Nursing Home COVID–19 Protection and Prevention Act of 2020

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

S. 3768 - Nursing Home COVID-19 Protection & Prevention Act - To provide Federal funding for nursing home facilities upgrade

Client expense: $170,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Natl Highway Traffic Safety Administration (NHTSA), SENATE, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

P.L. 111-375 National Alzheimer's Project Act, All Sections P.L. 115-119 Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act P.L. 115-406 Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer's Act P.L. 116-131 Supporting Older Americans Act of 2020 S.591 Guardianship Accountability Act S.299 Geriatrics Workforce Improvement Act S.548/H.R.1342 EMPOWER Care Act H.R.1343 Protecting Married Seniors from Impoverishment Act S.740 Alzheimer's Caregiver Support Act H.R. 1955 Understanding Appropriate Alzheimer's Care Act of 2019 S.880/H.R.1873 Improving HOPE for Alzheimer's Act S.2080/H.R.647 Palliative Care and Hospice Education and Training Act S.1250/H.R.2401 American Cures Act S.1017 Supporting America's Caregivers and Families Act S.995/H.R.2035 Lifespan Respite Care Reauthorization Act of 2019 S.1126/H.R.2283 Concentrating on High-Value Alzheimer's Needs to Get to an End (CHANGE) Act of 2019 S.1361/H.R.2584 Preventive Health Savings Act of 2019 S.1628 Paid Family Leave Pilot Extension Act S.1618 Expanding Capacity for Health Outcomes (ECHO) Act of 2019 S.1202 Independence at Home Act of 2019 H.R.3644 Independence at Home Demonstration Act of 2019 H.R.3436 Improving Chronic Care Management Act H.R.3107 Improving Seniors' Timely Access to Care Act S.2469/H.R.4386 Stop the Wait Act H.R.2781 Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019 S.2521/H.R.4397 Direct CARE Opportunity Act S.2677 Older Americans and Social Isolation and Loneliness Act H.R.4859 Protecting Older Americans from Social Isolation Act of 2019 H.Res.821 to establish a permanent select Committee in Aging in the House of Representatives H.R.6379 Families First Coronavirus Response Act S.3548/H.R.748 Coronavirus Aid, Relief, and Economic Security (CARES) Act; including provisions that would impact individuals living with Alzheimer's and other dementia and their caregivers. H.R.4334 Supporting Older Americans Act of 2020 S.3544/H.R.6305 Coronavirus Relief for Seniors and People with Disabilities Act S.3768 /H.R.6972 Nursing Home COVID-19 Protection and Prevention Act of 2020 H.R.7048 Nursing Home Pandemic Protection Act S.3644/H.R.6698 Quality Care for Nursing Home Residents and Workers During COVID-19 Act H.R.6638 Reducing COVID-19 Disparities by Investing in Public Health H.R.7158 Health Enterprise Zones Act H.R.6800 Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S.3517/H.R.6487 ACCESS Act S.3740/H.R.6951 COVID-19 Recovery for Seniors and People with Disabilities Act H.R.8169 Elder Abuse Protection Act S.4182 Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020 H.R.5958 Senior Health Planning Account Act S.4184/H.R.7463 Assisted Living Facility Coronavirus Reporting Act S.4682/H.R.8511 Care Corp Demonstration Act of 2020 H.R. 2477 Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act S.3703/H.R.6813 Promoting Alzheimer's Awareness to Prevent Elder Abuse Act, including Elder Justice Initiative training for professionals through the Department of Justice In forthcoming COVID-19 relief packages, the Alzheimer's Association is advocating for inclusion of policies that would impact those in the Alzheimer's and dementia community including: - Improving HOPE for Alzheimer's Act (S.880/H.R.1873) - Extension of the Independence at Home demonstration model - Emergency Preparedness in long-term and community-based care settings - Expanding Capacity for Health Outcomes (Project ECHO) - Project VITAL: Virtual Inclusive Technology for ALL

Advocacy on Affordable Care Act, Medicaid, Long Term Care/Home and Community Based Services including Workforce issues, DSH funding for hospitals, Personal Protective Equipment and access to healthcare for essential healthcare workers, Covid-19 Response (expanding coverage to more people and provide free treatment during pandemic), H.R.6800, H.R. 6698, S.3768, S4775, HR8337, HR 133 H.R.6201, H.R. 748,HR 8406 S.3548,

Client expense: $186,390 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocacy to expand union rights and representation for all workers, as well as labor protections. Oppose legislation to weakening union rights and protections Raise the Wage Act Paid sick leave HEROES Act, Senate COVID bill OSHA standards Paycheck guarantee HR 133 HR 4164 HR 6800 HR 2500 HR 1534 HR 2148 HR 1423 HR 1309 HR 582 S 150 HR 2474 S 1306 HR 3463/1970 HR 4164 S 1082 S 2439 S 4317 (Oppose Safe to Work Act) HR 6898 S 3768 S 4775 S 8337

Client expense: $186,390 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocacy on Medicaid including increased federal funding and expansion of coverage; Long term care/home and community based services, including workforce issues Medicaid DSH funding for hospitals HR 6800 HR 6698 S 3768 S 4775 HR 6201 HR 748 S 3548 S 8406

Client expense: $186,390 · 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

S. 3768 - Nursing Home COVID-19 Protection & Prevention Act - To provide Federal funding for nursing home facilities upgrade

Client expense: $160,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Natl Highway Traffic Safety Administration (NHTSA), SENATE, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

Advocacy on Affordable Care Act, Medicaid, Long Term Care/Home and Community Based Services including Workforce issues, DSH funding for hospitals, Personal Protective Equipment and access to healthcare for essential healthcare workers, Covid-19 Response (expanding coverage to more people and provide free treatment during pandemic), H.R.6800, H.R. 6698, S.3768, S4775, HR8337, HR 133 H.R.6201, H.R. 748,HR 8406 S.3548,

Client expense: $259,593 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocacy on Medicaid including increased federal funding and expansion of coverage; Long term care/home and community based services, including workforce issues Medicaid DSH funding for hospitals HR 6800 HR 6698 S 3768 S 4775 HR 6201 HR 748 S 3548 S 8406

Client expense: $259,593 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocacy to expand union rights and representation for all workers, as well as labor protections. Oppose legislation to weakening union rights and protections Raise the Wage Act Paid sick leave HEROES Act, Senate COVID bill OSHA standards Paycheck guarantee HR 133 HR 4164 HR 6800 HR 2500 HR 1534 HR 2148 HR 1423 HR 1309 HR 582 S 150 HR 2474 S 1306 HR 3463/1970 HR 4164 S 1082 S 2439 S 4317 (Oppose Safe to Work Act) HR 6898 S 3768 S 4775 S 8337

Client expense: $259,593 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 133, Consolidated Appropriations At, 2021. H.R. 6201, Families First Coronavirus Response Act. S. 2543, the Prescription Drug Pricing Reduction Act. H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act. S. 3548/H.R. 748, CARES Act. H.R. 6074, Coronavirus Preparedness Response Supplemental Appropriations Act. H.R. 19/S. 3129, Lower Cost More Cures Act. H.R. 5821 HOSPICE Act. No bill number. Discussed vaccine development, approval, distribution and prioritization. No bill number. Discussed vaccine coverage. No bill number. Discussed Nursing Home Dashboard and COVID-19 nursing home priorities . S. 4866, Nursing Home Reform Modernization Act. No bill number. Discussed COVID-19, nursing homes and the VA. No bill number. Discussed various issues for nursing home residents related to COVID-19, including PPE, testing, visitation, equipment, surveys, family notification and accountability for use of Provider Relief Funds. H.R. 925/H.R 6800, Heroes Act. S. 3768/H.R. 6972, Nursing Home COVID-19 Protection and Prevention Act S. 4182, Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020. No bill number. Discussed the US Postal Service, health and wellness, caregiving, COVID-19 and nursing homes, social isolation, and the aging network. S. 3517/H.R. 6487, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act (ACCESS Act). No bill number. Comment letter on Medicare and Medicaid Programs, Clinical Laboratory Improvement Amendments (CLIA), and Patient Protection and Affordable Care Act; Additional Policy and Regulatory Revisions in Response to the COVID- 19 Public Health Emergency. No bill number. Comment letter on CMS COVID-19 interim final rule. No bill number. Discussed COVID-19 vaccines and vaccinations in nursing homes and other long-term care settings. H.R. 2730/S. 1443, Credit for Caring Act. No bill number. Discussed senior suicides in response to COVID-19. No bill number. Discussed COVID-19 vaccines, 50 percent rule, and federal Pharmacy Partnership for Long-Term Care Program. H.R. 8874, Nurses CARE Act. H.R. 7714, Amend IRS Code of 1986 to Reduce the Floor on Deductions for Medical Expense.

H.R. 133, Consolidated Appropriations At, 2021. H.R. 6800, The Heroes Act. H.R. 6074, Coronavirus Preparedness Response Supplemental Appropriations Act. Senate Amendment to H.R. 925, The Heroes Act. P.L. 116-136, CARES Act. H.R. 3, Elijah E. Cummings Lower Cost Drugs Now Act. No bill number. Discussed food insecurity and food assistance programs, including Supplemental Nutrition Assistance Program (SNAP), The Emergency Food Program (TEFAP), the Commodity Supplemental Food Program (CSFP), the USDA Coronavirus Food Assistance Program, and Older Americans Act nutrition services. No bill number. Discussed barriers older adults may face when using the SNAP online pilot program. P.L. 116-260, Consolidate Appropriations Act, 2021. No bill number. Discussed AARPs Nursing Home Dashboard and COVID-19 nursing home priorities. S. 4866, Nursing Home Reform Modernization Act. No bill number. Discussed COVID-19, nursing homes and the VA. No bill number. Discussed CMS visitation guidance. No bill number. Discussed accountability for use of Provider Relief Funds. H.R. 925, Heroes Act. S. 3768/H.R. 6972, Nursing Home COVID-19 Protection and Prevention Act S. 4182, Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020. No bill number. Discussed the US Postal Service, health and wellness, caregiving, social isolation, and the aging network. H.R. 6487/S. 3517, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act (ACCESS Act). No bill number. Discussed Elder Justice Act reauthorization. No bill number. Submitted a letter to the Centers for Medicare & Medicaid Services providing comments on Medicare and Medicaid Programs, Clinical Laboratory Improvement Amendments (CLIA), and Patient Protection and Affordable Care Act. No bill number. Shared comments on CMS COVID-19 interim final rule, including enforcement requirements for nursing home data collection and reporting, limitations on COVID-19 testing without an order, and nursing home testing requirements. No bill number. Discussed COVID-19 vaccines and vaccinations in nursing homes and other long-term care settings. H.R. 2730/S. 1443, Credit for Caring Act. No bill number. Discussed senior suicides in response to COVID-19. No bill number. Discussed question regarding COVID-19 vaccines, 50 percent rule, and federal Pharmacy Partnership for Long-Term Care Program. H.R. 8874, Nurses CARE Act.

No bill number. Discussed elder justice issues and financial exploitation. No bill number. Discussed nursing homes and other long-term care facilities and COVID-19, testing, personal protective equipment, staffing, virtual visitation, funding accountability, nursing home regulations, and Elder Justice Act reauthorization. H.R. 925/H.R. 6800, Heroes Act S. 3517/H.R. 6487, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act (ACCESS Act) S. 4182, Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020. S. 3768/H.R. 6972, Nursing Home COVID-19 Protection and Prevention Act. S. 4866, Nursing Home Reform Modernization Act. S. 149/H.R. 2610 the Fraud and Scam Reduction Act S. 3487 & H.R. 7620 the Edith Shorougian Senior Victims of Fraud Compensation Act (Ediths Bill). No bill number. Discussed Robocall scams. No bill number. Discussed the Fair and Accurate Information Reporting (FAIR) Act legislation. No bill number. Discussed fraud & scam issues.

Client expense: $2,400,000 · Firm income: Not reported

H.R. 133, Consolidated Appropriations Act, 2021. H.R. 6201, Families First Coronavirus Response Act. S. 2543, the Prescription Drug Pricing Reduction Act. H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act. S. 3548/H.R. 748, CARES Act. No bill number. Discussed vaccine development, coverage, approval, distribution and prioritization. No bill number. Discussed Medicaid FMAP increases. No bill number. Discussed the Money Follows the Person Rebalancing Demonstration supplemental funds. No bill number. Comment letter on Medicare and Medicaid Programs, Clinical Laboratory Improvement Amendments (CLIA), and Patient Protection and Affordable Care Act; Additional Policy and Regulatory Revisions in Response to the COVID- 19 Public Health Emergency. No bill number. Comment letter on CMS COVID-19 interim final rule. No bill number. Discussed nursing home testing, CMS guidance on visitation and voting for nursing homes and their residents, and visitation. No bill number. Discussed requirements for family notification of nursing home residents related to COVID-19. No bill number. Comment letter to the Center for Medicare & Medicaid Services (CMS) on a request for information pertaining to Recommended Measure Set for Medicaid-Funded Home and Community-Based Services (HCBS). H.R. 925/H.R. 6800, Heroes Act. S. 3768/H.R. 6972, Nursing Home COVID-19 Protection and Prevention Act. S. 4182, Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020. S. 4866, Nursing Home Reform Modernization Act. H.R. 6487/S. 3517, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act (ACCESS Act). No bill number. Comment letter to CMS on the state of New Yorks Section 1115 Medicaid Redesign Team Waiver amendment on managed long-term care plan eligibility and voluntary mainstream enrollment for certain dual eligibles. S. 4182, Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020. No bill number. Discussed COVID-19 vaccines and vaccinations in nursing homes and other long-term care settings. H.R. 2730/S. 1443, Credit for Caring Act. Shared upcoming health care priorities with House staff. H.R. 5821, HOSPICE Act and H.R. 2477 BENES Act. Discussed bills, changes to hospice bill, and advancing of bills in the House with House staff. H.R. 8874, Nurses CARE Act No bill number. Discussed Medicaid home and community-based services bill. No bill number. Discussed the federal Pharmacy Partnership for Long-Term Care Program, COVID-19 vaccines, and the 50 percent rule. H.R. 2477/S. 1280 - BENES Act. No bill number. Discussed Medicare financial situation and solvency. No bill number. Discussed medically necessary dental coverage in Medicare. No bill number. Discussed Medicare direct contracting payment model. No bill number. Letter to Food and Drug Administration calling for release of over-the-counter hearing aid regulations.

H.R. 133, Consolidated Appropriations At, 2021. H.R. 8900, Further Continuing Appropriations Act, 2021, and Other Extensions Act. H.R. 8319, Continuing Appropriations Act, 2021. H.J.R. 110, Extension of Continuing Appropriations Act, 2021. H.J.R. 107, Further Additional Continuing Appropriations Act, 2021. No bill number. Discussed nursing homes, PPE, and accountability for use of Provider Relief Funds. No bill number. Discussed COVID-19 testing and nursing homes. H.R. 925/H.R. 6800, Heroes Act. S. 3768/H.R. 6972, Nursing Home COVID-19 Protection and Prevention Act. S. 4182, Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020. No bill number. Discussed Elder Justice Act reauthorization. H.R. 2073/S. 110, Permanent Extension of the 7.5% Medical Expense Deduction.

Client expense: $2,400,000 · Firm income: Not reported

General education around long term services and supports and home and community-based services issues; P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020; P.L. 116-127, Families First Coronavirus Response Act; P.L. 116-136, Coronavirus Aid, Relief, and Economic Security Act; S.3544 and H.R.6305, Coronavirus Relief for Seniors and People with Disabilities Act of 2020;S.3277, HCBS Infrastructure Improvement Act; P.L. 116-139, the Paycheck Protection Program and Health Care Enhancement Act; S.3768, Nursing Home COVID-19 Protection and Prevention Act of 2020; H.R. 6800, the Heroes Act; H.R. 8406, the Heroes Act; Senate Amendment 2652 related to COVID-19 relief; P.L. 116-159, the Continuing Appropriations Act, 2021 and Other Extensions Act; and P.L. 116-260, Consolidated Appropriations Act, 2021.

Client expense: Not reported · Firm income: $40,000

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

1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding high risk insurance pools, implementation of state based health exchanges, eligibility for health insurance premium subsidies, cost sharing subsidies, proposals for special enrollment period 2. Proposals to repeal the Patient Protection and Affordable Health Care Act 3. Stabilization of Affordable Care Act insurance marketplaces 4. Administration proposals on prescription drug pricing 5. Proposals for long term care health policies 6. H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions Act or the HEROES Act, provisions regarding COBRA subsidies 7. S. 102, Prescription Drug Price Relief Act of 2019, entire bill 8. H.R. 987, Strengthening Health Care and Lowering Prescription Drug Costs Act, entire bill 9. H.R. 3630, No Surprises Act, entire bill 10. H.R. 3, Lower Drug Costs Now Act of 2019, entire bill 11. H.R. 3162, Affordable Drug Manufacturing Act of 2019, entire bill 12. S. 3162, Affordable Drug Manufacturing Act of 2019, entire bill 13. H.R. 748, Coronavirus Aid, Relief, and Economic Security Act or the CARES Act, entire bill 14. S. 995, Lifespan Respite Care Reauthorization Act of 2019, entire bill 15. H.R.6487, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act or the ACCESS Act, entire bill 16. S. 3517, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act or the ACCESS Act, entire bill 17. S. 3768, Nursing Home COVID-19 Protection and Prevention Act of 2020, entire bill 18. Prescription Drug User Fee Act reauthorization proposals 19. Implementation of the Biosimilar User Fee Act and proposed uses of user fees 20. Extension of COBRA coverage during the COVID-19 pandemic

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

The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) National Defense Authorization Act of 2018 (H.R. 2810) S. AMDT. 621 (H.R. 2810)--Authorization of Physical Therapist Assistants and Occupational Therapy Assistants to Provide Services Under the TRICARE Program Trusted Exchange Framework and Common Agreement (TEFCA) CONNECT for Health Act of 2017 (H.R. 2556/S. 1016) The Laboratory Access for Beneficiaries (LAB) Act of 2019 (H.R. 3584) The Ensuring Access to Quality Complex Rehabilitation Technology Act of 2019 (H.R. 2408) The Protecting Access to Wheelchairs Act of 2019 (H.R. 2293) The Protecting Beneficiary Access to Complex Rehab Technology Act of 2019 (S. 1223) The Beneficiary Education Tools, Telehealth, and Extenders Reauthorization (BETTER) Act of 2019 (H.R.3417) The Creating Opportunities Now and Effective Care Technologies (CONNECT) Act of 2019 (S.2741) The Safeguarding Medicare Access to Respiratory Therapy (SMART) Act of 2019 (H.R.4945) The Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020(H.R.6074) The Coronavirus Aid, Relief, and Economic Security (CARES) Act of 2020 (S.3548) The Outpatient Therapy Modernization and Stabilization Act (H.R.7154) The Nursing Home COVID-19 Protection and Prevention Act (S.3768) The Infection Control Training and Support Act (H.R.7254) The Consolidated Appropriations Act of 2021 (PL 116-260) The Holding Providers Harmless from Medicare Cuts during COVID-19 Act of 2020 (H.R. 8702/S.5007)

Client expense: $39,516 · Firm income: Not reported

P.L. 111-375 National Alzheimer's Project Act, All Sections P.L. 115-119 Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act P.L. 115-406 Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer's Act P.L. 116-131 Supporting Older Americans Act of 2020 S.591 Guardianship Accountability Act S.299 Geriatrics Workforce Improvement Act S.548/H.R.1342 EMPOWER Care Act H.R.1343 Protecting Married Seniors from Impoverishment Act S.740 Alzheimer's Caregiver Support Act H.R. 1955 Understanding Appropriate Alzheimer's Care Act of 2019 S.880/H.R.1873 Improving HOPE for Alzheimer's Act S.2080/H.R.647 Palliative Care and Hospice Education and Training Act S.1250/H.R.2401 American Cures Act S.1017 Supporting America's Caregivers and Families Act S.995/H.R.2035 Lifespan Respite Care Reauthorization Act of 2019 S.1126/H.R.2283 Concentrating on High-Value Alzheimer's Needs to Get to an End (CHANGE) Act of 2019 S.1361/H.R.2584 Preventive Health Savings Act of 2019 S.1628 Paid Family Leave Pilot Extension Act S.1618 Expanding Capacity for Health Outcomes (ECHO) Act of 2019 S.1202 Independence at Home Act of 2019 H.R.3644 Independence at Home Demonstration Act of 2019 H.R.3436 Improving Chronic Care Management Act H.R.3107 Improving Seniors' Timely Access to Care Act S.2469/H.R.4386 Stop the Wait Act H.R.2781 Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019 S.2521/H.R.4397 Direct CARE Opportunity Act S.2677 Older Americans and Social Isolation and Loneliness Act H.R.4859 Protecting Older Americans from Social Isolation Act of 2019 H.Res.821 to establish a permanent select Committee in Aging in the House of Representatives H.R.6379 Families First Coronavirus Response Act S.3548/H.R.748 Coronavirus Aid, Relief, and Economic Security (CARES) Act; including provisions that would impact individuals living with Alzheimer's and other dementia and their caregivers. H.R.4334 Supporting Older Americans Act of 2020 S.3544/H.R.6305 Coronavirus Relief for Seniors and People with Disabilities Act S.3768 /H.R.6972 Nursing Home COVID-19 Protection and Prevention Act of 2020 H.R.7048 Nursing Home Pandemic Protection Act S.3644/H.R.6698 Quality Care for Nursing Home Residents and Workers During COVID-19 Act H.R.6638 Reducing COVID-19 Disparities by Investing in Public Health H.R.7158 Health Enterprise Zones Act H.R.6800 Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S.3517/H.R.6487 ACCESS Act S.3740/H.R.6951 COVID-19 Recovery for Seniors and People with Disabilities Act H.R.8169 Elder Abuse Protection Act S.4182 Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020 H.R.5958 Senior Health Planning Account Act S.4184/H.R.7463 Assisted Living Facility Coronavirus Reporting Act S.4682/H.R.8511 Care Corp Demonstration Act of 2020 H.R. 2477 Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act In forthcoming COVID-19 relief packages, the Alzheimer's Association is advocating for inclusion of policies that would impact those in the Alzheimer's and dementia community including: - Improving HOPE for Alzheimer's Act (S.880/H.R.1873) - Extension of the Independence at Home demonstration model - Promoting Alzheimer's Awareness to Prevent Elder Abuse Act, including Elder Justice Initiative training for professionals through the Department of Justice - Emergency Preparedness in long-term and community-based care settings - Expanding Capacity for Health Outcomes (Project ECHO) - Project VITAL: Virtual Inclusive Technology for ALL

The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) National Defense Authorization Act of 2018 (H.R. 2810) S. AMDT. 621 (H.R. 2810)--Authorization of Physical Therapist Assistants and Occupational Therapy Assistants to Provide Services Under the TRICARE Program Trusted Exchange Framework and Common Agreement (TEFCA) CONNECT for Health Act of 2017 (H.R. 2556/S. 1016) The Laboratory Access for Beneficiaries (LAB) Act of 2019 (H.R. 3584) The Ensuring Access to Quality Complex Rehabilitation Technology Act of 2019 (H.R. 2408) The Protecting Access to Wheelchairs Act of 2019 (H.R. 2293) The Protecting Beneficiary Access to Complex Rehab Technology Act of 2019 (S. 1223) The Beneficiary Education Tools, Telehealth, and Extenders Reauthorization (BETTER) Act of 2019 (H.R.3417) The Creating Opportunities Now and Effective Care Technologies (CONNECT) Act of 2019 (S.2741) The Safeguarding Medicare Access to Respiratory Therapy (SMART) Act of 2019 (H.R.4945) The Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020(H.R.6074) The Coronavirus Aid, Relief, and Economic Security (CARES) Act of 2020 (S.3548) The Outpatient Therapy Modernization and Stabilization Act (H.R.7154) The Nursing Home COVID-19 Protection and Prevention Act (S.3768) The Infection Control Training and Support Act (H.R.7254)

Client expense: $39,516 · Firm income: Not reported

Advocacy on Affordable Care Act, Medicaid, Long Term Care/Home and Community Based Services including Workforce issues, DSH funding for hospitals, Personal Protective Equipment and access to healthcare for essential healthcare workers, Covid-19 Response (expanding coverage to more people and provide free treatment during pandemic), H.R.6800, H.R. 6698, S.3768, S4775, HR8337 H.R.6201, H.R. 748,HR 8406 S. 1055, S.3548,

Client expense: $259,593 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocacy to expand union rights and representation for all workers, as well as labor protections. Oppose legislation to weakening union rights and protections Paid sick leave HEROES Act, Senate COVID bill OSHA standards Paycheck guarantee HR 6800 S 1055 HR 1309 HR 6201 HR 748 S 3548 S 3793 HR 6918 HR 2500 HR 1534 HR 2148 HR 1423 HR 1309 HR 582 S 150 HR 2474 S 1306 HR 3463/1970 HR 4164 S 1082 S 2439 HR 2694 (Support Pregnant workers Fairness Act-workplace protections for pregnant workers) S 4317 (Safe to Work Act) HR 6898 S 3768 S 4775 S 8337

Client expense: $259,593 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocacy on Medicaid including increased federal funding and expansion of coverage; Long term care/home and community based services, including workforce issues Medicaid DSH funding for hospitals HR 6800 HR 6698 S 3768 S 4775 HR 6201 HR 748 S 3548 S 8406

Client expense: $259,593 · 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)

S. 3768 - Nursing Home COVID-19 Protection & Prevention Act - To provide Federal funding for nursing home facilities upgrade

Client expense: $170,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Natl Highway Traffic Safety Administration (NHTSA), SENATE, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

General education around long term services and supports and home and community-based services issues; P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020; P.L. 116-127, Families First Coronavirus Response Act; P.L. 116-136, Coronavirus Aid, Relief, and Economic Security (CARES) Act; S.3544 and H.R.6305, Coronavirus Relief for Seniors and People with Disabilities Act of 2020; S.3277, HCBS Infrastructure Improvement Act; P.L. 116-139, the Paycheck Protection Program and Health Care Enhancement Act; S.3768, Nursing Home COVID-19 Protection and Prevention Act of 2020; H.R.6800, The Heroes Act; H.R.8337, Continuing Appropriations Act, 2021 and Other Extensions Act; S.4775, Delivering Immediate Relief to America's Families, Schools and Small Businesses Act.

Client expense: Not reported · Firm income: $40,000

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

1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding high risk insurance pools, implementation of state based health exchanges, eligibility for health insurance premium subsidies, cost sharing subsidies, proposals for special enrollment period 2. Proposals to repeal the Patient Protection and Affordable Health Care Act 3. Stabilization of Affordable Care Act insurance marketplaces 4. Administration proposals on prescription drug pricing 5. Proposals for long term care health policies 6. H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions Act or the HEROES Act, provisions regarding COBRA subsidies 7. S. 102, Prescription Drug Price Relief Act of 2019, entire bill 8. H.R. 987, Strengthening Health Care and Lowering Prescription Drug Costs Act, entire bill 9. H.R. 3630, No Surprises Act, entire bill 10. H.R. 3, Lower Drug Costs Now Act of 2019, entire bill 11. H.R. 3162, Affordable Drug Manufacturing Act of 2019, entire bill 12. S. 3162, Affordable Drug Manufacturing Act of 2019, entire bill 13. H.R. 748, Coronavirus Aid, Relief, and Economic Security Act or the CARES Act, entire bill 14. S. 995, Lifespan Respite Care Reauthorization Act of 2019, entire bill 15. H.R.6487, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act or the ACCESS Act, entire bill 16. S. 3517, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act or the ACCESS Act, entire bill 17. S. 3768, Nursing Home COVID-19 Protection and Prevention Act of 2020, entire bill 18. Prescription Drug User Fee Act reauthorization proposals

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

No bill number. Discussed dual eligible and Medicaid. No bill number. Discussed Medicaid estate recovery. No bill number. Discussed Money Follows the Person Demonstration supplemental funding. S. 4182, Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020. No bill number. Responded to inquiry on Nursing Home Reform Modernization Act. H.R. 6698, Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions Act (Heroes Act). HR 925, Updated Health and Economic Recovery Omnibus Emergency Solutions Act (Updated HEROES). S 4318, American Workers, Families, and Employers Assistance Act (HEALS) No bill number. Discussed funding for nursing homes, home and community-based services, and other institutional care in next COVID-19 package. S. 3768/H.R. 6972, Nursing Home COVID-19 Protection and Prevention Act. No bill number. Discussed May 8 COVID-19 interim final rule. S. 3517/ H.R. 6487, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act (ACCESS Act). H.R. 7617, Defense, Commerce, Justice, Science, Energy and Water Development, Financial Services and General Government, Labor, Health and Human Services, Education, Transportation, Housing ,and Urban Development Appropriations Act, 2021. Discussed issues affecting dual eligibles including disparities and data collection. S. 4320, Coronavirus Response Additional Supplemental Appropriations Act, 2020. No bill number. Discussed resources for Medicaid HCBS in COVID legislation. No bill number. Nursing Home Transparency and Oversight Act. No bill number. Discussed nursing home point-of-care testing and nursing home and long-term care facility testing. No bill number. Discussed nursing homes, COVID package, health extenders, continuing resolution, home health, and long-term services and supports. No bill number. Discussed Fiscal 2021 Medicare home health payment proposed rule. H.R. 3, the Lower Drug Costs Now Act. S. 2543, the Prescription Drug Pricing Reduction Act. No bill number. Discussed FMAP increase for states. No bill number. Discussed Medicare coverage for potential COVID-19 vaccines and treatments. H.R. 6201, Families First Coronavirus Response Act. P.L. 116-136, CARES Act.

No bill number. Discussed funding for nursing homes, home and community-based services, and other institutional care in next COVID-19 package. S. 3768/H.R. 6972, Nursing Home COVID-19 Protection and Prevention Act. H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions Act (Heroes Act). S. 3517/ H.R. 6487, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act (ACCESS Act). H.R. 7617, Defense, Commerce, Justice, Science, Energy and Water Development, Financial Services and General Government, Labor, Health and Human Services, Education, Transportation, Housing ,and Urban Development Appropriations Act, 2021. S. 4182, Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020. No bill number. Discussed addressing nursing homes and other long-term care facilities in COVID-19 package. S. 4318, American Workers, Families, and Employers Assistance Act, S. 4320, Coronavirus Response Additional Supplemental Appropriations Act, 2020. S. 4182, Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020. No bill number. Nursing Home Transparency and Oversight Act. No bill number. Discussed nursing home and long-term care facility testing. No bill number. Discussed nursing homes, COVID package, health extenders, continuing resolution, and long-term services and supports. No bill number. Discussed COVID-19 funding for nursing homes, home health, and home care providers. H.R. 925, Heroes Act. H.R. 6074, Coronavirus Preparedness Response Supplemental Appropriations Act, 2020. H.R. 4907/S. 2733, TRUST Act.

Client expense: $1,880,000 · Firm income: Not reported

No bill number. Discussed funding and flexibilities for Older Americans Act programs including nutrition services. No bill number. Discussed USDA Coronavirus Food Assistance Program. P.L. 116-136, CARES Act. No bill number. Written statement submitted for Senate hearing, The COVID-19 Pandemic and Seniors: A Look at Racial Health Disparities. No bill number. Discussed food assistance programs, including The Emergency Food Program and Commodity Supplemental Food Program. No bill number. Discussed Supplemental Nutrition Assistance Program (SNAP). S.3563, Food Assistance for Kids and Families During COVID-19 Act of 2020. S. 3736, Increasing Access to SNAP Delivery During COVID-19 Act of 2020. S. 4182, Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020. S. 4184/H.R. 7463, Assisted Living Facility Coronavirus Reporting Act. H.R. 6698, Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions Act (Heroes Act). HR 925, Updated Health and Economic Recovery Omnibus Emergency Solutions Act (Updated HEROES). S 4318, American Workers, Families, and Employers Assistance Act (HEALS). No bill number. Discussed funding for nursing homes, home and community-based services, and other institutional care. S. 3768/H.R. 6972, Nursing Home COVID-19 Protection and Prevention Act. No bill number. Submitted comment letter on May 8 COVID-19 interim final rule with comment. No bill number. Discussed VA and nursing homes addressing COVID-19 and the collection of demographic data. S. 3517/H.R. 6487, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act (ACCESS Act). No bill number. Discussed immunity related to COVID-19 for nursing homes and other long-term care facilities. H.R. 7617, Defense, Commerce, Justice, Science, Energy and Water Development, Financial Services and General Government, Labor, Health and Human Services, Education, Transportation, Housing, and Urban Development Appropriations Act, 2021. No bill number. Submitted statement regarding nursing homes and COVID-19 to the Coronavirus Commission on Safety and Quality in Nursing Homes. No bill number. Discussed dual eligible and Medicaid home and community-based services. S. 4318, American Workers, Families, and Employers Assistance Act. S. 4320, Coronavirus Response Additional Supplemental Appropriations Act of 2020. No bill number. Discussed Community Immunity During COVID-19 Act. No bill number. Discussed family caregiver tax credit. S. 1443, Credit for Caring Act. No bill number. Discussed family caregiving with RAISE Family Caregiving Advisory Council. No bill number. Discussed RAISE Family Caregiving Advisory Council report. Discussed care transitions for Community Living staff. No bill number. Discussed letter VA nursing homes. H.R. 8114, Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020. S. 4555/H.R. 8079, Elder Justice Reauthorization Act of 2020. No bill number. Nursing Home Transparency and Oversight Act. No bill number. Discussed nursing home point-of-care testing and nursing home and long-term care facility testing. No bill number. Discussed logistics for virtual aging conference. No bill number. Discussed nursing homes, COVID package, health extenders, continuing resolution, and long-term services and supports. No bill number. Discussed Fiscal 2021 Medicare home health payment proposed rule. H.R. 6201, Families First Coronavirus Response Act. H.R. 6074, Coronavirus Preparedness Response Supplemental Appropriations Act, 2020. S. 2543, Prescription Drug Pricing Reduction Act. H.R. 19/S. 3129, Lower Cost More Cures Act. H.R. 3, Elijah E. Cummings Lower Cost Drugs Now Act.

S. 3487/H.R. 7620, The Edith Shorougian Senior Victims of Fraud Compensation Act (Ediths Bill). S. 149/H.R. 2610, Stop Senior Scams Act of 2020. No bill number. Discussed fraud & scam issues. H.R. 7299, the COVID-19 Scam Act. No bill number. Discussed Fair and Accurate Information Reporting (FAIR) Act. H.R. 8169, Elder Abuse Protection Act of 2020. S. 4182, Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020. H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions Act (Heroes Act). H.R. 6972, Nursing Home COVID-19 Protection and Prevention Act. S. 4182, Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020. S. 3517/H.R. 6487, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act (ACCESS Act). S. 3768, Nursing Home COVID-19 Protection and Prevention Act. P.L. 116-136, CARES Act. H.R. 8114, Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020. S. 4555/H.R. 8079, Elder Justice Reauthorization Act of 2020. HR 925, Updated Health and Economic Recovery Omnibus Emergency Solutions Act (Updated HEROES). S 4318, American Workers, Families, and Employers Assistance Act (HEALS).

Client expense: $1,880,000 · Firm income: Not reported

S. 4182, Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020. S. 4184/H.R. 7463, Assisted Living Facility Coronavirus Reporting Act. H.R. 6698, Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions Act (Heroes Act). HR 925, Updated Health and Economic Recovery Omnibus Emergency Solutions Act (Updated HEROES); No bill number. Discussed funding for nursing homes, home and community-based services, and other institutional care in next COVID-19 package. S. 3768/H.R. 6972, Nursing Home COVID-19 Protection and Prevention Act. No bill number. Discussed May 8 COVID-19 interim final rule. No bill number. Discussed VA and nursing homes addressing COVID-19 and the collection of demographic data in possible COVID-19 package. H.R. 6972, Nursing Home COVID-19 Protection and Prevention Act. S. 3517/H.R. 6487, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act (ACCESS Act). No bill number. Discussed immunity related to COVID-19 for nursing homes and other long-term care facilities. H.R. 7617, Defense, Commerce, Justice, Science, Energy and Water Development, Financial Services and General Government, Labor, Health and Human Services, Education, Transportation, Housing, and Urban Development Appropriations Act, 2021. No bill number. Submitted statement regarding nursing homes and COVID-19 to the Coronavirus Commission on Safety and Quality in Nursing Homes. No bill number. Discussed dual eligible and Medicaid. S 4318, American Workers, Families, and Employers Assistance Act (HEALS). S. 4320, Coronavirus Response Additional Supplemental Appropriations Act of 2020. No bill number. Discussed resources for Medicaid HCBS in COVID legislation. No bill number. Discussed Community Immunity During COVID-19 Act. No bill number. Discussed and provided technical assistance on draft nursing home and COVID-19 provisions/amendments. No bill number. Discussed first person account related to long-term care facilities and COVID-19. No bill number. Provided technical assistance on family caregiver tax credit. S. 1443, Credit for Caring Act. Discussed the bill and a possible COVID package. No bill number. Discussed family caregiving with RAISE Family Caregiving Advisory Council. No bill number. Discussed RAISE Family Caregiving Advisory Council report. No bill number. Discussed care transitions for Community Living staff. P.L. 116-136, CARES Act. H.R. 8114, Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020. S. 4555/H.R. 8079, Elder Justice Reauthorization Act of 2020. No bill number. Nursing Home Transparency and Oversight Act. No bill number. Discussed nursing home point-of-care testing and nursing home and long-term care facility testing. No bill number. Discussed logistics for virtual aging conference. No bill number. Discussed nursing homes, COVID package, testing, health extenders, continuing resolution, home care providers, and long-term services and supports. No bill number. Discussed Fiscal 2021 Medicare home health payment proposed rule. H.R. 2073/S. 110, legislation to permanently extend the medical expense deduction at 7.5% of income. No bill number. Discussed health care affordability for Americans age 50-64. H.R. 7714, Legislation to amend IRS Code of 1986 to Reduce the Floor on Deductions for Medical Expense. H.R. 6201, Families First Coronavirus Response Act. H.R. 6074, Coronavirus Preparedness Response Supplemental Appropriations Act, 2020. S. 2543, Prescription Drug Pricing Reduction Act (Grassley-Wyden). H.R. 19/S. 3129, Lower Cost More Cures Act. H.R. 3, Elijah E. Cummings Lower Cost Drugs Now Act.

P.L. 111-375 National Alzheimer's Project Act, All Sections P.L. 115-119 Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act P.L. 115-406 Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer's Act S.591 Guardianship Accountability Act S.299 Geriatrics Workforce Improvement Act S.548/H.R.1342 EMPOWER Care Act H.R.1343 Protecting Married Seniors from Impoverishment Act S.740 Alzheimer's Caregiver Support Act H.R. 1955 Understanding Appropriate Alzheimer's Care Act of 2019 S.880/H.R.1873 Improving HOPE for Alzheimer's Act H.R.1903/S.901 Younger-Onset Alzheimer's Disease Act of 2019 S.2080/H.R.647 Palliative Care and Hospice Education and Training Act S.1250/H.R.2401 American Cures Act S.1017 Supporting America's Caregivers and Families Act S.995/H.R.2035 Lifespan Respite Care Reauthorization Act of 2019 S.1126/H.R.2283 Concentrating on High-Value Alzheimer's Needs to Get to an End (CHANGE) Act of 2019 S.1361/H.R.2584 Preventive Health Savings Act of 2019 S.1628 Paid Family Leave Pilot Extension Act S.1618 Expanding Capacity for Health Outcomes (ECHO) Act of 2019 S.1202 Independence at Home Act of 2019 H.R.3644 Independence at Home Demonstration Act of 2019 H.R.3436 Improving Chronic Care Management Act H.R.3107 Improving Seniors' Timely Access to Care Act H.R.4334 Dignity in Aging Act of 2019 S.2469/H.R.4386 Stop the Wait Act H.R.2781 Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019 S.2521/H.R.4397 Direct CARE Opportunity Act S.3057 Modernization of the Older Americans Act Amendments S.2677 Older Americans and Social Isolation and Loneliness Act H.R.4859 Protecting Older Americans from Social Isolation Act of 2019 H.Res.821 to establish a permanent select Committee in Aging in the House of Representatives H.R.6379 Families First Coronavirus Response Act S.3548/H.R.748 Coronavirus Aid, Relief, and Economic Security (CARES) Act; including provisions that would impact individuals living with Alzheimer's and other dementia and their caregivers. H.R.4334 Supporting Older Americans Act of 2020 S.3544/H.R.6305 Coronavirus Relief for Seniors and People with Disabilities Act S.3768 /H.R.6972 Nursing Home COVID-19 Protection and Prevention Act of 2020 H.R.7048 Nursing Home Pandemic Protection Act S.3644/H.R.6698 Quality Care for Nursing Home Residents and Workers During COVID-19 Act H.R.6638 Reducing COVID-19 Disparities by Investing in Public Health H.R.7158 Health Enterprise Zones Act H.R.6800 Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S.3517/H.R.6487 ACCESS Act S.3740/H.R.6951 COVID-19 Recovery for Seniors and People with Disabilities Act In forthcoming COVID-19 relief packages, the Alzheimer's Association is advocating for inclusion of policies that would impact those in the Alzheimer's and dementia community including: - Improving HOPE for Alzheimer's Act (S.880/H.R.1873) - Extension of the Independence at Home demonstration model - Promoting Alzheimer's Awareness to Prevent Elder Abuse Act, including Elder Justice Initiative training for professionals through the Department of Justice - Emergency Preparedness in long-term and community-based care settings - Expanding Capacity for Health Outcomes (Project ECHO) - Project VITAL: Virtual Inclusive Technology for ALL

Advocacy on Medicaid including increased federal funding and expansion of coverage; Long term care/home and community based services, including workforce issues Medicaid DSH funding for hospitals Support for Medicare/Medicaid programs during pandemic HR 748 S 3548 HR 6201 HR 6800 HR 6698 S 3768 S 1055

Client expense: $201,733 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocacy on Affordable Care Act, Medicaid, Long Term Care/Home and Community Based Services including Workforce issues, surprise billing, marketplace stabilization and premium and out of pocket costs, prescription Drugs, money to support COBRA, Medicaid, DSH funding for hospitals, Personal Protective Equipment and access to healthcare for essential healthcare workers, Covid-19 Response (expanding coverage to more people and provide free treatment during pandemic) H.R.6800, H.R. 6698, S.3768, S. 1055, H.R.6201, H.R. 748, S.3548,

Client expense: $201,733 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

COVID-19 Advocacy/CARES Act Support A one-year expansion of federal funding for Medicaid home and community-based services (HCBS), from July 1, 2020 to June 30, 2021. An expansion of the paid leave program to cover family caregiving of adults with disabilities, which would allow all family members, not just parents, to take paid leave for caregiving. Additional pay of up to $10,000 for personal care attendants, home health aides, and direct support professionals for their work during the COVID-19 pandemic. An additional round of Economic Impact Payments, resolving bureaucratic issues for SSI, SSDI, and VA benefits recipients, and fixing an issue that left adult dependents ineligible for these payments. A requirement that that the Department of Health and Human Services (HHS) make specific plans to ensure that COVID-19 testing is accessible to people with disabilities and people with underlying health conditions or compromised immune systems. A requirement that States ensure that absentee or mail-in ballots are accessible for people with disabilities. Support All Dependent Children Count Act introduced by Rep. Craig in the House (H.R. 6420), and Sen. Smiths All Dependents Count Act, S. 3652. Support H.R. 6680 which would disregard unemployment benefits from eligibility consideration for means-tested programs such as SSI and SNAP - Strengthening UI for Coronavirus Impacted Workers and Students Act. Department of Health and Human Services Supported letter to Secretary Azar and Director Severino to express our strong and urgent support for the Departments Office for Civil Rights to issue additional guidance to ensure that schemes to ration scarce health care resources during the coronavirus disease 2019 (COVID-19) pandemic comply with federal nondiscrimination laws. Justice in Aging request HHS Secretary Azar to Remove Barriers for Medicare Enrollment During COVID Pandemic United Spinal joined Justice in Aging and numerous organizations requesting the Department of Health and Human Services take action to remove barriers and to streamline enrollment in health insurance coverage for low-income older adults and people with disabilities who are at highest risk of serious illness and death from COVID-19. United Spinal advocated to exempt non-invasive ventilators from Medicares competitive bidding program which limits choice for consumers and cuts reimbursement to Medicare providers. During the COVID-19 pandemic, it is the wrong time to place additional restrictions on access to life-saving equipment. United Spinal sent in its own letter to Congress along with other stakeholders such as the ALS Association and the company RESMED. As a CCD Rights Task Force co-chair, United Spinal advocacy and policy staff signed a letter to HHS Secretary Alex Azar, CMS Administrator Seema Verma, and CDC Director Robert Redfield urging them to collect and report data on the impact of COVID-19 on people with disabilities, including numbers of tests, testing rates, numbers and rates of positive tests, hospitalizations, deaths and death rates, recoveries, transfers from community living to institutional settings and discharges from institutional settings, and analysis of that data to identify trends and correlational factors. United Spinal advocacy and policy staff provided comments as part of the Disability and Rehabilitation Research Coalition (DRRC) to Senator Warren (D-MA) and Reps. Pressley (D-MA) & Kelly (D-IL) on a bill to require the CDC to collect and report demographic data related to COVID-19; we urged them to include data collection on disability factors. oOn April 14, Reps. Ayanna Pressley, Robin Kelly, and other members of the Congressional Black Caucus, along with Sen. Elizabeth Warren and others introduced the Equitable Data Collection and Disclosure on COVID-19 Act, which would require the Department of Health and Human Services (HHS) to collect and report racial, ethnic, and other demographic data on COVID testing, treatment, and fatality rates. The introduced legislation did mention disability but did not include significant focus on the importance of disability data collection. oMembers of the DRRC, which includes United Spinal, along with other stakeholders, drafted revisions to the legislation. The edits were intended to achieve three purposes: 1) integrate the concerns and interests of the disability community throughout the bill to ensure that disability rights are universally considered civil rights, 2) include on the mandated data collection commission agencies with disability, independent living, and rehabilitation research portfolios, and 3) authorize targeted COVID research funding to NIDILRR comparable to the targeted funding provided to other research agencies. These edits were shared with Sen. Warrens office along with other congressional disability champions, including Sen. Bob Casey (D-PA) and Rep. Jim Langevin (D-RI). Following work in March that resulted in Federal guidance being issued by the Office for Civil Rights (OCR) at the Department of Health and Human Services to remind States and health care providers of their responsibilities under Federal law not to discriminate against people with disabilities in providing health care, United Spinal signed onto a guidance document developed by the disability community outlining principles for states and health care providers to follow in adhering to the Federal guidance. United Spinal also joined over 400 organizations in calling on HHS for additional Federal guidance on nondiscrimination in health care to be issued by OCR. United Spinal, as a member of the ITEM Coalition Steering Committee, endorsed a letter to HHS Secretary Alex Azar urging for improved access to this treatment. We have written to CMS before about the complex and burdensome billing requirements associated with the dNPWT benefit that have resulted in decreased patient access to this important treatment. Proposed Rule and Medicare Advantage (MA), Medicare Part D and Medicaid United Spinal, as a Steering Committee member of CPR endorsed comments to the Centers for Medicare and Medicaid Services highlighting important provisions of benefit to Medicare and Medicaid beneficiaries: Revisions to supplemental benefits for beneficiaries with chronic conditions (SSBCI), Network adequacy requirements for MA plans, Star rating program enhancements, and New tools for beneficiaries under the Medicare prescription drug benefit program (Part D). PCHAlliance Proposed Rule and Medicare Advantage (MA), Medicare Part D and Medicaid United Spinal, as a member of PCHAlliance signed onto this coalitions letter: Interoperable, connected health, requires a broad ecosystem of shared digital health information. It is particularly noteworthy that this proposed rule advances Medicare Advantage coverage of patient centered digital, interoperable, connected healthcare. PCHAlliance members support the advancement of evidence based connected health. CMS work to develop and ensure appropriate use of connected care is particularly noteworthy as one of the key enablers of modernizing Medicare for the use of evidence based connected care is to improve patient outcomes. United Spinal comments on FY 2021-2025 NIH-Wide Strategic Plan Framework United Spinal provided comments on the National Institutes of Healths (NIH) Request for Information on the FY 2021-2025 NIH-Wide Strategic Plan Framework, in support of strengthening and advancing disability and rehabilitation research and included support of the comments submitted by the Disability and Rehabilitation Research Coalition, of which United Spinal Association is a member. United Spinal supports COVID-19 Recovery for Seniors and People with Disabilities Act - S. 3740. United Spinal supports Nursing Home COVID-19 Protection and Prevention Act - S. 3768. United States Postal Services (USPS) - COVID-19 United Spinal signed onto a letter, facilitated by AARP, to House and Senate leadership in support of USPS continued funding in order to provide the vital services that millions of Americans, especially older Americans and those with chronic conditions, depend upon, especially during this pandemic, as it relates to pharmacy and medical supplies needs as well as access to voting. United Spinal sent a letter to the U.S. Senate Aging Committee thanking them for holding a hearing examining the devastating impact COVID-19 has had on nursing homes and urging them to engage the disability community as they seek solutions. Support increased appropriations funding for the SCI Model Systems under the NIDILRR grant. Support continued appropriations funding for CDC's National Neurological Conditions Surveillance System. As a member of the Coalition to Preserve Rehabilitation Steering Committee, United Spinal endorsed these comments: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Value-Based Purchasing Program for Federal Fiscal Year 2021 [CMS-1737-P, RIN: 0938-AU13] - Concerns with the Patient-Driven Payment Model. CPR continues to be concerned with the observed and ongoing impact of the Patient-Driven Payment Model (PDPM) implemented in the SNF PPS effective October 1, 2019. CMS implemented this new case-mix classification model to group patients admitted to SNFs during covered Medicare Part A stays, replacing the Resource Utilization Group, Version IV (RUG-IV) system. As a member of the Coalition to Preserve Rehabilitation Steering Committee, United Spinal endorsed these comments: Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2021 Proposed Rule [CMS-1729-P; RIN 0938-AU05]. Under this proposal, non-physician practitioners would be able to conduct or designate another certified clinician to conduct the preadmission screening (PAS), review and concur with the findings of the preadmission screening, conduct the post-admission physician evaluation (PAPE), which CMS proposes to eliminate, lead the required weekly interdisciplinary team meetings, conduct required face-to-face visits with the patient, and develop and modify the patients plan of care. In sum, CMS proposes to defer to the IRF to determine whether a non-physician practitioner has sufficient specialized training and experience in inpatient rehabilitation to essentially fulfill the role of the rehabilitation physician. CPR views this proposal as a major broadside attack on the integrity and value of care provided by inpatient rehabilitation hospitals and units. We strongly oppose this proposal and believe that, if finalized, it would materially undercut IRF care and decrease the level and quality of care provided in an IRF, potentially causing significant harm to patients with complex conditions who need an intensive, coordinated, interdisciplinary course of inpatient hospital-level rehabilitation treatment.

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

No bill number. Discussed nursing home and assisted living data and reporting. H.R.6666 - COVID-19 Testing, Reaching, And Contacting Everyone (TRACE) Act. H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES Act). No bill number. Participated in CMS HCBS and Nursing Home Diversification Strategies brainstorming session (CMS and ACL). H.R.7254. Infection Control Training and Support Act of 2020. No bill number. Discussed issue of nursing homes seizing residents economic impact payments. No bill number. Discussed issues related to State Veterans Homes and COVID-19. No bill number. Discussed nursing home and other long-term care facilities COVID-19 issues and AARP priorities. H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions Act. H.R. 6074, Preparedness and Response Supplemental. H.R. 6201, Families First Coronavirus Response Act. H.R. 748, Coronavirus Aid, Relief, and Economic Security (CARES) Act. H.R. 266, Paycheck Protection Program and Health Care Enhancement Act. No bill number. Discussed telehealth and waiver extensions granted for COVID-19. H.R.6698/S. 3644, Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. S. 3768/H.R. 6972, Nursing Home COVID-19 Protection and Prevention Act. No bill number. Discussed expansion of affordability and availability of communication services to address the COVID-19 crisis. S. 3544, Coronavirus Relief for Seniors and People with Disabilities Act of 2020. H.R. 6379, Take Responsibility for Workers and Families Act. S. 1443, H.R. 2730, Credit for Caring Act. No bill number. Discussed use of civil money penalties to purchase technology for virtual visitation. Submitted comments on the proposed rule regarding the Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNFs); and Updates to the Value-Based Purchasing Program for FY2021. Discussed implementation of the Patient Driven Payment Model (PDPM). Written statement submitted for House hearing on Health Care Inequality: Confronting Racial and Ethnic Disparities in COVID-19 and the Health Care System, in addition to action needed to ensure health and safety in long-term care facilities, the collection and reporting of demographic data, and testing and contact tracing. Submitted written statement for House hearing on The Disproportionate Impact of COVID-19 on Communities of Color. No bill number. Sent letter discussing immunity related to COVID-19 for nursing homes, assisted living facilities, and other long-term care facilities. S. 3517/H.R. 6487, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act (ACCESS Act). No bill number. Sent letter urging Congress and the Administration to stem the loss of life due to the coronavirus and improve conditions in long-term care facilities. Discussed funding and flexibilities for Older Americans Act programs including nutrition services. Discussed funding for The Emergency Food Program and Commodity Supplemental Food Program. S. 3544, Coronavirus Relief for Seniors and People with Disabilities Act. No bill number. Discussed Supplemental Nutrition Assistance Program (SNAP) flexibilities, increasing benefits, emergency allotments, suspending rule making, online grocery shopping and delivery for SNAP recipients, and restaurant meals program under SNAP S.3563, Food Assistance for Kids and Families During COVID-19 Act of 2020. No bill number. Discussed Coronavirus Food Assistance Program. H.R. 6510, SNAP Online Purchasing Flexibility Act of 2020. H.R. 6688, SNAP COVID-19 Anti-Hunger Restaurant Relief for You Act of 2020. S. 3736, Increasing Access to SNAP Delivery During COVID-19 Act of 2020. No bill number. Discussed the disproportionate impact of COVID-19 on communities of color. S. 2543, Prescription Drug Pricing Reduction Act (Grassley-Wyden). H.R. 3, Elijah E. Cummings Lower Cost Drugs Now Act.

No bill number. Participated in CMS HCBS and Nursing Home Diversification Strategies brainstorming session. H.R.7254. Infection Control Training and Support Act of 2020. No bill number. Discussed nursing homes seizing residents economic impact payments. No bill number. Discussed and provided technical assistance on draft legislation related to State Veterans Homes and COVID-19. No bill number. Discussed nursing home COVID-19 issues, AARP priorities, and COVID-19 nursing home briefing with House staff and provided contact information for possible witnesses. No bill number. Discussed AARP priorities to protect nursing home and other long-term care facilities in response to COVID-19. H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions Act H.R. 6074, Preparedness and Response Supplemental H.R. 6201, Families First Coronavirus Response Act H.R. 748, Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R. 266, Paycheck Protection Program and Health Care Enhancement Act. No bill number. Discussed telehealth and waiver extensions granted for COVID-19. H.R.6698/S. 3644, Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. No bill number. Discussed long-term care facility issues and COVID-19. S. 3768/H.R. 6972, Nursing Home COVID-19 Protection and Prevention Act. No bill number. Discussed and shared letter to FCC urging them to take sustained action to expand the affordability and availability of communication services to address COVID-19. S. 3544, Coronavirus Relief for Seniors and People with Disabilities Act of 2020. H.R. 6379, Take Responsibility for Workers and Families Act. S. 1443, H.R. 2730, Discussed Credit for Caring Act. No bill number. Discussed use of civil money penalties to purchase technology for virtual visitation. No bill number. Submitted comments on the proposed rule regarding the Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNFs); and Updates to the Value-Based Purchasing Program for FY2021. Discussed implementation of the Patient Driven Payment Model (PDPM). No bill number. Written statement submitted for House hearing on Health Care Inequality: Confronting Racial and Ethnic Disparities in COVID-19 and the Health Care System, in addition to action needed to ensure health and safety in long-term care facilities, the collection and reporting of demographic data, and testing and contact tracing. No bill number. Submitted written statement for House hearing on The Disproportionate Impact of COVID-19 on Communities of Color. No bill number. Sent letter to Senate Judiciary Committee and discussed opposition to immunity related to COVID-19 for nursing homes, assisted living facilities, and other long-term care facilities. S. 3517/H.R. 6487, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act (ACCESS Act). H.R. 6666, the COVID-19 Testing, Reaching, And Contacting Everyone (TRACE) Act. H.R. 1425, the Patient Protection and Affordable Care Enhancement Act. H.R. 2073/S.110, Permanent extension of the 7.5% income threshold for the medical expense deduction. S. 3057, Modernization of the Older Americans Act Amendments S. 2543, Prescription Drug Pricing Reduction Act (Grassley-Wyden). H.R. 19/S. 3129, Lower Cost More Cures Act. H.R. 3, Elijah E. Cummings Lower Cost Drugs Now Act.

S. 3517/H.R. 6487, Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act (ACCESS Act). S. 1443, H.R. 2730 Credit for Caring Act. No bill number. Written statement submitted for House hearing on Health Care Inequality: Confronting Racial and Ethnic Disparities in COVID-19 and the Health Care System. No bill number. Submitted written statement for House hearing on The Disproportionate Impact of COVID-19 on Communities of Color. No bill number. Submitted comments on the proposed rule regarding the Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNFs); and Updates to the Value-Based Purchasing Program for FY2021. Discussed implementation of the Patient Driven Payment Model (PDPM). No bill number. Participated in CMS HCBS and Nursing Home Diversification Strategies brainstorming session. H.R.7254. Infection Control Training and Support Act of 2020. No bill number. Discussed nursing homes seizing residents economic impact payments. No bill number. Discussed Medicare family caregiving pilot concept and hospice component in value-based insurance design demonstration. H.R.6698/S. 3644, Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. No bill number. Discussed nursing home data collection. S. 3768/H.R. 6972, Nursing Home COVID-19 Protection and Prevention Act. No bill number. Shared invitation for webinar on Medicaid managed LTSS and family caregivers paper. No bill number. Discussed use of civil money penalties to purchase technology for virtual visitation. S. 3544, Coronavirus Relief for Seniors and People with Disabilities Act of 2020. Discussed nursing home and other long-term care facility issues, including issues related to COVID-19. H.R. 6379, Take Responsibility for Workers and Families Act. No bill number, discussed Elder Justice Act Reauthorization and nursing home bill. H.R. 3, the Lower Drug Costs Now Act. S. 2543, the Prescription Drug Pricing Reduction Act. Discussed increasing the FMAP for Medicaid in COVID-19 legislation. H.R. 1425, the Patient Protection and Affordable Care Enhancement Act. H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions Act. H.R. 6074, Preparedness and Response Supplemental. H.R. 6201, Families First Coronavirus Response Act. H.R. 748, Coronavirus Aid, Relief, and Economic Security (CARES) Act. H.R. 266, Paycheck Protection Program and Health Care Enhancement Act.

S. 3768 - Nursing Home COVID-19 Protection & Prevention Act - To provide Federal funding for nursing home facilities upgrade

Client expense: $110,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Natl Highway Traffic Safety Administration (NHTSA), SENATE, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

S. 3768 - Nursing Home COVID-19 Protection & Prevention Act - To provide Federal funding for nursing home facilities upgrade

Client expense: $110,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Natl Highway Traffic Safety Administration (NHTSA), SENATE, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)