MOMMA’s Act

Regulation of electronic nicotine delivery system products as a less harmful alternative for adult smokers; Issues related to enforcement of illicit tobacco products, including importation of counterfeit products; Issues related to taxation and user fees for tobacco products; H.R. 293, Youth Vaping Prevention Act of 2019; H.R. 1498/S. 655, SAFE Kids Act; H.R. 1642/S. 1965, Combating the Illicit Trade in Tobacco Products Act; H.R. 1897/S. 916, MOMMAs Act; provisions related to taxation of tobacco products; H.R. 2339/S.3174, Reversing the Youth Tobacco Epidemic Act; H.R. 3942/S. 1253, Preventing Online Sales of E-Cigarettes to Children Act; H.R. 4425, Quell Underage Inhaling of Toxic Substances Act of 2019; H.R. 5721/S. 3223, Resources to Prevent Youth Vaping Act; H.R. 6637, Health Equity and Accountability Act of 2020; provisions related to taxation of tobacco products; S. 616, E-cigarette Youth Protection Act; S. 2517, Tobacco Tax Equity Act of 2019; S. 2519, Prohibiting Non-tobacco E-cigarette Flavors; and S. 2536, E-Cigarette Device Standards Act of 2019.

Client expense: $740,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

340B Drug Pricing Program; Medicare Shared Savings Program; Medicare Advantage; Alternative Payment Models; Graduate Medical Education; Centers for Medicare and Medicaid Innovation; Stark Law Reform/Modernization; Value-Based Purchasing Payments; Post-Acute and Home Health Care Payments; Drug Pricing and Medicare Parts B and D; Medicare Regulatory Reform; Medicaid Funding; Health Care Innovation; Telehealth/Digital Health; S 433/HR 2753 Home Health Payment Innovation Act of 2019; S 296/HR 2150 Home Health Care Planning Improvement Act of 2019; Maternal Mortality; H.R. 1897/S. 916 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act); Surprise Billing; Anti-Kickback Statute Reform; CREATES Act; HR 1499 Protecting Consumer Access to Generic Drugs; Accountable Care Organizations; HR 987 Strengthening Health Care and Lowering Prescription Drug Costs; COVID-19; Value in Health Care Act

Client expense: $580,000 · Firm income: Not reported

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

Issues related to Drug Enforcement Agency (DEC) implementation of S. 916; Reimbursement issues; issues related to opioid addiction; issues related to NIH/HHS funding levels; issues related to funding for CARA, medication assisted treatment and 21st Century Cures Act; Implementation of CARA Act. S. 2543, Prescription Drug Pricing Reduction Act (PDPRA) of 2019 and H.R. 3, Lower Drug Costs Now Act of 2019. H.R. 4712 Fairness in Orphan Drug Exclusivity Act. Policies impacting U.S. address to the Covid-19 pandemic, including H.R. 604 Coronavirus Preparedness and Response Supplemental Appropriations Act, Public Law No: 116-123.; H. R . 6201 Families First Coronavirus Response Act, Public Law No: 116-127; and H. R. 748 CARES Act, Public Law No: 116-136. Policies impacting orphan drug approval and reimbursement, including H.R. 4712/S. 3272, Fairness in Orphan Drug Exclusivity Act; and H.R. 133, Consolidated Appropriations Act, 2021, Public Law No: 116-260.

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

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

Advocate to reduce maternal mortality, increase access to comprehensive prenatal care, implement evidence-based childbirth education in prenatal care models and make childbirth education more accessible to all women. H.R. 1551/S. 1960, the Quality Care for Moms and Babies Act H.R. 1897/S. 916, the MOMMA's Act H.R. 2602, the Healthy MOMMIES Act H.R. 2778/S. 1481, the Healthy MOM Act H.R. 4215, Excellence in Maternal Health Act S. 116, MOMs Act S. 1343, MOMMIES Act H.R. 6132, the Social Determinants for Moms Act H.R. 6144, the Honoring Kira Johnson Act H.R. 6141, the Protecting Moms who Served Act H.R. 6164, the Perinatal Workforce Act H.R. 5640/S. 3152, the Data Mapping to Save Moms Lives Act H.R. 6143, the Moms MATTER Act H.R. 6129, the Justice for Incarcerated Moms Act H.R. 5640/S. 3152, the Data Mapping to Save Moms Act H.R. 6137, the IMPACT to Save Moms Act H.R. 2751, the Mamas First Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Issues related to rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Privacy; Universal Coverage. H.R. 861 - End Surprise Billing Act, 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: Issues related to surprise billing, including benchmark payments, arbitration models, and out of network billing. S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug costs and prescription rebates. H.R. 19 - Lower Costs, More Cures Act of 2019: Issues related to prescription drug pricing S. 2546, H.R.2279 - Safe Step Act: Issues related to managed care, prior authorization. S. 3374 - Protecting Jessica Grubb's Legacy Act: Issues regarding HIPPA, confidentiality of substance abuse records H.R. 6139 - Health Care Protection Act: Issues related to COVID-19, funding for surveillance testing and treatment, financial assistance for individual health insurance, COBRA, financial assistance to maintain employer health plan coverage, and emergency funding for hospitals and providers. H.R. 6800 - HEROES ACT: Issues related to COVID-19, Federal Medical Assistance Percentages, Medicaid and COBRA. H.R. 1425 - Patient Protection and Affordable Care Enhancement ACT: Issues related to COVID-19, Medicaid expansion, and prescription drugs. Issues related to drug and price transparency, including the Administrations rule on interoperability and Executive order on transparency.

Client expense: $980,000 · Firm income: Not reported

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

H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Issues related to rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Privacy; Universal Coverage. H.R. 861 - End Surprise Billing Act, 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: Issues related to surprise billing, including benchmark payments, arbitration models, and out of network billing. S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act, H.R. 4996 - Helping Medicaid Offer Maternity Services Act of 2019: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug costs and prescription rebates. H.R. 6201 Families First Coronavirus Response Act, S. 3548, H.R. 748 - CARES Act: Issues regarding taxes on high cost employer-sponsored health coverage. H.R. 19 - Lower Costs, More Cures Act of 2019: Issues related to prescription drug pricing S. 2546, H.R.2279 - Safe Step Act: Issues related to managed care, prior authorization. S. 3374 - Protecting Jessica Grubb's Legacy Act: Issues regarding HIPPA, confidentiality of substance abuse records Issues related to drug and price transparency, including the Administrations rule on interoperability and Executive order on transparency.

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

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

Regulation of electronic nicotine delivery system products as a less harmful alternative for adult smokers; Issues related to enforcement of illicit tobacco products, including importation of counterfeit products; Issues related to taxation and user fees for tobacco products; H.R. 293, Youth Vaping Prevention Act of 2019; H.R. 1498/S. 655, SAFE Kids Act; H.R. 1642/S. 1965, Combating the Illicit Trade in Tobacco Products Act; H.R. 1897/S. 916, MOMMAs Act; provisions related to taxation of tobacco products; H.R. 2084, SCOTT Act of 2019; H.R. 2111/S. 1048, PROTECT Act; H.R. 2339/S.3174, Reversing the Youth Tobacco Epidemic Act; H.R. 3942/S. 1253, Preventing Online Sales of E-Cigarettes to Children Act; H.R. 4425, Quell Underage Inhaling of Toxic Substances Act of 2019; H.R. 5721/S. 3223, Resources to Prevent Youth Vaping Act; H.R. 6637, Health Equity and Accountability Act of 2020; provisions related to taxation of tobacco products; H.R. 8137, the Accurate Reporting of Smoking Variants Act of 2020; S. 616, E-cigarette Youth Protection Act; S. 2517, Tobacco Tax Equity Act of 2019; S. 2519, Prohibiting Non-tobacco E-cigarette Flavors; and S. 2536, E-Cigarette Device Standards Act of 2019.

Client expense: $890,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3799/H.R. 4701, HEAL for Immigrant Women and Families Act of 2019, in support of health care services including sexual, reproductive, and material health care for immigrant women; S. 916/H.R. 1897, Mothers and Offspring Mortality and Morbidity Awareness Act, in support of preventing maternal mortality and improving maternal health; S. 116, Modernizing Obstetric Medicine Standards Act, in support of improving maternal safety and health outcomes; S. 368/H.R. 1055, Global Health, Empowerment, and Rights (HER) Act, in opposition to the global gag rule; H.R. 1551, Quality Care for Moms and Babies Act, in support of improving maternal and infant health outcomes; S. 3424/H.R. 6142, Black Maternal Health Momnibus Act of 2020, in support of maternal health and closing disparities in maternal health outcomes for women of color; H.R. 6165, Data to Save Moms Act of 2020, in support of increased data collection to improve maternal mortality and severe maternal morbidity for women of color; H.R. 6137, IMPACT to Save Moms Act of 2020, in support of increasing access to perinatal care and improving black maternal health; H.R. 6144, Kira Johnson Act, in support of investments to prevent maternal mortality and severe maternal morbidity for black women; H.R. 6141, Protecting Moms Who Served Act, in support of improving maternity care coordination for women veterans; H.R. 6132, Social Determinants for Moms Act of 2020, in support of addressing social determinants of health for women in prenatal and postpartum periods; H.R. 6138, Tech to Save Moms Act, in support of investments in technology to improve health outcomes for underserved populations; H.R. 6143, Moms MATTER Act of 2020, in support of improving maternal and behavioral health outcomes for women of color; H.R. 6129, Justice for Incarcerated Moms Act, in support of increasing care and protection to incarcerated mothers; H.R. 1109, Mental Health Services for Students Act of 2019, in support of increasing access to comprehensive school-based mental health programs; S. Res. 655, A resolution declaring racism a public health crisis, in support of declaring racism a public health crisis; H.R. 6637, Health Equity and Accountability Act of 2020, in support of improving health care for minority individuals; In support of comprehensive healthcare for all, including immigrants, particularly during the coronavirus pandemic; In support of quality, affordable, and accessible reproductive health care, particularly during the coronavirus pandemic.

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

Government targets: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, SENATE

H.Res.896, Reaffirming support of fundamental United States principles at the United Nations and encouraging the World Health Organization to embrace technological advancements in tobacco control H.R. 293, Youth Vaping Prevention Act S. 655/H.R. 1498, SAFE Kids Act S. 1965/H.R. 1642, Combatting Illicit Trade in Tobacco Products Act S. 916/H.R. 1897, MOMMAS Act; provisions related to the taxation of tobacco products H.R. 2084, Stopping Consumption of Tobacco by Teens (SCOTT) Act S. 1048/H.R. 2111, Preventing Opportunities for Teen E-Cigarette and Tobacco Addiction (PROTECT) Act H.R. 2339, Reversing the Youth Tobacco Epidemic Act H.R. 2726, Banning Smoking on Amtrak Act S. 1823/H.R. 3229, Children Dont Belong on Tobacco Farms Act S. 1253/H.R. 3942, Preventing Online Sales of E-Cigarettes to Children Act S. 1832/H.R. 4019, Smoke-Free Schools Act H.R. 4249, Stop Vaping Ads Act S. 2517/H.R. 4425, Tobacco Tax Parity Act/Quell Underage Inhaling of Toxic Substances (QUITS) Act H.R. 4624, Ending Nicotine Dependence from Electronic Nicotine Delivery Systems (END ENDS) Act H.R. 4742, Imposition of Tax on Nicotine for Use in Vapor Act H.R. 5005, Prevent Vape Use Act S. 3096/H.R. 5482, PREVENT (Providing Resources to End the Vaping Epidemic Now for Teenagers) Act S. 3223/H.R. 5721, Resources to Prevent Youth Vaping Act S. 3263/H.R. 5845, Break Free from Plastic Pollution Act H.R. 5963, E-Cigarette Oversight and Accountability Act S. 616, E-Cigarette Youth Protection Act S. 1258/H.R. 2411, Tobacco to 21 Act S. 1541, Tobacco-Free Youth Act S. 1895, Lower Health Care Costs Act S. 2463, E-Cigarette Tax Parity Act S. 2519, Ending New Nicotine Dependencies (ENND) Act S. 2536, E-Cigarette Device Standards Act S. 2550, No Tax Subsidies for E-Cigarette and Tobacco Ads Act S.4524 - Quit Because of COVID-19 Act H.R.8137 - Accurate Reporting of Smoking Variants Act of 2020 H.R.8343 - To amend the Federal Food, Drug, and Cosmetic Act to require the Secretary to refer each application for review of certain tobacco products to the Tobacco Products Scientific Advisory Committee, and for other purposes. Implementation of P.L. 111-31, the Tobacco Control Act Issues surrounding FDA PMTA and MRTP compliance policies Issues surrounding taxation of tobacco products January 2020 FDA guidance on flavors in vapor products Issues surrounding implementation of P.L. 111-31, the Tobacco Control Act January 2020 FDA guidance on flavors in vapor products FDA proposed rule concerning NNN Levels in Smokeless Tobacco Products ANPRMS for Docket Nos. FDA-2017-N-6189 and FDA-2017-N-6565 Draft Guidance for Certain Marketed Tobacco Products, Docket No. FDA-2018-D-3244-0001

Client expense: $360,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Customs & Border Protection, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions, specifically Money follows the person. S. 1895 - The Lower Health Care Costs Act: Issues related to rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Privacy; Universal Coverage. H.R. 861 - End Surprise Billing Act, 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: Issues related to surprise billing, including benchmark payments, arbitration models, and out of network billing. S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act, H.R. 4996 - Helping Medicaid Offer Maternity Services Act of 2019: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug costs and prescription rebates. H.R. 19 - Lower Costs, More Cures Act of 2019: Issues related to prescription drug pricing. S. 2546, H.R.2279 - Safe Step Act: Issues related to managed care, prior authorization. S. 3374 - Protecting Jessica Grubb's Legacy Act: Issues regarding HIPPA, confidentiality of substance abuse records H.R. 6139 - Health Care Protection Act: Issues related to COVID-19, funding for surveillance testing and treatment, financial assistance for individual health insurance, COBRA, financial assistance to maintain employer health plan coverage, and emergency funding for hospitals and providers. H.R. 6800 - HEROES ACT: Issues related to COVID-19, Federal Medical Assistance Percentages, Medicaid and COBRA. H.R. 1425 - Patient Protection and Affordable Care Enhancement ACT: Issues related to COVID-19, Medicaid expansion, and prescription drugs. Issues related to drug and price transparency, including the Administrations rule on interoperability and Executive order on transparency.

Client expense: $980,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 925 - amended version of The Heroes Act (H.R.8406)- Lowey - Coronavirus Relief package H.R. 1897 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act) - Kelly - maternal health H.R. 4004 - Social Determinants Accelerator Act of 2019 - Bustos - social determinants of health H.R. 4215 - Excellence in Maternal Health Act of 2019 - Bucshon - maternal health H.R. 4768 - Home Visiting to Reduce Maternal Mortality and Morbidity Act - David - maternal health H.R. 4900 - Telehealth Across State Lines Act of 2019 - Roe - telehealth H.R. 4932 - Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019 - Thompson - telehealth H.R. 4995 - Maternal Health Quality Improvement Act of 2019 - Engel - maternal health outcomes H.R. 5190 - STAR Act - Harder - telemedicine assistance for rural health clinics and health centers H.R. 5257 - Telehealth Expansion Act of 2019 - Cox - establish FCC telehealth program H.R. 5473 - Enhance Access to Support Essential Behavioral Health Services Act - Bilirakis - telehealth H.R. 5640 - Data Mapping to Save Moms' Lives Act - Butterfield - maternal health H.R. 5681 - Protecting Communities from Hospital Closures Act of 2020 - Boyle - rural health H.R. 5754 - Rural ER Access Act - Green - rural health H.R. 5763 - National Telehealth Strategy and Data Advancement Act - Gianforte - telehealth H.R. 5800 - Ban Surprise Billing Act - Scott - surprise medical bills H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020 - Neal - surprise medical bills H.R. 5916 - Transparent Health Care Pricing Act of 2020 - Gallagher - provider transparency in health care services H.R. 5924 - To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians - McKinley - rural health, loan program H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 - Lowey - COVID-19 H.R. 6132 - Social Determinants for Moms Act of 2020 - McBath - maternal health and social determinants of health H.R. 6138 - Tech to Save Moms Act - Johnson - maternal health H.R. 6142 - Black Maternal Health Momnibus Act of 2020 - Underwood - maternal health H.R. 6143 - Moms MATTER Act of 2020 - Kennedy - maternal health H.R. 6144 - Kira Johnson Act - Adams - maternal health H.R. 6165 - Data to Save Moms Act of 2020 - Davids - maternal health H.R. 6232 - To require the Secretary of Health and Human Services, through the National Disaster Medical System, to provide for certain laboratory reimbursement for diagnostic testing for COVID-19 in uninsured individuals - Cardenas - Federal coverage of COVID-19 related visits and testing for uninsured individuals H.R. 6261 - To provide for coverage of testing for COVID-19 at no cost sharing for Indians receiving health services through the Indian Health Service - Ruiz - Federal coverage of COVID-19 related visits and testing for Native Americans H.R. 6351 - Universal Coronavirus Vaccine Act - Harder - COVID-19 H.R. 6379 - Take Responsibility for Workers and Families Act - Lowey - COVID-19 H.R. 6426 - To direct the Secretary of Health and Human Services to establish a program under which loans shall be made to certain health care organizations to assist such organizations with anticipated revenue loss or higher operating costs as a result of the COVID-19 emergency, and for other purposes - Max Rose - costs H.R. 6437 - Coronavirus Immigrant Families Protection Act - Chu - COVID19 H.R. 6467 -Coronavirus Community Relief Act - Neguse - COVID H.R. 6468 -To provide for an enhanced Coronavirus relief fund, and for other purposes. - Perlmutter - COVID H.R. 6474 - Healthcare Broadband Expansion During COVID-19 Act - Eshoo - rural health H.R. 6487 - ACCESS Act - Schakowsky - telehealth H.R. 6620 - To authorize grants to address substance use during COVID-19.- Kuster - COVID H.R. 6634 - Emergency COVID Telehealth Response Act - Axne - telehealth H.R. 6654 - Emergency COVID Telehealth Response Act -Axne - telehealth H.R. 6666 - COVID-19 Testing, Reaching, And Contacting Everyone (TRACE) Act - Rush - COVID H.R. 6719 - Emergency Medical Supplies Procurement Act - Khanna- COVID H.R. 6763 - COVID-19 Racial and Ethnic Disparities Task Force Act of 2020 - Kelley - COVID H.R. 6800 - HEROES Act - Lowey - COVID H.R. 6881 - Emergency Broadband Connections Act of 2020 - COVID H.R. 6926 - MIND Act -Boyle - COVID H.R. 6999 - Coronavirus Mental Health and Addiction Assistance Act of 2020 -Ryan - COVID H.R. 7017 - Right to Test Act - McHenry - Testing H.R. 7077 - Community Solutions for COVID-19 Act - Kelley - COVID H.R. 7190 - Increasing Rural Health Access During the COVID-19 Public Health Emergency Act of 2020 - Torres Small - COVID H.R. 7205 - Nationwide Dig Once Act of 2020 - Eshoo - broadband H.R. 7302 - To make high-speed broadband internet service accessible and affordable to all Americans, and for other purposes - Clyburn - Broadband H.R. 7359 - Accelerating Broadband Connectivity Act of 2020 - Kelley - Broadband H.R. 7534 - RURAL HELP Act of 2020 - Keller - study on cost disparities between rural and urban hospitals H.R. 7546 - Minority Community Public Health Emergency Response Act of 2020 - Lewis - minority, underserved communities access to public health and health care services during COVID-19 H.R. 7557 - To amend title VI of the Social Security Act to extend the coverage of Coronavirus Relief Fund payments to Tribal Governments - OHalleran - COVID-19 relief funds H.R. 7571 - Facilitating Reforms that Offer Necessary Telehealth In Every Rural (FRONTIER) Community Act - Young - expand telehealth mental health services to frontier states H.R. 7593 - TREATS Act - McKinley - Increase telehealth for SUD H.R. 7614 - Depts. of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act - DeLauro - Appropriations H.R. 7618 - COVID-19 Bias and Anti-Racism Training Act of 2020 - Adams - improve bias and anti-racism training for health entities H.R. 7649 - Jobs to Fight COVID-19 Act of 2020 - Morelle - initiative for national testing, contact tracing, pandemic response H.R. 7701 - Addiction Prevention and Responsible Opioid Practices Act- Cartwright - program for prevention of opioid misuse H.R. 7732 - How Awareness and Prevention Protect You Act - Wasserman Schultz - CDC campaign to increase awareness and knowledge of COVID-19 virus H.R. 7758 - Assistance for Rural Health, Safety and Educational Facilities Act - Scott - assistance to rural health facilities affected by COVID H.R. 7780 - Virtual Community Support Act of 2020 - Kennedy - community-based mental health and SUD services H.R. 7783 - Plasma Donation Awareness Act of 2020 - Peters - national awareness and outreach on plasma donation H.R. 7972 - Rural Connectivity Advancement Program Act of 2020 - Latta - rural communications infrastructure H.R. 7992 - Telehealth Act - Wagner - telehealth expansion H.R. 8027 - Maternal Health Pandemic Response Act of 2020 - Underwood - maternal health H.R. 8061 - Community Immunity During COVID-19 Act of 2020 - Underwood - fund health depts to increase recommended immunizations H.R. 8086 - To provide additional appropriations for the public health and social services emergency fund - Burgess - appropriations for public health and social services fund H.R. 8098 - Hospital Competition Act of 2020- Banks - hospital price transparency H.R. 8141 - Strengthening Mental Health Supports for BIPOC Communities Act - Cardenas - reduce health inequities for racial and ethnic minority H.R. 8156 - Ensuring Telehealth Expansion Act of 2020 - Williams - extend telehealth provisions H.R. 8192 - COVID Community Care Act - Lee - health appropriations H.R. 8200 - To improve the health of minority individuals during the COVID-19 pandemic - Kelly - health disparities in communities of color H.R. 8203 - COVID-19 Health Disparities Action Act of 2020 - Cardenas - action plan, grants, awareness campaign for COVID health disparities H.R. 8337 - Continuing Appropriations Act, 2021 - Lowey - Health appropriations H.R. 8351 - Community Health Center Mental Health Screening Act - Dean - mental and behavioral health screenings H.R. 8368 - To amend title VI of the Social Security Act to permit the use of amounts under the Coronavirus Relief Fund for rural broadband expansion and improvement - Barr - COVID-19, broadband H.R. 8406- The Heroes Act - Lowey - Coronavirus Relief package H.R. 8417 - To facilitate direct primary care arrangements - Crenshaw - direct primary care H.R. 8419 - To prevent surprise medical bills with respect to COVID-19 testing - Fletcher - COVID-19, surprise medical billing H.R. 8463 - To prohibit discrimination in health care and require the provision of equitable health care, and for other purposes - Schiff - equity in health care S. 116 - Modernizing Obstetric Medicine Standards Act of 2019 (MOMS Act) - Gillibrand - maternal health S. 916 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act) - Durbin - maternal health S. 2741 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 - Schatz - telehealth S. 2885 - Stop Marketing and Revealing the Wearables and Trackers Consumer Health Data Act - Cassidy - consumer health information S. 2986 - Social Determinants Accelerator Act of 2019 - Young - Social Determinants of Health S. 3152 - Data Mapping to Save Moms' Lives Act - Rosen - maternal health S. 3318 - Transparent Health Care Pricing Act of 2020 - Cassidy - disclosure of point-of-sale cash prices S. 3380 - Patient Safety Improvement Act of 2020 - Whitehouse - data collection and quality improvement S. 3424 - Black Maternal Health Momnibus Act of 2020 - Harris - maternal health S. 3437 - Improving Care in Rural America Reauthorization Act of 2020 - Loeffler - rural health S. 3438 - R-DOCS Reauthorization Act of 2020 - Loeffler - telehealth S. 3517 - ACCESS Act - Klobuchar - telehealth S. 3568 - Medical Supply Chain Emergency Act of 2020 - Murphy - expedite acquisition of PPE S. 3570 - To provide for the expedited procurement of equipment needed to combat COVID-19 under the Defense Production Act of 1950 - Baldwin - expedite acquisition of PPE S. 3721 - COVID-19 Racial and Ethnic Disparities Task Force Act of 2020 - Harris - COVID S. 3769 - Right to Test Act - Cruz - Testing S. 3825 - Coronavirus Mental Health and Addiction Assistance Act of 2020 - Klobuchar - COVID S. 3828 - Jobs to Fight COVID-19 Act of 2020 - Schatz - COVID S. 3838 - Health Care Broadband Expansion During COVID-19 Act -Schatz - broadband S. 3877 - Community Solutions for COVID-19 Act - Booker - COVID S. 3921 - Emergency Medical Supplies Procurement Act - Sanders - COVID S. 3951 - Increasing Rural Health Access During the COVID-19 Public Health Emergency Act of 2020 - McSally - COVID S. 3988 - Enhancing Preparedness through Telehealth Act - Cassidy - Telehealth S. 4015 - Rural Connectivity Advancement Program Act of 2020 - Thune - Rural S. 4021 - Accelerating Broadband Connectivity Act of 2020 - Wicker - Broadband S. 4058 - A bill to authorize grants to address substance use during COVID-19 - Smith - SUD S. 4059 - A bill to direct the Secretary of Health and Human Services to award grants to States, political subdivisions of States, Indian Tribes and Tribal organizations, community-based entities, and primary care and behavioral health organizations to address behavioral health needs caused by the public health emergency declared with respect to COVID-19 - Smith - Mental Health S. 4095 - A bill to provide emergency benefits for broadband service during periods relating to COVID-19, and for other purposes - Wyden - Broadband S. 4103 - A bill to amend title XVIII of the Social Security Act to increase the use of telehealth for substance use disorder treatment - Portman - telehealth S. 4113 - A bill to amend the Communications Act of 1934 to provide grants to States and Indian Tribes to deploy affordable, high-speed broadband to unserved and underserved areas - Bennett - broadband S. 4131 - Accessible, Affordable Internet for All Act - Klobuchar - broadband access S. 4163 - Timely and Effective Systematic Testing (TEST) Act - Gardner - Biosurveillance of COVID through testing S. 4211 - Facilitating Reforms that Offer Necessary Telehealth In Every Rural (FRONTIER) Community Act - Sullivan - expand mental health services through telehealth S. 4242 - Addiction Prevention and Responsible Opioid Practices Act- Durbin - program for prevention of opioid misuse S. 4248 - COVID-19 Bias and Anti-Racism Training Act of 2020 - Harris - improve bias and anti-racism training for health care entities S. 4262 - COVID-19 Health Disparities Action Act of 2020 - Menendez - HHS action plan, grants, public awareness campaign for COVID-19 and racial and ethnic minorities S. 4269 - Mothers and Newborns Success Act - Kaine - maternal health S. 4291 - DEPLOY Broadband Act - Gardner - rural broadband appropriations S. 4315 - COVID-19 Testing, Reaching, And Contacting Everyone Act - King - grants for testing and contact tracing, supported isolation at individuals residences S. 4317 - SAFE TO WORK Act - Cornyn - GOP COVID-19 relief package S. 4318 - American Workers, Families, and Employers Assistance Act - Grassley - GOP COVID-19 relief package S. 4319 - Supporting America's Restaurant Workers Act - Scott - GOP COVID-19 relief package S. 4320 - Coronavirus Response Additional Supplemental Appropriations Act, 2020 - Shelby - GOP COVID-19 relief package S. 4322 - Safely Back to School and Back to Work Act - Alexander - GOP COVID-19 relief package S. 4323 - TRUST Act of 2020 - Romney - GOP COVID-19 relief package S. 4388 - Mental Health Equity Act of 2020 - Menendez - mental health S. 4427 - Safe Authorization for Vaccines during Emergencies Act - Hassan - transparency in EUA of vaccines S. 4477 - Strengthening Social Connections Act of 2020 - Smith - Appropriations for social isolation services for older Americans S. 4507 - Getting Early Treatment and Comprehensive Assessments Reduces Emergencies Act of 2020 - Warner - campaign for awareness on preventive health services S. 4737 - A bill to amend the Public Health Service Act to direct the Secretary of Health and Human Services to make grants to covered health departments to increase the rate of recommended immunizations, and for other purposes - Smith - immunizations S. 4745 - A bill to prevent surprise medical bills with respect to COVID-19 testing - Smith - Surprise Medical Billing S. 4769 - A bill to improve the public health response to addressing maternal mortality and morbidity during the COVID-19 public health emergency - Warren - maternal health S. 4775 - A bill to provide continued emergency assistance, educational support, and health care response for individuals, families, and businesses affected by the 2020 coronavirus pandemic - McConnell - COVID-19 relief Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; cybersecurity; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to Patient-Centered Outcomes Research Institute (PCORI) re-authorization; issues related to health care price transparency; issues related to all payor claims databases; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital and provider consolidation; issues related to trauma-informed care; issues related to medical management; issues relating to quality improvement; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; prescription drug pricing; telemedicine; rural health; issues related to behavioral health benefits; issues related to Managed Long Term Services and Supports (MLTSS); issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; issues relating to surprise medical bills; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment; dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters; essential health benefits, actuarial value, and accreditation; NQF reauthorization; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations; issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to short term limited duration products; issues related to the federally-facilitated marketplaces (i.e., Exchanges/formerly referred to as the web portal); issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); issues related to association health plans; issues related to cost-sharing reductions (CSRs); issues related to the refundable credit for coverage under a qualified health plan; issues related to small employer group size; issues related to Certificate of Public Advantage; issues relating to veterans health care; issues relating to caregivers; and other issues relating to health care reform implementation.

Client expense: $2,230,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

Maternal and child health legislation,focusing on National Children's Study (ECHO), Zika preparedness, tobacco control, opioids legislation and neonatal abstinence syndrome (NAS), antibiotic resistance, environmental health, vaccination, newborn screening, Healthy Start, maternal mental health. Specific legislation includes: MOMMAs Act (H.R. 1897/S. 916, MOMs Act (S. 116),MOMMIES Act (H.R. 2602, S. 1343), Quality Care for Moms and Babies Act (H.R. 1551/S. 1960), Maternal CARE Act (H.R. 6698/S. 1600), The Healthy Maternity and Obstetric Medicine Act (Healthy MOM Act) (H.R. 2778/S. 1481), Rural Maternal and Obstetric Modernization of Services (MOMS) Act (S. 2373), the Maternal Outcomes Matter Act of 2019 (S. 2586), Healthy Maternity and Obstetric Medicine Act (H.R. 2778, S. 1481), H.R. 4995, Maternal Health Quality Improvement Act of 2019, H.R. 4996, Helping Medicaid Offer Maternity Services Act of 2019, Reversing the Youth Tobacco Epidemic Act (H.R. 2339), Public Health Funding Restoration Act (H.R. 3447, S. 1944), and the Comprehensive Addiction Resources Emergency CARE Act (H.R. 2569, S. 1365), Newborn Screening Saves Lives Reauthorization Act of 2019 (HR 2507/S. 2158), Traveling Parents Screening Consistency Act (HR 3246), the Tobacco Tax Equity Act (S. 2517), EQUIP Act of 2020 (HR 6178), and the Protecting American Lungs Act of 2019 (HR 4742). Black Maternal Health Momnibus Act of 2020 (HR 6142)including the Social Determinants for Moms Act (HR 6132), the Protecting Moms who Served Act (HR 6164), the Data to Save Moms Act (HR 6165), the Moms MATTER Act (HR 6143), and Kira Johnson Act (HR 6144). Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (P.L. 116-123), Families First Coronavirus Response Act (P.L. 116-127), Coronavirus Aid, Relief, and Economic Security (CARES) Act (HR 748) (P.L. 116-136), and HEROES Act (H.R. 6800). Mothers and Newborns Success Act (S.4269), Maternal Health Pandemic Response Act of 2020 (H.R. 8027), Community Immunity During COVID-19 Act of 2020 (H.R. 8061), Maternal Immunization Enhancement Act (S.4690), Public Health Infrastructure Saves Lives Act (PHISLA), COVID-19 Treatment Coverage Act (S.4469)

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Postal Regulatory Commission, SENATE, Treasury, Dept of, U.S. Postal Service (USPS)

H.R. 1763: Resident Physician Shortage Reduction Act, entire bill. H.R. 3235: Access to Genetic Counselor Services Act, entire bill. H.R. 3414: Opioid Workforce Act of 2019, entire bill. H.R. 1897 and S. 916: Mothers and Offspring Mortality and Morbidity Awareness (MOMMA's) Act, entire bill. Issues related to GME, including for specialized fields such as oncofertility.

Client expense: $98,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Regulation of electronic nicotine delivery system products as a less harmful alternative for adult smokers; issues related to enforcement of illicit tobacco products, including importation of counterfeit products; issues related to taxation and user fees for tobacco products; H.R. 293, Youth Vaping Prevention Act of 2019; H.R. 1498/S. 655 SAFE Kids Act; H.R. 1642/S. 1965 Combating the Illicit Trade in Tobacco Products Act; H.R. 1897/S. 916 MOMMAs Act; provisions related to taxation of tobacco products; H.R. 2084, SCOTT Act of 2019; H.R. 2111/S. 1048 PROTECT Act; H.R. 2339 Reversing the Youth Tobacco Epidemic Act of 2019; H.R. 4425 Quell Underage Inhaling of Toxic Substances Act of 2019; H.R. 5721/S. 3223 Resources to Prevent Youth Vaping Act; S. 616 E-cigarette Youth Protection Act; S. 2519 Prohibiting Non-tobacco E-cigarette Flavors; and S. 2536 E-Cigarette Device Standards Act of 2019

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to Drug Enforcement Agency (DEC) implementation of S. 916; Reimbursement issues; issues related to opioid addiction; issues related to NIH/HHS funding levels; issues related to funding for CARA, medication assisted treatment and 21st Century Cures Act; Implementation of CARA Act. S. 2543, Prescription Drug Pricing Reduction Act (PDPRA) of 2019 and H.R. 3, Lower Drug Costs Now Act of 2019. H.R. 4712 Fairness in Orphan Drug Exclusivity Act. Policies impacting U.S. address to the Covid-19 pandemic, including H.R. 604 Coronavirus Preparedness and Response Supplemental Appropriations Act, Public Law No: 116-123.; H. R . 6201 Families First Coronavirus Response Act, Public Law No: 116-127; and H. R. 748 CARES Act, Public Law No: 116-136. Policies impacting orphan drug approval and reimbursement, including H.R. 4712/S. 3272, Fairness in Orphan Drug Exclusivity Act.

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

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

Advocate to reduce maternal mortality, increase access to comprehensive prenatal care, implement evidence-based childbirth education in prenatal care models and make childbirth education more accessible to all women. H.R. 1551/S. 1960, the Quality Care for Moms and Babies Act H.R. 1897/S. 916, the MOMMA's Act H.R. 2602, the Healthy MOMMIES Act H.R. 2778/S. 1481, the Healthy MOM Act H.R. 4215, Excellence in Maternal Health Act S. 116, MOMs Act S. 1343, MOMMIES Act H.R. 6132, the Social Determinants for Moms Act H.R. 6144, the Honoring Kira Johnson Act H.R. 6141, the Protecting Moms who Served Act H.R. 6164, the Perinatal Workforce Act H.R. 5640/S. 3152, the Data Mapping to Save Moms Lives Act H.R. 6143, the Moms MATTER Act H.R. 6129, the Justice for Incarcerated Moms Act H.R. 5640/S. 3152, the Data Mapping to Save Moms Act H.R. 6137, the IMPACT to Save Moms Act H.R. 2751, the Mamas First Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

340B Drug Pricing Program; Medicare Shared Savings Program; Medicare Advantage; Alternative Payment Models; Graduate Medical Education; Centers for Medicare and Medicaid Innovation; Stark Law Reform/Modernization; Value-Based Purchasing Payments; Post-Acute and Home Health Care Payments; Drug Pricing and Medicare Parts B and D; Medicare Regulatory Reform; Medicaid Funding; Health Care Innovation; Telehealth/Digital Health; S 433/HR 2753 Home Health Payment Innovation Act of 2019; S 296/HR 2150 Home Health Care Planning Improvement Act of 2019; Maternal Mortality; H.R. 1897/S. 916 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act); Surprise Billing; Anti-Kickback Statute Reform; CREATES Act; HR 1499 Protecting Consumer Access to Generic Drugs; HR 987 Strengthening Health Care and Lowering Prescription Drug Costs; COVID-19; Accountable Care Organizations.

Client expense: $371,800 · Firm income: Not reported

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

340B Drug Pricing Program; Medicare Shared Savings Program; Medicare Advantage; Alternative Payment Models; Graduate Medical Education; Centers for Medicare and Medicaid Innovation; Stark Law Reform/Modernization; Value-Based Purchasing Payments; Post-Acute and Home Health Care Payments; Drug Pricing and Medicare Parts B and D; Medicare Regulatory Reform; Medicaid Funding; Health Care Innovation; Telehealth/Digital Health; S 433/HR 2753 Home Health Payment Innovation Act of 2019; S 296/HR 2150 Home Health Care Planning Improvement Act of 2019; Maternal Mortality; H.R. 1897/S. 916 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act); Surprise Billing; Anti-Kickback Statute Reform; CREATES Act; HR 1499 Protecting Consumer Access to Generic Drugs; HR 987 Strengthening Health Care and Lowering Prescription Drug Costs; COVID-19; Accountable Care Organizations.

Client expense: $371,800 · Firm income: Not reported

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

S. 3799/H.R. 4701, HEAL for Immigrant Women and Families Act of 2019, in support of health care services including sexual, reproductive, and material health care for immigrant women; S. 916/H.R. 1897, Mothers and Offspring Mortality and Morbidity Awareness Act, in support of preventing maternal mortality and improving maternal health; S. 116, Modernizing Obstetric Medicine Standards Act, in support of improving maternal safety and health outcomes; S. 368/H.R. 1055, Global Health, Empowerment, and Rights (HER) Act, in opposition to the global gag rule; H.R. 1551, Quality Care for Moms and Babies Act, in support of improving maternal and infant health outcomes; S. 3424/H.R. 6142, Black Maternal Health Momnibus Act of 2020, in support of maternal health and closing disparities in maternal health outcomes for women of color; H.R. 6165, Data to Save Moms Act of 2020, in support of increased data collection to improve maternal mortality and severe maternal morbidity for women of color; H.R. 6137, IMPACT to Save Moms Act of 2020, in support of increasing access to perinatal care and improving black maternal health; H.R. 6144, Kira Johnson Act, in support of investments to prevent maternal mortality and severe maternal morbidity for black women; H.R. 6141, Protecting Moms Who Served Act, in support of improving maternity care coordination for women veterans; H.R. 6132, Social Determinants for Moms Act of 2020, in support of addressing social determinants of health for women in prenatal and postpartum periods; H.R. 6138, Tech to Save Moms Act, in support of investments in technology to improve health outcomes for underserved populations; H.R. 6143, Moms MATTER Act of 2020, in support of improving maternal and behavioral health outcomes for women of color; H.R. 6129, Justice for Incarcerated Moms Act, in support of increasing care and protection to incarcerated mothers; H.R. 1109, Mental Health Services for Students Act of 2019, in support of increasing access to comprehensive school-based mental health programs; In support of comprehensive healthcare for all, including immigrants, particularly during the coronavirus pandemic; In support of quality, affordable, and accessible reproductive health care, particularly during the coronavirus pandemic.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Regulation of electronic nicotine delivery system products as a less harmful alternative for adult smokers; Issues related to enforcement of illicit tobacco products, including importation of counterfeit products; Issues related to taxation and user fees for tobacco products; H.R. 293, Youth Vaping Prevention Act of 2019; H.R. 1498/S. 655, SAFE Kids Act; H.R. 1642/S. 1965, Combating the Illicit Trade in Tobacco Products Act; H.R. 1897/S. 916, MOMMAs Act; provisions related to taxation of tobacco products; H.R. 2084, SCOTT Act of 2019; H.R. 2111/S. 1048, PROTECT Act; H.R. 2339/S.3174, Reversing the Youth Tobacco Epidemic Act; H.R. 3942/S. 1253, Preventing Online Sales of E-Cigarettes to Children Act; H.R. 4425, Quell Underage Inhaling of Toxic Substances Act of 2019; H.R. 5721/S. 3223, Resources to Prevent Youth Vaping Act; H.R. 6637, Health Equity and Accountability Act of 2020; provisions related to taxation of tobacco products; S. 616, E-cigarette Youth Protection Act; S. 2517, Tobacco Tax Equity Act of 2019; S. 2519, Prohibiting Non-tobacco E-cigarette Flavors; and S. 2536, E-Cigarette Device Standards Act of 2019.

Client expense: $1,150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Patent & Trademark Office (PTO), SENATE

Maternal and child health legislation,focusing on National Children's Study (ECHO), Zika preparedness, tobacco control, opioids legislation and neonatal abstinence syndrome (NAS), antibiotic resistance, environmental health, vaccination, newborn screening, Healthy Start, maternal mental health. Specific legislation includes: MOMMAs Act (H.R. 1897/S. 916, MOMs Act (S. 116),MOMMIES Act (H.R. 2602, S. 1343), Quality Care for Moms and Babies Act (H.R. 1551/S. 1960), Maternal CARE Act (H.R. 6698/S. 1600), The Healthy Maternity and Obstetric Medicine Act (Healthy MOM Act) (H.R. 2778/S. 1481), Rural Maternal and Obstetric Modernization of Services (MOMS) Act (S. 2373), the Maternal Outcomes Matter Act of 2019 (S. 2586), Healthy Maternity and Obstetric Medicine Act (H.R. 2778, S. 1481), H.R. 4995, Maternal Health Quality Improvement Act of 2019, H.R. 4996, Helping Medicaid Offer Maternity Services Act of 2019, Reversing the Youth Tobacco Epidemic Act (H.R. 2339), Public Health Funding Restoration Act (H.R. 3447, S. 1944), and the Comprehensive Addiction Resources Emergency CARE Act (H.R. 2569, S. 1365), Newborn Screening Saves Lives Reauthorization Act of 2019 (HR 2507/S. 2158), Traveling Parents Screening Consistency Act (HR 3246), the Tobacco Tax Equity Act (S. 2517), EQUIP Act of 2020 (HR 6178), and the Protecting American Lungs Act of 2019 (HR 4742). Black Maternal Health Momnibus Act of 2020 (HR 6142)including the Social Determinants for Moms Act (HR 6132), the Protecting Moms who Served Act (HR 6164), the Data to Save Moms Act (HR 6165), the Moms MATTER Act (HR 6143), and Kira Johnson Act (HR 6144). Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (P.L. 116-123), Families First Coronavirus Response Act (P.L. 116-127), Coronavirus Aid, Relief, and Economic Security (CARES) Act (HR 748) (P.L. 116-136), and HEROES Act (H.R. 6800).

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Postal Regulatory Commission, SENATE, Treasury, Dept of, U.S. Postal Service (USPS)

H.R. 1897 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act) - Kelly - maternal health H.R. 4004 - Social Determinants Accelerator Act of 2019 - Bustos - social determinants of health H.R. 4215 - Excellence in Maternal Health Act of 2019 - Bucshon - maternal health H.R. 4768 - Home Visiting to Reduce Maternal Mortality and Morbidity Act - David - maternal health H.R. 4900 - Telehealth Across State Lines Act of 2019 - Roe - telehealth H.R. 4932 - Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019 - Thompson - telehealth H.R. 4995 - Maternal Health Quality Improvement Act of 2019 - Engel - maternal health outcomes H.R. 5190 - STAR Act - Harder - telemedicine assistance for rural health clinics and health centers H.R. 5257 - Telehealth Expansion Act of 2019 - Cox - establish FCC telehealth program H.R. 5473 - Enhance Access to Support Essential Behavioral Health Services Act - Bilirakis - telehealth H.R. 5640 - Data Mapping to Save Moms' Lives Act - Butterfield - maternal health H.R. 5681 - Protecting Communities from Hospital Closures Act of 2020 - Boyle - rural health H.R. 5754 - Rural ER Access Act - Green - rural health H.R. 5763 - National Telehealth Strategy and Data Advancement Act - Gianforte - telehealth H.R. 5800 - Ban Surprise Billing Act - Scott - surprise medical bills H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020 - Neal - surprise medical bills H.R. 5916 - Transparent Health Care Pricing Act of 2020 - Gallagher - provider transparency in health care services H.R. 5924 - To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians - McKinley - rural health, loan program H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 - Lowey - COVID-19 H.R. 6132 - Social Determinants for Moms Act of 2020 - McBath - maternal health and social determinants of health H.R. 6138 - Tech to Save Moms Act - Johnson - maternal health H.R. 6142 - Black Maternal Health Momnibus Act of 2020 - Underwood - maternal health H.R. 6143 - Moms MATTER Act of 2020 - Kennedy - maternal health H.R. 6144 - Kira Johnson Act - Adams - maternal health H.R. 6165 - Data to Save Moms Act of 2020 - Davids - maternal health H.R. 6232 - To require the Secretary of Health and Human Services, through the National Disaster Medical System, to provide for certain laboratory reimbursement for diagnostic testing for COVID-19 in uninsured individuals - Cardenas - Federal coverage of COVID-19 related visits and testing for uninsured individuals H.R. 6261 - To provide for coverage of testing for COVID-19 at no cost sharing for Indians receiving health services through the Indian Health Service - Ruiz - Federal coverage of COVID-19 related visits and testing for Native Americans H.R. 6351 - Universal Coronavirus Vaccine Act - Harder - COVID-19 H.R. 6379 - Take Responsibility for Workers and Families Act - Lowey - COVID-19 H.R. 6426 - To direct the Secretary of Health and Human Services to establish a program under which loans shall be made to certain health care organizations to assist such organizations with anticipated revenue loss or higher operating costs as a result of the COVID-19 emergency, and for other purposes - Max Rose - costs H.R. 6437 - Coronavirus Immigrant Families Protection Act - Chu - COVID19 H.R. 6467 - Coronavirus Community Relief Act - Neguse - COVID H.R. 6468 - To provide for an enhanced Coronavirus relief fund, and for other purposes. - Perlmutter - COVID H.R. 6474 - Healthcare Broadband Expansion During COVID-19 Act - Eshoo - rural health H.R. 6487 - ACCESS Act - Schakowsky - telehealth H.R. 6620 - To authorize grants to address substance use during COVID-19.- Kuster - COVID H.R. 6634 - Emergency COVID Telehealth Response Act - Axne - telehealth H.R. 6654 - Emergency COVID Telehealth Response Act -Axne - telehealth H.R. 6666 - COVID-19 Testing, Reaching, And Contacting Everyone (TRACE) Act - Rush - COVID H.R. 6719 - Emergency Medical Supplies Procurement Act - Khanna- COVID H.R. 6763 - COVID-19 Racial and Ethnic Disparities Task Force Act of 2020 - Kelley - COVID H.R. 6800 - HEROES Act - Lowey - COVID H.R. 6881 - Emergency Broadband Connections Act of 2020 - COVID H.R. 6926 - MIND Act -Boyle - COVID H.R. 6999 - Coronavirus Mental Health and Addiction Assistance Act of 2020 -Ryan - COVID H.R. 7017 - Right to Test Act - McHenry - Testing H.R. 7077 - Community Solutions for COVID-19 Act - Kelley - COVID H.R. 7190 - Increasing Rural Health Access During the COVID-19 Public Health Emergency Act of 2020 - Torres Small - COVID H.R. 7205 - Nationwide Dig Once Act of 2020 - Eshoo - broadband H.R. 7302 - To make high-speed broadband internet service accessible and affordable to all Americans, and for other purposes - Clyburn - Broadband H.R. 7359 - Accelerating Broadband Connectivity Act of 2020 - Kelley - Broadband S. 116 - Modernizing Obstetric Medicine Standards Act of 2019 (MOMS Act) - Gillibrand - maternal health S. 916 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act) - Durbin - maternal health S. 2741 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 - Schatz - telehealth S. 2885 - Stop Marketing and Revealing the Wearables and Trackers Consumer Health Data Act - Cassidy - consumer health information S. 2986 - Social Determinants Accelerator Act of 2019 - Young - Social Determinants of Health S. 3152 - Data Mapping to Save Moms' Lives Act - Rosen - maternal health S. 3318 - Transparent Health Care Pricing Act of 2020 - Cassidy - disclosure of point-of-sale cash prices S. 3380 - Patient Safety Improvement Act of 2020 - Whitehouse - data collection and quality improvement S. 3424 - Black Maternal Health Momnibus Act of 2020 - Harris - maternal health S. 3437 - Improving Care in Rural America Reauthorization Act of 2020 - Loeffler - rural health S. 3438 - R-DOCS Reauthorization Act of 2020 - Loeffler - telehealth S. 3517 - ACCESS Act - Klobuchar - telehealth S. 3568 - Medical Supply Chain Emergency Act of 2020 - Murphy - expedite acquisition of PPE S. 3570 - To provide for the expedited procurement of equipment needed to combat COVID-19 under the Defense Production Act of 1950 - Baldwin - expedite acquisition of PPE S. 3721 - COVID-19 Racial and Ethnic Disparities Task Force Act of 2020 - Harris - COVID S. 3769 - Right to Test Act - Cruz - Testing S. 3825 - Coronavirus Mental Health and Addiction Assistance Act of 2020 - Klobuchar - COVID S. 3828 - Jobs to Fight COVID-19 Act of 2020 - Schatz - COVID S. 3838 - Health Care Broadband Expansion During COVID-19 Act -Schatz - broadband S. 3877 - Community Solutions for COVID-19 Act - Booker - COVID S. 3921 - Emergency Medical Supplies Procurement Act - Sanders - COVID S. 3951 - Increasing Rural Health Access During the COVID-19 Public Health Emergency Act of 2020 - McSally - COVID S. 3988 - Enhancing Preparedness through Telehealth Act - Cassidy - Telehealth S. 4015 - Rural Connectivity Advancement Program Act of 2020 - Thune - Rural S. 4021 - Accelerating Broadband Connectivity Act of 2020 - Wicker - Broadband S. 4058 - A bill to authorize grants to address substance use during COVID-19 - Smith - SUD S. 4059 - A bill to direct the Secretary of Health and Human Services to award grants to States, political subdivisions of States, Indian Tribes and Tribal organizations, community-based entities, and primary care and behavioral health organizations to address behavioral health needs caused by the public health emergency declared with respect to COVID-19 - Smith - Mental Health S. 4095 - A bill to provide emergency benefits for broadband service during periods relating to COVID-19, and for other purposes - Wyden - Broadband S. 4103 - A bill to amend title XVIII of the Social Security Act to increase the use of telehealth for substance use disorder treatment - Portman - telehealth S. 4113 - A bill to amend the Communications Act of 1934 to provide grants to States and Indian Tribes to deploy affordable, high-speed broadband to unserved and underserved areas - Bennett - broadband Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; cybersecurity; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to Patient-Centered Outcomes Research Institute (PCORI) re-authorization; issues related to health care price transparency; issues related to all payor claims databases; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital and provider consolidation; issues related to trauma-informed care; issues related to medical management; issues relating to quality improvement; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues relating to COVID-19; issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; prescription drug pricing; telemedicine; rural health; issues related to behavioral health benefits; issues related to Managed Long Term Services and Supports (MLTSS); issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; issues relating to surprise medical bills; accountable care organizations; provider non- discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment; dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters; essential health benefits, actuarial value, and accreditation; NQF reauthorization; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations; issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to short term limited duration products; issues related to the federally-facilitated marketplaces (i.e., Exchanges/formerly referred to as the web portal); issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); issues related to association health plans; issues related to cost-sharing reductions (CSRs); issues related to the refundable credit for coverage under a qualified health plan; issues related to small employer group size; issues related to Certificate of Public Advantage; issues relating to veterans health care; issues relating to caregivers; and other issues relating to health care reform implementation.

Client expense: $2,250,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

Regulation of Electronic Nicotine Delivery System products as a less harmful alternative for adult smokers Issues related to enforcement of illicit tobacco products, including importation of counterfeit products Issues related to taxation and user fees for tobacco products H.R. 293, Youth Vaping Prevention Act of 2019; H.R. 1498/S, 655, SAFE Kids Act; H.R. 1642/S. 1965 Combating the Ilicit Trade in Tobacco Products Act; H.R. 1897/S. 916 MOMMA's Act; provisions to taxation of tobacco products H.R. 2084, SCOTT Act of 2019 H.R. 2111/ S. 1048, PROTECT Act H.R. 2339/S.3174, Reversing the Youth Tobacco Epidemic Act; H.R. 4425, Quell Underage Inhaling of Toxic Substances Act of 2019; H.R. 3942/S. 1253, Preventing Online Sales of E-Cigarettes to Children Act; H.R. 5721/S. 3223, Resources to Prevent Youth Vaping Act; S. 616, E-cigarette Youth Protection Act; H.R. 6637, Health Equity and Accountability Act of 2020; provisions related to taxation of tobacco products; S. 2517, Tobacco Tax Equity Act of 2019; S. 2519, Prohibiting Non-tobacco E-cigarette Flavors; S. 2536, E-Cigarette Device Standards Act of 2019

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

Government targets: HOUSE OF REPRESENTATIVES, Patent & Trademark Office (PTO), SENATE

Advocate to reduce maternal mortality, increase access to comprehensive prenatal care, implement evidence-based childbirth education in prenatal care models and make childbirth education more accessible to all women. Support: H.R. 1551/S. 1960, the Quality Care for Moms and Babies Act H.R. 1897/S. 916, the MOMMA's Act H.R. 2602, the Healthy MOMMIES Act H.R. 2778/S. 1481, the Healthy MOM Act H.R. 4215, Excellence in Maternal Health Act S. 116, MOMs Act S. 1343, MOMMIES Act H.R. 6132, the Social Determinants for Moms Act H.R. 6144, the Honoring Kira Johnson Act H.R. 6141, the Protecting Moms who Served Act H.R. 6164, the Perinatal Workforce Act H.R. 5640/S. 3152, the Data Mapping to Save Moms Lives Act H.R. 6143, the Moms MATTER Act H.R. 6129, the Justice for Incarcerated Moms Act H.R. 5640/S. 3152, the Data Mapping to Save Moms Act H.R. 6137, the IMPACT to Save Moms Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Issues related to rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Privacy; Universal Coverage. H.R. 861 - End Surprise Billing Act, 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: Issues related to surprise billing, including benchmark payments, arbitration models, and out of network billing. S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug costs and prescription rebates. H.R. 19 - Lower Costs, More Cures Act of 2019: Issues related to prescription drug pricing S. 2546, H.R.2279 - Safe Step Act: Issues related to managed care, prior authorization. S. 3374 - Protecting Jessica Grubb's Legacy Act: Issues regarding HIPPA, confidentiality of substance abuse records H.R. 6139 - Health Care Protection Act: Issues related to COVID-19, funding for surveillance testing and treatment, financial assistance for individual health insurance, COBRA, financial assistance to maintain employer health plan coverage, and emergency funding for hospitals and providers. H.R. 6800 - HEROES ACT: Issues related to COVID-19, Federal Medical Assistance Percentages, Medicaid and COBRA. H.R. 1425 - Patient Protection and Affordable Care Enhancement ACT: Issues related to COVID-19, Medicaid expansion, and prescription drugs. Issues related to drug and price transparency, including the Administrations rule on interoperability and Executive order on transparency.

Client expense: $740,000 · Firm income: Not reported

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

H.Res.896, Reaffirming support of fundamental United States principles at the United Nations and encouraging the World Health Organization to embrace technological advancements in tobacco control H.R. 293, Youth Vaping Prevention Act S. 655/H.R. 1498, SAFE Kids Act S. 1965/H.R. 1642, Combatting Illicit Trade in Tobacco Products Act S. 916/H.R. 1897, MOMMAS Act; provisions related to the taxation of tobacco products H.R. 2084, Stopping Consumption of Tobacco by Teens (SCOTT) Act S. 1048/H.R. 2111, Preventing Opportunities for Teen E-Cigarette and Tobacco Addiction (PROTECT) Act H.R. 2339, Reversing the Youth Tobacco Epidemic Act H.R. 2726, Banning Smoking on Amtrak Act S. 1823/H.R. 3229, Children Dont Belong on Tobacco Farms Act S. 1253/H.R. 3942, Preventing Online Sales of E-Cigarettes to Children Act S. 1832/H.R. 4019, Smoke-Free Schools Act H.R. 4249, Stop Vaping Ads Act S. 2517/H.R. 4425, Tobacco Tax Parity Act/Quell Underage Inhaling of Toxic Substances (QUITS) Act H.R. 4624, Ending Nicotine Dependence from Electronic Nicotine Delivery Systems (END ENDS) Act H.R. 4742, Imposition of Tax on Nicotine for Use in Vapor Act H.R. 5005, Prevent Vape Use Act S. 3096/H.R. 5482, PREVENT (Providing Resources to End the Vaping Epidemic Now for Teenagers) Act S. 3223/H.R. 5721, Resources to Prevent Youth Vaping Act S. 3263/H.R. 5845, Break Free from Plastic Pollution Act H.R. 5963, E-Cigarette Oversight and Accountability Act S. 616, E-Cigarette Youth Protection Act S. 1258/H.R. 2411, Tobacco to 21 Act S. 1541, Tobacco-Free Youth Act S. 1895, Lower Health Care Costs Act S. 2463, E-Cigarette Tax Parity Act S. 2519, Ending New Nicotine Dependencies (ENND) Act S. 2536, E-Cigarette Device Standards Act S. 2550, No Tax Subsidies for E-Cigarette and Tobacco Ads Act Implementation of P.L. 111-31, the Tobacco Control Act Issues surrounding FDA Premarket Tobacco Product Applications (PMTA) and Modified Risk Tobacco Product (MRTP) compliance policies Issues surrounding taxation of tobacco products January 2020 FDA guidance on flavors in vapor products Issues surrounding implementation of P.L. 111-31, the Tobacco Control Act January 2020 FDA guidance on flavors in vapor products FDA proposed rule concerning N-Nitrosonornicotine (NNN) Levels in Smokeless Tobacco Products ANPRMS for Docket Nos. FDA-2017-N-6189 and FDA-2017-N-6565 Draft Guidance for Certain Marketed Tobacco Products, Docket No. FDA-2018-D-3244-0001

Client expense: $450,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, U.S. Customs & Border Protection, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR), White House Office

Regulation of electronic nicotine delivery system products as a less harmful alternative for adult smokers; Issues related to enforcement of illicit tobacco products; H.R. 293, Youth Vaping Prevention Act of 2019; H.R. 1498/S. 655, SAFE Kids Act; H.R. 1642/S. 1965, Combating the Illicit Trade in Tobacco Products Act; H.R. 1897/S. 916, MOMMAs Act; provisions related to taxation of tobacco products; H.R. 2084, SCOTT Act of 2019; H.R. 2111/S. 1048, PROTECT Act; H.R. 2339, Reversing the Youth Tobacco Epidemic Act of 2019; H.R. 3700/S. 2106, a bill to prohibit smoking on the premises of any facility of the Veterans Health Administration; H.R. 4249, Stop Vaping Ads Act of 2019; H.R. 4425, Quell Underage Inhaling of Toxic Substances Act of 2019; H.R. 6637, The Health Equity and Accountability Act, provisions related to taxation of tobacco products; S. 616, E-cigarette Youth Protection Act; S. 1541, Tobacco Free Youth Act; S. 1895, Lower Health Care Costs Act; provisions related to the regulation of tobacco products; S. 2519, Prohibiting Non-tobacco E-cigarette Flavors; S. 2536, E-Cigarette Device Standards Act of 2019; and S. 2550, No Tax Subsidies for E-Cigarette and Tobacco Ads Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Regulation of electronic nicotine delivery system products as a less hatful alternative for adult smokers; Issues related to enforcement of illicit tobacco products, including importation of counterfeit products; Issues related to taxation and user fees for tobacco products; H.R. 293, Youth Vaping Prevention Act of 2019; H.R. 1498/S. 655, SAFE Kids Act; H.R. 1642/S. 1965, Combating the Illicit Trade in Tobacco Products Act; H.R. 1897/S. 916, MOMMAs Act; provisions related to taxation of tobacco products; H.R. 2084, SCOTT Act of 2019; H.R. 2111/S. 1048, PROTECT Act; H.R. 2339, Reversing the Youth Tobacco Epidemic Act of 2019; H.R. 4425, Quell Underage Inhaling of Toxic Substances Act of 2019; H.R. 5721/S. 3223, Resources to Prevent Youth Vaping Act; S. 616, E-cigarette Youth Protection Act; S. 2519, Prohibiting Non-tobacco E-cigarette Flavors; and S. 2536, E-Cigarette Device Standards Act of 2019.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

340B Drug Pricing Program; Medicare Shared Savings Program; Medicare Advantage; Alternative Payment Models; Graduate Medical Education; Centers for Medicare and Medicaid Innovation; Stark Law Reform/Modernization; Value-Based Purchasing Payments; Post-Acute and Home Health Care Payments; Drug Pricing and Medicare Parts B and D; Medicare Regulatory Reform; Medicaid Funding; Health Care Innovation; Telehealth/Digital Health; S 433/HR 2753 Home Health Payment Innovation Act of 2019; S 296/HR 2150 Home Health Care Planning Improvement Act of 2019; Maternal Mortality; H.R. 1897/S. 916 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act); Surprise Billing; Anti-Kickback Reform; CREATES Act; HR 1499 Protecting Consumer Access to Generic Drugs; HR 987 Strengthening Health Care and Lowering Prescription Drug Costs; COVID-19

Client expense: $421,202 · Firm income: Not reported

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

340B Drug Pricing Program; Medicare Shared Savings Program; Medicare Advantage; Alternative Payment Models; Graduate Medical Education; Centers for Medicare and Medicaid Innovation; Stark Law Reform/Modernization; Value-Based Purchasing Payments; Post-Acute and Home Health Care Payments; Drug Pricing and Medicare Parts B and D; Medicare Regulatory Reform; Medicaid Funding; Health Care Innovation; Telehealth/Digital Health; S 433/HR 2753 Home Health Payment Innovation Act of 2019; S 296/HR 2150 Home Health Care Planning Improvement Act of 2019; Maternal Mortality; H.R. 1897/S. 916 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act); Surprise Billing; Anti-Kickback Reform; CREATES Act; HR 1499 Protecting Consumer Access to Generic Drugs; HR 987 Strengthening Health Care and Lowering Prescription Drug Costs; COVID-19

Client expense: $421,202 · Firm income: Not reported

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

Regulation of electronic nicotine delivery system products as a less harmful alternative for adult smokers; issues related to the enforcement of illicit tobacco products, including importation of counterfeit products; issues related to taxation and user fees for tobacco products; HR 293-Youth Vaping Prevention Act of 2019; HR 1498/S.655, SAFE Kids Act; HR 1642/S.1965-Combating the Illicit Trade in Tobacco Products Act; HR 1897/S.916-MOMMA's Act (provisions re taxation of tobacco products); HR 2084-SCOTT Act of 2019; HR 2111/S.1048-PROTECT Act; HR 2339-Reversing the Youth Tobacco Epidemic Act of 2019; HR 3942/A.1253-Preventing Online Sales of E-Cigarettes to Children Act; HR 4425-Quell Underage Inhaling of Toxic Substances Act of 2019; HR 5721/S.3223-Resources to Prevent Youth Vaping Act; S.616-E-cigarette Youth Protection Act; S.2517-Tobacco Tax Equity Act of 2019; S.2519-Prohibiting Non-Tobacco E-Cigarette Flavors; and S.2536-E-Cigarette Device Standards Act of 2019.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1763: Resident Physician Shortage Reduction Act, entire bill. H.R. 3235: Access to Genetic Counselor Services Act, entire bill. H.R. 3414: Opioid Workforce Act of 2019, entire bill. H.R. 1897 and S. 916: Mothers and Offspring Mortality and Morbidity Awareness (MOMMA's) Act, entire bill. Issues related to GME, including for specialized fields such as oncofertility.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to Drug Enforcement Agency (DEC) implementation of S. 916; Reimbursement issues; issues related to opioid addiction; issues related to NIH/HHS funding levels; issues related to funding for CARA, medication assisted treatment and 21st Century Cures Act; Implementation of CARA Act. S. 2543, Prescription Drug Pricing Reduction Act (PDPRA) of 2019 and H.R. 3, Lower Drug Costs Now Act of 2019. H.R. 4712 Fairness in Orphan Drug Exclusivity Act. Policies impacting U.S. address to the Covid-19 pandemic, including H.R. 604 Coronavirus Preparedness and Response Supplemental Appropriations Act, Public Law No: 116-123.; H. R . 6201 Families First Coronavirus Response Act, Public Law No: 116-127; and H. R. 748 CARES Act, Public Law No: 116-136. Policies impacting orphan drug approval and reimbursement, including H.R. 4712/S. 3272, Fairness in Orphan Drug Exclusivity Act.

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

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

Regulation of electronic nicotine delivery system products as a less harmful alternative for adult smokers; Issues related to enforcement of illicit tobacco products, including importation of counterfeit products; Issues related to taxation and user fees for tobacco products; H.R. 293, Youth Vaping Prevention Act of 2019; H.R. 1498/S. 655, SAFE Kids Act; H.R. 1642/S. 1965, Combating the Illicit Trade in Tobacco Products Act; H.R. 1897/S. 916, MOMMAs Act; provisions related to taxation of tobacco products; H.R. 2084, SCOTT Act of 2019; H.R. 2111/S. 1048, PROTECT Act; H.R. 2339, Reversing the Youth Tobacco Epidemic Act of 2019; H.R. 4425, Quell Underage Inhaling of Toxic Substances Act of 2019; H.R. 5721/S. 3223, Resources to Prevent Youth Vaping Act; S. 616, E-cigarette Youth Protection Act; S. 2519, Prohibiting Non-tobacco E-cigarette Flavors; and S. 2536, E-Cigarette Device Standards Act of 2019.

Client expense: $1,160,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Patent & Trademark Office (PTO), SENATE, U.S. Trade Representative (USTR), White House Office

H.R. 1897 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act) - Kelly - maternal health H.R. 4004 - Social Determinants Accelerator Act of 2019 - Bustos - social determinants of health H.R. 4215 - Excellence in Maternal Health Act of 2019 - Bucshon - maternal health H.R. 4768 - Home Visiting to Reduce Maternal Mortality and Morbidity Act - David - maternal health H.R. 4900 - Telehealth Across State Lines Act of 2019 - Roe - telehealth H.R. 4932 - Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019 - Thompson - telehealth H.R. 4995 - Maternal Health Quality Improvement Act of 2019 - Engel - maternal health outcomes H.R. 5190 - STAR Act - Harder - telemedicine assistance for rural health clinics and health centers H.R. 5257 - Telehealth Expansion Act of 2019 - Cox - establish FCC telehealth program H.R. 5473 - Enhance Access to Support Essential Behavioral Health Services Act - Bilirakis - telehealth H.R. 5640 - Data Mapping to Save Moms' Lives Act - Butterfield - maternal health H.R. 5681 - Protecting Communities from Hospital Closures Act of 2020 - Boyle - rural health H.R. 5754 - Rural ER Access Act - Green - rural health H.R. 5763 - National Telehealth Strategy and Data Advancement Act - Gianforte - telehealth H.R. 5800 - Ban Surprise Billing Act - Scott - surprise medical bills H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020 - Neal - surprise medical bills H.R. 5916 - Transparent Health Care Pricing Act of 2020 - Gallagher - provider transparency in health care services H.R. 5924 - To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians - McKinley - rural health, loan program H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 - Lowey - COVID-19 H.R. 6132 - Social Determinants for Moms Act of 2020 - McBath - maternal health and social determinants of health H.R. 6138 - Tech to Save Moms Act - Johnson - maternal health H.R. 6142 - Black Maternal Health Momnibus Act of 2020 - Underwood - maternal health H.R. 6143 - Moms MATTER Act of 2020 - Kennedy - maternal health H.R. 6144 - Kira Johnson Act - Adams - maternal health H.R. 6165 - Data to Save Moms Act of 2020 - Davids - maternal health H.R. 6232 - To require the Secretary of Health and Human Services, through the National Disaster Medical System, to provide for certain laboratory reimbursement for diagnostic testing for COVID-19 in uninsured individuals - Cardenas - Federal coverage of COVID-19 related visits and testing for uninsured individuals H.R. 6261 - To provide for coverage of testing for COVID-19 at no cost sharing for Indians receiving health services through the Indian Health Service - Ruiz - Federal coverage of COVID-19 related visits and testing for Native Americans H.R. 6351 - To authorize the Secretary of Health and Human Services to administer vaccinations for COVID-19, once available, at no cost to the inoculated, in response to the COVID-19 outbreak, and for other purposes - Harder - COVID-19 H.R. 6379 - Take Responsibility for Workers and Families Act - Lowey - COVID-19 S. 116 - Modernizing Obstetric Medicine Standards Act of 2019 (MOMS Act) - Gillibrand - maternal health S. 916 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act) - Durbin - maternal health S. 2741 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 - Schatz - telehealth S. 2885 - Stop Marketing and Revealing the Wearables and Trackers Consumer Health Data Act - Cassidy - consumer health information S. 2986 - Social Determinants Accelerator Act of 2019 - Young - Social Determinants of Health S. 3152 - Data Mapping to Save Moms' Lives Act - Rosen - maternal health S. 3318 - Transparent Health Care Pricing Act of 2020 - Cassidy - disclosure of point-of-sale cash prices S. 3380 - Patient Safety Improvement Act of 2020 - Whitehouse - data collection and quality improvement S. 3424 - Black Maternal Health Momnibus Act of 2020 - Harris - maternal health S. 3437 - Improving Care in Rural America Reauthorization Act of 2020 - Loeffler - rural health S. 3438 - R-DOCS Reauthorization Act of 2020 - Loeffler - telehealth S. 3517 - A bill to increase the ability of nursing facilities to access to telehealth services and obtain technologies to allow virtual visits during the public health emergency relating to an outbreak of coronavirus disease 2019 (COVID-19) - Klobuchar - telehealth S. 3568 - Require the President to use authorities under the Defense Production Act of 1950 to require emergency production of medical equipment to address the COVID-19 outbreak - Murphy - expedite acquisition of PPE S. 3570 - To provide for the expedited procurement of equipment needed to combat COVID-19 under the Defense Production Act of 1950 - Baldwin - expedite acquisition of PPE Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; cybersecurity; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to Patient-Centered Outcomes Research Institute (PCORI) re-authorization; issues related to health care price transparency; issues related to all payor claims databases; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital and provider consolidation; issues related to trauma-informed care; issues related to medical management; issues relating to quality improvement; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues relating to COVID-19; issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; prescription drug pricing; telemedicine; rural health; issues related to Managed Long Term Services and Supports (MLTSS); issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; issues relating to surprise medical bills; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment; dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters; essential health benefits, actuarial value, and accreditation; NQF reauthorization; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations; issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to short term limited duration products; issues related to the federally-facilitated marketplaces (i.e., Exchanges/formerly referred to as the web portal); issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); issues related to association health plans; issues related to cost-sharing reductions (CSRs); issues related to the refundable credit for coverage under a qualified health plan; issues related to small employer group size; issues related to Certificate of Public Advantage; issues relating to veterans health care; issues relating to caregivers; and other issues relating to health care reform implementation.

Client expense: $3,630,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of the Vice President of the United States, SENATE, Treasury, Dept of, White House Office

Maternal and child health legislation,focusing on National Children's Study (ECHO), Zika preparedness, tobacco control, opioids legislation and neonatal abstinence syndrome (NAS), antibiotic resistance, environmental health, vaccination, newborn screening, Healthy Start, maternal mental health. Specific legislation includes: MOMMAs Act (H.R. 1897/S. 916, MOMs Act (S. 116),MOMMIES Act (H.R. 2602, S. 1343), Quality Care for Moms and Babies Act (H.R. 1551/S. 1960), Maternal CARE Act (H.R. 6698/S. 1600), The Healthy Maternity and Obstetric Medicine Act (Healthy MOM Act) (H.R. 2778/S. 1481), Rural Maternal and Obstetric Modernization of Services (MOMS) Act (S. 2373), the Maternal Outcomes Matter Act of 2019 (S. 2586), Healthy Maternity and Obstetric Medicine Act (H.R. 2778, S. 1481), H.R. 4995, Maternal Health Quality Improvement Act of 2019, H.R. 4996, Helping Medicaid Offer Maternity Services Act of 2019, Reversing the Youth Tobacco Epidemic Act (H.R. 2339), Public Health Funding Restoration Act (H.R. 3447, S. 1944), and the Comprehensive Addiction Resources Emergency CARE Act (H.R. 2569, S. 1365), Newborn Screening Saves Lives Reauthorization Act of 2019 (HR 2507/S. 2158), Traveling Parents Screening Consistency Act (HR 3246), the Tobacco Tax Equity Act (S. 2517), EQUIP Act of 2020 (HR 6178), and the Protecting American Lungs Act of 2019 (HR 4742). Black Maternal Health Momnibus Act of 2020 (HR 6142)including the Social Determinants for Moms Act (HR 6132), the Protecting Moms who Served Act (HR 6164), the Data to Save Moms Act (HR 6165), the Moms MATTER Act (HR 6143), and Kira Johnson Act (HR 6144). Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (P.L. 116-123), Families First Coronavirus Response Act (P.L. 116-127), and Coronavirus Aid, Relief, and Economic Security (CARES) Act (HR 748) (P.L. 116-136).

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Postal Regulatory Commission, SENATE, Treasury, Dept of, U.S. Postal Service (USPS)

S 289: Physician Workforce/GME Reform: Increasing the number of family medicine residency slots; GME reform to support rural residency training. HR 748 - CARES Act: Fund CHC & THCGME, promote telemedicine in primary care, set Medicaid at Medicare parity. HR 3107 - Prior Authorization: Improve healthcare access & reduce administrative burden. HR 4996 - Support MOMS Act: Support or legislation to increase Medicaid funding to support postpartum care and to reduce maternal mortality. HR 4996, HR 4995, S. 2793, S. 289, S. 916. S. 289 - Maternal Health: Letter to the Senate Finance Cmt urging support for health care best practices and maternal health bills focused on Medicaid, quality improvement, data collection, primary care access under high deductible health care plans, unconscious bias, and rural health care. HR 5741 - Strengthening Innovation in Medicare and Medicaid Act: Oppose the effort to stifle CMMI innovation. HR 5800 - Surprise Billing: Hold patients to in-network rates and prevent premium hikes. HR 6074 - Coronavirus Preparedness & Response Supplemental Act - Ensure adequate PPE, funding and loans, telehealth care payment. No Bill No.: Advisory Committee on Training and Primary Care Medicine & Dentistry-Title VII Primary Care Training & Enhancement grants. No Bill No. - GME Reform: GME reform to increase family physician workforce. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Administrative Simplification: Promote reduced administrative burden on family physicians of prior authorization, EMR. No Bill No. - Communicaeion to CMS on scope of practice: maintain state rights. No Bill No. - Communicate to CME on transparency in coverage: regarding insurance coverage. No Bill No. - Communicate to CMS on ACA benefit and payment parameters for 2021: Regarding Insurance coverage. No Bill No. - communication to CMS on MIPS and extreme circumstances: Extending MIPS deadlines. No Bill No. - Communicate with CMS on 2021/2022 Part C/D: Medicare Advantage and prescription drugs.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

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

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

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

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

H.R. 293, Youth Vaping Prevention Act S. 655/H.R. 1498, SAFE Kids Act S. 1965/H.R. 1642, Combatting Illicit Trade in Tobacco Products Act S. 916/H.R. 1897, MOMMAS Act; provisions related to the taxation of tobacco products H.R. 2084, Stopping Consumption of Tobacco by Teens (SCOTT) Act S. 1048/H.R. 2111, Preventing Opportunities for Teen E-Cigarette and Tobacco Addiction (PROTECT) Act H.R. 2339, Reversing the Youth Tobacco Epidemic Act H.R. 2726, Banning Smoking on Amtrak Act S. 1823/H.R. 3229, Children Dont Belong on Tobacco Farms Act S. 1253/H.R. 3942, Preventing Online Sales of E-Cigarettes to Children Act S. 1832/H.R. 4019, Smoke-Free Schools Act H.R. 4249, Stop Vaping Ads Act S. 2517/H.R. 4425, Tobacco Tax Parity Act/Quell Underage Inhaling of Toxic Substances (QUITS) Act H.R. 4624, Ending Nicotine Dependence from Electronic Nicotine Delivery Systems (END ENDS) Act H.R. 4742, Imposition of Tax on Nicotine for Use in Vapor Act H.R. 5005, Prevent Vape Use Act S. 3096/H.R. 5482, PREVENT (Providing Resources to End the Vaping Epidemic Now for Teenagers) Act S. 3223/H.R. 5721, Resources to Prevent Youth Vaping Act S. 3263/H.R. 5845, Break Free from Plastic Pollution Act H.R. 5963, E-Cigarette Oversight and Accountability Act S. 616, E-Cigarette Youth Protection Act S. 1258/H.R. 2411, Tobacco to 21 Act S. 1541, Tobacco-Free Youth Act S. 1895, Lower Health Care Costs Act S. 2463, E-Cigarette Tax Parity Act S. 2519, Ending New Nicotine Dependencies (ENND) Act S. 2536, E-Cigarette Device Standards Act S. 2550, No Tax Subsidies for E-Cigarette and Tobacco Ads Act Implementation of P.L. 111-31, the Tobacco Control Act Issues surrounding FDA Premarket Tobacco Product Applications and Modified Risk Tobacco Product compliance policies Issues surrounding taxation of tobacco products January 2020 FDA guidance on flavors in vapor products Issues surrounding implementation of P.L. 111-31, the Tobacco Control Act January 2020 FDA guidance on flavors in vapor products FDA proposed rule concerning N-Nitrosonornicotine Levels in Smokeless Tobacco Products ANPRMS for Docket Nos. FDA-2017-N-6189 and FDA-2017-N-6565 Draft Guidance for Certain Marketed Tobacco Products, Docket No. FDA-2018-D-3244-0001

Client expense: $700,000 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

Regulation of e-cigarettes and vaping products designed to improve the lives of adult smokers; Issues related to enforcement of illicit tobacco products; Supported proposals to prohibit the sale or distribution of tobacco products to individuals under the age of 21; H.R. 293, Youth Vaping Prevention Act of 2019; H.R. 1498/S. 655, SAFE Kids Act; H.R. 1642/S. 1965, Combating the Illicit Trade in Tobacco Products Act; H.R. 1897/S. 916, MOMMAs Act; provisions related to taxation of tobacco products; H.R. 2084, SCOTT Act of 2019; H.R. 2111/S. 1048, PROTECT Act; H.R. 2339, Reversing the Youth Tobacco Epidemic Act of 2019; H.R. 2411/S. 1258, Tobacco to 21 Act; H.R. 3700/S. 2106, a bill to prohibit smoking on the premises of any facility of the Veterans Health Administration; H.R. 4249, Stop Vaping Ads Act of 2019; H.R. 4425, Quell Underage Inhaling of Toxic Substances Act of 2019; S. 616, E-cigarette Youth Protection Act; S. 1541, Tobacco Free Youth Act; S. 1895, Lower Health Care Costs Act; provisions related to the regulation of tobacco products; S. 2519, Prohibiting Non-tobacco E-cigarette Flavors; S. 2536, E-Cigarette Device Standards Act of 2019; and S. 2550, No Tax Subsidies for E-Cigarette and Tobacco Ads Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Issues related to rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Privacy; Universal Coverage. H.R. 861 - End Surprise Billing Act, 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: Issues related to surprise billing, including benchmark payments, arbitration models, and out of network billing. S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act, H.R. 4996 - Helping Medicaid Offer Maternity Services Act of 2019: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug costs and prescription rebates. H.R. 6201 Families First Coronavirus Response Act, S. 3548, H.R. 748 - CARES Act: Issues regarding taxes on high cost employer-sponsored health coverage. H.R. 19 - Lower Costs, More Cures Act of 2019: Issues related to prescription drug pricing S. 2546, H.R.2279 - Safe Step Act: Issues related to managed care, prior authorization. S. 3374 - Protecting Jessica Grubb's Legacy Act: Issues regarding HIPPA, confidentiality of substance abuse records Issues related to drug and price transparency, including the Administrations rule on interoperability and Executive order on transparency.

Client expense: $750,000 · Firm income: Not reported

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

H.R. 4701, HEAL for Immigrant Women and Families Act of 2019, in support of health care services including sexual, reproductive, and maternal health care for immigrant women; S. 916/H.R. 1897, Mothers and Offspring Mortality and Morbidity Awareness Act, in support of preventing maternal mortality and improving maternal health; S. 116, Modernizing Obstetric Medicine Standards Act, in support of improving maternal safety and health outcomes; S. 368/H.R. 1055, Global Health, Empowerment, and Rights (HER) Act, in opposition to the global gag rule; H.R. 1551, Quality Care for Moms and Babies Act, in support of improving maternal and infant health outcomes; S. 3424/H.R. 6142, Black Maternal Health Momnibus Act of 2020, in support of maternal health and closing disparities in maternal health outcomes for women of color; H.R. 6165, Data to Save Moms Act of 2020, in support of increased data collection to improve maternal mortality and severe maternal morbidity for women of color; H.R. 6137, IMPACT to Save Moms Act of 2020, in support of increasing access to perinatal care and improving black maternal health; H.R. 6144, Kira Johnson Act, in support of investments to prevent maternal mortality and severe maternal morbidity for black women; H.R. 6141, Protecting Moms Who Served Act, in support of improving maternity care coordination for women veterans; H.R. 6132, Social Determinants for Moms Act of 2020, in support of addressing social determinants of health for women in prenatal and postpartum periods; H.R. 6138, Tech to Save Moms Act, in support of investments in technology to improve health outcomes for underserved populations; H.R. 6143, Moms MATTER Act of 2020, in support of improving maternal and behavioral health outcomes for women of color; H.R. 6129, To provide improved care and protection to incarcerated mothers, and for other purposesin support of increasing care and protection to incarcerated mothers; In support of comprehensive healthcare for all, including immigrants, particularly during the coronavirus pandemic; In support of quality, affordable, and accessible reproductive health care, particularly during the coronavirus pandemic.

Client expense: $75,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Regulation of e-cigarettes and vaping products designed to improve the lives of adult smokers; Issues related to enforcement of illicit tobacco products, including importation of counterfeit products; Issues related to taxation and user fees for tobacco products; H.R. 293, Youth Vaping Prevention Act of 2019; H.R. 1498/S. 655, SAFE Kids Act; H.R. 1642/S. 1965, Combating the Illicit Trade in Tobacco Products Act; H.R. 1897/S. 916, MOMMAs Act; provisions related to taxation of tobacco products; H.R. 2084, SCOTT Act of 2019; H.R. 2111/S. 1048, PROTECT Act; H.R. 2339, Reversing the Youth Tobacco Epidemic Act of 2019; H.R. 4425, Quell Underage Inhaling of Toxic Substances Act of 2019; H.R. 5721/S. 3223, Resources to Prevent Youth Vaping Act; S. 616, E-cigarette Youth Protection Act; S. 2519, Prohibiting Non-tobacco E-cigarette Flavors; and S. 2536, E-Cigarette Device Standards Act of 2019.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate to reduce maternal mortality, increase access to comprehensive prenatal care, implement evidence-based childbirth education in prenatal care models and make childbirth education more accessible to all women. Support: H.R. 1551/S. 1960, the Quality Care for Moms and Babies Act H.R. 1897/S. 916, the MOMMA's Act H.R. 2602, the Healthy MOMMIES Act H.R. 2778/S. 1481, the Healthy MOM Act H.R. 4215, Excellence in Maternal Health Act S. 116, MOMs Act S. 1343, MOMMIES Act H.R. 6132, the Social Determinants for Moms Act H.R. 6144, the Honoring Kira Johnson Act H.R. 6141, the Protecting Moms who Served Act H.R. 6164, the Perinatal Workforce Act H.R. 5640/S. 3152, the Data Mapping to Save Moms Lives Act H.R. 6143, the Moms MATTER Act H.R. 6129, the Justice for Incarcerated Moms Act H.R. 5640/S. 3152, the Data Mapping to Save Moms Act H.R. 6137, the IMPACT to Save Moms Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE