Community and Public Health Programs Extension Act

Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill H.R. 1708/S. 774, the Rim of the Valley Corridor Preservation Act, Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 9, the Climate Action Now Act, H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program H.R. 279, the California Clean Coast Act, to permanently ban future offshore oil and gas leasing in areas of the OCS off the coast of California. FY 2021 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2021 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2021 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. Funding to underground transmission lines in fire prone areas. H.R. 8, the Bipartisan Background Checks Act of 2019 H.R.674, the Gun Violence Prevention Research Act of 2019 Legislation to make it illegal to buy or possess firearms that fire like military-style assault rifles; ban firearms with detachable high capacity ammunition magazines and a limit on magazine capacity to no more than 10 rounds; Providing the Center for Disease Control with the necessary funding and political freedom to study gun violence. Airport Improvement Program/Contract Tower Program FY 2021 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding S. 192, the Community and Public Health Programs Extension Act funding to underground transmission lines in fire prone areas H.R. 1345, Restoring the Partnership for County Health Care Costs Act H.R. 1708, the Rim of the Valley Corridor Preservation Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 1111/H.R. 2199, the Central Coast Heritage Protection Act S. 1377, the Ensuring Quality Access to Legal Defense (EQUAL Defense) Act of 2019 Medicaid Disproportionate Share Hospital (DSH) payments H.R. 2470, the Clean Water Infrastructure Resilience and Sustainability Act H.R. 763, the Energy Innovation and Carbon Dividend Act (EICDA) S. 192, the Community and Public Health Programs Extension Act H.R. 3043, the Permanently Authorizing PILT Act S. 774, the Rim of the Valley Corridor Preservation Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 265, the Threat Assessment, Prevention, and Safety Act of 2019 (TAPS Act) H.R. 1236/S. 506, Extreme Risk Protection Order Act H.R. 3040, the Safe And Friendly for the Environment (SAFE) Streets Act S. 923, Fighting Homelessness Through Services and Housing Act Elder Justice Act reauthorization Older Americans Act Reauthorization S. 1703 Affordable Housing Credit Improvement Act Gun Control legislation: H.R. 1236, H.R. 3076 and H.R. 1186. H.R. 4334, the Supporting Older Americans Act of 2020, Local government stabilization funding/Coronavirus Relief Fund Community Health Center Funding for pandemic response Expanded Federal support for local Medicaid programs/Disproportionate Share Hospitals Legislative moratorium on Medicaid Fiscal Accountability Regulation County eligibility for paid sick leave and family leave tax credits Supplemental Funding for Public Health Emergency Preparedness Grants Emergency supplemental appropriations for coronavirus response. FEMA Disaster Relief Fund Hospital and healthcare provider relief for coronavirus response through the Public Health and Social Services Emergency Fund Library Stabilization Act H.R. 6800 HEROES Act - local government pandemic relief HEALS Act - local government pandemic relief H.R. 133, the Coronavirus Response and Relief Supplemental Appropriations Act H.R. 4447, the Clean Economy Jobs and Innovation Act H.R. 7947, the Supporting Foster Youth & Families through the Pandemic Act S. 4182 the Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020

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

Government targets: Army, Dept of (Corps of Engineers), Centers For Disease Control & Prevention (CDC), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Appropriations for health centers and related programs; Appropriations for National Health Service Corps; Appropriations for Health Professions Programs; Appropriations for the CDC and HRSA; Presidents Budget Request; CHIME(H.R.2328/S.106); Community and Public Health Extensions Act (S.192); Community Health Center and Primary Care Workforce Expansion Act (S.962/H.R.1943); School Based Health Centers Reauthorization (H.R.2075/S.1013); Lower Health Care Costs Act (S.1895); Extension of Continuing Appropriations Act of 2021(H.J.Res.110).

Client expense: $200,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Implementation of the Special Diabetes Program, renewal of the Special Diabetes Program, National Chronic Care Commission S. 192 - Community and Public Health Programs Extension Act S. 1895 - Lower Health Care Costs Act H.R. 3 - Lower Drug Costs Now Act S. 2543 - Prescription Drug Pricing Reduction Act H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R. 6201 - Families First Coronavirus Response Act S. 3548 - CARES Act H.R. 6800 - The Heroes Act H.R. 133 - Consolidated Appropriations Act, 2021 no specific bill, artificial pancreas program, Special Diabetes Program, NIH, innovation in drug development for diabetes

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

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

Authority for dental-related programs to operate, caries prevention and oral health promotion, access to dental care, dental research, oral and craniofacial defects, filling Chief Dental Officer positions at CMS, prescribing practices (e.g., opioid prescribing), etc. Affordable Care Act Notice of Benefit and Payment Parameters H.R. 3630, No Surprises Act S. 1895, Lower Health Care Costs Act H.R. 1379, Ensuring Lasting Smiles Act (ELSA Act) H.R. 1614, John S. McCain Opioid Addiction Prevention Act S. 192, Community and Public Health Programs Extension Act S. 560, Ensuring Lasting Smiles Act (ELSA Act) S. 724, John S. McCain Opioid Addiction Prevention Act H.R. 3762/S.4894, Dental and Optometric Care Access Act of 2019 (DOC Access Act) H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act of 2020 H.R. 5800, the Ban Surprise Medical Billing Act Health care coverage during pandemic H.R. 7158, The Health Enterprise Zones Act Oral health initiatives, Chief Dental Officer Allowing dental practices to apply for Telehealth Program Funds regardless of size, location, or non-profit status Action for Dental Health Implementation COVID - 19 reopening guidance Health Profession Shortage Areas Access to personal protective equipment for dental offices Provider Relief Fund Including dental benefits in child support orders S. 4055 Strengthening Americas Health Care Readiness Act House Energy and Commerce Committee Investigation into Dental Insurers Disinfectant shortage Unused Leave for Commissioned Corps Members Fluoride monograph Dentists and Dental Team Members Getting COVID Vaccine Dentists Administering COVID Vaccines

Client expense: $640,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Science & Technology Policy (OSTP), SENATE, Small Business Administration (SBA), Treasury, Dept of, U.S. Immigration & Customs Enforcement (ICE), Veterans Affairs, Dept of (VA), White House Office

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of funding for the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies related to health insurance market stabilization Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention Human and child trafficking Palliative Care and Hospice Education and Training Act (H.R. 647/S. 2080) Title VIII Nursing Workforce Reauthorization Act of 2019 (H.R. 728/S. 1399) Coronavirus Aid, Relief, and Economic Security (CARES) Act (H.R. 748/S.3548) Emergency Medical Services for Children Program Reauthorization Act of 2019 (H.R. 776/S. 1173) End Surprise Billing Act of 2019 (H.R. 861) Fairness for Breastfeeding Mothers Act (H.R. 866/S. 528) Mental Health Access Improvement Act of 2019 (H.R. 945) Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 1309) Patient Protection and Affordable Care Enhancement Act (H.R. 1425) Healthy Families Act (H.R. 1784/S. 840) Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act (H.R. 1897) School-Based Health Centers Reauthorization Act of 2019 (H.R. 2075/S. 1013) Scarlett's Sunshine on Sudden Unexpected Death Act (H.R. 2271/S. 1130) Community Health Investment, Modernization, and Excellence Act of 2019 (H.R. 2328) Newborn Screening Saves Lives Reauthorization Act of 2019 (H.R. 2507) Pregnant Workers Fairness Act (H.R. 2694) Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019 (H.R. 2781) Vaccine Awareness Campaign to Champion Immunization Nationally and Enhance Safety (VACCINES) Act of 2019 (H.R. 2862) Physical Activities Recommendations for Americans Act of 2019 (H.R. 2891) Safe Cribs Act of 2019 (H.R. 3170) Safe Sleep for Babies Act of 2019 (H.R. 3172) Pathways to Health Careers Act (H.R. 3398) Chronic Care Management Improvement Act (H.R. 3436) No Surprises Act (H.R. 3630) Midwives for Maximizing Optimal Maternity Services (Midwives for MOMS) Act of 2019 (H.R. 3849) Social Determinants Accelerator Act of 2019 (H.R. 4004/S. 2986) Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act of 2019 (H.R. 3328/H.R. 4100/S. 1712) Effective Suicide Screening and Assessment in the Emergency Department Act of 2019 (H.R. 4861/S. 3006) United States Public Health Service Modernization Act of 2019 (H.R. 4870/S. 2629) Medication Access and Training Expansion (MATE) Act of 2019 (H.R. 4974) Maternal Health Quality Improvement Act of 2019 (H.R. 4995) Helping Medicaid Offer Maternity Services (MOMS) Act of 2019 (H.R. 4996) Protecting Seniors Through Immunization Act of 2019 (H.R. 5076/S. 1872) Pursuing Equity in Mental Health Act of 2019 (H.R. 5469) Primary and Behavioral Health Care Access Act (H.R. 5575) Ban Surprise Billing Act (H.R. 5800) Consumer Protections Against Surprise Medical Bills Act of 2020 (H.R. 5826) Black Maternal Health Momnibus Act of 2020 (H.R. 6142/S. 3424) Families First Coronavirus Response Act (H.R. 6201) Take Responsibility for Workers and Families Act (H.R. 6379) Health Care at Home Act (H.R. 6644) COVID-19 Mental Health Research Act (H.R. 6645) HEROES Act (H.R. 6800) Child Care Is Essential Act (H.R. 7027) Ensuring Children and Child Care Workers Are Safe Act of 2020 (H.R. 7079) Child Care for Economic Recovery Act (H.R. 7327) Protect Telehealth Access Act (H.R. 7391) Protecting Access to Post-COVID-19 Telehealth Act of 2020 (H.R. 7663) Community and Public Health Programs Extension Act (S. 192) National Nurse Act of 2019 (S. 696/H.R. 1597) Excellence in Mental Health and Addiction Treatment Expansion Act (S. 824/H.R. 1767) Nursing Where It's Needed Act (S. 1045) Promoting Physical Activity for Americans Act (S. 1608) Lower Health Care Costs Act (S. 1895) National Suicide Hotline Designation Act (S. 2661) Child Care Protection Improvement Act of 2019 (S. 2683) CONNECT for Health Act of 2019(S. 2741/H.R. 4932) CAPTA Reauthorization Act of 2019 (S. 2971) Suicide Prevention Act (S. 3198/H.R. 5619) Eliminating Abusive and Rampant Neglect of Interactive Technologies (EARN IT) Act of 2020 (S. 3398) Tele-Mental Health Improvement Act (S. 3792) Coronavirus Mental Health and Addiction Assistance Act of 2020 (S. 3825/H.R. 6999) Future Advancement of Academic Nursing (FAAN) Act (S. 4396/H.R. 7945) Safe Authorization for Vaccines during Emergencies (SAVE) Act (S. 4427)

Client expense: Not reported · Firm income: $24,000

Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office

Appropriations for health centers and related programs; Appropriations for National Health Service Corps; Appropriations for Health Professions Programs; Appropriations for the CDC and HRSA; Presidents Budget Request; CHIME(H.R.2328/S.106); Community and Public Health Extensions Act (S.192); Community Health Center and Primary Care Workforce Expansion Act (S.962/H.R.1943); School Based Health Centers Reauthorization (H.R.2075/S.1013); Lower Health Care Costs Act (S.1895).

Client expense: $200,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

HR 2328 and S 192 and HR 1983, S 1895 To reauthorize and extend funding for Community Health Centers, Teaching Health Centers and the National Health Service Corps. COVID 19 funding to provide testing and build capacity for treatment, access to provider protective equipment, CARES Act implementation, Coronavirus Preparedness and Response Act, Families First Coronavirus Response Act, HR 6800 the HEROES Act. HEALS Act, Reimbursement for telehealth services. Administrative action to provide access to affordable health care treatments and services.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

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

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. 191 (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: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2021 Energy and Water Appropriations Act: funding for flood control, debris basins and bureau of reclamation facilities. NRCS funding for debris basins Disaster recovery funding Recycling programs Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program funding for the National Endowment for the Arts FY 2021 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2021 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2021 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. FY 2021 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding H.R. 1345, Restoring the Partnership for County Health Care Costs Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs S. 1111/H.R. 2199, the Central Coast Heritage Protection Act H.R. 3043, the Permanently Authorizing PILT Act H.R. 1236/S. 506, Extreme Risk Protection Order Act S. 923, Fighting Homelessness Through Services and Housing Act H.R. 1871, Protect Patriot Parents Act H.Res. 109/S. Res. 59, Green New Deal Resolution Older Americans Act Elder Justice Act Local government stabilization funding/Coronavirus Relief Fund Community Health Center Funding for pandemic response County eligibility for paid sick leave and family leave tax credits Supplemental Funding for Public Health Emergency Preparedness Grants Emergency supplemental appropriations for coronavirus response. FEMA Disaster Relief Fund Healthcare provider relief for coronavirus response through the Public Health and Social Services Emergency Fund H.R. 6800 HEROES Act - local government pandemic relief HEALS Act - local government pandemic relief Wildfire Prevention and mitigation

Client expense: Not reported · Firm income: $24,000

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Reclamation, HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill H.R. 1708/S. 774, the Rim of the Valley Corridor Preservation Act, Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 9, the Climate Action Now Act, H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program H.R. 279, the California Clean Coast Act, to permanently ban future offshore oil and gas leasing in areas of the OCS off the coast of California. FY 2021 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2021 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2021 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. Funding to underground transmission lines in fire prone areas. H.R. 8, the Bipartisan Background Checks Act of 2019 H.R.674, the Gun Violence Prevention Research Act of 2019 Legislation to make it illegal to buy or possess firearms that fire like military-style assault rifles; ban firearms with detachable high capacity ammunition magazines and a limit on magazine capacity to no more than 10 rounds; Providing the Center for Disease Control with the necessary funding and political freedom to study gun violence. Airport Improvement Program/Contract Tower Program FY 2021 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding S. 192, the Community and Public Health Programs Extension Act funding to underground transmission lines in fire prone areas H.R. 1345, Restoring the Partnership for County Health Care Costs Act H.R. 1708, the Rim of the Valley Corridor Preservation Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 1111/H.R. 2199, the Central Coast Heritage Protection Act S. 1377, the Ensuring Quality Access to Legal Defense (EQUAL Defense) Act of 2019 Medicaid Disproportionate Share Hospital (DSH) payments H.R. 2470, the Clean Water Infrastructure Resilience and Sustainability Act H.R. 763, the Energy Innovation and Carbon Dividend Act (EICDA) S. 192, the Community and Public Health Programs Extension Act H.R. 3043, the Permanently Authorizing PILT Act S. 774, the Rim of the Valley Corridor Preservation Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 265, the Threat Assessment, Prevention, and Safety Act of 2019 (TAPS Act) H.R. 1236/S. 506, Extreme Risk Protection Order Act H.R. 3040, the Safe And Friendly for the Environment (SAFE) Streets Act S. 923, Fighting Homelessness Through Services and Housing Act Elder Justice Act reauthorization Older Americans Act Reauthorization S. 1703 Affordable Housing Credit Improvement Act Gun Control legislation: H.R. 1236, H.R. 3076 and H.R. 1186. H.R. 4334, the Supporting Older Americans Act of 2020, Local government stabilization funding/Coronavirus Relief Fund Community Health Center Funding for pandemic response Expanded Federal support for local Medicaid programs/Disproportionate Share Hospitals Legislative moratorium on Medicaid Fiscal Accountability Regulation County eligibility for paid sick leave and family leave tax credits Supplemental Funding for Public Health Emergency Preparedness Grants Emergency supplemental appropriations for coronavirus response. FEMA Disaster Relief Fund Hospital and healthcare provider relief for coronavirus response through the Public Health and Social Services Emergency Fund Library Stabilization Act H.R. 6800 HEROES Act - local government pandemic relief HEALS Act - local government pandemic relief

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

Government targets: Army, Dept of (Corps of Engineers), Centers For Disease Control & Prevention (CDC), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Authority for dental-related programs to operate, caries prevention and oral health promotion, access to dental care, dental research, oral and craniofacial defects, filling Chief Dental Officer positions at CMS, prescribing practices (e.g., opioid prescribing), etc. H.R. 3630, No Surprises Act S. 1895, Lower Health Care Costs Act H.R. 269, to clarify the regulatory framework with respect to certain nonprescription drugs that are marketed without an approved drug application H.R. 1379, Ensuring Lasting Smiles Act (ELSA Act) H.R. 1614, John S. McCain Opioid Addiction Prevention Act S. 192, Community and Public Health Programs Extension Act S. 560, Ensuring Lasting Smiles Act (ELSA Act) S. 724, John S. McCain Opioid Addiction Prevention Act H.R. 3762, Dental and Optometric Care Access Act of 2019 (DOC Access Act) H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act of 2020 H.R. 5800, the Ban Surprise Medical Billing Act Health care coverage during pandemic H.R. 7158, The Health Enterprise Zones Act Oral health initiatives, Chief Dental Officer Allowing dental practices to apply for Telehealth Program Funds regardless of size, location, or non-profit status Action for Dental Health Implementation COVID - 19 reopening guidance Health Profession Shortage Areas Access to personal protective equipment for dental offices Provider Relief Fund Including dental benefits in child support orders S. 4055 Strengthening Americas Health Care Readiness Act House Energy and Commerce Committee Investigation into Dental Insurers Disinfectant shortage Unused Leave for Commissioned Corps Members Fluoride monograph

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Science & Technology Policy (OSTP), SENATE, Small Business Administration (SBA), Treasury, Dept of, U.S. Immigration & Customs Enforcement (ICE), Veterans Affairs, Dept of (VA), White House Office

Implementation of the Special Diabetes Program, renewal of the Special Diabetes Program, National Chronic Care Commission S. 192 - Community and Public Health Programs Extension Act S. 1895 - Lower Health Care Costs Act H.R. 3 - Lower Drug Costs Now Act S. 2543 - Prescription Drug Pricing Reduction Act H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R. 6201 - Families First Coronavirus Response Act S. 3548 - CARES Act H.R. 6800 - The Heroes Act no specific bill, artificial pancreas program, Special Diabetes Program, NIH, innovation in drug development for diabetes

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

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

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of funding for the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies related to health insurance market stabilization Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention Human and child trafficking Palliative Care and Hospice Education and Training Act (H.R. 647/S. 2080) Title VIII Nursing Workforce Reauthorization Act of 2019 (H.R. 728/S. 1399) Coronavirus Aid, Relief, and Economic Security (CARES) Act (H.R. 748/S.3548) Emergency Medical Services for Children Program Reauthorization Act of 2019 (H.R. 776/S. 1173) End Surprise Billing Act of 2019 (H.R. 861) Fairness for Breastfeeding Mothers Act (H.R. 866/S. 528) Mental Health Access Improvement Act of 2019 (H.R. 945) Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 1309) Patient Protection and Affordable Care Enhancement Act (H.R. 1425) Healthy Families Act (H.R. 1784/S. 840) Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act (H.R. 1897) Community Health Investment, Modernization, and Excellence Act of 2019 (H.R. 2328) Newborn Screening Saves Lives Reauthorization Act of 2019 (H.R. 2507) Pregnant Workers Fairness Act (H.R. 2694) Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019 (H.R. 2781) Vaccine Awareness Campaign to Champion Immunization Nationally and Enhance Safety (VACCINES) Act of 2019 (H.R. 2862) Physical Activities Recommendations for Americans Act of 2019 (H.R. 2891) Safe Cribs Act of 2019 (H.R. 3170) Safe Sleep for Babies Act of 2019 (H.R. 3172) Pathways to Health Careers Act (H.R. 3398) Chronic Care Management Improvement Act (H.R. 3436) No Surprises Act (H.R. 3630) Social Determinants Accelerator Act of 2019 (H.R. 4004/S. 2986) United States Public Health Service Modernization Act of 2019 (H.R. 4870/S. 2629) Maternal Health Quality Improvement Act of 2019 (H.R. 4995) Helping Medicaid Offer Maternity Services (MOMS) Act of 2019 (H.R. 4996) Protecting Seniors Through Immunization Act of 2019 (H.R. 5076/S. 1872) Pursuing Equity in Mental Health Act of 2019 (H.R. 5469) Primary and Behavioral Health Care Access Act (H.R. 5575) Ban Surprise Billing Act (H.R. 5800) Consumer Protections Against Surprise Medical Bills Act of 2020 (H.R. 5826) Black Maternal Health Momnibus Act of 2020 (H.R. 6142/S. 3424) Families First Coronavirus Response Act (H.R. 6201) Take Responsibility for Workers and Families Act (H.R. 6379) Health Care at Home Act (H.R. 6644) COVID-19 Mental Health Research Act (H.R. 6645) HEROES Act (H.R. 6800) Protect Telehealth Access Act (H.R. 7391) Community and Public Health Programs Extension Act (S. 192) National Nurse Act of 2019 (S. 696/H.R. 1597) Excellence in Mental Health and Addiction Treatment Expansion Act (S. 824/H.R. 1767) Nursing Where It's Needed Act (S. 1045) Promoting Physical Activity for Americans Act (S. 1608) Lower Health Care Costs Act (S. 1895) Child Care Improvement Act of 2019 (S. 2683) CONNECT for Health Act of 2019(S. 2741/H.R. 4932) CAPTA Reauthorization Act of 2019 (S. 2971) Suicide Prevention Act (S. 3198/H.R. 5619) Eliminating Abusive and Rampant Neglect of Interactive Technologies (EARN IT) Act of 2020 (S. 3398) Tele-Mental Health Improvement Act (S. 3792) Coronavirus Mental Health and Addiction Assistance Act of 2020 (S. 3825/H.R. 6999)

Client expense: Not reported · Firm income: $24,000

Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office

HR 2328 and S 192 and HR 1983, S 1895 To reauthorize and extend funding for Community Health Centers and the National Health Service Corps. COVID 19 funding to provide testing and build capacity for treatment, access to provider protective equipment, access to provider relief fund resources in CARES Act, Coronavirus Preparedness and Response Act, Families First Coronavirus Response Act, HR 6800 the HEROES Act. Reimbursement for telehealth services.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

Appropriations for health centers and related programs; Appropriations for National Health Service Corps; Appropriations for Health Professions Programs; Appropriations for the CDC and HRSA; Presidents Budget Request; CHIME(H.R.2328/S.106); Community and Public Health Extensions Act (S.192); Community Health Center and Primary Care Workforce Expansion Act (S.962/H.R.1943); School Based Health Centers Reauthorization (H.R.2075/S.1013); Lower Health Care Costs Act (S.1895).

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

FY 2021 Energy and Water Appropriations Act: funding for flood control, debris basins and bureau of reclamation facilities. NRCS funding for debris basins Disaster recovery funding Recycling programs Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program funding for the National Endowment for the Arts FY 2021 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2021 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2021 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. FY 2021 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding H.R. 1345, Restoring the Partnership for County Health Care Costs Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs S. 1111/H.R. 2199, the Central Coast Heritage Protection Act H.R. 3043, the Permanently Authorizing PILT Act H.R. 1236/S. 506, Extreme Risk Protection Order Act S. 923, Fighting Homelessness Through Services and Housing Act H.R. 1871, Protect Patriot Parents Act H.Res. 109/S. Res. 59, Green New Deal Resolution Older Americans Act Elder Justice Act Local government stabilization funding/Coronavirus Relief Fund Community Health Center Funding for pandemic response County eligibility for paid sick leave and family leave tax credits Supplemental Funding for Public Health Emergency Preparedness Grants Emergency supplemental appropriations for coronavirus response. FEMA Disaster Relief Fund Healthcare provider relief for coronavirus response through the Public Health and Social Services Emergency Fund

Client expense: Not reported · Firm income: $24,000

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Reclamation, HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill H.R. 1708/S. 774, the Rim of the Valley Corridor Preservation Act, Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 9, the Climate Action Now Act, H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program H.R. 279, the California Clean Coast Act, to permanently ban future offshore oil and gas leasing in areas of the OCS off the coast of California. FY 2021 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2021 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2021 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. Funding to underground transmission lines in fire prone areas. H.R. 8, the Bipartisan Background Checks Act of 2019 H.R.674, the Gun Violence Prevention Research Act of 2019 Legislation to make it illegal to buy or possess firearms that fire like military-style assault rifles; ban firearms with detachable high capacity ammunition magazines and a limit on magazine capacity to no more than 10 rounds; Providing the Center for Disease Control with the necessary funding and political freedom to study gun violence. Airport Improvement Program/Contract Tower Program FY 2021 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding S. 192, the Community and Public Health Programs Extension Act funding to underground transmission lines in fire prone areas H.R. 1345, Restoring the Partnership for County Health Care Costs Act H.R. 1708, the Rim of the Valley Corridor Preservation Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 1111/H.R. 2199, the Central Coast Heritage Protection Act S. 1377, the Ensuring Quality Access to Legal Defense (EQUAL Defense) Act of 2019 Medicaid Disproportionate Share Hospital (DSH) payments H.R. 2470, the Clean Water Infrastructure Resilience and Sustainability Act H.R. 763, the Energy Innovation and Carbon Dividend Act (EICDA) S. 192, the Community and Public Health Programs Extension Act H.R. 3043, the Permanently Authorizing PILT Act S. 774, the Rim of the Valley Corridor Preservation Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 265, the Threat Assessment, Prevention, and Safety Act of 2019 (TAPS Act) H.R. 1236/S. 506, Extreme Risk Protection Order Act H.R. 3040, the Safe And Friendly for the Environment (SAFE) Streets Act S. 923, Fighting Homelessness Through Services and Housing Act Elder Justice Act reauthorization Older Americans Act Reauthorization S. 1703 Affordable Housing Credit Improvement Act Gun Control legislation: H.R. 1236, H.R. 3076 and H.R. 1186. H.R. 4334, the Supporting Older Americans Act of 2020, Local government stabilization funding/Coronavirus Relief Fund Community Health Center Funding for pandemic response Expanded Federal support for local Medicaid programs/Disproportionate Share Hospitals Legislative moratorium on Medicaid Fiscal Accountability Regulation County eligibility for paid sick leave and family leave tax credits Supplemental Funding for Public Health Emergency Preparedness Grants Emergency supplemental appropriations for coronavirus response. FEMA Disaster Relief Fund Hospital and healthcare provider relief for coronavirus response through the Public Health and Social Services Emergency Fund Library Stabilization Act

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

Government targets: Army, Dept of (Corps of Engineers), Centers For Disease Control & Prevention (CDC), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), 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) 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

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

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Special Diabetes Program, renewal of the Special Diabetes Program, National Chronic Care Commission S. 192 - Community and Public Health Programs Extension Act S. 1895 - Lower Health Care Costs Act H.R. 3 - Lower Drug Costs Now Act S. 2543 - Prescription Drug Pricing Reduction Act H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R. 6201 - Families First Coronavirus Response Act S. 3548 - CARES Act H.R. 6800 - The Heroes Act no specific bill, artificial pancreas program, Special Diabetes Program, NIH, innovation in drug development for diabetes

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

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

Authority for dental-related programs to operate, caries prevention and oral health promotion, access to dental care, dental research, oral and craniofacial defects, filling Chief Dental Officer positions at CMS, prescribing practices (e.g., opioid prescribing), etc. Authority for dental-related programs to operate, caries prevention and oral health promotion, access to dental care, dental research, insurance and billing, oral and craniofacial defects, prescribing practices (e.g., opioid prescribing), etc. H.R. 3630, No Surprises Act S. 1895, Lower Health Care Costs Act H.R. 269, to clarify the regulatory framework with respect to certain nonprescription drugs that are marketed without an approved drug application H.R. 1379, Ensuring Lasting Smiles Act (ELSA Act) H.R. 1614, John S. McCain Opioid Addiction Prevention Act S 192, Community and Public Health Programs Extension Act S. 560, Ensuring Lasting Smiles Act (ELSA Act) S. 724, John S. McCain Opioid Addiction Prevention Act H.R. 3762, Dental and Optometric Care Access Act of 2019 (DOC Access Act) 2021 Notice of Benefit and Payment Parameters Proposed Rule H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act of 2020 H.R. 5800, the Ban Surprise Medical Billing Act H.R. 7255, mental health of healthcare providers Health care coverage during pandemic HR 7158, The Health Enterprise Zones Act Oral health initiatives, Chief Dental Officer Allowing dental practices to apply for Telehealth Program Funds regardless of size, location, or non-profit status Action for Dental Health Implementation COVID - 19 reopening guidance Health Profession Shortage Areas Access to personal protective equipment for dental offices Provider Relief Fund

Client expense: $600,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Science & Technology Policy (OSTP), SENATE, Small Business Administration (SBA), Treasury, Dept of, U.S. Immigration & Customs Enforcement (ICE), Veterans Affairs, Dept of (VA), White House Office

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. 191 (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: $20,000

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)

FY 2021 Energy and Water Appropriations Act: funding for flood control, debris basins and bureau of reclamation facilities. NRCS funding for debris basins Disaster recovery funding Recycling programs Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program funding for the National Endowment for the Arts FY 2021 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2021 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2021 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. FY 2021 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding H.R. 1345, Restoring the Partnership for County Health Care Costs Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs S. 1111/H.R. 2199, the Central Coast Heritage Protection Act H.R. 3043, the Permanently Authorizing PILT Act H.R. 1236/S. 506, Extreme Risk Protection Order Act S. 923, Fighting Homelessness Through Services and Housing Act H.R. 1871, Protect Patriot Parents Act H.Res. 109/S. Res. 59, Green New Deal Resolution Older Americans Act Elder Justice Act Local government stabilization funding/Coronavirus Relief Fund Community Health Center Funding for pandemic response County eligibility for paid sick leave and family leave tax credits Supplemental Funding for Public Health Emergency Preparedness Grants Emergency supplemental appropriations for coronavirus response. FEMA Disaster Relief Fund Healthcare provider relief for coronavirus response through the Public Health and Social Services Emergency Fund

Client expense: Not reported · Firm income: $24,000

Government targets: Agriculture, Dept of (USDA), Army, Dept of (Corps of Engineers), Bureau of Reclamation, HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill H.R. 1708/S. 774, the Rim of the Valley Corridor Preservation Act, Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 9, the Climate Action Now Act, H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program H.R. 279, the California Clean Coast Act, to permanently ban future offshore oil and gas leasing in areas of the OCS off the coast of California. FY 2021 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2021 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2021 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. Funding to underground transmission lines in fire prone areas. H.R. 8, the Bipartisan Background Checks Act of 2019 H.R.674, the Gun Violence Prevention Research Act of 2019 Legislation to make it illegal to buy or possess firearms that fire like military-style assault rifles; ban firearms with detachable high capacity ammunition magazines and a limit on magazine capacity to no more than 10 rounds; Providing the Center for Disease Control with the necessary funding and political freedom to study gun violence. Airport Improvement Program/Contract Tower Program FY 2021 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding S. 192, the Community and Public Health Programs Extension Act funding to underground transmission lines in fire prone areas H.R. 1345, Restoring the Partnership for County Health Care Costs Act H.R. 1708, the Rim of the Valley Corridor Preservation Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 1111/H.R. 2199, the Central Coast Heritage Protection Act S. 1377, the Ensuring Quality Access to Legal Defense (EQUAL Defense) Act of 2019 Medicaid Disproportionate Share Hospital (DSH) payments H.R. 2470, the Clean Water Infrastructure Resilience and Sustainability Act H.R. 763, the Energy Innovation and Carbon Dividend Act (EICDA) S. 192, the Community and Public Health Programs Extension Act H.R. 3043, the Permanently Authorizing PILT Act S. 774, the Rim of the Valley Corridor Preservation Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 265, the Threat Assessment, Prevention, and Safety Act of 2019 (TAPS Act) H.R. 1236/S. 506, Extreme Risk Protection Order Act H.R. 3040, the Safe And Friendly for the Environment (SAFE) Streets Act S. 923, Fighting Homelessness Through Services and Housing Act Elder Justice Act reauthorization Older Americans Act Reauthorization S. 1703 Affordable Housing Credit Improvement Act Gun Control legislation: H.R. 1236, H.R. 3076 and H.R. 1186. H.R. 4334, the Supporting Older Americans Act of 2020, Local government stabilization funding/Coronavirus Relief Fund Community Health Center Funding for pandemic response Expanded Federal support for local Medicaid programs/Disproportionate Share Hospitals Legislative moratorium on Medicaid Fiscal Accountability Regulation County eligibility for paid sick leave and family leave tax credits Supplemental Funding for Public Health Emergency Preparedness Grants Emergency supplemental appropriations for coronavirus response. FEMA Disaster Relief Fund Hospital and healthcare provider relief for coronavirus response through the Public Health and Social Services Emergency Fund

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

Government targets: Army, Dept of (Corps of Engineers), Centers For Disease Control & Prevention (CDC), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of funding for the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies related to health insurance market stabilization Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention Human and child trafficking Draft 21st Century Cures 2.0 legislation Palliative Care and Hospice Education and Training Act (H.R. 647/S. 2080) Title VIII Nursing Workforce Reauthorization Act of 2019 (H.R. 728/S. 1399) Coronavirus Aid, Relief, and Economic Security (CARES) Act (H.R. 748/S.3548) Emergency Medical Services for Children Program Reauthorization Act of 2019 (H.R. 776/S. 1173) End Surprise Billing Act of 2019 (H.R. 861) Fairness for Breastfeeding Mothers Act (H.R. 866/S. 528) Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 1309) Healthy Families Act (H.R. 1784/S. 840) Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act (H.R. 1897) Community Health Investment, Modernization, and Excellence Act of 2019 (H.R. 2328) Newborn Screening Saves Lives Reauthorization Act of 2019 (H.R. 2507) Pregnant Workers Fairness Act (H.R. 2694) Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019 (H.R. 2781) VACCINES Act of 2019 (H.R. 2862) Physical Activities Recommendations for Americans Act of 2019 (H.R. 2891) Safe Cribs Act of 2019 (H.R. 3170) Safe Sleep for Babies Act of 2019 (H.R. 3172) Pathways to Health Careers Act (H.R. 3398) Chronic Care Management Improvement Act (H.R. 3436) No Surprises Act (H.R. 3630) Midwives for Maximizing Optimal Maternity Services (Midwives for MOMS) Act of 2019 (H.R. 3849) Social Determinants Accelerator Act of 2019 (H.R. 4004/S. 2986) Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act of 2019 (H.R. 3328/H.R. 4100/S. 1712) Effective Suicide Screening and Assessment in the Emergency Department Act of 2019 (H.R. 4861/S. 3006) United States Public Health Service Modernization Act of 2019 (H.R. 4870/S. 2629) Medication Access and Training Expansion (MATE) Act (H.R. 4974) Maternal Health Quality Improvement Act of 2019 (H.R. 4995) Helping Medicaid Offer Maternity Services (MOMS) Act of 2019 (H.R. 4996) Protecting Seniors Through Immunization Act of 2019 (H.R. 5076/S. 1872) Pursuing Equity in Mental Health Act of 2019 (H.R. 5469) Primary and Behavioral Health Care Access Act (H.R. 5575) Ban Surprise Billing Act (H.R. 5800) Consumer Protections Against Surprise Medical Bills Act of 2020 (H.R. 5826) Black Maternal Health Momnibus Act of 2020 (H.R. 6142/S. 3424) Families First Coronavirus Response Act (H.R. 6201) Take Responsibility for Workers and Families Act (H.R. 6379) Community and Public Health Programs Extension Act (S. 192) National Nurse Act of 2019 (S. 696/H.R. 1597) Excellence in Mental Health and Addiction Treatment Expansion Act (S. 824/H.R. 1767) Nursing Where It's Needed Act (S. 1045) Promoting Physical Activity for Americans Act (S. 1608) Lower Health Care Costs Act (S. 1895) Child Care Improvement Act of 2019 (S. 2683) CAPTA Reauthorization Act of 2019 (S. 2971) Suicide Prevention Act (S. 3198/H.R. 5619)

Client expense: Not reported · Firm income: $24,000

Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Appropriations for health centers and related programs; Appropriations for National Health Service Corps; Appropriations for Health Professions Programs; Appropriations for the CDC and HRSA; Presidents Budget Request; CHIME(H.R.2328/S.106); Community and Public Health Extensions Act (S.192); Community Health Center and Primary Care Workforce Expansion Act (S.962/H.R.1943); School Based Health Centers Reauthorization (H.R.2075/S.1013); Lower Health Care Costs Act (S.1895).

Client expense: $220,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

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

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

HR 2328 and S 192 and HR 1983, S 1895 To reauthorize and extend funding for Community Health Centers and the National Health Service Corps. HR 748 CARES Act, HR 6074 Coronavirus Preparedness and Response Act, HR 6201 Families First Coronavirus Response Act. Reimbursement for telehealth services.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

Authority for dental-related programs to operate, caries prevention and oral health promotion, access to dental care, dental research, oral and craniofacial defects, filling Chief Dental Officer positions at CMS, prescribing practices (e.g., opioid prescribing), etc. H.R. 3630, No Surprises Act H.R. 5800, Ban Surprise Billing Act S. 1895, Lower Health Care Costs Act H.R. 269, to clarify the regulatory framework with respect to certain nonprescription drugs that are marketed without an approved drug application H.R. 1379, Ensuring Lasting Smiles Act (ELSA Act) H.R. 1614, John S. McCain Opioid Addiction Prevention Act S 192, Community and Public Health Programs Extension Act S. 560/H.R. 1379, Ensuring Lasting Smiles Act (ELSA Act) S. 724/H.R. 1614, John S. McCain Opioid Addiction Prevention Act H.R. 3762, Dental and Optometric Care Access Act of 2019 (DOC Access Act) H.R. 5330, Consumer Protection for Medical Debt Collection Act S. 1581, Medical Debt Relief Act H.R. 748 Coronavirus Aid, Relief Economic Security Act or the CARES Act Section 1557 Reform, add Stark and Anti-Kickback Reform Action for Dental Health Act Implementation Minamata Convention on Mercury Clear aligners, Minamata Convention on Mercury Reauthorization of Teaching Health Centers Graduate Medical Education Program, National Health Service Corps, and Community Health Centers H.R. 4537, Mobile Health Clinics Act H.R. 4678, the Oral Health Literacy and Awareness Act S. 2629, United States Public Health Service Modernization Act HRSA Chief Dental Officer

Client expense: $460,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Small Business Administration (SBA), White House Office

Implementation of the Special Diabetes Program, renewal of the Special Diabetes Program, National Chronic Care Commission S. 192 - Community and Public Health Programs Extension Act S. 1895 - Lower Health Care Costs Act H.R. 3 - Lower Drug Costs Now Act S. 2543 - Prescription Drug Pricing Reduction Act H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R. 6201 - Families First Coronavirus Response Act S. 3548 - CARES Act no specific bill, artificial pancreas program, Special Diabetes Program, NIH, innovation in drug development for diabetes

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

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

S106; S192; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. S 304; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. S 2372 Rural Moms Act: Supported a rural maternal health bill and urged members to support it. HR 1358 - GME Reform: Allow the establishment of new family physician residencies. HR 2328 Community Health Investment, and Modernization, and Excellence Act: Also, THCGME, along with Community Health Centers, National Health Service Corps, and Medicaid Funding for the Territories. HR 2328 - Reauthorizing and Extending America's Community Health Act: Support for key primary care extenders, Patient-Centered Outcomes Research Initiative, Independence at Home, Medicaid for the Territories. HR 2895 - Conrad State 30 & Physician Access Act: Expand J-1 visa waiver program for medical residents. No Bill No. - Opioid Use Disorder Treatment GME: Medication-assisted treatment training. No Bill No. - Physician Workforce/GME Reform: Increasing the number of family residency slots. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Teaching Health Center GME funding/Training the Next Generation of Primary Care Doctors Act. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Title VII Primary Care training Enhancement Grants: Support for family medicine training.

Client expense: $997,393 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

S106; S192; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 304; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. HR 1358 - GME Reform: Allow the establishment of new family physician residencies. HR 2740 - HHS FY 2020 Appropriations; Women's Health Research: AAFP funding priorities. Increased funding for women's health research. HR 3030 - Patient Centered Outcomes Research Institute reauthorization: Patient-centered, primary care research, AHRQ funding. No Bill No. - Obesity Drug Study: Responding to GAO inquiry on AAFP policy on obesity drugs. No Bill No. - Rural Health: Improved access to quality care for rural populations. No Bill No. - Teaching Health Center GME funding/Training the Next Generation of Primary Care Doctors Act. No Bill No. - Title VII Primary Care training Enhancement Grants: Support for family medicine training. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ.

Client expense: $997,393 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

S106; S192; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. HR 1358 - GME Reform: Allow the establishment of new family physician residencies. HR 2328 Community Health Investment, and Modernization, and Excellence Act: Also, THCGME, along with Community Health Centers, National Health Service Corps, and Medicaid Funding for the Territories. HR 2328 - Reauthorizing and Extending America's Community Health Act: Support for key primary care extenders, Patient-Centered Outcomes Research Initiative, Independence at Home, Medicaid for the Territories. HR 3107 - Prior Authorization: Improve healthcare access and reduce administrative burden. HR 3436 Chronic Care Management: to remove cost-sharing responsibilities for chronic care management services under the medicare plan. No Bill No. - Opioid prescribing guideline: Responding to FDA inquiry on opioid prescribing guidelines. No Bill No. - Opioid Use Disorder Treatment GME: Medication-assisted treatment training. No Bill No. - Physician Workforce/GME Reform: Increasing the number of family residency slots. No Bill No. - Administrative Burden: Reduced administrative burden on family physicians. 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. - Insurance network adequacy to avoid "surprise medical bills": protecting patients and families from unanticipated medical bills. No Bill No. - Administrative Simplification: Suggestions to reduce burdens for FPs. No Bill No. - Medicare coverage of acupuncture: AAFP supporting CMS proposal. No Bill No. - Access to Medicaid Services: Need for higher payment to ensure access to primary care. No Bill No. - Delay in 2017 APM bonuses: Need for CMS to pay APM bonuses to encourage FPs. No Bill No. - 2020 proposed Medicare physician fee schedule: Payments to PCPs. No Bill No. - 2020 proposed outpatient perspective payment system: Site of service neutrality and transparency in hospital charges. 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. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Insurance network adequacy to avoid "surprise medical bills": Health care coverage for all, administrative simplification. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ.

Client expense: $997,393 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

S106; S192; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. S 304; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. S 2372 Rural Moms Act: Supported a rural maternal health bill and urged members to support it. HR 2328 Community Health Investment, and Modernization, and Excellence Act: Also, THCGME, along with Community Health Centers, National Health Service Corps, and Medicaid Funding for the Territories. HR 2328 - Reauthorizing and Extending America's Community Health Act: Support for key primary care extenders, Patient-Centered Outcomes Research Initiative, Independence at Home, Medicaid for the Territories. HR 2740 - HHS FY 2020 Appropriations; Women's Health Research: AAFP funding priorities. Increased funding for women's health research. HR 2774 - Primary Care Patient Protection Act: Create a Primary Care benefit in high deductible health plans. HR 2895 - Conrad State 30 & Physician Access Act: Expand J-1 visa waiver program for medical residents. HR 3030 - Patient Centered Outcomes Research Institute reauthorization: Patient-centered, primary care research, AHRQ funding. HR 3107 - Prior Authorization: Improve healthcare access and reduce administrative burden. HR 3436 - Chronic Care Management: to remove cost-sharing responsibilities for chronic care management services under the medicare plan. No Bill No. - Obesity Drug Study: Responding to GAO inquiry on AAFP policy on obesity drugs. No Bill No. - Opioid prescribing guideline: Responding to FDA inquiry on opioid prescribing guidelines. No Bill No. - Healthcare Coverage for All: Retaining ACA coverage gains and expanding coverage. No Bill No. - Administrative Burden: Reduced administrative burden on family physicians. No Bill No. - Rural Health: Improved access to quality care for rural populations. 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. - Insurance network adequacy to avoid "surprise medical bills": protecting patients and families from unanticipated medical bills. No Bill No. - Comment on the definition of Health Literacy: Health Literacy for all patients. No Bill No. - Administrative Simplification: Suggestions to reduce burdens for FPs. No Bill No. - Nondiscrimination in health plans: Healthcare for all. No Bill No. - Patient access to effective drugs: Opioid Issues. No. Bill No. - Telehealth for low-income consumers: Access to high speed internet. No Bill No. - Access to Medicaid Services: Need for higher payment to ensure access to primary care. No Bill No. - 2020 proposed outpatient perspective payment system: Site of service neutrality and transparency in hospital charges. 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. - Teaching Health Center GME funding/Training the Next Generation of Primary Care Doctors Act. No Bill No. - Tobacco Use Prevention: Urged support for Reversing the Youth Tobacco Epidemic Act, Safe Kids Act, and Tobacco to 21 bill. No Bill No. - Surprise Billing: Shared letter on surprise billing. No Bill No. - Drug Prices: Recommendations for various biologic and insulin drug pricing bills. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC.

Client expense: $997,393 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

S.192 - Community and Public Health Programs Extension Act

Client expense: $1,000,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE