Emery County Public Land Management Act of 2018

Support the Endangered Species Act, which is facing unprecedented threats. Oppose the Interior Departments recommendations regarding rescinding or shrinking national monument protections. Oppose the Alaska Mental Health Trust Land Exchange Act (S. 131/H.R. 513) and reject any legislative attempt that would privatize the Tongass National Forest. Support S. 2354, the ANTIQUITIES ACT of 2018, which codifies existing, presidentially-designated national monuments. Oppose H.R. 3115, the Superior National Forest Land Exchange Act of 2017, which would transfer National Forest lands to a mining company. Oppose H.R. 3133, which would weaken the Marine Mammal Protection Act. Support the Migratory Bird Treaty Act (MBTA), which encourages bird conservation. Oppose S. 1520, the Modernizing Recreational Fisheries Management Act, which would undermine the Magnuson-Stevens Fishery Conservation and Management Act. Oppose attempts to exempt the Tongass National Forest in Alaska from the Roadless Area Conservation Rule. Oppose H.R. 4419, which would undermine environmental protections in the National Environmental Policy Act, Oppose mineral development authorizations in Minnesotas Superior National Forest during an ongoing study of a proposed mineral withdrawal within the Rainy River watershed. Oppose HRs 3608, 6344, 6345, 6346, 6354, 6355, 6356, 6360, and 6364, which as a package would dramatically weaken the Endangered Species Act. Oppose S 2809, the Emery County Public Land Management Act, which would reduce protections for the lands in question in the bill. Request extension of comment period for Endangered Species Act rules proposed by the Department of the Interior and the Department of Commerce. Oppose H.R. 6784, the Manage our Wolves Act, which would undermine the ESA Oppose proposed rulemaking, which would revise the National Park Services protest permitting process regarding demonstrations at the National Mall, Memorial Parks, and Presidents Park. Oppose any new or amended proclamation by President Trump that weakens or removes protections of the Northeast Canyons and Seamounts Marine National Monument from extractive activities. Oppose PolyMet Land Exchange Rider and or legislation.

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

Government targets: Agriculture, Dept of (USDA), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), SENATE

S.936 - 115th Congress (2017-2018: A bill to designate certain National Forest System land and certain public land under the jurisdiction of the Secretary of the Interior in the States of Idaho, Montana, Oregon, Washington, and Wyoming as wilderness, wild and scenic rivers, wildland recovery areas, and biological connecting corridors, and for other purposes. It creates about 24 million acres of wilderness from public lands. Sponsor: Sen. Whitehouse, Sheldon [D-RI] (Introduced 04/25/2017) S.33 by U.S. Sen. Lisa Murkowski which improves the National Monument Designation Process Act by providing for involvement of local governments in the designation. H.R. 289 by U.S. Rep. Doug LaMalfa Guides and Outfitters Act or the GO Act of 2017 amends the Federal Lands Recreation Enhancement Act to specify the circumstances in which the Department of the Interior and the Department of Agriculture (USDA) may: (1) issue special recreation permits for federal recreational lands and waters, and (2) charge a special recreation permit fee for them. H.R.1913 Clear Creek National Recreation Area and Conservation Act sponsored by U.S. Rep. Jimmy Panetta[D-CA-20] establishes the 63,000 acre Clear Creek National Recreation Area with 21,000 acre Joaquin Rocks Wilderness in San Benito and Fresno California counties. HR 2135 introduced by U.S. Rep. Carolyn Maloney applies vista view land planning approach with the "Northern Rockies Ecosystem Protection Act." S.J.Res.15 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the final rule submitted by the Director of the Bureau of Land Management relating to resource management planning. HR 2044-America's Red Rock Wilderness Act sets aside additional wilderness H.R. 717 by Rules Committee member Pete Sessions (R-TX32) that calls for economic considerations in endangered species actions. H.R. 1274 Natural Resource Committee member Daniel Newhouse (R-WA04) that amends the Endangered Species Act to require: (1)Department of the Interior or the Department of Commerce, as appropriate, to provide to affected states all data that is used as the basis of a determination on whether a species is an endangered species or a threatened species before making a determination. (2)The appropriate department must use data submitted by a state, tribal, or county government in making such a determination. (3) The federal agencies to use the best scientific and commercial data. H.R. 3131 by U.S. Rep. Bill Huizenga (R-MI2) that amends the Endangered Species Act of 1973 to replace the current standard for awarding court costs, including attorney fees, in citizen suits with the federal judicial code standard for awarding costs to a prevailing party. H.R. 2603 by Natural Resource Committee member Louie Gohmert (R-TX01) that amends the Endangered Species Act to prohibit the listing of non-native species in the United States as endangered or threatened. HR 424 by Agriculture Committee ranking member Collin Peterson (D-MN07) that directs the Department of Interior to delist the grey wolf in the Western Great Lakes area and Wyoming as endangered. HR 2936 by U.S. Rep. Bruce Westerman is a bill(H.R. 2936) to expedite under the National Environmental Policy Act of 1969 and improve forest management activities on National Forest System lands, on public lands under the jurisdiction of the Bureau of Land Management, and on Tribal lands to return resilience to overgrown, fire-prone forested lands, and for other purposes. -Recreational Opportunities for motorized recreation was discussed with the Department of Interior HR 2365-U.S. Rep. Paul Cook (REP-CA8) The Desert Community Lands Act directs the Department of the Interior to convey, without consideration, to the town of Apple Valley in California the surface estate of specified land, to be known and designated as the Apple Valley Off-Highway Vehicle Recreation Area.The conveyed land may be used by the town to provide: (1) a suitable location for the establishment of a centralized, off-road vehicle recreation park; (2) the public with opportunities for off-road vehicle recreation; and (3) a designated area and facilities that would discourage unauthorized use of off-highway vehicles in areas that have been identified by the federal government, the state of California, or San Bernardino County, California, to contain environmentally sensitive land. It is supported by the AMA. HR 857 - Rep. Paul Cook (REP-CA8) Title: California Off-Road Recreation and Conservation Act: This bill amends the California Desert Protection Act of 1994 to, among other things: establish or designate wilderness areas, off-highway vehicle recreation areas, and a national scenic area; release specified wilderness study areas; adjust national park and preserve boundaries; and specify land withdrawals and conveyances. Specified federal land shall be taken into trust for the Lone Pine Paiute-Shoshone Tribe. Lands and interests in land, including improvements, outside the boundary of Joshua Tree National Park in California, may be acquired for the purpose of operating a visitor center. The bill makes amendments to the California Desert ... HR 6147 an appropriation measure which was targeted for an increase in the Recreational Trails Program. The attempt failed with substitute language asking for a study on how the RTP money is allocatted. HR 5727 Emery County Public Land Management Act of 2018 sponsored by U.S. Rep. John Curtis (R-UT3) to establish the San Rafael Swell Western Heritage and Historic Mining National Conservation Area in the state of Utah. S.2809 To establish the San Rafael Swell Western Heritage and Historic Mining National Conservation Area in the State of Utah, to designate wilderness areas in the State, to provide for certain land conveyances, and for other purposes.Sponsored by U.S. Sen. Orrin Hatch S.6939 To protect and ensure multiple use and public access to public lands in Wyoming per the request of the respective counties, and for other purposes. This legislation releases wilderness study areas in Wyoming that have been studies and found to not meet the definition of wilderness. It was introduced by U.S. Rep. Liz Cheney.

In support of rollout of the Public Lands Package, Outdoor Recreation Satellite Account for Bureau of Economic Analysis,); S. 2550, Public Lands Recreational Opportunities Act S.2335; Get Outdoors Act, Recreation Not Red-Tape Act (H.R. 3400 & S.1633); Omnibus spending deal and budget deal for FY18 and FY19; House and Senate Outdoor recreation caucus; Land and Water Conservation Fund (S.896, H.R. 502, S.569, H.R. 2863); Restore our Parks Act (S. 3172 / HR 2584); - development of satellite account to define and measure the outdoor recreation economy; Yellowstone Gateway Protection Act (S. 941 / H.R. 4644); Emery County Public Land Management Act of 2018 (S. 2809 / H.R. 5727); 21st Century Conservation Service Corps Act (S.1403, H.R. 2987); Every Kid Outdoors Act (S. 1522, H.R. 3186); Target Marksmanship and Support Training Act (S. 593); Farm Bill Section 6122 and 8626.

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

Government targets: Bureau of Land Management (BLM), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), SENATE, U.S. Forest Service, U.S. Trade Representative (USTR)

S 33/HR 1489, Improved National Monument Designation Process Act HR 827, Imperial Valley Desert Conservation and Recreation Act HR 857, California Off-Road Recreation and Conservation Act HR 1913, Clear Creek National Recreation Area and Conservation Act S 837, HR 1961, Southern Utah Open OHV Areas Act S 22/HR 243, Nevada Land Sovereignty Act S 32, California Desert Protection and Recreation Act S 33, Improved National Monument Designation Process Act S 132, National Monument Designation Transparency and Accountability Act of 2017 S 273/HR 527, Greater Sage Grouse Protection and Recovery Act of 2017 S 375, Endangered Species Act of 1973 Amendments S 509/HR 1330, Invasive Species Control Act S 751, National Park Service Legacy Act S 1417/HR 3543, Sage-Grouse and Mule Deer Habitat Conservation and Restoration Act of 2017 S 1633/HR 3400, Recreation Not Red Tape Act S 1863, Native Species Protection Act S 2335/HR 289, Guides and Outfitters Act or the GO Act S 3803/S 2809/HR 5727, Emery County Public Land Management Act S 2509/HR 5210, National Park Restoration Act HR 360, Greater Grand Canyon Heritage National Monument Act S 376/HR 1273, 21st Century Endangered Species Transparency Act Restoration of the Bonneville Salt Flats, UT (no legislation to date) HR 2074, Public Input for National Monuments Act HR 2284, National Monument Designation Transparency and Accountability Act HR 2365, Desert Community Lands Act HR 3990, National Monument Creation and Protection Act HR 6510, Restore Our Parks and Public Lands Act HR 6939, Restoring Local Input and Access to Public Lands Act of 2018 S 3172, Restore Our Parks Act S 3193, Protect Utah's Rural Economy Act S3604/HR 7202, RTP Full Funding Act of 2018

Client expense: $245,000 · Firm income: Not reported

H.R.502 - Land and Water Conservation Fund Reauthorization and Fairness Act H.R.538 - Ocmulgee Mounds National Historical Park Boundary Revision Act H.R.3961 - Kissimmee River Wild and Scenic River Study Act of 2018 H.R.4086 - Rim of the Valley Corridor Preservation Act H.R.5420 - FDR Historic Preservation Act H.R.6678 - Claude Moore Farm Land Conveyance Act H.R.6687 - To direct the Secretary of the Interior to manage the Point Reyes National Seashore in the State of California consistently with Congress' long-standing intent to continue to authorize working dairies and ranches on agricultural property as part of the seashore's unique historic, cultural, scenic and natural values, and for other purposes H.R.6939 - Restoring Local Input and Access to Public Lands Act of 2018 S.32 - Mill Springs Battlefield National Monument Act S.135 - Ocmulgee Mounds National Historical Park Boundary Revision Act S.483 - Wild Olympics Wilderness and Wild and Scenic Rivers Act S.569 - Land and Water Conservation Authorization and Funding Act S.973 - Tennessee Wilderness Act S.2395 - Explore America Act of 2018 S.2809 - Emery County Public Land Management Act of 2018 S.2831 - Golden Spike 150th Anniversary Act S.2870 - Amache Study Act S.2889 - Medgar Evers Home National Monument Act S.3176 -Mill Springs Battlefield National Monument Act S.3287 - Camp Nelson Heritage National Monument Act S.3505 - Preserving America's Battlefields Act S.3534 - New River Gorge National Park Designation Act S.3571 - FDR Historic Preservation Act No Legislation Yet Rosenwald Schools National Historic Site

Client expense: $126,924 · Firm income: Not reported

PL 109-417 - Pandemic and All-Hazards Preparedness Act (PAHPA) PL 114-10 - Medicare and CHIP Reauthorization Act of 2017 Implementation H.R. 6 - SUPPORT for Patients and Communities Act H.R. 5507 - Critical Access Hospital Relief Act of 2018 H. R. 5809 - Postoperative Opioid Prevention Act of 2018 H.R 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017 S. 2852/H.R. 6378 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 (PAHPAI) H.R. 5385 - Children's Hospital GME Support Reauthorization Act of 2018 S. 2809 - A bill to amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes. H.R. 5106 - Investor Choice Against Gun Proliferation Act H.R.1057 - STOP Act of 2017 H.R. 1822, 1876/S. 781 - Good Samaritan Health Professionals Act of 2017 H.R. 880/S. 1022 - Mission Zero Act H.R. 1017/S. 479 - Removing Barriers to Colorectal Cancer Screening Act of 2017 H.R. 820/S. 292 - Childhood Cancer STAR Act H.R. 5160 - Cancer Care Planning and Communications Act of 2018 H.R. 1704 - ACCESS Act of 2017 H.R. 2267 - Resident Physician Shortage Reduction Act of 2017 H.R. 1676/S. 693 - Palliative Care and Hospice Education and Training Act H.R. 4909/S. 2495 - STOP School Violence Act of 2018 H.R. 4841 - Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 H.R. 4206/S. 2051 - Medicare Care Coordination Improvement Act H.R. 1892 - Bipartisan Budget Act of 2018 H.R. 1625 - Omnibus H.R. 2906/S. 1351 - Ensuring Access to General Surgery Act of 2017 H.R. 4434/S.2135 - Fix NICS Act of 2017 H.R. 548/S. 527 - Health Care Safety Net Enhancement Act of 2017 H.R. 849/S. 260, S. 251 - Protecting Seniors' Access to Medicare Act of 2017 H.R. 2843/S.1317 - Medicaid and CHIP Quality Improvement Act of 2017 H.R. 3120 - Electronic Health Record Meaningful Use H.R. 2276/S.2575 - Audiology Patient Choice Act of 2018 H.R. 6157 - Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 H.R. 6545 - Violence Against Women Reauthorization Act of 2018 H.R. 6808 - Patient Navigation Assistance Act of 2018 H.R.4897 - Women and Lung Cancer Research and Preventive Services Act of 2018 H.R. 930/S. 497 - Lymphedema Treatment Act H.R. 7083 - Access to Genetic Counselor Services Act of 2018 H.R. 1318 - Preventing Maternal Deaths Act of 2018 Medicaid GME Transparency Act Bleeding Control for the Injured (Stop The Bleed campaign) Injury Prevention Initiatives Childrens Health Insurance Program Reauthorization Cancer Research and Funding Opioids EHR Clinician Burden/Administrative Burden Mis-valued Codes Medicare Sequestration Congenital Anomalies Global Codes Qualified clinical data registry (QCDR) Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS) VA Health Issues DOD Health Issues The Emergency Medical Services for Children Program MIPS cost measure development E-Prior Authorization Digital health systems Sports Medicine Firearms Research Hospital-based violence intervention programs National Trauma System (Military-Civilian Trauma Care) Visa Denial Medicare Fraud Surprise Billing Draft Legislation Stark Law Reform and Medicare Administrative Burden relief Alternative Payment Models (APMs) Physician Fee Schedule Quality Payment Program (QPP) Out-of-Network billing Narrow networks/Network Adequacy Hospital-based Violence Intervention Programs Out of the Crucible: U.S. Military Combat Casualty Care principles

PL 109-417 - Pandemic and All-Hazards Preparedness Act (PAHPA) PL 114-10 - Medicare and CHIP Reauthorization Act of 2017 Implementation H.R. 6 - SUPPORT for Patients and Communities Act H.R. 5507 - Critical Access Hospital Relief Act of 2018 H. R. 5809 - Postoperative Opioid Prevention Act of 2018 H.R 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017 S. 2852/H.R. 6378 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 (PAHPAI) H.R. 5385 - Children's Hospital GME Support Reauthorization Act of 2018 S. 2809 - A bill to amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes. H.R. 5106 - Investor Choice Against Gun Proliferation Act H.R.1057 - STOP Act of 2017 H.R. 1822, 1876/S. 781 - Good Samaritan Health Professionals Act of 2017 H.R. 880/S. 1022 - Mission Zero Act H.R. 1017/S. 479 - Removing Barriers to Colorectal Cancer Screening Act of 2017 H.R. 820/S. 292 - Childhood Cancer STAR Act H.R. 5160 - Cancer Care Planning and Communications Act of 2018 H.R. 1704 - ACCESS Act of 2017 H.R. 2267 - Resident Physician Shortage Reduction Act of 2017 H.R. 1676/S. 693 - Palliative Care and Hospice Education and Training Act H.R. 4909/S. 2495 - STOP School Violence Act of 2018 H.R. 4841 - Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 H.R. 4206/S. 2051 - Medicare Care Coordination Improvement Act H.R. 1892 - Bipartisan Budget Act of 2018 H.R. 1625 - Omnibus H.R. 2906/S. 1351 - Ensuring Access to General Surgery Act of 2017 H.R. 4434/S.2135 - Fix NICS Act of 2017 H.R. 548/S. 527 - Health Care Safety Net Enhancement Act of 2017 H.R. 849/S. 260, S. 251 - Protecting Seniors' Access to Medicare Act of 2017 H.R. 2843/S.1317 - Medicaid and CHIP Quality Improvement Act of 2017 H.R. 3120 - Electronic Health Record Meaningful Use H.R. 2276/S.2575 - Audiology Patient Choice Act of 2018 H.R. 6157 - Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 H.R. 6545 - Violence Against Women Reauthorization Act of 2018 H.R. 6808 - Patient Navigation Assistance Act of 2018 H.R.4897 - Women and Lung Cancer Research and Preventive Services Act of 2018 H.R. 930/S. 497 - Lymphedema Treatment Act H.R. 7083 - Access to Genetic Counselor Services Act of 2018 H.R. 1318 - Preventing Maternal Deaths Act of 2018 Medicaid GME Transparency Act Bleeding Control for the Injured (Stop The Bleed campaign) Injury Prevention Initiatives Childrens Health Insurance Program Reauthorization Cancer Research and Funding Opioids EHR Clinician Burden/Administrative Burden Mis-valued Codes Medicare Sequestration Congenital Anomalies Global Codes Qualified clinical data registry (QCDR) Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS) VA Health Issues DOD Health Issues The Emergency Medical Services for Children Program MIPS cost measure development E-Prior Authorization Digital health systems Sports Medicine Firearms Research Hospital-based violence intervention programs National Trauma System (Military-Civilian Trauma Care) Visa Denial Medicare Fraud Surprise Billing Draft Legislation Stark Law Reform and Medicare Administrative Burden relief Alternative Payment Models (APMs) Physician Fee Schedule Quality Payment Program (QPP) Out-of-Network billing Narrow networks/Network Adequacy Hospital-based Violence Intervention Programs Out of the Crucible: U.S. Military Combat Casualty Care principles

PL 109-417 - Pandemic and All-Hazards Preparedness Act (PAHPA) PL 114-10 - Medicare and CHIP Reauthorization Act of 2017 Implementation H.R. 6 - SUPPORT for Patients and Communities Act H.R. 5507 - Critical Access Hospital Relief Act of 2018 H. R. 5809 - Postoperative Opioid Prevention Act of 2018 H.R 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017 S. 2852/H.R. 6378 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 (PAHPAI) H.R. 5385 - Children's Hospital GME Support Reauthorization Act of 2018 S. 2809 - A bill to amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes. H.R. 5106 - Investor Choice Against Gun Proliferation Act H.R.1057 - STOP Act of 2017 H.R. 1822, 1876/S. 781 - Good Samaritan Health Professionals Act of 2017 H.R. 880/S. 1022 - Mission Zero Act H.R. 1017/S. 479 - Removing Barriers to Colorectal Cancer Screening Act of 2017 H.R. 820/S. 292 - Childhood Cancer STAR Act H.R. 5160 - Cancer Care Planning and Communications Act of 2018 H.R. 1704 - ACCESS Act of 2017 H.R. 2267 - Resident Physician Shortage Reduction Act of 2017 H.R. 1676/S. 693 - Palliative Care and Hospice Education and Training Act H.R. 4909/S. 2495 - STOP School Violence Act of 2018 H.R. 4841 - Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 H.R. 4206/S. 2051 - Medicare Care Coordination Improvement Act H.R. 1892 - Bipartisan Budget Act of 2018 H.R. 1625 - Omnibus H.R. 2906/S. 1351 - Ensuring Access to General Surgery Act of 2017 H.R. 4434/S.2135 - Fix NICS Act of 2017 H.R. 548/S. 527 - Health Care Safety Net Enhancement Act of 2017 H.R. 849/S. 260, S. 251 - Protecting Seniors' Access to Medicare Act of 2017 H.R. 2843/S.1317 - Medicaid and CHIP Quality Improvement Act of 2017 H.R. 3120 - Electronic Health Record Meaningful Use H.R. 2276/S.2575 - Audiology Patient Choice Act of 2018 H.R. 6157 - Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 H.R. 6545 - Violence Against Women Reauthorization Act of 2018 H.R. 6808 - Patient Navigation Assistance Act of 2018 H.R.4897 - Women and Lung Cancer Research and Preventive Services Act of 2018 H.R. 930/S. 497 - Lymphedema Treatment Act H.R. 7083 - Access to Genetic Counselor Services Act of 2018 H.R. 1318 - Preventing Maternal Deaths Act of 2018 Medicaid GME Transparency Act Bleeding Control for the Injured (Stop The Bleed campaign) Injury Prevention Initiatives Childrens Health Insurance Program Reauthorization Cancer Research and Funding Opioids EHR Clinician Burden/Administrative Burden Mis-valued Codes Medicare Sequestration Congenital Anomalies Global Codes Qualified clinical data registry (QCDR) Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS) VA Health Issues DOD Health Issues The Emergency Medical Services for Children Program MIPS cost measure development E-Prior Authorization Digital health systems Sports Medicine Firearms Research Hospital-based violence intervention programs National Trauma System (Military-Civilian Trauma Care) Visa Denial Medicare Fraud Surprise Billing Draft Legislation Stark Law Reform and Medicare Administrative Burden relief Alternative Payment Models (APMs) Physician Fee Schedule Quality Payment Program (QPP) Out-of-Network billing Narrow networks/Network Adequacy Hospital-based Violence Intervention Programs Out of the Crucible: U.S. Military Combat Casualty Care principles

PL 109-417 - Pandemic and All-Hazards Preparedness Act (PAHPA) PL 114-10 - Medicare and CHIP Reauthorization Act of 2017 Implementation H.R. 6 - SUPPORT for Patients and Communities Act H.R. 5507 - Critical Access Hospital Relief Act of 2018 H. R. 5809 - Postoperative Opioid Prevention Act of 2018 H.R 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017 S. 2852/H.R. 6378 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 (PAHPAI) H.R. 5385 - Children's Hospital GME Support Reauthorization Act of 2018 S. 2809 - A bill to amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes. H.R. 5106 - Investor Choice Against Gun Proliferation Act H.R.1057 - STOP Act of 2017 H.R. 1822, 1876/S. 781 - Good Samaritan Health Professionals Act of 2017 H.R. 880/S. 1022 - Mission Zero Act H.R. 1017/S. 479 - Removing Barriers to Colorectal Cancer Screening Act of 2017 H.R. 820/S. 292 - Childhood Cancer STAR Act H.R. 5160 - Cancer Care Planning and Communications Act of 2018 H.R. 1704 - ACCESS Act of 2017 H.R. 2267 - Resident Physician Shortage Reduction Act of 2017 H.R. 1676/S. 693 - Palliative Care and Hospice Education and Training Act H.R. 4909/S. 2495 - STOP School Violence Act of 2018 H.R. 4841 - Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 H.R. 4206/S. 2051 - Medicare Care Coordination Improvement Act H.R. 1892 - Bipartisan Budget Act of 2018 H.R. 1625 - Omnibus H.R. 2906/S. 1351 - Ensuring Access to General Surgery Act of 2017 H.R. 4434/S.2135 - Fix NICS Act of 2017 H.R. 548/S. 527 - Health Care Safety Net Enhancement Act of 2017 H.R. 849/S. 260, S. 251 - Protecting Seniors' Access to Medicare Act of 2017 H.R. 2843/S.1317 - Medicaid and CHIP Quality Improvement Act of 2017 H.R. 3120 - Electronic Health Record Meaningful Use H.R. 2276/S.2575 - Audiology Patient Choice Act of 2018 H.R. 6157 - Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 H.R. 6545 - Violence Against Women Reauthorization Act of 2018 H.R. 6808 - Patient Navigation Assistance Act of 2018 H.R.4897 - Women and Lung Cancer Research and Preventive Services Act of 2018 H.R. 930/S. 497 - Lymphedema Treatment Act H.R. 7083 - Access to Genetic Counselor Services Act of 2018 H.R. 1318 - Preventing Maternal Deaths Act of 2018 Medicaid GME Transparency Act Bleeding Control for the Injured (Stop The Bleed campaign) Injury Prevention Initiatives Childrens Health Insurance Program Reauthorization Cancer Research and Funding Opioids EHR Clinician Burden/Administrative Burden Mis-valued Codes Medicare Sequestration Congenital Anomalies Global Codes Qualified clinical data registry (QCDR) Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS) VA Health Issues DOD Health Issues The Emergency Medical Services for Children Program MIPS cost measure development E-Prior Authorization Digital health systems Sports Medicine Firearms Research Hospital-based violence intervention programs National Trauma System (Military-Civilian Trauma Care) Visa Denial Medicare Fraud Surprise Billing Draft Legislation Stark Law Reform and Medicare Administrative Burden relief Alternative Payment Models (APMs) Physician Fee Schedule Quality Payment Program (QPP) Out-of-Network billing Narrow networks/Network Adequacy Hospital-based Violence Intervention Programs Out of the Crucible: U.S. Military Combat Casualty Care principles

Legislative and regulatory activities affecting federally recognized Indian tribes, including: fee-to-trust and jurisdiction, natural and water resource management, public safety, protection of sacred sites, clean water, environmental mitigation, energy development and funding for programs and services. H.R.6147/S.3073, Department of the Interior, Environment, and Related Agencies Appropriations Act, 2019. H.R.5727/S.2809, Emery County Public Land Management Act of 2018.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), SENATE

S 33/HR 1489, Improved National Monument Designation Process Act HR 827, Imperial Valley Desert Conservation and Recreation Act HR 857, California Off-Road Recreation and Conservation Act HR 1913, Clear Creek National Recreation Area and Conservation Act S 837, HR 1961, Southern Utah Open OHV Areas Act S 22/HR 243, Nevada Land Sovereignty Act S 32, California Desert Protection and Recreation Act S 33, Improved National Monument Designation Process Act S 132, National Monument Designation Transparency and Accountability Act of 2017 S 273/HR 527, Greater Sage Grouse Protection and Recovery Act of 2017 S 375, Endangered Species Act of 1973 Amendments S 509/HR 1330, Invasive Species Control Act S 751, National Park Service Legacy Act S 1417/HR 3543, Sage-Grouse and Mule Deer Habitat Conservation and Restoration Act of 2017 S 1633/HR 3400, Recreation Not Red Tape Act S 1863, Native Species Protection Act S 2335/HR 289, Guides and Outfitters Act or the GO Act S 2809/ HR 5727, Emery County Public Land Management Act S 2509/HR 5210, National Park Restoration Act HR 360, Greater Grand Canyon Heritage National Monument Act S 376/HR 1273, 21st Century Endangered Species Transparency Act Restoration of the Bonneville Salt Flats, UT (no legislation to date) HR 2074, Public Input for National Monuments Act HR 2284, National Monument Designation Transparency and Accountability Act HR 2365, Desert Community Lands Act HR 3990, National Monument Creation and Protection Act HR 6510, Restore Our Parks and Public Lands Act HR 6939, Restoring Local Input and Access to Public Lands Act of 2018 S 3172, Restore Our Parks Act S 3193, Protect Utah's Rural Economy Act

Client expense: $240,000 · Firm income: Not reported

SENATE S. 0820 - A bill to designate a portion of the Arctic National Wildlife Refuge as wilderness. (Support) S. 2337 - Continental Divide Recreation, Wilderness, and Camp Hale Legacy Act (Support) S. 441 - Organ Mountains-Desert Peaks Conservation Act (Support) S. 483 - Wild Olympics Wilderness and Wild and Scenic Rivers Act (Support) S. 3172 - Restore Our Parks Act (Support) S. 991 - Yellowstone Gateway Protection Act (Support) S. 1926 - Saint Francis Dam Disaster National Memorial Act (Support) S. 2889 - Medgar Evers Home National Monument Act (Support) S. 32 - California Desert Protection and Recreation Act of 2017 (Support) S. 2809 - Emery County Public Land Management Act of 2018 (Support) S. 414 - Pershing County Economic Development and Conservation Act (Support) HOUSE H.R. 2156 - Saint Francis Dam Disaster National Memorial Act (Support) H.R. 4895 - Medgar Evers Home National Monument Act (Support) H.R. 857 - California Desert Protection and Recreation Act of 2017 (Neutral)

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

Government targets: Bureau of Land Management (BLM), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

H.R.538 - Ocmulgee Mounds National Historical Park Boundary Revision Act H.R.1992 - Camp Nelson Heritage Park Study Act H.R.2415 - Everglades FIRST Act H.R.4086 - Rim of the Valley Corridor Preservation Act H.R.5420 - FDR Historic Preservation Act H.R.5727 - Emery County Public Land Management Act of 2018 H.R.5979 - Mill Springs Battlefield National Monument Act H.R.6078 - To provide for the boundary of the Palo Alto Battlefield National Historic Park to be adjusted, to authorize the donation of land to the United States for addition to that historic park, and for other purposes H.R.6136 - Border Security and Immigration Reform Act of 2018 H.R.6344 - LOCAL Act of 2018 H.R.6678 - Claude Moore Farm Land Conveyance Act H.R.6687 - To direct the Secretary of the Interior to manage the Point Reyes National Seashore in the State of California consistently with Congress' long-standing intent to continue to authorize working dairies and ranches on agricultural property as part of the seashore's unique historic, cultural, scenic and natural values, and for other purposes S.135 - Ocmulgee Mounds National Historical Park Boundary Revision Act S.483 - Wild Olympics Wilderness and Wild and Scenic Rivers Act S.569 - Land and Water Conservation Authorization and Funding Act S.599 - Indiana Dunes National Park Designation Act S.1644 - Captain John Smith Chesapeake National Historic Trail Parity Act S.1993 - Rim of the Valley Corridor Preservation Act S.2015 - National Scenic Trails Parity Act S.2604 - Oil Region National Heritage Area Reauthorization Act S.2797 - White Sands National Park Establishment Act S.2809 - Emery County Public Land Management Act of 2018 S.2831 - Golden Spike 150th Anniversary Act S.2870 - Amache Study Act S.2889 - Medgar Evers Home National Monument Act S.3176 -Mill Springs Battlefield National Monument Act S.3287 - Camp Nelson Heritage National Monument Act

In support of rollout of the Outdoor Recreation Satellite Account for Bureau of Economic Analysis,); S. 2550, Public Lands Recreational Opportunities Act S.2335; Get Outdoors Act, Recreation Not Red-Tape Act (H.R. 3400 & S.1633); Omnibus spending deal and budget deal for FY18 and FY19; House and Senate Outdoor recreation caucus; Land and Water Conservation Fund (S.896, H.R. 502, S.569, H.R. 2863); Restore our Parks Act (S. 3172 / HR 2584); - development of satellite account to define and measure the outdoor recreation economy; Yellowstone Gateway Protection Act (S. 941 / H.R. 4644); Emery County Public Land Management Act of 2018 (S. 2809 / H.R. 5727); 21st Century Conservation Service Corps Act (S.1403, H.R. 2987); Every Kid Outdoors Act (S. 1522, H.R. 3186); Target Marksmanship and Support Training Act (S. 593); Farm Bill Section 6122 and 8626. In opposition to: DOI-2017-0002 Executive Order on National Monuments Review, 82 FR 28818

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

Government targets: Bureau of Land Management (BLM), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), SENATE, U.S. Forest Service, U.S. Trade Representative (USTR)

Support the Endangered Species Act, which is facing unprecedented threats. Oppose the Interior Departments recommendations regarding rescinding or shrinking national monument protections. Oppose the Alaska Mental Health Trust Land Exchange Act (S. 131/H.R. 513) and reject any legislative attempt that would privatize the Tongass National Forest. Oppose H.R. 1157, which would remove lands and waters in Monomoy National Wildlife Refuge from federal public ownership. Oppose H.R. 3990, the National Monument Creation and Protection Act, which changes the Antiquities Act to make it easier to block designations. Support S. 2354, the ANTIQUITIES ACT of 2018, which codifies existing, presidentially-designated national monuments. Oppose H.R. 3115, the Superior National Forest Land Exchange Act of 2017, which would transfer National Forest lands to a mining company. Oppose H.R. 4558, the Grand Staircase Escalante Enhancement Act, which would codify President Trumps removal of protections for that national monument. Oppose H.R.4532, which would codify the elimination of vast portions of the Bears Ears National Monument. Oppose H.R. 3133, which would weaken the Marine Mammal Protection Act. Oppose Section 2029 of H.R. 4667, which erodes FEMAs responsibilities under the Endangered Species Act. Oppose S. 2206, the Protect Public Use of Public Lands Act, which would strip protections of National Forest land in Montana. Support the Migratory Bird Treaty Act (MBTA), which encourages bird conservation. Oppose S. 1520, the Modernizing Recreational Fisheries Management Act, which would undermine the Magnuson-Stevens Fishery Conservation and Management Act. Oppose H.R. 3144, which deals with the Federal Columbia River Power System and would undermine the Endangered Species Act and the National Environmental Policy Act. Oppose H.R. 200, legislation to reauthorize the Magnuson-Stevens Act that threatens decades of sustainable fisheries management. Oppose attempts to exempt the Tongass National Forest in Alaska from the Roadless Area Conservation Rule. Oppose attacks on Endangered Species Act in H.R. 4, the Federal Aviation Administration Reauthorization Act of 2018. Oppose H.R. 3916, which would amend the Endangered Species Act to transfer management of numerous fish species and threaten protections for them. Oppose H.R. 4419, which would undermine environmental protections in the National Environmental Policy Act, Oppose mineral development authorizations in Minnesotas Superior National Forest during an ongoing study of a proposed mineral withdrawal within the Rainy River watershed. Oppose numerous, controversial, anti-environmental provisions that are unrelated to military readiness that have been included in the 2019 National Defense Authorization Act of FY 2019 (H.R. 5515). Oppose HRs 3608, 6344, 6345, 6346, 6354, 6355, 6356, 6360, and 6364, which as a package would dramatically weaken the Endangered Species Act. Oppose S 2809, the Emery County Public Land Management Act, which would reduce protections for the lands in question in the bill. Request extension of comment period for Endangered Species Act rules proposed by the Department of the Interior and the Department of Commerce. Oppose Endangered Species Act Amendments of 2018, which would undermine the ESA.

In support of rollout of the Outdoor Recreation Satellite Account for Bureau of Economic Analysis,); S. 2550, Public Lands Recreational Opportunities Act S.2335; Get Outdoors Act, Recreation Not Red-Tape Act (H.R. 3400 & S.1633); Omnibus spending deal and budget deal for FY18 and FY19; House and Senate Outdoor recreation caucus; Land and Water Conservation Fund (S.896, H.R. 502, S.569, H.R. 2863); Restore our Parks Act (S. 3172 / HR 2584); DOI-2017-0002 Executive Order on National Monuments Review, 82 FR 28818 - development of satellite account to define and measure the outdoor recreation economy; Yellowstone Gateway Protection Act (S. 941 / H.R. 4644); Emery County Public Land Management Act of 2018 (S. 2809 / H.R. 5727); 21st Century Conservation Service Corps Act (S.1403, H.R. 2987); Every Kid Outdoors Act (S. 1522, H.R. 3186); Target Marksmanship and Support Training Act (S. 593); Farm Bill Section 6122 and 8626

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

Government targets: Bureau of Land Management (BLM), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), SENATE, U.S. Forest Service, U.S. Trade Representative (USTR)

PL 109-417 - Pandemic and All-Hazards Preparedness Act (PAHPA) PL 114-10 - Medicare and CHIP Reauthorization Act of 2017 Implementation H.R. 6 - SUPPORT for Patients and Communities Act H.R. 5507 - Critical Access Hospital Relief Act of 2018 H. R. 5809 - Postoperative Opioid Prevention Act of 2018 H.R 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017 S. 2852/H.R. 6378 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 H.R. 5385 - Children's Hospital GME Support Reauthorization Act of 2018 S. 2809 - A bill to amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes. H.R. 5106 - Investor Choice Against Gun Proliferation Act H.R.1057 - STOP Act of 2017 H.R. 1822, 1876/S. 781 - Good Samaritan Health Professionals Act of 2017 H.R. 880/S. 1022 - Mission Zero Act H.R. 1017/S. 479 - Removing Barriers to Colorectal Cancer Screening Act of 2017 H.R. 820/S. 292 - Childhood Cancer STAR Act H.R. 5160 - Cancer Care Planning and Communications Act of 2018 H.R. 1704 - ACCESS Act of 2017 H.R. 2267 - Resident Physician Shortage Reduction Act of 2017 H.R. 1676/S. 693 - Palliative Care and Hospice Education and Training Act H.R. 4909/S. 2495 - STOP School Violence Act of 2018 H.R. 4841 - Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 H.R. 4206/S. 2051 - Medicare Care Coordination Improvement Act H.R. 1892 - Bipartisan Budget Act of 2018 H.R. 1625 - Omnibus H.R. 2906/S. 1351 - Ensuring Access to General Surgery Act of 2017 H.R. 4434/S.2135 - Fix NICS Act of 2017 H.R. 548/S. 527 - Health Care Safety Net Enhancement Act of 2017 H.R. 849/S. 260, S. 251 - Protecting Seniors' Access to Medicare Act of 2017 H.R. 2843/S.1317 - Medicaid and CHIP Quality Improvement Act of 2017 H.R. 3120 - Electronic Health Record Meaningful Use H.R. 2276/S.2575 - Audiology Patient Choice Act of 2018 H.R. 6157 - Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 H.R. 6545 - Violence Against Women Reauthorization Act of 2018 H.R. 6808 - Patient Navigation Assistance Act of 2018 Medicaid GME Transparency Act Bleeding Control for the Injured (Stop The Bleed campaign) Injury Prevention Initiatives Childrens Health Insurance Program Reauthorization Cancer Research and Funding Opioids EHR Clinician Burden/Administrative Burden Mis-valued Codes Medicare Sequestration Congenital Anomalies Global Codes Qualified clinical data registry (QCDR) Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS) VA Health Issues DOD Health Issues The Emergency Medical Services for Children Program MIPS cost measure development E-Prior Authorization Digital health systems Sports Medicine Firearms Research Hospital-based violence intervention programs National Trauma System (Military-Civilian Trauma Care) Visa Denial Medicare Fraud Surprise Billing Draft Legislation Stark Law Reform and Medicare Administrative Burden relief Alternative Payment Models (APMs) Physician Fee Schedule

PL 109-417 - Pandemic and All-Hazards Preparedness Act (PAHPA) PL 114-10 - Medicare and CHIP Reauthorization Act of 2017 Implementation H.R. 6 - SUPPORT for Patients and Communities Act H.R. 5507 - Critical Access Hospital Relief Act of 2018 H. R. 5809 - Postoperative Opioid Prevention Act of 2018 H.R 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017 S. 2852/H.R. 6378 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 H.R. 5385 - Children's Hospital GME Support Reauthorization Act of 2018 S. 2809 - A bill to amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes. H.R. 5106 - Investor Choice Against Gun Proliferation Act H.R.1057 - STOP Act of 2017 H.R. 1822, 1876/S. 781 - Good Samaritan Health Professionals Act of 2017 H.R. 880/S. 1022 - Mission Zero Act H.R. 1017/S. 479 - Removing Barriers to Colorectal Cancer Screening Act of 2017 H.R. 820/S. 292 - Childhood Cancer STAR Act H.R. 5160 - Cancer Care Planning and Communications Act of 2018 H.R. 1704 - ACCESS Act of 2017 H.R. 2267 - Resident Physician Shortage Reduction Act of 2017 H.R. 1676/S. 693 - Palliative Care and Hospice Education and Training Act H.R. 4909/S. 2495 - STOP School Violence Act of 2018 H.R. 4841 - Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 H.R. 4206/S. 2051 - Medicare Care Coordination Improvement Act H.R. 1892 - Bipartisan Budget Act of 2018 H.R. 1625 - Omnibus H.R. 2906/S. 1351 - Ensuring Access to General Surgery Act of 2017 H.R. 4434/S.2135 - Fix NICS Act of 2017 H.R. 548/S. 527 - Health Care Safety Net Enhancement Act of 2017 H.R. 849/S. 260, S. 251 - Protecting Seniors' Access to Medicare Act of 2017 H.R. 2843/S.1317 - Medicaid and CHIP Quality Improvement Act of 2017 H.R. 3120 - Electronic Health Record Meaningful Use H.R. 2276/S.2575 - Audiology Patient Choice Act of 2018 H.R. 6157 - Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 H.R. 6545 - Violence Against Women Reauthorization Act of 2018 H.R. 6808 - Patient Navigation Assistance Act of 2018 Medicaid GME Transparency Act Bleeding Control for the Injured (Stop The Bleed campaign) Injury Prevention Initiatives Childrens Health Insurance Program Reauthorization Cancer Research and Funding Opioids EHR Clinician Burden/Administrative Burden Mis-valued Codes Medicare Sequestration Congenital Anomalies Global Codes Qualified clinical data registry (QCDR) Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS) VA Health Issues DOD Health Issues The Emergency Medical Services for Children Program MIPS cost measure development E-Prior Authorization Digital health systems Sports Medicine Firearms Research Hospital-based violence intervention programs National Trauma System (Military-Civilian Trauma Care) Visa Denial Medicare Fraud Surprise Billing Draft Legislation Stark Law Reform and Medicare Administrative Burden relief Alternative Payment Models (APMs) Physician Fee Schedule

PL 109-417 - Pandemic and All-Hazards Preparedness Act (PAHPA) PL 114-10 - Medicare and CHIP Reauthorization Act of 2017 Implementation H.R. 6 - SUPPORT for Patients and Communities Act H.R. 5507 - Critical Access Hospital Relief Act of 2018 H. R. 5809 - Postoperative Opioid Prevention Act of 2018 H.R 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017 S. 2852/H.R. 6378 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 H.R. 5385 - Children's Hospital GME Support Reauthorization Act of 2018 S. 2809 - A bill to amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes. H.R. 5106 - Investor Choice Against Gun Proliferation Act H.R.1057 - STOP Act of 2017 H.R. 1822, 1876/S. 781 - Good Samaritan Health Professionals Act of 2017 H.R. 880/S. 1022 - Mission Zero Act H.R. 1017/S. 479 - Removing Barriers to Colorectal Cancer Screening Act of 2017 H.R. 820/S. 292 - Childhood Cancer STAR Act H.R. 5160 - Cancer Care Planning and Communications Act of 2018 H.R. 1704 - ACCESS Act of 2017 H.R. 2267 - Resident Physician Shortage Reduction Act of 2017 H.R. 1676/S. 693 - Palliative Care and Hospice Education and Training Act H.R. 4909/S. 2495 - STOP School Violence Act of 2018 H.R. 4841 - Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 H.R. 4206/S. 2051 - Medicare Care Coordination Improvement Act H.R. 1892 - Bipartisan Budget Act of 2018 H.R. 1625 - Omnibus H.R. 2906/S. 1351 - Ensuring Access to General Surgery Act of 2017 H.R. 4434/S.2135 - Fix NICS Act of 2017 H.R. 548/S. 527 - Health Care Safety Net Enhancement Act of 2017 H.R. 849/S. 260, S. 251 - Protecting Seniors' Access to Medicare Act of 2017 H.R. 2843/S.1317 - Medicaid and CHIP Quality Improvement Act of 2017 H.R. 3120 - Electronic Health Record Meaningful Use H.R. 2276/S.2575 - Audiology Patient Choice Act of 2018 H.R. 6157 - Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 H.R. 6545 - Violence Against Women Reauthorization Act of 2018 H.R. 6808 - Patient Navigation Assistance Act of 2018 Medicaid GME Transparency Act Bleeding Control for the Injured (Stop The Bleed campaign) Injury Prevention Initiatives Childrens Health Insurance Program Reauthorization Cancer Research and Funding Opioids EHR Clinician Burden/Administrative Burden Mis-valued Codes Medicare Sequestration Congenital Anomalies Global Codes Qualified clinical data registry (QCDR) Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS) VA Health Issues DOD Health Issues The Emergency Medical Services for Children Program MIPS cost measure development E-Prior Authorization Digital health systems Sports Medicine Firearms Research Hospital-based violence intervention programs National Trauma System (Military-Civilian Trauma Care) Visa Denial Medicare Fraud Surprise Billing Draft Legislation Stark Law Reform and Medicare Administrative Burden relief Alternative Payment Models (APMs) Physician Fee Schedule

PL 109-417 - Pandemic and All-Hazards Preparedness Act (PAHPA) PL 114-10 - Medicare and CHIP Reauthorization Act of 2017 Implementation H.R. 6 - SUPPORT for Patients and Communities Act H.R. 5507 - Critical Access Hospital Relief Act of 2018 H. R. 5809 - Postoperative Opioid Prevention Act of 2018 H.R 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017 S. 2852/H.R. 6378 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 H.R. 5385 - Children's Hospital GME Support Reauthorization Act of 2018 S. 2809 - A bill to amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes. H.R. 5106 - Investor Choice Against Gun Proliferation Act H.R.1057 - STOP Act of 2017 H.R. 1822, 1876/S. 781 - Good Samaritan Health Professionals Act of 2017 H.R. 880/S. 1022 - Mission Zero Act H.R. 1017/S. 479 - Removing Barriers to Colorectal Cancer Screening Act of 2017 H.R. 820/S. 292 - Childhood Cancer STAR Act H.R. 5160 - Cancer Care Planning and Communications Act of 2018 H.R. 1704 - ACCESS Act of 2017 H.R. 2267 - Resident Physician Shortage Reduction Act of 2017 H.R. 1676/S. 693 - Palliative Care and Hospice Education and Training Act H.R. 4909/S. 2495 - STOP School Violence Act of 2018 H.R. 4841 - Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 H.R. 4206/S. 2051 - Medicare Care Coordination Improvement Act H.R. 1892 - Bipartisan Budget Act of 2018 H.R. 1625 - Omnibus H.R. 2906/S. 1351 - Ensuring Access to General Surgery Act of 2017 H.R. 4434/S.2135 - Fix NICS Act of 2017 H.R. 548/S. 527 - Health Care Safety Net Enhancement Act of 2017 H.R. 849/S. 260, S. 251 - Protecting Seniors' Access to Medicare Act of 2017 H.R. 2843/S.1317 - Medicaid and CHIP Quality Improvement Act of 2017 H.R. 3120 - Electronic Health Record Meaningful Use H.R. 2276/S.2575 - Audiology Patient Choice Act of 2018 H.R. 6157 - Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 H.R. 6545 - Violence Against Women Reauthorization Act of 2018 H.R. 6808 - Patient Navigation Assistance Act of 2018 Medicaid GME Transparency Act Bleeding Control for the Injured (Stop The Bleed campaign) Injury Prevention Initiatives Childrens Health Insurance Program Reauthorization Cancer Research and Funding Opioids EHR Clinician Burden/Administrative Burden Mis-valued Codes Medicare Sequestration Congenital Anomalies Global Codes Qualified clinical data registry (QCDR) Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS) VA Health Issues DOD Health Issues The Emergency Medical Services for Children Program MIPS cost measure development E-Prior Authorization Digital health systems Sports Medicine Firearms Research Hospital-based violence intervention programs National Trauma System (Military-Civilian Trauma Care) Visa Denial Medicare Fraud Surprise Billing Draft Legislation Stark Law Reform and Medicare Administrative Burden relief Alternative Payment Models (APMs) Physician Fee Schedule

Legislative and regulatory activities affecting federally recognized Indian tribes, including: fee-to-trust and jurisdiction, natural and water resource management, public safety, protection of sacred sites, clean water, environmental mitigation, energy development and funding for programs and services. H.R.6147/S.3073, Department of the Interior, Environment, and Related Agencies Appropriations Act, 2019. H.R.5727/S.2809, Emery County Public Land Management Act of 2018.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), SENATE

Support for: Land Water Conservation Fund reauthorization; H.R. 502/S. 569 which amends the Land and Water; Conservation Fund Act of 1965 to make permanent the authorization for the Land and Water; Conservation Fund; draft legislation for the protection of public lands; H.R.4518 - Bears Ears National Monument Expansion Act; Efforts to amend Public Law 115-97 (commonly known as the Tax Cuts and Jobs Act) to repeal the Arctic National Wildlife Refuge oil and gas program; HR 1731 RECLAIM Act of 2017; HR 5911 Arctic Cultural and Coastal Plain Protection Act; H.R.4257 - Advancing Conservation and Education Act; H.R.4644 - Yellowstone Gateway Protection Act; House companion to S. 2354 (ANTIQUITIES Act of 2018); Draft recreation bill (no legislation yet); S.2337 - Continental Divide Recreation, Wilderness and Camp Hale Legacy Act; S.2721 - San Juan Mountains Wilderness Act; Blackfoot Clearwater Stewardship Act S. 507; HR 2323 San Gabriel Mountains Foothills and Rivers Protection Act; HR 3039 San Gabriel Mountains Forever Act of 2017; Recreation Not Red Tape Act S 1633; H.R. 4086 Rim of the Valley Corridor Preservation Act; H.R. 4072 Central Coast Wild Heritage Protection Act; H.R. 1026 North Country National Scenic Trail Route Adjustment Act; H.R. 3997 Free Veterans from Fees Act and forthcoming Northern California Conservation and Recreation Act by Rep. Huffman. Expressed views on: HR 5210 National Park Restoration Act; H.R. 5170, the Federal Lands Investment Partnership (FLIP) Act; H.R.2 - Agriculture Improvement Act of 2018; H.R.2365 - Desert Community Lands Act; S.2809 - Emery County Public Land Management Act of 2018; H.R. 5727: Emery County Public Lands Act; HR 6087 Removing Barriers to Energy Independence Act; HR 6088 SPEED Act; HR 6106 Common Sense Permitting Act; HR 6107 Ending Duplicative Permitting Act; HR 3744 - Tribal Recognition Act of 2017; HR 3990 National Monument Creation and Protection Act; HR 4532 Shash Jaa National Monument and Indian Creek National Monument Act; HR 4558 Grand Staircase Escalante Enhancement Act; HR 4824 Rural Broadband Permitting Efficiency Act of 2018; HR 5597 Desert Tortoise Habitat Conservation Plan Expansion Act, Washington County, Utah; HR 5515 John S. McCain National Defense Authorization Act for Fiscal Year 2019; H.R. 5148: Protect Public Use of Public Lands Act; H.R. 5149: Unlocking Public Lands Act; H.R.3 - Spending Cuts to Expired and Unnecessary Programs Act; Risch Amendment 3087 to HR 2 (Farm Bill); S.2720 - Clean Coasts Act; S. 414/H.R. 1107 Pershing County Economic Development & Conservation Act; and H.R. 3392 Lake Bistineau Land Title Stability Act

PL 109-417 - Pandemic and All-Hazards Preparedness Act (PAHPA) PL 114-10 - Medicare and CHIP Reauthorization Act of 2017 Implementation H.R. 6 - SUPPORT for Patients and Communities Act H.R. 5507 - Critical Access Hospital Relief Act of 2018 H. R. 5809 - Postoperative Opioid Prevention Act of 2018 H.R 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017 S. 2852 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 H.R. 5385 - Children's Hospital GME Support Reauthorization Act of 2018 S. 2809 - A bill to amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes. H.R. 5106 - Investor Choice Against Gun Proliferation Act H.R.1057 - STOP Act of 2017 H.R. 1822, 1876/S. 781 - Good Samaritan Health Professionals Act of 2017 H.R. 880/S. 1022 - Mission Zero Act H.R. 1017/S. 479 - Removing Barriers to Colorectal Cancer Screening Act of 2017 H.R. 820/S. 292 - Childhood Cancer STAR Act H.R. 5160 - Cancer Care Planning and Communications Act of 2018 H.R. 1704 - ACCESS Act of 2017 H.R. 2267 - Resident Physician Shortage Reduction Act of 2017 H.R. 1676/S. 693 - Palliative Care and Hospice Education and Training Act H.R. 4909/S. 2495 - STOP School Violence Act of 2018 H.R. 4841 - Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 H.R. 4206/S. 2051 - Medicare Care Coordination Improvement Act H.R. 1892 - Bipartisan Budget Act of 2018 H.R. 1625 - Omnibus H.R. 2906/S. 1351 - Ensuring Access to General Surgery Act of 2017 H.R. 4434/S.2135 - Fix NICS Act of 2017 H.R. 548/S. 527 - Health Care Safety Net Enhancement Act of 2017 H.R. 849/S. 260, S. 251 - Protecting Seniors' Access to Medicare Act of 2017 H.R. 2843/S.1317 - Medicaid and CHIP Quality Improvement Act of 2017 H.R. 3120 - Electronic Health Record Meaningful Use H.R. 2276/S.2575 - Audiology Patient Choice Act of 2018 Medicaid GME Transparency Act Bleeding Control for the Injured (Stop The Bleed campaign) Injury Prevention Initiatives Childrens Health Insurance Program Reauthorization Cancer Research and Funding Opioids EHR Clinician Burden/Administrative Burden Mis-valued Codes Medicare Sequestration Congenital Anomalies Global Codes Qualified clinical data registry (QCDR) Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS) VA Health Issues DOD Health Issues The Emergency Medical Services for Children Program MIPS cost measure development E-Prior Authorization Digital health systems Sports Medicine Firearms Research Hospital-based violence intervention programs

PL 109-417 - Pandemic and All-Hazards Preparedness Act (PAHPA) PL 114-10 - Medicare and CHIP Reauthorization Act of 2017 Implementation H.R. 6 - SUPPORT for Patients and Communities Act H.R. 5507 - Critical Access Hospital Relief Act of 2018 H. R. 5809 - Postoperative Opioid Prevention Act of 2018 H.R 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017 S. 2852 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 H.R. 5385 - Children's Hospital GME Support Reauthorization Act of 2018 S. 2809 - A bill to amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes. H.R. 5106 - Investor Choice Against Gun Proliferation Act H.R.1057 - STOP Act of 2017 H.R. 1822, 1876/S. 781 - Good Samaritan Health Professionals Act of 2017 H.R. 880/S. 1022 - Mission Zero Act H.R. 1017/S. 479 - Removing Barriers to Colorectal Cancer Screening Act of 2017 H.R. 820/S. 292 - Childhood Cancer STAR Act H.R. 5160 - Cancer Care Planning and Communications Act of 2018 H.R. 1704 - ACCESS Act of 2017 H.R. 2267 - Resident Physician Shortage Reduction Act of 2017 H.R. 1676/S. 693 - Palliative Care and Hospice Education and Training Act H.R. 4909/S. 2495 - STOP School Violence Act of 2018 H.R. 4841 - Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 H.R. 4206/S. 2051 - Medicare Care Coordination Improvement Act H.R. 1892 - Bipartisan Budget Act of 2018 H.R. 1625 - Omnibus H.R. 2906/S. 1351 - Ensuring Access to General Surgery Act of 2017 H.R. 4434/S.2135 - Fix NICS Act of 2017 H.R. 548/S. 527 - Health Care Safety Net Enhancement Act of 2017 H.R. 849/S. 260, S. 251 - Protecting Seniors' Access to Medicare Act of 2017 H.R. 2843/S.1317 - Medicaid and CHIP Quality Improvement Act of 2017 H.R. 3120 - Electronic Health Record Meaningful Use H.R. 2276/S.2575 - Audiology Patient Choice Act of 2018 Medicaid GME Transparency Act Bleeding Control for the Injured (Stop The Bleed campaign) Injury Prevention Initiatives Childrens Health Insurance Program Reauthorization Cancer Research and Funding Opioids EHR Clinician Burden/Administrative Burden Mis-valued Codes Medicare Sequestration Congenital Anomalies Global Codes Qualified clinical data registry (QCDR) Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS) VA Health Issues DOD Health Issues The Emergency Medical Services for Children Program MIPS cost measure development E-Prior Authorization Digital health systems Sports Medicine Firearms Research Hospital-based violence intervention programs

PL 109-417 - Pandemic and All-Hazards Preparedness Act (PAHPA) PL 114-10 - Medicare and CHIP Reauthorization Act of 2017 Implementation H.R. 6 - SUPPORT for Patients and Communities Act H.R. 5507 - Critical Access Hospital Relief Act of 2018 H. R. 5809 - Postoperative Opioid Prevention Act of 2018 H.R 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017 S. 2852 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 H.R. 5385 - Children's Hospital GME Support Reauthorization Act of 2018 S. 2809 - A bill to amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes. H.R. 5106 - Investor Choice Against Gun Proliferation Act H.R.1057 - STOP Act of 2017 H.R. 1822, 1876/S. 781 - Good Samaritan Health Professionals Act of 2017 H.R. 880/S. 1022 - Mission Zero Act H.R. 1017/S. 479 - Removing Barriers to Colorectal Cancer Screening Act of 2017 H.R. 820/S. 292 - Childhood Cancer STAR Act H.R. 5160 - Cancer Care Planning and Communications Act of 2018 H.R. 1704 - ACCESS Act of 2017 H.R. 2267 - Resident Physician Shortage Reduction Act of 2017 H.R. 1676/S. 693 - Palliative Care and Hospice Education and Training Act H.R. 4909/S. 2495 - STOP School Violence Act of 2018 H.R. 4841 - Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 H.R. 4206/S. 2051 - Medicare Care Coordination Improvement Act H.R. 1892 - Bipartisan Budget Act of 2018 H.R. 1625 - Omnibus H.R. 2906/S. 1351 - Ensuring Access to General Surgery Act of 2017 H.R. 4434/S.2135 - Fix NICS Act of 2017 H.R. 548/S. 527 - Health Care Safety Net Enhancement Act of 2017 H.R. 849/S. 260, S. 251 - Protecting Seniors' Access to Medicare Act of 2017 H.R. 2843/S.1317 - Medicaid and CHIP Quality Improvement Act of 2017 H.R. 3120 - Electronic Health Record Meaningful Use H.R. 2276/S.2575 - Audiology Patient Choice Act of 2018 Medicaid GME Transparency Act Bleeding Control for the Injured (Stop The Bleed campaign) Injury Prevention Initiatives Childrens Health Insurance Program Reauthorization Cancer Research and Funding Opioids EHR Clinician Burden/Administrative Burden Mis-valued Codes Medicare Sequestration Congenital Anomalies Global Codes Qualified clinical data registry (QCDR) Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS) VA Health Issues DOD Health Issues The Emergency Medical Services for Children Program MIPS cost measure development E-Prior Authorization Digital health systems Sports Medicine Firearms Research Hospital-based violence intervention programs

PL 109-417 - Pandemic and All-Hazards Preparedness Act (PAHPA) PL 114-10 - Medicare and CHIP Reauthorization Act of 2017 Implementation H.R. 6 - SUPPORT for Patients and Communities Act H.R. 5507 - Critical Access Hospital Relief Act of 2018 H. R. 5809 - Postoperative Opioid Prevention Act of 2018 H.R 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017 S. 2852 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 H.R. 5385 - Children's Hospital GME Support Reauthorization Act of 2018 S. 2809 - A bill to amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes. H.R. 5106 - Investor Choice Against Gun Proliferation Act H.R.1057 - STOP Act of 2017 H.R. 1822, 1876/S. 781 - Good Samaritan Health Professionals Act of 2017 H.R. 880/S. 1022 - Mission Zero Act H.R. 1017/S. 479 - Removing Barriers to Colorectal Cancer Screening Act of 2017 H.R. 820/S. 292 - Childhood Cancer STAR Act H.R. 5160 - Cancer Care Planning and Communications Act of 2018 H.R. 1704 - ACCESS Act of 2017 H.R. 2267 - Resident Physician Shortage Reduction Act of 2017 H.R. 1676/S. 693 - Palliative Care and Hospice Education and Training Act H.R. 4909/S. 2495 - STOP School Violence Act of 2018 H.R. 4841 - Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 H.R. 4206/S. 2051 - Medicare Care Coordination Improvement Act H.R. 1892 - Bipartisan Budget Act of 2018 H.R. 1625 - Omnibus H.R. 2906/S. 1351 - Ensuring Access to General Surgery Act of 2017 H.R. 4434/S.2135 - Fix NICS Act of 2017 H.R. 548/S. 527 - Health Care Safety Net Enhancement Act of 2017 H.R. 849/S. 260, S. 251 - Protecting Seniors' Access to Medicare Act of 2017 H.R. 2843/S.1317 - Medicaid and CHIP Quality Improvement Act of 2017 H.R. 3120 - Electronic Health Record Meaningful Use H.R. 2276/S.2575 - Audiology Patient Choice Act of 2018 Medicaid GME Transparency Act Bleeding Control for the Injured (Stop The Bleed campaign) Injury Prevention Initiatives Childrens Health Insurance Program Reauthorization Cancer Research and Funding Opioids EHR Clinician Burden/Administrative Burden Mis-valued Codes Medicare Sequestration Congenital Anomalies Global Codes Qualified clinical data registry (QCDR) Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS) VA Health Issues DOD Health Issues The Emergency Medical Services for Children Program MIPS cost measure development E-Prior Authorization Digital health systems Sports Medicine Firearms Research Hospital-based violence intervention programs

S 33/HR 1489, Improved National Monument Designation Process Act HR 827, Imperial Valley Desert Conservation and Recreation Act HR 857, California Off-Road Recreation and Conservation Act HR 1913, Clear Creek National Recreation Area and Conservation Act S 837, HR 1961, Southern Utah Open OHV Areas Act S 22/HR 243, Nevada Land Sovereignty Act S 32, California Desert Protection and Recreation Act S 33, Improved National Monument Designation Process Act S 132, National Monument Designation Transparency and Accountability Act of 2017 S 273/HR 527, Greater Sage Grouse Protection and Recovery Act of 2017 S 375, Endangered Species Act of 1973 Amendments S 509/HR 1330, Invasive Species Control Act S 751, National Park Service Legacy Act S 1417/HR 3543, Sage-Grouse and Mule Deer Habitat Conservation and Restoration Act of 2017 S 1633/HR 3400, Recreation Not Red Tape Act S 1863, Native Species Protection Act S 2335/HR 289, Guides and Outfitters Act or the GO Act S 2809/ HR 5727, Emery County Public Land Management Act S 2509/HR 5210, National Park Restoration Act HR 360, Greater Grand Canyon Heritage National Monument Act S 376/HR 1273, 21st Century Endangered Species Transparency Act Restoration of the Bonneville Salt Flats, UT (no legislation to date) HR 2074, Public Input for National Monuments Act HR 2284, National Monument Designation Transparency and Accountability Act HR 2365, Desert Community Lands Act HR 3990, National Monument Creation and Protection Act

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