TREAT Act

Telehealth S2741 CONNECT ACT, S4421 TREAT Act Graduate Medical Education Medicare Sequester

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Telehealth S2741 CONNECT ACT, S4421 TREAT Act Radiation Oncology Model Graduate Medical Education Provider Relief Fund Medicare Sequester

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Supporting COVID-19 Legislation Telehealth / TREAT Act S4421, CONNECT Act, S2741 Graduate Medical Education Provider Relief Fund Community Health Worker Legislation Radiation Oncology Model

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 4421, H.R. 708 - TREAT Act: Provisions related to healthcare workforce. H.R. 7608 - Interior Appropriations Legislation: Provisions related to healthcare information technology. EO 14028 - Executive Order on Improving the Nation's Cybersecurity: Provisions related to Labor and Health Appropriations. Issues related to the National Healthcare Safety Network, Infectious Disease and COVID-19 data tracking. Issues related to Health and Human Services Labor and Health Appropriations.

Client expense: $680,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Telehealth S2741 CONNECT ACT, S4421 TREAT Act Radiation Oncology Model Graduate Medical Education Provider Relief Fund

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Supporting COVID-19 Legislation, Vaccine Distribution Telehealth / TREAT Act S4421, CONNECT Act, S2741 Graduate Medical Education

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 4421, H.R. 708 - TREAT Act: Provisions related to healthcare workforce. H.R. 7608 - Interior Appropriations Legislation: Provisions related to healthcare information technology. EO 14028 - Executive Order on Improving the Nation's Cybersecurity: Provisions related to Labor and Health Appropriations. Issues related to the National Healthcare Safety Network, Infectious Disease and COVID-19 data tracking. Issues related to Health and Human Services Labor and Health Appropriations.

Client expense: $550,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Supporting COVID-19 Legislation, Vaccine Distribution Telehealth / TREAT Act S4421, CONNECT Act, S2741 Maternal Mortality/Momnibus HR959 NIH, NSF, CDC appropriations

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 4421, H.R. 708 - TREAT Act: Provisions related to healthcare workforce. H.R. 7608 - Interior Appropriations Legislation: Provisions related to healthcare information technology. EO 14028 - Executive Order on Improving the Nation's Cybersecurity: Provisions related to Labor and Health Appropriations. Issues related to the National Healthcare Safety Network, Infectious Disease and COVID-19 data tracking. Issues related to Health and Human Services Labor and Health Appropriations.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.4421/H.R.8283-Temporarary Reciprocity to Ensure Access to Treatment (TREAT) Act. S.834/H.R.2256-Resident Physician Shortage Reduction Act of 2021 S.168/H.R.708-TREAT Act

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

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT)

Expressed support for the Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act (S.4421) Discussed Health Administration Research Consortiums Health Systems Climate Survey Discussed availability and access issues related to COVID-19 vaccines Discussed the health impacts of climate change, and the approaches to supporting clinical providers in creating climate resilience Expressed support for additional relief from sequestrations cut to Medicare during the pandemic (HR 1868)

Client expense: $101,937 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

S. 4421/H.R. 8283-Temporarary Reciprocity to Ensure Access to Treatment (TREAT) Act. H.R. 1868-Medicare Sequester Relief

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

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS)

H.R.349 - Coronavirus Vaccine and Therapeutic Development Act H.R. 708, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act H.R. 1319, American Rescue Plan Act H.R. 1332, Telehealth Modernization Act H.R. 1878, State Healthcare Premium Reduction Act H.R. 1874, Expand Navigators Resources for Outreach, Learning & Longevity Act H.R. 1896, State Allowance For A Variety of Exchanges Act H.R. 2166, Ensuring Parity in Medicare Advantage for Audio-Only Telehealth Act S. 104, Improving Social Determinants of Health Act S. 150, Ensuring Parity in Medicare Advantage for Audio-Only Telehealth Act S. 368, Telehealth Modernization Act S. 1712, DISARM Act S. 4421, TREAT Act S. 908, Medicare Drug Price Negotiation Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R.349 - Coronavirus Vaccine and Therapeutic Development Act H.R. 708, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act H.R. 1319, American Rescue Plan Act H.R. 1332, Telehealth Modernization Act H.R. 1878, State Healthcare Premium Reduction Act H.R. 1874, Expand Navigators Resources for Outreach, Learning & Longevity Act H.R. 1896, State Allowance For A Variety of Exchanges Act H.R. 2166, Ensuring Parity in Medicare Advantage for Audio-Only Telehealth Act S. 104, Improving Social Determinants of Health Act S. 150, Ensuring Parity in Medicare Advantage for Audio-Only Telehealth Act S. 368, Telehealth Modernization Act S. 1712, DISARM Act S. 4421, TREAT Act S. 908, Medicare Drug Price Negotiation Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 3502, Protecting People from Surprise Medical Bills Act, all provisions H.R. 5826, Consumer Protections Against Surprise Medical Bills Act of 2020, all provisions H.R. 3630, No Surprises Act, all provisions S. 1895, Lower Health Care Costs Act, provisions relating to surprise billing S. 1531, Stopping The Outrageous Practice of (STOP) Surprise Medical Bills Act of 2019, all provisions S. 4421, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act, all provisions H.R. 6644, To require group health plans and health insurance issuers offering group or individual health insurance coverage to provide coverage for services furnished via telehealth if such services would be covered if furnished in-person during the COVID-19 emergency, all provisions S. 3741, Health Care at Home Act of 2020, all provisions S. 4666, National Coronavirus Commission Act of 2020, all provisions S. 4507, Getting Early Treatment and Comprehensive Assessments Reduces Emergencies (GET CARE) Act of 2020, all provisions H.R. 8441, Frontline Heroes Act, all provisions S. 4317, SAFE TO WORK Act, all provisions H.R. 925, The Heroes Act, all provisions S. 3749, Public Health Emergency Privacy Act, all provisions S. 3861, Exposure Notification Privacy Act, all provisions H.R. 6585, Equitable Data Collection and Disclosure on COVID-19 Act, all provisions H.R. 7510, Assimilating Health and Equity Assessments into Decision-making (AHEAD Act) of 2020, all provisions S. 4919, Assimilating Health and Equity Assessments into Decision-making (AHEAD Act) of 2020, all provisions H.R. 6808, Health Force and Resilience Force Act of 2020, all provisions S. 3606, Health Force and Resilience Force Act of 2020, all provisions H.R. 7255, Coronavirus Health Care Worker Wellness Act of 2020, all provisions H.R. 8094, Dr. Lorna Breen Health Care Provider Protection Act, all provisions S. 4349, Dr. Lorna Breen Health Care Provider Protection Act, all provisions H.R. 3884, Marijuana Opportunity Reinvestment and Expungement (MORE) Act of 2020, all provisions S. 2032, Cannabidiol and Marihuana Research Expansion Act, all provisions H.R. 1503, Orange Book Transparency Act of 2019, provisions related to PBM and prescription drug price transparency H.R. 1520, Purple Book Continuity Act of 2019, provisions related to PBM and prescription drug price transparency H.R. 987, Strengthening Health Care and Lowering Prescription Drug Costs Act, provisions related to PBM and prescription drug price transparency H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, provisions related to PBM and prescription drug price transparency H.R. 4995, Maternal Health Quality Improvement Act of 2020, all provisions H.R. 7120, George Floyd Justice in Policing Act of 2020, provisions relating to police reform Affordable Care Act stabilization Expansion of Paycheck Protection Program for 501(c)6s Public Health and Social Services Emergency Fund Marginalized and minoritized communities/COVID-19 disproportionate impact COVID-19 long haulers COVID-19 testing/vaccines/health care prior authorization COVID-19/treatment and prescribing flexibilities COVID-19/Expanded PPE/clearinghouses E/M services Surprise medical billing executive orders Surprise Medical Billing, generally Clinical and administrative data intersection State Medical Boards/Interstate Medical Licensure Compact Pharmacists and COVID-19 testing Mental health parity Digital therapeutics Physician practice financial impact 21st Century Cures Act/health data and privacy 42 CFR Part 2, HIPAA Patent reform CPT - digital Most favored nation drug pricing Drug pricing Health Information Technology/information blocking Dietary guidelines/alcohol consumption Data privacy Cyber security best practices Race and sex stereotyping executive order

Client expense: $3,870,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Veterans Affairs, Dept of (VA), White House Office

Temporary Reciprocity to Ensure Access to Treatment Act(S. 4421)

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

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

Affordable prescription drugs, 340B Program; HR985 FAST Generics Act of 2019; Appropriate and accurate payment for healthcare; Site Neutral payment policies; S. 1895 - Lower Health Care Costs Act; S. 340 - CREATES Act, H.R. 987 - Strengthening Health Care and Lowering Prescription Drug Costs Act; S. 1391 - Fair Accountability and Innovative Research Drug Pricing Act of 2019; Surprise billing: S. 1531 - Stop the Outrageous Practice of Surprise Medical Bills Act of 2019; HR 3, the Lower Drug Costs Now Act; H.R.2149 - Exposing the Financing of Human Trafficking Act; H.R.508 - Trafficking Victims Housing Act of 2019; H.R. 1520 - Purple Book Continuity At of 2019; H.R. 1503 - Orange Book Transparency Act of 2019; S.2543 - Prescription Drug Pricing Reduction Act of 2019; Health care privacy; patient privacy; H.R. 647, S.2080 - Palliative Care and Hospice Education and Training Act; Conrad 30 and the Physician Access Reauthorization Act, S 948; Issues related to the Medicaid Fiscal Accountability Regulation (MFAR); HR 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act; HR 6201 - Families First Coronavirus Response Act - Public Law No: 116-127; HR 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act; response to the COVID-19 public health emergency; S. 178 - HEALS Act; H.R. 1425, Patient Protection and Affordable Care Enhancement Act; H.R. 6800 - HEROES Act; H.R. 266, Paycheck Protection Program and Health Care Enhancement Act; issues related to coverage of virtual car; Financial support for providers for diagnosis and treatment related to COVID-19, coverage of COVID-19 related conditions, and access to PPE and other materials and equipment related to the treatment of patients with COVID-19; H.R. 133 - Consolidated Appropriations Act; Issues related to social determinants of health; H.R. 6561 - Improving Social Determinants of Health Act ; S. 4421- Temporary Reciprocity to Ensure Access to Treatment Act; liability relief for health care providers

Client expense: $290,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), Vice President of the U.S.

Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Draft Bipartisan Emergency COVID Relief Act of 2020 H.R. 6650, S. 3634, Health Heroes 2020 Act S. 4055, Strengthening Americas Health Care Readiness Act Issue: Support increased funding for the National Health Service Corps, and National Disaster Medical Service (NDMS) demonstration pilot. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. Support suspension of DATA waivers. Support continuation of telehealth flexibilities allowing authorized practitioners to prescribe buprenorphine. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, imposing user fees, changing the program from an up-front discount to a post-sale rebate, and not providing 340B discounts on covered drugs purchased at community pharmacies. Issue: Oppose efforts to create new requirements for FQHC grantees that participate in the 340B program. Issue: Oppose efforts to reduce OPPS reimbursements to hospitals for drugs acquired under the 340B program. Issue: Oppose efforts to allow certain grandfathered health care plans to increase consumer cost sharing without losing their grandfathered status. Issue: Oppose State relief and empowerment waivers that allow states to offer insurance plans that do not meet the requirements set forth under the Affordable Care Act. Issue: Oppose efforts to expand the availability of Association Health Plans. Issue: Oppose efforts to direct HHS to update the Medicare.gov Hospital Compare website. Issue: Support increased interoperability and exchange of electronic health information and delayed enforcement of information blocking rule until comprehensive guidance is issued. Issue: Oppose efforts to finalize two new mandatory alternative payment models, the Radiation Oncology Model and the End-stage Renal Disease Treatment Choices Model Issue: Oppose burdensome regulation of Laboratory Developed Tests S. 1895, Lower Health Care Costs Act H.R. 3630, No Surprises Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3502, Protecting People From Surprise Medical Bills Act Issues: Educate Congress on surprise medical bills and price transparency or disclosure. Support general principles for surprise medical bills draft legislation. Oppose statutory benchmark rate setting. Oppose Senate hospital/insurer contracting provisions and onerous reporting burden. S. 1895, Lower Health Care Costs Act, Title IV Issue: Prescription drug pricing, public health, maternal mortality, and health information technology. Issue: Oppose restrictions on diversity training for federal grantees and employees. Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Educate Congress about medical education on nutrition, consent, implicit bias, and maternal health. H.R. 6637, Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. P.L. 116-260, Consolidated Appropriations Act, 2021 H.R. 4004, S. 2986 Social Determinants Accelerator Act of 2019 Issue: Support grants to address social determinants of health Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. H.R. 4995 Maternal Health Quality Improvement Act of 2020 H.R. 4996 Helping MOMS Act of 2020 Issue: Support maternal health initiatives to expand coverage for postpartum women and expand demonstration project grants. S. 3750/H.R. 6837, Medicare Accelerated and Advance Payment Improvement Act of 2020 Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs. Draft, firearm safety legislation Issue: Support universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. H.R. 8, Bipartisan Background Checks Act of 2019 Issue: Support universal background checks Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. S. 4349/H.R. 8094, Dr. Lorna Breen Health Care Provider Protection Act Issue: Support grants directed at improving physician burnout and well-being. P.L. 116-260, Consolidated Appropriations Act, 2021 P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020 P.L. 116-127, Families First Coronavirus Response Act P.L. 116-136, Coronavirus Aid, Relief, and Economic Security Act (CARES) Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 6800, the Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act Draft Health, Economic Assistance, Liability Protection and Schools (HEALS) Act S. 178 with Amendment No. 2652 HEALS Act S. 4322, Safely Back to School and Back to Work Act S. 178, Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act H.R. 8406, The Heroes Act Draft Emergency Coronavirus Relief Act of 2020 Draft Bipartisan State and Local Support and Small Business Protection Act of 2020 Issues: Support emergency supplemental funding and policies for federal agencies to support coronavirus preparedness, response, relief, vaccine development and distribution, and testing and contact tracing. Ensure access to research samples. Support funding for and provide recommendations for disbursement of provider relief fund. Support revised Medicare and Medicaid reimbursement policies and increased provider flexibility. Support improvements to the Medicare Accelerated and Advance Payment Programs. Support inclusion of Medicare-supported graduate medical education positions. Support fixes to Medicare GME Rural Training Track programs. Support Medicare GME per resident amount and cap-setting technical corrections and administrative relief. Support an increase in the Federal Medicaid Assistance Program. Support for current telehealth waivers to be made permanent. Support for extension of Medicare sequester moratorium. Support changes to CY 2021 Physician Fee Schedule evaluation and management payments. Provide recommendations on personal protective equipment, testing, social distancing, clinical care, and other COVID related preparedness and response efforts of the federal government. Avoid imposing standards that would encourage depletion of scarce PPE and other resources. Support enhanced national COVID-19 data collection to better address health disparities. Support public health infrastructure. See other additions under BUD. Issue: Support extension of public health emergency declaration. Issue: Provide feedback on COVID-19 and pandemic response centers of excellence legislation. Issue: Support establishment of regional pandemic response centers, stronger linkages between public health and academic medicine, and the role of medical students in administering covid vaccines. Issue: Urge establishment and implementation of robust national COVID-19 testing strategy and functional and transparent supply chain. Urge CDC to update testing guidelines. Issue: Describe medical education approach on womens health and support efforts to promote trauma-informed care. Issue: Support science and data driven approach to HHS and EPA decision making. Issue: Support CDC mission S 4248 / HR 7618 COVID-19 Bias and Anti-Racism Training Act Issue: Support grant for anti-racism training in health professions programs. H.R. 8017, Mobile Options for Testing In Our Neighborhoods (MOTION) Act Issue: Support grants for mobile COVID-testing units. S. 4160, To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program, and for other purposes. Issue: Support protections for hospitals that participate in the 340B Drug Pricing Program to temporarily allow them to remain eligible for the program. H.R. 8283 S. 4421, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Issue: Support for a temporary uniform licensing standard for all practitioners in all states throughout a national emergency. Issue: Support the rescission of the Department of Homeland Securitys Public Charge rule. Issue: Participate in Resilient American Communities initiative S. 4740 Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Rescind the Executive Order on Creating Schedule F in the Excepted Service. Issue: Rescind Executive Orders 13771 and 13777, and support re-implementation of directives under Executive Order 13563, Improving Regulation and Regulatory Review. Issue: Support establishment of a Presidential Bioethics Commission. Issue: Support ensuring patients are put first and that conscience protections align with medical professionalism standards. Issue: Support prompt establishment of the Research Policy Board and implementation of the additional reform efforts required by Section 2034 of the 21st Century Cures Act (P.L. 114-255). Issue: Support increased interoperability and exchange of electronic health information. Support delay of enforcement beyond April 2021. Issue: Support identification of specific federal regulations for review for disproportionate administrative impacts. Issue: Support independence of the US Food and Drug Administration. Issue: Support FDA rulemaking to harmonize protection of human research subjects. Issue: Support promotion of data sharing and clinical trials results reporting.

Client expense: $1,035,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

S. 4421/HR 8283, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act. 340B Drug Discount Program

Client expense: $100,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS)

H.R. 133: Consolidated Appropriations Act, 2021; Discussions surrounding additional coronavirus relief measures; provisions related to paid family and medical leave, personal protective equipment, and access to medicine, nutrition assistance programs, and antimicrobial research H.R. 2507: Newborn Screening Saves Lives Reauthorization Act of 2019; all provisions H.R. 4100: Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act of 2019; all provisions H.R. 4386: Stop the Wait Act; all provisions H.R. 4932: Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019; all provisions H.R. 6800: Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act; provisions related to paid family and medical leave, personal protective equipment, and access to medicine, nutrition assistance programs, and antimicrobial research H.R. 8920: The Pioneering Antimicrobial Subscriptions to End Upsurging Resistance (PASTEUR) Act of 2020; all provisions S. 1712: Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act of 2019; all provisions S. 2158: Newborn Screening Saves Lives Reauthorization Act of 2019; all provisions S. 2496: Stop the Wait Act; all provisions S. 2741: Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019; all provisions S. 4421: Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act; all provisions S. 4557: COVID Enrollment Response (COVER) Act; all provisions S. 4760: The Pioneering Antimicrobial Subscriptions to End Upsurging Resistance (PASTEUR) Act of 2020; all provisions

Client expense: $90,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4100: Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act of 2019; all provisions H.R. 4386: Stop the Wait Act; all provisions S. 1712: Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act of 2019; all provisions S. 2496: Stop the Wait Act; all provisions S. 4421: Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act; all provisions S. 4557: COVID Enrollment Response (COVER) Act; all provisions

Client expense: $90,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of H.R.748, the Coronavirus Aid, Relief, and Economic Security Act or the CARES Act, issues related to support for patients, healthcare workers and providers. S.4421, the TREAT Act, provisions related to state licensure reciprocity during a Public Health Emergency Health care provisions related to a COVID-19 economic stimulus and relief package. Issues related to COVID-19 vaccine development, approval and distribution. Issues related to the extension of the COVID Public Health Emergency. Issues related to the expansion of telehealth services. Issues related to state licensure reciprocity and related federal policies as they impact the provision of telehealth services across state lines. Issues around coverage for the uninsured needing COVID-19 care. Issues related to protecting insurance coverage, including through subsidies for COBRA coverage. Issues related to national preparedness for future pandemic threats. Issues related to Organ Procurement Organization performance metrics. Legislation related to protecting patients from surprise medical bills.

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

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

Administration proposals relating to biomedical research, health care reform and Medicaid funding. H.R. 1763 and S. 348: Resident Physician Shortage Reduction Act of 2019 A bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes (ALL). H.R. 1554: Resident Education Deferred Interest Act To amend the Higher Education Act of 1965 to provide for interest-free deferment on student loans for borrowers serving in a medical or dental internship or residency program (ALL). H.R. 8283 and S. 4421: Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act A bill to provide temporary licensing reciprocity for telehealth and interstate health care treatment (ALL). H.R. 133: COVID-19 Relief and Fiscal 2021 Omnibus Consolidated Appropriations Act Making consolidated appropriations for the fiscal year ending September 30, 2021, providing coronavirus emergency response and relief, and for other purposes (provisions relating to relief for medical providers, COVID-19 testing and vaccine development, and graduate medical education).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 8283 and S. 4421: TREAT Act

Client expense: $100,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H. Res. 480, Acknowledging the racial disparities in diagnosing and treating mental health among youth in communities of color H.R. 1554, the Resident Education Deferred Interest Act H.R. 1763 / S. 348, the Resident Physician Shortage Reduction Act of 2019 H.R. 2734 / S. 1448, the Safer Prescribing of Controlled Substances Act H.R. 3180/ S. 1770, the RISE from Trauma Act H.R. 3239/ S. 2135, the Humanitarian Standards for Individuals in Customs and Border Protection Custody Act H.R. 3253, the Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act H.R. 3417, BETTER Act of 2019 H.R. 4194/S. 2661, the National Suicide Hotline Designation Act of 2019 H.R. 4309, the Barriers to Suicide Act H.R. 4327, the Enhancing Mental Health and Suicide Prevention Through Campus Planning Act H.R. 4861/ S. 3006, the Effective Suicide Screening and Assessment in the Emergency Department Act H.R. 4932 / S. 2741, the CONNECT for Health Act H.R. 4995, the Maternal Health Quality Improvement Act of 2019 H.R. 4996, the Helping Medicaid Offer Maternity Services Act of 2019 H.R. 5201, the Telemental Health Expansion Act of 2019 H.R. 5473, the Enhance Access to Support Essential Behavioral Health Services Act H.R.5469/ S.4388, the Pursuing Equity in Mental Health Act of 2019 H.R.5575, the Primary and Behavioral Health Care Access Act of 2020 Out of network billing legislation S. 1227, the Prescription Pricing for the People Act of 2019 S. 2443, the Investment in Tomorrow's Pediatric Health Care Workforce Act S. 824, the Excellence in Mental Health and Addiction Treatment Expansion Act S.1659, the Ensuring Childrens Access to Specialty Care Act of 2019 Title III Sec. 305 Timely Bills to Patients within the Lower Health Care Costs Act of 2019 (S. 1895) Cures 2.0 Title X Family Planning Program Administration Rule Efforts related to psychiatric bed shortages. H.R. 6074, the Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 6201, the Families First Coronavirus Response Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act, and Senate efforts. S. 311, the Born-Alive Abortion Survivors Protection Act S. 3275, the Pain-Capable Unborn Child Protection Act H.R. 4056 and S. 2446, the Medicare Audiologist Access and Services Act of 2019 H.R. 5575, the Primary and Behavioral Health Care Access Act Telehealth provisions as related to Covid-19. H.R. 6644, the Health Care at Home Act Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 and related Medicare and Medicaid payment updates. Emergency financial relief and stability funding for 501(c)(6) tax-exempt medical and dental trade associations impacted by the pandemic H.R. 7078, the Evaluating Disparities and Outcomes of Telehealth During the COVID-19 Emergency Act of 2020 (EDOT Act of 2020) H.R. 7255, the Coronavirus Health Care Worker Wellness Act of 2020 S. 3919, the Military Suicide Prevention in the 21st Century Act H.R. 7608, the Legislative Vehicle for the Fiscal 2021 Four-Bill Appropriations Package H.R. 7539, the Strengthening Behavioral Health Parity Act H.R. 4564, the Suicide Prevention Lifeline Improvement Act of 2019 H.R. 5619/ S. 3198, the Suicide Prevention Act H.R. 4585, the Campaign to Prevent Suicide Act H.R. 1646/ S. 3244, the Helping Emergency Responders Overcome (HERO) Act of 2019 H.R. 2519/ S. 1334, the Improving Mental Health Access from the Emergency Department Act of 2019 H.R. 7147, the Creating Resources to Improve Situations of Inherent Severity Act (CRISIS Act) H.R. 7159/S. 4282, the Crisis Care Improvement and Suicide Prevention Act of 2020 H.R. 7689, the Improving Data Collection for Adverse Childhood Experiences Act H.R. 8094/S. 4349, the Dr. Lorna Breen Health Care Provider Protection Act H.R. 6561/S. 4440, the Improving Social Determinants of Health Act H.R. 7511/ S. 4211, the Facilitating Reforms that Offer Necessary Telehealth in Every Rural (FRONTIER) Community Act H.R. 884 / S. 2772, the Medicare Mental Health Access Act H.R. 3935, the Protecting Patients Transportation to Care Act H.R. 4564, the Suicide Prevention Lifeline Improvement Act of 2020 S. Res. 738, Recognizing suicide as a serious public health problem and expressing support for the designation of September as National Suicide Prevention Month S. 4113, the Broadband Reform and Investment to Drive Growth in the Economy Act of 2020 (BRIDGE Act) H.R. 7859, the Strengthening Behavioral Health Supports for Schools Act S. 4421, the Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act H.R. 8141, the Strengthening Mental Health Supports for BIPOC Communities Act HR 7510, the Assimilating Health and Equity Assessments into Decision-making Act of 2020 or AHEAD Act H.R. 5469/S.4388, the Mental Health Equity Act of 2020 H.R. 7059, the Coronavirus Provider Protection Act, S. 3792, the Tele-Mental Health Improvement Act of 2020. HR 6810 to provide COBRA subsidies for unemployed and furloughed individuals during COVID H.R. 7593/S. 4103, the Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 6645, the Mental Health Research Act H.R. 5201, the Telemental Health Expansion Act of 2019 H.R. 6561/S. 3595, the Ensuring Understanding for COVID-19 to Protect Public Health Act S. 4524, the Quit Because of COVID-19 Act S. 4486, the Achieving Thorough Transparency & Accessibility for Information Navigation (ATTAIN) on Mental Health Act H.R. 6800/H.R. 8406, the HEROES Act S. 4230, the Telehealth Expansion Act of 2020 H.R. 7391, the Protect Telehealth Access Act of 2020 H.R. 7760, To make a supplemental appropriation for the COVID-19 Telehealth Program of the Federal Communications Commission for the fiscal year ending September 30, 2020 H.R.8067, the Addressing COVID-19 Health Disparities Act H.R. 2862, the VACCINES Act of 2019 (G6 letter for internal purposes) Efforts related to Collaborative Care Model S. 3197, the Improving Access to Health Care in Rural and Underserved Areas Act H.R. 6139, the COVID-19 Health Care Worker Protection Act of 2020 H.Res. 908 (S.Res. 580) Condemning all forms of Anti-Asian Sentiment as related to COVID-19 H.R. 6585, the Equitable Data Collection and Disclosure on COVID-19 Act H.R. 7078, the EDOT Act of 2020 HR 7077, the Community Solutions for COVID-19 Act H.R. 7780, the Virtual Community Support Act of 2020 H. R. 8016, the Peer Assisted Relief Through Empathetic Resources and Supports (PARTNERS) Act H. R. 8206, the Promoting Effective and Empowering Recovery Services in Medicare Act of 2020 (PEERS Medicare Act of 2020) 2021 Centers for Medicare and Medicaid Services (CMS), Medicare Physician Fee Schedule (MPFS) Final Rule, E/M (H.R. 8702; H.R. 8505; S. 4932) H.R. 9035, the Permanency for Audio Only Telehealth Act H.R. 7663, Protecting Access to Post-COVID-19 Telehealth Act of 2020 H.R. 8283/S. 4421 TREAT Act H.R. 2482/S. 2074 Mainstreaming Addiction Treatment Act of 2019 Misuse of race data within clinical algorithms.

Client expense: $238,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of the Vice President of the United States, SENATE, Veterans Affairs, Dept of (VA), White House Office

Expressed support for the RISE Act (S.4286) (H.R. 5613) Expressed support for the TREAT Act (S.4421) Requested letters of support for NIOSH Total Worker Health Center grant proposal Expressed support for financial relief for physicians and other providers scheduled to receive cuts in the CMS 2021 Physician Fee Schedule (H.R. 8702) Expressed support for extension of Medicare sequestration relief Expressed support for flexibility in the use of resources from the CARES Act Provider Relief Fund Expressed support for Supporting Children with Disabilities During COVID-19 Act (H.R. 8523)

Client expense: $110,852 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 3502, Protecting People from Surprise Medical Bills Act, all provisions H.R. 5826, Consumer Protections Against Surprise Medical Bills Act of 2020, all provisions H.R. 3630, No Surprises Act, all provisions S. 1895, Lower Health Care Costs Act, provisions relating to surprise billing S. 1531, Stopping The Outrageous Practice of (STOP) Surprise Medical Bills Act of 2019, all provisions S. 4421, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act, all provisions H.R. 6644, To require group health plans and health insurance issuers offering group or individual health insurance coverage to provide coverage for services furnished via telehealth if such services would be covered if furnished in-person during the COVID-19 emergency, all provisions S. 3741, Health Care at Home Act of 2020, all provisions S. 4666, National Coronavirus Commission Act of 2020, all provisions S. 4507, Getting Early Treatment and Comprehensive Assessments Reduces Emergencies (GET CARE) Act of 2020, all provisions H.R. 8441, Frontline Heroes Act, all provisions S. 4317, SAFE TO WORK Act, all provisions H.R. 925, The Heroes Act, all provisions S. 3749, Public Health Emergency Privacy Act, all provisions S. 3861, Exposure Notification Privacy Act, all provisions H.R. 6585, Equitable Data Collection and Disclosure on COVID-19 Act, all provisions H.R. 7510, Assimilating Health and Equity Assessments into Decision-making (AHEAD Act) of 2020, all provisions S. 4919, Assimilating Health and Equity Assessments into Decision-making (AHEAD Act) of 2020, all provisions H.R. 6808, Health Force and Resilience Force Act of 2020, all provisions S. 3606, Health Force and Resilience Force Act of 2020, all provisions H.R. 7255, Coronavirus Health Care Worker Wellness Act of 2020, all provisions H.R. 8094, Dr. Lorna Breen Health Care Provider Protection Act, all provisions S. 4349, Dr. Lorna Breen Health Care Provider Protection Act, all provisions H.R. 3884, Marijuana Opportunity Reinvestment and Expungement (MORE) Act of 2020, all provisions S. 2032, Cannabidiol and Marihuana Research Expansion Act, all provisions H.R. 1503, Orange Book Transparency Act of 2019, provisions related to PBM and prescription drug price transparency H.R. 1520, Purple Book Continuity Act of 2019, provisions related to PBM and prescription drug price transparency H.R. 987, Strengthening Health Care and Lowering Prescription Drug Costs Act, provisions related to PBM and prescription drug price transparency H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, provisions related to PBM and prescription drug price transparency H.R. 4995, Maternal Health Quality Improvement Act of 2020, all provisions H.R. 7120, George Floyd Justice in Policing Act of 2020, provisions relating to police reform Affordable Care Act stabilization Expansion of Paycheck Protection Program for 501(c)6s Public Health and Social Services Emergency Fund Marginalized and minoritized communities/COVID-19 disproportionate impact COVID-19 long haulers COVID-19 testing/vaccines/health care prior authorization COVID-19/treatment and prescribing flexibilities COVID-19/Expanded PPE/clearinghouses E/M services Surprise medical billing executive orders Surprise Medical Billing, generally Clinical and administrative data intersection State Medical Boards/Interstate Medical Licensure Compact Pharmacists and COVID-19 testing Mental health parity Digital therapeutics Physician practice financial impact 21st Century Cures Act/health data and privacy 42 CFR Part 2, HIPAA Patent reform CPT - digital Most favored nation drug pricing Drug pricing Health Information Technology/information blocking Dietary guidelines/alcohol consumption Data privacy Cyber security best practices Race and sex stereotyping executive order

Client expense: $4,170,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 8283, S. 4421 Temporary Reciprocity to Ensure Access to Treatment Act; Telehealth; Provider Relief Fund Distribution; Physician Reimbursement; 340B Drug Pricing; Aging in Place.

Client expense: $130,000 · Firm income: Not reported

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

S 4248, HR 7618COVID-19 Bias and Anti-Racism Training Act of 2020 S 4421, HR 8283TREAT Act Issues involving higher education, training, and research, including medical education, student health insurance, mental health, health services across state lines, and implementation of policy on research involving fetal tissue and stem cells.

Client expense: $135,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS)

H.R. 8283/S.4421: TREAT Act Provisions related to expanding telehealth services across state lines during the COVID-19 pandemic and other health emergencies

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 145 by SCOTT (R-SC) CHOICE Act S. 233 by BLACKBURN (R-TN) a resolution on freedom of speech at institutions of higher education S. 416 by CARDIN (D-MD) FAFSA Fairness Act of 2019 S. 460 by THUNE (R-SD) Employer Participation in Repayment Act S. 632 LANKFORD (R-OK) Lessening Impediments from Taxes (LIFT) Act S. 681 by WYDEN (D-OR) Student Right to Know Before You Go Act S. 800 by CASSIDY (R-LA) College Transparency Act S. 830 by GILLIBRAND (D-NY) a bill to amend the Federal Work-Study program to permit institutions of higher education to use their Federal Work-Study allocations for full-time, off-campus cooperative education and work-based learning S. 839 by KAINE (D-VA) a bill to extend Federal Pell Grant eligibility of certain short-term programs S. 852 by SCOTT (R-SC) Anti-Semitism Awareness Act of 2019 S. 1279 by JONES (D-AL) FUTURE Act S. 2557 by ALEXANDER (R-TN) Student Aid Improvement Act S. 2667, by ALEXANDER (R-TN) the FAFSA Simplification Act S. 3701 by KLOBUCHAR (D-MN) Supporting Connectivity for Higher Education Students in Need Act S. 4081 by STABENOW (D-MI) the Reopen Schools Safety Act S. 4112 by MURRAY (D-WA) the Coronavirus Child Care and Education Relief Act S. 4317 by CORNYN (R-TX) SAFE TO WORK ACT S. 4408 by HASSAN (D-NH) Upskilling and Retraining Assistance Act S. 4421 by MURPHY (D-CT) TREAT Act Bipartisan State and Local Support and Small Business Protections Act by CASSIDY (R-LA) H.R. 5 by CICILLINE (D-RI) Equality Act H.R. 6 by ROYBAL-ALLARD (D-CA) American Dream and Promise Act H.R. 63 by BANKS (R-IN) Student Loan Disclosure Modernization Act H.R. 133 by CUELLAR (D-TX) Consolidated Appropriations Act 2021 H.R. 6814 by ESHOO (D-CA) Supporting Connectivity for Higher Education Students in Need Act H.R. 925 by LOWEY (D-NY) House Amendment to Senate Amendment, Heroes Act 2.0 H.R. 1043 by PETERS (D-CA) Employer Participation in Repayment Act H.R. 1044 by LOFGREN (D-CA) Fairness for High Skilled Immigrants Act of 2019 H.R. 1075 by CUMMINGS (D-MD) FAFSA Fairness Act of 2019 H.R. 1161 by CLEAVER (D-MO) Student Loan Disclosure Modernization Act H.R. 1298 by LEWIS (D-GA) Higher Education Dream Act H.R. 1565 by HUNTER (R-CA) Student Right to Know Before You Go Act H.R. 1766 by MITCHELL (R-MI) College Transparency Act H.R. 1994 by NEAL (D-MA) Setting Every Community Up for Retirement Act (SECURE Act) H.R. 2006 by SHALALA (D-FL) College Equity Act H.R. 2486 by ADAMS (D-NC) FUTURE Act H.R. 2574 by SCOTT (D-VA) Equity and Inclusion Enforcement Act of 2019 H.R. 2875 by MALONEY (D-NY) Ravi Thackurdeen Safe Students Study Abroad Act H.R. 3126 by GALLEGO (D-AZ) Collegiate Freedom of Association Act H.R. 3300 by NEAL (D-MA) Economic Mobility Act of 2019 H.R. 3809 by LAWSON (D-FL) College Student Hunger Act H.R. 3877 by YARMUTH (D-KY) Bipartisan Budget Act of 2019 H.R. 4193 by SHALALA (D-FL) Student Loan Disclosure Transparency Act H.R. 4438 by BOYLE (D-PA) Dont Tax Higher Education Act H.R. 4497 by SHALALA (D-FL) Protecting Student Aid Act H.R. 4608 by KILMER (D-WA) Pell Plus Act H.R. 4615 by SHALALA (D-FL) Stop College Closures Act H.R. 4625 by LEVIN (D-CA) Protect the GI Bill Act H.R. 4674 by SCOTT (D-VA) College Affordability Act H.R. 4849 by SMITH (R-MO) Upward Mobility ENHANCEMENT Act H.R. 5331 by STEWART (R-UT) Fairness for All Act H.R. 5363 by ADAMS (D-NC) FUTURE Act H.R. 6201 by LOWEY (D-NY) Families First Coronavirus Response Act H.R. 6275 by SCOTT (D-VA) Supporting Students in Response to Coronavirus Act H.R. 6749, by DOGGETT (D-TX) legislation to expand the American Opportunity Student Tax Relief of 2020 and other higher education tax relief measures H.R. 6800 by LOWEY (D-NY) the Heroes Act H.R. 6814 by ESHOO (D-CA) Connectivity for Higher Education Students in Need Act H.R. 7010 by COURTNEY (D-CT) Paycheck Protection Program (PPP) Flexibility Act of 2020 H.R. 7011 by MALONEY (D-NY) the Pandemic Risk Insurance Act of 2020 H.R. 8283 by LATTA (R-OH) TREAT Act H.J. Res. 56 by DURBIN (D-IL) providing for Congressional disapproval under Chapter 8 of Title 5, United States Code, of the rule submitted by the Department of Education relating to Borrower Defense Institutional Accountability H.J. Res. 76 by LEE (D-NV) providing for Congressional disapproval under Chapter 8 of Title 5, United States Code, of the rule submitted by the Department of Education relating to Borrower Defense Institutional Accountability H.Res.191 by ROE (R-TN) a resolution on freedom of speech at institutions of higher education

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

Government targets: Education, Dept of, Federal Communications Commission (FCC), Internal Revenue Service (IRS), Treasury, Dept of, White House Office

S. 348/H.R. 1763 Resident Physician Shortage Reduction Act of 2019; all provisions. S. 2443: Investment in Tomorrow's Pediatric Health Care Workforce Act; all provisions. S. 2546 / H.R. 2279: Safe Step Act; all provisions. S. 3599/H.R. 6788: Healthcare Workforce Resilience Act; all provisions. S. 3741/ H.R. 6644: The Health Care at Home Act; all provisions. S. 3993: The Equal Access to Care Act; all provisions. S. 4421/ H.R. 8283: the Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act. S. 7819/H.R. 4525 Eliminating the Provider Relief Fund Tax Penalties Act of 2020; all provisions. H.R.133: The Consolidated Appropriations Act, 2021, Division H Title II Department of Health and Human Services; Division BB, Titles I, No Surprises Act. H.R. 2781: Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act, section 4. H.R. 3502: Protecting People from Surprise Medical Bills Act; all provisions. H.R. 6800: The Heroes Act; Title VI and Title X Division C. H.R. 7059: The Coronavirus Provider Protection Act; all provisions. H.R. 7255: Coronavirus Health Care Worker Wellness Act of 2020; all provisions. Supporting policies to address the COVID-19 public health emergency, including funding for personal protective equipment, maintaining telemedicine coverage, ensuring access to affordable health coverage, and medical liability flexibility relating to COVID-19. Funding for the CDC National Neurological Conditions Surveillance System. Medical research funding related to fetal tissue, AHRQ, and the NIH including the BRAIN Initiative. Funding for Congressionally Directed Medical Research Programs at the DoD. Policy to address surprise medical billing. Promoting interoperability in electronic health records. Maintain work authorization for individuals currently in DACA status during the COVID-19 national emergency and other policies to support health care providers who live, work, and train in the United States but are not US citizens.

Client expense: $180,000 · Firm income: Not reported

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

No Surprises Act (H.R. 133) Verifying Accurate Leading-edge IVCT Development Act of 2020 (S.3404, H.R. 6102) Temporary Reciprocity to Ensure Access to Treatment Act (S.4421, H.R. 8283) Rare Cancer Awareness, Research, and Treatment Act of 2020 (draft, not yet introduced) Government response to COVID-19, including liability reforms and supply chain issues

Client expense: $140,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 8283 - Temporary Reciprocity for Emergency Access to Treatment (TREAT) Act S. 4421 - Temporary Reciprocity for Emergency Access to Treatment (TREAT) Act - Regarding effects on universities' faculty, staff, students, and employees.

Client expense: $59,400 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Library of Congress (LOC), Natl Aeronautics & Space Administration (NASA), Natl Endowment for the Humanities, Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Science & Technology Policy (OSTP), SENATE, Small Business Administration (SBA), State, Dept of (DOS)

S.3548 -- CARES Act S.1002 -- HEA Related S.1059 -- HEA Related S.1615 -- Dream Act of 2017 S.128 -- BRIDGE Act S.718 S.789 S.808 S.830 S.839 S.867 S.888 S.889 S.943 S.976 H.R.6 -- American Dream and Promise Act of 2019 H.R.496 -- BRIDGE Act H.R.6543 -- Aim Higher Act H.R. 2740 FY19 & FY20 House Appropriations --SEOG --Perkins Loans --Pell Grant --Federal Work Study --TRIO --Student Financial Aid --Title VII --Title VIII HELP Appropriations Subcommittee Markup --SEOG --Perkins Loan DACA Energy and Water Federal Work Study Higher Education Higher Education Funding Immigration Visas Innovation Manufacturing Education Neighborhood Development Nursing Education PROSPER Act Re-authorization of the Higher Education Act Student Financial Aid Teacher Preparation Regulations H.R. 748- CARES Act H.R. 6800 HEROES Act TREAT Act Bill Numbers: (Temporary Reciprocity to Ensure Access to Treatment Act) S.4421/ HR 8283 H.R. 1044/S.386 H.R. 133 The Coronavirus Relief and Response Supplemental Appropriations and FY21 Omnibus Appropriations Act

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

Government targets: Army, Dept of (Corps of Engineers), Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), SENATE

FY21 House Appropriations --SEOG --Perkins Loans --Federal Work Study --Pell Grants --TRIO --Student Financial Aid --HRSA --Transportation --NIH --NSF --Research Funding FY21 Senate Appropriations --SEOG --Perkins Loans --Federal Work Study --Pell Grants --TRIO --Student Financial Aid --Titles VII and VIII --HRSA --Transportation --NIH --NSF --Research Funding House Education and the Workforce --Higher education Re-authorization of the Higher Education Act HELP Appropriations Subcommittee Markup --SEOG --Perkins Loans Senate HELP Committee --Higher education Energy and Water Federal Work Study Higher Education Funding Manufacturing Education Neighborhood Development NIST Tax Reform Transportation H.R. 2740 H.R. 748 H.R. 6800 (HEROES Act) TREAT Act Bill Numbers: (Temporary Reciprocity to Ensure Access to Treatment Act) S.4421/ HR 8283 H.R. 133 The Coronavirus Relief and Response Supplemental Appropriations and FY21 Omnibus Appropriations Act

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

Government targets: Army, Dept of (Corps of Engineers), Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), SENATE

Medicaid program reforms, including telemedicine and Medicaid Fiscal Accountability Regulation Implementation of health care reform Section 340B drug pricing program Health care disparities issues generally Drug pricing reforms generally, including H.R. 3 (Lower Drug Costs Now Act of 2019), all provisions S. 1895 (Lower Health Care Costs Act), Title I, regarding hospital billing practices H.R. 2328 (REACH Act), Title IV, regarding hospital billing practices Implementation of electronic health records regulations generally Telemedicine policy generally, including FCC grant program for telehealth H.R. 5900 (Accelerating Kids' Access to Care Act), all provisions H.R. 7663 (Protecting Access to Post-COVID-19 Telehealth Act of 2020), all provisions S. 4108 (Coronavirus Medicaid Response Act), all provisions Mental health legislation generally H.R. 8283 (Temporary Reciprocity to Ensure Access to Treatment Act), all provisions S. 4421 (Temporary Reciprocity to Ensure Access to Treatment Act), all provisions Childhood vaccines legislation generally H.R. 8476, the Telehealth Improvement for Kids Essential Services Act

Client expense: $90,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act, S. 4421 - providing temporary reciprocity for health practitioners practicing telehealth during a declared emergency

Client expense: $5,000 · Firm income: Not reported

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

H.R.7676/ S.4106 - "Health Care PRICE Transparency Act" - Oppose public disclosure of confidential hospital negotiated rates with payers H.R. 1384 - "Medicare For All Act of 2019", S.1129 - Oppose government-run national health insurance H.R. 2085/ S.1033 "Consumer Health Options and Insurance Competition Enhancement Act (CHOICE) Act", H.R. 2000/S.981 - "Medicare-X Choice Act of 2019" - Oppose public option S. 1895 - "Lower Health Care Costs Act" - Support protecting patients from surprise billing and oppose government rate setting. Advocated for appropriate transparency and contracting flexibility. S.1531 "Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019", H.R. 3630 "No Surprises Act", H.R. 3502 "Protecting People From Surprise Medical Bills Act", H.R. 5800 Ban Surprise Billing Act, H.R. 5826 "Consumer Protections Against Surprise Medical Bills Act of 2020" - Advocate to protect patients from surprise billing and oppose government rate setting. H.R. 6837/ S. 3750 "Medicare Accelerated and Advance Payments Improvement Act of 2020" - Support amended payment terms for eligible health care providers under the Medicare Accelerated and Advance Payments Program H.R. 6800 "Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act" - Support Division C, Health Provisions for Medicare and Medicaid that support health care providers and patients H.R. 6365/ S. 3559 "Immediate Relief for Rural Facilities and Providers Act of 2020" - Support expansion of access to telehealth programs for tax paying rural hospitals H.R. 7059 "Coronavirus Provider Protection Act" - Evaluated and advocated for improvements to legislation relating to liability protections during COVID-19 S. 4317 - "SAFE TO WORK Act" - Develop proposal to protect hospitals, healthcare professionals and facilities from liability due to COVID-19 H.R. 7819 / S. 4525 - " Eliminating the Provider Relief Fund Tax Penalties Act of 2020" - Support technical corrections to Provider Relief Fund to ensure funds received are not taxable H.R. 8337 - "Continuing Appropriations Act, 2021 and Other Extensions Act" - Support passage of continuing resolution, including language to improve repayment terms of Medicare Accelerated and Advance Payment Programs. H.R. 8061 - "Community Immunity During COVID-19 Act of 2020" - Support legislation that increases community access and awareness to vaccinations. S. 4421 - "The Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act" - Support legislation that provides temporary licensing reciprocity for health care professionals. H.R. 133 - "Consolidated Appropriations Act, 2021" - Advocated in support of protecting patients from surprise billing, COVID-19 response. H.Res. 1200 - "Supporting the goals and ideals of National Rural Health Day" - Support National Rural Health Day.

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office

H.R.7614, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, FY2021, Cancer research related issues; and Workforce health issues Public Law 116-283, William M. (Mac) Thornberry National Defense Authorization Act for Fiscal Year 2021, Hospital related issues S.4421, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act H.R.9049, To amend title XVIII of the Social Security Act to establish a cancer center construction grant program, Entirety Public Law 116-260, Consolidated Appropriations Act, 2021, Division H, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2021, Cancer research related issues; and Workforce health issues; Division BB, Private Health Insurance and Public Health Provisions, Surprise Medical Billing; Monitor Division M Cornavirus Response and Relief Supplemental Appropriations Act, 2021, and Monitor Division N Additional Coronavirus Response and Relief

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 4421, H.R. 8283, "The Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act" (Interest is to allow university medical personnel to treat students in other states studying remotely during coronavirus emergency);

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Science & Technology Policy (OSTP), SENATE, White House Office

S. 4421/H.R. 8283 -- Temporary Reciprocity to Ensure Access to Treatment Act -- A bill to provide temporary licensing reciprocity for telehealth and interstate health care treatment. Support for national emergency telemedicine standards to enable efficient and effective deployment of healthcare providers and to ensure continuity of care for displaced college students.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

COVID-19 relief P.L. 111-148 - Patient Protection and Affordable Care Act Health Information Technology Health workforce shortage issues, Title VII and Title VIII of the Public Health Service Act, nursing, graduate nursing education, nursing-managed health clinics Health wellness and prevention programs Research tobacco, e-cigarettes and flavorings University Center for Excellence in Developmental Disabilities Leadership in Education in Neurodevelopmental Disabilities and Related Disorders (LEND) H.R. 728, S. 1399 - Title VIII Nursing Workforce Reauthorization Act H.R.1058, S.427 - Autism CARES Act of 2019 H.R. 3630 - No Surprises Act S. 1895 - Lower Health Care Costs Act H.R. 1058, S. 427 - House Autism CARES Act H.R.2417 - HEADs UP Act H.R. 3 - Lower Drug Costs Now Act S. 2543 - Prescription Drug Pricing Reduction Act. H.R. 2328 - Reauthorizing and Extending Americas Community Health (REACH) Act S. 2997 - Title VII Reauthorization Act H.R. 5826 - Consumer Protections Against Surprise Medical Bills H.R. 5800 - Ban Surprise Medical Bills S. 2433 - Investment in Tomorrows Pediatric Health Care Workforce Act S. 4421 - Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 7078, "Evaluating Disparities and Outcomes of Telehealth During the COVID-19 Emergency Act", all provisions. H.R. 6644, "Health Care at Home Act", all provisions. S. 3792, "Tele-Mental Health Improvement Act", all provisions. Issues pertaining to the Senate's fourth covid-19 relief package. S. 4421, "TREAT Act", all provisions.

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE