Excellence in Mental Health and Addiction Treatment Expansion Act

Monitor renewable energy, transportation, FY20 budget/appropriations, public lands, implementation of Las Vegas Valley Public Land and Tule Springs Fossil Beds National Monument Act, telecommunications and small cells (H.R. 530), CDBG, Urban Area Security Initiative, Pre-K education, immigration, autonomous vehicles, Yucca Mountain, homelessness, workforce, Opportunity Zones, Jobs Corps, Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905/H.R. 3931), Full Service Community Schools grants; Emergency Management Performance Grants; fire

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

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), SENATE

H.R.3931/S.1905, Excellence in Mental Health and Addiction Treatment Expansion Act. Advocating for expanded funding opportunities in Medicare, Medicaid and the private and public mental health systems to ensure individuals with behavioral health illnesses get the care they need. Efforts in both chambers to advance policies intended to address the opioid crisis.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor issues pertaining to addiction, community clinics, mental health programs, and Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905/ H.R. 3931)

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

Monitor renewable energy, transportation, FY20 budget/appropriations, public lands, implementation of Las Vegas Valley Public Land and Tule Springs Fossil Beds National Monument Act, telecommunications and small cells (H.R. 530), CDBG, Urban Area Security Initiative, Pre-K education, immigration, autonomous vehicles, Yucca Mountain, homelessness, workforce, Opportunity Zones, Jobs Corps, Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905/H.R. 3931), Full Service Community Schools grants

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues pertaining to addiction, community clinics, mental health programs, and Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905/ H.R. 3931)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Renewable energy, transportation, FY20 budget/appropriations, public lands, implementation of Las Vegas Valley Public Land and Tule Springs Fossil Beds National Monument Act, telecommunications and small cells (H.R. 530), CDBG, Urban Area Security Initiative, Pre-K education, immigration, autonomous vehicles, Yucca Mountain, homelessness, workforce, Opportunity Zones, Jobs Corps, Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905/H.R. 3931), Full Service Community Schools grants

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3931/S.1905, Excellence in Mental Health and Addiction Treatment Expansion Act. Advocating for expanded funding opportunities in Medicare, Medicaid and the private and public mental health systems to ensure individuals with behavioral health illnesses get the care they need. Efforts in both chambers to advance policies intended to address the opioid crisis.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues pertaining to addiction, community clinics, mental health programs, and Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905/ H.R. 3931)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT), White House Office

Renewable energy, transportation, FY20 budget/appropriations, public lands, implementation of Las Vegas Valley Public Land and Tule Springs Fossil Beds National Monument Act, telecommunications and small cells (H.R. 530), CDBG, Urban Area Security Initiative, Pre-K education, immigration, autonomous vehicles, Yucca Mountain, homelessness, workforce, Opportunity Zones, Jobs Corps, Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905/H.R. 3931)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY2020 Labor HHS Appropriations bill - appropriations related to strengthening the addiction services workforce, including full funding of the loan repayment program for the substance use disorder treatment workforce authorized in the SUPPORT Act, the mental and substance use disorders training demonstration program authorized in 21st Century Cures Act, and preventive medicine residency programs Re-introduction and modifications of the Corrections Public Health and Community Re-entry Act of 2018 - authorizes the National Institute of Corrections to make grants to, and enter cooperative agreements with, state and local governments to develop, implement, or expand medication-assisted treatment for incarcerated individuals who are addicted to opioids. Re-introduction and modifications of the Comprehensive Addiction Resources Emergency Act - to provide emergency assistance to States, territories, Tribal nations, and local areas affected by the opioid epidemic and to make financial assistance available to States, territories, Tribal nations, local areas, and public or private nonprofit entities to provide for the development, organization, coordination, and operation of more effective and cost efficient systems for the delivery of essential services to individuals with substance use disorder and their families. Advocated for additional evidence-based standards. Re-introduction of the Opioid Workforce Act of 2018 - bill increases the number of residency positions eligible for graduate medical education payments under Medicare for hospitals that have addiction or pain management programs, with an aggregate increase of 1,000 positions over a five-year period. Re-introduction of the Behavioral Health Coverage Transparency Act which would require issuers to disclose the analysis they perform in making parity determinations; require federal regulators to conduct random audits; and require the federal parity agencies to review denial rates for mental health versus medical claims. Additionally, it would create a central online portal so that people can access all information as a one-stop shop, and submit complaints and violations. Re-introduction of the Stabilize Medicaid and CHIP Coverage Act which would provide for 12 months of continuous enrollment in Medicaid and CHIP to ensure better access to care and reduce churn. This bill is not specific to mental health, but it would provide significant stability to those patients and providers. H.R.2062/S. 1012 - To amend the Public Health Service Act to protect the confidentiality of substance use disorder patient records. H.R.1920 - Medicaid Bump Act - To amend title XIX of the Social Security Act to provide a higher Federal matching rate for increased expenditures under Medicaid for mental and behavioral health services, and for other purposes. H.R.1329 - Medicaid Reentry Act - This bill allows Medicaid payment for medical services furnished to an incarcerated individual during the 30-day period preceding the individual's release. Supported coalition comments to the Office of the National Coordinator for Health Information Technology on the draft Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. The letter recommended changes to current regulations so that 42 CFR Part 2 is aligned with HIPAA to allow for the transmission of Part 2 records without written consent for the purposes of treatment, payment, and health care operations. Reintroduction and passage of the Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905/H.R. 3931). This legislation would extend and expand the Certified Community Behavioral Health Clinic (CCBHC) demonstration, which is set to end in mid-2019. Submitted coalition comments to the Director, Office for Civil Rights, U.S. Department of Health and Human Services regarding the Request for Information on Modifying HIPAA Rules to Improve Coordinated Care. The letter urged the initiation of a separate rulemaking process for Part 2 modernization to allow for better coordination, safer and more effective treatment for patients, and strong patient protections. Advocated for further alignment of Part 2 with HIPAA for purposes of treatment, payment, and health care operations with the Department of Health and Human Services Sent a letter to the FDA regarding the need to expand access to safe and effective treatment options for substance use disorder to help advance efforts to address the nations opioid overdose epidemic. The letter asks that the FDA take into consideration the need for access to multiple treatment options for clinicians and their patients as they evaluate applications for new products to treat substance use disorder. Joined a group letter to leadership of the House and Senate Appropriations Subcommittee on Financial Services and General Government expressing concern about the President's Fiscal Year 2020 request to cut the White House Office of National Drug Control Policy (ONDCP) by more than 90, including removing the Drug Free Communities (DFC) and the High Intensity Drug Trafficking Area (HIDTA) programs. Joined coalition letters urging the leadership of the House and Senate Appropriations Subcommittee on Agriculture, Rural Development, Food and Drug Administration, and Related Agencies to approve the authorized level of user fees for the Food and Drug Administration to oversee tobacco products. These user fees will give FDA the resources it needs to protect kids and reduce the serious health and economic harms that tobacco products cause. Joined letters urging the leadership of the House and Senate Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies to increase funding for the Centers for Disease Control and Preventions Office on Smoking and Health by $100 million in FY2020, for a total of $310 million. The letters emphasize how this increase is needed to respond to soaring e-cigarette usage rates among youth and the devastating toll that tobacco continues to take on our nations health. Reduction of barriers to buprenorphine related to treatment of hospitalized patients. Technical assistance regarding implementation of CMS related provisions in the SUPPORT for Patients and Communities Act Clarification/guidance regarding DATA Waiver and education provisions in the SUPPORT for Patients and Communities Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Re-introduction and modifications of the Comprehensive Addiction Resources Emergency Act - to provide emergency assistance to States, territories, Tribal nations, and local areas affected by the opioid epidemic and to make financial assistance available to States, territories, Tribal nations, local areas, and public or private nonprofit entities to provide for the development, organization, coordination, and operation of more effective and cost efficient systems for the delivery of essential services to individuals with substance use disorder and their families. Advocated for additional evidence-based standards. Re-introduction of the Opioid Workforce Act of 2018 - bill increases the number of residency positions eligible for graduate medical education payments under Medicare for hospitals that have addiction or pain management programs, with an aggregate increase of 1,000 positions over a five-year period. Re-introduction of the Behavioral Health Coverage Transparency Act which would require issuers to disclose the analysis they perform in making parity determinations; require federal regulators to conduct random audits; and require the federal parity agencies to review denial rates for mental health versus medical claims. Additionally, it would create a central online portal so that people can access all information as a one-stop shop, and submit complaints and violations. Re-introduction of the Stabilize Medicaid and CHIP Coverage Act which would provide for 12 months of continuous enrollment in Medicaid and CHIP to ensure better access to care and reduce churn. This bill is not specific to mental health, but it would provide significant stability to those patients and providers. H.R.2062/S. 1012 - To amend the Public Health Service Act to protect the confidentiality of substance use disorder patient records. H.R.1920 - Medicaid Bump Act - To amend title XIX of the Social Security Act to provide a higher Federal matching rate for increased expenditures under Medicaid for mental and behavioral health services, and for other purposes. H.R.1329 - Medicaid Reentry Act - This bill allows Medicaid payment for medical services furnished to an incarcerated individual during the 30-day period preceding the individual's release. Supported coalition comments to the Office of the National Coordinator for Health Information Technology on the draft Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. The letter recommended changes to current regulations so that 42 CFR Part 2 is aligned with HIPAA to allow for the transmission of Part 2 records without written consent for the purposes of treatment, payment, and health care operations. Reintroduction and passage of the Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905/H.R. 3931). This legislation would extend and expand the Certified Community Behavioral Health Clinic (CCBHC) demonstration, which is set to end in mid-2019. Submitted coalition comments to the Director, Office for Civil Rights, U.S. Department of Health and Human Services regarding the Request for Information on Modifying HIPAA Rules to Improve Coordinated Care. The letter urged the initiation of a separate rulemaking process for Part 2 modernization to allow for better coordination, safer and more effective treatment for patients, and strong patient protections. Advocated for further alignment of Part 2 with HIPAA for purposes of treatment, payment, and health care operations with the Department of Health and Human Services Technical assistance regarding implementation of CMS related provisions in the SUPPORT for Patients and Communities Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

FY2020 Labor HHS Appropriations bill - appropriations related to strengthening the addiction services workforce, including full funding of the loan repayment program for the substance use disorder treatment workforce authorized in the SUPPORT Act, the mental and substance use disorders training demonstration program authorized in 21st Century Cures Act, and preventive medicine residency programs Re-introduction and modifications of the Corrections Public Health and Community Re-entry Act of 2018 - authorizes the National Institute of Corrections to make grants to, and enter cooperative agreements with, state and local governments to develop, implement, or expand medication-assisted treatment for incarcerated individuals who are addicted to opioids. Re-introduction and modifications of the Comprehensive Addiction Resources Emergency Act - to provide emergency assistance to States, territories, Tribal nations, and local areas affected by the opioid epidemic and to make financial assistance available to States, territories, Tribal nations, local areas, and public or private nonprofit entities to provide for the development, organization, coordination, and operation of more effective and cost efficient systems for the delivery of essential services to individuals with substance use disorder and their families. Advocated for additional evidence-based standards. Re-introduction of the Opioid Workforce Act of 2018 - bill increases the number of residency positions eligible for graduate medical education payments under Medicare for hospitals that have addiction or pain management programs, with an aggregate increase of 1,000 positions over a five-year period. Re-introduction of the Behavioral Health Coverage Transparency Act which would require issuers to disclose the analysis they perform in making parity determinations; require federal regulators to conduct random audits; and require the federal parity agencies to review denial rates for mental health versus medical claims. Additionally, it would create a central online portal so that people can access all information as a one-stop shop, and submit complaints and violations. Re-introduction of the Stabilize Medicaid and CHIP Coverage Act which would provide for 12 months of continuous enrollment in Medicaid and CHIP to ensure better access to care and reduce churn. This bill is not specific to mental health, but it would provide significant stability to those patients and providers. H.R.2062/S. 1012 - To amend the Public Health Service Act to protect the confidentiality of substance use disorder patient records. H.R.1920 - Medicaid Bump Act - To amend title XIX of the Social Security Act to provide a higher Federal matching rate for increased expenditures under Medicaid for mental and behavioral health services, and for other purposes. H.R.1329 - Medicaid Reentry Act - This bill allows Medicaid payment for medical services furnished to an incarcerated individual during the 30-day period preceding the individual's release. Supported coalition comments to the Office of the National Coordinator for Health Information Technology on the draft Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. The letter recommended changes to current regulations so that 42 CFR Part 2 is aligned with HIPAA to allow for the transmission of Part 2 records without written consent for the purposes of treatment, payment, and health care operations. Reintroduction and passage of the Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905/H.R. 3931). This legislation would extend and expand the Certified Community Behavioral Health Clinic (CCBHC) demonstration, which is set to end in mid-2019. Submitted coalition comments to the Director, Office for Civil Rights, U.S. Department of Health and Human Services regarding the Request for Information on Modifying HIPAA Rules to Improve Coordinated Care. The letter urged the initiation of a separate rulemaking process for Part 2 modernization to allow for better coordination, safer and more effective treatment for patients, and strong patient protections. Advocated for further alignment of Part 2 with HIPAA for purposes of treatment, payment, and health care operations with the Department of Health and Human Services Sent a letter to the FDA regarding the need to expand access to safe and effective treatment options for substance use disorder to help advance efforts to address the nations opioid overdose epidemic. The letter asks that the FDA take into consideration the need for access to multiple treatment options for clinicians and their patients as they evaluate applications for new products to treat substance use disorder. Joined a group letter to leadership of the House and Senate Appropriations Subcommittee on Financial Services and General Government expressing concern about the President's Fiscal Year 2020 request to cut the White House Office of National Drug Control Policy (ONDCP) by more than 90, including removing the Drug Free Communities (DFC) and the High Intensity Drug Trafficking Area (HIDTA) programs. Joined coalition letters urging the leadership of the House and Senate Appropriations Subcommittee on Agriculture, Rural Development, Food and Drug Administration, and Related Agencies to approve the authorized level of user fees for the Food and Drug Administration to oversee tobacco products. These user fees will give FDA the resources it needs to protect kids and reduce the serious health and economic harms that tobacco products cause. Joined letters urging the leadership of the House and Senate Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies to increase funding for the Centers for Disease Control and Preventions Office on Smoking and Health by $100 million in FY2020, for a total of $310 million. The letters emphasize how this increase is needed to respond to soaring e-cigarette usage rates among youth and the devastating toll that tobacco continues to take on our nations health. Reduction of barriers to buprenorphine related to treatment of hospitalized patients. Technical assistance regarding implementation of CMS related provisions in the SUPPORT for Patients and Communities Act Clarification/guidance regarding DATA Waiver and education provisions in the SUPPORT for Patients and Communities Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

FY2020 Labor HHS Appropriations bill - appropriations related to strengthening the addiction services workforce, including full funding of the loan repayment program for the substance use disorder treatment workforce authorized in the SUPPORT Act, the mental and substance use disorders training demonstration program authorized in 21st Century Cures Act, and preventive medicine residency programs Re-introduction and modifications of the Corrections Public Health and Community Re-entry Act of 2018 - authorizes the National Institute of Corrections to make grants to, and enter cooperative agreements with, state and local governments to develop, implement, or expand medication-assisted treatment for incarcerated individuals who are addicted to opioids. Re-introduction and modifications of the Comprehensive Addiction Resources Emergency Act - to provide emergency assistance to States, territories, Tribal nations, and local areas affected by the opioid epidemic and to make financial assistance available to States, territories, Tribal nations, local areas, and public or private nonprofit entities to provide for the development, organization, coordination, and operation of more effective and cost efficient systems for the delivery of essential services to individuals with substance use disorder and their families. Advocated for additional evidence-based standards. Re-introduction of the Opioid Workforce Act of 2018 - bill increases the number of residency positions eligible for graduate medical education payments under Medicare for hospitals that have addiction or pain management programs, with an aggregate increase of 1,000 positions over a five-year period. Re-introduction of the Behavioral Health Coverage Transparency Act which would require issuers to disclose the analysis they perform in making parity determinations; require federal regulators to conduct random audits; and require the federal parity agencies to review denial rates for mental health versus medical claims. Additionally, it would create a central online portal so that people can access all information as a one-stop shop, and submit complaints and violations. Re-introduction of the Stabilize Medicaid and CHIP Coverage Act which would provide for 12 months of continuous enrollment in Medicaid and CHIP to ensure better access to care and reduce churn. This bill is not specific to mental health, but it would provide significant stability to those patients and providers. H.R.2062/S. 1012 - To amend the Public Health Service Act to protect the confidentiality of substance use disorder patient records. H.R.1920 - Medicaid Bump Act - To amend title XIX of the Social Security Act to provide a higher Federal matching rate for increased expenditures under Medicaid for mental and behavioral health services, and for other purposes. H.R.1329 - Medicaid Reentry Act - This bill allows Medicaid payment for medical services furnished to an incarcerated individual during the 30-day period preceding the individual's release. Supported coalition comments to the Office of the National Coordinator for Health Information Technology on the draft Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. The letter recommended changes to current regulations so that 42 CFR Part 2 is aligned with HIPAA to allow for the transmission of Part 2 records without written consent for the purposes of treatment, payment, and health care operations. Reintroduction and passage of the Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905/H.R. 3931). This legislation would extend and expand the Certified Community Behavioral Health Clinic (CCBHC) demonstration, which is set to end in mid-2019. Submitted coalition comments to the Director, Office for Civil Rights, U.S. Department of Health and Human Services regarding the Request for Information on Modifying HIPAA Rules to Improve Coordinated Care. The letter urged the initiation of a separate rulemaking process for Part 2 modernization to allow for better coordination, safer and more effective treatment for patients, and strong patient protections. Advocated for further alignment of Part 2 with HIPAA for purposes of treatment, payment, and health care operations with the Department of Health and Human Services Sent a letter to the FDA regarding the need to expand access to safe and effective treatment options for substance use disorder to help advance efforts to address the nations opioid overdose epidemic. The letter asks that the FDA take into consideration the need for access to multiple treatment options for clinicians and their patients as they evaluate applications for new products to treat substance use disorder. Joined a group letter to leadership of the House and Senate Appropriations Subcommittee on Financial Services and General Government expressing concern about the President's Fiscal Year 2020 request to cut the White House Office of National Drug Control Policy (ONDCP) by more than 90, including removing the Drug Free Communities (DFC) and the High Intensity Drug Trafficking Area (HIDTA) programs. Joined coalition letters urging the leadership of the House and Senate Appropriations Subcommittee on Agriculture, Rural Development, Food and Drug Administration, and Related Agencies to approve the authorized level of user fees for the Food and Drug Administration to oversee tobacco products. These user fees will give FDA the resources it needs to protect kids and reduce the serious health and economic harms that tobacco products cause. Joined letters urging the leadership of the House and Senate Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies to increase funding for the Centers for Disease Control and Preventions Office on Smoking and Health by $100 million in FY2020, for a total of $310 million. The letters emphasize how this increase is needed to respond to soaring e-cigarette usage rates among youth and the devastating toll that tobacco continues to take on our nations health. Reduction of barriers to buprenorphine related to treatment of hospitalized patients. Technical assistance regarding implementation of CMS related provisions in the SUPPORT for Patients and Communities Act Clarification/guidance regarding DATA Waiver and education provisions in the SUPPORT for Patients and Communities Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

FY2020 Labor HHS Appropriations bill - appropriations related to strengthening the addiction services workforce, including full funding of the loan repayment program for the substance use disorder treatment workforce authorized in the SUPPORT Act, the mental and substance use disorders training demonstration program authorized in 21st Century Cures Act, and preventive medicine residency programs Re-introduction and modifications of the Corrections Public Health and Community Re-entry Act of 2018 - authorizes the National Institute of Corrections to make grants to, and enter cooperative agreements with, state and local governments to develop, implement, or expand medication-assisted treatment for incarcerated individuals who are addicted to opioids. Re-introduction and modifications of the Comprehensive Addiction Resources Emergency Act - to provide emergency assistance to States, territories, Tribal nations, and local areas affected by the opioid epidemic and to make financial assistance available to States, territories, Tribal nations, local areas, and public or private nonprofit entities to provide for the development, organization, coordination, and operation of more effective and cost efficient systems for the delivery of essential services to individuals with substance use disorder and their families. Advocated for additional evidence-based standards. Re-introduction of the Opioid Workforce Act of 2018 - bill increases the number of residency positions eligible for graduate medical education payments under Medicare for hospitals that have addiction or pain management programs, with an aggregate increase of 1,000 positions over a five-year period. Re-introduction of the Behavioral Health Coverage Transparency Act which would require issuers to disclose the analysis they perform in making parity determinations; require federal regulators to conduct random audits; and require the federal parity agencies to review denial rates for mental health versus medical claims. Additionally, it would create a central online portal so that people can access all information as a one-stop shop, and submit complaints and violations. Re-introduction of the Stabilize Medicaid and CHIP Coverage Act which would provide for 12 months of continuous enrollment in Medicaid and CHIP to ensure better access to care and reduce churn. This bill is not specific to mental health, but it would provide significant stability to those patients and providers. H.R.2062/S. 1012 - To amend the Public Health Service Act to protect the confidentiality of substance use disorder patient records. H.R.1920 - Medicaid Bump Act - To amend title XIX of the Social Security Act to provide a higher Federal matching rate for increased expenditures under Medicaid for mental and behavioral health services, and for other purposes. H.R.1329 - Medicaid Reentry Act - This bill allows Medicaid payment for medical services furnished to an incarcerated individual during the 30-day period preceding the individual's release. Supported coalition comments to the Office of the National Coordinator for Health Information Technology on the draft Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. The letter recommended changes to current regulations so that 42 CFR Part 2 is aligned with HIPAA to allow for the transmission of Part 2 records without written consent for the purposes of treatment, payment, and health care operations. Reintroduction and passage of the Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905/H.R. 3931). This legislation would extend and expand the Certified Community Behavioral Health Clinic (CCBHC) demonstration, which is set to end in mid-2019. Submitted coalition comments to the Director, Office for Civil Rights, U.S. Department of Health and Human Services regarding the Request for Information on Modifying HIPAA Rules to Improve Coordinated Care. The letter urged the initiation of a separate rulemaking process for Part 2 modernization to allow for better coordination, safer and more effective treatment for patients, and strong patient protections. Advocated for further alignment of Part 2 with HIPAA for purposes of treatment, payment, and health care operations with the Department of Health and Human Services Sent a letter to the FDA regarding the need to expand access to safe and effective treatment options for substance use disorder to help advance efforts to address the nations opioid overdose epidemic. The letter asks that the FDA take into consideration the need for access to multiple treatment options for clinicians and their patients as they evaluate applications for new products to treat substance use disorder. Joined a group letter to leadership of the House and Senate Appropriations Subcommittee on Financial Services and General Government expressing concern about the President's Fiscal Year 2020 request to cut the White House Office of National Drug Control Policy (ONDCP) by more than 90, including removing the Drug Free Communities (DFC) and the High Intensity Drug Trafficking Area (HIDTA) programs. Joined coalition letters urging the leadership of the House and Senate Appropriations Subcommittee on Agriculture, Rural Development, Food and Drug Administration, and Related Agencies to approve the authorized level of user fees for the Food and Drug Administration to oversee tobacco products. These user fees will give FDA the resources it needs to protect kids and reduce the serious health and economic harms that tobacco products cause. Joined letters urging the leadership of the House and Senate Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies to increase funding for the Centers for Disease Control and Preventions Office on Smoking and Health by $100 million in FY2020, for a total of $310 million. The letters emphasize how this increase is needed to respond to soaring e-cigarette usage rates among youth and the devastating toll that tobacco continues to take on our nations health. Reduction of barriers to buprenorphine related to treatment of hospitalized patients. Technical assistance regarding implementation of CMS related provisions in the SUPPORT for Patients and Communities Act Clarification/guidance regarding DATA Waiver and education provisions in the SUPPORT for Patients and Communities Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

FY2020 Labor HHS Appropriations bill - appropriations related to strengthening the addiction services workforce, including full funding of the loan repayment program for the substance use disorder treatment workforce authorized in the SUPPORT Act, the mental and substance use disorders training demonstration program authorized in 21st Century Cures Act, and preventive medicine residency programs Re-introduction and modifications of the Corrections Public Health and Community Re-entry Act of 2018 - authorizes the National Institute of Corrections to make grants to, and enter cooperative agreements with, state and local governments to develop, implement, or expand medication-assisted treatment for incarcerated individuals who are addicted to opioids. Re-introduction and modifications of the Comprehensive Addiction Resources Emergency Act - to provide emergency assistance to States, territories, Tribal nations, and local areas affected by the opioid epidemic and to make financial assistance available to States, territories, Tribal nations, local areas, and public or private nonprofit entities to provide for the development, organization, coordination, and operation of more effective and cost efficient systems for the delivery of essential services to individuals with substance use disorder and their families. Advocated for additional evidence-based standards. Re-introduction of the Opioid Workforce Act of 2018 - bill increases the number of residency positions eligible for graduate medical education payments under Medicare for hospitals that have addiction or pain management programs, with an aggregate increase of 1,000 positions over a five-year period. Re-introduction of the Behavioral Health Coverage Transparency Act which would require issuers to disclose the analysis they perform in making parity determinations; require federal regulators to conduct random audits; and require the federal parity agencies to review denial rates for mental health versus medical claims. Additionally, it would create a central online portal so that people can access all information as a one-stop shop, and submit complaints and violations. Re-introduction of the Stabilize Medicaid and CHIP Coverage Act which would provide for 12 months of continuous enrollment in Medicaid and CHIP to ensure better access to care and reduce churn. This bill is not specific to mental health, but it would provide significant stability to those patients and providers. H.R.2062/S. 1012 - To amend the Public Health Service Act to protect the confidentiality of substance use disorder patient records. H.R.1920 - Medicaid Bump Act - To amend title XIX of the Social Security Act to provide a higher Federal matching rate for increased expenditures under Medicaid for mental and behavioral health services, and for other purposes. H.R.1329 - Medicaid Reentry Act - This bill allows Medicaid payment for medical services furnished to an incarcerated individual during the 30-day period preceding the individual's release. Supported coalition comments to the Office of the National Coordinator for Health Information Technology on the draft Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. The letter recommended changes to current regulations so that 42 CFR Part 2 is aligned with HIPAA to allow for the transmission of Part 2 records without written consent for the purposes of treatment, payment, and health care operations. Reintroduction and passage of the Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905/H.R. 3931). This legislation would extend and expand the Certified Community Behavioral Health Clinic (CCBHC) demonstration, which is set to end in mid-2019. Submitted coalition comments to the Director, Office for Civil Rights, U.S. Department of Health and Human Services regarding the Request for Information on Modifying HIPAA Rules to Improve Coordinated Care. The letter urged the initiation of a separate rulemaking process for Part 2 modernization to allow for better coordination, safer and more effective treatment for patients, and strong patient protections. Advocated for further alignment of Part 2 with HIPAA for purposes of treatment, payment, and health care operations with the Department of Health and Human Services Sent a letter to the FDA regarding the need to expand access to safe and effective treatment options for substance use disorder to help advance efforts to address the nations opioid overdose epidemic. The letter asks that the FDA take into consideration the need for access to multiple treatment options for clinicians and their patients as they evaluate applications for new products to treat substance use disorder. Joined a group letter to leadership of the House and Senate Appropriations Subcommittee on Financial Services and General Government expressing concern about the President's Fiscal Year 2020 request to cut the White House Office of National Drug Control Policy (ONDCP) by more than 90, including removing the Drug Free Communities (DFC) and the High Intensity Drug Trafficking Area (HIDTA) programs. Joined coalition letters urging the leadership of the House and Senate Appropriations Subcommittee on Agriculture, Rural Development, Food and Drug Administration, and Related Agencies to approve the authorized level of user fees for the Food and Drug Administration to oversee tobacco products. These user fees will give FDA the resources it needs to protect kids and reduce the serious health and economic harms that tobacco products cause. Joined letters urging the leadership of the House and Senate Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies to increase funding for the Centers for Disease Control and Preventions Office on Smoking and Health by $100 million in FY2020, for a total of $310 million. The letters emphasize how this increase is needed to respond to soaring e-cigarette usage rates among youth and the devastating toll that tobacco continues to take on our nations health. Reduction of barriers to buprenorphine related to treatment of hospitalized patients. Technical assistance regarding implementation of CMS related provisions in the SUPPORT for Patients and Communities Act Clarification/guidance regarding DATA Waiver and education provisions in the SUPPORT for Patients and Communities Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

S. 448/H.R. 1173 Medicare Mental Health Access Act S. 874 At-Risk Youth Medicaid Protection Act S. 1905/H.R. 3931 Excellence in Mental Health and Addiction Treatment Expansion Act S. 1169/H.R. 2687 Medicaid Coverage for Addiction Recovery Expansion Act S. 1732/H.R. 3331 To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology H.R. 6 Support for Patients and Communities Act H.R. 2337: To amend title XIX of the Social Security Act to provide for a State Medicaid option to enhance administrative matching funds to support statewide behavioral health access program activities for children under 21 years of age, and for other purposes H.R. 2509 Medicare Mental Health Inpatient Inequity Act H.R. 7217 IMPROVE Act

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

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

S. 448/H.R. 1173 Medicare Mental Health Access Act S. 874 At-Risk Youth Medicaid Protection Act S. 1905/H.R. 3931 Excellence in Mental Health and Addiction Treatment Expansion Act S. 1169/H.R. 2687 Medicaid Coverage for Addiction Recovery Expansion Act S. 1732/H.R. 3331 To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology H.R. 6 Support for Patients and Communities Act H.R. 2337: To amend title XIX of the Social Security Act to provide for a State Medicaid option to enhance administrative matching funds to support statewide behavioral health access program activities for children under 21 years of age, and for other purposes H.R. 2509 Medicare Mental Health Inpatient Inequity Act H.R. 7217 IMPROVE Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, 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

S.3085 Federal Supply Chain Security Act of 2018 H.R. 6032 The Smart IoT Act S. 1885, American Vision for Safer Transportation through Advancement of Revolutionary Technologies Act or the AV START Act H.R. 3895, Smart Cities and Communities Act of 2017 S. 1905, Smart Cities and Communities Act of 2017 S. 1691, IoT Cybersecurity Improvement Act of 2017

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

Government targets: Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE

Loan Repayment for Substance Use Disorder Workforce Mental Health and Substance use treatment workers S 2700, HR 5545- Improving access to substance use disorder treatment, and treatment for those with dual diagnosis S 1905, HR 3931- Supporting Certified Community Behaviorial Health Care Centers

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Mental Health and Substance Use treatment workers S 2700, HR 5545- Improving access to substance use disorder treatment, and treatment for those with dual diagnosis S 1905, HR 3931- Supporting Certified Community Behavioral Health Care Centers Protecting the rights of homecare workers HR 7217- Improving Medicaid programs Opposing shifting Rx drug costs in the donut hole onto retiree health care plans

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Loan Repayment for Substance Use Disorder Workforce Mental Health and Substance Use Treatment Workers S 2700, HR 5545- Improving access to substance use disorder treatment, and treatment for those with dual diagnosis S 1905, HR 3931- Supporting Certified Community Behavioral Health Care Centers HR 7141- Workplace Violence Prevention for Health Care and Social Service Workers Protecting the rights of Homecare workers Department of Labor- Overtime Rule Listening Session HR 6080, HR 6238- Bargaining Rights, Worker Freedom to Negotiate Act and the Public Sector Freedom to Negotiate Act Consumer Financial Protection Bureau (CFPB) nomination HR 3798- Save American Workers Act HR 355, HR 3858- DOL Fiduciary Rule Overtime Rules

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Loan Repayment for Substance Use Disorder Workforce Mental Health and Substance use treatment workers S 2700, HR 5545- Improving access to substance use disorder treatment, and treatment for those with dual diagnosis S 1905, HR 3931- Supporting Certified Community Behavioral Health Care Centers HR 7141- Workplace Violence Prevention for Health Care and Social Service Workers Improving Mental Health Parity Federal income tax exclusion for employer-sponsored health care HR 173, S 58- Middle Class Health Benefits Tax Repeal Act, 40% tax on employer-sponsored high-cost health benefits HR 184, S 108- Protect Medical Innovation Act of 2018, Medical Device Access and Innovation Protection Act Puerto Rico Medicaid Funding, parity with states

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

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Step Therapy Reform HR 2077 Labor HHS Appropriations - Alzheimer's Research & 21st Century Cures implementation, BOLD Act (S. 2076, H.R. 4256),CHANGE Act (S. 2387, H.R. 4957), Excellence in Mental Health Care Act (H.R. 3931, S. 1905), HDHP & HSA bills (HR 4978, S. 2410), Medicare Part D, 6 protected classes

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3931/S.1905, Excellence in Mental Health and Addiction Treatment Expansion Act. Advocating for expanded funding opportunities in Medicare, Medicaid and the private and public mental health systems to ensure individuals with behavioral health illnesses get the care they need. Efforts in both chambers to advance policies intended to address the opioid crisis.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 448/H.R. 1173 Medicare Mental Health Access Act S. 874 At-Risk Youth Medicaid Protection Act S. 1905/H.R. 3931 Excellence in Mental Health and Addiction Treatment Expansion Act S. 1169/H.R. 2687 Medicaid Coverage for Addiction Recovery Expansion Act S. 1732/H.R. 3331 To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology H.R. 6 Support for Patients and Communities Act H.R. 2337: To amend title XIX of the Social Security Act to provide for a State Medicaid option to enhance administrative matching funds to support statewide behavioral health access program activities for children under 21 years of age, and for other purposes H.R. 2509 Medicare Mental Health Inpatient Inequity Act H.R. 7217 IMPROVE Act

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

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

H.R. 1173: Medicare Mental Health Access Act. Legislation to amend Medicares Physician Definition, to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program S. 448: Medicare Mental Health Access Act. Legislation to amend Medicares Physician Definition, to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program H.R. 2509: Medicare Mental Health Inpatient Equity Act of 2017. Legislation To amend title XVIII of the Social Security Act to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare Program S.1169: Medicaid Coverage for Addiction Recovery Expansion Act. A bill to amend title XIX of the Social Security Act to provide States with an option to provide medical assistance to individuals between the ages of 22 and 64 for inpatient services to treat substance use disorders at certain facilities, and for other purposes H.R. 1953: Treat and Reduce Obesity Act of 2017. To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes S. 3797, H.R. 6781: Mental Health Telemedicine Expansion Act S. 830: Treat and Reduce Obesity Act of 2017. To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes H.R. 3331: To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology S. 1732: Improving Access to Behavioral Health Information Technology Act H.R. 2337: To amend title XIX of the Social Security Act to provide for a State Medicaid option to enhance administrative matching funds to support statewide behavioral health access program activities for children under 21 years of age, and for other purposes S. 1905, HR 3931: Excellence in Mental Health and Addiction Treatment Expansion Act. To increase the number of States that may conduct Medicaid demonstration programs to improve access to community mental health services S. 1169, H.R. 2687: Medicaid Coverage for Addiction Recovery Expansion Act. A bill to amend title XIX of the Social Security Act to provide States with an option to provide medical assistance to individuals between the ages of 22 and 64 for inpatient services to treat substance use disorders at certain facilities, and for other purposes S. 3383, H.R. 5477: Rural DOCS Act. To provide incentives for state Medicaid expenditures related to the expansion of substance-use treatment and recovery services targeting provider capacity S. 428, H.R. 3325: Advancing Care for Exceptional Kids Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to implementation of the 21st Century Cures Act (Public Law No: 114-255); in general H.R. 5311/S. 2456, the CARA 2.0 Act of 2018 H.R. 2556/S. 1016, the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act S. 1850, the Protecting Jessica Grubbs Legacy Act H.R. 3545, the Overdose Prevention and Patient Safety Act Docket ID: SAMHSA-4162-20, Confidentiality of Substance Use Disorder Patient Records Issues relating to the reauthorization of the Childrens Health Insurance Program H.R. 3192/S. 2253, the CHIP Mental Health Parity Act S. 774, the Trauma-Informed Care for Children and Families Act H.R. 4778/S. 2301, the Behavioral Health Coverage Transparency Act S. 2406/H.R. 5002, the Advancing Cutting-Edge (ACE) Research Act H.R. 5102/S. 2524, the Substance use Disorder Workforce Loan Repayment Act Issues relating to market stabilization for the Affordable Care Act Issues related to opioids. Issues related to gun violence and mental health, in general H.R. 2276/S. 2575, the Audiology Patient Choice Act H.R. 6, SUPPORT for Patients and Communities Act S. 2680, the Opioid Crisis Response Act H.R. 994, the Examining Opioid Treatment Infrastructure Act H.R. 1375, a bill to amend the Public Health Service Act to authorize the Secretary of Health of Human Services to award grants to States (or collaborations of States) to establish, expand, or maintain a comprehensive regional, State, or municipal system to provide training, education, consultation, and other resources to prescribers relating to patient pain, substance misuse, and substance abuse disorders, and for other purposes. S. 581/H.R. 5009, Jessie's Law H.R. 2077, theRestoring the Patient's Voice Act H.R. 2345, the National Suicide Hotline Improvement Act S. 1354, a bill to establish an Individual Market Reinsurance fund to provide funding for State individual market stabilization reinsurance programs. H.R. 3692, the Addiction Treatment Access Improvement Act H.R. 3931/S.1905, the Excellence in Mental Health and Addiction Treatment Expansion Act H.R. 4733/S. 2260, the Opioids and STOP Pain Initiative Act S. 2317, a bill to amend the Controlled Substances Act to provide for additional flexibility with respect to medication-assisted treatment for opioid use disorders, and for other purposes. H.R. 4903, Combating Opioid Misuse By Advancing Treatment (COMBAT) Act H.R. 5083, the Expanding Access to Evidence-Based Opioid Treatment for Seniors Act H.R. 5327, the Comprehensive Opioid Recovery Centers Act H.R. 5385/S. 2597, the Children's Hospital GME Support Reauthorization Act S. 2606, the Opioid ECHO Act H.R. 5795, the Overdose Prevention and Patient Safety Act H.R. 5483, the Special Registration for Telemedicine Clarification Act H.R. 6082, the Overdose Prevention and Patient Safety Act S.3337, the Mental Health Services for Students Act H.R.6597, the Mental Health Professionals Workforce Shortage Loan Repayment Act S. 2554, the Patient Right to Know Drug Prices Act H.R. 6143, the Patient Right to Know Drug Prices Act Issues relating to suicide prevention; in general Issues relating to the enforcement of mental health parity; in general

Client expense: $250,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), U.S. Immigration & Customs Enforcement (ICE), Veterans Affairs, Dept of (VA)

H.R. 1289 - Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act S. 1188/H.R.2535 - Lifespan Respite Care Reauthorization Act of 2017 H.R. 6 [P.L. No: 115-271] - SUPPORT for Patients and Communities Act S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.Res.1099 - Providing for the concurrence by the House in the Senate amendment to H.R. 6, with an amendment H.R.3331 - To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology. S.1732 - Improving Access to Behavioral Health Information Technology Act S. 1905/ H.R.3931 - Excellence in Mental Health and Addiction Treatment Expansion Act S.1016/H.R. 2556 - CONNECT for Health Act of 2017 S.2120/H.R. 5034 - International Violence Against Women Act of 2017 S.2164/H.R.2953 - To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. S.1334/H.R.2797 - Patient Choice and Quality Care Act of 2017 H.R.620 - ADA Education and Reform Act of 2017 S.Res.427 - A resolution supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. H.Res.770 - Supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. H.R.3713 - Geriatrics Workforce and Caregiver Enhancement Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 S.2301/H.R. 4778- Behavioral Health Coverage Transparency Act of 2018 S. 1015/H.R.2345 [P.L. No: 115-233] - National Suicide Hotline Improvement Act of 2017 H.R.4704 - Nursing Home CARE Act S.2227/H.R. 5306 - EMPOWER Care Act S.2076/H.R. 4256 [P.L. No: 115-406] - BOLD Infrastructure for Alzheimer's Act S.2680 - Opioid Crisis Response Act of 2018 Improving Parity for Mental Health and Substance Use Disorder Coverage. H.R. 5942 - Health Equity and Accountability Act of 2018 Preserve ACA Essential Health Benefits, cost sharing subsidies, state waivers, and funding for navigators and assisters. Health care access Reduce Gun Violence: Comprehensive Legislative Solutions to firearm-related injuries and fatalities Opioid Epidemic 340B drug pricing issues Section 1115 waiver approval issues Medicare Part D program issues Medicaid non-emergency medical transportation (NEMT) issues H.R.6597 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2018 H.R.5202/S.916 - Ensuring Patient Access to Substance Use Disorder Treatments Act of 2018 S.1370/H.R.2913 - Mental Health in Schools Act of 2017 S.3337 - Mental Health Services for Students Act of 2018

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

S. 1905/HR 3931 - Excellence in Mental Health and Addiction Treatment Expansion Act. HR 6157 - Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019. HR 6 - SUPPORT for Patients and Communities Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905/ H.R.3931), all provisions related to expanding and extending the Certified Community Behavioral Health Clinic demonstration program. Mental Health Access Improvement Act (S. 1879/H.R. 3032), all provisions related to allowing marriage and family therapists and mental health counselors to directly bill Medicare for their services. Opioid Emergency Response Act (H.R. 5531), all provisions related to expanding the Medicare eligible workforce to include marriage and family therapists and mental health counselors.

Client expense: $71,486 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Broadband infrastructure siting reform H.R. 5515 John S. McCain National Defense Authorization Act for Fiscal Year 2019 S.3085 Federal Supply Chain Security Act of 2018 (McCaskill/Lankford) H.R. 6032 The Smart IoT Act S. 1885, American Vision for Safer Transportation through Advancement of Revolutionary Technologies Act or the AV START Act H.R. 3895, Smart Cities and Communities Act of 2017 S. 1905, Smart Cities and Communities Act of 2017 S. 1691, IoT Cybersecurity Improvement Act of 2017

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

Government targets: Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE

S 1905/HR 3931 - Excellence in Mental Health and Addiction Treatment Expansion Act; S 1879/HR 3032 - Mental Health Access Improvement Act; HR 3192 - CHIP Mental Health Parity Act; S 1732/HR 3331 - Improving Access to Behavioral Health Information Technology Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to implementation of the 21st Century Cures Act (Public Law No: 114-255); in general H.R. 5311/S. 2456, the CARA 2.0 Act of 2018 H.R. 2556/S. 1016, the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act S. 1850, the Protecting Jessica Grubbs Legacy Act H.R. 3545, the Overdose Prevention and Patient Safety Act Docket ID: SAMHSA-4162-20, Confidentiality of Substance Use Disorder Patient Records Issues relating to the reauthorization of the Childrens Health Insurance Program H.R. 3192/S. 2253, the CHIP Mental Health Parity Act S. 774, the Trauma-Informed Care for Children and Families Act H.R. 4778/S. 2301, the Behavioral Health Coverage Transparency Act S. 2406/H.R. 5002, the Advancing Cutting-Edge (ACE) Research Act H.R. 5102/S. 2524, the Substance use Disorder Workforce Loan Repayment Act Issues relating to market stabilization for the Affordable Care Act Issues related to opioids. Issues related to gun violence and mental health, in general H.R. 2276/S. 2575, the Audiology Patient Choice Act H.R. 6, SUPPORT for Patients and Communities Act S. 2680, the Opioid Crisis Response Act H.R. 994, the Examining Opioid Treatment Infrastructure Act H.R. 1375, a bill to amend the Public Health Service Act to authorize the Secretary of Health of Human Services to award grants to States (or collaborations of States) to establish, expand, or maintain a comprehensive regional, State, or municipal system to provide training, education, consultation, and other resources to prescribers relating to patient pain, substance misuse, and substance abuse disorders, and for other purposes. S. 581/H.R. 5009, Jessie's Law H.R. 2077, theRestoring the Patient's Voice Act H.R. 2345, the National Suicide Hotline Improvement Act S. 1354, a bill to establish an Individual Market Reinsurance fund to provide funding for State individual market stabilization reinsurance programs. H.R. 3692, the Addiction Treatment Access Improvement Act H.R. 3931/S.1905, the Excellence in Mental Health and Addiction Treatment Expansion Act H.R. 4733/S. 2260, the Opioids and STOP Pain Initiative Act S. 2317, a bill to amend the Controlled Substances Act to provide for additional flexibility with respect to medication-assisted treatment for opioid use disorders, and for other purposes. H.R. 4903, Combating Opioid Misuse By Advancing Treatment (COMBAT) Act H.R. 5083, the Expanding Access to Evidence-Based Opioid Treatment for Seniors Act H.R. 5327, the Comprehensive Opioid Recovery Centers Act H.R. 5385/S. 2597, the Children's Hospital GME Support Reauthorization Act S. 2606, the Opioid ECHO Act H.R. 5795, the Overdose Prevention and Patient Safety Act H.R. 5483, the Special Registration for Telemedicine Clarification Act H.R. 6082, the Overdose Prevention and Patient Safety Act S.3337, the Mental Health Services for Students Act H.R.6597, the Mental Health Professionals Workforce Shortage Loan Repayment Act Issues relating to suicide prevention; in general Issues relating to the enforcement of mental health parity; in general

Client expense: $260,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), U.S. Immigration & Customs Enforcement (ICE), Veterans Affairs, Dept of (VA)

H.R.3931/S.1905, Excellence in Mental Health and Addiction Treatment Expansion Act. Advocating for expanded funding opportunities in Medicare, Medicaid and the private and public mental health systems to ensure individuals with behavioral health illnesses get the care they need. Efforts in both chambers to advance policies intended to address the opioid crisis.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Excellence in Mental Health and Addiction Treatment Expansion Act (S. 1905/ H.R.3931), all provisions related to expanding and extending the Certified Community Behavioral Health Clinic demonstration program. Medicaid Coverage for Addiction Recovery Expansion Act (S. 1169/H.R. 2687), all provisions related to expanding the number of residential substance use treatment facilities through Medicaid. Mental Health Access Improvement Act (S. 1879/H.R. 3032), all provisions related to allowing marriage and family therapists and mental health counselors to directly bill Medicare for their services. Opioid Emergency Response Act (H.R. 5531), all provisions related to expanding the Medicare eligible workforce to include marriage and family therapists and mental health counselors. Medicaid Reentry Act (H.R. 4005), all provisions related to allowing states the flexibility to restart Medicaid coverage for incarcerated individuals up to 30 days prior to their release. The IMD CARE Act (H.R. 5797), all provisions related to changing the restriction of Medicaid payment for residential substance use disorder treatment in certain facilities. Graham-Cassidy Bill (Senate Amendment 1030), all provisions related to the repeal of coverage expansions and consumer protections established in the Affordable Care Act.

Client expense: $116,648 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Step Therapy Reform HR 2077 Labor HHS Appropriations - Alzheimer's Research & 21st Century Cures implementation, BOLD Act (S. 2076, H.R. 4256),CHANGE Act (S. 2387, H.R. 4957), Excellence in Mental Health Care Act (H.R. 3931, S. 1905), HDHP & HSA bills (HR 4978, S. 2410), Medicare Part D, 6 protected classes

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 5329 Poison Center Network Enhancement Act of 2018, any language reauthorizing or enhancing current funding for the nation's poison control centers. S 1370/H 2913 Mental Health in Schools Act; S 1879/H 3032 Mental Health Access Improvement Act 2017; S 1905/H 3931 Excellence in Mental Health & Addiction Treatment Expansion Act; S 2456/H 5311 Comprehensive Addiction & Recovery Act of 2018; Any language supporting expansion of access to addiction and mental health diagnosis, treatment, & recovery services. HB 6082 Overdose Prevention and Patient Safety Act; oppose any language limiting the use or effectiveness of 340B Drug Discount Program. Supporting passage of North Carolina's Medicaid Waiver if it includes appropriate protections of the state's supplemental payments within Medicaid Reform.

Client expense: $11,486 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1173: Medicare Mental Health Access Act. Legislation to amend Medicares Physician Definition, to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. S. 448: Medicare Mental Health Access Act. Legislation to amend Medicares Physician Definition, to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R. 2509: Medicare Mental Health Inpatient Equity Act of 2017. Legislation To amend title XVIII of the Social Security Act to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare Program. S.1169: Medicaid Coverage for Addiction Recovery Expansion Act. A bill to amend title XIX of the Social Security Act to provide States with an option to provide medical assistance to individuals between the ages of 22 and 64 for inpatient services to treat substance use disorders at certain facilities, and for other purposes. H.R. 1953: Treat and Reduce Obesity Act of 2017. To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. S. 830: Treat and Reduce Obesity Act of 2017. To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. H.R. 3331: To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology. S. 1732: Improving Access to Behavioral Health Information Technology Act H.R. 2337: To amend title XIX of the Social Security Act to provide for a State Medicaid option to enhance administrative matching funds to support statewide behavioral health access program activities for children under 21 years of age, and for other purposes. S. 1905, HR 3931: Excellence in Mental Health and Addiction Treatment Expansion Act. To increase the number of States that may conduct Medicaid demonstration programs to improve access to community mental health services. S. 1169, H.R. 2687: Medicaid Coverage for Addiction Recovery Expansion Act. A bill to amend title XIX of the Social Security Act to provide States with an option to provide medical assistance to individuals between the ages of 22 and 64 for inpatient services to treat substance use disorders at certain facilities, and for other purposes. S. 3383, H.R. 5477: Rural DOCS Act. To provide incentives for state Medicaid expenditures related to the expansion of substance-use treatment and recovery services targeting provider capacity.

Client expense: $50,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 448/H.R. 1173 Medicare Mental Health Access Act S. 874 At-Risk Youth Medicaid Protection Act S. 1905/H.R. 3931 Excellence in Mental Health and Addiction Treatment Expansion Act S. 1169/H.R. 2687 Medicaid Coverage for Addiction Recovery Expansion Act S. 1732/H.R. 3331 To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology H.R. 6 Support for Patients and Communities Act H.R. 2337: To amend title XIX of the Social Security Act to provide for a State Medicaid option to enhance administrative matching funds to support statewide behavioral health access program activities for children under 21 years of age, and for other purposes H.R. 2509 Medicare Mental Health Inpatient Inequity Act

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

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

H.R. 1289 - Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act S. 1188/H.R.2535 - Lifespan Respite Care Reauthorization Act of 2017 H.R. 6 - SUPPORT for Patients and Communities Act S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.Res.1099 - Providing for the concurrence by the House in the Senate amendment to H.R. 6, with an amendment H.R.3331 - To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology. S.1732 - Improving Access to Behavioral Health Information Technology Act S. 1905/ H.R.3931 - Excellence in Mental Health and Addiction Treatment Expansion Act S.1016/H.R. 2556 - CONNECT for Health Act of 2017 S.2120/H.R. 5034 - International Violence Against Women Act of 2017 S.2164/H.R.2953 - To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. S.1334/H.R.2797 - Patient Choice and Quality Care Act of 2017 H.R.620 - ADA Education and Reform Act of 2017 S.Res.427 - A resolution supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. H.Res.770 - Supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. H.R.3713 - Geriatrics Workforce and Caregiver Enhancement Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 S.2301/H.R. 4778- Behavioral Health Coverage Transparency Act of 2018 S. 1015/H.R.2345 [P.L. No: 115-233] - National Suicide Hotline Improvement Act of 2017 H.R.4704 - Nursing Home CARE Act S.2227/H.R. 5306 - EMPOWER Care Act S.2076/H.R. 4256 - BOLD Infrastructure for Alzheimer's Act S.2680 - Opioid Crisis Response Act of 2018 Improving Parity for Mental Health and Substance Use Disorder Coverage. H.R. 5942 - Health Equity and Accountability Act of 2018 Preserve ACA Essential Health Benefits, cost sharing subsidies, state waivers, and funding for navigators and assisters. Reduce Gun Violence: Comprehensive Legislative Solutions to firearm-related injuries and fatalities Opioid Epidemic 340B drug pricing issues Section 1115 waiver approval issues Medicare Part D program issues Medicaid non-emergency medical transportation (NEMT) issues H.R.6597 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2018 H.R.5202/S.916 - Ensuring Patient Access to Substance Use Disorder Treatments Act of 2018 S.1370/H.R.2913 - Mental Health in Schools Act of 2017 S.3337 - Mental Health Services for Students Act of 2018

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

S. 1905/HR 3931 - Excellence in Mental Health and Addiction Treatment Expansion Act. HR 6157 - Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019. HR 6 - SUPPORT for Patients and Communities Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Broadband infrastructure siting reform H.R. 5515 FY19 National Defense Authorization Act S. 1988 ("SPEED Act") H.R. 4151, Smart Technology for Resilient, Efficient, Economic and Reliable Transportation in Cities and Communities Act ("STREET Act") S. 1885, American Vision for Safer Transportation through Advancement of Revolutionary Technologies Act or the AV START Act H.R. 3895, Smart Cities and Communities Act of 2017 S. 1905, Smart Cities and Communities Act of 2017 S. 1691, IoT Cybersecurity Improvement Act of 2017

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

Government targets: Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE

Step Therapy Reform HR 2077 Labor HHS Appropriations - Alzheimer's Research & 21st Century Cures implementation, BOLD Act (S. 2076, H.R. 4256),CHANGE Act (S. 2387, H.R. 4957), Excellence in Mental Health Care Act (H.R. 3931, S. 1905), HDHP & HSA bills (HR 4978, S. 2410), Medicare Part D, 6 protected classes

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE