423, S 591, S 609, S 681, S 683.

Client expense: $175,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

Lobbied against HR 4242, House VA Committee proposal to establish a new permanent private care program to replace the Choice Program. Lobbied against HR 1848 and S 113, bills to authorize the use of contractors to perform medical scribe duties at the VA. Lobbing for HR 1461, a bill to severely limit the use of VA official time, allow union members to drop their dues at any time, and extend probation from 12 to 18 months. Lobbied against S 1477, Serve Veterans First Act of 2017, a bill to severely restrict VA official time based on wait times. Lobbied in support of S 1024/HR 2288, stand alone bills to implement a VA appeals reform plan. Lobbied for the introduction of HR 3459, the VA Staffing and Vacancies Transparency Act of 2017, providing for vacancy transparency at the VA. Lobbied for the introduction of S 1723, Strengthening Veterans Health Care Act of 2017, providing for more money for the VA to hire medical professionals. Lobbied against the Veterans Benefits Administration's decision to change standards for Veterans Service Representatives and potentially dismiss employees. Lobbied against the Board of Veterans' Appeals decision to change standards for attorneys and potentially dismiss employees. Lobbied against HR 4243, the "Veterans Affairs Asset and Infrastructure Review Act of 2017, as a real threat to the survival of the VA's health care system.

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

Lobbied against HR 4242, House VA Committee proposal to establish a new permanent private care program to replace the Choice Program. Lobbied against HR 1848 and S 113, bills to authorize the use of contractors to perform medical scribe duties at the VA. Lobbing for HR 1461, a bill to severely limit the use of VA official time, allow union members to drop their dues at any time, and extend probation from 12 to 18 months. Lobbied against S 1477, Serve Veterans First Act of 2017, a bill to severely restrict VA official time based on wait times. Lobbied in support of S 1024/HR 2288, stand alone bills to implement a VA appeals reform plan. Lobbied for the introduction of HR 3459, the VA Staffing and Vacancies Transparency Act of 2017, providing for vacancy transparency at the VA. Lobbied for the introduction of S 1723, Strengthening Veterans Health Care Act of 2017, providing for more money for the VA to hire medical professionals. Lobbied against the Veterans Benefits Administration's decision to change standards for Veterans Service Representatives and potentially dismiss employees. Lobbied against the Board of Veterans' Appeals decision to change standards for attorneys and potentially dismiss employees. Lobbied against HR 4243, the "Veterans Affairs Asset and Infrastructure Review Act of 2017, as a real threat to the survival of the VA's health care system.

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

Lobbied against S 114, to extend the Veterans Choice Program without additional fund for VA. Lobbied against HR 1848 and S 113, bills to authorize the use of contractors to perform medical scribe duties at the VA. Lobbing for HR 1461, a bill to severely limit the use of VA official time, allow union members to drop their dues at any time, and extend probation from 12 to 18 months. Lobbied against S 1477, Serve Veterans First Act of 2017, a bill to severely restrict VA official time based on wait times. Lobbied in support of S 1024/HR 2288, stand alone bills to implement a VA appeals reform plan. Lobbied for the introduction of HR 3459, the VA Staffing and Vacancies Transparency Act of 2017, providing for vacancy transparency at the VA. Lobbied for the introduction of S 1723, Strengthening Veterans Health Care Act of 2017, providing for more money for the VA to hire medical professionals.

Client expense: $610,000 · Firm income: Not reported

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions, and substance misuse/behavioral health issues. Specific Legislation: 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2. Implementation of the FDA Food Safety Modernization Act (Public Law 111- 353) 3. Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4. Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111- 296) 5. Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6. Implementation of the Drug Quality and Security Act of 2013 (Public Law 113-54) 7. Implementation of Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 8. Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 9. Implementation of Every Student Succeeds Act (Public Law 114-95) 10. Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 11. FY 2018 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 1771/H.R. 3358) 12. FY 2018 Departments of Agriculture, Rural Development, Food and Drug Administration and Related Agencies Appropriations (S. 1603/H.R. 3268) 13. Midnight Rules Relief Act (S.34/H.R. 21) 14. Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 15. Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 16. Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 17. Regulatory Integrity Act (H.R. 1004) 18. OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 19. A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 20. American Health Care Act (H.R. 1628/H.Res. 228) 21. Ozone Standards Implementation Act (S. 263/H.R. 806) 22. Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 23. Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 24. Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 25. Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 26. Preventing Antibiotic Resistance Act (S. 629) 27. Better Care Reconciliation Act (H.R. 1628) and related amendments 28. Public Health Emergency Response Act (S. 196) 29. Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 30. Consolidated Appropriations Act, 2017 (Public Law 115-31) 31. Treat and Reduce Obesity Act (S. 830/H.R. 1953) 32. Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 33. Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 34. Tobacco Tax Equity Act (S. 1837) 35. Healthy Kids Act (S. 1821/H.R. 3921) 36. Implementation of the Drug Quality and Security Act (P.S. 113-54) 37. Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) 38. Friendly Airports for Mothers Act (S. 1110/H.R. 2375) 39. Lead-Safe Housing for Kids Act (S. 1845) 40. Supporting Working Moms Act (S. 2122/H.R. 3255) 41. Championing Healthy Kids Act (H.R. 3922) 42. Making further continuing appropriations for fiscal year 2018, and for other purposes (Public Law 115-90) 43. An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes (Public Law 115- 96) 44. Tax Cuts and Jobs Act (Public Law 115-97) 45. Reauthorization of the Pandemic and All-Hazards Preparedness Act (not yet introduced) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, Education, USDA, DHS, FEMA, and SAMHSA.

Lobbied against HR 4242, House VA Committee proposal to establish a new permanent private care program to replace the Choice Program. Lobbied against HR 1848 and S 113, bills to authorize the use of contractors to perform medical scribe duties at the VA. Lobbing for HR 1461, a bill to severely limit the use of VA official time, allow union members to drop their dues at any time, and extend probation from 12 to 18 months. Lobbied against S 1477, Serve Veterans First Act of 2017, a bill to severely restrict VA official time based on wait times. Lobbied in support of S 1024/HR 2288, stand alone bills to implement a VA appeals reform plan. Lobbied for the introduction of HR 3459, the VA Staffing and Vacancies Transparency Act of 2017, providing for vacancy transparency at the VA. Lobbied for the introduction of S 1723, Strengthening Veterans Health Care Act of 2017, providing for more money for the VA to hire medical professionals. Lobbied against the Veterans Benefits Administration's decision to change standards for Veterans Service Representatives and potentially dismiss employees. Lobbied against the Board of Veterans' Appeals decision to change standards for attorneys and potentially dismiss employees. Lobbied against HR 4243, the "Veterans Affairs Asset and Infrastructure Review Act of 2017, as a real threat to the survival of the VA's health care system.

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

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 90, HR 91, HR 92, HR 93, HR 95, HR 101, HR 102, HR 103, HR 299, HR 303, HR 457, HR 476, HR 632, HR 846, HR 907, HR 918, HR 927, HR 1005, HR 1058, HR 1063, HR 1100, HR 1153, HR 1279, HR 1329, HR 1359, HR 1367, HR 1371, HR 1472, HR 1618, HR 1802, HR 1943, HR 2123, HR 2147, HR 2288, HR 2452, HR 2652, HR 3158, HR 3368, HR 3558, HR 3705, HR 3819, HR 4016, HR 4345, HR 4369, HR 4635, S 23, S 75, S 112, S 113, S 116, S 165, S 233, S 283, S 319, S 324, S 339, S 422, S 423, S 591, S 609, S 681, S 683, S 784, S 804, S 833, S 946, S 970, S 992, S 1024, S 1111, S 1153, S 1161, S 1261, S 1325, S 1473, S 1735, S 1759, S 2105, S 2193.

Client expense: $185,000 · Firm income: Not reported

raising awareness about the role and benefits of medical scribes, and opportunities to achieve efficiency in the healthcare system by using scribes. promoting scribes as an efficiency tool for the Veterans Health Administration (HR 1848 - the Veterans Affairs Medical Scribe Pilot Act of 2017; S 113 - Maximizing Efficiency and Improving Access to Providers at the Department of Veterans Affairs Act). S. 2193 - Caring for our Veterans Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

raising awareness about the role and benefits of medical scribes, and opportunities to achieve efficiency in the healthcare system by using scribes. promoting scribes as an efficiency tool for the Veterans Health Administration (HR 1848 - the Veterans Affairs Medical Scribe Pilot Act of 2017; S 113 - Maximizing Efficiency and Improving Access to Providers at the Department of Veterans Affairs Act). S. 2193 - Caring for our Veterans Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 90, HR 91, HR 92, HR 93, HR 95, HR 101, HR 102, HR 103, HR 299, HR 303, HR 457, HR 476, HR 632, HR 846, HR 907, HR 918, HR 927, HR 1005, HR 1058, HR 1063, HR 1100, HR 1153, HR 1279, HR 1329, HR 1359, HR 1367, HR 1371, HR 1472, HR 1618, HR 1802, HR 1943, HR 2123, HR 2147, HR 2288, HR 2452, HR 2652, HR 3158, HR 3368, HR 3558, HR 3705, HR 3819, HR 4016, HR 4345, HR 4369, HR 4635, S 23, S 75, S 112, S 113, S 116, S 165, S 233, S 283, S 319, S 324, S 339, S 422, S 423, S 591, S 609, S 681, S 683, S 784, S 804, S 833, S 946, S 970, S 992, S 1024, S 1111, S 1153, S 1161, S 1261, S 1325, S 1473, S 1735, S 1759, S 2105, S. 2193.

Client expense: $185,000 · Firm income: Not reported

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 90, HR 91, HR 92, HR 93, HR 95, HR 101, HR 102, HR 103, HR 299, HR 303, HR 457, HR 476, HR 632, HR 846, HR 907, HR 918, HR 927, HR 1005, HR 1058, HR 1063, HR 1100, HR 1153, HR 1279, HR 1329, HR 1359, HR 1367, HR 1371, HR 1472, HR 1618, HR 1802, HR 1943, HR 2147, HR 2288, HR 2452, HR 2652, HR 3158, HR 3368, S 23, S 75, S 112, S 113, S 116, S 165, S 233, S 283, S 319, S 324, S 339, S 422, S 423, S 591, S 609, S 681, S 683, S 784, S 804, S 833, S 946, S 970, S 992, S 1024, S 1111, S 1153, S 1161, S 1261, S 1325, S 1473, S 1735, S 1759.

Client expense: $185,000 · Firm income: Not reported

Lobbied against S 114, to extend the Veterans Choice Program without additional fund for VA. Lobbied against HR 1848 and S 113, bills to authorize the use of contractors to perform medical scribe duties at the VA. Lobbing for HR 1461, a bill to severely limit the use of VA official time, allow union members to drop their dues at any time, and extend probation from 12 to 18 months. Lobbied against S 1477, Serve Veterans First Act of 2017, a bill to severely restrict VA official time based on wait times. Lobbied in support of S 1024/HR 2288, stand alone bills to implement a VA appeals reform plan. Lobbied for the introduction of HR 3459, the VA Staffing and Vacancies Transparency Act of 2017, providing for vacancy transparency at the VA. Lobbied for the introduction of S 1723, Strengthening Veterans Health Care Act of 2017, providing for more money for the VA to hire medical professionals.

Client expense: $610,000 · Firm income: Not reported

- S. 469/H.R. 1245, "Affordable and Safe Prescription Drug Importation Act", regarding all provisions. - S. 771/H.R. 1776, "Improving Access To Affordable Prescription Drugs Act", regarding all provisions. - H.R. 575, "Cosmetic Modernization Amendments of 2017", regarding all provisions. - H.R. 1271, "DXM Abuse Prevention Act of 2017", regarding all provisions. - S. 404/H.R. 1736, "To amend the Federal Food, Drug, and Cosmetic Act to improve the process for inspections of device establishments and for granting export certifications.", regarding all provisions. - Issues regarding drug pricing. - Issues related to diagnostic reform. - Issues related to blood glucose meters. - S 260/SJ Res 17/HR 849, Protecting Seniors' Access to Medicare Act of 2017, regarding all provisions - S 251/SJ Res 16, Protecting Medicare from Executive Action Act of 2017, regarding all provisions - S 204/HR 878, Right to Try Act of 2017, regarding all provisions - HR 2026, Pharmaceutical Information Exchange Act, regarding all provisions - HR 1703, Medical Product Communications Act of 2017, regarding all provisions - Issues related to VA procurement of medical devices - HR 2474, Medical Product Review Harmonization Act, regarding all provisions - HR 2144, Risk Based Classification of Accessories Act - Issues related to AMA resolution 208(A-16) regarding attorney ads on drug side effects - S.113, "Personal Care Products Safety Act", regarding all provisions - HR 2790, "Humane Cosmetics Act", regarding all provisions - Issues related to over the counter medicine regulatory reform - HR 3271, "Protecting Access to Diabetes Supplies Act", regarding all provisions - Issues regarding medical device repeal - Issues regarding NIH Funding - HR 2164, "Medical Device Safety Act", regarding all provisions - Issues related to 340B

Client expense: $810,000 · Firm income: Not reported

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions and prescription drug abuse. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Implementation of the Drug Quality and Security Act of 2013 (Public Law 113-54) 7.Implementation of Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 8.Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 9.Implementation of Every Student Succeeds Act (Public Law 114-95) 10.Implementation of the Comprehensive Addition and Recovery Act (Public Law 114-98) 11.FY 2018 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations (S. 1771/H.R. 3358) 12.FY 2018 Departments of Agriculture, Rural Development, Food and Drug Administration and Related Agencies Appropriations (S. 1603/H.R. 3268) 13.Midnight Rules Relief Act (S.34/H.R. 21) 14.Regulations from the Executive in Need of Scrutiny Act (S. 21/H.R. 26) 15.Regulatory Accountability Act (S.951/H.R. 5/H.R. 45/H.Res.33) 16.Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act (H.R. 998) 17.Regulatory Integrity Act (H.R. 1004) 18.OIRA Insight, Reform, and Accountability Act (S. 676/H.R. 1009) 19.A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (S.Con.Res. 3) 20.American Health Care Act (H.R. 1628/H.Res. 228) 21.Ozone Standards Implementation Act (S. 263/H.R. 806) 22.Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule of the Bureau of Land Management relating to "Waste Prevention, Production Subject to Royalties, and Resource Conservation" (S.J. Res. 11/H.J.Res.36) 23.Common Sense Nutrition Disclosure Act (S. 261/H.R. 772) 24.Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act (H.R. 1840) 25.Preservation of Antibiotics for Medical Treatment Act (H.R. 1587) 26.Preventing Antibiotic Resistance Act (S. 629) 27.Better Care Reconciliation Act (H.R. 1628) and related amendments 28.Public Health Emergency Response Act (S. 196) 29.Recognizing the importance of vaccinations and immunizations in the United States (H.Res.327) 30.Consolidated Appropriations Act, 2017 (Public Law 115-31) 31.Treat and Reduce Obesity Act (S. 830/H.R. 1953) 32.Community Health and Medical Professionals Improve Our Nation (CHAMPION) Act (H.R. 3922) 33.Community Health Investment, Modernization, and Excellence Act of 2017 (S. 1899) 34.Tobacco Tax Equity Act (S. 1837) 35.Healthy Kids Act (S. 1821/H.R. 3921) 36.Implementation of the Drug Quality and Security Act (P.S. 113-54) 37.Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56) House(s) of Congress and Federal Agencies lobbied during the quarter: House, Senate, Exec Office of Pres, HHS, CDC, FDA, CMS, OMB, DOT, HUD, EPA, Education, USDA, DHS, FEM

raising awareness about the role and benefits of medical scribes, and opportunities to achieve efficiency in the healthcare system by using scribes. promoting scribes as an efficiency tool for the Veterans Health Administration (HR 1848 - the Veterans Affairs Medical Scribe Pilot Act of 2017; S 113 - Maximizing Efficiency and Improving Access to Providers at the Department of Veterans Affairs Act).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied against HR 1259/S 493, a bill to strip collective bargaining rights and due process from every VA employee, including 120,000 veterans in the VA workforce. Lobbied to improve unfavorable provisions in S 1094, the Department of VA Accountability and Whistleblower Protection Act of 2017, that would make severe cuts in VA due process rights, collective bargaining rights, and allow recoupment of pensions bonuses and relocation expenses. Lobbied against S 1094. Lobbied against HR 369, To eliminate Sunset of Veterans Choice Program, as originally drafted that would expand the Choice Program. Lobbied against HR 1848 and S 113, bills to authorize the use of contractors to perform medical scribe duties at the VA. Lobbied against HR 1461, a bill to severely limit the use of VA official time, allow union members to drop their dues at any time, and extend probation from 12 to 18 months. Lobbied against S 1477, Serve Veterans First Act of 2017, a bill to severely restrict VA official time based on wait times. Lobbied in support of S 1024/HR 2288, stand alone bills to implement a VA appeals reform plan.

Client expense: $440,000 · Firm income: Not reported

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 90, HR 91, HR 93, HR 95, HR 101, HR 102, HR 103, HR 303, HR 457, HR 476, HR 632, HR 846, HR 907, HR 918, HR 927, HR 1005, HR 1058, HR 1100, HR 1279, HR 1329, HR 1359, HR 1367, HR 1371, HR 1472, HR 1618, HR 1802, HR 2288, HR 2452, S 23, S 75, S 112, S 113, S 165, S 233, S 283, S 319, S 324, S 423, S 591, S 609, S 681, S 683, S 784, S 804, S 970, S 1024.

Client expense: $203,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

raising awareness about the role and benefits of medical scribes, and opportunities to achieve efficiency in the healthcare system by using scribes. promoting scribes as an efficiency tool for the Veterans Health Administration (HR 1848 - the Veterans Affairs Medical Scribe Pilot Act of 2017; S 113 - Maximizing Efficiency and Improving Access to Providers at the Department of Veterans Affairs Act).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied against HR 1259/S 493, a bill to strip collective bargaining rights and due process from every VA employee, including 120,000 veterans in the VA workforce. Lobbied against S 152/HR 611, a bill that would make severe cuts in VA due process rights, recoup bonuses and relocation expenses, and ties these to appeals reform. Lobbied against S 57, a bill that allows for arbitrary recoupment of VA bonuses and severely restricts expungement of VA personnel files. Lobbied against HR 27, a bill that severely restricts expungement of VA personnel files. Lobbied against HR 1848 and S 113, bills to authorize the use of contractors to perform medical scribe duties at the VA. Lobbied against HR 1461, a bill to severely limit the use of VA official time, allow union members to drop their dues at any time, and extend probation from 12 to 18 months. Lobbied against S 12, a bill to allow recoupment of pensions from VA medical professionals convicted of certain felonies. Lobbied for HR 696, a bill to exempt the entire VA workforce from the hiring freeze. Lobbied for S. 336/HR 980, bills to restore full collective bargaining rights to VA health care personnel appointed under Title 38. Lobbied for S. 426, a bill to increase education, training, and locality pay for VA physician assistants. Lobbied for S 712.HR 457, stand alone bills to implement a VA appeals reform plan.

Client expense: $400,000 · Firm income: Not reported

Department of Veterans Affairs appropriations and its delivery of benefits and services to veterans, their dependents and survivors: HR 90, HR 91, HR 93, HR 95, HR 101, HR 102, HR 103, HR 303, HR 457, HR 476, HR 632, HR 846, HR 918, HR 927, HR 1005, HR 1058, HR 1100, HR 1279, HR 1329, HR 1359, HR 1367, HR 1371, HR 1472, HR 1618, HR 1802, S 75, S 113, S 165, S 233, S 283, S 319, S 324, S 423, S 591, S 609, S 681, S 683.

Client expense: $175,000 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

raising awareness about the role and benefits of medical scribes, and opportunities to achieve efficiency in the healthcare system by using scribes. promoting scribes as an efficiency tool for the Veterans Health Administration (HR 1848 - the Veterans Affairs Medical Scribe Pilot Act of 2017; S 113 - Maximizing Efficiency and Improving Access to Providers at the Department of Veterans Affairs Act).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE