Health Equity and Accountability Act of 2018

Legislation H.R. 564 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2017 (Lobbying activities related to opposing exemption of cigars from FDA oversight) S. 294 Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2017 (Lobbying activities related to opposing exemption of cigars from FDA oversight) H.R. 1136 FDA Deeming Authority Clarification Act of 2017 (Lobbying activities related to opposing bill to change the grandfather date for newly deemed products) H.R. 4273 Tobacco to 21 Act (Lobbying activities related to prohibiting the sale or distribution of tobacco products to individuals under the age of 21) S. 2100 Tobacco to 21 Act (Lobbying activities related to prohibiting the sale or distribution of tobacco products to individuals under the age of 21) S. 2976 Senate FY2019 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2019 appropriations for the Food and Drug Administration and protecting FDAs authority to oversee all tobacco products) H.R. 5961 House FY2019 Appropriations for the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Lobbying activities related to FY 2019 appropriations for the Food and Drug Administration and protecting FDAs authority to oversee all tobacco products) H.R. 6147 -- Interior, Environment, Financial Services and General Government, Agriculture, Rural Development, Food and Drug Administration, and Transportation, Housing and Urban Development Appropriations Act, 2019 H.R. 5942 Health Equity and Accountability Act (Lobbying activities related to supporting coverage of comprehensive tobacco cessation services in Medicaid and private health insurance) S. 3660 Health Equity and Accountability Act (Lobbying activities related to supporting coverage of comprehensive tobacco cessation services in Medicaid and private health insurance) S. 3319 SAFE Kids Act (Lobbying activities related to curbing the use of flavors in tobacco products, including electronic cigarettes and cigars) H.R. 7035 National Strategy to Increase Life Expectancy Act S. 3701 Smoke-Free Schools Act of 2018 Issues Prevention and Public Health Fund (Lobbying activities related to preserving the Fund) Tobaccos role in health disparities FDA regulation of tobacco products Tobacco and trade agreements Flavored tobacco products Judicial nominations for 6th Circuit E-cigarettes Preventing tobacco use by kids Tobacco control legislation and oversight in general Tobacco taxes Age verification and shipping restrictions for tobacco products Contraband tobacco Misleading social media marketing by tobacco companies

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

Government targets: Centers For Disease Control & Prevention (CDC), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

Issue: Educate congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Issue: Support continuation of high-quality affordable health insurance through preservation of current levels of health care coverage. Support programs and funds for safety-net providers. H.R. 3728, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) Act of 2017 Issue: Support reauthorization of Title VII health professions programs P.L. 115-241, Childrens Hospital GME Support Reauthorization Act Issue: Support reauthorization of the Childrens Hospital GME program H.R. 959/S. 1109 Title VIII Nursing Workforce Reauthorization Act of 2017 Issue: Support reauthorization of Title VIII nursing workforce development programs S.3095 / H.R. 2574, Building a Health Care Workforce for the Future Act Issue: Support bill to increase scholarship opportunities for medical students and encourage primary care workforce development S. 3660 / H.R. 5942, Health Equity and Accountability Act Issue: Support workforce grants to medical schools to improve health equity Issue: Oppose regulatory proposals to narrow the definition of sex Issue: Educate Congress and the administration, support training on substance use disorders, pain management, and safe prescribing practices. Strategies to prevent, identify, and treat opioid addiction Issue: Support reauthorization of the Patient Centered Outcomes Research Institute (PCORI) and the Patient Centered Outcomes Research Trust Fund Issue: Promote resilience of health professionals Issue: Support policies to address IV fluid shortages exacerbated by hurricanes, and educate Congress on the shortage of IV saline fluid and injectable drug shortage. Issue: Oppose restrictions on fetal tissue and embryonic stem cell research. P.L. 115-176/H.R. 5247, Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act. Issue: Oppose Right to Try legislation that removes safety measures under FDAs current expanded access program. P.L. 115-271 SUPPORT for Patients and Communities Act H.R. 5261, Treatment, Education, and Community Help to Combat Addiction Act of 2018 S.2680, Opioid Crisis Response Act of 2018 S.2711, Enhancing Access to Addiction Treatment Act of 2018 Issue: Support policies to address the opioid epidemic including improving coverage and payment for non-opioid therapies, enhancing usability of PDMPs, addressing physician shortages, promoting medication assisted treatment, eliminating Medicare limits on in-patient psychiatric hospital treatment, eliminating Medicaid IMD exclusion, aligning privacy regulations, and investing in research and education, and reauthorizing the Patient Centered Outcomes Research Institute. Provide grants to regional Centers of Excellence in substance use disorder education. Support policy eliminating Medicaid IMD exclusion and revising 42 Code of Federal Regulations (CFR) Part 2 to amend the Public Health Service Act to align federal privacy standards for substance use disorder (SUD) patient records more closely with standards under the Health Insurance Portability and Accountability Act (HIPAA). Issue: Amend Controlled Substances Act to improve MAT waiver process for qualified health professionals. H.R. 6082, the Overdose Prevention and Patient Safety Act Issue: Support legislation revising 42 Code of Federal Regulations (CFR) Part 2 to amend the Public Health Service Act to align federal privacy standards for substance use disorder (SUD) patient records more closely with standards under the Health Insurance Portability and Accountability Act (HIPAA). H.R. 7328/ H.R. 6378/S.2852, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 Issue: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. H.R.4776 Hospital Preparedness Reauthorization Act of 2018. Issue: Support reauthorization of the Hospital Preparedness Program Issue: Support legislative solutions to fire arm related injuries and fatalities including research, public health surveillance, and firearm background checks. H.R. 4392, To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes. Issue: Support rescission of Medicare cuts to hospitals that participate in 340B Drug Pricing Program H.R. 4710, 340B PAUSE Act Issue: Oppose bill that would impose a moratorium on 340B hospitals and other issues S. 2312, 340B HELP Act Issue: Oppose bill that would impose a moratorium and add additional reporting requirements for 340B hospitals S.2453, Ensuring the Value of the 340B Program Act of 2018 Issue: Oppose bill that would require hospitals to report total 340B acquisition costs H.R. 6071, Stretching Entity Resources for Vulnerable Communities Act Issue: Support bill to rescind Medicare cuts to 340B hospitals and improve program integrity H.R. 5598: 340B Optimization Act Issue: Oppose bill that would change eligibility metrics in the 340B program H.R. 6240, Drug Discount Accountability Act Issue: Oppose bill that would impose a user fee on hospitals that participate in the 340B program S. 3366, Maternal CARE Act Issue: Support efforts to reduce preventable maternal mortality Issue: Support national preparedness infrastructure.

S.356/H.R. 1027 - Hallways to Health Act - school-based health centers S.J.Res.63 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Secretary of the Treasury, Secretary of Labor, and Secretary of Health and Human Services relating to "Short-Term, Limited Duration Insurance" S. 3592 - No More Surprise Medical Bills Act of 2018 - protect patients with medical emergencies from surprise billing by prohibiting hospitals and providers from charging more than the in-network amount; protects patients in non-emergency situations by requiring hospitals and providers to notify patients if services will be out-of-network and get their consent S.3775 - Affordable Drug Manufacturing Act of 2018 - public manufacturing of generic drugs in cases where the market has failed S. 3754 - CURE High Drug Prices Act - prevent price gouging by pharmaceutical companies S.3660 - Health Equity and Accountability Act of 2018; TITLE IV-IMPROVING HEALTH CARE ACCESS AND QUALITY - Subtitle C-Advancing Health Equity Through Payment And Delivery Reform. H.R.2422 - Action for Dental Health Act of 2018 - reauthorize oral health promotion and disease prevention programs through FY2022 S.974 - CREATES Act of 2017 - facilitate the timely entry of lower-cost generic and biosimilar versions of drugs and biological products S.Res.581 - A resolution authorizing the Senate Legal Counsel to represent the Senate in Texas v. United States, No. 4:18-cv-00167-O (N.D. Tex.) H.R.5977/S.3776 - MOMMA's Act - improve Federal efforts with respect to the prevention of maternal mortality S.2582 - Consumer Health Insurance Protection Act- comprehensive insurance reform proposals including provisions pegging consumer assistance to plans with higher actuarial value, lowering out-of-pocket maximums, extending eligibility for subsidies, fixing family glitch, investing in enrollment outreach, requiring insurers to cover emergency services at in-network costs, making short-term limited duration plans subject to ACAs consumer protections S.2700 - Comprehensive Addiction Resources Emergency Act of 2018 - 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 Surprise billing - draft legislation to prevent surprise medical billing of patients. Auto-enrollment - create a federal platform encouraging states to experiment with auto-enrollment strategies, including resources to develop necessary information-technology infrastructure

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

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

H.R. 2788, Health Equity and Access under the Law for Immigrant Women & Families Act of 2017, House and Senate, (encouraging Senate introduction and planning for House re-introduction; bill provides for expanded eligibility for affordable health insurance coverage to lawfully present immigrant individuals). No bill number, adolescent sexual and reproductive health and rights, international family planning, HIV prevention funding, maternal mortality, State Foreign Operations appropriations, House and Senate. H.R. 671 and S. 210, Global Health, Empowerment, and Rights Act of 2017, House and Senate, (reproductive rights and international family planning programs). H.R. 5942 and S. 3660, Health Equity and Accountability Act of 2018, House and Senate, (improving health outcomes for women, children, and families). No bill number, adolescent pregnancy, HIV, and other STI prevention, Health and Human Services, Centers for Disease Control and Prevention.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE