Training the Next Generation of Primary Care Doctors Act of 2019

Medicare-Graduate Medical Education HRSA THCGME Program Resident Physician Shortage Reduction Act of 2019 (H.R. 1763/S. 348) Rural Physician Workforce Production Act of 2019 (S. 289) Training the Next Generation of Primary Care Doctors Act of 2019 (H.R. 2815/S. 1191) Opioid Workforce Act of 2019 (H.R. 3414/S. 2892) Advancing Medical Resident Training in Community Hospitals Act of 2019 (H.R. 3425) Supporting Graduate Medical Education at Community Hospitals Act of 2019 (H.R. 3753/S. 2116) PPE to Address COVID-19 Pandemic Community Health Center Fund in COVID stimulus COVID-19 impact on health professions education COVID-19 impact on osteopathic medical education Coronavirus Health Care Worker Wellness Act (H.R. 7255) Restoring Rural Residencies Act of 2019 (S. 1240) Community and Public Health Programs Extension Act (S.192) Public health and public health infrastructure support in COVID-19 stimulus Title VII and Title VIII program support in COVID-19 stimulus Ensuring Understanding of COVID-19 to Protect Public Health Act (S. 3595/H.R. 6701) Indian Health Service Health Professions Tax Fairness Act (H.R. 6448/S. 2871) Building a Health Care Workforce for the Future Act (H.R. 7470) Dr. Lorna Breen Health Care Provider Protection Act (H.R. 8094/S. 4349) Addressing COVID-19 Health Disparities Act (H.R.8067) Debt and economic relief for frontline workers Federal funding for rural hospitals and physician practices impacted by COVID-19 Funding for federal research agencies to prevent and respond to pandemic-related disruptions to federally-funded research

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of Teaching Health Centers Graduate Medical Education (THCGME) program generally Implementation of Public Law 115-123 (Bipartisan Budget Act of 2018), regarding funding of THCGME program Reauthorization of Teaching Health Centers Graduate Medical Education (THCGME) program H.R. 2815 and S. 1191 (Training the Next Generation of Primary Care Doctors Act of 2019), all provisions S. 192 (Community and Public Health Programs Extension Act), Section 2, regarding funding of THCGME program S. 1895 (Lower Health Care Costs Act), Section 411, regarding funding of THCGME program H.R. 2328 (REACH Act), Section 101(c), regarding funding of THCGME program H.R. 6800 (The Heroes Act), regarding funding of THCGME program H.R. 925 (The Heroes Act), regarding funding of THCGME program Senate coronavirus-related bills (HEALS Act), regarding funding of THCGME program H.R. 8337 (Continuing Appropriations Act, 2021 and Other Extensions Act), Division C, Section 2101, regarding funding of THCGME program

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Agency for Healthcare Research and Quality Public Health Services Act, Title VII re-authorization; HR2781 CARES Act Council on Graduate Medical Education HRSA Primary Care Medicine and Dentistry Advisory Committee Affordable Care Act Implementation Teaching Health Centers GME Program S. 192, S.304, S.1191, HR2815, HR2328, HR4378 Continuing Appropriations Act 2020, and Health Extenders Act of 2019 HR748 CARES Act National Health Service Corps; HR2328 Draft COVID-19 package #4; Health, Economic Assistance, Liability protections, and Schools (HEALS) Act; HR6800, HEROES Act S.4775 Delivering Immediate Relief to America's Families, Schools, and Small Business Act

Client expense: $60,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

Graduate Medical Education Affordable Care Act Teaching Health Centers Re-authorization - S.192, S.304, S.1191, HR2815, HR4378 Continuing Appropriations Act 2020 Health Extenders Act of 2019 Primary Care Exception Under Teaching Physician Regulation Rural Graduate Medical Education Regulations & sub-regulatory issues re: Teaching Physician Regulation HR 1358 Advancing Resident Training in Community Hospitals Act of 2019; HR3417 The Rural Physician Workforce Production Act of 2019 S.289, draft legislation in House S.348/HR 1763 Resident Physician Shortage Reduction Act of 2019 Draft legislation regarding GME cap flexibility (rep Raul Ruiz) HR748 CARES Act HR6074 Coronavirus Preparedness & Response Supplemental Appropriations Act 2020 HR6201 - Families First Coronavirus Response Act Draft COVID-19 package #4; Health, Economic Assistance, Liabilities protections, and Schools (HEALS) Act S.4775 Delivering Immediate Relief to America's Families, Schools, and Small Business Act; HR6800, HEROES Act CMS waivers RE: COVID-19 public health emergency

Client expense: $60,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

Agency for Healthcare Research and Quality Public Health Services Act, Title VII re-authorization; HR2781 CARES Act Council on Graduate Medical Education HRSA Primary Care Medicine and Dentistry Advisory Committee Affordable Care Act Implementation Teaching Health Centers GME Program S. 192, S.304, S.1191, HR2815, HR2328, HR4378 Continuing Appropriations Act 2020, and Health Extenders Act of 2019 HR748 CARES Act National Health Service Corps; HR2328

Client expense: $60,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

Graduate Medical Education Affordable Care Act Teaching Health Centers Re-authorization - S.192, S.304, S.1191, HR2815, HR4378 Continuing Appropriations Act 2020 Health Extenders Act of 2019 Primary Care Exception Under Teaching Physician Regulation Rural Graduate Medical Education Regulations & sub-regulatory issues re: Teaching Physician Regulation HR 1358 Advancing Resident Training in Community Hospitals Act of 2019; HR3417 The Rural Physician Workforce Production Act of 2019 S.289, draft legislation in House S.348/HR 1763 Resident Physician Shortage Reduction Act of 2019 Draft legislation regarding GME cap flexibility (rep Raul Ruiz) HR748 CARES Act HR6074 Coronavirus Preparedness & Response Supplemental Appropriations Act 2020 HR6201 - Families First Coronavirus Response Act Draft COVID-19 package #4; Unknown name for the Senate version; HR6800, HEROES Act CMS waivers RE: COVID-19 public health emergency

Client expense: $60,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

Medicare-Graduate Medical Education HRSA THCGME Program Resident Physician Shortage Reduction Act of 2019 (H.R. 1763/S. 348) Rural Physician Workforce Production Act of 2019 (S. 289) Training the Next Generation of Primary Care Doctors Act of 2019 (H.R. 2815/S. 1191) Opioid Workforce Act of 2019 (H.R. 3414/S. 2892) Advancing Medical Resident Training in Community Hospitals Act of 2019 (H.R. 3425) Supporting Graduate Medical Education at Community Hospitals Act of 2019 (H.R. 3753/S. 2116) Improving Access to Health Care in Rural and Underserved Areas Act (S. 3194) PPE to Address COVID-19 Pandemic Community Health Center Fund COVID-19 impact on health professions education Ensuring Understanding of COVID-19 to Protect Public Health Act (S. 3595/H.R. 6701) Coronavirus Health Care Worker Wellness Act (H.R. 7255) Restoring Rural Residencies Act of 2019 (S. 1240) Community and Public Health Programs Extension Act (S.192) Indian Health Service Health Professions Tax Fairness Act (H.R. 6448/S. 2871) Public health and public health infrastructure support in COVID-19 stimulus Title VII and Title VIII program support in COVID-19 stimulus AHRQ support in COVID-19 stimulus Veterans Affairs research support in COVID-19 stimulus COVID-19 impact on osteopathic medical education Osteopathic medical education priorities for NIH Strategic Framework 2021-2025

Client expense: $70,000 · Firm income: Not reported

General education around physician payment, administrative burden and teaching health center graduate medical education program issues; S.289, Rural Physician Workforce Production Act of 2019; H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019; H.R.2774, Primary Care Patient Protection Act of 2019; H.R.3107, Improving Seniors' Timely Access to Care Act of 2019; H.R. 2815 and S. 1191, Training the Next Generation of Primary Care Physicians; P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020; P.L. 116-127, Families First Coronavirus Response Act; P.L. 116-136, Coronavirus Aid, Relief, and Economic Security (CARES) Act; P.L. 116-139, the Paycheck Protection Program and Health Care Enhancement Act.

Client expense: Not reported · Firm income: $60,000

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

General education around physician payment, administrative burden and teaching health center graduate medical education program issues; S.289, Rural Physician Workforce Production Act of 2019; H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019; H.R.2774, Primary Care Patient Protection Act of 2019; H.R.3107, Improving Seniors' Timely Access to Care Act of 2019; H.R. 2815 and S. 1191, Training the Next Generation of Primary Care Physicians; P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020; P.L. 116-127, Families First Coronavirus Response Act; P.L. 116-136, Coronavirus Aid, Relief, and Economic Security (CARES) Act; P.L. 116-139, the Paycheck Protection Program and Health Care Enhancement Act.

Client expense: Not reported · Firm income: $60,000

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

Implementation of Teaching Health Centers Graduate Medical Education (THCGME) program generally Implementation of Public Law 115-123 (Bipartisan Budget Act of 2018), regarding funding of THCGME program Reauthorization of Teaching Health Centers Graduate Medical Education (THCGME) program H.R. 2815 and S. 1191 (Training the Next Generation of Primary Care Doctors Act of 2019), all provisions S. 192 (Community and Public Health Programs Extension Act), Section 2, regarding funding of THCGME program S. 1895 (Lower Health Care Costs Act), Section 411, regarding funding of THCGME program H.R. 2328 (REACH Act), Section 101(c), regarding funding of THCGME program H.R. 6800 (The Heroes Act), regarding funding of THCGME program

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Graduate Medical Education Affordable Care Act Teaching Health Centers Re-authorization - S.192, S.304, S.1191, HR2815, HR4378 Continuing Appropriations Act 2020 Health Extenders Act of 2019 Primary Care Exception Under Teaching Physician Regulation Rural Graduate Medical Education Regulations & sub-regulatory issues re: Teaching Physician Regulation HR 1358 Advancing Resident Training in Community Hospitals Act of 2019; HR3417 The Rural Physician Workforce Production Act of 2019 S.289, draft legislation in House S.348/HR 1763 Resident Physician Shortage Reduction Act of 2019 Draft legislation regarding GME cap flexibility (rep Raul Ruiz) HR748 CARES Act HR6074 Coronavirus Preparedness & Response Supplemental Appropriations Act 2020 HR6201 - Families First Coronavirus Response Act Draft COVID-19 package #4

Client expense: $59,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

Agency for Healthcare Research and Quality Public Health Services Act, Title VII re-authorization; HR2781 CARES Act Council on Graduate Medical Education HRSA Primary Care Medicine and Dentistry Advisory Committee Affordable Care Act Implementation Teaching Health Centers GME Program S. 192, S.304, S.1191, HR2815, HR2328, HR4378 Continuing Appropriations Act 2020, and Health Extenders Act of 2019 HR748 CARES Act National Health Service Corps; HR2328

Client expense: $59,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

H.R. 748 and S. 3548 (CARES Act), Sec. 3831, regarding funding of THCGME program, and Division A, Title I, regarding SBA financing Implementation of Teaching Health Centers Graduate Medical Education (THCGME) program generally Implementation of Public Law 115-123 (Bipartisan Budget Act of 2018), regarding funding of THCGME program Reauthorization of Teaching Health Centers Graduate Medical Education (THCGME) program H.R. 2815 and S. 1191 (Training the Next Generation of Primary Care Doctors Act of 2019), all provisions S. 192 (Community and Public Health Programs Extension Act), Section 2, regarding funding of THCGME program S. 1895 (Lower Health Care Costs Act), Section 411, regarding funding of THCGME program H.R. 2328 (REACH Act), Section 101(c), regarding funding of THCGME program

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare-Graduate Medical Education HRSA THCGME Program Resident Physician Shortage Reduction Act of 2019 (H.R. 1763/S. 348) Rural Physician Workforce Production Act of 2019 (S. 289) Training the Next Generation of Primary Care Doctors Act of 2019 (H.R. 2815/S. 1191) Opioid Workforce Act of 2019 (H.R. 3414/S. 2892) Advancing Medical Resident Training in Community Hospitals Act of 2019 (H.R. 3425) Supporting Graduate Medical Education at Community Hospitals Act of 2019 (H.R. 3753/S. 2116) Improving Access to Health Care in Rural and Underserved Areas Act (S. 3194) COVID-19 impact on health professions education PPE to Address COVID-19 Pandemic Community Health Center Fund Defense Protection Act Special Diabetes Program Special Diabetes Program for Indians

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 289: Physician Workforce/GME Reform: Increasing the number of family medicine residency slots; GME reform to support rural residency training S 1191; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Support for increased and long-term funding for the HRSA THCGME funding. HR 4996, HR 4995, S. 2793, S. 289, S. 916. S. 289 - Maternal Health: Letter to the Senate Finance Cmt urging support for health care best practices and maternal health bills focused on Medicaid, quality improvement, data collection, primary care access under high deductible health care plans, unconscious bias, and rural health care. No Bill No.: Advisory Committee on Training and Primary Care Medicine & Dentistry-Title VII Primary Care Training & Enhancement grants. No Bill No. - GME Reform: GME reform to increase family physician workforce. No Bill No.- CDC FY 2021 budget request: Family medicine public health priorities. No Bill No. - CHC & National Health Service Corps reauthorization: Health care access, scholarships and medical student debt relief. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No.: Black Maternal Health Momnibus Act: Support for a comprehensive bill to address maternal Health disparities.

Client expense: $1,039,649 · Firm income: Not reported

S 289: Physician Workforce/GME Reform: Increasing the number of family medicine residency slots; GME reform to support rural residency training. HR 748 - CARES Act: Fund CHC & THCGME, promote telemedicine in primary care, set Medicaid at Medicare parity. S. 304; S 1191; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Support for increased and long-term funding for the HRSA THCGME funding; funding for new rural programs. HR 2339 - Tobacco Use Prevention: Urged support for the Preventing the Youth Tobacco Epidemic Act. HR 2774, S 2793 - Primary Care Patient Protection Act: create a primary care benefit in high deductible health plans. HR 3107 - Prior Authorization: Improve healthcare access & reduce administrative burden. HR 4995 - Maternal Health Quality Improvement Act: Legislation to support best practice programs and safety bundles. HR 4996, HR 4995, S. 2793, S. 289, S. 916. S. 289 - Maternal Health: Letter to the Senate Finance Cmt urging support for health care best practices and maternal health bills focused on Medicaid, quality improvement, data collection, primary care access under high deductible health care plans, unconscious bias, and rural health care. HR 5741 - Strengthening Innovation in Medicare and Medicaid Act: Oppose the effort to stifle CMMI innovation. HR 5800 - Surprise Billing: Hold patients to in-network rates and prevent premium hikes. HR 6379 - Take Responsibility for Workers and Families Act: Include healthcare providers in emergency leave requirements. HR 6074 - Coronavirus Preparedness & Response Supplemental Act - Ensure adequate PPE, funding and loans, telehealth care payment. HR 6201 - Families First Coronavirus Response Act: Support for small business and non-profits during pandemic. No Bill No.- CDC FY 2021 budget request: Family medicine public health priorities. No Bill No. - CHC & National Health Service Corps reauthorization: Health care access, scholarships and medical student debt relief. No Bill No. - AHRQ FY 2021 budget request: primary care research. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Non-compete clauses in physician employment contracts: Restrictive covenants can disrupt the patient-physician relationship. No Bill No. - Administrative Simplification: Promote reduced administrative burden on family physicians of prior authorization, EMR. No Bill No. - Truth in Healthcare Marketing Act: Prevent deceptive advertising on health care licensure. No Bill No. - Abortion Access: Letter to FDA urging flexibility from current safety protocols to allow physicians to administer drugs via telehealth. No Bill No. - Community Health Center Funding: Letters, briefing to support funding for community health centers. Outreach to Hill offices to urge support for health extenders, which includes THCGME, community health centers, and National Health Service Corps. No Bill No.: Black Maternal Health Momnibus Act: Support for a comprehensive bill to address maternal Health disparities. No Bill No. - Defeat Infant and Maternal Mortality Act (DIMMA): Supporting legislation to allow the Department of Defense to share information with civilian entities on maternal and infant health. No Bill No. - Health IT interoperability: Ensure Health IT interoperability regulations and recommendations promote primary care/do not burden physicians. No Bill No. - CDC prevention issues to cover: communication on What work the CDC should do.

S 1191; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Support for increased and long-term funding for the HRSA THCGME funding. HR 748 - CARES Act: Fund CHC & THCGME, promote telemedicine in primary care, set Medicaid at Medicare parity. HR 6074 - Coronavirus Preparedness & Response Supplemental Act - Ensure adequate PPE, funding and loans, telehealth care payment. HR 6201 - Families First Coronavirus Response Act: Support for small business and non-profits during pandemic. No Bill No.: Advisory Committee on Training and Primary Care Medicine & Dentistry-Title VII Primary Care Training & Enhancement grants. No Bill No. - GME Reform: GME reform to increase family physician workforce. No Bill No.- CDC FY 2021 budget request: Family medicine public health priorities. No Bill No. - CHC & National Health Service Corps reauthorization: Health care access, scholarships and medical student debt relief. No Bill No. - AHRQ FY 2021 budget request: primary care research. No Bill No. - Community Health Center Funding: Letters, briefing to support funding for community health centers. Outreach to Hill offices to urge support for health extenders, which includes THCGME, community health centers, and National Health Service Corps.

Client expense: $1,039,649 · Firm income: Not reported

H.R. 748 and S. 3548 (CARES Act), Sec.3831, regarding funding of THCGME program, and Division A, Title I, regarding SBA financing Implementation of Teaching Health Centers Graduate Medical Education (THCGME) program generally Implementation of Public Law 115-123 (Bipartisan Budget Act of 2018), regarding funding of THCGME program Reauthorization of Teaching Health Centers Graduate Medical Education (THCGME) program H.R. 2815 and S. 1191 (Training the Next Generation of Primary Care Doctors Act of 2019), all provisions S.192 (Community and Public Health Programs Extension Act), Section 2, regarding funding of THCGME program S. 1895 (Lower Health Care Costs Act), Section 411, regarding funding of THCGME program H.R. 2328 (REACH Act), Section 101(c), regarding funding of THCGME program

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General education around physician payment, administrative burden and teaching health center graduate medical education program issues; S.289, Rural Physician Workforce Production Act of 2019; H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019; H.R.2774, Primary Care Patient Protection Act of 2019; H.R.3107, Improving Seniors' Timely Access to Care Act of 2019; H.R. 2815 and S. 1191, Training the Next Generation of Primary Care Physicians; P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020; P.L. 116-127, Families First Coronavirus Response Act; P.L. 116-136, Coronavirus Aid, Relief, and Economic Security (CARES) Act.

Client expense: Not reported · Firm income: $60,000

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

Health Insurance Coverage (general); Health Disparities (general); Breastfeeding (general); Assisted Reproductive Technology (general); Smoking Cessation (general); Substance Use Disorder (general); Gynecologic Cancer (general); Gynecologic Devices (general); Reproductive Health (general); Intimate Partner Violence (general); Gun Violence (general); Immunization (general); Breast Cancer (general); E-Cigarettes (general); Medical Liability Reform (general); Health IT (general); Patient-Physician Relationship (general); Conscience Refusals (general); Child Welfare (general); Prematurity (general); Maternal Mortality and Morbidity (general); Graduate Medical Education (general); Contraception (general); Abortion (general); Indian Health (general); Teaching Health Centers (general); Sexuality Education (general); Teen Pregnancy Prevention Program (general); Personal Responsibility Education Program (general); Research in Pregnant and Breastfeeding Women (general); Health Care Reform (general); Title X Family Planning Program (general); Womens Preventive Services (general); Drug Pricing (general); Administrative Burden (general); Surprise Billing (general); Pediatric Loan Repayment Program (general); H.R. 1551/S.1960, Quality Care for Moms and Babies Act; H.R. 1897/S. 916, MOMMAs Act; H.R. 1763/S. 348, Resident Physician Shortage Reduction Act of 2019; H.R. 1554, Resident Education Deferred Interest Act; H.R.___/S. 116, MOMS Act; S.___, Rural MOMS Act; H.R. 2778/S. 1481, Healthy MOM Act; H.R. 2902/S. 1600, Maternal CARE Act; H.R. 2602/S. 1343, MOMMIES Act; H.R. 1585/S.___, Violence Against Women Reauthorization Act of 2019; S. 130/S. 311, Born-Alive Abortion Survivors Protection Act; H.R. 784/S. 160, Pain-Capable Unborn Child Protection Act; H.R. 2975/S. 1645, Womens Health Protection Act; H.R. 986/S. 466, Protecting Americans with Preexisting Conditions Act; H.R. 1010, To provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect; H.R. 1143, Educating Consumers on the Risks of Short-Term Plans Act of 2019; S.Res. 29, A resolution expressing support for the designation of a Womens Health Research Day; H.R. 2815/S. 304/S. 1191, Training the Next Generation of Primary Care Doctors Act of 2019; H.R.__/S.__, Wise Investment in our Children Act; H.Res. 317/S.Res. 154, A resolution recognizing Black Maternal Health Week; H.R. 2689/S. 1438, Breast Cancer Research Stamp Reauthorization Act; S. 1895, Lower Health Care Costs Act; H.R. 2862/S. 1619, VACCINES Act; H.R. 3296/S. 1847, Affordability is Access Act; H.R. 2777/S. 1936, Protecting Access to Lifesaving Screenings Act; H.R. 3109, GEDI Act; H.R. 2803/S. 1461, Access to Infertility Treatment and Care Act; H.R. 2411/S. 1258, Tobacco to 21 Act; implementation of P.L. 115-344, Preventing Maternal Deaths Act; implementation of P.L. 115-320, Improving Access to Maternity Care Act

Agency for Healthcare Research and Quality Public Health Services Act, Title VII re-authorization; HR2781 Council on Graduate Medical Education HRSA Primary Care Medicine and Dentistry Advisory Committee Affordable Care Act Implementation Teaching Health Centers GME Program S. 192, S.304, S.1191, HR2815, HR2328, HR4378 Continuing Appropriations Act 2020, and Health Extenders Act of 2019 National Health Service Corps; HR2328 Patient Centered Outcomes Research Institute/PCOR Trust Fund; HR3030, HR3439

Client expense: $60,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

Graduate Medical Education Affordable Care Act Teaching Health Centers Re-authorization - S.192, S.304, S.1191, HR2815, HR4378 Continuing Appropriations Act 2020, and Health Extenders Act of 2019 Primary Care Exception Under Teaching Physician Regulation Rural Graduate Medical Education Regulations & sub-regulatory issues re: Teaching Physician Regulation HR 1358 Advancing Resident Training in Community Hospitals Act of 2019; HR3417 The Rural Physician Workforce Production Act of 2019 S.289 S.348/HR 1763 Resident Physician Shortage Reduction Act of 2019 Student Documentation under the teaching physician regulation and the CY 2020 medicare fee schedule Draft legislation regarding GME cap flexibility (rep Raul Ruiz)

Client expense: $60,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

S106; S192; S 962; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 289, HR 1358 - Physician Workforce/GME Reform: Increasing the number of family medicine residency slots; GME reform to support rural residency training; correct rotator problems. S 304; S 1191; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Support for increased, extended THCGME funding. No Bill No. - Advisory Committee Training in Primary Care Medicine and Dentistry: Title VII Primary Care Training and Enhancement Grants. HR 4995; 4996 - Maternal Health: AAFP supported maternal health bills to expand medicaid access and bolster training and best practices. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - HRSA Title VII funding: Title VII Primary Care training Enhancement Grants. No Bill No. - Codes in the primary care exception list: Adding codes that medical students can perform in teaching settings.

Client expense: $1,218,792 · Firm income: Not reported

S 289, HR 1358 - Physician Workforce/GME Reform: Increasing the number of family medicine residency slots; GME reform to support rural residency training; correct rotator problems. S 304; S 1191; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Support for increased, extended THCGME funding. S106; S192; S 962; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S. 1895 - Surprise medical billing: Eliminate barriers to patient access to primary care, fund THCGME program. HR 3; S 2543 - Drug pricing legislation: Support THGME, primary care in HDHP, Medicare and Medicaid. HR 2339 - Nicotine usage: Urged support for reversing the youth tobacco epidemic, tobacco 21 and the vaping flavors ban. HR 2694 - Pregnant workers Fairness Act: AAFP signed a joint letter supporting HR 2694. HR 2774 - Primary Care Patient Protection Act: Create a Primary Care benefit in high deductible health plans. HR 2774, S 2793, HR 5575 - Primary Care Benefit: establish standard primary care benefit in private health insurance plans. HR 3030; HR 1965 - Patient Centered Outcomes Research Institute reauthorization: Evidence based primary care research. HR 3107 - Administrative Burden/Prior Authorization: Reduce administrative burden. HR 4995; 4996 - Maternal Health: AAFP supported maternal health bills to expand medicaid access and bolster training and best practices. No Bill No. - Advisory Committee Training in Primary Care Medicine and Dentistry: Title VII Primary Care Training and Enhancement Grants. No Bill No. - Rural Health: Improved access to quality care for rural populations. No Bill No. - Insurance network adequacy to avoid "surprise medical bills": protecting patients and families from unanticipated medical bills. No Bill No. - Primary Care Investment: Increased spending on primary care. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ. No Bill No. - Primary Care Innovation: Increased awareness of primary care payment and delivery. No Bill No. - Rural Access Issues: How to increase supply of PCP's in rural areas. No Bill No. - RFI on opioid addiction and access to medication-assisted treatment: Chronic pain management. No Bill No. - Confidentiality of Substance Use Disorder: Opioid issues. No Bill No. - 2020 National Vaccine plan: How to improve vaccination rates. No Bill No. - Concerns with EO provisions on scope of practice. No Bill No. - Concerns with flavored e-cigarettes: Youth e-cig epidemic. No Bill No. - Revising two screening code descriptors: Depression and alcohol misuse screening descriptors. No Bill No. - Fraud and safe harbors in medicare: How to address safe harbors in payment models. No Bill No. - Modernizing self-referral laws: How to improve Stark for payment model arrangements. No Bill No. - Lower Health Care Costs Act/Surprise Billing: Support for vaccines, maternal health, transparency, and reducing administrative burdens. Also, support for reauthorizing the Teaching Health Center GME (THCGME) program, along with Community Health Centers and National Health Service Corps. No Bill No. - Medicare Payment: Educated staff about the Medicare Physician Fee Schedule's E&M code increase.

S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. S106; S192; S 962; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 304; S 1191; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Support for increased, extended THCGME funding. HR 3; S 2543 - Drug pricing legislation: Support THGME, primary care in HDHP, Medicare and Medicaid. HR 3030; HR 1965 - Patient Centered Outcomes Research Institute reauthorization: Evidence based primary care research. HR 2740; HR 1865- HHS FY 2020 Appropriations; Women's Health Research: AAFP spending priorities. Increased funding for women's health research. No Bill No. - Advisory Committee Training in Primary Care Medicine and Dentistry: Title VII Primary Care Training and Enhancement Grants. No Bill No. - Rural Health: Improved access to quality care for rural populations. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ. No Bill No. - HRSA Title VII funding: Title VII Primary Care training Enhancement Grants.

Client expense: $1,218,792 · Firm income: Not reported

Medicare-Graduate Medical Education HRSA THCGME Program Expansion of Nutritions Role in Curricula and Healthcare (ENRICH) Act (H.R. 1888) Resident Physician Shortage Reduction Act of 2019 (H.R. 1763/S. 348) Rural Physician Workforce Production Act of 2019 (S. 289) Training the Next Generation of Primary Care Doctors Act of 2019 (H.R. 2815/S. 1191) Opioid Workforce Act of 2019 (H.R. 3414) (S. 2892) Advancing Medical Resident Training in Community Hospitals Act of 2019 (H.R. 3425) Supporting Graduate Medical Education at Community Hospitals Act of 2019 (H.R. 3753/S. 2116) Indian Health Service Health Professions Tax Fairness Act (S. 2871)

Client expense: $60,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Insurance Coverage (general); Health Disparities (general); Breastfeeding (general); Assisted Reproductive Technology (general); Smoking Cessation (general); Substance Use Disorder (general); Gynecologic Cancer (general); Gynecologic Devices (general); Reproductive Health (general); Intimate Partner Violence (general); Gun Violence (general); Immunization (general); Breast Cancer (general); E-Cigarettes (general); Medical Liability Reform (general); Health IT (general); Patient-Physician Relationship (general); Conscience Refusals (general); Child Welfare (general); Prematurity (general); Maternal Mortality and Morbidity (general); Graduate Medical Education (general); Contraception (general); Abortion (general); Indian Health (general); Teaching Health Centers (general); Sexuality Education (general); Teen Pregnancy Prevention Program (general); Personal Responsibility Education Program (general); Research in Pregnant and Breastfeeding Women (general); Health Care Reform (general); Title X Family Planning Program (general); Womens Preventive Services (general); Drug Pricing (general); Administrative Burden (general); Surprise Billing (general); Pediatric Loan Repayment Program (general); H.R. 1551/S.1960, Quality Care for Moms and Babies Act; H.R. 1897/S. 916, MOMMAs Act; H.R. 1763/S. 348, Resident Physician Shortage Reduction Act of 2019; H.R. 1554, Resident Education Deferred Interest Act; H.R.___/S. 116, MOMS Act; S. 2373/H.R. 4243, Rural MOMS Act; H.R. 2778/S. 1481, Healthy MOM Act; H.R. 2902/S. 1600, Maternal CARE Act; H.R. 2602/S. 1343, MOMMIES Act; H.R. 1585/S.___, Violence Against Women Reauthorization Act of 2019; S. 130/S. 311, Born-Alive Abortion Survivors Protection Act; H.R. 2975/S. 1645, Womens Health Protection Act; H.R. 986/S. 466, Protecting Americans with Preexisting Conditions Act; H.R. 1010, To provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect; H.R. 1143, Educating Consumers on the Risks of Short-Term Plans Act of 2019; S.Res. 29, A resolution expressing support for the designation of a Womens Health Research Day; H.R. 2815/S. 304/S. 1191, Training the Next Generation of Primary Care Doctors Act of 2019; H.R.__/S.__, Wise Investment in our Children Act; H.Res. 317/S.Res. 154, A resolution recognizing Black Maternal Health Week; H.R. 2689/S. 1438, Breast Cancer Research Stamp Reauthorization Act; S. 1895, Lower Health Care Costs Act; H.R. 2862/S. 1619, VACCINES Act; H.R. 3296/S. 1847, Affordability is Access Act; H.R. 2777/S. 1936, Protecting Access to Lifesaving Screenings Act; H.R. 3109, GEDI Act; H.R. 2803/S. 1461, Access to Infertility Treatment and Care Act; H.R. 2411/S. 1258, Tobacco to 21 Act; implementation of P.L. 115-344, Preventing Maternal Deaths Act; implementation of P.L. 115-320, Improving Access to Maternity Care Act; S. 2586, Maternal Outcomes Matter Act; HR 3630, No Surprises Act; HR 3502, Protecting People From Surprise Medical Bills Act; Cures 2.0; S. 227/H.R. 2733, Savannas Act; S. 336/H.R. 2029, the Studying the Missing and Murdered Indian Crisis Act; H.R. 4495, Maternal Health Quality Improvement Act of 2019; H.R. 4996, Helping MOMS Act; Ways and Means Rural and Underserved Communities Health Task Force; H.R. 5640/S. 3152, the Data Mapping to Save Moms Lives Act;

H.R. 1865 (Further Consolidated Appropriations Act, 2020), Division N, Section 401(c), regarding funding of THCGME program Implementation of Teaching Health Centers Graduate Medical Education (THCGME) program generally Implementation of Public Law 115-123 (Bipartisan Budget Act of 2018), regarding funding of THCGME program Reauthorization of Teaching Health Centers Graduate Medical Education (THCGME) program H.R. 2815 and S. 1191 (Training the Next Generation of Primary Care Doctors Act of 2019), all provisions S. 192 (Community and Public Health Programs Extension Act), Section 2, regarding funding of THCGME program S. 1895 (Lower Health Care Costs Act), Section 411, regarding funding of THCGME program H.R. 2328 (REACH Act), Section 101(c), regarding funding of THCGME program

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1865 (Further Consolidated Appropriations Act, 2020), Division N, Section 401 (c), regarding funding of THCGME program Implementation of Teaching Health Centers Graduate Medical Education (THCGME) program generally Implementation of Public Law 115-123 (Bipartisan Budget Act of 2018), regarding funding of THCGME program Reauthorization of Teaching Health Centers Graduate Medical Education (THCGME) program H.R. 2815 and S. 1191 (Training the Next Generation of Primary Care Doctors Act of 2019), all provisions S.192 (Community and Public Health Programs Extension Act), Section 2, regarding funding of THCGME program S. 1895 (Lower Health Care Costs Act), Section 411, regarding funding of THCGME program H.R. 2328 (REACH Act), Section 101(c), regarding funding of THCGME program

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4378 (Continuing Appropriations Act, 2020, and Health Extenders Act of 2019), Division B, Section 1101(c), regarding funding of THCGME program Implementation of Teaching Health Centers Graduate Medical Education (THCGME) program generally Implementation of Public Law 115-123 (Bipartisan Budget Act of 2018), regarding funding of THCGME program Reauthorization of Teaching Health Centers Graduate Medical Education (THCGME) program H.R. 2815 and S. 1191 (Training the Next Generation of Primary Care Doctors Act of 2019), all provisions S. 192 (Community and Public Health Programs Extension Act), Section 2, regarding funding of THCGME program S. 1895 (Lower Health Care Costs Act), Section 411, regarding funding of THCGME program H.R. 2328 (REACH Act), Section 101(c), regarding funding of THCGME program

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

Medicare-Graduate Medical Education HRSA THCGME Program Advancing Medical Resident Training in Community Hospitals Act of 2019 (H.R. 1358) Resident Physician Shortage Reduction Act of 2019 (H.R. 1763/ S. 348) Rural Physician Workforce Production Act of 2019 (S. 289) Training the Next Generation of Primary Care Doctors Act of 2019 (H.R. 2815/S. 1191) Opioid Workforce Act of 2019 (H.R. 3414) Expansion of Nutritions Role in Curricula and Healthcare (ENRICH) Act (H.R. 1888) Restoring Rural Residencies Act of 2019 (S. 1240)

Client expense: $55,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare-Graduate Medical Education HRSA THCGME Program Advancing Medical Resident Training in Community Hospitals Act of 2019 (H.R. 1358) Resident Physician Shortage Reduction Act of 2019 (H.R. 1763/ S. 348) Rural Physician Workforce Production Act of 2019 (S. 289) Training the Next Generation of Primary Care Doctors Act of 2019 (H.R. 2815/S. 1191) Opioid Workforce Act of 2019 (H.R. 3414) Expansion of Nutritions Role in Curricula and Healthcare (ENRICH) Act (H.R. 1888) Restoring Rural Residencies Act of 2019 (S. 1240)

Client expense: $55,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Insurance Coverage (general); Health Disparities (general); Breastfeeding (general); Assisted Reproductive Technology (general); Smoking Cessation (general); Substance Use Disorder (general); Gynecologic Cancer (general); Gynecologic Devices (general); Reproductive Health (general); Intimate Partner Violence (general); Gun Violence (general); Immunization (general); Breast Cancer (general); E-Cigarettes (general); Medical Liability Reform (general); Health IT (general); Patient-Physician Relationship (general); Conscience Refusals (general); Child Welfare (general); Prematurity (general); Maternal Mortality and Morbidity (general); Graduate Medical Education (general); Contraception (general); Abortion (general); Indian Health (general); Teaching Health Centers (general); Sexuality Education (general); Teen Pregnancy Prevention Program (general); Personal Responsibility Education Program (general); Research in Pregnant and Breastfeeding Women (general); Health Care Reform (general); Title X Family Planning Program (general); Womens Preventive Services (general); Drug Pricing (general); Administrative Burden (general); Surprise Billing (general); Pediatric Loan Repayment Program (general); H.R. 1551/S.1960, Quality Care for Moms and Babies Act; H.R. 1897/S. 916, MOMMAs Act; H.R. 1763/S. 348, Resident Physician Shortage Reduction Act of 2019; H.R. 1554, Resident Education Deferred Interest Act; H.R.___/S. 116, MOMS Act; S. 2373/H.R. 4243, Rural MOMS Act; H.R. 2778/S. 1481, Healthy MOM Act; H.R. 2902/S. 1600, Maternal CARE Act; H.R. 2602/S. 1343, MOMMIES Act; H.R. 1585/S.___, Violence Against Women Reauthorization Act of 2019; S. 130/S. 311, Born-Alive Abortion Survivors Protection Act; H.R. 2975/S. 1645, Womens Health Protection Act; H.R. 986/S. 466, Protecting Americans with Preexisting Conditions Act; H.R. 1010, To provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect; H.R. 1143, Educating Consumers on the Risks of Short-Term Plans Act of 2019; S.Res. 29, A resolution expressing support for the designation of a Womens Health Research Day; H.R. 2815/S. 304/S. 1191, Training the Next Generation of Primary Care Doctors Act of 2019; H.R.__/S.__, Wise Investment in our Children Act; H.Res. 317/S.Res. 154, A resolution recognizing Black Maternal Health Week; H.R. 2689/S. 1438, Breast Cancer Research Stamp Reauthorization Act; S. 1895, Lower Health Care Costs Act; H.R. 2862/S. 1619, VACCINES Act; H.R. 3296/S. 1847, Affordability is Access Act; H.R. 2777/S. 1936, Protecting Access to Lifesaving Screenings Act; H.R. 3109, GEDI Act; H.R. 2803/S. 1461, Access to Infertility Treatment and Care Act; H.R. 2411/S. 1258, Tobacco to 21 Act; implementation of P.L. 115-344, Preventing Maternal Deaths Act; implementation of P.L. 115-320, Improving Access to Maternity Care Act; S. 2586, Maternal Outcomes Matter Act; HR 3630, No Surprises Act; HR 3502, Protecting People From Surprise Medical Bills Act; Cures 2.0; FDA review of new supplemental new drug for Makena; S. 227/H.R. 2733, Savannas Act; S. 336/H.R. 2029, the Studying the Missing and Murdered Indian Crisis Act

H.R. 4378 (Continuing Appropriations Act, 2020, and Health Extenders Act of 2019), Division B, Section 1101(c), regarding funding of THCGME program Implementation of Teaching Health Centers Graduate Medical Education (THCGME) program generally Implementation of Public Law 115-123 (Bipartisan Budget Act of 2018), regarding funding of THCGME program Reauthorization of Teaching Health Centers Graduate Medical Education (THCGME) program H.R. 2815 and S. 1191 (Training the Next Generation of Primary Care Doctors Act of 2019), all provisions S.192 (Community and Public Health Programs Extension Act), Section 2, regarding funding of THCGME program S. 1895 (Lower Health Care Costs Act), Section 411, regarding funding of THCGME program H.R. 2328 (REACH Act), Section 101(c), regarding funding of THCGME program

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Agency for Healthcare Research and Quality Public Health Services Act, Title VII re-authorization; HR2781 Council on Graduate Medical Education HRSA Primary Care Medicine and Dentistry Advisory Committee Affordable Care Act Implementation Teaching Health Centers GME Program S. 192, S.304, S.1191, HR2815, HR2328, HR4378 Continuing Appropriations Act 2020, and Health Extenders Act of 2019 National Health Service Corps; HR2328 Patient Centered Outcomes Research Institute/PCOR Trust Fund; HR3030, HR3439

Client expense: $60,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

Graduate Medical Education Affordable Care Act Teaching Health Centers Re-authorization - S.192, S.304, S.1191, HR2815, HR4378 Continuing Appropriations Act 2020, and Health Extenders Act of 2019 Primary Care Exception Under Teaching Physician Regulation Rural Graduate Medical Education Regulations & sub-regulatory issues re: Teaching Physician Regulation HR 1358 Advancing Resident Training in Community Hospitals Act of 2019; HR3417 The Rural Physician Workforce Production Act of 2019 S.289 S.348/HR 1763 Resident Physician Shortage Reduction Act of 2019 Student Documentation under the teaching physician regulation and the CY 2020 medicare fee schedule

Client expense: $60,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

Medicare-Graduate Medical Education HRSA THCGME Program Community and Public Health Programs Extension Act (S. 192) Advancing Medical Resident Training in Community Hospitals Act of 2019, H.R. 1358 Resident Physician Shortage Reduction Act of 2019 (H.R. 1763/ S. 348) Rural Physician Workforce Production Act of 2019, S. 289 Training the Next Generation of Primary Care Doctors Act of 2019, S. 1191 / H.R. 2815 Opioid Workforce Act of 2019 (H.R. 2439) Restoring Rural Residencies Act of 2019 (S. 1240) Opioid Workforce Act of 2019 (H.R. 3414)

Client expense: $62,000 · Firm income: Not reported

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

Health Insurance Coverage (general); Health Disparities (general); Breastfeeding (general); Assisted Reproductive Technology (general); Smoking Cessation (general); Substance Use Disorder (general); Gynecologic Cancer (general); Gynecologic Devices (general); Reproductive Health (general); Intimate Partner Violence (general); Gun Violence (general); Immunization (general); Breast Cancer (general); E-Cigarettes (general); Medical Liability Reform (general); Health IT (general); Patient-Physician Relationship (general); Conscience Refusals (general); Child Welfare (general); Prematurity (general); Maternal Mortality and Morbidity (general); Graduate Medical Education (general); Contraception (general); Abortion (general); Indian Health (general); Teaching Health Centers (general); Sexuality Education (general); Teen Pregnancy Prevention Program (general); Personal Responsibility Education Program (general); Research in Pregnant and Breastfeeding Women (general); Health Care Reform (general); Title X Family Planning Program (general); Womens Preventive Services (general); Drug Pricing (general); Administrative Burden (general); Surprise Billing (general); Pediatric Loan Repayment Program (general); H.R. 1551/S.1960, Quality Care for Moms and Babies Act; H.R. 1897/S. 916, MOMMAs Act; H.R. 1763/S. 348, Resident Physician Shortage Reduction Act of 2019; H.R. 1554, Resident Education Deferred Interest Act; H.R.___/S. 116, MOMS Act; S.___, Rural MOMS Act; H.R. 2778/S. 1481, Healthy MOM Act; H.R. 2902/S. 1600, Maternal CARE Act; H.R. 2602/S. 1343, MOMMIES Act; H.R. 1585/S.___, Violence Against Women Reauthorization Act of 2019; S. 130/S. 311, Born-Alive Abortion Survivors Protection Act; H.R. 784/S. 160, Pain-Capable Unborn Child Protection Act; H.R. 2975/S. 1645, Womens Health Protection Act; H.R. 986/S. 466, Protecting Americans with Preexisting Conditions Act; H.R. 1010, To provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect; H.R. 1143, Educating Consumers on the Risks of Short-Term Plans Act of 2019; S.Res. 29, A resolution expressing support for the designation of a Womens Health Research Day; H.R. 2815/S. 304/S. 1191, Training the Next Generation of Primary Care Doctors Act of 2019; H.R.__/S.__, Wise Investment in our Children Act; H.Res. 317/S.Res. 154, A resolution recognizing Black Maternal Health Week; H.R. 2689/S. 1438, Breast Cancer Research Stamp Reauthorization Act; S. 1895, Lower Health Care Costs Act; H.R. 2862/S. 1619, VACCINES Act; H.R. 3296/S. 1847, Affordability is Access Act; H.R. 2777/S. 1936, Protecting Access to Lifesaving Screenings Act; H.R. 3109, GEDI Act; H.R. 2803/S. 1461, Access to Infertility Treatment and Care Act; H.R. 2411/S. 1258, Tobacco to 21 Act; implementation of P.L. 115-344, Preventing Maternal Deaths Act; implementation of P.L. 115-320, Improving Access to Maternity Care Act

Implementation of Teaching Health Centers Graduate Medical Education (THCGME) program generally Implementation of Public Law 115-123 (Bipartisan Budget Act of 2018), regarding funding of THCGME program Reauthorization of Teaching Health Centers Graduate Medical Education (THCGME) program H.R.2815 and S.1191 (Training the Next Generation of Primary Care Doctors Act of 2019), all provisions S.192 (Community and Public Health Programs Extension Act), Section 2, regarding funding of THCGME program S.1895 (Lower Health Care Costs Act), Section 411, regarding funding of THCGME program

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S192, HR1943, HR1983, S962, S106 - National Health Service Corps: Medical Student Debt Relief and Rural and Underserved area access. S 304 HR 2815 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. HR 2815/S 1191 - Support to reauthorize the Teaching Health Center Graduate Medical Education Program: Supported the Training the Next Generation of Primary Care Doctors Act. HR 3030 - Patient Centered Outcomes Research Institute reauthorization: Patient-centered, primary care research, AHRQ funding. No Bill No. - National Advisory Committee on NHSC: Scholarships/loan repayment for family physicians/access to care. No Bill No. - FY20 funding for AHRQ, HRSA, CDC, CMS: AAFP federal spending priorities. No Bill No. - Group of Six Physician Roundtable: Introducing new legislators to primary care physician's agenda. No Bill No. - Rural Health: Eliminate disparities to access to quality care for rural populations. No Bill No. - Gun Violence Research Funding: Ending the epidemic of gun violence through research. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ. No Bill No. - Title VII Primary Care training Enhancement Grants: Support for family medicine training. No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Health Professions Training Grants for family medicine. No Bill No. - NRHA Maternal Health in Rural Communities Forum: Improve maternal and child health in rural communities. No Bill No. - Obesity Drug Study: Responding to GAO inquiry on AAFP policy on obesity drugs.

Client expense: $937,762 · Firm income: Not reported

S192, HR1943, HR1983, S962, S106 - National Health Service Corps: Medical Student Debt Relief and Rural and Underserved area access. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. S 304 HR 2815 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. S 1191/HR 1358: Advancing Medical Resident Training in Community Hospitals: GME reform to support rural residency training; correct rotator problems. HR 1554 - Resident Education Deferred Interest Act: Student debt relief. HR 2815/S 1191 - Support to reauthorize the Teaching Health Center Graduate Medical Education Program: Supported the Training the Next Generation of Primary Care Doctors Act. HR 2895 - Conrad State 30 & Physician Access Act: Expand J-1 visa waiter program for medical residents. No Bill No. - Group of Six Physician Roundtable: Introducing new legislators to primary care physician's agenda. No Bill No. - National Advisory Committee on NHSC: Scholarships/loan repayment for family physicians/access to care. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - FY20 funding for AHRQ, HRSA, CDC, CMS: AAFP federal spending priorities. No Bill No. - Title VII Primary Care training Enhancement Grants: Support for family medicine training. No Bill No. - Council of Graduate Medical Education (COGME): GME Reform to increase family medicine residencies. No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Health Professions Training Grants for family medicine. No Bill No. - GME sections of the 2020 proposed IPPS: Graduate Medical Education changes. No Bill No. - Primary Care workforce programs: Submitted testimony urging support for the THCGME program, along with the National Health Service Corps.

S192, HR1943, HR1983, S962, S106 - National Health Service Corps: Medical Student Debt Relief and Rural and Underserved area access. HR 986 - Affordable Care Act - the Protecting Americans with Preexisting Conditions Act of 2019: Support of the Bill. HR 987 - Strengthening Health Care and Lowering Prescription Drug Costs Act: The legislation would encourage competition needed to lower drug costs. S 1191/HR 1358: Advancing Medical Resident Training in Community Hospitals: GME reform to support rural residency training; correct rotator problems. HR 1897/S 916: Mothers and Offspring Mortality Awareness Act or the MOMMA's Act: Support for the maternal mortality bill. HR 2774 - Primary Care Patient Protection Act: Create a Primary Care benefit in high deductible health plans. HR 2815/S 1191 - Support to reauthorize the Teaching Health Center Graduate Medical Education Program: Supported the Training the Next Generation of Primary Care Doctors Act. HR 2862 - Vaccine/Infectious Disease prevention: Urged support for the vaccines act. HR 2895 - Conrad State 30 & Physician Access Act: Expand J-1 visa waiter program for medical residents. HR 3436 Chronic Care Management: to remove cost-sharing reponsibilities for chronic care management services under the medicare plan. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. S 304 HR 2815 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. HR 3030 - Patient Centered Outcomes Research Institute reauthorization: Patient-centered, primary care research, AHRQ funding. No Bill No. - National Advisory Committee on NHSC: Scholarships/loan repayment for family physicians/access to care. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Insurance network adequacy to avoid "surprise medical bills": protecting patients and families from unanticipated medical bills. No Bill No. - FY20 funding for AHRQ, HRSA, CDC, CMS: AAFP federal spending priorities. No Bill No. - Group of Six Physician Roundtable: Introducing new legislators to primary care physician's agenda. No Bill No. - Rural Health: Eliminate disparities to access to quality care for rural populations. No Bill No. - Title VII Primary Care training Enhancement Grants: Support for family medicine training. No Bill No. - Administrative Simplification: Promote reduced administrative burden on family physicians No Bill No. - Council of Graduate Medical Education (COGME): GME Reform to increase family medicine residencies. No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Health Professions Training Grants for family medicine. No Bill No. - NRHA Maternal Health in Rural Communities Forum: Improve maternal and child health in rural communities. No Bill No. - Obesity Drug Study: Responding to GAO inquiry on AAFP policy on obesity drugs. No Bill No. - Lower Health Care Costs Act/Surprise Billing: Commenting on legislative proposals to increase transparency and address insurance-physician contracting. The letter also addressed education and public health issues. No Bill No. - Primary Care workforce programs: Submitted testimony urging support for the THCGME program, along with the National Health Service Corps. No. Bill No. - Title X Family Planning: Submitted testimony expressing support for the title X Family Planning program. No Bill No. - Tobacco Use Prevention: Supported 7 bills that would support Tobacco at age 21 sales, prohibiting flavors, supporting smoke free VA health facilities, prohibiting carve out for specialty cigars, and a comprehensive youth tobacco use prevention bill. No Bill No. - Medicaid: Urged support for the Medicaid parity for the US territories. No Bill No. - Mission Act - Veterans Healthcare: Monitor implementation of Mission Act, veterans' access to community-based physicians.

S192, HR1943, HR1983, S962, S106 - National Health Service Corps: Medical Student Debt Relief and Rural and Underserved area access. S 1191/HR 1358: Advancing Medical Resident Training in Community Hospitals: GME reform to support rural residency training; correct rotator problems. HR 1897/S 916: Mothers and Offspring Mortality Awareness Act or the MOMMA's Act: Support for the maternal mortality bill. HR 3436 Chronic Care Management: to remove cost-sharing reponsibilities for chronic care management services under the medicare plan. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. No Bill No. - National Advisory Committee on NHSC: Scholarships/loan repayment for family physicians/access to care. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Insurance network adequacy to avoid "surprise medical bills": protecting patients and families from unanticipated medical bills. No Bill No. - FY20 funding for AHRQ, HRSA, CDC, CMS: AAFP federal spending priorities. No Bill No. - Group of Six Physician Roundtable: Introducing new legislators to primary care physician's agenda. No Bill No. - Rural Health: Eliminate disparities to access to quality care for rural populations. No Bill No. - Administrative Simplification: Promote reduced administrative burden on family physicians. No Bill No. - Council of Graduate Medical Education (COGME): GME Reform to increase family medicine residencies. No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Health Professions Training Grants for family medicine. No Bill No. - NRHA Maternal Health in Rural Communities Forum: Improve maternal and child health in rural communities. No Bill No. - Pain Management Best Practices: Comments on a draft pain management report. No Bill No. - Lab proficiency testing: Comments on CLIA proposed rule. No Bill No. - Appropriate Use Criteria: Joint letter urging a delay in AUC. No Bill No. - Health Insurance across state lines: Concern with low value insurance. No Bill No. - MACRA testimony to SFC: Improvements to MACRA. No Bill No. - Direct Contracting Geographic Population Based Payment; How CMS might structure a proposed APM. No Bill No. - Accountable Care Organizations: Next Generation ACO model. No Bill No. - Trusted exchange framework: EHRs and the trusted exchange framework. No Bill No. - Interoperability and patient access: How to make EHRs interoperable. No Bill No. - Information blocking: How to stop info blocking in EHRs. No Bill No. - Support for bill on GPCIs: supporting a bill on geographical practice cost indices. No Bill No. - Consumer inflation measures: Concern with changes to the consumer inflation measures. No Bill No. - GME sections of the 2020 proposed IPPS: Graduate Medical Education changes. No Bill No. - Supporting a bill that would waive the patient copay for CCM-Improving the use of the chronic care management code. No Bill No. - Answering the SFC follow up questions to the MACRA hearing: MACRA and Physician payment. No. Bill No. - Title X Family Planning: Submitted testimony expressing support for the title X Family Planning program. No Bill No. - Medicaid: Urged support for the Medicaid parity for the US territories.

Implementation of Teaching Health Centers Graduate Medical Education (THCGME) program generally Implementation of Public Law 115-123 (Bipartisan Budget Act of 2018), regarding funding of THCGME program Reauthorization of Teaching Health Centers Graduate Medical Education (THCGME) program H.R. 2815 and S. 1191 (Training the Next Generation of Primary Care Doctors Act of 2019), all provisions S.192 (Community and Public Health Programs Extension Act), Section 2, regarding funding of THCGME program S. 1895 (Lower Health Care Costs Act), Section 411, regarding funding of THCGME program

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Agency for Healthcare Research and Quality Public Health Services Act, Title VII re-authorization; HR2781 Council on Graduate Medical Education HRSA Primary Care Medicine and Dentistry Advisory Committee Affordable Care Act Implementation Teaching Health Centers GME Program S. 192, S.304, S.1191, HR2815, HR2328 National Health Service Corps; HR2328 Patient Centered Outcomes Research Institute/PCOR Trust Fund; HR3030, HR3439

Client expense: $59,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

Graduate Medical Education Affordable Care Act Teaching Health Centers Re-authorization - S.192, S.304, S.1191, HR2815 Primary Care Exception Under Teaching Physician Regulation Rural Graduate Medical Education Regulations & sub-regulatory issues re: Teaching Physician Regulation HR 1358 Advancing Resident Training in Community Hospitals Act of 2019; HR3417 The Rural Physician Workforce Production Act of 2019 S.289 S.348/HR 1763 Resident Physician Shortage Reduction Act of 2019

Client expense: $59,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)