Quality Care for Nursing Home Residents Act of 2019

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation Observation Stays Issue Outreach to HHS/CMS/Administration Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Payroll Based Journal - Section 6106 of the Affordable Care Act Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). S. 2993- Ensuring Seniors Access to Quality Care Act S 2943/HR 5216 Quality Care for Nursing Home Residents Act of 2019 HR 5326 Fairness in Nursing Home Arbitration Act H.R.5897/S.3297 - Preventing Abuse and Neglect of Vulnerable Americans Act of 2020 Public Law 116-136, CARES Act Public Law 116-127 (H.R. 6201) Families First Coronavirus Response Act HR 6800 HEROES Act S. 3768/H.R. 6972 Nursing Home COVID-19 Protection and Prevention Act of 2020. S. 4108 A bill to amend title XIX of the Social Security Act to increase Federal support to State Medicaid programs during economic downturns, and for other purposes. S.3644 Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. H.R. 7048 Nursing Home Pandemic Protection Act H.R.6872 - SOS Act of 2020 H.R. 6849 Nursing Facility Quality Reporting Act of 2020 H.R. 6847 COHORT Act of 2020 Public Health Fund Distribution to HHS as agency CMS on Public Health Waiver and other waivers RUSH Act H.R. 6209/S.3447 H.R. 8574 amend titles XVIII and XIX of the Social Security Act to increase enforcement under Medicare and Medicaid for skilled nursing facilities and nursing facilities during the COVID-19 emergency period and other infectious disease outbreak periods, and for other purposes. S. 4666 National Coronavirus Commission Act of 2020 AHCA response to Ways and Means Committee report Under-Enforced and Over Prescribed: The Antipsychotic Drug Epidemic Ravings Americas Nursing Homes. BENES Act (S 1280/HR 2477) H.R.331 - Nurses CARE Act of 2021 S.368 and H.R.1332 Telehealth Modernization Act Protecting Rural Telehealth Access Act (S.1988) Support for Provider Relief Funds (PRF) for long term care providers and outreach to HRSA and the Hill on PRF Rep. Terri Sewell Provider Relief Fund letter Re-introduction work of the Preventing Abuse and Neglect of Vulnerable Americans Act Improving Access to Medicare Coverage Act (H.R. 3650/S. 2048) SNF Payment Rule OSHA Emergency Temporary Standards Care For Our Seniors Act Infrastructure Proposal Long Term Care Advocacy AHCA monitoring Ways and Means Investigative and Oversight Subcommittee hearing on the role private equity plays in the skilled nursing facility sector.

Client expense: $1,080,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Veterans Affairs, Dept of (VA)

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation Observation Stays Issue Outreach to HHS/CMS/Administration Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Payroll Based Journal - Section 6106 of the Affordable Care Act Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). S. 2993- Ensuring Seniors Access to Quality Care Act S 2943/HR 5216 Quality Care for Nursing Home Residents Act of 2019 HR 5326 Fairness in Nursing Home Arbitration Act H.R.5897/S.3297 - Preventing Abuse and Neglect of Vulnerable Americans Act of 2020 Public Law 116-136, CARES Act Public Law 116-127 (H.R. 6201) Families First Coronavirus Response Act HR 6800 HEROES Act S. 3768/H.R. 6972 Nursing Home COVID-19 Protection and Prevention Act of 2020. S. 4108 A bill to amend title XIX of the Social Security Act to increase Federal support to State Medicaid programs during economic downturns, and for other purposes. S.3644 Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. H.R. 7048 Nursing Home Pandemic Protection Act H.R.6872 - SOS Act of 2020 H.R. 6849 Nursing Facility Quality Reporting Act of 2020 H.R. 6847 COHORT Act of 2020 Public Health Fund Distribution to HHS as agency CMS on Public Health Waiver and other waivers RUSH Act H.R. 6209/S.3447 H.R. 8574 amend titles XVIII and XIX of the Social Security Act to increase enforcement under Medicare and Medicaid for skilled nursing facilities and nursing facilities during the COVID-19 emergency period and other infectious disease outbreak periods, and for other purposes. S. 4666 National Coronavirus Commission Act of 2020 AHCA response to Ways and Means Committee report Under-Enforced and Over Prescribed: The Antipsychotic Drug Epidemic Ravings Americas Nursing Homes. BENES Act (S 1280/HR 2477) H.R.331 - Nurses CARE Act of 2021 S.368 and H.R.1332 Telehealth Modernization Act Protecting Rural Telehealth Access Act (S.1988) Support for Provider Relief Funds (PRF) for long term care providers and outreach to HRSA and the Hill on PRF Rep. Terri Sewell Provider Relief Fund letter Re-introduction work of the Preventing Abuse and Neglect of Vulnerable Americans Act Improving Access to Medicare Coverage Act (H.R. 3650/S. 2048) SNF Payment Rule OSHA Emergency Temporary Standards Care For Our Seniors Act Infrastructure Proposal Long Term Care Advocacy AHCA monitoring Ways and Means Investigative and Oversight Subcommittee hearing on the role private equity plays in the skilled nursing facility sector.

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation Observation Stays Issue Outreach to HHS/CMS/Administration Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Payroll Based Journal - Section 6106 of the Affordable Care Act Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). S. 2993- Ensuring Seniors Access to Quality Care Act S 2943/HR 5216 Quality Care for Nursing Home Residents Act of 2019 HR 5326 Fairness in Nursing Home Arbitration Act H.R.5897/S.3297 - Preventing Abuse and Neglect of Vulnerable Americans Act of 2020 Public Law 116-136, CARES Act Public Law 116-127 (H.R. 6201) Families First Coronavirus Response Act HR 6800 HEROES Act S. 3768/H.R. 6972 Nursing Home COVID-19 Protection and Prevention Act of 2020. S. 4108 A bill to amend title XIX of the Social Security Act to increase Federal support to State Medicaid programs during economic downturns, and for other purposes. S.3644 Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. H.R. 7048 Nursing Home Pandemic Protection Act H.R.6872 - SOS Act of 2020 H.R. 6849 Nursing Facility Quality Reporting Act of 2020 H.R. 6847 COHORT Act of 2020 Public Health Fund Distribution to HHS as agency CMS on Public Health Waiver and other waivers RUSH Act H.R. 6209/S.3447 H.R. 8574 amend titles XVIII and XIX of the Social Security Act to increase enforcement under Medicare and Medicaid for skilled nursing facilities and nursing facilities during the COVID-19 emergency period and other infectious disease outbreak periods, and for other purposes. S. 4666 National Coronavirus Commission Act of 2020 AHCA response to Ways and Means Committee report Under-Enforced and Over Prescribed: The Antipsychotic Drug Epidemic Ravings Americas Nursing Homes. BENES Act (S 1280/HR 2477) H.R.331 - Nurses CARE Act of 2021 S.368 and H.R.1332 Telehealth Modernization Act Protecting Rural Telehealth Access Act (S.1988) Support for Provider Relief Funds (PRF) for long term care providers Rep. Terri Sewell Provider Relief Fund letter Re-introduction work of the Preventing Abuse and Neglect of Vulnerable Americans Act Improving Access to Medicare Coverage Act (H.R. 3650/S. 2048) SNF Payment Rule OSHA Emergency Temporary Standards Care For Our Seniors Act Infrastructure Proposal Long Term Care Advocacy AHCA monitoring Ways and Means Investigative and Oversight Subcommittee hearing on the role private equity plays in the skilled nursing facility sector.

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Payroll Based Journal - Section 6106 of the Affordable Care Act Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). S. 2993- Ensuring Seniors Access to Quality Care Act S 2943/HR 5216 Quality Care for Nursing Home Residents Act of 2019 HR 5326 Fairness in Nursing Home Arbitration Act H.R.5897/S.3297 - Preventing Abuse and Neglect of Vulnerable Americans Act of 2020 Public Law 116-136, CARES Act Public Law 116-127 (H.R. 6201) Families First Coronavirus Response Act HR 6800 HEROES Act S. 3768/H.R. 6972 Nursing Home COVID-19 Protection and Prevention Act of 2020. S. 4108 A bill to amend title XIX of the Social Security Act to increase Federal support to State Medicaid programs during economic downturns, and for other purposes. S.3644 Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. H.R. 7048 Nursing Home Pandemic Protection Act H.R.6872 - SOS Act of 2020 H.R. 6849 Nursing Facility Quality Reporting Act of 2020 H.R. 6847 COHORT Act of 2020 Public Health Fund Distribution to HHS as agency CMS on Public Health Waiver and other waivers RUSH Act H.R. 6209/S.3447 H.R. 8574 amend titles XVIII and XIX of the Social Security Act to increase enforcement under Medicare and Medicaid for skilled nursing facilities and nursing facilities during the COVID-19 emergency period and other infectious disease outbreak periods, and for other purposes. S. 4666 National Coronavirus Commission Act of 2020 AHCA response to Ways and Means Committee report Under-Enforced and Over Prescribed: The Antipsychotic Drug Epidemic Ravings Americas Nursing Homes. BENES Act (S 1280/HR 2477) H.R.331 - Nurses CARE Act of 2021 S.368 and H.R.1332 Telehealth Modernization Act

H.R. 1423 / S. 610 - Forced Arbitration Injustice Repeal (FAIR) Act - oppose H.R. 5216 / S. 2943 - Quality Care for Nursing Home Residents Act - oppose H.R. 5326 - Fairness in Nursing Home Arbitration Act - oppose H.R. 2749 / S. 1491 - Restoring Justice for Workers Act - oppose S. 630 - Arbitration Fairness for Consumers Act - oppose S. 620 - Safety Over Arbitration Act - oppose S. 2627 - End Double Taxation of Successful Civil Claims Act- oppose H.R. 4982 - Health Care Workforce Protection Act - support H.R. 269 / S. 1379 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act (Pub. Law No. 116-22) - support S. 766 - PROTECT Asbestos Victims Act - support S. 471 - Litigation Funding Transparency Act - support H.R. 7059, Coronavirus Provider Protection Act - support H.R. 6021, Families First Coronavirus Response Act - support H.R. 748, Coronavirus Aid, Relief, and Economic Security Act (CARES Act) - support

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Payroll Based Journal - Section 6106 of the Affordable Care Act Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). S. 2993- Ensuring Seniors Access to Quality Care Act S 2943/HR 5216 Quality Care for Nursing Home Residents Act of 2019 HR 5326 Fairness in Nursing Home Arbitration Act H.R.5897/S.3297 - Preventing Abuse and Neglect of Vulnerable Americans Act of 2020 Public Law 116-136, CARES Act Public Law 116-127 (H.R. 6201) Families First Coronavirus Response Act HR 6800 HEROES Act S. 3768/H.R. 6972 Nursing Home COVID-19 Protection and Prevention Act of 2020. S. 4108 A bill to amend title XIX of the Social Security Act to increase Federal support to State Medicaid programs during economic downturns, and for other purposes. S.3644 Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. H.R. 7048 Nursing Home Pandemic Protection Act H.R.6872 - SOS Act of 2020 H.R. 6849 Nursing Facility Quality Reporting Act of 2020 H.R. 6847 COHORT Act of 2020 Public Health Fund Distribution to HHS as agency CMS on Public Health Waiver and other waivers RUSH Act H.R. 6209/S.3447 H.R. 8574 amend titles XVIII and XIX of the Social Security Act to increase enforcement under Medicare and Medicaid for skilled nursing facilities and nursing facilities during the COVID-19 emergency period and other infectious disease outbreak periods, and for other purposes. S. 4666 National Coronavirus Commission Act of 2020 AHCA response to Ways and Means Committee report Under-Enforced and Over Prescribed: The Antipsychotic Drug Epidemic Ravings Americas Nursing Homes. BENES Act (S 1280/HR 2477) H.R.8874 - Nurses CARE Act of 2020

H.R. 1423, Forced Arbitration Injustice Repeal Act (FAIR), which would eliminate forced arbitration in consumer and employment contracts. S. 610, Forced Arbitration Injustice Repeal Act (FAIR), which would eliminate forced arbitration in consumer and employment contracts. S. 608, A bill to provide that chapter 1 of title 9 of the United States Code, relating to the enforcement of arbitration agreements, shall not apply to enrollment agreements made between students and certain institutions of higher education, and to prohibit limitations on the ability of students to pursue claims against certain institutions of higher education. H.R. 1430, A bill to provide that chapter 1 of title 9 of the United States Code, relating to the enforcement of arbitration agreements, shall not apply to enrollment agreements made between students and certain institutions of higher education, and to prohibit limitations on the ability of students to pursue claims against certain institutions of higher education S. 630, Arbitration Fairness for Consumers Act, a bill to amend the Consumer Financial Protection Act of 2010 with respect to arbitration. H.R. 1443, Ending Forced Arbitration of Sexual Harassment act of 2019, bill to amend title 9 of the United States Code with respect to arbitration, prohibiting the use of forced arbitration in cases of sexual harassment, assault, discrimination. S. 635, A bill to restore statutory rights to the people of the United States from forced arbitration. S. 620, Safety Over Arbitration, a bill to amend title 9, United States Code, with respect to arbitration. S. 726, Personal Care Products Safety Act, to amend the Federal Food, Drug, and Cosmetic Act to ensure the safety of cosmetics. H.R. 4296, Safe Cosmetics and Personal Care Products Act of 2019. H.R. 269, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, specifically regarding preemption and immunity provisions. H.R. 2750, Justice for Servicemembers Act, prohibiting the use of forced arbitration against members of the armed forces. H.R. 2749/ S. 1491 Restoring Justice for Workers Act, prohibiting the use of forced arbitration in employment disputes. H.R. 3764, Justice for Student Borrowers Act, prohibiting the use of forced arbitration in student loan agreements. S. 766, PROTECT Asbestos Victims Act of 2019. H.R. 1603/ S. 717, Alan Reinstein Ban Asbestos Now Act of 2019. H.R. 1816, Children's Product Warning Label Act of 2019. Dingell and Cicilline amendments to H.R. 2500, National Defense Authorization Act, regarding PFAS CERCLA designation (Dingell), and prohibiting the use of forced arbitration in SCRA claims (Cicilline). H.R. 5216/ S. 2943, Quality Care for Nursing Home Residents Act of 2019. H.R. 5326, Fairness in Nursing Home Arbitration Act. H.R. 4544, Ensuring Fair Legal Recourse for Private Student Loan Borrowers Act. H.R. 5279, Cosmetic Safety Enhancement Act of 2019. H.R. 5017, Natural Cosmetics Act. H.R. 535, PFAS Action of 2019. S. 2838, A bill to amend the Ted Stevens Olympic Amateur Sports Act to improve transparency of the United States Center for Safe Sport, to provide grant accountability, and to protect victims of abuse from retaliation, and for other purposes. H.R. 4982, Health Care Workforce Protection Act of 2019. S. 3372, Health Care Workforce Protection Act. H.R. 748, CARES Act, with specific regard to immunity provisions. S. 3548, CARES Act, with specific regard to immunity provisions. H.R. 6201, Families First Coronavirus Response Act, with specific regard to immunity provisions. H.R. 6379, Take Responsibility for Workers and Families Act, with specific regard to immunity provisions. H.R. 6101/ S. 3400, Ending Passenger Rail Forced Arbitration. H.R. 6058, SHOP SAFE Act of 2020. H.R. 6044, Accurate Labels Act. H.R. 6395/ S. 4049, National Defense Authorization Act (NDAA), with specific regard to servicemember forced arbitration amendments. H.R. 7940, Protect America's Children from Toxic Pesticides Act. S. 4317, Safe to Work Act. S. 178, Delivering Immediate Relief to American Families, Schools, and Small Businesses Act. H.R. 7528, Get America Back to Work Act. H.R. 8237, Protecting the Employment Rights of Service Members. H.R. 133, Consolidated Appropriations Act, 2021. Portman/ Cornyn COVID Relief Draft Proposal. Draft Ending Mandatory Arbitration for Sexual Assault Claims Act. Draft legislation regarding additions to the PREP Act. General lobbying with regard to asbestos in talc and related liability issues. General lobbying with regard to asbestos exposure and related health and environmental issues. General lobbying with regard to liability issues related to regulation of cosmetics products. General lobbying with regard to preemption of state causes of action. General lobbying with regard to PFAS liability issues. General lobbying with regard to evidence availability in pipeline safety legislation. General lobbying with regard to immunity provisions and liability frameworks in COVID-19 legislation. General lobbying with regard to nursing home COVID-19 liablity.

HR1781 - Payment Commission Data Act of 2019, to amend titles XVIII and XIX of the Social Security Act to provide the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission with access to certain drug payment information, including certain rebate information. HR2279, to amend the Employee Retirement Income Security Act of 1974 to require a group health plan (or health insurance coverage offered in connection with such a plan) to provide an exceptions process for any medication step therapy protocol, and for other purposes. HR1955 - Understanding Appropriate Alzheimer's Care Act of 2019, to require the Administrator of the Centers for Medicare & Medicaid Services to conduct a study on antipsychotic prescribing practices in non-nursing home settings under the Medicare program, and for other purposes. Issues related to nurse agency in nursing homes when prescribing controlled substances S2943 - To amend titles XVIII and XIX of the Social Security Act to revise minimum nurse staffing requirements for skilled nursing facilities under the Medicare program and for nursing facilities under the Medicaid program, and for other purposes.

Client expense: $15,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, SENATE

issues involving the medical director within the nursing home; Quality Care for Nursing Home Residents Act of 2019 (HR 5216/S. 2943);The Reducing Unnecessary Senior Hospitalizations (Rush) Act of 2020 (S. 3447/H.R. 6209; The Nursing Home COVID 19 Protection and Prevention Act (HR 3768/S 6972); Medicare EM codes and the physician fee schedule

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1423 / S. 610 - Forced Arbitration Injustice Repeal (FAIR) Act - oppose H.R. 5216 / S. 2943 - Quality Care for Nursing Home Residents Act - oppose H.R. 5326 - Fairness in Nursing Home Arbitration Act - oppose H.R. 2749 / S. 1491 - Restoring Justice for Workers Act - oppose S. 630 - Arbitration Fairness for Consumers Act - oppose S. 620 - Safety Over Arbitration Act - oppose S. 2627 - End Double Taxation of Successful Civil Claims Act- oppose H.R. 4982 - Health Care Workforce Protection Act - support H.R. 269 / S. 1379 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act (Pub. Law No. 116-22) - support S. 766 - PROTECT Asbestos Victims Act - support S. 471 - Litigation Funding Transparency Act - support H.R. 7059, Coronavirus Provider Protection Act - support H.R. 6021, Families First Coronavirus Response Act - support H.R. 748, Coronavirus Aid, Relief, and Economic Security Act (CARES Act) - support

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR1781 - Payment Commission Data Act of 2019, to amend titles XVIII and XIX of the Social Security Act to provide the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission with access to certain drug payment information, including certain rebate information. HR2279, to amend the Employee Retirement Income Security Act of 1974 to require a group health plan (or health insurance coverage offered in connection with such a plan) to provide an exceptions process for any medication step therapy protocol, and for other purposes. HR1955 - Understanding Appropriate Alzheimer's Care Act of 2019, to require the Administrator of the Centers for Medicare & Medicaid Services to conduct a study on antipsychotic prescribing practices in non-nursing home settings under the Medicare program, and for other purposes. Issues related to nurse agency in nursing homes when prescribing controlled substances S2943 - To amend titles XVIII and XIX of the Social Security Act to revise minimum nurse staffing requirements for skilled nursing facilities under the Medicare program and for nursing facilities under the Medicaid program, and for other purposes.

Client expense: $15,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, SENATE

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Payroll Based Journal - Section 6106 of the Affordable Care Act Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). S. 2993- Ensuring Seniors Access to Quality Care Act S 2943/HR 5216 Quality Care for Nursing Home Residents Act of 2019 HR 5326 Fairness in Nursing Home Arbitration Act H.R.5897/S.3297 - Preventing Abuse and Neglect of Vulnerable Americans Act of 2020 Public Law 116-136, CARES Act Public Law 116-127 (H.R. 6201) Families First Coronavirus Response Act HR 6800 HEROES Act S. 3768/H.R. 6972 Nursing Home COVID-19 Protection and Prevention Act of 2020. S. 4108 A bill to amend title XIX of the Social Security Act to increase Federal support to State Medicaid programs during economic downturns, and for other purposes. S.3644 Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. H.R. 7048 Nursing Home Pandemic Protection Act H.R.6872 - SOS Act of 2020 H.R. 6849 Nursing Facility Quality Reporting Act of 2020 H.R. 6847 COHORT Act of 2020 Public Health Fund Distribution to HHS as agency CMS on Public Health Waiver and other waivers RUSH Act H.R. 6209/S.3447 H.R. 8574 amend titles XVIII and XIX of the Social Security Act to increase enforcement under Medicare and Medicaid for skilled nursing facilities and nursing facilities during the COVID-19 emergency period and other infectious disease outbreak periods, and for other purposes. S. 4666 National Coronavirus Commission Act of 2020 AHCA response to Ways and Means Committee report Under-Enforced and Over Prescribed: The Antipsychotic Drug Epidemic Ravings Americas Nursing Homes. BENES Act (S 1280/HR 2477)

H.R. 1423, Forced Arbitration Injustice Repeal Act (FAIR), which would eliminate forced arbitration in consumer and employment contracts. S. 610, Forced Arbitration Injustice Repeal Act (FAIR), which would eliminate forced arbitration in consumer and employment contracts. S. 608, A bill to provide that chapter 1 of title 9 of the United States Code, relating to the enforcement of arbitration agreements, shall not apply to enrollment agreements made between students and certain institutions of higher education, and to prohibit limitations on the ability of students to pursue claims against certain institutions of higher education. H.R. 1430, A bill to provide that chapter 1 of title 9 of the United States Code, relating to the enforcement of arbitration agreements, shall not apply to enrollment agreements made between students and certain institutions of higher education, and to prohibit limitations on the ability of students to pursue claims against certain institutions of higher education S. 630, Arbitration Fairness for Consumers Act, a bill to amend the Consumer Financial Protection Act of 2010 with respect to arbitration. H.R. 1443, Ending Forced Arbitration of Sexual Harassment act of 2019, bill to amend title 9 of the United States Code with respect to arbitration, prohibiting the use of forced arbitration in cases of sexual harassment, assault, discrimination. S. 635, A bill to restore statutory rights to the people of the United States from forced arbitration. S. 620, Safety Over Arbitration, a bill to amend title 9, United States Code, with respect to arbitration. S. 726, Personal Care Products Safety Act, to amend the Federal Food, Drug, and Cosmetic Act to ensure the safety of cosmetics. H.R. 4296, Safe Cosmetics and Personal Care Products Act of 2019. H.R. 269, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, specifically regarding preemption and immunity provisions. H.R. 2750, Justice for Servicemembers Act, prohibiting the use of forced arbitration against members of the armed forces. H.R. 2749/ S. 1491 Restoring Justice for Workers Act, prohibiting the use of forced arbitration in employment disputes. H.R. 3764, Justice for Student Borrowers Act, prohibiting the use of forced arbitration in student loan agreements. S. 766, PROTECT Asbestos Victims Act of 2019. H.R. 1603/ S. 717, Alan Reinstein Ban Asbestos Now Act of 2019. H.R. 1816, Children's Product Warning Label Act of 2019. Dingell and Cicilline amendments to H.R. 2500, National Defense Authorization Act, regarding PFAS CERCLA designation (Dingell), and prohibiting the use of forced arbitration in SCRA claims (Cicilline). H.R. 5216/ S. 2943, Quality Care for Nursing Home Residents Act of 2019. H.R. 5326, Fairness in Nursing Home Arbitration Act. H.R. 4544, Ensuring Fair Legal Recourse for Private Student Loan Borrowers Act. H.R. 5279, Cosmetic Safety Enhancement Act of 2019. H.R. 5017, Natural Cosmetics Act. H.R. 535, PFAS Action of 2019. S. 2838, A bill to amend the Ted Stevens Olympic Amateur Sports Act to improve transparency of the United States Center for Safe Sport, to provide grant accountability, and to protect victims of abuse from retaliation, and for other purposes. H.R. 4982, Health Care Workforce Protection Act of 2019. S. 3372, Health Care Workforce Protection Act. H.R. 748, CARES Act, with specific regard to immunity provisions. S. 3548, CARES Act, with specific regard to immunity provisions. H.R. 6201, Families First Coronavirus Response Act, with specific regard to immunity provisions. H.R. 6379, Take Responsibility for Workers and Families Act, with specific regard to immunity provisions. H.R. 6101/ S. 3400, Ending Passenger Rail Forced Arbitration. H.R. 6058, SHOP SAFE Act of 2020. H.R. 6044, Accurate Labels Act. H.R. 6395/ S. 4049, National Defense Authorization Act (NDAA), with specific regard to servicemember forced arbitration amendments. H.R. 7940, Protect America's Children from Toxic Pesticides Act. S. 4317, Safe to Work Act. S. 178, Delivering Immediate Relief to American Families, Schools, and Small Businesses Act. H.R. 7528, Get America Back to Work Act. H.R. 8237, Protecting the Employment Rights of Service Members. Draft Ending Mandatory Arbitration for Sexual Assault Claims Act. Draft legislation regarding additions to the PREP Act. General lobbying with regard to asbestos in talc and related liability issues. General lobbying with regard to asbestos exposure and related health and environmental issues. General lobbying with regard to liability issues related to regulation of cosmetics products. General lobbying with regard to preemption of state causes of action. General lobbying with regard to PFAS liability issues. General lobbying with regard to evidence availability in pipeline safety legislation. General lobbying with regard to immunity provisions in COVID-19 legislation. General lobbying with regard to nursing home COVID-19 liablity.

legislation involving telemedicine in the nursing home setting; issues involving the medical director within the nursing home; Quality Care for Nursing Home Residents Act of 2019 (HR 5216/S. 2943);The Reducing Unnecessary Senior Hospitalizations (Rush) Act of 2020 (S. 3447/H.R. 6209; The Nursing Home COVID 19 Protection and Prevention Act (HR 3768/S 6972); Medicare EM codes and the physician fee schedule

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR1781 - Payment Commission Data Act of 2019, to amend titles XVIII and XIX of the Social Security Act to provide the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission with access to certain drug payment information, including certain rebate information. HR2279, to amend the Employee Retirement Income Security Act of 1974 to require a group health plan (or health insurance coverage offered in connection with such a plan) to provide an exceptions process for any medication step therapy protocol, and for other purposes. HR1955 - Understanding Appropriate Alzheimer's Care Act of 2019, to require the Administrator of the Centers for Medicare & Medicaid Services to conduct a study on antipsychotic prescribing practices in non-nursing home settings under the Medicare program, and for other purposes. Issues related to nurse agency in nursing homes when prescribing controlled substances S2943 - To amend titles XVIII and XIX of the Social Security Act to revise minimum nurse staffing requirements for skilled nursing facilities under the Medicare program and for nursing facilities under the Medicaid program, and for other purposes.

Client expense: $15,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, SENATE

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Advocate on the Hill and with CMS around the release of the proposed rule on the Requirements of Participation Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018 S. 2993- Ensuring Seniors Access to Quality Care Act S 2943/HR 5216 Quality Care for Nursing Home Residents Act of 2019 HR 5326 Fairness in Nursing Home Arbitration Act H.R.5897/S.3297 - Preventing Abuse and Neglect of Vulnerable Americans Act of 2020 Public Law 116-136, CARES Act Public Law 116-127 (H.R. 6201) Families First Coronavirus Response Act S.2943, Quality Care for Nursing Home Residents Act of 2019 HR 6800 HEROES Act S. 3768 Nursing Home COVID-19 Protection and Prevention Act of 2020. S. 4108 A bill to amend title XIX of the Social Security Act to increase Federal support to State Medicaid programs during economic downturns, and for other purposes. S.3644 Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. S.2943 Quality Care for Nursing Home Residents Act of 2019. H.R. 748 CARES Act H.R. 6201 Families First Coronavirus Response Act H.R. 7048 Nursing Home Pandemic Protection Act H.R.6872 - SOS Act of 2020 H.R. 6849 Nursing Facility Quality Reporting Act of 2020 H.R. 6847 COHORT Act of 2020 Public Health Fund Distribution to HHS as agency CMS on Public Health Waiver and other waivers

H.R. 1423, Forced Arbitration Injustice Repeal Act (FAIR), which would eliminate forced arbitration in consumer and employment contracts. S. 610, Forced Arbitration Injustice Repeal Act (FAIR), which would eliminate forced arbitration in consumer and employment contracts. S. 608, A bill to provide that chapter 1 of title 9 of the United States Code, relating to the enforcement of arbitration agreements, shall not apply to enrollment agreements made between students and certain institutions of higher education, and to prohibit limitations on the ability of students to pursue claims against certain institutions of higher education. H.R. 1430, A bill to provide that chapter 1 of title 9 of the United States Code, relating to the enforcement of arbitration agreements, shall not apply to enrollment agreements made between students and certain institutions of higher education, and to prohibit limitations on the ability of students to pursue claims against certain institutions of higher education S. 630, Arbitration Fairness for Consumers Act, a bill to amend the Consumer Financial Protection Act of 2010 with respect to arbitration. H.R. 1443, Ending Forced Arbitration of Sexual Harassment act of 2019, bill to amend title 9 of the United States Code with respect to arbitration, prohibiting the use of forced arbitration in cases of sexual harassment, assault, discrimination. S. 635, A bill to restore statutory rights to the people of the United States from forced arbitration. S. 620, Safety Over Arbitration, a bill to amend title 9, United States Code, with respect to arbitration. S. 726, Personal Care Products Safety Act, to amend the Federal Food, Drug, and Cosmetic Act to ensure the safety of cosmetics. H.R. 4296, Safe Cosmetics and Personal Care Products Act of 2019. H.R. 269, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, specifically regarding preemption and immunity provisions. H.R. 2750, Justice for Servicemembers Act, prohibiting the use of forced arbitration against members of the armed forces. H.R. 2749/ S. 1491 Restoring Justice for Workers Act, prohibiting the use of forced arbitration in employment disputes. H.R. 3764, Justice for Student Borrowers Act, prohibiting the use of forced arbitration in student loan agreements. S. 766, PROTECT Asbestos Victims Act of 2019. H.R. 1603/ S. 717, Alan Reinstein Ban Asbestos Now Act of 2019. H.R. 1816, Children's Product Warning Label Act of 2019. Dingell and Cicilline amendments to H.R. 2500, National Defense Authorization Act, regarding PFAS CERCLA designation (Dingell), and prohibiting the use of forced arbitration in SCRA claims (Cicilline). H.R. 5216/ S. 2943, Quality Care for Nursing Home Residents Act of 2019. H.R. 5326, Fairness in Nursing Home Arbitration Act. H.R. 4544, Ensuring Fair Legal Recourse for Private Student Loan Borrowers Act. H.R. 5279, Cosmetic Safety Enhancement Act of 2019. H.R. 5017, Natural Cosmetics Act. H.R. 535, PFAS Action of 2019. S. 2838, A bill to amend the Ted Stevens Olympic Amateur Sports Act to improve transparency of the United States Center for Safe Sport, to provide grant accountability, and to protect victims of abuse from retaliation, and for other purposes. H.R. 4982, Health Care Workforce Protection Act of 2019. S. 3372, Health Care Workforce Protection Act. H.R. 748, CARES Act, with specific regard to immunity provisions. S. 3548, CARES Act, with specific regard to immunity provisions. H.R. 6201, Families First Coronavirus Response Act, with specific regard to immunity provisions. H.R. 6379, Take Responsibility for Workers and Families Act, with specific regard to immunity provisions. H.R. 6101/ S. 3400, Ending Passenger Rail Forced Arbitration. H.R. 6058, SHOP SAFE Act of 2020. H.R. 6044, Accurate Labels Act. H.R. 6395/ S. 4049, National Defense Authorization Act (NDAA), with specific regard to servicemember forced arbitration amendments. Draft legislation regarding additions to the PREP Act. General lobbying with regard to asbestos in talc and related liability issues. General lobbying with regard to asbestos exposure and related health and environmental issues. General lobbying with regard to liability issues related to regulation of cosmetics products. General lobbying with regard to preemption of state causes of action. General lobbying with regard to PFAS liability issues. General lobbying with regard to evidence availability in pipeline safety legislation. General lobbying with regard to immunity provisions in COVID-19 legislation. General lobbying with regard to nursing home COVID-19 liablity.

legislation involving telemedicine in the nursing home setting; issues involving the medical director within the nursing home; Quality Care for Nursing Home Residents Act of 2019 (HR 5216/S. 2943);The Reducing Unnecessary Senior Hospitalizations (Rush) Act of 2020 (S. 3447/H.R. 6209); The CARES Act (S. 3548); The HEROES Act (HR6800); The Nursing Home COVID 19 Protection and Prevention Act (HR 3768/S 6972)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1423 / S. 610 - Forced Arbitration Injustice Repeal (FAIR) Act - oppose H.R. 5216 / S. 2943 - Quality Care for Nursing Home Residents Act - oppose H.R. 5326 - Fairness in Nursing Home Arbitration Act - oppose H.R. 2749 / S. 1491 - Restoring Justice for Workers Act - oppose S. 630 - Arbitration Fairness for Consumers Act - oppose S. 620 - Safety Over Arbitration Act - oppose S. 2627 - End Double Taxation of Successful Civil Claims Act- oppose H.R. 4982 - Health Care Workforce Protection Act - support H.R. 269 / S. 1379 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act (Pub. Law No. 116-22) - support S. 766 - PROTECT Asbestos Victims Act - support S. 471 - Litigation Funding Transparency Act - support H.R. 7059, Coronavirus Provider Protection Act - support H.R. 6021, Families First Coronavirus Response Act - support H.R. 748, Coronavirus Aid, Relief, and Economic Security Act (CARES Act) - support

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR1781 - Payment Commission Data Act of 2019, to amend titles XVIII and XIX of the Social Security Act to provide the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission with access to certain drug payment information, including certain rebate information. HR2279, to amend the Employee Retirement Income Security Act of 1974 to require a group health plan (or health insurance coverage offered in connection with such a plan) to provide an exceptions process for any medication step therapy protocol, and for other purposes. HR1955 - Understanding Appropriate Alzheimer's Care Act of 2019, to require the Administrator of the Centers for Medicare & Medicaid Services to conduct a study on antipsychotic prescribing practices in non-nursing home settings under the Medicare program, and for other purposes. Issues related to nurse agency in nursing homes when prescribing controlled substances S2943 - To amend titles XVIII and XIX of the Social Security Act to revise minimum nurse staffing requirements for skilled nursing facilities under the Medicare program and for nursing facilities under the Medicaid program, and for other purposes.

Client expense: $15,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, SENATE

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Advocate on the Hill and with CMS around the release of the proposed rule on the Requirements of Participation Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018 S. 2993- Ensuring Seniors Access to Quality Care Act S 2943/HR 5216 Quality Care for Nursing Home Residents Act of 2019 HR 5326 Fairness in Nursing Home Arbitration Act H.R.5897/S.3297 - Preventing Abuse and Neglect of Vulnerable Americans Act of 2020 Public Law 116-136, CARES Act Public Law 116-127 (H.R. 6201) Families First Coronavirus Response Act S.2943, Quality Care for Nursing Home Residents Act of 2019

H.R. 1423, Forced Arbitration Injustice Repeal Act (FAIR), which would eliminate forced arbitration in consumer and employment contracts. S. 610, Forced Arbitration Injustice Repeal Act (FAIR), which would eliminate forced arbitration in consumer and employment contracts. S. 608, A bill to provide that chapter 1 of title 9 of the United States Code, relating to the enforcement of arbitration agreements, shall not apply to enrollment agreements made between students and certain institutions of higher education, and to prohibit limitations on the ability of students to pursue claims against certain institutions of higher education. H.R. 1430, A bill to provide that chapter 1 of title 9 of the United States Code, relating to the enforcement of arbitration agreements, shall not apply to enrollment agreements made between students and certain institutions of higher education, and to prohibit limitations on the ability of students to pursue claims against certain institutions of higher education S. 630, Arbitration Fairness for Consumers Act, a bill to amend the Consumer Financial Protection Act of 2010 with respect to arbitration. H.R. 1443, Ending Forced Arbitration of Sexual Harassment act of 2019, bill to amend title 9 of the United States Code with respect to arbitration, prohibiting the use of forced arbitration in cases of sexual harassment, assault, discrimination. S. 635, A bill to restore statutory rights to the people of the United States from forced arbitration. S. 620, Safety Over Arbitration, a bill to amend title 9, United States Code, with respect to arbitration. S. 726, Personal Care Products Safety Act, to amend the Federal Food, Drug, and Cosmetic Act to ensure the safety of cosmetics. H.R. 4296, Safe Cosmetics and Personal Care Products Act of 2019. H.R. 269, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, specifically regarding preemption and immunity provisions. H.R. 2750, Justice for Servicemembers Act, prohibiting the use of forced arbitration against members of the armed forces. H.R. 2749/ S. 1491 Restoring Justice for Workers Act, prohibiting the use of forced arbitration in employment disputes. H.R. 3764, Justice for Student Borrowers Act, prohibiting the use of forced arbitration in student loan agreements. S. 766, PROTECT Asbestos Victims Act of 2019. H.R. 1603/ S. 717, Alan Reinstein Ban Asbestos Now Act of 2019. H.R. 1816, Children's Product Warning Label Act of 2019. Dingell and Cicilline amendments to H.R. 2500, National Defense Authorization Act, regarding PFAS CERCLA designation (Dingell), and prohibiting the use of forced arbitration in SCRA claims (Cicilline). H.R. 5216/ S. 2943, Quality Care for Nursing Home Residents Act of 2019. H.R. 5326, Fairness in Nursing Home Arbitration Act. H.R. 4544, Ensuring Fair Legal Recourse for Private Student Loan Borrowers Act. H.R. 5279, Cosmetic Safety Enhancement Act of 2019. H.R. 5017, Natural Cosmetics Act. H.R. 535, PFAS Action of 2019. S. 2838, A bill to amend the Ted Stevens Olympic Amateur Sports Act to improve transparency of the United States Center for Safe Sport, to provide grant accountability, and to protect victims of abuse from retaliation, and for other purposes. H.R. 4982, Health Care Workforce Protection Act of 2019. S. 3372, Health Care Workforce Protection Act. H.R. 748, CARES Act, with specific regard to immunity provisions. S. 3548, CARES Act, with specific regard to immunity provisions. H.R. 6201, Families First Coronavirus Response Act, with specific regard to immunity provisions. H.R. 6379, Take Responsibility for Workers and Families Act, with specific regard to immunity provisions. H.R. 6101/ S. 3400, Ending Passenger Rail Forced Arbitration. H.R. 6058, SHOP SAFE Act of 2020. H.R. 6044, Accurate Labels Act. Draft legislation regarding additions to the PREP Act. General lobbying with regard to asbestos in talc and related liability issues. General lobbying with regard to asbestos exposure and related health and environmental issues. General lobbying with regard to liability issues related to regulation of cosmetics products. General lobbying with regard to preemption of state causes of action. General lobbying with regard to PFAS liability issues. General lobbying with regard to evidence availability in pipeline safety legislation. General lobbying with regard to immunity provisions in COVID-19 legislation.

H.R. 1423 / S. 610 - Forced Arbitration Injustice Repeal (FAIR) Act - oppose H.R. 5216 / S. 2943 - Quality Care for Nursing Home Residents Act - oppose H.R. 5326 - Fairness in Nursing Home Arbitration Act - oppose H.R. 2749 / S. 1491 - Restoring Justice for Workers Act - oppose S. 630 - Arbitration Fairness for Consumers Act - oppose S. 620 - Safety Over Arbitration Act - oppose S. 2627 - End Double Taxation of Successful Civil Claims Act- oppose H.R. 4982 - Health Care Workforce Protection Act - support H.R. 269 / S. 1379 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act (Pub. Law No. 116-22) - support S. 766 - PROTECT Asbestos Victims Act - support S. 471 - Litigation Funding Transparency Act - support

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

legislation involving telemedicine in the nursing home setting; issues involving the medical director within the nursing home; Quality Care for Nursing Home Residents Act of 2019 (HR 5216/S. 2943);The Reducing Unnecessary Senior Hospitalizations (Rush) Act of 2020 (S. 3447/H.R. 6209)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR1781 - Payment Commission Data Act of 2019, to amend titles XVIII and XIX of the Social Security Act to provide the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission with access to certain drug payment information, including certain rebate information. HR2279, to amend the Employee Retirement Income Security Act of 1974 to require a group health plan (or health insurance coverage offered in connection with such a plan) to provide an exceptions process for any medication step therapy protocol, and for other purposes. HR1955 - Understanding Appropriate Alzheimer's Care Act of 2019, to require the Administrator of the Centers for Medicare & Medicaid Services to conduct a study on antipsychotic prescribing practices in non-nursing home settings under the Medicare program, and for other purposes. Issues related to nurse agency in nursing homes when prescribing controlled substances S2943 - To amend titles XVIII and XIX of the Social Security Act to revise minimum nurse staffing requirements for skilled nursing facilities under the Medicare program and for nursing facilities under the Medicaid program, and for other purposes.

Client expense: $15,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, SENATE

ACA, Medicaid, long term care/home and community based services, including workforce issues, marketplace stabilization and premium and out of pocket costs (including third party premium payments) Prescription drug reform HR 3 HR 3022 HR 5216/S 2943

Client expense: $263,014 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Advocate on the Hill and with CMS around the release of the proposed rule on the Requirements of Participation Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act HR 6986, Nursing Home Workforce Act. (CNA bill) AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018 S. 2993- Ensuring Seniors Access to Quality Care Act S 2943/HR 5216 Quality Care for Nursing Home Residents Act of 2019 HR 5326 Fairness in Nursing Home Arbitration Act

H.R. 1423, Forced Arbitration Injustice Repeal Act (FAIR), which would eliminate forced arbitration in consumer and employment contracts. S. 610, Forced Arbitration Injustice Repeal Act (FAIR), which would eliminate forced arbitration in consumer and employment contracts. S. 608, A bill to provide that chapter 1 of title 9 of the United States Code, relating to the enforcement of arbitration agreements, shall not apply to enrollment agreements made between students and certain institutions of higher education, and to prohibit limitations on the ability of students to pursue claims against certain institutions of higher education. H.R. 1430, A bill to provide that chapter 1 of title 9 of the United States Code, relating to the enforcement of arbitration agreements, shall not apply to enrollment agreements made between students and certain institutions of higher education, and to prohibit limitations on the ability of students to pursue claims against certain institutions of higher education S. 630, Arbitration Fairness for Consumers Act, a bill to amend the Consumer Financial Protection Act of 2010 with respect to arbitration. H.R. 1443, Ending Forced Arbitration of Sexual Harassment act of 2019, bill to amend title 9 of the United States Code with respect to arbitration, prohibiting the use of forced arbitration in cases of sexual harassment, assault, discrimination. S. 635, A bill to restore statutory rights to the people of the United States from forced arbitration. S. 620, Safety Over Arbitration, a bill to amend title 9, United States Code, with respect to arbitration. S. 726, Personal Care Products Safety Act, to amend the Federal Food, Drug, and Cosmetic Act to ensure the safety of cosmetics. H.R. 4296, Safe Cosmetics and Personal Care Products Act of 2019. H.R. 269, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, specifically regarding preemption and immunity provisions. H.R. 2750, Justice for Servicemembers Act, prohibiting the use of forced arbitration against members of the armed forces. H.R. 2749/ S. 1491 Restoring Justice for Workers Act, prohibiting the use of forced arbitration in employment disputes. H.R. 3764, Justice for Student Borrowers Act, prohibiting the use of forced arbitration in student loan agreements. S. 766 PROTECT Asbestos Victims Act of 2019. H.R. 1603/ S. 717 Alan Reinstein Ban Asbestos Now Act of 2019. H.R. 1816, Children's Product Warning Label Act of 2019. Dingell and Cicilline amendments to H.R. 2500, National Defense Authorization Act, regarding PFAS CERCLA designation (Dingell), and prohibiting the use of forced arbitration in SCRA claims (Cicilline). H.R. 5216/ S. 2943 Quality Care for Nursing Home Residents Act of 2019. H.R. 5326 Fairness in Nursing Home Arbitration Act. H.R. 4544 Ensuring Fair Legal Recourse for Private Student Loan Borrowers Act. H.R. 5279 Cosmetic Safety Enhancement Act of 2019. H.R. 5017 Natural Cosmetics Act. H.R. 535 PFAS Action of 2019. S. 2838, A bill to amend the Ted Stevens Olympic Amateur Sports Act to improve transparency of the United States Center for Safe Sport, to provide grant accountability, and to protect victims of abuse from retaliation, and for other purposes. H.R.4982 - Health Care Workforce Protection Act of 2019. Draft legislation regarding additions to the PREP Act. Draft legislation regarding the Accurate Labels Act. General lobbying with regard to asbestos in talc and related liability issues. General lobbying with regard to Asbestos exposure and related health and environmental issues. General lobbying with regard to liability issues related to regulation of cosmetics products. General lobbying with regard to preemption of state causes of action. General lobbying with regard to PFAS liability issues. General lobbying with regard to evidence availability in pipeline safety legislation.

legislation involving telemedicine in the nursing home setting; issues involving the medical director within the nursing home; Quality Care for Nursing Home Residents Act of 2019 (HR 5216/S. 2943)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE